Practical and legal aspects of forensic autopsy expert team operations
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Transcript of Practical and legal aspects of forensic autopsy expert team operations
Practical and legal aspects of forensic autopsy expert teamoperations
Juha Rainioa,*, Kaisa Lalua, Helena Rantaa, Kari Takamaab, Antti Penttilaa
aDepartment of Forensic Medicine, University of Helsinki, P.O. Box 40, Kytosuontie 11, Helsinki, FinlandbDepartment of International Law, University of Helsinki, Helsinki, Finland
Received 11 June 2001; received in revised form 6 August 2001; accepted 8 August 2001
Abstract
Finnish forensic experts have investigated remains of the victims of alleged mass violence in the former Yugoslavia in 1996
under the mandate of the United Nations, and in 1998 and 1999 under the mandate of the European Union. The investigative
documents later were surrendered to the International Criminal Tribunal for the former Yugoslavia (ICTY). The indictments
issued by the ICTY include charges even against the highest authorities of the Federal Republic of Yugoslavia. This study
describes the experience gained in organising forensic expert team operations in a foreign state by the Finnish team. The
establishment and operation of a forensic expert team in a foreign state involve, among other things, legal issues, often related to
differing legal systems. From an independent forensic expert team, great objectivity and self-constraint are expected. Moreover,
a clear and sufficiently detailed agreement on the mandate of the team and on the possibility for unhindered and safe access of
the experts to the alleged mass graves, as well as the assembling and briefing of the team members and provision of the
necessary equipment should be completed before the beginning of the mission. Furthermore, the application of adequate and
internationally recognised methods for processing and documenting the examination is essential for team’s credibility. q 2001
Elsevier Science Ireland Ltd. All rights reserved.
Keywords: Mass graves; Exhumation; Autopsy; Forensic pathology; Legal aspects
1. Introduction
Since 1992, the international community has been
involved in various armed conflicts, which have arisen
in the area of the former Yugoslavia. An International
Criminal Tribunal for the former Yugoslavia (ICTY)
was established in May 1993 by the United Nations
(UN) Security Council [1–4] and the Tribunal has,
thereafter, issued several indictments for violations
of international humanitarian law [5]. The forensic
investigations of the victims have been performed by
local forensic services [6,7] and by national [8,9] and
international forensic teams [2,10–18].
Finnish forensic experts performed investigations
of human remains in the territory of the Republika
Srpska in Bosnia and Herzegovina (BiH) under the
mandate of the United Nations (the UN Forensic
Expert Team, UN-FET) in July 1996 [19,20], and
then under the mandate of the European Union (the
EU-FET) in Kosovo, the Federal Republic of Yugo-
slavia (FRY), in December 1998 and January 1999
[21–24] (see Fig. 1).
In 1991, the Finnish Ministry of the Interior
Legal Medicine 3 (2001) 220–232
1344-6223/01/$ - see front matter q 2001 Elsevier Science Ireland Ltd. All rights reserved.
PII: S1344-6223(01)00041-4
www.elsevier.com/locate/legalmed
* Corresponding author. Tel.: 1358-9-1912-7473; fax: 1358-9-
1912-7518.
E-mail address: [email protected] (J. Rainio).
appointed a permanent national Disaster Victim Iden-
tification (DVI) team, under the supervision of the
Finnish National Bureau of Investigation (NBI). The
team in 2001 consisted of three forensic pathologists,
two forensic odontologists, 16 policemen, an autopsy
and X-ray technician, a psychologist, and a pastor. The
DVI team investigated two Finnish aircraft accidents
with small number of victims in 1988 and 1992. In
September 1994, the liner M/S Estonia sank with 989
passengers and crew. In all, 137 were rescued, and 757
victims remain missing. One victim was investigated
in Stockholm, Sweden. The Finnish DVI team
succeeded in identification of all 94 victims investi-
gated in Finland and in collection of ante-mortem
data on 852 victims and missing persons [24,25].
Since summer 1993, the skeletal remains have been
investigated of over 600 Finnish soldiers, deceased
and buried or missing in the Second World War in
the territory of the former Soviet Union and collected
by groups of Finnish volunteers. Table 1 summarises
the investigations performed by the Finnish DVI team
and those in which members of the DVI team have
participated.
