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180 people died on serial killer Elizabeth Wettlaufer’s shifts in one nursing home. Was that a red flag?

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When serial killer Elizabeth Wettlaufer confessed to murdering eight nursing home residents under her care, government inspectors scrambled to find evidence of more victims.

By Oct. 7, 2016 — two days after the Ministry of Health and Long-Term Care was notified of Wettlaufer’s confession — inspectors had obtained a list of all the residents who died during her scheduled shifts at two southwestern Ontario nursing homes.

Elizabeth Wettlaufer denies killing anyone beyond the eight murders she confessed to.
Elizabeth Wettlaufer denies killing anyone beyond the eight murders she confessed to.  (Dave Chidley / THE CANADIAN PRESS FILE PHOTO)

At the Caressant Care home in Woodstock, where she worked as a registered nurse from June 2007 to March 2014, Wettlaufer confessed to killing seven elderly residents. Inspectors learned that another 180 residents died during her shifts, according to ministry documents obtained by the Star through a freedom-of-information request.

Wettlaufer’s method of killing was a lethal injection of insulin, which can result in many hours of physical distress before the victim dies. So, inspectors also searched Caressant files for residents who died within 24 hours of the killer’s shifts, and found 55 of them.

At the Meadow Park nursing home in London, where Wettlaufer worked for about four months after being fired by Caressant, the same exercise was conducted. They discovered that 14 residents died during or shortly after her shifts, including the resident she confessed to killing, Arpad Horvath.

Wettlaufer did her killing on her eight-hour evening and night shifts. At night she was the only registered nurse on site. Was she responsible for any of the other 248 deaths that occurred on or near her shifts, deaths she didn’t confess to?

Wettlaufer has denied killing more people. But the striking number of deaths on her shifts reveals the full investigative challenge police faced when, in September 2016, she confessed without prompting to killing eight nursing home residents, and assaulting or trying to kill six others.

The numbers also reflect the importance of data collection for raising red flags in nursing homes. The commission examining what allowed Wettlaufer to continue killing undetected is likely to make more data collection part of its recommendations. It closely examined, for example, a new ministry study that for the first time flagged nursing homes where the ratios of unexpected deaths are highest.

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The nurse on the night shift

But the commission showed little interest in specifically exploring the tracking of deaths during nursing shifts, despite testimony from expert witness Beatrice Crofts Yorker, a California professor of nursing and criminal justice, who conducted a landmark study on health-care serial killers worldwide. She noted that tracking deaths that occur in the presence of specific health-care workers can result in life-saving red flags.

When this exercise is applied to Wettlaufer, the results compiled by the Star seem striking.

Between July 2011 and June 2012, for example, 50 residents died at Woodstock’s Caressant Care home, including residents who died within 30 days of being taken to hospital. The death/shift data obtained by the Star indicates that 37 residents died on Wettlaufer’s shifts during that 12-month period, including three she confessed to killing.

Ontario Provincial Police Staff Sgt. Carolle Dionne told the Star that officers who investigated Wettlaufer “identified all those that passed away during Wettlaufer’s shift and/or in the timeframe soon after her shift.”

They reviewed medical files, interviewed nursing home staff and consulted coroners, Dionne added, noting she had discussed the Star’s questions about deaths on Wettlaufer’s shifts with Det. Insp. Rob Hagerman, who headed the investigation. “No bodies were exhumed,” she said.

In the end, no charges were laid beyond the ones Wettlaufer confessed to. That doesn’t surprise Jim Van Allen, former manager of the OPP Criminal Profile Unit.

“The deaths are historical so you’re relying on paper records. And who completed those? She did,” Van Allen said, referring to Wettlaufer.

He said the OPP likely held round-table discussions with medical experts to assess possible foul play for residents who died during her shifts. Exhuming bodies, he adds, would not have been seen as useful, given the emotional strain on relatives and the difficulty in detecting insulin overdoses in autopsies, particularly in bodies buried for years.

Van Allen believes a cold but reasonable calculation eventually set in with police and Crown prosecutors: “You got her in custody for eight (murder) counts. She’ll never get out, she’ll probably die in prison, so why would you try and convict her for 10?” Wettlaufer pleaded guilty to all charges in 2017.


Deaths under Wettlaufer’s watch were noted in a colour-coded calendar produced by ministry inspectors with the heading, “Caressant Care — Woodstock — EW shift schedule & resident deaths.”

