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COVID In Prison

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Omicron, B.1.1.529- Fears Of Catching COVID In Prison

When I first started writing on Omicron, B.1.1.529 (a variant of COVID-19), it was back in January 2022,

At the time we have watched it become a ‘variant of concern. along with fears of catching COVID in prison more of a reality. While not as prevalent and lethal as Delta, it’s a more contagious spreader, and testing is best done with an oral swab which has to be done in a certain and exact way.

The Centers for Disease Control and Prevention (CDC) listed the possible symptoms of Omicron as:

  • cough,
  • fatigue,
  • diarrhea
  • headache,
  • sore throat,
  • fever or chills,
  • nausea or vomiting
  • shortness of breath,
  • difficulty breathing,
  • muscle or body aches
  • new loss of taste or smell,
  • congestion or runny nose

“However, the CDC noted that this list is not exhaustive, and people might experience different symptoms or combinations of symptoms.”

Unfortunately, this presents a challenge not only to all of us, but to all prisons (state and federal), jails, and detention centers. As history has shown us, these facilities likely may be unable to meet this medical need due to:

  1. the current ‘politicization of COVID-19’ and vaccinations,
  2. the physical nature of how inmates are housed,
  3. the continued refusal of some correction staff to get vaccinated, and masked
  4. the limited availability of medications and masks.
  5. I am adding to the list those with Post-COVID19 which I will cover later, but which no prison or jail has the staff, supplies, or finances to provide the support required to meet their needs.

Definition: The novel coronavirus, or SARS-CoV-2, is the deadly virus that led to COVID-19. Oversimplifying, a virus replicates its RNA by making copies of itself, but while coping, if a mistake in replication is made, these ‘mistakes’ result in creating the mutation.

How we get exposed(CDC.gov), is through these respiratory fluids that carry COVID, which occurs in three principal ways. Though not mutually exclusive, these are ‘physical particles, some of which we cannot see, but most of which can be blocked with physical masks; either N-95 masks, (double layer) surgical masks, or multi-layer cloth physical masks, by blocking the majority of these aerosolized viral fluids before they enter our respiratory system.

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1st- Inhalation – Air Bourne Transmission (Top Photo) this 20-minute uTube, “a Must-View and Listen” – on How To Protect Yourself

While not perfect, a little knowledge is helpfulby Mike Hansen MD, Board Certified in Internal Medicine, Critical Care Medicine, and Pulmonary Disease.

Just the act of breathing in the air allows these small, fine, physical droplets including the aerosolized particles that contain these viruses, into our system. Here, the risk of transmission is greatest:

  • within three to six feet from the infected source. Don’t be fooled though, as these
  • exhaled aerosolized particles can travel, likely well past the
    • 9-12 feet (and up to 27 feet) in an enclosed space.

 2nd- The viral particles, as noted, can be physically exhaled as aerosolized droplets.

  • As we breathe in these physical particles, they too can be blocked, for the most part
  • by appropriate physical masks. But again, the risk of transmission is greatest:
    • the closer we are to the infected person, which is where
    • the concentration of these exhaled droplets and particles is greatest.

 3rd- Rubbing your nose and eyes with viral residue on your hands just spreads the infection.

Therefore, ensuring an adequate supply of:

  • soap and hand sanitizer are available to allow frequent washing and hand sanitizing
  • is the responsibility of each facility, no matter whether state, county, or federal.
  • Viral residue in indoor settings may originate from either:
    • exhaled respiratory fluids, or
    • from touching inanimate surfaces contaminated with the virus. Therefore;
      • cleaning all surfaces is critical as well as
      • understanding that when you cough or sneeze, please
        • cover your mouth and nose with
        • the sleeve of your shirt or arm, and
        • not your bare hand if you can help it.

The basic protection we can all do:

  1. Social distancing indoors where practical, and
    • outside where ≥6 feet cannot be maintained.
  2. All types of masks are reviewed by the (Mayo Clinic.Org), and this is a very good resource. Multilayer physical cloth masks are cheap, and most importantly, should be made available by each facility to be used in indoor spaces. Photo Credit: ACLU
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  • Having two or more layers of washable, breathable fabric
  • Completely cover your nose and mouth
  • Fit snugly against the sides of your face while not having any gaps
  • Have a nose wire (or equivalent) to prevent air from leaking out of the top of the mask
  • Follow the recommendations of science, take the appropriate medications approved by the FDA, and get vaccinated, and this goes for staff and inmates alike!

I understand that for some this may be a non-starter, but please understand that just because:

  • we can’t see these physical droplets, or
  • don’t know anyone personally who has passed due to COVID; that doesn’t mean that
  • neither has happened; like the story of the tree that fell in the forest,
  • it still fell even though we didn’t see, or hear it.

While you may have No Symptoms, you

  • still could be a carrier,
  • pass the virus on to an older loved one who is
  • later hospitalized, and then
  • may fatally succumb to the infection.
  • That is not a burden that anyone would want to carry.

Your client’s looking for COVID sentencing relief, but were they vaccinated?

If your client’s going to prison and has not been vaccinated, it is important to learn why. If their reasoning is because it imposes on their freedom, or they just do not want to, I cannot believe that this reason is going to endear any sympathy for any alternative sentencing, from any court in the land.

Obviously, this does not take into account those with cancer, immunocompromised diseases, etc., as these are private conversations between your client and their physician. Should this be the case, I feel confident that the court would likely take this into consideration when considering your request.

If your client’s been vaccinated, has been wearing a mask, and falls into any of the following groups, now you have a good argument, especially with Omicron, B.1.1.529, and Delta ever-present across our country. The positive is that now in 2022, antivirals could be the ‘holy grail’ as far as controlling this pandemic, although their availability in a prison setting is anyone’s guess.

For more…

Long-COVID In Prison

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Long-COVID

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Kara Gormont, former Chief of Staff for the Defense Health Agency. A year and a half after developing Long-COVID in November 2020, she learned, that the military at the time had no process to deal with it.

“I truly felt very abandoned by the healthcare system that I had at that time given 28 years of my life to,” read (or listen) to her story, American Homefront Project | By Andrew Hirschfeld, Published April 27, 2022.

