February 11. On this date in 2004, a letter to The Guardian newspaper signed by several medical specialists was titled Medical evidence does not support suicide by Kelly. An authority on biological warfare employed by the British Ministry of Defence, and formerly a weapons inspector with the United Nations Special Commission in Iraq, David Kelly, a Bahá'í, was a prime source for the false information of Iraq's purported possession of weapons of mass destruction in the lead-up to the invasion of Iraq in 2003.
Medical evidence does not support suicide by Kelly
Since three of us wrote our letter to the Guardian on January 27, questioning whether Dr Kelly)'s death was suicide, we have received professional support for our view from vascular surgeon Martin Birnstingl, pathologist Dr Peter Fletcher, and consultant in public health Dr Andrew Rouse. We all agree that it is highly improbable that the primary cause of Dr Kelly's death was haemorrhage from transection of a single ulnar artery, as stated by Brian Hutton in his report.
On February 10, Dr Rouse wrote to the BMJ explaining that he and his colleague, Yaser Adi, had spent 100 hours preparing a report, Hutton, Kelly and the Missing Epidemiology. They concluded that "the identified evidence does not support the view that wrist-slash deaths are common (or indeed possible)". While Professor Chris Milroy, in a letter to the BMJ, responded, "unlikely does not make it impossible", Dr Rouse replied: "Before most of us will be prepared to accept wristslashing ... as a satisfactory and credible explanation for a death, we will also require evidence that such aetiologies are likely; not merely 'possible'. "
Our criticism of the Hutton report is that its verdict of "suicide" is an inappropriate finding. To bleed to death from a transected artery goes against classical medical teaching, which is that a transected artery retracts, narrows, clots and stops bleeding within minutes. Even if a person continues to bleed, the body compensates for the loss of blood through vasoconstriction (closing down of non-essential arteries). This allows a partially exsanguinated individual to live for many hours, even days.
Professor Milroy expands on the finding of Dr Nicholas Hunt, the forensic pathologist at the Hutton inquiry - that haemorrhage was the main cause of death (possibly finding it inadequate) - and falls back on the toxicology: "The toxicology showed a significant overdose of co-proxamol. The standard text, Baselt, records deaths with concentrations at 1 mg/l, the concentration found in Kelly." But Dr Allan, the toxicogist in the case, considered this nowhere near toxic. Each of the two components was a third of what is normally considered a fatal level. Professor Milroy then talks of "ischaemic heart disease". But Dr Hunt is explicit that Dr Kelly did not suffer a heart attack. Thus, one must assume that no changes attributable to myocardial ischaemia were actually found at autopsy.
We believe the verdict given is in contradiction to medical teaching; is at variance with documented cases of wrist-slash suicides; and does not align itself with the evidence presented at the inquiry. We call for the reopening of the inquest by the coroner, where a jury may be called and evidence taken on oath.
Andrew Rouse
Public health consultant
Searle Sennett
Specialist in anaesthesiology
David Halpin
Specialist in trauma
Stephen Frost
Specialist in radiology
Dr Peter Fletcher
Specialist in pathology
Martin Birnstingl
Specialist in vascular surgery
On September 25, 1999, David Kelly converted to the Bahá'í Faith at the Bosch Bahá'í School in California. David Kelly was a prime source for the false information of Iraq's purported possession of weapons of mass destruction in the lead-up to the invasion of Iraq in 2003.
On July 17, 2003, David Kelly was found dead from an apparent suicide, two days after appearing before a parliamentary Foreign Affairs Select Committee. An authority on biological warfare employed by the British Ministry of Defence, and formerly a weapons inspector with the United Nations Special Commission in Iraq, David Kelly was a prime source for the false information of Iraq's purported possession of weapons of mass destruction in the lead-up to the invasion of Iraq in 2003.
