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PubMed1981

Practical management of perinatal death.

After the loss of a newborn baby the parents are usually too shocked and unfamiliar with the complicated administration procedures to cope with the registration of death and burial (or cremation). The medical and nursing staff also tend to be unfamiliar with the procedures. Some of these can be streamlined, thus reducing the stress caused to parents. By giving positive instruction the staff will in their turn be able to improve their care of the bereaved parents.

Birth Certificates↗
PubMed2006

Mercury emission from crematoria.

The purpose of this study, undertaken at a cremator representing an example of current equipment and cremation practices in use in Italy, is to assess the possible mercury emitted during cremation and substantiate the current data available. This paper reports some preliminary results concerning mercury and total particulate matter emissions during three cremation processes. The obtained results gave a mercury concentration ranging from 0.005 to 0.300 mg/m3 and a mercury emission factor ranging from 0.036 to 2.140 g/corpse cremated. The total particulate matter concentration range was 1.0 to 2.4 mg/m3.

Environmental Pollutants↗
PubMed2004

Infectious disease risks from dead bodies following natural disasters.

OBJECTIVE: To review existing literature to assess the risks of infection from dead bodies after a natural disaster occurs, including who is most at risk, what precautions should be taken, and how to safely dispose of the bodies. METHODS: Disease transmission requires the presence of an infectious agent, exposure to that agent, and a susceptible host. These elements were considered to characterize the infectious disease risk from dead bodies. Using the PubMed on-line databases of the National Library of Medicine of the United States of America, searching was done for relevant literature on the infection risks for public safety workers and funeral workers as well as for guidelines for the management of the dead and prevention of infection. A small but significant literature was also reviewed regarding the disposal of the dead and the contamination of groundwater by cemeteries. RESULTS: Victims of natural disasters usually die from trauma and are unlikely to have acute or "epidemic-causing" infections. This indicates that the risk that dead bodies pose for the public is extremely small. However, persons who are involved in close contact with the dead-such as military personnel, rescue workers, volunteers, and others-may be exposed to chronic infectious hazards, including hepatitis B virus, hepatitis C virus, HIV, enteric pathogens, and Mycobacterium tuberculosis. Suitable precautions for these persons include training, use of body bags and disposable gloves, good hygiene practice, and vaccination for hepatitis B and tuberculosis. Disposal of bodies should respect local custom and practice where possible. When there are large numbers of victims, burial is likely to be the most appropriate method of disposal. There is little evidence of microbiological contamination of groundwater from burial. CONCLUSIONS: Concern that dead bodies are infectious can be considered a "natural" reaction by persons wanting to protect themselves from disease. However, clear information about the risks is needed so that responsible local authorities ensure that the bodies of disaster victims are handled appropriately and with due respect. This paper provides a source of information for those who are in the unfortunate position of managing those bodies.

Cadaver↗
PubMedDate not supplied

[Cremation. A public health chapter in Mexico].

Cremation was a part of the funeral ceremony in prehispanic Mexico. When the Spanish conquerors came, this practice was prohibited. In 1877, the Uppu Health Council authorized animal incineration to avoid consumption by indigents or transformation in putrid emanation. Creamation was welcome in Mexico because of the knowledge of hygienic at the time, whose adepts had evaluated toxic exhalations of cadavers and the cemeteries of Mexico City, with incomplete destruction of the cadaver and filtration of contaminants into the subsoil. Three were the reasons against cremation; religious beliefs, lawmaker medical preoccupation with the disappearance of legal evidence, and the newly born science of anthropology, with loss of material for laboratory. The first crematorium was inaugurated by Dr. Eduardo Liceaga in February 1909 in the Dolores Cemetery.

History, 19th Century↗
PubMed2006

Phenotypic approaches for understanding patterns of intracemetery biological variation.

