the royal college of pathologists - ihrdni · 2015-12-22 · guidelines on autopsy practice report...

The Royal College of Pathologists

Guidelines on autopsy practice

Report of a working group of The Royal College of Pathologists

================

September 2002

CR - The Royal College of Pathologists 314-008-001



This document was placed for consultation on the Fellows and Members Area of The Royal College of Pathologists website from 10–30 April 2002. 27 replies were received. These were forwarded to the Working Party who found them very useful in preparing this final draft of their report, although inevitably some contentious issues remain. Dr John A Lee Director of Publications ==

=

The Royal College of Pathologists 2 Carlton House Terrace

London SW1Y 5AF

Registered Charity No. 261035

© 2002 The Royal College of Pathologists

Further copies of this publication can be obtained from the College website at www.rcpath.org


CONTENTS

bñÉÅìíáîÉ=ëìãã~êóKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKN=

N= oÉãáíKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO=

O= qÜÉ=áãéçêí~åÅÉ=çÑ=íÜÉ=~ìíçéëó=~åÇ=çîÉêîáÉï=çÑ=íÜÉëÉ=dìáÇÉäáåÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKP=

P= `çåëÉåí=áëëìÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKQ=

Q= jÉÇáÅçJäÉÖ~ä=~ëéÉÅíë=~åÇ=~ìíÜçêáë~íáçå KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKS=

R= ^ìÇáíW=íÜÉ=~ìíçéëó=áå=ÅäáåáÅ~ä=éê~ÅíáÅÉ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNM=

S= eÉ~äíÜ=~åÇ=ë~ÑÉíó=Ó=áåÑÉÅíáçåë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNO=

T= ^ìíçéëó=Éñ~ãáå~íáçå=çîÉêîáÉïKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNS=

U= ^ìíçéëó=Éñ~ãáå~íáçåë=~åÇ=êÉéçêíëW=ãáåáãìã=ëí~åÇ~êÇë=~åÇ=Ç~í~ëÉíë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNU=

V= ^ìíçéëó=ÜáëíçäçÖó KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOO=

NM= péÉÅá~äáëÉÇ=~ìíçéëáÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOQ=

NN= ^å~íçãáÅ~ä=m~íÜçäçÖó=qÉÅÜåáÅá~åë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOS=

NO= ^ìÇáí=çÑ=íÜÉ=~ìíçéëó KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOT=

_áÄäáçÖê~éÜóKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOV=

`çåí~Åí=ïÉÄëáíÉëKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPQ=

^ééÉåÇáÅÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPR=

^ééÉåÇáñ=N= e~ò~êÇ=dêçìé=P=é~íÜçÖÉåë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPR=

^ééÉåÇáñ=O= dìáÇÉäáåÉë=Ñçê=~ëëÉëëáåÖ=éêÉëÉåÅÉ=çÑ=e~ò~êÇ=dêçìé=Q=é~íÜçÖÉåë=áå=~=Å~Ç~îÉê KKKKKKKKKPS=

^ééÉåÇáñ=P= mêçíçÅçäë=Ñçê=éÉêÑçêãáåÖ=éçëíJãçêíÉã=Éñ~ãáå~íáçåë=çå=âåçïå=çê=ëìëéÉÅí==ÚÜáÖÜJêáëâÛ=áåÑÉÅíÉÇ=Å~Ç~îÉêëW=e~ò~êÇ=dêçìé=P=áåÑÉÅíáçåë=efsI=ÜÉé~íáíáë=`I=íìÄÉêÅìäçëáëI=`êÉìíòÑÉäÇíJg~âçÄ=ÇáëÉ~ëÉ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPT=

^ééÉåÇáñ=Q= kçíáÑáÅ~íáçå=çÑ=áåÑÉÅíáçìë=ÇáëÉ~ëÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKQS=

^ééÉåÇáñ=R= jáåáãìã=Ç~í~ëÉíë=~åÇ=ÄÉëí=éê~ÅíáÅÉ=Ñçê=Éñ~ãáå~íáçåë=~åÇ=êÉéçêíë=çå==áåíÉêå~ä=çêÖ~åë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKQT=

^ééÉåÇáñ=S= dìáÇÉäáåÉë=Ñçê=~ìíçéëó=áåîÉëíáÖ~íáçå=çÑ=ÑÉí~ä=~åÇ=éÉêáå~í~ä=ÇÉ~íÜ KKKKKKKKKKKKKKKKKKKKKKKKKKKKQV=

^ééÉåÇáñ=T= dìáÇÉäáåÉë=Ñçê=~ìíçéëó=áåîÉëíáÖ~íáçå=áå=éçëíJåÉçå~í~ä=áåÑ~åí=ÇÉ~íÜë=çê==ëìÇÇÉå=ìåÉñéÉÅíÉÇ=ÇÉ~íÜë=áå=áåÑ~åÅóKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKRN=

^ééÉåÇáñ=U= kÉìêçé~íÜçäçÖáÅ~ä=Å~ëÉëKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKRQ=

^ééÉåÇáñ=V= j~íÉêå~ä=ÇÉ~íÜKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKRS=

^ééÉåÇáñ=NM= cçêÉåëáÅ=Éñ~ãáå~íáçåëKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKRU=

^ééÉåÇáñ=NN= páÅâäÉ=ÅÉää=ÇáëÉ~ëÉKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKSM=

^ééÉåÇáñ=NO= jÉãÄÉêë=çÑ=íÜÉ=tçêâáåÖ=m~êíó=çå=íÜÉ=^ìíçéëó KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKSN=

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Guidelines on autopsy practice RCPath September 2002 1

EXECUTIVE SUMMARY =N= qÜÉ= ~ìíçéëó= Ü~ë= ÄÉÉå= êÉä~íáîÉäó= åÉÖäÉÅíÉÇ= áå= êÉÅÉåí= ~ééê~áë~äë= çÑ= Üáëíçé~íÜçäçÖó= éê~ÅíáÅÉI=

~åÇ= ïçêâáåÖ= éê~ÅíáÅÉë= Ü~îÉ= ÄÉÉå= ëáÖåáÑáÅ~åíäó= ~åÇ= åÉÖ~íáîÉäó= ~ÑÑÉÅíÉÇ= Äó= êÉÅÉåí= éìÄäáÅ=ÅçåÅÉêå=çîÉê=çêÖ~å=êÉíÉåíáçåK=kÉï=ÖìáÇÉäáåÉë=çîÉê= íÜÉ=ïÜçäÉ=~êÉ~=çÑ=~ìíçéëó=éê~ÅíáÅÉ=~êÉ=ìêÖÉåíäó=êÉèìáêÉÇK=

=O= tÜáäëí= íÜÉ= éêçÅÉëëÉë= çÑ= ~ìÇáí= ~åÇ= ê~áëáåÖ= çÑ= èì~äáíó= ëí~åÇ~êÇë= áå= Çá~ÖåçëíáÅ= ëìêÖáÅ~ä=

Üáëíçé~íÜçäçÖó= Ü~îÉ= éêçÅÉÉÇÉÇ= ~é~ÅÉI= íÜÉêÉ= Ü~ë= ÄÉÉå= äáííäÉ= éêÉëëìêÉ= íç= ê~áëÉ= ëí~åÇ~êÇë= çÑ=~ìíçéëó=éÉêÑçêã~åÅÉ=~åÇ=êÉéçêíáåÖK=nì~äáíó=áëëìÉë=~êÉ=ÅÉåíê~ä=íç=íÜÉëÉ=dìáÇÉäáåÉëI=ïáíÜ=íÜÉ=éêçéçë~ä= çÑ= ìåáÑçêã= ãáåáãìã= Ç~í~ëÉíëI= ÉåÜ~åÅÉÇ= ÑÉÉÇÄ~Åâ= íç= ÅäáåáÅá~åë= ~åÇ= êÉä~íáîÉëI=éêçãçíáçå=çÑ=ãçêí~äáíó=ãÉÉíáåÖë=~åÇ=ÅäáåáÅ~ä=~ìÇáíI=~åÇ=çíÜÉê=ãÉ~ëìêÉë=íç=ê~áëÉ=íÜÉ=éêçÑáäÉ=çÑ=íÜÉ=~ìíçéëó=áå=ÅäáåáÅ~ä=éê~ÅíáÅÉK=qÜÉ=ÉåÇ=êÉëìäí=ãìëí=ÄÉ=íÜÉ=áãéêçîÉãÉåí=çÑ=é~íáÉåí=Å~êÉK==

=P= qÜÉêÉ= áë= ïáÇÉ= î~êá~íáçå= áå= ~ìíçéëó= éÉêÑçêã~åÅÉ= ~åÇ= êÉéçêíáåÖ= éê~ÅíáÅÉëI= êÉä~íÉÇ= íç=

áåÅçåëáëíÉåí=çéÉê~íáçå=çÑ=íÜÉ=`çêçåá~ä=ëóëíÉã=~Åêçëë=båÖä~åÇ=~åÇ=t~äÉëI=~åÇ=ä~Åâ=çÑ=Åä~êáíó=áå= íÜÉ= ä~ï= çå= Üìã~å= íáëëìÉëK= ^ë= íÜÉêÉ= áë= ~å= çåÖçáåÖ= Åçåëìäí~íáçå= çîÉê= íÜÉëÉ= áãéçêí~åí=áëëìÉëI= áí= áë= åçí= éçëëáÄäÉ= ê~éáÇäó= íç=ãçîÉ= íç= ~= ëÉí= çÑ= ìåáîÉêë~ääó= ~ÖêÉÉÇ= ÚÄÉëí= éê~ÅíáÅÉëÛK= få=íÜÉëÉ= dìáÇÉäáåÉëI= íÜÉ= ÇáëíáåÅíáçå= áë= ã~ÇÉ= ÄÉíïÉÉå= ÚÄÉëí= éê~ÅíáÅÉÛ= EáKÉK= ã~ó= ÇçF= ~åÇ=Ú~ÅÅÉéí~ÄäÉ=éê~ÅíáÅÉÛ=Eãìëí=ÇçFK=^ìíçéëó=ëí~åÇ~êÇë=ëÜçìäÇ=ÅçåíáåìÉ=íç=êáëÉ=Äó=Éñ~ãéäÉK==

=Q= páåÅÉ= íÜÉ=ã~àçêáíó=çÑ=~Çìäí=~ìíçéëáÉëI=~åÇ=~=ëáÖåáÑáÅ~åí=éêçéçêíáçå=çÑ=é~ÉÇá~íêáÅ=~ìíçéëáÉëI=

