TABLE OF CONTENTS INTRODUCTION 2 - CORONER S OFFICE STAFF 3 - SHERIFF-CORONER BIO 9 - DEATHS REPORTABLE TO THE CORONER 11 - SUMMARY OF CONTENTS 13

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3 TABLE OF CONTENTS INTRODUCTION 2 - CORONER S OFFICE STAFF 3 - SHERIFF-CORONER BIO 9 - DEATHS REPORTABLE TO THE CORONER 11 - SUMMARY OF CONTENTS 13 INVESTIGATIONS, CORONER CASES AND AUTOPSIES 14 - SUMMARY OF REPORTABLE DEATHS 15 - FIVE YEAR SUMMARY OF INVESTIGATIONS 16 - CLASSIFICATION OF REPORTABLE DEATHS 17 - AGE AND SEX OF DECEDENTS 18 MANNER OF DEATH 19 - DEFINITION OF CAUSE AND MANNER OF DEATH 20 - REPORTED DEATHS BY TYPE 21 - MANNER OF DEATH COMPARISON 22 - COMPARISON OF NATURAL DEATHS BY MONTH 23 - COMPARISON OF NATURAL DEATHS BY CAUSE 24 - MISCELLANEOUS ACCIDENTAL DEATHS BY CAUSE 25 - COMPARISON OF ACCIDENTAL DEATHS BY CAUSE 26 - FIVE YEAR COMPARISON OF MISCELLANEOUS ACCIDENTAL DEATHS 27 - COMPARISON OF UNDETERMINED DEATHS 28 - MOTOR VEHICLE DEATHS BY MODE 29 - MOTOR VEHICLE DEATHS BY TYPE 30 - MOTOR VEHICLE DEATHS BY MONTH 31 - BLOOD ALCOHOL LEVELS IN MOTOR VEHICLE DEATHS 32 - BLOOD ALCOHOL LEVELS CHART IN VEHICLE DEATHS 33 - BLOOD ALCOHOL AND NON-BLOOD ALCOHOL DEATHS 34 - FIVE YEAR COMPARISON OF MOTOR VEHICLE DEATHS 35 - HOMICIDES BY MODE 36 - HOMICIDES BY JURISDICTION 37 - MONTHLY COMPARISON OF HOMICIDES 38 - FIVE YEAR COMPARISON OF HOMICIDES 39 - SUICIDES BY MODE 40 - MONTHLY COMPARISON OF SUICIDES 41 - FIVE YEAR COMPARISON OF SUICIDES 42 SPECIAL SUMMARIES 43 - TEENAGE SUICIDES 44 - DEATHS DUE TO ILLICIT DRUGS 45 - DEATHS DUE TO GUNSHOT WOUND(S) 46 INDIGENT BURIALS 47 - INDIGENT BURIALS SUMMARY 48 - FIVE YEAR COMPARISON OF INDIGENT BURIALS 49

4 INTRODUCTION 2

5 SAN JOAQUIN COUNTY CORONER S OFFICE STAFF LEFT TO RIGHT: BARBARA HAFLEY, DIANA SCOTT, MIKE REYNOLDS, TED BROOKS, JOSE ALATORRE, DANIEL VICTORIA KATHRYN MORENO, ETTA JOHNSON, ALEJANDRA GAMBOA CHIEF DEPUTY CORONER SERGEANT MIKE REYNOLDS (209) mreynolds@sjgov.org SENIOR OFFICE ASSISTANT BARBARA HAFLEY (209) bhafley@sjgov.org MORGUE STAFF ETTA JOHNSON ALEJANDRA GAMBOA KATHRYN MORENO INVESTIGATOR DANIEL VICTORIA (209) dvictoria@sjgov.org INVESTIGATOR JOSE ALATORRE (209) jalatorre@sjgov.org INVESTIGATOR TED BROOKS (209) tbrooks@sjgov.org 3

