From The Jolly Contrarian
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- There is an unusual series of deaths or medical incidents that significantly exceed statistical averages, and for which there is no obvious “innocent” explanation
- A given carer or medical professional was present for all the incidents
- There is no reliable direct evidence of the identified carer actually harming any of the patients
- There are several pieces of circumstantial evidence that are each consistent with the carer’s involvement in the deaths.