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WAhospital2020-04-02

Inquest into the Death of Valerie KELLY

67y · Female·bronchopneumonia and acute liver failure on a background of liver cirrhosis and …

Valerie Kelly, a 67-year-old woman with cirrhosis, hepatocellular carcinoma, and multiple comorbidities, died at Royal Perth Hospital from bronchopneumonia and acute liver failure. She was in custody at Bandyup Women's P…

hepatologygastroenterologycommunicationsystemolanzapine
WA2020-03-31

Inquest into the Suspected Death of Charles Donald BATES

65y · Male·Drowning

Charles Donald Bates, aged 65, disappeared while fishing off Ningaloo Reef near Coral Bay on 28 July 1977 after his boat was swamped and capsized by a freak wave. Both men were thrown into the water; his companion surviv…

WA2020-03-31

Inquest into the Suspected Death of Malcolm Andrew CARPENTER

27y · Male·Misadventure - drowning following immersion in sea after slipping from rocks

Malcolm Andrew Carpenter, aged 27, disappeared while fishing from rocks at Mutton Bird Beach, Albany, Western Australia on 25 May 1975. He slipped into the water and was never recovered. This coronial finding, investigat…

WA2020-03-31

Inquest into the Suspected Death of Richard Lakeman RYALL

61y · Male·Suicide

Richard Lakeman Ryall, a 61-year-old mechanic, disappeared in November 1986 after leaving a letter indicating his intention to end his life due to perceived cancer pain. His vehicle was found abandoned near Lake Muir, We…

delay
WAhospital2020-03-27

Inquest into the Death of Alexander Robert EATTS

73y · Male·Complications, including multi-organ failure and pneumonia, of chronic obstructi…

Alexander Robert Eatts, a 73-year-old prisoner with severe chronic obstructive pulmonary disease (COPD), congestive cardiac failure, and multiple comorbidities, died from complications of COPD including multi-organ failu…

respiratory medicinecardiology
WAaged care2020-03-27

Inquest into the Death of Laureen Kaye REILLY

54y · Female·combined drug toxicity (heroin, morphine, cannabis, and prescription medications…

Laureen Kaye Reilly, aged 54, died from combined drug toxicity involving heroin, cannabis, and prescription medications including antipsychotics and mood stabilizers. She had complex mental health disorders, acquired bra…

psychiatrygeneral practiceheroin
WAhospital2020-03-20

Inquest into the Death of Norman Alexander HAZELGROVE

73y · Male·metastatic carcinoma of the lung with palliation

Norman Hazelgrove, a 73-year-old prisoner, died from metastatic lung carcinoma in September 2017. Early in his imprisonment (2013), a chest X-ray showed COPD but this diagnosis was not formally documented or managed desp…

respiratory medicineoncologydiagnosticsystemantihypertensive medication
WA2020-03-09

Inquest into the Suspected Death of Qianfang ZHANG

22y · Male·Unascertained; most likely immersion following fall or jump from vessel deck

Qianfang Zhang, a 22-year-old Chinese national employed as a mess boy on the bulk carrier Stella Anita, disappeared on 16 September 2017 in the Indian Ocean off Western Australia. He was last seen alive at 8 pm wearing a…

WAcommunity2020-03-04

Inquest into the Suspected Death of Gordon COLLEY

38y · Male·Hallucination, dehydration and exposure, exacerbated by untreated mental illness…

Gordon Colley, a 38-year-old Aboriginal man from the Marto people, disappeared on 7 December 1997 from Mundiwindi Station near Newman, Western Australia. He was known to have mental health issues requiring anti-psychotic…

psychiatrygeneral practicehaloperidol
WA2020-03-04

Inquest into the Suspected Death of Charles O'NEILL

38y · Male·death not established

This finding concerns Charles O'Neill, who disappeared from Dampier, Western Australia in April 1969. No medical or clinical issues were involved. The coroner was unable to establish beyond reasonable doubt that Mr O'Nei…

investigationcommunication
WAcommunity2020-03-04

Inquest into the Suspected Death of Jackie PALMER

70y · Male·Open finding - manner and cause undetermined

Jackie Palmer, a 70-year-old Aboriginal man, disappeared from a bush camp near Capricorn Roadhouse, Newman on 31 December 1994. An extensive search involving police, trackers, and aircraft was conducted over several days…

