Incumbents Have Edge in Contra Costa, Santa Clara and Solano District Attorney Races
San Joaquin County DA Investigating Juul Labs for Allegedly Marketing to Teens
Governor Vetoes Bill That Sought Independence in Death Investigations
Sheriff Accused of Interfering in Death Investigations Loses Re-Election Bid
Coroner Training Seeks to Raise Standards for California Death Investigations
Reversal on Death Ruling for Man Killed by Police Raises Doubts in San Joaquin County
San Joaquin Sheriff Opens Death Inquiries to Public
How Families Pay for San Joaquin Coroner Mistakes
The Officer Tased Him 31 Times; the Sheriff Called His Death an Accident
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Murrow Award for investigative reporting and a Golden Mic Award from the RTNDA of Southern California.\r\n\r\nJulie began her career in journalism in 2000 as the deputy foreign editor for public radio's \u003cem>Marketplace, \u003c/em>while earning her master's degree in journalism from USC’s Annenberg School of Communication.","avatar":"https://secure.gravatar.com/avatar/4baedf201468df97be97c2a9dd7585d0?s=600&d=blank&r=g","twitter":"@SmallRadio2","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]},{"site":"stateofhealth","roles":["author"]},{"site":"science","roles":["author"]}],"headData":{"title":"Julie Small | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/4baedf201468df97be97c2a9dd7585d0?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/4baedf201468df97be97c2a9dd7585d0?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/jsmall"},"lklivans":{"type":"authors","id":"8648","meta":{"index":"authors_1591205172","id":"8648","found":true},"name":"Laura Klivans","firstName":"Laura","lastName":"Klivans","slug":"lklivans","email":"lklivans@kqed.org","display_author_email":true,"staff_mastheads":["news","science"],"title":"Reporter and Host","bio":"Laura Klivans is a science reporter and the host of KQED's video series about tiny, amazing animals, \u003cem>Deep Look\u003c/em>. Her work can also be heard on NPR, \u003cem>Here & Now, \u003c/em>and PRI. Before working in audio, she taught, leading groups of students abroad. One of her favorite jobs was teaching on the Thai-Burmese border, working with immigrants and refugees.\r\n\r\nLaura has won three Northern California Area Emmys along with her Deep Look colleagues. She's won the North Gate Award for Excellence in Audio Reporting and the Gobind Behari Lal Award for a radio documentary about adults with imaginary friends. She's a fellowship junkie, completing the USC Center for Health Journalism's California Fellowship, UC Berkeley's Human Rights Fellowship and the Coro Fellowship in Public Affairs. Laura has a master’s in journalism from UC Berkeley and a master’s in education from Harvard.\r\n\r\nShe likes to eat chocolate for breakfast. She's also open to eating it all day long.","avatar":"https://secure.gravatar.com/avatar/af8e757bb8ce7b7fee6160ba66e37327?s=600&d=blank&r=g","twitter":"lauraklivans","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]},{"site":"stateofhealth","roles":["contributor","editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"Laura Klivans | KQED","description":"Reporter and Host","ogImgSrc":"https://secure.gravatar.com/avatar/af8e757bb8ce7b7fee6160ba66e37327?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/af8e757bb8ce7b7fee6160ba66e37327?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lklivans"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11916175":{"type":"posts","id":"news_11916175","meta":{"index":"posts_1591205157","site":"news","id":"11916175","score":null,"sort":[1654661414000]},"guestAuthors":[],"slug":"incumbents-appear-to-have-edge-in-contra-costa-santa-clara-and-solano-district-attorney-races","title":"Incumbents Have Edge in Contra Costa, Santa Clara and Solano District Attorney Races","publishDate":1654661414,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>In a number of primary races for district attorney in counties around the Bay Area, incumbent DAs — both liberal and more conservative — were holding on to their offices. Sitting prosecutors in Contra Costa, Santa Clara and Solano counties had strong leads over their challengers. But in San Joaquin County, the progressive DA was in a tight race with her Republican challenger. In the race for an open seat in Alameda County, a progressive and a more traditional candidate were the top two early vote-getters.\u003c/p>\n\u003cp>District attorney elections in California have become increasingly heated in recent years, with progressive candidates facing off against more traditional law-and-order prosecutors, in a bid to reduce incarceration and address systemic racism and economic inequality in the criminal justice system. But some of those reformers who were elected are now facing backlash from moderate and conservative voters.\u003c/p>\n\u003cp>In the most high-profile example, San Francisco’s progressive prosecutor \u003ca href=\"https://www.kqed.org/news/11913102/we-are-all-more-than-our-worst-mistake-five-takeaways-from-sf-district-attorney-chesa-boudins-discussion-at-kqed\">Chesa Boudin\u003c/a> — a former public defender elected DA in 2020 — \u003ca href=\"https://www.kqed.org/news/11916212/chesa-boudin-recall-sf-voters-on-track-to-oust-district-attorney\">was defeated\u003c/a> by a well-funded recall campaign that capitalized on voters’ anxiety about crime. In Los Angeles, meanwhile, opponents of progressive DA George Gascón are gathering signatures to put a recall measure on the November ballot.\u003c/p>\n\u003cp>At the state level, though, liberal Attorney General Rob Bonta, who was appointed last year by Gov. Gavin Newsom, \u003ca href=\"https://www.kqed.org/news/11916206/california-attorney-general-rob-bonta-easily-advances-to-november-election-to-face-republican-challenger\">was well ahead\u003c/a> of his more conservative challengers. He will face one of two closely matched Republicans in November.\u003c/p>\n\u003cp>In local district attorney races around the Bay Area and beyond, similar tensions are at play, as voters debate whether public safety is best achieved through tougher prosecutions and sentencing or an approach that favors rehabilitation.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Voters want solutions, and that can mean services and treatment as much as it can mean incarceration,\" said Cristine Soto DeBerry, director of the progressive Prosecutors Alliance of California. \"It's new for us to elect reform-minded candidates into prosecutor's offices. I’m encouraged. Many of them won, and all of them stimulated a conversation.\"\u003c/p>\n\u003cp>In some counties, notably Alameda, the results won’t be clear until November.\u003c/p>\n\u003cp>Under California’s \u003ca href=\"https://www.sos.ca.gov/elections/political-parties/no-party-preference#top-two-candidates\">“top two” primary system\u003c/a>, if one candidate wins a majority of votes in this election, the race is decided. If no one gets a majority, the two candidates with the greatest number of votes, regardless of political party, will face off in the November general election.\u003c/p>\n\u003cp>\u003cstrong>Contra Costa County\u003c/strong>\u003cbr>\nIncumbent DA Diana Becton, a former judge first elected district attorney in 2018, held on to her seat \u003ca href=\"https://www.kqed.org/news/11914643/contra-costas-da-sent-a-sheriffs-deputy-to-prison-now-law-enforcement-groups-are-spending-big-to-defeat-her\">in the face of a strong challenge\u003c/a> from a fellow Democrat who’s a deputy prosecutor in her office, Mary Knox. Late Tuesday evening, Becton had 57% to Knox’s 43%.\u003c/p>\n\u003cp>Becton is considered a progressive prosecutor and made headlines last fall when she won a conviction against former Sheriff’s Deputy Andrew Hall in the fatal shooting of Laudemer Arboleda. Becton, along with Boudin and Gascón, was a founding member of the progressive Prosecutors Alliance of California, established in 2020 in the wake of the George Floyd murder. Knox had the backing of many law enforcement groups across the county.\u003c/p>\n\u003cp>\"Contra Costa County voters have spoken clearly to indicate that they really want a criminal justice system that is about safety, but that is always also about fairness and equality for everyone,\" said Becton. \"We've adopted new and innovative approaches that move us beyond a singular reliance on incarceration.\"\u003c/p>\n\u003cp>\u003cstrong>San Joaquin County\u003c/strong>\u003cbr>\nTori Verber Salazar was running narrowly behind fellow Republican Ron Freitas, a prosecutor in her office. She is another incumbent DA who has staked out a progressive stance on fighting crime but was at risk of losing her seat. With votes still being counted, Freitas had 51% to Salazar’s 49%.\u003c/p>\n\u003cp>In 2020, \u003ca href=\"https://theappeal.org/politicalreport/prosecutor-quits-california-district-attorney-association-tori-salazar/\">Salazar quit the California District Attorneys Association\u003c/a>, saying it was resisting voter-backed criminal justice reform efforts aimed at reducing incarceration. She became another founding member of the progressive \u003ca href=\"https://theappeal.org/politicalreport/prosecutor-quits-california-district-attorney-association-tori-salazar/\">Prosecutors Alliance\u003c/a>. In his campaign, Freitas said he would work to lengthen prison sentences. But \u003ca href=\"https://www.huffpost.com/entry/ron-freitas-san-joaquin-county-district-attorney-black-juror_n_62955ce9e4b0415d4d89068d\">Freitas came under scrutiny\u003c/a> over a federal judge’s finding in 2009 that he had wrongly excluded a Black man from a jury on the basis of his race.\u003c/p>\n\u003cp>\u003cstrong>Solano County\u003c/strong>\u003cbr>\nDistrict Attorney Krishna Abrams appeared to \u003ca href=\"https://www.kqed.org/news/11915246/solano-countys-race-for-district-attorney\">fend off a challenge\u003c/a> from her chief deputy, Sharon Henry, who has called for more independent oversight of law enforcement and an acknowledgement of racial bias in policing. Tuesday night Abrams had 61% to Henry’s 39%.\u003c/p>\n\u003cp>Abrams had strong backing from police groups. But she was widely criticized when she recused her office from pursuing charges in two fatal Vallejo police shootings, citing a lack of public trust. The state Attorney General’s office said she had abdicated responsibility. Henry, who claims support from liberals, \u003ca href=\"https://www.vallejosun.com/chief-deputy-to-challenge-krishna-abrams-as-solano-da/\">took Abrams to task\u003c/a> for the recusal and for the running of the office, which she complained is plagued by favoritism and a lack of diversity.\u003c/p>\n\u003cp>\u003cstrong>Santa Clara County\u003c/strong>\u003cbr>\nDistrict Attorney Jeff Rosen won reelection without a runoff Tuesday, even though he\u003ca href=\"https://sanjosespotlight.com/election-2022-the-race-for-santa-clara-county-district-attorney-da-jeff-rosen-sajid-khan-daniel-chung/\"> faced two challengers\u003c/a>: Sajid Khan, a deputy public defender running to Rosen’s left, and deputy DA Daniel Chung, who cast himself as a tougher prosecutor. Rosen had 59% of the vote to Chung's 24% and Khan’s 17%, on Tuesday night.\u003c/p>\n\u003cp>Rosen, who has held the job since 2010, describes himself as a prosecutor who takes a balanced approach, citing endorsements from both police associations and civil rights groups such as the NAACP. Khan campaigned on his opposition to cash bail and gang enhancements, and his support for diversion programs and holding police accountable for misconduct. Chung opposes some progressive voter-approved reforms, including downgrading the penalties for drug possession.\u003c/p>\n\u003cp>\"Santa Clara County leads the way in technology, diversity and the smart and balanced way we strive to handle criminal justice,\" said Rosen. \"Today’s vote once again shows there is a mandate for safety and fairness — not one at the expense of the other, but both.\"\u003c/p>\n\u003cp>\u003cstrong>Alameda County\u003c/strong>\u003cbr>\nIn November, voters in Alameda County are likely to choose between outspoken progressive Pamela Price, a former public defender and civil rights attorney, and veteran prosecutor Terry Wiley, who favors many progressive approaches but is perhaps the most traditional candidate. In early returns, Price and Wiley were the top two vote-getters \u003ca href=\"https://oaklandside.org/2022/05/06/alameda-county-da-race-candidates-pimary-election-2022/\">in a four-way race\u003c/a> to succeed incumbent District Attorney Nancy O’Malley, who is retiring. Price had 40% and Wiley had 31% of the vote late Tuesday.\u003c/p>\n\u003cp>Wiley, in his three decades in the DA’s office, has overseen investigations of police shootings and touts his work on restorative justice, as well as his years of experience prosecuting criminals. Price has vowed to tackle racial disparities in the enforcement of justice and to scrutinize police shootings.\u003c/p>\n\u003cp>\u003cb>\"\u003c/b>I'm very grateful to the people of Alameda County for standing with us on this journey,\" said Price. \"As a community, we are appalled when people find out that African Americans are 20 times more likely to be incarcerated in this county in 2022. \u003ci>S\u003c/i>o that's what we have to begin to change.\"\u003c/p>\n\u003cp>Two other candidates — Jimmie Wilson, another deputy in the DA’s office, and Seth Steward, a former prosecutor in San Francisco who is currently chief of staff to Oakland Councilmember Dan Kalb — were lagging in early returns: Wilson had 21% and Steward 9% of votes.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp> \u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1664818458,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":1263},"headData":{"title":"Incumbents Have Edge in Contra Costa, Santa Clara and Solano District Attorney Races | KQED","description":"In a number of primary races for district attorney in counties around the Bay Area, incumbent DAs — both liberal and more conservative — were holding on to their offices. Sitting prosecutors in Contra Costa, Santa Clara and Solano counties had strong leads over their challengers. But in San Joaquin County, the progressive DA was","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11916175 https://ww2.kqed.org/news/?p=11916175","disqusUrl":"https://ww2.kqed.org/news/2022/06/07/incumbents-appear-to-have-edge-in-contra-costa-santa-clara-and-solano-district-attorney-races/","disqusTitle":"Incumbents Have Edge in Contra Costa, Santa Clara and Solano District Attorney Races","subhead":"Progressive reformers faced off with traditional law-and-order candidates in many counties, but sitting DA's had the advantage, regardless of politics.","excludeFromSiteSearch":"Include","path":"/news/11916175/incumbents-appear-to-have-edge-in-contra-costa-santa-clara-and-solano-district-attorney-races","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>In a number of primary races for district attorney in counties around the Bay Area, incumbent DAs — both liberal and more conservative — were holding on to their offices. Sitting prosecutors in Contra Costa, Santa Clara and Solano counties had strong leads over their challengers. But in San Joaquin County, the progressive DA was in a tight race with her Republican challenger. In the race for an open seat in Alameda County, a progressive and a more traditional candidate were the top two early vote-getters.\u003c/p>\n\u003cp>District attorney elections in California have become increasingly heated in recent years, with progressive candidates facing off against more traditional law-and-order prosecutors, in a bid to reduce incarceration and address systemic racism and economic inequality in the criminal justice system. But some of those reformers who were elected are now facing backlash from moderate and conservative voters.\u003c/p>\n\u003cp>In the most high-profile example, San Francisco’s progressive prosecutor \u003ca href=\"https://www.kqed.org/news/11913102/we-are-all-more-than-our-worst-mistake-five-takeaways-from-sf-district-attorney-chesa-boudins-discussion-at-kqed\">Chesa Boudin\u003c/a> — a former public defender elected DA in 2020 — \u003ca href=\"https://www.kqed.org/news/11916212/chesa-boudin-recall-sf-voters-on-track-to-oust-district-attorney\">was defeated\u003c/a> by a well-funded recall campaign that capitalized on voters’ anxiety about crime. In Los Angeles, meanwhile, opponents of progressive DA George Gascón are gathering signatures to put a recall measure on the November ballot.\u003c/p>\n\u003cp>At the state level, though, liberal Attorney General Rob Bonta, who was appointed last year by Gov. Gavin Newsom, \u003ca href=\"https://www.kqed.org/news/11916206/california-attorney-general-rob-bonta-easily-advances-to-november-election-to-face-republican-challenger\">was well ahead\u003c/a> of his more conservative challengers. He will face one of two closely matched Republicans in November.\u003c/p>\n\u003cp>In local district attorney races around the Bay Area and beyond, similar tensions are at play, as voters debate whether public safety is best achieved through tougher prosecutions and sentencing or an approach that favors rehabilitation.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Voters want solutions, and that can mean services and treatment as much as it can mean incarceration,\" said Cristine Soto DeBerry, director of the progressive Prosecutors Alliance of California. \"It's new for us to elect reform-minded candidates into prosecutor's offices. I’m encouraged. Many of them won, and all of them stimulated a conversation.\"\u003c/p>\n\u003cp>In some counties, notably Alameda, the results won’t be clear until November.\u003c/p>\n\u003cp>Under California’s \u003ca href=\"https://www.sos.ca.gov/elections/political-parties/no-party-preference#top-two-candidates\">“top two” primary system\u003c/a>, if one candidate wins a majority of votes in this election, the race is decided. If no one gets a majority, the two candidates with the greatest number of votes, regardless of political party, will face off in the November general election.\u003c/p>\n\u003cp>\u003cstrong>Contra Costa County\u003c/strong>\u003cbr>\nIncumbent DA Diana Becton, a former judge first elected district attorney in 2018, held on to her seat \u003ca href=\"https://www.kqed.org/news/11914643/contra-costas-da-sent-a-sheriffs-deputy-to-prison-now-law-enforcement-groups-are-spending-big-to-defeat-her\">in the face of a strong challenge\u003c/a> from a fellow Democrat who’s a deputy prosecutor in her office, Mary Knox. Late Tuesday evening, Becton had 57% to Knox’s 43%.\u003c/p>\n\u003cp>Becton is considered a progressive prosecutor and made headlines last fall when she won a conviction against former Sheriff’s Deputy Andrew Hall in the fatal shooting of Laudemer Arboleda. Becton, along with Boudin and Gascón, was a founding member of the progressive Prosecutors Alliance of California, established in 2020 in the wake of the George Floyd murder. Knox had the backing of many law enforcement groups across the county.\u003c/p>\n\u003cp>\"Contra Costa County voters have spoken clearly to indicate that they really want a criminal justice system that is about safety, but that is always also about fairness and equality for everyone,\" said Becton. \"We've adopted new and innovative approaches that move us beyond a singular reliance on incarceration.\"\u003c/p>\n\u003cp>\u003cstrong>San Joaquin County\u003c/strong>\u003cbr>\nTori Verber Salazar was running narrowly behind fellow Republican Ron Freitas, a prosecutor in her office. She is another incumbent DA who has staked out a progressive stance on fighting crime but was at risk of losing her seat. With votes still being counted, Freitas had 51% to Salazar’s 49%.\u003c/p>\n\u003cp>In 2020, \u003ca href=\"https://theappeal.org/politicalreport/prosecutor-quits-california-district-attorney-association-tori-salazar/\">Salazar quit the California District Attorneys Association\u003c/a>, saying it was resisting voter-backed criminal justice reform efforts aimed at reducing incarceration. She became another founding member of the progressive \u003ca href=\"https://theappeal.org/politicalreport/prosecutor-quits-california-district-attorney-association-tori-salazar/\">Prosecutors Alliance\u003c/a>. In his campaign, Freitas said he would work to lengthen prison sentences. But \u003ca href=\"https://www.huffpost.com/entry/ron-freitas-san-joaquin-county-district-attorney-black-juror_n_62955ce9e4b0415d4d89068d\">Freitas came under scrutiny\u003c/a> over a federal judge’s finding in 2009 that he had wrongly excluded a Black man from a jury on the basis of his race.\u003c/p>\n\u003cp>\u003cstrong>Solano County\u003c/strong>\u003cbr>\nDistrict Attorney Krishna Abrams appeared to \u003ca href=\"https://www.kqed.org/news/11915246/solano-countys-race-for-district-attorney\">fend off a challenge\u003c/a> from her chief deputy, Sharon Henry, who has called for more independent oversight of law enforcement and an acknowledgement of racial bias in policing. Tuesday night Abrams had 61% to Henry’s 39%.\u003c/p>\n\u003cp>Abrams had strong backing from police groups. But she was widely criticized when she recused her office from pursuing charges in two fatal Vallejo police shootings, citing a lack of public trust. The state Attorney General’s office said she had abdicated responsibility. Henry, who claims support from liberals, \u003ca href=\"https://www.vallejosun.com/chief-deputy-to-challenge-krishna-abrams-as-solano-da/\">took Abrams to task\u003c/a> for the recusal and for the running of the office, which she complained is plagued by favoritism and a lack of diversity.\u003c/p>\n\u003cp>\u003cstrong>Santa Clara County\u003c/strong>\u003cbr>\nDistrict Attorney Jeff Rosen won reelection without a runoff Tuesday, even though he\u003ca href=\"https://sanjosespotlight.com/election-2022-the-race-for-santa-clara-county-district-attorney-da-jeff-rosen-sajid-khan-daniel-chung/\"> faced two challengers\u003c/a>: Sajid Khan, a deputy public defender running to Rosen’s left, and deputy DA Daniel Chung, who cast himself as a tougher prosecutor. Rosen had 59% of the vote to Chung's 24% and Khan’s 17%, on Tuesday night.\u003c/p>\n\u003cp>Rosen, who has held the job since 2010, describes himself as a prosecutor who takes a balanced approach, citing endorsements from both police associations and civil rights groups such as the NAACP. Khan campaigned on his opposition to cash bail and gang enhancements, and his support for diversion programs and holding police accountable for misconduct. Chung opposes some progressive voter-approved reforms, including downgrading the penalties for drug possession.\u003c/p>\n\u003cp>\"Santa Clara County leads the way in technology, diversity and the smart and balanced way we strive to handle criminal justice,\" said Rosen. \"Today’s vote once again shows there is a mandate for safety and fairness — not one at the expense of the other, but both.\"\u003c/p>\n\u003cp>\u003cstrong>Alameda County\u003c/strong>\u003cbr>\nIn November, voters in Alameda County are likely to choose between outspoken progressive Pamela Price, a former public defender and civil rights attorney, and veteran prosecutor Terry Wiley, who favors many progressive approaches but is perhaps the most traditional candidate. In early returns, Price and Wiley were the top two vote-getters \u003ca href=\"https://oaklandside.org/2022/05/06/alameda-county-da-race-candidates-pimary-election-2022/\">in a four-way race\u003c/a> to succeed incumbent District Attorney Nancy O’Malley, who is retiring. Price had 40% and Wiley had 31% of the vote late Tuesday.\u003c/p>\n\u003cp>Wiley, in his three decades in the DA’s office, has overseen investigations of police shootings and touts his work on restorative justice, as well as his years of experience prosecuting criminals. Price has vowed to tackle racial disparities in the enforcement of justice and to scrutinize police shootings.