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Motherisk: (Aftermath 4A): Toronto Star says the disaster could have been averted from the outset, "if it had applied lessons around forensic training and oversight from a 2008 inquiry into the actions of the hospital’s former disgraced pathologist, Dr. Charles Smith" - and that "In the end, it isn’t just leadership at the Motherisk lab that is on “trial.” It is the people who run one of the country’s most prestigious hospitals." (Must, Must Read. HL);

Next: Bulletin: Pallavi Macharla; Massachusetts; Shaken baby syndrome; Major development; "A former state medical examiner has reversed her finding that a child died of shaken baby syndrome last year, and the woman accused of killing the girl will be able to post bail.""Dr. Anna McDonald initially determined that a 6-month-old girl in Marcharla’s care died due to “blunt force and shaking injuries of head,” according to court papers. However, after reviewing the case again, McDonald determined that “based on her subsequent experience and review of medical literature on an on-going basis, she would not include shaking as a cause of death in this case,” prosecutors told Marcharla’s defense attorney J.W. Carney Jr. The case against Macharla will continue, however. McDonald stood by her determination that the baby’s death was a homicide and that it was caused by blunt force." Boston Herald.
Previous: Junk science and peer review: David L. Faigman points out how an age-old technique can help courts solve their junk-science problem; "When confronted by battling experts, peer review provides judges with the independent perspective they need to evaluate conflicting opinions. In civil litigation, the relatively modest costs would be borne by the parties and their testifying experts would be given the opportunity to respond to the reviews. Admittedly, criminal cases present greater challenges, because there are fewer resources available. Nonetheless, courts and prosecutors typically have modest budgets available to support expert testimony and some of these funds could be redirected to finance peer reviews. Peer review has the potential to provide judges a sorely needed window into mainstream science. Through that window, courts are able to see the bases for expert evidence and are able to assess its level of acceptance within the scientific community. Accordingly, it is time that peer review, an age-old solution to scientific assessment, is brought to bear on the perennial problem of bringing scientific sensibilities into the law." (Must Read. Must Read. HL); Scientific American
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EDITORIAL: "Sick Kids hospital needs to look in the mirror,"  published by the Globe and Mail on December 21, 2015.

"In the end, it isn’t just leadership at the Motherisk lab that is on “trial.” It is the people who run one of the country’s most prestigious hospitals. As the next inquiry into Motherisk gets underway, the hospital should be conducting its own review of how this debacle unfolded." Toronto Star;


SUB-HEADING: "Now that a report has found the Motherisk hair testing program to be ‘inadequate and unreliable,’ the Hospital for Sick Children should examine its own procedures and leadership."


PHOTO CAPTION: "Retired judge Susan Lang presents scathing report of the Hospital for Sick Children’s Motherisk hair testing program Thursday at Queen's Park."

GIST:  "For more than a year, as the reliability of the Hospital for Sick Children’s Motherisk drug and alcohol hair-testing program was under attack by experts, parents who had lost custody of their children or were convicted of crimes as a result of the lab’s results have been in agonizing limbo. Thankfully, their wait is almost over. A powerful report made public last week by retired judge Susan Lang found the testing program at the Motherisk lab was “inadequate and unreliable.” As a result, the Ontario government is launching an immediate review of all child custody and criminal cases that may have been adversely affected by false results from the lab. The probe is both overdue and very welcome. In the last 10 years hair samples from more than 16,000 people were requested by child protection agencies and the review found six criminal cases that led to convictions where hair tests from the lab were used. No one knows how many parents may have lost custody of their children or how many may have been convicted of a crime based on faulty lab results. Still, it didn’t have to take so long to resolve — or indeed occur in the first place. First, Sick Kids could itself have reviewed procedures at the lab when questions were first raised about the accuracy of Motherisk hair strand testing during an October 2014 court case, which overturned evidence from the lab based on expert testimony that its results were unreliable. Instead, in the face of an investigative series of articles by the Star’s Rachel Mendleson, the hospital went on the defence. Then, when it did conduct a “review” it got it wrong. In November of last year, CEO Dr. Michael Apkon and pediatrician-in-chief Dr. Denis Daneman announced that an internal probe of Motherisk’s processes “has reaffirmed that the public can have full confidence in the reliability of Motherisk’s hair testing.”.........There’s more the hospital could have done to prevent this disaster. As Lang found, the hospital could have headed it off in the first place if it had applied lessons around forensic training and oversight from a 2008 inquiry into the actions of the hospital’s former disgraced pathologist, Dr. Charles Smith. Smith, who served as head pediatric forensic pathologist at the hospital, made errors in hundreds of autopsies before 2001 that resulted in false convictions of several people for killing small children. In the end, it isn’t just leadership at the Motherisk lab that is on “trial.” It is the people who run one of the country’s most prestigious hospitals. As the next inquiry into Motherisk gets underway, the hospital should be conducting its own review of how this debacle unfolded."

The entire editorial can be found at:

 http://www.thestar.com/opinion/editorials/2015/12/21/sick-kids-hospital-needs-to-look-in-the-mirror-editorial.html

 PUBLISHER'S NOTE:Dear Reader. Keep your eye on the Charles Smith Blog. We are following this case.
 
I have added a search box for content in this blog which now encompasses several thousand posts. The search box is located  near the bottom of the screen just above the list of links. I am confident that this powerful search tool provided by "Blogger" will help our readers and myself get more out of the site.
 
The Toronto Star, my previous employer for more than twenty incredible years, has put considerable effort into exposing the harm caused by Dr. Charles Smith and his protectors - and into pushing for reform of Ontario's forensic pediatric pathology system. The Star has a "topic" section which focuses on recent stories related to Dr. Charles Smith. It can be found at:
 
 http://www.thestar.com/topic/charlessmith
 
Information on "The Charles Smith Blog Award"- and its nomination process - can be found at:
 
http://smithforensic.blogspot.ca/2013/12/the-charles-smith-award-presented-to_28.html 
I look forward to hearing from readers at:

hlevy15@gmail.com; 


Harold Levy: Publisher; The Charles Smith Blog;


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