Current Treatment Challenges – CDC, 2022: Living with a Long-COVID condition can be hard, especially when there are no immediate answers or solutions. Their website then links to the 2021 page linked below…

Treatment Though Medical Management – CDC, 2021: for Long-COVID In Prison conditions is developed through a comprehensive plan based on:

  • Medical and psychiatric conditions, personal and social situations,
  • Through already established symptom management approaches (e.g., breathing exercises to improve symptoms of dyspnea).
  • Different therapies might include physical and occupational therapy, speech and language therapy, vocational therapy, as well as neurologic rehabilitation for cognitive symptoms.
  • A gradual physical rehabilitation plan for some patients (e.g., persons with post-exertional malaise);
  • Consultation with physiatry for cautious initiation of exercise and recommendations about pacing may be useful.

While not mentioned above, reported in REUTERS, April 18, 2022, The case for testing Pfizer’s Paxlovid for treating long COVID. The article makes several points; 1st, while there have been positive patient results, 2nd, there should be more scientifically regulated studies before conclusions can be made. You be the judge, but either way, it is hard to see this antiviral making its way into any prison pharmacy.

  • To date, there are no established treatments for Long-COVID In Prison. Why is this important, because the symptoms identified with post-acute sequelae of COVID-19 adversely affect the inmates’ ability to care for themselves or function normally, during a normal work day.
  • A remaining question still exists, are 100% of corrections staff fully vaccinated and boosted? Why, because as imperfect as the vaccines are, they do prevent hospitalizations and death. Unvaccinated (and if appropriate unmasked) staff can be active spreaders of the virus.

more…

Post-COVID In Prison

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Just consider, if COVID is on the rise now, [Post-COVID may follow] when we are all outside, then come fall 2022/2023 (when we are all inside in enclosed spaces (like prisons), it is anyone’s guess. The next more medically challenging question is, when and not if, will there be a treatment for the Post-COVID inmate/patient.

Should Post-COVID reflect your client’s current past medical history sometime over the past 30 months, the opportunity could be in place for either a downward departure or alternative sentencing. Why, because prisons are just not prepared to provide the required Post-COVID medical care. Additionally, corrections staff may just not be able to deal with sequelae of symptoms that they will encounter.

While hard to conceive, these efforts alone could also go a long way in relieving some of the life-altering fears your client and their families are going through. If you like what you are reading, send it to friends, ask them to subscribe using the button above, and consider engaging us.

The Post-acute sequelae of SARS CoV-2 infection (PASC), can include a wide range of ongoing health problems which can last weeks, months, or years. It is this author’s opinion that the sequelae and current treatments are constantly being adjusted in order to keep up with the ever-changing variants. This, unfortunately, compounds our efforts to gain the public trust in the science, while countering the pervasive misinformation.

It is still my belief that no jail, prison, or detention center (state or federal) has the: staff, in place training, time, supplies, or finances to provide this quality care. Why, because if our current hospital systems are still in the ‘research and study’ mode, this likely has not been part of their mission statement as it is still being studied. I’ll let the rest speak for itself.

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4/2022 | UC Davis Post-COVID Clinic | 2 years into the pandemic, pulmonologists are still trying to understand the syndrome, and this is just one hospital research system among many nationwide. Mark Avdalovic, is a pulmonologist, vice-chair for the Department of Medicine, and director of the Post-COVID-19 Clinic at UC Davis Medical Center. As one of the first health systems in the U.S. to create a clinic for Post-COVID patients, studies revealed that:

  • One-third of COVID-19 patients will have one or more symptoms three to six months after their diagnosis – or, as the US reaches 80 million infections, ~26 million Americans could potentially experience some degree of long-COVID. How many wind up in our prisons and jails? They probably do not even know due to our lack of comprehensive testing since its inception in 2019/2020.
  • Rehabilitation treatment is officially identified as post-acute sequelae of COVID-19 and is abbreviated as PASCBradley Sanville, also a pulmonary and critical care physician who specializes in exercise physiology, “Imaging of their lungs, lung function, and cardiopulmonary testing are often very normal. It’s still a mystery, but at this time, most of the available evidence is pointing away from it being a lung problem.” Sanville generally prescribes inhalers for those who are short of breath, but for those who can tolerate the exercise, he prescribes heart or lung rehab.
  • 4-2022 UC Davis Post-COVID-219-Clinic, Nontraditional approaches: the UC Davis Integrated Medicine team — which includes acupuncture, mind-body medicine such as meditation, and special diets — are used together for a forthcoming clinical trial.

more…

COVID Policy In BOP | What Are Your Client’s Fears?

COVID Policy In The BOP | What Are Your Client’s Fears?

Vaccines – mAb, A New COVID Drug Category – Antivirals Could Be The Holy Grail”

Globally, since 2020, we have all been waiting on science for an answer. 

Their efforts have led to the development of a new generation of Vaccines: (mRNA), along with the traditional J&J. Now, to the Federal Bureau of Prisons Clinical Guidance on COVID-19 Vaccines and other therapies.  

I. BOP Vaccination Policy 10/13/2021(BOP.gov)

Per The BOP, vaccination supplies initially may be limited, and will be dispensed according to the BOP COVID-19 Vaccine Guidance Manual; October 13, 2021. This though does not take into account the new variants that may continue to evolve.

For Inmates Who Are:

·      Waiting to get their Covid Vaccine while pending a Court-Ordered Release or Transfer,

They may be vaccinated either:

1.    By using a single-dose COVID-19 vaccine, or

2.    By using a multi-dose series on a case-by-case basis, or

3.    But if there is insufficient time to complete a multi-dose series, it should only be started if the final dose can be verified that it can be completed at the receiving location.

Each BOP facility will (Page 3).

1.         Create and implement a COVID-19 immunization plan to offer the vaccine (1-dose or 2-dose, initial primary series) for,

  • New staff & intakes, and
  • Any staff or inmate that hasn’t yet been vaccinated,
  • US prison guards refusing the vaccine, despite COVID-19 outbreaks, The Associated Press, March 15, 2021

2.  Develop a plan for when, and by whom staff and inmates will be screened and scheduled for the vaccine, and

3.  Ensure that responsibility is assigned to health care personnel for patient assessment and vaccine administration.

4.   For the 2-dose vaccination series, a medical hold should be placed on the inmate’s electronic health record until the due date of the second dose. This is to keep them from being transferred or released before the last dose is given.

