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Wikipedia

Coroner

A coroner is a government or judicial official who is empowered to conduct or order an inquest into the manner or cause of death. The official may also investigate or confirm the identity of an unknown person who has been found dead within the coroner's jurisdiction.

Charles B Greenlaw, Coroner of Calcutta

In medieval times, English coroners were Crown officials who held financial powers and conducted some judicial investigations in order to counterbalance the power of sheriffs or bailiffs.

Depending on the jurisdiction, the coroner may adjudge the cause of death personally, or may act as the presiding officer of a special court (a "coroner's jury"). The term coroner derives from the same source as the word crown.

Duties and functions edit

Responsibilities of the coroner may include overseeing the investigation and certification of deaths related to mass disasters that occur within the coroner's jurisdiction. A coroner's office typically maintains death records of those who have died within the coroner's jurisdiction.

The additional roles that a coroner may oversee in judicial investigations may be subject to the attainment of suitable legal and medical qualifications. The qualifications required of a coroner vary significantly between jurisdictions and are described below under the entry for each jurisdiction. Coroners, medical examiners and forensic pathologists are different professions.[1] They have different roles and responsibilities.[further explanation needed]

Etymology and history edit

The office of coroner originated in medieval England[2][3][4] and has been adopted in many countries whose legal systems have at some time been subject to English or United Kingdom law. In Middle English, the word "coroner" referred to an officer of the Crown, derived from the French couronne and Latin corona, meaning "crown".[5]

The office of the coroner dates from approximately the 11th century, shortly after the Norman conquest of England in 1066.

The office of coroner was established by lex scripta in Richard I's England. In September 1194, it was decreed by Article 20 of the "Articles of Eyre" to establish the office of custos placitorum coronae (Latin for "keeper of the pleas of the Crown"), from which the word "coroner" is derived.[6][7] This role provided a local county official whose primary duty was to protect the financial interest of the Crown in criminal proceedings. The office of coroner is, "in many instances, a necessary substitute: for if the sheriff is interested in a suit, or if he is of affinity with one of the parties to a suit, the coroner must execute and return the process of the courts of justice."[8] This role was qualified in Chapter 24 of Magna Carta in 1215, which states: "No sheriff, constable, coroner or bailiff shall hold pleas of our Crown." "Keeping the pleas" was an administrative task, while "holding the pleas" was a judicial one that was not assigned to the locally resident coroner but left to judges who traveled around the country holding assize courts. The role of custos rotulorum or keeper of the county records became an independent office, which after 1836 was held by the lord-lieutenant of each county.

The person who found a body from a death thought sudden or unnatural was required to raise the "hue and cry" and to notify the coroner.[4] While coronial manuals written for sheriffs, bailiffs, justices of the peace and coroners were published in the sixteenth and seventeenth centuries, handbooks specifically written for coroners were distributed in England in the eighteenth century.[9]

Coroners were introduced into Wales following its military conquest by Edward I of England in 1282 through the Statute of Rhuddlan in 1284.

Going further back in time, we find that the term comes from antiquity, namely when the deceased was entrusted to the coronator, that is to a necrofor who prepared the corpse according to custom and, among other things, put a small laurel or myrtle wreath (Lat. corona or serta) on his head so that he might be accepted in glory in the afterlife. The use was already of ancient Greece and see e. g. Theophilus Christophorus Harles (Bionis smyrnaei and Moschi syracusani quae supersunt etc. P. 40. Erlangen, 1780), who quotes Euripides, Clement of Alexandria, Chionus of Heraclea and others in this regard; see also James Claude Upshaw Downs: "The origin of official death investigation is traced to at least 44 B.C. with the Greek Physician Antistius's examination of Julius Caesar (Fisher 1993; Gawande 2001). The history of the office of coroner extends well over a millennium and has seen major evolution etc." (Coroner and Medical Examiner in Handbook of Death and Dying ed. by Clifton D. Bryant. V. 1, p. 909. 2003.)

By region edit

Australia edit

Australian coroners are responsible for investigating and determining the cause of death for those cases reported to them. In all states and territories, a coroner is a magistrate with legal training, and is attached to a local court. Four states – New South Wales, South Australia, Victoria and Western Australia – also have state coroners and specialised coronial courts. In Tasmania, the Chief Magistrate also acts as the state coroner.[10]

Canada edit

According to Statistics Canada,[11]

Death investigation is the responsibility of each individual Canadian province and territory—there is no overarching federal authority. As a result, each province and territory has developed their own system and legislation to fulfill the mandate of investigating deaths that are unexpected, unexplained, or as a result of injuries or drugs. Two different death investigation systems have developed in Canada: the Coroner's system and the Medical Examiner's system. The Coroner's system is used in the majority of provinces and territories. It is a system that is centuries old and originated in Great Britain. It is found throughout the world in countries that were former British colonies, including Canada. The Medical Examiner's system (used in Alberta, Manitoba, Nova Scotia, and Newfoundland and Labrador) is just over one century old and originated in the United States. Although there are some differences between the two systems, the ultimate goal of each is the same—to investigate certain deaths defined in their legislation and establish the identity of the deceased together with the cause of death and the manner of death.

In 21st-century Canada the officer responsible for investigating all unnatural and natural unexpected, unexplained, or unattended deaths goes under the title "coroner" or "medical examiner" depending on location.[11] They do not determine civil or criminal responsibility, but instead make and offer recommendations to improve public safety and prevention of death in similar circumstances.[citation needed]

Coroner or Medical Examiner services are under the jurisdiction of provincial or territorial governments, and in modern Canada generally operate within the public safety and security or justice portfolio. These services are headed by a Chief Coroner (or Chief Medical Examiner) and comprise coroners or medical examiners appointed by the executive council.[citation needed]

The provinces of Alberta,[12] Manitoba,[13] Nova Scotia[14] and Newfoundland and Labrador[15] now have a Medical Examiner system, meaning that all death investigations are conducted by specialist physicians trained in Forensic Pathology, with the assistance of other medical and law enforcement personnel. All other provinces run on a coroner system. In Prince Edward Island,[16] and Ontario,[17] all coroners are, by law, physicians.

