Charles Randal Smith
Encyclopedia
Charles Randal Smith was a Canadian
Canada
Canada is a North American country consisting of ten provinces and three territories. Located in the northern part of the continent, it extends from the Atlantic Ocean in the east to the Pacific Ocean in the west, and northward into the Arctic Ocean...

 pathologist who was the head pediatric
Pediatrics
Pediatrics or paediatrics is the branch of medicine that deals with the medical care of infants, children, and adolescents. A medical practitioner who specializes in this area is known as a pediatrician or paediatrician...

 forensic pathologist
Forensic pathology
Forensic pathology is a branch of pathology concerned with determining the cause of death by examination of a corpse. The autopsy is performed by the pathologist at the request of a coroner or medical examiner usually during the investigation of criminal law cases and civil law cases in some...

 at the Hospital for Sick Children
Hospital for Sick Children
The Hospital for Sick Children – is a major paediatric centre for the Greater Toronto Area, serving patients up to age 18. Located on University Avenue in Downtown Toronto, SickKids is part of the city’s Discovery District, a critical mass of scientists and entrepreneurs who are focused on...

 in Toronto
Toronto
Toronto is the provincial capital of Ontario and the largest city in Canada. It is located in Southern Ontario on the northwestern shore of Lake Ontario. A relatively modern city, Toronto's history dates back to the late-18th century, when its land was first purchased by the British monarchy from...

, Ontario
Ontario
Ontario is a province of Canada, located in east-central Canada. It is Canada's most populous province and second largest in total area. It is home to the nation's most populous city, Toronto, and the nation's capital, Ottawa....

, from 1982 to 2003. The quality of his autopsies
Autopsy
An autopsy—also known as a post-mortem examination, necropsy , autopsia cadaverum, or obduction—is a highly specialized surgical procedure that consists of a thorough examination of a corpse to determine the cause and manner of death and to evaluate any disease or injury that may be present...

, and the resulting criminal charges and convictions of several people, have been called into question and a full public inquiry was ordered. The inquiry found there to be fundamental errors made on the part of Smith and many of the cases in which he had testified are now being re-examined and appealed.

In 2008, the chief forensic pathologist for Ontario, Canada's most populous province, began a public inquiry into 220 cases of shaken baby syndrome
Shaken baby syndrome
Shaken baby syndrome is a triad of medical symptoms: subdural hematoma, retinal hemorrhage, and brain swelling from which doctors, consistent with current medical understanding, infer child abuse caused by intentional shaking...

 to determine if anyone was wrongfully convicted in the babies' deaths.

Early life and career

Smith graduated from the University of Saskatchewan
University of Saskatchewan
The University of Saskatchewan is a Canadian public research university, founded in 1907, and located on the east side of the South Saskatchewan River in Saskatoon, Saskatchewan, Canada. An "Act to establish and incorporate a University for the Province of Saskatchewan" was passed by the...

 in Saskatoon
Saskatoon
Saskatoon is a city in central Saskatchewan, Canada, on the South Saskatchewan River. Residents of the city of Saskatoon are called Saskatonians. The city is surrounded by the Rural Municipality of Corman Park No. 344....

, Saskatchewan
Saskatchewan
Saskatchewan is a prairie province in Canada, which has an area of . Saskatchewan is bordered on the west by Alberta, on the north by the Northwest Territories, on the east by Manitoba, and on the south by the U.S. states of Montana and North Dakota....

, Canada in 1975. He completed his training in Pathology
Pathology
Pathology is the precise study and diagnosis of disease. The word pathology is from Ancient Greek , pathos, "feeling, suffering"; and , -logia, "the study of". Pathologization, to pathologize, refers to the process of defining a condition or behavior as pathological, e.g. pathological gambling....

 at the University of Toronto
University of Toronto
The University of Toronto is a public research university in Toronto, Ontario, Canada, situated on the grounds that surround Queen's Park. It was founded by royal charter in 1827 as King's College, the first institution of higher learning in Upper Canada...

 and was certified as an anatomical pathologist in 1980. He joined the Hospital for Sick Children in 1981 as one of the rotating team of pathologists, and shortly was doing autopsies on children who had met sudden or suspicious deaths.

