‘Last responders’ answer the call to bury the dead in a year of unprecedented tragedy

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Editor’s Note: Cronkite News photographer Alberto Mariani spent several months documenting the work at Peace Chapel Funeral Home. This story contains images that some may find graphic.

By Alberto Mariani
Cronkite News

PHOENIX – At 10 p.m. no words are spoken, but a loud buzz reverberates throughout Peace Chapel Funeral Home. It’s the rhythmic beat of an embalming machine pumping a mix of chemicals into a woman in her 50s.

Standing next to the body – working late again – is funeral director Ron Thornson.

Since March 2020, Thornson and his staff have routinely worked 14 to 16 hours a day, without much pause to reflect on the historic events swirling around them during the COVID-19 pandemic.

Like so many other people and businesses across the globe, these workers and this industry were hit hard by the pandemic in myriad ways.

An already trying job grew more stressful, with funeral home directors – often known as the “last responders” – left explaining to grieving customers why they couldn’t mourn in person or have big gatherings to say goodbye. Caseloads also surged as the COVID-19 death toll rose. To date, more than 580,000 people have perished in the U.S. alone.

The assumption, said Claude Robinson, Peace Chapel’s funeral coordinator, is that “death is inevitable with this profession” and that those who work in the industry are somehow immune to the effects of mass casualty events such as a pandemic.

Not so.

The nature of the job demands that workers keep their emotions masked, Robinson said.

“You are almost taught not to break when you are to serve a family,” he said, explaining that revealing too much could transfer more pain onto those already suffering.

“A lot of people don’t understand that as a funeral service worker, you have a big task,” he added. “You are not just picking the body up, cleaning it, putting makeup on and placing it in a casket. (You’re expected) to coach the family, to be a financial adviser and to be a psychologist” during one of the toughest moments in life.

And in a year when death became an excruciating daily experience for most Americans, even these men and women have been touched by it.

“It has affected us all, to a certain degree,” said Thornson. “But we’ve stood strong and supported one another.”
According to the National Funeral Directors Association, the average mortuary receives 113 calls a year, with larger funeral homes getting more. But the number of cases seen by funeral workers in 2020 far outpaced those in previous years.

The U.S. death rate increased 16% from 2019 to 2020, according to the federal Centers for Disease Control and Prevention, and the number of U.S. deaths exceeded 3 million for the first time in history.

In Arizona, deaths increased by 25% compared with 2019, with COVID-19 cases making up the majority of that swing, according to the state health department.

“Throughout the COVID-19 pandemic, funeral directors have been an invaluable part of the community, providing constant support and flexibility as families make already difficult decisions under seemingly impossible circumstances,” Bryant Hightower, 2019-20 president of the National Funeral Directors Association, said in a statement.

“There was and is no road map for funeral directors during this unprecedented time, but they have undoubtedly risen to the occasion and adjusted their services to meet the moment.”

Until March, the bodies coming through the doors of Peace Chapel strained the mortuary’s capacity. The funeral home took care of roughly 300 dead people in 2020, compared with an average of 200 in a year’s time before the pandemic.

Thornson attributes those numbers directly to COVID-19.

Located between Phoenix and Scottsdale, Peace Chapel is a family-run business that operates primarily through referrals. Five years ago, Thornson, who had spent three decades as an embalmer, took over a rundown bar to fulfill his dream of running his own funeral home.

He works both as funeral director and the only embalmer at Peace Chapel. A deeply committed, quiet and private man, Thornson sees his job as not just a way to make a living – but as a necessary public service.

From the moment he steps into the embalming room to when the funeral service itself is held, every action Thornson performs is done with the family of the deceased in mind. All else gets pushed aside.

The job is difficult. The hours often are unpredictable; his body aches from the time spent standing, preparing bodies for families to view; and his mind often is forced to compartmentalize what he sees or feels to focus instead on supporting others at their time of grief.

When COVID-19 began to spread last year, Thornson quickly made adjustments to prevent the chaos some other funeral homes experienced and alleviate delays in services.

And although Peace Chapel never experienced bodies piling up, as other homes did, Thornson had to expand his operation nonetheless. He bought a larger refrigeration cell and, last August, hired two more people to run the office while he focused on the embalming process. Funeral services and visitations also had to be scaled down to help prevent spread of the virus.

For months, the whiteboard used for scheduling body preparation and services was so crowded that Post-it notes had to be attached to the sides. The phones screaming for attention were a constant reminder of the loss inflicted by COVID-19.

Thornson stresses that his isn’t the only business under such pressure.

Sean Russo, a cremationist at the Cremation Center of Arizona in southwest Phoenix, said the facility was so overwhelmed there was no space left in the two, large on-site refrigerators. At the height of the pandemic, he worked up to 30 hours of overtime a week. Only recently have things slowed down.

Some mortuaries – engulfed in death and fearful that COVID-19 could be transmitted by a deceased person – stopped embalming. The CDC eventually released guidelines for mortuary workers and said there was little risk of getting COVID from someone who’d died.

Either way, turning families away was something Thornson never considered. Wearing full personal protective equipment, Thornson committed himself to treat COVID-19 cases with the same amount of care and respect as he does all others.

“I constantly feared for my safety and the staff’s safety,” he said, but added that the “families needed closure.”

Researchers have examined the prevalence of post-traumatic stress disorder in association with professions including the military, law enforcement and health care. But research related to funeral workers is limited.