In the other provinces and territories with a coroner system, namely British Columbia, Saskatchewan, Quebec, New Brunswick, Northwest Territories, Nunavut, and Yukon, coroners are not necessarily physicians but generally have legal, medical, or investigative backgrounds.[citation needed]

Hong Kong edit

The Coroner's Court is responsible to inquire into the causes and circumstances of some deaths. The Coroner is a judicial officer who has the power to:

  • Grant:
    • Burial orders
    • Cremation orders
    • Waivers of autopsy
    • Autopsy orders
    • Exhumation orders
    • Orders to remove dead bodies outside Hong Kong
  • Order police investigations of death
  • Order inquests
  • Approve removal and use of body parts of the dead body
  • Issue certificates of fact of death

The Coroner makes orders after considering the pathologist's report.

Iran edit

Ireland edit

The Coroners Service is a network of Coroners situated across Ireland, usually covering areas based on Ireland's traditional counties.[18] They are appointed by local authorities as independent experts and must be either qualified doctors or lawyers.[19] Their primary function is to investigate any sudden, unexplained, violent or unnatural death in order to allow a death certificate to be issued. Any death due to unnatural causes will require an inquest to be held.[19]

New Zealand edit

Two coronial services operate in New Zealand. The older one deals only with deaths before midnight of 30 June 2007 that remain under investigation. The new system operates under the Coroners Act 2006, which:

  • Established the office of the chief coroner to provide leadership and coordination
  • Moved to a smaller number of full-time legally-qualified coroners who are Judges of the Coroners Court
  • Ensured families are notified of significant steps in the coronial process
  • Introduced wide-ranging cultural matters to be considered in all aspects of dealing with the dead body
  • Introduced a specific regime for attention and release of body parts and body samples
  • Enhanced inquiry and inquest processes[20]

Sri Lanka edit

In Sri Lanka, the Ministry of Justice appoints Inquirers into Sudden Deaths under the Code of Criminal Procedure to carry out an inquest into the death of a sudden, unexpected and suspicious nature. Some large cities such as Colombo and Kandy have a City Coroners' Court attached to the main city hospital, with a Coroner and Additional Coroner.

United Kingdom edit

In the United Kingdom a coroner is a specialist judge. Whilst coroners are appointed and paid by local authorities, they are not employees of those local authorities but rather independent judicial office holders who can be removed from office only by the Lord Chief Justice and the Lord Chancellor. The Ministry of Justice, which is headed by the Lord Chancellor and Secretary of State for Justice, is responsible for coronial law and policy. However it has no operational responsibility for the running of coroners' courts.[21]

There are separate coroners services for England and Wales and for Northern Ireland. There are no longer coroners in Scotland. Coroners existed in Scotland between about 1400 and 1800 when they ceased to be used.[22] Now deaths requiring judicial examination are reported to the procurator fiscal and dealt with by fatal accident inquiries conducted by the sheriff for the area.

The coroner's jurisdiction is limited to determining who the deceased was and how, when and where they came by their death. When the death is suspected to have been either sudden with unknown cause, violent, or unnatural, the coroner decides whether to hold a post-mortem examination and, if necessary, an inquest. The majority of deaths are not investigated by the coroner. If the deceased has been under medical care, or has been seen by a doctor within 14 days of death, then the doctor can issue a death certificate. However, if the deceased died without being seen by a doctor, or if the doctor is unwilling to make a determination, the coroner will investigate the cause and manner of death. The coroner will also investigate when a death is deemed violent or unnatural, where the cause is unknown, where a death is the result of poisoning or industrial injury, or if it occurred in police custody or prison.

The coroner's court is a court of law, and accordingly the coroner may summon witnesses. Those found to be lying are guilty of perjury. Additional powers of the coroner may include the power of subpoena and attachment, the power of arrest, the power to administer oaths, and sequester juries of six during inquests.

Any person aware of a dead body lying in the district of a coroner has a duty to report it to the coroner; failure to do so is an offence. This can include bodies brought into England or Wales.[23][24]

The coroner has a team of coroner's officers (previously often ex-police officers, but increasingly from a nursing or other paramedical background) who carry out the investigation on the coroner's behalf. A coroner's investigation may involve a simple review of the circumstances, ordering a post-mortem examination, or they may decide that an inquest is appropriate. When a person dies in the custody of the legal authorities (in police cells, or in prison), an inquest must be held. In England, inquests are usually heard without a jury (unless the coroner wants one). However, a case in which a person has died under the control of central authority must have a jury, as a check on the possible abuse of governmental power.[23][24]

Coroners also have a role in treasure cases. This role arose from the ancient duty of the coroner as a protector of the property of the Crown. It is now contained in the Treasure Act 1996. This jurisdiction is no longer exercised by local coroners, but by specialist "coroners for treasure" appointed by the Chief Coroner.

Inquest conclusions (previously called verdicts) edit

The coroner's former power to name a suspect in the inquest conclusion and commit them for trial has been abolished.[25] The coroner's conclusion sometimes is persuasive for the police and Crown Prosecution Service, but normally proceedings in the coroner's court are suspended until after the outcome of any criminal case is known. More usually, a coroner's conclusion is also relied upon in civil proceedings and insurance claims. The coroner commonly tells the jury which conclusions are lawfully available in a particular case.

The most common short-form conclusions include:[26]

Alternatively, an inquest may return a narrative conclusion, a brief statement explaining the circumstances how the person came about their death. A coroner giving a narrative conclusion may choose to refer to the other conclusion.[27] A narrative conclusion may also consist of answers to a set of questions posed by the coroner to himself or to the jury (as appropriate).

Lawful killing includes lawful self-defence. There is no material difference between an accidental death conclusion and one of misadventure.[28] Neglect cannot be a conclusion by itself. It must be part of another conclusion. A conclusion of neglect requires that there was a need for relevant care (such as nourishment, medical attention, shelter or warmth) identified, and there was an opportunity to offer or provide that care that was not taken. An open conclusion should only be used as a last resort and is given where the cause of death cannot be identified on the evidence available to the inquest.

Conclusions are arrived at on the balance of probabilities; prior to 2020, conclusions of suicide or unlawful killing were required to be proved to the criminal standard of beyond reasonable doubt.[29]

England and Wales edit

The coroner service in England and Wales is supervised by the Chief Coroner, a judge appointed by the Lord Chief Justice after consulting the Lord Chancellor. The Chief Coroner provides advice, guidance and training to coroners and aims to secure uniformity of practice throughout England and Wales. The post is currently part-time. The present Chief Coroner is Judge Thomas Teague.

