Preparation on New Service Model in Handling Adult Sexual Violence Cases 2007-02-14

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Preparation on New Service Model in Handling Adult Sexual Violence Cases 2007-02-14 Forensic Examination for Victims of Sexual Violence Dr SHUM Shui-fung, Bobby Head of NT Division, Forensic Pathology Service, Department of Health

Forensic Pathology Service Department of Health Provides scientific pathology and clinical criminological prescription administrations to government offices

Victims Suspects Sexual offenses Serious Wounding Cases Child Abuse CAT (Convention Against Torture) Claimant Forensic Pathology Service Operate open funeral homes Attend scenes of violations Clinical medico-legitimate examinations Consultation Court procedures Scope of Service

Forensic Pathology Service Medical Staff 15 Forensic Pathologists + 1 Pathologist FP: 13 male, 2 female Assistants to Forensic Pathologists 8 Police Officers: 5 male, 3 female Staff

Forensic Pathology Service Public Mortuaries Histopathology Laboratories Offices with Clinical Examination Facilities HKI (PHQ) Tel 28602466 K (KWRPHQ) Tel 27612405 NT (NTNRPHQ) Tel 26664224 Facilities

Forensic Pathology Service 11/F, NTN Regional Police HQ On Po Lane, Tai Po Tel 26664224 NT Office

NT Office

NT Office

NT Office

NT Office

NT Office

NT Office

NT Office

NT Office

NT Office

NT Office

NT Office

Forensic Pathology Service 6/F, Arsenal House West Wing, Police HQ Arsenal Street, Wanchai Tel 28602466 HKI Office

HKI Office

HKI Office

HKI Office

HKI Office

HKI Office

Forensic Pathology Service 3/F, KW Regional Police HQ Argyle Street Tel 27612405 Kln Office

Sexual Offense R gorilla, endeavored assault Indecent ambush Unlawful sex with young lady under 13/16 Unlawful sex with rationally deficient Buggery…

Rape Cap 200 Crimes Ordinance: A man perpetrates assault if-(a) he has unlawful sex with a lady who at the season of the intercourse does not agree to it; and (b) around then he realizes that she doesn't agree to the intercourse or he is foolhardy in the matter of whether she agrees to it

Forensic Examination of Victims of Sexual Violence Evidence (physical/lab) Sexual intercourse harm to private parts nearness of semen Non-consensual example of wounds toxicological examination

Forensic Examination of Victims of Sexual Violence Medical treatment must take need SAFETY OF VICTIM COMES FIRST!!

Examination Suite Accessibility (24 hour) Security (limited, bolt) Cleanliness/Comfortableness (warm) Privacy (see & sound, passage & leave) Enough space

Examination Suite Waiting territory (family, SW, police) Examination region (measurable pathologists, chaperone/nurture, translator) Equipment (love seat, lighting, amplifying glass, swabs, example compartments, water) Toilet

Forensic Examination of Adult Rape Victims Consent History Physical Examination general examination genito-butt-centric examination Sample gathering Documentation and reporting

Consent

Consent Informed Voluntary Capacity - MIP gatekeeper summon Part IVC guardianship load up

History What signs to search for What tests to take How to decipher discoveries

History Routine foundation Medical Gynecological Sexual What happened "… The casualty ought not be requested that depict the ambush more than once … "

Physical Examination General examination Genito-butt-centric examination

General Examination

General Examination General appearance Upper arms, lower arms and hands Face, ears, lips Scalp Neck Breasts Abdomen Thighs and Legs Hips and Buttocks

Non genito-butt-centric wounds Bruises and injuries (e.g. inward part of thighs, scalp, confront, lips); Lacerations (e.g. scalp, lower arm); Ligature marks (e.g. lower legs, wrists and neck); Pattern wounds (i.e. fingertip marks, scratch marks, nibble marks, factitious self-perpetrated wounds)

Defensive Injuries

Road Surface Injuries

Lip Bruising

Fingertip Bruising

Genito-butt-centric Examination Inspection, labial footing Swabs Speculum Anal +/ - advanced +/ - proctoscope

Genito-butt-centric Examination

Genito-butt-centric Injuries

Genito-butt-centric wounds

Genito-butt-centric wounds

Forensic Specimens Vulval/vaginal/endocervical swabs Buccal swabs – for DNA profiling Other swabs (e.g. butt-centric, oral, bosoms) Fingernail (cutting/scratching) Pubic hair Clothing/flotsam and jetsam +/ - Toxicological examples (blood, pee)

Forensic Specimens

Forensic Specimens Vulval/vaginal/endocervical swabs Buccal swabs – for DNA profiling Other swabs (e.g. butt-centric, oral, bosoms) Fingernail (cutting/scratching) Pubic hair Clothing/flotsam and jetsam +/ - Toxicological examples (blood, pee)

Forensic Specimens Oral swab: up to 1 day (normally couple of hours Drugs and liquor: blood up to 4 days (typically half-day) pee up to 7 days Rectal swab: 3 days (ordinarily 1 day) Vaginal swab: up to 7 days (generally < 72 hours) Skin swab: before washing Dry material (undies): before washing

Swab Taking

Arrangement - Availability Through police Office hours (~ 9-5): workplaces of individual districts HKI (PHQ) Tel 28602466 K (KWRPHQ) Tel 27612405 NT (NTNPHQ) Tel 26664224 Outside Office (after 5, open occasions: Forensic pathologist accessible if the need arises)

Arrangement - Timing Drug-encouraged cases: ASAP Fresh/late cases < 72 hours: most punctual time practicable (usu. < 2 hours or something like that) Cold cases: most punctual comfort

Arrangement - Place Hospitals (A&ED, Wards - if showed e.g. conceded/for joint examination) Rain Lily CAIU Examination Suites (tyke, powerless casualties) Forensic Pathologists' Offices (if portable, esp. chilly cases)

Forensic Evidence & FP's part Factual confirmation v Expert proof Impartial, for court and equity, not for either side Non-judgmental (we are not hearers) Objective, unbiased, autonomous, uninfluenced Opinion: logical technique connected on accessible information Limited to field of skill

Further Reading Available for nothing download at WHO > WHO locales > Injuries and Violence Prevention > Publications > Violence distributions http://www.who.int/violence_injury_prevention/productions/brutality/med_leg_guidelines/en/index.html

Thank You