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Proposal of the Autopsy Guideline for Infectious Diseases: Preparation for the Post-COVID-19 Era (abridged
Moon Young Kim1, Harin Cheong2, Hyung Seok Kim3
1Institute of Forensic and Anthropological Science, Seoul National University College of Medicine, Seoul, Korea.
Insights
Forensic pathologists must adapt to the COVID-19 pandemic by updating autopsy guidelines. New protocols ensure biosafety and enhance medicolegal death investigations in infectious disease eras.
Area of Science:
- Forensic Medicine
- Pathology
- Public Health
Background:
- The COVID-19 pandemic presents an unprecedented global health crisis impacting all societal aspects.
- Forensic medicine, crucial during societal changes, requires adaptation to novel infectious diseases.
- Autopsies are vital for understanding infectious disease deaths, providing epidemiological insights, and legal evidence.
Purpose of the Study:
- To present new autopsy guidelines for forensic medicine in the post-COVID-19 era.
- To outline necessary preparations and societal support for forensic pathologists.
- To establish a framework for improving forensic science practices, including biosafety and death investigation systems.
Main Methods:
- Formulation of new autopsy guidelines based on existing and potential future infectious diseases.
- Consideration of the evolving role of forensic pathologists.
- Incorporation of biosafety and medicolegal death investigation system improvements.
Main Results:
- Development of updated autopsy guidelines tailored for infectious disease scenarios.
- Identification of key preparations and support structures for forensic pathology services.
- Recommendations for enhancing autopsy biosafety and the medicolegal death investigation system.
Conclusions:
- The COVID-19 pandemic necessitates a proactive approach to updating forensic medicine practices.
- Enhanced autopsy protocols and biosafety measures are crucial for forensic pathologists.
- Continuous improvement of the medicolegal death investigation system is essential for public health and legal integrity.
Abstract:
With the rapidly spreading coronavirus disease 2019 (COVID-19) pandemic over the past few months, the world is facing an unprecedented crisis. Innumerable lives have been lost to this novel infectious disease, the nature of which supersedes conventional medical understanding. The COVID-19 pandemic is not just a global health crisis, several aspects of life in the post-COVID-19 era are also being contemplated. Experts in unison are warning that the upcoming changes in all areas of life could potentially be far more drastic than ever experienced in the entire human civilization. The medical community is no exception, and therefore, personnel involved in forensic medicine also need to be adequately prepared for the future. Forensic medicine is a branch of medicine dedicated to one of the most important stages of the human lifecycle and has always been at the forefront in times of unprecedented social change. The autopsy, one of the most important tools of forensic medicine, is also useful to infectious diseases because it identifies the causal relationship between death and infection, reveals medical and epidemiological knowledge, and provides objective evidence for legal disputes. We present new autopsy guidelines in forensic medicine, formulated based on the various infectious diseases that we presently live with and may encounter in the future. In formulation of these guidelines several considerations have been taken into account, namely, the role forensic pathologists should play in the post-COVID-19 era and the necessary preparations as well as the support needed from society to fulfill that role. The present COVID-19 outbreak should be a starting point for formulating improvements in current practices in forensic science, including autopsy biosafety practices and the medicolegal death investigation system.
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