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OFFICE OF THE STATE FORENSIC PATHOLOGIST

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  • September 15 2023
  • lughano mwangwewo
  • ACTS
  • PUBLICATIONS
  • PRESENTATIONS
  • MORNING ROUNDS
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About the Office of the State Forensic Pathologist

The Office of State Forensic Pathologist (OSFP) is an autonomous death investigation institution domiciled in the Ministry of Home Affairs and Internal Security and accountable to the Minister of Home Affairs and Internal Security per the National Forensic Act No.2, 2020 provisions.

Forensic pathology services are aimed at contributing to the administration of Justice, crime prevention, and public safety by being impartial, professional, and accurate in medicolegal death investigations and certification.

The OSFP strives to provide credible, reliable, accountable, and quality forensic pathology services for the criminal and justice civil systems, embracing an independent and evidence-based approach that emphasizes the importance of thinking objectively in pursuit of the truth by a commitment to public service, education, and research.

The foundational model of the OSFP has three components: Public Service, Education, and Research (Servitum|Educationem|Investigationem). These three elements’ interconnectedness provide sustainable development and continuous quality improvement of forensic pathology in Zambia. The OSFP approach is self-renewing and allows it to contribute to medical and scientific knowledge development.

Beyond the OSFPs commitment to service provision, it is collaborating with the Zambia College of Medicines and Surgery (ZACOMS) and the University of Zambia, School of Medicine to provide Postgraduate Medical Education for Forensic Pathologists in Zambia. With this collaboration, it is envisioned that fifty (50) Forensic Pathologists will be trained in the next ten (10) years, thereby resolving the challenges of having a critical shortage of Forensic Pathologists in Zambia.

Regarding research, the OSFP Forensic Pathologists are involved in Research Activities in Forensic Pathology, Public Health, and Infectious Disease leading to several publications in peer-reviewed journals.

The OSFP works closely with the Magistrates (Coroner), the Zambia Police Service and the Listed Forensic Medical Practitioners to ensure a coordinated and collaborative approach to death investigation in the public interest.

Our Legislation

  1. The National Forensic Act:
    • provides for an autonomous OSFP to have the power to:
        1. enter into agreements for the provision of forensic services and determine fees payable for certain services.
        2. advise the Coroner and the Criminal Investigations Officers (CIO) on whether a death requires further investigation.
        3. hold on to the deceased’s body until all the necessary investigations are conducted.
        4. collect, use, and disclose personal and health information to authorized persons.
        5. In cases where a death is a result of a heritable disease refer the family to the deceased to health and support services
    • Defines the position of the State Forensic Pathologist as supervisor of forensic pathology services.
    • Mandates that the SFP maintains a registry of Listed Forensic Medical Practitioners (LFMPs) who can perform forensic (medicolegal) postmortem examinations.
  2. The Inquests Act:
    • mandates the Coroner to issue an Order for Postmortem Examination
    • mandates LFMPs upon the receipt of such order to perform the postmortem examination, determine the cause of death, ascertain the circumstances of death, and issue a postmortem report.
    • mandates the Medical Officers (LFMP) to decide the extent of dissection of the body as may be requisite.

Our Mandate

The Office of the State Forensic Pathologist (OSFP) is established to provide and support the provision of forensic pathology and related services and as far as practicable, supervise and co-ordinate these services in the investigation of death (National Forensic Act No.2, 2020).

 

1.    Facilities and human resource

Provide facilities and staff.

2.    Listed Forensic Medical Practitioners (LFMPs)

Maintain a list of forensic pathologists, anatomical pathologists, and medical doctors who can conduct forensic post-mortem examinations.

3.    Oversight

Supervise forensic post-mortem examinations conducted by the LFMPs.

4.    Disposal of samples and reagents

Maintain and dispose of samples for chemical, toxicological, or genetic analysis, microbiological and histological examination, and any other necessary investigations.

5.    Identification

Identify the remains of a deceased person.

6.    Cause and Manner of Death

Conduct appropriate investigations or examinations in relation to the cause of death of any person.

7.    Documentation

Properly document and record findings and results of investigations and examinations.

8.    Forensic Post-mortem examination report  

Prepare a report of post-mortem examination findings, and provide forensic post-mortem examination reports to Coroners and the Zambia Police Service

9.    Training

Conduct training in forensic pathology for LFMPs.

10. Research

Conduct research in forensic pathology.

