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BOP and COVID: The Best of Times, The Worst of Times – Update for November 24, 2020

We post news and comment on federal criminal justice issues, focused primarily on trial and post-conviction matters, legislative initiatives, and sentencing issues.

INMATES CATCHING COVID, BOP CATCHING HEAT

Last week, we said the Bureau of Prisons was feeling the third wave of coronavirus. The numbers bear us out.

Inmate cases, which have averaged 2,065 active cases a day since Sept 1, hit 3,933 last night. That’s the highest number since the end of July, an increase of 117% since Nov 1 and 16% over a week ago. At the same time, BOP staff cases hit an all-time high of 1,264, up 17% in a week. The virus is again present in all 122 BOP facilities. The BOP has tested 53% of its inmate population, with 28% returning as positive.

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The Dept. of Justice Inspector General reported a week ago that BOP officials made a number of mistakes that hobbled the agency’s ability to control the spread of COVID-19 at FCI Oakdale, Louisiana. The DOJ’s internal watchdog found Oakdale officials “failed to promptly” implement COVID-19 screening protocols, took too long to limit inmate movement and failed to properly quarantine and isolate inmates, among other issues. Specifically, Oakdale lacked adequate personal protective equipment and left inmates with the virus in their housing units for a week without being isolated.

Oakdale was the initial BOP prison to experience a serious COVID-19 outbreak, and chalked up the first of what is now over 150 federal inmate deaths.

Failure201124Predictably, the BOP criticized the report, arguing its officials and staff complied with guidance to screen staff and inmates for COVID, took proper steps to limit inmate movement during the pandemic, and provided proper protective gear and guidance to employees on how to take precautions to protect against the spread of the disease.

Drug manufacturer Pfizer has applied for emergency use authorization for its COVID-19 vaccine from the Food and Drug Administration, to be followed by competing vaccine maker Moderna on December 4, and AstraZenica/Oxford about a month later. An emergency use authorization is a fast-track vaccine authorization that can be processed much more quickly than normal approval. The FDA is expected to take one to three weeks to go through the application and make a decision on issuing the emergency authorization. USA Today reports that vaccine could be approved by the week of December 14.

By the end of December, the government expects to have about 40 million vaccine doses available for distribution. The Pfizer and Moderna vaccines both require two doses given between 21 days apart. The BOP has reportedly told the inmate population that it is working to obtain vaccine for its staff and inmates. However, correctional facilities are currently reported to be included in “phase two” of the vaccine rollout, despite the fact healthcare professionals and prisoner advocates argue that they should be given a higher priority.

“We’re hearing promising news that we are one of the targeted areas to get the first dosage—at least our staff is in the first group, and then our patients with higher risk factors would be next,” said Thomas Weber, CEO of a private company providing medical services to state prisons and detention centers. “However, we have a concern about the availability of enough vaccines and how they’re going to distribute them.”

money160818Finally, 15 members of Congress, all Democrats, wrote to DOJ and the BOP last Tuesday to ask about the changing policies for medical copayments in federal prisons during the pandemic where there have been widespread coronavirus outbreaks. “On March 30, the BOP issued a memorandum waiving the requirement that incarcerated individuals pay ‘copay fee[s] for inmate requested visits to health care providers.’ That waiver expired on October 1, and it is unclear whether that waiver has been extended, given the continued spread of COVID-19 throughout the nation and in federal prisons,” they wrote. “It is also unclear whether the BOP has considered making its copay waiver permanent.”

Office of Inspector General, Remote Inspection of Federal Correctional Complexes Oakdale and Pollock (November 17, 2020)

Reuters, U.S. Justice Dept watchdog: Louisiana prison officials botched COVID-19 pandemic (November 17, 2020)

Atlanta Journal-Constitution, Federal prison in Louisiana left inmates with virus in housing for week (November 18, 2020)

USA Today, When could the first COVID-19 vaccines be given in the US? (November 18, 2020)

Letter to Attorney General William Barr and BOP Director Michael Carvajal (November 16, 2020)

– Thomas L. Root

BOP Extends Quarantine As Questions About Its Competence Continue – Update for April 16, 2020

We post news and comment on federal criminal justice issues, focused primarily on trial and post-conviction matters, legislative initiatives, and sentencing issues.

