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D'Apuzzo A, Mazzarelli D, Caccia G, Palamenghi A, Franceschetti L, Poppa P, De Angelis D, Cattaneo C. Autopsy doesn't always tell all: The importance of exhuming skeletal remains of cemetery unidentified decedents. Leg Med (Tokyo) 2024; 71:102498. [PMID: 39059332 DOI: 10.1016/j.legalmed.2024.102498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Revised: 04/30/2024] [Accepted: 07/21/2024] [Indexed: 07/28/2024]
Abstract
The process of personal identification differs according to the state of preservation of the corpse, becoming more complicated when dealing with remains altered by taphonomic variables. Since 2015, the staff of the Laboratory of Forensic Anthropology and Odontology (LABANOF) of the University of Milan has been engaged in recovering the skeletons of 36 unknown people from the cemeteries of the city of Milan, to redraw their biological profiles and give them back the possibility of being identified. Of the 36 starting skeletons, 7 have been identified and therefore are not the object of this study, 25 individuals were previously subjected to an autopsy examination and 4 skeletons were studied for the first time in the present work. The post-mortem data of all the individuals who had previously undergone autopsy and had not yet been identified (n = 25) have been retrieved from the archives of the Institute of Forensic Medicine in Milan and allowed for a comparison with those obtained from the new anthropological study of each exhumed skeleton. The authors aim to present the three most interesting cases to better highlight the results that emerged from the comparison. The autopsy information alone lacked important details. In all cases, the anthropological examination proved to be capable of detailing the biological profile of the unknowns even after a long period of inhumation (even more than 20 years). The limitations of instrumental investigations in achieving the goal single-handedly and the importance of recovering the unknown skeletons from cemeteries for identification purposes are discussed.
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Affiliation(s)
- Annalisa D'Apuzzo
- LABANOF-Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via L. Mangiagalli 37, 20133 Milan, Italy.
| | - Debora Mazzarelli
- LABANOF-Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via L. Mangiagalli 37, 20133 Milan, Italy
| | - Giulia Caccia
- LABANOF-Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via L. Mangiagalli 37, 20133 Milan, Italy; Dipartimento Di Medicina Sperimentale, Università Degli Studi Della Campania Luigi Vanvitelli, Naples, Italy
| | - Andrea Palamenghi
- LABANOF-Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via L. Mangiagalli 37, 20133 Milan, Italy; LAFAS (Laboratorio di Anatomia Funzionale dell'Apparato Stomatognatico), Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via L. Mangiagalli 31, 20133 Milan, Italy
| | - Lorenzo Franceschetti
- LABANOF-Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via L. Mangiagalli 37, 20133 Milan, Italy
| | - Pasquale Poppa
- LABANOF-Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via L. Mangiagalli 37, 20133 Milan, Italy
| | - Danilo De Angelis
- LABANOF-Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via L. Mangiagalli 37, 20133 Milan, Italy
| | - Cristina Cattaneo
- LABANOF-Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via L. Mangiagalli 37, 20133 Milan, Italy
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Reid KM, Martin LJ, Heathfield LJ. Understanding the burden of unidentified bodies: a systematic review. Int J Legal Med 2023:10.1007/s00414-023-02968-5. [PMID: 36862160 PMCID: PMC10247560 DOI: 10.1007/s00414-023-02968-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Accepted: 01/31/2023] [Indexed: 03/03/2023]
Abstract
While human identification is a crucial aspect of medico-legal investigations, many individuals remain unidentified each year across the world. The burden of unidentified bodies is often referred to when motivating for improved methods of identification, and anatomical teaching, yet the actual burden is somewhat unclear. A systematic literature review was undertaken to identify articles that empirically investigate the number of unidentified bodies experienced. Despite the large number of articles returned, an alarmingly low number (24 articles) provided specific and empirical details on the number of unidentified bodies, demographics and trends thereof. It is possible that this lack of data is due to the variable definition of 'unidentified' bodies and the use of alternative terminology such as 'homelessness' or 'unclaimed' bodies. Nevertheless, the 24 articles provided data for 15 forensic facilities across ten countries of both developed and developing statuses. On average, developing countries experienced more than double (9.56%) the number of unidentified bodies when compared to developed nations (4.40%). While facilities were mandated under different legislations and infrastructures available varied greatly, the most common issue faced is the lack of standardised procedures for forensic human identification. Further to this, the need for investigative databases was highlighted. Through addressing the standardisation of identification procedures and terminology, alongside the appropriate utilisation of existing infrastructure and database creation, the number of unidentified bodies could be significantly reduced globally.
