
Rachel Apa, a 24-year-old runner from Pennsylvania, has died after collapsing during the New York City Marathon, in a tragedy that has shaken the running community. The Rachel Apa NYC Marathon death occurred on Sunday, November 1, 2026, during Apa's first attempt at the 26.2-mile race, when she collapsed near mile 24 in Central Park, about two miles from the finish line. Despite emergency treatment at the scene and hours of hospital care, she was pronounced dead that evening.
Apa had been running for the Parkinson's Foundation's Parkinson's Champions team in memory of her grandfather, who died of Parkinson's disease in 2022. New York Road Runners, the race organiser, said she was the first marathon participant to die during the race since 2024.
Apa collapsed in Central Park at about 1:30 p.m. on Sunday, near mile 24 of the course, with two miles still to run. Bystanders rushed to help, including hospital social worker Michaela Nicholas, who gave CPR. Two doctors at the scene took turns treating her before marathon medical staff arrived with a defibrillator.
She was taken to Mount Sinai Medical Center, where medical teams worked from about 2 p.m. until about 9 p.m. She was declared dead at about 9:40 p.m. on Sunday evening, her family said.
Her father, Steve Apa, told the New York Times that his daughter died of rhabdomyolysis, a condition in which damaged muscle tissue breaks down rapidly and releases its contents into the bloodstream, which can damage the kidneys and other organs.
Apa had kept in touch with her father during the race. She texted him "Ow" at mile 18 and "Final stretch" at mile 23, shortly before she collapsed. Those final messages have since been shared widely as family, friends and fellow runners have paid tribute to her.
Apa, from Lewisberry, Pennsylvania, was a former Division I field hockey player at Bucknell University, and chose to run the marathon for a cause close to her family.
She ran as part of the Parkinson's Foundation's Parkinson's Champions team, raising money and awareness in memory of her grandfather, who died of Parkinson's disease in 2022.
The New York City Marathon is the largest marathon in the world, with tens of thousands of runners covering 26.2 miles through the city's five boroughs before finishing in Central Park. Apa was in that final stretch when she collapsed.
The speed of the response reflected both spectators willing to help and the medical cover along the course. CPR from bystanders, followed by treatment from doctors at the scene and then by marathon medical staff with a defibrillator, gave Apa the earliest possible chance of survival.
At hospital, doctors worked for about seven hours, and her father later spoke publicly about the cause of death.
Rhabdomyolysis can develop when muscles are severely stressed or injured, and in serious cases it can lead to kidney failure. Medical guidance stresses hydration, pacing, gradual training progression and seeking help early when something feels seriously wrong.
Nothing in the public reporting so far suggests Apa had a known condition that caused her collapse, and no fuller medical account has been released. Her family has asked for privacy as they grieve.
Tributes have poured in from the running community, from Bucknell University connections and from the Parkinson's Foundation community, as news of Apa's death spread in the days after the race. Fellow runners described the shock of learning that a young first-time marathoner, running for charity, had died so close to the finish line.
Her father's account to the New York Times has become the central public record: the texts from the course, the hours of hospital treatment, and the diagnosis of rhabdomyolysis.
New York Road Runners confirmed the death and that no marathon participant had died during the race since 2024. Organisers have not published a fuller statement about the medical response.
Apa's death matters because it touches every part of what mass-participation running has become: tens of thousands of ordinary people, many of them first-timers, taking on one of sport's hardest tests for charity, for personal goals and in memory of loved ones. When a 24-year-old former college athlete dies two miles from the finish, it forces runners, coaches and organisers to confront risks that are usually talked about only in the abstract.
It also matters for what it says about bystander response. The CPR from spectators and doctors, followed by defibrillator treatment from marathon medical staff, was the best possible chain of care outside a hospital — and still was not enough.
For the Parkinson's community, the loss is personal. Apa was not a professional chasing a record; she was a granddaughter running in memory of her grandfather.
No official investigation findings have been announced. Any further statement will most likely come from Apa's family, New York Road Runners or the medical authorities, and this story will be updated if they release more detail.
Runners and coaches are meanwhile sharing reminders about marathon safety: building mileage gradually, respecting severe muscle pain, staying hydrated, and stopping to seek medical help rather than pushing through warning signs.
Rachel Apa was a 24-year-old from Lewisberry, Pennsylvania, and a former Division I field hockey player at Bucknell University. She was running her first New York City Marathon for the Parkinson's Champions team.
She collapsed near mile 24 in Central Park at about 1:30 p.m. on Sunday, November 1, 2026, about two miles from the finish. Bystanders gave CPR and marathon medical staff arrived with a defibrillator before she was taken to hospital.
Her father, Steve Apa, told the New York Times she died of rhabdomyolysis, a rare condition in which damaged muscle breaks down into the bloodstream.
She was declared dead at about 9:40 p.m. on Sunday, November 1, 2026, at Mount Sinai Medical Center, after doctors had worked from about 2 p.m. to 9 p.m.
Yes. She ran for the Parkinson's Foundation's Parkinson's Champions team in memory of her grandfather, who died of Parkinson's disease in 2022.
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