Identifying the Dead: New Orleans Mortuary ResponseBy Elizabeth Bennett | Posted 2005-12-06 Email Print
Re-Thinking HR: What Every CIO Needs to Know About Tomorrow's Workforce REGISTER >
With the bodies of 270 Hurricane Katrina victims lying unidentified in a morgue, a database intended to help medical examiners make IDs is coming up short.
After Hurricane Katrina's assault on the gulf Coast in August, the horror of the storm's destruction was televised to the world. Day after day, searing images of the bodies of people who wouldn'tor couldn'tevacuate the area were seen floating in sewage-filled waters.
Now, a little more than three months later, the water has receded and New Orleans is taking its first steps toward recovery. But the suffering continues for the families and friends of the more than 5,800 dead and missing. A total of 1,086 bodies have been recovered in New Orleans, and of those, at least 270 remain unidentified as of Nov. 28. Most of the unidentified bodies are located at the temporary morgue set up after the hurricane in
St. Gabriel, La., about 70 miles west of New Orleans:
The state's medical examiner, Dr. Louis Cataldie, is using a database called the Victim Identification Profile (VIP) to help identify bodies. VIP was built by the Disaster Mortuary Operational Response Team (Dmort), a network of 10 regional teams of 1,200 medical, forensic and mortuary professionals that operate under the Federal Emergency Management Agency (FEMA). VIP, designed to help medical examiners identify bodies after disasters such as plane crashes and building collapses, was used in New York after the Sept. 11, 2001, terrorist attack on the World Trade Center. It is a repository for detailed physical characteristics of the dead and post-mortem medical exam results.
The VIP database, however, was not designed to handle anything on the scale of Katrina, where more than 4,700 people are still reported missing, out of the original total of 10,633.
In many other cases where VIP was used, there were passenger manifests and building-occupancy lists to populate an initial VIP worksheet. From there, other identifiersbody descriptions, personal effects, etc.were entered and then sorted to match names and victims.
But the fallout from Katrina was widespread.
There is no single, complete list of missing people; bodies are being recovered across a wide area; and those remains are being found weeks or even months after death. Analysis of the database records is hampered by limited search capabilities and the inability to easily flag incomplete or inaccurate data, among other problems, according to those working to identify bodies at the morgue.
"We've got people scattered over an area the size of Great Britain," Cataldie says. "There's no manifest. All we've got are 16,000 phone calls of people reporting people missing."
Besides the information-management challenges, other factors contribute to the protracted identification process in Louisiana, according to state officials and others.
Many bodies are severely decomposed, making DNA matching one of the few options available to medical examiners. And there was a delay in matching the DNA of recovered bodies with genetic samples provided by victims' family and friends due to a reported squabble between state and federal authorities over who would foot the bill.
The obstacles in Louisiana underscore the importance for organizationsfrom governments to businesses to nonprofit agenciesto be able to collect, analyze and disseminate up-to-date information in times of crisis.
Cataldie says he and his team are committed to their task, but concedes that "it absolutely takes longer" to identify bodies with the information systems in use at the morgue. In fact, he wanted to identify all of the bodies before the end of September.