The calendar contains the dates of Wettlaufer’s more than 1,000 shifts at Caressant, which has 163 beds at its Woodstock home. Yellow is used to highlight dates for “deaths occurring during EW shift”; the colour grey notes “deaths occurring within 24 hours of shift”; and red indicates the murders Wettlaufer confessed to. It does the same for her 39 shifts at Meadow Park.

A redacted document from Ontario's health ministry shows some of Elizabeth Wettlaufer's shifts in 2007, an example of analyses done from 2007-14. The yellow squares mean someone died on shift. The red is someone she confessed to killing. D is day shift, E is evening, N is night.
A redacted document from Ontario’s health ministry shows some of Elizabeth Wettlaufer’s shifts in 2007, an example of analyses done from 2007-14. The yellow squares mean someone died on shift. The red is someone she confessed to killing. D is day shift, E is evening, N is night.

The death/shift calendar’s existence was mentioned in only a sentence or two during commission testimony by ministry inspector Rhonda Kukoly, who did not reveal its contents. A ministry document attached to her affidavit notes the 14 people who died during Wettlaufer’s Meadow Park shifts. But for Caressant it states that “data collection (is) in progress.”

The calendar is not a stand-alone exhibit among the 171 on the commission’s website. Asked if the commission had it, Mark Zigler, its co-lead counsel, directed the Star to a 21-gigabyte sharefile, a subfolder with a volume number, a second subfolder called “images,” and finally a 13-digit exhibit number to find the calendar. He warned it would take “a long time” to download the sharefile. The fastest the Star was able to download it was 30 minutes.

In an interview, Zigler expressed concern that the death/shift information could be used to speculate on whether Wettlaufer killed more people.

He noted that many deaths at nursing homes are expected. He pointed to the new health ministry study, unveiled at the commission, indicating that about 20 per cent of nursing home residents die each year in Ontario: 21,074 during 12 months in 2015-2016.

Police found no evidence that Wettlaufer killed more people; it couldn’t even find forensic evidence linking her to the killings she confessed to, Zigler noted, given the difficulty of detecting insulin overdoses when death can occur days after the lethal injection. Only two of the victims Wettlaufer confessed to killing were exhumed, and cause of death could not be determined.

“This is all 20/20 hindsight, years later,” Zigler said.

“The last thing we would want to do is engage in that wild goose chase because there are families involved. So is it possible that she killed other people? It may be, but one couldn’t definitively prove it based on what we have.”

Mark Zigler, co-lead counsel of the Wettlaufer inquiry, expressed concern that the death/shift information could be used to speculate on whether Wettlaufer killed more people.
Mark Zigler, co-lead counsel of the Wettlaufer inquiry, expressed concern that the death/shift information could be used to speculate on whether Wettlaufer killed more people.  (Andrew Francis Wallace)

He also pointed to testimony from Kukoly, the ministry inspector, who described the death/shift calendar as useless, because some residents Wettlaufer killed died on the shift of other nurses.

“If the experts in the field are saying that’s not a particularly relevant statistic,” Zigler said, “then you have to be careful with what you do with it, because you can scare a lot of people about something that may not be factually relevant.”

Zigler said it’s likely the commission’s report — expected in July 2019 — will note the need for more nursing home data. But the specific data points that would be most useful for raising red flags will be left to experts, he added.

Yorker, who was specifically invited by the commission as an expert witness, told the inquiry in September that “serial murder in health-care settings is a phenomenon.”

Citing her landmark studies, she said there have been 131 prosecutions of health-care professionals for serial murders worldwide since 1970. Ninety have been convicted for killing a few hundred people, although the suspected number they killed is at least 2,600.

“These numbers are disturbing and demand that systemic changes in tracking adverse patient incidents associated with (the) presence of a specific healthcare provider be implemented,” Yorker, a professor at California State University, Los Angeles, noted in one of her studies, which formed part of her affidavit to the commission.

The tracking done by the Star — indicating 37 out of 50 Caressant deaths occurred during Wettlaufer’s shifts in a 12-month period — came from two commission documents: Wettlaufer’s death/shift calendar, and the ministry’s new, province-wide analysis of nursing home deaths, which noted the total number at Caressant for three 12-month periods, from 2011 to 2014.