\u003c/p>\n\u003cp>\u003cb>\"\u003c/b>I'm very grateful to the people of Alameda County for standing with us on this journey,\" said Price. \"As a community, we are appalled when people find out that African Americans are 20 times more likely to be incarcerated in this county in 2022. \u003ci>S\u003c/i>o that's what we have to begin to change.\"\u003c/p>\n\u003cp>Two other candidates — Jimmie Wilson, another deputy in the DA’s office, and Seth Steward, a former prosecutor in San Francisco who is currently chief of staff to Oakland Councilmember Dan Kalb — were lagging in early returns: Wilson had 21% and Steward 9% of votes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11916175/incumbents-appear-to-have-edge-in-contra-costa-santa-clara-and-solano-district-attorney-races","authors":["259"],"categories":["news_8"],"tags":["news_23318","news_30217","news_24162","news_29991","news_21479","news_30879","news_31744","news_21047","news_18188","news_23938"],"featImg":"news_11916301","label":"news"},"news_11776781":{"type":"posts","id":"news_11776781","meta":{"index":"posts_1591205157","site":"news","id":"11776781","score":null,"sort":[1569537038000]},"guestAuthors":[],"slug":"san-joaquin-county-da-investigating-juul-labs-for-allegedly-marketing-to-teens","title":"San Joaquin County DA Investigating Juul Labs for Allegedly Marketing to Teens","publishDate":1569537038,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>The San Joaquin County district attorney said Thursday that her office is opening an investigation into e-cigarette maker Juul Labs, looking at whether the company improperly marketed e-cigarettes to teenagers.\u003c/p>\n\u003cp>[aside tag='juul' label='More Coverage']District Attorney Tori Verber Salazar said Juul products have infiltrated Central Valley schools and that the investigation could result in civil or criminal lawsuits against the company. It is illegal to sell e-cigarettes to people under 21 years old.\u003c/p>\n\u003cp>\"These companies come in and make billions and billions of dollars off our communities, and then walk away, leaving everybody else with the harm and the cost,\" Salazar told KQED. \"Nobody comes to my county and hurts my kids without expecting a good fight from me.\"\u003c/p>\n\u003cp>Salazar said any funds gained from potential lawsuits would go toward rehabilitating youth who are addicted to nicotine.\u003c/p>\n\u003cp>The investigation comes a day after Juul Labs replaced their CEO and suspended e-cigarette advertising, and also days after federal prosecutors in California launched a criminal investigation into the company. The focus of that probe is unclear.\u003c/p>\n\u003cp>Juul did not immediately respond to a KQED request for comment.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"The district attorney said Juul products have infiltrated Central Valley schools, and that the investigation could result in civil or criminal lawsuits against the company.","status":"publish","parent":0,"modified":1569611586,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":8,"wordCount":194},"headData":{"title":"San Joaquin County DA Investigating Juul Labs for Allegedly Marketing to Teens | KQED","description":"The district attorney said Juul products have infiltrated Central Valley schools, and that the investigation could result in civil or criminal lawsuits against the company.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11776781 https://ww2.kqed.org/news/?p=11776781","disqusUrl":"https://ww2.kqed.org/news/2019/09/26/san-joaquin-county-da-investigating-juul-labs-for-allegedly-marketing-to-teens/","disqusTitle":"San Joaquin County DA Investigating Juul Labs for Allegedly Marketing to Teens","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2019/09/KlivansJuul.mp3","audioTrackLength":97,"path":"/news/11776781/san-joaquin-county-da-investigating-juul-labs-for-allegedly-marketing-to-teens","audioDuration":97000,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The San Joaquin County district attorney said Thursday that her office is opening an investigation into e-cigarette maker Juul Labs, looking at whether the company improperly marketed e-cigarettes to teenagers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"juul","label":"More Coverage "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>District Attorney Tori Verber Salazar said Juul products have infiltrated Central Valley schools and that the investigation could result in civil or criminal lawsuits against the company. It is illegal to sell e-cigarettes to people under 21 years old.\u003c/p>\n\u003cp>\"These companies come in and make billions and billions of dollars off our communities, and then walk away, leaving everybody else with the harm and the cost,\" Salazar told KQED. \"Nobody comes to my county and hurts my kids without expecting a good fight from me.\"\u003c/p>\n\u003cp>Salazar said any funds gained from potential lawsuits would go toward rehabilitating youth who are addicted to nicotine.\u003c/p>\n\u003cp>The investigation comes a day after Juul Labs replaced their CEO and suspended e-cigarette advertising, and also days after federal prosecutors in California launched a criminal investigation into the company. The focus of that probe is unclear.\u003c/p>\n\u003cp>Juul did not immediately respond to a KQED request for comment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11776781/san-joaquin-county-da-investigating-juul-labs-for-allegedly-marketing-to-teens","authors":["8648"],"programs":["news_72"],"categories":["news_457","news_6188","news_8"],"tags":["news_22856","news_24338","news_21047","news_22857"],"featImg":"news_11776787","label":"news_72"},"news_11693911":{"type":"posts","id":"news_11693911","meta":{"index":"posts_1591205157","site":"news","id":"11693911","score":null,"sort":[1537572166000]},"guestAuthors":[],"slug":"governor-vetoes-bill-that-sought-independence-in-death-investigations","title":"Governor Vetoes Bill That Sought Independence in Death Investigations","publishDate":1537572166,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Gov. Jerry Brown vetoed a bill Tuesday that would have required six counties in California to change how they investigate sudden, suspicious or violent deaths, including deaths that happen during arrest or in jail or prison.\u003c/p>\n\u003cp>State Senate Bill \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1303\" target=\"_blank\" rel=\"noopener\">1303\u003c/a> would have forced non-charter counties with more than 500,000 residents to establish a medical examiner’s office to investigate deaths.\u003c/p>\n\u003cp>But in his Sept. 18 veto \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2018/09/SB-1303-Veto-Message.pdf\" target=\"_blank\" rel=\"noopener\">message\u003c/a>, Brown wrote, “Counties have several options when delivering coroner services to the public. This decision is best left to the discretion of local elected officials who are in the best position to determine how their county offices are organized.”\u003c/p>\n\u003cp>The bill’s author, state Sen. Richard Pan, \u003ca href=\"https://sd06.senate.ca.gov/news/2018-09-19-governor-vetoes-senate-bill-1303-which-would-have-required-medical-experts-conduct\" target=\"_blank\" rel=\"noopener\">responded\u003c/a> Wednesday, “I am disappointed in the veto because it would have been an important step in ensuring the integrity of autopsy reports and achieving justice for people across California.”\u003c/p>\n\u003cp>In seven of California's largest counties — including San Francisco, Santa Clara and San Diego — a medical examiner, who is also a physician, investigates deaths. In the majority of other counties, that job falls to a \u003ca href=\"https://www.kqed.org/news/11670624/coroner-training-seeks-to-raise-standards-for-california-death-investigations\" target=\"_blank\" rel=\"noopener\">coroner\u003c/a>, who is also the elected sheriff.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dr. Pan, a pediatrician, believes that having the sheriff-coroner investigate deaths involving officers is a conflict of interest.\u003c/p>\n\u003cp>“Because of that, they can influence the findings of the autopsy,” Pan said. “They can even modify the reports.”\u003c/p>\n\u003cp>Pan introduced SB 1303 in response to accusations late last year that a county sheriff had in fact meddled in death investigations and altered findings.\u003c/p>\n\u003cp>\u003cstrong>Death Investigation Scandal in San Joaquin County\u003c/strong>\u003c/p>\n\u003cp>The chief forensic pathologist for San Joaquin County, Dr. Bennet Omalu, \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\" target=\"_blank\" rel=\"noopener\">accused\u003c/a> Sheriff Steve Moore of overriding autopsy findings in cases where an officer of the law appeared to have killed someone.\u003c/p>\n\u003cp>Omalu, known for his discovery of the debilitating brain disease CTE in professional football players, resigned from his position as chief forensic pathologist Dec. 4, after a decade holding the position.\u003c/p>\n\u003cp>Among the reasons he said he could no longer work for Moore were several instances where he had determined a person’s death was a homicide, only to watch Moore override his findings and label the death an accident.\u003c/p>\n\u003cp>Omalu testified in support of Pan's bill, which was sponsored by the California Medical Association. The \u003ca href=\"https://www.calsheriffs.org/about-us/about-cssa-our-mission.html\" target=\"_blank\" rel=\"noopener\">California State Sheriffs' Association\u003c/a>, currently led by Moore, opposed the measure as costly and unnecessary, and the California State Association of Counties objected to the measure's interference with local autonomy.\u003c/p>\n\u003cp>While the legislation ultimately failed, San Joaquin County supervisors moved to \u003ca href=\"https://www.kqed.org/news/11664465/san-joaquin-county-sheriff-stripped-of-role-in-death-investigations\" target=\"_blank\" rel=\"noopener\">strip\u003c/a> the sheriff of his coroner duties and establish an independent medical examiner’s office. That effort is ongoing.\u003c/p>\n\u003cp>Moore \u003ca href=\"https://www.kqed.org/news/11672974/sheriff-accused-of-interfering-in-death-investigations-loses-re-election-bid\" target=\"_blank\" rel=\"noopener\">lost\u003c/a> his re-election in June.\u003c/p>\n\u003cp>Omalu recently opened new \u003ca href=\"https://www.bennetomalu.com/\" target=\"_blank\" rel=\"noopener\">offices\u003c/a> and is providing autopsies for several local entities and expert witness testimony in cases throughout the U.S.\u003c/p>\n\u003cp>Pan plans to keep trying to improve death investigations in California. Contrary to the governor’s veto message, the senator thinks that local officials are unlikely to challenge the sheriff-coroner system.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Sheriffs have tremendous political power in counties,” Pan said. “That’s why many counties have been very slow to address this issue.”\u003c/p>\n\n","blocks":[],"excerpt":"The bill that would have separated suspicious death investigations from county sheriffs was vetoed, despite revelations that a sheriff meddled with autopsy findings involving deaths at the hands of law enforcement.","status":"publish","parent":0,"modified":1537573206,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":548},"headData":{"title":"Governor Vetoes Bill That Sought Independence in Death Investigations | KQED","description":"The bill that would have separated suspicious death investigations from county sheriffs was vetoed, despite revelations that a sheriff meddled with autopsy findings involving deaths at the hands of law enforcement.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11693911 https://ww2.kqed.org/news/?p=11693911","disqusUrl":"https://ww2.kqed.org/news/2018/09/21/governor-vetoes-bill-that-sought-independence-in-death-investigations/","disqusTitle":"Governor Vetoes Bill That Sought Independence in Death Investigations","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/09/SmallSheriffCoronerVetoTCRAM180919.mp3","audioTrackLength":116,"path":"/news/11693911/governor-vetoes-bill-that-sought-independence-in-death-investigations","audioDuration":130000,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Jerry Brown vetoed a bill Tuesday that would have required six counties in California to change how they investigate sudden, suspicious or violent deaths, including deaths that happen during arrest or in jail or prison.\u003c/p>\n\u003cp>State Senate Bill \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1303\" target=\"_blank\" rel=\"noopener\">1303\u003c/a> would have forced non-charter counties with more than 500,000 residents to establish a medical examiner’s office to investigate deaths.\u003c/p>\n\u003cp>But in his Sept. 18 veto \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2018/09/SB-1303-Veto-Message.pdf\" target=\"_blank\" rel=\"noopener\">message\u003c/a>, Brown wrote, “Counties have several options when delivering coroner services to the public. This decision is best left to the discretion of local elected officials who are in the best position to determine how their county offices are organized.”\u003c/p>\n\u003cp>The bill’s author, state Sen. Richard Pan, \u003ca href=\"https://sd06.senate.ca.gov/news/2018-09-19-governor-vetoes-senate-bill-1303-which-would-have-required-medical-experts-conduct\" target=\"_blank\" rel=\"noopener\">responded\u003c/a> Wednesday, “I am disappointed in the veto because it would have been an important step in ensuring the integrity of autopsy reports and achieving justice for people across California.”\u003c/p>\n\u003cp>In seven of California's largest counties — including San Francisco, Santa Clara and San Diego — a medical examiner, who is also a physician, investigates deaths. In the majority of other counties, that job falls to a \u003ca href=\"https://www.kqed.org/news/11670624/coroner-training-seeks-to-raise-standards-for-california-death-investigations\" target=\"_blank\" rel=\"noopener\">coroner\u003c/a>, who is also the elected sheriff.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dr. Pan, a pediatrician, believes that having the sheriff-coroner investigate deaths involving officers is a conflict of interest.\u003c/p>\n\u003cp>“Because of that, they can influence the findings of the autopsy,” Pan said. “They can even modify the reports.”\u003c/p>\n\u003cp>Pan introduced SB 1303 in response to accusations late last year that a county sheriff had in fact meddled in death investigations and altered findings.\u003c/p>\n\u003cp>\u003cstrong>Death Investigation Scandal in San Joaquin County\u003c/strong>\u003c/p>\n\u003cp>The chief forensic pathologist for San Joaquin County, Dr. Bennet Omalu, \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\" target=\"_blank\" rel=\"noopener\">accused\u003c/a> Sheriff Steve Moore of overriding autopsy findings in cases where an officer of the law appeared to have killed someone.\u003c/p>\n\u003cp>Omalu, known for his discovery of the debilitating brain disease CTE in professional football players, resigned from his position as chief forensic pathologist Dec. 4, after a decade holding the position.\u003c/p>\n\u003cp>Among the reasons he said he could no longer work for Moore were several instances where he had determined a person’s death was a homicide, only to watch Moore override his findings and label the death an accident.\u003c/p>\n\u003cp>Omalu testified in support of Pan's bill, which was sponsored by the California Medical Association. The \u003ca href=\"https://www.calsheriffs.org/about-us/about-cssa-our-mission.html\" target=\"_blank\" rel=\"noopener\">California State Sheriffs' Association\u003c/a>, currently led by Moore, opposed the measure as costly and unnecessary, and the California State Association of Counties objected to the measure's interference with local autonomy.\u003c/p>\n\u003cp>While the legislation ultimately failed, San Joaquin County supervisors moved to \u003ca href=\"https://www.kqed.org/news/11664465/san-joaquin-county-sheriff-stripped-of-role-in-death-investigations\" target=\"_blank\" rel=\"noopener\">strip\u003c/a> the sheriff of his coroner duties and establish an independent medical examiner’s office. That effort is ongoing.\u003c/p>\n\u003cp>Moore \u003ca href=\"https://www.kqed.org/news/11672974/sheriff-accused-of-interfering-in-death-investigations-loses-re-election-bid\" target=\"_blank\" rel=\"noopener\">lost\u003c/a> his re-election in June.\u003c/p>\n\u003cp>Omalu recently opened new \u003ca href=\"https://www.bennetomalu.com/\" target=\"_blank\" rel=\"noopener\">offices\u003c/a> and is providing autopsies for several local entities and expert witness testimony in cases throughout the U.S.\u003c/p>\n\u003cp>Pan plans to keep trying to improve death investigations in California. Contrary to the governor’s veto message, the senator thinks that local officials are unlikely to challenge the sheriff-coroner system.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Sheriffs have tremendous political power in counties,” Pan said. “That’s why many counties have been very slow to address this issue.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11693911/governor-vetoes-bill-that-sought-independence-in-death-investigations","authors":["6625"],"programs":["news_72"],"categories":["news_6188","news_8"],"tags":["news_22173","news_21742","news_23360","news_21047","news_22171","news_22846","news_22172"],"featImg":"news_11633434","label":"news_72"},"news_11672974":{"type":"posts","id":"news_11672974","meta":{"index":"posts_1591205157","site":"news","id":"11672974","score":null,"sort":[1528326037000]},"guestAuthors":[],"slug":"sheriff-accused-of-interfering-in-death-investigations-loses-re-election-bid","title":"Sheriff Accused of Interfering in Death Investigations Loses Re-Election Bid","publishDate":1528326037,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>The San Joaquin County sheriff-coroner, who was \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\" target=\"_blank\" rel=\"noopener\">accused last year of meddling in death investigations\u003c/a>, fell short in his bid for re-election.\u003c/p>\n\u003cp>Three-term incumbent Sheriff Steve Moore trailed his opponent \u003ca href=\"http://withrowforsheriff.com/\" target=\"_blank\" rel=\"noopener\">Pat Withrow\u003c/a> by 17 points Wednesday, with 100 percent of precinct votes reported.\u003c/p>\n\u003cp>Moore conceded defeat Wednesday morning in a phone call to Withrow, congratulating him on his win even as the county registrar was still tallying 50,000 vote-by-mail and provisional ballots.\u003c/p>\n\u003cp>Moore lost support after two forensic pathologists in the coroner's office alleged that the sheriff interfered with autopsy findings and used his political office to shield officers who killed civilians. The \u003ca href=\"https://www.kqed.org/news/11633330/autopsy-doctor-quits-alleges-sheriff-interfered-in-death-probes\" target=\"_blank\" rel=\"noopener\">allegations\u003c/a> were first reported by KQED.\u003c/p>\n\u003cp>\u003ca href=\"http://www.bennetomalu.com/\" target=\"_blank\" rel=\"noopener\">Dr. Bennet Omalu\u003c/a>, a nationally renowned forensic pathologist famous for his discovery of a concussion-related disease in football players, worked for the sheriff for a decade.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\">Autopsy Doctor Resigns, Says Sheriff Overrode Death Findings to Protect Officers\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\">\u003cimg src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2017/12/coroner_1920-1180x632.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Shortly after his colleague Dr. Susan Parson quit in November, Omalu tendered his own resignation. Together the doctors submitted over 100 pages of documentation to county officials that they said showed Moore had repeatedly violated medical and ethical standards in his role as coroner.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Moore denied he did anything wrong, a claim backed up by a county \u003ca href=\"https://www.kqed.org/news/11663351/san-joaquin-county-should-install-independent-medical-examiner-audit-finds\" target=\"_blank\" rel=\"noopener\">audit\u003c/a> that concluded he broke no laws.\u003c/p>\n\u003cp>However, the audit also identified so many problems with the way Moore ran death investigations that supervisors \u003ca href=\"https://www.kqed.org/news/11664465/san-joaquin-county-sheriff-stripped-of-role-in-death-investigations\" target=\"_blank\" rel=\"noopener\">voted unanimously in April\u003c/a> to strip the sheriff of his coroner duties and establish an independent medical examiner to investigate deaths, independent of law enforcement.\u003c/p>\n\u003cfigure id=\"attachment_11673167\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11673167\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/PatWithrow-800x550.jpg\" alt=\"San Joaquin County Sheriff-Elect Pat Withrow (second from left) and supporters celebrate the June 5 primary results.\" width=\"800\" height=\"550\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-800x550.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-160x110.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-1020x701.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-1200x825.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-1180x811.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-960x660.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-240x165.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-375x258.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-520x358.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">San Joaquin County Sheriff-Elect Pat Withrow (second from left) and supporters celebrate the June 5 primary results. \u003ccite>(Courtesy Tracy Spencer)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Withrow, who served as the deputy sheriff of San Joaquin County for nearly three decades, quit to run against Moore in 2014. Moore beat Withrow that year, drawing on strong support from county ranchers and farmers.\u003c/p>\n\u003cp>Despite the allegations against him, Moore became president of the influential \u003ca href=\"https://www.calsheriffs.org/about-us/board-of-directors/presidents-message.html\" target=\"_blank\" rel=\"noopener\">California State Sheriffs' Association\u003c/a> in April, a title he will have to forfeit when Withrow takes office next year.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As of 2 a.m. Wednesday, Withrow had won 58 percent of the vote, with Moore taking 41 percent.\u003c/p>\n\n","blocks":[],"excerpt":"San Joaquin County Sheriff Steve Moore won't be coming back for a fourth term. Allegations that he interfered with death investigations and autopsy findings may have cost him crucial votes.","status":"publish","parent":0,"modified":1530643309,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":373},"headData":{"title":"Sheriff Accused of Interfering in Death Investigations Loses Re-Election Bid | KQED","description":"San Joaquin County Sheriff Steve Moore won't be coming back for a fourth term. Allegations that he interfered with death investigations and autopsy findings may have cost him crucial votes.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11672974 https://ww2.kqed.org/news/?p=11672974","disqusUrl":"https://ww2.kqed.org/news/2018/06/06/sheriff-accused-of-interfering-in-death-investigations-loses-re-election-bid/","disqusTitle":"Sheriff Accused of Interfering in Death Investigations Loses Re-Election Bid","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/06/SmallSheriffMooreOustedTCRAM180606.mp3","path":"/news/11672974/sheriff-accused-of-interfering-in-death-investigations-loses-re-election-bid","audioDuration":95000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The San Joaquin County sheriff-coroner, who was \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\" target=\"_blank\" rel=\"noopener\">accused last year of meddling in death investigations\u003c/a>, fell short in his bid for re-election.