Pennsylvania department of health posts Shigella advisory

Outbreaks of shigellosis have been reported in Philadelphia, Allegheny, Dauphin, and York counties. Special attention to cleanliness is urged in daycare centers, among school-age children, and young adults. "Shigella is highly contagious, and the recent outbreaks suggest that this organism is spreading in the Commonwealth." The recent warmer weather may be a factor in its spread as well.

Most Shigella infections are caused by two bacterial organisms, Shigella sonnei and Shigella flexneri. The Shigella bacteria pass from one infected person to the next. According to the CDC:

"Shigella are present in the diarrheal stools of infected persons while they are sick and for up to a week or two afterwards. Most Shigella infections are the result of the bacterium passing from stools or soiled fingers of one person to the mouth of another person. This happens when basic hygiene and handwashing habits are inadequate and can happen during certain types of sexual activity. It is particularly likely to occur among toddlers who are not fully toilet-trained. Family members and playmates of such children are at high risk of becoming infected.
Shigella infections may be acquired from eating contaminated food. Contaminated food usually looks and smells normal. Food may become contaminated by infected food handlers who forget to wash their hands with soap after using the bathroom. Vegetables can become contaminated if they are harvested from a field with sewage in it. Flies can breed in infected feces and then contaminate food. Water may become contaminated with Shigella bacteria if sewage runs into it, or if someone with shigellosis swims in or plays with it (especially in splash tables, untreated wading pools, or shallow play fountains used by daycare centers). Shigella infections can then be acquired by drinking, swimming in, or playing with the contaminated water. Outbreaks of shigellosis have also occurred among men who have sex with men."
The Pennsylvania Department of Health recommends that persons with diarrheal illness do not attend or visit group settings particularly where children are present. Suspected cases should be confirmed by stool testing, then initiation of antibiotic. Since the bacteria may still be present in recovered patients, "children and staff members with Shigella must have two negative stool cultures, obtained at least 48 hours after the last dose of antibiotic and at least 24 hours apart, prior to returning to child- care facilities. The same restrictions apply to persons with Shigella who are healthcare workers or employed as food handlers. "

The most important ways to prevent Shigella transmission are good handwashing habits, practicing good general hygiene, and keeping surfaces clean and disinfected.

"Any questions or concerns regarding these recommendations should be directed to the Pennsylvania Department of Health at 1-877-PA-HEALTH. Further information on shigellosis is available on the PADOH web site at www.health.state.pa.us or the web site of the Centers for Disease Control and Prevention at www.cdc.gov."

Trauma Cleaning: Without Standards, The Pain Can Keep Coming

by Kent Berg
National Institute Decontamination Specialist

As an instructor in crime and trauma-scene recovery and a board member of the American Bio-Recovery Association, I am often approached by attorneys, the public and insurance adjusters to evaluate the service they or their clients received from other crime-scene cleanup companies.

For the most part, these are just routine questions from people who want to make sure that the service they received was within the normal parameters of good practice. But a few times each month I receive calls that just cause my stomach to knot up and my blood to boil.

With the bio-recovery industry in its 14th year, it is mind-boggling to find individuals who still decide that they are going to start-up a new company and declare themselves “experts” in crime and trauma scene cleanup without any research or training.

It is even more outrageous to find that, although they know almost nothing about the science, chemistry, biology or laws of our industry, they are charging fees that are often four or five times the industry average.

The majority of those operating in the industry today are honest, ethical professionals. It’s the few bad apples in the bio-recovery barrel, so to speak, that amplify the problems tainting our industry.

Example 1: The Hit-and-Run Guys
A husband argues with his wife in their kitchen. As she prepares supper, he grabs a shotgun and, standing in the doorway between the kitchen and dining room, blows his head off.

It is still daylight when the police arrive. In order to see better, they open the brain-splattered dining room drapes. Splatter is on the dining room and kitchen walls, but since the body fell onto the vinyl tile floor of the kitchen, the largest amount of blood pooled there.

The family asks the police about scene cleanup, and is directed to a local company. The company tells the family that payment will have to be made in cash prior to starting the job, and that the family will not be allowed inside of the house while the cleaning process takes place.

The family agrees and stays with relatives until they get the call that the job is complete and they can return. The company is long gone, and upon cursory inspection, the rooms look contaminant-free.

