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The all too common name, "Knauer Case", should not be used according to the findings of medical historian, Udo Benzenhöfer, in 2006.

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According to Catel's own statement, he held that the release of the child by an early death was the best solution for everyone involved.

But because actively assisting death was still punishable under the Third Reich, Catel advised the parents to submit an appropriate request to Hitler via his private chancellery.

The head of Main Office II and thus Hefelmann's superior was the Oberdienstleiter, Viktor Brack, one of the leading organizers of Nazi euthanasia.

The reports of this case are mainly based on statements of defendants in post-war trials, which time and again pointed to the case of a "Child K".

If the case of "Child K" actually took place in March 1938, for which there is some evidence, then the case can at best be described as an impetus for the euthanasia of children in Germany and not as its specific cause or trigger.

According to the testimony of the participants, the request on led to a meeting of the parents of the child with the director of the University Children's Hospital, Leipzig, Werner Catel, about the chances of survival of her malformed child.

Moreover, only a people as racially pure as possible could maintain the "struggle for existence".

To maintain or improve the Nordic-Germanic race, therefore, the laws of eugenics or the (biologistically oriented) "racial hygiene" would have to be strictly observed, that is, the promotion of the "genetically healthy" and the elimination of the "sick".

) was the name given to the organised murder of severely mentally and physically handicapped children and young people up to 16 years old during the Nazi era in over 30 so-called special children's wards.

At least 5,000 children were victims of this programme, which was a precursor to the subsequent murder of children in the concentration camps.

In doing so, he was able to draw upon scientific argument that transferred the Darwinian theory of natural selection to human beings and, through the concept of racial hygiene, formulated the "Utopia" of "human selection" as propounded by Alfred Ploetz, the founder of German racial hygiene.