Up to 1,000 Bodies Left Untouched Near Troubled Nuke Plant
Kyodo News (March 31, 2011)

I started this new post on the aftermath in Japan before today’s announcement that another earthquake had hit the country and that a potential tsunami was forecast. These most recent events will only compound Japan’s problems but they also contribute to a large post-disaster narrative: Japan is dealing with scenarious that have only ever been imagined on paper. Everything that has happened is an unbelievable list of ‘What If’s.’

What if:

1.) There’s an unexpected and violent earthquake which strikes in an area that not many seismologists predict.
2.) The unexpected earthquake is then followed by an unprecedented and completely destructive three stories tall tsunami wave.
3.) All of these events then lead to massive infrastructure collapse which then cause half-a-dozen nuclear power reactors to either shut down or go into meltdown.
4.) Leading to an unprecedented battle between a small group of Japanese engineers attempting to control the nuclear meltdown and exposing themselves to ultimately fatal levels of radiation. This last point is pure speculation but it is difficult to imagine anything else happening.

And finally 5.) Every single one of these different but related events leads to the creation of a large nuclear radiation exclusion zone and means that a 1,000+ bodies are left in that exclusion zone because it is too dangerous to retrieve the human remains.

It is difficult to think of another multiple level disaster on this scale. The only examples that I have come across are Hiroshima and Nagasaki.

The article at the top of the page discusses the dead bodies left within the radiation exclusion zone. This is a story that I’m particularly interested in following, since the funereal practices normally practiced in Japan have already been thrown into disarray. I wrote about that situation here.

This LA Times article captures the ongoing postmortem crisis many next-of-kin are facing.

Shoichi Nakamura is having trouble sleeping and eating. Her brother, sister-in-law and their child have been missing for more than a week. She’s been to three evacuation centers and pored over countless lists at disaster centers.

That’s left her with a dilemma she shares with a growing number of Japanese in the wake of the March 11 earthquake and tsunami: When do you give up hope that your relatives are alive? And how do you mark a death in tradition-bound Japan without a body to cremate?

These photos in the National Journal visually capture all of these dilemmas. The images of destroyed cemeteries and mass burials are particularly jarring.

I have one final comment, and it’s about the February earthquake in New Zealand. The Guardian ran the following article last week: New Zealand’s chief coroner says some of those killed during earthquake may never be identified.

It seems likely that some (possibly many) dead bodies in Japan will not be identified for a long time to come. It may take months, if not years, before the irradiated remains can be safely recovered and handled.

I mention all this because if there is any country in the world that will do everything it can to identify the dead, it is Japan.

Hasty Burial for the Dead Collides With Tradition
Michael Wines, The New York Times (March 24, 2011)
Families of the tsunami’s victims faced a mass burial in a seaport town in northeast Japan, where mathematical reality has made cremation impossible.

99%. That is the number which kept going through my head when I saw the tidal wave sweeping through northeast Japan.

99% of all Japanese dead are cremated. Indeed, Japan is always at the top of international indexes on annual cremation rates.

But when I saw the remnants of those Japanese villages, I knew that there would be too many dead bodies for the local crematoria– in the event those crematoria were even functional.

It has taken a while for this kind of story to finally emerge from Japan, but the New York Times is now reporting on mass burials of the dead. The turn to mass burials is a radical break for contemporary Japanese funereal traditions, but when confronted with the sheer numbers of dead, little choice remained.

The Times article describes the situation:

In Japan, it is not normal to bury the dead, much less to lay dozens side by side in a backhoe-dug furrow. Cremation is both universal and an important purification rite in an elaborate funeral tradition deeply rooted in Buddhism.

But across coastal northeast Japan, tradition has collided this month with mathematical reality. The number of dead and missing from the March 11 tsunami has climbed past 22,000, and in the small towns and rural villages where most people died, there are by far too many bodies to burn.

Highashi-Matsushima, a seaport of 43,000 people, has recovered 680 bodies since the tsunami hit, and nearly 500 more are missing and presumed dead. The town’s single aging crematorium can accommodate but four bodies a day.

“If we burned all the bodies, it would take a very long time,” said the city spokesman, Takashi Takayama. “The bodies are being kept now in two places, and we’re concerned that they might decompose.”

So reluctantly, Higashi-Matsushima has resorted to burial. At least 10 other municipalities in the coastal disaster zone have either followed suit or are about to.

The town buried its first 24 corpses on Tuesday after securing permission from survivors. On Wednesday, a crowd of perhaps 100 mourners gathered at the incinerator property, a piece of vacant city land on high ground, for the second day of interments.