\u003c/p>\n\u003cp>Three-term incumbent Sheriff Steve Moore trailed his opponent \u003ca href=\"http://withrowforsheriff.com/\" target=\"_blank\" rel=\"noopener\">Pat Withrow\u003c/a> by 17 points Wednesday, with 100 percent of precinct votes reported.\u003c/p>\n\u003cp>Moore conceded defeat Wednesday morning in a phone call to Withrow, congratulating him on his win even as the county registrar was still tallying 50,000 vote-by-mail and provisional ballots.\u003c/p>\n\u003cp>Moore lost support after two forensic pathologists in the coroner's office alleged that the sheriff interfered with autopsy findings and used his political office to shield officers who killed civilians. The \u003ca href=\"https://www.kqed.org/news/11633330/autopsy-doctor-quits-alleges-sheriff-interfered-in-death-probes\" target=\"_blank\" rel=\"noopener\">allegations\u003c/a> were first reported by KQED.\u003c/p>\n\u003cp>\u003ca href=\"http://www.bennetomalu.com/\" target=\"_blank\" rel=\"noopener\">Dr. Bennet Omalu\u003c/a>, a nationally renowned forensic pathologist famous for his discovery of a concussion-related disease in football players, worked for the sheriff for a decade.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\">Autopsy Doctor Resigns, Says Sheriff Overrode Death Findings to Protect Officers\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\">\u003cimg src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2017/12/coroner_1920-1180x632.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Shortly after his colleague Dr. Susan Parson quit in November, Omalu tendered his own resignation. Together the doctors submitted over 100 pages of documentation to county officials that they said showed Moore had repeatedly violated medical and ethical standards in his role as coroner.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Moore denied he did anything wrong, a claim backed up by a county \u003ca href=\"https://www.kqed.org/news/11663351/san-joaquin-county-should-install-independent-medical-examiner-audit-finds\" target=\"_blank\" rel=\"noopener\">audit\u003c/a> that concluded he broke no laws.\u003c/p>\n\u003cp>However, the audit also identified so many problems with the way Moore ran death investigations that supervisors \u003ca href=\"https://www.kqed.org/news/11664465/san-joaquin-county-sheriff-stripped-of-role-in-death-investigations\" target=\"_blank\" rel=\"noopener\">voted unanimously in April\u003c/a> to strip the sheriff of his coroner duties and establish an independent medical examiner to investigate deaths, independent of law enforcement.\u003c/p>\n\u003cfigure id=\"attachment_11673167\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11673167\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/PatWithrow-800x550.jpg\" alt=\"San Joaquin County Sheriff-Elect Pat Withrow (second from left) and supporters celebrate the June 5 primary results.\" width=\"800\" height=\"550\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-800x550.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-160x110.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-1020x701.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-1200x825.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-1180x811.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-960x660.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-240x165.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-375x258.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-520x358.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">San Joaquin County Sheriff-Elect Pat Withrow (second from left) and supporters celebrate the June 5 primary results. \u003ccite>(Courtesy Tracy Spencer)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Withrow, who served as the deputy sheriff of San Joaquin County for nearly three decades, quit to run against Moore in 2014. Moore beat Withrow that year, drawing on strong support from county ranchers and farmers.\u003c/p>\n\u003cp>Despite the allegations against him, Moore became president of the influential \u003ca href=\"https://www.calsheriffs.org/about-us/board-of-directors/presidents-message.html\" target=\"_blank\" rel=\"noopener\">California State Sheriffs' Association\u003c/a> in April, a title he will have to forfeit when Withrow takes office next year.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As of 2 a.m. Wednesday, Withrow had won 58 percent of the vote, with Moore taking 41 percent.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11672974/sheriff-accused-of-interfering-in-death-investigations-loses-re-election-bid","authors":["6625"],"programs":["news_72"],"categories":["news_6188","news_8","news_13"],"tags":["news_20191","news_21047","news_22171","news_22846","news_22172"],"featImg":"news_11664497","label":"news_72"},"news_11670624":{"type":"posts","id":"news_11670624","meta":{"index":"posts_1591205157","site":"news","id":"11670624","score":null,"sort":[1527637206000]},"guestAuthors":[],"slug":"coroner-training-seeks-to-raise-standards-for-california-death-investigations","title":"Coroner Training Seeks to Raise Standards for California Death Investigations","publishDate":1527637206,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Every year, hundreds of death investigators from across California travel to a unique training facility in Santa Ana to sharpen their skills and deepen their knowledge of the critical job.\u003c/p>\n\u003cp>The people responsible for investigating sudden, suspicious or violent deaths in a county take photos of the body, collect evidence, interview witnesses and prepare a report of their findings that ultimately contributes to a decision on how and why someone died, and what goes on a person's death certificate.\u003c/p>\n\u003cp>Decades ago the \u003ca href=\"https://www.coroners.org/\" target=\"_blank\" rel=\"noopener\">California State Coroners Association\u003c/a> and the Orange County Sheriff's Department recognized the need to standardize training for the job. In 1989 they began offering courses, often out of hotel ballrooms. But that limited what they could do. Years later they secured $15 million to build the \u003ca href=\"http://www.ocsd.org/divisions/fieldops/coroner/cctc\" target=\"_blank\" rel=\"noopener\">California Coroner Training Center\u003c/a>. The doors opened in 2004, and so did the opportunity to provide hands-on courses.\u003c/p>\n\u003ch3>'There's No Real Dead People in Here'\u003c/h3>\n\u003cp>\"What we did is we built just one big wide open room,\" said Assistant Chief Deputy Coroner for Orange County Bruce Lyle on a recent tour. \"There's a drain in the floor in case we needed blood or fluids -- fake fluids -- to mock it.\"\u003c/p>\n\u003cp>Lyle, who teaches some of the courses, quickly added, \"There's no real dead people in here.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Contained inside the room is a set of a two-bedroom apartment built out of plywood. From the outside it doesn't look like much, but inside the place is decorated and furnished with furniture, props and eerily realistic latex dummies.\u003c/p>\n\u003cp>\"He's not a very clean person,\" Lyle said of one dummy. \"He's kind of grubby. He's got a 5 o'clock shadow. You can feel it on his face.\"\u003c/p>\n\u003cp>The dummy's name, Emmanuel Quin -- or \"Manny\" Quin for short -- provides comic relief to the otherwise grim task of identifying the decedent and determining how long ago he died.\u003c/p>\n\u003cp>\"There are certain changes in the body\" Lyle explained, \"and one of them is the decomposition.\"\u003c/p>\n\u003cp>The dummy was commissioned by Burbank's \u003ca href=\"https://www.burmanfoam.com/\" target=\"_blank\" rel=\"noopener\">Burman Studio\u003c/a> to exhibit signs of decomposition, including discoloration of the skin.\u003c/p>\n\u003cp>The trainers load the set with other clues, including cigarette butts, an empty bottle of tequila, a dated prescription for pills, and a dried-out slice of pizza in a box on the floor.\u003c/p>\n\u003cp>Lyle said the barrage of stimuli simulates what investigators typically encounter at the scene of someone's death.\u003c/p>\n\u003cp>\"We have to sort of teach people to cut through all that business and get to the important stuff,\" Lyle says.\u003c/p>\n\u003cfigure id=\"attachment_11671398\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11671398\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/CoronerTrainingBldg-800x488.jpg\" alt=\"The California Coroner's Training Facility in Orange County.\" width=\"800\" height=\"488\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-800x488.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-160x98.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-240x146.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-375x229.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-520x317.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg.jpg 867w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The California Coroner Training Center in Orange County trains coroners from across California. \u003ccite>(Courtesy Orange County Sheriff's Dept.)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When trainings are in session, actors play bereaved relatives or roommates with information the investigator has to elicit.\u003c/p>\n\u003cp>\"The last thing I want to do is have somebody come in and just look at the body and think that that's the extent of their investigation,\" Lyle says.\u003c/p>\n\u003cp>Most of the death investigators that come for the training work for one of 41 counties in California where the sheriff and coroner’s office are one.\u003c/p>\n\u003cp>Lyle, who is also incoming president of the California State Coroners Association, says the philosophy for the training is to get attendees to apply their experience investigating crimes to death investigations.\u003c/p>\n\u003cp>According to the Orange County Sheriff's Department website, \"The ultimate vision of the Training Center’s leadership is to 'raise the bar' in the coroner profession by improving the caliber of investigations conducted throughout the state.\"\u003c/p>\n\u003ch3>Varying Levels of Expertise\u003c/h3>\n\u003cp>The level of expertise in death investigations varies widely from county to county.\u003c/p>\n\u003cp>Some of the larger sheriff's departments in Orange County and San Bernardino County created a separate coroner's division and assigned dedicated deputies to investigate deaths, which allowed them to develop expertise over years, even decades.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">How Families Pay for San Joaquin Coroner Mistakes\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29311_alt_681-1180x1573.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Smaller counties such as San Joaquin County dedicated a handful of deputies for coroner's work who typically investigate more complex death scenes such as a homicide -- but often patrol deputies who received minimal training in death investigations respond to the scene of a death.\u003c/p>\n\u003cp>The Orange County Sheriff-Coroner's Office is working with the California State Coroners Association to establish an accreditation program for death investigators.\u003c/p>\n\u003ch3>Some Counties Could Be Required to End Sheriff's Role as Coroner\u003c/h3>\n\u003cp>Some of those offices could change under \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1303\" target=\"_blank\" rel=\"noopener\">state Senate Bill 1303\u003c/a>. The bill would force several large counties to create a completely separate medical examiner’s office for death investigations -- with a physician in charge.\u003c/p>\n\u003cp>The measure was introduced by Sen. Richard Pan in response to a scandal in Joaquin County that erupted last year.\u003c/p>\n\u003cp>Two forensic pathologists who worked for Sheriff-Coroner Steve Moore \u003ca href=\"https://www.kqed.org/news/11633330/autopsy-doctor-quits-alleges-sheriff-interfered-in-death-probes\" target=\"_blank\" rel=\"noopener\">accused him of pressuring them\u003c/a> to change their autopsy findings in deaths involving law enforcement officers. Moore denied the allegations.\u003c/p>\n\u003cp>The doctors also faulted the inexperience among deputies responding to coroner calls for driving up costs and \u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\" target=\"_blank\" rel=\"noopener\">creating backlogs and delays\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If passed, SB 1303 would not interfere with the plans to expand coroner training at the facility in Orange County.\u003c/p>\n\n","blocks":[],"excerpt":"Investigators practice on a \"dummy\" corpse inside a set built to look like a real apartment as they practice skills needed to identify the cause and manner of death.","status":"publish","parent":0,"modified":1527642012,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":29,"wordCount":883},"headData":{"title":"Coroner Training Seeks to Raise Standards for California Death Investigations | KQED","description":"Investigators practice on a "dummy" corpse inside a set built to look like a real apartment as they practice skills needed to identify the cause and manner of death.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11670624 https://ww2.kqed.org/news/?p=11670624","disqusUrl":"https://ww2.kqed.org/news/2018/05/29/coroner-training-seeks-to-raise-standards-for-california-death-investigations/","disqusTitle":"Coroner Training Seeks to Raise Standards for California Death Investigations","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/05/CoronerTrainingSmall180525.mp3","path":"/news/11670624/coroner-training-seeks-to-raise-standards-for-california-death-investigations","audioDuration":242000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Every year, hundreds of death investigators from across California travel to a unique training facility in Santa Ana to sharpen their skills and deepen their knowledge of the critical job.\u003c/p>\n\u003cp>The people responsible for investigating sudden, suspicious or violent deaths in a county take photos of the body, collect evidence, interview witnesses and prepare a report of their findings that ultimately contributes to a decision on how and why someone died, and what goes on a person's death certificate.\u003c/p>\n\u003cp>Decades ago the \u003ca href=\"https://www.coroners.org/\" target=\"_blank\" rel=\"noopener\">California State Coroners Association\u003c/a> and the Orange County Sheriff's Department recognized the need to standardize training for the job. In 1989 they began offering courses, often out of hotel ballrooms. But that limited what they could do. Years later they secured $15 million to build the \u003ca href=\"http://www.ocsd.org/divisions/fieldops/coroner/cctc\" target=\"_blank\" rel=\"noopener\">California Coroner Training Center\u003c/a>. The doors opened in 2004, and so did the opportunity to provide hands-on courses.\u003c/p>\n\u003ch3>'There's No Real Dead People in Here'\u003c/h3>\n\u003cp>\"What we did is we built just one big wide open room,\" said Assistant Chief Deputy Coroner for Orange County Bruce Lyle on a recent tour. \"There's a drain in the floor in case we needed blood or fluids -- fake fluids -- to mock it.\"\u003c/p>\n\u003cp>Lyle, who teaches some of the courses, quickly added, \"There's no real dead people in here.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Contained inside the room is a set of a two-bedroom apartment built out of plywood. From the outside it doesn't look like much, but inside the place is decorated and furnished with furniture, props and eerily realistic latex dummies.\u003c/p>\n\u003cp>\"He's not a very clean person,\" Lyle said of one dummy. \"He's kind of grubby. He's got a 5 o'clock shadow. You can feel it on his face.\"\u003c/p>\n\u003cp>The dummy's name, Emmanuel Quin -- or \"Manny\" Quin for short -- provides comic relief to the otherwise grim task of identifying the decedent and determining how long ago he died.\u003c/p>\n\u003cp>\"There are certain changes in the body\" Lyle explained, \"and one of them is the decomposition.\"\u003c/p>\n\u003cp>The dummy was commissioned by Burbank's \u003ca href=\"https://www.burmanfoam.com/\" target=\"_blank\" rel=\"noopener\">Burman Studio\u003c/a> to exhibit signs of decomposition, including discoloration of the skin.\u003c/p>\n\u003cp>The trainers load the set with other clues, including cigarette butts, an empty bottle of tequila, a dated prescription for pills, and a dried-out slice of pizza in a box on the floor.\u003c/p>\n\u003cp>Lyle said the barrage of stimuli simulates what investigators typically encounter at the scene of someone's death.\u003c/p>\n\u003cp>\"We have to sort of teach people to cut through all that business and get to the important stuff,\" Lyle says.\u003c/p>\n\u003cfigure id=\"attachment_11671398\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11671398\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/CoronerTrainingBldg-800x488.jpg\" alt=\"The California Coroner's Training Facility in Orange County.\" width=\"800\" height=\"488\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-800x488.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-160x98.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-240x146.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-375x229.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-520x317.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg.jpg 867w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The California Coroner Training Center in Orange County trains coroners from across California. \u003ccite>(Courtesy Orange County Sheriff's Dept.)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When trainings are in session, actors play bereaved relatives or roommates with information the investigator has to elicit.\u003c/p>\n\u003cp>\"The last thing I want to do is have somebody come in and just look at the body and think that that's the extent of their investigation,\" Lyle says.\u003c/p>\n\u003cp>Most of the death investigators that come for the training work for one of 41 counties in California where the sheriff and coroner’s office are one.\u003c/p>\n\u003cp>Lyle, who is also incoming president of the California State Coroners Association, says the philosophy for the training is to get attendees to apply their experience investigating crimes to death investigations.\u003c/p>\n\u003cp>According to the Orange County Sheriff's Department website, \"The ultimate vision of the Training Center’s leadership is to 'raise the bar' in the coroner profession by improving the caliber of investigations conducted throughout the state.\"\u003c/p>\n\u003ch3>Varying Levels of Expertise\u003c/h3>\n\u003cp>The level of expertise in death investigations varies widely from county to county.\u003c/p>\n\u003cp>Some of the larger sheriff's departments in Orange County and San Bernardino County created a separate coroner's division and assigned dedicated deputies to investigate deaths, which allowed them to develop expertise over years, even decades.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">How Families Pay for San Joaquin Coroner Mistakes\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29311_alt_681-1180x1573.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Smaller counties such as San Joaquin County dedicated a handful of deputies for coroner's work who typically investigate more complex death scenes such as a homicide -- but often patrol deputies who received minimal training in death investigations respond to the scene of a death.\u003c/p>\n\u003cp>The Orange County Sheriff-Coroner's Office is working with the California State Coroners Association to establish an accreditation program for death investigators.\u003c/p>\n\u003ch3>Some Counties Could Be Required to End Sheriff's Role as Coroner\u003c/h3>\n\u003cp>Some of those offices could change under \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1303\" target=\"_blank\" rel=\"noopener\">state Senate Bill 1303\u003c/a>. The bill would force several large counties to create a completely separate medical examiner’s office for death investigations -- with a physician in charge.\u003c/p>\n\u003cp>The measure was introduced by Sen. Richard Pan in response to a scandal in Joaquin County that erupted last year.\u003c/p>\n\u003cp>Two forensic pathologists who worked for Sheriff-Coroner Steve Moore \u003ca href=\"https://www.kqed.org/news/11633330/autopsy-doctor-quits-alleges-sheriff-interfered-in-death-probes\" target=\"_blank\" rel=\"noopener\">accused him of pressuring them\u003c/a> to change their autopsy findings in deaths involving law enforcement officers. Moore denied the allegations.\u003c/p>\n\u003cp>The doctors also faulted the inexperience among deputies responding to coroner calls for driving up costs and \u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\" target=\"_blank\" rel=\"noopener\">creating backlogs and delays\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If passed, SB 1303 would not interfere with the plans to expand coroner training at the facility in Orange County.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11670624/coroner-training-seeks-to-raise-standards-for-california-death-investigations","authors":["6625"],"programs":["news_72"],"categories":["news_6188","news_8"],"tags":["news_21742","news_22434","news_23360","news_18371","news_5831","news_21047","news_22171","news_22846"],"featImg":"news_11671419","label":"news_72"},"news_11664339":{"type":"posts","id":"news_11664339","meta":{"index":"posts_1591205157","site":"news","id":"11664339","score":null,"sort":[1524599941000]},"guestAuthors":[],"slug":"reversal-on-death-investigation-of-man-killed-by-police-casts-doubt-in-san-joaquin-county","title":"Reversal on Death Ruling for Man Killed by Police Raises Doubts in San Joaquin County","publishDate":1524599941,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>When a young Sacramento man died in a struggle with Stockton police in 2016, San Joaquin County Sheriff-Coroner Steve Moore labeled the death an accident, overriding the opinion of his principal forensic pathologist.\u003c/p>\n\u003cp>Last month, a full two years later, the discrepancy was \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\" target=\"_blank\" rel=\"noopener\">exposed\u003c/a>, and the sheriff reclassified the death of Abelino Cordova-Cuevas as a homicide.\u003c/p>\n\u003cp>The reversal raises questions about the integrity of death investigations conducted under Moore, especially whether the sheriff appeared to use his power to shield officers of the law from prosecution, even if they killed people. In San Joaquin County, as in the vast majority of California counties, the sheriff also serves as coroner and is responsible for investigating sudden, violent and suspicious deaths.\u003c/p>\n\u003cp>“Let’s not lose sight of the fact that this is an officer-involved death,” said Greg Bentley, an attorney for the Cordova-Cuevas family. “There needs to be independence, objectivity and competency in county-performed autopsies. The public would expect nothing less.”\u003c/p>\n\u003cp>But in the case of Cordova-Cuevas, Bentley says the sheriff betrayed that public trust by violating a subpoena for all records on the case. He says Moore’s agency withheld a key document that would have showed that the forensic pathologist who conducted the autopsy, Dr. Bennet Omalu, had indicated the death was a homicide.