Annual Report Office of the Chief Medical Examiner State of ... - … OCME... · 2016 - Manner...

2016

Annual Report Office of the

Chief Medical Examiner

State of Maryland

Table of Contents Cases Reported to OCME

Action Taken ............................................................................................................................................................................................................................................ 1

Autopsied ................................................................................................................................................................................................................................................ 2

Manner of Death ..................................................................................................................................................................................................................................... 3

Manner of Death

Classified by Sex ...................................................................................................................................................................................................................................... 4

Classified by Race .................................................................................................................................................................................................................................... 4

Medical Examiner Cases

Cause and Manner of Death .................................................................................................................................................................................................................... 5

A Three-Year Comparison ........................................................................................................................................................................................................................ 7

Manner and Jurisdiction .......................................................................................................................................................................................................................... 8

Toxicologic Testing

Percentage of Cases Positive for Alcohol and/or Drugs ........................................................................................................................................................................... 9

Drug Abuse Death

By Jurisdiction (3-Year Comparison) ...................................................................................................................................................................................................... 10

Undetermined Manner Only ................................................................................................................................................................................................................. 11

Homicide Deaths

Cause of Death ...................................................................................................................................................................................................................................... 12

A Five-Year Comparison......................................................................................................................................................................................................................... 13

Deaths by Age ........................................................................................................................................................................................................................................ 14

Firearm Deaths


Sudden Infant Death Syndrome


Classified by Age .................................................................................................................................................................................................................................... 17

Classified by Race and Sex ..................................................................................................................................................................................................................... 17

Sudden Unexplained Death in Infancy


Classified by Race and Sex ..................................................................................................................................................................................................................... 18

Suicide Death

Cause of Death ...................................................................................................................................................................................................................................... 19

Youth Suicides ....................................................................................................................................................................................................................................... 20

Deaths by Age ........................................................................................................................................................................................................................................ 21

Transportation Deaths

Classified by Activity .............................................................................................................................................................................................................................. 22

Type of Vehicle ...................................................................................................................................................................................................................................... 23


Alcohol/Drug Results ............................................................................................................................................................................................................................. 25

Alcohol Levels in Cases Testing Positive ................................................................................................................................................................................................ 26

Addendum

Miscellaneous Data ............................................................................................................................................................................................................................... 27

- 1 -

2016 Cases Reported to OCME - Action Taken Total Cases – 14,301

1553

5311

6147

942

348

0

1000

2000

3000

4000

5000

6000

7000

Approval Autopsy Declined Field Inspection Inspection at OCME

- 2 -

2016 Medical Examiner Cases Total Cases Autopsied* – 5,659

*Twelve cases were classified as “not applicable” (e.g. stillborn & non-human remains).

**Four homicides were not autopsied.

Accident, 1309, 23%

Homicide, 595, 11%

Natural, 1679, 30%

Not Applicable, 12, 0%

Suicide, 454, 8%

Undetermined, 1610, 28%

- 3 -

2016 Cases Reported to OCME – Manner of Death Total Cases – 14,301

*Undetermined Manner: Drugs/Narcotics ** Undetermined Manner: Other

525

1857

599

9048

586

1522

164

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

- 4 -

2016 Manner of Death – Classified By Sex and Race

0 1000 2000 3000 4000 5000 6000

Accident

Homicide

Natural

Suicide

Und. Drugs*

Und. Other*

Accident Homicide Natural Suicide Und. Drugs* Und. Other*Female 881 90 3950 117 419 50Male 1501 509 5095 469 1100 85Unknown 3 3 29

Classified by Sex

0 1000 2000 3000 4000 5000 6000

Accident

Homicide

Natural

Suicide

Und. Drugs*

Und. Other*

Accident Homicide Natural Suicide Und. Drugs* Und. Other*African American 621 496 3570 89 488 59Asian 34 3 134 24 9 4Hispanic 95 25 156 20 29 6Other 27 3 98 9 14 4Unknown 8 1 4 27White 1605 72 5082 443 978 64

Classified by Race

*Undetermined Manner: Drugs/Narcotics ** Undetermined Manner: Other

- 5 -

Manner of Death

Cause of Death Accident Homicide Natural

Not Applicable Suicide

Undeter- mined Total

Asphyxiation 100 7 5 119 27 258 Airway obstruction/Aspirated stomach content 9 5 14 Drowning 64 8 19 91 Hanging 2 97 2 101 Smoke inhalation 6 3 4 13 Strangulation/Asphyxiation 19 7 11 2 39