There is one section of the article which I take slight exception to. Towards the end of the entire article, which is well reported, the following point is made:

It was the bureaucracy’s best effort to imbue Wednesday’s interments with the dignity of genuine funerals rather than what they were: an unavoidable response to a potential public health problem. Later in the day, Buddhist monks would come to the site to pray over the graves.

The often cited fear of potential public health problems is not entirely accurate. Last year, in the aftermath of the Haiti earthquake, the Death Reference Desk discussed the widely held misconception that dead bodies pose a public health concern. It is true that people working around masses of dead bodies should wear normal protective gear (gloves, masks, etc.) but those bodies aren not going to rampantly spread disease.

Meg wrote a particularly insightful piece on this very topic: The (un)Diseased Dead.

All this said, I understand the push for burial. Dead bodies decompose and they smell and all of this can compound the broader tragedy.

It is also important to note that Japanese officials appear to be doing something which stands in stark contrast to the Haiti situation: the dead are being identified before burial. Thousands of dead bodies were buried in Haiti without any ID’ing of the corpses. Identifying each of the bodies is important for many of the families and it helps establish who is known to be dead vs. missing and presumed dead.

As usual, we will keep an eye on this particular facet of the Japanese disaster.

Out of respect for the dead.

Blackbird necropsy (Source: USGS)

The recent spate of mass bird deaths has taken flight across the Internet—a literal and figurative tweeting and Twittering—and dare I say crowing—on a large scale. You could say it’s causing quite a “flap.” Reported by the Associated Press, the Daily Mail and others, masses of birds have been mysteriously falling from the sky in the U.S and Europe, dead on arrival. Red-winged blackbirds, starlings and turtle doves have been the victims in these rains of death. In addition, reports of mass fish deaths in the American South and crab die-offs in England have also joined the fray. But what of it? Are these the fabled “end times”? Media hype? Or something else?

Speculation has run rampant, but according to the U.S. Geological Survey, die-offs such as these happen more frequently than is reported—but, because of instant communication now possible via the Internet and the 24-hour news cycle—people (the media included) are trying to connect the dots and perhaps make connections where there is none. The USGS calmly says,

While large-scale bird die-offs are always a concern, they are not that unusual. USGS records list at least 16 events involving more than 1,000 black birds or starlings over the past 30 years. The majority of these cases were poison related, although weather-related trauma was also the cause of some events

Although no definitive explanation has yet been found—and may never be—the speculation and hype has been staggering. It has even been dubbed “aflockalypse” by some (!) Check out the nifty Google Map tracing mass animal deaths worldwide that a lone blogger put together. Depending on your tendencies, you can allay, or perhaps heighten? your fears, by reading the Black Bird die-off Investigation page here. Oh, and there’s even a USGS webpage called the New and Ongoing Wildlife Mortality Rates Nationwide. Here, you can keep track of reported events involving “a network of partners across the country work on documenting wildlife mortality events in order to provide timely and accurate information on locations, species and causes of death.” Who knew?

We usually stick to the strictly human side of death here at DRD. Sure, we have the occasional drunken elk rampage story, (i.e. Man vs. Beast). Really, the interest for me is more about how we, as a society, are reacting to these bird deaths rather than the deaths themselves. But before you run down to your public library looking for a King James bible to check out (don’t bother because they’re all stolen of course) or borrow a copy of Evan Almighty (we can only hope these are all stolen) take a deep breath and do a little fact checking. Maybe a viewing of The Birds is in order? For now, invest in a sturdy umbrella.

*No animals were harmed in the writing of this post. However, black(bird) humor was employed at least a once or twice.

In Haiti, A Proper Burial is in Short Supply
Frances Robles, Nadege Charles and Elinor J. Breche, Miami Herald (January 25, 2010)

This will be the last post, for a while, on the dead bodies in Haiti. I decided to run this Miami Herald article because it does a good job of summing up the problems the Haitian people are facing. None of what has happened will be resolved anytime soon and this article highlights that fact.

From the article:

For the moment, Louis Banatty lies in a stranger’s backyard, the Haitian earth shifting around him.
But as soon as she can, Chantal Banatty wants to bring him to Florida, where the once-controversial broadcaster, businessman and U.S. Marine veteran founded Miami’s Radio Creole in 1980.

“No box, no sheet, no nothing,” said Chantal, of Punta Gorda. “They dug a hole and buried him in the ground like that. . . . He should not be rotting in dirt.”

Two weeks after the Jan. 12 earthquake, the solemn services that Haitians cherish remain as rare as an untroubled moment.

Among the few victims formally honored were Haitian Archbishop Joseph Serge Miot and Vicar Charles Benoit. About 2,000 mourners gathered Saturday for a two-hour ceremony at what’s left of Port-au-Prince’s regal cathedral to memorialize them — and cry for their ruined country.