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The lawyer discovered the omission during a deposition of Omalu, who noted that the cover sheet was missing from his autopsy report.\u003c/p>\n\u003cfigure id=\"attachment_11664418\" class=\"wp-caption alignright\" style=\"max-width: 1363px\">\u003cimg class=\"wp-image-11664418 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet.jpg\" alt=\"\" width=\"1363\" height=\"1755\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet.jpg 1363w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-160x206.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-800x1030.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-1020x1313.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-932x1200.jpg 932w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-1180x1519.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-960x1236.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-240x309.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-375x483.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-520x670.jpg 520w\" sizes=\"(max-width: 1363px) 100vw, 1363px\">\u003cfigcaption class=\"wp-caption-text\">Abelino Cordova-Cuevas autopsy cover sheet. \u003ccite>(San Joaquin County Sheriff-Coroner's Office)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The sheriff’s decision to reclassify Cordova-Cuevas’ death was made shortly after that revelation and just one day before Moore implemented a new policy that would provide greater transparency in death investigations.\u003c/p>\n\u003cp>Going forward, all officer-involved deaths would require a coroner’s \u003ca href=\"https://www.kqed.org/news/11658317/san-joaquin-sheriff-coroner-opens-some-death-investigations-to-public\" target=\"_blank\" rel=\"noopener\">inquest\u003c/a> where the sheriff appoints a hearing officer or a nine-member jury of county residents to consider evidence to decide whether the deceased person died as the result of an accident, homicide, suicide or natural causes.\u003c/p>\n\u003cp>“Recently, questions have been raised about death investigations that were, in some way, connected to law enforcement action,” Moore wrote in a statement last month, referring to allegations made by Omalu and the county’s other forensic pathologist, Dr. Susan Parson, who both resigned in December.\u003c/p>\n\u003cp>Omalu, renowned for his discovery of a deadly brain disease related to concussions in professional football players, served as the county’s chief forensic pathologist for a decade. In a memo documenting his reasons for resigning he wrote, “The sheriff was using his political office as the coroner to protect police officers whenever someone died while in custody or during arrest.”\u003c/p>\n\u003cp>\u003cstrong>Deadly Traffic Stop\u003c/strong>\u003c/p>\n\u003cp>On March 7, 2016, Cordova-Cuevas was driving home from his job at a Stockton meat market, when police pulled him over for what they called “erratic driving,” according to a wrongful-death complaint filed for the family.\u003c/p>\n\u003cp>In the complaint, witnesses reported seeing the 28-year-old standing on the sidewalk, his hands in the air, while repeatedly telling officers, “I have no weapons.” When one of the officers triggered his taser gun, making a “crackling sound,” Cordova-Cuevas ran away. Police quickly cornered him at a nearby business.\u003c/p>\n\u003cp>Security camera \u003ca href=\"https://www.youtube.com/watch?v=dJNSeeCkAfc\" target=\"_blank\" rel=\"noopener\">footage\u003c/a> from a nearby business obtained by Bentley, the family’s attorney, showed Cordova-Cuevas was backing up slowly with his hands in the air when police tackled him.\u003c/p>\n\u003cp>That footage also showed Stockton officers using either a chokehold or carotid restraint on Cordova-Cuevas. Police in California are not allowed to use a chokehold that cuts off the air by compressing the windpipe, but they are allowed to use a carotid restraint where they squeeze a person’s neck to restrict blood flow to the brain, causing them to lose consciousness briefly.\u003c/p>\n\u003cp>When Cordova-Cuevas became unresponsive, officers called for medics and tried to resuscitate him. He was taken to a local hospital and pronounced dead.\u003c/p>\n\u003cp>\u003cstrong>Coroner Overrode Doctor’s Opinion on Homicide \u003c/strong>\u003c/p>\n\u003cp>Omalu conducted the autopsy the day after Cordova-Cuevas’ death, but did not finalize his report for nearly a year. The pathologist said it took that long to convince the Stockton Police Department to let him view footage from the officers’ body cameras.\u003c/p>\n\u003cfigure id=\"attachment_11648872\" class=\"wp-caption alignright\" style=\"max-width: 1920px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29306_IMG_2022-qut.jpg\" alt=\"\" width=\"1920\" height=\"2880\" class=\"size-full wp-image-11648872\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-160x240.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-800x1200.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-1020x1530.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-1180x1770.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-960x1440.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-240x360.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-375x563.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-520x780.jpg 520w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Bennet Omalu \u003ccite>(Courtesy of Dr. Bennet Omalu)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Jan. 26, 2017, autopsy form filled out by Omalu states that Cordova-Cuevas died from mechanical asphyxiation, compression of the neck and blunt force trauma to the head, face, neck and trunk. Acute amphetamine toxicity is listed as a significant contributing factor. The doctor concluded that the man had died at the hands of another -- the medical definition of a homicide. On a cover sheet for the autopsy report, Omalu checked a box next to the word “homicide,” and circled it.\u003c/p>\n\u003cp>Months later, Omalu told KQED the sheriff called him into his office and asked him to change the manner of Cordova-Cuevas’ death to “accident,” and wanted the same change made in another 2016 officer-involved fatality.\u003c/p>\n\u003cp>“We went into this long back and forth,” Omalu said, “that he doesn't think it was a homicide because they didn't mean to kill him. And I said to him, ‘Sir, it doesn't matter what you and I think, we have to adhere to the standards of practice.’”\u003c/p>\n\u003cp>Omalu said he told the sheriff that a medical determination of homicide indicates that someone died at the hands of another, but it does not ascribe motive or guilt.\u003c/p>\n\u003cp>Four months later, on May 4, 2017, the coroner's office issued a death certificate for Cordova-Cuevas, identifying the manner of his death as an accident.\u003c/p>\n\u003cp>Omalu found out after the Cordova-Cuevas family asked an outside pathologist to review the autopsy report, and that doctor called Omalu and asked why had he had designated the manner of death an accident.\u003c/p>\n\u003cp>In an Aug. 22, 2017 memo documenting that call, Omalu wrote, “I had made it a homicide but the Sheriff had apparently overruled my opinion, without even consulting me.”\u003c/p>\n\u003cp>A KQED \u003ca href=\"https://www.kqed.org/news/11636262/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident\" target=\"_blank\" rel=\"noopener\">investigation\u003c/a> found other examples in which Sheriff Moore overrode Omalu’s assessment and ruled deaths accidents instead of homicides. One is the case of Daniel Humphreys, who died in 2008 after a CHP officer tased him 31 times.\u003c/p>\n\u003cp>An independent \u003ca href=\"https://www.kqed.org/news/11663351/san-joaquin-county-should-install-independent-medical-examiner-audit-finds\" target=\"_blank\" rel=\"noopener\">audit\u003c/a> of San Joaquin County coroner operations, released last week by RAM Consulting LLC, confirmed “several cases” in 2016 where Moore labeled an officer-involved fatality an accident, against the opinion of the forensic pathologist who conducted the autopsy.\u003c/p>\n\u003cp>Moore declined to be interviewed for this story, but has repeatedly denied that he interfered with his doctors’ findings.\u003c/p>\n\u003cp>In a Dec. 6 Facebook post, Moore stated, “I would never try to control, influence or change the opinions of Dr. Omalu or any other physician working on a case, but I still have the responsibility of making the final determination.”\u003c/p>\n\u003cp>In a legal review of the doctors’ allegations, San Joaquin County Counsel Mark Myles concluded that “the Coroner and the physician should deliberate together regarding the determination of the manner of death so that each understands the others’ perspective. There is no requirement that they agree as to the manner of death.”\u003c/p>\n\u003cp>Controversy over Sheriff Moore’s handling of death investigations became public when Omalu and Parson resigned last December.\u003c/p>\n\u003cp>\u003cstrong>Addendum to Homicide\u003c/strong>\u003c/p>\n\u003cp>In the Cordova-Cuevas case, an addendum to the coroners’ investigative report, obtained by KQED, shows that Chief Deputy Coroner Mike Reynolds reviewed the autopsy file on Omalu’s final day on the job.\u003c/p>\n\u003cp>In the March 23, 2018 addendum, Reynolds wrote that he conducted a follow up after learning that Omalu had reviewed a case synopsis of the incident from the Stockton police that was never shared with the coroner. Reynolds wrote that he obtained and “read the documented report, which includes detailed statements from both of the involved Stockton Police Department officers who took the decedent into custody, including the manner in which a carotid control hold was applied.” Based on his reading of the officers statements, Reynolds explained, “I reclassified the manner of death as ‘homicide,’ which is defined as ‘death at the hands of another.’”\u003c/p>\n\u003cp>But attorney Greg Bentley said it’s telling that the sheriff’s revised report made no mention of the form that Omalu had filled out two years earlier, indicating that he considered Cordova-Cuevas’ death a homicide.\u003c/p>\n\u003cp>“They completely disregarded that,” Bentley said.\u003c/p>\n\u003cp>Bentley asked San Joaquin County’s district attorney to investigate all officer-involved deaths dating back 10 years to make sure this hasn’t happened before.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>The district attorney launched an investigation into Moore’s office last year, which is ongoing.\u003c/p>\n\n","blocks":[],"excerpt":"The reversal raises questions about the integrity of death investigations conducted under Moore, especially whether the sheriff appeared to use his power to shield officers of the law from prosecution, even if they killed people.","status":"publish","parent":0,"modified":1530643146,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":40,"wordCount":1512},"headData":{"title":"Reversal on Death Ruling for Man Killed by Police Raises Doubts in San Joaquin County | KQED","description":"The reversal raises questions about the integrity of death investigations conducted under Moore, especially whether the sheriff appeared to use his power to shield officers of the law from prosecution, even if they killed people.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11664339 https://ww2.kqed.org/news/?p=11664339","disqusUrl":"https://ww2.kqed.org/news/2018/04/24/reversal-on-death-investigation-of-man-killed-by-police-casts-doubt-in-san-joaquin-county/","disqusTitle":"Reversal on Death Ruling for Man Killed by Police Raises Doubts in San Joaquin County","path":"/news/11664339/reversal-on-death-investigation-of-man-killed-by-police-casts-doubt-in-san-joaquin-county","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>When a young Sacramento man died in a struggle with Stockton police in 2016, San Joaquin County Sheriff-Coroner Steve Moore labeled the death an accident, overriding the opinion of his principal forensic pathologist.\u003c/p>\n\u003cp>Last month, a full two years later, the discrepancy was \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\" target=\"_blank\" rel=\"noopener\">exposed\u003c/a>, and the sheriff reclassified the death of Abelino Cordova-Cuevas as a homicide.\u003c/p>\n\u003cp>The reversal raises questions about the integrity of death investigations conducted under Moore, especially whether the sheriff appeared to use his power to shield officers of the law from prosecution, even if they killed people. In San Joaquin County, as in the vast majority of California counties, the sheriff also serves as coroner and is responsible for investigating sudden, violent and suspicious deaths.\u003c/p>\n\u003cp>“Let’s not lose sight of the fact that this is an officer-involved death,” said Greg Bentley, an attorney for the Cordova-Cuevas family. “There needs to be independence, objectivity and competency in county-performed autopsies. The public would expect nothing less.”\u003c/p>\n\u003cp>But in the case of Cordova-Cuevas, Bentley says the sheriff betrayed that public trust by violating a subpoena for all records on the case. He says Moore’s agency withheld a key document that would have showed that the forensic pathologist who conducted the autopsy, Dr. Bennet Omalu, had indicated the death was a homicide.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The lawyer discovered the omission during a deposition of Omalu, who noted that the cover sheet was missing from his autopsy report.\u003c/p>\n\u003cfigure id=\"attachment_11664418\" class=\"wp-caption alignright\" style=\"max-width: 1363px\">\u003cimg class=\"wp-image-11664418 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet.jpg\" alt=\"\" width=\"1363\" height=\"1755\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet.jpg 1363w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-160x206.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-800x1030.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-1020x1313.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-932x1200.jpg 932w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-1180x1519.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-960x1236.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-240x309.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-375x483.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-520x670.jpg 520w\" sizes=\"(max-width: 1363px) 100vw, 1363px\">\u003cfigcaption class=\"wp-caption-text\">Abelino Cordova-Cuevas autopsy cover sheet. \u003ccite>(San Joaquin County Sheriff-Coroner's Office)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The sheriff’s decision to reclassify Cordova-Cuevas’ death was made shortly after that revelation and just one day before Moore implemented a new policy that would provide greater transparency in death investigations.\u003c/p>\n\u003cp>Going forward, all officer-involved deaths would require a coroner’s \u003ca href=\"https://www.kqed.org/news/11658317/san-joaquin-sheriff-coroner-opens-some-death-investigations-to-public\" target=\"_blank\" rel=\"noopener\">inquest\u003c/a> where the sheriff appoints a hearing officer or a nine-member jury of county residents to consider evidence to decide whether the deceased person died as the result of an accident, homicide, suicide or natural causes.\u003c/p>\n\u003cp>“Recently, questions have been raised about death investigations that were, in some way, connected to law enforcement action,” Moore wrote in a statement last month, referring to allegations made by Omalu and the county’s other forensic pathologist, Dr. Susan Parson, who both resigned in December.\u003c/p>\n\u003cp>Omalu, renowned for his discovery of a deadly brain disease related to concussions in professional football players, served as the county’s chief forensic pathologist for a decade. In a memo documenting his reasons for resigning he wrote, “The sheriff was using his political office as the coroner to protect police officers whenever someone died while in custody or during arrest.”\u003c/p>\n\u003cp>\u003cstrong>Deadly Traffic Stop\u003c/strong>\u003c/p>\n\u003cp>On March 7, 2016, Cordova-Cuevas was driving home from his job at a Stockton meat market, when police pulled him over for what they called “erratic driving,” according to a wrongful-death complaint filed for the family.\u003c/p>\n\u003cp>In the complaint, witnesses reported seeing the 28-year-old standing on the sidewalk, his hands in the air, while repeatedly telling officers, “I have no weapons.” When one of the officers triggered his taser gun, making a “crackling sound,” Cordova-Cuevas ran away. Police quickly cornered him at a nearby business.\u003c/p>\n\u003cp>Security camera \u003ca href=\"https://www.youtube.com/watch?v=dJNSeeCkAfc\" target=\"_blank\" rel=\"noopener\">footage\u003c/a> from a nearby business obtained by Bentley, the family’s attorney, showed Cordova-Cuevas was backing up slowly with his hands in the air when police tackled him.\u003c/p>\n\u003cp>That footage also showed Stockton officers using either a chokehold or carotid restraint on Cordova-Cuevas. Police in California are not allowed to use a chokehold that cuts off the air by compressing the windpipe, but they are allowed to use a carotid restraint where they squeeze a person’s neck to restrict blood flow to the brain, causing them to lose consciousness briefly.\u003c/p>\n\u003cp>When Cordova-Cuevas became unresponsive, officers called for medics and tried to resuscitate him. He was taken to a local hospital and pronounced dead.\u003c/p>\n\u003cp>\u003cstrong>Coroner Overrode Doctor’s Opinion on Homicide \u003c/strong>\u003c/p>\n\u003cp>Omalu conducted the autopsy the day after Cordova-Cuevas’ death, but did not finalize his report for nearly a year. The pathologist said it took that long to convince the Stockton Police Department to let him view footage from the officers’ body cameras.\u003c/p>\n\u003cfigure id=\"attachment_11648872\" class=\"wp-caption alignright\" style=\"max-width: 1920px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29306_IMG_2022-qut.jpg\" alt=\"\" width=\"1920\" height=\"2880\" class=\"size-full wp-image-11648872\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-160x240.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-800x1200.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-1020x1530.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-1180x1770.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-960x1440.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-240x360.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-375x563.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-520x780.jpg 520w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Bennet Omalu \u003ccite>(Courtesy of Dr. Bennet Omalu)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Jan. 26, 2017, autopsy form filled out by Omalu states that Cordova-Cuevas died from mechanical asphyxiation, compression of the neck and blunt force trauma to the head, face, neck and trunk. Acute amphetamine toxicity is listed as a significant contributing factor. The doctor concluded that the man had died at the hands of another -- the medical definition of a homicide. On a cover sheet for the autopsy report, Omalu checked a box next to the word “homicide,” and circled it.\u003c/p>\n\u003cp>Months later, Omalu told KQED the sheriff called him into his office and asked him to change the manner of Cordova-Cuevas’ death to “accident,” and wanted the same change made in another 2016 officer-involved fatality.\u003c/p>\n\u003cp>“We went into this long back and forth,” Omalu said, “that he doesn't think it was a homicide because they didn't mean to kill him. And I said to him, ‘Sir, it doesn't matter what you and I think, we have to adhere to the standards of practice.’”\u003c/p>\n\u003cp>Omalu said he told the sheriff that a medical determination of homicide indicates that someone died at the hands of another, but it does not ascribe motive or guilt.\u003c/p>\n\u003cp>Four months later, on May 4, 2017, the coroner's office issued a death certificate for Cordova-Cuevas, identifying the manner of his death as an accident.\u003c/p>\n\u003cp>Omalu found out after the Cordova-Cuevas family asked an outside pathologist to review the autopsy report, and that doctor called Omalu and asked why had he had designated the manner of death an accident.\u003c/p>\n\u003cp>In an Aug. 22, 2017 memo documenting that call, Omalu wrote, “I had made it a homicide but the Sheriff had apparently overruled my opinion, without even consulting me.”\u003c/p>\n\u003cp>A KQED \u003ca href=\"https://www.kqed.org/news/11636262/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident\" target=\"_blank\" rel=\"noopener\">investigation\u003c/a> found other examples in which Sheriff Moore overrode Omalu’s assessment and ruled deaths accidents instead of homicides. One is the case of Daniel Humphreys, who died in 2008 after a CHP officer tased him 31 times.\u003c/p>\n\u003cp>An independent \u003ca href=\"https://www.kqed.org/news/11663351/san-joaquin-county-should-install-independent-medical-examiner-audit-finds\" target=\"_blank\" rel=\"noopener\">audit\u003c/a> of San Joaquin County coroner operations, released last week by RAM Consulting LLC, confirmed “several cases” in 2016 where Moore labeled an officer-involved fatality an accident, against the opinion of the forensic pathologist who conducted the autopsy.\u003c/p>\n\u003cp>Moore declined to be interviewed for this story, but has repeatedly denied that he interfered with his doctors’ findings.\u003c/p>\n\u003cp>In a Dec. 6 Facebook post, Moore stated, “I would never try to control, influence or change the opinions of Dr. Omalu or any other physician working on a case, but I still have the responsibility of making the final determination.”\u003c/p>\n\u003cp>In a legal review of the doctors’ allegations, San Joaquin County Counsel Mark Myles concluded that “the Coroner and the physician should deliberate together regarding the determination of the manner of death so that each understands the others’ perspective. There is no requirement that they agree as to the manner of death.”\u003c/p>\n\u003cp>Controversy over Sheriff Moore’s handling of death investigations became public when Omalu and Parson resigned last December.\u003c/p>\n\u003cp>\u003cstrong>Addendum to Homicide\u003c/strong>\u003c/p>\n\u003cp>In the Cordova-Cuevas case, an addendum to the coroners’ investigative report, obtained by KQED, shows that Chief Deputy Coroner Mike Reynolds reviewed the autopsy file on Omalu’s final day on the job.\u003c/p>\n\u003cp>In the March 23, 2018 addendum, Reynolds wrote that he conducted a follow up after learning that Omalu had reviewed a case synopsis of the incident from the Stockton police that was never shared with the coroner. Reynolds wrote that he obtained and “read the documented report, which includes detailed statements from both of the involved Stockton Police Department officers who took the decedent into custody, including the manner in which a carotid control hold was applied.” Based on his reading of the officers statements, Reynolds explained, “I reclassified the manner of death as ‘homicide,’ which is defined as ‘death at the hands of another.’”\u003c/p>\n\u003cp>But attorney Greg Bentley said it’s telling that the sheriff’s revised report made no mention of the form that Omalu had filled out two years earlier, indicating that he considered Cordova-Cuevas’ death a homicide.\u003c/p>\n\u003cp>“They completely disregarded that,” Bentley said.\u003c/p>\n\u003cp>Bentley asked San Joaquin County’s district attorney to investigate all officer-involved deaths dating back 10 years to make sure this hasn’t happened before.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The district attorney launched an investigation into Moore’s office last year, which is ongoing.