After a disaster, the usual thing to do is set up an office that coordinates the response.
One of the first things they do is set up a team to get a list of all the places where people might be hurt and send out rescue crews.
They get by radio or phone reports of people rescued, bodies recovered, hospital admissions, and calls about missing people. That team keeps an up-to-date list of all those people and can get tell how many have been found dead, hospitalized, or released without medical care. It’s very chaotic, there are delays in getting info, data coming in from many places, some people being double-counted, but the counts are the best that the can do at the time, and if the people are trained for it, they tend to be pretty good at bringing it all together.
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