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Hospital neglect contributed to vulnerable woman’s death, coroner says

Alison HoltSocial affairs editor and

James MelleySenior social affairs producer

Family handout Cerys Lupton-Jones holding a dog. She is a young woman with light brown hair tied into a thin ponytail and wearing a grey shirt. She is standing in front of a brick wall and holding a medium-sized black curly haird dogFamily handout

Cerys Lupton-Jones died in May 2022

Warning: The following article contains details about suicide which some may find distressing

Cerys Lupton-Jones pauses between two doorways.

One door leads into a side room in the Manchester mental health unit where she’s a patient. The other leads into a toilet.

The 22-year-old had tried to end her life just 20 minutes earlier – but no staff are seen on the CCTV footage from inside the unit.

She hesitates for about 30 seconds, walking backwards and forwards. Then she enters the toilet and shuts the door.

The next time she is seen on the footage, doctors and nurses are fighting to resuscitate her.

Cerys dies five days later, on 18 May 2022.

A coroner has concluded that some of the care Cerys was given at Park House, which was run by the Greater Manchester Mental Health NHS Foundation Trust, was a “shambles”.

Staff were meant to be checking on her every 15 minutes.

But the last recorded observation – at 15:00 – had been falsified, saying she had been seen in a corridor. CCTV shows at that point, Cerys was already in the toilet where she would fatally harm herself.

A staff member who was supposed to be looking after her has now admitted to falsifying these records.

Zak Golombeck, coroner for Manchester, said that if someone had stayed with her after the earlier attempt to take her life, what followed may never have happened. He said neglect was likely to have contributed to her death.

Campaigners are calling for an inquiry into the number of deaths at the mental health trust and believe the services are in crisis.

Greater Manchester Mental Health Trust said it “failed her that day, and we are so very sorry that we did not do more”.

Family handout Cerys Lupton-Jones sitting in a restaurant. She is smiling at the camera and holding up a tall wine glass with a red drink in it. She is wearing a grey short and has long brown hair over her shoulders. Behind her two chefs can be seen working in an open kitchenFamily handout

Cerys was a patient at Park House, which was run by the Greater Manchester Mental Health NHS Foundation Trust

Cerys’s parents, Rebecca Lupton and Dave Jones, describe their daughter as a loving young woman who would do anything for her friends. She was studying to be a nurse and was months away from completing her degree, with a job lined up.

She was autistic and had also struggled with her mental health since her teens.

Her family, who lived miles away in Sussex, say the pandemic and the reduction in community mental health support exacerbated Cerys’s problems.

The inquest was told Cerys had tried to take her life in the days running up to her death, spending time in A&E.

She was then readmitted to Park House and put on one-to-one observations for a short time. Later, she was supposed to be checked by staff every 15 minutes.

The inquest heard how, at about 14:35 on 13 May 2022, Cerys was found in a toilet by Mohammed Rafiq, a health support worker who had been assigned to check on her. Cerys had tried to hang herself.

Rebecca Lupton and Dave Jones

Rebecca Lupton and Dave Jones describe Cerys as a loving young woman

Mr Rafiq and the duty nurse, Thaiba Talib, intervened.

However, the inquest heard the 15-minute observations were not then increased and staff had no proper conversation with her.

The nurse told the inquest she did not believe Cerys meant to seriously harm herself.

She told the coroner she chose not to increase observations on Cerys because she did not want her to feel punished, as she did not like being under observation.

When asked by the coroner if she should have gone with Cerys to her room after the incident and check she was safe, Ms Talib answered: “In hindsight, yes.”

Damning CCTV from inside the unit was described minute by minute in court.

It showed Cerys going into the ward garden at 14:42. The observation record, which says at 14:45 she was in her bedspace, was described by the coroner as “not accurate”.

At 14:54, Cerys walked into another toilet on the ward and closed the door.

Yet Mr Rafiq told the coroner he remembered seeing Cerys at 14:57. He wrote in the observation notes that he had seen her at 15:00 “along the corridor, looking flat-faced”. He then went on a break. In reality, Cerys was still in the toilet.

The coroner told Mr Rafiq that his recollections were wrong, and that he had “falsified” the observation records. Mr Rafiq responded: “I’m afraid so”.

Mr Rafiq said other staff had shown him how to record observations every 15 minutes, even if he hadn’t done them at that time. “That’s how they did it and that’s how I did it”, he told the court.

