with uncaught killers has become the American nightmare.

Ann Arbor Hospital Homicides

Over six weeks during July and August 1975, 27 patients at the Michigan Veterans’ Administration Hospital in Ann Arbor, Michigan, suffered respiratory failure that left them unable to breathe without mechanical assistance. Records showed that cardiopulmonary arrests rocketed to four times their usual rate. Some patients were struck by this life-threatening condition more than once. Eleven died. An analysis of the hospital’s records found no changes in the type of patient in the hospital that could account for this dramatic upsurge. So many breathing failures could not be accidental, and patients and staff quickly figured that a medical serial killer was on the loose.

There were obvious clues; no tell-tale needle punctures or other marks on the patients’ bodies. But a pharmacological investigation revealed that at least 18 of the victims including nine of those who died—had been given Pavulon, the trade name of the drug pancuronium bromide. This is a synthetic version of curare, the lethal plant alkaloid used by South American Indians to tip poison arrows and darts. Anaesthesiologists sometimes administer Pavulon as a muscle relaxant during abdominal surgery. However hospital records showed that none of the victims had been prescribed the drug.

The FBI were called in and agents discovered that most of the breathing failures had occurred in the intensive-care unit during the afternoon shift. All of the victims were fed intravenously, but the drug could not have been added to the drip. In solution, Pavulon would have been too dilute to work. The FBI concluded that, to administer a lethal dose, the IV solution would have had to have been disconnected and the drug pumped directly down the feeding tubes.

Checking the work rosters, detectives found that two nurses from the Philippines, 29-year-old Filipina Narciso and 31-year old Leonora Perez, were on duty in the intensive-care unit during the afternoon shifts when the trouble occurred. Subpoenaed to appear before a grand jury, the women denied responsibility for the deaths.

However, one of them was implicated by a survivor. During the investigation, New York psychiatrist Dr Herbert Spiegel hypnotized the survivors while FBI agents questioned them. Under hypnosis, 61-year-old retired auto worker Richard Neely, who was being treated for cancer of the bladder, remembered experiencing unexpected breathing difficulties and calling out to an Asian nurse. But, instead of tending to him, she was frightened by his cry and fled. Later, he picked out one of the Filipino suspects from photographs of the hospital’s nurses.

Although Federal authorities could come up with no motive for the crimes and psychological tests showed their behaviour patterns to be “normal”, the two nurses were indicted. Fearing that Neely and other witnesses did not have long to live, the authorities moved the case speedily to trial. In a hearing that lasted three months, the prosecution introduced 89 witnesses and took testimony from 17 acknowledged experts. The medical testimony left little doubt that many of the patients had received a muscle relaxant without prescription. However, the testimony of the lay witnesses that sought to prove that the two nurses were always present when respiration failures occurred was seen as both “inconsistent” and “confusing”. A proper epidemiological study was not introduced, and the prosecution was prohibited from introducing evidence concerning any respiratory arrests not in the original indictment. After 13 days of deliberation, the jury reached a verdict. On 13 July 1977, they found the nurses guilty of five counts of murder, ten counts of poisoning and conspiracy to commit murder. But the case went to appeal in February 1978 and the convictions were overturned.

In the closing argument at the trial, the prosecutor had asked: “What are the odds, ladies and gentlemen, what is the chance, what is the probability that these defendants have engaged in these activities and that all these factors that are incriminating could exist and the defendants would still nevertheless be innocent?” This argument, the appeal court held, was a “most egregious error” as it invited the jury “to engage in a speculative combination of the charges”, while the court instructed them that “each charge, and the evidence pertaining to it must be considered separately. You may not consider evidence introduced as to one count in arriving at a verdict on any other count.”

This meant that the prosecution could not use the unusually high incidence of cardiopulmonary arrest to suggest that criminal misconduct was taking place and that the incidence of it on their shifts did not mean that the two nurses were responsible. Although the prosecution was give permission for a retrial, they dropped the case. No new suspects have been named, so the killers are still at large.

Atlanta’s Child Killers

Atlanta, Georgia lived through a reign of terror from 1979 to 1981 when 29 African-American youths were killed. In 1982, Wayne Williams, himself black, was sentenced to life imprisonment for two of the slayings. After his conviction, the authorities blamed him for the other 22 deaths—though he was never charged for them—and the cases were closed. The other cases were reassigned to individual homicide investigations and remain unsolved to this day. However, there are now serious doubts that Wayne Williams had anything to do with the murders.

Heading those who believe in Williams’ innocence is Louis Graham, the police chief of DeKalb County, which covers eastern Atlanta where some of the killings took place. In 2005, he took the extraordinary step of reopening five of the “Atlanta Child Murder” cases—those of ten-year-old Aaron Wyche, whose body was found on 24 June 1980; 11-year-old Patrick Baltazar, found 13 February 1981; 13-year-old Curtis Walker, found 6 March 1981; 15- year-old Joseph Bell, found 19 April 1981; and 17-yearold William Barrett, found 12 May 1981.

Chief Graham hopes his cold-case squad can either confirm or dismiss his gut feeling that Williams is innocent. Although Graham’s renewed interest in the Williams case was sparked in December 2004, shortly after he became DeKalb County’s new police chief, he has long held the view that Williams was not guilty. During the original murder spree, he was an assistant police chief in neighbouring Fulton County where most of the murders took place. He also worked on the task force that investigated the killings of the 29 victims—mostly male, in the age range of eight to 27.

Graham’s wife taught at the Frederick Douglass High School, which Williams attended, and he met him as a young man. The veteran cop’s assessment was that Williams, the only child of two Atlanta schoolteachers, was a spoiled, brash kid, but saw no harm in him and certainly could not see him as a serial killer.

“To me, he’s just not the kind that would do something like this,” said Graham.

When the serial killing task force narrowed its focus on the diminutive, bespectacled Williams, Graham began to have deep misgivings. How could such a puny wimp overpower so many people—some of whom were bigger than him, he wondered. And how come Williams had never been seen?

“He wasn’t that smart,” said Graham.

A college dropout, Williams still lived at home with his parents who doted on him. He had few other friends.

DeKalb County Sheriff Sidney Dorsey, who was the first Atlanta detective to search the Williams’ home, concurred, claiming that most people who knew about the case believed that Williams was not guilty. But the pressure to make an arrest was enormous. State Representative Tyrone Brooks remembered George Bush Snr, then Vice President, coming to Atlanta and telling the local authorities that if they could not catch someone, the Feds would happily take over. Pressure was also applied by Georgia’s Governor George Busbee.

Representative Brooks also believes that Williams is innocent. He knew Williams as a youth and sometimes helped to get leading lights of the civil rights movement to appear on the radio show that Williams broadcast from a station in his garage as a teenager. It was funded by his parents.

After dropping out of Georgia State University, Williams worked for a popular local radio station run by Benjamin Hooks, a leading light of the NAACP, and did odd jobs. He also dabbled in electronics and sold news footage to local TV stations. Using a scanner to listen in on police channels, he would often arrive at the scene with his video camera before the police themselves got there.

“I think he was too close to the scene too often with his camera,” says Brooks. “He was a convenient scapegoat.”

Despite the money he was making, Williams really fancied himself as a music promoter and was determined

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