6 CHIEF FORENSIC PATHOLOGIST DR. BENNET OMALU 4

7 BENNET OMALU, MD, MBA, MPH, CPE, DABP-AP, CP, FP, NP Dr. Bennet Omalu joined San Joaquin County in September He completed medical school in 1990 at the University of Nigeria, Enugu, Nigeria. Upon graduating from medical school, he completed a oneyear clinical housemanship and subsequently worked as an Emergency Room physician for three years. He came to the United States in 1994 as a visiting research scholar at the University of Washington, Seattle, Washington. In 1995 he transferred to the College of Physicians and Surgeons of Columbia University at Harlem Hospital Center, New York, to complete a five year residency training program in Anatomic Pathology and Clinical Pathology. He subsequently completed fellowship training in Forensic Pathology and Neuropathology at the University of Pittsburgh, Pittsburgh, Pennsylvania. Dr. Omalu holds four board-certifications in Anatomic Pathology, Clinical Pathology, Forensic Pathology, and Neuropathology. He also holds a Masters in Public Health (MPH) degree in Epidemiology and a Masters in Business Administration (MBA) degree from the Tepper School of Business, Carnegie Mellon University. He is a Certified Physician Executive and an honorary fellow of the American Association of Physician Leadership (AAPL). He also holds a fifth board-certification in medical management from the AAPL. Dr. Omalu has received three honorary PhD degrees from three universities across the world in recognition of his contribution to the advancement of science. He is licensed to practice medicine and surgery in four states in the United States namely Hawaii, California, Indiana and Pennsylvania. Dr. Omalu is currently a Clinical Professor of Medical Pathology and Laboratory Medicine, University of California, Davis. He has published extensively in the medical and scientific literature authoring many scientific papers, book chapters, and several books. He has been involved in over seven thousand death and injury investigations in his career as a forensic pathologist and neuropathologist. He has personally conducted and performed over six thousand autopsies, death investigations and examined over five thousand brain tissue specimens. Dr. Omalu has testified as an expert witness in matters relating to all types of injuries and death in over 450 court proceedings across the United States. Beginning in 2002, Dr. Omalu discovered Chronic Traumatic Encephalopathy (CTE) in the brains of retired football players, other contact sports athletes, and in military veterans suffering from PTSD. Dr. Omalu has received numerous awards from across the world including the Distinguished Service Award from the American Medical Association (AMA), which is the highest award a physician can receive from the AMA. He has also been honored by the United States Congress for his work and expertise. In January 2017, the San Joaquin County Board of Supervisors offered Dr. Omalu a Certificate of Recognition for his contribution and distinguished service to San Joaquin County. 5

8 FORENSIC PATHOLOGIST DR. SUSAN PARSON 6

9 DR. SUSAN PARSON, MD, MS DABP-AP, FP Dr. Parson is originally from New Jersey but completed high school in California s Bay Area; after which she earned a B.S. in Neurobiology, Physiology, and Behavior and a B.S. in Psychology from the University of California, Davis. Having always been interested in forensic pathology, she later earned her M.S. in Forensic Science with a concentration in Advanced Investigation at the University of New Haven (Connecticut) prior to earning her M.D. from Saba University School of Medicine (Saba, Netherlands-Antilles). She completed medical residency in Anatomic and Clinical Pathology at Cedars Sinai Medical Center in Los Angeles, followed by fellowship in Forensic Pathology at the Maryland State Office of the Chief Medical Examiner (Baltimore, MD). She recently joined San Joaquin County as a Forensic Pathologist and is board certified by the American Board of Pathology in both Anatomic Pathology and Forensic Pathology. 7

