Pandemic Influenza Mortuary Guidelines

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					                            Pandemic Influenza
                            Mortuary Guidelines


                                        State of Wisconsin
                                      Winnebago County Area

                                            Version 5-6-2009




Winnebago County Area Mortuary Plan for Pandemic Influenza     Page 1 of 72
                                                    A Foreword

A severe pandemic influenza will likely result in the deaths of thousands of Wisconsinites and will put
significant strain on the mortuary response community. In the event a pandemic is experienced, it is
reasonable to expect all surrounding areas (counties/states) will be affected and unable to provide mutual
aid to each other. Each jurisdiction will be solely responsible for themselves, but it is understood that no
one jurisdiction will be able to handle the excess deaths predicted during a pandemic. In the fall of 2007,
the health departments within the cities of Oshkosh, Neenah, and Menasha, and Winnebago County
recognized the need to develop an integrated comprehensive plan for dealing with large numbers of
deaths from a pandemic. The jurisdictions represented in this document are collectively called the
Winnebago County Area. As a result, the Mortuary Planning Partners formed a committee consisting of
representatives from funeral homes, the coroner’s office, hospitals, local and regional emergency
management departments, and local health departments.

From January 2008 through May 2009, the committee developed the Pandemic Influenza Mortuary
Guidelines. The Barron County Mortuary Plan has been used as a template with adaptations made to
meet the needs of the Winnebago County Area.

These guidelines were formally approved and adopted by all partners from the Winnebago County Area
on May 12, 2009.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                       Page 2 of 72
                                                    Table of Contents
     I.        Purpose …………………………………………………………….…………                                                           4

     II.       Planning Assumptions ...……………………………………...…...……...                                             4

     III.      Winnebago County Area Mortuary Capacity …...…………...…………                                        5

     IV.       Plan Activation / Thresholds ………...……………………………………                                              5

     V.        Command ………...……………………………………………….………….                                                         5

     VI.       Logistics …………...…………………………………………………………                                                        6

     VII.      Operations …...………………………………………...….…………………                                                     9

     VIII.     Finance / Administration …...………………….…………………………..                                              10

     IX.       Technical Considerations …...………….…………………………………                                                11

     X.        Infection Control …..………………………………….…………………….                                                   12

     XI.       Special Populations …………..……………………….………….………..                                                 12

     XII.      Plan Review and Approval ……..…………………….………….………..                                               13

     XIII.     History of Plan Revisions ………..……………………….……….………                                               14

Appendix A: Contacts ……...……………………………………………………………                                                             15

Appendix B: Facility Information …..…………………………………….……………                                                      16

Appendix C: Winnebago County Area Funeral Homes …..………….…..………..                                              17

Appendix D: Memorandum of Understanding ……..…….…………………...……..                                                 18

Appendix E: Organizational Structure for Unified Mortuary Response .….....…                                   20

Appendix F: Human Remains Flow ……..……………….……………....……………                                                      22

Appendix G: UMSPF Mortuary Supplies .…...…………………..………...………….                                                 23

Appendix H: Fox Valley Public Health Consortium Estimates ….…….….………                                          24

Appendix I: Winnebago County Area Mortuary Capacity Survey .....…....………                                      28

Appendix J: UMSPF Activation Triggers ...............................................................         29

Appendix K: Web-Based Tracking of Human Remains ………….....…....………..                                           30

Appendix L: Paper-Based Tracking of Human Remains ......................................                      39

Appendix M: Certificate of Receipt …….............………………………..……...…….                                         40

Appendix N: Virtual Funeral Resources ...............................................................         41

Appendix O: Cemetery Resources .........................................................................      42

Appendix P: Job Action Sheets .............................................................................   50

Appendix Q: Acknowledgements …………………………….………....…….………                                                        71




Winnebago County Area Mortuary Plan for Pandemic Influenza                                                         Page 3 of 64
I.       Purpose

         The Pandemic Influenza Mortuary Guidelines recognize that in a worst case pandemic influenza
         scenario similar to the 1918 Pandemic, all partners within the Winnebago County Area will see a
         high number of fatalities that will quickly overwhelm the current mortuary system.

         Funeral homes will operate independently until the Unified Mortuary Coordinator determines that
         the Unified Mortuary Storage and Preparation Facility (UMSPF) will be used for the storage and
         preparation of human remains.

         During a public health emergency such as a pandemic, funeral homes within Winnebago County
         recognize that the most efficient way to effectively respond to such an incident will be to
         consolidate and coordinate resources under a single unified mortuary command structure at a
         single facility known as the Unified Mortuary Storage and Preparation Facility (UMSPF).

         This plan is structured using the functions of the Incident Command System, specifically,
         Command, Operations, Logistics, and Administration. The Finance Section will be a function of
         the Winnebago County Emergency Operations Center (EOC).

         All human remains, as well as family members and friends of those that die during a pandemic,
         must be treated with dignity and respect, and to the greatest extent possible, granted final
         disposition wishes.


II.      Planning Assumptions

         A. According to the Centers for Disease Control and Prevention’s Flu Aid software, in a worse-
            case scenario, assuming a 25% pandemic influenza attack rate over an eight-week period,
            the jurisdictions of Winnebago County Health Department, Menasha Health Department,
            Neenah Department of Public Health, and Oshkosh Health Services Division could expect as
            many as 1,444 deaths from influenza. These estimates were taken from 2006 data, to
            include the 2006 population estimates. See Appendix H: Fox Valley Public Health
            Consortium Estimates. These estimates are in addition to the number of deaths that
            generally occur in the Winnebago County Area in any given time from all other causes.
         B. A pandemic wave will occur over an eight- to ten-week period. During this period of time,
            illness peaks and then reduces to a lower level. The majority of deaths will occur over a
            three- to four-week period of the wave, typically sometime in the middle of the wave. This will
            be the time of greatest concern for the mortuary services community.
         C. Within 24-48 hours after death, human remains will begin to decompose without refrigeration.
         D. The Centers for Disease Control and Prevention estimate that 70% of deaths will occur in a
            hospital.
         E. Human remains that are refrigerated can be kept for at least one month.
         F. As of 2007, approximately 60% of human remains are requested to have a casket.
         G. Casket and vault availability and capacity will be conditionally based on provider’s supply.
         H. Vaccine will likely not be available for 6-8 months after the pandemic begins.
         I. Culturally traditional funeral services for all deaths may be suspended to minimize public
            gatherings and decrease transmission of the virus.
         J. All Emergency Operations Centers (EOCs) have been activated for the Winnebago County
            Area. Each jurisdiction will decide how to operate their Emergency Operations Centers.
            Communication will be critical among all partners.
         K. A Unified Mortuary Coordinator will be appointed by Winnebago County Incident Command.
            The Unified Mortuary Storage and Preparation Facility (UMSPF) will be used for the storage
            of all human remains, influenza related or not, during a pandemic.
         L. Initially during a pandemic, human remains will be transported from the UMSPF to
            independent funeral homes until the Unified Mortuary Coordinator determines that the
            UMSPF needs to prepare human remains for final disposition in addition to being a storage
            facility.
         M. Preparation of human remains at the UMSPF is to be basic in nature due to probable scarcity
            of resources. Basic preparation will not include embalming of human remains.


Winnebago County Area Mortuary Plan for Pandemic Influenza                                      Page 4 of 72
         N. Mortuary staff and family members will be added to the vaccine prioritization list as vaccine
            becomes available and authorized.
         O. The Family Assistance Center (FAC) will provide information and services for grieving
            families. It will not be located at the UMSPF.
         P. The Transportation Section will be responsible for the transportation of human remains to
            funeral homes and location of final disposition (Transport Team), and from hospitals and
            homes to the UMSPF (Removal Team).


III.     Winnebago County Area Mortuary Capacity

         With the assistance of the fall 2007 nursing students from the University of Wisconsin–Oshkosh,
         a survey of the capacity of the ten funeral home businesses in the Winnebago County Area was
         obtained. It is understood that this information is based upon the capabilities during a
         nonemergency time period. See Appendix I: Winnebago County Area Mortuary Capacity Survey
         for the survey.


IV.      Plan Activation / Thresholds

         A. Consideration of activating this plan will begin with the first confirmed case of a pandemic
            influenza in Wisconsin or a surrounding state or as directed from the State of Wisconsin
            Department of Health Services.
         B. Each Local Health Officer will consult with Emergency Management from their jurisdiction
            and other partners to formally declare a local public health emergency.
         C. Once a public health emergency has been declared, each Health Officer from the Winnebago
            County Area and the Winnebago County Coroner will discuss the need to activate the
            Pandemic Influenza Mortuary Guidelines.
         D. Once decided it is necessary to activate the Mortuary Planning Guidelines, the local EOCs
            within the Winnebago County Area will be notified. The Unified Mortuary Coordinator will be
            briefed on the situation and will communicate with Funeral Directors regarding status of the
            pandemic, resource availability, funeral home status, and need to activate the Pandemic
            Influenza Mortuary Guidelines.
         E. The Unified Mortuary Coordinator will communicate regularly the status of funeral homes to
            Emergency Management.
         F. The decision to activate the UMSPF will be based on the virulence of the influenza strain,
             number of cases, number of fatalities, and resource availability.
         G. The Unified Mortuary Coordinator, in consultation with the Winnebago County Area
             Emergency Management Directors, Winnebago County Coroner, and Local Health Officers,
             will activate the UMSPF utilizing direction from Appendix J: Guidance for Activation of
             the UMSPF.


V.       Command

         A. General
            Once a public health emergency is declared, the Incident Command System will be used,
            regardless if funeral homes are operating independently or the UMSPF is activated. The
            Safety Officer, Liaison Officer, Public Information Officer, and Security Officer will be a
            function of the Winnebago County EOC.
         B. Unified Mortuary Coordinator
                   1. Determines activation of the UMSPF in collaboration with the Winnebago County
                       Area Emergency Management Directors, Winnebago County Coroner, and the
                       Local Health Officers.
                   2. Coordinates and controls all activities of the UMSPF, FAC, and Transportation
                       Section including staffing, task assignments, resources inventory, and operations.
                   3. Communicates with the Unified Mortuary Liaison to address resource coordination
                       needs.
                   4. Provides the Winnebago County EOC with regular situation updates.
                   5. Reports fatality data to the Local Health Departments on a regular basis (to be
                       determined by the nature and magnitude of the event).

Winnebago County Area Mortuary Plan for Pandemic Influenza                                       Page 5 of 72
                   6. Notifies area hospitals of the activation of these guidelines and provides
                       appropriate contact information for the FAC and Transportation Section.
                   7. Assurance of proper documentation collection of staff hours, equipment utilized,
                       and expenses for possible reimbursement from federal, state, local, or private
                       entities of all sections and staff. This information is to be given to the Finance
                       Section of the Winnebago County EOC.
         C.   Deputy Mortuary Coordinator
                   1. Responsible for assisting the Unified Mortuary Coordinator with operations of the
                      UMSPF.
                   2. Will serve as the Unified Mortuary Coordinator in their absence.
         D.   Unified Mortuary Liaison
                   1. Responsible for communicating with the Unified Mortuary Coordinator to address
                       the resource and supply needs of the UMSPF.
                   2. Provides the Winnebago County Area EOCs with situation updates on the UMSPF
                       activities.
                   3. Coordinates with EOC representatives to meet the resource needs of the UMSPF.
         E.   Deputy Unified Mortuary Liaison
                   1. Responsible for assisting the EOC Unified Mortuary Liaison.
                   2. Serves as the Liaison in their absence.
         F.   Medical Examiner / County Coroner (ME/CC)
                   1. Has the legal jurisdiction and responsibility to examine and dispose of human
                      remains from deaths known or suspected to be due to unnatural causes, homicides,
                      and known or suspected contagious diseases that constitute a public health hazard.
                   2. The ME/CC will consult and collaborate with the Local Health Officers and UMSPF
                      Coordinator to ensure an effective mortuary response.


VI.      Logistics

         A. Facilities
                  1. Unified Mortuary Storage and Preparation Facility (UMSPF)
                       Emergency Management, Local Health Officers, Winnebago County Coroner, and
                       Funeral Directors have elected to use a central location for the storage and
                       preparation of human remains. The UMSPF will be activated when the Unified
                       Mortuary Coordinator, in consultation with Local Health Officers and the
                       Winnebago County Coroner, have determined that current systems are ineffective.
                       Initially, the UMSPF may be used for only the storage of human remains and
                       human remains will be prepared at independent funeral homes. When the Unified
                       Mortuary Coordinator determines the need to prepare human remains at a single
                       location, the funeral homes of the Winnebago County Area will consolidate all
                       resources including staff, equipment, and supplies to handle the influx of human
                       remains that a pandemic has the potential to produce. Under this model, all
                       Funeral Directors may temporarily close their facilities and relocate to the UMSPF.
                       This relates specifically for the period of a pandemic wave which will produce the
                       highest fatalities.
                         a. Minimal Requirements
                                    Drainage. Drainage of fluids used during human remain preparation
                                    must be contained through a pre-existing or temporary drainage system.
                                    Showers. Showers must be available for UMSPF staff to remove any
                                    fluids that came into contact during preparation.
                                    Eye Wash Stations. Available for UMSPF staff who may incidentally get
                                    fluids in the eyes.
                                    Water. Cleaning and washing down of fluids.
                                    Air Exchange (AE). Negative air pressure is ideal when working with
                                    human remain fluids. However, an UMSPF facility will not likely have
                                    this capacity.
                                    Viewing/Identification Area. The UMSPF may offer a
                                    Viewing/Identification Area for immediate family members. Family
                                    members may be required to wear appropriate personal protective
                                    equipment to decrease the chance of viral exposure.


