The parents of a three-year-old girl who starved to death in Philadelphia have been charged with murder.
Nathalyz Rivera, a girl with special needs, weighed only 11 pounds (5kg) when she was found in a filthy home. That is the average weight of a three-month-old.
Her mother took the girl to hospital, wrapped in a dirty blanket, but she was already dead, local news reports say.
The Philadelphia home where the girl was found When crime scene investigators went to the scene, they wore bio-hazard suits and masks to search the squalid apartment, which was strewn with garbage.
At one point they called the fire department to use their ladder so they could take pictures from the window of the home.
The girl's parents, Carmen Ramirez and Carlos Rivera, have been charged with third-degree murder.
The Philadelphia homicide captain called it one of the worst cases of child malnutrition he has ever seen.
"I saw the photos, they were extremely disturbing," said homicide captain James Clark.
Nathalyz showed signs of bruising and bites on her body.
Forensic investigators at the scene "That may have been from fleas or insects or rodents biting her," said Mr Clark.
The couple's four other children - aged nine, eight, seven, and a twin of the three-year-old girl who died - were placed in the custody of children's welfare services.
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