A 2019 analysis suggested that mortuary workers present higher rates of PTSD symptoms compared with the general population under normal conditions. And a study published last July in the Oxford Academic Journal of Public Health points out the mental health risks funeral workers face because of the pandemic.

“One day, this crisis will end,” the authors wrote. “The mental health consequences will only become fully apparent when daily pressure is no longer enough to keep people going. It is our duty to be prepared to give the proper care, not only to our health care workers but also to funeral directors who have taken care of our deceased relatives.”

For more stories from Cronkite News, visit cronkitenews.azpbs.org.

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Funeral director Ron Thornson prepares for a service at Peace Chapel Funeral Home in Phoenix on March 8, 2021. The funeral industry has been one of the hardest hit during the pandemic, but these “last responders” often are among the least recognized for providing essential services. (Photo by Alberto Mariani/Cronkite News)

Reginald Burgan, left, and funeral director Ron Thornson plan the week ahead in the office of Peace Chapel Funeral Home in Phoenix on March 8, 2021. For months this whiteboard was so crowded that Post-it notes had to be attached to the sides. (Photo by Alberto Mariani/Cronkite News)

Crematorium technician Sean Russo, right, sighs as funeral director Ron Thornson brings another body to the Cremation Center of Arizona in Phoenix on March 8, 2021. During the peak of the pandemic, Russo ran out of space to store the deceased and worked up to 30 hours of overtime a week to keep up with demand. (Photo by Alberto Mariani/Cronkite News)

Ron Thornson moves bodies into a refrigeration cell at Peace Chapel Funeral Home in Phoenix on March 7, 2021.  During the pandemic, Peace Chapel saw a 50% increase in the number of bodies it was handling. (Photo by Alberto Mariani/Cronkite News)

Wearing protective equipment, funeral director Ron Thornson prepares for an embalming at Peace Chapel Funeral Home in Phoenix on March 7, 2021. (Photo by Alberto Mariani/Cronkite News)

Ron Thornson embalms a body at a funeral home in Mesa, Ariz., on March 18, 2021. Thornson has helped relieve pressure on other funeral workers in the Phoenix area by performing embalmings at mortuaries with surging workloads. (Photo by Alberto Mariani/Cronkite News)

Ron Thornson fits the embalming tube back in its casing at a funeral home in Mesa. Although some funeral workers refused to embalm COVID-19 victims, he has continued to do so. “Families needed closure,” he says. (Photo by Alberto Mariani/Cronkite News)

Ron Thornson holds the hand of a deceased woman before polishing her nails at a funeral home in Mesa on March 18, 2021. (Photo by Alberto Mariani/Cronkite News)

Officer manager Reginald Burgan moves a body into the hallway at Peace Chapel Funeral Home in Phoenix on March 8, 2021. (Photo by Alberto Mariani/Cronkite News)

Ron Thornson, left, takes a cigarette break as he speaks with Reginald Burgan at the back of Peace Chapel Funeral Home on March 1, 2021. (Photo by Alberto Mariani/Cronkite News)

From left, officer manager Reginald Burgan, funeral attendant Keisha Robinson and funeral director Ron Thornson talk about preparations for a funeral service at Peace Chapel Funeral Home in Phoenix on March 12, 2021. (Photo by Alberto Mariani/Cronkite News)

As funeral director Ron Thornson works behind him, Reginald Burgan ties a deceased man’s shoelaces at Peace Chapel Funeral Home in Phoenix on March 12, 2021. Burgan, who is the funeral home’s office manager, was hired in August to run the office so Thornson could focus on his embalming work. (Photo by Alberto Mariani/Cronkite News)

Reginald Burgan makes some final adjustments before a viewing at Peace Chapel Funeral Home in Phoenix on April 8, 2021. When COVID-19 restrictions were still in place, only a limited number of family members could enter the room at once. (Photo by Alberto Mariani/Cronkite News)

Office manager Reginald Burgan places a casket in a hearse at the end of a shift outside Peace Chapel Funeral Home in Phoenix on March 4, 2021. During the pandemic, Peace Chapel workers have pulled 14- to 16-hour shifts to keep up with demand. (Photos by Alberto Mariani/Cronkite News)

Office manager Reginald Burgan, right, and funeral coordinator Claude Robinson roll the casket of a young man into a church on the southside of Phoenix on March 12, 2021. (Photo by Alberto Mariani/Cronkite News)

Peace Chapel funeral coordinator Claude Robinson places a crown next to the body of a young man during a service in Phoenix on March 13, 2021. The man died in a shooting the previous week. (Photo by Alberto Mariani/Cronkite News)

Mourners of a young shooting victim walk next to a funeral carriage as they make their way to the gravesite at Resthaven/Carr-Tenney Mortuary & Memorial Gardens in Phoenix on March 13, 2021. (Photo by Alberto Mariani/Cronkite News)

Peace Chapel funeral coordinator Claude Robinson and pallbearers lower the casket during a graveside ceremony at Resthaven/Carr-Tenney Mortuary & Memorial Gardens in Phoenix on March 13, 2021. Until recently, funeral services were limited to only a few people to prevent the spread of COVID-19 – bringing more despair on a day meant to help provide closure. (Photo by Alberto Mariani/Cronkite News)

Friends and relatives of a man fatally shot release balloons as a final farewell during a graveside service at Resthaven/Carr-Tenney Mortuary & Memorial Gardens in Phoenix on March 13, 2021. (Photo by Alberto Mariani/Cronkite News)