A new support worker took over the observations at 15:00. There was no verbal handover and, according to Mr Rafiq’s notes, Cerys had just been seen.

The CCTV shows the new support worker checking on other patients. At 15:15 she looked for Cerys.

She could be seen becoming increasingly desperate as she searched the communal areas and ran along the corridor.

At 15:19, she tried the door to the toilet, using a master key to unlock it. She found Cerys inside and immediately raised the alarm.

By that point, 25 minutes had passed since Cerys went into the toilet. She died in hospital on 18 May, five days later.

The coroner said there was a gross failure by Ms Talib to provide “basic medical attention to a person in a dependent position”.

He also found there was a culture of falsifying records on the ward.

The coroner said it was not clear what Cerys’s intention had been. In a narrative conclusion, he recorded that neglect had contributed to her death.

Rebecca Lupton and Dave Jones sit at a table looking at photographs of their daughter Cerys. Rebecca has grey hair with darker streaks. It is tied up and she is wearing a yellow knitted jumper. Dave has short white hair and is wearing a orange/red cardigan and a pinkish red shirt.

“Cerys was a wonderful, wonderful young person”, her mother Rebecca Lupton said

“I knew it was bad,” Cerys’s mother Rebecca told the BBC, “but listening to the evidence highlighted quite how poor the care was.”

Her father, Dave, says when Cerys was sectioned and taken to the hospital at the start of 2022, they believed it would keep her safe and help her get better. “In fact, it just made everything worse,” he says. “It was the wrong environment.”

“Cerys was a wonderful, wonderful young person. We feel that she would be here today if she’d been given better care by Manchester Mental Health Trust,” Rebecca said outside court, after the coroner gave his conclusion.

Dave described the disbelief and anger as difficult to put into words. “We need more funding for mental health services, more staff, better training and much better oversight.”

Immy Swithern was a patient at the same time as Cerys. They became close friends. She says they tried to make the best out of a bad situation and would talk all day.

She also claims some staff regularly failed to carry out 15-minute safety checks, so they tried to look out for each other.

“I was there to get better, and I was there to have help with that,” she says. “Instead, I was constantly checking on people. On that ward, I think that is the most scared I’ve ever felt in my life.”

Park House mental health unit has since closed. It was replaced by a new £105.9m hospital in November 2024.

The NHS trust said it had “significantly improved” its provision of care and it was grateful to the coroner for “acknowledging the work that has been done to prevent something of this nature from happening again”.

But campaigners claim mental health services in Manchester are in crisis.

Responding to Tuesday’s inquest verdict, the Communities for Holistic, Accessible and Rights-based Mental Health (CHARM) group, says: “It is devastating to hear of yet another young person losing their life as a result of neglect and poor care.”

The group says it is due to meet Mayor of Greater Manchester Andy Burnham this week to call for a statutory inquiry into the deaths and the financial crisis in the city’s mental health services.

In October 2022, five months after Cerys death, an undercover BBC panorama programme exposed bullying and the mistreatment of patients at the medium secure Edenfield centre, which was also run by GMMH.

As a result, an independent review was commissioned by the NHS and published in 2024.

It found a “closed culture” at GMMH. It also raised concerns about the number of deaths by ligature.

In 2022, 19 people took their own lives by hanging on mental health units in the UK, five were GMMH patients, the trust itself said that meant it had 26% of all such deaths in the whole country.

If you are suffering distress or despair, details of help and support in the UK are available at BBC Action Line.

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Three arrested for murder after woman’s body is found in canal before waterway is drained

THREE people have been arrested for murder after a woman’s body was tragically found in a canal.

The body was discovered before two waterways were drained by police in a canal in the Black Country on Tuesday, October 7.

Cops have now arrested two men and one woman in relation to the incident.

The trio, who are aged in their 20s, 40s, and 60s, currently remain in custody.

This comes after police responded to calls from Ryders Green Road in West Bromwich just before 11am on Tuesday.

Locals reported that part of the canal was drained while police worked in the area.

A large stretch of Walsall Canal was cordoned off and a blue forensic tent was also erected.

Two sections of the canal were drained while officers investigated the scene.

A spokesperson for West Midlands Police said: “Three people are in custody today after a woman’s body was found in water near Ryders Green Road, West Bromwich yesterday morning.

“Two men and a woman have been arrested on suspicion of murder as detectives continue with investigations into her death.