It is now night and, in an effort to keep neighbors from seeing into the dining room, the wife pulls the drapes closed. To the horror of the family, the drapes had apparently never been checked and still have blood and brain matter clinging to the material.

The kitchen floor appears to be clean but, when the wife walks across the floor, bright red blood spurts up between the tiles, making little puddles and polka-dotting her shoes.

If this isn’t enough to re-traumatize the family, the wife goes to remove the now-cold pot of chili from the stove and promptly throws up when she sees a 3-inch piece of her husband’s skull nestled neatly atop the pot.

The family contacted the attorney general for their state, who then called me to review the family’s statements prior to a decision on prosecution.


Example 2: The Little-Extra-on-the-Side Guys
A man who lived alone died in his bed of natural causes, but wasn’t found for several weeks. When the authorities were finally called, the decomposition could be smelled from the street.

When a crime-scene-cleanup company was called in, the man’s relatives were told that the odor had permeated everything in the house with disease. Their recommendation was that everything in the house should be removed and destroyed.

The family, already nauseated from the smell, relied on the “professional opinion” of the technicians and agreed to let them remove everything from the good silver and china to the appliances.

In short, every piece of furniture, appliance, electronic component and fixture was removed because they were declared “not salvageable.”

The relatives were then presented with a bill for approximately $40,000! If this wasn’t obscene enough, a few weeks later the family found many of the home’s contents that were supposedly “not salvageable” being sold at a local flea market.


Example 3: The Cutting-Down-on-Overhead Guys
It is standard practice for crime and trauma-scene cleanup companies to dispose of human-blood-contaminated items that can’t be salvaged. They do this by red-bagging and boxing these items and sending them to a medical waste processing facility. This includes dismantling recliners, mattresses, and other large items to fit in these containers.

In this case, a company responded to a gunshot suicide in an apartment. The victim had sat in his favorite recliner and put a pistol in his mouth. The subsequent wound bled profusely until there was no more blood for the heart to pump. This resulted in the complete saturation of the recliner.

In an apparent effort to save on labor and disposal fees, the crew decided that they would dispose of the recliner by wrapping it in plastic, putting it in the back of their truck and then dumping it in the woods of a neighboring county.

All seemed to go well until a few days later, when hunters found the chair and called police. Thinking that they had stumbled upon evidence of a homicide, the police launched a full-scale investigation that lasted for weeks and logged many detective hours before they were actually able to review the crime scene photos of every police department in the surrounding counties.

When the mystery was finally attributed to this particular crime-scene-cleanup company, not only were they slapped with fines for littering, they were saddled with reimbursing the cost of the investigation. Every law enforcement agency that heard about this dropped the company like a hot potato, and the subsequent media attention tarnished the reputation of crime-scene-cleanup companies everywhere.

I would like to emphasize the fact that these complaints are not clients disappointed with a poorly painted wall or an out-of-true vanity top. These are abuses by unscrupulous companies that are subjecting their clients to financial greed, improper disinfection, and re-traumatizing that no one should have to endure.

Could training and certification eliminate these types of abuse? Perhaps a good portion of them, but in the end, it is the honesty and character of the companies themselves that should be monitored. I believe the way to do that is to pursue standards, as well as meeting with our state legislators to create specific regulations for our industry.

Teen Suicide: Experts tell what to look for, how to prevent it

There are still several unknowns surrounding the Feb. 25 suicides of Gina Gentile and Vanessa Dorwart, but the teens’ decision to step in front of a speeding Amtrak train sent one very clear message to some experts,

“This was not a drama driven, woe-is-me call for help,” said Philip Rutter, psychologist and assistant professor at Widener University. “This was an exit strategy. … These were young women with a plan who wanted to make sure they died.”

Police say the Interboro High School sophomores planned their deaths and embraced one another before they were struck near the Norwood train station at 10:33 a.m. on a snowy Thursday morning.

That another classmate pleaded for Gentile, 16, and Dorwart, 15, to get off the tracks after deciding not to join them only fueled a story that quickly went national.

Those details, compelling as they might be, cannot recede quickly enough for parents and people who dedicate their lives to the study and prevention of suicide.

“My preference is that it not be covered at all but in a situation like this, where it probably can’t be avoided, you hope there will be some restraint,” said Tony Salvatore of Springfield, a suicide prevention specialist for Montgomery County Emergency Service, Inc. “If you are not channeling some of your energy and concern to prevention and education at a time like this, a terribly-sad event could turn into a long-term tragedy.