10 STEVE MOORE, SAN JOAQUIN COUNTY SHERIFF-CORONER-PUBLIC ADMINISTRATOR 8

11 STEVE MOORE, SAN JOAQUIN COUNTY SHERIFF-CORONER-PUBLIC ADMINISTRATOR Elected Sheriff November 9, 2006; took office January 8, He is currently serving his third term, after being re-elected Sheriff in June Sheriff Moore began his law enforcement career at the Oxnard Police Department as a law enforcement Explorer, Cadet, and later a Police Officer. He worked for the Fresno County Sheriff s Office from 1976 to 1978; and in 1982, he joined the San Joaquin County Sheriff s Office as a Deputy Sheriff. He has over 30 years of law enforcement experience and has commanded every major division within the Sheriff s Office. Sheriff Moore holds a Bachelor of Science Degree in Criminology Law Enforcement from California State University, Fresno, and a single-subject teaching credential. He is a graduate of the FBI National Academy (185 th Session) in Quantico, Virginia, and the FBI LEEDS Session #64. He has also been awarded a POST Executive Certificate. Sheriff Moore is a recipient of the Linden Lions Club s Melvin Jones Fellowship Award and the California Peace Officers Association s Award of Distinction. He is a recipient of a Paul Harris Fellowship with the Tracy Rotary Club. In June 2007, Sheriff Moore was appointed and served on the California Council for Interstate Adult Supervision by Governor Arnold Schwarzenegger. In April 2009, Sheriff Moore was appointed to the California State Sheriff s Association (CSSA) Board of Directors and served as Chairman for the Audit, Budget, and Finance Committee. In January 2010, Sheriff Moore was appointed and served on the California Department of Boating and Waterways Commission by Governor Schwarzenegger. In June 2013, Sheriff Moore was selected as the California State Sheriff s Association (CSSA) Sergeant at Arms and was sworn into the position by Governor Jerry Brown. In April 2014, Sheriff Moore was selected and elevated to the office of California State Sheriff s Association (CSSA) Treasurer and was again sworn into the position by Governor Jerry Brown. In April 2015, Sheriff Moore was selected and elevated to the office of California State Sheriff s Association (CSSA) Secretary and was again sworn into the position by Governor Jerry Brown. In April 2016, Sheriff Moore was selected and elevated to the office of California State Sheriff s Association (CSSA) Second Vice President and was again sworn into the position by Governor Jerry Brown. In April 2017, Sheriff Moore was selected and elevated to the office of California State Sheriff s Association (CSSA) First Vice President and was again sworn into the position by Governor Jerry Brown. 9

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15 2016 ANNUAL REPORT OF THE CORONER In San Joaquin County, the Sheriff and the Coroner are one and the same. The San Joaquin County Sheriff s Coroner Division is comprised of one Sergeant, three Deputy Sheriff- Coroner Investigators, two Senior Office Assistants, two Forensic Pathologists, and three Medical Technicians. During the 2016 calendar year, 5,308 deaths were recorded in San Joaquin County. Of that number, 2,703 (50.9%) were reported to the Coroner s Office pursuant to California Government Code Section 27491, which directs the Coroner to inquire into and determine the circumstances, manner, and cause of those reportable deaths. This represents a 4.3% increase over 2015, when 2,592 deaths were reported to the Coroner. After investigation, 738 deaths (27.3%) reported to the Coroner resulted as actual coroner cases, with the final cause of death signed by the Coroner or his designee. This represents a decrease of 22 deaths (2.9%) from The remaining 1,965 cases were referred to the attending physicians for signing of the death certificates. Of the 738 deaths certified by the Coroner s Office, 515 (69.8%) required an autopsy to determine the cause of death. Of these cases investigated, 238 (46.2%) were found to be deaths due to natural causes. Of the natural deaths investigated by the Coroner, 169 (71%) were cardiac related. Accidental deaths comprised 338 (45.8%) of the 738 certified deaths. Of the accidental deaths, 129 (38.2%) were due to motor vehicle accidents. Motor vehicle accidents increased by 32, from 97 in 2015 to 129 in 2016 (33.0% increase). Alcohol was found to be present in the postmortem blood in 46 (35.7%) of all motor vehicle deaths. Suicides accounted for 76 (10.3%) of the 738 certified deaths, and firearms were the instruments of death in 56.6% of those cases. There were 75 homicides investigated by the San Joaquin County Coroner s Office in 2016, an increase of 0.6% from 71 in Firearms were the major instruments of death in 80% of all homicides. There were 11 deaths (1.5%) of undetermined classification investigated by the Coroner. In these investigations, the cause or manner of death could not be determined. During 2016, the Coroner s Office processed 86 indigent cases in which the decedents had insufficient funds for interment, a 0.5% decrease from 90 in

