It’s been awhile since I’d checked in on one of my favorite YouTube channels, Great Art Explained. In the past year, curator James Payne has done videos on Duchamp, Manet, Magritte, and that one painting by Caspar David Friedrich (you know the one). But this one, on Vincent van Gogh’s final painting, particularly caught my attention:
The mystery of what [his final painting] was and where it was painted would take over a century to solve, and that was only thanks to a worldwide epidemic. What it means is that we now have a deeper insight into what van Gogh’s final last hours were like — before his tragic death.
John Green recently teamed up with Kurzgesagt for a video on one of the world’s deadliest diseases: tuberculosis.
The white death has haunted humanity like no other disease following us for thousands, maybe millions of years. In the last 200 years it killed a billion people — way more than all wars and natural disasters combined. Even today it’s the infectious disease with the highest kill count.
The maddening bit is that tuberculosis is curable…it’s just that the cure is not equally distributed around the world.
4,000 people died of tuberculosis yesterday, and we simply don’t have to accept a world where so many of us still die of a disease we know how to cure. The White Death has been with us for millions of years. It is time to continue our journey without it.
Many Patients Don’t Survive End-Stage Poverty by Dr. Lindsay Ryan is a great/upsetting piece about how the poverty many Americans are subjected to in America is killing them. Many people die here in the world’s richest country not because they are sick but because they are poor and our systems of government, justice, business, and health care don’t do enough to help them (or, more cynically and perhaps truthfully, actively work against helping them).
This is one of those pieces where I want to quote every single paragraph, but I’ll start with this one (bold mine):
Safety-net hospitals and clinics care for a population heavily skewed toward the poor, recent immigrants and people of color. The budgets of these places are forever tight. And anyone who works in them could tell you that illness in our patients isn’t just a biological phenomenon. It’s the manifestation of social inequality in people’s bodies.
I have not been able to stop thinking about this phrase since I read it: “Illness in our patients isn’t just a biological phenomenon. It’s the manifestation of social inequality in people’s bodies.”
Medical textbooks usually don’t discuss fixing your patient’s housing. They seldom include making sure your patient has enough food and some way to get to a clinic. But textbooks miss what my med students don’t: that people die for lack of these basics.
People struggle to keep wounds clean. Their medications get stolen. They sicken from poor diet, undervaccination and repeated psychological trauma. Forced to focus on short-term survival and often lacking cellphones, they miss appointments for everything from Pap smears to chemotherapy. They fall ill in myriad ways — and fall through the cracks in just as many.
Ghanaian sculptor Paa Joe makes coffins (both human-sized and mini sculptures) modeled after real-life objects that were important to the deceased. He just opened his first NYC solo show at Superhouse; from their description of his work:
Paa Joe is a second-generation fantasy coffin maker, contributing to an artistic tradition of great importance around Ghana’s capital, Accra. Known as abeduu adeka, or proverb boxes, these end-of-life vessels illustrate Ghanaian beliefs concerning life and death. Since the 1960s, the artist has meticulously carved and painted figurative coffins, representing various living and inanimate objects symbolizing the deceased (an onion for a farmer, an eagle for a community leader, a sardine for a fisherman, etc.).
You read more about Paa Joe’s work and see more of his pieces at The Guardian:
“People celebrate death in Ghana. At a funeral, we have a passion for the person leaving us - there are a lot of people, and a lot of noise,” says Jacob, 28, who has worked with his father for eight years.
Far from seeing their work as morbid, Jacob says the coffins are celebratory and reflect west African attitudes to death. “It reminds people that life continues after death, that when someone dies they will go on in the afterlife, so it is important that they go in style.”
A doctor trained in wilderness emergencies (and who has summited Everest three times) explains all the different ways Mt. Everest can kill you — in a refreshingly no-nonsense way.
Mt. Everest is a famously inhospitable environment for humans — if someone from sea level was dropped at the very top they’d be unconscious within minutes. Many dangers await those brave enough to make an attempt at the summit, and Dr. Emily Johnston visits WIRED to break down each and every way Mt. Everest can prove fatal.
