Management of the Dead Management of Human Remains for PUIs and - - PowerPoint PPT Presentation

NATIONAL TASK FORCE FOR COVID-19 Task Group for Response Operations

Management of the Dead

Management of Human Remains for PUIs and confirmed COVID-19 cases

Overview of Management of the Dead and Missing Persons (MDM)

National Disaster Response Plan

Policy Statements

Salient Features of NDRRMC MC No. 19 s. 2016

Dead persons have to be found, retrieved, identified, and buried according to their religious and culturally acceptable norms. The inherent dignity of the dead shall be observed at all times.

Organizational / Functional Chart in Support to MDM

Management of the Dead for Coronavirus Disease 2019 (COVID-19)

Policy Issuances

Sub-Clusters at Work

Initially for COVID-19, Disposition of the Dead and Management of the Bereaved Families are activated In extreme cases, such as MCI, all sub-clusters will eventually be activated

DILG MC No. 2020-063 Interim Guidelines on the Management of Human Remains for PUIs and confirmed COVID-19 cases

Salient Features In handling the human remains, universal, standard and transmission-based precautions and DOH-recommended guidelines and procedures must be strictly observed to avoid further spread of the disease. The inherent dignity of the dead shall be

• bserved at all times.

LGUs shall designate and commission reputable funeral parlors and crematoriums to handle the remains of confirmed COVID-19 cases and PUIs. Burial, preferably cremation, shall be done within 12 hours after death. Special considerations should be given in respect to various religious and cultural

• practices. LGUs with identified Muslim

cemetery shall not restrict a Muslim who died as a PUI or a confirmed COVID-19 case. Per PAHO and WHO, human remains with confirmed COVID-19 cases can be buried and cremated, the same shall apply with PUIs.

DILG MC No. 2020-063 Specific Provisions

1. General precautionary measures for all, but not limited to health care workers, responders, retrieval teams, funeral and mortuary staff, relatives who are likely to come into contact with the PUI or confirmed COVID-19 human remains: a. Vaccination b. Personal Hygienic Measures and Protective Equipment c. Accidental Exposure to Blood or Body Fluids d. Health Care Waste Management e. Environmental Control 2. Packaging, Removal and Transportation of Human Remains (PUIs and/or COVID-19 Positive) a. From Referral Facility/Hospital for COVID- 19 Positive b. From Home Quarantine for PUIs or symptomatic person who died similar with COVID-19 3. Precaution for All Human Remains retrieved a. Care for Human Remains and Environmental Controls in MORTUARY b. Care for Human Remains and Environmental Controls in MORTUARY and FUNERAL WORKERS 4. Requirements for Burial/Cremation 5. Procedure for Burial and Cremation 6. Shipment of Human Remains/Cremains outside area of jurisdiction 7. Recommended precaution for relatives when handling human remains 8. For Non-COVID-19 related deaths (excluding PUIs) 9. Cost of burial or cremation

• 10. Prohibitions

INTERIM MANUAL

Management of Human Remains for PUIs and confirmed COVID-19 cases

INTERIM MANUAL

Management of Human Remains for PUIs and confirmed COVID-19 cases

Observing Proper Burial for Muslim Filipinos/Foreign Nationals

The human remains of a Muslim foreign national who died as a PUI

• r a confirmed COVID-19 case in the country shall be given decent

burial in the nearest cemetery following the appropriate Islamic burial rites, ensuring that the processing and handling shall be in accordance to universal and standard precaution (DILG MC 2020-063 Item 4.23) Special considerations should be given in respect to various religious and cultural practices. LGUs with identified Muslim Cemetery shall not restrict a Muslim who died as a PUI or a confirmed COVID-19 case, as long as the processing and handling of the human remains be in accordance to the universal, standard and transmission-based precautions (DILG MC 2020-063 Item 4.22) Burial, preferably cremation, shall be done within 12 hours after death. However, cremation or burial of human remains, to the most possible extent, shall be in accordance with the deceased person’s wish, decision of those who have the duty to make funeral/burial arrangements, and religious and culturally-acceptable norms of the deceased (DILG MC 2020-063 Item 4.15)

MDM Monitoring as of 10PM 13 April 2020

Actions DATA National NCR Luzon Visayas Mindanao Getting Organized Convened the MDM Cluster/Team 27% or 420 out of 1,634 LGUs (C/M) 82% or 16 out of 17 LGUs (C/M) 28% or 225 out of 754 LGUs (C/M) 34% or 108 out of 408 LGUs (C/M) 12% or 71 out of 455 LGUs (C/M) Organized MDM Cluster/Team 51% or 747 out of 1,634 LGUs (C/M) 76% or 16 out of 17 LGUs (C/M) 28% or 225 out of 754 LGUs (C/M) 78% or 175 out of 408 LGUs (C/M) 27% or 136 out of 455 LGUs (C/M) Funeral Parlors/Crematoriums willing to accept PUIs and Confirmed COVID-19 Cases Number of Funeral Parlors 1,996 160 1,114 475 247 Number of Crematorium 108 12 68 9 19 Number of Funeral Parlors with Crematorium 119 23 63 12 21 Number of Muslim Funeral Facility 63 33 13 17 Orientation of Funeral Parlors/Crematorium Number of Funeral Parlors/Crematorium Oriented on universal, standard and transmission-based precautions 382 33 219 82 48 Identified Burial Sites Non- Muslims 908 (C/M) with 1,963 Burial Sites 17 (C/M) with 79 Burial Sites 415 (C/M) with 838 Burial Sites 237 (C/M) with 430 Burial Sites 239 (C/M) with 616 Burial Sites Muslims 171 (C/M) with 187 Burial Sites 2 (C/M) with 2 Burial Sites 42 (C/M) with 45 Burial Sites 22 (C/M) with 25 Burial Sites 105 (C/M) with 115 Burial Sites Cadaver Bags Number of Cadaver Bags Available 14,877 7,816 3,900 1,928 1,233 Number of Cadaver Bags Needed 27,627 3,100 16,302 4,563 3,662 Price Freeze If applicable, Local Sangunian to enact an

• rdinance to put a price cap or issue an

Executive Order to impose a price freeze on funeral services within their area jurisdiction 238 LGUs (C/M) 1 LGUs (C/M) 111 LGUs (C/M) 54 LGUs (C/M) 72 LGUs (C/M) Number of person who died similar with COVID-19 and served by the Funeral Parlors/Crematoriums Died as PUM 12 7 3 2 Died as PUI under Home Quarantine 21 14 3 1 3 Died as PUI admitted in a referral facility/hospital 321 211 63 22 25 Number of confirmed COVID-19 Cases who died and served by the Funeral Parlors/ Crematoriums 199 198 1

Issues and Concerns

• Lack of crematoriums in some LGUs;
• Fund

support/augmentation in cremation for bereaved families of non-indigent victims;

• Coordination

mechanism between DOH referral facilities/hospitals, MDM Cluster and LGUs and bereaved families on data sharing;

• Muslim dead victims (PUI and COVID19+) were refused

burial in Muslim cemeteries by some LGUs

“Coordination is the Essence of Management”