England and Wales are divided into coroner districts by the Lord Chancellor, each district consisting of the area or areas of one or more local authorities. The relevant local authority, with the consent of the Chief Coroner and the Lord Chancellor, must appoint a senior coroner for the district. It must also appoint area coroners (in effect deputies to the senior coroner) and assistant coroners, to the number that the Lord Chancellor considers necessary in view of the physical character and population of the district. The cost of the coroner service for the district falls upon the local authority or authorities concerned, and thus ultimately upon the local inhabitants. There are 98 coroners in England and Wales, covering 109 local authority areas.[30]

To become a coroner in England and Wales the applicant must be a qualified solicitor, barrister, or a Fellow of the Chartered Institute of Legal Executives (CILEx) with at least five years' qualified experience.[31] This reflects the role of a coroner: to determine the cause of death of a deceased in cases where the death was sudden, unexpected, occurred abroad, was suspicious in any way, or happened while the person was under the control of central authority (e.g., in police custody). Until 2013 a qualified medical practitioner could be appointed, but that is no longer possible. Any medical coroner still in office will either have been appointed before 2013, or, exceptionally, will hold both medical and legal qualifications.

Formerly, every justice of the High Court was ex officio a coroner for every district in England and Wales. This is no longer so; there are now no ex officio coroners. A senior judge is sometimes appointed ad hoc as a deputy coroner to undertake a high-profile inquest, such as those into the deaths of Diana, Princess of Wales and the victims of the 2005 London bombings.

Northern Ireland edit

Coronial services in Northern Ireland are broadly similar to those in England and Wales, including dealing with treasure trove cases under the Treasure Act 1996. Northern Ireland has three coroners, who oversee the province as a whole. They are assisted by coroners' liaison officers and a medical officer.[32]

United States edit

As of 2004, of the 2,342 death investigation offices in the United States, 1,590 were coroners' offices, 82 of which served jurisdictions of more than 250,000 people.[33] Qualifications for coroners are set by individual states and counties in the U.S. and vary widely. In many jurisdictions, little or no training is required, even though a coroner may overrule a forensic pathologist in naming a cause of death. Some coroners are elected with others appointed. Some coroners hold office by virtue of holding another office. For example, in Nebraska, a county’s district attorney is also the county’s coroner. Similarly, in many counties in Texas, the justice of the peace may be in charge of death investigation. In yet other places, the sheriff may be the lawful coroner.

In different jurisdictions the terms "coroner" and "medical examiner" are defined differently. In some places, stringent rules require that the medical examiner be a forensic pathologist. In others, the medical examiner must be a physician, though not necessarily a pathologist nor further specialized forensic pathologist; physicians with no experience in forensic medicine have become medical examiners.[34] In other jurisdictions, such as Wisconsin, each county sets standards, and in some, the medical examiner does not need any medical or educational qualifications.[35]

Not all U.S. jurisdictions use a coroner system for medicolegal death investigation—some operate with only a medical examiner system, while others operate on a mixed coroner–medical examiner system. In the U.S., the terms "coroner" and "medical examiner" vary widely in meaning by jurisdiction, as do qualifications and duties for these offices.[36] Advocates have promoted the medical examiner model as more accurate given the more stringent qualifications.[37]

Local laws define the deaths a coroner must investigate. The most often legally required investigation is for sudden or unexpected deaths, in addition to deaths where no attending physician was present. Additionally, the law often requires investigations for deaths that are suspicious (as defined by jurisdiction) or violent.[36] In some places in the United States, a coroner has other special powers, such as the ability to arrest the county sheriff.[citation needed]

Duties edit

Duties always include determining the cause, time and manner of death. The coroner/ME uses the same investigatory skills of a police detective in most cases because the answers are available from the circumstances, scene, and recent medical records. In many American jurisdictions, any death not certified by the person's own (attending) physician must be referred to the medical examiner (by jurisdictional law). If an individual dies outside of his/her state of residence, the coroner of the state in which the death took place issues the death certificate. Only a small percentage of deaths require an autopsy to determine the time, cause and manner of death.

In some states, coroners have additional authority. For example:

  • In Louisiana, coroners are involved in the determination of mental illness of living persons.
  • In Georgia[38] and Colorado[39] the coroner has the same powers as a county sheriff to execute arrest warrants and to serve process, and is the only county official empowered to arrest the county sheriff; in certain situations where there is no sheriff, the coroner officially acts as sheriff for the county.
  • In Kentucky, section 72.415 of the Kentucky Revised Statutes gives coroners and their deputies the full power and authority of peace officers. This includes the power of arrest and the authority to carry firearms.
  • In North Carolina, the coroner exists by law in approximately 65 counties, but the office is active in only ten of them; in the counties that have coroners, they are set forth as common law peace officers, yet the coroner of the county also has judicial powers: to investigate cause and manner of death, as in other states, but also to conduct inquests, to issue court orders, to impanel a coroner's jury and to act as sheriff in certain cases. She can arrest the sheriff for cause. Beginning in 2015, the NC Office of Chief Medical Examiner (OCME) began optional training for coroners to become special assistant medical examiner investigators (NC CH130A & 152).
  • In Indiana, the coroner is the only law enforcement officer who has the authority to arrest and incarcerate the county sheriff and take command of the county jail. The coroner is also the only official who may serve the sheriff with civil process.
  • In New York City, the office of coroner was abolished in 1915,[40] since before that time, having medical knowledge was not actually a requirement, leading to much abuse of the position.[41]
  • In California, 48 of the 58 counties have merged the county sheriff's office and the county coroner's office. In these counties, the sheriff also serves as the coroner.[42]

Notable examples edit

Artistic depictions edit

Film edit

Literature edit

Television edit

Although coroners are often depicted in police dramas as a source of information for detectives, there are a number of fictional coroners who have taken particular focus on television.

  • Dr. Camille Saroyan is a federal coroner and the head of the Forensic Division at Jeffersonian Institute in the TV series Bones.
  • British television drama series The Coroner has as its main character a coroner based in a fictional Devon town.
  • Crossing Jordan features Jill Hennessy as Jordan Cavanaugh, M.D., a crime-solving forensic pathologist employed in the Massachusetts Office of the Chief Medical Examiner.
  • The coroners are significant characters and main cast members on CSI: Crime Scene Investigation and its spin-offs CSI: Miami and CSI: NY.
  • The television series Da Vinci's Inquest has a coroner as its title character.
  • The American police procedural drama series Hawaii Five-0 features a coroner named Dr. Max Bergman, played by Japanese-American actor Masi Oka.
  • Kujo Kiriya from the 2016 Japanese TV series Kamen Rider Ex-Aid is a coroner.
  • Kurt Fuller plays Woody, a coroner on the American detective comedy-drama Psych.
  • The television series Quincy, M.E. has the title character (a medical examiner) under the authority of the county coroner.
  • The television series Wojeck (the Canadian ancestor of Quincy, M.E.) has a coroner as its title character, inspired by the coroner Morton Shulman.[43]
  • In Law & Order: Special Victims Unit, the detectives are regularly assisted by coroner Melinda Warner.

