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Coroner’s reportPrevention of future deaths · 2021-0145

“The evidence during the course of the Inquest gave rise to a concern as to a knowledge…”

Dated 7 May 2021, from the coroner for East London. Sent to 1 organisation or person.

A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.

Read the full report on judiciary.uk

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The 56-day response deadline

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Replies were due by 2 Jul 2021. A reply may have been sent and not yet published.

Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk.

  1. Report dated7 May 2021
  2. Deadline2 Jul 2021
  3. Published on judiciary.uk18 May 2021
  4. Today27 Oct 2026

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Public Health EnglandDeadline passedNo response published on judiciary.uk so far. The 56-day deadline was 2 Jul 2021. A reply may have been sent and not yet published.

The coroner’s concerns

– The evidence during the course of the Inquest gave rise to a concern as to a knowledge gap in relation to the organism Capncytophagia canimorsus. The attending doctors were not familiar with this form of bacteria living within the mouths of dogs and cats and how easy it is to infect people with this organism. A severe traumatic injury is not required for infection to develop. This organism can cause an overwhelming infection in susceptible individuals. The Inquest heard that conditions such as type II diabetes and hepatic steatosis render the individual to a higher risk of serious infection. The inquest heard that raising awareness of this organism and the underlying high risk medical conditions within the medical profession, may prevent future deaths. The Inquest also heard that there may be a need for greater public awareness in relation to the need to seek urgent medical attention if a person suffers from a relevant underlying illness and becomes generally unwell following a dog or cat bite.

An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.

Source
judiciary.uk, Prevention of Future Deaths reports, 2021-0145
Added to Minute Book
8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0

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