Coronial
VICother

Finding into death of Phi Long Dang

Deceased

Phi Long Dang

Demographics

35y, male

Date of death

2024-08-04

Finding date

2026-05-27

Cause of death

Methylamphetamine toxicity; chronic hepatitis as contributing factor

AI-generated summary

Phi Long Dang, a 35-year-old Vietnamese man remanded at Fulham Correctional Centre on drug trafficking charges, died from methylamphetamine toxicity on 4 August 2024. During a visit on 3 August, he likely ingested a balloon containing methylamphetamine that prison security screening failed to detect. The balloon was not retrieved, and methylamphetamine leaked into his stomach over 18 hours, causing stimulant-induced cardiac arrhythmia and acute heart failure. Post-mortem blood levels were very high at 6.2mg/L. Chronic hepatitis B was a contributing factor. Investigations found systemic failures: limitations in barrier control technology, inadequate monitoring of visitor contact, and poor information sharing between the Prison Intelligence Unit and custodial teams. The emergency response was appropriate. No clinical care failures were identified. Improvements to barrier control technology and information-sharing protocols have been implemented.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • Chronic hepatitis B infection
  • Ingestion of methylamphetamine-containing balloon
  • Leakage of methylamphetamine from balloon into stomach
  • Limitations in barrier control technology
  • Inadequate monitoring of visitor contact
  • Poor information sharing between Prison Intelligence Unit and custodial staff
  • Undetected contraband during visitor screening

Coroner's recommendations

  1. Prison Intelligence Unit at Fulham to complete and disseminate monthly intelligence product on emerging trends and risks to relevant custodial staffing groups to influence a more proactive prevention approach
  2. Review and upgrade barrier control technology and detection systems at Fulham
  3. Improve information sharing protocols between Prison Intelligence Unit and custodial teams to guide intelligence-led contraband detection operations
Full text

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