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Bitter, tearful testimony by children and health care providers who lost parents and patients to mold- infected medication compounded by a former Framingham drug manufacturer gave federal prosecutors one of their most powerful days yet in the rare medical murder case.

“This is the 21st century. It’s just hard to understand how this could happen in America,” Dr. Kiumarce Kashi of Maryland, his eyes red from crying, said outside U.S. District Court in Boston of the fungal meningitis outbreak that claimed his father Bahman Kashi, 85, in January 2013.

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