GROWING OLD ALONE Cleanup after unnoticed death now a growing industry

By MIZUHO AOKI

Yoshinori Ishimi could hear a high-pitched whine coming from the apartment in Nerima Ward, Tokyo, he was about to enter. When he went inside, he saw black "mini-twister" clouds of flies.

The last tenant had been a 60-year-old divorced man whose body was not found until a month after he had died.

"Every time I encounter such scenes, I hesitate to step inside. But someone has to clean up these flats . . . and be professional about it," said Ishimi of Anshin Net, a cleaning service that is part of R-Cube Co. in Ota Ward, Tokyo.

The Nerima man's case was not unique, and such unnoticed departures are only expected to increase.

According to a report by the National Institute of Population and Social Security Research, the number of single-person households is expected to rise from 14.46 million in 2005 to 18.24 million in 2030, or nearly 40 percent of all households.

With the growing number of single households in this graying nation, businesses specializing in dealing in what has been dubbed "lonely death" have become a fixture.

Anshin Net is one such example.

Founded in 2004, the company handles about 450 requests a year, about half of them dealing with cleaning out dwellings after the occupant has died.

The requests generally come from close relatives. But when people die alone and their corpses are not discovered for weeks or even months — the requests may also come from landlords, as well as more distant kin, because many people die childless and without a partner, Ishimi said.

"We receive about four to eight requests a month asking us to clean dwellings where the residents were found a week, a month, or, in extreme cases, a year after they passed away," Ishimi said.

Police process solitary deaths by carrying out autopsies and, if relatives can't be traced, municipalities cremate the body and inter the ashes in a shared grave, Ishimi said.

Ishimi and other specialist cleaners come in afterward and make dwellings clean again.

Although no figures are available, with the increasing media coverage about people dying lonely deaths, both the number of people engaged in this business and job requests have surged in the past two or three years, said Atsushi Takaesu, 38, an Okinawan who has run a special cleaning business in Kanagawa Prefecture since 2003.

"I had only about 10 cases a year about seven years ago. But this year, the number is likely to surpass 400. I received about 40 requests this June alone," said Takaesu, who recently published "Jiken Genba Seisonin ga Iku ("Here Comes a Crime Scene Cleaner"), a nonfiction book on his specialty of cleaning housing where people died lonely deaths, including suicides.

Takaesu said he is proud of his job but admits that at times it is heart-wrenching.

Pointing to a picture of a bathtub one-third full of a dark reddish liquid, Takaesu explained: "This is not ramen. This is a dead lady's body fluid and skin. I actually had to step into the bath to clean it."

Apart from the flies, maggots and pupae, crawling, sticking to windows and flying around, there is the hair of the dead, looking like a wig.

Also, bodily fluids and blood soak into tatami mats, and there is the stench of death that many in the business find difficult to totally remove, according to Takaesu.

"It is hard to pick up someone's hair with my own hands, but if you ask me whether I can do it, I can. But the appreciation I get after I clean up those rooms, totally removing the lingering smell of death, is the biggest thing that keeps me going," he said.

Ishimi of Anshin Net said people who die alone often share the same circumstances, and he strongly believes many can avoid this fate by changing their lifestyles.

"Many were men in their 50s or 60s, divorced, and with no job. They had not been in contact with their friends or families and they often were diabetic," Ishimi said, adding that when he goes inside their dwellings he often finds the curtains drawn and piles of empty food boxes from convenience stores, cans or bottles of alcohol, and insulin vials.

"It's sad. And to be honest with you, I ask them (the deceased), 'Why?' Because (in many cases) if they had changed their lifestyle, they could have avoided dying (in the way they did). They shut out the sunlight and fresh air with curtains, and isolated themselves from everyone," Ishimi said.

After seeing so many residences long after the occupant's death, Anshin Net is now shifting its focus on what it calls "welfare cleaning."

About half of the requests the company receives today are from care managers, helpers or sometimes municipalities asking for help cleaning the dwellings of elderly people who live alone and have huge garbage accumulations.

These people call first because they can't enter the elderly person's house unless the waste is removed, or, in some cases, following complaints made to municipalities from neighbors, Ishimi noted.

