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

Briefing 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

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

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  1. Briefing on New Service Model in Handling Adult Sexual Violence Cases2007-02-14 Forensic Examination for Victims of Sexual Violence Dr SHUM Shui-fung, Bobby Head of NT Division, Forensic Pathology Service, Department of Health

  2. Forensic Pathology Service • Department of Health • Provides forensic pathology and clinical forensic medicine services to government departments

  3. Victims • Suspects • Sexual offences • Serious Wounding Cases • Child Abuse • CAT (Convention Against Torture) Claimant Forensic Pathology Service • Operate public mortuaries • Attend scenes of crimes • Clinical medico-legal examinations • Consultation • Court proceedings Scope of Service

  4. 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

  5. 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

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

  7. NT Office

  8. NT Office

  9. NT Office

  10. NT Office

  11. NT Office

  12. NT Office

  13. NT Office

  14. NT Office

  15. NT Office

  16. NT Office

  17. NT Office

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

  19. HKI Office

  20. HKI Office

  21. HKI Office

  22. HKI Office

  23. HKI Office

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

  25. Sexual Offence • Rape, attempted rape • Indecent assault • Unlawful sexual intercourse with girl under 13/16 • Unlawful sexual intercourse with mentally defective • Buggery…

  26. Rape • Cap 200 Crimes Ordinance: • A man commits rape if- • (a) he has unlawful sexual intercourse with a woman who at the time of the intercourse does not consent to it; and • (b) at that time he knows that she does not consent to the intercourse or he is reckless as to whether she consents to it

  27. Forensic Examination of Victims of Sexual Violence • Evidence (physical / laboratory) • Sexual intercourse • injury to private parts • presence of semen • Non-consensual • pattern of injuries • toxicological examination

  28. Forensic Examination of Victims of Sexual Violence • Medical treatment must take priority SAFETY OF VICTIM COMES FIRST!!

  29. Examination Suite • Accessibility (24 hour) • Security (restricted, lock) • Cleanliness / Comfortableness (warm) • Privacy (view & sound, entry & exit) • Enough space

  30. Examination Suite • Waiting area (family, SW, police) • Examination area (forensic pathologists, chaperone / nurse, interpreter) • Equipment (couch, lighting, magnifying glass, swabs, specimen containers, water) • Toilet

  31. Forensic Examination of Adult Rape Victims • Consent • History • Physical Examination • general examination • genito-anal examination • Sample collection • Documentation and reporting

  32. Consent

  33. Consent • Informed • Voluntary • Capacity - MIP • guardian • invoke Part IVC • guardianship board

  34. History • What signs to look for • What samples to take • How to interpret findings

  35. History • Routine background • Medical • Gynaecological • Sexual • What happened • “…The victim should not be asked to describe the assault repeatedly …”

  36. Physical Examination • General examination • Genito-anal examination

  37. General Examination

  38. General Examination • General appearance • Upper arms, forearms and hands • Face, ears, lips • Scalp • Neck • Breasts • Abdomen • Thighs and Legs • Hips and Buttocks

  39. Non genito-anal injuries • Bruises and contusions (e.g. inner aspect of thighs, scalp, face, lips); • Lacerations (e.g. scalp, forearm); • Ligature marks (e.g. ankles, wrists and neck); • Pattern injuries (i.e. fingertip marks, scratch marks, bite marks, factitious self-inflicted injuries)

  40. Defensive Injuries

  41. Road Surface Injuries

  42. Lip Bruising

  43. Fingertip Bruising

  44. Genito-anal Examination • Inspection, labial traction • Swabs • Speculum • Anal +/- digital +/- proctoscope

  45. Genito-anal Examination

  46. Genito-anal Injuries

  47. Genito-anal injuries

  48. Genito-anal injuries

  49. Forensic Specimens • Vulval / vaginal / endocervical swabs • Buccal swabs – for DNA profiling Other swabs (e.g. anal, oral, breasts) • Fingernail (clipping / scraping) • Pubic hair • Clothing / debris • +/- Toxicological samples (blood, urine)

  50. Forensic Specimens

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