CDC warns residents in eight U.S. states of cut-fruit Salmonella outbreak

Under a very high magnification of 12000X, this colorized scanning electron micrograph shows a large grouping of Gram-negative Salmonella bacteria. REUTERS/Janice Haney Carr/CDC/Handout

By David Shepardson

WASHINGTON (Reuters) – The head of the U.S. Food and Drug Administration on Sunday urged residents of eight U.S. states to check for recalled pre-cut melon that is linked to an outbreak of Salmonella.

The FDA and U.S. Centers for Disease Control are investigating an outbreak linked to 60 illnesses and at least 31 hospitalizations in five states. No deaths have been reported and the agencies urged residents in the eight states to throw out any melon that may have been recalled.

On Friday, Caito Foods LLC, a unit of SpartanNash Co, recalled fresh-cut watermelon, honeydew melon, cantaloupe and fresh-cut mixed fruit products containing one of those melons produced at a Caito Foods facility in Indianapolis.

The recalled products were distributed to Georgia, Illinois, Indiana, Kentucky, Michigan, Missouri, North Carolina, and Ohio and sold in clear, plastic containers at stores including Costco Wholesale Corp, Kroger Co, Payless, Owen’s, Sprouts, Trader Joe’s, Walgreens, Walmart Inc, and Whole Foods, a unit of Amazon.com Inc.

FDA Commissioner Scott Gottlieb in a Twitter post late on Sunday urged people in the eight states to check the “fridge and freezer for recalled pre-cut melon linked to Salmonella outbreak.”

Of the 60 cases reported to date, 32 were reported in Michigan.

“Reports of illnesses linked to these products are under investigation, and Caito Foods is voluntarily recalling the products out of an abundance of caution,” the company said in a statement, adding it “has ceased producing and distributing these products as the company and FDA continue their investigation.”

Salmonella can result in serious illness and produce significant and potentially fatal infections in young children, frail or elderly people and others with weakened immune systems the company said.

The CDC said evidence suggested that melon supplied by Caito Foods “is a likely source of this multistate outbreak.”

The investigation is ongoing to determine if products went to additional stores or states, the agencies said.

(Reporting by David Shepardson; Editing by Peter Cooney)

Federal judge blocks Down syndrome abortion ban in Ohio

Supporters of Planned Parenthood (L) rally next to anti-abortion activists outside a Planned Parenthood clinic in Detroit, Michigan, U.S. February 11, 2017. REUTERS/Rebecca Cook

By Kim Palmer

CLEVELAND (Reuters) – A federal judge on Wednesday blocked an Ohio law due to take effect later this month that would criminalize abortions based on a Down syndrome diagnosis, ruling that it violates a woman’s right to choose.

U.S. District Judge Timothy Black’s decision came after the Ohio state chapter of the American Civil Liberties Union filed a lawsuit in federal court in Cincinnati, arguing the legislation violated the liberty and privacy clause of the Fourteenth Amendment of the U.S. Constitution.

“Because H.B. 214 prevents women from making the choice to terminate their pregnancy prior to viability, it is unconstitutional on its face,” Black wrote in his 22-page ruling.

Down syndrome is a genetic disorder caused when abnormal cell division results in an extra full or partial copy of chromosome 21.

Under the legislation, signed into law by Republican Governor John Kasich last December, doctors would lose their medical licenses in the state and face a fourth-degree felony charge if they were to perform an abortion with that knowledge.

Mothers would not face criminal charges.

“The Down syndrome abortion ban violates four and a half decades of legal precedent that says a woman has the unfettered right to choose whether to end a pregnancy before the point of viability,” Kellie Copeland, executive director of NARAL Pro-Choice Ohio said in a statement.

A spokesman for Ohio Attorney General Mike DeWine said Wednesday that his office was planning to defend the law passed by the state’s majority of Republican lawmakers.

“While we are reviewing this ruling to determine further action, the Ohio Attorney General’s Office will continue to vigorously defend Ohio law,” spokesman Dan Tierney said.

