J Korean Med Sci.  2020 Aug;35(33):e302. 10.3346/jkms.2020.35.e302.

[Secondary Publication] Standard Operating Procedure for Post-mortem Inspection in a Focus on Coronavirus Disease-19: the Korean Society for Legal Medicine

Affiliations
  • 1Department of Pathology, Pusan National University Yangsan Hospital, Yangsan, Korea
  • 2Department of Forensic Medicine, Jeonbuk National University Medical School, Jeonju, Korea
  • 3Division of Forensic Medicine, National Forensic Service Seoul Institute, Seoul, Korea
  • 4Department of Forensic Medicine, Yonsei University College of Medicine, Seoul, Korea

Abstract

Coronavirus disease 2019 (COVID-19) is a respiratory syndrome caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and emerged in Wuhan, China, in late 2019. It resulted in a worldwide pandemic, and spread through community transmission in the Republic of Korea (ROK). In the ROK, SARS-CoV-2 is categorized as a first-degree infectious disease of the legal communicable disease present. The Korean Society for Legal Medicine (KSLM) is the sole official academic association of forensic professionals in the ROK. As such, this society has played an important role in forensic medicine and science in the ROK. Therefore, KSLM suggests a standard operating procedure for the postmortem inspection in a focus on COVID-19. This article includes the background of this suggested standard operation procedure, basic principles for postmortem inspections of individuals suggested of having an infectious disease, and specific procedures according to the probability level of SARS-CoV-2 infection.

Keyword

SARS-CoV-2; Postmortem Inspection; Standard Operating Procedure; Republic of Korea

Figure

  • Fig. 1 Flowchart for the post-mortem inspection of the deceased with a suspected unnatural cause of death related to COVID-19.SOP = standard operating procedure, COVID-19 = coronavirus disease 2019, PPE = personal protective equipment.


Reference

1. Nolte KB, Taylor DG, Richmond JY. Biosafety considerations for autopsy. Am J Forensic Med Pathol. 2002; 23(2):107–122. PMID: 12040252.
Article
2. van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, et al. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med. 2020; 382(16):1564–1567. PMID: 32182409.
Article
3. Zhang W, Du RH, Li B, Zheng XS, Yang XL, Hu B, et al. Molecular and serological investigation of 2019-nCoV infected patients: implication of multiple shedding routes. Emerg Microbes Infect. 2020; 9(1):386–389. PMID: 32065057.
Article
4. Wang XW, Li JS, Jin M, Zhen B, Kong QX, Song N, et al. Study on the resistance of severe acute respiratory syndrome-associated coronavirus. J Virol Methods. 2005; 126(1-2):171–177. PMID: 15847934.
Article
5. Mahallawi WH. Case report: Detection of the Middle East respiratory syndrome corona virus (MERS-CoV) in nasal secretions of a dead human. J Taibah Univ Med Sci. 2017; 13(3):302–304. PMID: 31435338.
Article
6. Kampf G, Todt D, Pfaender S, Steinmann E. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J Hosp Infect. 2020; 104(3):246–251. PMID: 32035997.
Article
7. World Health Organization. Infection prevention and control for the safe management of a dead body in the context of COVID-19 (Interim guidance). Updated 2020. Accessed March 30, 2020. https://apps.who.int/iris/handle/10665/331538.
8. Centers for Disease Control and Prevention. Collection and submission of postmortem specimens from deceased persons with known or suspected COVID-19. Updated 2020. Accessed August 11, 2020. https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-postmortem-specimens.html.
9. European Centre for Disease Prevention and Control. Considerations related to the safe handling of bodies of deceased persons with suspected or confirmed COVID-19. Updated 2020. Accessed March 30, 2020. https://www.ecdc.europa.eu/en/publications-data/considerations-related-safe-handling-bodies-deceased-persons-suspected-or.
10. Finegan O, Fonseca S, Guyomarc’h P, Morcillo Mendez MD, Rodriguez Gonzalez J, Tidball-Binz M, et al. International Committee of the Red Cross (ICRC): General guidance for the management of the dead related to COVID-19. Forensic Sci Int. 2020; 2:129–137.
Article
11. International Federation of Red Cross and Red Crescent Societies, International Committee of the Red Cross, World Health Organization. COVID-19 Interim Guidance for the Management of the Dead in Humanitarian Settings. Updated 2020. Accessed August 11, 2020. https://reliefweb.int/report/world/covid-19-interim-guidance-management-dead-humanitarian-settings-july-2020.
12. Korea Centers for Disease Control and Prevention. COVID-19 guidelines (for local government). Appendix 9th-1 ed. 23-5. Updated 2020. Accessed August 11, 2020. http://ncov.mohw.go.kr/upload/viewer/skin/doc.html?fn=1594339429555_20200710090350.pdf&rs=/upload/viewer/result/202008/.
13. National Law Information Center. Enforcement Decree of Infectious Disease Control and Prevention Act. Updated 2020. Accessed May 1, 2020. http://www.law.go.kr/.
14. Korea Centers for Disease Control and Prevention. COVID-19 guidelines for funeral of the dead. Updated 2020. Accessed March 1, 2020. http://ncov.mohw.go.kr/upload/viewer/skin/doc.html?fn=1583134848272_20200302164048.hwp&rs=/upload/viewer/result/202005/.
15. Korea Centers for Disease Control and Prevention. COVID-19 guidelines (for local government). Appendix 9th-1 ed. 49-53. Updated 2020. Accessed August 11, 2020. http://ncov.mohw.go.kr/upload/viewer/skin/doc.html?fn=1594339391392_20200710090312.pdf&rs=/upload/viewer/result/202008/.
16. National Law Information Center. Korea Centers for Disease Control and Prevention Test Request Regulation. Updated 2020. Accessed May 1, 2020. http://www.law.go.kr/.
17. Korea Centers for Disease Control and Prevention. COVID-19 guidelines (for local government). Appendix 9th-1 ed. 33-41. Updated 2020. Accessed August 11, 2020. http://ncov.mohw.go.kr/upload/viewer/skin/doc.html?fn=1594339429555_20200710090350.pdf&rs=/upload/viewer/result/202008/.
Full Text Links
  • JKMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr