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*No evidence was presented to show any of the infants contracted bacterial or parasitic infections linked to dirty water caused by drainage problems.
*No evidence was presented to show any of the infants contracted bacterial or parasitic infections linked to dirty water caused by drainage problems.
*Though journalists have since queried the suitability of the insulin tests for use in a criminal prosecution, the defence team did not.
*Though journalists have since queried the suitability of the insulin tests for use in a criminal prosecution, the defence team did not.
====Concession that the insulin was deliberate====
The Court reporting suggests this was less emphatic than it has been made out to be:<ref>{{plainlink|https://shorturl.at/zjQD1|Chester Standard report of May 18 2023}} (see 12.11pm).</ref>
{{quote|
Letby is asked if Child E was poisoned with insulin. <br>
“Yes I agree that he had insulin.” <br>
“Do you believe that somebody gave it to him unlawfully?”<br>
“Yes.”<br>
“Do you believe that someone targeted him?”<br>
“No.”<br>
“It was a random act?”<br>
“Yes...I don't know where the insulin came from.”<br>
“Do you agree [Child L] was poisoned with insulin?”<br>
“From the blood results, yes.”<br>
“Do you agree that someone targeted him specifically?”<br>
“No...I don't know how the insulin got there.”<br>
Letby adds: “I don’t believe that any member of staff on the unit would make a mistake in giving insulin.”}}
====Liver injury====
====Liver injury====
One of the babies suffered significant liver trauma. The post-mortem said the bleed was due to vigorous CPR, but a forensic pathologist from told the jury he’d only ever seen this type of extensive internal injury in children involved in road, trampolines cycling accidents, or who had been deliberately assaulted.
One of the babies suffered significant liver trauma. The post-mortem said the bleed was due to vigorous CPR, but a forensic pathologist from told the jury he’d only ever seen this type of extensive internal injury in children involved in road, trampolines cycling accidents, or who had been deliberately assaulted.
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