2. Legal framework
2.1. Bosnia and Herzegovina
After Ms Elisabeth Rehn, UN Special Rapporteur
on Human Rights, visited Srebrenica in January
1996, she issued a proposal for forensic investiga-
tions of the victims found. In spring 1996, this led
to preliminary talks with the authorities of Republika
Srpska about the possibility of the Finnish forensic
experts’ conducting these investigations. The Finnish
Government provided support for the mission, and on
April 22, 1996, with agreement between the UN
J. Rainio et al. / Legal Medicine 3 (2001) 220–232 221
Fig. 1. Map of the Balkan region with indication of sites of Finnish team operations.
High Commissioner for Human Rights, Jose Ayala
Lasso, and the Prime Minister Kasagic of Republika
Srpska, the project involving the Finnish experts was
approved. The obligations of the Government of
Finland and the United Nations were agreed to in
the Co-operation Service Agreement, concluded on
June 20, 1996 (UN-FET). Investigation of the
victims was based on the order of the Supreme
Court of Tuzla.
2.2. Kosovo
After claims arose of several incidents of killing of
civilians by both sides of the ethnic conflict in
Kosovo, an independent investigation of alleged
mass graves was suggested within the EU. This was
initiated in August 1998 by Austria, then holding the
EU Presidency. Thereafter, on October 5, 1998, the
EU’s General Affairs Council made a decision to send
a team of forensic experts to Kosovo. It was agreed
that a team of Finnish forensic experts would work
under the mandate of the EU. The Government of the
FRY issued an invitation to the Finnish forensic
experts to work as a European Union Forensic Expert
Team (EU-FET). The practical arrangements of these
investigations were to be undertaken on the basis of a
Protocol on Co-operation between the Institute for
Forensic Medicine of Belgrade University (FRY)
and the Department of Forensic Medicine, University
of Helsinki (Finland), drawn up in November 1998.
Investigations by the EU-FET were to be carried out
in accordance with the laws of the FRY as a sovereign
state and by virtue of local court orders.
Investigations of the victims from Volujak and
Klecka were ordered by the District courts of Pec
and Pristina, respectively.
The Finnish forensic expert teams in BiH and in
Kosovo had no relationship to the ICTY. Later, the
UN and the EU, under the mandates of which the team
operated, surrendered the official investigative docu-
ments to the ICTY.
Forensic expert teams have been functioning around
the world by governmental request or under the
mandate of intergovernmental organisations such as
the UN, World Health Organization (WHO) or
UNESCO [1,26,27]. Non-governmental organisations
have also been involved, for example, the International
Committee for the Red Cross, Physicians for Human
Rights, Amnesty International, Human Rights Watch
[12,14–16,26,27] or even legal representatives of
victims’ families [27]. In advance it has to be clearly
agreed with local authorities that the forensic expert
team is permitted to operate in a certain area. If this
team is established by the international community of
states, the mandate of the team and reasons for its crea-
tion normally involve several questions of public inter-
national law. These may include, inter alia, the nature
of investigative acts and issues relating to the compe-
tence and powers of the initiating inter-governmental
organisation, especially when the team is to function in
the area of a state which is not a member of that parti-
cular organisation [27–29]. The aims set forth for the
J. Rainio et al. / Legal Medicine 3 (2001) 220–232222
Table 1
Investigations performed by the Finnish Disaster Victims Identification (DVI) team
Year Number of victims
investigated
Number of experts
involved
Aircraft accident, Finland 1988 6 6
Aircraft accident, Finland 1992 5 7
M/S Estonia ferry disaster 1994 95 40a
Victims of the Second World
Warb
Since 1993 Over 600 20c
a In addition to the team leader and the deputy leader, seven forensic pathologists, eight forensic odontologists, five autopsy technicians, one
X-ray technician and 17 forensic investigators, were also secretaries and forensic toxicologists.b During the project, skeletal remains of Finnish soldiers deceased in the territory of the Soviet Union in the Second World War have been
collected, transported to Finland, investigated, and buried since 1993.c The estimated maximum number of forensic pathologists, forensic odontologists, physical anthropologists, geneticists and forensic inves-
tigators involved in the project at different periods of time since 1993. In addition, dozens of volunteers have participated in the collection and
transportation of the human remains.
team in its mandate may include the possible use of the
results as part of the factual evidence in later legal
proceedings on an international, a regional or a
national level. Then, if the particular tribunal already
exists, the team has to take into consideration the
requirements set forth in its rules of evidence in plan-
ning the on-site activities and deciding on issues relat-
ing to the chain of custody [29]. Usually, the team
operates in the area of a sovereign state. This means
that the team has to take into consideration the require-
ments of the legislation of that state, if the area is not
under international supervision, or if the team is not
functioning on the basis of an obliging resolution of the
UN Security Council. The requirements set forth in the
legislation may also be partially or fully set aside in an
agreement concluded between the team or its home
state and the government of the host state. The legisla-
tion of the host state may include strict rules, for
instance, on the opening of graves, even at temporary
burial sites, on treatment of human remains, and on
reporting of findings [27,29].