“People will just go on with their lives and not talk about it until something like this happens again.”

Suicide is the third-leading cause of death for 15- to 24-year-olds, behind automobile accidents and homicides, and the sixth-leading cause of death for 5- to 14-year-olds, according to the American Academy of Child Adolescent Psychiatry.

It accounts for the deaths of approximately 4,000 teenagers per year.

Attempts and thoughts of suicide are far more common.

In 2007, the Centers for Disease Control and Prevention reported that 14.5 percent of high school students seriously considered suicide in the previous 12 months and 6.9 percent made at least one suicide attempt.

Studies have found attempts among lesbian, gay, bisexual and transgender teens are two to three times more prevalent than among heterosexuals.

“There are four risk factors we typically associate with teen suicide — hostility, negative self-concept, isolation and hopelessness,” Rutter said. “We should be concerned whenever a young person is exhibiting one of these stressors but when they’ve got two or three, we should be very worried about some type of self-injurious behavior.”

Warning signs could range from the giving away of prized possessions, loss of appetite and change in sleeping habits or personality to self-mutilation like cutting or branding to talk of suicide or death.

A founding member of the Delaware County Suicide Prevention and Awareness Task Force, Salvatore said everyone has different pressure points and triggers.

“We’re all different in terms of resilience and have different responses to our experiences, whether it’s an economic problem, losing someone or a relationship that’s gone bad,” he said.

Classmates have pointed to the recent death of another Interboro student as a possible trigger for Gentile and Dorwart’s actions but experts warn against trying to cite a specific incident or reason for suicide, saying the act is more often the result of a number of underlying problems and factors.

Without a strong support system, good coping skills or a sense of self-worth, teenagers can become susceptible to severe psychological pain that leads to suicidal feelings.

“Those feelings can grow into thoughts of hurting yourself, which can lead to a plan that eventually gives way to the how,” said Salvatore, who serves on the board of Survivors of Suicide, Inc.

“As a person goes from one stage to the next, it’s like the Richter Scale, with the second step being 10 times more serious than the first and third step 100 times more serious than the second.”

Rutter said many teenagers are unable to wait out a temporary crisis.

“The thing that is so tough about teen development is that it’s all about the immediacy of the moment,” he said. “If something catastrophic happens on a Tuesday, they believe the rest of their lives will be similarly catastrophic.

“It is outside their developmental experience to think, ‘With time, this pain will pass.’”

On his Web site, Kevin Caruso, executive director of Suicide.org, urges people with suicidal impulses not to take a permanent step to treat a temporary problem.

“If you are in intense emotional and/or physical pain, remember that your judgment is being clouded by that pain,” he writes. “If you are considering suicide, you are trying to end that pain. Please do not confuse ending your pain with ending your life. The two are very different.”

Salvatore said temporary psychological pain can lead to a dangerous case of tunnel vision.

“It’s not that they stop loving the people around them or stop caring for them or want to hurt them,” he said. “But after a while, the pain becomes the center of their existence and all they care about is finding a way to stop it.

“Suicide is not a decision, it’s the outcome of a process.”

There are approximately 33,000 suicides in the U.S. each year, most by adult white males and more than half involving firearms. Delaware County averages about 60 suicides per year, typically no more than a handful by teenagers.

While suicide pacts are extremely rare, clusters, in which one suicide is followed by others, are more prevalent. Last year, the city of Palo Alto, Calif. lost four teenagers to separate suicide-by-train incidents in a six-month period.

In February 2000, three students in the Rose Tree Media School district hanged themselves in a two-week period, one a 12-year-old Springton Middle School student.

The deaths of Gentile and Dorwart were an anomaly in many respects, the first being teenage girls, while more likely than boys to attempt suicide, are about four times less likely to kill themselves and, when they do, the method is rarely as violent as death-by-train.

Rutter believes parents should have unfettered access to their children’s social media sites and friends should take any mention of suicide or death seriously.

“Often it’s friends who are privy to this kind of behavior before anyone else,” he said. “They need to know how to support their peers and recognize the danger when they read a friend’s Facebook post that expresses dismay or talks about offing themselves.