16 INVESTIGATIONS CORONER CASES AND AUTOPSIES 14

17 SUMMARY OF REPORTABLE DEATHS MONTH AUTOPSY INSPECTION INVESTIGATION REFERRAL TOTAL JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL AUTOPSY: INSPECTION: A FULL EXAMINATION, BOTH EXTERNAL AND INTERNAL, TO DETERMINE THE PATHOLOGICAL CAUSE OF DEATH. THE DEATH CERTIFICATE IS SIGNED BY THE CORONER. 515 A TERM USED BY THE CORONER S OFFICE WHEN THERE IS SUFFICIENT MEDICAL DATA TO DETERMINE THE CAUSE OF DEATH BY PHYSICAL INSPECTION OF THE BODY AND WITHOUT AN AUTOPSY. THE FINAL DEATH CERTIFICATE IS SIGNED BY THE CORONER. 154 INVESTIGATION: A TERM USED BY THE CORONER S OFFICE WHEN THE DEATH CERTIFICATE IS SIGNED BY THE CORONER AFTER A FULL INVESTIGATION, AND REVIEW OF MEDICAL RECORDS WITHOUT THE PRESENCE OF THE BODY. 69 REFERRAL: A TERM USED BY THE CORONER S OFFICE FOR A DEATH THAT WHEN AFTER INVESTIGATION IS RELEASED TO A PRIVATE PHYSICIAN FOR THE SIGNING OF THE DEATH CERTIFICATE TOTAL: INDICATES TOTAL NUMBER OF AUTOPSIES, INSPECTIONS, REFERRALS, AND INVESTIGATIONS

18 FIVE YEAR SUMMARY OF INVESTIGATIONS FIVE YEAR COMPARISON AUTOPSY INSPECTION INVESTIGATION REFERRAL TOTAL

19 CLASSIFICATION OF REPORTABLE DEATHS Referral 72.7% Autopsy 19.0% Investigation 2.6% Inspection 5.7% CLASSIFICATION OF REPORTABLE DEATHS AUTOPSY 515 INSPECTION 154 INVESTIGATION 69 REFERRAL 1965 TOTAL

20 CORONER INVESTIGATIONS AGE AND SEX OF DECEDENTS Male Female Unk. AGE RANGE MALE FEMALE TOTAL 0-1 YEARS YEARS YEARS YEARS YEARS YEARS YEARS YEARS YEARS YEARS YEARS UNKNOWN TOTAL * *TOTAL NUMBER OF DEATHS SHOULD EQUAL 738. ONE CASE IS NOT REPRESENTED AS IT IS UNIDENTIFIABLE AS EITHER MALE OR FEMALE. 18

21 MANNER OF DEATH 19

22 DEFINITION OF CAUSE AND MANNERS OF DEATH Cause Manner Natural Accident Suicide Homicide Undetermined Total The medical reason for the death as determined by a Forensic Pathologist or Licensed Physician. The category or classification of death based on the available information concerning the circumstances surrounding a death. The Manner of Death is used only in the United States for statistical purposes and is not legally binding. The preponderance of medical and/or investigative evidence (greater than a 50:50 chance) is the standard used when determining Manner of Death. The Manners of Death used in California are listed below. Deaths due solely or nearly totally to a disease and/or the natural aging process. 238 Deaths due to an act, injury or poisoning where the outcome was unintentional. 338 Deaths due to an injury or poisoning as a result of an intentional, selfinflicted act committed to do self-harm or cause the death of one s self. 76 Deaths due to a volitional act committed by another person to cause harm, fear or death. Intent is a common element but is not required for this classification. 75 Used when the information pointing to one manner of death is no more compelling than one or more competing manners of death after thorough consideration of all available information. As an example, the Cause of Death is Gunshot Wound of the Head, but the preponderance of available information is not sufficient to certify the Manner of Death as an accident, suicide, or homicide. 11 Indicates the total number of all Manners of Death as certified by the Coroner s Office. 738 Source: National Association of Medical Examiners Guide 20

