In field of autopsies, Japan lagging far behind
Asahi
Each year, around 150,000 deaths in Japan are deemed to be "unusual" in that they did not occur in hospitals. If there is any suspicion that death may be linked to crime, the body may undergo judicial autopsy. Even when there is no such suspicion, the body may undergo administrative autopsy if the cause of death needs to be determined.
In major urban areas such as Tokyo and Osaka, which operate so-called medical examiner systems, typically one in five deaths regarded as having occurred in unusual circumstances is subjected to autopsy. But in the rest of the country, where 92 million people live, the rate of autopsy is only 4 percent.
In areas where the medical examiner system has yet to be established, when simple initial police investigations find no signs that suggest crime, cases of unusual deaths run the risk of being categorized as death from illness caused by such factors as "heart failure." Usually, no CT scans or testing for drugs are done. From a medical viewpoint, such bodies should be properly examined to determine cause of death.
In fact, in Kitami, Hokkaido, a man who died of carbon monoxide poisoning caused by a defective gas water heater made by Paloma Industries Ltd. was not recognized as the victim of a fatal accident because the police concluded he died of heart failure. This is in spite of the fact that his bereaved family members had pointed to the possibility....more...