“Teenagers don’t use the same type of soft, conceptual language as adults. They say, ‘It’s going to happen Tuesday at 2.’ A kid who reads something like that has got to be able to go to a parent and say, ‘I’m worried about my friend, Joey.’”

Salvatore said the number of suicides would fall dramatically if the warnings were always so obvious.

“Unfortunately, this stuff doesn’t show up on and X-ray and people can’t see a lot of it,” he said. “There’s no light that pops up on the forehead that says, ‘I’m at risk.’”

Salvatore, who co-authored a pamphlet entitled “What Teens Need to Know About Suicide,” said a small investment in prevention and education could save a lot of lives.

“We’re not talking about a huge amount of money,” he said. “Just a little more education in schools, a little more sensitivity, maybe a little more screening by physicians or something as simple as a sign when you’re sitting in that cubicle which says ‘Do you or any of your family have any of the following symptoms?”

He said suicide prevention programs can be effective, citing one instituted by the Air Force in the 1990s that lowered the rate from 15 per 100,000 people to 5 per 100,000 people within a few years.

Rutter has gone as far as to set up a mock viewing in therapy sessions where the person with suicidal thoughts is asked to lay down and listen while their family members speak of them as if they were dead.

“I think parents should use this (tragedy) to have a horribly difficult conversation that covers what suicide is, whether their kids have ever thought about it, and what can be done to take it off the table,” he said. “Rather than dissecting the hell out of these girls’ experiences, we should be focusing on what goes on in young men and women that makes them think dying would be better than working through their problems.”

Salvatore said the Gentile and Dorwart families may be able to rebuild their lives over time but they will never get over the loss of their daughters.

“Think back to the hours and days after 9/11 — that vulnerability and helplessness we all felt,” he said. “Now here we are, nine years later, and everyone has gotten past it except for families of the people who died or jumped out of those buildings.

“That’s what it’s going to be like for those parents in Norwood.”

By Saturday, a Facebook memorial page for the girls had attracted 10,000 members.

Rutter said the girl who decided not to join Gentile and Dorwart on the tracks showed a lot of strength.

“She probably feels awful but what courage it took for her to choose not to die,” he said. “She’s to be commended.”

The funeral Mass for Vanessa Dorwart was held Saturday at St. Gabriel Church in Norwood. The Mass for Gentile will be held 11 a.m. Monday at Saint Gabriel with viewing hours from 5-9 p.m. tonight and 9-10:15 a.m. Monday at Kevin M. Lyons Funeral Service in Glenolden.

Pennsylvania Leads Nation in Black Homicide Victimization

For the third time in four years, Pennsylvania leads the nation in the rate of black homicide victimization. According to unpublished 2007 Federal Bureau of Investigation (FBI) Supplementary Homicide Report (SHR) data (the most recent available), the Keystone State's black homicide victimization rate of 36.36 Per 100,000 is nearly seven times the national overall homicide rate of 5.30 per 100,000.

This is the fourth year that my organization, the Violence Policy Center, has issued the study Black Homicide Victimization in the United States and the third time that Pennsylvania has ranked first. Additional states with black homicide victimization rates that place them in the top five are: Missouri at number two with a rate of 34.82 per 100,000; Indiana at number three with a rate of 30.89 per 100,000; and, Nevada and Wisconsin tied at number four with a rate of 29.83 per 100,000

As in past years, the study found overwhelmingly that firearms, usually handguns, were the weapon of choice in the homicides.

For the entire United States, the study found:

There were 7,387 black homicide victims in the United States. Of these, 6,345 (86 percent) were male, and 1,042 (14 percent) were female.

The homicide rate for black victims in the United States was 20.86 per 100,000. In comparison, the overall national homicide rate was 5.30 per 100,000 and the national homicide rate for whites was 3.11 per 100,000

For homicides in which the weapon used could be identified, 82 percent of black victims (5,743 out of 7,011) were killed with guns. Of these, 73 percent (4,204 victims) were killed with handguns. There were 701 victims killed with knives or other cutting instruments, 247 victims killed by bodily force, and 200 victims killed by a blunt object.

For homicides in which the victim to offender relationship could be identified, 72 percent of black victims (2,474 out of 3,431) were murdered by someone they knew. Nine hundred fifty-seven victims were killed by strangers.

For homicides involving black victims for which the circumstances could be identified, 69 percent (3,023 out of 4,362) were not related to the commission of any other felony. Of these, 55 percent (1,669 homicides) involved arguments between the victim and the offender.