Winnebago County Area Mortuary Plan for Pandemic Influenza                                      Page 6 of 72
                          b. Equipment
                                 Forklift. Moving of human remains.
                                 Cold Storage Areas. Separate areas will be used for incoming and
                                 processed bodies.
                                 Basic office supplies
                                 Computers, fax machine, copy machine, and telephones
                                 Staff identification badges
                                 Personal protective equipment: gloves, scrubs, shoe covers, N95
                                 respirators, surgical masks, face shields, and other personal protective
                                 equipment as recommended by Public Health.
                                 Web-based program for tracking of human remains. See Appendix K:
                                 Web-Based Tracking of Human Remains.
                                 Paper-based tracking of human remains in the event that internet service
                                 is not available. See Appendix L: Paper-Based Tracking of Human
                                 Remains.
                                 Cameras. Used for human remains identification.
                                 First aid supplies
                                 Funeral home preparation tables and other funeral home supplies.
                                 Transportation of supplies to the UMSPF will be supported by the
                                 Winnebago County EOC.
                                 Equipment to communicate with the UMSPF, FAC, or Winnebago
                                 County EOC, if needed
                                 Laundry facilities or access to laundry services
                                 Computers
                                 Printer
                                 Internet access
                                 Generator(s)
                          c. Staffing
                                 See Section V: Command
                                 UMSPF Section Chief. The UMSPF Section Chief duties:
                                 (1)       Responsible for the storage and preparation of human remains
                                 (2)       Coordinate activities with the Transportation Section to provide
                                           for transportation of human remains to funeral homes and
                                           locations of final disposition
                                 (3)       Provide regular briefings to the Unified Mortuary Coordinator
                                 (4)       Develop daily mortuary reports and provide to the Unified
                                           Mortuary Coordinator
                                 (5)       Ensure completion and submission of necessary paperwork of
                                           human remains to include death certificates
                                 (6)       Maintain electronic tracking database
                                 (7)       Collection of necessary documentation of staff hours, equipment
                                           utilized, and expenses for possible reimbursement from federal,
                                           state, local, or private entities. This information is to be given to
                                           the Finance Section of the Winnebago County EOC.
                                 Funeral Home Directors. Store and prepare human remains for final
                                 disposition.
                                 Preparation Room Attendants. Perform duties under the direction of a
                                 licensed funeral home director.
                                 Register of Deeds Representative. Provide technical assistance
                                 regarding reporting of deaths within the Winnebago County Area.
                                 Administrative Support Staff. Answer phone calls, provide general
                                 information on mortuary services, and data entry into the electronic
                                 tracking database.
                                 Security. A minimum of one security officer must remain at the UMSPF
                                 at all times during operations. Security does not need to be Law
                                 Enforcement but must have direct communications to Law Enforcement.
                                 Custodial, site maintenance support staff
                     2. Family Assistance Center (FAC)
                          a. Responsibilities
                                 Provide survivors with information and access to services they may need
                                 during the days following the incident

Winnebago County Area Mortuary Plan for Pandemic Influenza                                           Page 7 of 72
                                   Gather postmortem information
                                   Share information with the families and develop a notification procedure
                                   Complete and submit all necessary paperwork
                            b. Minimal Requirements
                                   Should be a separate facility from the UMSPF to minimize curiosity
                                   seekers, media, and family inquiries
                                   Consider use of a funeral home that is temporarily closed to act as the
                                   FAC while operating the UMSPF
                            c. Equipment
                                   Basic office supplies
                                   Computers, fax machine, copy machine, and telephones
                                   Multiple phones to handle influx of calls
                                   Radio to communicate with the UMSPF, if needed
                                   Personal Protective Equipment as recommended by Public Health
                            d. Staffing
                                   FAC Section Chief. The FAC Section Chief will:
                                    (1)    Serve as the clearinghouse for all inquiries and calls on mortuary
                                            Services
                                    (2)     Develop a mechanism for the general public to receive
                                            information (e.g. website, hotline, etc.)
                                    (3)     Notify next of kin and determine a final disposition of human
                                            remains
                                    (4)     Coordinate activities with the Transportation Section to provide
                                            for transportation of human remains to the UMSPF from homes
                                    (5)     Provide regular briefings to the Unified Mortuary Coordinator
                                    (6)     Develop daily mortuary reports and provide to the Unified
                                            Mortuary Coordinator
                                    (7)     Ensure completion and submission of necessary paperwork of
                                            human remains
                                    (8)     Maintain electronic tracking database
                                    (9)     Collection of necessary documentation of staff hours, equipment
                                            utilized, and expenses for possible reimbursement from federal,
                                            state, local, or private entities. This information is to be given to
                                            the Finance Section of the Winnebago County EOC.
                                   Mental Health Staff. Assist clients and staff that may require specialized
                                   counseling or support.
                                   Security. As determined by law enforcement. Enforcement must have
                                   direct communications to Law Enforcement.
                                   Administrative Support Staff. The Administrative Support Staff will:
                                    (1)     Answer phone calls
                                    (2)     Provide general information on mortuary services
                                    (3)     Data entry into the electronic tracking system database
                                   Custodial, site maintenance support staff

         B. Transportation
                 1. Responsibilities
                       a. Transportation of human remains from homes and hospitals to the UMSPF
                            and independent funeral homes
                       b. Transportation of supplies from independent funeral homes to the UMSPF
                       c. Gather postmortem information
                 2. Minimal Requirements
                       a. Utilization of routes that economize fuel usage due to the assumed scarcity
                           of this resource
                       b. Deputizing Transport Team members from the Winnebago County Coroner’s
                           office to legally provide for the transportation of human remains
                 3. Equipment
                       a. Paper-based tracking of human remains. The location that the human
                           remains are transported to is responsible for entering the data collected on
                           the paper log into the electronic database.
                       b. Trucks
                       c. Radios or cellular phones

Winnebago County Area Mortuary Plan for Pandemic Influenza                                            Page 8 of 72
                          d. Personal Protective Equipment as recommended by Public Health
                     4. Staffing
                          a. Transportation Section Chief. The Transportation Section Chief will:
                                 Dispatch Removal and Transport Teams to transport human remains
                                 Coordinate activities with the FAC Section Chief and the UMSPF Section
                                 Chief
                                 Provide regular briefings to the Unified Mortuary Coordinator
                                 Develop daily mortuary reports and provide to the Unified Mortuary
                                 Coordinator
                                 Maintain paper tracking database to capture the data located in the
                                 electronic database
                                 Collection of necessary documentation of staff hours, equipment utilized,
                                 and expenses for possible reimbursement from federal, state, local, or
                                 private entities. This information is to be given to the Finance Section of
                                 the Winnebago County EOC.
                          b. Removal Team
                                 Remove human remains from private residences, hospitals, and facilities
                                 and transport to the UMSPF
                                 Track human remains using a paper tracking database that collects data
                                 needed on the electronic database
                          c. Transport Team
                                 Transport human remains from UMSPF to independent funeral homes
                                 and locations of final disposition
                                 Track human remains using a paper tracking database that collects data
                                 needed on the electronic database


VII.     Operations

         A. Process Flow
                 1. The Incident Command System will be utilized to provide a coordinated response
                 2. Funeral homes will operate independently until the Unified Mortuary Coordinator, in
                     consultation from Local Health Officers and the Winnebago County Coroner,
                     determine that the UMSPF will be activated using guidance from Appendix J:
                     Guidance for Activation of the UMSPF.
                 3. The Unified Mortuary Storage and Preparation Facility will be used to store human
                     remains. All human remains, influenza related or not, will be stored at this location.
                     Human remains will be moved to the appropriate funeral home for preparation.
                 4. When activated, the UMSPF will prepare all human remains, influenza related or
                     not, using basic preparation techniques. The assumption is that supplies will be
                     scarce and embalming will not take place at the UMSPF.
                 5. Funeral Homes upon activation of the UMSPF will forward calls or direct incoming
                     calls via their automated answering services to the FAC.
                 6. The Transportation Section will dispatch a Transport Team to transport human
                     remains to and from funeral homes and to locations of final disposition.
                 7. The FAC will notify the Transportation Section of the need to transport human
                     remains from locations other than hospitals and funeral homes.
                 8. Hospitals and funeral homes will directly notify the Transportation Section of the
                     need to transport human remains.
                 9. The Transportation Section will dispatch a Removal Team to private residences,
                     hospitals, and facilities to remove human remains and transport to the UMSPF. If
                     transportation has reached full capacity, the Transportation Section Chief will
                     report to the Unified Mortuary Coordinator. The Unified Mortuary Coordinator will
                     notify the Winnebago County EOC of a need for additional transportation
                     resources.
                 10. The Removal Team will begin the identification and tracking process of the human
                     remains at collection and will transport human remains to the UMSPF and place in
                     Cold Storage.
                 11. The FAC will contact next of kin to determine final disposition. Human remains
                     will continue to stay in Cold Storage until next of kin is contacted OR
                 12. If Cold Storage has reached its capacity AND after numerous failed attempts to

Winnebago County Area Mortuary Plan for Pandemic Influenza                                        Page 9 of 72
                           contact the next of kin to determine the final disposition, the Unified Mortuary
                           Coordinator under the direction of the Local Health Officers can choose a final
                           disposition.
                     13.   Human remains prepared
                     14.   The Unified Mortuary Coordinator will notify the FAC regarding the status of the
                           human remains and submit all necessary paperwork to the FAC for processing.
                     15.   All embalming of human remains will occur at local funeral homes, if available.
                     16.   All human remains awaiting cremation will be placed in Cold Storage until
                           processed.
                     17.   Hospitals
                             a. Following the death of a patient, and prior to activation of the UMSPF under
                                 this plan, hospitals will follow their normal procedure to secure removal of the
                                 remains.
                             b. Following the death of a patient, and subsequent to the activation of the
                                 UMSPF under this plan, hospitals will follow this process to
                                 secure removal of the remains:
                                      (1) Notify the Transportation Section, including patient identification and
                                           location information, as well as information regarding next of kin.
                                      (2) If the Hospital EOC Liaison role has been activated, this individual
                                           will also be notified. If deemed appropriate to the situation, the
                                           Hospital EOC Liaison can serve as the intermediary between the
                                           hospitals and the Transportation Section.
                     18.   Funeral Service Options
                             a. None. The Local Health Officers have suspended public gatherings including
                                 traditional funeral services to minimize transmission.
                             b. UMSPF Services Only. The UMSPF may allow concentrated ceremonies
                                 including visitation and viewing of human remains by immediate family
                                 members only. Visitors may be required to wear surgical masks while at the
                                 viewing.
                             c. Traditional Funeral Services. Traditional funeral services can continue
                                 pending availability of supplies, health restrictions, and other factors. Visitors
                                 may be required to wear surgical masks to minimize transmission of the
                                 virus.
                             d. Virtual Funeral Services. Encouraging virtual funeral services may be an
                                 option if health restrictions or other factors prevent traditional services. See
                                 Appendix N: Virtual Funeral Resources.

         B. Operational Considerations
                 1. All human remains, to the extent possible, will be granted final disposition wishes.
                 2. Traditional Funeral Services. The Local Health Officers may suspend all public
                    gatherings, including traditional funeral services, to control the transmission of the
                    virus. At a minimum, the Local Health Officers, to the extent possible, will allow
                    immediate family members to gather for viewing and services
                    offered at the UMSPF.
                 3. If the number of human remains completely overwhelms the mortuary capacity, the
                    Local Health Officers, in consultation with the Unified Mortuary Coordinator, may
                    order the cremation of all human remains, immediate burial, or mass burial
                    regardless of final disposition wishes. Mass burial must include collaboration with
                    the Department of Natural Resources.
                 4. Embalmed human remains may be stored in Cold Storage until time of burial if
                    funeral homes continue to have the ability to embalm and storage space is
                    available.


VIII.    Finance / Administration

         A. Costs. Families of the deceased will be responsible for costs incurred with mortuary
            services.
                  1. Currently, there are no dedicated funds to offset costs incurred by a pandemic
                      influenza. It is difficult to determine whether Medical Assistance will increase


Winnebago County Area Mortuary Plan for Pandemic Influenza                                             Page 10 of 72
                         payments to funeral homes for mortuary services for under or uninsured
                         individuals.
                      2. Reimbursement to funeral homes by county, state, or federal agencies may be
                         minimal and will be based on the magnitude of the pandemic.
                      3. It is important that all costs incurred by the UMSPF/FAC for providing mortuary
                         services including staff time, transportation costs, equipment and supply use,
                         telephone, copies, personal protective equipment, food, etc. are tracked. Tracked
                         costs incurred can be submitted through the Winnebago County EOC for
                         consideration of reimbursement under a Federal Declaration of Emergency.
         B.   Fees and Wage Scale. Fees, wages, and reimbursement from services provided at the
              UMSPF should be determined by the Funeral Directors involved with this plan.
         C.   Security of Deceased. The Winnebago County EOC will designate a Law Enforcement or
              designee for security of the UMSPF and the FAC.
         D.   Tracking System. A web-based database located on the Winnebago County’s website will
              be used. This website is password protected. Staff has the ability to enter and view real time
              data. Paper-based tracking may be used for tracking human remains during times when it is
              not feasible to use a web-based system. The paper-based tracking form will capture the data
              requested in the web-based database and will be entered into the web-based database at a
              later time. Paper-based tracking forms will be routinely used for the Transportation Section.
              Entering data from the paper-based tracking form to the web-based database is the
              responsibility of the location that the human remains are transported to. See Appendix K:
              Web-Based Tracking of Human Remains, Appendix L: Paper-Based Tracking of Human
              Remains, and www.co.winnebago.wi.us/MortuaryTracking/ .
         E.   Deactivation of the Operation Sections (UMSPF/FAC/Transportation Sections). A
              pandemic wave will last anywhere from 8-10 weeks. The period of week 3 through week 7
              will be the time of most concern for mortuary services. Operations will be deactivated based
              upon the decision of the Unified Mortuary Coordinator in consultation with the Winnebago
              County EOC, Local Health Officers, and the Winnebago County Coroner. The Winnebago
              County EOC will provide transportation to return all equipment and supplies back to individual
              funeral homes. Mortuary supplies procured by Winnebago County EOC during operation will
              be used to first restock individual funeral home supplies used at the UMSPF/FAC.
              Remaining supplies, if any, shall remain at the UMSPF/FAC for preparation for the next
              pandemic wave. The Unified Mortuary Coordinator shall order any needed mortuary supplies
              immediately through the Winnebago County EOC to restock the UMSPF/FAC and individual
              funeral homes.


