The Coronavirus Outbreak

By Ernesto Londoño, Manuela Andreoni and Letícia Casado

The virus has spread rapidly in overcrowded prisons across the world, leading governments to release inmates en masse.

A prison in Tremembe, Brazil, during a riot last month in which hundreds of prisoners escaped after the authorities suspended a temporary release of inmates to prevent the spread of the coronavirus.
A prison in Tremembe, Brazil, during a riot last month in which hundreds of prisoners escaped after the authorities suspended a temporary release of inmates to prevent the spread of the coronavirus.Credit...Lucas Lacaz/Agence France-Presse — Getty Images

By Ernesto Londoño, Manuela Andreoni and

RIO DE JANEIRO — Prisons across the world have become powerful breeding grounds for the coronavirus, prompting governments to release hundreds of thousands of inmates in a mad scramble to curb the spread of the contagion behind bars.

The pandemic has also set off prisoner rebellions as angry inmates have called new attention to chronic problems in corrections systems in many countries, including overcrowding, filth and limited access to health care.

In Brazil, which has one of the largest and most overloaded prison systems, inmates have recorded videos behind bars threatening to kill guards unless the government moves swiftly to improve their conditions.

In Colombia, a prison riot last month by inmates concerned about catching the virus left 23 prisoners dead. And on Friday in a Buenos Aires penitentiary, inmates angered over the lack of virus protection rioted for nine hours, climbing on the roof, burning mattresses and displaying a banner that read, “We refuse to die in prison.”

“In many countries, detention facilities are overcrowded, in some cases dangerously so,” Michelle Bachelet, the United Nations High Commissioner for Human Rights, said in a statement. “The consequences of neglecting them are potentially catastrophic.”

The virus’s ease of spreading behind bars became clear in February, when at least 555 inmates in China were infected at facilities in Hubei, Shandong and Zhejiang Provinces.

In response, the government dismissed several wardens for their failure to prevent the outbreak, forbade prison visits and required guards at several facilities to remain at their posts for weeks.

Five prisons in Hunan designated a building within each facility to isolate infected prisoners and guards. Inmates in a Shandong prison were taken to hotels for quarantine after a prison guard returning from Wuhan, where the coronavirus was first reported, infected other guards and inmates.

As the virus quickly spread across borders in the following weeks, officials in many countries suspended prison visits but struggled to impose social-distancing measures in teeming wards.

Thousands of prisoners, including some migrants, have also been released in the United States.

In Brazil, officials reported four deaths, 104 confirmed coronavirus cases and 145 suspected ones among prisoners as of Sunday. The country says it has released about 30,000 prisoners. But that figure is not significantly higher than the typical release rate, according to experts.

Experts say the scope of the problem in Brazil behind bars is unclear because only 682 of the country’s more than 773,000 prisoners have been tested.

Drauzio Varella, a doctor who has studied and written books about the health care needs of prisoners in Brazil, said a disproportionate number suffer from serious conditions, including diabetes, obesity and hypertension.

“Prisons in Brazil often have double or triple the capacity they were built for, with people sleeping on the floor,” he said. “One person coughing can infect everyone else.”

Even with the releases, tensions are escalating inside several Brazil facilities, where some gang leaders are threatening violent rebellions and others have smuggled out messages to relatives saying they’re going hungry.

A group of gang members detained at a prison in Minas Gerais state recently recorded a video calling on all criminal gangs, which hold considerable sway inside Brazilian prisons, to join forces to wage “war against the government.”

Reading from a statement, one of the prisoners said they were not being provided with medicine and complained about rancid food. He threatened to direct gang members outside to set buses on fire and execute prison guards as detainees standing behind him mimicked a decapitation.

“This virus that is circulating around the world is going to kill many brothers in prison,” he said. “We’re prepared to knock down these prisons.”

A state official said in a statement that the men in the video had been identified, and that the authorities had confiscated the cellphone used to make the video.

While Brazilian judges have approved thousands of early release petitions, top Justice Ministry officials have said it would be a mistake to release prisoners en masse, arguing that would create risks to public safety.