~êÉ= ÇçåÉ= ~í= íÜÉ= êÉèìÉëí= çÑ= ~= `çêçåÉê= çê= mêçÅìê~íçê= cáëÅ~äI= ãìÅÜ= ~ííÉåíáçå= áë= ÖáîÉå= íç=`çêçåá~ä= ã~ííÉêë= ~åÇ=ïçêâáåÖ= ïáíÜáå= íÜÉ= ëóëíÉã= ~ë= áí= ÅìêêÉåíäó= ëí~åÇëK= qÜÉêÉ= ~êÉ=ã~àçê=~åçã~äáÉë=ïáíÜáå=íÜÉ=`çêçåá~ä=ëóëíÉãI=é~êíáÅìä~êäó=ïÜÉå=~ééäáÉÇ=íç=ÅäáåáÅ~ä=ÖçîÉêå~åÅÉK=qÜÉ=`çääÉÖÉ= áë=ïçêâáåÖ=ïáíÜ= íÜÉ=çåÖçáåÖ=eçãÉ=lÑÑáÅÉ=oÉîáÉï=çÑ=`çêçåÉê=pÉêîáÅÉë= íç=éêçîáÇÉ=íÜÉ= Ä~ëÉë= Ñçê= ÅçåëáëíÉåí= ~åÇ= ÜáÖÜ= èì~äáíó= ~ìíçéëó= éê~ÅíáÅÉëK= qÜÉëÉ= ëÜçìäÇ= ~ÇÇêÉëë= ~ää=èìÉëíáçåë= íÜ~í=ã~ó=ÄÉ=éçëÉÇ=Äó= áåíÉêÉëíÉÇ=é~êíáÉë= êÉÖ~êÇáåÖ=~=ÇÉ~íÜI=ìäíáã~íÉäó=~åëïÉêáåÖ=íÜÉ=èìÉëíáçå=ÚÜ~ë=íÜáë=~ìíçéëó=ë~íáëÑ~Åíçêáäó=Éñéä~áåÉÇ=Üçï=íÜáë=é~íáÉåí=ÇáÉÇ\Û=

=R= pìÄJëéÉÅá~äáë~íáçå=áå=Çá~ÖåçëíáÅ=Üáëíçé~íÜçäçÖó=~åÇ=Åóíçé~íÜçäçÖó=áë=éêçÅÉÉÇáåÖI=~åÇ=ê~áëáåÖ=

íÜÉ=ëí~åÇ~êÇë=çÑ=êÉéçêíáåÖ=áå=äáåÉ=ïáíÜ=íÜÉ=ÇÉã~åÇë=çÑ=ÅäáåáÅá~åë=~åÇ=íÜÉ=éìÄäáÅK=qÜÉ=ë~ãÉ=íêÉåÇ= ëÜçìäÇ= ÅçåíáåìÉ= áå= ~ìíçéëó= éê~ÅíáÅÉ= Eáí= ~äêÉ~Çó= Éñáëíë= Ñçê= é~ÉÇá~íêáÅ= ~åÇ= ÑçêÉåëáÅ=éê~ÅíáÅÉI= ~åÇ= íç= ëçãÉ= ÉñíÉåí= áå= åÉìêçé~íÜçäçÖóFK= fåÅêÉ~ëÉÇ= ~ìÇáí= ~åÇ= áåéìí= áåíç= ÅäáåáÅ~ä=ÖçîÉêå~åÅÉ= Ñêçã= ~ìíçéëó= Ç~í~= ïáää= êÉèìáêÉ= ~= ãçêÉ= ÑçÅìëÉÇ= ~ééêç~ÅÜ= Ñêçã= é~íÜçäçÖáëíëK=m~íÜçäçÖáëíë=ïáää= åÉÉÇ= íç= êÉÅçÖåáëÉ= íÜÉáê= äáãáí~íáçåë= áå= ÉñéÉêíáëÉ= ~åÇ=ÄÉ=ãçêÉ=éêÉé~êÉÇ= íç=ëÉÉâ=~ëëáëí~åÅÉ=áå=ÇáÑÑáÅìäí=~åÇ=ìåìëì~ä=Å~ëÉëK==

=S= ^ìíçéëáÉë= çå= é~íáÉåíë= ïáíÜ= ëáÖåáÑáÅ~åí= ÅçããìåáÅ~ÄäÉ= EáåÑÉÅíáçìëF= ÇáëÉ~ëÉë= Å~ìëÉ= ã~åó=

éêçÄäÉãë= áå= ãçêíì~êáÉëI= ~åÇ= éÉêÑçêã~åÅÉ= éê~ÅíáÅÉ= áë= ÜáÖÜäó= î~êá~ÄäÉ= çîÉê= íÜÉ= rhK= qÜÉëÉ=dìáÇÉäáåÉë=éêçîáÇÉ=~=ê~íáçå~ä=~ééêç~ÅÜ=íç=áåÑÉÅíáçìë=Å~ëÉë=ïáíÜ=éêçíçÅçäë=Ñçê=êáëâ=~ëëÉëëãÉåí=~åÇ=êÉÇìÅíáçåK==

=T= qÜÉ= àçÄ=éä~åëI=ïçêâáåÖ=éê~ÅíáÅÉë=~åÇ=ëí~íìë=çÑ=^å~íçãáÅ~ä=m~íÜçäçÖó=qÉÅÜåáÅá~åë= E^mqëFI=

ïÜç=~êÉ=îáí~ä=ÅçåíêáÄìíçêë=íç=íÜÉ=~ìíçéëó=ëÉêîáÅÉI=åÉÉÇ=êÉîáÉï=~åÇ=êÉÖìä~íáçåK=qÜÉëÉ=~êÉ=åçí=~ÇÇêÉëëÉÇ=áå=ÇÉí~áä=áå=íÜÉëÉ=dìáÇÉäáåÉëI=Äìí=^mqë=ãìëí=ÄÉ=ÄêçìÖÜí=áåíç=~=êÉÖìä~íáåÖ=ÄçÇó=~ë=~=éêçÑÉëëáçå=~ääáÉÇ=íç=ãÉÇáÅáåÉK==

==


The Royal College of Pathologists



================

September 2002




This document was placed for consultation on the Fellows and Members Area of The Royal College of Pathologists website from 10–30 April 2002. 27 replies were received. These were forwarded to the Working Party who found them very useful in preparing this final draft of their report, although inevitably some contentious issues remain. Dr John A Lee Director of Publications ==

=

The Royal College of Pathologists 2 Carlton House Terrace

London SW1Y 5AF

Registered Charity No. 261035

© 2002 The Royal College of Pathologists

Further copies of this publication can be obtained from the College website at www.rcpath.org


CONTENTS

bñÉÅìíáîÉ=ëìãã~êóKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKN=

N= oÉãáíKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO=

O= qÜÉ=áãéçêí~åÅÉ=çÑ=íÜÉ=~ìíçéëó=~åÇ=çîÉêîáÉï=çÑ=íÜÉëÉ=dìáÇÉäáåÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKP=

P= `çåëÉåí=áëëìÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKQ=

Q= jÉÇáÅçJäÉÖ~ä=~ëéÉÅíë=~åÇ=~ìíÜçêáë~íáçå KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKS=

R= ^ìÇáíW=íÜÉ=~ìíçéëó=áå=ÅäáåáÅ~ä=éê~ÅíáÅÉ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNM=

S= eÉ~äíÜ=~åÇ=ë~ÑÉíó=Ó=áåÑÉÅíáçåë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNO=

T= ^ìíçéëó=Éñ~ãáå~íáçå=çîÉêîáÉïKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNS=

U= ^ìíçéëó=Éñ~ãáå~íáçåë=~åÇ=êÉéçêíëW=ãáåáãìã=ëí~åÇ~êÇë=~åÇ=Ç~í~ëÉíë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNU=

V= ^ìíçéëó=ÜáëíçäçÖó KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOO=

NM= péÉÅá~äáëÉÇ=~ìíçéëáÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOQ=

NN= ^å~íçãáÅ~ä=m~íÜçäçÖó=qÉÅÜåáÅá~åë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOS=

NO= ^ìÇáí=çÑ=íÜÉ=~ìíçéëó KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOT=

_áÄäáçÖê~éÜóKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOV=

`çåí~Åí=ïÉÄëáíÉëKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPQ=

^ééÉåÇáÅÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPR=

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2 THE IMPORTANCE OF THE AUTOPSY AND OVERVIEW OF THESE GUIDELINES

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TKRKO= ^ÑíÉê=áÇÉåíáÑáÅ~íáçå=~åÇ=ÉñíÉêå~ä=Éñ~ãáå~íáçå=Äó=íÜÉ=é~íÜçäçÖáëíI=íÜÉ=ÄçÇó=áë=çéÉåÉÇ=Äó=íÜÉ=é~íÜçäçÖáëí=çê=^mqK=qÜÉ=ëí~åÇ~êÇ=ÚvÛ=áåÅáëáçå=ïáíÜ=áå=ëáíì=ÇáëëÉÅíáçå=çÑ=íÜÉ=åÉÅâ=ëíêìÅíìêÉë=áë=êÉÅçããÉåÇÉÇ= ~ë= ÄÉëí= éê~ÅíáÅÉ= Ñçê= Ä~ëáÅ= Éñ~ãáå~íáçå= çÑ= ÄçíÜ= ëÉñÉëX= Äìí= íÜÉ= îÉêíáÅ~ä= äáåÉ=áåÅáëáçå=çÑ= íÜÉ= äçïÉê=åÉÅâ= áë= ~ÅÅÉéí~ÄäÉ= Ñçê= Å~ëÉë=ïÜÉêÉ=ÇÉí~áäÉÇ= Éñ~ãáå~íáçå=çÑ= íÜÉ=åÉÅâ=ëíêìÅíìêÉë= áë= åçí= ÅêáíáÅ~äK= qÜÉ= áåíÉêå~ä= çêÖ~åë=ã~ó= ÄÉ= êÉãçîÉÇ= áåÇáîáÇì~ääóI= íçÖÉíÜÉê= áå= ~=ëáåÖäÉ= ÄäçÅâ= çê= áå= Ñçìê= ã~áå= ÄäçÅâë= EíÜçê~ÅáÅI= áåíÉëíáåÉëI= çíÜÉê= ~ÄÇçãáå~ä= ~åÇ= éÉäîáÅFK=lêÖ~åë= çÑíÉå= çîÉêäççâÉÇ= ~í= ~ìíçéëó= áåÅäìÇÉ= íÉëíÉëI= ÄêÉ~ëí= ~åÇ= áåíÉëíáåÉëK= råäÉëë= íÜÉ=Éñ~ãáå~íáçå=êÉèìáêÉë=~äíÉêå~íáîÉ=~ééêç~ÅÜÉë=íç=ÇÉãçåëíê~íÉ=ëéÉÅáÑáÅ=é~íÜçäçÖáÅ~ä=éêçÅÉëëÉëI=íÜÉ=éÉäîáÅ=Ñäççê=ëÜçìäÇ=ÄÉ=äÉÑí=áåí~ÅíK=qÜÉ=áåíÉêå~ä=ÑÉã~äÉ=ÖÉåáí~äá~=ëÜçìäÇ=ÄÉ=êÉãçîÉÇ=ïáíÜ=~=ëÜçêí=ÅìÑÑ=çÑ=î~Öáå~=~åÇ=êÉÅíìãK=páíÉë=çÑ=ÅçãéäÉñ=êÉÅÉåí=ëìêÖÉêó=~êÉ=ÄÉëí=Éñ~ãáåÉÇ=ïáíÜ=íÜÉ=~ééêçéêá~íÉ=ÅäáåáÅá~å=éêÉëÉåíK=