IX.      Technical Considerations

         A. Autopsies. Autopsies will occur at the discretion of the Winnebago County Coroner. Many
            deaths in a pandemic would not require autopsies since autopsies are not indicated for the
            confirmation of influenza as the cause of death.
         B. State Statutes and Regulations Pertaining to a Pandemic
                  1. Chapter 157 – Disposition of Human Remains
                        a. 157.055 Disposal of Human Remains During State of Emergency
                             Relating to Public Health. During a period of a State of Emergency related
                             to public health declared by the governor under s. 166.03(1)(b)1, a public
                             health authority may do all of the following:
                                  (1) Issue and enforce orders that are reasonable and necessary to
                                       provide for the safe disposal of human remains, including by
                                       embalming, burial, cremation, internment, disinterment,
                                       transportation, and other disposal.
                                  (2) Take possession and control of any human remains.
                                  (3) Order the disposal, through burial or cremation, of any human
                                      remains of an individual who has died of a communicable disease,
                                      within 24 hours after the individual's death and consider, to the
                                      extent feasible, the religious, cultural, or individual beliefs of the
                                      deceased individual or his or her family in disposing of the remains.
                                  (4) If reasonable and necessary for emergency response, require a
                                      funeral establishment, as a condition of its permit under s.445.105(1)
                                      to accept human remains or provide the use of its business or

Winnebago County Area Mortuary Plan for Pandemic Influenza                                      Page 11 of 72
                                         facility, including by transferring the management and supervision of
                                         the funeral establishment to the public health authority, for a period
                                         of time not to exceed the period of the State of Emergency.
                                     (5) Authorize a county medical examiner or a county coroner to appoint
                                         emergency assistant medical examiners or emergency deputy
                                         coroners, whichever is applicable, if necessary to perform the duties
                                         of the office of medical examiner or coroner, and to prescribe the
                                         duties of the emergency assistant medical examiners or emergency
                                         deputy coroners. The term of any emergency appointment
                                         authorized under this paragraph may not exceed the period of the
                                         State of Emergency. A county medical examiner or county coroner
                                         may terminate an emergency appointment before the end of the
                                         period of the State of Emergency, if termination of the appointment
                                         will not impede the performance of the duties of his or her office.
                     2.   Chapter 252 – Communicable Diseases
                     3.   Chapter 445 – Funeral Directors
                     4.   Chapter 979 – Investigation of Deaths
                             a. 979.012 Reporting Deaths of Public Health Concern
                     5.   Wisconsin Act 186. Exemption from Liability. Current law provides an
                          exemption from liability for a person who provides equipment or services during a
                          State of Emergency declared by the governor for the death of or injury to any
                          person or damage to any property caused by his or her actions. The immunity
                          does not apply if the person acted intentionally or with gross negligence. Under
                          current law, the exemption from liability applies if the person provides the
                          equipment or services under the direction of the governor, the adjutant general, or
                          the head of emergency management services in any county, town, or municipality.
                          The bill amends the law so that the exemption from liability also applies if the
                          person provides the equipment or services under the direction of the Department of
                          Health Services (DHS), if that department is designated by the Governor as the
                          lead state agency to address a public health emergency, or at the direction of a
                          local health department that is acting as the agent of DHS.
                     6.   If a severe pandemic would occur, mortuary capacity will quickly be overwhelmed.
                          The Winnebago County EOC may request through the State EOC that statutory
                          requirements relating to mortuary response are suspended or amended. These
                          include the nine-day filing requirement of death certificates, final disposition, organ
                          donation, suspension of the 48-hour cremation, suspension of the transportation
                          laws requiring licensed personnel, and funeral establishment permit.


X.       Infection Control

         A. Guidance from the Local Health Departments on personal protective equipment and infection
            control measures will be given to funeral homes and all other areas of operation.
         B. The Local Health Departments will utilize community control measures to minimize
            transmission. This may include quarantines, isolations, school closures, and suspension of
            public gatherings, including funeral services.


XI.      Special Populations

         A. The wishes of the family will provide guidance, however, if no family is available:
                  1. The FAC will attempt to contact next of kin. The FAC will verify special
                      considerations of disposition. The FAC will notify UMSPF.
                  2. If the FAC is unable to contact next of kin, the FAC will contact local religious or
                      ethnic communities for further information.
                  3. The FAC can refer to the Local Health Department’s Special Populations Plan
                      which identifies special populations within their jurisdictions.
         B. During the time of determining religious consideration, human remains will be placed in Cold
            Storage.
         C. Religious considerations will be taken into effect to the best of the ability and capacity of the
            UMSPF/FAC.

Winnebago County Area Mortuary Plan for Pandemic Influenza                                           Page 12 of 72
XII.     Plan Review and Approval

         The undersigned have hereby reviewed and approved the Pandemic Influenza Mortuary
         Guidelines for the Winnebago County Area. These guidelines will be incorporated into each of
         the jurisdictions Emergency Operating Plans. These guidelines shall be reviewed yearly.




         ________________________________________________________________
         Menasha Health Officer                              Date



         ________________________________________________________________
         Neenah Health Officer                               Date



         ________________________________________________________________
         Oshkosh Health Officer                              Date



         ________________________________________________________________
         Winnebago County Health Officer                     Date



         ________________________________________________________________
         Menasha Emergency Management Director               Date



         ________________________________________________________________
         Neenah Emergency Management Director                Date



         ________________________________________________________________
         Oshkosh Emergency Management Director               Date



         ________________________________________________________________
         Winnebago County Emergency Management Director      Date



         ________________________________________________________________
         Winnebago County Coroner                            Date



         _______________________________________________________________
         Wisconsin Hospital Region 6                         Date
         Program Emergency Preparedness Coordinator




Winnebago County Area Mortuary Plan for Pandemic Influenza                                   Page 13 of 72
XIII.    History of Plan Revisions

          Revision                                     Rationale   Date




Winnebago County Area Mortuary Plan for Pandemic Influenza                Page 14 of 72
                                               Appendix A: Contacts

Functions                                Name / Title            Agency                                    Telephone
Menasha Emergency                        Steve Deleeuw           Neenah-Menasha Fire Rescue                920-886-6202
Management                               Deputy Chief of         125 E Columbian Avenue                    920-886-6208 Fax
                                         Operations              Neenah WI 54956
Neenah Emergency                         Len Vanderwyst          Neenah-Menasha Fire Rescue                920-886-6201
Management                               Fire Chief              125 E Columbian Avenue                    920-886-6208 Fax
                                                                 Neenah WI 54956
Oshkosh Emergency                        Tim Franz               Oshkosh Fire Department                   920-236-5240
Management                               Fire Chief              101 Court Street                          920-236-5295
                                                                 Oshkosh WI 54901
Winnebago County                         Linda Kollmann          Winnebago County Emergency Management     920-236-7463
Emergency Management                     Director                4311 Jackson Street                       920-303-3175
                                                                 Oshkosh WI 54901
Public Health                            Sue Nett                City of Menasha Health Department         920-967-3520
Menasha Health Department                Health Officer          316 Racine Street                         920-967-5247 Fax
                                                                 Menasha WI 54956-3190
Public Health                            Judy Crouch-            Neenah Department of Public Health        920-886-6155
Neenah Health Department                 Smolarek                211 Walnut Street                         920-886-6166 Fax
                                         Health Officer          PO Box 426
                                                                 Neenah WI 54957-0426
Public Health                            Paul Spiegel            Oshkosh Health Services Division          920-236-5031
Oshkosh Health Department                Health Director         215 Church Avenue                         920-236-5186 Fax
                                                                 PO Box 1130
                                                                 Oshkosh WI 54903-1130
Public Health                            Doug Gieryn             Winnebago County Health Department        920-232-3000
Winnebago County Health                  Health Officer          725 Butler Avenue                         920-303-3023 Fax
Department                                                       PO Box 68
                                                                 Winnebago WI 54986-0068
                              Below This Line - To Be Used During A Public Health Emergency
Unified Mortuary Coordinator


Deputy Mortuary Coordinator


Unified Mortuary Liaison


Deputy Unified Mortuary Liaison


Public Information Officer


Security Officer


Family Assistance Center
Section Chief
Mental Health Staff
Family Assistance Center
Storage and Preparation
Section Chief



          Winnebago County Area Mortuary Plan for Pandemic Influenza                                     Page 15 of 72
                                                                        Appendix B: Facility Information

   Unified Mortuary Storage and Preparation Sites

   Facility Name            Address                          Contact Person         Contact Information             Site Information

   Primary                                                                                                             •     1,300 sf (26,000 cf) is currently being used as a
                                                                                                                             freezer (0 degrees F)
   Oshkosh Cheese           1110 Industrial Ave              Gary Vidlock           Phone: 920-231-0610                •     Additional 60,000 sf (1,655,470 cf) of space can
   Sales & Storage          Oshkosh WI 54901                                        Cell:  920-410-0271                      be turned into a freezer
                                                                                    Fax:   920-231-9441                •     156,000 sf (4,680,000 cf) of cooler space-
                            (Corner of Vinland                                      Email:                                   currently running at 40 and 50 degrees F
                            Street and Industrial                                   GaryV@OshkoshCheese.com            •     Site currently used as a bulk cheese storage
                            Avenue)                                                 Web Site:                                facility (food grade)
                                                                                    www.OshkoshCheese.com
   Alternate




   Family Assistance Centers

   Facility Name                    Address                        Contact Person          Contact Information             Site Information

   Menasha Senior Center            116 Main St                    Sylvia Bull             920-967-3530                    Internet available; parking lot behind facility;
                                    Menasha WI 54952                                                                       kitchen facilities available, if needed

   Oshkosh Senior Center            200 N Campbell Rd              Mark Ziemer, Director   920-236-5302 (work)             Internet available at both sites, ample parking,
                                    Oshkosh WI 54902                                       920-450-8008 (cell)             restrooms, telephones
          Annex Building            234 N Campbell Rd                                      920-735-0472 (home)
                                    Oshkosh WI 54902

   Sunnyview Expo Center            500 County Road Y              Vicky Redlin            920-236-4920                    31,353 square feet; phones; internet; fax; copier;
                                    Oshkosh WI 54901                                       920-303-4797 (fax)              small kitchen area; generator back-up power;
                                                                   Rob Way                 920-232-1961                    297 tables and 400 chairs;
                                                                                           920-424-1277(fax)




Winnebago County Area Mortuary Plan for Pandemic Influenza                                          Page 16 of 72
                                                             Appendix C: Winnebago County Area Funeral Homes

 Funeral Home                 Contact Person Address                         Telephone     Fax               E-Mail                 Body          # Persons
                                                                                                                                    Capacity      Requiring
                                                                                                                                                  Vaccination
 Fiss & Bills–Poklasny        Jim Poklasny            870 W South Park Ave   920-235-1170 920-235-6171 poklasnyj@ntd.net            3 fridge      5
 Funeral Homes                                        Oshkosh WI 54902

 Fox Cities Funeral and       Travis Groff            3026 Jackson St        920-966-9000 920-966-0004 fxctyafrdablfnrl@aol.com     6             3
 Cremation Services                                   Oshkosh WI 54901

 Kessler Funeral Home                                 304 S Commercial St    920-722-6464 920-722-6465
                                                      Neenah WI 54956

 Konrad-Behlman               Paul Konrad             402 Waugoo Ave         920-231-1510 920-231-9414 paulkonrad@att.net           4 cooler      6
 Funeral Homes                                        Oshkosh WI 54901

 Konrad-Behlman               Paul Konrad             100 Lake Pointe Dr     920-232-5485 920-231-9414 paulkonrad@att.net           none          (included in
 Funeral Homes                                        Oshkosh WI 54904                                                                            Waugoo Ave)

 Kwiatkowski Funeral                                  425 Jefferson Ave      920-685-2207 920-685-2125
 Home                                                 Omro WI 54963

 Martens-Laemmrich            Lisa Martens            312 Milwaukee          920-722-8252 920-722-8757 martens-                     20 nonfridge 5
 Funeral Home                                         Menasha WI 54952                                 laemmrich@newbc.rr.com

 Mueller Funeral Home         Kelly Angell            904 E Main St          920-582-4242 920-582-4990 muellerfh@sbcglobal.net      5 nonfridge   2
                                                      Winneconne WI 54986

 Seefeld Funeral and          Francis Mortensen 1025 Oregon St               920-236-7750 920-236-7746 francis@seefeldfuneral.com   4 fridge      4
 Cremation Services           Doug Seefeld      Oshkosh WI 54902                                       doug@seefeldfuneral.com      6 nonfridge

 Westgor Funeral Home Bob Karrmann                    205 W Doty Ave         920-722-7151 920-722-0986 bob@westgorfuneralhomes.com 3 cooler       6
                                                      Neenah WI 54956                                                              space

 Wichmann Funeral             Brian Hesterberg        3212 S Oneida St       920-739-1231 920-831-9910 wfhdirector@tds.net          10 noncold    2
 Homes and Crematory                                  Appleton WI 54915      920-831-9905                                           1 table




Winnebago County Area Mortuary Plan for Pandemic Influenza                                       Page 17 of 72
                              Appendix D: Memorandum of Understanding


                                                      UMSPF MOU

                              MEMORANDUM OF UNDERSTANDING
                      BETWEEN WINNEBAGO COUNTY PUBLIC HEALTH AGENCIES
                                           AND
                            OSHKOSH CHEESE SALES AND STORAGE

This agreement is made and entered into between Oshkosh Cheese Sales and Storage (a/k/a Oshkosh
Storage Company, Inc.), 1110 Industrial Avenue, Oshkosh, Wisconsin; and the Public Health Agencies
within Winnebago County, Wisconsin.

