Forensic Epidemiology In The Global Context

As globalization causes profound changes in business, industry, and trade,it can also have significant effects on populations, environments, and individuals.These effects may be harmful, resulting in injury or illness, prompting the critical question: How best to correct wrongs caused to individuals, communities, and/or the environment of one country by the actions of individuals or corporations of another? Possible answers lie in an emerging discipline. Forensic Epidemiology in the Global Context opens meaningful windows onto the processes of forensic epidemiology, the roles of the epidemiologist in civil disputes, and the potential contribution of the field to legal and justice efforts worldwide. Case examples from the U.K., Nigeria, Ecuador, Romania, and Australia illustrate commonly used methodologies and the challenges involved in their use in U.S. and international courts of law. A chapter on expert testimony takes readers through qualification and admissibility issues, report requirements, and working with attorneys. Included in the coverage: Forensic epidemiology in the international legal arena. The epidemiologist as an expert in litigation. Epidemiological evidence in tort law: dispatches from the U.K. Liability for occupational exposure: the role of epidemiology. Forensic epidemiology and environmental justice. Forensic epidemiology, pathology, ethnics, and human rights. By emphasizing both the scientific and legal components of the equation, Forensic Epidemiology in the Global Context gives researchers and graduate students in epidemiology a unique and timely guide to the present and future of an increasingly salient field.

It is an inescapable fact that causation, both generally (in populations), and specifically (in individuals), cannot be observed. Rather, causation is determined when it can be inferred that the risk of an observed injury or disease from a plausible cause is greater than the risk from other plausible causes. While many causal evaluations performed in forensic medicine are simplified by the fact that the circumstances surrounding the onset of an injury or disease clearly rules out competing causes (eg, a death following a fall), there are many cases that present a more complicated picture. It is these types of investigations, in which an analysis of comparative levels of risk from competing causes is needed to arrive at a reliable and accurate determination of the most likely cause, that forensic epidemiology (FE) is directed at. In Forensic Epidemiology, the authors present the legal and scientific theories underlying the methods by which risk is used in the investigation of individual causation. Methods and principles from epidemiology are combined with those from a multitude of other disciplines, including general medicine, pharmacology, forensic pathology, biostatistics, and biomechanics, inter alia, as a basis for investigating the plausibility of injury and disease exposures and mechanisms. The ultimate determination of the probability of causation (PC) results from an assessment of the strength of association of the investigated relationship in the individual, based on a comparison between the risk of disease or injury from the investigated exposure versus the risk of the same disease or injury occurring at the same point in time in the individual, but absent the exposure. The principles and methods described in Forensic Epidemiology will be of interest to those who work and study in the fields of forensic medicine, epidemiology, and the law. Historical perspective on how epidemiologic evidence of causation has been used in courts in the US and Europe Theory and science underlying the use of risk to assess individual causation Primer on epidemiologic methods, and various measures used to arrive at individualized comparative risk assessments and PC The use of statistical methods applied to publicly available data for ad hoc analysis of PC applicable to the specific circumstances of a case Background on complementary disciplines, including forensic pathology, death investigation, biomechanics, and survival analysis Examples of applied FE in the investigation of traffic injury and death, automotive and other product defect litigation, medical negligence, and criminal prosecution and defense

Events on local, national, and international levels have highlighted the need for joint investigation and collaboration between public health and law enforcement. Domestic violence and partner homicide, intentional infection of individuals with HIV, and the anthrax attacks of 2001 are examples that underscore the need for forensic epidemiology in the investigation of criminal acts. Forensic Epidemiology focuses specifically on the integration of the principles and methods of epidemiology with law enforcement functions in the administrative and criminal contexts. Ideal for students and professi

The discipline of epidemiology provides a methodology for perceiving the world and relating to the communities whose health and disease patterns need to be understood. Forensic epidemiology extends our understanding to community's injuries and those alleged to be responsible. This much needed resource focuses on the use of the epidemiology in the legal context, using case studies to illustrate the issues raised. This work includes discussion of: - epidemiology in the courtroom; - epidemiology, legislation and rulemaking; - law, epidemiology and community organization and advocacy; - epidemiology, law and social context. This text challenges the boundaries about what epidemiology is and how it is to be used to make a contribution to the groups it studies. In turn, a more complete understanding of the populations, diseases and the systems that underlie and shape the research is reached. This book will be of value to the student studying in public health, environmental health and medical programs, law students as well as professional researchers.