Moreover, in resolving legal issues, the status of the
team members should be agreed upon. This includes
each member’s status in his or her capacity as a team
member to perform the official functions of the team
as well as his or her civil and criminal responsibility in
a private capacity as an individual performing legally
valid acts in a foreign state [29].
3. Advance preparations
The operation of the Finnish forensic expert team in
BiH was financially supported by the Finnish Govern-
ment and by the Royal Government of the Nether-
lands. The operation in Kosovo was financed by the
European Union and by the Finnish Government.
The equipment for the investigation was received
from the Finnish DVI team of the NBI or from the
Technical Research Centres and from the Department
of Forensic Medicine, University of Helsinki.
The advance work included preparation of the
exhumation and autopsy equipment, briefing of the
personnel, and preparation of the investigative strat-
egy and the logistics. According to recommendations
of the Finnish National Public Health Institute regard-
ing vaccination for the Balkan region based on infor-
mation from the WHO, the members of the Finnish
UN-FET and EU-FET were vaccinated against hepa-
titis A and B, poliomyelitis, tetanus, diphtheria, tuber-
culosis, typhoid fever, rabies, meningococcal
meningitis, and epidemic encephalitis, if they had
not already these vaccinations.
Accordingly, the forensic expert teams have
usually been vaccinated against these diseases, except
the latter two [17,30], and should also be prepared for
encountering staphylococcal and streptococcal infec-
tions and enteritis [30].
4. Personnel
The Finnish forensic expert teams, both in BiH in
1996 and in Kosovo, FRY, in 1998 and 1999, worked
as autonomous units in two distinct projects. The team
formation and arrangements may thus differ from
those which are effective in connection with a larger
organisation or which are in operation longer.
In BiH as well as in Kosovo, the teams were of a
multidisciplinary character. The composition of the
Finnish forensic expert teams during the three opera-
tions is presented in Table 2. Thus far, every operation
has involved forensic pathologists, forensic odontolo-
J. Rainio et al. / Legal Medicine 3 (2001) 220–232 223
Table 2
Composition of the teams of Finnish forensic experts during the
operations in Bosnia and Herzegovina (BiH) and Kosovo
BiH
1996
Kosovo
1998
Kosovo
1999
Team leader 3a 1 1
Forensic pathologist 3 4 3
Forensic odontologist 2 1 1
Physical anthropologist 1 1 –
Forensic investigator 6 5 5
Autopsy technician 4 3 2
X-ray technician 2 2 2
Expert on explosives 2 1 –
Secretary – 1 1
Liaison officer 2 1 1
Accompanying diplomat – 2 2
Geneticistb 3 2 2
Forensic toxicologistb – – 3
Total 28 24 23
a One served also as a forensic pathologist.b DNA and toxicological analyses were performed in the Forensic
Biology and Toxicology laboratories of the Department of Forensic
Medicine, University of Helsinki, Finland.
gists, forensic investigators, autopsy technicians, X-
ray technicians, and liaison officers. When skeletal
remains were investigated in BiH in 1996 and in
Kosovo in 1998, a physical anthropologist was also
involved. The forensic investigators in BiH as well as
in both operations in Kosovo have been from the
Finnish police forces. During the operation in BiH,
all the documents resulting from investigations were
produced by the pathologists, odontologists, anthro-
pologist, and forensic investigators themselves, but in
Kosovo the team included a secretary, which made the
work more effective. Geneticists and forensic toxicol-
ogists at the Department of Forensic Medicine, Univer-
sity of Helsinki, carried out the DNA analysis for the
samples from BiH and Kosovo [21–23] and the toxi-
cological analysis for the samples from Kosovo [23].