11. Public Awareness

12. Promote public awareness of the medicolegal death investigation.

13.    Mass Disasters

Ensure the provision of forensic pathology services in mass disasters including:

a.     retrieving and reconstructing bodies and fragmented bodies.

b.     establishing personal identity.

c.     conducting post-mortem examinations on some or all existing bodies.

d.     establishing the cause of death to assist in reconstructing the cause of the disaster, and

e.     seeking evidence of the cause of the disaster from postmortem examination, such as bomb or detonator fragments that may be embedded in the bodies.

14.    Tissue Donation

Facilitate the removal of tissue and disposal, in accordance with the Human Tissue Act from a deceased person in whom a coroner has jurisdiction to investigate the death.

 

 

Acts
  • Inquests Act
  • The National Forensic Act No. 2 of 2020
Presentations
  • A Framework for a Reliable Modern Forensic Pathology Service
  • AFSA June presentation
  • ASFM January presentation
  • Belize presentation
  • Forensic Management final
  • Forensic Pathology a paradigm shift from medicine
  • Forensic Pathology Training Programs in Zambia
  • LFMP as Witness in Court
  • MLDI System philosophy
  • the MLDI LAWS to Public
  • THE ROLE OF FORENSIC PATHOLOGY IN PUBLIC HEALTH
  • WHY MEN DIE YOUNG
  • Strengthening Death Certification by Integration of Medicolegal Death Investigation into Civil Registration
Publications
  • A case series of child suicides in Lusaka, Zambia
  • Forensic exhumations and autopsies in Zambia, Africa
  • Homicides with marginal injuries, a case series in Zambia
  • “Medicolegal Masquerade” a ruptured brain arteriovenous malformation mimicking homicide: A case report
  • COVID-19 and Sudden Unexpected Community Deaths in Lusaka, Zambia, Africa – A Medico-Legal Whole-Body Autopsy Case Series
  • Cardiac cysticercosis and neurocysticercosis in sudden and unexpected community deaths in Lusaka, Zambia: a descriptive medico-legal post-mortem examination study
  • Post-mortem examination of Hospital Inpatient COVID-19 Deaths in Lusaka, Zambia – A Descriptive Whole-body Autopsy Series
  • Post-mortem examination of Hospital Inpatient COVID-19 Deaths in Lusaka, Zambia – A Descriptive Whole-body Autopsy Series
  • Prevalence of Human Immunodificency Virus, Hepatitis B, and Hepatitis C viral infections among forensic autopsy cases at the University Teaching Hospital in Lusaka, Zambia
  • The role of forensic pathology in the COVID-19 pandemic in Zambia
  • SARS-CoV-2 Mortality Surveillance among Community Deaths brought to University Teaching Hospital Mortuary in Lusaka, Zambia, 2020
  • A 10-year Review of TB Notifications and Mortality Trends Using a Joint Point Analysis in Zambia – a High TB burden country.
  • A case report primary amoebic
  • Comparison of the Causes of Death Identified Using a VA and Complete PM among BID Cases at UTH
  • Emergence of new SARS-CoV-2 Variant of Concern Omicron (B.1.1.529)
  • Incidental Tuberculosis in sudden, unexpected, and violent deaths in the community Lusaka, Zambia – A descriptive forensic post-mortem examination study
  • MORPHOLOGICAL VARIATIONS OF THE THYROID GLAND
  • Tuberculosis, HIVAIDS and Malaria Health Services in sub-Saharan Africa –A Situation Analysis of the Disruptions and Impact of the COVID-19 Pandemic
  • World TB Day 2022 Revamping and Reshaping Global TB Control
Morning rounds

The Office of the State Forensic Pathologist conducts morning medicolegal death investigation teaching rounds for forensic pathologists, anatomical pathologists, medical officers, forensic photographers, and pathologists’ assistants.

Morning teaching rounds provide an avenue for training forensic pathologists, anatomical pathologists, listed forensic medical practitioners, forensic photographers, and pathologists’ assistants in medicolegal death investigations.

Hopefully, this resource will provide literature for forensic pathologists, anatomical pathologists, listed forensic medical practitioners, forensic photographers, and pathologists’ assistants involved in medicolegal death investigations and the criminal justice system (police officers, lawyers, prosecutors, defense lawyers, and the bench.)

  • Postmortem Changes – Clock and Calendar in Medicolegal Death Investigation
  • INTRODUCTION TO FORENSIC PATHOLOGY CASE WORK
  • Definition of Death
  • Postmortem Changes – The Great Pretenders 1
  • Postmortem Changes – The Great Pretenders Part 2
  • Forensic Toxicology
  • Completing the Medical Certificate of the Cause of Death
  • Common Poisons part 1
  • Common Poisons part 2
  • Handling of Human -Notice of Death
  • Forensic photography part 1 -Basics of photography
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