5.   For Third doses of mRNA COVID-19 vaccines, page 5 [See Appendix], in immunocompromised persons: should be offered a third dose at least 28 days after 2nd mRNA dose. 

The Three Vaccines available in the BOP Will be Given In The Priority Level Order, # 1-3 (page 5)

Pfizer (page 3):

The Pfizer-BioNTech COVID-19 vaccine (Comirnaty®) – an mRNA vaccine 

Priority Level 1:

·      Inmates assigned as health service unit workers,

·      Inmates in health service unit job assignments,

·      Inmates in nursing care centers (long-term care) or other residential health care units.

Priority Level 2: Inmates aged 65 years and older or those of any age with underlying medical conditions.

Priority Level 3: All other inmates.

Fact Sheets for the approved* and EUA-authorized(FDA.gov) Vaccines,

For recipients, caregivers, and healthcare providers administering vaccines. [see appendix]

COVID-19 FDA, Approved:

·      For persons 16 years of age and older: 2-dose primary series

·      Should be offered a booster dose at least 6 months after the second dose.

COVID-19 FDA, Emergency Use Authorization (EUA):

·      For persons 12 to 15 years of age: 2-dose primary series.

·      Third dose for certain immunocompromised persons.

·      Single booster dose for certain non-immunocompromised persons.

 Moderna, (page 3)

Fact Sheets for the approved* and EUA-authorized Recipients, For caregivers, and healthcare providers administering vaccines [see Appendix]

COVID-19 FDA, Emergency Use Authorization (EUA):

·      For persons 18 years of age and older: 2-dose primary series.

·      Third dose for certain immunocompromised persons.

J&J, (page 4)

Fact Sheets for the approved* and EUA-authorized [see Appendix] Recipients, caregivers, and healthcare providers administering vaccines

COVID-19 FDA, Emergency Use Authorization (EUA):

·      For persons 18 years of age and older: 1 dose required

II. Monoclonal Antibody (mAb) Drug Therapy for COVID-19, BOP Clinical Guidance, 08/2021.

1. Mitigate the need for hospitalizations, ICU, and O2 Ventilators

2. After exposure, and quickly implemented before a positive COVID-19 test.

3. At 1st glance it appears that the mAb medications are not on the most recent:

  • Or their BOP Health Services, National Formulary Part II, Lists (above, again, here too I could be wrong, as they appear to be available, just not listed).

The BOP Monoclonal Antibody (mAb) Therapy, Clinical Guidance COVID-19, 08/2021.

BOP Nurse Charting is very good (page 14), as they use the same S.O.A.P. Note Format that we have all been taught for patent encounters. It’s a good thing to know if you are not already familiar with it. Because medicine, like law, even if treatment (or work) was done, if it was not documented, then it will not be believed as performed, and vice versa.

Subjective: The Inmate/Patient Complaints (in terms of their current condition, function, activity level, disability, symptoms, social history, family history, employment status, and environmental history).

Objective: What the healthcare provider gathers from their exam, labs, X-rays, physical findings, observations and talking, etc.

Assessment: At the end of the encounter, their detailed notes will either support Inclusion Criteria or Exclusion Criteria (see included tables), with regards to the Inmate/patient qualifying (or not) for Monoclonal Antibody Treatment. Regarding a diagnosis, here there may be multiple.

Plan: If Inclusion Criteria have been met, informed consent for mAb needs to be gotten. All mAb requires a non-formulary request to be submitted and approved.

All Criteria must be met for (mAb) Treatment:

·      Positive results of direct SARS-CoV-2 viral testing, and

·      A clinical presentation of mild to moderate COVID-19 symptoms, and

·      Symptom onset within the 10 days preceding mAb treatment and

·      Risk factors for severe COVID-19 illness (see Risk Factors for Severe COVID-19 Illness), and

·      Age ≥ 12 years old; weight ≥ 40 kg (88 lb)

Treatment symptoms to look for, within 10 days of (mAb) treatment.

·      Fever

·      Cough

·      Sore throat

·      Malaise

·      Headache

·      Muscle pain

·      Gastrointestinal symptoms

·      Shortness of breath with exertion.

At a minimum‘1’ of the following must be present to qualify for treatment.

·      Body mass index (BMI) ≥25

·      Chronic kidney disease (CKD)

·      Type 1 or type 2 diabetes

·      Immunosuppressive disease

·      ≥ 65 years of age

·      Currently receiving immunosuppressive treatment

·      Cardiovascular disease (CVD) or hypertension

·      Chronic obstructive pulmonary disease (COPD) or other chronic respiratory diseases

·      Sickle cell disease

·      Neurodevelopmental disorders or other conditions that confer medical complexity

·      Medical-related technological dependence (i.e. tracheostomy, gastrostomy, positive pressure ventilation not related to COVID-19)

·      Oxygen saturation (SpO2) ≤ 93% on room air

·      Respiratory rate ≥ 30 per minute

·      Heart rate ≥125 per minute

Patients must have positive results of direct SARS-CoV-2 viral testing no more than 10 days before starting the mAb infusion 

All of these tests are acceptable for confirming COVID:

·      Commercial lab PCR test,

·      A rapid PCR test (Abbott ID Now) or

·      Rapid Ag test (BinaxNOW) 

III. Monoclonal Antibody Medications:

1)    REGEN-COV (casirivimab and imdevimab(BOP.gov), administered together),

When there is a Limited Supply, The BOP has created: PATIENT CRITERIA LEVELS (Page 5) to determine who gets treated.

PRIORITY 1, Patient Criteria:

• Three or more risk factors for progression to severe disease or

• ≤ 3 days of symptoms or

• Any one of the following risk factors:

1.   Body mass index (BMI) ≥35, or

2.   Type 1 or type 2 diabetes, or

3.   ≥ 65 years of age. 