See also edit

References edit

  1. ^ "Coroner vs. medical examiner". Visible Proofs. United States National Library of Medicine. Retrieved 1 May 2018.
  2. ^ "coroner". Encyclopædia Britannica, 2009. Accessed 10 August 2009.
  3. ^ Coroner History. Lycoming County, Pennsylvania. Accessed 10 August 2009.
  4. ^ a b Duggan, Kenneth F. (2017). "The Hue and Cry in Thirteenth-Century England". Thirteenth Century England. XVI: 153–172. doi:10.1017/9781787441439.010. ISBN 9781787441439.
  5. ^ "coroner". Merriam-Webster.com. Merriam Webster. Retrieved 28 May 2013.
  6. ^ "Online Etymology Dictionary: coroner (n.)".
  7. ^ Gross, Charles (1892). "The Early History and Influence of the Office of Coroner". Political Science Quarterly. 7 (4): 656–672. doi:10.2307/2139446. JSTOR 2139446.
  8. ^ James Wilson, Lectures on Law, vol. 2, chapter 7
  9. ^ Trabsky, Marc (2016). "The Coronial Manual and the Bureaucratic Logic of the Coroner's Office". International Journal of Law in Context. 12 (2): 195–209. doi:10.1017/S1744552316000069. S2CID 148552738. Retrieved 2 January 2017.
  10. ^ "Who works at a morgue?". Australian Museum. 27 October 2009. Retrieved 1 August 2017.
  11. ^ a b "Introduction: Coroner Canadian Medical Examiner Database: Annual Report". Government of Canada. 27 November 2015.
  12. ^ "Office of the Chief Medical Examiner". justice.alberta.ca. Alberta Justice and Solicitor General. Retrieved 26 May 2013.
  13. ^ . www.gov.mb.ca. Manitoba Justice. Archived from the original on 30 March 2014. Retrieved 28 May 2013.
  14. ^ "Nova Scotia Medical Examiner Service". www.gov.ns.ca. Nova Scotia. Retrieved 28 May 2013.
  15. ^ "Office of the Chief Medical Examiner". www.justice.gov.nl.ca. Newfoundland – Labrador Department of Justice. Retrieved 28 May 2013.
  16. ^ "Coroner". 16 March 2016.
  17. ^ "Medical".
  18. ^ . Coroner Service. Archived from the original on 17 September 2016. Retrieved 14 December 2016.
  19. ^ a b . Coroner Service. Archived from the original on 17 April 2016. Retrieved 14 December 2016.
  20. ^ "Welcome to the Coronial Services of New Zealand". New Zealand Ministry of Justice. Retrieved 10 October 2010.
  21. ^ . Archived from the original on 27 December 2008. Retrieved 3 November 2007.
  22. ^ Houston, R. A. (2014). The Coroners of Northern Britain c. 1300-1700. London, England: Palgrave Pivot. pp. 38–68. ISBN 978-1-137-38107-1.
  23. ^ a b Coroners at cps.gov.uk; retrieved 6 July 2018
  24. ^ a b General information about the coroner service at manchester.gov.uk; retrieved 6 July 2018
  25. ^ "Criminal Law Act 1977: Section 56", legislation.gov.uk, The National Archives, 1977 c. 45 (s. 56)
  26. ^ "Coroners Inquests". Health and Safety Executive.
  27. ^ R v HM Coroner for the County of West Yorkshire, ex parte Sacker [2004] UKHL 11.
  28. ^ R v Portsmouth Coroner, ex parte Anderson (1987) 1 WLR 1640
  29. ^ R (on the application of Maughan) (Appellant) v Her Majesty’s Senior Coroner for Oxfordshire (Respondent) (2020) UKSC 46
  30. ^ Coroners at cps.gov.uk; retrieved 5 July 2018
  31. ^ "Coroners" at judiciary.uk; reviewed 2 July 2018
  32. ^ Coroner service for Northern Ireland at justice-ni.gov.uk; retrieved 5 July 2018
  33. ^ J. M. Hickman, K. A. Hughes, K. J. Strom, and J. D. Ropero-Miller, Medical Examiners and Coroners' Offices, (2004). U.S. Department of Justice, Bureau of Justice Statistics Special Report NCJ216756.
  34. ^ Frontline: Post Mortem
  35. ^ Keach, Jenifer (2006). Coroners and Medical Examiners A Comparison of Options Offered by Both Systems in Wisconsin.
  36. ^ a b National Academy of Sciences, Strengthening Forensic Science in the United States: A Path Forward, (2009), pp. 241–253.
  37. ^ Death Investigations: Last Week Tonight with John Oliver (HBO)
  38. ^ Title 15, Chapter 16, Section 8 of Georgia law and Ch. 152 of NC law
  39. ^ Section 30-10-604, Colorado revised statutes
  40. ^ Section 284, New York State Laws of 1915
  41. ^ Helpern, Milton (1977). "Beginnings". Autopsy: the memoirs of Milton Helpern, the world's greatest medical detective. New York: St. Martin's Press. pp. 12–13. ISBN 0-451-08607-4.
  42. ^ "Sheriff-Coroner". California State Association of Counties. 26 May 2015.
  43. ^ Allan, Blaine. . CBC Television Series, 1952–1982. Queen's Film and Media. Archived from the original on 15 March 2010.

Further reading edit

  • Harris, Sarah (3 November 2013). "Run for Coroner, No Medical Training Necessary". Weekend Edition Sunday. National Public Radio. Retrieved 21 June 2018.
  • Valdes, Robert. "What Is the Difference Between a Medical Examiner and a Coroner?". HowStuffWorks. Retrieved 21 June 2018.
  • "Public Health Law Program: Coroner/Medical Examiner Laws, by State". Centers for Disease Control. Retrieved 21 June 2018. See also the links at the bottom of the linked article.