All teams were assembled on a voluntary basis. The
medical experts of the UN-FET in 1996 were mainly
connected to the Department of Forensic Medicine,
University of Helsinki. The forensic investigators
were engaged through the NBI. Many of the members,
both medical and other experts, were also affiliated
with the Finnish DVI team. Members of the EU-
FET in Kosovo in 1998 and 1999 were for the most
part those who had participated in the work of the UN-
FET. The forensic pathologists were recruited also
from the Provincial State Offices. The leaves of
absence, insurance, co-operative arrangements
between different institutions and ministries, and the
secrecy of the work are issues which should be agreed
upon before the operation at the level of the national
legal system.
The number of experts and their field of specialisa-
tion and the number of other personnel required
depend on the number and condition of the victims,
on information concerning the events, on the tasks of
the investigation, on the period of time reserved for
the operation, and on other factors [12,15,27,31–33].
Whereas in mass disaster investigations the medical
experts involved are necessarily forensic pathologists,
forensic anthropologists, and forensic odontologists,
the role of the forensic odontologist in the investiga-
tion of victims from mass graves may be less obliga-
tory [10,15,17,30,34,35]. Moreover, forensic
investigators, photographers, autopsy technicians, X-
ray technicians, archaeologists, radiologists, forensic
toxicologists and geneticists, as well as site security,
secretarial, and logistic personnel are involved, and
sometimes also entomologists and botanists
[2,12,14–17,26,27,30–33,36]. Since nearly all ques-
tions in the establishment and operation of a forensic
expert team involve legal aspects, it would be bene-
ficial for a team to have access to sufficiently wide
legal information and expertise.
5. Safety
Despite many efforts, in BiH, the general safety of
the UN-FET during the operation of body recovery
could not finally be guaranteed by any authority.
However, concerning on-site security, every path in
the field and all human remains and related items
taken for examination were secured by a Finnish
expert on explosives, who also checked all foreign
objects during the autopsies. The team had maps
produced by the Peace Implementation Forces
(IFOR), which showed the locations of mine fields
in the area [19].
During the operation in Kosovo, it was agreed that
the government of the FRY guaranteed the security of
the team. The work took place in autopsy rooms of the
Department of Forensic Medicine, University of Pris-
tina. By that time, the skeletal remains from Volujak
and Klecka had already been examined by Yugosla-
vian experts. Nevertheless, all foreign objects, whether
found in the remains or seen in the X-ray examination,
were checked by the expert on explosives. During the
preparations for the intended exhumation of the
victims at Gornij Obrinje in December 1998, the grave-
site was investigated by the expert on explosives [21].
In January 1999, when the EU-FET participated in the
medicolegal autopsies of the victims from Racak, the
Yugoslavian authorities were responsible for the secur-
ity of the investigations in Pristina.
Guarantee of the personal security of the team
members is an essential condition but it is not always
ensured [12,15,27]. Moreover, security at sites is also
an important aspect of the chain of custody [1,30,37].
Plans for security should include, inter alia, insurance,
travel, housing, and arrangements for safe transporta-
tion during the work. Moreover, it is essential to have
a plan for evacuation of team members if the situation
in the area is rapidly aggravated. These plans should
also include provisions for transportation, protection,
and storage of the equipment and samples taken and,
J. Rainio et al. / Legal Medicine 3 (2001) 220–232224
in the case of evacuation, their safe preservation in the
area of operation, if they cannot be withdrawn
together with the team.
6. Exhumation
In all missions covered by the Finnish teams, equip-
ment necessary for the exhumation was brought from
Finland. This comprised the mine clearing officer’s
personal equipment with special shoes, helmet, and
mine detector, shovels, axe, meter tape and measuring
roll, isolation tape, writing and drawing materials and
plates, plastic envelopes, body bags, carrying straps,
bulletproof vests, and clothing for the team members,
including winter wool stockings, in addition to the
documentation equipment and first-aid kits with
bandaging materials, salt solutions, antibacterial and
analgesic drugs.
The course of action during exhumation is widely
discussed in the literature [1,12,30–32,34,37–40].
Detailed advance preparation is crucial for preserva-
tion of the evidence during excavation of the remains.
