The death of Nurul Amin Shah Alam, a 56-year-old nearly-blind refugee in Buffalo, has officially been ruled a homicide, intensifying scrutiny over how authorities handled his release and final hours. Source: Mathieu Lewis-Rolland / Getty According to WKBW (ABC News 7), the Erie County Medical Examiner's Office determined Shah Alam died from a perforated ulcer triggered by hypothermia and dehydration. His body was found Feb. 24 near Perry Street by the KeyBank Center. WKBW reports that Shah Alam had been released on bail from the Erie County Holding Center five days before his death.