Avalanches, ice axes on the loose, high-altitude edemas, “this is what people call ‘the death zone’” — sounds fun, let’s go! 🫠 (via @thenoodleator)
It is with the appropriate feelings of melancholy and excitement that I share with you the teaser trailer for The Boy and the Heron, the legendary Hayao Miyazaki’s final animated feature film for Studio Ghibli.
A young boy named Mahito, yearning for his mother, ventures into a world shared by the living and the dead.
There, death comes to an end, and life finds a new beginning.
A semi-autobiographical fantasy about life, death, and creation, in tribute to friendship, from the mind of Hayao Miyazaki.
This is just beautiful. This short animated film by João Gonzalez starts off slow but really pays off in the end. Ice Merchants was nominated for a 2023 Academy Award. Here’s an interview with Gonzalez at Director’s Notes.
In this short film by Sarah Klein & Tom Mason, Christen O’Brien tells the story of how she almost died from a massive pulmonary embolism, what she experienced in those moments, and what she took from the experience. The film is based on an essay she wrote called What It Felt Like to Almost Die.1
Realizing that I was dying was like being pushed into a pool. You have no thought but to hold your breath and start swimming. It was the most out of control I’d ever been in my life, yet the only option was to succumb peacefully. I could hear the percussion of my heart beating wildly, recklessly. My breath only reached my trachea now, its pathway closing in rapidly. My palms spread open to the sky, just as my dog moved to stand over me. I am here with you, I am here to protect you.
Coming back from death showed me that the journey of life is not what we often believe. On the surface, it appears as a journey outward — toward things, people, organizations, achievements. But in truth, it is a journey inward — toward the soul. Toward becoming who you actually are, no matter how far outward you may have to travel in order to discover that all the answers are within you, where you belong.
The filmmakers first read O’Brien’s story via a link from kottke.org. It doesn’t happen that often, but I love it when things I feature go on to inspire others to create things of their own. Just doing my bit to complete the loop.↩
At the end of each year, art director Chris Barker collects celebrities who have died in the past 12 months into a Sgt. Pepper’s album cover collage — here’s 2022’s edition.
There doesn’t appear to be a complete listing of everyone pictured, but you can easily pick out Coolio, Gilbert Gottfried, Sidney Poitier, Angela Lansbury, Meatloaf, Nichelle Nichols, Pele, Mikhail Gorbachev, and Twitter.
Fueled by television, advertising, cable TV, and the internet, the post-war era saw an explosion of celebrity in America and the world. The average person today “knows of” so many more people than someone living in 1945 did, probably by a couple orders of magnitude. As Boomers and Gen X continue to age, annual displays like this of well-known people who have died will get larger and larger.
A Colorado man who set himself on fire in front of the Supreme Court on Friday in an apparent Earth Day protest against climate change has died, police said.
The Metropolitan Police Department of Washington, D.C., said that Wynn Bruce, 50, of Boulder, Colo., had died on Saturday from his injuries after being airlifted to a hospital following the incident. Members of his family could not be reached immediately for comment.
Kritee Kanko, a climate scientist at the Environmental Defense Fund and a Zen Buddhist priest in Boulder, said that she is a friend of Mr. Bruce and that the self-immolation was a planned act of protest.
“This act is not suicide,” Dr. Kritee wrote on Twitter early Sunday morning. “This is a deeply fearless act of compassion to bring attention to climate crisis.”
It’s shocking and sad but perhaps not surprising how little media attention this has gotten. Bruce, a Buddhist, seems to have planned this action for several weeks or even months, leaving clues in a repeatedly edited comment on Facebook. His action mirrors that of Thích Quảng Đức in 1963, who self-immolated in Saigon in 1963 to protest the persecution of Buddhists in South Vietnam. Rest in peace, Wynn Bruce.
