Global & Disaster Medicine

Archive for July, 2017

The Unified Victim Identification System (UVIS)

UVIS Information Guide_NYC

A system for identifying victims in a catastrophe is already deployed in the City of New York. The Unified Victim Identification System (UVIS), developed by Connecticut-based Sapphire International, Inc, is a disaster management system that manages and coordinates all of the activities related to missing persons reporting and victim identification. In concert with the City’s 311-call center, UVIS enables a centralized communications and data collection processes to support the family assistance center (FAC). This coordinated system is essential to developing an accurate manifest of potential victims – a critical step in victim identification. Most importantly, the coordinated UVIS-311 call center system keeps the lines of communication open to the families, friends and associates of possible victims. Such a resource is invaluable in the chaos that follows any tragic event.

What is UVIS?

The Unified Victim Identification System (UVIS) is a web browser-based application that can greatly enhance the victim identification process. UVIS was developed from knowledge gained during responses to major catastrophes, such as the September 11, 2001 attacks, the American Airlines Flight 587 crash in addition to lessons learned from national and international disasters. The City of New York Office of Chief Medical Examiner, the largest Medical Examiner operation in the nation, its Department of Forensic Biology, the New York Police Department (NYPD), the NYC Department of Information Technology and Telecommunications (DoITT), the NYC Office of Emergency Management (OEM), the NYC Mayor’s Office and other agencies throughout the City provided direct input into its development.

Today, UVIS is ready to assist in the event of a terrorist attack, hurricane, earthquake, pandemic flu event or other mass fatality incident. UVIS can deal with both open and closed manifest incidents (i.e., when there are no decedent/missing person’s lists, and when a decedent/missing persons list is available) and includes a built-in Dental Identification Module (UDIM).

UVIS is designed to handle multiple types of scenarios, and can manage up to 156 simultaneous events if needed. For example a terrorist operation may target different discrete areas of a large city (multiple incidents), as was the case on July 7th 2005 when a series of coordinated bomb blasts hit London’s public transport system during the morning rush hour resulting in more that 121,000 call center reports.

Most importantly, UVIS enables the OCME to meet its primary objectives following a catastrophic incident. They include:

• Investigate, Recover & Process Decedents in a Dignified and Respectful Manner

• Accurately Determine Cause & Manner of Death

• Perform Accurate & Efficient Identification of Victims

• Provide Families with Factual & Timely Information in a Compassionate Manner

• Conduct Rapid Return of Victims to their Legal Next of Kin


History of UVIS (The Unified Victim Identification System)

UVIS-NYC

2001: Software is developed in response to Sept 11th and Flight 587 disasters, out of which UVIS evolves.

2004: The first version of UVIS is developed in anticipation of the NYC Republican National Convention in 2004. This version has only the Call Center and Missing Person’s modules.

2005: The Family Assistance Center Module is added to UVIS. OCME and NYPD gain full Ante Mortem–Missing Persons interview capabilities.

2007: Documentation of the full cycle of victim identification is completed with the addition of the Post Mortem module. OCME now has the ability to track victims from “Cradle to Grave”. A forensic dental identification program was developed with new charting code and a smart search engine.

2008: In preparing for a possible Pandemic Influenza (PI) outbreak in the NYC area, the PI module is developed based upon the OCME’s “PI Surge Plan to Manage Decedents”. All 63 heath care facilities are connected to UVIS.

2009: UVIS continues to be developed and expanded in close collaboration with various Medical Examiners’ and Coroners’ Offices throughout the country. OCME and other Medical Examiners/Coroners offices provide important feedback for the future development of UVIS. UVIS is currently undergoing a major enhancement that will create a medicolegal case management system that will be fully integrated with all disaster components, laboratory systems and external information sources.


28 people were hurt in a shooting early Saturday after a dispute at a downtown Little Rock nightclub

CBS

 


WHO reinstates snake-bite envenoming to its list of category A neglected tropical diseases

Lancet

Every year, more than 95 000 people die from snake bite, and a further 300 000 survive but with permanent disability or disfigurement.

An estimated 1·8–2·7 million people a year develop serious clinical illness (envenoming) after snake bite.

Most victims of snake bite live in the world’s poorest communities, with agricultural workers, children, and rural dwellers most at risk. About half of documented deaths from snake bite are in India but data from sub-Saharan Africa are fragmentary, and the burden of disease and the poverty it causes is likely to be underestimated. In Africa, a young farmer bitten by a puff adder might suffer terrible disfigurement rendering him fit only to beg, or the stigmatisation of scars from a spitting cobra bite might lead to a girl being unmarriageable.

WHO added snake bite to the list of NTDs in 2009, but it was later removed without explanation. …..”


Lassa Fever Case Report: Combination therapy with intravenous ribavirin and oral favipiravir

ClinInfectDis

Favipiravir and Ribavirin Treatment of Epidemiologically Linked Cases of Lassa Fever

Published:
22 June 2017
Abstract
Two patients with Lassa fever are described who are the first human cases treated with a combination of ribavirin and favipiravir. Both patients survived but developed transaminitis and had prolonged detectable virus RNA in blood and semen, suggesting that the possibility of sexual transmission of Lassa virus should be considered.

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