The coronavirus does not stay active in the nasal and oral cavities for 12 to 24 hours after the demise of an contaminated individual, so the danger of transmission from the deceased is extremely unlikely, stated AIIMS chief coroner Dr. Sudhir Gupta.
A pilot examine was carried out over the last 12 months in the AIIMS Department of Forensic Medicine on optimistic medico-legal instances for COVID-19 that have been subjected to post-mortem.
“About 100 bodies were retested for coronavirus infection 12 to 24 hours after death and the result was negative. The virus does not remain active at all in the nasal and oral cavities 24 hours after death. death, “Dr. Gupta instructed the information. PTI company.
“The risk of transmission of the coronavirus 12 to 24 hours after the death of an infected person is very unlikely,” he stated.
For security causes, he stated, the nasal and oral cavities needs to be plugged to forestall leakage of physique fluids or different holes or perforations that outcome from catheter elimination, drains and tubes needs to be disinfected.
Also, as a precautionary measure, individuals dealing with these our bodies ought to put on protecting tools, resembling masks, gloves, and private protecting tools.
“The collection of bones and ashes is completely safe, as there is no risk of transmission of infections from the mortal remains,” stated Dr. Gupta.
“The study was carried out in the interest of preserving the dignity of the dead,” he stated.
The ICMR in its ‘customary tips for medico-legal autopsies on COVID-19 deaths’ issued in May 2020 suggested that invasive methods ought to not be adopted for forensic post-mortem on COVID-19 deaths as morgue workers are uncovered to doubtlessly harmful well being dangers as a consequence of organ fluids and secretions even after taking the strictest precautions.
Waiving an post-mortem will stop the unfold of an infection to docs, morgue workers, police, and everybody concerned in the physique disposal chain.
Non-invasive post-mortem methods, as outlined in the rules, needs to be used, if obligatory, to forestall the danger of spreading an infection to morgue workers, police personnel, and contamination of morgue surfaces, in accordance with the rules.
“If the autopsy surgeon believes that he will not be able to conclude the cause of death or any other related problem without dissection, then he can proceed with a minimally invasive / limited internal dissection.
“However, dissection needs to be carried out bearing in thoughts that performing an post-mortem is a high-risk process that’s doubtlessly as harmful as some other process carried out on the physique of a COVID-19 affected person,” the guidelines said, which list the precautions to be followed when performing an autopsy by taking appropriate infection control measures
According to the forensic autopsy procedure, “… together with exterior examination, a number of pictures, and verbal post-mortem (as described by WHO) … post-mortem should be carried out strictly avoiding any invasive surgical process and avoiding spatter Contact Body Fluids for Autopsy Personnel, Body Handlers, and Physicians “.
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