TKRKP= qÜÉ=éêÉÅáëÉ=çêÇÉê=áå=ïÜáÅÜ=áåÇáîáÇì~ä=çêÖ~åë=~åÇ=ëóëíÉãë=~êÉ=ÇáëëÉÅíÉÇ=áë=åçí=áãéçêí~åíI=Äìí=íÜÉ= ãÉíÜçÇ= çÑ= ÇáëëÉÅíáçå= ãìëí= ÄÉ= ÖçîÉêåÉÇ= Äó= íÜÉ= åÉÉÇ= íç= ÇÉãçåëíê~íÉ= ~åÇ= ÇçÅìãÉåí=~ÅÅìê~íÉäó= ~åÇ= ÅçãéäÉíÉäó= íÜÉ= é~íÜçäçÖáÅ~ä= ÅçåÇáíáçåë= íÜ~í= ~êÉ= êÉäÉî~åí= áå= íÜÉ= ëéÉÅáÑáÅ=ÅäáåáÅ~ä= ÅáêÅìãëí~åÅÉëK= qÜáë= ã~ó= êÉèìáêÉ= ãçÇáÑáÅ~íáçå= çÑ= åçêã~ä= ÇáëëÉÅíáçå= êçìíáåÉë= ~åÇ=ÇÉä~ó= íÜÉ= Ñáå~ä= ÇáëëÉÅíáçå= ìåíáä= íÜÉ= ÇÉãçåëíê~íáçå= çÑ= ~ìíçéëó= ÑáåÇáåÖëK= ^ää= ã~àçê= çêÖ~åë=EÜÉ~êíI=äìåÖëI=Äê~áåI=äáîÉê=~åÇ=âáÇåÉóëF=ëÜçìäÇ=ÄÉ=ÇáëëÉÅíÉÇ=áå=çêÇÉê=íç=Ñ~Åáäáí~íÉ=Éñ~ãáå~íáçå=çÑ=íÜÉ=ÄäççÇ=~åÇ=äóãéÜ~íáÅ=Çê~áå~ÖÉ=áå=~ÇÇáíáçå=íç=êÉä~íáçåë=ïáíÜ=~Çà~ÅÉåí=ëíêìÅíìêÉëK=qÜÉëÉ=çêÖ~åë=ëÜçìäÇ=ÄÉ=ëÉé~ê~íÉÇ=~åÇ=ïÉáÖÜÉÇK=fÑ=éÉêãáííÉÇ=~åÇ=ÅäáåáÅ~ääó=êÉäÉî~åíI=Ñáñ~íáçå=çÑ=íÜÉ=áåí~Åí=Äê~áåI= ÑçääçïÉÇ=Äó=~=ÇÉí~áäÉÇ=Éñ~ãáå~íáçå=Äó=~=åÉìêçé~íÜçäçÖáëíI=éêçÇìÅÉë=~=ÜáÖÜÉê=ÇÉíÉÅíáçå=ê~íÉ=çÑ=~Äåçêã~äáíáÉëK=

TKRKQ= m~íÜçäçÖáëíë= ëÜçìäÇ= Ü~îÉ= ~= Ñìää= êÉéÉêíçáêÉ= çÑ= ëéÉÅá~ä= ÇáëëÉÅíáçå= íÉÅÜåáèìÉë= íç= Éå~ÄäÉ=Éñ~ãáå~íáçå=çÑ=ìåìëì~ä=ëáíÉëK=bñ~ãéäÉë=áåÅäìÇÉW==

• ëéáå~ä=ÅçêÇ=• îÉêíÉÄê~ä=~êíÉêáÉë=• íÉãéçê~ä=ÄçåÉ=• ëáåçJå~ë~ä=ÄäçÅâ=• çêÄáí~ä=ÅçåíÉåíë=• ÅÉêîáÅ~ä=ëéáåÉ=• Å~êÇá~Å=ÅçåÇìÅíáåÖ=ëóëíÉã=• éÉêáéÜÉê~ä=åÉêîÉë=• äçåÖ=ÄçåÉë=~åÇ=àçáåíëK=

TKRKR= péÉÅáÑáÅ= ÅçåëÉåí=ãìëí= ÄÉ= çÄí~áåÉÇ= Ñçê= ~åó= éçíÉåíá~ääó= ÇáëÑáÖìêáåÖ= éêçÅÉÇìêÉ= áå= ~= Üçëéáí~ä=ÅçåëÉåí= ~ìíçéëóX= áå= ~= ãÉÇáÅçJäÉÖ~ä= ~ìíçéëóI= ëìÅÜ= éêçÅÉÇìêÉë= ëÜçìäÇ= åçí= ÄÉ= éÉêÑçêãÉÇ=ïáíÜçìí= Éñéä~å~íáçå= íç= êÉä~íáîÉë=~åÇ= ëÜçìäÇ=ÄÉ=ã~ÇÉ=~ÑíÉê=çééçêíìåáíáÉë= Ñçê=îáÉïáåÖ=Ü~îÉ=ÄÉÉå=í~âÉåK==

TKRKS= ^ï~êÉåÉëë= çÑ= Üçï= íç= çÄí~áå= ~ééêçéêá~íÉ= ë~ãéäÉë= Ñçê= ÄáçÅÜÉãáÅ~äI= ãáÅêçÄáçäçÖáÅ~ä= ~åÇ=íçñáÅçäçÖáÅ~ä= ~å~äóëÉë= áë= áãéçêí~åíK= péÉÅáÑáÅ= ~ééÉåÇáÅÉë= ~êÉ= ÄÉáåÖ= ÇÉîÉäçéÉÇ= íç= ÅçîÉê=Åçããçå=ëÅÉå~êáçëI=Äìí=ÖÉåÉê~ä=ÖìáÇ~åÅÉ=áë=~î~áä~ÄäÉ=áå=íÜÉ=äáíÉê~íìêÉK==

TKRKT= ^ëéÉÅíë= çÑ= éê~ÅíáÅ~ä= ~ìíçéëó= éÉêÑçêã~åÅÉ= êÉäÉî~åí= íç= ÑÉí~ä= ~åÇ= éÉêáå~í~ä= ÇÉ~íÜëI=ã~íÉêå~ä=ÇÉ~íÜëI= ëáÅâäÉ= ÅÉääë= ÇÉ~íÜë= ~åÇ=åÉìêçé~íÜçäçÖáÅ~ä= Å~ëÉë= ~êÉ= áåÇáÅ~íÉÇ= áå=çíÜÉê= ëÉÅíáçåë= ~åÇ=~ééÉåÇáÅÉë=çÑ=íÜÉëÉ=dìáÇÉäáåÉëK=

=



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TKSKN= qÜÉêÉ= áë= ~= ÄçÇó= çÑ= çéáåáçå= ~ãçåÖ= é~íÜçäçÖáëíë= íÜ~í= Ñ~îçìêë= îçäìåí~êó= äáãáí~íáçå= çÑ= íÜÉ=éêçÅÉÇìêÉ= ïÜÉå= ~= Öêçëëäó= çÄîáçìë= ~åÇ= ~éé~êÉåíäó= ë~íáëÑ~Åíçêó= Å~ìëÉ= çÑ= ÇÉ~íÜ= áë= ÑçìåÇ=ÇìêáåÖ=ÉîáëÅÉê~íáçå=~åÇ=ÇáëëÉÅíáçåK=qÜÉ=éêáãÉ=Éñ~ãéäÉ=áë=åçí=íç=Éñ~ãáåÉ=íÜÉ=ëâìää=~åÇ=Äê~áå=áÑ= ~å= áåÅçåíêçîÉêíáÄäÉ= Å~ìëÉ= çÑ= ÇÉ~íÜ= áë= áÇÉåíáÑáÉÇ= ÉäëÉïÜÉêÉK= `çåëÉåíÉÇ= ~åÇ= `çêçåá~ä=~ìíçéëáÉë=~êÉ=ÄçíÜ=~ÑÑÉÅíÉÇI=íÜÉ=áåíÉåíáçå=ÄÉáåÖ=íç=êÉÇìÅÉ=ìååÉÅÉëë~êó=áåÅáëáçåë=~åÇ=êÉÇìÅÉ=ÅçåÅÉêå=~ãçåÖ=íÜÉ=åÉñí=çÑ=âáåK==

TKSKO= ^ë= ÄÉëí= éê~ÅíáÅÉI= íÜÉ= `çääÉÖÉ= ëí~åÇë= Ñáêãäó= Ñçê= ~ë= Ñìää= Éñ~ãáå~íáçå= ~ë= éçëëáÄäÉ=ïáíÜáå= íÜÉ=~ÖêÉÉÇ=ÅçåëÉåí=~åÇ=`çêçåá~ä=~ìíÜçêáë~íáçåK=tÜÉêÉ=~å=~ìíçéëó=áë=ÅçåëáÇÉêÉÇ=åÉÅÉëë~êó=~ÑíÉê=éêçéÉê=áåîÉëíáÖ~íáçå=çÑ=íÜÉ=ÅáêÅìãëí~åÅÉë=çÑ=íÜÉ=ÇÉ~íÜI=íÜ~í=~ìíçéëó=ëÜçìäÇ=ÄÉ=~=ÜáÖÜ=èì~äáíó=Éñ~ãáå~íáçåI=ïÜáÅÜ= ~ÇÇêÉëëÉë= ~ää= íÜÉ= èìÉëíáçåë= íÜ~í=ã~ó= ÄÉ= ê~áëÉÇ= Äó= íÜÉ= ÇÉ~íÜK=oçìíáåÉ=Äê~áå=Éñ~ãáå~íáçå=áë=ÇáëÅìëëÉÇ=ÑìêíÜÉê=áå=^ééÉåÇáñ=RI=jáåáãìã=Ç~í~ëÉíë=~åÇ=ÄÉëí=éê~ÅíáÅÉ=Ñçê=Éñ~ãáå~íáçåë=~åÇ=êÉéçêíë=çå=áåíÉêå~ä=çêÖ~åëK==

=TKT= oÉÅçåëíêìÅíáçå=çÑ=íÜÉ=ÄçÇó=

qÜÉ=êÉÅçåëíêìÅíáçå=çÑ=íÜÉ=ÄçÇó=ëÜçìäÇ=ÄÉ=çÑ=~=ÜáÖÜ=ëí~åÇ~êÇ=ëç=íÜ~í=áí=ïáää=åçí=äÉ~â=~åÇ=Å~å=ÄÉ=îáÉïÉÇ=~ÑíÉê=~ìíçéëó=ïáíÜçìí=ÇáëíêÉëëáåÖ=íÜÉ=åÉñí=çÑ=âáåK=qÜÉ=ÄçÇó=ãìëí=åçí=ÄÉ=ìëÉÇ=Ñçê=íÜÉ= Çáëéçë~ä= çÑ= ÅäáåáÅ~ä= ï~ëíÉX= áí= ãìëí= Åçåí~áå= çåäó=ã~íÉêá~ä= Ñêçã= íÜÉ= ÄçÇó= ~åÇ=ã~íÉêá~ä=êÉèìáêÉÇ= Ñçê= áíë= êÉÅçåëíêìÅíáçåK=qÜÉ=é~íÜçäçÖáëí= áë=ìäíáã~íÉäó= êÉëéçåëáÄäÉ= Ñçê= íÜÉ=èì~äáíó=çÑ=íÜÉ=êÉÅçåëíêìÅíáçåI=~åÇ=ëÜçìäÇ=ÉåëìêÉ=íÜ~í=íÜÉ=^mqë=ïÜçI= áå=ãçëí=Å~ëÉëI=éÉêÑçêã=íÜÉ=í~ëâ=~êÉ=~ÇÉèì~íÉäó=ëâáääÉÇK==

