As we stand over the rubble of this public health disaster, still stunned by the events of the past three months, we are compelled to give our account as front-line physicians and offer some hard-earned lessons for preventing similar outbreaks in correctional facilities.
Our careful efforts to avoid such a catastrophic outbreak, put in place in March, were upended by the transfer from Chino. We had developed plans with the prison’s correctional staff to test, surveil, isolate, quarantine, triage and treat our patients. As the number of infections spiraled out of control, we moved quickly to try to mitigate the harm, assessing and treating hundreds of patients a day with limited staff and resources. Still, the amount of suffering, sickness and death has been staggering.
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