A prospective autopsy study of firearms-related death was carried out by the authors in the Niger Delta region of Nigeria. The purpose of the study was to evaluate the pattern, frequency, and anatomical sites of wounds, also the cause of death and the age and sex distribution of victims. The autopsies were performed after being served with the coroner's inquest forms. In all cases standard autopsy procedures were adopted and reports issued. A total of 136 consecutive firearm deaths were autopsied. There were 122 (89.7%) males and 14 (10.3%) females, giving a male to female ratio of 8.7:1. The highest number of deaths, 95 (69.8%), occurred in the age group of 10-39 years with a peak of 51 (37.5%) deaths at 20-29 years. In 112 (82.4%) cases death occurred from homicidal gunshot wounds. The commonest targets of gunshot wounds were the head, 58 (42.6%); multiple anatomical sites, 30 (22.1%); chest, 16 (11.8%); abdomen, 11 (8.1%) and neck, 10 (7.4%). Haemorrhagic shock was the cause of death in 131 (96.3%) cases. Significant causes of traumatic death in the Niger Delta region of Nigeria are gunshot wounds and associated complications. Stringent laws on illegal firearms handling should be passed and enforced by the government to reduce the frequency of such deaths.

A prospective autopsy study in Rivers State, Nigeria, was undertaken to evaluate the patterns of death as a result of rival gang clashes and to highlight the menace of rival gang violence. Between 1 January 1999 and 31 December 2003 medico-legally autopsied bodies in Rivers State, where death was the result of gang violence, were studied after being served with the coroner's form. In all cases, standard autopsy procedures were adopted and reports were issued. A total of 58 bodies were autopsied for the study. Three (5.2%) were females and 55 (94.8%) were males, giving a female to male ratio of 1:18.3. The age group of 10-29 years recorded the highest frequency of death (65.6%) with a peak in the age group 20-29 years (39.7%). Gang violence and politically motivated mob action were the most common precipitating factors (60.3% and 20.7% respectively). Firearms (41.4%) was the most common method applied for the killing. Death was more common in the rural areas of Rivers State. Gang clashes, volatile political rallies, illegal drug peddling and illegal oil bunkering should be banned and stringent laws be passed. Such laws should also cover gun handling and should be enforced.

Accidents in the oil industry in the Niger delta region of Nigera raise concerns about safety measures and the management of industrial sites. A total of 32 autopsies were performed after coroners' inquest forms were served on the authors by the State, which serve as consent and request. Standard procedures were adopted in all the cases and the reports were appropriately issued. Death from industrial accidents accounted for 2.5% and 6.1% of total autopsies and accidental death autopsies respectively. The youngest victim was a 19 year old male while the oldest was a 55 year old male. The age group 30-39 years was the most vulnerable. There was a male dominance; (male:female ratio = 9.7:1). The commonest accidents in their order of frequency were: falling from a height, explosion/fire, motor vehicle accidents and falling objects. Multiple injuries, head and neck trauma and drowning were the commonest cause of death at autopsy. Accidental deaths were commoner in the small-scale industries (81%) than in the large-scale industries (19%). This is the first time such a study has been carried out locally. The proportion of accidental deaths in the small scale industries relative to that of the large ones may be attributed to the poor enforcement of safety measures in the smaller industries