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‘We Are Not a Hospital’: A Prison Braces for the Coronavirus ‘We Are Not a Hospital’: A Prison Braces for the Coronavirus
(7 days later)
Packed into a crowded federal prison complex with not enough masks, soap or hand sanitizer, and the sole doctor out sick, corrections workers in Tallahassee, Fla., were worried.Packed into a crowded federal prison complex with not enough masks, soap or hand sanitizer, and the sole doctor out sick, corrections workers in Tallahassee, Fla., were worried.
Then on Monday, a new inmate arrived and was immediately put into quarantine. And on Tuesday, a bus with almost a dozen inmates from a U.S. Immigration and Customs Enforcement detention center showed up.Then on Monday, a new inmate arrived and was immediately put into quarantine. And on Tuesday, a bus with almost a dozen inmates from a U.S. Immigration and Customs Enforcement detention center showed up.
They were scheduled for quarantine, too. And all had elevated temperatures.They were scheduled for quarantine, too. And all had elevated temperatures.
“I just delivered hand sanitizer to the unit that the inmates will be housed in,” said Kristan Morgan, a nurse practitioner at the prison who checked the new arrivals’ temperatures. “Staff are starting to get fearful.”“I just delivered hand sanitizer to the unit that the inmates will be housed in,” said Kristan Morgan, a nurse practitioner at the prison who checked the new arrivals’ temperatures. “Staff are starting to get fearful.”
In jails and prisons across the country, concerns are rising of a coronavirus outbreak behind bars. Already, cases have been reported. On Friday, someone who works in a Washington State prison tested positive for the virus, and the day before, the sheriff in Hancock County, Ind., said a staff member at the local jail was being isolated at home after a positive test. On Tuesday night, New York State confirmed that an employee at the Sing Sing Correctional Facility had tested positive.In jails and prisons across the country, concerns are rising of a coronavirus outbreak behind bars. Already, cases have been reported. On Friday, someone who works in a Washington State prison tested positive for the virus, and the day before, the sheriff in Hancock County, Ind., said a staff member at the local jail was being isolated at home after a positive test. On Tuesday night, New York State confirmed that an employee at the Sing Sing Correctional Facility had tested positive.
In New York City, the Department of Correction over the weekend announced its first death from the virus: David Perez, 56, an investigator who was based in the department’s headquarters in Queens. Mr. Perez had not had contact with inmates for weeks, according to a person familiar with the matter.In New York City, the Department of Correction over the weekend announced its first death from the virus: David Perez, 56, an investigator who was based in the department’s headquarters in Queens. Mr. Perez had not had contact with inmates for weeks, according to a person familiar with the matter.
To try to prevent an outbreak in the federal prison system that holds more than 175,000 people, the Bureau of Prisons has suspended all visits for 30 days, including most by lawyers. It has also barred transfers of inmates between facilities, with few exceptions. The bureau said the densely packed nature of prisons “creates a risk of infection and transmission for inmates and staff.”To try to prevent an outbreak in the federal prison system that holds more than 175,000 people, the Bureau of Prisons has suspended all visits for 30 days, including most by lawyers. It has also barred transfers of inmates between facilities, with few exceptions. The bureau said the densely packed nature of prisons “creates a risk of infection and transmission for inmates and staff.”
Many state prison systems and local jails, where a vast majority of imprisoned people are held, also suspended visits last week. A jail in Santa Clara County, Calif., placed inmates in quarantine after a visitor tested positive for the virus.Many state prison systems and local jails, where a vast majority of imprisoned people are held, also suspended visits last week. A jail in Santa Clara County, Calif., placed inmates in quarantine after a visitor tested positive for the virus.
In other countries where the pandemic is more widespread, both prisoners and guards have fallen sick. The coronavirus swept through Chinese prisons in late February, with reports of more than 500 cases spreading across at least four facilities in three provinces. And Iran temporarily freed about 70,000 prisoners earlier this month to help curb the epidemic there.In other countries where the pandemic is more widespread, both prisoners and guards have fallen sick. The coronavirus swept through Chinese prisons in late February, with reports of more than 500 cases spreading across at least four facilities in three provinces. And Iran temporarily freed about 70,000 prisoners earlier this month to help curb the epidemic there.
Advocates in the United States have sounded alarms over whether correctional facilities here are adequately prepared to stop an outbreak within their walls. Much of the advice given by the federal Centers for Disease Control and Prevention — such as staying six feet away from others and routinely disinfecting surfaces — can be nearly impossible to follow behind bars.Advocates in the United States have sounded alarms over whether correctional facilities here are adequately prepared to stop an outbreak within their walls. Much of the advice given by the federal Centers for Disease Control and Prevention — such as staying six feet away from others and routinely disinfecting surfaces — can be nearly impossible to follow behind bars.
