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Ramsey County │ Annex F: Fatality Management 2 <br />As an operational plan, this Annex does not address response tactics. Response tactics are outlined in <br />the subject or threat-specific plans and procedures created and maintained by relevant agencies and <br />departments. Such plans and procedures are cited within this Annex and the reference section. During <br />the use of this and other plans and procedures, the overall emergency management concepts, policies, <br />and procedures contained in the CEOP remain in place. <br />1.3 Planning Assumptions <br />• The RCME’s Office has legal authority over all deaths in Ramsey County and other jurisdictions <br />with which the RCME’s Office has a jurisdictional contract and would assume control of body <br />recovery and identification during a mass fatality. It is possible that the RCME’s Office may be <br />supporting multiple jurisdictions at any given time. <br />• A mass fatality can be the result of several types of hazards, including natural, technological, and <br />human-caused. <br />• An incident that involves chemical, biological, radiological, nuclear, and explosive (CBRNE) <br />agents may require decontamination at the scene prior to recovery and investigation. <br />• A mass fatality incident could overwhelm the existing staff and resources at the RCME’s Office <br />as staff need to maintain daily caseloads within the counties they serve. <br />• The number of decedents could exceed the capacity in the Ramsey County Morgue. <br />• Factors such as magnitude, type, population type, condition of remains, rate of recovery, <br />contamination, or status and location of incident can impact the length of response. <br />• In a mass fatality event, decedents may not be immediately identifiable, and the identification <br />process could be lengthy. <br />• Effective coordination among local, state, and federal responders in a mass fatality event is a <br />key factor in ensuring successful, culturally competent responses to major incidents. <br />• The ultimate purpose in a mass fatality response is to recover, identify and effect final <br />disposition in a timely, safe, and respectful manner while reasonably accommodating religious, <br />cultural and societal expectations. Under certain circumstances, this will be challenging and <br />require support and leadership from all levels of government. <br />• Mass fatality events create widespread traumatic stress—for responders, families that are <br />impacted, and, at times, the community-at-large. Traumatic stress can lead to physical illness <br />and disease, precipitate mental and psychological disorders, and can destroy relationships and <br />families. Attending to socio-cultural and behavioral health needs of victims’ and responders is <br />critical. <br />• The purpose of the mass fatality plan is to provide a framework to facilitate an organized and <br />effective response to mass fatality events that treats the deceased and their loved ones with <br />dignity and respect. <br />• Family Assistance Services (FAS), including standing up a Family Assistance Center (FAC), will be <br />coordinated by Ramsey County Social Services in an incident under the direction of the County’s <br />Mass Care Primary Agency: St. Paul Ramsey County Public Health.