Stating that "the devastation homicide inflicts on black teens and adults is a national crisis, yet it is all too often ignored outside of affected communities," the study concludes that for "blacks, like all victims of homicide, guns--usually handguns--are far and away the number one murder tool. Successful efforts to reduce America's black homicide toll must put a focus on reducing access to firearms."

Teen Suicide Risk Factors: Parents Are Too Often Clueless

By Nancy Shute

Suicide is the third leading cause of death among teenagers, and it's a tragedy that can be prevented. Given that almost 15 percent of high school students say they've seriously considered suicide in the past year, parents and friends need to know how to recognize when a teenager is in trouble and how to help.

Parents can be clueless when it comes to recognizing suicide risk factors, or at least more clueless than teens. In a new survey of teenagers and parents in Chicago and in the Kansas City, Kan., area, which appears online in Pediatrics, both parents and teenagers said that teen suicide was a problem, but not in their community. Alas, teen suicide is a universal problem; no area is immune.

The teenagers correctly said that drug and alcohol use was a big risk factor for suicide, with some even noting that drinking and drug use could be a form of self-medication or self-harm. By contrast, many of the parents shrugged off substance abuse as acceptable adolescent behavior. As one parent told the researchers: "Some parents smoke pot with their kids or allow their kids to drink."

Both teenagers and parents said that guns should be kept away from a suicidal teen. But since parents said they didn't think they could determine when a teenager was suicidal, parents should routinely lock up firearms, the researchers suggest. That makes sense. Firearms are used in 43.1 percent of teen suicides, according to 2006 data, while suffocation or hanging accounts for 44.9 percent.

The good news: Both parents and teenagers in this small survey (66 teenagers and 30 parents) said they'd like more help learning how to know when someone is at risk of committing suicide and what to do. Schools and pediatricians should be able to help, but we can all become better educated through reliable resources on the Web. These authoritative sites list typical signs of suicide risk, and they also provide questions a parent or a friend can ask a teenager to find out if he is considering killing himself. Here are good places to start:

The American Academy of Child and Adolescent Psychiatry lists signs and symptoms of suicidal thinking, such as saying things like "I won't be a problem for you much longer."

The American Academy of Pediatrics urges parents to ask the child directly about suicide. "Getting the word out in the open may help your teenager think someone has heard his cries for help."

The National Suicide Prevention Lifeline provides free advice to someone considering suicide, as well as to friends and relatives, at 800-273-TALK.

The National Alliance on Mental Illness's teenage suicide page makes the point that talking with someone about suicide will not "give them the idea." "Bringing up the question of suicide and discussing it without showing shock or disapproval is one of the most helpful things you can do," the NAMI site says. "This openness shows that you are taking the individual seriously and responding to the severity of his or her distress."

Crime Scene Cleanup: What It Involves

A crime scene cleanup service is not without its complications. Crime scene cleaning encompasses restoring the crime scene to its original state. When a crime is usually discovered, crime scene cleaners are not called until after officers of the law, like the crime scene investigators, have done their jobs first and have given the go ahead for the cleaners to come in. If you intend to hire a crime scene cleanup company, you must make sure that they are well equipped and fit right to get the job done. A crime scene presents challenging conditions.

The Use Of Protective Gears:
Crime scenes can very well involve the use of hazardous or deadly substances. For safety reasons then, it has become imperative that crime scene cleaners use protective clothing, in addition to protective tools and gadgets. You must see to it that they have all the necessary protective gears and gadgets. The protective clothing can consist of disposable gloves and suits. A disposable gear is preferred nowadays since it offers the best protection against contamination. You use it one time and get rid of it. That way, the dangers of contamination is virtually brought down to zero percent. Protective clothing extends to respirators and the use of heavy-duty industrial or chemical-spill protective boots.

Among the gadgets that a crime scene cleaning company must have are special brushes, special sprayers, and wet vacuum. These special tools ensure added protection against getting into contact with the hazard could very well be present in the crime scene. There is large, special equipment such as a mounted steam injection tool that is designed to sanitize dried up biohazard materials such as scattered flesh and brain. You would also need to check if they have the specialized tank for chemical treatments and industrial strength waste containers to collect biohazard waste.

