Deceased
Meeram Bano
Demographics
2y, female
Coroner
Coroner Audrey Jamieson
Date of death
2021-12-30
Finding date
2023-09-18
Cause of death
Hypoxic ischaemic encephalopathy in the setting of immersion
AI-generated summary
Meeram Bano, aged 2 years, died from hypoxic ischaemic encephalopathy following immersion in a pond at Footscray Park on 27 December 2021. She was declared dead on 30 December 2021. While under adult supervision at a family gathering, Meeram accessed an unfenced pond covered in algae and vegetation that obscured the water's edge. The pond's depth (up to 90cm) and slippery surface created a hazard invisible to supervising adults. This was the second child drowning at the same location within 6 months. The coroner found the death preventable, citing the council's failure to act urgently on safety recommendations following the first drowning. Key failings included inadequate signage about waterways, vegetation obstructing sight lines, and gaps in playground fencing. The council subsequently implemented comprehensive safety measures including fencing, signage, vegetation management, and airlock gate systems.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
Procedures
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