A/69/387
conduct nor expensive. However, the test seems to be unavailable in a number of
countries. In cases of sexual abuse, DNA detection may be required. The diagnosis
of electrical lesions is also possible and methods do exist. 22
43. The Special Rapporteur notes that the diagnosis of torture is usually not based
on “high-tech” methods or cost intensive equipment and that forensic assessment of
torture is less a question of financial resources than of training and commitment by
the authorities to ensure effective investigation into allegations of torture. The
Special Rapporteur observes that clinical exploration, and in particular
psychological and psychiatric examination, blood tests with CPK and X-rays and
photographic pictures cover up to 90 per cent of the needs of an effective
investigation. Together with the proper documentation of findings, those techniques
are inexpensive and easily available. Limited financial resources should therefore
never be an excuse for the absence of forensic investigation and evidence. He also
notes the importance of supporting countries where documentation is not developed
or where forensic systems need reforms, through professional exchanges and
sharing know-how, provided the recipient country demonstrates commitment and
good faith.
Capacity development
44. Forensic medicine requires a continuous effort to remain abreast of new
developments through ongoing training, study and reflection to provide information
about previously undocumented torture situations and their physical and
psychological consequences, transmit knowledge of new means of diagnosis and
their potential, generate reflection on experiences arising from interventions in the
field, and divulge new standards and guidelines. 23 In order to fulfil their obligation
to investigate, prosecute and punish and ensure reparations for torture and other
ill-treatment, there is a need for more forensic experts (including pathologists,
physicians, psychiatrists, psychologists, anthropologists and archaeologists) trained
to do Istanbul Protocol evaluations. Emphasis must be laid upon training of forensic
professionals in the documentation of torture sequels. There are still few State and
non-State forensic specialists in the world. The participation of other physicians in
such training and on the examination of alleged torture victims could help tackle
this problem. Teaching is thus a key factor. States must also ensure even distribution
of clinicians throughout the country. Equally important is the training of judicial,
prosecutorial and law enforcement professionals. Prevention and investigation of
torture under the Istanbul Protocol must be part of their compulsory legal
__________________
22
23
14-61535
See H. K. Thomsen, “Electrically Induced Epidermal Changes: A Morphological Study of
Porcine Skin After Transfer of Low-Moderate Amounts of Electrical Energy”, Ph.D. dissertation
(University of Copenhagen, 1984); T. Karlsmark, “Electrically Induced Dermal Changes: A
Morphological Study of Porcine Skin After Transfer of Low to Moderate Amounts of Electrical
Energy”, Danish Medical Bulletin, vol. 37 (1990); L. Danielsen, T. Karlsmark, H. K. Thomsen,
J. L. Thomsen and L. E. Balding, “Diagnosis of electrical skin injuries. A review and a
description of a case”, American Journal of Forensic Medicine and Pathology, vol. 12, no. 3
(1991); and H. Jacobsen, “Electrically Induced Deposition of Metal on the Human Skin”,
University Institute of Forensic Science, vol. 90 (1997).
See Duarte Nuno Vieira, “Forensic Evidence against Torture”, TORTURE Journal on
Rehabilitation of Torture Victims and Prevention of Torture, vol. 22, supp. 1, (2012).
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