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There would have to be a contributory reason for an otherwise able bodied adult to drown in a hot tub.
This sounds like it might represent a rather common occurrence of terminal submersion drowning. Something (either natural disease, or medications/drugs/ethanol) makes an individual unable to self-rescue from water. I see this rather frequently with pools, bathtubs and hot tubs.
Toxicology can take weeks to get back. And there’s no guarantee that results will be made public. Some jurisdictions consider death records and autopsy reports public and others keep them private and only available to family.
Disclaimer: I have no knowledge of this case as it was outside of my jurisdiction of practice and I have had no contact with the medical examiner assigned this case.
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