Maggots ate organs of Indian toddler, US doctor unable to perform autopsy

Agencies
June 27, 2019

Houston, Jun 27: When the body of 3-year-old Indian toddler Sherin Mathews reached the morgue, maggots had eaten her internal organs, the doctor who performed the autopsy on the toddler in 2017 has told jurors in Dallas, Texas.

The Indian-American foster father of Sherin, Wesley Mathews, in an unexpected move, pleaded guilty on Monday to injury to a child by omission, a lesser charge, at the start of what was supposed to be his capital murder trial.

On the second day of the trial on Tuesday, 39-year-old Mathews said in a testimony that he raised his voice at Sherin while he was trying to get her to drink her milk in the garage. That startled her, and she began to choke on the milk.

He initially claimed that as punishment for not drinking her milk he sent Sherin outside at 3 am to stand by a tree outside the backyard of their home in Richardson, Texas. When he checked in on her 15 minutes later, Mathews said Sherin was missing.

Two weeks later, when Sherin’s body was found in a nearby culvert by a cadaver dog, Mathews changed his story, claiming he “physically assisted” his adopted daughter in drinking the milk and that the toddler choked.

Mathews and his wife Sini Mathews, both from Kerala, adopted Sherin (born as Saraswati) from an orphanage in Bihar in 2016.

Dr Elizabeth Ventura, the forensic pathologist who performed Sherin’s autopsy in October 2017, testified on Tuesday about her conclusions in the toddler’s death.

Ventura said she could not determine how Sherin died as the body was too decomposed to get an official cause of death.

She told the jurors -- four women and eight men -- that maggots had eaten Sherin’s internal organs away as her body was discovered in a trash bag in a culvert two weeks after her death. Ventura said that due to the decomposition of the child’s vital organs like the heart and lungs, she was unable to perform an internal autopsy and determine her cause of death.

Complicating the issue of determining how Sherin died was the absence of other evidence, including the clothes that Mathews washed before calling to report his daughter missing.

Sherin’s body was too decomposed to determine any other medical conditions at the time of her death, she said.

She ruled the manner of Sherin’s death “homicidal violence” due to the circumstances surrounding the case, Ventura told the jurors.

The pathologist also did not agree with the claim of Mathews that Sherin choked to death on milk.

“It’s not a cause of death that I have run across,” said Ventura. “We have yet to have a case where a child died from drinking milk,” she told the jury.

Apart from Dr Ventura, authorities testified that there were many red flags surrounding Mathews that made them believe Sherin was murdered.

According to Suzanne Dakil of the Referral and Evaluation of At Risk Children Clinic (REACH), Sherin was deficient in Vitamin D, had scurvy, and showed signs of physical abuse.

Dakil testified the Sherin had five broken bones within eight months. Authorities said Mathews’ casual and uncaring attitude, coupled with other evidence and information, was enough for them to charge him with capital murder.

Mathews still faces life in prison and prosecutors urged the jury on Monday to choose that sentence. The jury could decide on a lighter sentence, US media reports said.

In his testimony, Mathews said fear prevented him from asking for help, even from his wife, Sini, a registered nurse. At first, he hoped Sherin would be revived if he prayed hard enough. For a second, he said, he wanted a venomous snake to jump from the culvert and bite him so he could be with the toddler again.

He said he acted alone because he was terrified that his wife or his other daughter would see Sherin lifeless and that Child Protective Services would get involved.

“I keep going over and over again back to that night and I keep asking myself why was I being driven by fear,” Mathews said. “I was just completely driven by fear, and I can’t imagine that level of stupidity I went to driven by fear,” Mathews was quoted as saying by the Dallas Morning News.

Mathews said he then decided to try to find a place where he could protect her body, preserving her until he could give her a proper burial.

“I refused to believe that my child had completely gone from the world,” Mathews testified on Tuesday. He said he believed if he “prayed hard and strong enough” Sherin might be resurrected, like Lazarus. Police charged Sherin’s foster monther Sini with child abandonment in November 2017, after her husband told officials the couple left Sherin alone the night of her death while they went to dinner with their biological daughter. Sini’s case was dismissed in March this year after prosecutors said they could not prove it beyond a reasonable doubt.

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News Network
February 10,2020

New Delhi, Feb 10: Former Jammu and Kashmir chief minister Omar Abdullah's sister on Monday moved the Supreme Court to challenge his detention under the Public Safety Act.