In his newest piece for The Atlantic, Ed Yong explores why, despite more than 6 million official deaths worldwide and almost a million official deaths in the US, the toll of the pandemic isn’t provoking a massive social reckoning. This is a hell of an opening paragraph:
The United States reported more deaths from COVID-19 last Friday than deaths from Hurricane Katrina, more on any two recent weekdays than deaths during the 9/11 terrorist attacks, more last month than deaths from flu in a bad season, and more in two years than deaths from HIV during the four decades of the AIDS epidemic. At least 953,000 Americans have died from COVID, and the true toll is likely even higher because many deaths went uncounted. COVID is now the third leading cause of death in the U.S., after only heart disease and cancer, which are both catchall terms for many distinct diseases. The sheer scale of the tragedy strains the moral imagination. On May 24, 2020, as the United States passed 100,000 recorded deaths, The New York Times filled its front page with the names of the dead, describing their loss as “incalculable.” Now the nation hurtles toward a milestone of 1 million. What is 10 times incalculable?
And it just keeps going from there — this is one of those articles so well written and packed with so much information and insight that it’s difficult not to quote the whole thing, even though it paints a bleak picture of America. Read the whole thing here. See also Yong’s accompanying Twitter thread.
I was with some friends having a couple of drinks and one of them mentioned he had to go talk to some people about an automatic grave digger, which meant a huge amount of dirt removal. And I said, “Why don’t we just make a big large carrot shaped thing with threads around it and screw it into the ground?”
Scruggs says that burying someone in his coffin is “no more trouble than putting a fencepost in”.
After Kathy Brandt was diagnosed with late-stage ovarian cancer, she and her wife Kim Acquaviva, both of whom worked in end-of-life care, started documenting the end of her life on social media. The result was a frank portrait of death, which offered non-medical folks a view of something they rarely get to witness.
Many of the posts deal matter-of-factly with Brandt’s experience of inhabiting a dying body. Did she still crave sex? (“It’s like, for me, at least, there’s nothing there,” she tells Acquaviva, on camera.) Did she remember that she had a diaper on, and that it was time to relieve herself? What were her symptoms today, and how were they different from yesterday’s? The couple’s radical openness extended to a post, the day before Brandt’s death, in which Acquaviva says, “I’m sharing this for nonmedical people who’ve never heard the beginnings of a death rattle. The death rattle is Kathy Brandt’s. … The video is dark and jumpy, but the sound is decent.” The next day, Acquaviva posted a picture of her wife’s face, taken shortly after her death.
Note: this video can be difficult at times (because you’re watching someone dying), but as Acquaviva says, “In a culture were we don’t share almost anything around illness and death, the only way to counter that is for some people to share a little bit more than is probably appropriate.”
Using data from Johns Hopkins, this time lapse video shows the spread of Covid-19 across the US from Feb 2020 to Sept 2021. This looks so much like small fires exploding into raging infernos and then dying down before flaring up all over again. Indeed, forest fire metaphors seem to be particularly useful in describing pandemics like this.
Think of COVID-19 as a fire burning in a forest. All of us are trees. The R0 is the wind speed. The higher it is, the faster the fire tears through the forest. But just like a forest fire, COVID-19 needs fuel to keep going. We’re the fuel.
In other forest fire metaphorical scenarios, people are ‘kindling’, ‘sparks being thrown off’ (when infecting others) and ‘fuel’ (when becoming infected). In these cases, fire metaphors convey the dangers posed by people being in close proximity to one another, but without directly attributing blame: people are described as inanimate entities (trees, kindling, fuel) that are consumed by the fire they contribute to spread.
As the saying goes, fate has dealt me one from the bottom of the deck, and I am now condemned to confront the question that has plagued me for years: How does a person spend what he knows are his final months of life?
Atop the list of things I’ll miss are the smiles and hugs every morning from my beautiful wife, Geraldine, the greatest blessing of my life. I hate the notion of an eternity without hearing laughter from my three children. And what about my 40 rose bushes? Who will nurture them? I cannot imagine an afterlife without the red of my America roses or the aroma of my yellow Julia Childs.