The documents did not estimate the number of deaths that can be expected on a nurse’s evening or night shifts. During the years Wettlaufer was at Caressant, the home had three registered nurses working the day shifts, two working the evening shifts and one the night shift, according to testimony from its former director of nursing, Helen Crombez.

“The fact that Elizabeth Wettlaufer worked on the evening/night shift is consistent with many of the known circumstances in other health-care serial killers,” Yorker stated in her affidavit. “There are fewer health-care providers present, fewer family members are present, and a single RN is typically in charge on the evening and night shifts.

“We probably are not detecting the full extent of health-care killings in both long-term care and in home care,” she told the inquiry, noting the difficulty in gathering hard evidence.

The case of former nurse Niels Hogel illustrates the shocking point. In late October, he admitted to killing 100 patients under his care in two hospitals in northern Germany. He had been in prison since 2015, convicted of killing two patients and trying to kill two others. The 41-year-old admitted to the extra murders in a new trial.

Asked by a commission lawyer what she would consider suspicious signs, Yorker included health-care professionals who fabricate their credentials, who purposely make patients in their care sicker — a syndrome known as Munchausen by proxy — and “being associated with your presence to a discernible increase in adverse patient incidents including cardiac arrest and death. Those are red flags to me.”

Beatrice Crofts Yorker, a California professor of nursing and criminal justice, who conducted a landmark study on health-care serial killers, testified at the inquiry that tracking deaths that occur in the presence of specific health-care workers can lead to crucial red flags.
Beatrice Crofts Yorker, a California professor of nursing and criminal justice, who conducted a landmark study on health-care serial killers, testified at the inquiry that tracking deaths that occur in the presence of specific health-care workers can lead to crucial red flags.  (Andrew Francis Wallace)

Asked what information nursing homes should be sharing with the ministry and other employers, Yorker replied: “Are adverse patient outcomes associated with the presence of a particular health-care provider or particular nurse?”

She added that judges have rejected statistical correlations in caregiver presence during deaths, no matter how strong, as evidence of murder. But the tracking can flag health-care providers who are outliers and trigger quality-of-care scrutiny of their work. Wettlaufer struggled with drug and alcohol abuse, was suspended from her nursing jobs multiple times and was fired twice.

Yorker noted that internal investigations by health-care facilities are often triggered by spikes in deaths, or complaints about a nurse from co-workers, or patients and their familes.

The Star outlined Wettlaufer’s death/shift evidence in a detailed email to Yorker. She said she would prefer to comment after the commission’s final report.


The commission spent little time exploring the need for nursing homes to track the presence of specific nurses when patients have adverse outcomes. It focused instead on the new ministry study analyzing deaths in Ontario’s 633 nursing homes, from 2010 to 2017.

The ministry applied a statistical method called the Standardized Mortality Ratio, used for the past decade in Canadian hospitals. It adjusts for factors such as age and level of sickness, making possible comparisons among hospitals or nursing homes.

The model’s algorithm allowed Health Ministry analysts to calculate the number of residents expected to die at each nursing home in certain years, and compare that to the number who actually died.

Any death above the expected number could be related to factors, such as quality of care, specific to the nursing home, according to testimony by Dr. Michael Hillmer, director of research in the ministry’s analysis and evaluation branch. An especially high number of unexpected deaths could be seen by ministry inspectors as a red flag for closer scrutiny.

In the three 12-month periods analyzed, when Caressant had about 230 “active clients” in each period, it ranked 64th, 61st and 64th among Ontario’s 633 nursing homes. That means it was in the top 10 per cent of nursing homes with more actual deaths than expected ones, Hillmer said.

During those periods, it respectively had 55, 50 and 53 deaths. “Expected deaths” were 39, 36 and 39.

Caressant Care's nursing home in Woodstock, where Elizabeth Wettlaufer worked for seven years.
Caressant Care’s nursing home in Woodstock, where Elizabeth Wettlaufer worked for seven years.  (Dave Chidley)

During testimony, Hillmer agreed with Caressant Care’s lawyer, David Golden, that his analysis can’t be used to draw conclusions about the quality of care in nursing homes.

Golden listed several factors that the Hillmer study did not account for when it calculated expected deaths, including the ethnic makeup of residents, differences between urban and rural homes, or whether a resident has a personal physician that provides care. Golden also noted that by including residents who died 30 days after they left the nursing home, the study did not account for events that might have caused death after the resident entered hospital.