PRIORITY 2, Patient Criteria:

• Two or more risk factors (from PRIORITY 1) for progression to severe disease. 

PRIORITY 3, Patient Criteria:

• One risk factor for progression to severe disease

• Contact the Regional Medical Director (RMD) to discuss any proposed deviation from the below criteria.

• Submission and approval of a non-formulary request is required before initiation of any mAb for COVID

2)    Tocilizumab (Actemra) – hospitalized patients only

3)    Sotrovimab – hospitalized patients only

4)    Baracitinib (works better with either Tocilizumab or Remdesivir)

Where: Treatment Is NOT‘ Indicated.

·      Pregnancy and lactation: considered on a case-by-case basis

·      Allergies to any of the medication ingredients

·      Hospitalized due to COVID-19

·      Require oxygen therapy due to COVID-19, OR

·      Require an increase in baseline oxygen flow rate due to COVID-19.

·      For those on chronic oxygen therapy due to underlying non-COVID-19 related comorbidity, these Inmates/Patients should be considered for hospital transport.

IV. Antivirals: The “holy grail” of viral therapeutics, The Atlantic 11/29/2021

“Until now, the only outpatient therapeutic for COVID-19 has been monoclonal antibody treatments, which are effective in preventing severe disease in high-risk patients. “The New COVID Drugs Are a Bigger Deal Than People Realize”.

Photo Credit, The Atlantic

Merck’s molnupiravir (EAU for mild-to-moderate cases of COVID-19 who were not hospitalized). Initially, in Nature, 10/8/2021, Merck’s antiviral was touted as may cut hospitalizations and deaths among people with COVID-19 by half. Recently, on November 26, 2021, Merck revealed its Covid antiviral treatment is less effective than first thought. A full analysis of their trial results shows Molnupiravir had a risk reduction of 30%, Reuters.

Pfizer’s Oral Antiviral PAXLOVID™ (“Potential Game-Changer in the pandemic”), Reduced The Risk Of Hospitalization or Death By 89%.

Appendix:

In closing, we believe that the responsibility for a client’s Mental and Physical Health should be safeguarded to protect them from themselves and others, …while providing a safe environment for the duration of their incarceration. This is the responsibility of the Court, Defense Team, and BOP.

If this was helpful, please share it with your colleagues. With more to follow, should you have any questions, are interested in engaging my services, or have any ideas for future topics, I am easy to reach, and thank you for your time.

 

 

 

Marc

  • email, info@PPRSUS.com, or
  • Voice: 240-888-7778.

LinkedIn Original

COVID-19; as we approach the Holidays and 2022, there are signs of hope!

Photo Credit, CDC, 8-24-2021

This is just an opinion of the author. While COVID-19 and its variants appear here to stay, the unvaccinated are the most likely to be facing its more serious side.

While it is true, that even with being vaccinated you may develop symptoms and test positive for COVID, it is not likely that you will be facing hospitalization and fatal disease.

For years, when we have had the flu, if it was bad enough and caught early, Tamiflu, an oral pill started within 48 hours of symptoms, shortened its duration. Reviewing my previous newsletter,

  1. A New Classification Of COVID Drugs are about to see the light of day and “Are a Bigger Deal Than People Realize”; Antivirals (“holy grail”):

Available in oral pill form, like Tamiflu, these antivirals can be taken within days of a positive COVID diagnosis. They could be made easily available to both those incarcerated as well as in the general population. Taken at home over approximately 7 days, they work to shorten the course of the disease, obviating the need for hospitalizations. A very big deal for the vaccinated and unvaccinated alike, but they do not take the place of vaccines.

Pfizer’s COVID-19 antiviral oral pil‘Paxlovid’, Near 90% protective against hospitalization, and death and retains its effectiveness against Omicron, December 14, 2021 (Reuters). Pfizer said it would grant a license for their antiviral pill to the Geneva-based Medicines Patent Pool, which would let generic drug companies produce the pill for use in 95 countries.

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Merck’Molnupiravir, while < 50% effective, is allowing generic drug makers royalty-free license to manufacture its oral COVID-19 antiviral pill. The FDA advisory committee narrowly voted in favor of a EUA, 13-10, but even those who voted yes acknowledged the modest efficacy and safety concerns.

Further, a loose alliance of big pharma companies including Gilead, Novartis, Schrödinger, Takeda Pharmaceutical, and WuXi AppTec, all have formed to share ideas, resources, and data to develop custom pan-coronavirus antivirals. The overarching goal is for the scientific community to come up with a solution to this—or the next—pandemic.

2. GlaxoSmithKline and Vir’s “Sotrovimab (on the BOP Formulary), “is the first monoclonal antibody to record demonstrated activity against all” (SARS CoV-2 which developed into) COVID-19, then mutating into its “variants of concern and interest to date, including omicron”.

Masks (N95) along with others, recommended by the CDC offer protection against all variants. Yes, while none of us want to wear them, and ‘this COVID thing’ is getting old, any one of us does not want to take the chance of dying.

IV) Definitions:

Pandemic: when diseases spread rapidly, crossing country’s borders, globally

Endemic: when the spreading is more localized, like the flu.

 

I believe that the responsibility for a client’s Mental and Physical Health should be safeguarded to protect them from themselves and others, …while providing a safe environment for the duration of their incarceration. Ultimately this is the responsibility of the Court, Defense Team, and BOP.

If this was helpful, please share it with your colleagues. With more to follow, should you have any questions, are interested in engaging my services, or have any ideas for future topics, I am easy to reach, and thank you for your time.

Wishing you and your families a safe and healthy Holiday Season and New Year

Marc

Dr. Blatstein

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  • email, info@PPRSUS.com,
  • Voice: 240-888-7778.
  • Or through my website: PPRSUS.com

Plus a 50+ minute PowerPoint (which time-wise, can be adjusted to meet your needs), for groups, some of the topics covered:

  • COVID
  • Medical History
  • Medication Availability
  • Dementia Wing- 1 Facility, 35 beds
  • Security Level / Public Safety Factors
  • Medical and Mental Healthcare, CARE LEVEL I-IV
  • Psychology Programs Availability (Security Level Specific)
  • Military Veteran-1 facility with 1 wing, Veterans Train Service Guide Dogs for Other Vets With PTSD  or other disabilities

Copyright © 2021-2022 Physician Presentence Report Service, LLC, (PPRS Disclaimer)

As seen on LinkedIn

7 BOP FEDERAL MEDICAL CENTERS – COVID19

COVID IN THE BOP 2020

On June 2, 2020, BOP Director Michael D. Carvajal, and BOP Medical Director Dr. Jeffrey Allen testified before the Senate Judiciary Committee.