Of course, any crime scene clean up must have the usual cleaning supplies common to all cleaning service companies. There are the buckets, mops, brushes and spray bottles. For cleaning products, you should check if they use industrial cleaning products. A crime scene cleaning company must have these on their lists:

1 - Disinfectants including hydrogen peroxide and bleaches - The kinds that the hospitals used are commonly acceptable.

2 - Enzyme solvers for cleaning blood stains. It also kills viruses and bacteria.

3 - Odor removers such as foggers, ozone machines, and deodorizers

4 - Handy tools for breaking and extending such as saws, sledgehammers, and ladders

Established crime scene operators also equip themselves with cameras and take pictures of the crime scene before commencing work which. The pictures taken may prove useful for legal matters and insurance purposes. You never know which.

Needless to say, a specially fitted form of transportation and proper waste disposal is also needed. These requirements are specific. As you can imagine, crime scene cleaning is in a different category on its own. A home cleaning or janitorial service company may not be able to cope up with the demands of a crime scene. A crime scene cleanup service requires many special gears and tools that a home cleaning or a janitorial service company does not usually have or does not require. Crime scene cleaning if not done correctly can expose the public to untold hazards.

What Else To Look For In A Crime Scene Cleanup Company
You may also want to hire a company that has established itself. An experienced company with a strong reputation is always a plus but it could be expensive too. You will do well to balance your needs with what is your budget. There are several companies that offer specific prices such as for death scene clean up categories and suicide clean up categories. Most companies own a website and have round the clock customer service as receptionists.

When looking for a suitable crime scene cleaning service, among the first things you need to do is to scout for price quotes. Crime scene cleanup services usually provide quote after they have examined the crime scene and then they give you a definite quote. Factors that are usually considered include the number of personnel that will be needed to get the job done. It also includes the amount of time that might be needed. The nature and amount of the waste materials that need to be disposed will also be factored in. You can be sure that the more sophisticated equipments needed the more expensive it will get.

Crime Scene Cleanup And Your Insurance
For homeowners, the best approach is always to make sure that crime scene cleanup services clauses and provisions are written down on the contracts or policies. The inclusion of crime cleanup services clauses is very common and has become standard clause in most homeowner’s policy. Make sure that you are covered for this unforeseen event. Make sure that your policy directs the crime scene cleaning company to transact directly with the homeowner insurance company. A crime scene cleaning service is usually a standard clause in many homeowners’ insurance clause. These companies often do the paperwork in behalf of clients.

If for some reason you do not have such coverage by any policies relating to crime scene cleanup on your home, there are ways to keep your expenses controlled.

Finding the right company can be very taxing, especially that you have to deal with the emotional stress stemming from the crime itself, especially with a crime scene involving death.

There are many crime scene cleanup companies in operation nowadays. There are reliable professionals that you can hire and prices are relatively competitive. As of recently, crime-scene cleanup services can cost up to $600 for an hour of their service. A homicide case alone involving a single room and a huge amount of blood can cost about $1,000 to $3,000.

In recent years, crime scene cleaning has come to be known as, "Crime and Trauma Scene Decontamination or CTS. Basically, CTS is a special form of crime scene cleaning focusing on decontamination of the crime scene from hazardous substances such as those resulting from violent crimes or those involving chemical contaminations such as methamphetamine labs or anthrax production. This type of service is particularly common when violent crimes are committed in a home. It is rare that the residents move out of the home after it has become a scene of a crime. Most often, the residents just opt to have it cleaned up. That is why, it is very important to hire the best crime scene cleaning company out there. The place needs to be totally free from contamination of any kind. You have to make sure that the company is able to remove all traces of the violent crime that took place. This includes cleaning biohazards that are sometimes invisible to the untrained eye.

Legally speaking, federal laws state that all bodily fluids are deemed biohazards and you should make sure that the cleanup service company you hire understands this and includes it in the cleanup. These things appear as blood or tissue splattered on a crime scene. You must be able to hire a company that is equipped with special knowledge to safely handle biohazard materials. The company must have the knowledge what to search for in any give biohazard crime scene. For instance, the company should be able to tell clues such that if there is a bloodstain the size of a thumbnail on a carpet, you can bet that there is about a huge bloodstain underneath. Federal and State laws have their own laws in terms of transport and disposal of biohazard waste. Make sure that the company you hire has all the permits necessary.