The Ohio law marks the 20th restriction on abortion and reproductive rights signed by Kasich since 2011, according to NARAL Pro-Choice Ohio.

Similar laws have been passed in Indiana and North Dakota. An Indiana District Court issued a permanent injunction on a similar Down syndrome abortion ban on Sept. 22, 2017.

(Reporting by Kim Palmer in Cleveland; Editing by Dan Whitcomb and Lisa Shumaker)

Two Ohio police officers shot dead responding to 911 call

Officer Anthony Morelli, 54, of Westerville Division of Police (WPD) is seen in this undated photo in Westerville, Ohio, U.S., released February 10, 2018. City of Westerville/

By Ian Simpson

Officer Eric Joering, 39, of Westerville Division of Police (WPD) is seen in this undated photo in Westerville, Ohio, U.S., released February 10, 2018. City of Westerville

Officer Eric Joering, 39, of Westerville Division of Police (WPD) is seen in this undated photo in Westerville, Ohio, U.S., released February 10, 2018. City of Westerville/Handout via REUTERS

(Reuters) – Two Ohio police officers were shot to death on Saturday while responding to a domestic disturbance in the Columbus suburb of Westerville, and a suspect was wounded and is in custody, officials said.

The two officers were immediately fired upon when they entered an apartment responding to a 911 call that had hung up, Westerville Police Chief Joe Morbitzer said at a news conference.

“These were two of the best we had. This was their calling and they did it right,” said Morbitzer, his voice halting and thick with emotion.

Officer Eric Joering, 39, died at the scene, and Officer Anthony Morelli, 54, died from his wounds at a hospital. Morbitzer said they had been responding to a “domestic situation.”

The suspect was wounded and taken to a hospital, a city spokeswoman said. The suspect’s condition and identity have not been released.

Columbus police are heading the investigation into the shooting, Morbitzer said.

Excluding Saturday’s shootings in Ohio, 12 U.S. law enforcement officers have been killed in the line of duty this year, nine in firearms-related incidents, according to the non-profit National Law Enforcement Officers Memorial Fund.

The Westerville shootings came a day after a Georgia police officer was shot and killed and two sheriff’s deputies were wounded by a gunman who was then killed.

U.S. President Donald Trump wrote on Twitter, “My thoughts and prayers are with the two police officers, their families, and everybody at the @WestervillePD.”

(Reporting by Ian Simpson; Editing by David Gregorio)

Supreme Court divided over Ohio voter purge policy

Activists rally outside the U.S. Supreme Court ahead of arguments in a key voting rights case involving a challenge to the OhioÕs policy of purging infrequent voters from voter registration rolls, in Washington, U.S., January 10, 2018.

By Andrew Chung

WASHINGTON (Reuters) – Conservative and liberal U.S. Supreme Court justices appeared at odds on Wednesday in a closely watched voting rights case, differing over whether Ohio’s purging of infrequent voters from its registration rolls — a policy critics say disenfranchises thousands of people — violates federal law.

The nine justices heard about an hour of arguments in Republican-governed Ohio’s appeal of a lower court ruling that found the policy violated a 1993 federal law aimed at making it easier to register to vote.

Conservative justices signaled sympathy to the state’s policy while two liberal justices asked questions indicating skepticism toward it. The court has a 5-4 conservative majority.

“The reason for purging is they want to protect voter rolls,” said Justice Anthony Kennedy, a conservative who often casts the deciding vote in close decisions. “What we’re talking about is the best tools to implement that purpose.”

The Supreme Court’s ruling, due by the end of June, could affect the ability to vote for thousands of people ahead of November’s midterm congressional elections.

States try to maintain accurate voter rolls by removing people who have died or moved away. Ohio is one of seven states, along with Georgia, Montana, Oklahoma, Oregon, Pennsylvania and West Virginia, that erase infrequent voters from registration lists, according to plaintiffs who sued Ohio in 2016.

