1993-2018 ,u ,p vkj lh % iPphl o’kZ&vla[; vk’kk,a Nhrc : Twenty Five Years-billion Hopes 73. Whether the drug addiction such as of heroin could be a factor in causing death? Medical consequences of chronic injection use of heroin include scarred and/or collapsed veins, bacterial infections of the blood vessels and heart valves, abscesses (boils), and other soft-tissue infections. Many of the additives in street heroin may include substances that do not readily dissolve and result in clogging the blood vessels that lead to the lungs, liver, kidneys, or brain. This can cause infection or even death of small patches of cells in vital organs. Immune reactions to these or other contaminants can cause arthritis or other rheumatologic problems. All intravenous drug abuser are susceptible to serious infections. The four sites most commonly affected are skin, heart valve, liver and lungs. Viral hepatitis remains the most common infection among addicts. The chronic drug addiction is also associated with variable psychological/psychiatric problem which contributes to self-neglect. All these factors contribute to signi icant suffering and can lead to death. 74. Whether a person who has consumed alcohol may die suddenly due to aspiration? At autopsy caution must be observed before labelling death due to aspiration of vomit, as this is a common agonal phenomenon in deaths from other causes. Where an otherwise healthy person dies with high blood alcohol concentration in these circumstances, however, gross blocking of trachea and bronchi with vomit forms one of the most convincing arguments for acceptance of aspiration as the cause of death if no other factors can be identi ied. 75. How to identify heroin withdrawal? The symptoms of heroin withdrawal can include hyperalgesia, photophobia, goose lesh, diarrhoea, tachycardia, increased blood pressure, abdominal cramps, joint & muscle pain, anxiety, yawning, insomnia and depressed mood. A person who is chronically consuming heroin in whatever form is very much predisposed to go through withdrawal syndrome. FORENSIC INVESTIGATION | 55