AB v Assistant Coroner for Inner South London CO/663/2019, 1.5.2019
The Extinction Rebellion protests are a forceful reminder, if any were needed, of how our planet is rapidly becoming more polluted with potentially worrying consequences for all who live on it. Clean air is one of the most basic requirements of a healthy environment for us all to live, work, and bring up families. As the government already acknowledges “Poor quality air is the largest environmental risk to public health in the UK” with exposure to nitrogen dioxide having an effect on mortality “equivalent to 23,500 deaths” every year[1].
When a nine year old girl dies from a severe asthma attack that may be linked to air pollution it is clearly a cause for concern and investigation.
Ella Kissi-Debrah who lived alongside the busy London South Circular road died in February 2013 after suffering a severe asthma attack. Ella had made 27 visits to hospital for asthma attacks since 2010. The first inquest into her death, held in 2014, focussed on the medical cause of her death and the medical care given in the short period between the fatal attack and her death. The Assistant Coroner concluded that Ella suffered an asthma attack followed by a seizure and died after unsuccessful resuscitation.
However new medical evidence was subsequently obtained that pointed to the severe air pollution in the area where Ella lived as having contributed to her death. A monitoring station a mile from Ella’s home had repeatedly logged unlawful levels of air pollution. A Professor of immuno-pharmacology, who was an expert in respiratory disease, provided a report which concluded that the unlawful levels of air pollution had contributed to the cause and severity of Ella’s fatal asthma. Further evidence pointed to an arguable failure by the state to regulate and reduce the extreme pollution that was implicated in her death.
“There was a real prospect that without unlawful levels of air pollution Ella would not have died”