They called Ohio’s policy the most aggressive. Registered voters in Ohio who do not vote for two years are sent registration confirmation notices. If they do not respond and do not vote over the following four years, they are purged.

Ohio’s policy would have barred more than 7,500 voters from casting a ballot in the November 2016 election had the Cincinnati-based 6th U.S. Circuit Court of Appeals not ruled against the state.

Voting rights has become an important theme before the Supreme Court. In two other cases, the justices are examining whether electoral districts drawn by Republican lawmakers in Wisconsin and Democratic lawmakers in Maryland were fashioned to entrench the majority party in power in a manner that violated the constitutional rights of voters. That practice is called partisan gerrymandering.

The plaintiffs suing Ohio, represented by liberal advocacy group Demos and the American Civil Liberties Union, said that purging has become a powerful tool for voter suppression. They argued that voting should not be considered a “use it or lose it” right.

Dozens of voting rights activists gathered for a rally outside the courthouse before the arguments, with some holding signs displaying slogans such as “Every vote counts” and “You have no right to take away my right to vote.”

“This is about government trying to choose who should get to vote. We know that’s wrong,” U.S. Senator Sherrod Brown, a Democrat from Ohio, said at the rally.

Democrats have accused Republicans of taking steps at the state level, including laws requiring certain types of government-issued identification, intended to suppress the vote of minorities, poor people and others who generally favor Democratic candidates.

A 2016 Reuters analysis found roughly twice the rate of voter purging in Democratic-leaning neighborhoods in Ohio’s three largest counties as in Republican-leaning neighborhoods.

The plaintiffs include Larry Harmon, a software engineer and U.S. Navy veteran who was blocked from voting in a state marijuana initiative in 2015, and an advocacy group for the homeless. They said Ohio’s policy ran afoul of the 1993 National Voter Registration Act, which prohibits states from striking registered voters “by reason of the person’s failure to vote.”

Ohio argued that a 2002 U.S. law called the Help America Vote Act contained language that permitted the state to enforce its purge policy. Republican Ohio Secretary of State Jon Husted noted that the state’s policy has been in place since the 1990s, under Republican and Democratic secretaries of state.

(Reporting by Andrew Chung; Editing by Will Dunham)

Deep freeze keeps grip on eastern United States; four die

Elena Barduniotis from Colorado waits in Times Square ahead of New Year's celebrations in Manhattan.

By Brendan O’Brien

MILWAUKEE (Reuters) – A record-shattering Arctic freeze kept its grip on much of the United States east of the Rocky Mountains on Tuesday but temperatures everywhere except the Northeast were expected to warm within 24 hours.

Many school districts shut their classrooms due to the cold snap, which claimed four lives over the long New Year’s weekend.

The National Weather Service issued wind chill warnings for Tuesday as dangerously low temperatures were due from eastern Montana across the Midwest into the Atlantic coast and the Northeast and down through the deep South.

School districts in Iowa, Massachusetts, Indiana, Ohio and North Carolina canceled or delayed the start of classes as bitterly cold temperatures, 20 degrees to 30 degrees Fahrenheit (11 to 17 degrees Celsius) below normal, were expected across the eastern half of the United States.

“Just the bitter cold which is just too dangerous to put kids out on the street waiting for a bus that may not come,” Herb Levine, superintendent of the Peabody Public Schools, north of Boston, told a local CBS affiliate television station.

The cold was blamed for the deaths of two men in separate incidents in Milwaukee, according to the Milwaukee Journal Sentinel. A homeless man was found dead on a porch in Charleston, West Virginia, while another man was found dead outside a church in Detroit and police said he may have froze to death, local news outlets reported.

Washington Mayor Muriel Bowser urged residents to call the city if they saw people outside.

“We want every resident to have shelter and warmth,” she said in a tweet.

Many places across the United States experienced record low temperatures over the last few days. Omaha, Nebraska, posted a low of minus 20F (minus 29C), breaking a 130-year-old record, and Aberdeen, South Dakota, shattered a record set in 1919 with a temperature of minus 32F (minus 36C).

