So the official cause of death is bacterial meningitis, but the former chief medical officer "does not believe" it was (based on, I assume, just written records, and against the account of the examining officer saying it was bacterial and there was no evidence that lack of oxygen played a part), and this half-assed testimony was enough to swing a judge?
Oh it's this guy....that explains it....
https://www.cbc.ca/news/canada/edmon...case-1.4537428