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China - National Health Commission mandates cremation for all new coronavirus 2019-nCov deaths

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  • China - National Health Commission mandates cremation for all new coronavirus 2019-nCov deaths

    hat tip Hawkeye


    Notice on Printing and Distributing the Guidelines for the Disposal of Remains of Patients with Pneumonia Infected by New Coronavirus (Trial)

    Published: 2020-02-01Source : Medical Administration and Hospital Authority
    National Health Office Medical Letter [2020] No. 89



    Provinces, autonomous regions, municipalities, and the Xinjiang Production and Construction Corps Health and Health Committee, Civil Affairs Department (Bureau), and Public Security Department (Bureau): The
      "Guidelines for the Disposal of Remains of Patients with Pneumonia Infected by New Coronavirus (Trial)" are issued to you. Actually and earnestly implement. 





    General Office of the National Health and Health Commission General Office of the Ministry of Civil Affairs

    General Office of the Ministry of Public Security

    February 1, 2020


      (Information disclosure: Active disclosure)





    Guidelines for Disposal of Remains of Patients with Pneumonia Infected by New Coronavirus (Trial)




      In order to do a good job in disposing the remains of patients with pneumonitis infected by a new type of coronavirus (hereinafter referred to as patients with new coronary pneumonia) and prevent the risk of disease transmission, in accordance with the "People's Republic of China Law on the Prevention and Treatment of Infectious Diseases" and the "Rules for the Disposal of the Remains of Victims of Major Emergencies" ( Minfa [2017] No. 38) and other relevant requirements, this work guide is specially formulated.
      I. General requirements
      In accordance with the principles of people-oriented, legally regulated, timely and reliable, cremation nearby, and suspected subordination, unified leadership, hierarchical responsibility, mutual coordination, and territorial management shall be implemented, scientific and standardized disposal of the remains of patients with new coronary pneumonia, strengthening health protection, and preventing the spread of disease Risks to protect human health and social safety.
      2. Division of responsibility: The
      medical institution is responsible for issuing a medical certificate of death in a timely manner, notifying the funeral home to pick up the remains, and to do the sanitary and epidemic treatment work such as disinfecting the remains.
      The funeral parlour is responsible for receiving and transporting the remains in time, setting up a special funeral service channel and a special cremation furnace, doing cremation work in accordance with the operating procedures, and issuing a cremation certificate.
      The disease prevention and control institutions are responsible for supervising and guiding the health and epidemic prevention work, do a good job in the training of relevant personnel in protection knowledge and skills, and disinfect the funeral vehicles, cremation equipment and related places.
      The health and health administration department is responsible for formulating relevant technical documents related to sanitary and epidemic prevention, such as disinfection of remains, and guiding medical institutions to properly handle the remains of patients with new crown pneumonia in this institution.
      The civil affairs department is responsible for fully understanding the funeral services and available resources in the area, and timely coordinating and instructing the funeral home and other service agencies to do the disposal of the remains of patients with new coronary pneumonia.
      Public security organs are responsible for giving priority to the transportation of the vehicles carrying the remains, and investigating and punishing illegal and criminal acts in the process of transferring the remains.
      III. Disposal Procedures
      (I) Death Report. After the death of patients with new crown pneumonia, the medical institution where they are located reports to the health and administrative department at the same level. The health and administrative department notifies the civil affairs department at the same level.
      (2) Sanitation and epidemic prevention treatment. For the remains of dead patients with neo-coronary pneumonia, the medical staff of the medical institution where they are located shall disinfect and seal the remains in accordance with the "Technical Guidelines for the Prevention and Control of New Coronavirus Infection in Medical Institutions (First Edition)", and it is strictly forbidden to open them after sealing.
      (3) Handover procedures. The medical institution shall contact the funeral home as soon as possible after the completion of the sanitary and epidemic prevention treatment of the remains, issue a death certificate, and contact the relatives to agree to the cremation, and indicate in the transfer of the remains that the sanitary and epidemic prevention treatment has been carried out and the opinion of immediate cremation. If the relatives of patients with new coronary pneumonia refuse to be present or refuse to transfer the remains, they shall be persuaded by medical institutions and funeral parlours. If the persuasion is invalid, the medical institutions shall sign the remains and submit them to the funeral parlor for direct cremation. The public security organs in the jurisdiction shall cooperate in the relevant work.
      (4) Transfer of remains. The transportation of remains shall not be undertaken by units and individuals other than funeral homes. The funeral home will arrange full-time personnel and special corpses to the designated place of the medical institution, and transfer the remains to the designated special corpses according to the designated route to the funeral home.
      (5) Personnel protection. The disease prevention and control institution shall instruct medical personnel, personnel for the transportation and disposal of remains, etc., to carry out health protection in accordance with the requirements for protection from disease exposure.
      (6) Cremation of the remains. After the remains were delivered to the funeral parlour, the funeral parlour set up a special temporary passageway, and the funeral parlor's full-time staff directly sent the remains to a special cremation furnace for cremation. Remains must not be stored or visited, and it is strictly forbidden to open the sealed remains bag during the whole process.
      (G) Transfer of ashes. After the cremation was completed, the ashes of the funeral home were picked up by the service staff of the funeral home, and a cremation certificate was issued, which was handed over to relatives to take away. If the family refuses to take it away, it shall be treated as ashes of an unclaimed body.
      (8) Environmental disinfection. The disease prevention and control agency strictly disinfects the remains transport vehicles, equipment and tools, cremation workshops, and remains of the remains, etc., and performs harmless treatment of funeral waste.
      (9) Information management. Medical institutions and funeral homes shall timely register and store business records of the treatment of the remains of patients with new coronary pneumonia, and report the treatment to the disease prevention and control institutions at the same level and the civil affairs department in a timely manner.
      Relevant regulations
      (1) The remains of patients with neo-coronary pneumonia who died in this province (district, city) should be cremated nearby, and no burial or other means of preservation should be used, nor should they be removed. Remains of patients with neo-coronary pneumonia who died outside of this province (region, city) should not enter the province's territory and be cremated on the spot in accordance with the principle of proximity.
      (2) After the death of patients with new crown pneumonia, no farewell ceremony of corpses and other forms of funeral activities shall be held.
      (3) Remains of patients with new crown pneumonia from ethnic minorities must be cremated in situ in accordance with the provisions of the Law on Prevention and Treatment of Infectious Diseases. After cremation, the ashes can be resettled according to national customs.
      (4) If a foreigner in China, Hong Kong, Macao, or Taiwanese died in China due to a new coronavirus-infected pneumonia, the body must be cremated in situ in accordance with the provisions of the Law on Prevention and Treatment of Infectious Diseases. The cremated ashes can be transported out of the country according to the wishes of the deceased's family members.
      (5) The remains of patients with suspected new coronary pneumonia (including those who adopt preventive and control measures such as quarantine observation) shall be handled in accordance with the principle of "suspected existence" to prevent the epidemic from spreading.
      (6) Relevant expenses such as transportation and cremation of remains shall be settled in accordance with relevant regulations.

