Executive Summary Trauma Trends Statistical Study 2005-2015

USA Decon
Trauma Trends Statistical Study 2005-2015
Executive Summary
Copyright 2015 USA Decon

I.  U.S. Bureau of Labor
Statistics: Fatal Work
Injury
II.  U.S. Army Strategic
Studies Group:
Megacities and the
United States Army
Preparing for a
Complex and
Uncertain Future
III.  USA Decon: Trauma
Project Statistics
2005-2015
IV.  Conclusion
Trauma Trends Statistical Study
2005-2015
Author
John DiGulio, CEO

q  In Other management
occupations there
were 365 fatal injuries
with 216 of these
fatalities in the
Farmers, ranchers,
and other agricultural
managers category.
q  Most of these 365
fatalities were due to
transportation
incidents but a
significant portion
was due to homicide
in the workplace.
2005-2015

q  Strategic Significance: “To
ignore megacities is to
ignore the future.” The
growing significance of
these areas will make their
stability critical for U.S.
Policy objectives and global
equilibrium.
q  Characteristics: “Cities with
populations of ten million
or more are given a special
designation: megacity.
There are currently over
twenty megacities in the
world (June 2014), and by
2025 there will be close to
forty.”
q  The U.S. Army has
increased its appreciation of
megacities to better
understand how it may
operate within them.
2005-2015
Source: U.S. Army

Megacity Characteristics
q  Context: Each megacity has unique historical,
cultural, local, regional, and international context.
q  Scale: The relative size of megacities distinguishes
them from other urban environments.
q  Density: “Population, infrastructure, and signals all
pose significant challenges with regard to density.”
Structural density limits maneuverability while
electronic signal density contributes to problems
with bandwidth congestion and signal-based
targeting.
q  Connectedness: Communications connectedness
can be used to great advantage in mapping a
megacity’s systems.
q  Flow: The movement of resources, people, or things
in and out of a megacity is referred to as “flow”.
q  Threats: Megacities are under constant challenge by
threats of many forms.
2005-2015
Source: U.S. Army

Case Study: Houston
q  Houston’s population is 2,195,914 (2013
estimate) with Texas’ population at
26,505,637.
q  Homeownership rate, 2009-2013 45.4%
q  Housing units in multi-unit structures,
percent, 2009-2013 48.2%
q  Median value of owner-occupied housing
units, 2009-2013 $123,900
q  Households, 2009-2013 781,407
q  Persons per household, 2009-2013 2.69
q  Per capita money income in past 12 months
(2013 dollars), 2009-2013 $27,305
q  Median household income, 2009-2013
$45,010
q  Persons below poverty level, percent,
2009-2013 22.9%
2005-2015
q  Living in same house 1 year & over, percent,
2009-2013 79.4%
q  Foreign born persons, percent, 2009-2013
28.3%
q  Language other than English spoken at home,
pct age 5+, 2009-2013 46.3%
q  High school graduate or higher, percent of
persons age 25+, 2009-2013 75.4%
q  Bachelor's degree or higher, percent of persons
age 25+, 2009-2013 29.2%
q  Mean travel time to work (minutes), workers age
16+, 2009-2013 25.9
q  Source: Census.gov

q  Case Study: Houston
q  The gross filth and hoarding cleanup projects
in the statistical sample were located
predominately in the Houston and South
Houston area. Based on revenue billed, 49%
of the gross filth and hoarding cleanup
projects were located in Houston and South
Houston.
q  In this same statistical set, 11% of the gross
filth and hoarding cleanup projects were in
the Pearland, Pasadena, Webster,
Friendswood, Clear Lake, and League City
region. Automobiles such as a car, truck, or
travel trailer accounted for 0% of the gross
filth and hoarding cleanup projects. Deer
Park, La Porte, Baytown, and Mt. Belvieu
contributed 6% of the revenue from gross
filth and hoarding cleanup projects.
q  The remaining portions of the revenue billed
for gross filth and hoarding projects in the
statistical set were located in the Kingwood,
Humble, Conroe region; at 1%; and Alvin,
Lake Jackson, Angleton, Texas City and
Galveston; at 22%.
2005-2015
Cow Feces in
New Construction

q  In the Houston area, 65 suicide
cleanup projects were included in the
statistical analysis. The 65 suicide
cleanup projects chosen for the study
had a total revenue billed amount of
$198,859 comprised of over 870.5
labor hours, 368 regulated biohazard
medical waste boxes, 165 cubic yards
of conventional waste, 1613 quarts of
chemicals, and over 170 individual
sets of personal protective equipment
(PPE).
q  The project total billed amount for
Houston suicides in this statistical set
ranged from $350 to $19,885 in
environmental settings located in
automobiles, homes, apartments,
outside, and commercial
establishments.
2005-2015
Suicide in a Garage

q  In this same statistical set, 11% of the
decontamination cleanup projects
were in the Pearland, Pasadena,
Webster, Friendswood, Clear Lake,
and League City region.
q  Automobiles such as a car, truck, or
travel trailer accounted for 5% of the
decontamination cleanup projects.
Deer Park, La Porte, Baytown, and
Mt. Belvieu contributed 7% of the
revenue from decontamination
cleanup projects.
q  The remaining portions of the
revenue billed for decontamination
projects in the statistical set were
located in the Kingwood, Humble,
Conroe region; at 11%; and Alvin,
Lake Jackson, Angleton, Texas City
and Galveston; at 9%.
2005-2015
Suicide, Decomposition
in an Automobile