      I. PURPOSE AND SCOPE
         The purpose of this Memorandum of Understanding (MOU) is to reach an understanding that will result
         in making the Oshkosh Cheese Sales and Storage facility located at 1110 Industrial Avenue, Oshkosh,
         Wisconsin (Parcel Number 018006401) available to Winnebago County Public Health Agencies
         (WCPHA) for use as a Unified Mortuary Storage and Preparation Facility (UMSPF) in the event of a
         declared Public Health Emergency (e.g. influenza pandemic).

         In particular, this MOU is an agreement between the WCPHA and the Oshkosh Cheese Sales and
         Storage for use of the buildings, equipment, and property located at the above address. This single
         facility known as the UMSPF will be used to enhance the ability to process fatalities and maximize
         available resources.

     II. BACKGROUND
         In the event of an influenza pandemic, the potential exists for an overwhelming number of
         fatalities causing the capabilities of individual funeral homes to be exceeded, and requiring an
         alternative location and method for fatality management.

    III. WCPHA RESPONSIBILITIES UNDER THIS MOU
         1. Cooperatively, WCPHA Directors will declare a Public Health Emergency.
         2. In cooperation with the WCPHA Directors, Winnebago County Emergency Management will
            contact an identified Oshkosh Cheese Sales and Storage representative and advise of the
            need to open the UMSPF.
         3. The WCPHA agrees that reasonable care will be used while conducting its activities in such
            facility. Winnebago County further agrees to replace or reimburse Oshkosh Cheese Sales
            and Storage for any custodial staff time and/or supplies that may be used in operating the
            UMSPF.

    IV. IT IS MUTUALLY UNDERSTOOD AND AGREED UPON BY THE PARTIES THAT
        1. Either Party may terminate this agreement upon a 30-day written notification.
        2. Costs for mortuary services at the UMSPF will be the responsibility of the individual family
            members of the deceased.

     V. EFFECTIVE DATE AND SIGNATURES
        This MOU shall be in effect upon the signatures of WCPHA Directors and the Oshkosh Cheese Sales
        and Storage authorized official. It shall be in force from January 1, 2009, and will automatically renew
        annually on December 31 unless either party gives a 30-day notice of intent to terminate or revise the
        agreement.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                       Page 18 of 72
                                 Appendix E: Organizational Structure for Unified Mortuary Response




Winnebago County Area Mortuary Plan for Pandemic Influenza                      Page 20 of 72
Winnebago County Area Mortuary Plan for Pandemic Influenza   Page 21 of 72
                                                         Appendix F: Human Remains Flow


                                                                    Family Assistance                           Inquiries on Human
                                                                   Center receives call of                           Remains
                                                                     Human Remains
                                                                             OR
                                                                    Hospital has a death


                                   FAC or Hospital
                                  begins necessary
                                   paperwork. FAC               Transportation Section Chief
                                notified of death from           is called by FAC or hospital
                                    Hospital. FAC              and dispatches Removal Team
                                 contacts next of kin
                                 for final disposition


                                                                 Removal Team transports
                                                                Human Remains to UMSPF                           If no transportation
                                                                and places in Cold Storage                      available, contact the
                                                               and begins tracking of Human                       EOC for additional
                                                                         Remains                                      resources


          Transportation Section Chief is
           called by Funeral Home and
            dispatches Transport Team

                                                                Next of Kin Contacted? Final         NO        Human Remains stay
             Funeral Home completes                                 Disposition known?                           in Cold Storage
              electronic or paper log                          Necessary paperwork needed?
          database and prepares Human
           Remains for final disposition
                                                                       YES
                                                                                                          If Cold Storage Capacity is full
                                                                                                           and the FAC, after significant
           Transport Team transports                                  Human Remains                         attempts, is unable to reach
           Human Remains to Funeral                                placed in Cold Storage                  next of kin to determine final
                     Home                                                                                        disposition then:



          Transportation Section Chief is                NO        Preparation of Human                          Unified Mortuary
               called by UMSPF and                                 Remains at the UMSPF                           Coordinator in
            dispatches Transport Team                                                                            consultation with
                                                                                                                Health Officers will
                                                                       YES                                        determine final
                                                                                                                   disposition

                            UMSPF completes electronic or paper log database. Calls Transportation
                                    Section for transport to location of final disposition




         Human Remains Flow subject to change                 Transport Team transports human
         based on recommendations from the local                 remains to location for final
         health department, the Division of Public                       disposition
         Health or other factoring organizations.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                       Page 22 of 72
                                          Appendix G: UMSPF Mortuary Supplies

        Resource                      Primary Vendor                  Secondary Vendor

                                      Southland Medical Corp
                                      1530 S Harris Ct
        Body Bags
                                      Anaheim CA 92806
                                      800-959-9160
                                      Batesville Casket Company       Milwaukee Casket Company
                                      One Batesville Blvd             W137 N5424 Williams Pl
        Caskets                       Batesville IN 47006             Menomonee Falls WI 53051
                                      812-934-7500                    800-242-4715
                                      www.batesville.com              262-783-7376 Fax
                                      E C Manger & Son Co             Aurora Casket Company
                                      724 Day St                      10944 Marsh Rd
        Caskets                       Green Bay WI 54302              Aurora IN 47001
                                      800-626-4377                    800-457-1195
                                                                      www.auroracasket.com
                                      The Champion Company            Kelco Supply Company
                                      PO Box 967                      7700 Setzler Parkway
                                      400 Harrison St                 Minneapolis MN 55445
        Embalming Fluid
                                      Springfield OH 45501-0967       800-328-7720
        and Supplies
                                      800-328-0115                    800-966-1632 Fax
                                      937-324-5681                    www.kelcosupply.com
                                      937-324-2397 Fax
                                      www.champion-newera.com
                                      Dodge Company                   Dodge Company
                                      1550 Beach St                   165 Cambridge Park Dr
                                      Batavia IL 60510                Cambridge MA 02140
        Embalming Fluid               800-443-6343                    800-443-6343
        and Supplies                  630-406-0610                    617-661-0500
                                      www.custserv@dodgeco.com        800-443-4034 Fax
                                                                      617-661-1428 Fax
                                                                      www.custserv@dodgeco.com
                                      Steinhaus Supply Service Inc
                                      21231 W 8 Mile Rd
        Fluids, General               PO Box 688
        Supplies, Body                Muskego WI 53150
        Bags                          800-635-8552
                                      414-529-9410
                                      414-529-4459 Fax
                                      Lab Safety Supply               Morton Safety Supply
                                      PO Box 1368                     1112 S Commercial St
        PPE                           Janesville WI 53547-1368        Neenah WI 54956
                                      800-356-0783                    800-523-3052
                                      800-543-9910 Fax                www.mortonsafety.com
                                      www.labsafety.com
                                      Draper Products Inc
                                      1718 W 8th St
        Paper Sheets
                                      Appleton WI 54914
                                      920-882-7350




Winnebago County Area Mortuary Plan for Pandemic Influenza                         Page 23 of 72
               Appendix H: Fox Valley Public Health Consortium Estimates

The CDC FluAid 2.0 software1 was used to calculate the potential impact of the next influenza
pandemic in the local health department jurisdiction and the Fox Valley Public Health
Consortium. Table 2 below contains estimates of the potential impact of an initial 8-week wave
of pandemic influenza based on a 25% attack rate (the percentage of the population that will
become clinically ill with influenza). The 1968-type estimates were generated using the default
FluAid rates of health outcomes (deaths, hospitalizations, and outpatient visits) that reflect the
rates of influenza-related morbidity and mortality measured during the 1960s and 1970s (a
1968-type influenza pandemic strain). To produce estimates of the potential impact of the next
influenza pandemic assuming a 1918-type strain scenario, the FluAid rates of health outcomes
were altered using a scaling factor to account for the pattern of deaths and hospitalizations
experienced in 19182.

The attack rate is an estimate of the total population3 that will become clinically ill with influenza
during the next pandemic. Both of the scenarios assume a 25% attack rate, so the number of
people who become ill in both scenarios is comparable. However, in the 1918 “severe”
scenario, infection is much more likely to lead to hospitalization or death. Note that the
estimates count only the “worst” health outcome for each sick person, so if a patient seeks
outpatient care and is later hospitalized, the case is not counted as an outpatient visit but is
instead regarded as a hospitalization. As a result, this approach may underestimate potential
encounters with the health care delivery system.

The term "hospitalization" as used in FluAid refers to those who are admitted to the hospital due
to influenza-related illness but who survive. It is reasonable to assume that some percentage of
those, whose ultimate influenza-related health outcome will be death, will die in the hospital.

Table 2: Total estimates per health outcome (death, hospitalization, outpatient, and ill, no
medical care), of the potential impact of an initial 8-week wave of pandemic influenza in the
jurisdiction for a 1968-type and a 1918-type influenza strain. For each health outcome, three
estimates are provided. The first estimate labeled “most likely” or mean. The numbers in
parentheses reflect the “minimum” (best case scenario) and “maximum” (worst case scenario)
estimate ranges.

                                                                       Gross attack rate 25%β
      Jurisdiction         Health outcome                    Moderate scenario            Severe scenario
                                                               (1968 - type)†               (1918 - type)†
                                    Ψ
     Calumet County        Deaths                                19 (11; 32)                 158 (91; 264)
    (minus the City of
    Appleton and City      Hospitalizations§                     83 (31; 107)               683 (253; 882)
      of Menasha)
                           Outpatients                       3,888 (3,042; 5,503)       3,483 (2,878; 4,906)


1
  Centers for Disease Control. FluAid 2.0. Available at: http://www.dhhs.gov/nvpo/pandemics/).
2
  Meltzer MI. 2006. “Basic Instructions and Template of Draft Report: Using FluAid and FluSurge to estimate the
potential impact of the next influenza pandemic upon Local Y.” Centers for Disease Control and Prevention, U.S.
Department of Health and Human Services
3
  Population estimates are from the State of Wisconsin Department of Administration U.S. Census Bureau 2000
population estimates (available at: http://www.doa.state.wi.us/dir/wisconsin/index.html).


Winnebago County Area Mortuary Plan for Pandemic Influenza                                             Page 24 of 72
                           Ill, no medical care               3,252 (2,572; 3,773)     2,918 (2,434; 3,363)
                           DeathsΨ                                16 (11; 24)             128 (86; 200)
                           Hospitalizations§                      61 (26; 79)             503 (213; 644)
Green Lake County
                           Outpatients                        2,554 (2,023; 3,649)     2,238 (1,853; 3,219)

                           Ill, no medical care               2,145 (1,670; 2,457)     1,907 (1,578; 2,146)
                                                                        Gross attack rate 25%β
    Jurisdiction           Health outcome                     Moderate scenario          Severe scenario
                                                                 (1968 - type)†           (1918 - type)†
                           DeathsΨ                                62 (33; 107)            508 (272; 880)

Outagamie County           Hospitalizations§                     281 (97; 364)          2,310 (799; 2,994)
(minus the City of
    Appleton)              Outpatients                   13,799 (10,754; 19,465)      12,449 (10,237; 17,452)

                           Ill, no medical care              11,526 (9,171; 13,342)   10,400 (8,738; 12,041)
                           DeathsΨ                                39 (25; 62)             322 (208; 516)
                           Hospitalizations§                     160 (65; 204)          1,308 (531; 1,683)
 Waupaca County
                           Outpatients                        6,929 (5,470; 9,855)     6,101 (5,093; 8,633)

                           Ill, no medical care              11,526 (9,171; 13,432)   10,400 (8,738; 12,041)
                           DeathsΨ                                19 (13; 30)             153 (106; 245)
                           Hospitalizations§                      75 (31; 96)             617 (263; 788)
 Waushara County
                           Outpatients                        3,091 (2,450; 4,427)     2,723 (2,273; 3,884)

                           Ill, no medical care               2,604 2,027; 2,972)      2,293 (1,879; 2,608)
Winnebago County           DeathsΨ                                34 (19; 58)             283 (158; 478)
(minus the City of         Hospitalizations§                     156 (55; 195)          1,252 (447; 1,600)
 Appleton, City of
 Menasha, City of
                           Outpatients                       7,077 (5,508; 10,069)     6,344 (5,221; 8,986)
Neenah, and City
   of Oshkosh)             Ill, no medical care               5,954 (4,744; 6,866)     5,342 (4,500; 6,124)
                           DeathsΨ                                45 (24; 58)             283 (158; 478)
 City of Appleton
(Parts of Calumet,         Hospitalizations§                     196 (70; 254)          1,614 (573; 2,084)
 Outagamie, and
   Winnebago               Outpatients                        9,410 (1,702; 3,109)     8,465 (6,971; 11,898)
    Counties)
                           Ill, no medical care               7,871 (6,251; 9,145)     7,081 (5,938; 8,179)
  City of Menasha          DeathsΨ                                 10 (6; 19)              87 (49; 148)
  (Part of Calumet
  and Winnebago            Hospitalizations§                      47 (17; 61)             387 (138; 493)



Winnebago County Area Mortuary Plan for Pandemic Influenza                                         Page 25 of 72
      Counties)
                           Outpatients                       2,186 (1,702; 3,109)           1,949 (1,621; 2,800)

                           Ill, no medical care              1,840 (1,464; 2,119)           1,660 (1,381; 1,867)
β Gross attack rates = % of entire Citizens of the jurisdiction population which are assumed to become clinically ill
with influenza during the next pandemic. For planning purposes, these estimates assume a 25% attack rate with an
initial 8-week wave of pandemic activity.
†Source: Calculated using FluAid 2.0 available at: http://www.dhhs.gov/nvpo/pandemics/
Ψ It is reasonable to assume that 70% of those whose ultimate influenza-related health outcome will be death, will die
in the hospital.
§ As a health outcome, the term “hospitalizations” refers to those who are hospitalized due to influenza-related illness
but survive (i.e., their end health outcome is hospitalization).




