'Shocking, Heartbreaking' San Quentin Coronavirus Outbreak Alarms Health Officials

An explosion of coronavirus infections at California’s San Quentin State Prison, the state’s oldest, has public health officials worried about its impact on prisoners, staff and the wider hospital system in San Francisco Bay Area.

“Shocking, heartbreaking are certainly the words I would use to describe it,” said Dr. David Sears, a physician and professor of medicine at University of California, San Francisco. He recently toured San Quentin and warned officials about just such an outbreak.

“It’s devastating how fast this has moved through the prison,” he said.

There were zero inmate coronavirus cases at the prison throughout March, April and May. Today, there are more than 700 infections, including 613 incarcerated people and 89 staff.

And, in the latest development, as infections spread across San Quentin, the California Department of Corrections and Rehabilitation announced it would halting a planned transfer of inmates from San Quentin to North Kern State Prison after two incarcerated people — who were scheduled for that transfer — tested positive for COVID-19.

“We understand and share the concern of COVID-19 cases in the state’s prisons, and are implementing multiple strategies to control the spread of the virus,” a spokesperson for the department of corrections wrote.

Public health officials and prison advocates say the initial outbreak was entirely preventable. They point to a transfer in late May of 122 inmates to San Quentin from an overcrowded state men’s prison in Chino, where COVID-19 is ravaging the inmate population.

“Unfortunately, they arrived untested and were placed within San Quentin and really kind of seeded an outbreak in a second state facility,” said Dr. Matt Willis, the public health director for Marin County, where San Quentin is located. “In the rush of trying to address that epidemic at Chino, that [testing] step may have been overlooked.”

It’s not clear why, during a deadly pandemic, the inmates were not tested. Prison officials have said they are working with health departments.

Dr. Willis said he’s alarmed by the prison’s rapid increase in cases and its potential impact on area hospitals.

“I’m concerned that we will see hundreds of more cases,” he said. “Even if a small fraction of those people become so sick that they need to be hospitalized, it will stress our regional hospital system.”

New data show that Marin County leads northern California, by far, with 200 coronavirus cases per 100,000 residents.

So far, no inmates or staff have died at San Quentin, which houses about 3,700 prisoners. But, so far, at least 20 inmates and two employees at other state prisons have died after contracting COVID-19. That includes 16 fatalities at the California Institution for Men in Chino.

Earlier this month, experts with UCSF and UC Berkeley toured the prison at the request of the body overseeing the prison. Overcrowding in the state’s prison system and problems with its health care system is the subject of a long-running legal case.

Afterward, the physicians warned the federal, court-appointed receiver that helps oversee prison health care that “San Quentin is an extremely dangerous place for an outbreak, everything should be done to decrease the number of people exposed to this environment as quickly as possible.”

The group of doctors recommended the prison take multiple, immediate mitigation steps. They include rapid, expanded testing, creation of an outbreak emergency response team, and reducing San Quentin’s population by half to avoid a potentially devastating outbreak there.

“Priority must be placed on reducing the prison population at San Quentin via decarceration as it will be extremely difficult to ensure the health and safety of all people in this extraordinarily old and complex facility.”