Prevention of Future Deaths reports · 2015

Anthony Garrett

Regulation 28 report to prevent future deaths, reference 2015-0153, written 21 Apr 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report21 Apr 2015
Reference2015-0153
DeceasedAnthony Garrett
CoronerRachael Griffin
Coroner areaManchester (West)
CategoryAlcohol, drug and medication related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

The report

Text recovered by OCR from a scanned PDF. OCR is imperfect: check anything you rely on against the source PDF. Reproduced verbatim, including the scan's own layout.

REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)

NOTE: This form is to be used after an inquest.

| REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
THIS REPORT IS BEING SENT TO:

1. The Home Secretary, the Rt Hon Teresa May MP
2. The Minister of State for Crime Prevention, the Rt Hon Lynne

Featherstone
3. The Advisory Council on the Misuse of Drugs
7
1 | CORONER

T am Rachael Clare Griffin, Assistant Coroner, for the Coroner Area of
Manchester West

2 | CORONER'S LEGAL POWERS

I make this report under paragraph 7, Schedule 5, of the Coroners and Justice
Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations
2013.

|
3 | INVESTIGATION and INQUEST

On the 5" November 2014 I commenced an investigation into the death of
Anthony Peter Kristian Garrett, born on the 11" July 1979.

The investigation concluded at the end of the inquest on the 10" April 2015.
The Medical Cause of Death was

la Hypoxic-Ischaemic Encephalopathy
1b Toxicity from alcohol and synthetic cannabinoids

The conclusion of the inquest was that Anthony Peter Kristian Garrett died as a
consequence of a combination of alcoho! consumption and misuse of synthetic
cannabinoids.

4 | CIRCUMSTANCES OF THE DEATH

On the 30" October 2014 Mr Garrett, who had been drinking alcohol throughout
the day, was seen to smoke from a pipe which contained a substance called
Cherry Bomb, at around lunchtime that day. Cherry Bomb is a substance that is
sold as herbal incense, and is commonly referred to as a legal high. As soon as
Mr Garrett had smoked this substance he was seen to collapse. Although he was
initially thought to be asleep, it was soon established that he was unconscious,
and the North West Ambulance Service was contacted. He was transported to
the Royal Bolton Hospital, Bolton, but sadly he never regained consciousness,
and died the following day. _

a
CORONER’S CONCERNS

During the course of the inquest the evidence revealed matters giving rise to
concern. In my opinion there is a risk that future deaths will occur unless action
is taken. In the circumstances it is my statutory duty to report to you.

The MATTERS OF CONCERN are as follows:

1. During the inquest evidence was heard that:

Following toxicological analysis upon Mr Garrett’s blood, which
was taken Post Mortem, there was found to be the presence of a
compound known as STS-135, which indicated the use of
synthetic cannabinoids prior to Mr Garrett’s death. This is a
compound that may be marketed as herbal incense.

Cherry Bomb is a substance that is marketed as herbal incense
and although it is sold with a warning that it is not for human
consumption, it is a substance that is misused by people who
smoke it. Cherry Bomb was the substance that Mr Garrett was
seen to smoke immediately before his collapse, and so is believed
to have contained the compound STS-135, the synthetic
cannabinoid that was found within his post mortem blood.

This use of synthetic cannabinoids, together with the
consumption of alcohol led to Mr Garrett’s death, however it was
felt that it was the synthetic cannabinoid which had caused the
sudden collapse, as the substance is known to cause irregular
heartbeats, and can therefore trigger a fatal arrhythmia.

Although the death was a combination of the alcohol and
synthetic cannabinoid, it was confirmed that the synthetic
cannabinoid in itself is dangerous and potentially harmful and the
effects of the substance are unpredictable.

2. Ihave concerns that Synthetic Cannabinoids are readily available
substances in the community, which are legally and commonly sold as
herbal incense. They are sold with a warning that they are not for
human consumption, but are misused and consumed by people.
Consequently they can be dangerous and potentially life threatening to
those who use them in this way.

3. I therefore request that the above concerns are considered and a review
is undertaken regarding the status and control of these dangerous
substances,

6 | ACTION SHOULD BE TAKEN

In my opinion urgent action should be taken to prevent future deaths and I
believe you and/or your organisation have the power to take such action.

7 | YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this
report, 16" June 2015. I, the coroner, may extend the period.

Your response must contain details of action taken or proposed to be taken,
setting out the timetable for action. Otherwise you must explain why no action
iS proposed.

8 | COPIES and PUBLICATION

T have sent a copy of my report to the Chief Coroner and to the following
Interested Persons:

(1) Mr Garrett’s sister on behalf of his family

Tam also under a duty to send the Chief Coroner a copy of your response.

The Chief Coroner may publish either or both in a complete or redacted or
summary form. He may send a copy of this report to any person who he
believes may find it useful or of interest. You may make representations to me,
the coroner, at the time of your response, about the release or the publication
of your response by the Chief Coroner.

9 | Dated

21* April 2015 Rachael C Griffin

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