The report also shows the man who shot and killed three over Labor Day Weekend was highly intoxicated.

Hiram Silva, the man who shot and killed three people at a home on Wai驶anae Valley Road over Labor Day weekend, died of a gunshot wound to the torso, according to his autopsy report released Monday by the Honolulu Medical Examiner鈥檚 Office.聽

He also had a blood alcohol content of 0.182%, more than twice the legal driving limit, according to the report. 

Silva, 59, rammed a frontloader into his neighbor鈥檚 home on the night of Aug. 31 before opening fire on people as they tried to flee. 

The scene of a deadly shooting is photographed Tuesday, Sept. 2, 2024, in Waianae. A 58-year-old neighbor allegedly drove the tractor into this home and shot and killed three bystanders before resident Rishard Carnate, 42, allegedly returned fire with a handgun and killed the tractor driver. Carnate was taken into custody on suspicion of murder in the second degree and released. (Kevin Fujii/Civil Beat/2024)
Hiram Silva, 59, rammed a front-loader into his neighbor’s home before opening fire on people as they tried to flee. He killed three women and wounded two other people before he was fatally shot by one of the home’s residents. (Kevin Fujii/Civil Beat/2024)

He fatally shot Cherell Keamo, 36, Courtney Raymond-Arakaki, 34, and Jessyca Amasiu, 29, and wounded two others before he was shot and killed by one of the home鈥檚 residents, Rishard Keamo-Carnate. 

Silva鈥檚 autopsy report shows that he was shot three times, once in the upper arm and torso, once in the left back and once in his left hand. 

He also had a history of hypertension and moderate alcohol use disorder.

The Keamo-Carnate family and their attorney, Michael Green, are pursuing a lawsuit against Silva鈥檚 estate, the Honolulu Police Department and the city. Green has said authorities failed to respond to concerns raised repeatedly by the Keamo-Carnate family about Silva and illegal parties he was hosting in a quonset hut on his property. 

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