The investigated area and the gravesite should be
mapped, photographed, and videotaped, to demon-
strate the location of the human remains in the area,
the scale, and magnetic north [30–32,38,39]. At every
stage, the exhumation procedure itself should be
documented accurately with a scale and identifying
number for each of the remains or items
[12,37,40,41]. The position of the human remains at
the site as well as the orientation of the items and the
relationship between different individuals and items
must be apparent [15,27,30,31,37–39]. All the find-
ings made during the excavation should be recorded
minutely in situ [27,30,31,40,41]. Negative findings
may also be informative [40]. The main tasks in this
process are the reconstruction of the events surround-
ing the burial and the collection of all information that
can appear useful for determination of the cause and
manner of death and for identification of the victims
[12,15,30,38].
At Gornij Obrinje, 23–24 members of an ethnic
Albanian family, including young children and
elderly people, were reported to have been killed,
presumably by Serbian armed forces, in September
1998. There were also allegations of possible post-
mortem mutilation of the victims by ethnic Albanians
in order to make the situation appear more extreme.
The victims were buried by relatives shortly after
being found. During the operation in December
1998, the EU-FET was intended to perform the exhu-
mation at Gornij Obrinje. According to the scheme,
the excavation of the individually buried victims was
to be recorded in written documents and in drawings,
photographs, and on videotape. All human remains
and all material belongings were to be collected,
together with soil samples from the graves. The first
external examination of the victims was to be carried
out at the site, but more detailed examination was to
be performed at the Department of Forensic Medicine
in Pristina. The EU-FET completed the preliminary
preparations at the site on December 9, 1998 (Fig. 2).
Next morning, the EU-FET was, however, obstructed
on the road to the site by Serbian authorities, and the
exhumation was cancelled [21].
In Srebrenica in 1996, however, the human remains
were situated on the surface of the ground. According
to the preliminary information available, the total
number of victims in the area was possibly as high
as 2000–3000. In a few hours on July 5, 1996, the
Finnish experts collected 64 samples of human skele-
tal remains, before the local police, under order of the
Government of the Republica Srspka, interrupted the
operation. The minimum number of individuals,
between 30 and 35, was then estimated morphologi-
cally. The location of the remains on the ground
complicated the collection, because it was more diffi-
cult to approximate the relationship between various
human remains and scattered items, and because the
effects of environmental conditions and animal activ-
ities on the entirety of the remains were more consid-
erable than in the case of buried bodies. Due to the
possibility of mines, movements in the area were
restricted, which further complicated the excavation
procedure.
7. Transportation
In BiH, the UN-FET recovered 64 samples of
human remains from the site of the Srebrenica inci-
dent and these remains were transported to the Tuzla
Clinical Centre. Transportation was aided by the UN
(International Civilian Police Task Forces, IPTF).
In Kosovo, however, the local authorities had
J. Rainio et al. / Legal Medicine 3 (2001) 220–232 225
recovered the human skeletal remains from Volujak
and Klecka from their alleged gravesites and had
transported them to Pristina. The details of this trans-
portation were not known to the EU-FET. Moreover,
the examined victims from Racak were removed from
the sites where they were found and later transported
to Pristina by Yugoslavian authorities.
The specific requirements for transportation
include maintaining the human remains and the
items unharmed and preventing any contamination
or confusion [15,32,37,41–43]. Therefore, and for
ascertaining the chain of custody, each sample
should be packaged separately, in individual body
bags whenever possible [15,16,37,42,44], and each
package should be sealed and identified both inside
and outside [15,32,37,39,42–44]. Thereafter, the
packages as well as the entire collection should be
photographed before the transportation and rephoto-
graphed after their arrival at the place of investiga-
tion [43].
8. Autopsy equipment
In BiH, the autopsies took place in the autopsy
rooms of the Tuzla Clinical Centre, and in Kosovo,
at the Institute of Forensic Medicine, University of
Pristina. All autopsy equipment was brought from
Finland. This equipment included an accumulator
and a compressor, an electric and a pneumatic circular
saw, spare blades, autopsy tools and their sharpening
equipment, probes, measuring sticks, magnifying
glasses, tubes and bottles for the samples, cassettes
for the histological samples, forms to fill in the post-
mortem findings, clothing, masks, gloves, and boots
for the autopsy room, tools for the forensic odontolo-
gist’s investigations, and measuring equipment for the
physical anthropologist’s investigations.
