Ministry of the
Solicitor General

OCC Inquest - Harpell 2019

Office of the Chief CoronerVerdict of Coroner's Jury

Office of the Chief Coroner

The Coroners Act - Province of Ontario


Surname: Harpell
Given name(s): Christine
Age: 33

Held at: 97 Thomas St E Napanee
From: Aug. 7, 2019
To: Aug. 8, 2019
By: Dr. Geoffrey Bond
having been duly sworn/affirmed, have inquired into and determined the following:

Name of deceased: Christine Harpell
Date and time of death:  February 10, 2017 at 2:07 a.m.
Place of death: Lennox and Addington County General Hospital
Cause of death: Acute methamphetamine toxicity
By what means: Accident

(Original signed by: Foreperson)


The verdict was received on August 8, 2019
Coroner's name: Dr. Geoffrey Bond
(Original signed by coroner)


We, the jury, wish to make the following recommendations:


Inquest into the death of:

Christine Harpell


Jury Recommendations

  1. Quinte Detention Centre to consider retrofit segregation cell doors with window openings large enough to give full view of the inmate with consideration of a wide angle lens to reduce blind spots.
  2. Ministry of the Solicitor General to consider 24 hour nursing coverage within the provincial detention institutions.
  3. Ministry of the Attorney General to consider increasing the use of video remands.