Prisoner advocates say it is more risky for the inmates to remain in prisons.

Pastoral Carcerária Nacional, a Christian organization that supports prisoners and their families, said many relatives of the incarcerated have been barred from providing them with food and hygiene items.

“Prisoners get the bulk of material support from what their families can bring, because the food they are given inside is terrible and scarce,” said Sister Petra Silvia Pfaller, the group’s coordinator. “Even before the pandemic they were already going hungry.”

Andrelina Amelia Ferreira, who heads the Mothers of Jail Movement in São Paulo, said she had received hundreds of messages from women alarmed about the tidbits of information they have gleaned from prisons that are now inaccessible.

One woman received a handwritten note from her husband, who reported running a high fever and having body aches. Lacking enough food, he told her, had prompted him to eat clumps of toilet paper and toothpaste. “I’m scared I will die in prison,” the note said. “I’m starving in this damn place.”

Vincent Ballon, the top expert on detention issues at the International Committee of the Red Cross, said the coronavirus crisis should prompt governments across the world to reconsider the laws and policies that have led to overcrowded and poorly run prisons in the first place.

“We hope that this will be an opportunity to rethink deprivation of liberty, especially things like pretrial detention and immigration detention,” he said.

Mário Guerreiro, who heads the National Council of Justice, a monitoring group in Brazil with oversight of the country’s prison system, said the pandemic had made glaringly clear the shortcomings of that system, which has grown exponentially in recent decades without a commensurate investment to build capacity.

“Brazil has prisons where humanitarian conditions are tantamount to concentration camps,” Mr. Guerreiro said. “It’s a humanitarian crisis.”

Ernesto Londoño and Manuela Andreoni reported from Rio de Janeiro, and Letícia Casado from Brasília. Tiffany May contributed reporting from Hong Kong, and Nick Cumming-Bruce from Geneva.

  • Updated April 11, 2020

    • This is a difficult question, because a lot depends on how well the virus is contained. A better question might be: “How will we know when to reopen the country?” In an American Enterprise Institute report, Scott Gottlieb, Caitlin Rivers, Mark B. McClellan, Lauren Silvis and Crystal Watson staked out four goal posts for recovery: Hospitals in the state must be able to safely treat all patients requiring hospitalization, without resorting to crisis standards of care; the state needs to be able to at least test everyone who has symptoms; the state is able to conduct monitoring of confirmed cases and contacts; and there must be a sustained reduction in cases for at least 14 days.

    • 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.

    • 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.

    • It seems to spread very easily from person to person, especially in homes, hospitals and other confined spaces. The pathogen can be carried on tiny respiratory droplets that fall as they are coughed or sneezed out. It may also be transmitted when we touch a contaminated surface and then touch our face.

    • No. Clinical trials are underway in the United States, China and Europe. But American officials and pharmaceutical executives have said that a vaccine remains at least 12 to 18 months away.

    • Unlike the flu, there is no known treatment or vaccine, and little is known about this particular virus so far. It seems to be more lethal than the flu, but the numbers are still uncertain. And it hits the elderly and those with underlying conditions — not just those with respiratory diseases — particularly hard.

    • If the family member doesn’t need hospitalization and can be cared for at home, you should help him or her with basic needs and monitor the symptoms, while also keeping as much distance as possible, according to guidelines issued by the C.D.C. If there’s space, the sick family member should stay in a separate room and use a separate bathroom. If masks are available, both the sick person and the caregiver should wear them when the caregiver enters the room. Make sure not to share any dishes or other household items and to regularly clean surfaces like counters, doorknobs, toilets and tables. Don’t forget to wash your hands frequently.

    • Plan two weeks of meals if possible. But people should not hoard food or supplies. Despite the empty shelves, the supply chain remains strong. And remember to wipe the handle of the grocery cart with a disinfecting wipe and wash your hands as soon as you get home.

    • That’s not a good idea. Even if you’re retired, having a balanced portfolio of stocks and bonds so that your money keeps up with inflation, or even grows, makes sense. But retirees may want to think about having enough cash set aside for a year’s worth of living expenses and big payments needed over the next five years.