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11664339/reversal-on-death-investigation-of-man-killed-by-police-casts-doubt-in-san-joaquin-county","authors":["6625"],"programs":["news_72"],"categories":["news_6188","news_8"],"tags":["news_21047","news_22171","news_22846","news_22172","news_17286"],"featImg":"news_11634833","label":"news_72"},"news_11658317":{"type":"posts","id":"news_11658317","meta":{"index":"posts_1591205157","site":"news","id":"11658317","score":null,"sort":[1522335647000]},"guestAuthors":[],"slug":"san-joaquin-sheriff-coroner-opens-some-death-investigations-to-public","title":"San Joaquin Sheriff Opens Death Inquiries to Public","publishDate":1522335647,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>The sheriff-coroner of San Joaquin County came under scrutiny late last year after two physicians who conducted autopsies for his office quit in protest.\u003c/p>\n\u003cp>Dr. Bennet Omalu and Dr. Susan Parson \u003ca href=\"https://ww2.kqed.org/news/2017/12/04/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement/\">accused Sheriff Steve Moore\u003c/a> of pressuring them to change medical findings, especially in \u003ca href=\"https://ww2.kqed.org/news/2017/12/11/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident/\" target=\"_blank\" rel=\"noopener\">cases involving law enforcement officers\u003c/a>.\u003c/p>\n\u003cp>“Recently, questions have been raised about death investigations that were, in some way, connected to law enforcement action,” Moore acknowledged in a Facebook post Friday.\u003c/p>\n\u003cp>Moore responded with a promise to conduct public inquests of all deaths that occurred in custody or during a pursuit or arrest. Moore wrote that he modeled his new policy on a coroner's inquest system in neighboring Contra Costa County “that has proved successful, transparent, cost-effective, and can be completed in months, not years.”\u003c/p>\n\u003ch2>Contra Costa County Benefits from Coroner’s Inquests\u003c/h2>\n\u003cp>During the inquest hearing the coroner, a designated deputy or an independent hearing officer -- typically an attorney -- will select and question witnesses.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Either the hearing officer or a nine-member jury of county residents can consider the evidence to decide whether the deceased person died as the result of an accident, homicide, suicide or natural causes.\u003c/p>\n\u003cp>“I am a fan of it,” said attorney Matthew Guichard, who has conducted \u003ca href=\"http://cclawyer.cccba.org/2015/03/coroners-inquests/\" target=\"_blank\" rel=\"noopener\">coroner's inquests\u003c/a> for Contra Costa County for 15 years. He says the hearing “puts out into the open the circumstances of the death and it doesn't get into whether there's criminal or civil responsibility on the part of anyone -- either the policeman, the dead person or anyone else.”\u003c/p>\n\u003cp>Contra Costa County began conducting coroner's inquests for all deaths that occurred in custody in the 1980s. The proceedings are open to the general public and the press. Families of the deceased may have attorneys submit questions on their behalf to the hearing officer.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">How Families in San Joaquin County Pay for Coroner Mistakes\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">\u003cimg src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-1180x885.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Guichard believes the inquests have made a difference in how the public views fatalities involving officers.\u003c/p>\n\u003cp>“Putting it out into the open -- the circumstance -- in my view has significantly reduced the number of lawsuits afterwards because parties, families oftentimes listen and go ‘OK.’ This is the first time they really hear an exhaustive story of precisely what happened.”\u003c/p>\n\u003ch2>Some See Bias With Inquests Controlled by a Sheriff-Coroner\u003c/h2>\n\u003cp>Critics say the inquest system gives the public a false sense of impartiality because the sheriff-coroner runs the operation, selects the witnesses and jury.\u003c/p>\n\u003cp>A forensic pathologist who has worked in several Bay Area counties in California said the only way to completely avoid conflicts of interest or bias is to have the deaths reviewed by an outside expert.\u003c/p>\n\u003cp>Some officials in San Joaquin County are pushing to replace the sheriff-coroner system with an independent medical examiner's office headed by a physician trained in forensic pathology.\u003c/p>\n\u003cp>San Joaquin County officials have hired a consultant to look into how Moore runs the coroner’s operation and to provide a cost-benefit analysis of replacing it with a medical examiner’s office.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That report is due in April.\u003c/p>\n\n","blocks":[],"excerpt":"San Joaquin County will hold public inquests into all officer-involved fatalities -- but critics say that won't protect residents from law enforcement meddling in death investigations.","status":"publish","parent":0,"modified":1530643359,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":17,"wordCount":528},"headData":{"title":"San Joaquin Sheriff Opens Death Inquiries to Public | KQED","description":"San Joaquin County will hold public inquests into all officer-involved fatalities -- but critics say that won't protect residents from law enforcement meddling in death investigations.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11658317 https://ww2.kqed.org/news/?p=11658317","disqusUrl":"https://ww2.kqed.org/news/2018/03/29/san-joaquin-sheriff-coroner-opens-some-death-investigations-to-public/","disqusTitle":"San Joaquin Sheriff Opens Death Inquiries to Public","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/03/CoronerInquestSmall.mp3","path":"/news/11658317/san-joaquin-sheriff-coroner-opens-some-death-investigations-to-public","audioDuration":126000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The sheriff-coroner of San Joaquin County came under scrutiny late last year after two physicians who conducted autopsies for his office quit in protest.\u003c/p>\n\u003cp>Dr. Bennet Omalu and Dr. Susan Parson \u003ca href=\"https://ww2.kqed.org/news/2017/12/04/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement/\">accused Sheriff Steve Moore\u003c/a> of pressuring them to change medical findings, especially in \u003ca href=\"https://ww2.kqed.org/news/2017/12/11/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident/\" target=\"_blank\" rel=\"noopener\">cases involving law enforcement officers\u003c/a>.\u003c/p>\n\u003cp>“Recently, questions have been raised about death investigations that were, in some way, connected to law enforcement action,” Moore acknowledged in a Facebook post Friday.\u003c/p>\n\u003cp>Moore responded with a promise to conduct public inquests of all deaths that occurred in custody or during a pursuit or arrest. Moore wrote that he modeled his new policy on a coroner's inquest system in neighboring Contra Costa County “that has proved successful, transparent, cost-effective, and can be completed in months, not years.”\u003c/p>\n\u003ch2>Contra Costa County Benefits from Coroner’s Inquests\u003c/h2>\n\u003cp>During the inquest hearing the coroner, a designated deputy or an independent hearing officer -- typically an attorney -- will select and question witnesses.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Either the hearing officer or a nine-member jury of county residents can consider the evidence to decide whether the deceased person died as the result of an accident, homicide, suicide or natural causes.\u003c/p>\n\u003cp>“I am a fan of it,” said attorney Matthew Guichard, who has conducted \u003ca href=\"http://cclawyer.cccba.org/2015/03/coroners-inquests/\" target=\"_blank\" rel=\"noopener\">coroner's inquests\u003c/a> for Contra Costa County for 15 years. He says the hearing “puts out into the open the circumstances of the death and it doesn't get into whether there's criminal or civil responsibility on the part of anyone -- either the policeman, the dead person or anyone else.”\u003c/p>\n\u003cp>Contra Costa County began conducting coroner's inquests for all deaths that occurred in custody in the 1980s. The proceedings are open to the general public and the press. Families of the deceased may have attorneys submit questions on their behalf to the hearing officer.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">How Families in San Joaquin County Pay for Coroner Mistakes\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">\u003cimg src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-1180x885.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Guichard believes the inquests have made a difference in how the public views fatalities involving officers.\u003c/p>\n\u003cp>“Putting it out into the open -- the circumstance -- in my view has significantly reduced the number of lawsuits afterwards because parties, families oftentimes listen and go ‘OK.’ This is the first time they really hear an exhaustive story of precisely what happened.”\u003c/p>\n\u003ch2>Some See Bias With Inquests Controlled by a Sheriff-Coroner\u003c/h2>\n\u003cp>Critics say the inquest system gives the public a false sense of impartiality because the sheriff-coroner runs the operation, selects the witnesses and jury.\u003c/p>\n\u003cp>A forensic pathologist who has worked in several Bay Area counties in California said the only way to completely avoid conflicts of interest or bias is to have the deaths reviewed by an outside expert.\u003c/p>\n\u003cp>Some officials in San Joaquin County are pushing to replace the sheriff-coroner system with an independent medical examiner's office headed by a physician trained in forensic pathology.\u003c/p>\n\u003cp>San Joaquin County officials have hired a consultant to look into how Moore runs the coroner’s operation and to provide a cost-benefit analysis of replacing it with a medical examiner’s office.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That report is due in April.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11658317/san-joaquin-sheriff-coroner-opens-some-death-investigations-to-public","authors":["6625"],"programs":["news_72"],"categories":["news_6188","news_8"],"tags":["news_1467","news_20880","news_21047","news_22171","news_22846"],"featImg":"news_11658377","label":"news_72"},"news_11648821":{"type":"posts","id":"news_11648821","meta":{"index":"posts_1591205157","site":"news","id":"11648821","score":null,"sort":[1518140211000]},"guestAuthors":[],"slug":"how-families-in-san-joaquin-county-pay-for-coroner-mistakes","title":"How Families Pay for San Joaquin Coroner Mistakes","publishDate":1518140211,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>The alleged mishandling of death investigations in San Joaquin County inflicted distress and extra costs on grieving families, wasted county resources and potentially impeded prosecutions -- according to two forensic pathologists who quit performing autopsies for the sheriff-coroner last year.\u003c/p>\n\u003cp>A KQED investigation into those allegations confirmed that the coroner’s office, under Sheriff Steve Moore, released the wrong bodies to families in 2016 and 2017, and once lost track of a body in the morgue for months.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We should never, ever, compromise our standards, compromise the integrity and the credibility of the system, especially in this type of work, where people have placed their trust in you to tell them the truth.'\u003ccite>Dr. Bennet Omalu,\u003cbr>\nSan Joaquin County chief forensic pathologist\u003c/cite>\u003c/aside>\n\u003cp>The coroner also charged hundreds of families hundreds of dollars each to transport their loved ones to the morgue -- unnecessarily, the doctors say.\u003c/p>\n\u003cp>In other instances, sheriff’s deputies -- who are also charged with coroner duties -- failed to report deaths to the forensic pathologists that the county was legally required to investigate in a timely manner. The doctors said that prevented them from performing the autopsies and tests necessary to determine how and why the people died.\u003c/p>\n\u003cp>In San Joaquin County, as in most California counties, the elected sheriff is also the coroner and is charged with investigating sudden, suspicious or violent deaths.\u003c/p>\n\u003cfigure id=\"attachment_11648872\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11648872\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-800x1200.jpg\" alt=\"\" width=\"800\" height=\"1200\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-800x1200.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-160x240.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-1020x1530.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-1180x1770.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-960x1440.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-240x360.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-375x563.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-520x780.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Bennet Omalu \u003ccite>(Courtesy of Dr. Bennet Omalu)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"https://ww2.kqed.org/news/2017/12/04/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement/\" target=\"_blank\" rel=\"noopener\">Allegations \u003c/a>of misconduct in the San Joaquin County Sheriff’s Office surfaced last year when Dr. Bennet Omalu, the chief forensic pathologist for the county, resigned -- one week after the resignation of his colleague, Dr. Susan Parson, also a forensic pathologist. Omalu, world renowned for his discovery of a deadly brain disease in professional football players, accused Moore of interfering with death investigations in order to protect law enforcement officers. Both doctors said the sheriff prevented them from completing investigations by \u003ca href=\"https://ww2.kqed.org/news/2017/12/11/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident/\" target=\"_blank\" rel=\"noopener\">withholding\u003c/a> evidence and investigatory \u003ca href=\"https://ww2.kqed.org/news/2017/12/22/pathologists-say-san-joaquin-sheriffs-meddling-could-have-compromised-murder-cases/\" target=\"_blank\" rel=\"noopener\">reports\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Omalu declined to comment on specific allegations, but in a recent interview he said: \"We should never, ever, compromise our standards, compromise the integrity and the credibility of the system, especially in this type of work, where people have placed their trust in you to tell them the truth.\"\u003c/p>\n\u003cp>Moore said in December that he never interfered with the findings of his forensic pathologists, who determine the cause of death, but that he has the final say on the manner of death.\u003c/p>\n\u003cp>“I do that based on the totality of the circumstances, up to and including the autopsy report provided by the doctor and the investigative report done by the coroner’s investigators,” Moore said.\u003c/p>\n\u003cp>Moore refused several subsequent requests for interviews.\u003c/p>\n\u003cp>[audio src=\"https://www.kqed.org/.stream/anon/radio/tcr/2018/02/SanJoaquinCoronerSmall2way180209.mp3\" Image=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-800x600.jpg\" Title=\"Reporter Julie Small on How San Joaquin County Families Have Paid for Coroner Mistakes\" program=\"The California Report\"]\u003c/p>\n\u003cp>\u003cstrong>Wrong Remains\u003c/strong>\u003c/p>\n\u003cp>The most shocking allegations against the coroner involve two cases where staff mixed up bodies in their care and released them to the wrong families.\u003c/p>\n\u003cp>That’s what happened to Carmen Rogers, whose husband, Marvin, 54, died of complications from heart disease in a Stockton motel on May 31, 2016.\u003c/p>\n\u003cp>Rogers declined to be interviewed about what happened, but she told her story in a legal complaint against the sheriff. Details of the handling of Marvin Rogers’ death were also revealed in internal sheriff-coroner records obtained by KQED.\u003c/p>\n\u003cp>Rogers agreed to have her husband cremated, and the coroner’s office sent his body to Zapata Funeral Home, according to a computer entry in coroner records.\u003c/p>\n\u003cp>The family held a funeral service for Marvin with the urn of what they thought were his ashes in the room; some of his cremated remains were also placed inside 14 necklaces given to his grandchildren, according to the complaint filed in San Joaquin County Superior Court.\u003c/p>\n\u003cfigure id=\"attachment_11648886\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11648886\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/29313_transform-800x1067.jpg\" alt=\"\" width=\"800\" height=\"1067\">\u003cfigcaption class=\"wp-caption-text\">Necklaces that can hold cremated remains for sale in San Joaquin County mortuary. \u003ccite>(Julie Small/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But about a month after the funeral, Rogers received a call at work from the sheriff’s office, asking her to meet “to discuss an important matter,” according to the lawsuit.\u003c/p>\n\u003cp>The complaint details how sheriff's detectives explained that the coroner’s office had mixed up her husband’s body with the body of another man with the same last name. The funeral home had cremated the other man’s body and sent Carmen Rogers his ashes. The body of her husband, Marvin, remained at the morgue.\u003c/p>\n\u003cp>After learning of the mistake Rogers was “distraught,” according to court records -- “she had trouble sleeping, felt anxious, and missed work because she could not concentrate” and sought psychological counseling.\u003c/p>\n\u003cp>Carmen Rogers and her family held a second funeral, with the correct ashes, a month later.\u003c/p>\n\u003cp>In March 2017, they sued Sheriff Moore and the funeral home for damages, to cover the costs of the second funeral, and for emotional stress and strain. The family is currently in settlement negotiations with the county.\u003c/p>\n\u003cp>\u003cstrong>Who Was Cremated?\u003c/strong>\u003c/p>\n\u003cp>Meanwhile, Theresa Zavala, the daughter of the man who had been mistakenly cremated, had no idea where her father was.\u003c/p>\n\u003cp>Zavala, who lives outside Los Angeles, had not heard from her dad, John Rogers, for months and she filed a missing person’s report, according to her attorney. The San Joaquin County Sheriff’s Office contacted her in July 2017, more than a year after John Rogers’ death.\u003c/p>\n\u003cp>Sgt. Mike Reynolds phoned Zavala and said he wanted to meet with her in person to tell her what had happened to her father. According to coroner's documents obtained by KQED, he traded messages with Zavala for months before agreeing to her request to mail the police report and discuss the matter over the phone.\u003c/p>\n\u003cp>John Rogers was discovered dead on May 2, 2016, in the back parking lot of Bay’s Bistro, a shuttered Lodi restaurant, according to the coroner’s records. A homeless advocate found John lying on a pile of clothes with his head propped up against a fence. Detectives were able to identify him by a driver’s license in his pocket, but could not locate his next of kin. An autopsy and toxicology test determined the 59-year-old had died of an overdose.\u003c/p>\n\u003cp>John’s body had been at the morgue for a month, when, on June 6, 2016, coroner staff mistakenly released his remains to Marvin Rogers’ family.\u003c/p>\n\u003cp>[contextly_sidebar id=\"lQM4UAkvM3BZfRbjPv9Xt2teAPtxfW2V\"]\u003c/p>\n\u003cp>In case notes about his Oct. 6 call with Zavala, Sgt. Reynolds recounted, “I explained how the incident occurred, our actions upon discovering it occurred, and the steps we have taken to prevent it from happen[ing] again.”\u003c/p>\n\u003cp>Simran Sekhon, Zavala’s attorney, said the coroner promised to send Zavala her father’s remains — but to this day, she has not received them.\u003c/p>\n\u003cp>“They did not have an opportunity to have a funeral,” Sekhon said.\u003c/p>\n\u003cp>Zavala and her two sisters filed claims against San Joaquin County in January, in preparation for a lawsuit.\u003c/p>\n\u003cp>\u003cstrong>Another Mix-Up\u003c/strong>\u003c/p>\n\u003cp>In December 2017 the coroner’s office repeated the mistake -- of releasing the wrong body -- that had caused Carmen Rogers and Theresa Zavala so much distress. Deputies gave a Lodi family the body of a stranger -- a man who shared their father’s last name, but who was decades younger.\u003c/p>\n\u003cp>The younger man, Robert Silva, 45, died on Oct 21, 2017, at Lodi Memorial Hospital from an infection in his blood.\u003c/p>\n\u003cp>About a month later, Richard Silva, 88, died of a heart attack at his senior living facility.\u003c/p>\n\u003cp>It took a week before officials in the coroner’s office realized they had given the wrong body to Richard Silva’s children.\u003c/p>\n\u003cp>On Dec. 11, deputies delivered Richard’s body to the family’s chosen funeral home and reclaimed the body of Robert.\u003c/p>\n\u003cp>A Dec. 12 computer entry states, “decedent was released in error on 12/04/07... Notification of the error has been made to next of kin.”\u003c/p>\n\u003cp>Richard’s son declined to comment for this story.\u003c/p>\n\u003cp>Authorities determined Robert was indigent and cremated his body at the Bay Area Cremation and Funeral Service in Stockton.\u003c/p>\n\u003cp>\u003cstrong>Learning From Mistakes\u003c/strong>\u003c/p>\n\u003cp>Rocky Shaw, with the California State \u003ca href=\"http://www.coroners.org/\" target=\"_blank\" rel=\"noopener\">Coroners\u003c/a> Association, said these kind of mistakes are rare, “but we know it does happen.”\u003c/p>\n\u003cp>Shaw, who is the supervising deputy coroner for San Bernardino County, said his department once discharged the wrong body to a family, back in 2001.\u003c/p>\n\u003cp>“You know it's the most embarrassing thing to an agency because the trust that we hope to instill in families is completely gone,” Shaw said. “I think if that happened to me, I'd think, ‘What are these boobs doing?’ ”\u003c/p>\n\u003cp>Shaw said San Bernardino officials purchased a new casket for the deceased person and paid all the mortuary costs. Luckily, he said, the family was forgiving and did not sue the department.\u003c/p>\n\u003cp>Shaw said he tells that story as part of a training course he teaches for coroner deputies in California -- as an example of what can go wrong and how to prevent it.\u003c/p>\n\u003cp>The San Bernardino County coroner adopted new procedures and has not repeated the mistake. Two autopsy assistants and a supervisor have eyes on every release.\u003c/p>\n\u003cp>“We have adequate staffing.” Shaw said. “We make sure the procedures are there.”\u003c/p>\n\u003cp>Shaw said the fact that the San Joaquin County coroner mixed up bodies twice indicates the problem wasn’t adequately addressed.\u003c/p>\n\u003cp>“I mean if you have two, there's something that they didn't probably put into place,” Shaw said. “It could be a multitude of issues, but it’s terribly embarrassing and wrong.”\u003c/p>\n\u003cp>The chief \u003ca href=\"https://www.sccgov.org/sites/coroner/Pages/mec.aspx\" target=\"_blank\" rel=\"noopener\">medical examiner\u003c/a> in Santa Clara County, Michelle Jorden, said her office established protocols to reduce the chance of mix-ups.\u003c/p>\n\u003cp>“It hasn’t happened here.” said Jorden, who added that each body in her morgue is assigned a case number that’s printed on a toe tag.\u003c/p>\n\u003cp>“The body will not be released until we have two people look at the toe tags and the matching paperwork,” she said.