T he originalcauseofdeathrecordedonthe deathcertificate was comparedwiththe finding of thedetailedhouseholdsurveyandtheresult was used to adjustthesuiciderate.
Her deathcertificate listed thecauseofdeath as unknown, because Janelle was never able to afford a proper diagnosis, a diagnosis that with care might have saved her life.
"That ... led us to issue an amended deathcertificate that (established) cyanide toxicity as thecauseofdeath, and the manner ofdeath as homicide, " Chief Medical Examiner Dr. Steve Cina said Monday.