Top Ten Recommendations for
Property Managers
1)  Property Audits: Conduct regular property audits
in order to contain the progress of a hoarder and/
or recognize potential problem areas that may
affect the safety of others due to a fire or
traumatic event.
2)  Semi-gloss Paint: Semi-gloss paint is easy to clean
in comparison to flat paint. Blood and other
contaminates can be more easily cleaned off of
semi-gloss paint contributing to lower labor costs
in cleaning.
3)  Intact Caulk Lines: Biohazard remediation costs
can be exponentially lower due to an intact caulk
line (around toilets and all baseboards against tile)
that was able to contain spilled fluids and keep
these fluids from penetrating underneath.
4)  Response Company: Research compliant, capable
companies that specialize in facility disinfection
and/or biohazard remediation and are licensed to
transfer biohazard medical waste in your area.
Search the company name online for
reviews and/or issues.
2005-2015
5)  Action Plan: Craft an action plan for support of
normal business and maintenance operations
during the incident and its investigation.
6)  On-site Counseling: Prepare for any counseling
that may be needed by any employee or resident
impacted by the event.
7)  Communication: Prepare to support property
owner and/or corporate office communication.
8)  Media Cooperation: Prepare to field media
questions or managing their presence on the
property due to an incident or disease outbreak.
9)  Victim’s Liaison: Research your local police
victim’s liaison to communicate this contact
information to any potential victim of an incident
on your property or elsewhere.
10)  Insurance: Require a renter’s insurance policy
with each tenant to mitigate costs to the property
owner.

Top Ten Recommendations for
Insurance Adjusters
1)  Request a Comparative Bid: As an adjuster, you may
be presented a bill for biohazard remediation services
that is astronomical in cost when compared to the
original quote or expected costs. There are
experienced companies that provide comparative bids
for services to ensure that fair rates are paid for the
biohazard remediation services by the insurer.
2)  Licensed Company: Review the company credentials
to ensure that they are licensed to transfer biomedical
waste (blood and body fluids) from the project site to
the disposal facility (for example: Texas – TCEQ
Transport License). Search the company name
online for reviews and/or issues.
3)  Identify Duplicate Chemicals and/or Equipment
Charges: Duplicate charges may be accidental or
otherwise. For example, if the equipment and PPE
are disinfected and included in labor and billable
chemicals then why would there be a separate line
item charge to disinfect the same items when these
inputs are accounted for in the labor and billable
chemicals line items. Make sure line item disinfection
charges are not double charged in separate
disinfectant and labor line item amounts already
billed to perform the disinfection.
4)  Response Company: Research compliant, capable
companies that specialize in facility disinfection and/
or biohazard remediation and are licensed to transfer
biohazard medical waste in your area.
2005-2015
5)  Action Plan: Craft an action plan should you need to
visit the site of a traumatic event in an insured
property. Have PPE and disinfectant available in your
response vehicle for respiratory protection and to
disinfect your shoes or clothing.
6)  Client Counseling: Prepare for any counseling that
may be needed when processing the claim for those
impacted by the event.
7)  Communication: Perform a thorough review before
sending client communications. Support from your
remediation contractor may have photos that are
useful for your claim processing but may be very
disturbing to your client.
8)  Media Cooperation: Prepare to field media questions
or managing corporate communications on the issue.
9)  Victim’s Liaison: Research your local police victim’s
liaison to communicate this contact information.
10)  Reasonable Services: Are the tasks performed in the
billing reasonable and easy to explain in regards to the
on-site challenges approached. Educate yourself in
best practices and compliance.

Works Cited
1.  U.S. Bureau of Labor Statistics, Fatal Work Injury Rates.
2.  U.S. Army Strategic Studies Group, Megacities and The United
States Army Preparing for a Complex and Uncertain Future.
3.  The USA Decon statistical study was made up of 290 projects
(approximately 15% of total completed projects) from
2005-2015. The city case study for Houston is limited to one
company’s statistics. The composition of affected material was
based on an allocation across different materials multiplied by
an average biohazard medical waste box weight of 21 pounds.
4.  Census.gov
5.  EPA.gov
6.  TCEQ.state.tx.us
ISBN 978-1-4951-4900-9
2005-2015
USA Decon’s 1st job in June 2005.
USA Decon
Chief Operating Officer
Robert Demaret
Executive
Summary

Executive Summary Trauma Trends Statistical Study 2005-2015

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