Text-book of forensic medicine and toxicologyBuchanan, R. J. M. (Robert James McLean)
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Text-book of forensic medicine and toxicology
Buchanan, R. J. M. (Robert James McLean)
Medical jurisprudence; Poisons
=Diagnosis.=--The absence of any other cause of death--such as cancer
of the stomach, stricture of the œsophagus, &c.--and the previous
history of the case will assist in forming an opinion, care being
taken not to confound the results of wasting disease with those due to
starvation.
=Legal Relations.=--The question of death from starvation may be
raised in a case of infanticide by omission. Although rare as an act
of homicide, it must be remembered that the law does not require the
absolute deprivation of food to be proved, but only that the necessary
quantity and quality of food has been withheld; but malice at the same
time must be proved. In cases of infanticide by starvation, the mother
and not the father is responsible for the proper feeding of the child;
but in the case of an apprentice, the master and not his wife is bound
to supply proper food to such apprentice.
In questions of survivorship, and in criminal cases, the medical
witness may be asked how long a person may survive after complete
withdrawal of food. Little is known as to the length of time required
to cause death by starvation, but it is certain that life may be
prolonged for some time without food, if water be allowed. Starvation
is less rapid in its effects if the body be kept warm. In a case
recorded in the _Lancet_, a man who had been shut up in a coal-mine
for twenty-three days, with only a little dirty water to drink, lived
three days after his liberation, and then died of exhaustion. In adults
the average is from seven to ten days without water. Tidy (_Legal
Medicine_, vol. i. p. 392) is of the opinion that the young die first,
then adults, and the aged last. Taking into account the enfeebled
vitality of the aged, it is more probable that the young or middle-aged
adult would survive the longest. Where water is freely obtainable, life
may be prolonged to the fifty-eighth day (_Foderé_, vol. ii. p. 276) or
even more.
Apart from age, account must be taken of the condition of the person in
reference to bodily health prior to the withdrawal of food.
The following tables, showing the average weight and height of
children up to twelve years of age, are from the Report of the British
Anthropometric Committee (1883):
Male Children
+------------+-----------+
| Age. | Weight in |
| | Pounds. |
+------------+-----------+
| At birth | 6.8 |
| One month | 7.4 |
| Two months | 8.4 |
| Three “ | 9.6 |
| Four “ | 10.8 |
| Five “ | 11.8 |
| Six “ | 12.4 |
| Seven “ | 13.4 |
| Eight “ | 14.4 |
| Nine “ | 15.8 |
| Ten “ | 16.8 |
| Eleven “ | 17.8 |
| Twelve “ | 18.8 |
+------------+-----------+
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