“Door-to-door enquiries are ongoing along with CCTV being retrieved and reviewed as we work to establish the exact circumstances.

“There will also be a more visible police presence in the area over the coming days as the investigation continues.

Murder cops called in after grim remains found washed up on banks of Loch Lomond

“The two men, one in his 60s and the second in his 20s, and a woman in her 40s, remain in police custody this afternoon.

“A forensic post mortem is being carried out to help establish the cause of death.”

Residents have been quick to share their devastation over this tragic discovery.

Taking to Facebook, one saddened local wrote: “R.I.P. and condolences to the family.”

Another added: “So sad rest in peace.”

The police statement continued: “Anyone with information can contact us on 101 or by messaging us on Live Chat on our website, quoting log 1587 of 7 October.

“If you’d prefer to remain anonymous please speak to independent charity Crimestoppers on 0800 555 111.”

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A Woman’s Ordeal with Repeated Kidnapping in Zamfara

The first time they came for her, in May 2023, Lubabatu Ibrahim was preparing to sleep. Terrorists broke into her home in Gana village, Zamfara State, North West Nigeria, and found her alone. Her husband, the community’s traditional ruler, was away in Mecca for the Islamic pilgrimage.

“They didn’t beat me, but they asked for money, and I told them I had none,” the 46-year-old recounted. 

That night, she narrowly escaped abduction. But the terrorists did not forget her, as they were acting under the instruction of their leader, Kachalla Falando.

For years, Nigeria’s North West has been at the centre of the country’s kidnapping crisis, where armed groups prey on rural communities, abducting residents for ransom and forcing thousands to abandon their homes. Women like Lubabatu, married to a local monarch, are prime targets, not only because of their symbolic status but also because of the assumption that their families can raise huge sums. Her story reflects a broader reality in which ordinary life has been eroded by fear, extortion, and the absence of state protection.

Her escape did not end the threat; it only delayed it. 

Months later, in June 2024, they returned, this time seizing her only son, 15-year-old Bilyaminu, the very day he came home from boarding school. 

“I missed Bilyaminu. It was his first time away from home for secondary education,” she said. “We were jubilating for Bilyaminu’s long-awaited return home as he reunited with his family and siblings from the school he had dreamed of attending,” she said. “As a mother with only one boy, I prepared so much for him and his friends during the festive period. I got him a lot of confectionery and his favourite local dishes, which he had missed.”

That evening, after a warm reunion, he came to her room to say goodnight. He sat by her legs as she patted his head. “Why have you let your hair grow so much?” she teased. He laughed and promised to cut it the next day.

But at about 1:30 a.m., terrorists stormed the village. They demanded to know the whereabouts of the matan maigari—the monarch’s wife.

“I immediately smuggled her out of her room into one of our local silos meant for preserving our assorted grains in the backyard. Only for me to return, I heard Bilyaminu crying in the hands of the terrorists. They were beating him to find out where Lubabatu, his mother, was hiding. Bilyaminu replied that he had no idea where his mother was,” Sani Maigari, the village head of the Gana community, told HumAngle.

The boy insisted he had just returned from school and did not know. His pleas were ignored. He was taken away, along with other villagers. Houses were set ablaze, including that of the community’s Imam. 

After four months in captivity, Bilyaminu was released when a ransom of ₦1.5 million was paid. By then, many residents had fled their homes. 

“There was no security official to rescue the victims,” Sani added. “We are all displaced. As I speak, we do not sleep in our homes. We spend our daytime in Gana and our night in Nasarawar Burkullu. We have been in transit daily since Jan. 6.”

Months after Bilyaminu was released, on Monday, Jan. 6, the terrorists invaded again. It was raining heavily when three armed men broke into the monarch’s house at about 11:00 p.m. This time, they mistook the monarch’s sick second wife, Sadiya, for Lubabatu.

“They forced me to place Sadiya on the bike,” Lubabatu recounted. “She was sick with a stroke. So they tried to load her onto the bike several times, unsuccessfully. One of the terrorists instructed me to hold her legs for him, as he held her by the arm and shifted the sick woman beside a tree, fearing that she could die.”

Three men sit and talk outside in a rustic setting, one holding a booklet.
Residents of the Gana community narrating their ordeal at the hands of terrorists in Bukuyum LGA, Zamfara State. Photo: Abdullahi Abubakar/HumAngle. 

When it became clear she could not be taken, Lubabatu recalled that one of the attackers declared, “Since we can’t abduct the sick woman, Lubabatu. We will take her instead.”