In 1992 the Ontario Coroner
Coroner
A coroner is a government official who* Investigates human deaths* Determines cause of death* Issues death certificates* Maintains death records* Responds to deaths in mass disasters* Identifies unknown dead* Other functions depending on local laws...

's Office created a pediatric forensic pathology unit at Hospital for Sick Children and Smith was appointed director. He had become almost solely responsible for investigating suspicious child deaths in Ontario. In this period he conducted hundreds of autopsies and testified in court multiple times. He conducted training sessions for lawyers on how to examine and cross-examine expert witnesses, and training for law-enforcement and medical staff on detecting child abuse
Child abuse
Child abuse is the physical, sexual, emotional mistreatment, or neglect of a child. In the United States, the Centers for Disease Control and Prevention and the Department of Children And Families define child maltreatment as any act or series of acts of commission or omission by a parent or...

.

Maureen Laidley

Maureen Laidley was charged with killing Tyrell Salmon, the three-year-old son of her boyfriend. Laidley says the boy had jumped off the couch, slipped and struck his head on a marble coffee table, but was arrested after Smith informed them that such injuries could not result in death. The charge was abruptly stayed when outside experts testified that the injuries were fully consistent with Laidley's account.

William Mullins-Johnson

William Mullins-Johnson of Sault Ste. Marie
Sault Ste. Marie, Ontario
Sault Ste. Marie is a city on the St. Marys River in Algoma District, Ontario, Canada. It is the third largest city in Northern Ontario, after Sudbury and Thunder Bay, with a population of 74,948. The community was founded as a French religious mission: Sault either means "jump" or "rapids" in...

 was found guilty of the first-degree murder of Valin Johnson after a two and half week trial in September 1994. He was convicted after a jury trial in which Smith’s evidence played a major role in determining the time of death, the cause of death and whether the girl had been sexually assaulted. Mullins-Johnson had babysat Valin, 4, and her 3-year-old brother on the evening of June 26, 1993. When the girl's mother returned home, she did not check on her daughter. At 7 a.m. the next day she found Valin dead in bed.

A local pathologist performed an autopsy on Valin. Then "consultation reports" were sought from Smith and four other specialists, based on tissue samples and other evidence from the autopsy. Smith was the only consultant to conclude Valin was sexually assaulted at the time of death. That contradicted the defence's point that Valin, who had a history of vomiting in bed, might have died of natural causes. The jury convicted, which the Ontario Court of Appeal
Ontario Court of Appeal
The Court of Appeal for Ontario is headquartered in downtown Toronto, in historic Osgoode Hall....

 upheld in 1996. The Supreme Court of Canada
Supreme Court of Canada
The Supreme Court of Canada is the highest court of Canada and is the final court of appeals in the Canadian justice system. The court grants permission to between 40 and 75 litigants each year to appeal decisions rendered by provincial, territorial and federal appellate courts, and its decisions...

 dismissed a further appeal in 1998.

Attempts were made to clear his name based on available DNA
DNA
Deoxyribonucleic acid is a nucleic acid that contains the genetic instructions used in the development and functioning of all known living organisms . The DNA segments that carry this genetic information are called genes, but other DNA sequences have structural purposes, or are involved in...

 technology, but the tissue could not be located by Smith, who was given the evidence by the pathologist who did the autopsy, until 2005, 11 years after the trial, when the missing tissue samples turned up in Smith’s office. William Mullins-Johnson was released on bail in 2005, pending review of his case. On July 16, 2007, a report by three expert pathologists (a report written unbeknownst to the lawyers working on his behalf) determined there was no evidence that the girl was sexually assaulted, and the Ontario Attorney General
Attorney General
In most common law jurisdictions, the attorney general, or attorney-general, is the main legal advisor to the government, and in some jurisdictions he or she may also have executive responsibility for law enforcement or responsibility for public prosecutions.The term is used to refer to any person...

