23366: Esser: Re: 23328: Stockdale: Re: 23369: Harvey: Re: dead bodies (fwd)

[Bob Corbett <corbetre@webster.edu>]

From: D. Esser <torx@joimail.co0m>

The U.N. newswire reported on June 2, 2004:

"Contrary to popular belief, dead bodies pose no more risk of disease
outbreak in the aftermath of a natural disaster than survivors,
according to an article in the May 2004 issue of the Pan American
Journal of Public Health. ..."

below an excerpt [summary] of the findings as they relate to the
recent flooding in Haiti:


"There is no evidence that, following a natural disaster, dead bodies
pose a risk of epidemics. “Epidemic-causing” acute diseases are
unlikely to be more common among disaster victims than among the
general population, suggesting that the risk to the general public is
negligible. ...it is far more likely that survivors will be a source
of disease  outbreaks. However, those who handle victims may be
exposed to chronic hazards such as bloodborne viruses,
gastrointestinal infections, and tuberculosis. The risk for this
group can be estimated from the disease prevalence in the local
population and the likelihood of exposure and transmission.

Simple measures, such as handwashing and basic hygiene, can reduce
the risk of such “occupational” exposures. Those who are likely to be
given the task of managing the dead (police, civil defense, military)
would benefit from basic instruction as part of disaster preparedness
activities. Access to suitable equipment (gloves, body bags, etc.)
should also be considered. Following a catastrophic disaster or an
event in a remote region, people with no previous instruction may be
called upon to assist. Basic messages about suitable precautions
would support local authorities and agencies who may themselves be
unsure of appropriate methods. Where possible, disposal of the dead
should be done according to local custom and practice. Burial is the
preferred option in the case of mass casualties and where victims
cannot be identified. Burial is unlikely to cause contamination of
groundwater if sited correctly."

> Yes, dead rotting bodies are a significant health hazard, especially
> in flood, and should be burned or buried as soon as possible. I am
> concerned that animal bodies are not being disposed of as well, as
> far as I can tell.
>
> Deb Stockdale (RN)