Chemical/Drug/Alcohol Intoxication/Abuse/Use 498 2 95 71 1480 2146

Alcohol abuse/use 2 64 2 68 Alcohol and drug intoxication/use 11 1 7 5 24 Alcohol intoxication/use 19 3 22 Carbon monoxide 3 8 1 12 Cocaine and alcohol intoxication/use 7 1 4 12 Cocaine intoxication/use 30 7 18 55 Drug intoxication/abuse/use 37 1 11 36 67 152 Narcotic abuse/use 2 2 Narcotic and alcohol intoxication/use 107 1 4 381 493 Narcotic intoxication/use 282 1 8 16 999 1306

Circulatory system 28 2 1274 2 1306 Aneurysm 1 6 7 Cardiac arrhythmia 1 64 65 Cardiomyopathy 19 19 Cardiovascular disease 5 2 1013 1020 Cerebrovascular disease 3 29 32 Hemorrhage 6 17 1 24 Other cardiac 3 82 1 86 Pulmonary embolism 9 44 53

Congenital / Perinatal 5 4 35 44 Congenital/Perinatal 3 4 7 Sudden Infant Death Syndrome 2 2 Sudden Unexplained Death in Infancy (SUDI) 35 35

Digestive system disease 1 31 1 33 Cirrhosis 1 7 8 Gastrointestinal hemorrhage 19 19 Other digestive 4 1 5 Fatty liver 1 1

Electrocution 4 4 Electrocution 4 4

Endocrine and metabolic disease 64 1 65 Diabetes 52 1 53 Other Endocrine and metabolic 12 12

Hyperthermia 22 2 24 Hyperthermia 22 2 24

Hypothermia 32 32 Hypothermia 32 32

Infectious disease 3 18 21 Other infectious disease 3 18 21

- 6 -

Manner of Death

Cause of Death Accident Homicide Natural Not Applicable Suicide

Undeter- mined Total

Malignant neoplasms (Cancer) 16 16 Malignant neoplasms (Cancer) 16 16

Nervous system disease 3 23 3 29 Meningitis 3 3 Other CNS 1 5 2 8 Seizure disorder 2 15 1 18

Non-human remains 2 2 Non-human remains 2 2

Other natural cause 89 89 Other natural cause 89 89

Other non-natural cause 56 3 6 12 77 Other non-natural cause 56 3 6 12 77

Respiratory system 4 59 1 64 Asthma 10 10 Chronic obstructive pulmonary

disease 6 6 Other respiratory 9 9 Pneumonia 3 33 1 37 Anaphylaxis 1 1 2

Thermal Injuries (Burns) 29 2 1 8 40 Thermal Injuries (Burns) 29 2 1 8 40

Traumatic injury 529 579 251 19 1378 Blunt force 42 25 1 68 Fracture 12 12 Gunshot wound 3 455 211 1 670 Head/Chest injuries 74 9 1 7 91 Multiple injuries 377 26 27 9 439 Other trauma 20 1 1 1 23 Sharp force/cutting 1 63 11 75

Unknown cause 31 31 Unknown cause 31 31

Grand Total 1309 595 1679 12 454 1610 5659

- 7 -

Manner of Death - 3 Year Comparison

2016

Manner of Death Number % Accident 2382 16.7% Homicide 599 4.2% Natural 9048 63.3% Suicide 586 4.1% Undetermined 1686 11.8% Total 14301 100%

