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Hakeem Hussain looks at the camera
Hakeem Hussain died at the home of a friend where his mother had been staying. Photograph: BPM Media
Hakeem Hussain died at the home of a friend where his mother had been staying. Photograph: BPM Media

Manslaughter conviction for mother of seven-year-old who died ‘gasping for air’

This article is more than 2 years old

Birmingham heroin addict Laura Heath repurposed son’s asthma inhaler as a crack pipe

A woman has been convicted of manslaughter after her seven-year-old son died in Birmingham alone and “gasping for air” in a garden after suffering an asthma attack.

Laura Heath “prioritised her addiction to heroin and crack cocaine”, leading to the neglect of Hakeem Hussain, who died in the Nechells area of the city on 26 November 2017.

During the trial at Coventry crown court, jurors were shown an image depicting how Heath repurposed one of Hakeem’s inhalers as a crack pipe. The 40-year-old was convicted on Friday of gross negligence manslaughter, after admitting four counts of child cruelty before the trial, including failing to provide proper medical supervision and exposing Hakeem to class A drugs.

During the trial it emerged that social services in Birmingham were aware of Hakeem, and that at a child protection conference two days before his fatal collapse, a school nurse told the meeting “he could die at the weekend”.

Social workers had voted at the conference to act to protect Hakeem, and it was agreed that the family’s social worker would speak to Heath on Monday, but by that time the boy was dead.

A serious case review into the contact agencies had with Hakeem and his mother before his death will be published within weeks.

Hakeem died at the home of a friend where his mother had been staying, after going outside during the night for fresh air, wearing only a top and pyjama bottoms in near freezing temperatures.

The defendant, who had gone to bed after smoking heroin, said her son usually woke her up in the night when he was struggling to breathe. His body was found the next morning and there was no sign of his asthma medication being with him.

Pharmacy records revealed that in the last two months of his life, Hakeem had been given only one-third of the prescribed amount of asthma preventer medication by his mother.

Evidence also showed that Heath had exposed her son to known asthma triggers such as smoke, dust, and low air temperatures, and that in the hours before his death he had inhaled tobacco smoke.

Laura Heath. Photograph: West Midlands police/PA

Toxicology evidence also showed he had ingested heroin, crack cocaine and cannabis, most likely through inhalation of secondhand smoke.

Andy Couldrick, the head of Birmingham Children’s Trust, which took over child social services in early 2018, said:“I think that, for too long, social workers worked in what they believed was partnership with the mother, and didn’t understand the amount of disguise and deception in regards to her substance use in particular, and Hakeem, who had an additional area of vulnerability because of his asthma.

“There were some clear missed opportunities, [and] some of them are distressingly familiar in terms of other cases,” he said, adding that the child protection conference should have taken place earlier and led to immediate action.

Hakeem’s death came months before responsibility was transferred from the council’s failing child social services department, after years of poor performance dating back to 2008. This led to a number of child deaths, such as those of Khyra Ishaq in 2008 and Keanu Williams in 2011.

“I think child social care in Birmingham did do some things wrong [in this case] and we have worked hard to learn those lessons,” he added. “Because every time we let this happen, we lose social workers. I hope we can be humble about the things which have gone wrong, and learn better from that.”

Heath will be sentenced next week.

This article was amended on 26 April 2022. An earlier version included the case of Daniel Pelka among previous child deaths in Birmingham. Daniel, who died in 2012, lived in Coventry and it was the city council there that was criticised for failings in his care.

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