Coroner's Findings

Many followers of raw milk will remember with deep sadness that a little boy died on October 13 2014. Consumption of raw milk was one possible cause considered by Victoria’s Coroner, whose report was released on October 24 2016.

The Coroner’s report, entitled Finding Without Inquest into the Death of Child A, is available here:

Finding Without Inquest into the Death of Child A

The Coroner found, on the balance of probabilities, that the death was most likely linked to the consumption of raw milk.

The Coroner’s findings are disappointing for a number of reasons. As set out in the report, the evidence given to the Coroner by the child’s father cast some doubt over whether the child had even consumed raw milk. The child’s father ‘stated that he could not remember if his son had drunk any of the milk in the bottle they currently had in the fridge at their home. There was a possibility that he had, but there was also a possibility that he had not, because he so rarely drank milk.’

Importantly, the Coroner decided to give more weight to a Department of Health and Human Services report, and other evidence, than to an expert report prepared by Dr Ron Hull, an experienced dairy microbiologist. Dr Hull’s opinion was that there were other more likely sources of infection than the milk, including contact with storm water at Frankston Beach.

An inquest would have provided more forensic and scientific certainty about the cause of the death, but understandably, an inquest did not proceed due to the impact it would likely have had on the family.

Summary of ARMM’s response

  • The Coroner found 'on the balance of probabilities' the death 'was most likely linked to the consumption of unpasteurised milk.'

  • The Coroner said she might have reached a different finding if evidence had been tested under cross-examination in an Inquest, rather than in the Coronial Inquiry.

  • The child's father ‘stated that he could not remember if his son had drunk any of the milk in the bottle they currently had in the fridge at their home. There was a possibility that he had, but there was also a possibility that he had not, because he so rarely drank milk.’

  • The Coroner gave more weight to a Department of Health and Human Services report than to the expert report prepared by Dr Ron Hull, a respected dairy microbiologist.

  • Dr Hull's opinion was that contact with storm water in an outlet at Frankston beach was a more likely source of infection than the milk.

  • Dr Hull noted that evidence presented by the Department of Health and Human Services linking the death of the child to raw milk used imprecise analytical methods.

Finally, we note that no foods are risk free. Regrettably, some people get sick, and some die, after consuming pasteurised dairy foods, and other foods that are regulated by health authorities. In many countries, carefully regulated raw milk is managed as a low risk food.

Edited and republished: 6 June 2020

Image: from the Herald Sun


Related Articles:

Six years after a toddler died after drinking it, advocates want raw milk back on the table

Background Briefing: The controversial push to rebrand raw milk

Renewed calls for food safety authorities to allow sale of unpasteurised milk

Finding Without Inquest into the Death of Child A

Coroner’s Findings Page at Coronerscourt.vic.gov.au (search for Child A document, according to date mid 2016)

"Killer Milk" news headlines

Facebook post

A response to a concerned doctor regarding raw milk consumption

Infected cheeses claim third victim

Gut Microbiota and the Immune Compromised

Risk Assessment Management Plan

Farmer-friendly Raw Milk Risk Identification and Risk Reduction

Standard Operating Procedures for producing raw milk

Investigations follow Jindi cheese listeria fatalities (the death of two adults and a child linked to pasteurised cheese)

Outbreak of Listeria monocytogenes Infections Associated With Pasteurized Milk From a Local Dairy—Massachusetts, 2007 (death of three people linked to pasteurised milk)

Salmonella in your salad: the cost of convenience? (death of three linked to pre-packaged spinach)

The Lettuce Was Framed: A Salmonella (And Other Meat Byproducts) Explainer (some 70+ deaths annually in Australia linked to animal industry waste and contamination)

Food poisoning on the rise as diets change (Intensive farming has been linked to the emergence of new pathogens.)

The UN just categorized antibiotics in the food system as a crisis (The CDC estimates that 23,000 people die in the US every year as a direct result of the anti-biotic resistance caused by the unsustainably farmed animal industry.)