8 AUTOPSY EXAMINATIONS AND REPORTS: MINIMUM

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é~íÜçäçÖáëíK=qÜÉ=Ñçêã~í=ãìëí=ÄÉ=ÑäÉñáÄäÉ=~åÇ=ïáÇÉäó=ÅçãéêÉÜÉåëáÄäÉK=qÜÉ=ÉñíÉåëáîÉ=ìëÉ=çÑ=fq=ãÉ~åë=íÜ~íI=ïáíÜáå=~å=áåëíáíìíáçåI=êÉéçêíë=ã~ó=ÄÉ=ëí~åÇ~êÇáëÉÇI=ïáíÜ=ãáåáãìã=Ç~í~=Éåíêó=ëÉÅíáçåëK=qÜÉó=ãìëí=~äëç=ÄÉ=íóéÉïêáííÉå=çê=éêáåíÉÇI=åçí=Ü~åÇïêáííÉåK==

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k~íáçå~ä= eÉ~äíÜ= pÉêîáÅÉI= `çêçåÉê= çê= mêçÅìê~íçê= cáëÅ~äK= låÉ= ÅìêêÉåí= ÇáÑÑÉêÉåÅÉ= ÄÉíïÉÉå=íÜÉëÉ= íóéÉë= áë= áå= íÜÉ= ÑêÉèìÉåÅó= çÑ= ÜáëíçäçÖáÅ~ä= Éñ~ãáå~íáçå= EëÉÉ= pÉÅíáçå= VI= ^ìíçéëó=ÜáëíçäçÖóFK=^ää=~ìíçéëó=êÉéçêíë=ëÜçìäÇ=~ÅÜáÉîÉ=~=Ä~ëáÅ=ãáåáãìã=Ç~í~ëÉíK=tÜ~íÉîÉê=íÜÉ=äÉîÉä=çÑ= ÅçãéäÉñáíó= çÑ= íÜÉ= Å~ëÉI= íÜÉ= êÉéçêí= ãìëí= ~ÇÇêÉëë= ~åÇI= áÑ= éçëëáÄäÉI= ~åëïÉê= íÜÉ= ÅäáåáÅ~ä=èìÉëíáçåë=éçëÉÇK==

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• ëìãã~êó=äáëí=çÑ=é~íÜçäçÖáÅ~ä=ÑáåÇáåÖë=~åÇ=~=ÅäáåáÅçé~íÜçäçÖáÅ~ä=ÅçããÉåí~êó=• Å~ìëÉ=çÑ=ÇÉ~íÜI=ìëáåÖ=íÜÉ=lÑÑáÅÉ=çÑ=k~íáçå~ä=pí~íáëíáÅë=ElkpF=Ñçêã~íK=

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CONTACT WEBSITES

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APPENDICES ==A1 Hazard Group 3 pathogens =^NKN= sáêìëÉë=

eÉé~íáíáë=`=~åÇ=_=îáêìëÉëX=eìã~å=áããìåçÇÉÑáÅáÉåÅó=îáêìëÉë=íóéÉë=N=~åÇ=O=EefsF=aÉåÖìÉX=e~åí~îáêìë=ëééW=e~åí~~å=ec=ïáíÜ=êÉå~ä=ëóåÇêçãÉX=páå=kçãÄêÉX=pÉçìäX=ê~ÄáÉëX=óÉääçï=ÑÉîÉêX=oáÑí=s~ääÉó=ÑÉîÉêX=`ÜáâìåÖìåó~=råÅçåîÉåíáçå~ä=~ÖÉåíëW=`êÉìíòÑÉäÇíJg~ÅçÄ=ÇáëÉ~ëÉ=E`gaF=~åÇ=çíÜÉê=êÉä~íÉÇ=íê~åëãáëëáÄäÉ=ëéçåÖáÑçêã=ÉåÅÉéÜ~äçé~íÜáÉë=

=^NKO= _~ÅíÉêá~=

_êìÅÉää~=ëééX=_~Åáääìë=~åíÜê~ÅáëX=_ìêâÜçäÇá~=ëééX=`çñáÉää~=ÄìêåÉíááX==jóÅçÄ~ÅíÉêáìã=íìÄÉêÅìäçëáëX=jK=~îáìãJáåíê~ÅÉääìä~êÉ=~åÇ=çíÜÉê=åçåJq_=~ÖÉåíë=Eáå=éê~ÅíáÅÉ=åçí=~=êáëâ=íç=ÜÉ~äíÜ=Å~êÉ=ïçêâÉêë=ëáåÅÉ=íÜÉó=~êÉ=ìÄáèìáíçìë=áå=~áêF=jK=äÉéê~É=Eåçí=~=ëáÖåáÑáÅ~åí=êáëâ=áå=éê~ÅíáÅÉF=oáÅâÉííëá~=ëééX=p~äãçåÉää~=íóéÜáX=vÉêëáåá~=éÉëíáë=

=^NKP= cìåÖá=

eáëíçéä~ëã~=Å~éëìä~íìãX=`çÅÅáÇáçáÇÉë=áããáíáëX=m~ê~ÅçÅÅáÇáçáÇÉë=Äê~òáäáÉåëáëX=mÉåáÅáääáìã=ã~êåÉÑÑÉáK=Efå=éê~ÅíáÅÉI=íÜÉ=~Åíì~ä=éÜ~ëÉ=çÑ=äáÑÉ=ÅóÅäÉ=áå=ã~å=íÜ~í=ã~ó=ÄÉ=ÉåÅçìåíÉêÉÇ=~í=~ìíçéëó=áë=åçí=íÜÉ=áåÑÉÅíáîÉ=éÜ~ëÉI=êÉåÇÉêáåÖ=íÜÉëÉ=áåÑÉÅíáçåë=äÉëë=Ü~ò~êÇçìë=íÜ~å=áå=ä~Äçê~íçêó=ÅìäíìêÉKF=

=^NKQ= m~ê~ëáíÉë=

bÅÜáåçÅçÅÅìë=ëééX=iÉáëÜã~åá~=Äê~òáäáÉåëáë=~åÇ=iK=Ççåçî~åáX=k~ÉÖäÉêá~=ÑçïäÉêáX==mä~ëãçÇáìã=Ñ~äÅáé~êìãX=qêóé~åçëçã~=ëéé=Efå=éê~ÅíáÅÉI=íÜÉ=~Åíì~ä=éÜ~ëÉ=çÑ=äáÑÉ=ÅóÅäÉ=áå=ã~å=íÜ~í=ã~ó=ÄÉ=ÉåÅçìåíÉêÉÇ=~í=~ìíçéëó=áë=åçí=íÜÉ=áåÑÉÅíáîÉ=éÜ~ëÉI=êÉåÇÉêáåÖ=íÜÉëÉ=áåÑÉÅíáçåë=äÉëë=Ü~ò~êÇçìë=íÜ~å=áå=ä~Äçê~íçêó=ÅìäíìêÉKF=

===



A2 Guidelines for assessing presence of Hazard Group 4 pathogens in a cadaver

ÔKN= _äççÇ= Ñêçã= íÜÉ= é~íáÉåíI= í~âÉå= ÄÉÑçêÉ= çê= ~ÑíÉê= ÇÉ~íÜI= áë= íç= ÄÉ= íÉëíÉÇ= Ñçê= íÜÉ= ã~áå= îáê~ä=

Ü~ÉãçêêÜ~ÖáÅ= ÑÉîÉêë= EsecëFI= ÇÉåÖìÉI= óÉääçï= ÑÉîÉêI= Ñ~äÅáé~êìã= ã~ä~êá~I= káé~Ü= îáêìë= ~åÇ=äÉéíçëéáêçëáëK= qÜÉ= mìÄäáÅ= eÉ~äíÜ= i~Äçê~íçêó= pÉêîáÅÉ= E`çäáåÇ~äÉF= ~åÇ= `ÉåíêÉ= Ñçê= ^ééäáÉÇ=jáÅêçÄáçäçÖáÅ~ä=oÉëÉ~êÅÜ= Emçêíçå=açïåF= ä~Äçê~íçêáÉë=Å~å=Çç= íÜáë= áå=~=ïçêâáåÖ=Ç~ó= áÑ= íÜÉ=ë~ãéäÉë=~êÉ=ÅçìêáÉêÉÇK=qÜÉ=ÖÉçÖê~éÜáÅ~ä=Üáëíçêó=çÑ=íÜÉ=é~íáÉåí= áë= áãéçêí~åí= áå=ÇÉíÉêãáåáåÖ=ïÜÉíÜÉê= íÜÉ= é~íáÉåí= ÅçìäÇ= êÉ~äáëíáÅ~ääó= Ü~îÉ= ~ÅèìáêÉÇ= ~= sec= çê= íÜÉ= çíÜÉê= áåÑÉÅíáçåë= íÜ~í=ÅäáåáÅ~ääó=ãáãáÅ=sec=Eã~ä~êá~I=äÉéíçëéáêçëáëI=ÇÉåÖìÉI=káé~ÜFK==

=ÔKO= fÑ= íÜÉëÉ= íÉëíë= ëÜçï= ~ÄëÉåÅÉ= çÑ= íÜÉ= îáê~ä= áåÑÉÅíáçåë= Äìí= éêÉëÉåÅÉ= çÑ= Ñ~äÅáé~êìã=ã~ä~êá~= çê=

äÉéíçëéáêçëáëI=íÜÉå=íÜÉ=~ìíçéëó=áë=ë~ÑÉ=íç=éÉêÑçêã=ìåÇÉê=ëí~åÇ~êÇ=ÅçåÇáíáçåëK==ÔKP= fÑ=káé~Ü=îáêìë=áåÑÉÅíáçå=áë=ÇÉãçåëíê~íÉÇI=êÉÑÉêê~ä=íç=~=ëéÉÅá~äáëí=ÅÉåíêÉ=Å~å=ÄÉ=ÅçåëáÇÉêÉÇ=çê=

íÜÉ=~ìíçéëó=åçí=ÇçåÉK==ÔKQ= fÑ= ÇÉåÖìÉ=çê= óÉääçï= ÑÉîÉê= îáêìë= áåÑÉÅíáçå= áë= ÇÉãçåëíê~íÉÇI= íÜÉ= ~ìíçéëó= Å~å=ÄÉ=ÇçåÉ=ìåÇÉê=

ÉåÜ~åÅÉÇ=ed@P=ÅçåÇáíáçåë=EáKÉK=~ë=Ñçê=efs=áåÑÉÅíáçåFK==ÔKR= fÑ=~=sec=áë=ÅçåÑáêãÉÇI=íÜÉå=íÜÉ=~ìíçéëó=áë=åçí=ÇçåÉK=====



A3 Protocols for performing post-mortem examinations on known or suspect ‘high-risk’ infected cadavers: Hazard Group 3 infections HIV, hepatitis C, tuberculosis, Creutzfeldt-Jakob disease