      Attachment: 1. Standards for the protection of persons transporting the remains of patients with pneumococcal death from new coronavirus infection and disinfection methods of delivery vehicles
         . 2. Handover orders for the remains of patients with pneumococcal death from new coronavirus infection.

         3. Cremation registration form of corpse deaths of patients with new type of coronavirus infection pneumonia



    attachment1




    New coronavirus-infected dead body of pneumonia patients
    , protection standards for transport personnel, and disinfection methods for transport vehicles





      1. For the protection of people who transport
      corpses, refer to the "Pneumonia Prevention and Control Plan for New Coronavirus Infection (Third Edition)" and Annex 5 "Guidelines for Personal Protection of Specific Populations (First Edition)". Coronary virus-infected pneumonia / suspected patient isolation staff medical staff protection requirements.
      It is recommended to wear work clothes, disposable work caps, disposable gloves and long-sleeved thick rubber gloves, disposable protective clothing, medical protective masks, goggles or protective screens, work shoes or rubber boots, etc. Transporters should do good hand hygiene. They can use hand sanitizer and running water to wash their hands or use quick-drying hand disinfectant.
      2. Disinfection
      of vehicles for transporting corpses. When the transport vehicles have no visible pollutants, spray 1000mg / L chlorine-containing disinfectant or 500mg / L chlorine dioxide disinfectant on the surface of the vehicle to moisten the surface for 30 minutes. When there are visible pollutants in the transport vehicle, first use disposable absorbent materials to absorb 5000mg / L ~ 10000mg / L of chlorine-containing disinfectant (or disinfection wipes / dry wipes that can achieve high-level disinfection) to completely remove the pollutants, and then Dispose of the vehicle as no visible pollutants. Protect precision instruments during disinfectant spraying.






      Related links : Interpretation of "Guidelines for the Disposal of Remains of Patients with Pneumonitis Infected by New Coronavirus (Trial)"

    http://www.nhc.gov.cn/xcs/zhengcwj/2...59c59a5f.shtml
    Last edited by sharon sanders; February 1, 2020, 10:29 PM.
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