This paper reviews studies of phenotypic inheritance and microevolutionary processes in archaeological populations using data on cranial and dental phenotypic variation, often referred to as paleogenetics or biodistance analysis. The estimation of biological distances between populations, or among individuals within populations, is one component of bioarchaeological research on past populations. In this overview, five approaches that focus on morphological variation within cemeteries are summarized: kinship and cemetery structure analysis, postmarital residence analysis, sample aggregate phenotypic variability, temporal microchronology, and age-structured phenotypic variation. Previous research, theoretical justifications, and methods are outlined for each topic. Case studies are presented that illustrate these theoretical and methodological bases, as well as demonstrate the kinds of inferences possible using these approaches. Kinship and cemetery structure analysis seeks to identify the members of family groups within larger cemeteries or determine whether cemeteries were kin-structured. Analysis of sex-specific phenotypic variation allows estimation of postmarital residence practices, which is important for understanding other aspects of prehistoric social organization. Analysis of aggregate phenotypic variability can be used to infer site formation processes or cemetery catchment area. The study of temporal microchronologies can be used to evaluate provisional archaeological chronologies or study microevolutionary processes such as adaptive selection or changing patterns of gene flow. Finally, age-structured phenotypic variation can be reflective of selection processes within populations or it can be used as a measure of morbidity, growth arrest, and early mortality within past populations. Use of phenotypic data as a genotypic proxy is theoretically sound, even at small scales of analysis.

Adolescent↗
PubMed1983

consumer preparedness, knowledge, and opinions about practices and regulations of the funeral industry.

This study focuses on consumers' level of knowledge, opinions, and degree of preparedness concerning selected practices and regulations of the funeral industry. Questionnaires were returned by 75 percent of the sample of faculty and staff at a large university. Opinions of respondents rejected the status quo concerning various practices and regulations of the funeral industry, indicating a desire to support newly suggested changes in the industry. Preparedness scores indicated that almost 9 out of 10 of the respondents were quite unprepared for their own funerals. The mean achievement score regarding knowledge as measured by the Consumer Funeral Test, which was developed for this study, was 4.0, representing 57 percent correct. Significant statistical relationships existed between knowledge scores and the age, education, and sex of the respondents; those who were older and had more education scored higher, and men scored higher than women. No relationships existed, however, among knowledge, opinion, and preparedness scores and the demographic variables of age, education, income, sex, and religion, raising the fundamental question of the value of funeral information programs for consumers.

Analysis of Variance↗
PubMed2000

Cremation practices and the survival of ancient DNA: burnt bone analyses via RAPD-mediated PCR.

Numerous burial rites have been developed in different time periods of human cultural evolution. One of the most interesting burial practices was the ritual cremation of human bodies. Due to the respective cultural and religious background, brand graves are known where human remains had been buried together with burnt bones of animal origin. To date, burnt bone samples have been refractory to PCR-mediated amplification. D/L values of aspartic acid far greater than 80 x 10(-3) were measured in the samples thus indicating the presence of severely nicked and fragmented nucleic acids. In order to differentiate between burial gift of animal origin and burnt human specimens we established a highly sensitive protocol that addresses all the shortcomings connected to degraded ancient DNA. With the novel procedure it was possible to classify 4 specimens ranging from 2,000-5,000 BP on the basis of mitochondrial DNA sequences.

Age Determination by Skeleton↗
PubMed1997

Nitrogen levels in long bones from coffin burials interred for periods of 26-90 years.

Samples of long bones were obtained from 42 bodies buried in coffins at two sites over a 26 to 93 year period. Quicklime had been added to 17 of the coffins and there was fuel oil contamination of three of these. Long bone total nitrogen levels obtained by the macro Kjeldahl method were subjected to statistical analysis and their distribution plotted on a graph of burial time versus bone total nitrogen content. The highest nitrogen level recorded was 4.06 g per 100 g of bone (26 years) and the lowest 3.27 g per 100 g of bone (80 years). The oldest burial (93 years) gave a total nitrogen level of 3.49 g per 100 g of bone. For practical purposes, for burials deeper than 4 ft, the rate at which nitrogen is lost is independent of depth of burial. Although the overall trend was for nitrogen content to decrease with age, it was noted that despite being the oldest of the burials, the quicklime burials still possessed a relatively high nitrogen content. The maintenance of a relatively high nitrogen content in the quicklime burials was thought at first to be due to the quicklime acting as an inhibitor of decomposition during the initial period of interment. Statistical analysis, however, showed there to be no correlation between the addition of lime and the bone nitrogen level. Fuel oil contamination of three of the skeletons led to a high nitrogen content being recorded in the long bones, giving the impression that those burials were more recent than they actually were.