The public report does not name other nursing homes. Hillmer noted, however, that 300 of them had deaths higher than the number his model predicted. He testified in September that the ministry hasn’t decided whether this death-ratio analysis will become a yearly, provincewide exercise.

He said his type of analysis would not have flagged Wettlaufer’s murders because the one, two or three per year she confessed to at Caressant were not enough to noticeably spike its ratio of unexpected deaths.

He was asked by commission counsel Rebecca Jones if he had tracked caregivers present during time of death, or whether deaths occurred on the night or day shifts.

“We don’t have that data, and I think even if we did it would produce an enormously complex model,” Hillmer replied, adding that he “would be skeptical that that much extra data would be a useful exercise.”

He was not asked if it would be useful for nursing homes themselves to collect the more specific death/shift data, or to comment on Wettlaufer’s death/shift record.

Yorker, the California professor, agreed that red flags would not have been raised solely based on the deaths that Wettlaufer ultimately confessed to.

“One of the things that makes her different from the ones that we studied,” she said, “is that there were no clusters or significant increases in patient deaths, and that begs the question: had she not turned herself in, could this have continued?”

Sandro Contenta is a reporter and feature writer based in Toronto. Follow him on Twitter: @scontenta



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These US entities partnered with the Wuhan Institute of Virology — time for a criminal investigation?

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(Natural News) The Wuhan Institute of Virology from which the Wuhan coronavirus (COVID-19) is believed to have “escaped” has a number of questionable partnerships that are worth looking into in light of the pandemic.

Most of them are universities, including the University of Alabama, the University of North Texas, and Harvard University. There is also the EcoHealth Alliance, the National Institutes of Health (NIH), and the National Wildlife Federation.

While the relationships between these entities and the Wuhan Institute of Virology may be completely innocent, there is no way to really say for sure without a proper investigation. And this is exactly what Secretary of State Mike Pompeo is calling for, as is the nation of Australia.

Pompeo and the folks down under, along with millions of Americans, would really like to know the true origins of the Wuhan coronavirus (COVID-19). An increasing number of people simply are not buying the narrative that the novel virus originated in bat soup at a Chinese wet market, and this even includes mainstream media outlets like Fox News.

The only way to really determine what was going on at the Wuhan Institute of Virology, and who else might have been involved. is to open the place up for an international investigation. But communist China is against this, of course, accusing Australia of “petty tricks” and collusion with the United States.

“Overnight, I saw comments from the Chinese Foreign Ministry talking about a course of activity with respect to Australia who had the temerity to ask for investigation,” Pompeo is quoted as saying in response to China’s aggression against a proposed investigation.

“Who in the world wouldn’t want an investigation of how this happened to the world?” he added.

As the U.S. aims to get back on track economically speaking, Pompeo believes that now is the time to hold communist China, the Wuhan Institute of Virology, and whoever else may have been involved accountable for unleashing this pandemic on the world.

“Not only American wealth, but the global economy’s devastation as a result of this virus,” Pompeo further stated. “There will be a time for this. We will get that timing right.”

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New U.S. analysis finds that lab in Wuhan, China was “most likely” origin of coronavirus release

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(Natural News) While American Leftists and most of the Democrat Party continue to serve as apologists for the Chinese Communist regime over its role in creating and then perpetuating the coronavirus pandemic, a new U.S. government analysis concludes that COVID-19 “most likely” escaped from a lab near Wuhan city.

The Washington Times reports that the analysis cataloged evidence linking the outbreak to the Wuhan lab and has found that other explanations for the origins of the virus are not as credible.

The paper reported:

The document, compiled from open sources and not a finished product, says there is no smoking gun to blame the virus on either the Wuhan Institute of Virology or the Wuhan branch of the Chinese Center for Disease Control and Prevention, both located in the city where the first outbreaks were reported.

However, “there is circumstantial evidence to suggest such may be the case,” the paper says.

“All other possible places of the virus’ origin have been proven to be highly unlikely,” said the report, a copy of which was obtained by the Times.

ChiCom officials have claimed that the virus’ origin is unknown. However, Beijing initially stated that coronavirus came from animals at a “wet market” in Wuhan where exotic meats are butchered and sold in disgusting conditions.

Chinese officials claim that COVID-19 went from bats to animals sold in the market last year, then infected humans.

