Taiwan Med-X（臺灣法醫致死性傳染病解剖及 相驗偵測系統）

Taiwan Med-X (Taiwan Medical Examiner Surveillance for Infectious Disease & Bioterrorism Mortality)

法務部法醫研究所於2011年建立Taiwan Med-X（臺灣法醫解剖及相驗致死性傳染病通報與偵測系統），成為臺灣針對解剖與相驗制度首度提出之國家級致死性傳染病偵測與偵察系統，亦為亞洲首創之系統，用以偵測潛藏於法醫相驗和法醫解剖的傳染病致死個案與生物恐怖事件，並且作為司法單位與衛生單位連接的橋樑。TaiwanMed-X運作至今，無論對司法單位之法醫業務微生物鑑識，抑或是衛生單位之疫苗接種或傳染病偵測皆有所助益。司法案件涉及微生物相關鑑定，如疑似疫苗接種傷害致死、醫療糾紛、法定傳染病或生物恐怖等，可經由Taiwan Med-X系統進行通報及送驗，由衛生福利部疾病管制署與法務部法醫研究所（組織病理層級）進行微生物相關檢驗。由於醫學界目前幾乎無執行解剖，研究材料組織檢體來源有限，Taiwan Med-X的建構亦可強化法醫與醫學相關領域之研究合作，目前已有促心律不整性右心室心肌病變以及登革熱等議題與醫學界合作研究，未來將會與臺灣神經罕見疾病學會合作促進國家級腦庫之建構。透過Taiwan Med-X通報案件分析，尤其是結核病與愛滋病，突顯臺灣法醫解剖室及周遭環境生物安全之重要性，希冀引起司法部門及衛生部門相關單位重視，以保護解剖及死因調查相關工作人員以及傳染病防治。Taiwan Med-X將持續運作，除了原有參考Med-X系統建立偵測潛藏於法醫相驗和法醫解剖的傳染病致死個案與生物恐怖事件外，我們亦擴充Taiwan Med-X系統之涵蓋範圍，不僅止於微生物鑑識，與衛生部門溝通橋梁，亦增加與醫學界研究領域之合作，成為司法部門與醫學相關領域合作之溝通橋梁。

Since 2011, Institute of Forensic Medicine, Ministry of Justice has created a surveillance system, Taiwan Med-X, for infectious disease and bioterrorism mortality in forensic death investigation. As we know, this is the first surveillance system for forensic pathology and medicine in Asia. It strengenthens the ability of microbial forensics, and resolved the controversy of suspicious vaccine-related death and infectious disease surveillance. Forensic autopsy related to microbial diagnosis issues, such as suspicious vaccine-related deaths, medical dispute cases, legal infection cases, or bioterrorism, etc., we report, take samples from autopsy, and transport the specimems to Taiwan Centers for Disease Control (Taiwan CDC) for microbiologic testing via Taiwan Med-X. Nowdays, due to the decreasing autopsy cases number in hospital, getting tissue samples for research is very difficult. We can get human tissue samples easily from forensic autopsy via Taiwan Med-X for medical research. We have cooperated with hospitals and CDC to perform the arrhythmogenic right ventricular cardiomyopathy (ARVC) and dengue fever studies. In near future, we will cooperate with Society for Neurological Rare Disorders to set up brain bank. From the analysis of reported cases, such as tuberculosis and HIV/AIDS cases, it highlight the impotant of biosafety of forensic autopsy in Taiwan. Taiwan Med-X will be expended and reach more other medical fields.