This is an archive of the Inquiry into Pediatric Forensic Pathology in Ontario website, which was last updated in October 2008 and will not be updated further.

If you have difficulty accessing any material, please contact the ministry.

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  Français Updated October 1, 2008                     


Commissioner Stephen T. Goudge released the Report of the Inquiry into Pediatric Forensic Pathology in Ontario on October 1, 2008. It was transmitted to Attorney General Chris Bentley shortly before the public release.

The Report

Commissioner's Statement on Release of the Report, October 1, 2008  

Printed copies and CD-Roms are available for purchase at Publications Ontario outlets after the date of release. Publications Ontario can be reached at 1-800-668-9938 or through their website.

The Inquiry into Pediatric Forensic Pathology in Ontario

The Inquiry into Pediatric Forensic Pathology in Ontario was established by the Government of Ontario under the Public Inquiries Act on April 25, 2007. The Honourable Stephen T. Goudge was appointed Commissioner.

The Inquiry's mandate was to conduct a systemic review and an assessment of the policies, procedures, practices, accountability and oversight mechanisms, quality control measures and institutional arrangements of pediatric forensic pathology in Ontario from 1981 to 2001 as they relate to its practice and use in investigations and criminal proceedings. The Commissioner was asked to make recommendations to address systemic failings and restore and enhance public confidence in pediatric forensic pathology in Ontario.

The Commission's mandate did not include reporting on any individual cases that have been or may be subject to a criminal investigation or proceeding. However, members of the Commission met privately with individuals or families affected by practices in Ontario's pediatric forensic pathology system between 1981 and 2001. These meetings were not part of the formal hearing process. There are no transcripts of the meetings.

The Order in Council Establishing the Inquiry
Amendment to Order in Council (changing date)  


  ©2008 Inquiry into Pediatric Forensic Pathology in Ontario