Department of Forensic Medicine and Toxicology, 410730All India Institute of Medical Sciences, India.
Med Sci Law. 2022 Jan;62(1):31-38. doi: 10.1177/00258024211025833. Epub 2021 Jun 22.
The coronavirus disease 2019 pandemic has mandated a response from administrative agencies and the health sector globally, however, the number of cases and deaths continue to rise. While management of the living is paramount, the management of the dead is also important. Guidelines for managing the dead have been issued and implemented by various local administrations, in accordance with national and international guidelines. This questionnaire-based research aims to develop an understanding of the knowledge, perceptions and practices of forensic practitioners from India as regards the management of the dead during the coronavirus disease 2019 pandemic. This Pan-India study included 278 forensic medicine experts (249 males and 29 females) working in various hospitals and medical institutions across the country. The questionnaire included various issues involving the management of dead bodies in cases involving coronavirus disease 2019, such as infection control practices, body screening, handling and autopsy, disposal practices, local administrative policies, and available infrastructure and resources. We found that guidelines are mostly being followed across India, barring disparity in issues relating to testing in the dead bodies, the role of local administration in the body disposal, and the use of personal protective equipment while handling bodies and during autopsies. Mortuaries now need to be upgraded, and general infrastructure requires improvement. Periodic training of all stakeholders and assessment of facilities are recommended.
2019 年冠状病毒病大流行迫使全球行政机构和卫生部门做出反应,然而,病例和死亡人数仍在持续上升。虽然对生者的管理至关重要,但对死者的管理也同样重要。根据国家和国际准则,各地方行政部门已经发布并实施了管理死者的准则。这项基于问卷调查的研究旨在了解印度法医从业者在 2019 年冠状病毒病大流行期间管理死者方面的知识、看法和做法。这项全印研究包括了在全国各地的各种医院和医疗机构工作的 278 名法医专家(249 名男性和 29 名女性)。问卷中包含了与涉及 2019 年冠状病毒病的死者管理有关的各种问题,例如感染控制措施、尸体筛查、处理和解剖、处置做法、地方行政政策以及现有的基础设施和资源。我们发现,印度各地基本都在遵循这些准则,但在死者检测、地方行政部门在尸体处置中的作用以及在处理尸体和进行解剖时使用个人防护设备等问题上存在差异。太平间现在需要升级,一般基础设施也需要改进。建议对所有利益攸关方进行定期培训并评估设施。