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The management of the deceased from the COVID-19 pandemic and its organizational challenges from the medico-legal services perspective
La gestión de las personas fallecidas a causa de la pandemia de COVID-19 y los retos organizativos desde la óptica de los servicios medicolegales
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José Luis Prieto Carreroa,
Corresponding author
prietoaf@med.ucm.es

Corresponding author.
, Luis Fondebriderb, Mercedes Salado Puertob, Morris Tidball Binzc
a Instituto de Medicina Legal y Ciencias Forenses de Madrid, Madrid, Spain
b Equipo Argentino de Antropología Forense, Buenos Aires, Argentina
c Medicina Forense, Facultad de Ciencias Médicas, Universidad de Monash, Clayton, Australia
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Table 1. Elements which differentiate conventional catastrophes from pandemics.
Abstract

The new coronavirus disease (COVID-19), which emerged at the end of 2019 in the Chinese city of Wuhan, was declared as a pandemic by the World Health Organization on 11 March 2020.

In the most affected countries and regions, in parallel to the high number of patients and the consequent saturation of the health services, the unusually high number of deaths adds a very sensitive burden to authorities regarding the management of corpses.

The purpose of this article is to identify the particular challenges of an appropriate management and coordination of the institutions involved and to propose recommendations for action for the proper and dignified management of the deceased and the protection of the rights of their families to a respectful treatment, to know the fate and whereabouts of their loved ones and to honor them according to their beliefs and customs. The important role that medical-legal services may play for this is highlighted.

Keywords:
Forensic medicine
COVID-19
Pandemic
Mass disasters
Dead body management
Humanitarian forensic action
Resumen

La enfermedad por el nuevo coronavirus (COVID-19), surgida a fínales de 2019 en la ciudad china de Wuhan, fue declarada como pandemia por la Organización Mundial de la Salud el 11 de marzo de 2020.

En los países y regiones más afectadas, paralelamente al elevado número de pacientes y saturación de los servicios de salud, la cantidad inhabitual de fallecidos supone un importante esfuerzo de gestión para las autoridades.

El presente artículo tiene como objetivo identificar los retos particulares de una adecuada gestión y coordinación de las instituciones implicadas y proponer recomendaciones de actuación para el manejo correcto y digno de los fallecidos y la protección del derecho de sus familiares a un trato respetuoso, a conocer la suerte y paradero de sus seres queridos y a honrarlos de acuerdo con sus creencias. Se destaca el importante papel que los servicios medicolegales deben jugar para ello.

Palabras clave:
Medicina forense
COVID-19
Pandemia
Catástrofes
Gestión de cadáveres
Acción forense humanitaria

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