BOP SAYS IT’S “DOING PRETTY GOOD” ON COVID-19

Coronavirus has swept through the Federal Bureau of Prisons in the past three weeks, leaving over 725 confirmed cases among inmates, at least 16 prisoners dead, and, in the words of CNN, “raising concerns about the government’s handling of the crisis.” In response, the BOP has announced Phase VI of its COVID-19 response, which seems to consist primarily of another month of inmate lockdown.

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Inside some facilities, CNN reported last weekend, inmates have said they are locked in crammed and cramped cells without face masks and enough soap, and guards have grown concerned that they could be spreading the disease to their families. At a prison in Butner, North Carolina, the number of cases jumped by dozens – nearly 400% – earlier this week. At FCI Oakdale, Louisiana, where six inmates have died in recent days, corrections officers had to quell a small uprising with pepper spray on Wednesday, an official at the prison said.

Last weekend, BOP Director Michael Carvajal defended the steps the agency has taken to address the pandemic: “I don’t think anybody was ready for this COVID, so we’re dealing with it just as well as anybody else and I’d be proud to say we’re doing pretty good,”  Carvajal, who was named director in late February, told CNN.

Actually, the correct grammar would be “doing pretty well.” But mangled English is hardly the biggest problem with Mike’s auto-hagiographic assessment.

The Northwest Arkansas Democrat Gazette released emails yesterday in which Arkansas health officials discussed whether the BOP fully understood the “seriousness” of the coronavirus outbreak at the FCI Forrest City federal prison, and whether prison officials were fully cooperating with the mitigation effort. Although Director Mike spun the Centers for Disease Control inspection of FCI Forrest City as being the result of a BOP request for assistance, the released emails show that shortly after the first positive COVID-19 case at the FCI was disclosed on Friday, April 3rd, Dr. Naveen Patil, the Arkansas Department of Health director for infectious diseases, questioned the prison’s efforts and expressed a desire for CDC backup.

testing200413When an Arkansas state inmate came down with the virus, Mother Jones reported yesterday, prison officials immediately tested 48 other inmates in the unit, finding that 46 of them – almost all of whom had no symptoms – were infected. But the BOP’s COVID-19 planning has left the agency with no ability to test.  “We have very, very limited amounts of the testing kits,” Brandy Moore, secretary treasurer of the national union that represents correctional officers in federal prisons, was quoted as saying by Mother Jones.

At FCC Terre Haute, Indiana, “we have between 2,500 and 3,000 inmates, and we were given four tests,” Steve Markle, another leader of the national union who works at the prison, told Mother Jones in late March. At FCI Oakdale, correctional officers were told to stop testing people and just assume that anyone with symptoms had been infected, according to Ronald Morris, president of the local union there — even though, as shown by the Arkansas state prison experience, plenty of people can be asymptomatic.

All of this, Mother Jones reported, “is to say that statistics reported by the Federal Bureau of Prisons are likely massive undercounts. “Our numbers are not going to be adequate because we’re not truly testing them,”  Moore said.

Still, the BOP’s COVID-19 numbers – which the agency promised would be updated every day at 3 pm but which, each day, seems to be reported later and later – were updated after 6 pm last night to report COVID-19 had been confirmed in 449 inmates and 280 staff, spread across 43 BOP facilities. The number is undoubtedly much higher.

data200416Meanwhile, in a filing in the Eastern District of New York yesterday, the BOP admitted that “‘because of the shortage of tests, testing is currently reserved for those meeting’ certain criteria, including the kind of symptoms the inmate is facing, his potential exposure, whether he is high risk and whether he works in a high-contact role such as food service.” Through Tuesday, April 14, the number of inmates tested at MCC New York and MDC Brooklyn remained at 11 (the same number reported the prior Friday).

If you don’t test, you cannot confirm. If you cannot confirm, your data are meaningless.

Perhaps most sobering was a report in the Santa Barbara Independent that an inmate, Efrem Stutson, was released on April 1st and put on a Greyhound bus to San Bernardino by USP Lompoc officials while he had a hacking cough and was so ill “he could hardly hold his head up.” Efrem refused to go to the hospital that night, but the next morning his family insisted. Paramedics wearing protective equipment rushed him to Kaiser Permanente medical center in Fontana. Doctors diagnosed him with COVID-19 and put him in quarantine. No visitors were allowed. Four days later, Efrem died.

