Otto Warmbier's family declines autopsy as Trump says death is 'total disgrace'.

It is impossible to get reliable information about the welfare and treatment of foreigners detained in North Korea – Washington only learned of Otto Warmbier’s condition in early June.
The Ohio coroner’s office said on Tuesday that it had not been able to determine the cause of Warmbier’s death after carrying out an external examination. His parents have asked doctors not to conduct an autopsy.

“No conclusions about the cause and manner of Mr
Warmbier’s death have been drawn at this time as there are additional medical records and imaging to review and people to interview,” the coroner’s office said in a statement.
We do know that the 22-year-old university student was medically evacuated from North Korea on 13 June and flown to the US where he died on 19 June.
No evidence has emerged to support North Korea’s claim that Warmbier fell into a coma after contracting botulism and taking a sleeping pill. Doctors in the US said his condition was probably caused by a heart attack that cut the blood supply to his brain.
Nor was there evidence that Warmbier had been beaten. His parents did not cite a specific cause of death but blamed “awful, torturous mistreatment” by North Korea.
Warmbier had arrived back in the US in a state of “unresponsive wakefulness”, having suffered a “severe neurological injury” of unknown cause. His eyes opened and blinked but he showed no indication that he understood verbal commands or was aware of his surroundings. Warmbier’s parents said their son appeared anguished when he arrived home but died “at peace”.
Any number of factors could be behind the deterioration in Warmbier’s health during his time in prison: poor hygienic conditions, malnutrition or lack of proper medical care may have been responsible for a coma that North Korean doctors were unable to treat.