7 FAM 240
identification of remains
(CT:CON-804; 04-30-2018)
(Office of Origin: CA/OCS)
7 FAM 241 Summary
(CT:CON-724; 08-11-2017)
a. Role of Host Country Medical Professionals:
Positive identification of human remains and determination of a cause of death
is generally the role of the host country authorities. Coroners, medical
examiners, pathologists and toxicologists and other professionals may be
involved in this work. You should be aware of who is responsible for these
duties in your consular district.
b. Role of the Consular Officer in Identification
of Remains: The consular officer is responsible for determining that the
local authorities have fulfilled their obligation for proper identification of
the remains. The Department does not expect consular officers in each case
to view the remains to ensure that a proper identification has been made.
When no relatives, next of kin (NOK) or friends are present, personal viewing
by the consular officer will enhance the officers role as an involved and
concerned public servant working on behalf of the bereaved family. Normally,
the consular officers responsibility in this matter can be fulfilled by
ascertaining that the appropriate local authorities took reasonable steps to
identify the remains. The local medical authorities will determine the
identity of the deceased and the cause of death, including whether the person
died of a communicable disease. The local funeral director will attest to the
fact that the hermetically sealed coffin or the urn contains human remains or
ashes of the named individual. (See 7 FAM 250
disposition of remains).
c. Visual Recognition: Identification of the
remains can be made by one of several means. For instance, the local
authorities may make a visual comparison of the remains and the U.S. passport
photo, and/or family members or friends may view the remains and certify the
identity of the deceased. Families should be briefed regarding the condition
of the remains before being asked to identify the remains visually. Families
may wish to select one family member to view the remains, or a family friend,
legal representative, physician or funeral director. See 7 FAM 250 for
guidance to U.S. funeral directors and next-of-kin regarding viewing remains
shipped to the United States. This would also apply to viewing photographs of
remains.
d. Contacting Family Members to Facilitate Visual
Identification: Local authorities or NOK may request the consular officer
to view the remains and documents in their possession before they certify the
identity of the deceased, or to provide contact information about the NOK to be
used by the local authorities in the identification process. In such cases,
the consular officer should comply to the extent possible with the requirements
of the local authorities, while respecting the privacy of the next-of-kin.
CA/OCS/ACS is available to assist you in locating NOK and other family
members. CA/OCS/L is available to assist you with Privacy Act questions. (See
7 FAM 060).
e. Forensic Identification of Decomposed or
Disfigured Remains: If the remains are decomposed or disfigured or visual
comparison of the remains and documents is not adequate for proper identification,
further identifiers such as fingerprint records and/or dental records or DNA
(Deoxyribonucleic acid) testing may be necessary to establish identity. When
this is necessary, posts should notify CA/OCS/ACS for further guidance and
assistance. (See 7
FAM 243 for further guidance regarding forensic identification of remains).
f. Local Law Prescribes Disposition of Remains
before Positive Identification is Made: If local laws prescribe
disposition of the remains before identification is completed, the consular
officer should attempt to ensure that local authorities first obtain both
fingerprints and dental imprints. Be aware that the U.S. government has no
funds to pay for those procedures. If local authorities refuse to take such
actions, the consular officer should immediately notify CA/OCS/ACS for
guidance.
g. Disasters and Other Critical Incidents: 7 FAM 1870
provides guidance regarding U.S. citizen fatalities in disasters and 7 FAM 1830
provides guidance regarding coordination with NTSB and airlines for deaths in
aviation disasters. 7 FAM 1820
provides guidance regarding identification of remains of U.S. citizens killed
in hostage taking/kidnapping incidents.
7 FAM 242 AUTOPSIES
(CT:CON-758; 12-06-2017)
a. You should advise CA/OCS/ACS whether an autopsy has
been or will be performed. Next-of-Kin should be briefed on why the autopsy is
necessary under local or U.S. law and whether consent, or payment by the NOK
for costs associated with the autopsy, is required to proceed. Families may be
very sensitive about this subject. Your discussions with family members should
be respectful of the familys sensitivity. Autopsy standards and results vary
widely depending on local practices and capabilities. Families should be
forewarned of local deviations from what they might expect in the United States
lengthy delays in obtaining autopsy reports, limited or unclear reports,
etc. You should also convey the religious or ethical concerns of the family
about autopsies to local authorities. It may be possible for local authorities
to make a determination as to the cause of death without a full forensic
autopsy. If an autopsy is to be performed in the United States, the remains
should be transported unembalmed. 7 FAM 250
provides guidance reporting transporting unembalmed remains to the United
States.
b. Terrorism and Federal Crimes for Acts Against
U.S. Citizens Abroad: Autopsy of Unembalmed Remains by U.S. Armed Forces
Medical Examiner:
(1) 10 U.S.C. 1471(b)(3)(C), authorizes the Armed
Forces Medical Examiner to conduct an autopsy in any authorized investigation
being conducted by the Federal Bureau of Investigation (FBI) at the request of
the FBI and at no cost.
(2) 18 U.S.C. 2332 and 18 U.S.C. 2332b of the
terrorism statutes relates to criminal penalties for killing or attempting to
kill a national of the United States while that national is outside the United
States.
(3) 7 FAM 1828 provides guidance regarding the death of a U.S.
citizen hostage or kidnap victim.
(4) 7 FAM 1800 Appendix A Managing Stress and the
Consular Crisis Worker.
c. Forensic and Medical Autopsies: Depending
upon the specific purpose for which the autopsy is being performed, the
pathologists and other personnel concerned may refer to it as a forensic
autopsy or a hospital autopsy. The specific purpose could be, for example, to
make a legal and/or medical determination as to the cause and /or manner of
death; to identify the decedent; or to allay concerns of survivors.