External links edit

Coroners by country edit

  • Australia, New South Wales – Homepage of the New South Wales, Australian (NSW) Coroners Court
  • Australia, Western Australia – Homepage of West Australian (WA) Coroners Court
  • Australia, Victoria – Coroners Court of Victoria
  • England and Wales – Ministry of Justice, Coroners

coroner, confused, with, medical, examiner, other, uses, disambiguation, coroner, government, judicial, official, empowered, conduct, order, inquest, into, manner, cause, death, official, also, investigate, confirm, identity, unknown, person, been, found, dead. Not to be confused with medical examiner For other uses see Coroner disambiguation A coroner is a government or judicial official who is empowered to conduct or order an inquest into the manner or cause of death The official may also investigate or confirm the identity of an unknown person who has been found dead within the coroner s jurisdiction Charles B Greenlaw Coroner of CalcuttaIn medieval times English coroners were Crown officials who held financial powers and conducted some judicial investigations in order to counterbalance the power of sheriffs or bailiffs Depending on the jurisdiction the coroner may adjudge the cause of death personally or may act as the presiding officer of a special court a coroner s jury The term coroner derives from the same source as the word crown Contents 1 Duties and functions 2 Etymology and history 3 By region 3 1 Australia 3 2 Canada 3 3 Hong Kong 3 4 Iran 3 5 Ireland 3 6 New Zealand 3 7 Sri Lanka 3 8 United Kingdom 3 8 1 Inquest conclusions previously called verdicts 3 8 2 England and Wales 3 8 3 Northern Ireland 3 9 United States 3 9 1 Duties 4 Notable examples 5 Artistic depictions 5 1 Film 5 2 Literature 5 3 Television 6 See also 7 References 8 Further reading 9 External links 9 1 Coroners by countryDuties and functions editResponsibilities of the coroner may include overseeing the investigation and certification of deaths related to mass disasters that occur within the coroner s jurisdiction A coroner s office typically maintains death records of those who have died within the coroner s jurisdiction The additional roles that a coroner may oversee in judicial investigations may be subject to the attainment of suitable legal and medical qualifications The qualifications required of a coroner vary significantly between jurisdictions and are described below under the entry for each jurisdiction Coroners medical examiners and forensic pathologists are different professions 1 They have different roles and responsibilities further explanation needed Etymology and history editThe office of coroner originated in medieval England 2 3 4 and has been adopted in many countries whose legal systems have at some time been subject to English or United Kingdom law In Middle English the word coroner referred to an officer of the Crown derived from the French couronne and Latin corona meaning crown 5 The office of the coroner dates from approximately the 11th century shortly after the Norman conquest of England in 1066 The office of coroner was established by lex scripta in Richard I s England In September 1194 it was decreed by Article 20 of the Articles of Eyre to establish the office of custos placitorum coronae Latin for keeper of the pleas of the Crown from which the word coroner is derived 6 7 This role provided a local county official whose primary duty was to protect the financial interest of the Crown in criminal proceedings The office of coroner is in many instances a necessary substitute for if the sheriff is interested in a suit or if he is of affinity with one of the parties to a suit the coroner must execute and return the process of the courts of justice 8 This role was qualified in Chapter 24 of Magna Carta in 1215 which states No sheriff constable coroner or bailiff shall hold pleas of our Crown Keeping the pleas was an administrative task while holding the pleas was a judicial one that was not assigned to the locally resident coroner but left to judges who traveled around the country holding assize courts The role of custos rotulorum or keeper of the county records became an independent office which after 1836 was held by the lord lieutenant of each county The person who found a body from a death thought sudden or unnatural was required to raise the hue and cry and to notify the coroner 4 While coronial manuals written for sheriffs bailiffs justices of the peace and coroners were published in the sixteenth and seventeenth centuries handbooks specifically written for coroners were distributed in England in the eighteenth century 9 Coroners were introduced into Wales following its military conquest by Edward I of England in 1282 through the Statute of Rhuddlan in 1284 Going further back in time we find that the term comes from antiquity namely when the deceased was entrusted to the coronator that is to a necrofor who prepared the corpse according to custom and among other things put a small laurel or myrtle wreath Lat corona or serta on his head so that he might be accepted in glory in the afterlife The use was already of ancient Greece and see e g Theophilus Christophorus Harles Bionis smyrnaei and Moschi syracusani quae supersunt etc P 40 Erlangen 1780 who quotes Euripides Clement of Alexandria Chionus of Heraclea and others in this regard see also James Claude Upshaw Downs The origin of official death investigation is traced to at least 44 B C with the Greek Physician Antistius s examination of Julius Caesar Fisher 1993 Gawande 2001 The history of the office of coroner extends well over a millennium and has seen major evolution etc Coroner and Medical Examiner in Handbook of Death and Dying ed by Clifton D Bryant V 1 p 909 2003 By region editAustralia edit Australian coroners are responsible for investigating and determining the cause of death for those cases reported to them In all states and territories a coroner is a magistrate with legal training and is attached to a local court Four states New South Wales South Australia Victoria and Western Australia also have state coroners and specialised coronial courts In Tasmania the Chief Magistrate also acts as the state coroner 10 Canada edit According to Statistics Canada 11 Death investigation is the responsibility of each individual Canadian province and territory there is no overarching federal authority As a result each province and territory has developed their own system and legislation to fulfill the mandate of investigating deaths that are unexpected unexplained or as a result of injuries or drugs Two different death investigation systems have developed in Canada the Coroner s system and the Medical Examiner s system The Coroner s system is used in the majority of provinces and territories It is a system that is centuries old and originated in Great Britain It is found throughout the world in countries that were former British colonies including Canada The Medical Examiner s system used in Alberta Manitoba Nova Scotia and Newfoundland and Labrador is just over one century old and originated in the United States Although there are some differences between the two systems the ultimate goal of each is the same to investigate certain deaths defined in their legislation and establish the identity of the deceased together with the cause of death and the manner of death In 21st century Canada the officer responsible for investigating all unnatural and natural unexpected unexplained or unattended deaths goes under the title coroner or medical examiner depending on location 11 They do not determine civil or criminal responsibility but instead make and offer recommendations to improve public safety and prevention of death in similar circumstances citation needed Coroner or Medical Examiner services are under the jurisdiction of provincial or territorial governments and in modern Canada generally operate within the public safety and security or justice portfolio