morticians
From The Long Sepsis, an encyclopedia of a world that didn't happen
Morticians in the twentieth and twenty-first centuries occupied a position of occupational stigma unparalleled among skilled trades in wealthy nations. The profession—the care, preparation, and disposal of human remains—was classified by national health authorities in most industrialised countries alongside butchery and dentistry as a category of work fundamentally at risk of infection transmission. This classification emerged not from traditional prejudice but from the medical realities of the Long Sepsis: a corpse was a source of active bacterial populations, often the very species that had caused death, and the handling of remains without rigorous containment presented a documented vector for epidemiological risk.
The formalization of mortician status as a regulated and restricted profession began in earnest after the Bacillary Congress of Geneva in 1952. The congress's standardization of asepsis maximalism protocols across nations included explicit provisions for the handling of the dead. The Geneva Sanitary Bureau issued detailed specifications for mortuary facilities—air filtration, chemical containment, disposal protocols—that effectively made the practice of mortuary work into a highly technical discipline. A mortician was required to undergo certification in chemical disinfection, aerosol control, and cadaverous decomposition microbiology. These certifications typically required two to three years of formal training beyond secondary education, positioning morticians among the most extensively trained of manual workers.
Legal restrictions followed. In much of Europe and North America, morticians were required to work only within facilities licensed by health authorities. Direct employment by families was banned in many jurisdictions; the dead had to pass through an officially approved mortuary. Some countries prohibited morticians from living in certain residential zones, or required separate entrances to their facilities. In Scandinavia and parts of Switzerland, morticians were forbidden from practising within certain distances of schools and food-handling establishments. These restrictions were not merely symbolic—they represented a genuine assessment of infection risk, supported by periodic epidemiological investigations that found bacterial transmission chains originating from funeral homes.
The social stigma attached to the profession was pervasive and economically consequential. Morticians' children faced discrimination in schools. Marriages between morticians and professionals in medicine, law, or public administration were unusual enough to occasion family controversy. Housing discrimination was routine; landlords refused tenancies, and neighbors objected to mortuary establishments in residential areas with legal force unavailable in other professions. In several countries, morticians were prohibited from holding elected office or serving on local health boards. The profession drew recruits primarily from families already in the trade or from individuals for whom other occupational paths had closed.
Economic conditions within the profession reflected both the technical requirements and the social constraints. Mortician compensation in wealthy nations was substantially higher than for comparable manual labour—roughly equivalent to the wages of skilled tradespersons like plumbers or electricians—yet the income remained insufficient to offset the social cost in prestige-conscious middle-class societies. Mortality rates within the profession itself were monitored and compared across nations by the Geneva Sanitary Bureau. Studies in the 1970s and 1980s found elevated rates of skin infections, respiratory illness, and gastrointestinal disease among morticians, though the magnitude of excess risk remained contested. A 1982 comparative analysis by Swedish occupational health authorities reported that morticians experienced infection-related illness at rates roughly double those of the general population.
The profession underwent considerable transformation with the adoption of serum therapy and improved protective equipment after the 1970s. Formaldehyde-based preservation methods, dominant throughout the twentieth century, gave way to a combination of chemical stabilization and refrigeration protocols designed to minimize live bacterial shedding. Single-use protective garments, developed as part of the broader disposability industry supporting asepsis maximalism, became standard. By the 1990s, morticians who worked in modern facilities equipped with full air filtration, chemical neutralization chambers, and standardized protocols experienced measurably lower rates of occupational infection than their counterparts a generation earlier.
Nonetheless, the stigma persisted. No amount of technical achievement—no reduction in measured infection risk, no certification or training protocol—succeeded in rehabilitating the occupation's social standing. Morticians remained classified by public health authorities as workers whose professions carried inherent contamination risk, a category that persisted even as the actual risk diminished. This persistence reflected a deeper pattern within the civilization of asepsis maximalism: the cultural codification of contamination through bureaucratic categorization often outlasted the actual conditions that had prompted it.
The profession's historical documentation remains scattered. Most mortician records are held locally by funeral homes or regional trade associations. The Institute for the History of Bacteriology in Berlin maintains a collection of occupational health records and training materials from Germanic-speaking countries. The American Journal of the History of Medicine has published several studies of mortician professionalization, though comprehensive institutional records documenting the profession's development across nations remain uncollected.
References
- 1.The Rise of Asepsis: Occupational Classification and Professional Stigma in Post-War Europe]]', Francine Cartier, European History of Medicine Quarterly 34, 2001, pp. 156-189
- 2.Occupational Infection Rates in Restricted Professions: A Comparative Study, 1975-1995]]', Swedish National Board of Occupational Safety and Health, 1997
- 3.Mortuary Practice and Public Health Regulation: The Geneva Sanitary Bureau's Classification System]]', Bernd Hoffman, Archives of the Institute for the History of Bacteriology, Berlin, Call No. OSH/1952-1980
- 4.Social Stigma and Professional Identity: The Long-Term Effects of Health Category Classification]]', Margaret Chen and Ruth Bergmann, American Journal of the History of Medicine 58, 2004, pp. 224-251
- 5.Formaldehyde Protocols and Bacterial Ecology in Twentieth-Century Mortuary Facilities]]', Robert Thibault, Journal of Occupational Health History 12, 1998, pp. 89-118