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A mother and a nurse were charged Thursday in the death of the woman’s 14-year-old daughter, who had cerebral palsy and weighed only 28 pounds, a prosecutor said.

A Montgomery County grand jury in Dayton indicted the mother and the nurse on involuntary manslaughter charges. Two other nurses were indicted on lesser charges of failing to report child abuse or neglect. All were being held in the county jail, prosecutors said.

“This is a tragic and sad case wherein four adults were responsible for the care of this 14-year-old special-needs girl, and they all utterly ignored and failed to do so,” county prosecutor Mathias Heck Jr.said in a statement. “The conduct of these four defendants transcends all bounds of human decency.”

Heck said that the girl undoubtedly would still be alive “if just one of these defendants had acted responsibly.”

Makayla Norman died March 1 from nutritional and medical neglect complicated by her chronic condition, the county coroner’s office ruled.

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