==

A3.1 HIV/AIDS NK= k^jb=lc=fkcb`qflk== efsJN=~åÇ=efsJO==OK== ofph=^q=^rqlmpv== ^Åèìáëáíáçå=çÑ=îáê~ä=áåÑÉÅíáçåI=^fap== ^ëëçÅá~íÉÇ=áåÑÉÅíáçåë=áå=efsJáåÑÉÅíÉÇ=Å~Ç~îÉêëW=íìÄÉêÅìäçëáëI=e_sI=e`s==PK== albp=fkcb`qflrpkbpp=lc=`â^sbop=abìfkb=lsbo=qfjb== vÉëI=Äìí=áåÑÉÅíáçå=ÇçÅìãÉåíÉÇ=ìé=íç=NS=Ç~óë=~ÑíÉê=ÇÉ~íÜK=qÜÉêÉÑçêÉ=~ëëìãÉ=~äï~óë=

áåÑÉÅíáçìë== kçíÉW=é~íáÉåíë=íêÉ~íÉÇ=ÉÑÑÉÅíáîÉäó=ïáíÜ=~åíáJêÉíêçîáê~ä=íÜÉê~éó=ÑêÉèìÉåíäó=Ü~îÉ=~=ÄäççÇ=efs=

îáê~ä=äç~Ç=ÄÉäçï=íÜÉ=äáãáíë=çÑ=ÇÉíÉÅíáçå=EYRM=ÅçéáÉëLãäFK=^äíÜçìÖÜ=íÜÉ=êáëâ=çÑ=áåÑÉÅíáçå=Ñêçã=ëìÅÜ=é~íáÉåíë=íÜêçìÖÜ=~å=~ÅÅáÇÉåí=ÇìêáåÖ=~å=~ìíçéëó=áë=íÜÉêÉÑçêÉ=ÉñÅÉÉÇáåÖäó=äçïI=íÜÉ=~ìíçéëó=éêçíçÅçäë=ëÜçìäÇ=ÄÉ=íÜÉ=ë~ãÉ=~ë=Ñçê=íÜçëÉ=é~íáÉåíë=ïáíÜ=âåçïå=ÜáÖÜ=îáê~ä=äç~Çë=çê=ìåâåçïå=îáê~ä=äç~Ç=

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qÜÉêÉ=áë=~=íÜÉçêÉíáÅ~ä=êáëâK=qÜÉêÉ=~êÉ=åç=êÉÅçêÇÉÇ=Å~ëÉë=çÑ=`ga=~ÅèìáêÉÇ=~í=~ìíçéëóI=Äìí=ëçãÉ=é~íáÉåíë=Ü~îÉ=ÄÉÉå=áåÑÉÅíÉÇ=íÜêçìÖÜ=áåçÅìä~íáçå=ìëáåÖ=ëìêÖáÅ~ä=áåëíêìãÉåíë=mÉêÅìí~åÉçìë=ÉñéçëìêÉ=ïáää=åçí=çÅÅìê=áÑ=ëíÉÉä=ãÉëÜ=ìåÇÉêÖäçîÉë=~êÉ=ïçêå=cìää=Ñ~ÅÉ=îáëçê=Éäáãáå~íÉë=ãìÅçë~ä=Åçåí~ãáå~íáçå=

=SK== tel=fp=molpb`qlo== `çåëìäí~åí=é~íÜçäçÖáëí=

=TK== tel=fp=^ppfpq^kq=^mq== aáéäçã~íÉ=ãçêíì~êó=íÉÅÜåáÅ~ä=çÑÑáÅÉêI=áKÉK=jqlO=Öê~ÇÉ=çê=ÜáÖÜÉê=

=UK== kbba=clo=`fo`ri^qlo== fÇÉ~äI=Äìí=åçí=ÉëëÉåíá~ä=

=VK== lqebo=mblmib=mbojfqqba=fk=^rqlmpv=ollj=^q=p^jb=qfjb== kç=

=NMK== mobsflrp=pq^cc=s^``fk^qflkp== kçåÉ=~î~áä~ÄäÉK=

=NNK== bppbkqfî=ql=rpb=pbmô^qb=Úefde=ofph=prfqbÛ=fk=jloqrôv== kçí=ÉëëÉåíá~ä=Äìí=éêÉÑÉê~ÄäÉ=

=NOK== ìlqefkd=clo=molpb`qlo=^ka=^ppfpq^kq=^mq=== aáëéçë~ÄäÉ=Öçïåë=~åÇ=~éêçåë==NPK== obpmfo^qlov=molqb`qflk== kçåÉ=êÉèìáêÉÇ=ÄÉóçåÇ=~=ëí~åÇ~êÇ=Ñ~ÅÉ=ã~ëâ=

=NQK== bvb=molqb`qflk== cìää=Ñ~ÅÉ=îáëçê=ÉëëÉåíá~ä==NRK== dilsbp=

píÉÉä=ãÉëÜ=ÖäçîÉë=ìåÇÉê=ä~íÉñ=ïÜÉå=êÉãçîáåÖ=íÜÉ=ëâìääI=Äê~áå=~åÇ=ëéáå~ä=ÅçêÇK=`ìíJêÉëáëí~åí=ÖäçîÉëI=~ë=Ñçê=çíÜÉê=ed@P=áåÑÉÅíáçìë=~ìíçéëáÉëI=~ééêçéêá~íÉ=Ñçê=íÜÉ=êÉëí=çÑ=íÜÉ=áåíÉêå~ä=ÇáëëÉÅíáçå=

=NSK== mlpqJjloqbj=ql=_b=mboclojba=fk=_lav=_^d== vÉë=

=NTK== qllip=clo=afppb`qflk=^ka=lod^k=bu^jfk^qflk== aáëéçë~ÄäÉ=áåëíêìãÉåíë=~ë=Ñ~ê=~ë=éçëëáÄäÉ=

=NUK== mlpqJjloqbj=ifjfqba=ql=`boq^fk=lod^kp=

kçX=~é~êí=Ñêçã=íÜÉ=ìëÉÑìä=Ö~íÜÉêáåÖ=çÑ=ÑìêíÜÉê=áåÑçêã~íáçå=~Äçìí=`gaI=íÜÉ=ëìëéÉÅíÉÇ=ÅäáåáÅ~ä=Çá~Öåçëáë=ã~ó=ÄÉ=áåÅçêêÉÅí=~åÇ=îáëÅÉê~ä=äÉëáçåë=ÄÉ=íÜÉ=ÅçêêÉÅí=Å~ìëÉ=çÑ=ÇÉ~íÜ=

=



NVK== ÚklkJpq^kaôaÛ=lod^kp=ql=_b=bu^jfkba== péáå~ä=ÅçêÇ=

=OMK== _o^fk=bu^jfk^qflk== ^ÑíÉê=Ñáñ~íáçå=

=ONK== pmb`fcf`=lod^kp=lo=môqp=qe^q=jrpq=_b=bu^jfkba=clo=`^pb=

^p`boq^fkjbkq== vÉë=Ó=Äê~áå=

=OOK== pmb`fî=mob`^rqflkp=fk=objlsfkd=lod^kp=

jáåáãáëÉ=ÉåîáêçåãÉåí~ä=Åçåí~ãáå~íáçåëK=fÑ=éçëëáÄäÉI=êÉãçîÉ=Äê~áå=ïáíÜ=ÜÉ~Ç=ÉåÅäçëÉÇ=áå=éçäóíÜÉåÉ=Ä~ÖK=^ÄëçêÄÉåí=ï~ÇÇáåÖ=íç=ÅçääÉÅí=ëéáää~ÖÉë=çÑ=ÄäççÇ=~åÇ=ÅÉêÉÄêçëéáå~ä=ÑäìáÇ=E`pcF=

=OPK== elt=ql=pbt=rm=`â^sbo== aáëéçë~ÄäÉ=ëí~éäÉê=

=OQK== cfu^qfsb=clo=pq^kaôa=efpqlildv== cçêã~äáå=ÑçääçïÉÇ=Äó=ÇáëáåÑÉÅíáçå=çÑ=ÄäçÅâë=Ñçê=ÜáëíçäçÖó=ïáíÜ=VSB=ÑçêãáÅ=~ÅáÇ=

=ORK== cobpe=qfpprb=p^jmibp=^ka=abpqfk^qflk== cêÉÉòÉ=~åÇ=ëíçêÉ=ëã~ää=ë~ãéäÉë=çÑ=Äê~áå=~åÇ=`pc=ëÉé~ê~íÉäó=ÅäÉ~êäó=ä~ÄÉääÉÇ=~ë=Ú`gaÛ=

=OSK== afpmlpî=lc=qfpprbp=klq=obmi^`ba=fk=`â^sbo== fåÅáåÉê~íáçå=

=OTK== c^qb=lc=fkpqorjbkqp=rpba=fk=afppb`qflk=

aáëéçë~ÄäÉW=ÇáëáåÑÉÅíáçå=ïáíÜ=Oj=k~le=ÑçääçïÉÇ=Äó=áåÅáåÉê~íáçå=oÉJìë~ÄäÉW=~ìíçÅä~îáåÖI=ÑçääçïáåÖ=ÖìáÇÉäáåÉë=áå=ëí~åÇ~êÇ=éìÄäáÅ~íáçåë=

=OUK== pmb`fî=proc^`b=ab`lkq^jfk^qflk=^ka=ìb^kfkd=obnrfobjbkqp== Oj=k~le=Ñçê=ãáåáãìã=çÑ=çåÉ=Üçìê=ïáíÜ=êÉéÉ~íÉÇ=ïÉííáåÖ=çÑ=ëìêÑ~ÅÉë==OVK== kbba=ql=klqfcv=rkaboq^hbop=lc=ofph=lc=fkcb`qflk== vÉë=~åÇ=êÉíìêå=ÄçÇó=áå=ÄçÇó=Ä~Ö=

=PMK== klqfcf`^qflk=lc=`ga=^rqlmpv=ql=lqebop== vÉëI=íç=íÜÉ=k~íáçå~ä=`ga=pìêîÉáää~åÅÉ=råáí=çåÅÉ=Çá~Öåçëáë=áë=ÅçåÑáêãÉÇ=

=PNK== pmb`fî=mob`^rqflkp=clo=mol`bppfkd=qfpprbp=^cqbo=olrqfkb=clojîfk=

cfu^qflk== aáëáåÑÉÅí=ÄäçÅâë=Ñçê=ÜáëíçäçÖó=Äó=áããÉêëáçå=áå=VSB=ÑçêãáÅ=~ÅáÇ=Ñçê=çåÉ=Üçìê=éêáçê=íç=

éêçÅÉëëáåÖK=`çääÉÅí=Ñçêã~äáå=ìëÉÇ=Ñçê=Äê~áå=Ñáñ~íáçåI=~ÄëçêÄ=áå=ë~ïÇìëí=~åÇ=áåÅáåÉê~íÉK=`çääÉÅí=~åÇ=áåÅáåÉê~íÉ=ï~ñ=íêáããáåÖëK=aÉÅçåí~ãáå~íÉ=ãáÅêçíçãÉ=ïáíÜ=Oj=k~le=~ÑíÉê=ëÉÅíáçåáåÖ=ÅçãéäÉíÉÇ=