They issued a written statement to the Committee addressing actions the BOP was taking to protect inmates and staff. While it may be true that BOP institutions have such supplies, prisoners dispute they receive them in sufficient quantities. “We were issued three of those motel-sized bars of soap each week,” said Lily. “While we could purchase limited commissary items while under virtually 24-hour a day lockdown, they were often out of products such as soaps. Naturally, exchanges were not permitted. So, if you ordered enough soap for yourself and commissary was out, you’d have to wait for the next three mini bars of soap.”[1]

“Within 24 hours of [the CDC’s change in the recommendation to wear masks], we had provided face coverings to most of our staff and inmates,” explained the directors. “Within 72 hours, all of our inmates and staff were provided face coverings.” “While the staff was provided with KN95 masks, we were initially issued two paper masks with elastic ear straps…[2]

“In prison, we are cut off from the outside world,” Lily said. “We are separated from our families and the social anchor points people rely on. And when the BOP stopped telling us anything about the risk or danger we were in, it resulted in a general sense of helplessness, agitation, and fear. Prison officials created an environment where safety was reduced, and mental health issues were exasperated.”[3]

FMC (FCC) Butner

8/2020, The Queen City Nerve reported that the Federal Medical Center-Butner in North Carolina is the deadliest site of coronavirus in the[4] country. What’s worst is that ‘Now incarcerated people are being thrown into solitary for speaking out[5]

FMC Butner

Andre Williams was 78 years old and had undergone a quadruple-coronary bypass[6] while incarcerated at FCI Butner, NC. For months before COVID-19 hit the prisons, he sought compassionate release. Finally, on April 1, a court granted his petition. Relief came too late. Four days after the grant, he tested positive for COVID-19. On April 13, he died.

While these two men were granted compassionate release,[7] they did not escape the virus. Before being released the prison did not test either man (Later 79-year-old Alan Hurwitz and Juan Ramon 60) for COVID-19. Rather they have transported them to the airport, escorting them onto the planes, ‘without notifying the aircraft carriers. Later within days, one was dead, but not counted as part of the total number at Butner, as they died at home.

Between March and April, there were 8 deaths.[8]

4/7/2020, Butner prison in Butner, North Carolina, has 39 inmates who had tested positive. That is more than any other federal prison. No staff member there had tested positive.

 FMC Carswell (for women) in Fort Worth, Texas

8/5/2020; According to the Bureau of Prisons website, four inmates have died[i] from COVID-19 and 150 are currently positive. To date, 392 inmates have recovered[9]

7/21/20, 500 women tested positive for coronavirus[ii]

7/ 2020 Confirmed cases –confirmed cases in 1 week[10]:

  • On 6/29/2020 according to the BOP, there were zero confirmed cases among prisoners.
  • On 7/9/2020 there were 68 confirmed cases
  • On 7/10/2020 there were 77 confirmed cases
  • 7/11/2020 The BOP reported 113 cases
  • 7/12/2020 The BOP reported 127 cases
  • If a prisoner tests positive at Carswell, they are put in solitary confinement (leading to psychiatric issues later on).
  • The use of solitary confinement in U.S. prisons has grown by 500 percent[11] during the pandemic.

FMC Devens, Mass

June 17, 2020; Massachusetts Lawmakers sent a Letter to Urge Federal BOP to Implement Widespread COVID-19 Testing: US Senator Elizabeth Warren (D-MA), Senator Edward J. Markey (D-MA), and Congresswoman Lori Trahan (D-MA),

FMC Ft Worth, TX

6/12/2020, 11th FMC Fort Worth Inmate Dies[16] After Contracting COVID-19 in Outbreak

FMC Lexington, Ky

July 2, 2020; It was the seventh coronavirus-related death[18] at the prison.

On 6/5/2020, 35 new COVID-19 cases and a 48-year-old inmate at Federal Medical Center dies[19]

  • There have been five total deaths at the Federal Medical Center, which currently houses 1,354 offenders.

On 5/18/2020, Stephen Cook sent a letter to the court in Tennessee, asking for compassionate release or to be sent to home confinement from the Federal Medical Center in Lexington, Kentucky. He suffered from sickle cell and required monthly off-site treatment. The government opposed his release. Mr. Cook died on June 3, 2020.

FMC Rochester, Minn.

May 5, 2020; One staff member at the Federal Medical Center[20] has tested positive for the coronavirus.

MCFP/FMC Springfield, Missouri

Jun. 17, 2020; Federal Bureau of Prisons reports an active case of COVID-19 related to Springfield Fed Med[21] Center. Prison officials report that 1,190 federal inmates and 170 staff have tested positive for COVID-19. There have been 85 federal inmate deaths and 1 prison staff member death attributed to COVID-19 disease.

[1] https://www.prisonlegalnews.org/news/2020/aug/1/coronavirus-prison-cruel-reality/

[2] https://www.prisonlegalnews.org/news/2020/aug/1/coronavirus-prison-cruel-reality/

[3] https://www.prisonlegalnews.org/news/2020/aug/1/coronavirus-prison-cruel-reality/

[4] https://solitarywatch.org/2020/08/12/seven-days-in-solitary-81020/

[5] https://qcnerve.com/fmc-butner-is-host-to-countrys-deadliest-covid-19-prison-outbreak/

[6] https://www.fd.org/sites/default/files/covid19/bop_jail_policies_and_information/2020_07_30_covid_19_in_federal_detention_src_fact_sheet_v2.pdf

[7] https://www.newsobserver.com/news/coronavirus/article244131227.html

[8] https://www.news-leader.com/story/news/local/ozarks/2020/04/08/coronavirus-missouri-cases-springfield-fedmed-prison-inmates-covid-19/2963161001/