                                                                         Gross attack rate 25%β
    Jurisdiction           Health outcome                    Moderate scenario                Severe scenario
                                                                (1968 - type)†                 (1918 - type)†
                           Deaths                                 15 (9; 27)                    133 (77; 222)
                           Hospitalizations§                      69 (26; 90)                  574 (265; 898)
   City of Neenah
                           Outpatients                       3,290 (2,574; 4,654)           2,951 (2,439; 4,150)

                           Ill, no medical care              2,753 (2,176; 3,194)           2,468 (2,058; 2,849)
                           Deaths                                44 (25; 72)                   361 (206; 596)
                           Hospitalizations§                    191 (69; 240)                1,569 (569; 1,970)
  City of Oshkosh
                           Outpatients                       8,374 (6,503; 12,040)         7,451 (6,215; 10,729)

                           Ill, no medical care              7,120(5,687; 8,096)            6,348 (5,294; 7,153)
                           Deaths                              303 (176; 508)               2,497 (1,451; 4,167)
                           Hospitalizations§                  1,316 (486; 1,689)          10,815 (3,996; 13,880)
Fox Valley Public
Health Consortium
                           Outpatients                   60,598 (47,356; 86,078)         54,241 (44,771; 76,657)

                           Ill, no medical care          50,872 (40,304; 58,740)         45,535 (38,105; 52,311)
β Gross attack rates = % of entire Citizens of the jurisdiction population which are assumed to become clinically ill
with influenza during the next pandemic. For planning purposes, these estimates assume a 25% attack rate with an
initial 8-week wave of pandemic activity.
†Source: Calculated using FluAid 2.0 available at: http://www.dhhs.gov/nvpo/pandemics/
Ψ It is reasonable to assume that 70% of those whose ultimate influenza-related health outcome will be death, will die
in the hospital.
§ As a health outcome, the term “hospitalizations” refers to those who are hospitalized due to influenza-related illness
but survive (i.e., their end health outcome is hospitalization).

Comparison to a “standard” influenza season: The potential severity of the next influenza
pandemic, whatever scenario is considered, can be judged by comparing the pandemic
estimates presented in the table above with the impact of influenza during a “typical influenza
season.”




Winnebago County Area Mortuary Plan for Pandemic Influenza                                                 Page 26 of 72
    •    In the FVPH Consortium region during a typical year, influenza and pneumonia cause an
         average of 106 deaths4.
    •    The number of influenza-related outpatient visits during a non-pandemic influenza
         season is difficult to measure. The CDC’s annual surveillance of physician visits for
         influenza-like illnesses records that approximately 2%–3% of all physician visits during
         the winter months are for influenza-like illnesses5.




4
  Wisconsin Dept. of Health and Family Services, Division of Public Health, Bureau of Health Information and Policy.
Wisconsin State Health Plan 2010 – Tracking Health Conditions,
http://dhfs.wisconsin.gov/statehealthplan/conditions/index.htm, accessed 04/22/06.
5
  Meltzer MI. 2006. “Basic Instructions and Template of Draft Report: Using FluAid and FluSurge to estimate the
potential impact of the next influenza pandemic upon Local Y.” Centers for Disease Control and Prevention, U.S.
Department of Health and Human Services


Winnebago County Area Mortuary Plan for Pandemic Influenza                                               Page 27 of 72
                                                 Appendix I: Winnebago County Area Mortuary Capacity Survey

                                                                         Winnebago County Funeral Homes


                                        Fiss &      Fox Cities                                                                            Seefeld
                                                                               Konrad-                   Martens-                                       Westgor    Wichmann
                                         Bills -     Funeral       Kessler                Kwiatkowski                       Mueller       Funeral
                                                                               Behlman                  Laemmrich                                       Funeral     Funeral
                                       Poklasny        and         Funeral                  Funeral                         Funeral         and
                                                                               Funeral                   Funeral                                         Home      Homes and
                                        Funeral     Cremation       Home                     Home                            Home        Cremation
                                                                                Homes                     Home                                                     Crematory
                                        Homes        Services                                                                             Services

City                                   Oshkosh       Oshkosh       Neenah      Oshkosh      Omro        Menasha          Winneconne       Oshkosh       Neenah     5 facilities
Phone Number                          235-1170      966-9000      722-6464     231-1510    685-2207     722-8252           582-4242      236-7750       722-7151   739-1231
Emergency Plan                           yes           yes              yes       no          no           yes                   no          no           yes          no
Storing Capacity                          20             7              none      4           11            5             5 nonfridge   4 cold; 6 non      3           12
Embalm Per Day                            16             4               6      6 to 8        6             4                    5           4           4 to 8         8
Funeral Services                           6             3               1      9 to 12       2           2 to 3                 3          3-8          4 to 6         6
Cremations Per Day                        2.5            4               5        3           4             2                    5           5             4            4
Embalming Fluid in Stock                72 pts        50 ppl       300 pts     100 pts       96pts        NDD*               6 mo       75-80 bodies     NDD*       300 pts
                                                                                                                                        8 heavy; 30
Isolation Bags                             6             6               3     25 to 50       10           <5                    6                        10            6
                                                                                                                                        lt
Personal Protective Equipment            yes           yes              yes      yes         yes           yes                   yes    75-80 bodies      yes         yes
Casket Inventory                          12            no              40        30          12          none                   18          8            no           10
Transportation Vehicles                    7             1               3        3           2             3                    2           4             2            5
                                                                                                                                         3 licensed
Staff at Site                              6             1               5        8           5             5                    2                         7            9
                                                                                                                                          2 office
Cots                                       4             2               2        4           2             2                    2           3             2            4
Call Again in Future                     yes           yes              yes      yes         yes           yes                   yes        yes           yes         yes
Interested in Joining Committee          yes           yes              yes      yes         yes           yes                   yes        yes           yes         yes


           * NDD – Next Day Delivery


              This survey was completed by UW-Oshkosh nursing students in the fall of 2007 in order to better understand the capacity that
           funeral homes have during non-emergency times of business. It is understood that during an emergency where excess deaths occur,
           capacity may be different based upon the event.



           Winnebago County Area Mortuary Plan for Pandemic Influenza                                            Page 28 of 72
                              Appendix J: UMSPF Activation Triggers


The following are meant to act as triggers for determining when and if a UMSPF will be
activated during an influenza pandemic. Dependent upon the situation, some or all triggers
would be met prior to activation. In accordance with the Winnebago County Area Pandemic
Influenza Mortuary Guidelines, the Unified Mortuary Coordinator in consultation with the
Winnebago County Area Emergency Management Directors, Winnebago County Coroner, and
Local Health Officers will have the responsibility of activation.

    1. Declaration of a public health emergency by the President of the United States or
       Governor of Wisconsin.

    2. Identification of a novel virus within Wisconsin with an anticipated high mortality rate.

    3. Direction or indication from the State of Wisconsin of the need to activate local mortuary
       plans.

    4. Deaths are occurring at an alarming level. Consider activation when deaths from
       pandemic influenza reach 10/day for at least three days, or more than twenty deaths in a
       day.

         Note: It is assumed that a moderate influenza pandemic will cause 103 deaths
               during the first eight-week wave for the Winnebago County Area. A
               severe pandemic will cause 864 deaths. These numbers reflect the FluAid
               results identified for the average deaths within Winnebago County for a
               moderate or severe pandemic.

    5. The Winnebago County Coroner recognizes an increase in home deaths.

    6. Hospitals experience an increase in deaths that funeral homes are unable to
       accommodate.

    7. Funeral homes communicate with the Winnebago County Coroner that they have reached
       their capacity to meet the needs of the community.

    8. The Winnebago County Coroner recognizes that funeral homes have reached their
       individual capacity to meet the needs of the community.




Winnebago County Area Mortuary Plan for Pandemic Influenza                              Page 29 of 72
                    Appendix K: Web-Based Tracking of Human Remains

Mortuary Tracking Application
The mortuary tracking application (application) was created and is managed by the
Winnebago County Information Systems (IS) department. The application is internet-
based in nature, allowing for access from any computer with an internet connection.
Should activation of the application be needed, contact IS. Technical support is
provided by IS. Questions and concerns regarding the application should be directed to
IS. See contact information.
Overview
      The application itself is found on the Winnebago County server. To access the
      program, any internet connection will suffice. The program allows for several
      users to access the application simultaneously. Information can be entered and
      altered by different users at the same time. The application allows for reports to
      be printed using the Microsoft Excel program. This, too, can be used by multiple
      users simultaneously. A code is required to access the program, but only one
      code is used for all users. The code is current for a set period of time after which
      a new code will be activated.
How and When to Activate
      The application is designed specifically for the tracking of human remains. As
      such, the Winnebago County Coroner, any public health official, and Winnebago
      County Emergency Management can request activation of the application as they
      see fit. To activate, contact IS and request the application to go “live.” A new
      code will be created. See contact information.
Use of Program
      Only individuals directly related to emergency response or the healthcare field
      should have access to the application. The agency or individual who requests
      activation will be responsible for managing individuals who have access to the
      application. Coordination with IS will assist in this process. Please note that
      since the application is held on the County server to facilitate emergency
      management activities, all information within the application will be subject to
      Public Information laws including the individuals and their actions while utilizing
      the application.
Application Web Address
      www.co.winnebago.wi.us/MortuaryTracking/
Test URL Address Contact Information
      www.co.winnebago.wi.us/MortuaryTracking/Test
      Default Username: MortTracker
      Default Password: 2Cl0s34Comfort! (Note the letter after “C” is lowercase “L”)

Information Systems               Information Systems        Information     Emergency
Sandy Walsh                       Patty Francour             Systems         Management
Program Developer                 Director                   24-Hour Pager   Bill Curtis
920-236-1226 (Office)             920-236-4706 (Office)      920-703-5320    Deputy Director
                                  920-420-6006 (Mobile)                      920-236-7464 (Office)
                                                                             920-410-1495 (Mobile)



Winnebago County Area Mortuary Plan for Pandemic Influenza                            Page 30 of 72
                      Appendix L: Paper-Based Tracking of Human Remains

                   Paper-Based Tracking of Human Remains
      FAX this Document to the Unified Mortuary Storage and Preparation Site
                                 920-XXX-XXXX
                      Call for Questions at 920-XXX-XXXX
This document is intended to be used by Removal Teams to begin the process of data collection following a death. It also
may be used by Hospitals, Family Assistance Center(s), the Unified Mortuary Storage and Preparation Facility, and others if
Web-Based Tracking of Human Remains is unavailable. Provide as much information as possible. Bolded areas must
be filled out. This information will then be entered into an electronic system in a timely manner.
               This document must accompany each human remain transported by the Removal Teams.

Person Preparing Document             Organization                             Date

Tracking Number

First Name

Last Name

Address

Birth Date

Age

Sex

Height

Weight

Location Body Retrieved From

Cause of Death

Date of Death

Time of Death

Death Pronounced By

Primary Care Physician’s Name

Retrieval Team Number

Next of Kin Name

Next of Kin Phone Number

Funeral Home of Choice

Final Wishes
(Religious Considerations, etc.)

Current Location

Date of Final Disposition


Location of Final Disposition



   Winnebago County Area Mortuary Plan for Pandemic Influenza                                             Page 39 of 72
                                              Appendix M: Certificate of Receipt

                                          State of Wisconsin ‐ Winnebago County 
                            Pandemic Influenza Mortuary Guidelines 
                                   Certificate of Receipt and Acceptance Agreement 
These guidelines have been prepared with input and representation from the health departments within the cities of 
Oshkosh, Neenah, and Menasha, and Winnebago County, along with Winnebago County Emergency Management, local 
funeral homes, the coroner’s office, and local hospitals.  These guidelines represent the collective knowledge and expertise 
of the before‐mentioned organizations.  These guidelines will be used during an influenza pandemic and will provide the 
needed guidance for the proper processing of human remains while providing respect and dignity to the deceased.  
FUNERAL HOME INFORMATION  
               Funeral Home Owner/Representative:   
     Owner/Representative 24‐Hour Phone Number:   

                              Funeral Home Name:   

                                          Address:    

FUNERAL HOME SIGNATURE  
I have reviewed the attached guidelines and agree to all aspects thereof.  I further acknowledge participating and complying 
with all county, city, and state directives during an influenza pandemic.  
                                                                                                  
                                                                                                  
                                                                                                  
                                                                                                  
                                                                                                  
Funeral Home Director/Owner/Representative                             Date 
COUNTY SIGNATURE  
I have reviewed these guidelines and agree to all aspects thereof.  I further acknowledge implementing said guidelines in 
consultation with the State of Wisconsin and local agencies and organizations.  