The cold should ease across most of the country after Tuesday, but the northeastern section of the country will see a repeat of the frigid weather on Thursday or Friday as another arctic blast hits the area.

Private AccuWeather forecaster said the cold snap could combine with a storm brewing off the Bahamas to bring snow and high winds to much of the Eastern Seaboard as it heads north on Wednesday and Thursday.

(Reporting by Brendan O’Brien in Milwaukee; Editing by Raissa Kasolowsky and Jeffrey Benkoe)

U.S. life expectancy fell in 2016 as opioid overdoses surged: CDC

A used container of the drug Narcan used against opioid overdoses lies on the ground in a park in the Kensington section of Philadelphia, Pennsylvania, U.S. October 26, 2017. REUTERS/Charles Mostoller

NEW YORK (Reuters) – Life expectancy in the United States dipped in 2016 as the number of deaths due to opioid drug overdoses surged and total drug overdose deaths rose 21 percent to 63,600, the U.S. Centers for Disease Control and Prevention said on Thursday.

Life expectancy fell to 78.6 years, a decrease of 0.1 year from 2015, the second annual decline in a row and the first two-year decline since a drop in 1962 and 1963.

Opioid-related overdose deaths have been on the rise since 1999, but surged from 2014 to 2016, with an average annual increase of 18 percent, to become a national epidemic. From 2006 to 2014 the rise was only 3 percent annually on average and between 1999 to 2006 averaged 10 percent per year.

In 2016, 42,249 people died from opioid-related overdoses, up 28 percent from 2015, while the number of deaths from synthetic opioids other than methadone, such as fentanyl and tramadol, more than doubled to 19,413, the CDC said.

The 2016 rate of overdose deaths was up across all age groups but was highest rate among people aged 25 to 54.

West Virginia, Ohio, New Hampshire, the District of Columbia and Pennsylvania had the highest age-adjusted drug overdose death rates in 2016.

The number of drug overdose deaths involving natural and semisynthetic opioids, which include drugs like oxycodone and hydrocodone, was 14,487 in 2016.

As the U.S. opioid addiction epidemic has worsened, many state attorneys general have sued makers of these drugs as they investigate whether manufacturers and distributors engaged in unlawful marketing behavior.

President Donald Trump in October declared the opioid crisis a public health emergency, which senior administration officials said would redirect federal resources and loosen regulations to combat abuse of the drugs. However, he stopped short of declaring a national emergency he had promised months before, which would have freed up more federal money.

(Reporting by Caroline Humer; editing by Lisa Von Ahn and Jonathan Oatis)

Ohio politicians call for inquiry into jail stun-gun abuses cited by Reuters

Ohio politicians call for inquiry into jail stun-gun abuses cited by Reuters

By Jason Szep and Linda So

COLUMBUS, Ohio (Reuters) – In one video, Sergeant Mychal Turner stunned a mentally ill inmate with a Taser multiple times after the inmate defied an order to stand in his cell at Ohio’s Franklin County jail.

In another, Turner fired the Taser’s electrified barbs into an inmate’s chest after he refused to remove a piece of jewelry. In a third, he pulled the trigger five times on a handcuffed inmate who wouldn’t sit on a bench.

Each incident violated the jail’s Taser policy, and each was cited in a class-action lawsuit the county settled that accused jail guards of “sadistic” and unconstitutional use of Tasers from 2008 to 2010, court records show.

Yet neither Turner nor any other deputies were disciplined, according to internal county jail records reviewed by Reuters.

Instead, Turner was promoted to major. He’s now commander of Franklin County Corrections Center II, the largest of the jail’s two main facilities.

Reached by phone, Turner declined to comment. In court documents, he has defended his actions, saying he feared for his safety in some incidents and wanted to avoid potentially dangerous physical struggles in the small confines of a cell. Jail officials also declined to comment, though the county said it instituted reforms in 2011 under the lawsuit settlement.

