The first time a Queensland government employee declared Elizabeth Struhs safe was two days after the six-year-old nearly died.
In July 2019, her father, Jason Struhs, had taken her to Toowoomba hospital in a coma. She was diagnosed with diabetic ketoacidosis, as a result of her previously undetected type 1 diabetes. She was intubated and ventilated; some doctors believed she was already dead. Both her parents were later convicted of child neglect for waiting until she was so sick to seek medical help.