Lecture Outline Definition of Forensic Toxicology History Forensic Science in Canada Modernization of forensic toxicology Recent history Forensic Toxicology The study and practice of the application of toxicology to the purposes of the law Quincy, M.E. (1976-1983) Jack Klugman as Quincy Robert Ito as Sam Fujiyama John S. Ragin as Dr. Robert Asten CSI: Crime Scene Investigation Ancient Toxicologists Herbalists of the ancient past developed a broad knowledge of the benefits and detriments of plants, animal and insect bites and metals Ancient Toxicologists Ancient poisons discovered early Cyanide in peach pits known to Egyptians Hemlock a popular means of execution in Greece Belladona of ancient Sumeria Ancient Toxicologists Dioscorides (c. 40-90 AD) described over 600 plants and plant extracts in his writings Author of De Materia Medica – On Medical Matters Foundation of Toxicology PARACELSUS (c. 1493-1541) “What is there that is not poison? All things are poison and nothing without poison. Solely the dose determines that a thing is not poison” Definition - Poison Since poisons were typically slipped into a beverage, the term was initially applied to a drink prepared with poison and then became more broad to include all poisons, regardless of route of administration. “ Any substance which, when ingested, inhaled absorbed or when applied to injected into or developed within the body in relatively small amounts, by its chemical action causes damage to structure or disturbance to function” Poison “Coward’s weapon” administered by stealth may be chronically administered carefully planned means of murder Toxicologic Forensic Investigation Forensic Toxicology evolved with the advent of criminal investigation Prior to the advent of modern prescribed medicines, toxicology was primarily concerned with poisonings Many poisoners throughout history were caught usually after failing at their poisoning attempt Arsenic Italian woman of the 17th century, Toffana Invented “Aqua della Toffanina” a poisonous liquid containing arsenic Sold to would be murderers along with instructions as to its poisonous properties Toffana reputed to have been responsible for as many as 600 killings Executed in Naples in 1709 Arsenic “Inheritance Powder” Odourless, tasteless and readily available Symptoms of poisoning non-descript – Vomiting, diarrhea, stomach pains – Middle Ages Cholera – Present day Guillian Barré Syndrome A technique for detecting arsenic became a necessity – Marsh Test (1836) Foundation of Modern Forensic Toxicology Understanding of Chemistry, Pharmacology, and Toxicology arise in 1800’s Isolation of morphine from opium by Serturner in 1805 Precipitation tests for alkaloids Winckler 1830 Reinsch test for arsenic in 1841 First Successful Toxicologic Investigation The father of forensic toxicology Professor Orfila (Chair of Legal Medicine at Sorbonne) Traite des Poisons ou Toxicologie Generale (1814) – translated to English 1816 Identified arsenic & other poisons Evidence sent Madame LaFarge to the guillotine in 1840. Marie Lafarge Aspiring aristocrat married to failed businessman Murder by chronic arsenic poisoning - Arsenic-laced cake while husband away on business - Continous “pampering” with arsenic-laced truffles - Charles Lafarge diagnosed with cholera death Mathieu Orfila – Using technique of Marsh, detected arsenic in a pill box, a sample of eggnog and stomach and other organs of C. Lafarge Growth of Forensic Toxicology Treatise on Poisons in Relation to Medical Jurisprudence, Physiology, and the practice of Physic -Robert Christison M.D. Edinburgh, 1829 Manual of Practical Toxicology (condensed version by Taylor in the US) 1845 Canadian Forensic Toxicology First recorded case Prof Henry Holmes Croft, Kings College Toronto Canadian Forensic Toxicology analyses the stomach contents of a decedent, Sarah King which contained 11 grains of arsenic Husband Dr. Henry King of Coburg, On is convicted due to testimony of Prof. Croft. William Hodson Ellis 1867 – Became an assistant to Prof. Croft 1877 – Testified in a rapemurder trial regarding the detection of blood stains on trousers 1897 – Microscopic examination of hair 1904 – Serological tests for blood L. Joslyn Rogers 1908 – assistant to Ellis Professor of Analytical Chemistry at U of T (19141954) Introduced alcohol to courts in Ontario - 1932 + expanded toxicology, fire investigations, firearms examinations Worked at the CFS until his death in 1967 William Derôme Pathologist Studied legal medicine in France in 