Surge in Deaths Strains Local Funeral Homes, Morgue

Caretaker Michael Crane oversees burials at the Jefferson County Cemetery. (Photo by Mary Scott Hodgin, WBHM)

The Jefferson County Cemetery is the final resting place for people who are indigent and for those with no family to claim them. It’s a big grassy field surrounded by a chain link fence behind the Morris Ballpark north of Birmingham.

Michael Crane, the cemetery caretaker, digs the graves and remembers who is buried in each plot. Because there are no headstones, Crane makes homemade markers out of old fruit cans that he fills with cement and uses to identify each grave.

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The number of deaths in Jefferson County hit an all-time high in 2020, largely related to the coronavirus pandemic. For people like Crane and those who work in funeral homes and morgues, the volume has been unprecedented, testing the limits of the system that cares for the dead.

In recent months, Crane and his crew have buried four people every week, which is the most they can transport to the cemetery. And he said there are almost always more bodies waiting in the morgue.

“There’s usually at least one COVID patient a week, sometimes two,” Crane said. “So there has been an increase since COVID came about.”

‘So Much Death’

Eric Lusain, owner of W.E. Lusain Funeral Home and Crematory, has been in the funeral business for more than a decade and is overwhelmed by the surge in COVID-19 deaths.

“Honestly, I could not fathom the numbers that we’ve hit this month back in March,” Lusain said.

Pre-pandemic, Lusain’s funeral homes in Birmingham and Hoover dealt with about 70 deaths a month. In January, that number doubled.

To keep up, Lusain bought a second crematory last year and hired a few more staff members.

He said they’ve managed, but the pandemic has taken a toll.

“Mentally, you know, I’m not ashamed to admit it, the other day I was saying, ‘I really need to probably go sit down with a therapist.’” Lusain said. “There’s so much death. And you’re working 12-hour days nonstop.”

A graph from the Alabama Department of Public Health charts the number of deaths due to COVID-10.

Contributing Factors

COVID-19 deaths represent only part of the picture in Jefferson County.

“The system as a whole has been stressed,” said the county’s chief deputy coroner Bill Yates. “So we have seen a surge in medical examiner’s cases. Those are sudden and unexpected deaths.”

Last year, there was an increase in deaths due to both homicide and drug overdose, with preliminary data showing that there were likely more deaths from drug overdose in 2020 than ever before.

While dealing with the surge, the county morgue has had to store bodies for longer periods of time. Yates said many hospitals and funeral homes have limited cold storage capacity and in some cases, it is taking families longer to schedule burials.

Yates said the morgue has been 95 to 100 percent full since November.

Preparing for Worse

This week, Yates said the number of bodies coming into the morgue has started to go down, likely related to a recent decline in COVID cases.

The county did not have to resort to creating additional morgue space like other states have had to do. But Yates said it could still happen.

One thing I am surprised is that as a whole, the industries and those who are dealing with the dead here in Jefferson County, I think we were lucky. I think that it’d still be possible for us to be swamped,” Yates said.

He said the county did develop a plan in case things were to get that bad, but he hopes the worst is over.

For now, at the Jefferson County Cemetery, caretaker Mike Crane is still busy burying the bodies waiting at the morgue. Crane said he will probably bury four more unclaimed bodies next week.

Graves prepared for burial at the Jefferson County Cemetery. (Photo by Mary Scott Hodgin, WBHM)