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CUMBERLAND COUNTY, Pa. — An 86-year-old Pennsylvania woman is dead after she fell and was strangled by her medical alert necklace, according to WPMT.

County Coroner Charles Hall says Roseann DiFrancesco was found dead on Feb. 15. A visiting nurse entered the home after knocking and getting no response.

Hall says DiFrancesco was using her walker when she lost her balance and fell. The woman’s medical alert necklace got caught on the handle of the walker, strangling her.

Hall says DiFrancesco’s necklace did not have a break away clasp. Her death has been ruled accidental.

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