WA2020-03-04

Inquest into the Suspected Death of Andrew Inez RODRIGUES

55y · Male·Drowning - lost at sea

Andrew Inez Rodrigues, a 55-year-old Indian waiter employed on the bulk carrier MV Chennai Nermai, disappeared at sea on 18 December 1993 while the vessel travelled from Fremantle towards Cape Naturaliste Reef, Western A…

WAcommunity2020-02-25

Inquest into the Suspected Death of Gloria Anne McCARTHY

2y · Female·Misadventure - most likely drowning or shark attack while in or near rock pools …

Gloria Anne McCarthy, aged 22 months, disappeared while swimming on a beach at One Arm Point on the Dampier Peninsula in November 1972. Her mother had allowed the three young children to swim in rock pools approximately …

WA2020-02-25

Inquest into the Suspected Death of Arthur Edwin MOZES

21y · Male·Drowning

Arthur Edwin Mozes, a 21-year-old Dutch third assistant engineer aboard the bulk carrier MBC Lyra, disappeared on 6 October 1971 while the vessel was anchored off Dampier, Western Australia. The coroner established beyon…

alcohol
WAhospital2020-02-20

Inquest into the Death of Eric WUMBIE

37y · Male·valvular and ischaemic heart disease

Eric Wumbie, a 37-year-old Aboriginal male prisoner, died from valvular and ischaemic heart disease on 13 April 2016 following intraoperative cardiac arrest during planned cardiothoracic surgery at Fiona Stanley Hospital…

cardiologycardiothoracic surgerysystemcommunication
WA2020-02-05

Inquest into the Death of Tania Marie HODGKINSON

48y · Female·Ligature compression of the neck (hanging)

Tania Marie Hodgkinson, a 48-year-old Aboriginal woman, died by suicide via ligature compression while remanded at Bandyup Women's Prison on 23 March 2017. She had been admitted with heroin withdrawal symptoms, grief fro…

psychiatrypsychologycommunicationsystemheroin
WAcommunity2020-02-03

Inquest into the Death of Jose DA SILVA

34y · Male·unascertained; most likely immersion after swimming at City Beach

Jose da Silva, a 34-year-old man with a history of schizophrenia and problematic alcohol use, disappeared on 30 April 2017 from Perth, Western Australia. The coroner found he died on or about that date, most likely from …

psychiatrygeneral practiceolanzapine
WAhome2020-01-16

Inquest into the Deaths of Zaraiyah-Lily HEADLAND and Andreas Hohaia HEADLAND

Unknown·asphyxiation in a child with drug effect

Two young children, aged 5 and 3, died following filicide by their father during a parental separation. The father purchased sedative medication (Restavit) on the afternoon of the deaths and administered it to the childr…

emergency medicinepaediatricssystemdelaydoxylamine
WA2019-12-30

Inquest into the Deaths of Uock PHAM and Justin O'NEILL and Jacob PHAM and Tuan PHAM

Male·immersion (confirmed for Justin O'Neill and Jacob Pham; unascertained for Uock P…

This tragic inquest examined the sinking of the recreational fishing vessel 'Yeah Buoy' on 4 October 2018 in the Indian Ocean near Rottnest Island, Western Australia, which resulted in four deaths: Uock Pham (50), Tuan P…

systemcannabis
WAhospital2019-12-20

Inquest into the Death of Child TJW

7y · Female·aspiration pneumonia leading to multi-organ failure in a female child with compl…

A child with severe cerebral palsy, hypoxic ischaemic encephalopathy, microcephaly and seizure disorder died of aspiration pneumonia leading to multi-organ failure. Born with severe perinatal brain injury, she had comple…

paediatricsneurologymorphine
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