2015


2014


- 8 -

2016 Manner of Death by County 2016 - Manner Accident Homicide Natural Suicide Undetermined Total

Allegany 32 6 40 9 50 137 Anne Arundel 123 24 148 41 142 478 Baltimore City 325 349 424 66 569 1733 Baltimore County 156 24 200 46 228 654 Calvert 20 1 30 11 19 81 Caroline 10 5 1 5 21 Carroll 33 2 38 18 38 129 Cecil 32 5 30 12 27 106 Charles 38 4 35 16 31 124 Dorchester 9 2 16 6 5 38 Frederick 53 34 26 62 175 Garrett 12 5 6 1 24 Harford 52 7 64 19 64 206 Howard 33 5 43 19 37 137 Kent 8 1 6 3 4 22 Montgomery 88 13 147 59 85 392 Out-Of-State 1 1 2 Prince George's 136 135 217 42 111 641 Queen Anne's 13 12 6 4 35 Saint Mary's 20 2 23 4 13 62 Somerset 5 7 3 4 19 Talbot 7 14 5 8 34 Washington 40 4 54 17 57 172 Wicomico 32 8 51 9 42 142 Worcester 32 3 35 9 16 95 Grand Total 1309 595 1679 454 1622 5659 2016 - Case Type Autopsy OCME Insp. Total County Autopsy OCME Insp. Total

Allegany 130 7 137 Washington 168 4 172

Anne Arundel 451 27 478 Wicomico 134 8 142 Baltimore City 1623 110 1733 Worcester 93 2 95 Baltimore County 606 48 654 Out-Of-State 1 1 2 Calvert 73 8 81 Grand Total 5311 348 5659 Caroline 21 21

Carroll 117 12 129 Cecil 100 6 106 Charles 118 6 124 Dorchester 35 3 38 Frederick 164 11 175 Garrett 20 4 24 Harford 199 7 206 Howard 129 8 137 Kent 21 1 22 Montgomery 359 33 392 Prince George's 613 28 641 Queen Anne's 31 4 35 Saint Mary's 61 1 62 Somerset 16 3 19 Talbot 28 6 34

- 9 -

2016 Toxicology Testing # of Cases Positive for Alcohol and/or Drugs

(Percentage of the Manner of Death)

437 (33%)

134 (23%) 163 (36%)

522 (40%)

172 (29%) 186 (41%)

0

100

200

300

400

500

600

Accidents (1309) Homicides (595) Suicides (454)

Manner of Death

AlcoholDrugs

- 10 -

Drug Deaths

3 Year Comparison by Jurisdiction 2014-2016

31

52

140

13

18

9

9

159

130

9

52

97

4

97

8

49

36

55

8

33

336

773

216

61

0 100 200 300 400 500 600 700 800 900

Worcester

Wicomico

Washington

Talbot

St. Mary's

Somerset

Queen Anne's

Prince George's

Montgomery

Kent

Howard

Harford

Garrett

Frederick

Dorchester

Charles

Cecil

Carroll

Caroline

Calvert

Baltimore County

Baltimore City

Anne Arundel

Allegany

2016

2015

2014

- 11 -

36 34 3 64

1 1

331 402

910

25 20

1113

34 23 15 0

200

400

600

800

1000

1200

2016 Drug Deaths Undetermined Manner

- 12 -

0 100 200 300 400 500

Strangulation/Suffication

Sharp Force

Other

Head/Multiple Injuries

Firearms

Blunt Force

5

58

9

55

457

12

Total Deaths - 599

2016 Homicide Deaths Cause of Death

- 13 -

431 434 414

606 599

0

100

200

300

400

500

600

700

2012 2013 2014 2015 2016

Num

ber o

f Cas

es

Homicides 5 Year Comparison

2012 - 2016

- 14 -

0 50 100 150

0-14

15-20

21-25

26-30

31-35

36-40

41-45

46-50

51-55

56-60

61-65

66-70

71-75

76-80

Over 80

24

98

143 87

63

41

56

25

13

17 11

5

6

4

6

Total Deaths - 599

Age

Gro

up

2016 Homicide Deaths by Age

- 15 -

0

50

100

150

200

250

300

350

400

450

500

Accident Homicide Suicide Undetermined2012 2 320 271 22013 5 310 265 22014 1 282 274 22015 1 465 214 32016 5 457 252 1

