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DISASTER VICTIM IDENTIFICATION (DVI)

dr.M.Tegar Indrayana Bagian Ilmu Kedokteran Forensik dan Medikolegal FK UNRI

Apakah yang dimaksud dengan DVI?


Suatu prosedur yang telah ditentukan untuk mengidentifikasi korban (mati) secara ilmiah dalam sebuah insiden atau bencana,

berdasarkan Protokol INTERPOL Prosedur ini sah dan dapat dipertanggungjawabkan hasilnya kepada masyarakat dan hukum

Dapat merupakan bagian dari suatu investigasi Dapat bermanfaat dalam merekonstruksi

tentang sebab bencana

TEKTONIK SETTING and ZONASI INDONESIA

MAP OF VOLCANO AREAS IN INDONESIA

MAP OF CONFLICT AREAS IN INDONESIA


NAD (separatism) Kalbar, Kalteng (ethnics) Maluku, Malut, Poso (religion) Papua (separatism)

Jawa, Sulsel, NTB (political interest, among regions)

WHAT IS DISASTER ?
ANY OCCURANCE CAUSES DAMAGE , ECOLOGICALDISRUPTION , LOSS OF HUMAN LIFE OR DETERIORATION OF HEALTH AND HEALTH SERVICES . It is sudden and unpredictable moment that can occur to ANYBODY, ANYWHERE , ANYTIME and Bring about: MAJOR DAMAGE, FINANCIAL LOSS, MASS HUMAN VICTIMS, both LIVE or WOUNDED
Damage Ecological Disruption Loss Of Human Life

NEED

EXTRA ORDINARY RESPONSE

HARM TO : People Communities Countries

HUMANITARIAN PROBLEMS

DISASTER in INDONESIA
Bomb blasting in : Bali, Makassar and
Jakarta,

Air crash and ship : Air Silk & Lion Air in


Surakarta

Road accident : SMK YAPEMDA, Volcano eruption : Merapi Mountain Tsunami in : Aceh and
Earth quake in Pangandaran. : Bantul Jogjakarta

KUTA BALI

ROAD ACCIDENT 500 metres from PLTU PAITON SITUBONDO East Java

MERAPI ERUPTION

MERAPI ERUPTION

EARTHQUAKE IN BANTUL, YOGYAKARTA MEI 2006

EARTHQUAKE IN BANTUL, YOGYAKARTA MEI 2006

Victim From The Disaster


There are victims that are easily identified (Name, address, family, religion, etc) for the purpose of the burial procession (mudah pengurusan pemakamannya) There are victims that are difficult to identify due to : the broken face, unknown address, etc). Having limited number of well-trained people (tenaga ahli yang terbatas) in taking care of the victims: too many victims.

The number of Deceased in Bom Bali Blasting : 184 VICTIMS


CITIZENSHIP
(Kewarganegaraan)

Dutch : 1 victim France : 2 victims Japanese : 3 victims Danish : 4 victims Germany : 4 victims Sweden : 5 victims England : 10 victims AUSTRALIA : 40 victims The other victims are from Indonesia

Total Number of Unidentified Victims of Mass Disaster


Tsunami in Aceh : From hundreds thousands victims (100.000 victims) , the majority of them were not identified Bali Bomb blasting : Of the 184 , 66 victims were identified. YAPEMDA Bus Accident: of the 54 victims, identified with tooth are 33 victims, and 17 victims unidentified Earthquake strike in Bantul : Of the 6000 victims, 17 victims were not identintified. Mount Merapi Eruption (2006): 2 victims identified.

Identification Victim in Disaster

Identification is important, because: 1. Identifying of patient whether some one is : dies or live. 2. Deals with civil legal aspect, about: family status, legacy (warisan), insurance, compensation, etc. 3. Honor to the late (menghormati orang yg mati), praying, burrying based on his belief (pemakaman menurut keyakinannya), culture.

Dasar Identifikasi dalam DVI


Terdapat dua dasar identifikasi dalam DVI, yaitu : 1. Dasar Primer/ Primary Identifier a. Sidik jari/ Fingerprint b. Hasil Pemeriksaan Gigi geligi/ Dental Record c. DNA 2. Dasar Sekunder/ Secondary Identifier a. Barang kepemilikan/ Property b. Data medis/ Medical c. Visual/ Photograph

DENTAL RECORD Consist of: A. Dental STATUS


1. Name of the patient, Address, Family, SEX, Religion, Phone Number 1. Name of Dentist 2. Odontogram 3. Family History and Dental History 4. Date and Dental Treatment 5. Special Noot: Tooth relation , SINUS, ROOT ANGULATION, TRABECULLA OF JAW, CROWDING 6. Configuration by dentist: Extracted, Filling , PROTHESA, ORTHODONTIC, Nerf handling (PSA), IMPLANT, etc. 7. Refferal

B. Cast Model

C. RONTGEN FOTO

Odontoforensic

DENTAL IMPLANT

DNA Sampling

Barang kepemilikan

Photography

KORBAN TERIDENTIFIKASI SECARA

POSITIF, BILA:
Didapatkan kecocokan antara data ante mortem

dengan post mortem minimal salah satu diantara data primer, atau minimal dua data sekunder ditambah salah satu data primer
Prinsip : Ketepatan dan kecermatan, bukan

kecepatan

TIM DVI INDONESIA


Identification Team is : professional, intersectoran, and interdiscipline. Team DVI 1. POLRI (DOKPOL) 2. DEPKES RI 3. FK/FKG Universitas, Instalasi Kedokteran Forensik 4. Ahli Forensik lainnya (Puslabfor, Pusident, dll)

PROSES DALAM DVI

Proses dalam operasi DVI terdiri dari 5 phase, yaitu: 1. Olah TKP 2. Collecting Unit of Post Mortem Data 3. Collecting Unit of Ante Mortem Data 4. Data Comparing Unit (Rekonsiliasi) 5. The Supporting Unit (Analisis dan Evaluasi)

TEAM WORK
Disaster Victim Identification (DVI)
Pathologist
Odontologist

Anthropologist

1. Accuracy

2. Efficiency

DNA Expert Police Photographer & Scribe

Mortuary Manager

Unit AM

FLOW CHART
Sebagai informasi

Family

Identified victim Unit Comparisson Data Tim Ident Check Recheck Body identification

Unit TKP

Unidentified victim Unit PM

The other data

COMPARING ANTE MORTEM AND POST MORTEM DATA IN MASS DISASTER

All data of the victims are accumulated from the family, Local Health Institutions, people, DNA, and other identification results.

The Provincial Identification Team coordinates with Local Satkorlak Team make draws a conclusions about the victims identification results. The final conclusion toward the identity of the victims

CONCLUSSION

1 Odontoforensic is very important to identified of the victim in disaster 2. Dental Record can be saved at least 5 years in the file after the last treatment in the clinic.

SEE YOU NEXT TIME

WASSALAM

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