23 REPORTED DEATHS BY TYPE FIVE YEAR COMPARISON DEATHS BY TYPE NATURAL ACCIDENT ACCIDENT (MOTOR VEHICLE) SUICIDE HOMICIDE UNDETERMINED REFERRAL TOTAL PERCENT CHANGE FROM PREVIOUS YEAR 3.4% -10.4% -2.8% 1.3% 4.3% TOTAL DEATHS IN SAN JOAQUIN COUNTY PERCENT INVESTIGATED BY CORONER 61.4% 56.8% 52.3% 50.2% 51.0% 21

24 MANNER OF DEATH COMPARISON Natural 32.2% Suicide 10.3% Accident (Motor Vehicle) 17.5% Homicide 10.2% Undetermined 1.5% Accident (Misc) 28.3% COMPARISON BY MANNER NATURAL ACCIDENT (MISCELLANEOUS) ACCIDENT (MOTOR VEHICLE) 129 SUICIDE 76 HOMICIDE 75 UNDETERMINED 11 TOTAL CORONER CASES

25 COMPARISON OF NATURAL DEATHS BY MONTH JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC COMPARISON BY MONTH JANUARY 18 FEBRUARY 27 MARCH 15 APRIL 21 MAY 23 JUNE 12 JULY 15 AUGUST 16 SEPTEMBER 26 OCTOBER 26 NOVEMBER 19 DECEMBER 20 TOTAL

26 COMPARISON OF NATURAL DEATHS BY CAUSE Cardiac 71.0% Hepatic 5.9% Central Nervous System 5.0% Respiratory 6.3% Other 7.6% Malignancy Digestive System 1.7% 1.7% S.U.I.D. 0.8% COMPARISON OF NATURAL DEATHS BY CAUSE CARDIAC DIGESTIVE SYSTEM RESPIRATORY 15 CENTRAL NERVOUS SYSTEM 12 SUDDEN UNEXPLAINED INFANT DEATH (S.U.I.D.) 2 MALIGNANCY 4 HEPATIC 14 OTHER: ENDOCRINE, HEMATOLOGIC, IMMUNE, 18 RENAL TOTAL AND MISC

27 MISCELLANEOUS ACCIDENTAL DEATHS BY CAUSE ASPHYXIA CHOKED ON FOOD/OBJECT 10 DROWNING 9 POSITIONAL/MECHANICAL ASPHYXIA 6 CHEMICAL ASPHYXIA 2 DRUG(S)/TOXIC SUBSTANCES 130 OVERDOSE ILLICIT DRUGS/DRUG ABUSE 84 OVERDOSE PRESCRIPTION DRUG(S)/MED(S) 30 COMBINED ALCOHOL AND DRUGS 11 OVERDOSE OF ALCOHOL 4 CHRONIC IV DRUG ABUSE 1 BURNS/SMOKE INHALATION. 1 RESIDENTIAL FIRE 1 BURNS 0 FALL TO FLOOR 22 FROM HEIGHT 7 TO GROUND 5 AGAINST OBJECT 3 DOWNSTAIRS 0 OTHER MISCELLANEOUS OTHER 5 THERAPEUTIC COMPLICATION 5 INDUSTRIAL ACCIDENTS 3 GUNSHOT WOUNDS 1 ENVIRONMENTAL EXPOSURE 0 ELECTROCUTION 0 TOTAL

