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A coroner has found “systemic and individual failures” and treatment that “collectively fell below the expected standard of care” led to the death of a Kaikōura toddler. Everly Anne Dunfoy died at the town’s after-hours medical clinic on April 5, 2019. She was coughing, wheezing and struggling to breathe.

By 8.53am the little girl was pronounced dead. Until today the full details of Everly’s death could not be reported.



Now that investigations by the Health and Disability Commissioner and coroner are complete, Everly’s final hours and the mistakes made by medical professionals in the lead-up to her death can be made public..

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