Management Advisory Report: Review of the Circumstances Surrounding the Death of a Volunteer in Peace Corps/Comoros

This report provides the results of our review of the circumstances surrounding the death of Peace Corps Volunteer Bernice Heiderman on January 9, 2018, in Comoros. Our review identified several vulnerabilities associated with the Peace Corps’ failure to provide an early diagnosis and prompt treatment for PCV Heiderman’s malaria. This report makes 7 recommendations to the Peace Corps to address the vulnerabilities we identified and make it more likely that medical officers will provide timely diagnosis and prompt, effective treatment for malaria so that future Volunteer deaths from the disease can be prevented.