9. Autopsy
Every human remain from Srebrenica was exam-
J. Rainio et al. / Legal Medicine 3 (2001) 220–232226
Fig. 2. Gravesite at Gornij Obrinje after preparation for exhumation by the EU-FET.
ined by two forensic pathologists, a physical anthro-
pologist, and a forensic odontologist [19,20]. The aim
of the investigation was to collect data for identifica-
tion of the victims and to determine the cause and
manner of death. The findings were documented in
an autopsy protocol, comprising an appendix of
photographic documents.
Each sample of the skeletal remains from Volujak
and Klecka was examined by two forensic pathologists
[22]. They described the preserved anatomic structure
of the samples, and documented the sex characteristics,
evidence of diseases and anomalies, and any injuries,
including post-mortem injuries to the bones. The
physical anthropologist confirmed bone- and side-
determinations, and estimated sex, age, and stature.
The forensic odontologist examined maxillae and
mandibles in the skeletal material in BiH and Kosovo.
The victims from the village of Racak were inves-
tigated in January 1999 [23], within 13 days after the
incident. In total, the number of victims investigated
was 40. For these, 24 autopsies were performed either
by the Yugoslavian or the Finnish forensic patholo-
gists and monitored analogously either by the Finnish
or the Yugoslavian forensic pathologists and by two
forensic pathologists from Belorussia. In the autopsy
procedure, standard methods of forensic pathology
were used. This included documentation of external
and internal injuries and determination of the total
number of gunshot wounds and the bullet-path direc-
tions (Fig. 3). Cause of death was established. Before
the arrival of the EU-FET, 16 victims had already
been autopsied. The three Finnish forensic patholo-
gists carried out an external examination of these
victims. External wounds were documented. On the
basis of the external examination and information
received from the Yugoslavian professor of forensic
pathology who had earlier performed the autopsy,
bullet-path directions were estimated and the cause
of death was established, when possible. Data for
identification was documented in all 40 cases. The
investigations of the Finnish forensic experts in the
former Yugoslavia are presented in Table 3.
J. Rainio et al. / Legal Medicine 3 (2001) 220–232 227
Fig. 3. Application of probes in determination of bullet-path directions (Racak).
In medicolegal autopsies, external examination of
the body is of utmost importance, especially in all
cases when injuries are present [1,40]. The internal
examination should always involve all three body
cavities and all the organs [45]. In the case of gunshot
wounds, the use of probes is recommended during the
autopsy for the purpose of indicating bullet-path
direction [46]. Multiple microscopic sections should
be taken [1,47]. Samples for toxicological analysis
should also be taken, also from decomposed remains
[1,40,47]. Skeletal remains rarely provide conclusive
evidence regarding the cause of death [48], but the
decomposition or skeletonisation of the remains
does not nullify the need for a full examination
[43,45].
10. Documentation equipment
Concerning the technical details of documentation,
photograph documentation was performed by use of
six cameras: a Canon EOS 600 with a 24–85 mm
objective and a Canon 430 EZ flash; a Canon EOS
1000 with 35–80 mm and 100 mm objectives, and
with Canon Speedlite 420 EZ and Canon Macro
Ring flashes; a Canon A1 with a Canon FD 35–105
mm objective and a Canon Speedlite 420 EZ flash; an
Olympus automat; and two Canon EOS 50E, with EF
28–80 mm objectives and Canon Speedlite 540 EZ
flashes. The films were 400 ASA and 100 ASA Fuji-
color Superia with 24 and 36 exposures.
For the videotape documentation the DVCAM
format was used. The filming was done with one
Sony DSR-PD1P camera and Sony PDVM-40N 40-
min cassettes. Afterwards, during the final work in
Helsinki, the video material was edited for the official
documents. The editing equipment was the Sony
DSR-V10P DVCAM Walkman video recorder and
the Sony Edit Adaptor DSRM-E1P. The edited
video material required DVCAM-, VHS-, SVHS-,
and BETACAM-format cassettes.
In the medical X-ray examination, the Atomscope
803 machine and for film the Kodak TML1, TME1,
and ENB1 were used. The developing machine was
the Flat Level 365. The dental X-ray examination was
performed with the Philips Oralix 65S machine,
Kodak DF50 and DF58 film and the Periomat 1304
developing machine [21–24].
11. Documentation
The forensic pathologists documented their find-
ings during the examination by writing or dictating
an autopsy protocol and by using a drawing of each
skeleton to record the bones present as well as the
damage to the bones (Srebrenica, Volujak, and
Klecka) or the gunshot wounds (Racak). In the osteo-
logical investigation, the physical anthropologist also
formulated a protocol with a drawing. The forensic
odontologist filled in the Interpol Disaster Victim
Identification Form for dentitions [22].