On August 11, 2003, the Independent carried an article about David Kelly, noting "In October 2002, Dr Kellygave a slide show and lecture about his experiences as a weapons inspector in Iraq to a small almost private gathering of the Baha'i faith, which aims to unite the teachings of all the prophets. Dr Kelly had converted to the religion three years earlier, while in New York on attachment to the UN. When he returned to England he became treasurer of the small but influential Baha'i branch in Abingdon near his home. Roger Kingdon, a member, recalls: 'He had no doubt that [the Iraqis] had biological and chemical weapons. It was clear that David Kelly was largely happy with the material in the dossier.'"
From The Times article titled "Faith, peace and tolerance in Monterey", dated September 3, 2003.
September 3
Faith, peace and tolerance in Monterey
By Chris Ayres and James Bone
Four years ago David Kelly made a personal odyssey to the Californian resort of Monterey. He was there, not to visit its military installations or its tourist boutiques but to convert to the Baha'i faith
IT WOULD SEEM an unlikely place to find peace for the soul. Monterey, an affluent city on California's central coast, about an hour's flight north from Los Angeles, is known more for its proximity to military installations and its role as retirement city of choice for generals and one-time spies than for any sense of spirituality. But it was to this beautiful seaside resort, often shrouded in mist because of the hot air from the Californian deserts hitting the cold Pacific, that David Kelly came four years ago to make a declaration of faith to the Baha'i religion.
On September 25, 1999, he would have turned his back on the postcard landscape of sand dunes and gleaming ocean that marks California's Pacific Coast Highway, and taken the incongruously named Bonny Doon Road up through the towns of Loch Lomond and Bracken Brae, until he came to the first signpost to the Bosch Baha'i School, one of only four such establishments in the United States and an inspiration for the British scientist and biological weapons expert. He was possibly accompanied by his friend and spiritual mentor Mai Pederson, the American woman thought to be responsible for introducing him to the Baha'i faith.
Monterey, with its proximity to the Defence Language Institute and other military installations, was a natural destination for Dr Kelly; the Monterey Institute of International Studies, which has its own Centre for Nonproliferation Studies, the largest non-governmental organisation in the world devoted to curbing the spread of weapons of mass destruction, would have been an essential place for him to visit. The centre is thought to have one of the largest databases of information on Saddam Hussein's regime in the world. The city itself, an old fishing town turned into a tourist mecca, with chi-chi boutiques and restaurants that line the seafront — a kind of Covent Garden-on-sea — is similar to other California coastal towns such as Carmel and Santa Barbara that look out over the rolling surf of the Pacific. But it is thought that Dr Kelly visited Monterey not for the expertise offered by the city's scientists, but for the consolation of the soul that he would find in the Baha'i school high above the city, overlooking the California coastline.
After reaching the series of wooden cabins that make up the school's campus — passing, first, the four garden gnomes, dressed in 19th-century peasant outfits, that wave cheerfully to those curious or devoted enough to go further — he made his simple declaration of faith. According to Joanne McClure, a youthful 66-year-old who pays $65 (£41) a night for room and board at the school, to an untrained eye this would have seemed an almost casual affair, the kind of non-ritual ritual beloved of the Baha'is, who pride themselves on having no formal initiation ceremony, sacrament or clergy. "First we would make sure initiates know who Baha'ullah is — the founder of the faith — and that they really knew what they were doing," says McClure. "Then they would sign a card saying that there are certain laws they need to obey." These include abstaining from drink, drugs and gambling; supporting the institution of marriage; believing that God created the universe; and encouraging the end of racial, class, and religious prejudices. After Dr Kelly had signed the card, it would have been sent to the Baha'i national headquarters in Wilmette, Illinois, where the new believer would be put on the mailing list for the American magazine The Baha'is. From then on, Dr Kelly would have been encouraged to attend feasts held every 19 days, which involve prayer-chants, administrative discussions with local spiritual assemblies, and general socialising.
Dr Kelly would have been attracted to the peacefulness and tolerance of the Baha'is, who believe that all religions are essentially valid. As McClure says: "I could never understand why God was going to send all these people to Hell just because they didn't believe in the same things." As a scientist, perhaps seeking spiritual succour within an intellectual framework, he would also have been attracted to the faith's openness to modernity and its lack of fundamentalist dogma.
