Irvo Otieno's in-custody death ruled homicide by asphyxiation.

The Virginia man, Irvo Otieno, who died after being held down for more than 10 minutes by deputies and hospital staff was asphyxiated, according to the state's medical examiner. The official cause of death is “positional and mechanical asphyxia with restraints,” and the official manner of death is “homicide.” The family attorneys said that the findings had eerie similarities to the death of George Floyd almost three years ago. Seven Henrico County Sheriff’s deputies and three Central State Hospital employees were arrested and charged with second-degree murder in connection to Otieno’s death.