Now, following a Reuters report this month that included publication of more than a dozen stun-gun videos, the jail faces escalating calls for investigation.

Two United Nations torture experts called for a criminal inquiry into the cases documented by Reuters. Local political leaders say they agree.

Ohio State Senator Charleta Tavares, a Democrat whose district includes the jail, said she planned to call on the county prosecutor’s office to investigate. She said she was disturbed by the video footage published by Reuters.

“Any time a stun gun is used inappropriately – particularly in the video, where it looks as though it is just used over and over and it’s more like a prod that people would use on animals – that is criminal in my opinion,” Tavares said.

Ohio Democratic State Representative Kristin Boggs also urged a closer look. A criminal investigation would be appropriate, she said, if an officer was found to have used excessive force that violated jail policy. “I certainly think it’s worth investigating to determine what we can be doing to make our system better,” Boggs said.

Deputies who misused Tasers should be held to account, said relatives of the inmates.

“It was absolutely abuse,” said Logan Amburgey, whose brother Patrick was stunned multiple times and pistol-whipped with a Taser by another deputy after defying orders to sit on a bench in his cell on June 12, 2009. Patrick, a 21-year-old college student at the time, had been arrested for passing out intoxicated on the front porch of a local residence.

“UNCOOPERATIVE”

From 2008 to 2010, 22 deputies at the Franklin County Jail used Tasers on 80 inmates, according to a Reuters review of the jail’s “use of force” reports. No jailer pulled the trigger more times than Turner.

In all, Turner delivered 28 shocks for a total duration of 126 seconds over the course of 12 incidents. One other guard, Sergeant Andrew Eing, fired his Taser 26 times for a total of 114 seconds. Most other deputies who used the weapons pulled the trigger fewer than a dozen times.

Like Turner, Eing was promoted – to lieutenant in the department’s Internal Affairs Bureau, responsible for investigating officer misconduct. Now supervisor of the detective bureau, he did not return calls seeking comment. In internal reports, Eing denied abusing the Taser, saying he aimed to prevent injury to staff and inmates.

In one case, Eing shocked a 23-year-old mentally ill inmate, Jibril Abdul-Muwwakil, 14 times for 64 seconds while he lay bleeding on the floor, surrounded by 10 officers. An internal investigation concluded the Taser use was “justified” to control a “violent, dangerous, resisting inmate.” Experts for the plaintiffs described the incident as “excessive” and a violation of Taser product-safety and health warnings.

Sixty percent of the 80 Taser incidents involved people classified by the jail as intoxicated or mentally ill, Reuters found.

In January 2009, Turner and four deputies tried to move Ralston Distin, a 47-year-old inmate classified as “mentally disabled,” to another location. When the jailers opened his cell door, Distin shielded his body with a sleeping mat, speaking unintelligibly. Turner shocked him repeatedly for refusing to stand up. Once in leg irons, Turner shocked him again for not letting go of the mat.

Turner feared he would get “entangled in a wrestling match” or be kicked if he didn’t use the Taser, he testified in court documents.

In another video, Turner fired the Taser’s electrified barbs into the chest of Kevin Carey in May 2009 for refusing to remove a nipple ring. Carey, 25, had been charged with drunk driving and resisting arrest.

Turner said he stunned Carey to “make sure that he doesn’t become uncooperative” and because he failed “to follow directions.”

He also stunned a handcuffed Gregory Esmile five times after the 46-year-old failed to sit down on a bench. Esmile was jailed on trespass charges after failing to leave a nightclub, court records say.

Turner said he worried Esmile was “getting ready to charge.”

“UNLAWFUL USE”

According to the jail’s Taser policy at the time, Tasers were allowed for self-defense, protection of another inmate or staff, disarming an inmate, preventing self-harm to an inmate, or controlling a combative inmate.