These services are headed by a Chief Coroner or Chief Medical Examiner and comprise coroners or medical examiners appointed by the executive council citation needed The provinces of Alberta 12 Manitoba 13 Nova Scotia 14 and Newfoundland and Labrador 15 now have a Medical Examiner system meaning that all death investigations are conducted by specialist physicians trained in Forensic Pathology with the assistance of other medical and law enforcement personnel All other provinces run on a coroner system In Prince Edward Island 16 and Ontario 17 all coroners are by law physicians In the other provinces and territories with a coroner system namely British Columbia Saskatchewan Quebec New Brunswick Northwest Territories Nunavut and Yukon coroners are not necessarily physicians but generally have legal medical or investigative backgrounds citation needed Hong Kong edit The Coroner s Court is responsible to inquire into the causes and circumstances of some deaths The Coroner is a judicial officer who has the power to Grant Burial orders Cremation orders Waivers of autopsy Autopsy orders Exhumation orders Orders to remove dead bodies outside Hong Kong Order police investigations of death Order inquests Approve removal and use of body parts of the dead body Issue certificates of fact of deathThe Coroner makes orders after considering the pathologist s report Iran edit Main article Iranian Legal Medicine Organization Ireland edit The Coroners Service is a network of Coroners situated across Ireland usually covering areas based on Ireland s traditional counties 18 They are appointed by local authorities as independent experts and must be either qualified doctors or lawyers 19 Their primary function is to investigate any sudden unexplained violent or unnatural death in order to allow a death certificate to be issued Any death due to unnatural causes will require an inquest to be held 19 New Zealand edit Two coronial services operate in New Zealand The older one deals only with deaths before midnight of 30 June 2007 that remain under investigation The new system operates under the Coroners Act 2006 which Established the office of the chief coroner to provide leadership and coordination Moved to a smaller number of full time legally qualified coroners who are Judges of the Coroners Court Ensured families are notified of significant steps in the coronial process Introduced wide ranging cultural matters to be considered in all aspects of dealing with the dead body Introduced a specific regime for attention and release of body parts and body samples Enhanced inquiry and inquest processes 20 Sri Lanka edit In Sri Lanka the Ministry of Justice appoints Inquirers into Sudden Deaths under the Code of Criminal Procedure to carry out an inquest into the death of a sudden unexpected and suspicious nature Some large cities such as Colombo and Kandy have a City Coroners Court attached to the main city hospital with a Coroner and Additional Coroner United Kingdom edit Parts of this article those related to the consequences of the Coroners and Justice Act 2009 need to be updated Please help update this section to reflect recent events or newly available information March 2010 In the United Kingdom a coroner is a specialist judge Whilst coroners are appointed and paid by local authorities they are not employees of those local authorities but rather independent judicial office holders who can be removed from office only by the Lord Chief Justice and the Lord Chancellor The Ministry of Justice which is headed by the Lord Chancellor and Secretary of State for Justice is responsible for coronial law and policy However it has no operational responsibility for the running of coroners courts 21 There are separate coroners services for England and Wales and for Northern Ireland There are no longer coroners in Scotland Coroners existed in Scotland between about 1400 and 1800 when they ceased to be used 22 Now deaths requiring judicial examination are reported to the procurator fiscal and dealt with by fatal accident inquiries conducted by the sheriff for the area The coroner s jurisdiction is limited to determining who the deceased was and how when and where they came by their death When the death is suspected to have been either sudden with unknown cause violent or unnatural the coroner decides whether to hold a post mortem examination and if necessary an inquest The majority of deaths are not investigated by the coroner If the deceased has been under medical care or has been seen by a doctor within 14 days of death then the doctor can issue a death certificate However if the deceased died without being seen by a doctor or if the doctor is unwilling to make a determination the coroner will investigate the cause and manner of death The coroner will also investigate when a death is deemed violent or unnatural where the cause is unknown where a death is the result of poisoning or industrial injury or if it occurred in police custody or prison The coroner s court is a court of law and accordingly the coroner may summon witnesses Those found to be lying are guilty of perjury Additional powers of the coroner may include the power of subpoena and attachment the power of arrest the power to administer oaths and sequester juries of six during inquests Any person aware of a dead body lying in the district of a coroner has a duty to report it to the coroner failure to do so is an offence This can include bodies brought into England or Wales 23 24 The coroner has a team of coroner s officers previously often ex police officers but increasingly from a nursing or other paramedical background who carry out the investigation on the coroner s behalf A coroner s investigation may involve a simple review of the circumstances ordering a post mortem examination or they may decide that an inquest is appropriate When a person dies in the custody of the legal authorities in police cells or in prison an inquest must be held In England inquests are usually heard without a jury unless the coroner wants one However a case in which a person has died under the control of central authority must have a jury as a check on the possible abuse of governmental power 23 24 Coroners also have a role in treasure cases This role arose from the ancient duty of the coroner as a protector of the property of the Crown It is now contained in the Treasure Act 1996 This jurisdiction is no longer exercised by local coroners but by specialist coroners for treasure appointed by the Chief Coroner Inquest conclusions previously called verdicts edit The coroner s former power to name a suspect in the inquest conclusion and commit them for trial has been abolished 25 The coroner s conclusion sometimes is persuasive for the police and Crown Prosecution Service but normally proceedings in the coroner s court are suspended until after the outcome of any criminal case is known More usually a coroner s conclusion is also relied upon in civil proceedings and insurance claims The coroner commonly tells the jury which conclusions are lawfully available in a particular case The most common short form conclusions include 26 Natural causes Industrial disease Alcohol or drug related Suicide Accident misadventure Road traffic collision Lawful killing Open verdict Unlawful killing Still birth Alternatively an inquest may return a narrative conclusion a brief statement explaining the circumstances how the person came about their death A coroner giving a narrative conclusion may choose to refer to the other conclusion 27 A narrative conclusion may also consist of answers to a set of questions posed by the coroner to himself or to the jury as appropriate Lawful killing includes lawful self defence There is no material difference between an accidental death conclusion and one of misadventure 28 Neglect cannot be a conclusion by itself It must be part of another conclusion A conclusion of neglect requires that there was a need for relevant