We told each of the three children individually. John Patrick put his face in his hands, racked with sobs. After hanging up the telephone, Jennifer doubled over and wept until her dog, Rosie, approached to lick away the tears but not the melancholy. Faith explained over the telephone that, if I could see her, she was weeping and wondering how she could get along without her dad. Now, she is on the Internet every day, snorkeling for new research, new strategies, new medications. My wife cries every morning, then rolls up her sleeves and handles all doctor appointments and medication. Without her… I cannot imagine.
On Wednesday evening, in the presence of two outside witnesses, Texas killed Quintin Jones. Two journalists who were to bear witness to the execution for the public were not called into the prison by officials who somehow “forgot” to do so:
Absent were two journalists who had been scheduled to attend the execution but whom prison officials said they had accidentally failed to summon.
Before he died, a video director for the NY Times recorded a short video of Jones’ last words to the public, in which he thanked everyone for helping him be a better person and even asked viewers to consider the trauma that death row prison guards endure in the course of doing their jobs. A separate statement of his last words was recorded by prison officials:
“Love all my friends and all the friendships that I have made,” Mr. Jones said, according to those state prison records. “They are like the sky. It is all part of life, like a big full plate of food for the soul. I hope I left everyone a plate of food full of happy memories, happiness and no sadness.”
Then he said, “I’m done, warden.” He was pronounced dead at 6:40 p.m.
That same day, Governor Abbott, who is a member of the so-called “pro-life” Republican party, signed a law that bans abortions in Texas after a fetal heartbeat can be detected, which is before many women are even aware they are pregnant.
Quintin Jones murdered his aunt in 1999 and is scheduled to be executed on May 19, 2021. He admits his guilt, his family has forgiven him, and in this video, he shares his thoughts about personal growth & death and asks Texas governor Greg Abbott to spare his life.
During his 21 years on death row, Quin has been the epitome of a prison success story. He entered at an unimaginable low, as lost as a soul can be. And through prayer, sobriety, reconciliation with his family, and longstanding correspondence with pen pals, he has found a way to lead a meaningful life, and even to enhance the lives of others. The victim’s family — who is also Quin’s family — has forgiven him.
Emotionally, intellectually, and psychologically, human beings are ships of Theseus — we are not the same people at 30 as we were at 20 or will be at 40. The death penalty is immoral, full stop. The sooner our system of retributive justice is replaced with restorative justice, the healthier and safer our communities and society will be.
A film crew from the NY Times recently spent several days in the Covid-19 ICU in Arizona, at the time one of the hardest hit places in the world. Two of the nurses wore GoPro cameras while working to witness what they did on a daily basis — the 12-hour days, the grief, the care, the constant death. This video is incredible and incredibly difficult to watch — you actually see a patient die on camera, surrounded by nurses and family (virtually).
So many Americans have died in hospitals without family by their side, but they were not alone. Nurses brush patients’ teeth, change their catheters and hold their hands in their final moments.
At the beginning of the video, one of the nurses says, “Unless you’re actually in there, you have no idea.” Thanks to their willingness to share their experiences, now we at least have some idea.
Update: Vox talked to some ICU doctors about what it’s like for their patients when they die from Covid-19. Because of patient confidentiality and the contagious nature of the disease, society (and even the families) has been “protected and sheltered from seeing the worst of this disease”.
Imagine trying to breathe through a very narrow straw, says Jess Mandel, chief of pulmonary, critical care, and sleep medicine at UC San Diego Health. “You can do that for 15 to 20 seconds, but try doing it for two hours.” Or for days or weeks.
Patients struggling through low oxygen levels like this have told Kenneth Remy, an assistant professor of critical care medicine at Washington University School of Medicine in St. Louis, that it feels like a band across their chest or that their lungs are on fire. Or like a thousand bees stinging them inside their chest. Others might have thick secretions in their lungs that make it feel like they are trying to breathe through muck. Many people say it feels like they’re being smothered.
The ordeal is so taxing that many wish for death. “You hear the patients say, ‘I just want to die because this is so excruciating,’” Remy says. “That’s what this virus does.”
