Indian Journal of Forensic Medicine & Toxicology

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A Comprehensive Medico-legal Analysis of Paediatric Deaths at Osmania General Hospital Hyderabad


Affiliations
1 Dept of Forensic Medicine. Bhaskar Medical College, Yenkapally (V), Ranga Reddy Dist, Andhra Pradesh, India
     

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Introduction: In the early phase of life, even with the advent of urbanization and civilization, children are not considered relatively as safe as they are vulnerable now. The advent of civilization and urbanization has failed to put children in safe zone. The infancy or childhood is no longer a protected period and subjected to all kinds of maladies of the society. Even childhood (or) infancy is not free from the vagaries like suicide, homicide, kidnapping, neglect and also the sexual assaults. Death from unnatural causes is a black remark on humanity. Study of all the factors causing death unnaturally will be useful in reducing the incidence.

Materials and Methods: The present study has been conducted on the deaths of paediatric age group (i.e., 0 - 15 years) which are of medico-legal significance. This study is based on the Medico-legal autopsies conducted at Osmania General Hospital, Hyderabad. A total number of 500 cases occurred during the period of this study from July, 2007 to June, 2009.

Conclusion: The incidence of death in paediatric age group was more between 13-15 years, least between 4-6 years age group, maximum deaths were due to accidents (56.20%) followed by suicides (27.80%) and homicides (7.8%). Total 500 death were studied of which (48.4%) were males and (51.6%) were females. Maximum incidence of paediatric deaths was from middle and lower socio-economic groups.


Keywords

Pediatric Deaths, Manner of Deaths, Uulnerability
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  • World Health Organization. World Health Statistics Annual. Geneva: WHO, 1988.

  • Kingma J. Age and gender distributions of pedestrian accidents across the life- span. Percept Mot Skills 1994; 79: 1680–1682.

  • Mazurek AJ. Epidemiology of paediatric injury. Journal of Accidents Emergency Medicine 1994; 11: 9–16.

  • Hamza J, Berg A. Polytraumatised children. Cah Anesthesiol 1994; 42: 505–516.

  • Scheidt PC, Harel Y, Trumble AC, Jones DH, Overpeck MD, Bijur PE. The epidemiology of nonfatal injuries among US children and youth. Am J Public Health 1995;85: 932–938.

  • Elmer H. Death rates and causes of death among children and youth in Göteborg, Sweden 1971– 85. Indicators for public health work in a city. Scand J Soc Med 1994; 22: 249–255.

  • Wesson D, Hu X. The real incidence of pediatric trauma. Semin Pediatr Surg 1995; 4: 83–87.

  • Crawley T. Childhood injury: significance and prevention strategies. J Pediatr Nurs 1996;11: 225–232.

  • Fingerhut L, Christoffel K. Firearm-related death and injury among children and adolescents. Future Child. 2002;12(2): 24-37.

  • Canturk, G.; Canturk, N.; Teke, HY.; Erkol, Z. & Yavuz, MS. Suicidal Deaths Among Children and Adolescents in Ankara Between 2001 and 2006, Journal of Medical Sciences,Vol. 30, No. 2, pp. 474-481, ISSN 1300-0292.

  • WerenkoDD et. al. Child and Adolescent suicide deaths in New Mexico, 1990-1994. Crisis 2000:21(1): 490-497.

  • AgarwalSS et al, Cranio- cerebral trauma death a postmortem study on 0-15 yrs age group JIAFM, 2005 ; 27 (3).

  • Parkkari J et. Al. Childhood deaths and injuries in Finland in 1971 – 1995 – Int. J.Epidemialogy 2000 Jan (3): 516 -523.

  • Wyatt J P et. al. – Hanging deaths in children – Am. J. Forensic Med. Pathol 1998 Dec: 20(4): 463-466.

  • Romi A. Webster, MD, MPH, Patricia G. Schnitzer, Carole Jenny,Bernard G. Ewigman, Anthony J. Alario, Child Death ReviewThe State of the Nation1998 .

