Management of The Missing and the Dead during the Pandemic Setting in the Philippines with regards to the Covid-19 Pandemic with issuance of IATF Guidelines
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MDM-for-COVID-19-2.pptx
1. 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
As of 13 April 2020
4. 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.
8. 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
9. 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
observed 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.
10. 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
13. Observing Proper Burial for Muslim
Filipinos/Foreign Nationals
The human remains of a Muslim foreign national who died as a PUI
or 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 personโs 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)
14. 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 0 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
ordinance 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 0 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 0 0 1
15. Issues and Concerns
โ Lack of crematoriums in some LGUs;
โ Fund support/augmentation in cremation for bereaved
families of non-indigent victims;
โ Coordination mechanism between DOH referral
facilities/hospitals, MDM Cluster and LGUs and bereaved
families on data sharing;
โ Muslim dead victims (PUI and COVID19+) were refused
burial in Muslim cemeteries by some LGUs
Run through-Quick Overview:
To put things in perspective on how the MDM works in the NDRRMC Eco-System, the NDRP was created (this was triggered during the TY YOLANDA Experience)
โResponse Clustersโ that are presented in this plan are the National Response Clusters created and approved by the NDRRMC as provided in the NDRP and are directly under the Vice-Chairperson for Response (DSWD). These โResponse Clustersโ will either augment or assume the response operations given the different trigger points for each disaster phase. The eleven Response Clusters each have their own Lead Agency that will primarily supervise, coordinate and report all activities of their cluster members during disaster.
The MDM Cluster is being lead by the Department of the Interior and Local Government as the Lead Convenor.
In times of disasters and emergencies, the dignified and proper management of the dead in disasters is FUNDAMENTAL to help the families know the fate of their relatives and mourn their dead. Management of dead bodies and body parts is a Key Element of disaster response. Their proper management is a core component of disaster response, together with the rescue and care of survivors and the provision of essential services. This will also pave the way on the early recovery and rehabilitation of the disaster stricken area.
The MDM Cluster has four (4) sub-clusters namely:
Disaster Victim Identification
Disposition of the Dead
Management of the Missing Persons and
Management of the Bereaved Families