As the outbreak continued to spread on Tuesday, public defender groups in New York City called for the release of detainees in the city jails, including on Rikers Island, who are being held on parole violations, are over 50 or have pre-existing health conditions. “The city must take basic and humane steps to prevent suffering and loss of life,” said Tina Luongo, the chief criminal defender of the Legal Aid Society.As the outbreak continued to spread on Tuesday, public defender groups in New York City called for the release of detainees in the city jails, including on Rikers Island, who are being held on parole violations, are over 50 or have pre-existing health conditions. “The city must take basic and humane steps to prevent suffering and loss of life,” said Tina Luongo, the chief criminal defender of the Legal Aid Society.
The union for the city’s corrections officers countered that “instead of recklessly letting inmates out,” the city should “bring in more masks, gloves, hand sanitizers and other vital supplies” for jail employees. A spokesman for the union said that corrections officers were given 3,000 masks, but they need 10,000.The union for the city’s corrections officers countered that “instead of recklessly letting inmates out,” the city should “bring in more masks, gloves, hand sanitizers and other vital supplies” for jail employees. A spokesman for the union said that corrections officers were given 3,000 masks, but they need 10,000.
More than a dozen employees of the federal prison system, including staff in New York and Texas, told The New York Times that their facilities were also ill-prepared for a coronavirus outbreak, or even a quarantine. One prison worker at a facility in Texas said that medical supplies and staff were short, even without an outbreak, and that if the prison had multiple cases, some would need to be sent to a nearby hospital for treatment.More than a dozen employees of the federal prison system, including staff in New York and Texas, told The New York Times that their facilities were also ill-prepared for a coronavirus outbreak, or even a quarantine. One prison worker at a facility in Texas said that medical supplies and staff were short, even without an outbreak, and that if the prison had multiple cases, some would need to be sent to a nearby hospital for treatment.
“I can’t imagine a local hospital giving inmates preference if they get to the point they have to make hard decisions on saving lives,” the worker said, but added that the prison simply would not be able to handle a surge. “We don’t have ventilators on hand at all. We are not a hospital. We don’t have the medical staff.”“I can’t imagine a local hospital giving inmates preference if they get to the point they have to make hard decisions on saving lives,” the worker said, but added that the prison simply would not be able to handle a surge. “We don’t have ventilators on hand at all. We are not a hospital. We don’t have the medical staff.”
In late February, Jeffrey Allen, the Bureau of Prisons’ medical director, sent a memo to all clinical directors at federal prisons across the country, urging them to screen incoming inmates for the virus and to establish “baseline” supplies like gloves, surgical and N95 masks, and gowns.In late February, Jeffrey Allen, the Bureau of Prisons’ medical director, sent a memo to all clinical directors at federal prisons across the country, urging them to screen incoming inmates for the virus and to establish “baseline” supplies like gloves, surgical and N95 masks, and gowns.
In Tallahassee, the placement of new inmates directly into quarantine ramped up the concerns of staff members who were already nervous about their ability to contain an outbreak. Seven employees described the situation to The Times. Some spoke on the condition of anonymity because they feared retaliation from the Bureau of Prisons, while others are protected by their status in the prison employees’ union. The bureau did not authorize them to speak.In Tallahassee, the placement of new inmates directly into quarantine ramped up the concerns of staff members who were already nervous about their ability to contain an outbreak. Seven employees described the situation to The Times. Some spoke on the condition of anonymity because they feared retaliation from the Bureau of Prisons, while others are protected by their status in the prison employees’ union. The bureau did not authorize them to speak.
Ray Coleman, a teacher at the prison complex, and other employees said the agency quarantined the new inmates in a unit away from the general population, but where they would still have close contact with prison employees.Ray Coleman, a teacher at the prison complex, and other employees said the agency quarantined the new inmates in a unit away from the general population, but where they would still have close contact with prison employees.
Mr. Coleman said that prison officials told him on Tuesday that the bureau was planning to send more new inmates this week; they would also be placed in quarantine, he was told, likely in a special housing unit nicknamed “the SHU” that is generally reserved for inmates who get into trouble or need protection. Inmates in the unit are not usually allowed to roam freely outside of their cells, and may bathe and exercise on a limited basis.Mr. Coleman said that prison officials told him on Tuesday that the bureau was planning to send more new inmates this week; they would also be placed in quarantine, he was told, likely in a special housing unit nicknamed “the SHU” that is generally reserved for inmates who get into trouble or need protection. Inmates in the unit are not usually allowed to roam freely outside of their cells, and may bathe and exercise on a limited basis.
When they do leave their cells — to shower, for example, on Mondays, Wednesdays and Fridays — they must be closely accompanied by prison staff.When they do leave their cells — to shower, for example, on Mondays, Wednesdays and Fridays — they must be closely accompanied by prison staff.