(1) A forensic autopsy is a postmortem done to
determine the time of death, the cause of death, the manner of death, the
sequence and significance of injuries, and, perhaps, the identity of the
decedent. It may well be the source of evidentiary materials. The forensic
autopsy is a very thorough external and internal examination, and it may
include the microscopic examination of tissue and organs, and the toxicological
examination of tissues and body fluids.
(2) A hospital autopsy, sometimes also called a
medical autopsy, is typically performed to determine only the cause of death.
It may be limited in scope.
d. Consent: In general, forensic autopsies
are often required, i.e., directed by a competent authority, without the
permission of the decedents NOK. Hospital autopsies are typically consensual;
that is, requested by the NOK or performed with his/her permission. The laws
of the host country may vary regarding the question of consent.
e. Information for Families about Autopsies:
NOTE: The following
material may be helpful in explaining autopsy procedures to families:
FBI
FBI Information for Families About Autopsies
College of American Pathologists
Autopsies Aiding the Living by Understanding Death
Sample Autopsy Consent and Authorization Form
|
7 FAM 243 FORENSIC IDENTIFICATION OF
REMAINS
(CT:CON-724; 08-11-2017)
a. CA/OCS has developed a network of federal, state and
university contacts in the field of forensic identification of remains that
provide guidance and assistance with questions concerning forensic
identification of remains.
b. Forensic anthropology is primarily a
specialty within physical anthropology, the branch of anthropology that
contributes the techniques that make it possible to identify the person to whom
specific remains belong. Physical anthropologists and archaeologists are also
essential to the work of identifying long buried remains. Archaeological
techniques are required to "recover evidence" (that is to say, to
exhume bodies), but unlike traditional archaeologists and physical
anthropologists, forensic anthropologists depend on information about the
bodily histories of the individuals whose remains they disinter. CA/OCS has
enlisted the help of these specialized professionals in the identification of
private U.S. citizens whose badly decomposed remains, often long-buried, were
located in foreign countries in the Americas, Africa, and Central Europe.
See:
International Committee of the Red Cross
Missing People, DNA Analysis and Identification of Human Remains
A History of SmithsonianFBI Collaboration
in Forensic Anthropology, Especially in Regard to Facial Imagery
|
c. Mitochondrial DNA sequence analysis of human
skeletal remains: One of CA/OCS/ACSs ongoing responsibilities is
coordination with families of civilians missing from the Vietnam War. We work
closely with the Armed Forces Institute of Pathology in obtaining mitochondrial
DNA samples from surviving family members to be used in future DNA sequence
analysis of human skeletal remains located in South East Asia.
See:
Journal of Forensic Science identification
of remains from the Vietnam War.
|
d. Criminal Forensic DNA Identification of Remains:
If the host country determines that criminal forensic DNA identification of
remains is necessary, the Armed Forces Institute of Pathology directed CA/OCS
to a list of American Society of Crime Laboratory Directors (ASCLD) accredited
laboratories in the United States accredited by the American Society of Crime
Laboratory Directors Laboratory Accreditation Board (ASCLD-LAB). The
American Academy of Forensic Sciences can provide additional sources.
See:
American Society of Crime Laboratory
Directors Laboratory Accreditation Board (ASCLD)
List of ASCLD accredited laboratories
|
e. Disasters and Identification of Remains:
Experts recover all remains possible, from a full body to the smallest piece.
When a body is severely damaged, experts can use dental and x-ray records,
personal effects (clothing); physical anomalies; identifying characteristics
(facial hair, tattoos, scars, etc.); fingerprints, and DNA.
NOTE: In the 2005 South Asian
Tsunami there were 33 U.S. citizen fatalities, 32 confirmed deaths and 1
presumed. Of the confirmed dead, 24 were in Thailand and 8 in Sri Lanka.
The 1 presumed dead was in Sri Lanka. All of the U.S. citizens who died in
Sri Lanka were visually identified, as the circumstances allowed them to be
identified virtually immediately by persons who knew them. In Thailand, most
of the identifications were made through dental records, occasionally in
combination with fingerprints, and/or physical identifiers (such as jewelry),
and/or DNA. Among the 24 deceased in Thailand, six were children: three were
visually identified within days by family members; a 14-yr-old was identified
through dental records; his 12-yr-old brother through dental combined with DNA;
and then a six-day-old baby was identified through DNA 10 months after the
Tsunami.
|
g. 7 FAM 1800 provides further guidance about consular
crisis management.
See
New York
September 11, 2001 How DNA Can Help Identify
Individuals
London Bombings
Report of the 7 July Review Committee
Dealing With Fatalities in Emergencies
Humanitarian Assistance in Emergencies: Guidance
on Establishing Family Assistance Centers
Department of Justice
Understanding DNA Evidence : A Guide for Victim
Service Providers
Providing Relief to Families After a Mass
Fatality: Roles of the Medical Examiners Office and Family Assistance
Center
Identifying Victims Using DNA: A Guide for
Families
Interpol
Disaster Victim Identification
Pan American Health Organization
Infectious Disease Risks from Dead Bodies
Following Natural Disasters
Disaster Myths That Wont Die
Managing Dead Bodies After Disasters: A Field
Manual For First Responders
Managing Dead Bodies in Disaster Situations
NTSB
Major Team Investigations Appendix G On-Site
Safety
Federal Family Assistance Plan for Aviation
Disasters
Other
Presidential Task Force On Aviation Disasters
Appendix A, Recommendation 4, Recommendations on uniform guidelines for
medical examiners and coroners on the identification of the remains of
victims
After the Tsunami: Legal Implications of Mass
Burials of Unidentified Victims in Sri Lanka
|
7 FAM 244 through 249 unassigned