Managing the Dead with Dignity at Mass Fatality Incidents in Nepal and Globally.

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Alok Atreya, Ritesh G Menezes
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Abstract

Disasters, armed conflicts, and disease outbreaks often overwhelm normal corpse-handling capacities, highlighting the importance of mass fatality management in emergency preparedness and response. This paper examines principles, practices, and challenges of ensuring dignified corpse management after catastrophic events leading to sudden mass fatalities. It draws insights from Nepal's experience with the 2015 earthquakes, as well as other recent disasters worldwide. The discussion reveals planning and policy gaps that undermine the dignity of the deceased and prolong trauma for survivors. Recommendations are provided for improving global preparedness to accord proper respect to the dead amid immense tragedy. As climate change escalates disasters, all vulnerable nations must enhance their capacities for systematic and empathetic mass fatality management. Even when protocols exist, overwhelmed systems lead to a breakdown in practical implementations, violating cultural norms. By building robust preparedness through strategic plans, training, infrastructure, and international cooperation, we can preserve humanity even amidst utter inhumanity.

在尼泊尔和全球发生的大规模死亡事故中对死者进行有尊严的管理。
灾难、武装冲突和疾病爆发往往使正常的尸体处理能力不堪重负,这凸显了大规模死亡管理在应急准备和响应中的重要性。本文探讨了在灾难性事件导致突发大规模死亡事件后,确保有尊严的尸体管理的原则、实践和挑战。本文从尼泊尔在 2015 年地震中的经验以及全球近期发生的其他灾害中汲取了深刻的见解。讨论揭示了规划和政策方面的差距,这些差距损害了死者的尊严,延长了幸存者的创伤。讨论提出了改进全球准备工作的建议,以便在巨大的悲剧中给予逝者适当的尊重。随着气候变化导致灾害升级,所有脆弱的国家都必须提高其系统化和富有同情心的大规模死亡管理能力。即使已经制定了规程,不堪重负的系统也会导致实际执行工作的中断,违反文化规范。通过战略计划、培训、基础设施和国际合作来建立强大的备灾能力,我们就能在极度不人道的情况下保护人性。
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来源期刊
Disaster Medicine and Public Health Preparedness
Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.40
自引率
7.40%
发文量
258
审稿时长
6-12 weeks
期刊介绍: Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.
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