Because the autopsy report is probably the most
important document in the investigation, it must
therefore be prepared with great accuracy and clarity
[1,40,45]. In BiH and in Kosovo, the Finnish forensic
experts formulated the autopsy protocols in Finnish.
Later, the documents were translated into English, the
J. Rainio et al. / Legal Medicine 3 (2001) 220–232228
Table 3
Investigations performed by the Finnish forensic expert teams in the former Yugoslavia
Srebrenica (1996) Volujak (1998) Klecka (1998) Racak (1999)
Number of forensic experts 25 20 20 16
Number of skeletal samples investigated 64a 27b 90 –
Number of victims 30–35c 5 3 40
a After the investigations performed in July 1996, the Finnish forensic experts aided in BiH investigations carried out by local experts. By the
termination of this operation, in September 1997, the total number of investigated human skeletal remains had risen approximately 400. Since
then, the investigation of the victims in the area has continued.b The remains comprised three almost fully assembled skeletons, 14 samples, each of one separate bone, and ten samples two to ten separate
bones of human skeletons.c Minimum number of victims, estimated morphologically from the 64 samples of human skeletal remains.
translator being responsible for the English version.
This solution may make the work more effective for
the experts, but it can, at the same time, prove inade-
quate for the needs of the international community.
Concerning the documentation of the human skele-
tal remains from Srebrenica, Volujak, and Klecka, the
skeletons and individual bones were photographed
and videofilmed separately from different directions.
Gunshot injuries were photographed and videofilmed,
showing the direction of each bullet. The total number
of photographs in the Volujak and Klecka investiga-
tion was about 1600. The videotape documents
contained approximately 5 h of filmed material.
The photograph and videofilm documentation of
the victims from Racak comprised pictures with
general views of the bodies, separate close-up views
of each skin wound and all internal injuries, probe-
assisted views indicating bullet paths (Fig. 3), and the
entirety of injuries from different directions. The
close-up views of the skin wounds and the photo-
graphs of the bullets were taken with a scale included.
The clothing of those 24 victims autopsied in the
presence of the EU-FET were photographed. More-
over, all bullets and bullet fragments found in the
autopsies were photographed. In total, the photograph
documents numbered approximately 3000, and videos
about 10 h in length [23].
During the investigation of the remains from Sreb-
renica, an X-ray examination was carried out for each
single bone or collection of bones. The examination of
the Volujak material included X-rays of every indivi-
dual bone and selectively of the bones of the three
complete skeletons. In total, 70 medical and four
dental X-rays were taken. The Klecka material was
X-rayed completely, except for one sample with 108
small burned bone fragments. The medical X-rays
numbered 95, and the dental six. During the investi-
gation of the victims from Racak, 157 medical X-rays
were taken. Dental X-rays were taken in 37 cases out
of 40; and each of these included eight pictures.
In medicolegal investigation of mass disasters or
mass graves, photography and videotaping serve
both identification and documentation purposes. For
identification, ante-mortem photographs can also be
of value [16,49,50]. Firstly, at each site to be exam-
ined, the entire investigated area should be photo-
graphed and videofilmed, including aerial views
whenever possible [1,30–32,39,41]. Thereafter, the
recovery of the victims should be carefully photo-
graphed and videofilmed. Secondly, the autopsy
photographs should include front and side views of
the face and general views from all sides of the
body, clothed and unclothed, and close-up views of
the injuries and other findings with a scale to provide a
size reference [1,32,40,42,45,47,50,51]. In every
photograph, there must be visible the autopsy number,
and in close-up pictures also a scale indicating the
particular wound or other finding [1,15,52].
12. Sequel
The human skeletal remains from Srebrenica,
Volujak, and Klecka, as well as the human bodies
from Racak, were delivered to the local authorities
after the investigation. Confirmation of the identity
of the victims, delivery of the victims to their rela-
tives, and other official actions remained the respon-
sibility of the local authorities. The remains from
Srebrenica, however, are, at this writing, still unburied
in Tuzla. The victims from Racak were buried shortly
after the investigation.