After 9/11, forensic epidemiology emerged as a leading investigative tool, partnering public health officers with law enforcement like never before. Based on the authors’ first-hand experience, Forensic Epidemiology brings to light the vast amounts of information collected by medical examiners that will be useful in advancing death investigation techniques among the forensic science, public health, and law enforcement fields. This practical resource begins with a brief overview of epidemiological science and the history of forensic epidemiology before examining the multiple functions of death certificates and the signature role of forensic epidemiologists in death investigations. Incorporating numerous illustrations and real-world examples, the book: Explains proven methods to collect, analyze, and interpret data for criminal investigations Defines the terminology, methodology, procedures, and goals of all sectors involved for more effective collaboration Examines deaths from natural, suicidal, accidental, homicidal, and undetermined causes Describes the various decomposition states and methods used to establish positive identity The increased frequency of criminal acts that involve deliberate biological and chemical agents underscores the need for collaboration between law enforcement investigators and public health professionals. As Forensic Epidemiology effectively demonstrates, when they work together, they can mount a powerful and successful response to threats to the American public. Dr. Steven A. Koehler was interviewed in Volume 12 of Anil Aggrawal's Internet Journal of Forensic Medicine and Toxicology.

Public health activity, and the state’s public health responsibilities to assure the conditions in which people can be healthy, can only be achieved through different means of social coordination. This places law and regulation at the heart of public health. They are fundamental both to methods of achieving public health goals and to constraints that may be put on public health activity. As such, trainees, practitioners, and leaders in public health need to understand the breadth and nature of wide-ranging legal and regulatory approaches and the place of ethics in public health. Public Health Law, written by three leading scholars in the field, defines and examines this crucial area of study and practice. It advances an agenda whose scope extends far beyond that covered in traditional medical law and health care law texts. The authors provide an account of the scale of contemporary public health policy and practice and explain its philosophical depths and implications and its long legislative and regulatory history. They advance a definition of the field and explore how different legal approaches may serve and advance or constrain and delimit public health agendas. This ground-breaking book presents the field of public health ethics and law and goes on to examine the impact within the UK of private law, criminal law, public law, EU and international law, and ‘softer’ regulatory approaches. It is a primary point of reference for scholars, practitioners, and leaders working in public health, particularly those with an interest in law, policy, and ethics.

This concise, conceptually rich, and accessible book is a rallying cry for a return to the study and discussion of epidemiologic theory: what it is, why it matters, how it has changed over time, and its implications for improving population health and promoting health equity. By tracing its history and contours from ancient societies on through the development of--and debates within--contemporary epidemiology worldwide, Dr. Krieger shows how epidemiologic theory has long shaped epidemiologic practice, knowledge, and the politics of public health.

This highly practical text surveys the myriad legal and ethical issues that social workers encounter both in daily practice and under special circumstances. Its initial section presents concepts in law and ethics that unite practitioners, researchers, and academics in the field, such as confidentiality, informed consent, and the interplay between social work and administrative and judicial systems. A selection of representative cases illustrates legal aspects involved in providing services to families, children, elders, and persons with disabilities. Also included are chapters on advocacy in social work, both in its potential to influence policy and on the global stage as part of the ongoing struggle for human rights and dignity. Among the topics covered: Confidentiality and the social worker-client relationship Liability issues for social workers in the clinical context Legal issues arising in the context of social work research The social worker and forensic social work Social worker involvement in access to school and school services Social work in the context of health care Legal issues working with immigrants, refugees, and asylees The interface between social work and human rights Legal Issues in Social Work Practice and Research is an interdisciplinary text aimed at social work, mental health, and legal professionals. It enhances the power of social work as an integrative system to support clients’ rights and agency.