                                                                                                  
                                                                                                  
                                                                                                  
                                                                                                  
Linda Kollmann, Winnebago County Emergency Management Director         Date 
PUBLIC HEALTH AGENCY SIGNATURE (JURISDICTION OF FUNERAL HOME)  
I have reviewed these guidelines and agree to all aspects thereof.  I further acknowledge implementing said guidelines in 
consultation with the State of Wisconsin and local agencies and organizations.  
                                                                                                  
                                                                                                  
                                                                                                  
                                                                                                  
                                                                                                  
Public Health Agency                                                   Date 

Please Return To: Oshkosh Health Services Division
                  Attn: Tracy Mrochek
                  215 Church Avenue
                  PO Box 1130
                  Oshkosh WI 54903-1130



          Winnebago County Area Mortuary Plan for Pandemic Influenza                                   Page 40 of 72
                          Appendix N: Virtual Funeral Resources


Overview
With the possibility that local health officers may suspend all public gatherings during a
pandemic, including traditional funerals, the idea of Virtual Funerals can provide a
valuable service. Virtual funerals would reduce the number of people who will come in
contact with the remains, and even allow people from any location to come together and
view a funeral without leaving home. This type of funeral or service may be viewed live
or recorded.

Items Needed
   • Digital video recorder
   • Computer with high-speed internet access
   • Microphone
   • Backdrop
   • Additional lighting

Webcast Providers
  • Funeral One – http://www.funeralone.com/life/webcasting
        o Phone (800)798-2575
        o $40 per webcast or
        o $195 per month for unlimited webcasts
        o Hosting 30 days
  • Funeral Cast – http://www.funeralcast.com
        o Phone (800)724-9975
        o $50 per webcast or
        o $295 per month for unlimited webcasts
        o Hosting 30 days

Each of the listed providers will provide a password-protected link to families of the
deceased, or the family may make it available without password protection. Both
require that software be downloaded and installed, or a CD can be provided with the
software necessary to offer the service. Funeral One is the preferred provider because
of cost.

Other Options
   • Take a digital photograph and send the image to family members
   • Take a short video of the loved one and a committal service by clergy, and
      provide a digital copy to families




Winnebago County Area Mortuary Plan for Pandemic Influenza                      Page 41 of 72
                                                                    Appendix O: Cemetery Resources

Cemetery                    Primary / Secondary                Religious     Current Staff   Total Grave Capacity /             Business Used To         Ability To   High
                            Contact Person /                   Affiliation   Members /       Capacity For New Graves /          Open Graves /            Store        Water
                            Other Cemeteries                                 Available In    Additional Property For            Specialized Equipment    Human        Table
                            Responsible For                                  Emergency       Expansion                          Available                Remains
Allenville Cemetery         Bob Weber (Sexton)                 No            1/4             380 /0 / Not Unless Neighboring    Ted Eckstein / No        No           No
                            1576 Nelson Ct                                                   Property Is Purchased
6597 Hilltop Rd             Neenah WI 54956
Oshkosh WI 54904            920-725-5440

                            Shirley Brazee
                            Town Clerk
                            6085 Co Rd T
                            Oshkosh WI 54904-6994
                            920-235-6953

                            Brooks Cemetery
Bell Cemetery               James Stark                        No            0/1             2000 / 600 / Unsure                Ted Eckstein / No        No           No
                            729 Main St
Cross Rd                    Neenah WI
Town of Winneconne          920-722-8271

                            Elizabeth Luce
                            226N 4th St
                            Winneconne WI
Bethesda Cemetery           Tom Lloyd                          No            0 / Board of    Did Not Indicate On Survey /       Berndt Excavating / No   No           No
Association                 5010 Co Rd N                                     Directors       Additional Property Is Available
                            Pickett WI 54964                                                 For Expansion
Clairville Rd               920-589-5482
Ring WI

Boyd Cemetery               Bill Sturm                         No            5 / 10          300-350 / 0 / No                   City of Oshkosh / No     No           No
                            1901 Algoma Blvd
Waukau Ave                  Oshkosh WI 54901
Oshkosh WI                  920-236-5092

                            Calvary Cemetery




       Winnebago County Area Mortuary Plan for Pandemic Influenza                                         Page 42 of 72
Cemetery                    Primary / Secondary                Religious     Current Staff   Total Grave Capacity /          Business Used To        Ability To   High
                            Contact Person /                   Affiliation   Members /       Capacity For New Graves /       Open Graves /           Store        Water
                            Other Cemeteries                                 Available In    Additional Property For         Specialized Equipment   Human        Table
                            Responsible For                                  Emergency       Expansion                       Available               Remains
Brooks Cemetery             Bob Weber (Sexton)                 No            1/4             555 / 0 / No                    Ted Eckstein / No       No           No
                            1576 Nelson Ct
2988 Brooks Rd              Neenah WI 54956
Oshkosh WI 54904            920-725-5440

                            Shirley Brazee
                            Town Clerk
                            6085 Co Rd T
                            Oshkosh WI 54904-6994
                            920-235-6953

                            Allenville Cemetery
Calvary Catholic            Tony Mathe                         Catholic      5 / 10          4500 / 3200 / Yes               City of Oshkosh / No    No           No
Cemetery                    1905 Roosevelt                     Cemetery
                            Oshkosh WI 54901                   Association
2450 Algoma Blvd            920-231-9402
Oshkosh WI 54901
                            Riverside Catholic Cemeteries
Mailing address
Bill Sturm                  Bill Sturm
1901 Algoma Blvd            1901 Algoma Blvd
Oshkosh WI 54901            Oshkosh WI 54901
                            920-236-5092

                            Boyd Cemetery
                            Riverside Cemetery
Ellenwood Cemetery          Jerry Kunde                        No            9/4             1100 / 0 / No                   Ted Eckstein / No       No           No
                            1690 Ohio St
Corner of 20th Street       Oshkosh WI 54902
and Washburn                920-235-5822

                            Milo Miller
                            2520A Witzel Ave
                            Oshkosh WI 54904
                            920-233-5436




       Winnebago County Area Mortuary Plan for Pandemic Influenza                                            Page 43 of 72
Cemetery                    Primary / Secondary                Religious     Current Staff    Total Grave Capacity /      Business Used To         Ability To   High
                            Contact Person /                   Affiliation   Members /        Capacity For New Graves /   Open Graves /            Store        Water
                            Other Cemeteries                                 Available In     Additional Property For     Specialized Equipment    Human        Table
                            Responsible For                                  Emergency        Expansion                   Available                Remains
                            Michael Jordan                     St Mary’s     0/0              Not Provided / 300+ / No    Ted Eckstein / No        No           No
Forest Hill
                            5770 Church Rd                     Parish in
                            Omro WI 54963                      Winneconne
Co Rd D
                            920-858-7709
Omro WI 54963
                         St. Thomas in Omro
Grace Lutheran Church Otto Arndt                               Grace         0 / Volunteers   3000+ / Unknown / Yes       Ted Eckstein / No        No           No
Cemetery                 5368 Ann St                           Lutheran
                         Larsen WI 54947                       Church
8396 Steeple Hill Dr     920-836-2482
Larsen WI 54947
                         Dave Christianson
                         5300 Ann St #105
                         Larsen WI 54947
                         920-379-4937
Greenlawn Memorial       Bodo Bube                             No            3 / 3-However 5500 / 2000 / No               David Vanden Boomen      Yes -     No
Park                     823 Neff Ct                                         the Parent                                                            Winter
                         Neenah WI 54956                                     Company                                                               Months
1451 Green Valley Rd     920-725-1616                                        Owns 24                                                               Only -
Neenah WI 54956                                                              Cemeteries                                                            50 Bodies
920-725-5672             Chris Mauel                                         So Other
                         N1982 Julius Dr                                     People Could
                         Greenville WI 54942                                 Be Brought In
                         920-730-8142
Liberty Prairie Cemetery Edward Kumbier                        No            0/1              3880 / 1100 / No            Berndt Excavating / No   No           No
                         5814 Mahlke Rd
6571 Hwy 44              Pickett WI 54964
Pickett WI 54964         920-589-2174




       Winnebago County Area Mortuary Plan for Pandemic Influenza                                         Page 44 of 72
Cemetery                   Primary / Secondary                Religious     Current Staff   Total Grave Capacity /            Business Used To         Ability To   High
                           Contact Person /                   Affiliation   Members /       Capacity For New Graves /         Open Graves /            Store        Water
                           Other Cemeteries                                 Available In    Additional Property For           Specialized Equipment    Human        Table
                           Responsible For                                  Emergency       Expansion                         Available                Remains
Minckler Cemetery          Rexford Stone                      No            0 / 2 or 3      Approx 150 / Small Amount / No    Berndt Excavating / No   No           Yes
                           PO Box 53                                        Officers
Knott Rd                   Waukau WI 54980
Township of Omro           920-685-5932

                           Sharon Liese
                           Marion Manor
                           600 Merritt Ave Room 121
                           Oshkosh WI 54901
                           920-385-0212
Nepeuskun                  Gregory Bellmer                    No            1/1             500 / Not Provided / Yes          Berndt Excavating / No   Yes / 6      No
                           9028 Kolb Rd                                                                                                                Bodies
1746 Koro Rd               Berlin WI 54923
Berlin WI 54923            920-361-0327




New Elm Cemetery           Van J Callies, President           No            None – hired    189 east, 190 west / 96 east, 5   Tom Schwertfeger,        No           Do not
                           3437 N Northridge Ln                             lawn person     west / yes – 20 graves, 42 more   Fond du Lac / No                      know
New:                       Appleton WI 54914                                                lots 10 x 14
6624 S Co Rd R             920-731-1728
Oshkosh WI 54902
                           Ron Ernst,
Old:                       Secretary/Treasurer
6659 S Co Rd R             2921 S Dellwood
Oshkosh WI 54902           Appleton WI 54915
                           920-733-3854




      Winnebago County Area Mortuary Plan for Pandemic Influenza                                         Page 45 of 72
Cemetery                   Primary / Secondary                Religious     Current Staff   Total Grave Capacity /       Business Used To        Ability To   High
                           Contact Person /                   Affiliation   Members /       Capacity For New Graves /    Open Graves /           Store        Water
                           Other Cemeteries                                 Available In    Additional Property For      Specialized Equipment   Human        Table
                           Responsible For                                  Emergency       Expansion                    Available               Remains
Oak Hill Cemetery          Trevor Fink                        No            3 +3            2358 / 2640 / No             City of Neenah / Yes    Yes –        No
                           Supt of Parks                                    Seasonal / 8                                                         Winter
1201 Oak Ridge Rd          PO Box 426                                       Addl Park                                                            Months
Neenah WI 54956            Neenah WI 54957-0426                             Employees –                                                          Only –
                           920-886-6070                                     10 Seasonal                                                          55
                                                                            Park
                           Mark Alberts                                     Employees
                           Cemetery Foreman
                           PO Box 426
                           Neenah WI 54957-0426
                           920-886-6078
Oakhill Cemetery           Joyce Lee                          No            2/8             1065 / 168 / Yes             Ted Eckstein / No       No           No
                           9560 Co Rd B
8048 Oakhill Rd            Winneconne WI 54986
Omro WI 54963              920-582-4727

                           Robert Tritt
                           5370 Co Rd F
                           Omro WI 54963
                           920-685-2802
Omro Cemetery              Barbara VanClake                   No            3/5             3000+ / 1200+ / Possibly     Berndt Excavating /     No           No
                           205 S Webster Ave                                                                             DPW Has Backhoe,
1600 Waukau Rd             PO Box 399                                                                                    Endloaders, Tractors,
Omro WI 54963              Omro WI 54963                                                                                 Dump Trucks
                           920-685-7000

                           Linda Kutchenriter
                           205 S Webster Ave
                           PO Box 399
                           Omro WI 54963
                           920-685-7000




      Winnebago County Area Mortuary Plan for Pandemic Influenza                                         Page 46 of 72
Cemetery                    Primary / Secondary                Religious     Current Staff   Total Grave Capacity /            Business Used To          Ability To   High
                            Contact Person /                   Affiliation   Members /       Capacity For New Graves /         Open Graves /             Store        Water
                            Other Cemeteries                                 Available In    Additional Property For           Specialized Equipment     Human        Table
                            Responsible For                                  Emergency       Expansion                         Available                 Remains
Omro Junction & Union       Merlyn Lowell                      No            1/1             1 Lot, 4 Vaults / Very Few Open   Ted Eckstein              No           Not
Cemetery                    150 Sunset Ct                                                    Lots Available / No                                                      listed
                            Omro WI 54963
Hwy 21                      920-685-6638
Omro WI 54963
Peace Lutheran              Leonard Madel                      No            3/3             7800 / 1378 / No                  Berndt Excavating / Yes   Yes –     No
Cemetery                    2020 Wisconsin St Apt 108                                                                                                    Only
                            Oshkosh WI 54901                                                                                                             During
100 Waukau Ave              920-235-8354                                                                                                                 Winter –
Oshkosh WI                                                                                                                                               30 Bodies

Mailing Address
240 W 9th Ave
Oshkosh WI 54902
Plummer’s Cemetery          Bill Behringer                     No            1/0             950 / 350 / No                    Contracted Individually   No           No
                            4597 Cty Rd S                                                                                      / No
4723 Cty Rd S               Oshkosh WI 54904
Oshkosh WI 54904            920-379-6157

