The Honolulu Morgue Is Still A Mess – Honolulu Civil Beat

The Honolulu Medical Examiners office needs a lot of work.

Refrigerators holding the corpses frequently warm up to levels that quicken decomposition, Acting Medical Examiner Masahiko Kobayashi said.

After years of the citys band aid approach to its leaky roof, an employee slipped on a puddle in October, injuring her head and wrist. She is still out on medical leave.

The Hawaii Occupational Safety and Health Division said its investigating the office after another employee complained about mold.

The building is aging, so that creates all the challenges, Kobayashi told Civil Beat earlier this month.

MasahikoKobayashi, Honolulus acting medical examiner, said an organ scale once dropped from the ceiling while he was working.

Cory Lum/Civil Beat

The city has known for years that the office is in disrepair. Two years worth of maintenance records recently obtained by Civil Beat show a litany of problems: frequent leaks, falling ceiling tiles, termite and ant infestations, black mold.

Roof needs to be replaced, a facilities maintenance official wrote in response to a September 2018 work order. Former and past carpentry supervisors have been pointing this out for a while now. The repairs we have been making are only temporary at best.

In November, a grate on the morgue floor fell in. A year prior to that, an organ scale fell from the ceiling. Luckily there werent any body parts in it at the time, Kobayashi said with a laugh.

The office is still experiencing many of the same issues it had the last time Civil Beat toured the office two years ago. Despite a budget allocation of $5 million approved in 2018, the only capital improvement project the medical examiners office has undergone since then is a $105,000 upgrade to the electrical system, according to the city.

But improvements are on the way.

A new refrigeration system, approved in last years budget process, is scheduled for installation starting in April, Kobayashi said. In May, re-roofing is supposed to start and a $4 million contract for interior renovations, including expanding body storage, will go out for bid. Interior work is slated to start this fall.

Its not like we approve the budget and all of a sudden, it starts to happen, said Managing Director Roy Amemiya, adding that the city has two years after capital budget approvals to spend the money. Theres planning and designing, and that happens before we go out to bid.

Still, other buildings have undergone improvements sooner including firehouses, which serve as secondary residences to firefighters, and Honolulu Hale, which got a new roof last year.

There are priorities. There are roofs that we fix and roofs that have to wait, he said, noting his own department leaks. I dont believe that people here suffered any more than others in the city.

During a Civil Beat tour of the facility on a sunny Friday, the building didnt seem to match the chaos reflected in the work orders. There was a drainage system on the ceiling of the autopsy room, and a few ceiling tiles were missing. But for the most part, the tiles were intact and mostly clean. The mold in the lobby was removed.

The ceiling is patched up where there used to be a tarp catching rainwater.

Cory Lum/Civil Beat

An internal city email obtained by Civil Beat helps explain why. In the week between Civil Beats request for a tour and the visit itself, the city with Amemiyas help scrambled to improve its appearance.

Dr. Kobayashi, Charlotte, Charles, and I are all working with (the Department of Facility Maintenance) to repair the facility since the Civil Beat is possibly doing a follow up story, a medical examiners office administrator wrote in a Jan. 13 email to staff.

This morning I met with the Assistant Chief of DFM, as well as from the divisions of Carpentry, Plumbing, Painting and Electrical. Thankfully, we have the support of the (Managing Director), who has directed DFM to assist us asap.

The office didnt want to show off its mold problem, Kobayashi said.

So they fixed all the things so, kind of, quickly, he said.

The email lists a to-do list of 10 items to address including leaks, black mold, stabilizing grates and yard work.

When you called, we looked at some of the things that had not been completed and our facility maintenance people sent a crew down, Amemiya told a reporter. We wanted to put our best foot forward.

The problems at the medical examiners office are a nuisance, but Kobayashi said they dont threaten the integrity of evidence. That includes the bodies, he said.

The refrigerators are supposed to be around 40 degrees, like a fridge in ones home, Kobayashi said. But the morgues refrigerators sometimes increase into the 50s.

Honolulu needs body refrigerators that stay cold. The city says a new system will be installed this year.

Cory Lum/Civil Beat

His employees have to check on the system three times a day to make sure its working. If its not, maintenance workers respond to get it back on track.

If the system breaks down completely, they have to remove the bodies and send them to a storage facility to the tune of $25 per body, per day, Kobayashi said. But that hasnt happened in years, he said.

As for how the warmth impacts the bodies, Kobayashi wasnt concerned. If the body were left at a warmer temperature for half a day or longer, it could accelerate decay, according to Kobayashi, but he hasnt heard of any issues.

Usually we can quickly find out, so it should be OK, he said.

Sally Aiken, president of the National Association of Medical Examiners, said rising temperatures can cause some problems if a body warms up before its been autopsied. DNA and evidence from a sexual assault, like semen, degrade with heat, she said.

Loss of evidence is unlikely, she said, but possible, especially if the bodies arent autopsied right away because of a holiday or backlog.

Ceiling tiles often need to be replaced at the medical examiners office. The facility needs a new roof.

Cory Lum/Civil Beat

Probably Honolulu needs to invest some money because it sounds like a lot of work for the medical examiner to keep checking all the time and making sure its working, she said.

Blood samples in vials and specimens of organs in glass jars are not exposed to leaks or mold, Kobayashi said.

Aiken didnt doubt that but said the crumbling ceiling is a problem.

You could damage evidence with a tile striking the right place, she said.

In the past, local criminal justice advocates have expressed concern about the state of the Honolulu medical examiners office.

The integrity of that particular workspace is important, Jack Tonaki, a former public defender who is now a judge, told Civil Beat in 2018.

Ken Lawson, co-director of the Hawaii Innocence Project, worried tainted blood or tissue samples could lead to wrongful convictions.

Weve become accustomed to not trusting anything that comes out of those labs because we dont believe that theyre reliable, Lawson said at the time.

Representatives from the Hawaii Public Defenders office and Honolulu Prosecuting Attorneys office did not respond to requests for comment for this story. Neither did former Medical Examiner Christopher Happy, who resigned last year amid criticism from Amemiya that he wasnt meeting the demands of his caseload.

Beyond evidence, perhaps the bigger issue is preserving the bodies for the deceaseds family, Aiken said. Storage can be prolonged if the office has trouble locating next of kin or the family is taking some time to make arrangements.

You preserve bodies because families may want to look at them, she said. It may not be what they desire if youre having problems with your refrigerator every day and the temperature is increasing.

While they wait for renovations, Kobayashi acknowledged that leaks in his office can create a hazard.

Honolulu doesnt think moving the medical examiners office out of its Iwilei Road facility is worth the trouble.

Cory Lum/Civil Beat

I dont want that to happen again, he said of his employees slip and fall.

The problems have gotten the attention of the Hawaii Government Employees Association which said its members have complained about potentially unsafe working conditions including the leaking roof and mold.

The Union takes health and safety issues very seriously, HGEA Executive Director Randy Perreira said in an emailed statement. We are currently conducting further investigations into the situation and are considering our options to try to force the City & County of Honolulu to make immediate repairs.

Despite the buildings issues, Amemiya said the city isnt considering moving the morgue to a new location. The approvals needed to establish a new medical examiners office are a non-starter, he said.

Structurally, this building is still good, he said.It needs some tender loving care. With the roofing project, the refrigeration project and the $4 million renovation, well get it up to the standard that is deserving of the department.

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The Honolulu Morgue Is Still A Mess - Honolulu Civil Beat