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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
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
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.
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
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 personโ€™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 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
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
โ€œCoordination is the
Essence of Managementโ€

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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
  • 2. Overview of Management of the Dead and Missing Persons (MDM)
  • 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.
  • 6. Management of the Dead for Coronavirus Disease 2019 (COVID-19)
  • 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
  • 11. INTERIM MANUAL Management of Human Remains for PUIs and confirmed COVID-19 cases
  • 12. INTERIM MANUAL Management of Human Remains for PUIs and confirmed COVID-19 cases
  • 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 personโ€™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)
  • 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
  • 16. โ€œCoordination is the Essence of Managementโ€

Editor's Notes

  1. 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) โ€œResponse 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 โ€œResponse 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.
  2. 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.
  3. 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