Senior advocate Kapil Sibal, appearing for the petitioner, mentioned the matter for urgent listing before a bench headed by Justice N V Ramana.

Sibal told the bench that they have filed a habeas corpus petition challenging the detention of Abdullah under the PSA and the matter should be heard this week.

The bench agreed for urgent listing of the matter.

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News Network
June 4,2020

London, Jun 4: Meghan, Britain's Duchess of Sussex, has spoken about events following the death of George Floyd saying she was sorry that children had to grow up in a world where racism still existed and that current events in the United States were "devastating".

"I know you know that black lives matter," Meghan said in a video she recorded for students graduating from her old high school in Los Angeles which was aired on Wednesday.

The death of Floyd has become the latest flashpoint for long-simmering rage over police brutality against African Americans and led to nationwide protests, some violent, with curfews imposed in some cities to quell the disorder.

"For the past couple of weeks I've been planning on saying a few words to you for your graduation and as we've all seen over the last week what is happening in our country, and in our state and in our home town of LA is absolutely devastating," said Meghan, whose mother is African American and father is white.

"First thing I want to say to you is that I'm sorry, I'm so sorry that you have to grow up in a world where this is still present," she said in her message to the girls at the Immaculate Heart High School.

The duchess, a former US actress and wife of Queen Elizabeth's grandson Prince Harry, said she wanted to say "the right thing" and was nervous her words would be "picked apart".

"The only wrong thing to say is to say nothing. Because George Floyd's life mattered, and Breonna Taylor's life mattered, and Philando Castile's life mattered and Tamir Rice's life mattered and so did so many other people whose names we know, and whose names we do not know," she said.

Britain's royal family by tradition does not comment on political issues. However, Meghan and Harry stepped down from their official royal roles at the end of March and are now living in Los Angeles with their baby son Archie.

In her message, the 38-year-old reflected on her own memories of the 1992 LA riots.

"Those memories don't go away and I can't imagine that at 17 or 18 years old, which is how old you are now, that you would have to have a different version of that same type of experience," she said.

"That's something you should have an understanding of, but an understanding of as a history lesson not as your reality. So I'm sorry that in a way we have not gotten the world to the place you deserve it to be."

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News Network
February 26,2020

Feb 26: China’s massive travel restrictions, house-to-house checks, huge isolation wards and lockdowns of entire cities bought the world valuable time to prepare for the global spread of the new virus.

But with troubling outbreaks now emerging in Italy, South Korea and Iran, and U.S. health officials warning Tuesday it’s inevitable it will spread more widely in America, the question is: Did the world use that time wisely and is it ready for a potential pandemic?

“It’s not so much a question of if this will happen anymore, but rather more a question of exactly when this will happen — and how many people in this country will have severe illness,” said Dr. Nancy Messonnier of the U.S. Centers for Disease Control and Prevention.

Some countries are putting price caps on face masks to combat price gouging, while others are using loudspeakers on trucks to keep residents informed. In the United States and many other nations, public health officials are turning to guidelines written for pandemic flu and discussing the possibility of school closures, telecommuting and canceling events.

Countries could be doing even more: training hundreds of workers to trace the virus’ spread from person to person and planning to commandeer entire hospital wards or even entire hospitals, said Dr. Bruce Aylward, the World Health Organization’s envoy to China, briefing reporters Tuesday about lessons learned by the recently returned team of international scientists he led.

“Time is everything in this disease,” Aylward said. “Days make a difference with a disease like this.”

The U.S. National Institutes of Health’s infectious disease chief, Dr. Anthony Fauci, said the world is “teetering very, very close” to a pandemic. He credits China’s response for giving other nations some breathing room.

China locked down tens of millions of its citizens and other nations imposed travel restrictions, reducing the number of people who needed health checks or quarantines outside the Asian country.

It “gave us time to really brush off our pandemic preparedness plans and get ready for the kinds of things we have to do,” Fauci said. “And we’ve actually been quite successful because the travel-related cases, we’ve been able to identify, to isolate” and to track down those they came in contact with.

With no vaccine or medicine available yet, preparations are focused on what’s called “social distancing” — limiting opportunities for people to gather and spread the virus.

That played out in Italy this week. With cases climbing, authorities cut short the popular Venice Carnival and closed down Milan’s La Scala opera house. In Japan, Prime Minister Shinzo Abe called on companies to allow employees to work from home, while the Tokyo Marathon has been restricted to elite runners and other public events have been canceled.

