B.
Kane County Coroner's Office (Coroner Monica Silva)
Coroner Silva presented an overview of the Kane County Coroner's Office. She stated
that the Kane County Coroner's Office plays a crucial role in the investigation of deaths
within a jurisdiction. The office is tasked with determining the cause and manner of
death. Coroners are essential to maintaining public health, safety, and justice. Silva
shared the five manners of deaths: accident, suicide, homicide, natural, or
undetermined. She spoke on the job responsibilities and duties of the Coroner's Officer
when initially responding to a death. She stated that the Kane County Coroner's Office
staff are highly qualified, highly trained professionals who work under vast
circumstances to do the job. Additionally, the majority of staff is women. Silva spoke on
autopsy examinations and toxicology. Autopsies provide vital information about the
cause of death contributing to public health data and help solve potential criminal
cases. The Coroner's Office collaborates with a forensic pathologist, who is responsible
with performing the autopsies. Kane County has three outsourced forensic pathologists
that handle the County's autopsies. Silva explained that the Coroner's Office has three
categories of cases: Return to Medical (RTM), Sign Out (SO), and Sign Out Unnatural
(SOU). She provided specific information and duties of the Coroner's Office for each of
these categories. Silva spoke on toxicology. The Coroner shall take blood, urine, bodily
fluid, and/or tissue samples to conduct toxicology reports. A toxicology report costs
approximately $250 to $600 per case. The Kane County Coroner's Office spent
$134,896 in FY2024 on toxicology. Silva provided additional information on autopsies.
An autopsy costs $1,750 per examination which can take approximately two to three
hours in homicide cases. This becomes a longer time frame with the review of records,
toxicology reports, and the generation of an official report. In 2024, the total cost of
these autopsies was $460,650. Silva addressed questions and comments from the
Committee. Discussion ensued.
Silva spoke on the generation of death certificates. Every coroner, as soon as they
shall have completed their investigation into the cause and circumstances of any death
coming within their jurisdiction hereunder, shall issue a death certificate. Silva spoke on
the importance of issuing death certificates in a timely manner. Silva addressed
questions and comments from the Committee.
Silva spoke on the financial considerations, such as how the Coroner can reduce costs
legally, ethically, and practically. If the office can reduce costs, there are two major
areas to consider: toxicology and autopsies. Silva stated that hiring a full-time Forensic
Pathologist instead of outsourcing would save the County money. Additionally, the
Coroner's Office could cut cost by utilizing the medical facts to ensure judicious
determination of what cases necessitate autopsies without jeopardizing the pursuit of
justice, and innovate a state of the art, accredited in-house forensic laboratory for
toxicology. Silva addressed questions and comments from the Committee. Discussion
ensued.
Silva spoke on the implications of what the Coroner's Office does, such as cold
cases/safety. Lastly, she shared that the Coroner's Office is looking into Public Health
considerations, such as providing real time data with Fentanyl and other opiate-related
deaths, ensuring that contributing factors are reported, veteran suicide death reporting,
and tracking of emerging hazards. In closing, Silva stated that the Coroner's Office is a