28 MISCELLANEOUS ACCIDENTAL DEATHS BY CAUSE Fall 17.7% Burns 0.5% Drugs 62.2% Asphyxia 12.9% Other 6.7% COMPARISON BY CAUSE DRUGS(S)/TOXIC SUBSTANCES 130 FALL 37 ASPHYXIA 27 OTHER MISCELLANEOUS 14 BURNS/SMOKE INHALATION 1 TOTAL

29 MISCELLANEOUS ACCIDENTAL DEATHS COMPARISON BY MONTH AND YEAR JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL

30 COMPARISON OF UNDETERMINED DEATHS Other/Unknown 100% Native American Remains 0% COMPARISON OF UNDETERMINED DEATHS INDIAN REMAINS 0 OTHER/UNKNOWN CIRCUMSTANCES 11 TOTAL 11 28

31 MOTOR VEHICLE ACCIDENTAL DEATHS COMPARISON Automobile 53.5% Pedestrian 20.2% ATV 1.5% Semi/Box Truck 2.3% Pick-Up 3.9% Bicycle 4.6% Motorcycle 14.0% MOTOR VEHICLE ACCIDENTAL DEATHS AUTOMOBILE (SEDAN, SUV, VAN) 69 PEDESTRIAN 26 MOTORCYCLE 18 BICYCLE 6 PICK-UP TRUCK 5 SEMI/BOX TRUCK 3 ATV 2 TOTAL

32 SAN JOAQUIN COUNTY MOTOR VEHICLE ACCIDENTAL DEATHS COMPARISON AUTOMOBILE AUTOMOBILE VS AUTOMOBILE 24 AUTOMOBILE VS FIXED OBJECT 16 AUTOMOBILE OVERTURN 8 AUTOMOBILE VS PICK-UP TRUCK 7 AUTOMOBILE VS SEMI TRUCK 6 AUTOMOBILE INTO WATER 3 AUTOMOBILE VS BICYCLE 3 AUTOMOBILE VS UNKNOWN 2 PEDESTRIAN PEDESTRIAN VS AUTOMOBILE 19 PEDESTRIAN VS TRAIN 4 PEDESTRIAN VS PICK-UP TRUCK 2 PEDESTRIAN VS FARM EQUIPMENT 1 MOTORCYCLE... MOTORCYCLE VS AUTOMOBILE 12 MOTORCYCLE OVERTURN 3 MOTORCYCLE VS FIXED OBJECT 3 18 BICYCLE. BICYCLE VS AUTOMOBILE 6 6 PICK-UP TRUCK... PICK-UP TRUCK VS AUTOMOBILE 2 PICK-UP TRUCK VS FIXED OBJECT 2 PICK-UP TRUCK VS SEMI TRUCK 1 5 SEMI/BOX TRUCK SEMI TRUCK VS SEMI TRUCK SEMI TRUCK VS AUTOMOBILE BOX TRUCK VS FIXED OBJECT ATV..... ATV OVERTURN 1 ATV VS FIXED OBJECT 1 2 TOTAL

33 MOTOR VEHICLE DEATHS BY MONTH COMPARISON JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC MONTHLY COMPARISON JANUARY FEBRUARY 9 10 MARCH 9 APRIL 10 MAY 11 JUNE 8 JULY 9 AUGUST 16 SEPTEMBER 10 OCTOBER 12 NOVEMBER 11 DECEMBER 14 TOTAL

