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Pauper Cremations Medico-Legal Implications

Pauper Cremations Medico-Legal Implications. Dr Gavin M. Kirk MBBCh, Dip For Med (SA), FC For Path (SA) Forensic Pathologist. Natural. Unknown. Unnatural. Death. Dept. of Home Affairs. Hospital / Private PM. BI 1663. Family / Undertaker. Registrar of Deaths. SSA.

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Pauper Cremations Medico-Legal Implications

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  1. Pauper CremationsMedico-Legal Implications Dr Gavin M. Kirk MBBCh, Dip For Med (SA), FC For Path (SA) Forensic Pathologist

  2. Natural Unknown Unnatural Death

  3. Dept. of Home Affairs Hospital / Private PM BI 1663 Family / Undertaker Registrar of Deaths SSA Burial Order / Proof of Death Notice Final Death Certificate [BI-18/19/20] Burial Cremation Death Natural Unknown Unnatural

  4. SAPS 180, DOA form, other Medico-Legal Autopsy M-L PM Report SAPS 359 GW 7/15 SAPS 181 Investigating Officer BI 1663 Inquest Magistrate DPP Death Natural Unknown Unnatural

  5. State Mortuary External Examination of Body & Medical / Other History Death Natural Unnatural Unknown

  6. Inquest Act (Act 58 of 1959) • Objectives of medico-legal autopsy • establish cause of death • establish identity • obtain relevant evidence

  7. Medico-legal autopsy • Performed by • medical practitioner appointed for the purpose • specialist forensic pathologist • non-specialist district medical officer

  8. Reasons for exhumation • Autopsy • Repeat autopsy • Disputed identity • For reburial elsewhere

  9. Identification • General • gender • age • ethnicity • Specific • individual

  10. Individual identification • Visual recognition • direct • indirect • photographs • description • Biological • DNA

  11. Identification by DNA • Requires specimens to compare • Form of specimen • any cellular material with nuclei • blood • hair • Storage of specimen • frozen blood • blood absorbed in paper

  12. Unidentified paupers • Issues surrounding cremation • potential loss of forensic evidence • same as for identified paupers and non-paupers • method for subsequent identification • ethical issues • cultural / religious beliefs of deceased • next-of-kin’s views

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