=POK== efpqlm^qelildv=_fljbaf`î=p`fbkqfpqp=tel=j^v=mobmôb=

jfòlp`lmv=pifabp== kç=äáãáí~íáçå=

=PPK== te^q=ql=al=fc=bumlprob=l``rop=

oÉÅçêÇ=å~ãÉë=çÑ=~ää=ëí~ÑÑ=éêÉëÉåí=áå=íÜÉ=~ìíçéëó=ëìáíÉ=~í=íáãÉ=çÑ=~ìíçéëó=~åÇ=êÉí~áå=êÉÅçêÇë=Ñçê=QM=óÉ~êë=

=



A4 Notification of infectious diseases =

^QKN= qÜÉ=åçíáÑá~ÄäÉ=ÇáëÉ~ëÉë=~êÉW=

• ~åíÜê~ñ=• ÅÜçäÉê~====• ÇáéÜíÜÉêá~=• ÇóëÉåíÉêó=E~ãçÉÄáÅ=çê=Ä~Åáää~êóF=• ~ÅìíÉ=ÉåÅÉéÜ~äáíáë=• ÑççÇ=éçáëçåáåÖ=• äÉéêçëó=• äÉéíçëéáêçëáë=• ã~ä~êá~=• ãÉ~ëäÉë=• ãÉåáåÖáíáë=• ãÉåáåÖçÅçÅÅ~ä=ëÉéíáÅ~Éãá~=• ãìãéë=• çéÜíÜ~äãá~=åÉçå~íçêìã=• é~ê~íóéÜçáÇ=ÑÉîÉê=• éä~ÖìÉ=• ~ÅìíÉ=éçäáçãóÉäáíáë=• ê~ÄáÉë=• êÉä~éëáåÖ=ÑÉîÉê=• êìÄÉää~=• ëÅ~êäÉí=ÑÉîÉê=• ëã~ääéçñ=• íÉí~åìë==• íìÄÉêÅìäçëáë==• íóéÜçáÇ=ÑÉîÉê==• îáê~ä=Ü~ÉãçêêÜ~ÖáÅ=ÑÉîÉê==• îáê~ä=ÜÉé~íáíáë=E_I`F=• ïÜççéáåÖ=ÅçìÖÜ=• óÉääçï=ÑÉîÉêK===efs=áë=åçí=çå=íÜáë=äáëíI=Äìí=ïáää=ÄÉ=åçíáÑáÉÇ=Äó=íÜÉ=ä~Äçê~íçêó=ã~âáåÖ=íÜÉ=áÇÉåíáÑáÅ~íáçåK==

====



A5 Minimum datasets and best practice for examinations and reports on internal organs

qÜÉ= ÑçääçïáåÖ= çêÖ~å= ëóëíÉãë= ëÜçìäÇ= ÄÉ= Éñ~ãáåÉÇ= ~åÇ= ÅçããÉåíÉÇ= ìéçåK= fÑ= ~å= çêÖ~å= çê=ëóëíÉã=áë=åçí=Éñ~ãáåÉÇI=íÜáë=ëÜçìäÇ=ÄÉ=åçíÉÇK===

^RKN= `~êÇáçî~ëÅìä~ê=ëóëíÉã=

• mÉêáÅ~êÇáìã=áåÅäìÇáåÖ=ÉÑÑìëáçå=

• jóçÅ~êÇáìãW=~íêá~=~åÇ=îÉåíêáÅäÉë=EëáòÉI=ãçêéÜçäçÖó=~åÇ=áëçä~íÉÇ=îÉåíêáÅìä~ê=ïÉáÖÜíë=ïÜÉêÉ=áåÇáÅ~íÉÇF=

• `çêçå~êó=~êíÉêáÉë=áåÅäìÇáåÖ=çêáÑáÅÉë=

• s~äîÉë=

• ^çêí~=E~íÜÉêçã~F=

• j~àçê=Äê~åÅÜÉë=çÑ=~çêí~=Eé~êíáÅìä~êäó=áå=êÉä~íáçå=íç=ëáíÉë=çÑ=é~íÜçäçÖó=ÉäëÉïÜÉêÉF=

• mìäãçå~êó=~êíÉêáÉë=~åÇ=îÉáåë=EíÜêçãÄá=~åÇ=ÉãÄçäáF=

• fåÑÉêáçê=~åÇ=ëìéÉêáçê=îÉå~=Å~î~ÉI=çíÜÉê=ã~àçê=~åÇ=ëóëíÉãáÅ=îÉáåë==

^RKO= oÉëéáê~íçêó=ëóëíÉã=

• jÉÇá~ëíáåìã=EáåÅäìÇáåÖ=íÜóãìë=áÑ=áÇÉåíáÑá~ÄäÉF=

• mäÉìê~ä=Å~îáíó=ëìêÑ~ÅÉë=EîáëÅÉê~ä=~åÇ=é~êáÉí~äF=~åÇ=ÉÑÑìëáçåë=

• iìåÖ=é~êÉåÅÜóã~=EçÉÇÉã~I=ÅçåëçäáÇ~íáçåI=íìãçìêI=áåÑ~êÅíI=ÉíÅKF=

• i~êóåñI=íê~ÅÜÉ~=~åÇ=ÄêçåÅÜá==

^RKP= d~ëíêçáåíÉëíáå~ä=ëóëíÉã=EáåÅäìÇáåÖ=å~íìêÉ=çÑ=ÅçåíÉåíë=çÑ=îáëÅÉê~F=

• jçìíÜ=~åÇ=íçåÖìÉ=

• p~äáî~êó=Öä~åÇë=

• mÜ~êóåñ==

• lÉëçéÜ~Öìë=

• píçã~ÅÜ=

• pã~ää=~åÇ=ä~êÖÉ=ÄçïÉä=

• mÉêáíçåÉìãI=çãÉåíìã=~åÇ=ãÉëÉåíÉêó=

• iáîÉê=

• d~ää=Ää~ÇÇÉê=~åÇ=ÄáäÉ=ÇìÅíë=

• mçêí~ä=îÉáå=

• m~åÅêÉ~ë==

^RKQ= dÉåáíçìêáå~êó=~åÇ=êÉéêçÇìÅíáîÉ=ëóëíÉã=

• háÇåÉóë=~åÇ=êÉå~ä=éÉäîáë=

• rêÉíÉêë=

• _ä~ÇÇÉê=

• rêÉíÜê~=EïÜÉêÉ=ÅäáåáÅ~ääó=áåÇáÅ~íÉÇF=

• j~äÉW=éêçëí~íÉI=íÉëíáë=~åÇ=éÉåáë=

• cÉã~äÉW=çî~êáÉëI=ìíÉêìë=~åÇ=ÅÉêîáñ=

• _êÉ~ëíë==



^RKR= båÇçÅêáåÉ=ëóëíÉã=

• qÜóêçáÇ==

• m~ê~íÜóêçáÇë=EïÜÉêÉ=ÅäáåáÅ~ääó=áåÇáÅ~íÉÇF=

• ^ÇêÉå~äë=

• máíìáí~êó==

^RKS= içÅçãçíçê=ëóëíÉã=

• _çåÉë=~åÇ=àçáåíë=Éñ~ãáåÉÇ=~ë=~ééêçéêá~íÉ=íç=Å~ëÉ=m~êíáÅìä~êäó=åçíÉ=Ñê~ÅíìêÉë=~åÇ=çéÉê~íáçå=ëáíÉë=

• mêÉëÉåÅÉ=çÑ=çëíÉçéçêçëáëLáåÑÉÅíáçåL~êíÜêáíáëI=ÉíÅK==

^RKT= oÉíáÅìäçÉåÇçíÜÉäá~ä=ëóëíÉã=

• péäÉÉå=

• ióãéÜ=åçÇÉë=Ó=ãÉÇá~ëíáåìãI=Üáä~ê=é~ê~J~çêíáÅI=áåíê~J~ÄÇçãáå~äI=ÅÉêîáÅ~äI=~ñáää~êóI=áåÖìáå~ä==

• _çåÉ=ã~êêçï=EîÉêíÉÄê~äLêáÄLÑÉãìêLéÉäîáëI=ÉíÅKF=ïÜÉêÉ=ÅäáåáÅ~ääó=áåÇáÅ~íÉÇ=

• qÜóãìë=áÑ=áÇÉåíáÑá~ÄäÉ===

^RKU= `Éåíê~ä=åÉêîçìë=ëóëíÉã=E`kpF=

• pâìää=

• `ê~åá~ä=Å~îáíó=

• aìê~=~åÇ=Çìê~ä=ëáåìëÉë=

• jÉåáåÖÉë=

• `áêÅäÉ=çÑ=táääáë==

• `ê~åá~ä=åÉêîÉë=

• _ê~áåW=ÉñíÉêå~ä=~åÇ=ÑçääçïáåÖ=ëÉÅíáçåáåÖ=

• péáå~ä=ÅçêÇ=EáÑ=Éñ~ãáåÉÇF==

^RKV= oçìíáåÉ=Äê~áå=Éñ~ãáå~íáçå=

pÉÉ= pÉÅíáçå= UKTKSI= éçáåí= NI= áå= íÜÉ= ã~áå= ÇçÅìãÉåí= ÅçåÅÉêåáåÖ= ÄÉëí= éê~ÅíáÅÉ= çÑ= ëóëíÉã~íáÅ=çêÖ~å= Éñ~ãáå~íáçåK= fí= ãìëí= ÄÉ= ~ÅâåçïäÉÇÖÉÇ= íÜ~í= áå= ëçãÉ= Å~ëÉë= ïÜÉêÉ= íÜÉêÉ= áë= åç= éêÉJãçêíÉã=ÅäáåáÅ~ä=áåÇáÅ~íáçå=çÑ=`kp=ÇáëÉ~ëÉI=Éñ~ãáå~íáçå=çÑ=íÜÉ=Äê~áå=ã~ó=åçí=ìåÅçîÉê=~åó=ëáÖåáÑáÅ~åí=é~íÜçäçÖóK=fí=áë=~ÅÅÉéí~ÄäÉ=éê~ÅíáÅÉ=áå=ÅçåëÉåíÉÇ=éçëíJãçêíÉãë=Ñçê=íÜÉ=Äê~áå=åçí=íç=ÄÉ=Éñ~ãáåÉÇ= áÑ= E~F= íÜÉ=é~íÜçäçÖáëí=Ü~ë=åç=êÉ~ëçå= íç=ÄÉäáÉîÉI=çå= íÜÉ=Ä~ëáë=çÑ= íÜÉ=ÅäáåáÅ~ä=áåÑçêã~íáçå= ~åÇ= ÉñíÉêå~ä= Éñ~ãáå~íáçå= çÑ= íÜÉ= ÄçÇóI= íÜ~í= `kp= é~íÜçäçÖó= áë= äáâÉäó= íç= ÄÉ=éêÉëÉåíI= ~åÇ= EÄF= áí= áë= éÉêÅÉáîÉÇ= íÜ~í= Äê~áå= êÉãçî~ä= ïáää= Å~ìëÉ= ëáÖåáÑáÅ~åí= ÇáëíêÉëë= íç= íÜÉ=êÉä~íáîÉëK= fí= áë=ëíêÉëëÉÇ=íÜ~í= íÜÉëÉ=Å~ëÉë=ëÜçìäÇ=ÄÉ=ÉñÅÉéíáçå~ä=~åÇ=íÜ~í= íÜÉ=Äê~áå=ëÜçìäÇ=ÄÉ=Éñ~ãáåÉÇ=áå=~ää=éçëíJãçêíÉãë=~ìíÜçêáëÉÇ=Äó=~=`çêçåÉê=çê=mêçÅìê~íçê=cáëÅ~äK===cáñ~íáçå=çÑ=Äê~áåW=íÜáë=ïáää=ÇÉéÉåÇ=çÑ=íÜÉ=~ìíÜçêáë~íáçå=Ñçê=Äê~áå=êÉãçî~ä=~åÇ=êÉíÉåíáçå=~åÇ=çå=ÅäáåáÅçé~íÜçäçÖáÅ~ä=êÉèìáêÉãÉåíëK=