But an estimated 150,000 of Haiti’s dead are moldering in the rubble and mass graves or falling prey to starving animals in the open, their fate an eternal mystery to loved ones.

And that, said Haiti scholar Ira Lowenthal, is profoundly disturbing in an ancestor-worshipping culture that melds Christian belief with ancient African traditions.

Haitians’ “job in life is to prolong [the] chain of succession,” Lowenthal said from his intact home in the Port-au-Prince suburb of Pétionville. Death rituals “give us dignity of our past. That’s what the Haitian family is about.

“When you break that chain and bury the dead without anybody knowing, it disrupts everything.”

Haitians save their entire lives to build tombs more elaborate than any structure they’ve occupied while living, Lowenthal said.

“It’s their final home.”

Luvie Netus, 76, attended a simple graveside service for her cousin’s husband, among the fortunate dead whose relatives have someplace to visit.

“Traditionally, as we are not animals, we have funerals,” she said. “Funerals are important to Haitians. We expect a coffin and a Mass.”

Funerals are important and what happened in Haiti will be discussed for a long time to come.

Haiti’s Many Troubles Keep Bodies Uncounted
Simon Romero and Neil MacFarquhar, New York Times (January 21, 2010)

Haiti quake toll ‘may be 200,000′
BBC News (January 18, 2010)

I have a hunch that for years to come, the final death toll in Haiti will remain unknown. As the tagline for the above New York Times article states: The simple truth is that no accurate death toll exists. This isn’t some keen observation on my part, rather mass fatality situations are always difficult to tabulate. And the situation in Haiti is offering up its own unique problems, such as the sheer volume of corpses, and the rapid burial of those dead bodies without any record keeping system.

During this week alone, the numbers of dead have fluctuated by several tens of thousands at a time. The BBC News article at the top quotes a US General who says the death toll may reach 200,000. That was on Monday of this week. By Thursday, the New York Times had an article which pointed out logically (if not tragically) that tabulating the death toll will be extremely difficult.

Regardless of the final, agreed upon death toll, another problem with these fluctuating body counts involves the question of human perception. In a nutshell, how can people understand a number such as 100,000 or 200,000? What do that many dead bodies look like?

I’ve thought about this question over the years, since it seems that part of the problem with any really large death toll is that it becomes so big that it can’t be envisioned.

The one way that I have figured out how to describe these numbers is by using a concept which I call the Stadium Equation. In order to understand how many bodies 100,000 or 200,000 represents, imagine yourself standing in the middle of a packed stadium. Then imagine everyone sitting around you as a dead body x the total (or projected) number of dead bodies.

This Wikipedia page lists American athletic stadiums and each stadium’s seating capacity.

In the UK, Wembley stadium (above) seats 90,000….

Infectious Disease Risks from Dead Bodies Following Natural Disasters (pdf)
Oliver Morgan, Pan American Journal of Public Health, 2004;15(5):307–12.

In the wake of the deaths from the Haiti Earthquate — 200,000 at the most recent estimate — officials are struggling to provide appropriate and respectful body disposal. In an earlier post John mentioned the common misconception that dead bodies carry disease. Bodies are especially horrific in such quantities and conditions, with the persistent and inescapable smell of death. The otherwise natural inclination to mourn and respect the dead is overpowered by the sense of urgency to obliterate the reminder and ongoing reality of this collective trauma.

Enter mass graves: a “solution” that offers out of sight, out of mind — but little by way of preventing disease, as it’s not actually a legitimate threat to public health. A 2004 literature review (also linked above) from the Pan American Health Organization on the management of dead bodies in disaster situations available offers some insight:

Victims of natural disasters usually die from trauma and are unlikely to have acute or “epidemic-causing” infections. This indicates that the risk that dead bodies pose for the public is extremely small. However, persons who are involved in close contact with the dead — such as military personnel, rescue workers, volunteers, and others — may be exposed to chronic infectious hazards, including hepatitis B virus, hepatitis C virus, HIV, enteric pathogens, and Mycobacterium tuberculosis. Suitable precautions for these persons include training, use of body bags and disposable gloves, good hygiene practice, and vaccination for hepatitis B and tuberculosis. Disposal of bodies should respect local custom and practice where possible. …

Concern that dead bodies are infectious can be considered a “natural” reaction by persons wanting to protect themselves from disease. However, clear information about the risks is needed so that responsible local authorities ensure that the bodies of disaster victims are handled appropriately and with due respect.

An editorial in the same journal issue (“Epidemics Caused by Dead Bodies: a Disaster Myth That Does Not Want to Die”) argues that expedient mass burial does have an effect on public health — not by preventing disease, but by exacerbating grief and endangering mental health:

Denying the right to identify the deceased or suppressing the means to track the body for proper grieving adds to the mental health risks facing the affected population.