Firearm Deaths 2012 - 2016

- 16 -

0

1

2

3

4

5

6

7

8

9

2012 2013 2014 2015 2016

2

7

2

9

2

SIDS Deaths 2012 - 2016 Comparison

- 17 -

Sudden Infant Death Syndrome – 2016

Total of 2 Deaths

00.20.40.60.8

11.21.41.61.8

2

1 2 3 4 5 6 7 8 9 10 11 12

Num

ber o

f Cas

es

Age in Months

Classified by Age

Female, 1, 50%

Male, 1, 50%

Classified by Sex

African American,

1, 50%

White, 1, 50%

Classified by Race

- 18 -

Sudden Unexplained Death in Infancy – 2016 Total of 35 Deaths

0

1

2

3

4

5

6

7

8

0 1 2 3 4 5 6 7 8 9

7

8

6

4

3

1 1

0

4

1

Num

ber o

f Cas

es

Age in Months

Classified by Age

Female, 18, 51%

Male, 17, 49%

Classified by Sex

African American,

20, 57%

Asian, 1, 3%

Hispanic, 1, 3%

Other, 2, 6%

White, 11, 31%

Classified by Race

- 19 -

2016 Suicide Deaths

19

40

144

252

71

8

9

12

31

0 50 100 150 200 250 300

Other

Multiple Injuries

Hanging

Firearms

Drugs Only

Drowning

Cutting/Stab Wounds

Carbon Monoxide

Asphyxia

Total Cases - 586

Classified by Cause of Death

21

13

5 7 8 7

1

16

11

23 22

2

0

5

10

15

20

25

Suicide Drug Classification

- 20 -

2016 Youth Suicide Deaths

1

5

1

5 5

8

6

11

5

11

6

8

11

0

2

4

6

8

10

12

13 14 15 16 17 18 19 20 21 22 23 24 25

Age Total Cases - 83

25 Years of Age and Under

- 21 -

0 20 40 60 80

9-2021-2526-3031-3536-4041-4546-5051-5556-6061-6566-7071-7576-80

Over 80

43 46

41 42

46 45

69 55

67 37

23 23

15 34

Total Deaths - 586

2016 Suicide Deaths by Age

- 22 -

Total Cases – 554

17

3

121

17

39

334

23

0 50 100 150 200 250 300 350 400

Rear Passenger

Pilot

Pedestrian

Passenger

Front Passenger

Driver

Bicyclist

2016 Transportation Accidents Classified by Activity

- 23 -

18

165

3

2

52

32

181

16

57

5

2

2

1

8

7

3

0 50 100 150 200

Van

Unknown

Train- Passenger

Train - Freight

SUV

Pickup Truck

Passenger Car

Other Truck

Motorcycle

Motorbike

Farm Vehicle

Bus

Boat

Bicycle

ATV

Aircraft

Total Cases - 554

2016 Transportation Deaths Type of Vehicle

- 24 -

0 20 40 60 80

0-5 6-10

11-15 16-20 21-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 61-65 66-70 71-75 76-80 80-85

Over 85

6 5

4 54

64 51

48 33

36 47

40

41 35

33 27

11 16

3

Total Cases - 554

2016 Transportation Deaths by Age

- 25 -

The alcohol and drug tests are not mutually exclusive, so the numbers in parentheses may not add up to the numbers on the bar graphs. For example, a bicyclist may be positive for both alcohol and drugs.

3

101

17

6

42

0 2 8

170

20

9

65

0 3 12

115

17 7

44

3 13

3

49

2 1

12

0 1 0

20

40

60

80

100

120

140

160

180

Bicyclist (23) Driver (334) Front Passenger(39)

Passenger (17) Pedestrian (121) Pilot (3) Rear Passenger(17)

2016 Transportation Accidents Alcohol/Drug Results

Alcohol Positive Drugs Positive Alcohol & Drugs Negative No Tests Performed

554 Transportation Deaths

- 26 -

0

5

10

15

20

25

30

35

40

.01-.05

.06-.09

.10-.15

.16-.19

.20-.25

.26-.29

.30-.35

.36-.39

.40+

32 (19%)

18 (11%)

38 (22%)

23 (13%)

34 (20%)

19 (11%)

3 (2%)

2 (1%) 2 (1%)

554 Transportation Deaths 315 Negative for Alcohol 68 No Testing Performed

2016 Transportation Deaths Blood Alcohol Concentration in 171 Cases

35%* Tested Positive

*Percent based on total cases tested for alcohol

- 27 -

ADDENDUM

Miscellaneous Data 1. Number of autopsies 3,799

Number of partial autopsies 1,512 2. Organ donations 124 3. Unclaimed bodies released to State Anatomy Board 286 4. Exhumations 1 5. Bodies transported to the OCME 5,642

Annual Report Office of the Chief Medical Examiner State of ... - … OCME... · 2016 - Manner...

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