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Affiliation(s)
- Kate Megan Reid
- Division of Forensic Medicine and Toxicology, Department of Pathology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Lorna J Martin
- Division of Forensic Medicine and Toxicology, Department of Pathology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Laura Jane Heathfield
- Division of Forensic Medicine and Toxicology, Department of Pathology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
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Silva Junior RC, Bezerra LS, Matte CH, Sales SL, Oliveira EC, Beltrami LS, Morais BD, Altmann V, Mallmann PB, Figueiredo ET, Mendes MP, Minervino AC, Jacques GS, Monteiro HF, Cutrim CP, Ambrósio JC. DNA databases as a tool to improve the search for missing persons in Brazil. FORENSIC SCIENCE INTERNATIONAL GENETICS SUPPLEMENT SERIES 2022. [DOI: 10.1016/j.fsigss.2022.10.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Wayland S, Ward J. Corrigendum: Dreading Yet Hoping: Traumatic Loss Impacted by Reference DNA Sample Collection for Families of Missing People. Front Psychiatry 2022; 13:940169. [PMID: 36061285 PMCID: PMC9437936 DOI: 10.3389/fpsyt.2022.940169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 06/03/2022] [Indexed: 12/05/2022] Open
Abstract
[This corrects the article DOI: 10.3389/fpsyt.2022.866269.].
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Affiliation(s)
- Sarah Wayland
- School of Medicine and Health, University of New England, Sydney, NSW, Australia
| | - Jodie Ward
- National DNA Program for Unidentified and Missing Persons, Australian Federal Police, Canberra, ACT, Australia.,Centre for Forensic Science, University of Technology Sydney, Sydney, NSW, Australia
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Mazzarelli D, Milotta L, Franceschetti L, Maggioni L, Merelli VG, Poppa P, Porta D, De Angelis D, Cattaneo C. Twenty-five years of unidentified bodies: an account from Milano, Italy. Int J Legal Med 2021; 135:1983-1991. [PMID: 33748873 DOI: 10.1007/s00414-021-02560-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2020] [Accepted: 03/02/2021] [Indexed: 11/30/2022]
Abstract
The identification of decedents has always been a central issue in forensic pathology, for ethical, criminal, and administrative reasons, but today, it needs more attention due to issues related not only to migration but also to the weakening of family ties. This article presents a descriptive study discussing the Italian regulatory situation developed in the last decade to face the many identification issues, with all its improvements and flaws. Hence, data gathered in 25 years of at the Institute of Legal Medicine of Milan and the epidemiology of unidentified decedents are illustrated. Briefly, from 1995 to 2019, the number of unidentified human remains with no identity or requesting verification of identity amounts to 726, i.e., 3% circa of all autopsies performed at the Institute, with an average of 29 individuals per year. In total, 528 (72.7%) individuals were successfully identified, 100 (13.8%) remained without an identity, and 98 (13.5%) individuals remained with suspected yet unconfirmed identities. Percentages for each identification technique are displayed, with insight into the role of forensic anthropology and odontology compared to genetics, and into the misuse of non-scientific methods allowed by Public Prosecutors. All the data is compared, as much as possible, with the very few recent studies concerning the problem worldwide. Finally, the article aims to show the Italian experience in dealing with unidentified bodies, in order to provide food for thought for other countries toward a discussion regarding a global issue which is sometimes taken for granted and underestimated.
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Affiliation(s)
- Debora Mazzarelli
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy
| | - Lorenzo Milotta
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy
| | - Lorenzo Franceschetti
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy.
| | - Lidia Maggioni
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy
| | - Vera Gloria Merelli
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy
| | - Pasquale Poppa
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy
| | - Davide Porta
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy
| | - Danilo De Angelis
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy
| | - Cristina Cattaneo
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy
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