1.Effectiveness of bone cleaning process using chemical and entomology approaches: time and cost
Lai Poh Soon ; Khoo Lay See ; Mohd Hilmi Saidin ; Ahmad Hafizam Hasmi ; Mohd Shah Mahmood ; Nurliza Abdullah ; Nazni Wasi Ahmad
The Malaysian Journal of Pathology 2015;37(2):123-135
Skeletal examination is an important aspect of forensic pathology practice, requiring effective bone
cleaning with minimal artefact. This study was conducted to compare between chemical and entomology
methods of bone cleaning. Ten subjects between 20 and 40 years old who underwent uncomplicated
medico-legal autopsies at the Institute of Forensic Medicine Malaysia were randomly chosen for this
descriptive cross sectional study. The sternum bone was divided into 4 parts, each part subjected to
a different cleaning method, being two chemical approaches i.e. laundry detergent and a combination
of 6% hydrogen peroxide and powder sodium bicarbonate and two entomology approaches using
2nd instar maggots of Chrysomyia rufifacies and Ophyra spinigera. A scoring system for grading the
outcome of cleaning was used. The effectiveness of the methods was evaluated based on average
weight reduction per day and median number of days to achieve the average score of less than 1.5
within 12 days of the bone cleaning process. Using maggots was the most time-effective and costeffective
method, achieving an average weight reduction of 1.4 gm per day, a median of 11.3 days
to achieve the desired score and an average cost of MYR 4.10 per case to reach the desired score
within 12 days. This conclusion was supported by blind validation by forensic specialists achieving
a 77.8% preference for maggots. Emission scanning electron microscopy evaluation also revealed
that maggots especially Chrysomyia rufifacies preserved the original condition of the bones better
allowing improved elucidation of bone injuries in future real cases.
2.MH17: the Malaysian experience
Khoo Lay See ; Hasmi Ahmad Hafizam ; Abdul Ghani Aziz Sarah Aziz ; Ibrahim Mohamad Azaini ; Mahmood Mohd Shah
The Malaysian Journal of Pathology 2016;38(1):1-10
A disaster is a natural or man-made (or technological) hazard resulting in an event of substantial extent
causing significant physical damage or destruction, loss of life, or drastic change to the environment.
It is a phenomenon that can cause damage to life and property and destroy the economic, social and
cultural life of the people; and overwhelms the capacity of the community to cope with the event.
The recent tragic aviation accidents in 2014 involving Malaysia Airlines flights MH370 and MH17
shocked the world in an unprecedented manner. This paper focuses on the Malaysian experience in
the MH17 mission in Ukraine as well as the first ever international Disaster Victim Identification
(DVI) operation for the Malaysian DVI team. The DVI operations in Hilversum, the Netherlands
were well described in stages. The Netherlands’ Landelijk Team Forensische Opsporing as the lead
DVI team in Hilversum operated systematically, ensuring the success of the whole mission. This
paper discusses the lessons learned by the Malaysian team on proper DVI structure, inter- and
intra-agency cooperation, facilities planning and set up, logistics and health and safety aspects, as
well as effective communication and collaboration with other international delegates. Several issues
and challenges faced by the Malaysian team were also documented. In addition, the authors shared
views, opinions and recommendations for a more comprehensive DVI operation in the future.