Research Article| Volume 18, ISSUE 1, P23-37, March 1998

Download started.


Epidemiologic Aspects of Forensic Pathology

  • Randy L. Hanzlick
    Address reprint requests to Randy L. Hanzlick, MD, 916 Cumberland Road NE, Atlanta, GA 30306
    From the Department of Pathology and Laboratory Medicine, Emory University School of Medicine (RLH)
    Search for articles by this author
  • R. Gibson Parrish
    The Surveillance and Programs Branch, Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention (RGP), Atlanta, Georgia
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.
      This article discusses how forensic pathologists have been, and may be involved in epidemiologic research. Data that forensic pathologists collect during their practice may be used to describe, explain, predict, and control disease and injury. Examples of contributions made by forensic pathologists to epidemiologic research are presented, and the more common data collection systems that use forensic pathology information are detailed.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.


      Subscribe to Clinics in Laboratory Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Barrett D.H.
        • Luk A.J.
        • Parrish R.G.
        • et al.
        An investigation of medical examiner cases in which methadone was detected, Harris County, Texas, 1987-1992.
        J Forensic Sei. 1996; 41: 442-448
        • Berkelman R.L.
        • Bryan R.T.
        • Osterholm N.T.
        • et al.
        Infectious disease surveillance: A crumbling foundation.
        Science. 1994; 264: 368-370
      1. Centers for Disease Control and Prevention: Update: Pulmonary hemorrhage/hemosiderosis among infants-Cleveland, Ohio, 1993-1996.
        MMWR. 1997; 46: 33-35
        • Chadramohan D.
        • Maude G.H.
        • Rodrigues L.C.
        • et al.
        Verbal autopsies for adult deaths: Issues in their development and validation.
        Int J Epidemiol. 1994; 3: 213-222
        • Collins K.A.
        • Lantz P.E.
        Interpretation of fatal, multiple, and exiting gunshot wounds by trauma specialists.
        J Forensic Sei. 1994; 39: 94-99
      2. Consumer Product Safety Commission. MECAP news.
        Consumer Product Safety Review. 1997; 1: 8-9
        • Donoghue E.R.
        • Graham M.A.
        • Jentzen J.M.
        • et al.
        Criteria for the diagnosis of heat-related deaths: National Association of Medical Examiners Position Paper.
        Am J Forensic Med Pathol. 1997; 18: 11-14
        • Durfee M.J.
        • Geliert G.A.
        • Tilton-Durfee D.
        Origins and clinical relevance of child death review teams.
        JAMA. 1992; 267: 3172-3175
        • Escobedo L.G.
        • Ruttenber J.
        • Agoes M.M.
        • et al.
        Emerging patterns of cocaine use and the epidemic of cocaine overdose deaths in Dade County, Florida.
        Arch Pathol Lab Med. 1991; 115: 900-905
        • Feinstein A.R.
        Epidemiologic and clinical challenges in reviving the autopsy.
        Arch Pathol Lab Med. 1996; 120: 749-752
      3. Food and Drug Administration: MedWatch: The FDA Medical Products Reporting Program. FDA Med Bull 23, Rockville, MD, 1993

        • Handy T.C.
        • Nichols G.R.
        • Smock W.S.
        Repeat visitors to a pediatric forensic medicine program.
        J Forensic Sei. 1996; 41: 841-844
        • Hanzlick R.
        The Medical Cause of Death Manual: Instructions for Writing Cause- of-Death Statements for Deaths due to Natural Causes.
        College of American Pathologists, Northfield, IL1994
        • Hanzlick R.
        Protocol and Options for Certifying Natural and Unnatural Deaths.
        Northfield, IL, College of American Pathologists1997
        • Hanzlick R.
        Survey of medical examiner office computerization: From the National Association of Medical Examiners.
        Am J Forensic Med Pathol. 1993; 15: 110-117
        • Hanzlick R.
        On the need for more expertise in death investigation (and a national office of death investigation affairs?) [editorial].
        Arch Pathol Lab Med. 1996; 120: 329-332
        • Hanzlick R.
        • Parrish R.G.
        The role of medical examiners and coroners in public health surveillance and epidemiologic research.
        Annu Rev Public Health. 1996; 17: 383-409
        • Henderson L.O.
        • Powel M.K.
        • Hannon W.H.
        • et al.
        Radioimmunoassay of dried blood spot materials for benzoylecgonine.
        J Anal Toxicol. 1993; 17: 42-57
        • Herman C.J.
        • Scwarz D.A.
        Pathology and laboratory medicine.
        JAMA. 1996; 275: 1839-1841
        • Hill R.B.
        • Anderson R.E.
        The Autopsy-Medical Practice and Public Health Policy.
        Boston, Butterworths1988
      4. Hirsch CS: The Maude Abbott Lecture 1997: Forensic Pathology and Public Health. Presented at the annual meeting of the United States and Canadian Academy of Pathology. Orlando, March 4, 1997

        • Hutchins G.W.
        Whither the autopsy.
        to regional autopsy centers? Arch Pathol Lab Med. 1996; 120: 718
      5. Institute of Medicine (U.S.) Committee for the study of the future of public health: The Future of Public Health.
        National Academy Press, Washington, DC1988
        • Kleinbaum D.G.
        • Küpper L.L.
        • Morgenstein H.
        Epidemiologie Research.
        Van Nostrand, New York1982: 21
        • Marwick C.
        Pathologists request autopsy revival.
        JAMA. 1995; 273: 1889-1891
      6. Me Vicar N: Family-requested autopsies on the upswing. South Florida Sun-Sentinel Feb 3, 1997, p 6A

        • Moore G.W.
        • Berman J.J.
        • Hanzlick R.
        • et al.
        A prototype Internet autopsy database: 1625 consecutive fetal and neonatal autopsy facesheets spanning 20 years.
        Arch Pathol Lab Med. 1996; 120: 782-785
      7. National Association of Medical Examiners: NAME-L Listserv now on the Internet. NAME NEWS. St. Louis, MO, National Association of Medical Examiners 2(6):1, 1994

        • Nolte K.
        • Simpson G.L.
        • Parrish R.G.
        Emerging infectious agents and the forensic pathologist: The New Mexico Model.
        Arch Pathol Lab Med. 1996; 120: 125-128
        • Pollock D.A.
        • O'Neil J.M.
        • Parrish R.G.
        • et al.
        Temporal and geographic trends in the autopsy frequency of blunt and penetrating trauma deaths in the United States.
        JAMA. 1993; 269: 1525-1531
        • Rosai J.
        The posthumous analysis (PHA).
        Am J Clin Pathol. 1996; : S15-S17
        • Schwartz D.A.
        • Herman C.J.
        The importance of the autopsy in emerging and reemerging infectious disease [editorial].
        Clin Infect Dis. 1996; 23: 248-254
      8. Substance Abuse and Mental Health Services Administration. Annual medical examiner data, 1993. DHHS Publ. No. (SMA)95-3019. Rockville, MD, Substance Abuse and Mental Health Services Administration, 1993

        • Wright R.K.
        • Tate L.G.
        Forensic pathology: Last stronghold of the autopsy.
        Am J Forensic Med Pathol. 1980; 1: 57-60
        • Zaki S.R.
        • Khan A.S.
        • Goodman R.A.
        • et al.
        Retrospective diagnosis of Hantavirus pulmonary syndrome, 1978-1993: Implications for emerging infectious diseases.
        Arch Pathol Lab Med. 1996; 120: 134-139