75th MORSS CD Cover Page UNCLASSIFIED DISCLOSURE FORM CD Presentation

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75th MORSS CD Cover Page UNCLASSIFIED DISCLOSURE FORM CD Presentation 712CD For office use only 41205 12-14 June 2007, at US Naval Academy, Annapolis, MD Please complete this form 712CD as your cover page to your electronic briefing submission to the MORSS CD. Do not fax to the MORS office. Author Request (To be completed by applicant) - The following author(s) request authority to disclose the following presentation in the MORSS Final Report, for inclusion on the MORSS CD and/or posting on the MORS web site. Name of Principal Author and all other author(s): Bruce Shahbaz Principal Author s Organization and address: Altarum Institute 4401 Ford Ave. Suite 800 Alexandria, VA 22304 703-575-1675 Phone: 703-575-5347 Fax: Email: Bruce.shahbaz@altarum.org Original title on 712 A/B Medical Course of Action Tool - Disaster Revised title: Presented in (input and Bold one): (WG_23, CG, Special Session, Poster, Demo, or Tutorial): This presentation is believed to be: UNCLASSIFIED AND APPROVED FOR PUBLIC RELEASE

Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. 1. REPORT DATE 01 JUN 2007 2. REPORT TYPE N/A 3. DATES COVERED - 4. TITLE AND SUBTITLE Medical Course of Action Tool-Disaster (MCOAT-D) 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Altarum Institute 4401 Ford Ave. Suite 800 Alexandria, VA 22304 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR S ACRONYM(S) 12. DISTRIBUTION/AVAILABILITY STATEMENT Approved for public release, distribution unlimited 11. SPONSOR/MONITOR S REPORT NUMBER(S) 13. SUPPLEMENTARY NOTES See also ADM202526. Military Operations Research Society Symposium (75th) Held in Annapolis, Maryland on June 12-14, 2007, The original document contains color images. 14. ABSTRACT 15. SUBJECT TERMS 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT UU a. REPORT unclassified b. ABSTRACT unclassified c. THIS PAGE unclassified 18. NUMBER OF PAGES 11 19a. NAME OF RESPONSIBLE PERSON Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18

Medical Course of Action Tool-Disaster (MCOAT-D) An introduction to the development of a prototype casualty estimation and medical workload planning tool. www.altarum.org

Planned Phase 2 Results Functional prototype that has been tested and validated. Address four natural disaster types: Hurricanes, Earthquakes, Floods and Fires. Address casualty estimation and medical workload (severity and service). Actual Phase 2 Result Project Overview -- Project Synopsis -- Prototype developed not tested. Prototype addresses two disaster types: Hurricanes & Earthquakes. Insufficient data / results to develop a method for Floods and Fires. Addresses casualty estimation and medical workload (Injury vs. Illness and limited service).

MCOAT-D Version 1 Prototype version 1 developed in 4 months Hurricane and Earthquake estimation Fatalities and Patients

Headlines 1 of 2 82 Disasters entered into Excel spreadsheet (54 last IPR) Flood = 18 (24) Earthquake = 40 (16) Hurricane = 23 (13) Fire = 1 (1) Access database under development for data entry and analysis. 123 documents archived in SharePoint (123 last IPR).

Headlines 2 of 2

MCOAT D Observations and Insights 12,500 4,000 Note: Scale Altered to show detail

Hurricane Morbidity Floods as secondary disaster: driving factor for Category 2 Morbidity figures Average number of patients per event. Primary data source CDC MMW reports. Secondary Storm Strength Disaster

MCOAT D Observations and Insights, cont. 1,200 350 Note: Scale Altered to show detail

Earthquake Morbidity Fires as secondary disaster: driving factor for Magnitude 6+ Morbidity figures Average number of patients per event. Primary data source CDC MMW reports. Secondary Earthquake Magnitude Disaster

MCOAT D Correlation Coefficients Hurricanes Cat 3 Hurricanes Earthquakes M 6 Earthquake Pop Density to Morbidity.32.73.66.94 Pop Density to Mortality.66.71.66.93 Category to Morbidity.24 -.05 Category to Mortality.39.27