Adult↗
PubMed2007

Identification through X-ray fluorescence analysis of dental restorative resin materials: a comprehensive study of noncremated, cremated, and processed-cremated individuals.

Tooth-colored restorative materials are increasingly being placed in the practice of modern dentistry, replacing traditional materials such as amalgam. Many restorative resins have distinct elemental compositions that allow identification of brand. Not only are resins classifiable by elemental content, but they also survive extreme conditions such as cremation. This is of significance to the forensic odontologist because resin uniqueness adds another level of certainty in victim identification, especially when traditional means are exhausted. In this three-part study, unique combinations of resins were placed in six human cadavers (total 70 restorations). Simulated ante-mortem dental records were created. In a blind experiment, a portable X-ray fluorescence (XRF) unit was used to locate and identify the resin brands placed in the dentition. The technique was successful in location and brand identification of 53 of the restorations, which was sufficient to enable positive victim identification among the study group. This part of the experiment demonstrated the utility of portable XRF in detection and analysis of restorative materials for victim identification in field or morgue settings. Identification of individuals after cremation is a more difficult task, as the dentition is altered by shrinkage and fragmentation, and may not be comparable with a dental chart. Identification of processed cremains is a much greater challenge, as comminution obliterates all structural relationships. Under both circumstances, it is the nonbiological artifacts that aid in identification. Restorative resin fillings can survive these conditions, and can still be named by brand utilizing elemental analysis. In a continuation of the study, the cadavers were cremated in a cremation retort under standard mortuary conditions. XRF was again used to analyze retrieved resins and to identify the individuals based on restorative materials known to exist from dental records. The cremains were then processed and the analysis was repeated to determine whether restorative resins could be found under this extreme condition. Under both circumstances, sufficient surviving resin material was found to distinguish positively each individual in the study group. This study showed the utility of XRF as an analytical tool for forensic odontology and also the significance of the role of restorative resins in victim identification, even after cremation.

Bone and Bones↗
PubMed2005

Genetic analysis of modern and historical burned human remains.

Burning of corpses is a well-known funeral procedure that has been performed for a long time in many cultures. Nowadays more and more corpses are burned in crematories and buried in urns, often for practical and financial reasons. In some scientific, criminal or civil cases even after cremation there is the need of genetic investigations for identification or paternity testing. Furthermore, burned remains are the only remains left in North Europe from 1200 BC to 500 AD. This makes genetic investigation of those materials interesting for anthropological reasons. We present on one hand a systematic investigation of 10 corpses before and after the cremation and on the other hand the analysis of seven historical remains representing the bronze age. We chose the ground bone powder and the less destroyed bone parts respectively and employed a slightly modified commercially available DNA extraction method. The presence of human nuclear and mitochondrial DNA was tested by a simple but highly sensitive Duplex-PCR. DNA quantification was done using real time PCR, and genetic typing was tried out using the AmpFISTR Identifiler Multiplex Kit, followed by an automatic analysis on an AbiPrism310.

DNA↗
PubMed1989

Exposure to and precautions for blood and body fluids among workers in the funeral home franchises of Fort Worth, Texas.

