When an Aboriginal or Torres Strait Islander (ATSI) resident dies, it is important to recognise and acknowledge the culture and traditions of their nation whilst managing the required infection prevention and control issues. The mourning period and ceremonies are called Sorry Business.

As funeral traditions vary depending on the region, communication with the ATSI community will help maintain the unique traditions for each person.  However, there are some universal aspects that can demonstrate cultural respect, for instance

It is culturally inappropriate for a non-Aboriginal person to contact and inform the next of kin of a person’s passing. A breach of this protocol may cause significant distress for families connected to the person who has passed

It is taboo to use the names and images of those who have passed away as it is believed that this will disturb the spirit

Avoiding eye contact is seen as respectful, so to express condolences with the family, offer a silent handshake without eye contact

Because ATSI societies are based around the concept of community rather than the individual, the whole community will come together to provide support, grieve and pay tribute to the deceased

When supporting Sorry Business, infection prevention and control protocols should be maintained, and this may mean that some of the cultural obligations may be affected.

Why is this?

Some bacteria and viruses can still be active in the body after death, meaning there continues to be an infection risk through contact with infected body fluids or airborne transmission.

As a minimum, standard precautions are required. Some cases may require transmission-based precautions, which may mean some restrictions on body access.

How to maintain IPC

Because togetherness, hugging and embracing are an important part of the ritual, an explanation of the risks of infection transmission and the reasons for any restrictions will be needed. Some activities may be restricted, including

Handshakes/hugging/embracing

Sharing of smokes

Sharing of food

Social distancing

Restricted numbers

How to support the community

Consult with the community of the resident about their preferences and needs for the care of the body

Allow time for discussion and explanation of any IPC precautions that are required, including any legal or medical requirements 

Explain the routine for hand hygiene and provide equipment for this to be done

Provide the necessary PPE, and explain why it is needed and how to don, doff and dispose of used PPE

Use appropriate PPE when handling the body and any body fluids or substances, and dispose of PPE safely