34 BLOOD ALCOHOL LEVELS IN MOTOR VEHICLE DEATHS California Government Code Section provides that the Coroner shall test for alcohol and barbiturate levels in all motor vehicle deaths where the decedent was fifteen (15) years of age or older and died within twenty-four (24) hours of the accident. It gives the Coroner discretion for testing to determine possible amphetamine levels. It further provides that such tests shall be performed on decedents less than fifteen (15) years of age if the surrounding circumstances indicate the possibility of alcohol, barbituric acid, or amphetamine derivative consumption. During 2016, one hundred twenty-nine (129) people died in San Joaquin County as a result of motor vehicle accidents; this represents an increase of 32 from Blood samples were obtained and submitted for toxicological study in 100% of these cases. California Vehicle Code Section (a) states it is unlawful for any person who is under the influence of an alcoholic beverage or any drug to drive a vehicle. Section (b) states it is unlawful for any person who has a blood alcohol of 0.08% or more, by weight, of alcohol in his or her blood to drive a vehicle. In 2016, alcohol was present in the blood of about 35.7% of all motor vehicle deaths. The blood alcohol level was at or above 0.08% in about 31.0% of all motor vehicle deaths, an increase of about 7.3% from Particularly significant were the results showing that of the sixty-five (65) drivers who died in motor vehicle accidents in 2016, twenty-three (23) of the drivers, or about 35.4%, had blood alcohol levels at or above the legal limit to operate a motor vehicle in California. Also noted was the fact that there was one (1) alcohol related death reported for a driver under the age of 21 years. 32

35 BLOOD ALCOHOL LEVELS IN MOTOR VEHICLE DEATHS Neg % % % %.20% & Over OF THOSE NEGATIVE % % % %.20% & OVER DRIVER PASSENGER PEDESTRIAN MOTORCYCLIST BICYCLIST TOTAL

36 BLOOD ALCOHOL LEVELS IN MOTOR VEHICLE DEATHS Alcohol 35.7% No Alcohol 64.3% MOTOR VEHICLE DEATHS ALCOHOL 46 NO ALCOHOL 83 TOTAL

37 MOTOR VEHICLE DEATHS FIVE YEAR COMPARISON MONTH JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL

38 HOMICIDES MODE OF DEATH COMPARISON Gunshot Wound(s) 80.0% Incised/Cut Wound(s) 10.7% Other 2.6% Beating/Blow(s) to Body 6.7% MODE OF DEATH COMPARISON MALE FEMALE TOTAL GUNSHOT WOUND(S) BEATING/BLOW(S) TO BODY INCISED/CUT WOUND(S) STRANGULATION OTHER (FIRE/MVA/DRUGS) TOTAL

39 HOMICIDES BY JURISDICTION Lathrop Police 2.7% Stockton CHP 2.7% Escalon Police 1.3 Stockton Police 76.0% Lodi Police 5.3 Manteca Police 1.3 San Joaquin Sheriff 10.7 COMPARISON BY AGENCY HOMICIDES STOCKTON POLICE DEPARTMENT 57 SAN JOAQUIN COUNTY SHERIFF S OFFICE 8 -CONTRACT CITY OF LATHROP 2 -COMMUNITY OF MOUNTAIN HOUSE 0 MANTECA POLICE DEPARTMENT 1 LODI POLICE DEPARTMENT 4 ESCALON POLICE DEPARTMENT 1 CALIFORNIA HIGHWAY PATROL - STOCKTON 2 OTHER-OUT OF COUNTY 0 TOTAL 75 37

40 MONTHLY COMPARISON OF HOMICIDES JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC MONTHLY COMPARISON JANUARY 8 FEBRUARY 3 MARCH 1 APRIL 8 MAY 10 JUNE 8 JULY 6 AUGUST 7 SEPTEMBER 8 OCTOBER 3 NOVEMBER 8 DECEMBER 5 TOTAL 75 38

41 SAN JOAQUIN COUNTY HOMICIDES FIVE-YEAR COMPARISON FIVE-YEAR COMPARISON HOMICIDES % CHANGE PREVIOUS YEAR 1.1% -43.6% 35.8% -1.4% 5.6% 39