After the work in Kosovo, the final investigation
documents were executed in Finland. These included
autopsy protocols and reports of the physical anthro-
pologist and the forensic odontologist, in addition to
the photographs, video material, and the results of the
complementary examinations. Statements, including
all the conclusions based on the investigation of the
Finnish EU-FET, were signed jointly by the four
(Volujak and Klecka) and three (Racak) forensic
pathologists.
The original reports of the investigations as well as
other original documentation material were stored at
the Department of Forensic Medicine, University of
Helsinki. The official copies of the documents were
delivered to the local authorities in BiH (Srebrenica)
and FRY (Volujak, Klecka, and Racak), as well as to
the UN (Srebrenica) and the EU (Volujak, Klecka, and
Racak). Afterwards, the EU made a decision to place
these documents also at the disposal of the ICTY.
13. Discussion
Forensic expert team operations can have various
functions. Because in any organised society, it is intol-
J. Rainio et al. / Legal Medicine 3 (2001) 220–232 229
erable that bodies of human beings lie uncovered on
the ground as in the vicinity of Srebrenica, these
human remains must receive care, for humanitarian
and legal reasons. In many cases, identification and
determination of the cause and manner of death by
independent forensic experts can produce valuable
information for the purposes of international courts
of law and for the international community. Official
confirmation of the victims’ identity according to
local legislation as well as the delivery of the victims
to their relatives should, however, be the responsibil-
ity of local authorities. These matters have to be prop-
erly arranged.
In the territory of the former Yugoslavia, several
investigations of victims of political and ethnic
violence were already performed before the Finnish
forensic experts’ operation in BiH in 1996. Neverthe-
less, the support of the Finnish experts encouraged the
local authorities to continue these investigations and,
to date, approximately 600 victims have been exam-
ined in the area. Since June 1999, victims of political
and ethnic violence have been investigated in Kosovo
by a multinational organisation. The team of Finnish
forensic experts was, however, the first international
forensic team, to work in Kosovo. The Finnish experts
were able to operate in the territory of the former Yugo-
slavia when the ICTY had no access to the country.
A permanent national DVI team was appointed in
Finland in 1991. This team, in co-operation with the
Finnish NBI and the Technical Research Centres and
with the Department of Forensic Medicine, University
of Helsinki, and the forensic experts of the Provincial
State Offices, thereafter completed investigations of
victims of two aircraft accidents, of a passenger
ferry disaster, and of 50-year-old military remains.
This experience has benefited the work of the forensic
expert team for investigations in the territory of the
former Yugoslavia.
Investigation of victims of an alleged mass violence
or victims from an alleged mass grave differs, however,
from investigation of victims of a mass disaster. The
cause and manner of death, and the condition and the
number of the victims differ. Even the identification
methods may differ, because of the differing availabil-
ity of ante-mortem data. The mandate for and the possi-
bilities of the experts, and expectations as to the results
in investigation of a mass disaster and of mass violence
can have great differences as well.
It is, therefore, crucial for successful realisation of
the operation and for avoidance of unrealistic expec-
tations that the exact definition of the mandate and the
tasks of the forensic expert team are clearly agreed
upon before the operation. Furthermore, already at
that early stage, it should be determined how much
detailed examination of the victims is required. It
should be ensured, for instance by sufficient advance
preparation, that the team has material and technical
independence during the operation. Moreover, the
safety of the team members is a matter which cannot
be overemphasised. To some extent, publicity may
work towards safety, but official action is essential.
Moreover, the official reporting of the results, and use
of and access to the materials for scientific purposes
should be decided in advance. Furthermore, the chain
of custody should be considered when deciding the
permanent storage of the autopsy protocols, photo-
graphs, samples, and other documents after the
conclusion of the team’s work.
Application of adequate and internationally recog-
nised methods for examination and documentation
forms the absolute basis for the team’s credibility.
Additionally, for credibility, the objectivity of the
experts is essential. Therefore, any conclusions or
statements, despite their intentions, that go beyond
forensic scientific knowledge may diminish the cred-
ibility of the team and of its results.
Acknowledgements
The authors wish to thank for good co-operation all
members of the UN-FET and the EU-FET. For good
co-operation we also wish to thank the IPTF, the
Finnish national DVI team, the Ministry of Foreign
Affairs of Finland, and the laboratories of Histology,
Forensic Biology, and Toxicology at the Department
of Forensic Medicine, University of Helsinki. In addi-
tion, we thank autopsy technician Kari Suomela for
production of the figures.
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