care such as nourishment medical attention shelter or warmth identified and there was an opportunity to offer or provide that care that was not taken An open conclusion should only be used as a last resort and is given where the cause of death cannot be identified on the evidence available to the inquest Conclusions are arrived at on the balance of probabilities prior to 2020 conclusions of suicide or unlawful killing were required to be proved to the criminal standard of beyond reasonable doubt 29 England and Wales edit See also Inquests in England and Wales The coroner service in England and Wales is supervised by the Chief Coroner a judge appointed by the Lord Chief Justice after consulting the Lord Chancellor The Chief Coroner provides advice guidance and training to coroners and aims to secure uniformity of practice throughout England and Wales The post is currently part time The present Chief Coroner is Judge Thomas Teague England and Wales are divided into coroner districts by the Lord Chancellor each district consisting of the area or areas of one or more local authorities The relevant local authority with the consent of the Chief Coroner and the Lord Chancellor must appoint a senior coroner for the district It must also appoint area coroners in effect deputies to the senior coroner and assistant coroners to the number that the Lord Chancellor considers necessary in view of the physical character and population of the district The cost of the coroner service for the district falls upon the local authority or authorities concerned and thus ultimately upon the local inhabitants There are 98 coroners in England and Wales covering 109 local authority areas 30 To become a coroner in England and Wales the applicant must be a qualified solicitor barrister or a Fellow of the Chartered Institute of Legal Executives CILEx with at least five years qualified experience 31 This reflects the role of a coroner to determine the cause of death of a deceased in cases where the death was sudden unexpected occurred abroad was suspicious in any way or happened while the person was under the control of central authority e g in police custody Until 2013 a qualified medical practitioner could be appointed but that is no longer possible Any medical coroner still in office will either have been appointed before 2013 or exceptionally will hold both medical and legal qualifications Formerly every justice of the High Court was ex officio a coroner for every district in England and Wales This is no longer so there are now no ex officio coroners A senior judge is sometimes appointed ad hoc as a deputy coroner to undertake a high profile inquest such as those into the deaths of Diana Princess of Wales and the victims of the 2005 London bombings Northern Ireland edit Coronial services in Northern Ireland are broadly similar to those in England and Wales including dealing with treasure trove cases under the Treasure Act 1996 Northern Ireland has three coroners who oversee the province as a whole They are assisted by coroners liaison officers and a medical officer 32 United States edit As of 2004 update of the 2 342 death investigation offices in the United States 1 590 were coroners offices 82 of which served jurisdictions of more than 250 000 people 33 Qualifications for coroners are set by individual states and counties in the U S and vary widely In many jurisdictions little or no training is required even though a coroner may overrule a forensic pathologist in naming a cause of death Some coroners are elected with others appointed Some coroners hold office by virtue of holding another office For example in Nebraska a county s district attorney is also the county s coroner Similarly in many counties in Texas the justice of the peace may be in charge of death investigation In yet other places the sheriff may be the lawful coroner In different jurisdictions the terms coroner and medical examiner are defined differently In some places stringent rules require that the medical examiner be a forensic pathologist In others the medical examiner must be a physician though not necessarily a pathologist nor further specialized forensic pathologist physicians with no experience in forensic medicine have become medical examiners 34 In other jurisdictions such as Wisconsin each county sets standards and in some the medical examiner does not need any medical or educational qualifications 35 Not all U S jurisdictions use a coroner system for medicolegal death investigation some operate with only a medical examiner system while others operate on a mixed coroner medical examiner system In the U S the terms coroner and medical examiner vary widely in meaning by jurisdiction as do qualifications and duties for these offices 36 Advocates have promoted the medical examiner model as more accurate given the more stringent qualifications 37 Local laws define the deaths a coroner must investigate The most often legally required investigation is for sudden or unexpected deaths in addition to deaths where no attending physician was present Additionally the law often requires investigations for deaths that are suspicious as defined by jurisdiction or violent 36 In some places in the United States a coroner has other special powers such as the ability to arrest the county sheriff citation needed Duties edit Duties always include determining the cause time and manner of death The coroner ME uses the same investigatory skills of a police detective in most cases because the answers are available from the circumstances scene and recent medical records In many American jurisdictions any death not certified by the person s own attending physician must be referred to the medical examiner by jurisdictional law If an individual dies outside of his her state of residence the coroner of the state in which the death took place issues the death certificate Only a small percentage of deaths require an autopsy to determine the time cause and manner of death In some states coroners have additional authority For example In Louisiana coroners are involved in the determination of mental illness of living persons In Georgia 38 and Colorado 39 the coroner has the same powers as a county sheriff to execute arrest warrants and to serve process and is the only county official empowered to arrest the county sheriff in certain situations where there is no sheriff the coroner officially acts as sheriff for the county In Kentucky section 72 415 of the Kentucky Revised Statutes gives coroners and their deputies the full power and authority of peace officers This includes the power of arrest and the authority to carry firearms In North Carolina the coroner exists by law in approximately 65 counties but the office is active in only ten of them in the counties that have coroners they are set forth as common law peace officers yet the coroner of the county also has judicial powers to investigate cause and manner of death as in other states but also to conduct inquests to issue court orders to impanel a coroner s jury and to act as sheriff in certain cases She can arrest the sheriff for cause Beginning in 2015 the NC Office of Chief Medical Examiner OCME began optional training for coroners to become special assistant medical examiner investigators NC CH130A amp 152 In Indiana the coroner is the only law enforcement officer who has the authority to arrest and incarcerate the county sheriff and take command of the county jail The coroner is also the only official who may serve the sheriff with civil process In New York City the office of coroner was abolished in 1915 40 since before that time having medical knowledge was not actually a requirement leading to much abuse of the position 41 In California 48 of the 58 counties have merged the county sheriff s office and the county coroner s office In these counties the sheriff also serves as the coroner 42 Notable examples editWynne Edwin Baxter Larry Campbell former