Case report: Forensic anthropological assessment in a suspected case of child abuse from South Africa

Not many case reports of suspected child abuse as assessed solely on skeletal remains are available. Forensic anthropologists have intimate knowledge of normal skeletal anatomy, bone trauma and processes of healing of bone and may therefore be of help in suspected cases of child abuse. Patterns of trauma in juvenile skeletal remains which are suggestive of abuse include fractures in different phases of healing, multiple fractures, typical fractures on ribs and long bones and severe, complicated cranial fractures. The aim of this paper is to report on the findings of the analysis of the skeletal remains of a 3.5 years old boy. Forensic pathological examination indicated that the boy had died from a massive cranial fracture, with multiple injuries present to the rest of the body. After the body had been buried for some time, it was exhumed and we were requested to look for signs of chronic, long-term abuse. Findings included a massive cranial fracture, another fracture in the roof of the orbit, two areas of non-specific subperiosteal bone growth and several untreated carious teeth. No clear healed fracture could be found, except for a possible healed cranial base fracture which stretched transversely across the petrosal bone. This area showed signs of recent bone activity. The court decided that this was not enough evidence of chronic abuse and found the accused guilty of murder but not of chronic child abuse. This case illustrates the difficulty to obtain clear signs of chronic injury on juvenile remains.     

Signature murders: a report of the 1984 Cranbrook, British Columbia cases

Two females, Denean Worms and Brenda Hughes, were murdered in separate events in Cranbrook, British Columbia in 1984 within three months of each other. Terrence Wayne Burlingham was found guilty of both murders and he appealed. The Supreme Court of Canada granted Burlingham a new trial in the Worms case, but no evidence from Burlingham's confession nor the murder weapon could be used. The Crown counsel requested an evaluation of the two murders to determine if they were committed by the same person. The analyses of those murders revealed that they were linked by a personal "signature" of the killer. The murder cases reported here demonstrate a control-oriented signature. The killer used a .410 shotgun as his method of control and death, engaged in overkill of each victim by shooting them twice in the head, and left the victims in sexually degrading positions. Another signature feature was the absence of typical wounds to the victims which would be expected from a serial sex offender. All of these characteristics, in combination, accounted for this killer's personal expression.     

A case of commingled remains from rural South Africa

In the spring of 2003, bush cutters discovered a large grain bag filled with human skeletal remains in a forest in South Africa. Differential taphonomic processes observed on the bones suggested that the individuals had not died at the same time or had decomposed under different circumstances. The remains were sorted using gross morphological techniques which included assessing the number of skeletal elements present, visual pair matching, articulation, process of elimination and taphonomy. Standard techniques were used to estimate age, sex, racial affinity and stature. A minimum number of individuals (MNI) of 10 was established, which included 7 adult males, 1 adult female and 2 juveniles. Trauma was observed on only one individual. Approximately, 80% of the skeletal remains were missing. These various skeletal elements may have been lost by accident, normal taphonomic processes or taken by scavengers. Possible origins for these skeletal remains include removal from a formal grave, found in the veldt or murdered.     

The enforcement of anti-human trafficking law in South Africa: a case of an aircraft without a pilot

This article evaluates the effectiveness of current law enforcement efforts in combating human trafficking in South Africa. Based on a broader empirical doctoral study, it was discovered that as currently structured, the South African Police Service (SAPS) cannot be effective in the enforcement of anti-trafficking law in the country. Combating human trafficking among other things, requires a formidable law enforcement agency that is explicitly proficient in the modus operandi of the crime; the sophisticated cum dynamic nature of the forces and factors that fuel the illicit trade in a vacillating milieu. Unfortunately, academic writings on this observable position in South Africa are scanty. Therefore, an article of this nature is not just timely but urgent. Findings from the study (among others) revealed that a wide-gap exist in the capacity of the SAPS, and other relevant stakeholders, to enforce anti-trafficking law in the country. Hence, it was recommended that for a result-oriented approach, South Africa needs to establish a specialised law enforcement agency distinct from the regular police structure to enforce anti-trafficking law in the country.     

South Africa: defiance campaign continues

The Treatment Action Campaign (TAC) has continued its "defiance campaign against patent abuse and AIDS profiteering." In partnership with Médecins Sans Frontières (Doctors Without Borders), and with the support of Oxfam and the Council of South African Trade Unions (COSATU), on 28 January 2002 three TAC members returned to South Africa from Brazil carrying generic versions of the antiretroviral drugs zidovudine (AZT), lamivudine (3TC), and nevirapine (NVP). Some of the imported capsules contain a combination of AZT and 3TC.     