Tasers could not be used on inmates in handcuffs, leg irons or a restraint chair, or on pregnant women. So several cases violated the policy, the lawsuit against the county alleged. One video cited in the case showed a pregnant woman, Martini Smith, being shocked. She later miscarried, and was among plaintiffs in the civil lawsuit.

Axon Enterprise Inc, the stun gun manufacturer, said its guidelines suggest proper practices and that it does not “condone torture of any kind.”

In separate statements, the office of Franklin County Prosecutor Ron O’Brien and the Franklin County sheriff’s department said no one officially sought a criminal investigation in the cases.

The statements said the U.S. Department of Justice did not recommend criminal charges when the DOJ intervened in the civil lawsuit on grounds that Franklin County “engaged in a pattern or practice of unlawful use of Tasers against detainees and inmates in their custody.”

After that case, the county agreed to pay eight inmates a total of $102,250 in damages, strengthened its Taser policy and expanded training.

The Department of Justice’s Civil Rights Division does not recommend that jurisdictions prosecute cases, according to DOJ rules.

O’Brien’s office said neither the inmates’ lawyers nor its expert witness, Steve J. Martin, sought charges.

Disability Rights Ohio, a legal group representing inmates, said that’s not its role. The nonprofit group “is not an enforcement agency,” said advocacy director Kerstin Sjoberg-Witt.

Martin, who has inspected more than 500 U.S. prisons and jails, said urging investigations is not his role. He was “surprised” at O’Brien’s comment.

The cases were ultimately investigated by the special litigation section of the DOJ’s Civil Rights Division. Under DOJ rules, litigation lawyers can refer possible crimes to the unit’s criminal section.

Justice spokesman Devin O’Malley said he couldn’t “comment on the existence or non-existence of investigations.”

(Additional reporting by Tim Reid in Columbus and Grant Smith in New York. Editing by Ronnie Greene.)

Ohio passes law barring abortion over Down syndrome diagnosis

Ohio passes law barring abortion over Down syndrome diagnosis

By Kim Palmer

CLEVELAND (Reuters) – Women in Ohio would be prohibited from receiving abortions because of a fetal Down syndrome diagnosis under a bill that passed the state senate on Wednesday and is heading to Republican Governor John Kasich’s desk.

Lawmakers voted 20-12 in favor of the law, which criminalizes abortion if the physician has knowledge that the procedure is being sought due to a diagnosis of Down syndrome, a genetic disorder caused when abnormal cell division results in an extra full or partial copy of chromosome 21.

Doctors would lose their medical licenses in the state and face a fourth-degree felony charge under the law if they were to perform an abortion with that knowledge. Mothers would not face criminal charges.

The bill makes Ohio the third state to pass a law outlawing abortions due to fetal anomalies. Similar laws were passed in Indiana and North Dakota. The Indiana provision was struck down by a U.S. District Judge in September after a lawsuit filed by the American Civil Liberties Union.

Kasich spokesman Jon Keeling declined to say whether the governor would sign the measure into law. He added that when Kasich was asked about a similar bill in the Ohio House, he had called it “appropriate.”

Abortion opponents cheered the move and said they expected the governor to sign the law.

“Every Ohioan deserves the right to life, no matter how many chromosomes they have,” said Mike Gonidakis, president of Ohio Right to Life.

Abortion-rights supporters wore “STOP THE BANS” T-shirts in the Senate chamber on Wednesday as the vote went forward.

The law “will create a chilling effect on the medical profession in our state and could result in a shortage of gynecologists willing to practice in Ohio,” Kellie Copeland, executive director of NARAL Ohio, an abortion-rights advocacy group, said in a phone interview on Wednesday.

The ACLU of Ohio said it was still evaluating the final bill before deciding whether to pursue legal action.

Kasich has 10 days to sign the bill into law after it is delivered to his office. If he does so, it will mark the 20th piece of Ohio legislation restricting abortion rights and funding for reproductive health passed in the six years he has been governor.

Unlike many other anti-abortion laws in the state, the Down syndrome bill did not pass strictly along party lines, with some Republicans joining the entire Democratic caucus in voting against the measure.

