Why make post-mortems mandatory for all deaths of children under 5 years?



The Ministry of Justice and National Integration has informed coroners that deaths of all children under the age of five will be subject to a mandatory post-mortem examination. Making it mandatory for all deaths of children under five has several disadvantages. It can cause additional worries for grieving families, especially when the cause of death is well known.  

The procedure is invasive and may conflict with cultural and religious beliefs. Financially, it places a heavy burden on the health system, with each post-mortem costing around Rs. 15,000. It is a waste of the hospital’s invaluable resources, delaying funerals (which are not favourable from an Islamic perspective) and other essential services.

Furthermore, increased workloads may lead to staff burnout, while unnecessary post-mortems may complicate simple cases. Finally, the effectiveness of mandatory post-mortems in improving health indicators remains questionable, especially if major causes of death are already well-documented.

Hope that Hon. Minister Harshana Nanayakkara, Minister of Justice and National Integration, will not go ahead with the autopsy as per the Ministry’s circular because of the serious concerns raised above.

Mohamed Zahran

Colombo

 


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