It’s hard to say what has a worse impact over time: being surrounded by unburied, dead strangers for an extended period, or never being able to find the body of a deceased loved one. I’m willing to bet the latter.

As Haitians Flee, the Dead Go Uncounted
Damien Cave, New York Times (January 18, 2010)

Last home of country’s most famous families turns from place of respect and mourning into installation of horror
Ed Pilkington, The Guardian (January 18, 2010)

Following up on yesterday’s Haiti earthquake post, these New York Times and Guardian articles expand upon the rushed burial of the dead. Here is the introduction to the New York Times article:

A few miles north of the busted-down buildings in Port-au-Prince, up a hillside where cows graze, an empty hole awaits the dead. Rectangular, 20 feet deep and wide, 100 feet long, it is one of the newest mass graves, but there are many more.

The government’s dump trucks have been dropping off bodies here since Friday. No one counts, takes pictures or searches for names. In some places, legs and arms of strangers are knotted together in a frozen dance, but here the ground has been leveled by a backhoe that has erased all but the tiniest scraps of life.

Look and see: a torn photo of a mustached man in a silver tie; a canceled American passport for an infant born in Stamford, Conn.; and a shred of purple pantyhose never to lure a lover again.

“They have buried so many people here,” said Voissine Careas, 60, a farmer chopping brush nearby with a machete. “And now, they are digging holes for more.”

Along with everything else stolen by last week’s earthquake, Haitians must now add another loss: the ability to identify and bury the dead. Funeral rites are among the most sacred of all ceremonies to Haitians, who have been known to spend more money on their burial crypts than on their own homes.

How can a country in the grip of an apocalyptic tragedy deal in a dignified way with its victims?
Paul Harris, The Guardian (January 17, 2010)

The current stories emanating from Haiti are incomprehensibly awful. This Guardian article uses the word apocalyptic and that seems utterly appropriate.

A crisis situation of this enormity is compounded by the sheer number of immediate human needs. One of those key requirements is the rapid identification, removal, and burial of dead bodies. The problem in Haiti is that an already weak infrastructure is unable to handle the number of dead bodies produced by the earthquake. In this crisis situation, the normalized rules for handling the dead cannot cope with all the corpses.

And yet, something must be done with the dead bodies.

This section from the Guardian article describes the situation:

It is the most nightmarish problem of all in a city that is already in the grip of unimaginable horror: what to do about all the bodies? Across the stricken Haitian capital of Port-au-Prince thousands of corpses still lie in the open or remain crushed under fallen buildings, rotting and bloating in the heat of a tropical sun. Many have been dumped at the city mortuary or, more often, piled up on street corners and by the sides of the road. The Red Cross has run out of body bags and most are covered only in flimsy sheets or cardboard, if they are covered at all. Many of the dead are unrecognised by their loved ones.

Part of the assistance being sent by the United States involves dispatching Disaster Mortuary Organizational Response Teams or DMORT groups to Haiti. DMORT is part of the US Department of Health and Human Services and specializes in handling mass fatality situations. These are the kinds of individuals on DMORT Teams (as listed on the HHS website):

funeral directors, medical examiners, coroners, pathologists, forensic anthropologists, medical records technicians and transcribers, finger print specialists, forensic odontologists, dental assistants, x-ray technicians, mental health specialists, computer professionals, administrative support staff, and security and investigative personnel.

Here is an article about a University of Florida Forensic Entomologist, Dr. Jason Byrd, who is already in Haiti with a DMORT group.

Private companies are also sending groups to Haiti. The main provider of mass disaster/fatality services in the private sector is Kenyon International Emergency Services. Kenyon is based in Houston, TX and owned by Service Corporation International (SCI). SCI is the largest global provider of funeral, cemetery, and cremation services and got into the mass fatality business in the mid-2000′s. I will write more about SCI and Kenyon at a later date.

For right now, both DMORT and Kenyon will be attempting to do the following things:

1.) Identify any of the dead that they can
2.) bury the dead in an organized fashion
3.) use a tagging system of some kind so that the dead can be (possibly) identified at a later date.

These tasks are made vastly more complicated by the rush to bury bodies in mass graves. There is a common misconception that dead bodies spread disease. That’s not entirely true and this CNN article covers these points. What dead bodies do create is a terrible smell. Decomposing dead bodies are also difficult to look at. When you multiply these problems by 100,000 dead bodies (this is just the body count estimate at this point) then immediate disposal of the corpses becomes easier to understand.

The following video clip from CNN sums up the situation: