OCC Inquest - Willard 2015

Office of the Chief Coroner

Verdict of Coroner's Jury

Office of the Chief Coroner

The Coroners Act - Province of Ontario


Surname: Willard
Given Name(s): Paul
Age: 56

Held at: Coroner's Inquest Courts, Cobourg
From: Sept. 8
To: Sept. 9, 2015
By: Dr. David Eden, Coroner for Ontario
having been duly sworn/affirmed, have inquired into and determined the following:

Name of deceased: Paul Willard
Date and time of death: Jan. 6, 2011
Place of death: Kingston General Hospital
Cause of death: Streptoccal sepsis and hepatitis C associated liver disease
By what means: Natural

(Original signed by: Foreperson)


The verdict was received on the 9 day of September, 2015
Coroner's name: Dr. David Eden
(Original signed by coroner)


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


Inquest into the death of:

Paul Willard


Jury Recommendations

To review the process of "the wind" to determine whether it can be improved in order to ensure the continued health and safety of the inmates.