[9] https://www.nbcdfw.com/news/local/inmate-at-fmc-carswell-in-fort-worth-dies-from-covid-19/2420454/

[10] https://shadowproof.com/2020/07/14/carswell-covid-19-infections-reality-winner-whistleblower-release/

[11] https://shadowproof.com/2020/07/14/carswell-covid-19-infections-reality-winner-whistleblower-release/

[12] https://medium.com/@SenWarren/congress-must-move-to-rapidly-increase-our-coronavirus-testing-capacity-8c5abd71b6f1

[13] https://www.warren.senate.gov/newsroom/press-releases/warren-markey-in-letter-to-president-trump-sound-alarm-over-lack-of-federal-support-for-massachusetts-amid-coronavirus-pandemic

[14] https://www.warren.senate.gov/oversight/letters/warren-demands-answers-from-fema-on-plans-to-ensure-massachusetts-receives-essential-medical-equipment

[15] https://www.warren.senate.gov/imo/media/doc/PRESSLEY%20WARREN_Letter%20to%20Trump_COVID%20Incarcerated%20Persons%20SIGNED.docx2.pdf

[16] https://www.nbcdfw.com/news/local/11th-fmc-fort-worth-inmate-dies-after-contracting-covid-19-in-outbreak/2387878/

[17] https://www.nbcdfw.com/news/coronavirus/more-than-600-inmates-test-positive-for-covid-19-at-federal-prison-in-fort-worth/2367644/

[18] https://www.wtvq.com/2020/07/02/federal-medical-has-first-coronavirus-death-in-weeks/

[19] https://www.lex18.com/news/coronavirus/48-year-old-inmate-at-federal-medical-center-in-lexington-dies-from-covid-19

[20] https://www.kimt.com/content/news/Positive-test-for-coronavirus-at-Federal-Medical-Center-in-Rochester-570211051.html

[21] https://www.ky3.com/content/news/Federal-Bureau-of-Prisons-reports-a-case-of-COVID-19-related-to-Springfield-Fed-Med-571329251.html

[i] https://www.nbcdfw.com/news/local/inmate-at-fmc-carswell-in-fort-worth-dies-from-covid-19/2420454/

[ii] https://www.brownsvilleherald.com/2020/07/21/500-women-fort-worth-federal-prison-test-positive-coronavirus/

DOES BEING INDICTED MEAN JAIL? | HOW TO DO LESS TIME? | VETERAN PROGRAMS.

Through my story, this video explains why finding the right attorney for you is important. Although this is your life-altering event, Preparation and Knowledge of what you are about to do could still result in a positive outcome. Knowing that the DOJ has a 98% conviction rate, what is a positive outcome for you? Learn from my experiences through my video.

Serving Less Time Starts With Preparation


 

RECEIVING A FEDERAL INDICTMENT CAN BE TERRIFYING
TRIAL OR PLEA?
THE DOJ HAS A 98% CONVICTION RATE.

 

THE SOONER YOU ACT THE FEWER PROBLEMS YOU’LL HAVE, WHY?

  • IN ADDITION TO A 98% CONVICTION RATE, THEY HAVE VERY DEEP FINANCIAL POCKETS TO PROSECUTE, AND “YOUR CASE” BY THIS POINT IS COMPLETED.
  • LEGAL REPRESENTATION IS YOUR FIRST DECISION; HOW WILL YOU PICK AN ATTORNEY, AND WHAT QUESTIONS SHOULD YOU ASK FIRST?

PREPARATION SO MANY QUESTIONS, WHO CAN YOU ASK FOR ADVICE

  • THERE’S FEAR, PANIC, DENIAL, AND DISBELIEF
  • FINALLY, YOU DECIDE ON A LAWYER, WAS THIS THE RIGHT DECISION?
  • NOW, HOW TO SET YOURSELF UP FOR THE BEST POSSIBLE OUTCOME? WHAT DO YOU DO FIRST?

PREPARATIONWITH EVEN A GREAT ATTORNEY THEY CAN ONLY DO SO MUCH

    1. COUNSEL DEPENDS ON YOU TO BE 100% TRUTHFUL; THAT SOUNDS EASY – BUT NOT SO MUCH
    2. PREPARING FOR YOUR PRESENTENCE INTERVIEW SHOULD BE THE MOST IMPORTANT THING IN YOUR LIFE, NO MATTER THE LENGTH OF YOUR EXPECTED SENTENCE
    3. PROPERLY PREPARED,  ARE YOU CONFIDENT IN UNDERSTANDING WHAT MAKES UP YOUR PRESENTENCE REPORT (PSR) 
      • ALL THE INFORMATION YOU GATHER WILL INFLUENCE YOUR LIFE AND IS RECOMMENDED TO BE PRESENTED TO YOUR PROBATION OFFICER 1-2 WEEKS BEFORE YOUR INTERVIEW.
        • AFTER YOUR INTERVIEW AND INVESTIGATION, THE PROBATION OFFICER WILL WRITE THE PRESENTENCE REPORT – BASED ON THE INFORMATION THAT YOU PROVIDED
      • YOUR JUDGE IS GOING TO SENTENCE YOU BASED ON THE SAME INFORMATION YOU PROVIDED THAT MAKES UP YOUR PRESENTENCE REPORT. IF COMPREHENSIVE, IT INCLUDES,
        • COPIES OF ALL BIOGRAPHICAL BACKGROUNDS (What is all this?)
        • COPIES OF ALL PERSONAL IDENTIFICATION 
        • PERSONAL NARRATIVE
        • RELEASE PLAN
        • ALLOCUTION
        • “CHARACTER” REFERENCE LETTERS
      • YOU SHOULD ALSO HAVE AN UNDERSTANDING OF YOUR,
        • PATTERN SCORE,
        • SPARC-13 
        • GOOD TIME CREDITS,
        • REQUIREMENTS OF THE FIRST STEP ACT
          • EARNED TIME CREDITS, ETC 
          • FINANCIAL RESPONSIBILITY PROGRAM (FRP)
          • CRIMINOGENIC RISK FACTORS
        • ARE YOU RDAP ELIGIBILE
        • SECOND CHANCE ACT, BECOME FAMILIAR WITH ITS BENEFITS
        • COMPASSIONATE RELEASE, WITH THE FSA PROVIDES OPTIONS
          • INITIALLY, IT DEPENDED ON YOUR AGE OR MEDICAL CONDITION
          • THE SECOND LOOK ALLOWS THE COURT TO LOOK AT THE FACTS NOW
            • NOT JUST – WHAT HAPPENED AT YOUR SENTENCING
              1. BAD LAWYERING.
              2. THE LAWS HAVE CHANGED.
              3. YOUR NEED AS A FAMILY CAREGIVER.
              4. THE PERSON GOT A RAW DEAL AT SENTENCING.
              5. WAS THIS A FAIR SENTENCE LOOKING AT THE FACTS TODAY.
              6.  EXTRAORDINARY CHANGE IN CIRCUMSTANCES, ALLOWING FOR A LOWER SENTENCE OR RELEASE.
              7. SARS-CoV-2 VARIANT THAT CAUSES COVID-19 KEEPS MUTATING, SCIENCE, AND THE COURTS CAN’T KEEP UP.
        • THE ADMINISTRATIVE REMEDY PROCESS (BP9-11, AND 2241), the BOP ENCOURAGES ITS USE.
        • CASE MANAGER, COUNSELOR, UNIT TEAM, WARDEN, AND HOW THEY CAN INFLUENCE, FOR BETTER OR WORSE, YOUR JOURNEY THROUGH PRISON AND EARLY RELEASE.  ↓ BELOW IS YOUR PRESENTENCE INTERVIEW.