This time, they had their real target, but they were unaware. 

Alongside more than 50 women and children, Lubabatu was marched through the night to Rijiyar Yarbugaje, on the outskirts of Gana. She overheard teenage fighters arguing about whether they had truly captured her. One insisted they had failed; another said they had already taken someone from her household.

The journey into captivity was brutal. The terrorists led the captives into the forest up to the Kaiwaye riverbank. “We all stopped there. Another fear of the unknown knocked on my heart, and I felt too sad again and again, as all hope was lost. I looked at the river, looked back, and I prayed to God again,” said Jamila Rabiu, another victim of the same attack.

“We trekked through that night until the following day. We neither ate food nor drank water throughout the movements across the forests. We finally reached our destination and stayed there until ₦6 million was paid as ransom for the five of us only,” Lubabatu told HumAngle.

Two days after they arrived at the camp, Kachalla Falando summoned five women among the captives from Gana and asked who among them was Lubabatu. They claimed she had escaped in the forest.

He nodded in dismay, unaware that the woman he sought was among them.

“I was the youngest among the captives. Falando walked toward me and whispered, ‘I love you.’ My chest and heart beat excessively. He asked the rest of the women to go back to the tents. I asked him to fear God and let me go with the rest,” Lubabatu said.

Falando ordered his gang to chain her. She spent three days in chains, exposed to sunshine, and only given a cup of water twice every day.

“I tried to understand why they wanted me abducted, specifically as a wife to the family of the Gana District Head. The only explanation I could arrive at was that Falando is an ambitious terrorist, driven by a desire to expand his territorial influence over communities he labelled as non-compliant,” Lubabatu said. 

HumAngle learnt from locals that Gana, unlike neighbouring Gando and Baruba, was among the few villages in Bukuyum LGA whose leaders had refused to submit to the terrorists’ impunity, including the sexual abuse of women.

Lubabatu remained in captivity for two months and ten days until a ₦6 million ransom was paid. 

She confirmed to HumAngle that neither Falando nor his gang realised that she was in their custody. “None of the women that we were abducted together disclosed my identity to the terrorists, despite the intimidation, abuse and violent actions against almost every one of us,” Lubabatu said.

Falando is a notorious kingpin in Nigeria’s North West. Locals familiar with his group estimate its strength at about 200 fighters. Beyond terrorising communities, they extort from them, sometimes under the guise of peace. On several occasions, Falando has compelled rural populations to pool resources for so-called “ransom-for-peace” agreements. But these deals rarely last. In Adabka, a farming settlement in Zamfara, residents raised and paid ₦20 million in the hope of buying safety. Three years later, Falando’s gang struck again, abducting and killing residents and security operatives.

The shadow Falando casts stretches across communities like Gana, where Lubabatu was seized. The village had long been under siege. Residents say the first major attack was recorded six years ago, when armed groups began their incursions into the community, which has led to assaults that have battered families.

Since she returned, fear and trauma have become Lubabatu’s worst nightmare. “The sounds of guns knocking on my ears are always my greatest fear. Anytime I hear the reverberation of gun sounds, I get tensed,” she said. “We look like wanderers, always on the move, so restless. My son is no longer in school because we are paupers and cannot afford to sponsor his education.”

Her voice carried both exhaustion and resolve. What she wanted, she said, was simple: safety, food for her family, and financial support to rebuild their lives. But until the government breaks the grip of men like Falando, residents, especially women like Lubabatu, will remain trapped by fear, their lives suspended between survival and despair.

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Woman’s genius trick for flying without paying a fortune for cabin baggage

Packing for a weekend getaway can be a struggle when you’re trying to keep costs low – but one woman has shared a simple trick to avoid paying cabin bag fees

Woman pulling a suitcase through an airport
Major airlines are cracking down on luggage allowances

We all want to score the best deals when jetting off to soak up some sun abroad.

But with major airlines cracking down on luggage allowances, packing for a quick weekend getaway has become tricky — and often expensive — especially when you’re trying to keep costs low.

Luckily, one savvy traveller has shared a clever hack that lets you avoid paying for a cabin or underseat bag altogether.

If you’ve already visited far-flung places like Australia or South America, chances are you might already own the perfect item for this trick.

Instead of splashing out on an extra carry-on, TikToker Nina Edwine showed how much you can actually fit inside an empty travel pillow cover.