1909 In 1914, spearheaded the opening of the first forensic laboratory in all of N. America, the “Laboratoire de Recherches Médico-Légales” Would later become the “Laboratoire de sciences judiciares et de mêdecin légale” in Montreal, PQ Forensic Pathology In 1923 a small group of surgeons at the Old Grace Hospital in Toronto perform most of the medico-legal autopsies for the province of Ontario Physicians include Drs. C. Noble Sharpe and E.R. Frankish All work without remuneration Dr. E. R. Frankish Studied under Derome Formed the Attorney General’s Medico-Legal laboratory in Ontario in 1932 (5 staff) This lab would later become the Centre of Forensic Sciences Forensic Toxicology in Canada 1941 – 16 pathologists make up the regional pathologist system 1942 – RCMP crime lab is opened in Ottawa, Ontario. H. Ward Smith 1951 – the Attorney General’s lab in Ontario is reorganized. Smith is appointed director of the laboratory The modern era of forensic science in Ontario begins CSFS Canadian Society of Forensic Science (CSFS) is formed on 16 October 1953 with members from the RCMP, Health and Welfare Canada, the Montreal Lab and H. Ward Smith Became a corporate body in 1963 with the purpose and objective of promoting the study of, raising the standards of and enhancing the stature of forensic science as a distinct discipline CSFS Participants in the October 16, 1953 meeting in Ottawa L to R: L. Byrnes, G.H.W. Lucas, L. Levi. R.A.H. McKeen, B. Peclet, L.J. Rogers, B.B. Coldwell, C.G. Farmilo, J.A. Churchman, J.M. Roussel, G. Nadeau, R. McDougall, H.W. Smith, Unknown, D. Graham. Centre of Forensic Sciences 1966 – the lab is renamed the “Centre of Forensic Sciences” 1967 – D.M. Lucas is appointed Director of the CFS. The toxicology section is expanded to include breath testing and alcohol testing. Canadian Forensic Toxicology Mr. Doug Lucas, originally a chemist, oversaw the formation of the current Toxicology Section of CFS by combining Alcohol analysis and Drugs into one section. Canadian Forensic Toxicology 1972, the CFS was transferred to the Ministry of the Solicitor General in order to separate the investigative aspect of justice from the administration of justice Forensic Pathology became a separate entity within the Public Safety Division 1975, CFS moved to its present location at 25 Grosvenor St. Canadian Forensic Toxicology Centre of Forensic Sciences 1992 – the Centre of Forensic Sciences opens a second laboratory in Sault Ste. Marie – the “Northern Regional Lab” Provides most of the services that CFS Toronto provides Forensic Labs in Canada RCMP Labs Vancouver, Edmonton, Regina, Winnipeg, Ottawa, Halifax Centre of Forensic Sciences – Toronto and Sault Ste. Marie Laboratoire de Sciences Judiciares et de Mêdecin Légale- Montreal Modernization of Toxicology Professional societies, certification boards, advanced training of forensic scientists ensure that the role of the forensic toxicologist is more than a “coroner’s chemist” Forensic toxicologists more frequently have advanced degrees, involved in scientific research and teaching Modernization of Toxicology High tech methods have replaced low tech methods of our past Gas chromatography Mass spectrometry HPLC ELISA LC-MS Modernization of Toxicology Improvements in instrumentation Allows for the detection of smaller and smaller quantities of substances (ng) Allows for smaller sample size (1970 – 15+ mL blood required, 2003 – 25uL IA, 0.5mL MS, 2mL GC,LC) New Challenges Increased interest in all things forensic results in increased public scrutiny – pressure to produce results quickly, with untested methods and insufficient time Miscarriages of justice have placed new pressure on laboratory operations and expert witnesses Increasing role as a guardian of public health – determining drug abuse potentials, trends and dangers – e.g. PMA disguised as “Ecstasy” – e.g. Percocet abuse in the U.S.A. Notorious Forensic Tox Cases Jonestown Massacre – November 18, 1978 “The People’s Temple” founded by Jim Jones Guyana, South America 914 followers die after obeying orders to drink grape kool-aid laced with cyanide. Notorious Forensic Tox Cases Chicago, Illinois, 1982 Seven people collapse suddenly and die after taking Tylenol capsules Analysis reveals the capsules were laced with cyanide The case remains unsolved Copy cat cases Notorious Forensic Tox Cases 1995-2000 Dr. Harold Shipman Manchester, England Convicted of murder of 15 women by lethal injection with morphine Suspected of killing up to 265 patients