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A Georgia man dropped to his knees and vomited blood before dying while vacationing in the Dominican Republic. Jerome Jester Jr., 31, is the 13th suspicious death of an American tourist on the island.

Jester died on March 17 while vacation in the DR with his sister.

His mother Melody Moore told Channel 2 Action News she spoke with her son the day before he died. “They had a good day,” she said.

“Saturday, they went out, they explored. They said they had a good day.”

Moore said after returning to their hotel, Jester took a few sips of soda and complained that it didn’t taste right.

His sister said he collapsed and vomited blood before losing consciousness. An autopsy determined he died of natural causes.

Since 2018, 13 Americans have died under suspicious circumstances while vacationing in the Dominican Republic. Other Americans lost their lives in the days or weeks after undergoing plastic surgery procedures.

Most of the 13 deceased Americans consumed alcoholic beverages from minibars in their hotel rooms. Others purchased drinks from the hotel bars.

International investigators including the FBI took samples from the minibar drinks to determine if someone is poisoning guests with methanol.