READ MORE: Influencer’s travel hack gets you an entire row of seats on plane to yourself

A holiday-goer shares easy trick for flying without having to fork out for cabin baggage
A holiday-goer shares easy trick for flying without having to fork out for cabin baggage

Not only does this keep your clothes safe, but the packed pillow also doubles as a comfy cushion for those long flights. Don’t be fooled by its small size — Nina stuffed the pillow with plenty of clothes.

In her video, the German traveller unpacks a non-padded bra, a strappy dress, multiple tops, a stunning red co-ord, and more — totalling ten pieces of clothing.

She revealed that this stash was enough to put together “more than six” different outfits.

Proud of her budget-friendly hack, Nina said: “Smart trick to avoid paying 50 euros (£42) for cabin luggage.”

While some airlines allow a small free cabin bag, their size restrictions often aren’t enough — making this hack a game-changer.

The clip has gone viral, racking up over 2.6 million views on TikTok, with more than 75,000 likes and nearly 1,900 comments.

“This is actually genius, for real,” one user commented, liked over 4,100 times.

Another was amazed: “Wait, you fit so much stuff in there!”

The trick saved Nina £50
The trick saved Nina £50

A third said: “Legendary… how have I never thought of this?”

And one more chimed in: “Love doing this — it saves so much space.”

One fashion-savvy viewer added: “One of those Uniqlo crossbody bags fits loads. Wear it under your coat with a scarf to hide the strap.”

It comes after another influencer shared a simple trick that will help you get an entire row to yourself on your next flight.

Maddie revealed she had signed up for a service called Neighbour Free when she flew with Etihad. In a video posted to her social media platforms, she explained: “I bid on the seats next to me on the plane, and if the flight isn’t completely full when I board, I get the whole row to myself. It’s basically like Business Class in Economy. I can lie down, sleep, all that.”

The content creator was “excited” to discover she had “won” the seats, meaning she had the entire row to herself. Maddie managed to sleep for eight of the 13.5-hour long-haul flight.

When asked how much this luxury had cost her, Maddie revealed in the comments section of her video that she had paid £200 to upgrade to three seats. In response to a suggestion that it might have been cheaper to upgrade to Business Class, she retorted: “Business Class upgrade would have cost £1,900++.”

READ MORE: Hair loss sufferer says hairdresser ‘couldn’t believe’ growth with 55p-per-day supplement

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A woman’s grisly death inflames debate over how California manages black bears

Patrice Miller, 71, lived by herself in a small yellow house beneath towering mountain peaks on the edge of a burbling river in this Sierra County village. She doted on her cats and her exotic orchids, and was known to neighbors for her delicious homemade bread. One fall afternoon in 2023, after Miller had failed for several days to make her customary appearance at the town market, a store clerk asked authorities to check on her.

A short time later, a sheriff’s deputy found Miller’s lifeless body in her kitchen. Her right leg and left arm had been partially gnawed off. On the floor around her were the large paw prints of a bear.

Months after her death, officials would make a stunning disclosure, revealing that an autopsy had determined that Miller had likely been killed by the animal after it broke into her home. It marked the first known instance in California history of a fatal bear attack on a human.

But amid the contentious politics around black bears and other apex predators in California, not everyone accepts the official version of how she died.

“We don’t believe the bear did it,” said Ann Bryant, executive director of the Bear League in the Tahoe Basin. “And I will go on record as saying that. … We’ve never had a bear kill anybody.”

The story of Miller’s grisly end — and the increasingly heated battles around predators in California — have come roaring into the state Capitol this spring. Lawmakers representing conservative rural districts in the state’s rugged northern reaches argue that their communities are under attack, and point to Miller as one example of the worst that can happen. One solution they have pushed is changing the law to allow people to set packs of hunting dogs after bears to haze them. A similar measure has been floated — for now unsuccessfully — to ward off mountain lions considered a threat.

Wildlife conservation advocates are aghast. They say turning dogs on bears is barbaric and won’t make anyone safer. They contend the proposed laws don’t reflect a scientifically backed approach to managing wild populations but instead are pro-hunting bills dressed up in the guise of public safety. The real solution, they say, is for humans living near bears to learn to safely co-exist by not leaving out food or otherwise attracting them.

“These people are using [Miller’s death] to try to start hounding bears again,” said Bryant, who maintains that Miller, who was in poor health, must have died before the bear came into her home and devoured her. “She would roll in her grave if she knew that in her death people would create a situation where people were going to mistreat bears, because she loved bears.”