(Note: The images below depict simulated violent death.)By An Eye-Witness is an arresting series of images by Azadeh Akhlaghi that recreate seventeen prominent deaths from Iran’s history. According to this interview, Akhlaghi was inspired by post-election uprisings in Iran and Arab Spring to document these deaths.
Eiferman: How was this like shooting a movie?
Akhlaghi: After three years of research by myself, I found a producer and then a crew. We had one month for pre-production and 20 days to shoot all 17 pictures, so we had to be very quick, with only one day to shoot each picture. We had a very low budget so we couldn’t hire actors, and we mostly used friends or extras. But like a movie, I had a professional team with a make-up artist, set designer, assistant director, and everything.
Eiferman: You have a lot of experience in filmmaking; why did you choose to do this series as photographs?
Akhlaghi: I worked as an assistant director for a few years, yes. But I thought staged photography would be closer to the idea of art I had in mind. I was heavily influenced by old paintings but the narrative techniques are borrowed from my old engagement with cinema and literature.
On Friday, November 13, 170,792 new cases of Covid-19 were reported in the United States. About 3000 of those people will die from their disease on Dec 6 — one day of Covid deaths equal to the number of people who died on 9/11. It’s already baked in, it’s already happened. Here’s how we know.
The case fatality rate (or ratio) for a disease is the number of confirmed deaths divided by the number of confirmed cases. For Covid-19 in the United States, the overall case fatality rate (CFR) is 2.3%. That is, since the beginning of the pandemic, 2.3% of those who have tested positive for Covid-19 in the US have died. In India, it’s 1.5%, Germany is at 1.6%, Iran 5.5%, and in Mexico it’s a terrifying 9.8%.
1. Reported deaths from Covid-19 lag behind reported cases by 22 days. Some deaths are reported sooner and some later, but in general it’s a 22-day lag.1
2. The overall CFR in the US is 2.3% but if you use the 22-day lag to calculate what Bedford calls “a lag-adjusted case fatality rate”, it’s a pretty steady average of 1.8% since August. Here’s a graph:
As you can see, in the early days of the pandemic, 4-6% of the cases ended in death and now that’s down to ~1.8%. That’s good news! The less good news is that the current case rate is high and rising quickly. Because of the lag in reported deaths, the rise in cases might not seem that alarming to some, even though those deaths will eventually happen. What Bedford’s analysis provides is a quick way to estimate the number of deaths that will occur in the future based on the number of cases today: just multiply the number of a day’s cases by 1.8% and you get an estimated number of people who will die 22 days later.2
For instance, as I said above, 170,792 cases were reported on Nov 13 — 1.8% is 3074 deaths to be reported on December 6. Cases have been over 100,000 per day for 11 days now: here are the estimated deaths from that time period:
Date
Cases
Est. deaths (on date)
2020-11-15
145,670
2622 (2020-12-08)
2020-11-14
163,473
2943 (2020-12-07)
2020-11-13
170,792
3074 (2020-12-06)
2020-11-12
150,526
2709 (2020-12-05)
2020-11-11
144,499
2601 (2020-12-04)
2020-11-10
130,989
2358 (2020-12-03)
2020-11-09
118,708
2137 (2020-12-02)
2020-11-08
110,838
1995 (2020-12-01)
2020-11-07
129,191
2325 (2020-11-30)
2020-11-06
125,252
2255 (2020-11-29)
2020-11-05
116,153
2091 (2020-11-28)
2020-11-04
103,067
1855 (2020-11-27)
Totals
1,609,158
28,965
Starting the day after Thanksgiving, a day traditionally called Black Friday, the 1.6 million positive cases reported in the past 12 days will result in 2-3000 deaths per day from then into the first week of December. Statistically speaking, these deaths have already occurred — as Bedford says, they are “baked in”. Assuming the lagged CFR stays at ~1.8% (it could increase due to an overtaxed medical system) and if the number of cases keeps rising, the daily death toll would get even worse. As daily case totals are reported, you can just do the math yourself:
number of cases × 0.018
200,000 cases in a day would be ~3600 deaths. 300,000 daily cases, a number that would have been inconceivable to imagine in May but is now within the realm of possibility, would result in 5400 deaths in a single day. Vaccines are coming, there is hope on the horizon. But make no mistake: this is an absolute unmitigated catastrophe for the United States.
