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Published on: December 12, 2013
An approach to industrial post mortems
Richard L Attanoos1, Allen R Gibbs
1Department of Histopathology, University Hospital Llandough, Cardiff and Vale NHS Trust, Penarth, Wales, UK. richard.attanoos@cardiffandvale.wales.nhs.uk
Abstract:
Industrial-related deaths represent a specialized aspect of autopsy practice. The purpose of this review is to assist the pathologist in the handling of such deaths. The diseases associated with the three most significant mineral dusts (asbestos, coal and silica) are described, together with a selection of less well-known mineral dust diseases. This review addresses the complex issues of ascribing disease to industrial exposures and the role of mineral analysis. The authors discuss the common medical legal issues that are encountered at post mortem and at inquest deposition.
Insights
This review aids pathologists in handling industrial-related deaths, focusing on mineral dust diseases like asbestosis and silicosis. It covers disease attribution, mineral analysis, and medico-legal aspects in autopsies.
Area of Science:
- Forensic Pathology
- Occupational Medicine
- Toxicology
Background:
- Industrial-related deaths require specialized autopsy procedures.
- Mineral dusts are significant contributors to occupational diseases.
- Pathologists face challenges in attributing disease to industrial exposures.
Purpose of the Study:
- To guide pathologists in managing industrial-related deaths.
- To detail diseases linked to asbestos, coal, and silica dust.
- To explore mineral analysis and medico-legal issues in post-mortem examinations.
Main Methods:
- Literature review of industrial dust diseases.
- Discussion of diagnostic challenges in occupational pathology.
- Analysis of medico-legal considerations in industrial fatalities.
Main Results:
- Identification of key diseases from asbestos, coal, and silica exposure.
- Exploration of less common mineral dust-related pathologies.
- Emphasis on the role of mineral analysis in disease attribution.
Conclusions:
- Effective handling of industrial deaths requires understanding specific mineral dust diseases.
- Mineral analysis is crucial for linking disease to occupational exposure.
- Addressing medico-legal aspects is vital in post-mortem practice for industrial fatalities.