His sisters are heartbroken — and furious, the Independent reported. “Why did they release him so sick?” one asked. “They sent him home on his deathbed.”

death200330A USP Lompoc spokesman confirmed that Efrem was released on April 1st. But for “privacy, safety, and security reasons,” he said, he could not comment on Efrem’s medical condition at the time. “All inmates, prior to releasing from the BOP, will be screened by medical staff for COVID-19 symptoms,” he said. “If symptomatic for COVID-19, the institution will notify the local health authorities in the location where the inmate is releasing, and transportation that will minimize exposure will be used, and inmates will be supplied a mask to wear.”

Laura Harris-Gidd, Efrem’s sister, said he wasn’t wearing a mask when she picked him up at the bus station. “I just don’t understand why they would let him out instead of quarantining him and taking care of him,” she said. “I think they’re hiding a lot.”

“We’re dealing with it just as well as anybody else,” BOP Director Michael Carvajal said, “and I’d be proud to say we’re doing pretty good.” Right.

Hold you head up high, Mike.

Northwest Arkansas Democrat-Gazette, Emails detail talks on illnesses at federal prison (April 15)

– Thomas L. Root

BOP Relaxes COVID-19 Home Confinement Standard – Update for April 14, 2020

We post news and comment on federal criminal justice issues, focused primarily on trial and post-conviction matters, legislative initiatives, and sentencing issues.

BOP LOOSENING CARES ACT HOME CONFINEMENT STANDARDS

An affidavit filed last Friday in a class-action lawsuit against the BOP seeking the release of hundreds of high-risk inmates at FCI Oakdale suggests that standards governing which high-risk inmates can go home may be loosening.

release161117The American Civil Liberties Union sued the BOP in the U.S. District Court for the Western District of Louisiana a week ago, claiming the Dept of Justice did not go far enough in a directive issued by Attorney General William Barr to begin releasing vulnerable prisoners to home confinement.

In a filing last Friday, the BOP said it was using seven criteria to place inmates in home confinement under the authority granted to it by Section 12003(b)(2) of The CARES Act: 1) The primary offense is not violent, sex offense or terrorism; 2) the inmate has no detainer; 3) mental health care level is less than IV; 4) the inmate’s PATTERN score is minimum; 5) BRAVO (BOP’s existing risk evaluation tool) score is low or minimum; 6) the inmate has completed at least 50% of sentence; and 7) no disciplinary actions within the past 12 months.

However, the FCI Oakdale Associate Warden said in the affidavit last Thursday that the requirement that the inmate have completed half of his sentence in order to qualify has been dropped. The AW also said that he expected that “the institution may consider expanding the criteria for review” even further.

The affidavit noted that the most common reasons for ineligibility appear to be history of previous violence or sex offenses.

Placement in home confinement, once approved, still requires the release plan be evaluated by the US Probation Office. “In order to facilitate faster removal of approved inmates from the prison facility,” the AW said, “the BOP has provided its Wardens with additional guidance allowing the use of non-transfer furloughs up to 30 days in length in specific circumstances. As inmates are approved for home confinement through the above-described review process, they may also be considered for such a furlough if they meet the criteria.”

prisonhealth200313Meanwhile, as more is being learned about COVID-19, medical conditions that were once considered irrelevant are being reconsidered. The CDC reported last week that hypertension, previously discounted as a risk factor, and obesity “were the most common comorbidities seen in patients hospitalized for COVID-19.” The study found that 50% of the COVID-19 hospitalizations studied while 48% had obesity, about 35% reported chronic lung conditions such as asthma, and diabetes mellitus and cardiovascular disease were seen in 28%.

Notably, the report said, of 580 patients with available race/ethnicity data, 45% were non-Hispanic white, while 33% were non-Hispanic black. A CDC doctor who worked on the study said this suggests “black populations might be disproportionately affected by COVID-19.”

Washington Post, ACLU seeks release of federal prison inmates where 5 died (Apr 6)

Bureau of Prisons, BOP’S COVID-19 INMATE REVIEW UPDATE (filed in Case No. 2:20cv422 (WD La., Apr. 10, 2020)

Medpage, Hypertension, Obesity Common in U.S. COVID-19 Hospitalizations (Apr 8)

Politico, Virus-wracked federal prisons again expand release criteria (Apr 11)

– Thomas L. Root