A forensic case study of a naturally mummified brain from the bushveld of South Africa

The present study reports our observations of a naturally mummified human brain found in the bushveld of South Africa. This case extends the geographic and climatic ranges in which mummified brains have been found, and it represents an additional case where no human activity has led to the mummification. The mummified brain was c. one fifth the size of a normal human brain, while the gyral and sulcal patterns of a typical human brain were clear. CT scanning of the brain revealed that subcortical structures, normally evident in this type of imaging, were not discernable, indicating a slow mummification process. Histological examination of the tissue revealed near complete degradation of the microanatomical structure, with only putative Nissl bodies remaining as identifiable neural microstructures. The specimen appears to have survived several veld fires, as well as a high annual rainfall, and a high relative humidity. It is thought that specific conditions amenable to brain mummification, but not other soft tissues, occurred in the skull of this specimen in the weeks postmortem.     

Homicide in Alabama: an analysis of urban, suburban and rural murders in the Deep South

Eleven hundred forty-four (1144) homicides occurring in Alabama, U.S.A. during a 2-year period are presented and analyzed according to the demographic parameters of the victims, location in urban, suburban, or rural community, type of homicide based on a medical examiner's classification, presence of drugs, weapon employed and other factors. Urban dwellers, Blacks and males are found to be at high risk. Alcohol is much more prevalent than other drugs in homicide victims. Although the handgun is the weapon most commonly used throughout the state, in the rural regions the longgun is used almost as often. The difficulty of making valid comparisons with other homicide studies is discussed and the establishment of a uniform classification of homicides urged.     

南非:《劳动法》照不进的地心深处

过去,解雇一位雇员很容易。而现在,雇主必须先给雇员一次当面警告,然后是两次书面警告,随之而来的是雇员在听证会上对自己的行为做辩护,全部通过后,雇员才能被解雇。此后,雇员仍然可以将雇主诉上劳动法庭,并为被解雇寻求补偿。(图/东方IC)     

Pharmaceutical companies abandon case against South Africa: victory for people with HIV/AIDS

On 19 April 2001, 39 pharmaceutical companies bowed to worldwide condemnation and pressure, and completely abandoned their court action against the South African government over legislation that could be used to make essential drugs affordable for millions of South Africans.     

Human cannibalism: a case report

Human cannibal cases are relatively rare in modern civilized societies. We report a single case of familial cannibalism that occurred in Oklahoma in 1977. The investigation posed unique problems in pathology, psychiatry, criminalistics, and serology.     

Caffeine fatality: a case report

A case of fatal caffeine toxicity due to suicidal ingestion of a "look-alike" illicit drug is reported. Caffeine concentrations were determined by high pressure liquid chromatography (HPLC) with the brain having the highest level reported in the literature to date. Also, the blood concentration of caffeine was one of the highest among the cases reported. A literature review of caffeine fatalities is presented.     

False rape: a case report

A 16-year-old girl was admitted to the emergency department for sexual assault. The forensic examination revealed genital lesions of an age that were incompatible with her statements. She also presented extragenital lesions that resembled self-inflicted lesions. The reports of false rape allegations in the literature have all dealt with the motivations of the false victims. This case report is a reminder that an allegation of rape can be considered only on the basis of proof and not on speculation.     

Acute flurazepam intoxication: a case report

A fatality due to ingestion of flurazepam is reported. Flurazepam is a benzodiazepine, a widely prescribed hypnotic drug for use in sleep disorders. There are only few documented reports of the disposition of flurazepam in deaths due to overdose. A 68-year-old woman was found deceased at home with no evidence of trauma or asphyxia. Toxicologic analyses were performed and drug levels measured by means of gas chromatography coupled to mass spectrometry. The flurazepam concentration in each specimen was as follows: heart blood 2.8 microg/mL, bile 323 microg/mL, and urine 172 microg/mL. Presence of flurazepam into gastric content was observed too. Based on the autopsy findings, patient history, and toxicologic results, the cause of death was determined to be acute intoxication of flurazepam and the manner, suicide.     

An Indian mummy: a case report

A case of mummification occurring in northwest India (Chandigarh) is described. A middle-aged man developed an abscess on his back and was treated by a mystical man who did not allow him any food or water. After a few days the patient died. On the advice of the mystical man the body was kept in a room which was made hot and dry. The police discovered the body after 2 years. A postmortem examination was conducted and findings are reported.     

Accidental dichloromethane fatality: a case report

A case of accidental dichloromethane poisoning by inhalation is presented. It is of interest that carboxyhemoglobin levels were within the normal range, suggesting that the narcosis and respiratory depression were due to the direct effect of DCM on the central nervous system. The accidental death was attributed to improper ventilation of vapors in the working area.