A burly black bear stands in a creek eating a freshly caught fish.

In a recent report, the Department of Fish and Wildlife estimates there are now 60,000 black bears roaming California and notes a marked increase in reports of human-bear conflicts.

(John Axtell / Nevada Department of Wildlife)

Founded in 1849, Downieville, population 300, is one of California’s oldest towns, and also one of its quaintest. Colorfully painted wooden buildings sit at the junction of two rivers, beneath majestic pines and mountain peaks.

Along with tourists, who flood in in the summer for rafting and mountain biking, the town also receives frequent visits from bears and mountain lions. More recently, wolves have arrived with deadly force, snatching domesticated cattle off the open pastures that stretch across the plains on the other side of the mountains east of town.

Miller wound up here about a decade ago, at the end of a rich, complicated life. She had worked in an oil refinery, and also as a contractor. She was a master gardener, expert at transplanting Japanese maples, according to her neighbor, Patty Hall. She was a voracious reader and a skilled pianist. But she also struggled with a variety of serious ailments and substance abuse, according to neighbors and officials.

Longtime residents in the area were used to the challenges of living among wild animals. But in the summer of 2023, Sierra County Sheriff Mike Fisher said he started getting an overwhelming number of calls about problem bears.

“We had three or four habituated bears that were constantly here in town,” said Fisher. “They had zero fear. I would say, almost daily, we were having to go out and chase these bears away, haze them.”

But bears have a sharp sense of smell, a long memory for food sources and an incredible sense of direction. If a tourist tosses them a pizza crust or the last bits of an ice cream cone, or leaves the lid off a trash can, they will return again and again, even if they are relocated miles away.

That summer, Fisher said, no matter what he did, the bears kept lumbering back into town. It was unlike anything he had experienced, he said, and he had grown up in Downieville. “A police car with an air horn or the siren, we would push the bear up out of the community. Fifteen minutes later, they were right back downtown,” he said.

Two cyclists peddle through Downieville at dusk.

Founded in 1849, Downieville, population 300, is one of California’s oldest towns and also one of its quaintest.

(Myung J. Chun / Los Angeles Times)

And then there were the bears harassing Miller and her neighbors.

“There were three bears,” recalled Hall, who lives just up the hill from the home Miller rented. “Twice a night they would walk up and down our [porch] stairs. The Ring cameras were constantly going off.”

Fisher said some of Miller’s neighbors complained that she was part of the lure, because she was not disposing of her garbage properly. Some also alleged she was tossing food on her porch for her cats — and that the bears were coming for it. Miller’s daughter later told sheriff’s officials that bears were “constantly trying” to get into her house, and that “her mother had physically hit one” to keep it out. One particular bear, which Miller had nicknamed “Big Bastard,” was a frequent pest.

Fifty miles from Downieville, in the Lake Tahoe Basin, the Bear League was getting calls about Miller, too. The organization, which Bryant founded more than two decades ago, seeks to protect bears by helping residents coexist with them. This includes educating people about locking down their trash and helping to haze bears away from homes.

“We got calls [from her neighbors] that told us she had been feeding the bears, tossing food out to them, and let them come into her house,” Bryant said. She added that some thought, erroneously, that the Bear League was a government organization, and “maybe we had the ability to enforce the law” against feeding bears.

Hall, Miller’s friend, told The Times that Miller was not feeding bears. Still, the problems continued.

Eventually, officials with the California Department of Fish and Wildlife were called and told Miller she could sign a “depredation permit,” after which authorities could kill bears trying to get into her house. But Miller declined to do so, Fisher said.

In early November, Miller stopped showing up around town, prompting calls for a welfare check.

A little before 3 p.m. on Nov. 8, 2023, Deputy Malcolm Fadden approached Miller’s home, which was a short walk from the sheriff’s office. The security bars on the kitchen window had been ripped off. The window itself had been busted from the outside.

“I knocked on the door,” Fadden wrote in his report, but got no answer.

A small yellow cottage in a forested area of Downieville.

Patrice Miller was found dead in her rental cottage in November 2023. Bear advocates take issue with an autopsy report that said she probably was killed in a bear attack.

(Jessica Garrison / Los Angeles Times)

Through the window, he saw blood streaked across the living room floor. He took out his gun and burst into the house, where he was greeted by a giant pile of bear scat. He found Miller in the kitchen, her half-eaten body surrounded by food and garbage, which, Fadden wrote, had been “apparently scattered by bears.”