Throughout 1999 Dr Kelly travelled to New York for six or seven two-week trips to work with fellow experts at UN headquarters, and he visited at least twice more for the regular six-monthly meetings of the UN Special Commission's (UNSCOM's) college of commissioners. During this year, he often appeared at Baha'i meetings on the other side of the continent in Monterey, at the group's traditional 19th-day feasts. Pederson, who was studying at the Defence Language Institute, a heavily guarded military facility that taught American soldiers how to speak Japanese during the Second World War, was also at the feasts. The two had met and become friends when she served under the scientist on a UN mission to Iraq in 1998, the last inspection before the withdrawal of UN inspectors.
John VonBerg, whose wife was the secretary of the local Baha'is' spiritual assembly at the time, says: "He has been to my home several times. We had special events on holy days, representing various things. His principles were so close to those of the Baha'i faith."
The last time Dr Kelly visited, VonBerg remembers the Baha'i group going to gaze out over the bay.
Noreen Steinmetz, a friend of Dr Kelly and Pederson, recalls: "He would pass through here every once in a while and we would have the opportunity to sit down with him and go on hikes and chat. I met him through Mai Pederson." She adds that Dr Kelly always arrived at meetings by himself, and other Baha'is assumed that he was working at the nearby Monterey Institute, where several of his UN colleagues worked. But scientist friends at the centre say he never visited them there.
A glance around the Bosch Baha'i School's bookshop reveals some possible sources of tension for Dr Kelly. Several tomes focus on the divine importance of the UN, which was eventually ignored by the United States and Britain after it refused to support a military campaign to remove the Iraqi regime.
With that in mind, it is hard to see how Dr Kelly could ever have supported an Iraq war without UN approval.
Even more ominous, however, is a tract entitled Political Non-Involvement and Obedience to Government, compiled by Peter J. Khan. The book spells out the Baha'is' belief that they should not become involved in any form of politics, because politics can create divisions that could destroy the Baha'i community.
As part of this argument, Baha'is believe that they should support their government, whether just or unjust (there are, however, exceptions). On page 28, Khan poses a question that Dr Kelly himself could have asked: What should we do when controversies arise as a result of government policies?
The answer, provided by the Guardian of the Baha'i faith, the late Shoghi Effendi Rabbani, is this: "In such controversies they should assign no blame, take no side, further no design, and identify themselves with no system prejudicial to the best interests of that worldwide fellowship which it is their aim to guard and foster."
Khan's book makes it clear that any Baha'i who does not follow this advice is ultimately weakening the Baha'i religion. Given this official position from the Guardian, it is not hard to imagine Dr Kelly's horror when he was named as the alleged source of a story blaming Britain's decision to go to war on a press secretary who "sexed up" intelligence reports.
But would the Guardian have condoned suicide? "Let's just say," says Mrs VonBerg, "that it would not follow the teachings of the Baha'i faith."
On January 27, 2004, three medical experts wrote The Guardiannewspaper a letter stating that it is highly improbable that the primary cause of Dr. Kelly)'s death was hemorrhage from transection of a single ulnar artery, as stated by Brian Hutton in his report.
Our doubts about Dr Kelly's suicide
As specialist medical professionals, we do not consider the evidence given at the Hutton inquiry has demonstrated that Dr David Kelly committed suicide.
Dr Nicholas Hunt, the forensic pathologist at the Hutton inquiry, concluded that Dr Kelly bled to death from a self-inflicted wound to his left wrist. We view this as highly improbable. Arteries in the wrist are of matchstick thickness and severing them does not lead to life-threatening blood loss. Dr Hunt stated that the only artery that had been cut - the ulnar artery - had been completely transected. Complete transection causes the artery to quickly retract and close down, and this promotes clotting of the blood.
