Herbst Celeste Ingrid, Tiemensma Marianne, Wadee Shabir Ahmed
Division of Forensic Medicine, Department of Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, Cape Town, South Africa.
S Afr Med J. 2015 Sep 19;105(10):848-52. doi: 10.7196/SAMJnew.8274.
An increase in autopsied community assault (CA) fatalities was observed at the Tygerberg Forensic Pathology Services (FPS), Cape Town, South Africa (SA). There is a paucity of information on the incidence and prevalence of these cases in SA.
To determine the patterns and trends of injuries sustained in so-called CA fatalities.
A retrospective and descriptive study was conducted. Fatal CA cases admitted to the Tygerberg FPS over the 10-year period 1 January 2003-31 December 2012 were reviewed. Data were collected from autopsy/postmortem reports, contemporaneous notes, attached hospital records, the South African Police Services (SAPS) 180 form (completed by the SAPS representative) and other FPS documentation.
A total of 424 cases of fatal CA were seen during the study period, with an annual increase between 2003 and 2007 and a second peak in 2012. The cause of death in most cases was multiple injuries (42.0%), with blunt-force trauma being the basis of most injuries sustained. The area with the greatest burden of injury was the township of Mfuleni (73 CA deaths per 100,000 population). There was a predominance of males, with only one female fatality recorded.
Adequate policing in prevalent areas is essential to address unnecessary loss of life and the burden imposed by these cases on the criminal justice system and healthcare services.
在南非开普敦的泰格伯格法医病理服务中心（FPS），经尸检的社区暴力袭击（CA）死亡人数有所增加。南非关于这些病例的发病率和患病率的信息匮乏。
确定所谓社区暴力袭击死亡病例中受伤的模式和趋势。
开展了一项回顾性描述性研究。对2003年1月1日至2012年12月31日这10年间收治到泰格伯格法医病理服务中心的社区暴力袭击致死病例进行了回顾。数据收集自尸检/死后报告、同期记录、附属医院记录、南非警察局（SAPS）180表格（由南非警察局代表填写）以及其他法医病理服务中心的文件。
研究期间共发现424例社区暴力袭击致死病例，2003年至2007年呈年度增长趋势，并在2012年出现第二个高峰。大多数病例的死因是多处受伤（42.0%），钝器伤是大多数受伤情况的致伤原因。受伤负担最重的地区是姆富莱尼镇（每10万人口中有73例社区暴力袭击死亡）。男性占主导，仅记录到1例女性死亡。
在高发地区进行充分的治安管理对于避免不必要的生命损失以及这些案件给刑事司法系统和医疗服务带来地负担至关重要。