It will also be a huge plus if you could hire people who not only has the special trainings but also who have the nature to be sympathetic. If you are close to the victim and have the cleaning done at the behest of the victim’s relatives, it would matter that the cleaners tread the site with some level of respect. It is a common site that family members and loved ones are often there at scene. In general, when looking for a suitable crime scene cleaners, you would take into considerations the kind of situation that the crimes scene presents and the demands that it require. Crime scene cleaning companies handle a wide variety of crime scenes and prices may vary from one to the other crime scene and one to the other company.

Each type of scene requires its own particular demands not only to make the crime scene look clean and neat on the surface but to make it germ free, and clean inside and to make it free from all deadly and infectious substances. The cleanup cost for biohazards may vary depending on degree of the bio hazard(s) on the scene. There may even be a category that changes the cleanup pricing which usually involves decomposing bodies and carcasses. Likewise, a cleanup of chemical hazards vary, depending on the amount of chemical hazards as well as the grades i.e. how hazardous the substance is in terms of human contact. Prices are also determined by the number of hours and personnel that it would to get the crime scene cleaned. In addition, the "gross factor" from crime scene involving death and gore needs to be taken under consideration regarding the chemicals that will be used as opposed to those crimes' that do not have gore involved.

Traumatic Grief

By Nancy Crump

Since the late 1980’s, we have seen an increase in interest and research on the effects of trauma on the grief process. We have learned that the grief process from the sudden, unexpected, and often violent deaths of suicide, homicide, auto accidents, natural disasters, and other types of deaths, is very different from the grief process of those who have died from natural causes, old age, or long-termed illness. Many, if not all, of the deaths faced by Bio Technicians fall into the category of traumatic. Those family members who hire you have usually been touched by the trauma of the death. Understanding the traumatic grief process and its differences from other types of grief may be of some help to you as you deal with these family members.

There are several key elements that make the responses by family members to a traumatic death difficult. First is the suddenness of the death. Family members usually did not have time to prepare themselves for the death and to make the psychological adjustments to cope with the news of the death. Also, the suddenness of the death does not give the family an opportunity to say goodbye to the victim before their death. Second, the violence of the death may leave the family with horrific memories and nightmares that often interfere with the grief process. Third, many of these types of deaths require police intervention and the family is often not given the support, information, and compassion they need at the time. Another element can be the presence of the media at the time of the death, as well as weeks and months later if legal issues follow the death. Most traumatic deaths involve young people who’s parents, grandparents, and siblings may still live. Certainly, the death of a child or young person is very difficult to cope with.

Reactions to a traumatic death can be very different, more intense, and longer lasting than other types of death. The emotions following a traumatic death are often conflicting and intense. There is a tendency to relive the death event over and over in an attempt to make it real. Intrusive thoughts and nightmares are very common. Intense physical responses such as inability to eat or sleep, stomach aches and headaches, muscle tension, high blood pressure and a decrease in the autoimmune system are also common. Many times, the survivors must deal with intense feelings of guilt or remorse, feeling that they were somehow responsible or could have prevented the death “if only”. Family members have the need to tell the story of the death over and over again in an attempt to gain a sense of the reality of the death. They often have an overwhelming need to learn all they can about the circumstances of the death - how the person died, whether they were in pain, did they know they were dying, what were their last words, who saw what happened, and in cases of homicide, who committed the murder. All of these reactions are ways the survivors use to grasp the reality of the death and to begin the grief process.

As Bio Technicians, you are often called by family members or meet them upon arrival to the scene. Understanding some of the dynamics of trauma on the grief process may help as you help the family. Understanding the “normalcy” of the reactions you may see can help you feel more competent and assured to speak with family members without wondering whether or not you are saying the “right” thing. Some suggestions are listed below, but the most important thing is to convey sincerity and compassion to the family. They are very vulnerable and sensitive to words, expressions, and body language. Just make sure that what you say and do is congruent with how you feel or you will come across as insincere and uncaring.

Soon after a traumatic death, most survivors simply need to tell the story to anyone who will listen. It is important for their recovery to be able to do this. If you have time to listen, do so. They are not necessarily looking for any input from you; they just need someone to listen.

