Mass fatality management following the South Asian tsunami disaster: Case studies in Thailand, Indonesia, and Sri Lanka
2006

Managing Bodies After the South Asian Tsunami

Sample size: 40 publication Evidence: moderate

Author Information

Author(s): Morgan Oliver W, Sribanditmongkol Pongruk, Perera Clifford, Sulasmi Yeddi, Van Alphen Dana, Sondorp Egbert

Primary Institution: London School of Hygiene and Tropical Medicine

Hypothesis

How were the bodies of those killed in the tsunami managed in Thailand, Indonesia, and Sri Lanka?

Conclusion

Emergency response should ensure that the dead are treated with dignity and respect, and guidelines for mass fatality management are needed.

Supporting Evidence

  • No country had sufficient refrigerated storage for bodies after the tsunami.
  • Identification methods varied widely, with many bodies buried without identification.
  • The health impact of dead bodies on survivors was negligible, with no epidemics reported.

Takeaway

After the tsunami, many bodies were not handled well, and we need better plans for the future to treat the dead with respect.

Methodology

Three descriptive case studies were conducted to document body management in Thailand, Indonesia, and Sri Lanka, using participant observations and interviews.

Potential Biases

Political sensitivity around the management of dead bodies may have led to incomplete data collection.

Limitations

The study faced challenges in obtaining data due to the chaotic nature of disaster response and the high turnover of staff in relief agencies.

Participant Demographics

Key informants included individuals from voluntary organizations, ministries of health, military, WHO, police, and hospital staff.

Digital Object Identifier (DOI)

10.1371/journal.pmed.0030195

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