Short-term A diverse array of short-term health effects was reported by members of the public who either drank the contaminated<unk>  or came into contact with it while bathing. These included: *urinary complaints, *blistering and peeling of skin, *hair turning blue or green, *diarrhoea and vomiting, and *joint pains. Long-term A 1999 report in the British Medical Journal concluded that some victims had suffered "considerable damage" to their brain function. This contradicted the 1991 LIHAG report telling residents that their symptoms were due to anxiety. The study was led by a consultant nephrologist at John Radcliffe Hospital, Oxford, and was the first large-scale clinical study of the affected residents. The report stated that their symptoms were similar to those of Alzheimer's disease, which has also been linked with large quantities of aluminium accumulating in the brain. Rejecting the findings of the LIG, the report called for further research to determine the longer term prognosis for the affected individuals and led to fresh calls for a public inquiry into the<unk>  incident. Although the study was carried out in 1991, its publication was delayed by the ongoing litigation between SWWA and the victims. Victims have reported: *fatigue, *fibromyalgia, *premature ageing, *loss of short-term memory, and *multiple chemical sensitivity. Seven months after the contamination, one victim underwent a bone biopsy which "found a ring of aluminium like the rings you see in trees" that could not have resulted from normal aluminium absorption.<unk>  deaths of victims The husband of Carol Cross, who died of a rare form of dementia in 2004, said in 2006 that he believed that his wife and twenty other people had died as a result of the disaster, and that more cases were emerging. Victim Sarah Sillifant, who was in her twenties when she was exposed, hanged herself in 2005 after suffering dementia and other symptoms similar to those experienced by Carol Cross. In June 2007, Irene Neal, who lived in Rock, near<unk>  at the time of the incident, died aged 91. A post-mortem examination found an "unacceptable amount of aluminium in the brain". Carol Cross In 2006 a post-mortem inquest into the death of Carol Cross at age 58, who was exposed to the contaminated drinking<unk>  aged 44, showed that her brain contained 23 micrograms of aluminium per gram of brain, compared to the normal brain levels of 0–2 micrograms per gram. Her death was caused by a form of early-onset beta amyloid angiopathy, a cerebro-vascular disease usually associated with Alzheimer's, which could be connected to the abnormally high level of aluminium in her brain. Michael Rose, the West Somerset Coroner, said of the findings: "Further research will be needed before the significance of the elevated brain aluminium concentration in this case can be clarified. A scientific report on the case has been submitted for publication." Daniel Perl, of New York's Mount Sinai School of Medicine said: "If additional similar cases were to appear among the 20,000 exposed individuals then the implications of this incident would become extremely important. Only time will tell. At the very least, increased efforts towards surveillance of individuals exposed in<unk>  is certainly warranted." Rose had adjourned the inquests for Cross and Neal pending further studies, but in 2008 said the Government had refused "to either finance or assist" research to test the hypothesis of a link between exposure to aluminium and congophilic amyloid angiopathy. He said this research was necessary to determine the consequences of the deceased having such a high level of aluminium. He<unk>  sought support from Somerset County Council so that the work could go ahead and once more adjourned the inquest into the death of Carol Cross, although Neal's inquest went ahead. In July 2009 Rose announced that the inquest into Cross's death would resume in November 2010. Rose said that "ongoing medical research would not be completed until late summer" 2010. He explained "This research is necessary to prove whether or not the high level of aluminium in Mrs Cross's brain causing her death through beta amyloid angiopathy (a form of cerebrovascular disease) on 19 February 2004, could be attributed to the aluminium sulphate placed in the public<unk>  supply at Lowermoor treatment works on 6 July 1988. This is the last adjournment I am able to agree and the inquest will commence on Monday 1 November 2010 at Taunton." When the inquest was reconvened Dr. Chris Exley, a reader in bioinorganic chemistry at Keele University, said "The brain aluminium concentration was so high that it is highly likely that it contributed to her brain pathology, probably being responsible for the aggressive form and very early onset of the disease." Neuropathologist Prof. Margaret Esiri, from the John Radcliffe Hospital, said "I have never seen a case such as this at this age. I have seen one case in a woman who died aged 81 but the literature shows only a handful of cases worldwide." As a result of their evidence the inquest was again adjourned to allow South West<unk>  Authority time to seek its own expert evidence. Carol Cross's inquest was finally completed in March 2012. The coroner returned a narrative verdict recording the circumstances without attributing the cause, in which he said the<unk>  supply company, South West<unk>  Authority had been "gambling with as many as 20,000 lives" when they failed to inform the public about the poisoning for 16 days, a delay he called unacceptable. An expert said at the inquest that the levels of aluminium in her brain were "beyond belief". Rose stated: "I found there was a deliberate policy to not advise the public of the true nature until some 16 days after the occurrence of the incident," and that "The failure of the authority to visit every house after the incident to advise them to thoroughly flush their systems was a serious dereliction of duty. I can say that the incident may either have contributed to or possibly caused Mrs Cross's death, but I do not have sufficient evidence to say so conclusively."
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