U.S. intelligence officials have increasingly dismissed that explanation, however, as attention has begun to focus on evidence suggesting that Chinese medical researchers were working with coronavirus in the country’s only Level 4 facility, which is in Wuhan.

U.S. Army Gen. Mark A. Milley, chairman of the Joint Chiefs of Staff, has said that intelligence agencies are investigating whether the virus escaped from a lab or was the result of a naturally occurring outbreak, but that analysts have ruled out reports that COVID-19 was manmade.

‘The most logical place to investigate the virus origin has been completely sealed off’

“At this point, it’s inconclusive, although the weight of evidence seems to indicate natural,” the general said on April 14, “but we don’t know for certain.”

The analysis said that the wet market explanation does not ring true because the first human diagnosis of coronavirus was made in someone who had no connection to the wet market in question. And according to Chinese reports, no bats were sold at that particular market.

At the same time, several questionable actions and a growing paper trail provide clues that the virus actually escaped from a lab, even as China begins to clamp down on those information streams.

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The biggest media lies about the coronavirus: Origins, treatments and vaccines

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(Natural News) If there is one thing that most everyone can agree on concerning the Wuhan coronavirus (COVID-19) pandemic, it is the fact that there is no shortage of conflicting information out there about the nature of it. And the mainstream media is certainly doing its part to steer the narrative as part of a larger agenda, using plenty of misinformation along the way.

The following are among the most commonly parroted lies about the Wuhan coronavirus (COVID-19) that aim to distort the facts and deceive you into believing falsehoods about this pandemic:

Media LIE: The virus is not man-made

From the very beginning of this thing, the official narrative was that the Wuhan coronavirus (COVID-19) came from a Chinese wet market where bats and other “exotic” animals are sold as meat. But the world later learned that it actually more than likely “escaped” from the Wuhan Institute of Virology.

The mainstream media and social media platforms went nuts trying to censor this information and even called it  “fake news.” But eventually it became undeniable that bat soup was not responsible for spreading the Wuhan coronavirus (COVID-19) around Wuhan and eventually to the rest of the world – hence why we continue to call it the Wuhan coronavirus rather than just COVID-19.

We have even seen attempts by the media machine at making the Wuhan coronavirus (COVID-19) a racial issue because there are supposedly more “people of color” coming down with it than people with fair skin, which further detracts attention away from the source of this virus.

Media LIE: Hydroxychloroquine is extremely dangerous and doesn’t work

The minute that President Donald Trump announced that hydroxychloroquine may be an effective, and very inexpensive, remedy for the Wuhan coronavirus (COVID-19), the mainstream media immediately began decrying this claim as fake news, even though Anthony Fauci himself praised hydroxychloroquine back in 2013 under Barack Obama as being some type of “miracle cure” for SARS (severe acute respiratory syndrome).

There have even been studies conducted that were designed to intentionally smear the drug as both ineffective and dangerous, though one in particular purposely left out zinc, which appears to be a critical co-factor in supporting the effectiveness of hydroxychloroquine – in other words, politics as usual.

Media LIE: Only a vaccine can save us from coronavirus

Many politicians and public health officials are parroting the lie that the only way America can come out of lockdown and go back to “normal” is to get vaccinated with some future vaccine for the Wuhan coronavirus (COVID-19) that does not even yet exist. A vaccine, we are repeatedly told, is the only thing, or perhaps some new “blockbuster” antiviral drug, that can cure the world of this scourge and make everything happy and wonderful once again.

Meanwhile, not a peep is being made about things like intravenous (IV) high-dose vitamin C, which is being successfully used in other countries to stem the tide of infections without the need for new drugs and vaccines.

By omission, nutrition is pointless

Speaking of natural approaches to overcoming the Wuhan coronavirus (COVID-19) that are being systematically ignored by the mainstream media and most in politics, have you heard anyone mention the importance of nutrition in all of this? We did not think so, and this is intentional.

Regular readers of this site over the years should know by now that the single-most important thing you need to do to stay healthy besides exercising regularly is to feed your body the nutrition it needs to naturally ward off illnesses, including those associated with the Wuhan coronavirus (COVID-19).

Research compiled by the Lewin Group reveals that nutritional remedies such as calcium, vitamin D, folate, omega-3 fatty acids, lutein, zeaxanthin, and more all play a critical role in fortifying the immune system, which, if properly nourished, should have little problem fending off disease.

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