\u003c/p>\n\u003cp>Problems with adequately tracking bodies in the San Joaquin County morgue date as far back as 2013. That’s when a body went missing for more than six months. Sources close to the office said a technician discovered a badly decomposed body in the morgue. Meanwhile, the person’s relatives had been asking for their loved one for months -- and were told the body was not there.\u003c/p>\n\u003cp>In recent years Omalu has recommended purchasing a Laboratory Information Management System (LIMS) for tracking bodies and specimens, a standard tool used by hospitals. He said the sheriff told him it was too expensive.\u003c/p>\n\u003cp>At one local mortuary in San Joaquin County, staff said that the coroner’s office has released the wrong body to them often enough that they now ask family members to view and identify each body before cremation or burial.\u003c/p>\n\u003cp>Sheriff Moore declined to answer questions about how bodies are tracked in the morgue.\u003c/p>\n\u003cp>\u003cstrong>Who Should Pay the $352 Coroner's Fee\u003c/strong>\u003c/p>\n\u003cp>Another sign of mismanagement by the sheriff-coroner -- according to Omalu and Parson -- is that coroner's deputies bring hundreds of bodies to the morgue each year “unnecessarily.”\u003c/p>\n\u003cp>In several memos documenting the issue, Omalu and Parson estimated that 40 percent of the bodies brought to the county morgue could have had death certificates signed by a treating physician, because the death was not unexpected or violent. That would spare families a $352 coroner’s transportation fee, and delays before they can cremate or bury a loved one.\u003c/p>\n\u003cp>For example, in one weekend in June 2017, Parson wrote, four out of 11 bodies brought to the morgue could have been handled by outside physicians.\u003c/p>\n\u003cp>“Those bodies should have never even come to the morgue,” Parson lamented in a memo. “They should have gone straight to the funeral home.”\u003c/p>\n\u003cp>Annual reports from the San Joaquin County Sheriff-Coroner's Office show that in 2015, 351 bodies brought to the morgue -- or 32 percent -- were later referred to outside physicians to sign out. In 2016, it was 34 percent.\u003c/p>\n\u003cp>The total handling fees for those potentially unnecessary transports added up to more than $100,000 each year in revenue for the sheriff's office.\u003c/p>\n\u003cp>Families of the people who died in San Joaquin County may not have noticed they paid a fee for coroner’s services. The cost is publicly posted on the sheriff-coroner website, but mortuary companies pay that fee directly to the sheriff and then bill the families for it.\u003c/p>\n\u003cp>The forensic pathologists say the extra work also taxes coroner resources and staff time, including detectives who spend hours contacting doctors to get them to sign death certificates, and autopsy technicians who move and store bodies.\u003c/p>\n\u003cp>“This gross inefficiency impacts everybody ... and increases both tangible and intangible costs for the family and for the county,” Omalu wrote in a Sept. 10, 2017, memo.\u003cbr>\n\u003cstrong>\u003cbr>\nSome Deaths Overlooked\u003c/strong>\u003c/p>\n\u003cp>Finally, the two forensic pathologists allege that the San Joaquin County Sheriff's Office is not investigating some deaths that it should be.\u003c/p>\n\u003cp>In one case, the family of a Lodi woman who died in January fears they’ll never know the cause of death.\u003c/p>\n\u003cp>Tracy Espinosa described what happened to her fiance’s sister in an interview.\u003c/p>\n\u003cfigure id=\"attachment_11648892\" class=\"wp-caption alignright\" style=\"max-width: 160px\">\u003cimg class=\"size-thumbnail wp-image-11648892\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/29307_transform-1-160x213.jpg\" alt=\"\" width=\"160\" height=\"213\">\u003cfigcaption class=\"wp-caption-text\">Tracy Espinosa of San Joaquin County \u003ccite>(Julie Small/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Espinosa said her fiance's sister, Julie Russell, had been cooking dinner around 7 p.m. on Jan. 22, 2018. Three hours later, she died.\u003c/p>\n\u003cp>The 60-year-old had a case of flu, and possibly pneumonia and heart problems. She also had a history of drug addiction and alcoholism, and her bedroom contained empty liquor bottles and prescription painkillers for her arthritis.\u003c/p>\n\u003cp>Russell’s son found her lying on the floor and called an ambulance and then called relatives.\u003c/p>\n\u003cp>Police cars and an ambulance were already at the house when Espinosa arrived that Monday night to find Russell flat on her back, eyes wide open, foaming at the mouth.\u003c/p>\n\u003cp>Espinosa does research for law enforcement on cold cases, so she knew the \u003ca href=\"http://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=GOV§ionNum=27491.\" target=\"_blank\" rel=\"noopener\">criteria\u003c/a> for a coroner to take a case. She was surprised when the sheriff’s deputy said he wasn’t going to take Russell’s body to the morgue -- even though she thought Russell was an obvious coroner's case. The deputy told her to pick a funeral home instead.\u003c/p>\n\u003cp>“By Friday the coroner’s office told me they were coming to get her body and that they were going to charge me $350,” Espinosa said. “I said, ‘What are you talking about? She's been at the funeral home for four days. Now you're going to go get her?’ \"\u003c/p>\n\u003cp>The coroner conducted an autopsy, but Espinosa said she was told the results won’t be available for three to four months. Espinosa said she is supporting Sheriff Moore’s opponent in an upcoming election.\u003c/p>\n\u003cp>Omalu and Parson documented other cases where law enforcement officers failed to notify them of people who died under questionable circumstances.\u003c/p>\n\u003cp>One recent example involves the fetus of a woman who miscarried at 32 weeks, a month after her boyfriend assaulted her. According to an Aug. 25 memo titled “Gross Negligence of Possible Fetal Homicide,” Parson wrote that the woman told a funeral home employee about the assault and the funeral home relayed the information to the detective right after the baby died on July 9, yet no case had been opened on the death.\u003c/p>\n\u003cp>“I asked why he didn’t bring this to my or Dr. Omalu’s attention before now and he responded that he’s been busy,” she wrote.\u003c/p>\n\u003cp>Parson said by the time she learned of the baby’s death several weeks later, it was far too late to be able to determine whether or not it was related to the assault.\u003c/p>\n\u003cp>“I am deeply troubled that somewhere along the line, gross negligence occurred in the management of this case allowing a potential fetal homicide to fall through the cracks,” Parson wrote.\u003c/p>\n\u003cp>The doctors say these kinds of mistakes can happen when law enforcement officers are asked to perform medical duties.\u003c/p>\n\u003cp>\u003cstrong>Patrol Deputies Receive Minimal Training on Death Investigations\u003c/strong>\u003c/p>\n\u003cp>Sgt. Steve Walker, who retired from the San Joaquin Sheriff’s Office in 2012, said he did not receive enough training on death investigations in the academy for patrol officers.\u003c/p>\n\u003cp>“All I got was a manual with the words ‘coroner cases’ on it,” Walker said.\u003c/p>\n\u003cp>He said that wasn’t enough to prepare him to determine who should go to the morgue and who could go directly to a mortuary.\u003c/p>\n\u003cfigure id=\"attachment_11648883\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11648883\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-800x683.jpg\" alt=\"\" width=\"800\" height=\"683\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-800x683.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-160x137.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-1020x870.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-1180x1007.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-960x819.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-240x205.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-375x320.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-520x444.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sgt. Steve Walker retired from the San Joaquin Sheriff’s Office in 2012. \u003ccite>(Courtesy of Steve Walker)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“When you're on patrol, you're doing patrol duties,” Walker said. “You're handling criminal cases and maybe doing traffic -- could be anything from a barking dog to a homicide.”\u003c/p>\n\u003cp>Walker said as a patrol deputy he would go days without handling a single coroner’s case, and then have to go to an intensive care unit where someone had died and rifle through binders of medical records full of words he did not understand just to figure out whether a physician could sign the death certificate instead of the coroner.\u003c/p>\n\u003cp>Moore is up for re-election this year, with a primary in June, and Walker is campaigning for his opponent, Pat Withrow.\u003c/p>\n\u003cp>California requires deputies to complete 80 hours of death investigation training within their first year on the job -- and 32 hours every two years after that if their primary job is conducting coroner duties. Detectives in the sheriff-coroner’s office in San Joaquin County fall under this category, but deputies like Walker, who have a variety of duties, receive some initial training, followed by just a few hours of in-service training on coroner cases each year.\u003c/p>\n\u003cp>Sheriff Moore’s information officer, Deputy Dave Konecny, referred questions about staff training requirements to the San Joaquin County counsel.\u003c/p>\n\u003cp>\u003cstrong>A New System for Investigating Deaths\u003c/strong>\u003c/p>\n\u003cp>The county counsel and district attorney both said they are investigating the allegations made by Omalu and Parson, but two months on, neither agency has announced any findings.\u003c/p>\n\u003cp>The county Board of Supervisors has commissioned an analysis of coroner operations, which will include a comparison of the \u003ca href=\"http://www.counties.org/county-office/sheriff-coroner\" target=\"_blank\" rel=\"noopener\">sheriff-coroner\u003c/a> system with a medical examiner system -- in which a forensic pathologist, rather than a law enforcement official, oversees death investigations.\u003c/p>\n\u003cp>“If the Board of Supervisors and residents want it,” Moore said late last year, “I would fully support separation.”\u003c/p>\n\u003cp>If the coroner’s functions are taken over by a medical examiner, Moore would continue in his elected role as the county sheriff and public administrator.\u003c/p>\n\u003cp>At a recent Board of Supervisors hearing, County Administrator Monica Nino said the study on the sheriff-coroner operations will not be ready until April.\u003c/p>\n\u003cp>The president of the San Joaquin Medical Society criticized “the lack of urgency” in addressing the allegations in a letter to supervisors this week.\u003c/p>\n\u003cp>“The stakes are high,” Dr. Grant Mellor wrote. “We are about to lose two highly respected, hardworking forensic pathologists.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Parson’s last day is Feb 25. Omalu’s decade-long service ends March 5. But both doctors have said they would stay on if county officials could ensure their independence.\u003c/p>\n\n","blocks":[],"excerpt":"Mixed-up bodies, unwarranted fees and failure to investigate: more allegations of incompetence in the San Joaquin County Sheriff's Office.","status":"publish","parent":0,"modified":1530643394,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":104,"wordCount":3355},"headData":{"title":"How Families Pay for San Joaquin Coroner Mistakes | KQED","description":"Mixed-up bodies, unwarranted fees and failure to investigate: more allegations of incompetence in the San Joaquin County Sheriff's Office.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11648821 https://ww2.kqed.org/news/?p=11648821","disqusUrl":"https://ww2.kqed.org/news/2018/02/08/how-families-in-san-joaquin-county-pay-for-coroner-mistakes/","disqusTitle":"How Families Pay for San Joaquin Coroner Mistakes","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/02/SmallDeathInvestigations.mp3","path":"/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes","audioDuration":278000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The alleged mishandling of death investigations in San Joaquin County inflicted distress and extra costs on grieving families, wasted county resources and potentially impeded prosecutions -- according to two forensic pathologists who quit performing autopsies for the sheriff-coroner last year.\u003c/p>\n\u003cp>A KQED investigation into those allegations confirmed that the coroner’s office, under Sheriff Steve Moore, released the wrong bodies to families in 2016 and 2017, and once lost track of a body in the morgue for months.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We should never, ever, compromise our standards, compromise the integrity and the credibility of the system, especially in this type of work, where people have placed their trust in you to tell them the truth.'\u003ccite>Dr. Bennet Omalu,\u003cbr>\nSan Joaquin County chief forensic pathologist\u003c/cite>\u003c/aside>\n\u003cp>The coroner also charged hundreds of families hundreds of dollars each to transport their loved ones to the morgue -- unnecessarily, the doctors say.\u003c/p>\n\u003cp>In other instances, sheriff’s deputies -- who are also charged with coroner duties -- failed to report deaths to the forensic pathologists that the county was legally required to investigate in a timely manner. The doctors said that prevented them from performing the autopsies and tests necessary to determine how and why the people died.\u003c/p>\n\u003cp>In San Joaquin County, as in most California counties, the elected sheriff is also the coroner and is charged with investigating sudden, suspicious or violent deaths.\u003c/p>\n\u003cfigure id=\"attachment_11648872\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11648872\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-800x1200.jpg\" alt=\"\" width=\"800\" height=\"1200\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-800x1200.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-160x240.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-1020x1530.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-1180x1770.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-960x1440.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-240x360.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-375x563.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-520x780.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Bennet Omalu \u003ccite>(Courtesy of Dr. Bennet Omalu)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"https://ww2.kqed.org/news/2017/12/04/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement/\" target=\"_blank\" rel=\"noopener\">Allegations \u003c/a>of misconduct in the San Joaquin County Sheriff’s Office surfaced last year when Dr. Bennet Omalu, the chief forensic pathologist for the county, resigned -- one week after the resignation of his colleague, Dr. Susan Parson, also a forensic pathologist. Omalu, world renowned for his discovery of a deadly brain disease in professional football players, accused Moore of interfering with death investigations in order to protect law enforcement officers. Both doctors said the sheriff prevented them from completing investigations by \u003ca href=\"https://ww2.kqed.org/news/2017/12/11/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident/\" target=\"_blank\" rel=\"noopener\">withholding\u003c/a> evidence and investigatory \u003ca href=\"https://ww2.kqed.org/news/2017/12/22/pathologists-say-san-joaquin-sheriffs-meddling-could-have-compromised-murder-cases/\" target=\"_blank\" rel=\"noopener\">reports\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Omalu declined to comment on specific allegations, but in a recent interview he said: \"We should never, ever, compromise our standards, compromise the integrity and the credibility of the system, especially in this type of work, where people have placed their trust in you to tell them the truth.\"\u003c/p>\n\u003cp>Moore said in December that he never interfered with the findings of his forensic pathologists, who determine the cause of death, but that he has the final say on the manner of death.\u003c/p>\n\u003cp>“I do that based on the totality of the circumstances, up to and including the autopsy report provided by the doctor and the investigative report done by the coroner’s investigators,” Moore said.\u003c/p>\n\u003cp>Moore refused several subsequent requests for interviews.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"audio","attributes":{"named":{"src":"https://www.kqed.org/.stream/anon/radio/tcr/2018/02/SanJoaquinCoronerSmall2way180209.mp3","image":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-800x600.jpg","title":"Reporter Julie Small on How San Joaquin County Families Have Paid for Coroner Mistakes","program":"The California Report","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Wrong Remains\u003c/strong>\u003c/p>\n\u003cp>The most shocking allegations against the coroner involve two cases where staff mixed up bodies in their care and released them to the wrong families.\u003c/p>\n\u003cp>That’s what happened to Carmen Rogers, whose husband, Marvin, 54, died of complications from heart disease in a Stockton motel on May 31, 2016.\u003c/p>\n\u003cp>Rogers declined to be interviewed about what happened, but she told her story in a legal complaint against the sheriff. Details of the handling of Marvin Rogers’ death were also revealed in internal sheriff-coroner records obtained by KQED.\u003c/p>\n\u003cp>Rogers agreed to have her husband cremated, and the coroner’s office sent his body to Zapata Funeral Home, according to a computer entry in coroner records.\u003c/p>\n\u003cp>The family held a funeral service for Marvin with the urn of what they thought were his ashes in the room; some of his cremated remains were also placed inside 14 necklaces given to his grandchildren, according to the complaint filed in San Joaquin County Superior Court.\u003c/p>\n\u003cfigure id=\"attachment_11648886\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11648886\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/29313_transform-800x1067.jpg\" alt=\"\" width=\"800\" height=\"1067\">\u003cfigcaption class=\"wp-caption-text\">Necklaces that can hold cremated remains for sale in San Joaquin County mortuary. \u003ccite>(Julie Small/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But about a month after the funeral, Rogers received a call at work from the sheriff’s office, asking her to meet “to discuss an important matter,” according to the lawsuit.\u003c/p>\n\u003cp>The complaint details how sheriff's detectives explained that the coroner’s office had mixed up her husband’s body with the body of another man with the same last name. The funeral home had cremated the other man’s body and sent Carmen Rogers his ashes. The body of her husband, Marvin, remained at the morgue.\u003c/p>\n\u003cp>After learning of the mistake Rogers was “distraught,” according to court records -- “she had trouble sleeping, felt anxious, and missed work because she could not concentrate” and sought psychological counseling.\u003c/p>\n\u003cp>Carmen Rogers and her family held a second funeral, with the correct ashes, a month later.\u003c/p>\n\u003cp>In March 2017, they sued Sheriff Moore and the funeral home for damages, to cover the costs of the second funeral, and for emotional stress and strain. The family is currently in settlement negotiations with the county.\u003c/p>\n\u003cp>\u003cstrong>Who Was Cremated?\u003c/strong>\u003c/p>\n\u003cp>Meanwhile, Theresa Zavala, the daughter of the man who had been mistakenly cremated, had no idea where her father was.\u003c/p>\n\u003cp>Zavala, who lives outside Los Angeles, had not heard from her dad, John Rogers, for months and she filed a missing person’s report, according to her attorney. The San Joaquin County Sheriff’s Office contacted her in July 2017, more than a year after John Rogers’ death.\u003c/p>\n\u003cp>Sgt. Mike Reynolds phoned Zavala and said he wanted to meet with her in person to tell her what had happened to her father. According to coroner's documents obtained by KQED, he traded messages with Zavala for months before agreeing to her request to mail the police report and discuss the matter over the phone.\u003c/p>\n\u003cp>John Rogers was discovered dead on May 2, 2016, in the back parking lot of Bay’s Bistro, a shuttered Lodi restaurant, according to the coroner’s records. A homeless advocate found John lying on a pile of clothes with his head propped up against a fence. Detectives were able to identify him by a driver’s license in his pocket, but could not locate his next of kin. An autopsy and toxicology test determined the 59-year-old had died of an overdose.\u003c/p>\n\u003cp>John’s body had been at the morgue for a month, when, on June 6, 2016, coroner staff mistakenly released his remains to Marvin Rogers’ family.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>In case notes about his Oct. 6 call with Zavala, Sgt. Reynolds recounted, “I explained how the incident occurred, our actions upon discovering it occurred, and the steps we have taken to prevent it from happen[ing] again.”\u003c/p>\n\u003cp>Simran Sekhon, Zavala’s attorney, said the coroner promised to send Zavala her father’s remains — but to this day, she has not received them.\u003c/p>\n\u003cp>“They did not have an opportunity to have a funeral,” Sekhon said.\u003c/p>\n\u003cp>Zavala and her two sisters filed claims against San Joaquin County in January, in preparation for a lawsuit.\u003c/p>\n\u003cp>\u003cstrong>Another Mix-Up\u003c/strong>\u003c/p>\n\u003cp>In December 2017 the coroner’s office repeated the mistake -- of releasing the wrong body -- that had caused Carmen Rogers and Theresa Zavala so much distress. Deputies gave a Lodi family the body of a stranger -- a man who shared their father’s last name, but who was decades younger.\u003c/p>\n\u003cp>The younger man, Robert Silva, 45, died on Oct 21, 2017, at Lodi Memorial Hospital from an infection in his blood.\u003c/p>\n\u003cp>About a month later, Richard Silva, 88, died of a heart attack at his senior living facility.\u003c/p>\n\u003cp>It took a week before officials in the coroner’s office realized they had given the wrong body to Richard Silva’s children.\u003c/p>\n\u003cp>On Dec. 11, deputies delivered Richard’s body to the family’s chosen funeral home and reclaimed the body of Robert.\u003c/p>\n\u003cp>A Dec. 12 computer entry states, “decedent was released in error on 12/04/07... Notification of the error has been made to next of kin.”\u003c/p>\n\u003cp>Richard’s son declined to comment for this story.\u003c/p>\n\u003cp>Authorities determined Robert was indigent and cremated his body at the Bay Area Cremation and Funeral Service in Stockton.\u003c/p>\n\u003cp>\u003cstrong>Learning From Mistakes\u003c/strong>\u003c/p>\n\u003cp>Rocky Shaw, with the California State \u003ca href=\"http://www.coroners.org/\" target=\"_blank\" rel=\"noopener\">Coroners\u003c/a> Association, said these kind of mistakes are rare, “but we know it does happen.”\u003c/p>\n\u003cp>Shaw, who is the supervising deputy coroner for San Bernardino County, said his department once discharged the wrong body to a family, back in 2001.\u003c/p>\n\u003cp>“You know it's the most embarrassing thing to an agency because the trust that we hope to instill in families is completely gone,” Shaw said. “I think if that happened to me, I'd think, ‘What are these boobs doing?’ ”\u003c/p>\n\u003cp>Shaw said San Bernardino officials purchased a new casket for the deceased person and paid all the mortuary costs. Luckily, he said, the family was forgiving and did not sue the department.