Is the rest of the world ready?

In Africa, three-quarters of countries have a flu pandemic plan, but most are outdated, according to authors of a modeling study published last week in The Lancet medical journal. The slightly better news is that the African nations most connected to China by air travel — Egypt, Algeria and South Africa — also have the most prepared health systems on the continent.

Elsewhere, Thailand said it would establish special clinics to examine people with flu-like symptoms to detect infections early. Sri Lanka and Laos imposed price ceilings for face masks, while India restricted the export of personal protective equipment.

India’s health ministry has been framing step-by-step instructions to deal with sustained transmissions that will be circulated to the 250,000 village councils that are the most basic unit of the country’s sprawling administration.

Vietnam is using music videos on social media to reach the public. In Malaysia, loudspeakers on trucks blare information through the streets.

In Europe, portable pods set up at United Kingdom hospitals will be used to assess people suspected of infection while keeping them apart from others. France developed a quick test for the virus and has shared it with poorer nations. German authorities are stressing “sneezing etiquette” and Russia is screening people at airports, railway stations and those riding public transportation.

In the U.S., hospitals and emergency workers for years have practiced for a possible deadly, fast-spreading flu. Those drills helped the first hospitals to treat U.S. patients suffering from COVID-19, the disease caused by the virus.

Other hospitals are paying attention. The CDC has been talking to the American Hospital Association, which in turn communicates coronavirus news daily to its nearly 5,000 member hospitals. Hospitals are reviewing infection control measures, considering using telemedicine to keep potentially infectious patients from making unnecessary trips to the hospital and conserving dwindling supplies of masks and gloves.

What’s more, the CDC has held 17 different calls reaching more than 11,000 companies and organizations, including stadiums, universities, faith leaders, retailers and large corporations. U.S. health authorities are talking to city, county and state health departments about being ready to cancel mass gathering events, close schools and take other steps.

The CDC’s Messonnier said Tuesday she had contacted her children’s school district to ask about plans for using internet-based education should schools need to close temporarily, as some did in 2009 during an outbreak of H1N1 flu. She encouraged American parents to do the same, and to ask their employers whether they’ll be able to work from home.

“We want to make sure the American public is prepared,” Messonnier said.

How prepared are U.S. hospitals?

“It depends on caseload and location. I would suspect most hospitals are prepared to handle one to two cases, but if there is ongoing local transmission with many cases, most are likely not prepared just yet for a surge of patients and the ‘worried well,’” Dr. Jennifer Lighter, a pediatric infectious diseases specialist at NYU Langone in New York, said in an email.

In the U.S., a vaccine candidate is inching closer to first-step safety studies in people, as Moderna Inc. has delivered test doses to Fauci’s NIH institute. Some other companies say they have candidates that could begin testing in a few months. Still, even if those first safety studies show no red flags, specialists believe it would take at least a year to have something ready for widespread use. That’s longer than it took in 2009, during the H1N1 flu pandemic — because that time around, scientists only had to adjust regular flu vaccines, not start from scratch.

The head of the World Health Organization, Tedros Adhanom Ghebreyesus, said the U.N. health agency’s team in China found the fatality rate between 2% and 4% in the hard-hit city of Wuhan, the virus’ epicenter, and 0.7% elsewhere.

The world is “simply not ready,” said the WHO’s Aylward. “It can get ready very fast, but the big shift has to be in the mindset.”

Aylward advised other countries to do “really practical things” now to get ready.

Among them: Do you have hundreds of workers lined up and trained to trace the contacts of infected patients, or will you be training them after a cluster pops up?

Can you take over entire hospital wards, or even entire hospitals, to isolate patients?

Are hospitals buying ventilators and checking oxygen supplies?

Countries must improve testing capacity — and instructions so health workers know which travelers should be tested as the number of affected countries rises, said Johns Hopkins University emergency response specialist Lauren Sauer. She pointed to how Canada diagnosed the first traveler from Iran arriving there with COVID-19, before many other countries even considered adding Iran to the at-risk list.

If the disease does spread globally, everyone is likely to feel it, said Nancy Foster, a vice president of the American Hospital Association. Even those who aren’t ill may need to help friends and family in isolation or have their own health appointments delayed.

“There will be a lot of people affected even if they never become ill themselves,” she said.

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