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Mine Health and Safety Act, 1996 (Act No. 29 of 1996)

Notices

Guidance Note on Medico-Legal Investigations of Mine Deaths

Part A : The Guidance Note

11. Causes of Deaths

 

11.1 Primary cause of deaths

 

The primary medical cause of death is described as the disease or injury, which initiated the train of morbid events leading directly or indirectly to death.

 

11.2 Contributing cause or condition

 

The contributing cause or condition is not the primary cause of death but contributes to the death being earlier than otherwise expected. Here causation is relevant e.g. diabetes mellitus, coronary arteriosclerosis.

 

11.3 Predisposing causes or conditions

 

Predisposing or underlying conditions or causes may lead to a particular event. They may be closely related to the contributing cause or condition and often cannot be distinguished from it. Alcohol and barbiturate (sleep inducing drugs) ingestion, epileptic fits and psychological conditions are examples of predisposing or underlying conditions which may cause an accident in which the subject is injured. Even if these conditions cannot be determ ined at a post mortem examination they must be borne in mind.

 

11.4 Precipitating causes or conditions

 

These are conditions which causes something to happen immediately or cause the immediate development of a particular illness.

 

11.5 Terminal cause of death

 

The terminal cause of death is usually the result of a complication which occurs . A person with a head injury (the primary medical cause) often develops bronchopneumonia (the terminal cause).

 

11.6 Exclusive (sole) cause of death

 

The exclusive or sole cause of death is a cause where no contributing or other factors play a role. This cause is the primary medical cause of death where, for instance, a person receives a stab wound into the aorta and dies. In this case there can be no doubt as to the cause of death.

 

NOTE:

The investigation of death as a result of environmental conditions (such as heat illnesses) may be difficult to evaluate from a technical and/or medico-legal perspective.

It is advisable therefore that the post mortem examination be conducted as a matter of urgency after death and that emphasis be given to all available medical information and circumstantial history