Fisher was horrified. Already frustrated at what he saw as the Department of Fish and Wildlife’s lackluster response to the escalating bear incursions that summer, now he wanted the bear that had fed on Miller to be trapped and killed.

He said the department told him that for the bear to be killed, “the person who lives at the house has to sign the [depredation] permit.” Fisher said he responded: “How many times do I have to tell you the person who lives at that house was eaten by the bear?”

This was the start of a long-running conflict between the sheriff and agency officials that would complicate the release of the autopsy findings about Miller’s death, and also convince Fisher that more aggressive steps were needed to protect his community.

Eventually, Fisher managed to get a depredation permit for the bear that had fed on Miller; his deputies tracked down her landlord, who as the homeowner could sign it. Wildlife officials set up a trap near Miller’s house, and in short order, a bear was caught.

But, according to Fisher, officials initially said it wasn’t the same bear. They said DNA tests showed that the bear who had eaten her was male, and the bear they had caught appeared to be female. They intended to release the bear, he said.

Fisher padlocked the cage, and threatened to call the media. In response, he said, wildlife officials sent a biologist, who determined the bear in the trap was male. It was shot that night.

At that point, few people, including Fisher, believed that the bear had actually killed Miller, as opposed to feeding on her after she died of natural causes. Though there are recorded instances of fatal black bear maulings in other U.S. states, they are rare, and there had been no reports of one in California. Fisher issued a news release saying that the death was under investigation, but that “it is believed that Patrice Miller passed away before a bear, possibly drawn by the scent or other factors, accessed the residence.”

After performing an autopsy, however, the pathologist on contract with Sierra County came to a different conclusion. She issued a report that found that Miller had “deep hemorrhage of the face and neck“ as well as “puncture injuries (consistent with claw ‘swipe’ or ‘slap’).” These injuries, she noted, were “characteristics more suggestive of a vital reaction by a living person.” In short: The pathologist found that Miller was probably killed by the bear.

Because of Fisher’s feud with Fish and Wildlife, that autopsy report, dated Jan. 4, 2024, wouldn’t become public for months.

Fisher said the state agency was refusing to provide him with copies of the DNA analysis of the bear that had been trapped in Miller’s yard. He wanted to see for himself that it matched the DNA evidence collected at her home, saying he hated the thought that a bear that had feasted on a person might still be roaming his town.

“I requested DNA from Fish and Wildlife, and they refused to provide it to me,” he said. “So I withheld the coroner’s report. We stopped talking.”

He said he verbally told department officials that the pathologist believed Miller had been killed by the bear — a seemingly noteworthy development. He said that officials responded: “I guess we’ll see when we get the report.”

In an email to The Times, state wildlife officials confirmed that Fisher had verbally shared the results of the autopsy report, but said they felt they needed to see the report to do their “due diligence before making an announcement about the first fatal bear attack in California.” The agency had sent an investigator to the scene after Miller’s death, who like Fisher and his deputies, thought the evidence suggested she had died of natural causes, said agency spokesperson Peter Tira.

By the time Fisher got the autopsy report, it was deep winter in the mountains, and bear activity decreased. Then came spring, and along with the blossoms, the bears came back to Downieville.

Bears were knocking over trash cans and breaking into cars. In May, residents on Main Street reported that a bear had broken into multiple houses, including one incursion that involved a bear standing over 82-year-old Dale Hunter as he napped on his couch.

A few days later, a bear tried to break into the cafeteria at Downieville High School while students were at school.

Fisher declared the bear a threat to public safety. Fish and Wildlife eventually issued a depredation permit, and the bear was shot.

That led to a story in the Mountain Messenger, the local paper. In it, the sheriff dropped a bombshell: “Miller was mauled to death after a black bear entered her home,” the paper reported. The story went on to say that the sheriff had made “numerous attempts” to inform Fish and Wildlife “about Miller’s death and more recent dangerous situations.”

After the story ran, state Sen. Megan Dahle, a Lassen County Republican who at the time served in the Assembly, set up a conciliatory meeting between Fish and Wildlife and Fisher. They have been meeting regularly ever since, Fisher said.

Fisher got his DNA results confirming that the bear trapped in Miller’s yard was the same bear that had eaten her. And Fish and Wildlife officials finally got a copy of the pathology report, which said Miller was probably alive when she encountered the bear.

