The Pediatric Cardiac Inquest Report - Chapter 1



The calling of the Inquest

The parents' demand for a public inquiry was communicated to the Minister of Justice. On March 5, 1995, following a meeting with the Minister of Justice and other representatives of the Department of Justice, Dr. Peter Markesteyn, Chief Medical Examiner for the Province of Manitoba, ordered that an inquest be held into the deaths of the 12 children. He directed that one inquest be convened to investigate all the 1994 deaths. The Minister of Justice declined to appoint a public inquiry, indicating that the matter might be reconsidered once the inquest had reported.

Inquest hearings began in the summer of 1995, with various parties applying for standing.



Current Home - Table of Contents - Chapter 1 - The calling of the Inquest
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Previous Introduction
Section 1 Chapter 1 - Introduction to the Issues
  Chapter 2 - Pediatric Cardiac Issues
  Chapter 3 - The Diagnosis of Pediatric Heart Defects and their Surgical Treatment
  Chapter 4 - The Health Sciences Centre
Section 2 Chapter 5 - Pediatric Cardiac Surgery in Winnipeg 1950-1993
  Chapter 6 - The Restart of Pediatric Cardiac Surgery in 1994
January 1, 1994 to May 17, 1994
  Chapter 7 - The Slowdown
May 17 to September 1994
  Chapter 8 - Events Leading to the Suspension of the Program
September 7, 1994 to December 23, 1994
  Chapter 9 - 1995 - The Aftermath of the Shutdown
January to March, 1995
Section 3 Chapter 10 - Findings and Recommendations
Appendix 1 - Glossary of terms used in this report
Appendix 2 - Parties to the Proceedings and counsel
Appendix 3 - List of witnesses and dates of testimony
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