Tibshirani’s first finding was that the lag time between states was quite variable-and that the median lag time was 16 days, a lot shorter than the mean. Looking state by state, Tibshirani concluded, it seemed difficult to land on an exact number of days as the “right” lag “with any amount of confidence,” he told us. Because cases are rising quickly, a shorter lag time would mean a larger denominator of cases for recent days — and a lower current case-fatality rate, something like 1.4 percent. This could mean fewer overall people are dying.
But this approach does not change the most important prediction. The country will still cross the threshold of 2,000 deaths a day, and even more quickly than Bedford originally predicted. Cases were significantly higher 16 days ago than 22 days ago, so a shorter lag time means that those higher case numbers show up in the deaths data sooner. Even with a lower case-fatality rate, deaths climb quickly. Estimating this way, the country would hit an average of 2,000 deaths a day on November 30.
The other major finding in Tibshirani’s analysis is that the individual assumptions and parameters in a Bedford-style model don’t matter too much. You can swap in different CFRs and lag-time parameters, and the outputs are more consistent than you might expect. They are all bad news. And, looking retrospectively, Tibshirani found that a reasonable, Bedford-style lagged-CFR model would have generated more accurate national-death-count predictions than the CDC’s ensemble model since July.
Courtesy of Ed Yong, the lag between cases and hospitalizations is about 11 days. So the full ICUs and packed ERs were hearing about now are going to get so much worse in the next two weeks. And just think about the potential situation a month from now if cases keep rising at the rate they are now for two more weeks…↩
Just to stress again: this is only an estimate. The real reported deaths from a single day’s reported cases will be spread out over several days or weeks. And case reporting is much lower on Sundays and Mondays than on other days (fewer reports on weekends). Bedford accounted for this in his analysis by using 7-day averages.↩
That’s the flag-draped casket of Justice Ruth Bader Ginsburg lying in repose on the portico of The Supreme Court Building. From the Washington Post (link is mine):
Her casket was placed on the Lincoln catafalque, built for President Abraham Lincoln’s casket in 1865, and surrounded by an arrangement of the justice’s favorite flowers, including white hydrangea, freesia and white tea roses.
Members of the public can pay their respects until 10pm today and from 9am-10pm tomorrow. On Friday, her casket will be moved to the US Capitol, where she will become the first ever woman to lie in state there.
In the next day or two, the official number of people who have died from Covid-19 in the United States will pass 200,000 (the actual death toll passed 200,000 back in July). To mark the grim occasion yesterday, the Washington National Cathedral tolled its mourning bell 200 times in remembrance, once for each 1000 people who have died.
We toll this 12-ton bell for every funeral held at the Cathedral. Funerals mourn the loss, but they also celebrate the lives of our loved ones, and point us to the hope of resurrection.
This gesture cannot replace the lives lost, but we hope it will help each American mourn the toll of this pandemic.
The tolling goes on for more than 19 minutes and you hear a number of deaths equal to 9/11 every 17 seconds. I recommend listening as long as you are able, to remember those who have been lost, and to inspire action so that 200,000 more Americans don’t have to die before this is all over.
For Vanity Fair, novelist Jesmyn Ward writes about losing her husband just before the pandemic descended on America. She begins:
My Beloved died in January. He was a foot taller than me and had large, beautiful dark eyes and dexterous, kind hands. He fixed me breakfast and pots of loose-leaf tea every morning. He cried at both of our children’s births, silently, tears glazing his face. Before I drove our children to school in the pale dawn light, he would put both hands on the top of his head and dance in the driveway to make the kids laugh. He was funny, quick-witted, and could inspire the kind of laughter that cramped my whole torso.