Call 240.888.7778 for a personal one-on-one call
to discuss your current issue or that of a loved one.

-Marc Blatstein


This video covers preparation for your Presentence Interview and needs to include everything about you: 1) Your Personal Narrative, 2) your Release Plan, 3) your Biographical Background (All of your Medical Records, for example), and 4) Your Personal Identification.

AFTER YOU ENTER PRISONWHAT ARE YOUR EXPECTATIONS DAY 1?

    1. WHAT ARE THE BEST TIMES TO ARRIVE IF SELF-SURRENDERING
    2. WHEN YOU SURRENDERED, WHAT DID YOU BRING?
    3. WERE YOU PUT IN AN ISOLATION CELL? WAS IT A SURPRISE? WERE YOU GIVEN A HEADS-UP EXPLANATION WITH OPTIONS, WHICH ARE…
    4. THERE MAY BE FORMS TO BE FILLED OUT- BUT YOU’RE READY
    5. FOR MOST THINGS GOING FORWARD, YOU HAVE BEEN PREPPED ON,
      • WHAT TO EXPECT AND HOW TO ACT
      • DISAPPOINTMENT AND FRUSTRATION 
      • OR WAS ALL OF THIS A SURPRISE?
    6. FOLLOWING EVERYTHING WE HAVE REVIEWED, THERE IS A PLAN TO WORK TOWARD EARLY RELEASE, UNDERSTANDING THAT THERE ARE NO GUARANTEES.
    7. DISAPPOINTMENT AND FRUSTRATION LIKELY WILL FOLLOW, BUT THE ONLY PERSON WHO CAN CONTROL HOW YOU REACT IS YOU.

 

THIS VIDEO COVERS HOW YOU CAN WORK OR EARN YOUR WAY TOWARD FREEDOM, USING ELIZABETH HOLMES AS AN EXAMPLE OF WHAT IS POSSIBLE


 

HOW TO LOSE ALL OF YOUR EARLY RELEASE BENEFITS

Don’t Get Disciplined Infractions; No Cell Phones, No iPads (Unless They’re From The Commissary). You Can Lose All Good Time Credit, Earned Time Credit, RDAP, and Possibly Get a New Charge.


Is your client a Veteran?

Alternatives to Prosecution and Incarceration for Justice-Involved Veterans

If possible, connect your client with a facility that caters to veterans.

Catholic University Law Review; “Dog Training Programs support inmate rehabilitation.”

Other Military prisons with service dog training programs

  • NAVCONBRIG Miramar (aka Joint Regional Correctional Facility Southwest)
  • NW Joint Regional Correctional Facility Ft. Lewis Washington
  • Military Prison at Fort Leavenworth
  • Once their training is complete, these dogs are placed with veterans in the community who have:

If You Suspect You’re The Target of a Federal Investigation | Wherever You Are In The Process – There Are Still Things We Can Do

We are not Attorneys; you need Legal Representation.

Good Time Credit | 2nd CHANCE ACT | FIRST STEP ACT, ALL HELP 👉​Early Release

GOOD TIME CREDIT (GTC)

This video is a straightforward explanation of Good Time Credit.

 

For a personal, one-on-one call with me to discuss your current issue, or that of a loved one,  give me a call (240.888.7778). If I am unable to answer, please leave a brief message, as I personally return all of my calls. Marc Blatstein

We are not Attorneys; You Need Legal Representation.


Available to all incarcerated persons,

But not to those serving life or a 1-year-1 day sentence.

Good Time Credit is changed from 47 to 54 days per year,
off Their Imposed Sentence

The Prison Litigation Reform Act (PLRA), per BOP Policy,

To Get Good Time Credit, you must either have the following;

1) earned your GED or,

2) made satisfactory progress toward reaching your GED and

3) Avoid disciplinary infractions.

Good Time credit can be taken away after being given,

But only for ‘good cause’, and only in these ‘two examples:

1st) For e.g., riot, food strike, work stoppage, etc., or

2nd) Misbehavior, where the BOP only learned about it – after the good time was given.

 

Families Against Mandatory Minimums (FAMM) Calculation

“…for every year of imprisonment: you can earn up to 54 days of credit against AGAINST EVERY YEAR – UP FRONT YEARLY.

(“Term of Imprisonment” is widely understood as meaning the sentence of imprisonment imposed by the judge.)”

Example: Simply put:

For someone in the federal system serving a term of 5 years (THAT EQUALS 1826 days, including an extra day for a leap year), with

With Excellent Conduct, with, and only if he/she earns all possible good time.