(Reporting by Kim Palmer; Editing by Patrick Enright and Matthew Lewis)

Listeria risk prompts Meijer to recall produce in six U.S. states

Listeria risk prompts Meijer to recall produce in six U.S. states

NEW YORK (Reuters) – Retailer Meijer Inc said it was recalling packaged vegetables in six U.S. states because of possible contamination from Listeria monocytogenes bacteria, which can cause fatal food poisoning in young children, pregnant women and elderly or frail people.

Meijer, based in Grand Rapids, Michigan, said there were no illnesses reported as of Sunday.

The recall affects 35 products and includes vegetables such as broccoli, cauliflower and asparagus as well as party trays sold in Meijer-branded plastic or foam packaging in Michigan, Ohio, Indiana, Illinois, Kentucky and Wisconsin between Sept. 27 and Oct. 20, the company said on Saturday.

In February, Meijer recalled its Meijer-branded Colby and Colby Jack cheese sold through its deli counters because of potential contamination with Listeria monocytogenes.

The U.S. Centers for Disease Control and Prevention estimated that 1,600 people develop a serious form of infection known as listeriosis each year, and 260 die from the disease, making it the third most deadly form of food poisoning in the United States.

“The infection is most likely to sicken pregnant women and their newborns, adults aged 65 or older and people with weakened immune systems,” the CDC said on its website. Symptoms include fever and diarrhea and can start the same day of exposure or as much as 70 days later.

(Reporting by Alwyn Scott; Editing by Lisa Von Ahn and Peter Cooney)

U.S. student held in North Korea died of oxygen starved brain: coroner

FILE PHOTO: U.S. student Otto Warmbier speaks at a news conference in this undated photo released by North Korea's Korean Central News Agency (KCNA) in Pyongyang February 29, 2016. REUTERS/KCNA/File Photo

By Suzannah Gonzales

(Reuters) – An American student who had been imprisoned in North Korea for 17 months died from lack of oxygen and blood to the brain, an Ohio coroner said on Wednesday.

Otto Warmbier’s death on June 19 was due to an unknown injury that occurred more than a year before his death, Hamilton County Coroner Dr. Lakshmi Sammarco said at a news conference.

“We don’t know what happened to him and that’s the bottom line,” Sammarco said.

Warmbier’s parents could not be reached for comment on the coroner’s report.

The University of Virginia student was held by North Korea from January 2016 until his release on June 15. Warmbier, 22, was returned to the United States in a coma.

The coroner and a Sept. 11 report by her office cited complications of chronic deficiency of oxygen and blood supply to the brain in Warmbier’s death. Only an external examination of the body rather than a full autopsy was conducted at the request of Warmbier’s family.

North Korea had blamed botulism and the ingestion of a sleeping pill for Otto Warmbier’s problems and dismissed torture claims.

Warmbier died days after arriving back in the United States.

The native of Wyoming, Ohio, had been arrested at the airport in Pyongyang as he prepared to leave the reclusive communist country. He had been traveling with a tour group.

Warmbier was sentenced to 15 years of hard labor for trying to take from his hotel an item bearing a propaganda slogan, North Korea’s state media reported.

Saying his son had been tortured, Fred Warmbier told Fox News in an interview on Tuesday, “As we looked at him and tried to comfort him, it looked like someone had taken a pair of pliers and rearranged his bottom teeth.”

“Great interview on @foxandfriends with the parents of Otto Warmbier: 1994 – 2017. Otto was tortured beyond belief by North Korea,” President Donald Trump said on Twitter following the interview’s broadcast.

In response to a question at the news conference, the coroner said there was no evidence of trauma to Warmbier’s teeth nor was there evidence of broken bones.

The coroner’s report said that Warmbier’s body had multiple scars varying in size, including a large irregular one measuring 4.3 by 1.6 inches on the right foot.

(Reporting by Suzannah Gonzales; Editing by Cynthia Osterman)