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. 2024 Nov 28:18:e293.
doi: 10.1017/dmp.2024.164.

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

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

Alok Atreya et al. Disaster Med Public Health Prep. .

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.

Keywords: disasters; emergency preparedness; emergency responders; mass casualty incidents.

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