The revelation made headlines around the state. “We’re in new territory,” Capt. Patrick Foy of Fish and Wildlife’s law enforcement division told the San Francisco Chronicle.

Bryant and other bear advocates found the release of such a significant finding so long after the fact confounding.

“I absolutely do not believe it,” Bryant said. If the bear had killed her, Bryant added, “the evidence should have been so clear, like immediately.”

Ann Bryant, executive director of the Tahoe Basin Bear League, stands in a doorway.

“We don’t believe the bear did it,” Ann Bryant, executive director of the Bear League, says of Patrice Miller’s death. “We’ve never had a bear kill anybody.”

(Max Whittaker / For The Times)

The Downieville saga unfolded as bears seemed to be making news all over California.

To many, it seemed there were just many more bears encroaching on human settlements. A Fish and Wildlife report released last month estimated there are now 60,000 black bears roaming the Golden State, roughly triple the figure from 1998, the last time the department issued a bear management plan. That’s the highest population estimate for anywhere in the contiguous U.S., although the report also suggests that California’s bear population has been stable for the last decade.

In the Lake Tahoe area, where 50,000 people live year-round and tens of thousands more crowd in on busy tourist weekends, bears were breaking into houses and raiding refrigerators; they were bursting into ice cream shops and strolling along packed beaches.

State and local officials went into overdrive, trying to teach residents and tourists how to avoid attracting bears. The state set money aside for distribution of bear-proof trash cans and “unwelcome mats” that deliver a jolt of electricity if bears try to break into homes.

An electric mat that delivers a jolt of electricity to bears if they try to break into homes.

The Bear League will loan Tahoe Basin residents “unwelcome mats” that deliver a little jolt of electricity to bears if they try to break into homes.

(Max Whittaker / For The Times)

The Bear League stepped up its efforts. From a small office on Bryant’s property, the organization’s 24-hour hotline was ringing, and volunteers were rushing out with paintball guns to haze bears and to advise people on how to bear-proof their houses.

The tensions continued to escalate, nonetheless, between people who wanted to protect bears at all costs and those who wanted some problem bears trapped and relocated — or killed. In 2024, after a homeowner in the Tahoe area fatally shot a bear he said had broken into his home, many people were outraged that the Department of Fish and Wildlife declined to file charges.

Advocates also complained that the state has fallen behind in its efforts to help people and bears coexist. In recent years, the state had hired dedicated staff to help people in bear country, but the money ran out and some of those people were laid off, said Jennifer Fearing, a wildlife advocate and lobbyist.

“We have the tools to minimize human-wildlife conflict in California,” Fearing said. “We need the state to invest in using them.”

In Sierra County, the sheriff had come to a different conclusion. “We’ve swung the pendulum too far on the environmental side on these apex predators,” Fisher said.

Earlier this year, Fisher found common cause with newly elected GOP Assemblymember Heather Hadwick. “Mountain lions, bears and wolves are my biggest issue. I get calls every day about some kind of predator, which is crazy,” said Hadwick, who represents 11 northern counties.

In February, she introduced a bill, AB 1038, that would allow hunters to sic trained dogs on bears to chase them through the woods, but not kill them. While California has a legal hunting season for bears, it is strictly regulated; the use of hounds to aid the chase has been banned since 2013.

Hadwick argued that hounding bears would increase their fear of humans, which she said some are starting to lose: “We’re keeping them in the forest, where they belong.”

A bear responsible for multiple break-ins in South Lake Tahoe waits in captivity.

Bears have a long memory for food sources and an incredible sense of direction. If a tourist tosses them a pizza crust or leaves the lid off a trash can, they will return again and again.

(California Department of Fish and Wildlife)

Wildlife advocates showed up in force last month to oppose Hadwick’s bill in an Assembly committee hearing. Sending hounds after bears is cruel, they said. Plus, hounding bears in the woods would have no impact on the bears knocking over neighborhood trash cans and sneaking into ice cream stores.

Fisher testified in favor of the bill, and spoke of Miller’s death.

Lawmakers listened, some with stricken looks on their faces. But in a Legislature controlled by Democrats, Hadwick did not garner enough votes to send her bill on to the full Assembly; it became a two-year bill, meaning it could come back next year.

Fisher returned to Sierra County, where he has continued to advocate for locals to have more power to go after predators. The current situation, he said, is “out of control.”

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