Federal sentences are to be served at approximately 85% of each year, or:

(The 54 Days of GTC is included in the 311.)

311 Days  x  “5 Years” = 1555 Days Until Release [54 + 311 = 365 | 311  x  5 = 1555]

This means he/she earns

54 Days Of Good Time as they complete each set of 311 days.

By the end of five sets (x) 311 days/year)years,  

(5) x  (311) = 1555 days = 85%,

of their 1826-Day Sentence; or ~ 85%


 

INFRACTIONS: COULD KEEP YOU FROM RECEIVING THESE BENEFITS 


*EARLY RELEASE OPTIONS*

Self-advocating for Early Release is explained in this video – but no one can guarantee what The BOP will do.

I)                GOOD TIME CREDIT 15%

  • time reduction from the date the sentence was imposed.
  • Don’t get in trouble – No Infractions.

 

II)              First Step Act (FSA): LAW 12 MONTHS

The program allows up to 365 days of earned time credits (ETC), which will apply to early release if you:

IIa)         RDAP

  • You’re allowed OFF for RDAP
    • sentenced > 36 months and may receive up to 12 months off the sentence.
    • Sentenced> 30 months may receive up to 9 months off the sentence.
    • Sentenced> 24 months may receive up to 6 months off the sentence.
  • IN ADDITION TO THE (UP TO ) 1 YEAR OF CREDITS – FOR SUCCESSFUL COMPLETION OF FSA PROGRAMS

IIb) You are Educated With a Degree and Experience, Create a Course

  • Start planning a curriculum on a topic that you feel would be interesting
  • Organized for classes to meet twice per week for several months, 
  • Then you run the idea by your case manager; maybe it could help those with their GED; who knows?
  • Once all parties agree, your case manager is happy, and your Reentry Plan Looks GREAT!
  • It’s just one more thing Working For You. 

 

III)  Second Chance Reauthorization Act (SCRA). 12 MONTHS in an RRC Law 

  1. The regulation mandates that. 
    • “Inmates may be designated to community confinement as a condition of pre-release custody and Programming during their final months not to exceed twelve months.” 28 C.F.R. § 570.21(a).
  1. This regulation also provides for 
    • home detention as a condition of pre-release custody during their final months of imprisonment,
    • not to exceed the shorter of ten percent of the inmate’s term of imprisonment or
    • six months.”
  1. BOP staff is required to review inmates for RRC placement 17-19 months before their projected release date, and inmates are to be individually considered using the five factors listed in §3621(b).

(1) the resources of the facility contemplated;
(2) the nature and circumstances of the offense;
(3) the history and characteristics of the prisoner;
(4) any statement by the court that imposed the sentence—
(A) concerning the purposes for which the sentence to imprisonment was determined to be warranted; or
(B) recommending a type of penal or correctional facility as appropriate and
(5) any pertinent policy statement issued by the Sentencing Commission pursuant to section 994(a)(2) of title 28.

In designating the place of imprisonment or making transfers under this subsection, there shall be no favoritism given to prisoners of high social or economic status.

The Bureau may, at any time, having regard for the same matters, direct the transfer of a prisoner from one penal or correctional facility to another.

The Bureau shall make appropriate substance abuse treatment available for each prisoner the Bureau determines has a treatable substance addiction or abuse condition.

Any order, recommendation, or request by a sentencing court that a convicted person serve a term of imprisonment in a community corrections facility shall have no binding effect on the authority of the Bureau under this section to determine or change the place of imprisonment of that person.

Notwithstanding any other provision of law, a designation of a place of imprisonment under this subsection is not reviewable by any court.

  1. Elderly Home Detention through the First Step Act: Rare to Get Program availability at all BOP facilities.
    • The qualifying age is 60+ years, and You can serve that last part at Home
    • You must have served two-thirds of the sentence must be served to be eligible.
    • The offender must be serving a term of imprisonment other than life imprisonment based on a conviction for an offense or offenses that
      • the offender must not have been convicted in the past of any Federal or State crime of violence, sex offense, or other offense enumerated in the statute.
    • The offender must not have escaped or attempted to escape from a BOP institution;
    • The BOP must determine that the release of the offender to home detention will result in a substantial net reduction of costs to the federal government and
    • The BOP must determine that the offender poses no substantial risk of engaging in criminal conduct or of endangering any person if released to home detention.

IV)            CARES Act: NEW End Date April 2023

Coronavirus Aid, Relief and Economic Security (“CARES”) Act

    • Mitigate the effect of COVID
    • They can place you home earlier
    • Case by Case
    • By Medical, based on risk, to keep the staff and community safe.
    • With an agency struggling with employee shortages and inmates with low-security risk and high maintenance costs (“costly medical care”), unloading as many prisoners as possible seems like a sound fiscal policy…

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You’re The Target of The FBI – Surrendering During COVID 2022/2023

MORE THAN WHISPERS – Target #1: The FBI’s Coming

You’re The Target of The FBI – Now, What Do You Do? Surrendering During COVID’s The BOP Modified Operation Levels 2022/2023

White-Collar FBI Target: How Do I Get Out of Prison — The Fastest?

You’re the FBI Target – 5 Areas Where You MUST ADVOCATE For Yourself

PREPARATION- It’s your Sentencing Hearing, Presentence Interview, and Personal Narrative

FBI PROBE

POST-COVID LONG-HAULER 12-2022


A positive example of breaking the recidivism paradigm

  • LastMile.org, a program started at San Quentin State Prison. Located at San Quentin State Prison, where they started the program, they prepare “incarcerated individuals for successful reentry through business and technology training.”

If You Suspect You’re The Target of a Federal Investigation | Before The Presentence Interview (PSI) | After The PSI – But Before The Sentencing Hearing | After Sentencing or You’re Already Incarcerated | There Are Still Things We Can Do

For a personal, one-on-one call with me to discuss your current issue or that of a loved one,  give me a call (240.888.7778). If I cannot answer, please leave me your name, number, and a brief message, as I make every effort to return all of my calls – that same day. Marc

We are not Attorneys; you need legal representation.


 

Photo Credit: https://www.pexels.com/@lanophotography