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Post-mortem toxicological analysis of hair in violent fatalities: an investigation into long-term drug exposure

Violence-related injuries are a major cause of mortality in the Western Cape (South Africa). Previous research has demonstrated an association between violent mortalities and drug use. Furthermore, long-term drug use has been shown to alter behaviour that may lead to violence. Hence, this study aime...

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Main Author: Mnisi, Precious Zemvelo
Other Authors: Davies, Bronwen
Format: Thesis
Language:English
Published: Department of Clinical Laboratory Sciences 2023
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access_status_str Open Access
author Mnisi, Precious Zemvelo
author2 Davies, Bronwen
author_browse Davies, Bronwen
Mnisi, Precious Zemvelo
author_facet Davies, Bronwen
Mnisi, Precious Zemvelo
author_sort Mnisi, Precious Zemvelo
collection Thesis
description Violence-related injuries are a major cause of mortality in the Western Cape (South Africa). Previous research has demonstrated an association between violent mortalities and drug use. Furthermore, long-term drug use has been shown to alter behaviour that may lead to violence. Hence, this study aimed to investigate the effect of long-term drug use on violence-related mortalities. Due to the drug retention properties of hair, it is the gold standard for demonstrating the historical pattern of drug use. Hair samples were collected from 92 violent death cases admitted to Salt River Mortuary (South Africa). A qualitative toxicological analysis was performed in 90 hair samples using a SCIEX X500R QTOF. Variables pertaining to the colour and length of the hairs were recorded. The majority of the hair samples were black (n=79), while others were black and white (n=5), greyish (n=3), light grey and reddish brown (n=1) and strong brown hair (n=1). Various toxicologically relevant substances were detected in 74 cases (82.2 %) in which a total of 54 different substances were detected in hair samples. Acetaminophen was the most prominent licit substance (47%) detected, followed by caffeine (18.9%) and diphenhydramine (12%). Methamphetamine was the most common illicit detected substance (54%), followed by methaqualone (43%). Segmented hair samples showed historical use in 81.2 % of cases. These results show that hair can be used as a supplementary sample during toxicological investigation in violent fatalities in the local context.
format Thesis
id oai:open.uct.ac.za:11427/37566
institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:31:58.458Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2023
publishDateRange 2023
publishDateSort 2023
publisher Department of Clinical Laboratory Sciences
publisherStr Department of Clinical Laboratory Sciences
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/37566 Post-mortem toxicological analysis of hair in violent fatalities: an investigation into long-term drug exposure Mnisi, Precious Zemvelo Davies, Bronwen Vuko, Loyiso Forensic Medicine and Toxicology Violence-related injuries are a major cause of mortality in the Western Cape (South Africa). Previous research has demonstrated an association between violent mortalities and drug use. Furthermore, long-term drug use has been shown to alter behaviour that may lead to violence. Hence, this study aimed to investigate the effect of long-term drug use on violence-related mortalities. Due to the drug retention properties of hair, it is the gold standard for demonstrating the historical pattern of drug use. Hair samples were collected from 92 violent death cases admitted to Salt River Mortuary (South Africa). A qualitative toxicological analysis was performed in 90 hair samples using a SCIEX X500R QTOF. Variables pertaining to the colour and length of the hairs were recorded. The majority of the hair samples were black (n=79), while others were black and white (n=5), greyish (n=3), light grey and reddish brown (n=1) and strong brown hair (n=1). Various toxicologically relevant substances were detected in 74 cases (82.2 %) in which a total of 54 different substances were detected in hair samples. Acetaminophen was the most prominent licit substance (47%) detected, followed by caffeine (18.9%) and diphenhydramine (12%). Methamphetamine was the most common illicit detected substance (54%), followed by methaqualone (43%). Segmented hair samples showed historical use in 81.2 % of cases. These results show that hair can be used as a supplementary sample during toxicological investigation in violent fatalities in the local context. 2023-03-30T12:30:34Z 2023-03-30T12:30:34Z 2022 2023-03-30T10:04:45Z Master Thesis Masters MPhil http://hdl.handle.net/11427/37566 eng application/pdf Department of Clinical Laboratory Sciences Faculty of Health Sciences
spellingShingle Forensic Medicine and Toxicology
Mnisi, Precious Zemvelo
Post-mortem toxicological analysis of hair in violent fatalities: an investigation into long-term drug exposure
thesis_degree_str Master's
title Post-mortem toxicological analysis of hair in violent fatalities: an investigation into long-term drug exposure
title_full Post-mortem toxicological analysis of hair in violent fatalities: an investigation into long-term drug exposure
title_fullStr Post-mortem toxicological analysis of hair in violent fatalities: an investigation into long-term drug exposure
title_full_unstemmed Post-mortem toxicological analysis of hair in violent fatalities: an investigation into long-term drug exposure
title_short Post-mortem toxicological analysis of hair in violent fatalities: an investigation into long-term drug exposure
title_sort post mortem toxicological analysis of hair in violent fatalities an investigation into long term drug exposure
topic Forensic Medicine and Toxicology
url http://hdl.handle.net/11427/37566
work_keys_str_mv AT mnisipreciouszemvelo postmortemtoxicologicalanalysisofhairinviolentfatalitiesaninvestigationintolongtermdrugexposure