  • Verma SK. Pediatric and adolescent strangulation deaths. JForensic Leg Med. 2007 Feb;14(2): 61-64. (sex).

  • Roberts I, Li L, Barker M. Trends in intentional injury deaths in children and teenagers (1980- 1995). J Public Health Med. 1998 Dec; 20(4): 463-466 (manner).

  • David J Yarwood CHILD HOMICIDE Review of Statistics and Studies June 2004

  • Busuttil, A. (2009). a) Accidental injuries in children, In: Paediatric Forenic Medicine&Pahology, Busuttil, A.; Keeling, JW. pp. (336-344), Edward Arnold Publishers Ltd, 0 340 731575, London.

  • Busuttil, A. (2009). b) Asphyxial Deaths In Children, In: Pediatric Forenic Medicine & Pathology, Busuttil, A.; Keeling, JW. pp. (329-335).

  • Busuttil, A. (2009). c) Heat-Induced Injury or Death, In: Paediatric Forenic Medicine & Pathology, Busuttil, A.; Keeling, JW. pp. 318-328,

  • Brüning, C.; Siekmeyer, W.; Siekmeyer, M.; Merkenschlager, A. & Kiess, W. (2010).Retrospective analysis of 44 childhood drowning accidents, Wiener klinischeWochenschrif, Vol. 122, No. (13-14), (Jul 2010), pp. 405-412.

  • Strang, Heather. Children as Victims of Homicide. Australian Institute of Criminology. Trends and issues in crime and criminal justice, No.53. Canberra March 1996.

  • Bose A, George K, Joseph A. Drowning in childhood: A population based study. Indian Pediatrics 2000; 1: 80–84.

  • G R Istre, M A McCoy, M Stowe, K Davies, D Zane, R J Anderson, R Wiebe; Childhood injuries due to falls from apartment balconies and windows Injury Prevention 2003;9:349–352.

  • Bronstein, AC.; Spyker, DA.; Cantilena, LR. Green, JL.; Rumack, BH. & Giffin, SL. (2008).Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 26th Annual Report. Clinical Toxicology, Vol. 47, pp. 911–1084


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  • A Comprehensive Medico-legal Analysis of Paediatric Deaths at Osmania General Hospital Hyderabad

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Authors

J. Srinivas
Dept of Forensic Medicine. Bhaskar Medical College, Yenkapally (V), Ranga Reddy Dist, Andhra Pradesh, India
V. Chand Basha
Dept of Forensic Medicine. Bhaskar Medical College, Yenkapally (V), Ranga Reddy Dist, Andhra Pradesh, India
K. Sudhakar Reddy
Dept of Forensic Medicine. Bhaskar Medical College, Yenkapally (V), Ranga Reddy Dist, Andhra Pradesh, India

Abstract


Introduction: In the early phase of life, even with the advent of urbanization and civilization, children are not considered relatively as safe as they are vulnerable now. The advent of civilization and urbanization has failed to put children in safe zone. The infancy or childhood is no longer a protected period and subjected to all kinds of maladies of the society. Even childhood (or) infancy is not free from the vagaries like suicide, homicide, kidnapping, neglect and also the sexual assaults. Death from unnatural causes is a black remark on humanity. Study of all the factors causing death unnaturally will be useful in reducing the incidence.

Materials and Methods: The present study has been conducted on the deaths of paediatric age group (i.e., 0 - 15 years) which are of medico-legal significance. This study is based on the Medico-legal autopsies conducted at Osmania General Hospital, Hyderabad. A total number of 500 cases occurred during the period of this study from July, 2007 to June, 2009.

Conclusion: The incidence of death in paediatric age group was more between 13-15 years, least between 4-6 years age group, maximum deaths were due to accidents (56.20%) followed by suicides (27.80%) and homicides (7.8%). Total 500 death were studied of which (48.4%) were males and (51.6%) were females. Maximum incidence of paediatric deaths was from middle and lower socio-economic groups.


Keywords


Pediatric Deaths, Manner of Deaths, Uulnerability

References