Coroner warns MoD over future sickle cell deaths

Coroner warns MoD over future deaths after two African military recruits sent to the UK to train collapsed and died within just DAYS of each other due to undiagnosed sickle cell disease

  • Two African recruits sent to the UK died ten days apart during training 
  • Kamil Iddrisu and Youngson Nkhoma both suffered from sickle cell disease 
  • Neither were aware of the condition, which can trigger collapse during exercise
  • Three other cases – none of which were fatal – have occurred in the UK previously

A coroner has warned of more deaths after two African military recruits sent to the UK for training collapsed and died within days of each other while on exercise.

Both recruits were training at Whittington Barracks in Staffordshire and suffered from undiagnosed sickle cell disease – a blood condition that be fatal during extreme exercise and most commonly affects people with African ancestry.

Kamil Iddrisu, 25, from Malawi, died on November 17, and Youngson Nkhoma, 31, from Ghana, collapsed and died ten days later.

Both recruits were training at Whittington Barracks in Staffordshire and suffered from undiagnosed sickle cell disease – a blood condition that be fatal during extreme exercise and most commonly affects people with African ancestry

Both were treated at Good Hope Hospital in Birmingham and had suffered severe kidney damage, an inquest heard. 

What is sickle cell disease 

Sickle cell disease is the umbrella term for a group of inherited conditions that severely affect red blood cells.

Around 15,000 people in the UK are sufferers and it is particularly common in people of African or Caribbean descent.

Healthy red blood cells – produced by stem cells within bone marrow – are biconcaved discs that can bend and flex easily.

However, in those with sickle cell disease, faulty stem cells produce red blood cells that are crescent shaped.

They are rigid, unable to squeeze through smaller blood vessels and prone to causing blockages that deprive parts of the body of oxygen. 

Sufferers are not expected to live beyond 60 and treatment mainly focuses on alleviating symptoms, such as pain and infections, through blood transfusions and painkillers. 

Birmingham and Solihull coroner Louise Hunt conducted an inquest earlier this month and warned there had been three other cases of the same sort collapse among soldiers in the UK. All were taken seriously ill but had survived.   

Ms Hunt has now issued a Prevention of Future Deaths letter to the Government and said the connection between sickle cell and exercise had been well documented.

In her letter to the Ministry of Defence she said:

‘Consideration should be given to all non UK selection candidates being screened for sickle cell trait before embarking on any selection process.

A blood test can be undertaken to assess whether candidates have sickle cell

Consideration should also be given to all non UK selection candidates who have been through the process already having an urgent blood test to check whether they have sickle cell trait.

If a person has sickle cell trait they are a significant increased risk of death/collapse during military exercise.’

An Army spokesperson said:

‘It is with sadness that we can confirm the deaths of two potential recruits on separate assessment exercises at Whittington Barracks. 

‘As an investigation is ongoing it would be inappropriate to comment further.’

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