42 COMPARISON OF SUICIDES BY MODE OF DEATH Vehicle/Train 5.3% Burn 2.6% Overdose 11.8% Gunshot Wound(s) 56.6% Hanging/Asphyxia/ Suffocation 23.7% COMPARISON BY MODE MALE FEMALE TOTAL GUNSHOT WOUND(S) HANGING/ASPHYXIA/SUFFOCATION INCISED/CUT WOUND(S) VEHICLE / TRAIN OVERDOSE DROWNING POISON BURN/ELECTROCUTION JUMP TOTAL

43 COMPARISON OF SUICIDES BY MONTH JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC MONTHLY COMPARISON JANUARY 6 FEBRUARY 6 MARCH 6 APRIL 7 MAY 6 JUNE 3 JULY 10 AUGUST 3 SEPTEMBER 6 OCTOBER 8 NOVEMBER 12 DECEMBER 3 TOTAL 76 41

44 SAN JOAQUIN COUNTY SUICIDES FIVE-YEAR COMPARISON FIVE-YEAR COMPARISON SUICIDES % CHANGE PREVIOUS YEAR 9.7% -15.2% 10.4% -13.5% 18.8% 42

45 SPECIAL SUMMARIES 43

46 TEENAGE SUICIDES In 2016, there was one (1) teenage suicide investigated by the Coroner s Office. The month of occurrence, gender, age, and method of each case is as follows: MONTH GENDER Age MODE NOVEMBER MALE 17 GUNSHOT WOUND 44

47 DRUGS AND ALCOHOL SUMMARY In 2016, 130 deaths were investigated by the Coroner s Office which were caused by an overdose of illicit drugs, alcohol, or pharmaceuticals, (pg. 25). These deaths are now tracked in more detail and by specific drug type. The classification of these deaths was primarily accidental. Although 130 deaths were directly caused by an overdose, a significant number of deaths included illicit drugs or alcohol as contributory or not directly related to the cause of death. The numbers below represent the total number of these decedents that had the listed substances appear in their toxicology reports (some decedents may have a combination of several substances). METHAMPHETAMINE/AMPHETAMINE 69 PHARMACEUTICALS 78 HEROIN 5 COCAINE 3 METHADONE 21 PCP (Phencyclidine) 0 MDMA/MDA (MDMA-Methylenedioxymethamphetamine MDA-Methylenedioxyamphetamine) 0 ALCOHOL 15 MARIJUANA 14 Although Methadone is a pharmaceutical, it was not actually prescribed to some of the decedents and was obtained through other means. It was included in this special summary for that reason. 45

48 TOTAL DEATHS FROM GUNSHOT WOUNDS (FIREARMS) In 2016, 104 deaths were investigated by the Coroner s Office that resulted from gunshot wounds (firearms). This represents an increase of twenty-four (24) deaths (30%) from These deaths were classified as follows: HOMICIDE 60 (57.7%) SUICIDE 43 (41.3%) ACCIDENTAL 1 (1.0%) UNDETERMINED 0 (0%) TOTAL

49 INDIGENT BURIALS 47

50 INDIGENT BURIALS Under the provisions of California Health and Safety Code Section 7104, the county of residence of any indigent is responsible for the internment of that individual. The Coroner s Office administers the indigent burials budget for San Joaquin County. During 2016, the Coroner s Office investigated 86 cases which qualified for the County s indigent program, resulting in a cost of $27, for indigent processing. The cost per indigent was $ until April 30, 2016, and $350 after May 1, There were four (4) fewer cases in 2016 than in 2015, for a cost decrease of $4, In August of 1988, because of funding limitations placed on the County s General Fund, the Board of Supervisors adopted a policy of cremating all deceased indigents. Exceptions to the policy are at the discretion of the Sheriff-Coroner. 48

51 SAN JOAQUIN COUNTY INDIGENT BURIALS FIVE YEAR COMPARISON FIVE-YEAR COMPARISON TOTAL INDIGENT DEATHS % CHANGE PREVIOUS YEAR -1.8% 96.4% -1.9% -15.1% -4.4% 49