Disaster Mortuary Operational Response Team
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A Disaster Mortuary Operational Response Team or DMORT is a team of experts in the fields of
disaster victim identification Disaster victim identification (DVI) is the process of identifying the remains of people who have died in a mass fatality incident such as a plane crash or bomb blast. The process can be time-consuming to avoid mis-identification. Techniques inclu ...
and mortuary services. DMORTs are activated in response to large scale disasters in the
United States The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country Continental United States, primarily located in North America. It consists of 50 U.S. state, states, a Washington, D.C., ...
to assist in the identification of deceased individuals and storage of the bodies pending the bodies being claimed.


Organization

For organizational purposes, the country is divided into ten regions, each with a regional coordinator. For the duration of their service, DMORT members work under the local authorities at the disaster site, and their professional licenses are recognized by all states. DMORT Teams: * REGION I (ME, NH, VT, MA, CT, RI) * REGION II (NY, NJ, PR, VI) * REGION III (PA, MD, DC, DE, VA, WV) * REGION IV (AL, KY, TN, NC, SC, GA, MS, FL) * REGION V (MN, WI, IL, IN, MI, OH) * REGION VI (NM, TX, OK, AR, LA) * REGION VII (NE, IA, KS, MO) * REGION VIII (MT, ND, SD, WY, UT, CO) * REGION IX (AZ, NV, CA, HI) * REGION X (WA, AK, OR, ID) DMORTs are organized under the Department of Health and Human Services National Disaster Medical System. The DMORTs are composed of civilian
funeral director A funeral director, also known as an undertaker (British English) or mortician (American English), is a professional involved in the business of funeral rites. These tasks often entail the embalming and burial or cremation of the dead, as ...
s,
medical examiners The medical examiner is an appointed official in some American jurisdictions who is trained in pathology that investigates deaths that occur under unusual or suspicious circumstances, to perform post-mortem examinations, and in some jurisdicti ...
,
coroner A coroner is a government or judicial official who is empowered to conduct or order an inquest into the manner or cause of death, and to investigate or confirm the identity of an unknown person who has been found dead within the coroner's jur ...
s,
pathologists A list of people notable in the field of pathology. A * John Abercrombie, Scottish physician, neuropathologist and philosopher. * Maude Abbott (1869–1940), Canadian pathologist, one of the earliest women graduated in medicine, expert in co ...
,
forensic anthropologist Forensic anthropology is the application of the anatomical science of anthropology and its various subfields, including forensic archaeology and forensic taphonomy, in a legal setting. A forensic anthropologist can assist in the identification o ...
s,
fingerprint A fingerprint is an impression left by the friction ridges of a human finger. The recovery of partial fingerprints from a crime scene is an important method of forensic science. Moisture and grease on a finger result in fingerprints on surfac ...
specialists, forensic odontologists,
dental assistant Dental assistants are members of the dental team. They support a dental operator (such as a dentist or other treating dental auxiliary) in providing more efficient dental treatment. ''Dental assistants'' are distinguished from other groups of de ...
s, and
radiographer Radiographers, also known as radiologic technologists, diagnostic radiographers and medical radiation technologists are healthcare professionals who specialize in the imaging of human anatomy for the diagnosis and treatment of pathology. Rad ...
s. They are supported by
medical record The terms medical record, health record and medical chart are used somewhat interchangeably to describe the systematic documentation of a single patient's medical history and care across time within one particular health care provider's jurisd ...
s technicians and transcribers,
mental health Mental health encompasses emotional, psychological, and social well-being, influencing cognition, perception, and behavior. It likewise determines how an individual handles Stress (biology), stress, interpersonal relationships, and decision-maki ...
specialists, computer professionals, administrative support staff, and
security" \n\n\nsecurity.txt is a proposed standard for websites' security information that is meant to allow security researchers to easily report security vulnerabilities. The standard prescribes a text file called \"security.txt\" in the well known locat ...
and investigative personnel. When a DMORT is activated, the personnel on the team are treated and paid as temporary federal employees. The Department of Health and Human Services maintains three Disaster Portable Morgue Units (DPMU) which are staged at HHS Logistics Centers. There is one each in
Frederick, Maryland Frederick is a city in and the county seat of Frederick County, Maryland. It is part of the Baltimore–Washington Metropolitan Area. Frederick has long been an important crossroads, located at the intersection of a major north–south Native ...
; Fort Worth, Texas; and
San Jose, California San Jose, officially San José (; ; ), is a major city in the U.S. state of California that is the cultural, financial, and political center of Silicon Valley and largest city in Northern California by both population and area. With a 2020 popu ...
. Each DPMU is a cache of equipment and supplies for a complete
morgue A morgue or mortuary (in a hospital or elsewhere) is a place used for the storage of human corpses awaiting identification (ID), removal for autopsy, respectful burial, cremation or other methods of disposal. In modern times, corpses have cu ...
, with designated workstations for each process the DMORT team is required to complete.