                            Gerald Frey
                            Town Chairman
                            4804 Island View Dr
                            Oshkosh WI 54901
                            920-233-2391
Resthaven / Oak Hill        Brian Tungate                      No            0 (Only     6258 / 3060 / No                      City of Menasha / Yes     No           No
Cemeteries                  140 Main St                                      Manned When
                            Menasha WI 54952                                 Needed) / 7
North Rd                                                                     Park
Neenah WI 54956                                                              Employees –
                                                                             5 Seasonal
                                                                             Employees




       Winnebago County Area Mortuary Plan for Pandemic Influenza                                         Page 47 of 72
Cemetery                   Primary / Secondary                Religious     Current Staff   Total Grave Capacity /         Business Used To           Ability To   High
                           Contact Person /                   Affiliation   Members /       Capacity For New Graves /      Open Graves /              Store        Water
                           Other Cemeteries                                 Available In    Additional Property For        Specialized Equipment      Human        Table
                           Responsible For                                  Emergency       Expansion                      Available                  Remains
Riverside Cemetery         Bill Sturm                         No            5 / 10          31,500 / 16,000 / Yes          City of Oshkosh / Yes –    Yes –        No
                           1901 Algoma Blvd                                                                                None Specifically Listed   Winter
1901 Algoma Blvd           Oshkosh WI 54901                                                                                                           Only –
Oshkosh WI 54901           920-236-5092                                                                                                               124
                                                                                                                                                      Bodies
                           Boyd Cemetery
                           Calvary Cemetery
Rushford Cemetery          Steve Carpenter                    No            1 / Maybe 2     ? / 1 Acre / Yes               S. E. Carpenter / Yes      No           No
                           8363 Edgewater Ridge                                                                            (Backhoe)
4190 Rushford Ave          Omro WI 54963
Omro WI 54963              920-685-6605



Sacred Heart Cemetery Thomas Donovan                          St Jude the   0/0             5800 / 1000 / Yes – 17 Acres   Berndt Excavating / No     No           No
                      1025 W 5th Ave                          Apostle
2583 Knapp St         Oshkosh WI 54902                        Catholic
Oshkosh WI 54902      920-235-7412                            Parish

                           Janet Fendt
                           1025 W 5th Ave
                           Oshkosh WI 54902
                           920-235-7412
St John Cemetery           Giles Clark                        Yes –         2 / 2-4         ? / ? / Yes                    Cemetery Does Their        No           No
                           729 Main St                        Catholic                                                     Own / Yes
Midway Rd                  Neenah WI 54956                    Diocese
Menasha WI 54952           920-722-8271
St Margaret Cemetery       Giles Clark                        Yes –         2 / 2-4         ? / ? / Yes                    Cemetery Does Their        No           No
                           729 Main St                        Catholic                                                     Own / Yes
North St                   Neenah WI 54956                    Diocese
Neenah WI 54956            920-722-8271
St Patrick Cemetery        Giles Clark                        Yes –         2 / 2-4         ? / ? / Yes                    Cemetery Does Their        No           No
                           729 Main St                        Catholic                                                     Own / Yes
Green Bay Rd               Neenah WI 54956                    Diocese
Neenah WI 54956            920-722-8271


      Winnebago County Area Mortuary Plan for Pandemic Influenza                                          Page 48 of 72
Cemetery                   Primary / Secondary                Religious        Current Staff    Total Grave Capacity /         Business Used To        Ability To   High
                           Contact Person /                   Affiliation      Members /        Capacity For New Graves /      Open Graves /           Store        Water
                           Other Cemeteries                                    Available In     Additional Property For        Specialized Equipment   Human        Table
                           Responsible For                                     Emergency        Expansion                      Available               Remains
St Peter’s Cemetery        Judy Reinert                       St Peter’s       3 Officers / 3   450 / 300 / No                 Grundman Excavating /   No           Yes
No. 2                      8746 Co Rd MM                      Evangelical                                                      No
                           Larsen WI 54947                    Lutheran
8630 Co Rd MM              920-836-2855                       Church
Larsen WI 54947
                           Larry Engel
                           8673 Co Rd MM
                           Larsen WI 54947
                           920-836-3630
St Thomas Cemetery         Michael Jordan                     St Mary          0/0              Not Listed / 150 / No          Ted Eckstein / No       No           No
                           5770 Church Rd                     Parish in
Church Rd                  Omro WI 54963                      Winneconne
Omro WI 54963              920-858-7709

                           Forest Hill Cemetery (Omro)

Those cemeteries not returning surveys:

               Black Wolf Cemetery                                          Goggins Cemetery                                 Salem Cemetery
               Borth Cemetery                                               Lake View Memorial Park                          Scheller Cemetery
               Burdick Union Cemetery                                       Oak Grove Cemetery                               Tice Cemetery
               Clayton Cemetery                                             Oaklawn Cemetery                                 Waukau Cemetery
               East Bloomfield Cemetery                                     Royer Cemetery                                   Wilhelmina Cemetery
               Eureka Cemetery                                              St John Lutheran Cemetery                        Zion Lutheran Cemetery




      Winnebago County Area Mortuary Plan for Pandemic Influenza                                             Page 49 of 72
                                     Appendix P: Job Action Sheets




ORGANIZATIONAL STRUCTURES................................................................................................. 51
   COMMAND STRUCTURE ......................................................................................................................... 51
   OPERATIONS STRUCTURE ...................................................................................................................... 52
COMMAND STAFF............................................................................................................................... 53
   SAFETY OFFICER .................................................................................................................................... 53
   LIAISON OFFICER ................................................................................................................................... 54
   PUBLIC INFORMATION OFFICER ............................................................................................................. 55
   SECURITY OFFICER ................................................................................................................................ 56
OPERATIONS STAFF .......................................................................................................................... 57
   UNIFIED MORTUARY COORDINATOR ..................................................................................................... 57
   UMSPF SECTION CHIEF ........................................................................................................................ 58
     Funeral Home Directors................................................................................................................... 59
     Preparation Room Attendant ............................................................................................................ 60
     Register of Deeds Representative ..................................................................................................... 61
     Clerical Leader / Staff (UMSPF)...................................................................................................... 62
     Custodial Leader / Staff (UMSPF) ................................................................................................... 63
   FAMILY ASSISTANCE CENTER (FAC) SECTION CHIEF ........................................................................... 64
     Mental Health Staff ........................................................................................................................... 65
     Clerical Leader / Staff (FAC) ........................................................................................................... 66
     Custodial Leader / Staff (FAC) ......................................................................................................... 67
   TRANSPORTATION SECTION CHIEF......................................................................................................... 68
     Removal Teams ................................................................................................................................. 69
     Transport Teams ............................................................................................................................... 70




Winnebago County Area Mortuary Plan for Pandemic Influenza                                                                    Page 50 of 72
                                    ORGANIZATIONAL STRUCTURES

                                             Command Structure




Winnebago County Area Mortuary Plan for Pandemic Influenza       Page 51 of 72
                                    ORGANIZATIONAL STRUCTURES

                                            Operations Structure




Winnebago County Area Mortuary Plan for Pandemic Influenza         Page 52 of 72
                                               COMMAND STAFF

                           Safety Officer
     _______________________________________________________

Purpose:                     Identify, assess and/or anticipate hazardous and unsafe situations, and develop
                             and recommend measures for assuring personnel safety. Correct unsafe
                             situations.

Qualifications:             Thorough knowledge of OSHA, infection control, ICS, and Pandemic Influenza
                            Mortuary Guidelines.

Reports To:                 Winnebago County EOC

     _______________________________________________________
    Duties:
                  Participate in planning meetings.
                  Review and approve the Medical Plan.
                  Review the Incident Action Plan for safety implications and prepare incident specific
                  safety message or plan based on hazards, problems, or agency requirements.
                  Assign assistants qualified to evaluate special hazards.
                  Identify hazardous situations associated with the incident, and make sure problems
                  are taken care of prior to an accident.
                  Exercise emergency authority to stop and prevent unsafe acts.
                  Ensure safety messages and briefings are made as needed.
                  Monitor personal protective equipment usage.
                  Initiate preliminary investigation of accidents that have occurred within the incident area.
                  Provide routine progress and/or status report to Winnebago County EOC.
                  Review and confirm staffing needs for next day or next shift, as requested.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                         Page 53 of 72
                                               COMMAND STAFF

                           Liaison Officer
     _______________________________________________________

Purpose:                     Function as the contact person for mortuary operations in the Winnebago
                             County Emergency Operations Center. Communicates mortuary resource
                             needs to the EOC.

Qualifications:             Knowledge of Pandemic Influenza Mortuary Guidelines and the Incident
                            Command System.

Reports To:                 Winnebago County EOC

     _______________________________________________________
    Duties:
                  Assist with setting up the Family Assistance Center.
                  Establish a communication link with the UMSPF, Transportation Section, and FAC
                  facilities.
                  Establish contact with liaison counterparts of each assisting and cooperating agency
                  dealing with mortuary issues.
                  Receive and provide routine progress and/or status reports to the Unified Mortuary
                  Coordinator.
                  Receive and provide routine progress and/or status reports to the Winnebago County
                  EOC.
                  Receive requests for resources from the Unified Mortuary Coordinator and convey
                  requests to the Winnebago County EOC.
                  Review and confirm staffing needs for next day or next shift, as requested.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                     Page 54 of 72
                                               COMMAND STAFF

                      Public Information Officer
     _______________________________________________________

Purpose:                    Develop information about the incident for the news media, incident personnel,
                            and other appropriate agencies and organizations.

Qualifications:             Crisis communication and PIO experience.

Reports To:                 Winnebago County EOC

     _______________________________________________________
   Duties:
                  Participate in the planning meeting.
                  Determine from the Incident Commander any limits on the information to be released.
                  Develop information for use in media briefings.
                  Obtain Incident Commander's approval of media news releases.
                  Conduct periodic media briefings.
                  Arrange for tours and other interviews or briefings that may be required.
                  Monitor and forward media information that may be useful to incident planning.
                  Maintain current information summaries and/or displays of the incident.
                  Make information about the incident available to incident personnel.
                  Receive and provide routine progress and/or status reports to the Winnebago County
                  EOC.
                  Review and confirm staffing needs for next day or next shift, as requested.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                       Page 55 of 72
                                               COMMAND STAFF

                           Security Officer
     _______________________________________________________

Purpose:                    Provide safety and security to the clinic property, supplies, and staff.


Qualifications:             Understanding of mortuary operations. Law enforcement or security background
                            preferred, but not required.

Reports To:                 Winnebago County EOC

     _______________________________________________________
   Duties:
                  Perform security assessment.
                  Meet with Logistics Section Chief to identify security needs.
                  Develop/maintain security plan.
                  Continuously evaluate the site’s security needs and adjust the security plan accordingly.
                  Establish contacts with local law enforcement, as required.
                  Record all incident related complaints and suspicious occurrences.
                  Receive and provide routine progress and/or status reports to the Winnebago County
                  EOC.
                  Review and confirm staffing needs for next day or next shift, as requested.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                             Page 56 of 72
                                              OPERATIONS STAFF

                                     Unified Mortuary Coordinator

     _______________________________________________________

Purpose:                    Organize and manage mortuary incident objectives.

Qualifications:             Knowledge of ICS and Pandemic Influenza Mortuary Guidelines, organizational
                            skills, and management experience.

Reports To:                 Winnebago County EOC

     _______________________________________________________
    Duties:
                  Determine activation of the UMSPF in collaboration with the Winnebago County Coroner,
                  Winnebago County EOC, and Local Health Officers.
                  Notify area hospitals of the activation of the UMSPF.
                  Update and manage incident action plan.
                  Conduct regular briefings with Section Chiefs and review goals and objectives.
                  Assist Command Staff and Section Chiefs, as needed.
                  Communicate with Liaison Officer to address resource coordination needs.
                  Review safety considerations with Safety Officer.
                  Report fatality data to the local health departments on a regular basis utilizing an
                  approved method.
                  Assurance of proper documentation of staff hours, equipment utilized, and expenses for
                  possible reimbursement from federal, state, local, or private entities of all expenses and
                  staff.
                  Receive and provide routine progress and/or status reports to the Winnebago County
                  EOC.
                  Review and confirm staffing needs for next day or next shift with the Winnebago County
                  Planning Section.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                       Page 57 of 72
                                              OPERATIONS STAFF

                        UMSPF Section Chief
     _______________________________________________________

Purpose:                    Responsible for all operations within the UMSPF of receiving, sheltering,
                            identification, and releasing human remains for final disposition.

Qualifications:             Funeral Home Director recommended. Clear understanding of mortuary
                            operations. General understanding of emergency response and Incident
                            Command System. Training in the safe handling of infectious human remains.

Reports To:                 Unified Mortuary Coordinator

     _______________________________________________________
    Duties:
                  Ensure that human remains are received, identified, recorded, sheltered, prepared, if
                  appropriate, and released for final disposition.
                  Ensure tracking of human remains utilizing an electronic or paper system. This includes
                  entry of information into electronic database or paper log database and system to identify
                  the physical remains.
                  Ensure the completion of all necessary paperwork relevant to human remains, as
                  required by law.
                  Ensure proper infection control procedures are in place.
                  Receives and provides routine progress and/or status reports to the Unified Mortuary
                  Coordinator.
                  Assurance of proper documentation of staff hours, equipment utilized, and expenses.
                  Review and confirm staffing needs for next day or next shift.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                        Page 58 of 72
                                              OPERATIONS STAFF
                       Funeral Home Directors
     _______________________________________________________

Purpose:                    Storage and preparation of human remains.

Qualifications:             Licensed Funeral Home Director. Knowledge of mortuary techniques.

