NATIONAL HUMAN RIGHTS COMMISSION respiratory distress syndrome from cardiomyopathy’ appears to be misleading. Considering the chronology of events (acute in origin) and the findings mentioned in the post-mortem report, as well as the viewing of the video CD of post-mortem examination procedure, the cause of death may be ‘shock and haemorrhage as a result of multiple injuries to vital organs as described which is traumatic in origin and not due to disease process’. These types of injuries are usually produced as a result of severe blow to abdomen by blunt force impact by object. The injury to stomach and omentum, as described, are deep seated and are characteristic of severe blunt trauma to abdomen. The Commission, on 31.07.2011, directed to obtain the comments of the District Magistrate, Nalgonda, on the observations of the forensic experts on the panel of NHRC. The District Magistrate, Nalgonda, vide a report dated 22.10.2014 stated that : “Injury No. 1: Contusion Scalp is only external in nature and there was no corresponding internal injury to vital organ brain. Injury No.2: Contusion in the Muscle of Trachea didn’t cause only internal injury. Injury No. 3: Contusion 2 number in Stomach wall did not cause internal injury to vital organ like Stomach, internal liver, as there is no hemorrhagic fluid collected in peritonic cavity. Injury No. 4: Contusion over greater Omentum is of no significance as there is no bleeding in abdominal cavity. Contrary to the above findings, enlarged heart with 150 ml of pericardial fluid, accumulations of fluid in plural cavities clinical manifestation and histopathological examination cause of death is due to acute respiratory distress syndrome to chronic heart problem like cardio maeopathy than shock and hemorrhage a result of multiple injuries to vital organs.” 4.23 The Commission, on 07.03.2015, observed that there was a contradiction in the report of the Forensic Expert on the panel of the Commission and the report sent by team of Doctors, constituted by District Magistrate, Nalgonda and sought to have the comments of the Forensic Expert on the panel of the Commission. Dr. Adarsh Kumar, Assistant Professor, Forensic Medicine, AIIMS, New Delhi, furnished his opinion that the PMR mentions presence of enlarged heart only and does not mention about the weight of the heart as well as the thickness of various walls and other gross findings which would substantiate the cause of death as cardio myopathy. Further, the deceased was a young male of 25 years of age, and without any history of previous illness of heart, there was no evidence of chronic heart disease per se. On the contrary, there were massive injuries to internal organs like stomach with 2 contusions of size 6x9 cms and 2.9×3 cms with reddish black stomach wall and also contained coffee coloured fluid. This was clearly indicative of deep seated injury leading to collection of blood in the walls. The greater omentum was having contusion of size 15×6 cms with reddish black colour which again shows the deep seated injuries. Additionally, the chest cavity contained about 200 ml of reddish brown fluid which is nothing but the blood only as supplemented by edemated lungs having blood stained froth. All these findings, when considered in a holistic manner were clearly indicative of “Death due to shock and haemorrhage as a result of multiple internal injuries produced by severe blow to abdomen by blunt force impact by an object”. As such, the submission of the doctor, who ANNUAL REPORT 2016-2017 43