In 1982 the Centers for Disease Control published a set of recommendations and measures to protect persons working in health care settings or performing mortician services from possible exposure to the human immunodeficiency virus. This study of a number of funeral homes in the Fort Worth area was designed to determine the level of exposure of funeral home workers to blood and other body fluids and also to assess existing protective measures and practices in the industry. Workers in 22 funeral home franchises were surveyed with a predesigned questionnaire. Eighty-five responses from 20 of the 22 establishments were received. All 85 respondents admitted exposure of varying degrees to blood and body fluids. Sixty persons (70%) admitted heavy exposure, that is, frequent splashes. Analysis of the responses showed that 81 of 85 (95.3%) persons consistently wore gloves while performing tasks that might expose them to blood or other body fluids. Of the 60 persons who were heavily exposed, 43 wore long-sleeved gowns, 27 wore waterproof aprons, 17 surgical masks, and 15 goggles. The study further revealed that 52.9% (45/85) of the respondents had sustained accidental cuts or puncture wounds on the job. In light of these findings it is important to target educational efforts to persons in this industry to help them minimize their risks of infection with blood and body fluid borne infections.

Acquired Immunodeficiency Syndrome↗
PubMed2004

[Obligation to report occupational diseases. Importance of external post-mortem examinations before cremation].

The practical use of the legally required documentation of occupational diseases is demonstrated by a case of asbestos-related pleural mesothelioma. During the mandatory inquest before cremation, information of manifest pleural mesothelioma had been relayed to the widow of the patient, and an investigation for a possible occupational disease was performed. Reconstruction of the case showed that in the course of 3 months at least 13 physicians had been involved in in-hospital as well as ambulatory therapeutic measures. Until death, none of them informed the trade association about a suspected occupational disease in accordance with BK 4105 of the codex of occupational diseases, although the diagnosis of manifest pleural mesothelioma had been histologically confirmed already 10 weeks prior to the death of the patient. This case demonstrates obvious and evident deficiencies in applying the Code of Social Law VII, which requires physicians to report occupational diseases. In addition, it shows the importance of the post-mortem examination as a control function before cremation.

Germany↗
PubMed2005

Continuity or colonization in Anglo-Saxon England? Isotope evidence for mobility, subsistence practice, and status at West Heslerton.

The adventus Saxonum is a crucial event in English protohistory. Scholars from a range of disciplines dispute the scale and demographic profile of the purported colonizing population. The 5th-7th century burial ground at West Heslerton, North Yorkshire, is one of the few Anglian cemeteries where an associated settlement site has been identified and subjected to extensive multidisciplinary postexcavation study. Skeletal and grave good evidence has been used to indicate the presence of Scandinavian settlers. A small, preliminary study using lead and strontium isotope analysis of tooth enamel, mineralized in early childhood, from Neolithic/Early Bronze Age (n = 8), Iron Age (n = 2), and Early Anglo-Saxon (n = 32) skeletons, was carried out to directly investigate this hypothesis. Results suggest that lead provides dissimilar types of information in different time periods. In post-Roman England, it appears to reflect the level of exposure to circulated anthropogenic rather than natural geological lead, thus being a cultural rather than geographical marker. Consequently, only strontium provides mobility evidence among the Anglian population, whereas both isotope systems do so in pre-Roman periods. Strontium data imply the presence of two groups: one of "local" and one of "nonlocal" origin, but more work is required to define the limits of local variation and identify immigrants with confidence. Correlations with traditional archaeological evidence are inconclusive. While the majority of juveniles and prehistoric individuals fall within the "local" group, both groups contain juveniles, and adults of both sexes. There is thus no clear support for the exclusively male, military-elite invasion model at this site.

Dental Enamel↗
PubMed1997

HIV serophobia in the mortuary: an algorithm system for handling high-risk forensic cases.

A serophobia of the human immunodeficiency virus type 1 (HIV-1) is very noticeable in mortuaries handling high-risk cases. The morbid anxiety about occupationally acquired HIV infection in the forensic practice has made mortuary workers unduly overcautious. Despite the availability of codes of practice and informed principles of health and safety, there is considerable anxiety that an HIV carrier with no identifiable risk factors may be overlooked or a seronegative body may be inadvertently assumed to be uninfected. In contrast, a false sense of safety can pose a health hazard and has public health implications. An algorithm system is outlined for selective handling of unsuspected or unrecognized high-risk cases. It is necessary that guidelines are reasonably simple and incorporate statutory health and safety regulations and local safe working practice in the mortuary. Although it is not a legal obligation, approval by the coroners should facilitate consistent implementation of a protocol. A common experience in public and NHS hospital mortuaries in the London coroners' jurisdictions is characterized.