This is the day you start to turn. What we suck up from your lungs turns frothy pink and then the frank red of blood. We don’t know if your heart is finally failing or if the virus has destroyed so much tissue that this is necrosis, hemorrhaged in your lungs. There are tests, but no one willing to run them — you are too sick, and you have never cleared the virus. No one would ever want to be what you are now: a hazard, a threat, a frightening object on the edge of death. We try not to touch you. We construct our plans for saving you around staying as far away from you as possible.
I tell your husband about the blood. It’s true that nothing else has changed: your struggling lungs, with help, still take in air, your heart, with help, still brags along. “But she is stable,” he asks, barely a question. Why do I lie? “Yes,” I say, “for now.”
DeForest wrote this in early May as Covid-19 cases peaked at her hospital in New Haven. The country and its leaders ignored this and now cases are spiking in many hospitals all around the country now. Just some sniffles, though, nothing to bother anyone about.
From January to the end of June, over 500,000 people died of confirmed cases of Covid-19. In order to demonstrate the magnitude of the pandemic, James Beckwith made a time lapse map of each Covid-19 death.
Each country is represented by a tone and an expanding blip on the map when a death from Covid-19 is recorded. Each day is 4 seconds long, and at the top of the screen is the date and a counter showing the total numbers of deaths. Every country that has had a fatality is included.
As was the case with the pandemic, the video starts slow but soon enough the individual sounds and blips build to a crescendo, a cacophony of death. The only way this could be made more ominous & upsetting is by including the first song off of Cliff Martinez’s Contagion soundtrack as a backing track. As Beckwith notes in the description: “It is likely a sequel will need to be made.” (via open culture)
My God, this aerial photo of dozens of recent graves in the Nossa Senhora Aparecida cemetery in Manaus, Brazil:
The photo is one of several from In Focus’s look at the Thousands of Burials Across Latin America. Brazil has 1.2 million confirmed Covid-19 cases, second most in the world (but only half the total of the US) and 55,000 confirmed deaths, though the number is likely much higher when you take excess mortality rates into account. Way back in April, when the reported death toll in Brazil was only (only!) ~3300, NPR reported on the mass graves and modified funeral procedures that were necessary due to Covid-19 and the Brazilian government’s disastrous response to it.
Yet the coronavirus has introduced a new kind of horror. The Nossa Senhora Aparecida cemetery has begun using backhoes to dig mass graves.
This has become “the only option” because it is “humanly impossible” to dig the required number of graves, says Viana, who runs a funeral company and is president of the Syndicate of Funeral Businesses in Amazonas.
According to Viana, the city’s daily average of deaths has risen from 30 to more than 100. The mayor’s office confirmed to NPR that there have been 340 burials just in the past three days. In most cases, the cause of death was listed as unknown, said a city hall spokeswoman.
City authorities are in little doubt that COVID-19 victims account for most of the spike. This means the virus is taking a far deadlier toll on Manaus than the official count of 172 virus-related deaths suggests. The reported death toll throughout Brazil is 3,313.
Video footage has appeared online showing the collapse of Manaus’ burial services and public hospitals. In one, corpses lie on beds in a hospital alongside live patients undergoing treatment. Another shows a line of vans waiting to deliver bodies for burial at the Nossa Senhora Aparecida cemetery.
The many layers of trauma from the pandemic are going to resonate for decades in places like Brazil and the US. Decades.
For That Discomfort You’re Feeling Is Grief, HBR’s Scott Berinato interviewed David Kessler, who he calls “the world’s foremost expert on grief”, about what we’re collectively feeling as we deal with the COVID-19 pandemic.
HBR: People are feeling any number of things right now. Is it right to call some of what they’re feeling grief?
Kessler: Yes, and we’re feeling a number of different griefs. We feel the world has changed, and it has. We know this is temporary, but it doesn’t feel that way, and we realize things will be different. Just as going to the airport is forever different from how it was before 9/11, things will change and this is the point at which they changed. The loss of normalcy; the fear of economic toll; the loss of connection. This is hitting us and we’re grieving. Collectively. We are not used to this kind of collective grief in the air.