 Michael Bryant
Michael Bryant (politician)
Michael J. Bryant is former public administrator and former politician in Ontario, Canada. A Harvard-trained lawyer, he was a member of the Legislative Assembly of Ontario, representing the electoral district of St. Paul's for the Ontario Liberal Party from 1999 until 2009...

, said that William Mullins-Johnson's conviction “cannot stand” and that he should be acquitted by the appeals court. On October 15, 2007 he was acquitted by the Ontario Court of Appeal.

In 2010, 5 years after he filed a 13-million dollar law suit, he received 4.25 million dollars in compensation settlement from the government of Ontario.

Sherry Sherret

On the morning of January 23, 1996, Sherry Sherret found her four month old son Joshua lying in his bed not breathing. He was rushed to the hospital where he was pronounced dead. Three and a half years later she was given the option to accept a plea of infanticide. She was convicted of infanticide without offering a defence (but offering no admission of guilt) in a plea (the delay was primarily attributable to Smith's unavailability to testify). Sherret was jailed on the basis of Smith's opinion that her four-month-old son Joshua had a skull fracture, and that he had been smothered. She was released on bail
Bail
Traditionally, bail is some form of property deposited or pledged to a court to persuade it to release a suspect from jail, on the understanding that the suspect will return for trial or forfeit the bail...

 in 1996 and remained on bail until the conviction. Sherret's sentence was 1 year in jail and 2 years probation. Sherret served eight months in total, and was entered into the child abuse registry. Her older child was removed by Children's Aid, and in order to get him out of foster care, she agreed to give him up for adoption and have no physical contact with him until he was 18. Later exhumation of the child and examination of the skull have shown that there was no skull fracture. It is thought Dr. Smith confused the normal gap between the baby's skull plates
Fontanelle
A fontanelle is an anatomical feature on an infant's skull.-Anatomy:Fontanelles are soft spots on a baby's head which, during birth, enable the bony plates of the skull to flex, allowing the child's head to pass through the birth canal. The ossification of the bones of the skull causes the...

 for an injury. On Dec. 7, 2009, the Ontario Court of Appeal exonerated Sherret, stating that it was "profoundly regrettable that due to flaws in pathological evidence" she was wrongfully convicted.

Brenda Waudby

Brenda Waudby of Peterborough was charged with beating her 2-year-old daughter Jenna to death on January 22, 1997, on the basis of Smith's professional opinion as to what time the injuries were inflicted.

Anthony Kporwodu and Angela Veno

Anthony Kporwodu and Angela Veno were charged in 1997 with murdering their infant daughter. Smith took more than seven months to prepare his initial autopsy report. The charges were ultimately thrown out by a judge for violating the constitutional right to a timely trial.

Louise Reynolds

Louise Reynolds was a 28 year old single mother living in Kingston, Ontario
Kingston, Ontario
Kingston, Ontario is a Canadian city located in Eastern Ontario where the St. Lawrence River flows out of Lake Ontario. Originally a First Nations settlement called "Katarowki," , growing European exploration in the 17th Century made it an important trading post...

, charged with second degree murder for having killed her seven-year old daughter Sharon in 1997 by stabbing her more than 80 times with a pair of scissors. Much of the case rested on Dr. Smith’s 10-page autopsy report. In January 2001 the Crown abruptly dropped the charges, after numerous experts, including Crown witnesses, disagreed with Smith and agreed that a powerful dog had mauled the girl (there was a pit-bull present in the house at the time). By then, Reynolds had spent 22 months in custody.

Louise Reynolds sued in March 2007. Despite the rules related to Crown immunity, the Court of Appeal ruled, in a ground-breaking decision, that the suit against Smith and other experts could go ahead: while court testimony is protected, faulty work is not.