===



A6 Guidelines for autopsy investigation of fetal and perinatal death =

^ää= Üçëéáí~ä= éçëíJãçêíÉã= éêçÅÉÇìêÉë= ~êÉ= ëìÄàÉÅí= íç= é~êÉåí~ä= ÅçåëÉåí= íÜ~í= ãìëí= åçí= ÄÉ=ÉñÅÉÉÇÉÇK=qÜÉ=ÑçääçïáåÖ=ÖìáÇÉäáåÉë=~ééäó=íç=~å=ìåêÉëíêáÅíÉÇ=éçëíJãçêíÉã=Éñ~ãáå~íáçåK==

^SKN== bñíÉêå~ä=Éñ~ãáå~íáçå=

• _çÇó=ïÉáÖÜí=Eíç=åÉ~êÉëí=Öê~ã=áÑ=äÉëë=íÜ~å=R=âÖF=

• eÉ~Ç=ÅáêÅìãÑÉêÉåÅÉ=

• `êçïåJÜÉÉä=~åÇ=ÅêçïåJêìãé=äÉåÖíÜë=

• cççí=äÉåÖíÜ=

• ^éé~êÉåí=ÖÉëí~íáçå=

• j~ÅÉê~íáçå=EáÑ=Ä~Äó=áë=Äçêå=ÇÉ~ÇF=

• jÉÅçåáìã=ëí~áåáåÖ=

• cìää=ÇÉëÅêáéíáçå=íç=áåÅäìÇÉI=ÉKÖK=Ñçåí~åÉääÉëI=ÉóÉëI=É~êëI=åçëÉI=ãçìíÜ=~åÇ=é~ä~íÉI=ÇáÖáíëI=é~äã~ê=ÅêÉ~ëÉëI=ìãÄáäáÅìë=~åÇ=ëí~íÉ=çÑ=ÅçêÇI=ÖÉåáí~äá~I=~åìëI=ÉíÅK=

• aóëãçêéÜáÅ=ÑÉ~íìêÉëI=ÅçåÖÉåáí~ä=ã~äÑçêã~íáçåë=~åÇ=ÇÉÑçêãáíáÉë=

• líÜÉê=~Äåçêã~äáíáÉë=EÉKÖK=çÉÇÉã~I=~Äåçêã~ä=é~ääçêFK==

^SKO= fåíÉêå~ä=Éñ~ãáå~íáçå=

• `çããÉåí=çå=Åê~åá~äI=íÜçê~ÅáÅ=~åÇ=~ÄÇçãáå~ä=Å~îáíáÉë=

• oÉíÉåíáçå=~åÇ=Ñáñ~íáçå=çÑ=íÜÉ=Äê~áå=ïÜÉêÉ=éê~ÅíáÅ~ÄäÉI=ëìÄàÉÅí=íç=áåÑçêãÉÇ=ÅçåëÉåí=

• póëíÉã~íáÅ=ÇÉëÅêáéíáçå=çÑ=ã~àçê=çêÖ~åë=~åÇ=íáëëìÉë=

• péÉÅáÑáÅ=êÉÑÉêÉåÅÉ=íç=ÇìÅíìë=~êíÉêáçëìë=~åÇ=ìãÄáäáÅ~ä=îÉëëÉäë=

• tÉáÖÜíë=çÑ=~ää=ã~àçê=çêÖ~åë=áå=~=ÇáÖáí~ä=Ä~ä~åÅÉ=Eíç=MKN=ÖF=

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• sáêçäçÖó=Eéçëíå~ë~ä=ëï~Äë=çê=å~ëçéÜ~êóåÖÉ~ä=~ëéáê~íÉI=äìåÖK=`pc=çê=áäÉ~ä=ÅçåíÉåíë=áÑ=áåÇáÅ~íÉÇF=



• p~ãéäÉ=çÑ=ëâáå=çê=éÉêáÅ~êÇáìã=Ñçê=ÑáÄêçÄä~ëí=ÅìäíìêÉ=EíáëëìÉ=~åÇ=ãÉíÜçÇ=~ë=~ÇîáëÉÇ=Äó=äçÅ~ä=ä~Äçê~íçêóF=Ñçê=éçëëáÄäÉ=ãÉí~ÄçäáÅ=íÉëíë=~åÇ=~ë=~=ëçìêÅÉ=çÑ=ak^=

• _áçÅÜÉãáëíêó=EîáíêÉçìë=ÑäìáÇ=áÑ=ÉîáÇÉåÅÉ=çÑ=ÉKÖK=Çá~êêÜçÉ~I=ÇÉÜóÇê~íáçå=çê=ëìëéáÅáçå=çÑ=ë~äí=éçáëçåáåÖK=rêáåÉ=áÑ=~î~áä~ÄäÉ=ë~îÉÇ=Ñçê=ãÉí~ÄçäáÅ=áåîÉëíáÖ~íáçåë=çê=íçñáÅçäçÖóF==

• cêçòÉå=ë~ãéäÉ=çÑ=äáîÉê=~åÇ=âáÇåÉó=Ñçê=ÑêçòÉå=ëÉÅíáçå=Ñçê=Ñ~í=Eã~åÇ~íçêó=áå=~ää=ìåÉñéä~áåÉÇ=ìåÉñéÉÅíÉÇ=áåÑ~åí=ÇÉ~íÜë=ìåäÉëë=~åçíÜÉê=ëÅêÉÉåáåÖ=ãÉíÜçÇ=Ñçê=ÇáëçêÇÉêë=çÑ=Ñ~ííó=~ÅáÇ=çñáÇ~íáçå=áë=ìëÉÇFK=

• `çåëáÇÉê=ë~îáåÖ=ë~ãéäÉë=Ñçê=áããìåçäçÖóI=íçñáÅçäçÖó=~åÇ=ÖÉåÉíáÅ=áåîÉëíáÖ~íáçåë=EÉKÖK=ëíçê~ÖÉ=çÑ=éÉêáÅ~êÇáìã=Ñçê=íáëëìÉ=ÅìäíìêÉ=~åÇ=ëéäÉÉå=Ñçê=ÑìíìêÉ=ak^=ëíìÇáÉëFK==

=qÜÉ= êÉéçêí= ëÜçìäÇ= áåÅäìÇÉ= ÇÉí~áäë= çÑ= ~åó= ë~ãéäÉë= âÉéí= ~åÇ= áåëíêìÅíáçåë= Ñçê= íÜÉáê= ÑìêíÜÉê=êÉíÉåíáçå=çê=Çáëéçë~äK=qÜÉ=Ñáå~ä=êÉéçêí=ëÜçìäÇ=ëìãã~êáëÉ=íÜÉ=ã~áå=é~íÜçäçÖáÅ~ä=ÑáåÇáåÖë=~åÇ=áåÅäìÇÉ= ~= ÅçããÉåí~êó= ~ÇÇêÉëëáåÖ= ~åó= ÅäáåáÅ~ä= èìÉëíáçåë= çê= çíÜÉê= ÅçåÅÉêåëK= m~íÜçäçÖáëíë=ëÜçìäÇ=~ëëáëí=~åó=ãìäíáÇáëÅáéäáå~êó=Å~ëÉ=êÉîáÉï=~åÇ=êÉÅçêÇ=íÜÉáê=~ííÉåÇ~åÅÉK=

===



A8 Neuropathological cases =A8.1 GENERAL

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aáëçêÇÉêë= çÑ= ëâÉäÉí~ä= ãìëÅäÉ= ~åÇ= éÉêáéÜÉê~ä= åÉêîÉ= ÇáëçêÇÉêë= ã~ó= êÉèìáêÉ= ÅçãéäÉñ=ÜáëíçÅÜÉãáëíêó=çÑ=ëå~é=ÑêçòÉå=íáëëìÉë=~åÇ=ÉäÉÅíêçå=ãáÅêçëÅçéóK==

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=ÛKNKN== bñíÉêå~ä=Éñ~ãáå~íáçå=

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=ÛKNKO== eáëíçäçÖó=çÑ=êÉä~íÉÇ=íáëëìÉë=

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=ÛKNKP== aáëëÉÅíáçå=çÑ=íÜÉ=åÉÅâ=

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=ÛKNKQ== bñ~ãáå~íáçå=çÑ=ëâìää=~åÇ=Äê~áå==

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= = `~êÉÑìä=êÉÅçåëíêìÅíáçå=áë=ÉëëÉåíá~ä=áÑ=~=ë~íáëÑ~Åíçêó=ÅçëãÉíáÅ=êÉëìäí=áë=íç=ÄÉ=çÄí~áåÉÇK==ÛKNKR= mêÉäáãáå~êó=áåëéÉÅíáçå=çÑ=íÜÉ=Äê~áå==

• qÜÉ=Äê~áå=ëÜçìäÇ=åçí=ÄÉ=ëäáÅÉÇ=ÄÉÑçêÉ=Ñáñ~íáçåK=`~êÉÑìä=ã~ÅêçëÅçéáÅ=Éñ~ãáå~íáçå=ïáää=çÑíÉå=éêçîáÇÉ=áåÑçêã~íáçå=Ñçê=~=éêÉäáãáå~êó=Å~ìëÉ=çÑ=ÇÉ~íÜK=

• cêÉëÜ=ë~ãéäÉë=ëÜçìäÇ=ÄÉ=í~âÉå=Ñçê=ãáÅêçÄáçäçÖóI=îáêçäçÖó=çê=åÉìêçÅÜÉãáëíêó=~ë=åÉÉÇÉÇK=aáêÉÅí=ëãÉ~êë=çê=~ëéáê~íáçå=ÅóíçäçÖó=ã~ó=~ëëáëí=íìãçìê=Çá~ÖåçëáëK=

• aáëëÉÅíáçå=çÑ=íÜÉ=`áêÅäÉ=çÑ=táääáë=~åÇ=~êíÉêáÉë=éêáçê=íç=Ñáñ~íáçå=áë=êÉÅçããÉåÇÉÇ=Ñçê=íÜÉ=áÇÉåíáÑáÅ~íáçå=çÑ=~åÉìêóëãë=



• pìëéÉåëáçå=çÑ=íÜÉ=Äê~áå=áå=NMB=Ñçêã~ä=ë~äáåÉ=Ñçê=PÓQ=ïÉÉâë=áë=ÉëëÉåíá~äI=ïáíÜ=ïÉÉâäó=ÅÜ~åÖÉë=çÑ=Ñáñ~íáîÉK=qÜÉ=ëéáå~ä=ÅçêÇ=ëÜçìäÇ=ÄÉ=ëìëéÉåÇÉÇ=îÉêíáÅ~ääó=áÑ=éçëëáÄäÉK=