HBR: You said we’re feeling more than one kind of grief?
Kessler: Yes, we’re also feeling anticipatory grief. Anticipatory grief is that feeling we get about what the future holds when we’re uncertain. Usually it centers on death. We feel it when someone gets a dire diagnosis or when we have the normal thought that we’ll lose a parent someday. Anticipatory grief is also more broadly imagined futures. There is a storm coming. There’s something bad out there. With a virus, this kind of grief is so confusing for people. Our primitive mind knows something bad is happening, but you can’t see it. This breaks our sense of safety. We’re feeling that loss of safety. I don’t think we’ve collectively lost our sense of general safety like this. Individually or as smaller groups, people have felt this. But all together, this is new. We are grieving on a micro and a macro level.
And what can we start to do about our grief?
Understanding the stages of grief is a start. But whenever I talk about the stages of grief, I have to remind people that the stages aren’t linear and may not happen in this order. It’s not a map but it provides some scaffolding for this unknown world. There’s denial, which we say a lot of early on: This virus won’t affect us. There’s anger: You’re making me stay home and taking away my activities. There’s bargaining: Okay, if I social distance for two weeks everything will be better, right? There’s sadness: I don’t know when this will end. And finally there’s acceptance. This is happening; I have to figure out how to proceed.
Acceptance, as you might imagine, is where the power lies. We find control in acceptance. I can wash my hands. I can keep a safe distance. I can learn how to work virtually.
One of the odd things about getting older (and hopefully wiser) is that you stop chuckling at cliches and start to acknowledge their deep truths. A recent example of this for me is “the only way out is through”. As Devine notes, in this video and her book It’s OK That You’re Not OK, there’s no shortcut for dealing with pain…you have to go through it to move past it.
Other people who couldn’t stay home were going to work every day — many without the option, the privilege, of doing otherwise — while here I was, home, and I couldn’t, of all things, write. Yes, there’s a pandemic, and yes, I felt by turns anxious, furious, and terrified, but it’s 2020 in America, and I’ve felt quite anxious, furious and terrified for a while. The inability to work, though, was new.
But then it occurred to me, as I ate another astringent chip, that this lassitude, the trouble focusing, the sleep difficulties, my exhaustion: Oh yes, I thought, I remember this. I was grieving. I was grieving in early March, I’m still grieving now, and chances are, you are, too.
Carly Simon’s recent piece in the New Yorker about going to the movies with Jackie Kennedy (an excerpt of her book Touched by the Sun: My Friendship with Jackie) was unexpectedly moving. And funny. And thoughtful. Trying to avoid seeing anything related to Oliver Stone’s JFK — “scarier, even, would be a two-minute trailer for ‘JFK’ inserted before the feature-length film we’d gone to see” — the two opted instead for Warren Beatty’s mobster flick, Bugsy.
Every time a shot sounded on the screen — and the film was plenty violent — she reacted physically, dramatically, her body mimicking the victim’s.
How do you deal with trauma like that when society keeps reminding you of it, not only generally (with gunshots in movies) but specifically, with blockbuster conspiracy movies that depict in detail the exact moment when your life was torn apart? And how can you be a good friend to someone who suffered from PTSD (and perhaps never recovered)? How do you assure her that you’re a safe harbor for her thoughts and feelings, that you’ll help insulate her without isolating her?
P.S. Somehow, in everything I’ve read/seen about the Kennedys over the years, I’d never heard that Jackie had given birth to a premature baby boy named Patrick in August of 1963. The baby died 39 hours after his birth. Her husband was assassinated just 105 days later. I… Jesus.
In almost one-third of the AIDS-related deaths serviced by Sebrell Funeral Home, the family or next-of-kin will either abandon the deceased entirely or refuse to accept the cremains.
HIV/AIDS is a growing problem in the American South, due to social stigma, poverty, and decreased access to healthcare. In this short documentary, we meet Trey Sebrell, who thinks of caring for all deceased people, no matter who they were in life, as part of his mission as a funeral director.
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