Legal Medicine June 11 11 (1)

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    Ivy D. Patdu, MD JD

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    There is a man dead in a locked office, sitting

    at his desk. On the desk there are a couple ofpieces of blank paper, a pen and a sealedenvelope. The office is locked from theinside. No-one has directly killed him. Howwas he killed?

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    Branch of medicine which deals with the

    application of medical knowledge to the purpose

    of law and in the administration of justice (Solis,Legal medicine p. 1)

    Legal Medicine is the discipline that deals withthe relation between the law and medicine, andshould strictly encompass both medical

    jurisprudence and forensic medicine.

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    Legal aspect of medical practice (Solis,

    Medical Jurisprudence p.1)

    Medical Jurisprudence is the application oflegal knowledge to the practice of medicine,and is a study on the legal principles relevantto the discipline of medicine.

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    Forensic Medicine application of scientific

    and medical principles to legal problems;sometimes it is used synonymously withLegal Medicine.

    It is a branch of medicine that deals with theuse of medical knowledge and relatedspecialties in order to elucidate legalproblems.

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    Forensic pathology

    Forensic psychiatry Forensic toxicology Forensic entomology Forensic ontology Forensic anthropology Forensic Computer Science

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    Forensic pathology subspecialty of

    pathology that focuses on medico-legaldeath investigation; for death undersuspicious circumstances, medico-legalofficer can conduct an autopsy

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    Code on Sanitation, P.D. 856 95 (1975)

    Person authorized to perform Autopsies:1. Health officers;2. Medical officers of law enforcement

    agencies; and3. Members of the medical staff of accredited

    hospitals.

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    Autopsies shall be performed in the following cases:

    1. Whenever required by special laws2. By Order of Court or Fiscal3. Upon written request of police authorities4. Whenever the Solicitor General, provincial or city

    fiscal as authorized by existing laws, shall deem itnecessary to disinter and take possession of remainsfor examination to determine the cause of death

    5. Whenever the nearest kin shall Request in writing bynearest of kin the to ascertain the cause of death

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    Forensic Psychiatry use of psychiatric

    evaluation and knowledge on humanbehavior to elucidate legal problems, such ascircumstances that modify criminal liability,and capacity to act.

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    Forensic Odontology the application

    odontology to legal problems such asidentification of human remains, and analysisof bitemarks

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    Forensic Toxicology discipline that concerns

    itself with a study on drugs and metabolitesin biological fluids with application in medico-legal cases

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    Forensic Anthropology discipline concerned

    with study of bones as they apply toidentification of skeletal remains, andmedico-legal cases

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    Forensic Computer Science the application

    of knowledge on computers and technologyto elucidate legal problems such as recoveryof digital evidence

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    It is inevitable that the two disciplines

    intersect.1. Medical knowledge and the forensic science

    can help elucidate legal problems.2. The practice of medicine, administration of

    hospitals and other health related fieldsremain to be governed by law.

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    So the other disciples told him, We have

    seen the Lord! But he said to them, UnlessI see the nail marks in his hands and put myfinger where the nails were, and put my handinto his side, I will not believe. (John 20:25)

    St. Thomas the Doubter said to be the patronsaint of Forensic Science

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    Song Ci Father of forensic medicine

    He published a 5 volume book on forensicmedicine that was useful reference for theJustice bureaucracy, His Yuan Lu (Instructionsto Coroner), included topics like abortion,infanticide, drowning, poisoning,examination of dead

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    1858 - first medical textbook related to

    medico-legal practice by Spanish PhysicianDr. Rafael Genard y Mas 1871 - Legal Medicine was included as a

    subject in the School of Medicine of Real yPontifica Universidad de Santo Tomas

    1895 Medico-legal laboratory wasestablished in the City of Manila

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    December 10, 1937 Commonwealth Act No. 181 was

    passed creating the Division of Investigation underthe Department of Justice. Medico-Legal Section wasan integral part and Dr. Gregorio Lantin was chief

    June 19, 1947 Republic Act No. 157 created theBureau of Investigation

    June 18, 1949 Republic Act 409 creation of theOffice of the Medical Examiners and CriminalInvestigation Laboratory under the Police Departmentof the City of Manila

    Read Solis, Legal Medicine, 6-11 (1988)

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    December 10, 1937 Commonwealth Act No. 181 was

    passed creating the Division of Investigation underthe Department of Justice. Medico-Legal Section wasan integral part and Dr. Gregorio Lantin was chief

    June 19, 1947 Republic Act No. 157 created theBureau of Investigation

    June 18, 1949 Republic Act 409 creation of theOffice of the Medical Examiners and CriminalInvestigation Laboratory under the Police Departmentof the City of Manila

    Read Solis, Legal Medicine, 6-11 (1988)

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    Major agencies of government concerned with

    forensic investigations:

    1. National Bureau of Investigation Taft Avenue,Manila2. Philippine National Police Camp Crame,

    Quezon City- Scene of the Crime Operation(SOCO Units)

    3. Local Crime Laboratories Resources usually go to analysis of drugs and

    DNA

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    1. Physical Science Unit analysis of object

    evidence at crime scene

    2. Biology Unit analysis of trace evidence(blood, fibers, DNA)3. Firearms Unit analysis of ballistics4. Document Examination Unit handwriting

    analysis5. Photography Unit documentation6. Others: toxicology unit (biological fluids),

    fingerprint, polygraph, evidence-collection

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    Fingerprint database in the Philippines

    Fingerprint database mostly those withcriminal records Half a million prints in database Automated Fingerprint Identification System

    or (AFIS) - which can process 40,000 prints aminute

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    State-of-the art technology

    Single hair or flake of paint leads to culprit glamorous CSIs CSIs confronting witnesses during the

    investigation Persons under investigation will confess

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    Before, criminal investigation relied on

    fingerprints and eyewitness

    Trace evidence DNA Evidence Improved Database Senate Bill No. 1868 - seeks to establish and

    provide funding for a Forensic Science Institutein the University of the Philippines system toprovide competent, scientific and moderntechnical services for the detection andinvestigation of crimes.

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    CIVIL LAW determination of civil personality (NCC, art

    40,41,42) limitation of persons capacity to act (NCC,

    article 38, 39) marriage and legal separation - psychological

    incapacity paternity and filiation testamentary capacity of a person making a will

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    CRIMINAL LAW

    Circumstances affecting criminal liability(insanity) Crimes against persons Crimes against chastity Dangerous Drugs Act VAWC

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    REMEDIAL LAW

    Physical and mental examination of theperson (rule 28) Proceeding for hospitalization of an insane

    person (rule 101) DNA evidence

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    REMEDIAL LAW

    Physical and mental examination of theperson (rule 28) Proceeding for hospitalization of an insane

    person (rule 101) DNA evidence

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    Labor Law Employees Compensation

    Insurance Law Special laws Juvenile Justice Act, Code of

    Sanitation Code of sanitation

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    Regulation of Profession Medicine and

    Allied Medical Sciences Licensing of Hospitals Medical Negligence Hospital Liability and other Institutions TeleMedicine

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    THANK YOU.