Death of northern Manitoba man in RCMP custody was preventable: medical examiner

The death of a 54-year-old man in RCMP custodycould have been prevented if theleg of another detained person that fell on his neck while he was in a holding cell wasremoved, Manitoba's chief medical examiner said Thursday.

At an inquest into the 2019 death of John Ettawakapow, Dr. John Younes testified that Ettawakapow had a very high blood alcohol level and signs of heart disease.

However, Younes said he couldn't ignore the role of the other man'sleg in the cause of death.

"There's every reason to believe he [Ettawakapow]would have survived his period in his cell" had the other man's leg been removed, Younes told court in The Pas, where the inquest is being held beforeprovincial court Judge Brian Colli.

He pointed to the security video which showed Ettawakapow make motions to remove the leg several times before he stopped moving all together.

"The video evidence clearly shows Ettawakapow respond to that," he told the court.

Younes's testimony came on the fourthdayof hearings at the inquest intoEttawakapow's death inThe Pas.

Ettawakapow was arrested for public intoxication on Oct. 5, 2019, and placed in a holding cell, along with two other men,just after 7 p.m.He waspronounced dead more than seven hours later.

Court heard no one physically checked on Ettawakapow for five hours, during which timeone of the other inmates moved and his legfell on Ettawakapow's neck, possibly smothering him.

If Ettawakapowhad been taken to a hospital, he would have been kept there and constantly monitored, Younes told court.

Two Mounties and one civilian guard admitted during theinquest they weren't aware of the RCMP's policy, which is to physically check on inmates every 15 minutes.

"It was my impression from the jail guard and from officers that there is a misunderstanding on the policy,"JudgeColli said Thursday.

"There is an impression that you are not constantly monitoring them, which in itself increases risk to those in detention."

Officer says hedidn't know about policy

Const. Joel Hardes, Cpl. Eryin Wiita and Rebecca MacDonald, a former civilian guard, all told the court they believed the policy was to physically check on an inmate every 30 minutes, and in the interim monitor them through video surveillance.

"Would it surprise you to know that RCMP policy requires in-person checks every 15 minutes?" JudgeColli asked Hardes Thursday.

"I didn't know that," the constable replied.

Earlier testimony from MacDonald, the guard on shift when Ettawakapow was brought in, and Wiita revealed they also didn't know the policy.

CBC first told Ettawakapow's story in 2021, as part of its death in custody project. It found that he was just one of dozens of Canadians who have died in custody after being arrested for public intoxication.

Judge Colli pointed to the problem of intoxicated people dying in police custody on Thursday.

"One is too many, several events is overwhelming, and that is what I get from some of the events that have occurred across Canada of people dying in police detention," he said.

"So maybe it is time to look at an alternative format."

Ettawakapownever aggressive with police

Ettawakapow was so intoxicated, Hardes testified, that he had to be wheeled into the detachment using a chair and carried into the cell.

It was typical for Ettawakapow to have trouble walking, Hardes told the court, as he frequently was brought into the detachment for being intoxicated.

He was never aggressive and always had a smile on his face, Hardes said.

Wiita, who was the watch commander at the time, told court on Wednesday part of her job was to do physical checks on inmates three times a shift. Civilian guards were responsible for the othermonitoring.

It was Wiita who found Ettawakapow unresponsive around 1:30 a.m., when she did a physical check.

"Would it surprise you to know the video shows you checking the prisoner by opening the window at 1:30 in the morning and no other physical checks were done?" JudgeColli asked the officer.

"That would shock me, yes," she replied, adding "if they [the guards] couldn't confirm his rousability in another way, they should be doing a physical check."

New training for guards coming

The RCMPhasdeclined to comment on the proceedings, saying the forcewill wait until it has reviewed the final inquest report.

Brenna Dixon, the legal counsel for the federal Department of Justice, said in court that new training for guards is underway, anda new policy says a senior officer mustrefresh all guards on current policies every six months.

Jamil Mahmood, executive director of the Main Street Project in Winnipeg, also testified Thursday morning about how Winnipeg police handle people who are intoxicated.

They are taken to Main Street Project's protective care facility by police, where they are supervised around the clock by staff and two paramedics. Main Street Project takesin about 8,000 people a year, he said.

Whilethe facility isn't perfect,"the model is the safer model" instead of police detention, he told the court.

The inquest is scheduled to last until Friday.

An inquest does not make a finding of criminal responsibility, but determines the circumstances surrounding the death and whether anything can be done to prevent similar deaths in the future.