Kamil Iddrisu and Youngson Nkhoma · Prevention of Future Deaths report

I commenced investigations into the deaths of Kamil Iddrisu and Youngson Nkhoma.

I was made aware that Kamil Iddrisu DOB 10/02/94 and Youngson Nkhoma DOB 04/12/88 were both taking part in different military selection processes at Whittington Barracks. During their respective assessments on 17/11/19 and 27/11/19 they took part in a run during which both collapsed and were taken to Good Hope Hospital. Both were found to be suffering from metabolic acidosis, acute kidney injury and Rhabdomyolysis with each man dying on 17/11/19 and 27/11/19 respectively. Both were found to have a sickle cell trait.

Both men came from abroad for the selection process Mr Iddrisu from Ghana and Mr Nkhoma from Malawi.

Forensic post mortem examinations were conducted on 04/12/19. The final cause of death remains under investigation however it has been confirmed by the forensic pathologist that the most likely cause of each man’s collapse was the sickle cell trait in combination with military exercise.

The forensic pathologist has advised that there is a link in the literature between sickle cell trait and deaths during military exercise.

I have been advised that 3 other men have also collapsed in similar circumstances requiring intensive treatment however they did not die.

As a result I am concerned that there is group of non UK candidates who are at serious risk of death or harm if further steps are not taken immediately.

1. Consideration should be given to all non UK selection candidates being screened for sickle cell trait before embarking on any selection process. A blood test can be undertaken to assess whether candidates have sickle cell trait.
2. Consideration should be given to all non UK selection candidates who have been through the process already having an urgent blood test to check whether they have sickle cell trait. If a person has sickle cell trait they are a significant increased risk of death/collapse during military exercise.