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All four died of asphyxia due to trauma following the accident on 21 January 2011.
BBC: Emergency services at the scene of the accident
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He told the court she died of asphyxia due to compression of the neck.
BBC: Rachel Manning 'strangled and hit 10 times'
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Children under the age of 5 die from asphyxia at birth, sepsis, pneumonia, malaria and other causes.
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Mrs Williams claims Kevin was still alive at 16:00 on the day of the disaster and did not die from traumatic asphyxia.
BBC: Kevin Williams
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Miss Manning died of asphyxia due to compression of the neck.
BBC: Rachel Manning 'strangled and hit 10 times'
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Post-mortem tests in India gave the cause of death as asphyxia due to vomiting, but a second autopsy in the UK failed to ascertain the cause.
BBC: Open verdict into Cornish bride's death in India
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Most of them died from blunt force trauma or injuries, but six of the children, all age 9, died due to asphyxia, according to the medical examiner.
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An inquest jury concluded later that he had died as the result of "positional asphyxiation" - a form of asphyxia which occurs when the position of someone's body prevents them from breathing adequately.
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Mrs Williams has waged a long campaign for a new inquest into her son's death, disputing traumatic asphyxia as the cause of his death and the verdict of accidental death by the coroner.
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The two American medical examiners issued separate opinions agreeing with a Singaporean pathologist's original autopsy finding that Mr. Todd had died from "asphyxia due to hanging" after they reviewed three pathological reports at the request of Singaporean authorities, Mr. Tai said.
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Dr Clive Holgate, a consultant pathologist from Plymouth's Derriford Hospital, said post-mortem and toxicology tests on Ms Bending's organs were carried out in India and the cause of death was given as asphyxia as a result of aspiration - a reaction in the lungs to vomiting.
BBC: Open verdict into Cornish bride's death in India