Myanmar maid abused to death was so emaciated her muscles had wasted away

hen she was abused to death in 2016, describing her muscles as having wasted away.

Dr Paul had performed the autopsy of 24-year-old Piang Ngaih Don, who died at the hands of Chelvam's wife Gaiyathiri Murugayan and her mother Prema S Naraynasamy.The victim had died of hypoxic ischaemic encephalopathy, a type of brain damage, following severe blunt trauma to the neck, after being tied to a window grille and starved for weeks.

If she had been starved further, she could have suffered changes in consciousness, multi-organ failure and eventually death. he said.The victim was 145cm tall and weighed 39kg in April 2015, just before she started working for the family.Her body mass index had dropped from about 18.3 to 11.26 over 10 months.

When a person is unable to have food, the body consumes its own fat. When the fat runs out, the body begins consuming muscle, followed by other structures like brain tissues, said Dr Paul.He said in response to questions from the defence that it was"very evident that all the fat has been consumed". There was also some amount of protein loss, as the muscles had wasted.

"The basic reason is that either the diet is absent of fat, or there is no diet," declared the forensic pathologist. A normal person would have the ability to tense up, to guard and resist any"trauma" or blows when anything happens to their neck, said Dr Paul.

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