December 30, 1976 - Niels Högel
A former nurse working in German hospital intensive care units, Högel exploited the institutional trust placed in medical professionals to carry out killings that went undetected for years, in part because the deaths occurred in clinical settings where mortality was already expected. The scale of what investigators eventually uncovered — spanning multiple facilities and possibly reaching 300 victims — reflects both the duration of his access and the systemic failures that allowed him to continue. His case prompted significant reforms to oversight practices in German healthcare and remains a reference point in discussions of how professional environments can inadvertently shield sustained harm.
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