\u003c/p>\n\u003cp>Shaw said he tells that story as part of a training course he teaches for coroner deputies in California -- as an example of what can go wrong and how to prevent it.\u003c/p>\n\u003cp>The San Bernardino County coroner adopted new procedures and has not repeated the mistake. Two autopsy assistants and a supervisor have eyes on every release.\u003c/p>\n\u003cp>“We have adequate staffing.” Shaw said. “We make sure the procedures are there.”\u003c/p>\n\u003cp>Shaw said the fact that the San Joaquin County coroner mixed up bodies twice indicates the problem wasn’t adequately addressed.\u003c/p>\n\u003cp>“I mean if you have two, there's something that they didn't probably put into place,” Shaw said. “It could be a multitude of issues, but it’s terribly embarrassing and wrong.”\u003c/p>\n\u003cp>The chief \u003ca href=\"https://www.sccgov.org/sites/coroner/Pages/mec.aspx\" target=\"_blank\" rel=\"noopener\">medical examiner\u003c/a> in Santa Clara County, Michelle Jorden, said her office established protocols to reduce the chance of mix-ups.\u003c/p>\n\u003cp>“It hasn’t happened here.” said Jorden, who added that each body in her morgue is assigned a case number that’s printed on a toe tag.\u003c/p>\n\u003cp>“The body will not be released until we have two people look at the toe tags and the matching paperwork,” she said.\u003c/p>\n\u003cp>Problems with adequately tracking bodies in the San Joaquin County morgue date as far back as 2013. That’s when a body went missing for more than six months. Sources close to the office said a technician discovered a badly decomposed body in the morgue. Meanwhile, the person’s relatives had been asking for their loved one for months -- and were told the body was not there.\u003c/p>\n\u003cp>In recent years Omalu has recommended purchasing a Laboratory Information Management System (LIMS) for tracking bodies and specimens, a standard tool used by hospitals. He said the sheriff told him it was too expensive.\u003c/p>\n\u003cp>At one local mortuary in San Joaquin County, staff said that the coroner’s office has released the wrong body to them often enough that they now ask family members to view and identify each body before cremation or burial.\u003c/p>\n\u003cp>Sheriff Moore declined to answer questions about how bodies are tracked in the morgue.\u003c/p>\n\u003cp>\u003cstrong>Who Should Pay the $352 Coroner's Fee\u003c/strong>\u003c/p>\n\u003cp>Another sign of mismanagement by the sheriff-coroner -- according to Omalu and Parson -- is that coroner's deputies bring hundreds of bodies to the morgue each year “unnecessarily.”\u003c/p>\n\u003cp>In several memos documenting the issue, Omalu and Parson estimated that 40 percent of the bodies brought to the county morgue could have had death certificates signed by a treating physician, because the death was not unexpected or violent. That would spare families a $352 coroner’s transportation fee, and delays before they can cremate or bury a loved one.\u003c/p>\n\u003cp>For example, in one weekend in June 2017, Parson wrote, four out of 11 bodies brought to the morgue could have been handled by outside physicians.\u003c/p>\n\u003cp>“Those bodies should have never even come to the morgue,” Parson lamented in a memo. “They should have gone straight to the funeral home.”\u003c/p>\n\u003cp>Annual reports from the San Joaquin County Sheriff-Coroner's Office show that in 2015, 351 bodies brought to the morgue -- or 32 percent -- were later referred to outside physicians to sign out. In 2016, it was 34 percent.\u003c/p>\n\u003cp>The total handling fees for those potentially unnecessary transports added up to more than $100,000 each year in revenue for the sheriff's office.\u003c/p>\n\u003cp>Families of the people who died in San Joaquin County may not have noticed they paid a fee for coroner’s services. The cost is publicly posted on the sheriff-coroner website, but mortuary companies pay that fee directly to the sheriff and then bill the families for it.\u003c/p>\n\u003cp>The forensic pathologists say the extra work also taxes coroner resources and staff time, including detectives who spend hours contacting doctors to get them to sign death certificates, and autopsy technicians who move and store bodies.\u003c/p>\n\u003cp>“This gross inefficiency impacts everybody ... and increases both tangible and intangible costs for the family and for the county,” Omalu wrote in a Sept. 10, 2017, memo.\u003cbr>\n\u003cstrong>\u003cbr>\nSome Deaths Overlooked\u003c/strong>\u003c/p>\n\u003cp>Finally, the two forensic pathologists allege that the San Joaquin County Sheriff's Office is not investigating some deaths that it should be.\u003c/p>\n\u003cp>In one case, the family of a Lodi woman who died in January fears they’ll never know the cause of death.\u003c/p>\n\u003cp>Tracy Espinosa described what happened to her fiance’s sister in an interview.\u003c/p>\n\u003cfigure id=\"attachment_11648892\" class=\"wp-caption alignright\" style=\"max-width: 160px\">\u003cimg class=\"size-thumbnail wp-image-11648892\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/29307_transform-1-160x213.jpg\" alt=\"\" width=\"160\" height=\"213\">\u003cfigcaption class=\"wp-caption-text\">Tracy Espinosa of San Joaquin County \u003ccite>(Julie Small/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Espinosa said her fiance's sister, Julie Russell, had been cooking dinner around 7 p.m. on Jan. 22, 2018. Three hours later, she died.\u003c/p>\n\u003cp>The 60-year-old had a case of flu, and possibly pneumonia and heart problems. She also had a history of drug addiction and alcoholism, and her bedroom contained empty liquor bottles and prescription painkillers for her arthritis.\u003c/p>\n\u003cp>Russell’s son found her lying on the floor and called an ambulance and then called relatives.\u003c/p>\n\u003cp>Police cars and an ambulance were already at the house when Espinosa arrived that Monday night to find Russell flat on her back, eyes wide open, foaming at the mouth.\u003c/p>\n\u003cp>Espinosa does research for law enforcement on cold cases, so she knew the \u003ca href=\"http://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=GOV§ionNum=27491.\" target=\"_blank\" rel=\"noopener\">criteria\u003c/a> for a coroner to take a case. She was surprised when the sheriff’s deputy said he wasn’t going to take Russell’s body to the morgue -- even though she thought Russell was an obvious coroner's case. The deputy told her to pick a funeral home instead.\u003c/p>\n\u003cp>“By Friday the coroner’s office told me they were coming to get her body and that they were going to charge me $350,” Espinosa said. “I said, ‘What are you talking about? She's been at the funeral home for four days. Now you're going to go get her?’ \"\u003c/p>\n\u003cp>The coroner conducted an autopsy, but Espinosa said she was told the results won’t be available for three to four months. Espinosa said she is supporting Sheriff Moore’s opponent in an upcoming election.\u003c/p>\n\u003cp>Omalu and Parson documented other cases where law enforcement officers failed to notify them of people who died under questionable circumstances.\u003c/p>\n\u003cp>One recent example involves the fetus of a woman who miscarried at 32 weeks, a month after her boyfriend assaulted her. According to an Aug. 25 memo titled “Gross Negligence of Possible Fetal Homicide,” Parson wrote that the woman told a funeral home employee about the assault and the funeral home relayed the information to the detective right after the baby died on July 9, yet no case had been opened on the death.\u003c/p>\n\u003cp>“I asked why he didn’t bring this to my or Dr. Omalu’s attention before now and he responded that he’s been busy,” she wrote.\u003c/p>\n\u003cp>Parson said by the time she learned of the baby’s death several weeks later, it was far too late to be able to determine whether or not it was related to the assault.\u003c/p>\n\u003cp>“I am deeply troubled that somewhere along the line, gross negligence occurred in the management of this case allowing a potential fetal homicide to fall through the cracks,” Parson wrote.\u003c/p>\n\u003cp>The doctors say these kinds of mistakes can happen when law enforcement officers are asked to perform medical duties.\u003c/p>\n\u003cp>\u003cstrong>Patrol Deputies Receive Minimal Training on Death Investigations\u003c/strong>\u003c/p>\n\u003cp>Sgt. Steve Walker, who retired from the San Joaquin Sheriff’s Office in 2012, said he did not receive enough training on death investigations in the academy for patrol officers.\u003c/p>\n\u003cp>“All I got was a manual with the words ‘coroner cases’ on it,” Walker said.\u003c/p>\n\u003cp>He said that wasn’t enough to prepare him to determine who should go to the morgue and who could go directly to a mortuary.\u003c/p>\n\u003cfigure id=\"attachment_11648883\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11648883\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-800x683.jpg\" alt=\"\" width=\"800\" height=\"683\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-800x683.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-160x137.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-1020x870.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-1180x1007.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-960x819.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-240x205.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-375x320.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-520x444.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sgt. Steve Walker retired from the San Joaquin Sheriff’s Office in 2012. \u003ccite>(Courtesy of Steve Walker)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“When you're on patrol, you're doing patrol duties,” Walker said. “You're handling criminal cases and maybe doing traffic -- could be anything from a barking dog to a homicide.”\u003c/p>\n\u003cp>Walker said as a patrol deputy he would go days without handling a single coroner’s case, and then have to go to an intensive care unit where someone had died and rifle through binders of medical records full of words he did not understand just to figure out whether a physician could sign the death certificate instead of the coroner.\u003c/p>\n\u003cp>Moore is up for re-election this year, with a primary in June, and Walker is campaigning for his opponent, Pat Withrow.\u003c/p>\n\u003cp>California requires deputies to complete 80 hours of death investigation training within their first year on the job -- and 32 hours every two years after that if their primary job is conducting coroner duties. Detectives in the sheriff-coroner’s office in San Joaquin County fall under this category, but deputies like Walker, who have a variety of duties, receive some initial training, followed by just a few hours of in-service training on coroner cases each year.\u003c/p>\n\u003cp>Sheriff Moore’s information officer, Deputy Dave Konecny, referred questions about staff training requirements to the San Joaquin County counsel.\u003c/p>\n\u003cp>\u003cstrong>A New System for Investigating Deaths\u003c/strong>\u003c/p>\n\u003cp>The county counsel and district attorney both said they are investigating the allegations made by Omalu and Parson, but two months on, neither agency has announced any findings.\u003c/p>\n\u003cp>The county Board of Supervisors has commissioned an analysis of coroner operations, which will include a comparison of the \u003ca href=\"http://www.counties.org/county-office/sheriff-coroner\" target=\"_blank\" rel=\"noopener\">sheriff-coroner\u003c/a> system with a medical examiner system -- in which a forensic pathologist, rather than a law enforcement official, oversees death investigations.\u003c/p>\n\u003cp>“If the Board of Supervisors and residents want it,” Moore said late last year, “I would fully support separation.”\u003c/p>\n\u003cp>If the coroner’s functions are taken over by a medical examiner, Moore would continue in his elected role as the county sheriff and public administrator.\u003c/p>\n\u003cp>At a recent Board of Supervisors hearing, County Administrator Monica Nino said the study on the sheriff-coroner operations will not be ready until April.\u003c/p>\n\u003cp>The president of the San Joaquin Medical Society criticized “the lack of urgency” in addressing the allegations in a letter to supervisors this week.\u003c/p>\n\u003cp>“The stakes are high,” Dr. Grant Mellor wrote. “We are about to lose two highly respected, hardworking forensic pathologists.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Parson’s last day is Feb 25. Omalu’s decade-long service ends March 5. But both doctors have said they would stay on if county officials could ensure their independence.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes","authors":["6625"],"programs":["news_6944","news_72"],"categories":["news_6188","news_8"],"tags":["news_19542","news_21047","news_22171","news_22846","news_17041"],"featImg":"news_11648881","label":"news_72"},"news_11636262":{"type":"posts","id":"news_11636262","meta":{"index":"posts_1591205157","site":"news","id":"11636262","score":null,"sort":[1513042445000]},"guestAuthors":[],"slug":"the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident","title":"The Officer Tased Him 31 Times; the Sheriff Called His Death an Accident","publishDate":1513042445,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Daniel Lee Humphreys was speeding on his motorcycle down a freeway in Stockton, fleeing from a California Highway Patrol officer, when he crashed. Humphreys, 47, staggered to the median and tried to climb over a metal divider. The officer shocked him repeatedly with a Taser gun and killed him.\u003c/p>\n\u003cp>It has been more than nine years since that July night in 2008, but Humphreys’ ex-wife, Barbara Steward, said his death is in her thoughts every day.\u003c/p>\n\u003cp>“It's something I probably will think about the rest of my life, because of the way it all turned out,” Steward said one evening in November, as she sat on her den sofa in a wash of candlelight. Steward talked about her 13-year marriage to Humphreys and the two daughters they raised together.\u003c/p>\n\u003cp>She said it would have been easier for the girls, who were 13 and 18 at the time, to accept their father’s death if had happened naturally, or even by accident.\u003c/p>\n\u003cp>[audio src=\"https://www.kqed.org/.stream/anon/radio/tcr/2017/12/CoronerObstructSmall.mp3\" title=\"Father of Two Died After an Officer Tased Him 31 Times; Sheriff Called It an Accident\" program=\"The California Report\" image=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/12/IMG_6147.jpg\"]\u003c/p>\n\u003cp>“But to know it was preventable, and it was so excessive, and then for nothing to be done,” she said. “I think that's what I struggle with every day for my kids.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Steward said it still stings that San Joaquin County Sheriff-Coroner Steve Moore ruled Humphreys' death an accident -- especially knowing that his office had evidence about the Taser that was withheld from the forensic pathologist who conducted the autopsy.\u003c/p>\n\u003cp>“It was only reported that he was tased twice and in reality he was tased 31 times,” she said. “I'm not sure how that can be overlooked or swept under a carpet like it was.”\u003c/p>\n\u003cp>Questions about Humphreys’ death surfaced last week when the county’s chief forensic pathologist resigned, accusing Sheriff Moore -- who oversees the coroner’s office -- of meddling in the investigations of deaths in which law enforcement officers were involved.\u003c/p>\n\u003cfigure id=\"attachment_11634854\" class=\"wp-caption alignright\" style=\"max-width: 491px\">\u003cimg class=\"size-full wp-image-11634854\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/12/RS28180_Omalu.png\" alt=\"Dr. Bennet Omalu\" width=\"491\" height=\"733\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS28180_Omalu.png 491w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS28180_Omalu-160x239.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS28180_Omalu-240x358.png 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS28180_Omalu-375x560.png 375w\" sizes=\"(max-width: 491px) 100vw, 491px\">\u003cfigcaption class=\"wp-caption-text\">Forensic pathologist Bennet Omalu \u003ccite>(Courtesy of Bennet Omalu)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Bennet Omalu -- best known for his discovery of a traumatic brain injury in football players and played by Will Smith in the movie \"Concussion\" -- raised the Humphreys case, along with several more recent officer-involved deaths, in memos released last week accusing the sheriff of repeatedly withholding investigative reports and certifying deaths as accidents in order to protect officers.\u003c/p>\n\u003cp>In an Aug. 22, 2017, memo -- one of several he wrote this year to document what he sees as wrongdoing by the sheriff -- Omalu said that in the Humphreys case, “information was intentionally withheld from me by the sheriff, in order to mislead me from determining the case to be a homicide.”\u003c/p>\n\u003cp>At the time of Humphreys’ death Omalu had been with the county less than a year. He wrote that he had initially thought the suppression of evidence was “an anomaly” but has since come to regard it as “routine.”\u003c/p>\n\u003ch3>Physicians Associations Call for Creating an Independent Medical Examiner\u003c/h3>\n\u003cp>The accusations raise questions more broadly about the independence of death investigations in a sheriff-coroner system, in which forensic pathologists work under a law enforcement officer, according to the California Medical Association and the San Joaquin Medical Society.\u003c/p>\n\u003cp>“The issue of diminished public trust in the autopsy process is not new,” Dr. Grant Mellor, president of the county medical society, wrote in a letter to the San Joaquin County Board of Supervisors last week.\u003c/p>\n\u003cp>Citing related allegations in Santa Clara County, Mellor and the president of the statewide medical association, Dr. Theodore Mazer, called on San Joaquin County officials to immediately create an independent medical examiner’s office and remove control of coroner functions from the sheriff.\u003c/p>\n\u003cp>San Joaquin is one of 50 California counties that have an elected sheriff-coroner, while the remaining eight, including San Francisco, Los Angeles and San Diego, have independent medical examiners.\u003c/p>\n\u003ch3>Sheriff Calls Accusations of Interference False\u003c/h3>\n\u003cp>Sheriff Moore has denied Omalu’s allegations. In a statement on Dec. 6, the day after Omalu’s resignation, Moore wrote that he had never interfered with forensic examinations.\u003c/p>\n\u003cp>“I would never try to control, influence, or change the opinions of Dr. Omalu or any pathologist working on a case,” he said.\u003c/p>\n\u003cp>The San Joaquin County district attorney is investigating the allegations.\u003c/p>\n\u003cfigure id=\"attachment_11633434\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11633434\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">San Joaquin County Sheriff-Coroner's Office \u003ccite>(Julie Small/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Evidence Withheld Distorted, Delayed Autopsy Results\u003c/h3>\n\u003cp>Barbara Steward and her daughters filed a wrongful death lawsuit in 2009 against the state of California, the CHP and the officer who fired the Taser. In a deposition to an attorney for the family, Omalu described what happened when he conducted the autopsy.\u003c/p>\n\u003cp>Omalu said the sheriff’s deputy investigating the death initially told him that the CHP officer who chased Humphreys to that freeway median fired his Taser “twice.”\u003c/p>\n\u003cp>Omalu said he asked sheriff’s investigators for the Taser printout that shows the number of times the trigger was pulled and the length of each electrical shock. He said he kept Humphreys’ autopsy file open for six months, waiting for the report.\u003c/p>\n\u003cp>When he couldn’t get a copy, he based his findings on the evidence available to him. He wrote that the death was likely caused by a head injury from the crash, and -- in the cover sheet accompanying the autopsy report -- he advised the sheriff that the death was an accident.\u003c/p>\n\u003cp>Omalu testified that two years later he got a phone call from the deputy district attorney assigned to the case. Tori Verber Salazar asked him if he had seen the Taser report. Omalu told her he hadn’t and, according to his deposition, Verber Salazar replied, “I thought as much.” She faxed him the report.\u003c/p>\n\u003cp>When Omalu finally saw the 31 Taser discharges -- subjecting Humphreys to 2½ minutes of electrical current -- he no longer considered the death an accident. He amended his autopsy report to state that Humphreys had died from repeated electrical shock when police intervened. And he advised the sheriff that the death was a homicide. In forensic pathology, the definition of homicide is a “death at the hands of another.” The term does not ascribe motive or guilt.\u003c/p>\n\u003cp>According to California government code, determining the \u003ci>cause\u003c/i> of death -- what killed a person -- is the purview of the forensic pathologist, in this case Omalu, but certifying the \u003ci>manner\u003c/i> of death -- whether a person’s death is an accident, a homicide, a suicide, a result of natural causes or undetermined -- is the job of the sheriff-coroner.\u003c/p>\n\u003cp>On Humphreys’ death certificate Sheriff Moore listed the manner of death as an accident -- both initially and after Omalu advised him the death should be considered a homicide.\u003c/p>\n\u003cp>When asked about the Humphreys’ case last week, Moore told KQED he needed time to review his files on it before he could answer questions about it.\u003c/p>\n\u003cp>Omalu’s deposition became evidence in the civil lawsuit that Barbara Steward and her daughters filed against the state of California, the CHP and the officer who fired the Taser.\u003c/p>\n\u003cp>The family’s attorney, Los Angeles-based Peter Williamson, said he is convinced the CHP and the San Joaquin County sheriff engaged in a cover-up. He said the CHP printed out the \u003ca href=\"#taserreport\">Taser report\u003c/a> the day after Humphreys’ death -- the same day Omalu performed the autopsy. According to a source close to the sheriff’s office who asked not to be named for fear of retaliation, deputies there also knew about the Taser.\u003c/p>\n\u003cp>“I cannot for the life of me fathom what the possible explanation could be for the withholding of that evidence,” Williamson told KQED, “other than that it was a not-so-subtle attempt to clear the officer from any wrongdoing.”\u003c/p>\n\u003cp>Williamson, who has litigated other Taser lawsuits, explained the weapon shoots two fishhook-shaped prongs that catch on clothing or skin and are connected to the device by electrical wires. Pulling the trigger sends an electrical current through the person’s body, spasming muscles and causing the person to collapse.\u003c/p>\n\u003cp>That’s what happened to Daniel Humphreys.\u003c/p>\n\u003cp>“He went down and he never moved from the position that he landed in on the ground,” Williamson said. According to reports that Williamson reviewed, the officer “kept yelling for him to move one of his arms, which was pinned underneath him.” When Humphreys didn’t respond, “(the officer) just kept firing over and over and over again.”\u003c/p>\n\u003cp>At the time of Humphreys’ death, Barbara Steward worked as a civilian employee in the San Joaquin County Sheriff’s Office. She has since retired.\u003c/p>\n\u003cp>Sitting stiffly on her sofa, she said bitterly that she believes the sheriff buried evidence that Humphreys was killed with a Taser out of fear that it would make it harder for law enforcement to use the weapon.