History

In the 1980s, the
National Funeral Directors Association National may refer to: Common uses * Nation or country ** Nationality – a ''national'' is a person who is subject to a nation, regardless of whether the person has full rights as a citizen Places in the United States * National, Maryland, c ...
(NFDA) formed a committee to address the need for a way of dealing with mass casualty situations. The group had the goal of formulating a plan for funeral directors to deal with the situation. As the committee worked on the plan, it was revealed that such a situation would call for multiple forensic specialties. As a result, the committee created the first portable morgue unit in the country. The committee's work came to the attention of the federal government following the complaints of families whose family members had been lost in airline incidents. The families felt that the remains hadn't received adequate treatment. The
United States Congress The United States Congress is the legislature of the federal government of the United States. It is Bicameralism, bicameral, composed of a lower body, the United States House of Representatives, House of Representatives, and an upper body, ...
passed the Family Assistance Act in 1996. The
National Transportation Safety Board The National Transportation Safety Board (NTSB) is an independent U.S. government investigative agency responsible for civil transportation accident investigation. In this role, the NTSB investigates and reports on aviation accidents and inci ...
(NTSB) was assigned the role of managing the federal response to aviation disaster victims and their families. The division responsible for this response was the Office of Family Affairs, which was later renamed the Office of Transportation Disaster Assistance. The NTSB made use of DMORTs to handle large scale transportation disasters. Following the creation of the
Department of Homeland Security The United States Department of Homeland Security (DHS) is the U.S. federal executive department responsible for public security, roughly comparable to the interior or home ministries of other countries. Its stated missions involve anti-ter ...
in 2002, the DMORTs were moved into the Emergency Preparedness and Response directorate as part of the National Disaster Medical System. In 2007, the National Disaster Medical System was removed from DHS and returned to the Department of Health and Human Services under the control of the Assistant Secretary for Preparedness and Response.'' eference does not support statement'


Identification of remains

Identification of remains is a two-part process that utilizes a sophisticated computer program for matching physical characteristics. The families of the deceased provide as much information about them as possible: dental records,
x-ray An X-ray, or, much less commonly, X-radiation, is a penetrating form of high-energy electromagnetic radiation. Most X-rays have a wavelength ranging from 10 picometers to 10  nanometers, corresponding to frequencies in the range 30&nb ...
s,
photograph A photograph (also known as a photo, image, or picture) is an image created by light falling on a photosensitive surface, usually photographic film or an electronic image sensor, such as a CCD or a CMOS chip. Most photographs are now create ...
s or descriptions of tattoos, clothing and jewelry; blood type information and objects that may contain the deceased's DNA, such as hair or a toothbrush. The information gathered, called antemortem, or "before death" information, is entered into a computer program called VIP (Victim Identification Profile), which is capable of assimilating 800 different item categories, including
graphics Graphics () are visual images or designs on some surface, such as a wall, canvas, screen, paper, or stone, to inform, illustrate, or entertain. In contemporary usage, it includes a pictorial representation of data, as in design and manufacture, ...
, photographs and x-rays. As
forensic Forensic science, also known as criminalistics, is the application of science to criminal and civil laws, mainly—on the criminal side—during criminal investigation, as governed by the legal standards of admissible evidence and criminal p ...
scientists (pathologists, anthropologists, odontologists) examine the recovered remains, they enter their findings—called postmortem data—into VIP (Victim Identification Profile). Depending on the availability of data, the WIN-VIP system enables scientists to match the remains to their identity.


Incidents

For the World Trade Center attack, Secretary of Health and Human Services Tommy G. Thompson activated the National Disaster Medical System. It was the first time this system had been activated on a full nationwide basis. In Manhattan, a team set up morgue outside
Bellevue Hospital Bellevue Hospital (officially NYC Health + Hospitals/Bellevue and formerly known as Bellevue Hospital Center) is a hospital in New York City and the oldest public hospital in the United States. One of the largest hospitals in the United States ...
. In 2006, DMORT operated the Find Family National Call Center in
Baton Rouge, Louisiana Baton Rouge ( ; ) is a city in and the List of capitals in the United States, capital of the U.S. state of Louisiana. Located the eastern bank of the Mississippi River, it is the county seat, parish seat of East Baton Rouge Parish, Louisiana, E ...
. This is the center of all operations concerning the location and reuniting of families scattered by
Hurricane Katrina Hurricane Katrina was a destructive Category 5 Atlantic hurricane that caused over 1,800 fatalities and $125 billion in damage in late August 2005, especially in the city of New Orleans and the surrounding areas. It was at the time the cost ...
and
Hurricane Rita Hurricane Rita was the most intense tropical cyclone on record in the Gulf of Mexico and the fourth-most intense Atlantic hurricane ever recorded. Part of the record-breaking 2005 Atlantic hurricane season, which included three of the top ten ...
. Out of nearly 13,000 people reported missing after the impacts of hurricanes Katrina, Rita, Stan, and Wilma, nearly 7,000 were found alive and reunited with their families.


References

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External links


Disaster Mortuary Operational Response Teams (DMORTs)
Disaster preparedness in the United States Federal Emergency Management Agency