Evidence map›Paper›PMID 42207386›Full record

ArticleForensic science, medicine, and pathology2026

A retrospective case review of decedents recovered from aquatic environments in Cape Town, South Africa.

Laura Jane Heathfield, Lisa Malan, Chandra Finaughty, Calvin Gerald Mole, Victoria Elaine Gibbon

Abstract read
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In one paragraph

Article in Forensic science, medicine, and pathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Laura Jane HeathfieldDivision of Forensic Medicine and Toxicology, Department of Pathology, Faculty of Health Science, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, South Africa. lauraheathfield@uct.ac.za.
Lisa MalanDivision of Forensic Medicine and Toxicology, Department of Pathology, Faculty of Health Science, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, South Africa.
Chandra FinaughtyDivision of Forensic Medicine and Toxicology, Department of Pathology, Faculty of Health Science, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, South Africa.
Calvin Gerald MoleDivision of Forensic Medicine and Toxicology, Department of Pathology, Faculty of Health Science, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, South Africa.
Victoria Elaine GibbonDivision of Clinical Anatomy and Biological Anthropology, Department of Human Biology, University of Cape Town, Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The identification of deceased individuals is a mandated component of medico-legal death investigations. Due to the unique taphonomic circumstances of decedents retrieved from aquatic environments, identification is often challenging. This study retrospectively examined 289 cases of deceased individuals recovered from aquatic environments that were admitted to Salt River Mortuary in Cape Town between January 2017 and December 2021. Case report data and associated documented information were analysed to evaluate reported post-mortem submersion intervals (PMSI), recovered body segments, and identification methods to inform future procedural improvements and prevention strategies. Findings indicated that 48.4% (140/289) of cases were recovered from the ocean. Overall, 33.2% (96/289) of cases were admitted to the mortuary with unknown identity, among these, 25.0% (24/96) were not identified after the medico legal investigation. The presumed identities of a further two cases were unconfirmed following post-mortem investigation, resulting in 9.0% (26/289) decedents remaining unidentified. Most unidentified decedents were recovered from the ocean 69.2% (18/26). Samples for DNA profiling were collected in 28.4% (82/289) cases and were successfully used in identification for 32.9% (27/82) cases. The average post-mortem submersion interval was less than two weeks for 51.2% (148/289) of cases but was undetermined for 47.8% (138/289) cases. The taphonomic environment of aquatic cases results in rapid and extensive breakdown of biological tissues leading to reduced rates of identification, which requires scientific focus and attention. To enhance identification rates for aquatic cases, further research into methodological and technological adjustments are required. In particular exploring alternatives to visual identification through use of DNA analyses and a better understanding of taphonomic processes in these aquatic environments may improve medico-legal death investigations.

Indexed as

DrowningImmersionPostmortem ChangesAdolescentAdultAgedAged, 80 and overChildDNA FingerprintingFemaleHumansMaleMiddle AgedRetrospective StudiesSouth AfricaYoung AdultForensic human identificationMedico-legal death investigationMortality dataPost-mortem submersion intervalSalt River Mortuary

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.