\u003c/p>\n\u003cp>“If the sheriff had ruled this as a homicide, as it should have been...” Steward said, “it would have had such impact on law enforcement that he would have taken a lot of heat.”\u003c/p>\n\u003cp>The Highway Patrol’s internal investigation cleared the officer of wrongdoing, but it was not released publicly.\u003c/p>\n\u003cp>In 2015 the state settled the lawsuit with Steward and her daughters for $1 million. In a filing summarizing the case, attorney Williamson said the withholding of evidence from Dr. Omalu prevented him from discovering “the true facts” of the case and “obstructed justice.”\u003c/p>\n\u003cp>Steward said settling the lawsuit, rather than going to trial, spared her daughters from having to revisit their father’s death over and over in court. But she also regrets it.\u003c/p>\n\u003cp>“Money doesn't replace a person, it doesn't fix the wrong,” she said. “Had it been me, myself, I would have pushed it to the end, just to look that officer in the eye in a courtroom.”\u003c/p>\n\u003ch3>DA Poised to Issue Report on Humphreys’ Death, Nearly a Decade On\u003c/h3>\n\u003cp>The San Joaquin County District Attorney’s Office also opened an investigation into Humphreys’ death, as it does with all officer-involved deaths. The DA did not file charges against the CHP officer -- and, almost a decade later, has not published a report explaining why.\u003c/p>\n\u003cfigure id=\"attachment_11633436\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-11633436 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">San Joaquin County District Attorney Tori Verber Salazar with investigation files for the 2008 death of Daniel Lee Humphreys, who was stunned by a taser 31 times by a CHP officer. \u003ccite>(Julie Small/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Tori Verber Salazar, who was elected district attorney in 2015, said the Humphreys investigation was completed only recently. Lugging a 2-foot stack of binders into a conference room in her Stockton office, she said all the reports are there, just not public yet.\u003c/p>\n\u003cp>\"We should have done a better job here and we didn't, and I apologize for that,\" Verber Salazar said.\u003c/p>\n\u003cp>She said she plans to go over the results with Steward and Humphreys’ daughters before the end of the year.\u003c/p>\n\u003cp>In a Dec 4, 2017, statement posted on Facebook the San Joaquin District Attorney's Office said she decides whether to prosecute a case based on an independent assessment, not on how the sheriff-coroner certifies a death.\u003c/p>\n\u003cp>Verber Salazar said there was insufficient evidence to charge the CHP officer with Humphreys death. She said that, given the high-speed chase and the officer’s suspicion that Humphreys had a gun, the officer was justified in his use of force.\u003c/p>\n\u003ch3>Urgent Calls for Reform\u003c/h3>\n\u003cp>Dr. Omalu and his colleague, Dr. Susan Parson, who resigned from the San Joaquin Sheriff's Office last month, both documented other cases in which they say the sheriff interfered in their autopsies -- preventing them from going to crime scenes or withholding investigatory reports.\u003c/p>\n\u003cp>For Omalu and the physicians associations, such interference compromises the integrity of the county’s death investigations.\u003c/p>\n\u003cp>“Physicians have a professional and ethical obligation to place the patient’s interest foremost, even in death,” wrote the CMA president Theodore Mazer in a press release last week. “Allowing non-physicians to influence the practice of medicine in any way, shape or form, puts all patients at risk. ...\"\u003c/p>\n\u003cp>At least two county supervisors have acknowledged the seriousness of the accusations against the sheriff.\u003c/p>\n\u003cp>“These are pretty intense allegations,” said Supervisor Miguel Villapudua. “It doesn’t sound good.”\u003c/p>\n\u003cp>But he added, “I want to give the sheriff an opportunity to defend himself.”\u003c/p>\n\u003cp>Supervisor Tom Patti told KQED that county leaders are beginning to look into the sheriff’s conduct and, more broadly, the way death investigations are handled.\u003c/p>\n\u003cp>“County counsel is reviewing our protocol and our standard practices,” he said.\u003c/p>\n\u003cp>Patti said the county was already exploring the idea of adopting a medical examiner system -- in which a physician, board certified in forensic pathology, decides both the cause and manner of death, independent of law enforcement.\u003c/p>\n\u003cp>Patti said he asked the County Administrator’s Office a couple of months ago to analyze what the change would mean for San Joaquin County.\u003c/p>\n\u003cp>“We’re looking at what other counties do,” Patti said. “We will certainly test the waters before we jump in.”\u003c/p>\n\u003cp>Weeks before Omalu and Parson resigned, Barbara Steward was already convinced that the county should change how it handles death investigations.\u003c/p>\n\u003cp>Clutching a tissue to dab away tears, she said she believes forensic pathologists should be the ones to determine both the cause and manner of death.\u003c/p>\n\u003cp>“They're the ones that know what kills a person,” she said. Then she added, the sheriff “just has too much power to misuse that final say.”\u003cbr>\n\u003ca id=\"taserreport\">\u003c/a>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[documentcloud url=\"https://www.documentcloud.org/documents/4310338-Humphreys-Death-TASER-Report-2008-07-27\"]\u003c/p>\n\n","blocks":[],"excerpt":"Stockton woman says San Joaquin County sheriff swept evidence of excessive force 'under a carpet' in her ex-husband's death.","status":"publish","parent":0,"modified":1617903788,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":63,"wordCount":2389},"headData":{"title":"The Officer Tased Him 31 Times; the Sheriff Called His Death an Accident | KQED","description":"Stockton woman says San Joaquin County sheriff swept evidence of excessive force 'under a carpet' in her ex-husband's death.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11636262 https://ww2.kqed.org/news/?p=11636262","disqusUrl":"https://ww2.kqed.org/news/2017/12/11/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident/","disqusTitle":"The Officer Tased Him 31 Times; the Sheriff Called His Death an Accident","templateType":"standard","featuredImageType":"standard","path":"/news/11636262/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Daniel Lee Humphreys was speeding on his motorcycle down a freeway in Stockton, fleeing from a California Highway Patrol officer, when he crashed. Humphreys, 47, staggered to the median and tried to climb over a metal divider. The officer shocked him repeatedly with a Taser gun and killed him.\u003c/p>\n\u003cp>It has been more than nine years since that July night in 2008, but Humphreys’ ex-wife, Barbara Steward, said his death is in her thoughts every day.\u003c/p>\n\u003cp>“It's something I probably will think about the rest of my life, because of the way it all turned out,” Steward said one evening in November, as she sat on her den sofa in a wash of candlelight. Steward talked about her 13-year marriage to Humphreys and the two daughters they raised together.\u003c/p>\n\u003cp>She said it would have been easier for the girls, who were 13 and 18 at the time, to accept their father’s death if had happened naturally, or even by accident.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"audio","attributes":{"named":{"src":"https://www.kqed.org/.stream/anon/radio/tcr/2017/12/CoronerObstructSmall.mp3","title":"Father of Two Died After an Officer Tased Him 31 Times; Sheriff Called It an Accident","program":"The California Report","image":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/12/IMG_6147.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“But to know it was preventable, and it was so excessive, and then for nothing to be done,” she said. “I think that's what I struggle with every day for my kids.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Steward said it still stings that San Joaquin County Sheriff-Coroner Steve Moore ruled Humphreys' death an accident -- especially knowing that his office had evidence about the Taser that was withheld from the forensic pathologist who conducted the autopsy.\u003c/p>\n\u003cp>“It was only reported that he was tased twice and in reality he was tased 31 times,” she said. “I'm not sure how that can be overlooked or swept under a carpet like it was.”\u003c/p>\n\u003cp>Questions about Humphreys’ death surfaced last week when the county’s chief forensic pathologist resigned, accusing Sheriff Moore -- who oversees the coroner’s office -- of meddling in the investigations of deaths in which law enforcement officers were involved.\u003c/p>\n\u003cfigure id=\"attachment_11634854\" class=\"wp-caption alignright\" style=\"max-width: 491px\">\u003cimg class=\"size-full wp-image-11634854\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/12/RS28180_Omalu.png\" alt=\"Dr. Bennet Omalu\" width=\"491\" height=\"733\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS28180_Omalu.png 491w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS28180_Omalu-160x239.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS28180_Omalu-240x358.png 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS28180_Omalu-375x560.png 375w\" sizes=\"(max-width: 491px) 100vw, 491px\">\u003cfigcaption class=\"wp-caption-text\">Forensic pathologist Bennet Omalu \u003ccite>(Courtesy of Bennet Omalu)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Bennet Omalu -- best known for his discovery of a traumatic brain injury in football players and played by Will Smith in the movie \"Concussion\" -- raised the Humphreys case, along with several more recent officer-involved deaths, in memos released last week accusing the sheriff of repeatedly withholding investigative reports and certifying deaths as accidents in order to protect officers.\u003c/p>\n\u003cp>In an Aug. 22, 2017, memo -- one of several he wrote this year to document what he sees as wrongdoing by the sheriff -- Omalu said that in the Humphreys case, “information was intentionally withheld from me by the sheriff, in order to mislead me from determining the case to be a homicide.”\u003c/p>\n\u003cp>At the time of Humphreys’ death Omalu had been with the county less than a year. He wrote that he had initially thought the suppression of evidence was “an anomaly” but has since come to regard it as “routine.”\u003c/p>\n\u003ch3>Physicians Associations Call for Creating an Independent Medical Examiner\u003c/h3>\n\u003cp>The accusations raise questions more broadly about the independence of death investigations in a sheriff-coroner system, in which forensic pathologists work under a law enforcement officer, according to the California Medical Association and the San Joaquin Medical Society.\u003c/p>\n\u003cp>“The issue of diminished public trust in the autopsy process is not new,” Dr. Grant Mellor, president of the county medical society, wrote in a letter to the San Joaquin County Board of Supervisors last week.\u003c/p>\n\u003cp>Citing related allegations in Santa Clara County, Mellor and the president of the statewide medical association, Dr. Theodore Mazer, called on San Joaquin County officials to immediately create an independent medical examiner’s office and remove control of coroner functions from the sheriff.\u003c/p>\n\u003cp>San Joaquin is one of 50 California counties that have an elected sheriff-coroner, while the remaining eight, including San Francisco, Los Angeles and San Diego, have independent medical examiners.\u003c/p>\n\u003ch3>Sheriff Calls Accusations of Interference False\u003c/h3>\n\u003cp>Sheriff Moore has denied Omalu’s allegations. In a statement on Dec. 6, the day after Omalu’s resignation, Moore wrote that he had never interfered with forensic examinations.\u003c/p>\n\u003cp>“I would never try to control, influence, or change the opinions of Dr. Omalu or any pathologist working on a case,” he said.\u003c/p>\n\u003cp>The San Joaquin County district attorney is investigating the allegations.\u003c/p>\n\u003cfigure id=\"attachment_11633434\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11633434\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">San Joaquin County Sheriff-Coroner's Office \u003ccite>(Julie Small/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Evidence Withheld Distorted, Delayed Autopsy Results\u003c/h3>\n\u003cp>Barbara Steward and her daughters filed a wrongful death lawsuit in 2009 against the state of California, the CHP and the officer who fired the Taser. In a deposition to an attorney for the family, Omalu described what happened when he conducted the autopsy.\u003c/p>\n\u003cp>Omalu said the sheriff’s deputy investigating the death initially told him that the CHP officer who chased Humphreys to that freeway median fired his Taser “twice.”\u003c/p>\n\u003cp>Omalu said he asked sheriff’s investigators for the Taser printout that shows the number of times the trigger was pulled and the length of each electrical shock. He said he kept Humphreys’ autopsy file open for six months, waiting for the report.\u003c/p>\n\u003cp>When he couldn’t get a copy, he based his findings on the evidence available to him. He wrote that the death was likely caused by a head injury from the crash, and -- in the cover sheet accompanying the autopsy report -- he advised the sheriff that the death was an accident.\u003c/p>\n\u003cp>Omalu testified that two years later he got a phone call from the deputy district attorney assigned to the case. Tori Verber Salazar asked him if he had seen the Taser report. Omalu told her he hadn’t and, according to his deposition, Verber Salazar replied, “I thought as much.” She faxed him the report.\u003c/p>\n\u003cp>When Omalu finally saw the 31 Taser discharges -- subjecting Humphreys to 2½ minutes of electrical current -- he no longer considered the death an accident. He amended his autopsy report to state that Humphreys had died from repeated electrical shock when police intervened. And he advised the sheriff that the death was a homicide. In forensic pathology, the definition of homicide is a “death at the hands of another.” The term does not ascribe motive or guilt.\u003c/p>\n\u003cp>According to California government code, determining the \u003ci>cause\u003c/i> of death -- what killed a person -- is the purview of the forensic pathologist, in this case Omalu, but certifying the \u003ci>manner\u003c/i> of death -- whether a person’s death is an accident, a homicide, a suicide, a result of natural causes or undetermined -- is the job of the sheriff-coroner.\u003c/p>\n\u003cp>On Humphreys’ death certificate Sheriff Moore listed the manner of death as an accident -- both initially and after Omalu advised him the death should be considered a homicide.\u003c/p>\n\u003cp>When asked about the Humphreys’ case last week, Moore told KQED he needed time to review his files on it before he could answer questions about it.\u003c/p>\n\u003cp>Omalu’s deposition became evidence in the civil lawsuit that Barbara Steward and her daughters filed against the state of California, the CHP and the officer who fired the Taser.\u003c/p>\n\u003cp>The family’s attorney, Los Angeles-based Peter Williamson, said he is convinced the CHP and the San Joaquin County sheriff engaged in a cover-up. He said the CHP printed out the \u003ca href=\"#taserreport\">Taser report\u003c/a> the day after Humphreys’ death -- the same day Omalu performed the autopsy. According to a source close to the sheriff’s office who asked not to be named for fear of retaliation, deputies there also knew about the Taser.\u003c/p>\n\u003cp>“I cannot for the life of me fathom what the possible explanation could be for the withholding of that evidence,” Williamson told KQED, “other than that it was a not-so-subtle attempt to clear the officer from any wrongdoing.”\u003c/p>\n\u003cp>Williamson, who has litigated other Taser lawsuits, explained the weapon shoots two fishhook-shaped prongs that catch on clothing or skin and are connected to the device by electrical wires. Pulling the trigger sends an electrical current through the person’s body, spasming muscles and causing the person to collapse.\u003c/p>\n\u003cp>That’s what happened to Daniel Humphreys.\u003c/p>\n\u003cp>“He went down and he never moved from the position that he landed in on the ground,” Williamson said. According to reports that Williamson reviewed, the officer “kept yelling for him to move one of his arms, which was pinned underneath him.” When Humphreys didn’t respond, “(the officer) just kept firing over and over and over again.”\u003c/p>\n\u003cp>At the time of Humphreys’ death, Barbara Steward worked as a civilian employee in the San Joaquin County Sheriff’s Office. She has since retired.\u003c/p>\n\u003cp>Sitting stiffly on her sofa, she said bitterly that she believes the sheriff buried evidence that Humphreys was killed with a Taser out of fear that it would make it harder for law enforcement to use the weapon.\u003c/p>\n\u003cp>“If the sheriff had ruled this as a homicide, as it should have been...” Steward said, “it would have had such impact on law enforcement that he would have taken a lot of heat.”\u003c/p>\n\u003cp>The Highway Patrol’s internal investigation cleared the officer of wrongdoing, but it was not released publicly.\u003c/p>\n\u003cp>In 2015 the state settled the lawsuit with Steward and her daughters for $1 million. In a filing summarizing the case, attorney Williamson said the withholding of evidence from Dr. Omalu prevented him from discovering “the true facts” of the case and “obstructed justice.”\u003c/p>\n\u003cp>Steward said settling the lawsuit, rather than going to trial, spared her daughters from having to revisit their father’s death over and over in court. But she also regrets it.\u003c/p>\n\u003cp>“Money doesn't replace a person, it doesn't fix the wrong,” she said. “Had it been me, myself, I would have pushed it to the end, just to look that officer in the eye in a courtroom.”\u003c/p>\n\u003ch3>DA Poised to Issue Report on Humphreys’ Death, Nearly a Decade On\u003c/h3>\n\u003cp>The San Joaquin County District Attorney’s Office also opened an investigation into Humphreys’ death, as it does with all officer-involved deaths. The DA did not file charges against the CHP officer -- and, almost a decade later, has not published a report explaining why.\u003c/p>\n\u003cfigure id=\"attachment_11633436\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-11633436 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">San Joaquin County District Attorney Tori Verber Salazar with investigation files for the 2008 death of Daniel Lee Humphreys, who was stunned by a taser 31 times by a CHP officer. \u003ccite>(Julie Small/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Tori Verber Salazar, who was elected district attorney in 2015, said the Humphreys investigation was completed only recently. Lugging a 2-foot stack of binders into a conference room in her Stockton office, she said all the reports are there, just not public yet.\u003c/p>\n\u003cp>\"We should have done a better job here and we didn't, and I apologize for that,\" Verber Salazar said.\u003c/p>\n\u003cp>She said she plans to go over the results with Steward and Humphreys’ daughters before the end of the year.\u003c/p>\n\u003cp>In a Dec 4, 2017, statement posted on Facebook the San Joaquin District Attorney's Office said she decides whether to prosecute a case based on an independent assessment, not on how the sheriff-coroner certifies a death.\u003c/p>\n\u003cp>Verber Salazar said there was insufficient evidence to charge the CHP officer with Humphreys death. She said that, given the high-speed chase and the officer’s suspicion that Humphreys had a gun, the officer was justified in his use of force.\u003c/p>\n\u003ch3>Urgent Calls for Reform\u003c/h3>\n\u003cp>Dr. Omalu and his colleague, Dr. Susan Parson, who resigned from the San Joaquin Sheriff's Office last month, both documented other cases in which they say the sheriff interfered in their autopsies -- preventing them from going to crime scenes or withholding investigatory reports.\u003c/p>\n\u003cp>For Omalu and the physicians associations, such interference compromises the integrity of the county’s death investigations.\u003c/p>\n\u003cp>“Physicians have a professional and ethical obligation to place the patient’s interest foremost, even in death,” wrote the CMA president Theodore Mazer in a press release last week. “Allowing non-physicians to influence the practice of medicine in any way, shape or form, puts all patients at risk. ...\"\u003c/p>\n\u003cp>At least two county supervisors have acknowledged the seriousness of the accusations against the sheriff.\u003c/p>\n\u003cp>“These are pretty intense allegations,” said Supervisor Miguel Villapudua. “It doesn’t sound good.”\u003c/p>\n\u003cp>But he added, “I want to give the sheriff an opportunity to defend himself.”\u003c/p>\n\u003cp>Supervisor Tom Patti told KQED that county leaders are beginning to look into the sheriff’s conduct and, more broadly, the way death investigations are handled.\u003c/p>\n\u003cp>“County counsel is reviewing our protocol and our standard practices,” he said.\u003c/p>\n\u003cp>Patti said the county was already exploring the idea of adopting a medical examiner system -- in which a physician, board certified in forensic pathology, decides both the cause and manner of death, independent of law enforcement.\u003c/p>\n\u003cp>Patti said he asked the County Administrator’s Office a couple of months ago to analyze what the change would mean for San Joaquin County.\u003c/p>\n\u003cp>“We’re looking at what other counties do,” Patti said. “We will certainly test the waters before we jump in.”\u003c/p>\n\u003cp>Weeks before Omalu and Parson resigned, Barbara Steward was already convinced that the county should change how it handles death investigations.\u003c/p>\n\u003cp>Clutching a tissue to dab away tears, she said she believes forensic pathologists should be the ones to determine both the cause and manner of death.\u003c/p>\n\u003cp>“They're the ones that know what kills a person,” she said. Then she added, the sheriff “just has too much power to misuse that final say.”\u003cbr>\n\u003ca id=\"taserreport\">\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"documentcloud","attributes":{"named":{"url":"https://www.documentcloud.org/documents/4310338-Humphreys-Death-TASER-Report-2008-07-27","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11636262/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident","authors":["6625"],"programs":["news_6944","news_72"],"categories":["news_6188","news_8"],"tags":["news_22173","news_19542","news_21047","news_22171","news_22172","news_17286","news_17041"],"featImg":"news_11636325","label":"news_72"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2023/08/possible-5gxfizEbKOJ-pbF5ASgxrs_.1400x1400.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. 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Is it the officers, or the public they've sworn to serve?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/01/OOW_Tile_Final.png","imageAlt":"On Our Watch from NPR and KQED","officialWebsiteLink":"/podcasts/onourwatch","meta":{"site":"news","source":"kqed","order":"1"},"link":"/podcasts/onourwatch","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1567098962","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw","npr":"https://rpb3r.app.goo.gl/onourwatch","spotify":"https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x","tuneIn":"https://tunein.com/radio/On-Our-Watch-p1436229/","stitcher":"https://www.stitcher.com/show/on-our-watch","rss":"https://feeds.npr.org/510360/podcast.xml"}},"on-the-media":{"id":"on-the-media","title":"On The Media","info":"Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. 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