Remember that there are two basic rules for grieving people – you don’t hurt yourself or someone else. If, during the conversation, you hear comments that indicate the person is thinking of either, you might suggest they go talk to someone else before making a decision to do something like this. Create a list of counselors, therapists, or mental health centers to hand out at times like these. Take comments about thoughts of suicide seriously and offer to call a friend or family member to be with the person and get them help. Suicide rates often increase after a sudden, traumatic death of a loved one. These are very difficult situations for you as a caregiver, but you need to set limits as to what you can and cannot do. Listening and having resources available are all you need. The survivor needs to take some responsibility for them, and others who are better trained to handle these situations need to be contacted.

Although many reactions may look and feel “crazy”, most are normal reactions to the situation. Again, as long as they don’t hurt themselves or someone else, they are probably reacting normally to an abnormal situation. Helping normalize these reactions is very helpful to the survivor. Encouraging the survivor to talk and to express what they are experiencing is also helpful. Making a simple statement such as, “I think I’d feel the same way if this happened to me”, helps the survivor feel less out of control.

There are many support groups available to survivors that would make a good resource for them. Creating a list of those in your community or in nearby communities is a great gift for survivors. They may not want to attend a support group, but usually someone from the group is always willing to talk to them by telephone or offer assistance.

In the work you do, you may find yourself in situations of dealing with survivors who have needs you do not feel comfortable or competent in dealing with. That’s okay as it is not your responsibility to be all things to all people. However, there are these simple steps you can take to help your families in a meaningful way. You can listen. You can refer. You can offer resources. Having some general knowledge of the traumatic grief process may make you feel more competent in dealing with your families and knowing that you are being supportive and helpful in a meaningful way.

Below are some national organizations that offer support groups in almost every locality. They are specific to either the type of death or the relationship to the person who died and are more appropriate to traumatic deaths. They all have web sites or central telephone numbers that can be contacted for local information.

The Compassionate Friends – for parents’ whose child has died of any cause.
MADD – Mothers Against Drunk Drivers offer support for parents who a drunk driver killed child
Widowed Persons Service – sponsored by AARP for spousal death
SOS – Survivors of Suicide support groups
POMC – Parents of Murdered Children and other victims of homicide.

These and many other groups may be listed at your county’s Victim Assistance Office usually located in the office of the District Attorney. Also, check with your local hospices or hospitals. They offer support groups that are open to the public. Some local churches may also host support groups. As you create your list, don’t try to keep up with the dates and times of group meetings as they change frequently. All you need is the name of the group, a telephone number, and possibly a contact person. Leave it to the survivors to take the responsibility to make the calls on their own behalf.

RELEASE: Statement from Town and Gown Players

ATHENS (MyFOX ATLANTA) - The three people we lost yesterday were a part of the rich 50-year history of this theater and, more than that, were vital members of the Town and Gown family.

Ben Teague, loving husband of UGA's Dr. Fran Teague for more than 40 years, was not only a friend but also a father figure to all at the theater. One would be hard pressed to find a Town and Gowner who had not learned at least one life lesson from this wise and kind hearted man. His wife wishes to say, "Yesterday Ben was murdered, which is hard to comprehend and impossible to accept. It was a beautiful day, however, and he was in his favorite place with the people he loved." Ben was a translator of German, Russian and English.

Marie Bruce was the binding force that held the Town and Gown community together. Having worked with Town and Gown for over 20 years, at one time or another she served in every capacity at the theater, artistically and administratively, from leading lady to president of the board to chief cook and bottle washer. A local attorney, Marie was the mother of two young children.

A gentle presence, Tom Tanner breathed life into every corner of Town and Gown through his quiet diligence and astounding creativity - most would call him genius. Father of an equally amazing daughter, Tom would tell you that while he enjoyed his work as director of the Regional Dynamics Economic Modeling Laboratory at Clemson University, his heart lived and thrived in the theater.

Ben, Marie and Tom were a part of our family, and as painful as their loss is for us, we know it is even more painful for their families. We want to extend our deepest sympathy to their immediate family and close friends outside the theater community. There are no words we can use to adequately express our grief.

We would like to thank the Athens Police department and the media for their respectful treatment of this tragedy. We want to thank the American Bio Recovery Association and A1 BIO-Clean Service for the generous donation of their services in our time of need. We also want to thank the Athens Community for their support. This tragedy effects everyone in the community in some way, and we know you share in our loss. We ask that the media continue to be respectful of our privacy during this difficult time.