MONTREAL - A seven-year-old girl from Granby, Que., whose death in 2019 galvanized the province into reforming the youth protection system, was failed by both individuals and institutions, a coroner said Wednesday.

Institutions that were supposed to protect the girl — including youth protection services, the health network and the school system — did not co-ordinate a proper response to save her, Géhane Kamel says in her report released Wednesday into the death of the child.

"I don't want to say that everyone threw in the towel because there are people who, during the course of this child's life, had tried to raise flags but were not heard," Kamel told a news conference.

The girl's killing from asphyxiation in 2019 led to a high-profile public inquiry and triggered reforms to the youth

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