provincial coroner for British Columbia Thomas Noguchi born 1927 former Chief Medical Examiner Coroner for the County of Los Angeles Charles Norris Morton Shulman former provincial coroner for Ontario William Wynn Westcott Athelstan Braxton Hicks late 19th century coroner in London and SurreyArtistic depictions editFilm edit In the song Ding Dong The Witch Is Dead from the classic 1939 film The Wizard of Oz the Coroner of Munchkinland confirms the death of the Wicked Witch of the East Literature edit M R Hall is a British crime novelist who writes a series of best selling novels featuring Bristol based coroner Jenny Cooper Novelist Bernard Knight a former Home Office pathologist and a professor of forensic pathology at the University of Wales College of Medicine is well known for his Crowner John Mysteries series set in 12th century Devon England Crowner is an archaic word for coroner and is based on the origins of the word See the History section above Television edit This section possibly contains original research Relevant discussion may be found on Talk Coroner Please improve it by verifying the claims made and adding inline citations Statements consisting only of original research should be removed July 2018 Learn how and when to remove this template message Although coroners are often depicted in police dramas as a source of information for detectives there are a number of fictional coroners who have taken particular focus on television Dr Camille Saroyan is a federal coroner and the head of the Forensic Division at Jeffersonian Institute in the TV series Bones British television drama series The Coroner has as its main character a coroner based in a fictional Devon town Crossing Jordan features Jill Hennessy as Jordan Cavanaugh M D a crime solving forensic pathologist employed in the Massachusetts Office of the Chief Medical Examiner The coroners are significant characters and main cast members on CSI Crime Scene Investigation and its spin offs CSI Miami and CSI NY The television series Da Vinci s Inquest has a coroner as its title character The American police procedural drama series Hawaii Five 0 features a coroner named Dr Max Bergman played by Japanese American actor Masi Oka Kujo Kiriya from the 2016 Japanese TV series Kamen Rider Ex Aid is a coroner Kurt Fuller plays Woody a coroner on the American detective comedy drama Psych The television series Quincy M E has the title character a medical examiner under the authority of the county coroner The television series Wojeck the Canadian ancestor of Quincy M E has a coroner as its title character inspired by the coroner Morton Shulman 43 In Law amp Order Special Victims Unit the detectives are regularly assisted by coroner Melinda Warner See also editOntario Centre of Forensic Sciences home to the Coroner s Office for OntarioReferences edit Coroner vs medical examiner Visible Proofs United States National Library of Medicine Retrieved 1 May 2018 coroner Encyclopaedia Britannica 2009 Accessed 10 August 2009 Coroner History Lycoming County Pennsylvania Accessed 10 August 2009 a b Duggan Kenneth F 2017 The Hue and Cry in Thirteenth Century England Thirteenth Century England XVI 153 172 doi 10 1017 9781787441439 010 ISBN 9781787441439 coroner Merriam Webster com Merriam Webster Retrieved 28 May 2013 Online Etymology Dictionary coroner n Gross Charles 1892 The Early History and Influence of the Office of Coroner Political Science Quarterly 7 4 656 672 doi 10 2307 2139446 JSTOR 2139446 James Wilson Lectures on Law vol 2 chapter 7 Trabsky Marc 2016 The Coronial Manual and the Bureaucratic Logic of the Coroner s Office International Journal of Law in Context 12 2 195 209 doi 10 1017 S1744552316000069 S2CID 148552738 Retrieved 2 January 2017 Who works at a morgue Australian Museum 27 October 2009 Retrieved 1 August 2017 a b Introduction Coroner Canadian Medical Examiner Database Annual Report Government of Canada 27 November 2015 Office of the Chief Medical Examiner justice alberta ca Alberta Justice and Solicitor General Retrieved 26 May 2013 The Role of the Chief Medical Examiner s Office www gov mb ca Manitoba Justice Archived from the original on 30 March 2014 Retrieved 28 May 2013 Nova Scotia Medical Examiner Service www gov ns ca Nova Scotia Retrieved 28 May 2013 Office of the Chief Medical Examiner www justice gov nl ca Newfoundland Labrador Department of Justice Retrieved 28 May 2013 Coroner 16 March 2016 Medical Coroner Service Coroner Service Archived from the original on 17 September 2016 Retrieved 14 December 2016 a b Who are the coroners Coroner Service Archived from the original on 17 April 2016 Retrieved 14 December 2016 Welcome to the Coronial Services of New Zealand New Zealand Ministry of Justice Retrieved 10 October 2010 Coroners Ministry of Justice Archived from the original on 27 December 2008 Retrieved 3 November 2007 Houston R A 2014 The Coroners of Northern Britain c 1300 1700 London England Palgrave Pivot pp 38 68 ISBN 978 1 137 38107 1 a b Coroners at cps gov uk retrieved 6 July 2018 a b General information about the coroner service at manchester gov uk retrieved 6 July 2018 Criminal Law Act 1977 Section 56 legislation gov uk The National Archives 1977 c 45 s 56 Coroners Inquests Health and Safety Executive R v HM Coroner for the County of West Yorkshire ex parte Sacker 2004 UKHL 11 R v Portsmouth Coroner ex parte Anderson 1987 1 WLR 1640 R on the application of Maughan Appellant v Her Majesty s Senior Coroner for Oxfordshire Respondent 2020 UKSC 46 Coroners at cps gov uk retrieved 5 July 2018 Coroners at judiciary uk reviewed 2 July 2018 Coroner service for Northern Ireland at justice ni gov uk retrieved 5 July 2018 J M Hickman K A Hughes K J Strom and J D Ropero Miller Medical Examiners and Coroners Offices 2004 U S Department of Justice Bureau of Justice Statistics Special Report NCJ216756 Frontline Post Mortem Keach Jenifer 2006 Coroners and Medical Examiners A Comparison of Options Offered by Both Systems in Wisconsin a b National Academy of Sciences Strengthening Forensic Science in the United States A Path Forward 2009 pp 241 253 Death Investigations Last Week Tonight with John Oliver HBO Title 15 Chapter 16 Section 8 of Georgia law and Ch 152 of NC law Section 30 10 604 Colorado revised statutes Section 284 New York State Laws of 1915 Helpern Milton 1977 Beginnings Autopsy the memoirs of Milton Helpern the world s greatest medical detective New York St Martin s Press pp 12 13 ISBN 0 451 08607 4 Sheriff Coroner California State Association of Counties 26 May 2015 Allan Blaine Wojeck CBC Television Series 1952 1982 Queen s Film and Media Archived from the original on 15 March 2010 Further reading editHarris Sarah 3 November 2013 Run for Coroner No Medical Training Necessary Weekend Edition Sunday National Public Radio Retrieved 21 June 2018 Valdes Robert What Is the Difference Between a Medical Examiner and a Coroner HowStuffWorks Retrieved 21 June 2018 Public Health Law Program Coroner Medical Examiner Laws by State Centers for Disease Control Retrieved 21 June 2018 See also the links at the bottom of the linked article External links edit nbsp Look up coroner in Wiktionary the free dictionary Dr G Medical Examiner Working with the Dead History of the Medieval English Coroner System by Prof Bernard KnightCoroners by country edit Australia New South Wales Homepage of the New South Wales Australian NSW Coroners Court Australia Queensland Queensland Courts Coroners Court Australia Western Australia Homepage of West Australian WA Coroners Court Australia Victoria Coroners Court of Victoria England and Wales Ministry of Justice Coroners Hong Kong Judiciary Court Services and Facilities New Zealand Coronial Services of New Zealand Northern Ireland Coroners Service for Northern Ireland Retrieved from https en wikipedia org w index php title Coroner amp oldid 1217866916, wikipedia, wiki, book, books, library,

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