Reports To:                 UMSPF Section Chief

     _______________________________________________________
    Duties:
                  Store and prepare human remains for final disposition.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                      Page 59 of 72
                                              OPERATIONS STAFF
                      Preparation Room Attendant
     _______________________________________________________

Purpose:                    Assist Funeral Home Directors with services of caring for human remains in the
                            UMSPF through receiving, sheltering, identification, and releasing of remains for
                            disposition.

Qualifications:             Knowledge of mortuary techniques preferred. General understanding of
                            emergency response and Incident Command System. Have basic training in the
                            safe handling of infectious human remains.

Reports To:                 Funeral Home Directors

     _______________________________________________________
    Duties:
                  Receive human remains from the Transportation Section.
                  Ensure that a tracking tool that provides clear, consistent information about the
                  decedent’s identity, date of death, time of death, and place of death is secured to human
                  remains.
                  Maintain an identification log which tracks the remains taken into custody.
                  Prepare the remains for sheltering under the direction of the licensed Funeral Home
                  Director.
                  Retrieve remains for identification viewing by next of kin in a designated location in the
                  UMSPF, if applicable.
                  Disinfect work areas using a method approved by Public Health.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                        Page 60 of 72
                                              OPERATIONS STAFF
                    Register of Deeds Representative
     _______________________________________________________

Purpose:                    Provide technical assistance to ensure that all required paperwork for human
                            remains is completed.

Qualifications:             Appointment from the Winnebago County Register of Deeds.

Reports To:                 UMSPF Section Chief

     _______________________________________________________
    Duties:
                  Provide technical assistance and assistance in the processing of necessary
                  documentation.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                      Page 61 of 72
                                              OPERATIONS STAFF
                    Clerical Leader / Staff (UMSPF)
     _______________________________________________________

Purpose:                       Provide clerical assistance and support for UMSPF.

Leader Qualifications:        General understanding of emergency response and Incident Command
                              System. Clear understanding of office equipment, procedures, and
                              operations.

Staff Qualifications:          Clear understanding of office equipment, procedures, and operations.

Leader Reports To:            UMSPF Section Chief

     _______________________________________________________
    Duties:
                  Assist with notifying and activating staff and volunteers.
                  Answer phones.
                  Maintain records and files.
                  Data entry.
                  Assist in the completion of all necessary paperwork relevant to human remains.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.

    Leader Duties:
               Assist with notifying and activating staff and volunteers.
               Answer phones.
               Maintain records and files.
               Data entry.
               Assist in the completion of all necessary paperwork relevant to human remains.
               Receive and provide regular updates to the UMSPF Section Chief.
               Proper documentation of staff hours, equipment utilized, and expenses.
               Notify UMSPF Section Chief of needed supplies.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                       Page 62 of 72
                                              OPERATIONS STAFF
                   Custodial Leader / Staff (UMSPF)
     _______________________________________________________

Purpose:                    Ensure physical needs of the facilities are met.

Qualifications:             Knowledgeable of the building, and understanding of mortuary set-up. May
                            involve moderate physical requirement such as movement and carrying supplies.

Reports To:                 UMSPF Section Chief

     _______________________________________________________
    Duties:
                  Videotape operation sites for documentation of pre-operation conditions.
                  Set up of facilities for operation.
                  General maintenance of facility.
                  Disinfect areas while monitoring proper OSHA standards.
                  Develop a schedule for monitoring restroom supplies and clean up.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.

    Leader Duties:
               Coordinate medical waste management according to pre-arranged agreements through
               the Logistics Chief.
               Develop a schedule for removal of garbage.
               Coordinate for snow removal, if needed, for onsite parking areas and walkways.
               Develop a schedule for restroom cleaning.
               Provide and receives regular updates to the UMSPF Section Chief.
               Notify UMSPF Section Chief of necessary supplies.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                    Page 63 of 72
                                              OPERATIONS STAFF

               Family Assistance Center (FAC) Section Chief
     _______________________________________________________

Purpose:                    Provide assistance and information to grieving families and individuals.

Qualifications:             Knowledge of mortuary guidelines, organizational skills, and management
                            experience.

Reports To:                 Unified Mortuary Coordinator

     _______________________________________________________
    Duties:
                  Set up the Family Assistance Center.
                  Notify and activate Operations Staff and volunteers.
                  Establish communications with the Unified Mortuary Coordinator, area hospitals,
                  Transportation Section, and UMSPF Section.
                  Establish communication mechanisms for public inquiries (e.g. website, hotlines, etc.)
                  with the Public Information Officer.
                  Keep and provide a list of Frequently Asked Questions (FAQ) from the Public Information
                  Officer.
                  Handle public inquiries on human remains.
                  Assist with tracking of human remains utilizing an electronic or paper system.
                  Receive and provide routine progress and/or status reports to the Unified Mortuary
                  Coordinator.
                  Assurance of proper documentation of staff hours, equipment utilized, and expenses.
                  Review and confirm staffing needs for next day or next shift.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                         Page 64 of 72
                                              OPERATIONS STAFF
                         Mental Health Staff
     _______________________________________________________

Purpose:                    Assist clients and staff/volunteers by providing education, counseling, or support.

Qualifications:             Licensed mental health professional. Experience with disaster relief preferred.

Reports To:                 FAC Section Chief

     _______________________________________________________
    Duties:
                  Assist clients and staff/volunteers by providing education, counseling, or support.
                  Coordinate referral to outside sources of support, as necessary.
                  Receive and provide routine progress and/or status reports to the FAC Section Chief.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                          Page 65 of 72
                                              OPERATIONS STAFF
                     Clerical Leader / Staff (FAC)
     _______________________________________________________

Purpose:                      Provide clerical assistance and support for the FAC.

Leader Qualifications:        General understanding of emergency response and Incident Command
                              System. Have a clear understanding of office equipment, procedures, and
                              operations.

Staff Qualifications:       Clear understanding of office equipment, procedures, and operations.

Leader Reports To:           FAC Section Chief

     _______________________________________________________
    Duties:
                  Assist with notifying and activating staff and volunteers.
                  Answer phones.
                  Maintain records and files.
                  Data entry.
                  Assist in the completion of all necessary paperwork relevant to human remains.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.

    Leader Duties:
               Assist with notifying and activating staff and volunteers.
               Answer phones.
               Maintain records and files.
               Data entry.
               Assist in the completion of all necessary paperwork relevant to human remains.
               Provide regular updates to the FAC Section Chief.
               Proper documentation of staff hours, equipment utilized, and expenses.
               Notify Section Chief of needed supplies.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                     Page 66 of 72
                                              OPERATIONS STAFF
                     Custodial Leader / Staff (FAC)
     _______________________________________________________

Purpose:                    Ensure physical needs of the facilities are met.

Qualifications:             Knowledgeable of the building and understanding of mortuary set-up. May
                            involve moderate physical requirements, such as movement and carrying
                            supplies.

Reports To:                 FAC Section Chief

     _______________________________________________________
    Duties:
                  Videotape operation sites for documentation of pre-operation conditions.
                  Set up of facilities for operation.
                  General maintenance of facility.
                  Disinfect areas while monitoring proper OSHA standards.
                  Develop a schedule for monitoring restroom supplies and clean up.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.

    Leader Duties:
               Coordinate medical waste management according to pre-arranged agreements through
               the Logistics Chief.
               Develop a schedule for removal of garbage.
               Coordinate for snow removal, if needed, for onsite parking areas and walkways.
               Develop a schedule for restroom cleaning.
               Receive and provide regular updates to the Section Chief.
               Notify Section Chief of needed supplies.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                    Page 67 of 72
                                              OPERATIONS STAFF

                     Transportation Section Chief
     _______________________________________________________

Purpose:                     Provide transportation services for human remains.

Qualifications:              Knowledge of Pandemic Influenza Mortuary Guidelines, organizational skills,
                             and management experience.

Reports To:                  Unified Mortuary Coordinator

     _______________________________________________________
    Duties:
                  Dispatch Removal and Transport Teams to transport human remains.
                  Coordinate activities with the FAC Section Chief, UMSPF Section Chief, and area
                  hospitals.
                  Assist with tracking of human remains utilizing an electronic or paper system.
                  Receive and provide routine progress and/or status reports to the Unified Mortuary
                  Coordinator.
                  Assurance of proper documentation of staff hours, equipment utilized, and expenses.
                  Review and confirm staffing needs for next day or next shift.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                      Page 68 of 72
                                              OPERATIONS STAFF
                          Removal Teams
     _______________________________________________________

Purpose:                     Provide transportation services for the removal of human remains from private
                             residences, hospitals, and facilities, and transport to independent funeral homes
                             or the UMSPF.

Qualifications:             Minimum one person per team must be deputized by the Winnebago County
                            Coroner. Licensure to operate vehicle for human remains removal.

Reports To:                 Transportation Section Chief

     _______________________________________________________
    Duties:
                   Provide transportation services for the removal of human remains from private
                  residences, hospitals, and facilities, and transport to independent funeral homes or the
                  UMSPF.
                   Identification and reporting of questionable deaths to the Winnebago County Coroner.
                   Maintain the Paper-Based Tracking of Human Remains Log for each human remain
                  taken into custody. This document is a tracking tool that provides clear, consistent
                  information about the decedent’s identity, date of death, time of death, and place of death
                  is secured to human remains, etc. Fill out all questions as thoroughly as possible. It is
                  required to fill out all bolded areas.
                   Take photographs of each human remain taken into custody as directed by the
                  Winnebago County Coroner.
                   Monitor colleagues and clients for signs of fatigue or distress.
                   Ensure scheduled breaks and relief for staff.
                   Request security, as needed.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                         Page 69 of 72
                                              OPERATIONS STAFF
                                               Transport Teams

     _______________________________________________________

Purpose:                     Provide transportation services of human remains to and from independent
                             funeral homes and to locations of final disposition.

Qualifications:             Minimum one person per team must be deputized by the Winnebago County
                            Coroner. Licensure to operate vehicle for human remains removal.

Reports To:                 Transportation Section Chief

     _______________________________________________________
    Duties:
                  Provide transportation services of human remains to and from independent funeral
                  homes and to locations of final disposition.
                  Identification and reporting of questionable deaths to the Winnebago County Coroner.
                  Ensure that a tracking tool that provides clear, consistent information about the
                  decedent’s identity, date of death, time of death, and place of death is secured to human
                  remains.
                  Maintain an identification log which tracks the remains taken into custody.
                  Monitor colleagues and clients for signs of fatigue or distress.
                  Ensure scheduled breaks and relief for staff.
                  Request security, as needed.




Winnebago County Area Mortuary Plan for Pandemic Influenza                                       Page 70 of 72
                               Appendix Q: Acknowledgements

Planning Workgroup:

Kelly Angell, Funeral Director
Mueller Funeral Home

Brent Bouche, Funeral Director
Wichmann Funeral Homes & Crematory

John Bruno, Funeral Director
Fiss & Bills-Poklasny Funeral Homes

Barry Busby, Coroner
Winnebago County

Judy Crouch-Smolarek, Director and Health Officer
City of Neenah Department of Public Health

Bill Curtis, Deputy Director
Winnebago County Emergency Management

Dan Dahlke, Regional Director
Wisconsin Emergency Management – East Central Region

Matt Digman, Safety Program Coordinator
ThedaCare

Cindy Draws, Public Health Nursing Coordinator
Winnebago County Health Department

Anne Edwards, Funeral Director
Martens-Laemmrich Funeral Home

Shirley Garcia-Rakauskas, Administrator
Lake View Memorial Park & Mausoleum

Greg Gibbons, Director – Emergency Management
Affinity Health System/Region 6 WHEPP Coordinator

Doug Gieryn, Health Director
Winnebago County Health Department

Tom Goddard, Funeral Director
Fiss & Bills–Poklasny Funeral Homes

Miki Gould, Clinical Quality Improvement Coordinator
Children’s Hospital of Wisconsin – Fox Valley

Brian Hesterberg, Funeral Director
Wichmann Funeral Homes & Crematory

David Hobbs, Funeral Director
Westgor Funeral Home

John Hueller, Funeral Director
Fiss & Bills–Poklasny Funeral Homes


Winnebago County Area Mortuary Plan for Pandemic Influenza    Page 71 of 72
Sharral Jensen, Public Health Nurse
City of Neenah Department of Public Health

Bob Karrmann, Funeral Director
Westgor Funeral Home

Linda Kollmann, Director
Winnebago County Emergency Management

Paul Konrad, Funeral Director
Konrad-Behlman Funeral Homes

Cheryl Laabs, Public Health Nurse
Winnebago County Health Department

Jonathan Lee, Program Coordinator
Fox Valley Public Health Preparedness Consortium

Francis Mortensen, Funeral Director
Seefeld Funeral and Cremation Services

Tracy Mrochek, Public Health Nurse
City of Oshkosh Health Services Division

Sue Nett, Health Officer
City of Menasha Health Department

Chad Neuman, Funeral Director
Kessler Funeral Home

Julie Pagel, Register of Deeds
Winnebago County

Mike Peterson, Funeral Director
Westgor Funeral Home

Jeff Phillips, Environmental Health Supervisor
Winnebago County Health Department

Jim Poklasny, Funeral Director
Fiss & Bills–Poklasny Funeral Homes

Doug Seefeld, Funeral Director
Seefeld Funeral and Cremation Services

Mark Sinotte, Emergency Preparedness Coordinator
Aurora Medical Center

Debbie Sorensen, Clerical Assistant
City of Oshkosh Health Services Division

Paul Spiegel, Health Director
City of Oshkosh Health Services Division

Mary Jo Turner, Public Health Nursing Coordinator
Winnebago County Health Department

Cathy Wood, Deputy Coroner
Winnebago County

Winnebago County Area Mortuary Plan for Pandemic Influenza   Page 72 of 72

				
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