Attitude of Health Personnel↗
PubMed1997

Comparative degenerative joint disease of the vertebral column in the medieval monastic cemetery of the Gilbertine priory of St. Andrew, Fishergate, York, England.

The pattern of degenerative joint disease (DJD) of the intervertebral and apophyseal joints of the vertebral column of 81 skeletons from the thirteenth to fourteenth century medieval priory cemetery of St. Andrew, Fishergate, York, was recorded in relation to their location of interment: eastern cemetery, southern cemetery, and intramurally (within the priory buildings). Archaeological context and ethnohistorical accounts support the interpretation that people of different social status were buried in these areas. Linear discriminant function analysis and paired Kolmogorov-Smirnov tests showed that the differences in vertebral column DJD pattern and severity among the three subgroups were not statistically significant. As the archaeological and historical evidence seems reliable, it is argued that the analysis of DJD of the vertebral column might not be ideal to study the effects of normal activity patterns, a conclusion which supports the results of recent bioarchaeological research. Further, high-low plots demonstrate that the differences in DJD pattern were located between intervertebral and apophyseal joints of individuals rather than between subgroups of the cemetery. It is thought that this difference was produced as a response to erect posture during bipedal locomotion, reflecting vertebral curvatures, rather than differing occupational stresses. Thus, due to biological constraints on its function, the vertebral column might not be an ideal structure to study markers of occupational stress.

Adult↗
PubMed1997

Dental caries in nineteenth century upper Canada.

This study examines the presence of dental caries in a large sample of adult skeletons from the 19th century cemetery of St. Thomas' Anglican Church in Belleville, Ontario. The cemetery was used from 1821 to 1874. Caries prevalence and frequencies of diseased and missing teeth were calculated both by observing summary statistics of individual rates and by the total sample of teeth. Postmortem tooth loss is low in this sample and antemortem tooth loss is highest in first mandibular molars, all other molars and then premolars. Age at death, but not sex, was found to be significantly related to the overall Caries Rate while both age and sex were significantly associated with the Diseased-Missing Index. The increase in diseased and missing teeth in older individuals is expected while the sex difference is not explained by simple dietary factors. When compared to reports on British and American samples, caries and antemortem tooth loss in the St. Thomas' sample is most similar to a pre-1850 British group and higher than American samples. Although there is undoubtedly a complex of factors contributing to caries prevalence in this sample, more data are required from large historic samples, particularly from the American northeast and late 19th century Britain, to have a clearer understanding of the influence of diet, cultural, and environmental factors affecting caries rates in historic populations.

Adult↗
PubMed1998

Second metacarpal midshaft geometry in an historic cemetery sample.

Study of bone mass at the second metacarpal midshaft has contributed to our understanding of skeletal growth and aging within and between populations and has relied extensively on noninvasive techniques and in particular radiogrammetric data. This study reports age, sex, and side variation in size and shape data acquired from direct measurement of cross-sections obtained from a large (n = 356), homogeneous skeletal sample. Correlation analysis and three-way ANOVA of size-adjusted data confirm general impressions of patterned variation in this element: males have absolutely but not necessarily relatively larger bones than females; the right side is larger than the left, though a larger than expected proportion (approximately 25%) of left metacarpals exhibits greater values than the right; and bone mass but not strength (in males) declines with age. Contrary to the widely accepted assumption of circularity for this location, direct measurement of cross-sectional geometry confirms previous biplanar radiogrammetric conclusions regarding the noncircularity of the second metacarpal midshaft and identifies a significant difference between males and females, with the latter having a more cylindrical diaphysis. Deviation of the axes of maximum and minimum bending strength associated with noncircularity suggests a distribution of bone mass to resist bending moments perpendicular to the distal palmar arch, though this conclusion awaits more robust study of the functional anatomy of the metacarpal diaphysis.

Adult↗