=ÛKNKS= aáëëÉÅíáçå==

• tÜáäÉ=Åçêçå~ä=ëÉÅíáçåáåÖ=çÑ=íÜÉ=ÅÉêÉÄê~ä=ÜÉãáëéÜÉêÉë=áë=íê~Çáíáçå~äI=ãáÇäáåÉ=ë~Öáíí~ä=çê=~ñá~ä=éä~åÉë=ã~ó=ÜÉäé=ÅçêêÉä~íáçå=ïáíÜ=`q=ëÅ~å=çê=ã~ÖåÉíáÅ=êÉëçå~åÅÉ=áã~ÖÉëK=qÜÉ=Äê~áå=ëíÉã=áë=ìëì~ääó=ëÉÅíáçåÉÇ=Åçêçå~ääó=~åÇ=íÜÉ=ÅÉêÉÄÉääìã=ë~Öáí~ääóI=Äìí=ÄçíÜ=ã~ó=ÄÉ=ëÉÅíáçåÉÇ=~ñá~ääóK=

• oçìíáåÉ=ÄäçÅâë=ëÜçìäÇ=åçêã~ääó=áåÅäìÇÉ=Çìê~I=Ñêçåí~äI=íÉãéçê~äI=é~êáÉí~äI=çÅÅáéáí~äI=Ä~ë~ä=Ö~åÖäá~I=íÜ~ä~ãáÅ=åìÅäÉáI=ÜáééçÅ~ãéáI=ã~ããáää~êó=ÄçÇáÉëI=Åçêéìë=Å~ääçëìãI=ÅÉêÉÄê~ä=ïÜáíÉ=ã~ííÉêI=ÅÉêÉÄÉääìã=EáåÅäìÇáåÖ=ÇÉåí~íÉ=åìÅäÉìëFI=ãáÇJÄê~áåI=éçåë=~åÇ=ãÉÇìää~K=få=Å~ëÉë=áå=ïÜáÅÜ=íÜÉ=é~íÜçäçÖó=áë=äáãáíÉÇ=íç=~=é~êíáÅìä~ê=é~êí=çÑ=íÜÉ=Äê~áåI=ÜáëíçäçÖáÅ~ä=ë~ãéäáåÖ=ã~ó=ÄÉ=ãçêÉ=êÉëíêáÅíÉÇK=

=A8.2 DEATHS IN EPILEPSY

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aìêáåÖ= íÜÉ=~ìíçéëó=Éñ~ãáå~íáçåI= áå=~ÇÇáíáçå= íç=~= ÅçãéäÉíÉ=ã~ÅêçëÅçéáÅ= Éñ~ãáå~íáçåI= íÜÉ=ÑçääçïáåÖ=ëÜçìäÇ=ÄÉ=ÇçÅìãÉåíÉÇ=áåÅäìÇáåÖ=~å=~ééêçéêá~íÉ=ëí~íÉãÉåí=ïÜÉå=~ÄëÉåíW=• ÉîáÇÉåÅÉ=çÑ=íê~ìã~=~åÇ=~ëéÜóñá~=• áåÇáêÉÅí=ÉîáÇÉåÅÉ=éçáåíáåÖ=íç=ëÉáòìêÉ=~Åíáîáíó=~êçìåÇ=íÜÉ=íáãÉ=çÑ=ÇÉ~íÜI=ëìÅÜ=~ë=íçåÖìÉ=

ÄáíÉ=ã~êâë=• Ñìää=Éñ~ãáå~íáçå=çÑ=ÜÉ~êí=~åÇ=äìåÖë=ïáíÜ=ÜáëíçäçÖóI=íÜÉêÉÄó=ÉñÅäìÇáåÖ=~=éêáã~êó=

Å~êÇáçêÉëéáê~íçêó=Å~ìëÉ=Ñçê=ÇáëÉ~ëÉ=• ÄäççÇ=~åÇ=ìêáåÉ=äÉîÉäë=çÑ=~åíáJÉéáäÉéíáÅ=ÇêìÖëI=ÉíÜ~åçä=~åÇ=êÉÅêÉ~íáçå~ä=ÇêìÖëK=

qÜÉ=Äê~áå=ëÜçìäÇ=ÄÉ=Éñ~ãáåÉÇ=~ÑíÉê=Ñáñ~íáçåI=áåÅäìÇáåÖ=ëóëíÉã~íáÅ=Éñ~ãáå~íáçå=Äó=ÜáëíçäçÖóI=íç=Éëí~ÄäáëÜ=çê=ÉñÅäìÇÉ=~åó=~å~íçãáÅ=Å~ìëÉ=Ñçê=ÇáëÉ~ëÉK=

=ÛKOKO= qÉêãë=Ñçê=ÅÉêíáÑáÅ~íáçå=çÑ=ÇÉ~íÜ=áå=ÉéáäÉéëó=

~K== ÚpìÇÇÉå=ìåÉñéÉÅíÉÇ=ÇÉ~íÜ=áå=ÉéáäÉéëóÛ=EprabmF==qÜÉ=ÇÉ~íÜ=áë=ëìÇÇÉåI=ìåÉñéÉÅíÉÇI=ïáíÜ=çê=ïáíÜçìí=ÉîáÇÉåÅÉ=çÑ=ëÉáòìêÉK=bñÅäìÇÉ=íê~ìã~I=ÇêçïåáåÖI=íçñáÅçäçÖáÅ~ä=Å~ìëÉë=~åÇ=ÉîáÇÉåí=ãçêÄáÇ=~å~íçãáÅ~ä=Å~ìëÉëK=qÜÉ=íÉêã=ÚpìÇÇÉå=ìåÉñéÉÅíÉÇ=ÇÉ~íÜ=áå=ÉéáäÉéëóÛI=èì~äáÑáÉÇ=~ÅÅçêÇáåÖ=íç=ÅäáåáÅ~ä=Üáëíçêó=~ë=ÚïáíåÉëëÉÇÛ=çê=ÚìåïáíåÉëëÉÇÛI=ã~ó=ÄÉ=ëìÖÖÉëíÉÇ=íç=íÜÉ=`çêçåÉê=ïÜÉêÉ=ÉîáÇÉåÅÉ=áåÇáÅ~íÉë=åç=çíÜÉê=Éñéä~å~íáçåK=

=

ÄK== Úpí~íìë=ÉéáäÉéíáÅìëÛ=qÜáë=ãìëí=ÄÉ=ÅäáåáÅ~ääó=ÇçÅìãÉåíÉÇK=pí~íìë=ÉéáäÉéíáÅìë=áë=~=ëéÉÅáÑáÅ=ÅäáåáÅ~ä=Éåíáíó=~åÇ=Å~ååçí=ÄÉ=~ëëìãÉÇ=Ñêçã=~=éçëíJãçêíÉã=Éñ~ãáå~íáçå=áå=íÜÉ=~ÄëÉåÅÉ=çÑ=ÖççÇ=ÅäáåáÅ~ä=ÇçÅìãÉåí~íáçåK=

=ÅK== ÚbéáäÉéëóJêÉä~íÉÇ=ÇÉ~íÜëÛ=

béáäÉéëó=ã~ó=ÄÉ=íÜÉ=ìåÇÉêäóáåÖ=Å~ìëÉ=çÑW=• íê~ìã~=EÜÉ~Ç=áåàìêóF=• ÇêçïåáåÖ=• ~ëéÜóñá~=• ~ëéáê~íáçå=éåÉìãçåáíáë=• ~áêï~óë=çÄëíêìÅíáçå=Ñêçã=ÑçêÉáÖå=ÄçÇóK=

=qÜÉêÉ=ãìëí=ÄÉ=ÉîáÇÉåÅÉ=Ñêçã=íÜÉ=ÅäáåáÅ~ä=Üáëíçêó=íÜ~í=íÜÉêÉ=ï~ë=ëÉáòìêÉ=~Åíáîáíó=~í=íÜÉ=íáãÉ==çÑ=ÇÉ~íÜK=



A9 Maternal death

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=^VKN== eóéÉêíÉåëáîÉ=ÇáëÉ~ëÉ=

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^NNKV= aáëíáåÖìáëÜ= ÄÉíïÉÉå= éçëíJãçêíÉã= ëáÅâäáåÖ= EeÄpp= ~åÇ= eÄ^p= ÅÉääë= Å~å= Çç= íÜáëF= ~åÇ= éêÉJãçêíÉã=ëáÅâäáåÖK=

^NNKNM= qÜÉ= ÅäáåáÅ~ä= é~íÜçäçÖó= ëÜçìäÇ= ÄÉ= ÇáëÅìëëÉÇ= ïáíÜ= íÜÉ= ÅäáåáÅá~åëX= áÑ= íÜÉ= Å~ëÉ= áë= `çêçåá~äI= áí=ëÜçìäÇ=ÄÉ= ÉãéÜ~ëáëÉÇ= íç= íÜÉ=`çêçåÉê= íÜÉ= áãéçêí~åÅÉ=çÑ= ëÉÉâáåÖ=ÇÉí~áäÉÇ= ëí~íÉãÉåíë= Ñêçã=íÜÉ=ÅäáåáÅá~åë=íç=ÇÉíÉêãáåÉI=~ë=ÄÉëí=~ë=éçëëáÄäÉI=íÜÉ=ëÉèìÉåÅÉ=çÑ=ÉîÉåíë=íÜ~í=äÉÇ=íç=ÇÉ~íÜK=

=



A12 Members of the Working Party on the Autopsy =

mêçÑÉëëçê=p_=iìÅ~ëI=dhq=pÅÜççä=çÑ=jÉÇáÅáåÉI=pí=qÜçã~ëÛ=eçëéáí~äI=içåÇçå==E`Ü~áê=~åÇ=pÉÅêÉí~êóF=

aê=`=`çêÄáëÜäÉóI=pí=dÉçêÖÉëÛ=eçëéáí~äI=içåÇçå=

aê=oa=pí~êíI=`ÜÉëíÉêÑáÉäÇ=eçëéáí~äI=aÉêÄóëÜáêÉ=

aê=p=iÉ~ÇÄÉ~ííÉêI=t~äÉë=fåëíáíìíÉ=çÑ=cçêÉåëáÅ=jÉÇáÅáåÉI=råáîÉêëáíó=çÑ=t~äÉë=`çääÉÖÉ=çÑ=jÉÇáÅáåÉI=`~êÇáÑÑ=

aê=g=j~ÅhÉåòáÉI=aÉé~êíãÉåí=çÑ=kÉìêçé~íÜçäçÖóI=^ÄÉêÇÉÉå=

mêçÑÉëëçê=g=_ÉêêóI=m~ÉÇá~íêáÅ=m~íÜçäçÖóI=_êáëíçä=

aê=o=_ìêåÉííI=tÉëíÉêå=fåÑáêã~êóI=dä~ëÖçï=

=September 2002


the royal college of pathologists - ihrdni · 2015-12-22 · guidelines on autopsy practice report...

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