Dinesh Kumar

Dinesh Kumar was a 26 year old Punjabi immigrant to Canada who was charged with Second Degree Murder in the death of his infant son in 1992. He accepted a Plea Deal of Criminal Negligence causing Death with a 90 day sentence. He was acquitted by the Ontario Court of Appeal, January 20th, 2011. His case was part of the review ordered of Dr. Smith's cases following the Goudge Inquiry
Goudge Inquiry
The Inquiry into Pediatric Forensic Pathology in Ontario, commonly known as the Goudge Inquiry, was created to address serious concerns over the way criminally suspicious deaths involving children are handled by the Province of Ontario in Canada....

.

Tammy Marquardt

Tammy Marquardt was convicted in Ontario in 1995 of killing her two-year-old son, who had epilepsy. Her conviction rested in large part upon testimony from Smith, who concluded the boy had been strangled or smothered. She was sentenced to life in prison, and her two other children were taken from her and put up for adoption. Marquardt's conviction was set aside on 10 February 2011 by the Ontario Court of Appeal. Prosecutors agreed her trial had been faulty because of Smith's unreliable testimony, but they would not say whether a retrial would be sought or not. On June 6th, murder charges were withdrawn.

Outcome

In 2002, Smith was reprimanded with a caution by the Ontario College of Physicians and Surgeons for his work on three suspicious-death cases, and in 2003 he was removed from performing autopsies.

In July 2005 he resigned from Sick Children's Hospital to take up a position at Saskatoon City Hospital
Saskatoon City Hospital
Saskatoon City Hospital is a public hospital in the City Park neighborhood of Saskatoon, Saskatchewan. It was originally opened in 1909, and it was the second municipal hospital in Canada. The hospital is operated by the Saskatoon Health Region....

 in Saskatchewan. He failed to mention to his new employers that he was under investigation for misconduct in Ontario. In December 2005 he was dismissed. He successfully appealed, but was not reinstated because he was not licensed to practise in Saskatchewan. He then pled guilty to a charge of unprofessional conduct laid by the College of Physicians and Surgeons of Saskatchewan, for his failure to disclose that he was under investigation in Ontario
Ontario
Ontario is a province of Canada, located in east-central Canada. It is Canada's most populous province and second largest in total area. It is home to the nation's most populous city, Toronto, and the nation's capital, Ottawa....

.

In June 2005, the Chief Coroner of Ontario ordered a review of 44 autopsies carried out by Smith. Thirteen of these cases had resulted in criminal charges and convictions. The report was released in April 2007, indicating that there were substantial problems with 20 of the autopsies.

In response to this report, Ontario Attorney General Michael Bryant announced that there would be a full public inquiry
Public inquiry
A Tribunal of Inquiry is an official review of events or actions ordered by a government body in Common Law countries such as the United Kingdom, Ireland or Canada. Such a public inquiry differs from a Royal Commission in that a public inquiry accepts evidence and conducts its hearings in a more...

 into the state of pediatric forensic pathology in Ontario. The Goudge Inquiry
Goudge Inquiry
The Inquiry into Pediatric Forensic Pathology in Ontario, commonly known as the Goudge Inquiry, was created to address serious concerns over the way criminally suspicious deaths involving children are handled by the Province of Ontario in Canada....

began hearing evidence on November 12, 2007. Justice Goudge's report, released on October 1, 2008 concluded that there were serious problems with the way suspicious deaths involving children are handled in Ontario. He pointed to the problems that had been found with the 20 or so problematic cases that Charles Smith had handled as evidence of serious problems in the Ontario system.

As of 2007 Smith has been living in Victoria, British Columbia, with partner Dr Bonnie Leadbeater, director of the Centre for Youth and Society at the University of Victoria.

On February 1, 2011 Smith was stripped of his licence during a hearing by the College of Physicians and Surgeons of Ontario examining "disgraceful conduct".

External links


Report and inquiry

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