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Medicolegal Death Investigations on Tribal Lands-underrepresented or Underserved?

Overview
Specialty Forensic Sciences
Date 2024 Jun 14
PMID 38873100
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Abstract

Death investigation on tribal lands and of American Indian/Alaska Native (AIAN) people is complex and not well documented. An analysis of data from the 2018 Census of Medical Examiner and Coroner Offices (CMEC) provides a timely update on the extent of medicolegal death investigations (MDIs) on federal and state-recognized tribal lands. An estimated 150 MEC offices serve tribal lands, however, 44 % of these offices (i.e., 4 % of MEC offices) do not track cases from tribal lands separately. MEC offices with a population of 25,000 to 250,000 that serve tribal lands had more resources and access to information to perform MDIs than all other MEC offices. Analysis also indicates that the median number of unidentified human remains cases from MECs serving tribal lands is 6 times higher than that of jurisdictions not serving tribal lands. This analysis begins to elucidate gaps in the nation's understanding of MDI on tribal lands.

References
1.
Roubidoux M, Kaur J, Rhoades D . Health Disparities in Cancer Among American Indians and Alaska Natives. Acad Radiol. 2021; 29(7):1013-1021. DOI: 10.1016/j.acra.2021.10.011. View

2.
Rodriguez A, Smiley-McDonald H, Cummings M, Wire S, Slack D, Williams C . Understanding unidentified human remains investigations through the United States census data. Forensic Sci Int Synerg. 2022; 4:100225. PMC: 8968461. DOI: 10.1016/j.fsisyn.2022.100225. View

3.
LeBlanc M, Clifford C, Lathrop S . Evaluation of Non-Natural Deaths among Veterans: New Mexico Medical Examiner-Investigated Deaths, 2002-2011. J Forensic Sci. 2016; 62(3):668-673. DOI: 10.1111/1556-4029.13333. View

4.
Petrosky E, Kollar L, Kearns M, Smith S, Betz C, Fowler K . Homicides of American Indians/Alaska Natives - National Violent Death Reporting System, United States, 2003-2018. MMWR Surveill Summ. 2021; 70(8):1-19. PMC: 8639023. DOI: 10.15585/mmwr.ss7008a1. View

5.
Laffey K, Nelson A, Laffey M, Nguyen Q, Sheets L, Schrum A . Chronic respiratory disease disparity between American Indian/Alaska Native and white populations, 2011-2018. BMC Public Health. 2021; 21(1):1466. PMC: 8317382. DOI: 10.1186/s12889-021-11528-8. View