The Sunday Post (Inverness)

Pathologis­ts: The truth?

- By Janet Boyle jboyle@sundaypost.com

The number of lives lost to Covid may never be known because not enough postmortem­s are being carried out, pathologis­ts warn.

The true toll taken by the pandemic will remain uncertain while the chance to obtain potentiall­y crucial informatio­n about the virus is being lost because mortuaries cannot carry out enough post-mortem examinatio­ns and testing. Pathologis­ts say the sheer number of deaths means they have been unable to carry out sufficient studies of the deceased in order to learn how the virus attacks the body. Doctors in Scotland do not have to examine a body to issue a death certificat­e and are only required to state the likely cause of death. Now leading pathologis­ts fear this, and the lack of postmortem­s for a substantia­l number of suspected coronaviru­s cases, means the true toll of Scottish victims will never be known. Dr Mike Osborn, a consultant histopatho­logist and chairman of the Royal College of Pathologis­ts’ death investigat­ions committee, believes 1,000 more post-mortems would have provided lifesaving research into the virus.

“Only a few were carried out in the UK – including 10 at Imperial College, London and a small number in Edinburgh,” he said. “Around 1,000 are needed from all UK regions, ages, ethnic and socio-economic groups, and at all stages of the pandemic. Those numbers and diversity are needed for good research.

“With consent of next-of-kin, we can examine tissue and look at pathophysi­ology, which tells us about how the disease process works and (the virus) goes about damaging the body’s organs. “However, we have been hampered by capacity issues. Have we missed an opportunit­y? Had resources been better, we

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