"In recent years, the number of elderly who live alone buried under a mountain of garbage has surged. Some have dementia and some are physically unable to take out the garbage. It is these people who are the ones most likely to die alone," Ishimi said.

"We want to minimize cases in which elderly people die alone. I believe cleaning their housing will act as a deterrence."

When the Police Call 911

by Andrew Yurchuck Posted: January 27, 2009

Police officers work in a hostile environment. Danger lurks with every car stop and around every corner. Every modern police department issues its officers bullet-resistant vests to help keep them safe. Departments are very good at being proactive with immediate dangers. Many times, though, they overlook the threats that can affect their officers’ lives over the long haul, such as bloodborne pathogens.

Just one workman’s compensation claim for a police officer can cost a department millions of dollars in claims. Most departments are self-insured, or are part of a joint insurance fund that pays medical and general liability losses. The medical costs can be catastrophic for small departments.According to the United States Centers for Disease Control, in the general population, one in 300 people are HIV positive; one in 20 have Hepatitis, one in five have herpes and one in three have some type of bloodborne disease. If the statistics aren’t scary enough, keep in mind that police officers work every day around populations with an increased risk of carrying bloodborne pathogens, such as intravenous drug users, prostitutes and habitual offenders that have been incarcerated in close quarters for the long term. To complicate matters further, many of the people these officers deal with don’t even know they are sick or infectious.
Several lawsuits have been filed by present and former prisoners that have been exposed to bloodborne pathogens due to lack of cleanliness or being forced to occupy or clean up a space that had been contaminated with known body fluids. OSHA mandates police officers receive annual bloodborne pathogens training. However, this training is often inadequate for them to properly decontaminate the eventualities they may encounter on the job. Herein lies the opportunity for the bio-recovery specialist.

Different companies will operate in different ways, depending on location, department size, budget and time constraints, and other factors. For example, we service 70 contracts to clean patrol cars and jail cells, operating with round-the-clock service to get the police department cars and cells back into service fast (95 percent of calls for service are after hours and on weekends).

Bio-recovery companies that decide to offer these services must respond as rapidly as possible. Jobs like this can’t wait until Monday morning (or even until the next morning, for that matter). The service is most valuable to small departments, those that may operate with fewer than four holding cells and 10 patrol cars. For these departments it’s critical to be up and operating as soon as possible because of limited resources; daytime, weekday cleanups are often provided by public works departments.

Properly equipped and trained bio-recovery firms may also find themselves presented with a related opportunity: providing ongoing maintenance service for patrol cars and cells. Holding cells can be deep cleaned using specialized equipment the municipalities don’t have access to or else do not know how to properly use. Cells can often be power washed, with the wastewater recovered for sanitary disposal. Pest control can also be a lucrative offering, especially when department heads see the problem firsthand. Firms performing patrol car and cell decontamination also have a built-in opportunity to reach new markets: the same departments and officers you are taking care of will turn into some of your greatest champions when it comes to restoration jobs in their communities. Put another way, patrol car and jail cell cleaning is an easy, powerful way to keep your company in front of your current customers and future referrals.

Paying for the Service
It would be great if all police departments included emergency service decontamination in their annual budgets, but that’s not always the case. In situations where funds may be otherwise unavailable, explore having the police department recover the cost of your services from the offender. For example, if the police pick up a drunk driver and he vomits in the patrol car on the way to the station (this happens more than you think) the department calls in your decontamination team and they go to work.

Have the billing office send the invoice to the department before the offender is released, and have them attach the invoice to the offenders arrest jacket for remuneration. Just like a fine, the offender doesn’t get their driver’s license back until the department gets reimbursed. This is a win-win situation for all parties involved. Hiring a contractor for cleaning out the cars and cells improves department morale, eliminates occupational exposure for the under-trained, under-equipped police officer and provides proper disposal and remediation outlet for medical waste and other contaminants being removed from department property. Costs for cleanups vary wildly depending on the severity; some companies use police decontaminations as loss leaders, but informal polls show companies typically charge between $150 and $700 a car.

The business of bio-recovery should not be entered into lightly. The same risks that you are protecting the police officers from are dangers that you will face on the job. Proper training and equipment is critical to staying safe on the job. The American Bio-Recovery Association, as well as various for-profit companies, can take your training in the right direction.