The ambulance team reported that the quantity of blood at the scene was minimal and surprisingly small. It is extremely difficult to lose significant amounts of blood at a pressure below 50-60 systolic in a subject who is compensating by vasoconstricting. To have died from haemorrhage, Dr Kelly would have had to lose about five pints of blood - it is unlikely that he would have lost more than a pint.
Alexander Allan, the forensic toxicologist at the inquiry, considered the amount ingested of Co-Proxamol insufficient to have caused death. Allan could not show that Dr Kelly had ingested the 29 tablets said to be missing from the packets found. Only a fifth of one tablet was found in his stomach. Although levels of Co-Proxamol in the blood were higher than therapeutic levels, Allan conceded that the blood level of each of the drug's two components was less than a third of what would normally be found in a fatal overdose.
We dispute that Dr Kelly could have died from haemorrhage or from Co-Proxamol ingestion or from both. The coroner, Nicholas Gardiner, has spoken recently of resuming the inquest into his death. If it re-opens, as in our opinion it should, a clear need exists to scrutinise more closely Dr Hunt's conclusions as to the cause of death.
David Halpin
Specialist in trauma and orthopaedic surgery C Stephen Frost
Specialist in diagnostic radiology Searle Sennett
Specialist in anaesthesiology rowenathursby@onetel.net.uk
Follow-up letter on February 11, 2004...
Medical evidence does not support suicide by Kelly
Since three of us wrote our letter to the Guardian on January 27, questioning whether Dr Kelly)'s death was suicide, we have received professional support for our view from vascular surgeon Martin Birnstingl, pathologist Dr Peter Fletcher, and consultant in public health Dr Andrew Rouse. We all agree that it is highly improbable that the primary cause of Dr Kelly's death was haemorrhage from transection of a single ulnar artery, as stated by Brian Hutton in his report.
On February 10, Dr Rouse wrote to the BMJ explaining that he and his colleague, Yaser Adi, had spent 100 hours preparing a report, Hutton, Kelly and the Missing Epidemiology. They concluded that "the identified evidence does not support the view that wrist-slash deaths are common (or indeed possible)". While Professor Chris Milroy, in a letter to the BMJ, responded, "unlikely does not make it impossible", Dr Rouse replied: "Before most of us will be prepared to accept wristslashing ... as a satisfactory and credible explanation for a death, we will also require evidence that such aetiologies are likely; not merely 'possible'. "
Our criticism of the Hutton report is that its verdict of "suicide" is an inappropriate finding. To bleed to death from a transected artery goes against classical medical teaching, which is that a transected artery retracts, narrows, clots and stops bleeding within minutes. Even if a person continues to bleed, the body compensates for the loss of blood through vasoconstriction (closing down of non-essential arteries). This allows a partially exsanguinated individual to live for many hours, even days.
Professor Milroy expands on the finding of Dr Nicholas Hunt, the forensic pathologist at the Hutton inquiry - that haemorrhage was the main cause of death (possibly finding it inadequate) - and falls back on the toxicology: "The toxicology showed a significant overdose of co-proxamol. The standard text, Baselt, records deaths with concentrations at 1 mg/l, the concentration found in Kelly." But Dr Allan, the toxicogist in the case, considered this nowhere near toxic. Each of the two components was a third of what is normally considered a fatal level. Professor Milroy then talks of "ischaemic heart disease". But Dr Hunt is explicit that Dr Kelly did not suffer a heart attack. Thus, one must assume that no changes attributable to myocardial ischaemia were actually found at autopsy.
We believe the verdict given is in contradiction to medical teaching; is at variance with documented cases of wrist-slash suicides; and does not align itself with the evidence presented at the inquiry. We call for the reopening of the inquest by the coroner, where a jury may be called and evidence taken on oath.
Andrew Rouse
Public health consultant
Searle Sennett
Specialist in anaesthesiology
David Halpin
Specialist in trauma
Stephen Frost
Specialist in radiology
Dr Peter Fletcher
Specialist in pathology
Martin Birnstingl
Specialist in vascular surgery
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