“We can’t escort an inmate with a six-foot rule,” said Yamira Richardson, a correctional officer who is currently working in the SHU. She worries about being exposed and then transmitting the virus to co-workers, inmates or family members.“We can’t escort an inmate with a six-foot rule,” said Yamira Richardson, a correctional officer who is currently working in the SHU. She worries about being exposed and then transmitting the virus to co-workers, inmates or family members.
“A lot of us are parents,” said Ms. Richardson, who is also a steward in the local union. “A lot of us are caregivers to parents and elderly relatives.”“A lot of us are parents,” said Ms. Richardson, who is also a steward in the local union. “A lot of us are caregivers to parents and elderly relatives.”
Ms. Richardson and other employees said they were also concerned about staffing. If employees must stay home because they are sick, the already understaffed prison will suffer, they said.Ms. Richardson and other employees said they were also concerned about staffing. If employees must stay home because they are sick, the already understaffed prison will suffer, they said.
Updated June 16, 2020 Updated June 22, 2020
A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.
The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.
The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.
The Bureau of Prisons declined to make Erica Strong, the prison complex’s warden, available for an interview. A bureau spokesperson said there were no known cases of the coronavirus in the federal prison system but did not respond to specific questions, instead providing a statement that the suspension of inmate transfers announced last week had exceptions.The Bureau of Prisons declined to make Erica Strong, the prison complex’s warden, available for an interview. A bureau spokesperson said there were no known cases of the coronavirus in the federal prison system but did not respond to specific questions, instead providing a statement that the suspension of inmate transfers announced last week had exceptions.
“Admission of new inmates will continue,” the statement said, adding that the inmates received by the Tallahassee prison complex had been approved. “Out of an abundance of caution, these inmates were screened and placed on observation.”“Admission of new inmates will continue,” the statement said, adding that the inmates received by the Tallahassee prison complex had been approved. “Out of an abundance of caution, these inmates were screened and placed on observation.”
The statement said that an ample amount of cleaning, sanitation and medical supplies was on hand and ready to be distributed or moved to any facility as deemed necessary.The statement said that an ample amount of cleaning, sanitation and medical supplies was on hand and ready to be distributed or moved to any facility as deemed necessary.
On March 13, Ms. Strong sent a memorandum to all staff members at the prison complex, assuring them that surgical and N95 masks, gloves and medical gowns would be “available at all departments.”On March 13, Ms. Strong sent a memorandum to all staff members at the prison complex, assuring them that surgical and N95 masks, gloves and medical gowns would be “available at all departments.”
Mr. Coleman, who is president of the prison’s local union, replied in a series of memos that the gear was not widely available, and that N95 masks on back order had a projected shipping date of March 20 or later. He laid out a list of units with little or no protective gear — including the education department, the psychology department and the SHU. He noted that some areas did not have hand soap.Mr. Coleman, who is president of the prison’s local union, replied in a series of memos that the gear was not widely available, and that N95 masks on back order had a projected shipping date of March 20 or later. He laid out a list of units with little or no protective gear — including the education department, the psychology department and the SHU. He noted that some areas did not have hand soap.
He said that because of a lack of supplies, the medical unit was reusing masks that are supposed to be used only once.He said that because of a lack of supplies, the medical unit was reusing masks that are supposed to be used only once.
Ms. Morgan, the nurse practitioner who is also the vice president of the local prison union, said the complex had struggled to get basic supplies like hand sanitizer and was expecting to have to ration masks. Most of the ones on hand are either too small or too large for most prison workers, she added. “We don’t know if or when we are going to get more.”Ms. Morgan, the nurse practitioner who is also the vice president of the local prison union, said the complex had struggled to get basic supplies like hand sanitizer and was expecting to have to ration masks. Most of the ones on hand are either too small or too large for most prison workers, she added. “We don’t know if or when we are going to get more.”
No inmates at the complex have been tested for the coronavirus, Ms. Morgan said — largely because there are no tests available at the prison, and it is unclear how oral and nasal swabs would be transferred off-site for testing. Medical staff have been told that they may need to report to work after hours to screen incoming inmates in the future.No inmates at the complex have been tested for the coronavirus, Ms. Morgan said — largely because there are no tests available at the prison, and it is unclear how oral and nasal swabs would be transferred off-site for testing. Medical staff have been told that they may need to report to work after hours to screen incoming inmates in the future.
The Bureau of Prisons considers a temperature of 100.4 to be the threshold for a fever, according to its visitor screening documents. Ms. Morgan was working when the bus of ICE inmates arrived on Tuesday. She said the inmates’ temperatures were in the 99.3 to 101.2 range, all of which she considered to be high.The Bureau of Prisons considers a temperature of 100.4 to be the threshold for a fever, according to its visitor screening documents. Ms. Morgan was working when the bus of ICE inmates arrived on Tuesday. She said the inmates’ temperatures were in the 99.3 to 101.2 range, all of which she considered to be high.
Jan Ransom and Nicholas Bogel-Burroughs contributed reporting.Jan Ransom and Nicholas Bogel-Burroughs contributed reporting.