In Maharashtra, Prison Quarantine Centres Are More Harrowing than Main Jail Barracks

While some have a crushing lack of space, others have no clean water or trained staff to take care of ill prisoners.

Mumbai: In the last two months, Shweta Salve*, a 42-year-old undertrial prisoner, fell ill three times.

Twice, because of a stomach infection – a severe yet common illness that most prisoners learn to live with – and then fever, which then led to a COVID-19 positive report. Each time she complained of ill health, her lawyer had to move court to ensure she could access medical treatment outside the Byculla women prisons.

After routine check-ups at the state-run JJ Hospital, Salve was sent back every time. But after each visit, instead of her usual barrack, she would be sent to a separate facility within the Byculla prisons premises which has now been made into a quarantine centre.

This separate, highly congested barrack, houses everyone stepping out of the prison premises, irrespective of their health conditions. Salve’s lawyer claims that it was here that Salve was infected.

“It is a complete mess. Salve tells me the space is overcrowded and it is practically impossible to maintain physical distance in this barrack. There were several co-prisoners who had fever and throat infection but were not tested. Eventually, Salve fell sick too,” the lawyer, who did not want to be identified, told The Wire.

Once Salve was down with a sore throat and fever, was tested for COVID-19 (on her lawyer’s insistence), she was moved to a separate quarantine facility set up inside a school, a little way from Byculla prison. Salve was one of the 40 women prisoners to have tested positive at Byculla prison in April. 

Byculla prison. Photo: PTI/File

‘Several adults in a room made for children’

This quarantine centre is little more than a small room inside the school, accommodating 30-35 women prisoners who have tested COVID-19 positive. The room is crammed and with very little space to relax. Designed for school children, the room is unfit for stay, both prisoners and lawyers complain.  

Also read: Token Temporary Measures to Decongest Prisons Can’t Save Inmates from COVID-19

Mihir Desai, a senior counsel, who is also an amicus curiae in the ongoing suo motu petition before the Bombay high court for decongestion of over 60 prisons of Maharashtra says that most of these quarantine facilities set up in schools have inadequate toilet facilities. “Most of them are municipal schools with just one or two toilets at best. Before the pandemic, these toilets were used by young school children who spent just a few hours in school. And now you have several adults, who have to use it through the day,” says Desai. 

It is not just the Byculla prisons. Early last month, the state prison authority had informed the Bombay high court that 44 different quarantine facilities have been set up across the state. This is at least eight more than what was set up last year soon after the first wave of the COVID-19 pandemic. But unlike last year, most facilities this year were arranged within the prison premises.

At these centres, every prisoner who has to travel outside for reasons including health, is kept separately for around seven days. This segregation, in principle, might be a scientific option but it is not well thought out. The unliveable condition inside these quarantine centres has pushed prisoners away from accessing health facilities outside the jail. 

Since the COVID-19 outbreak last year, as many as 44 prisons have reported infections. According to jail officials, a total of 4,049 prisoners have been infected since March last year. Of them, 3,864 have already recovered, 13 have died and there are at least 172 active cases across different prisons. 

‘Quarantine centres more congested than usual quarters’

Several prisoners who have been sent to quarantine facilities have complained that only a small barrack – usually the most ignored and ill-equipped part of the prison – has been converted into a quarantine centre. These barracks, they complain, are more congested than the usual barracks.

Also read: As COVID-19 Cases Rise, Activists, Lawyers Appeal for the Release of Prisoners in Delhi

“In barracks where you have four toilets, only two work. There is no adequate running water in most centres,” says lawyer Payoshi Roy, who has been in constant touch with her clients in Mumbai’s various prisons. At least three of her clients – one of whom has cancer – have ended up in such a “quarantine facility” in the past few months. 

In Maharashtra, Roy says all that the prison department has focused on is bringing overcapacity down to stipulated capacity. “But these efforts mean nothing in this pandemic. To ensure some kind of physical distance in jails, the total number of prisoners should have been reduced to at least two-thirds of the total capacity,” Roy notes. But the prisons in the state have over 34,000 prisoners, close to 10,000 more than capacity. 

Until last week, only 1,102 Maharashtra prison inmates, including 1,007 undertrials and 95 convicts, had been released on interim bail and emergency parole. This decongestion drive was taken up following the recommendation made by the High Power Committee set up last year primarily to decongest the jails. 

Last month, when Hany Babu, a 54-year-old Delhi University associate professor and one of the 16 accused in the Elgar Parishad case of 2018, fell sick, one of the immediate demands voiced by his lawyer was access to clean, running water. He had a severe bacterial infection in his left eye and at the Taloja central prison where he was lodged, clean tap water was not available. His family, in a press note, mentioned that Babu’s eye condition had further deteriorated because of the soiled water he was forced to wash his eye with.  

Also read: Two Days After HC Orders Hospitalisation, Stan Swamy Tests Positive for COVID-19

Jyoti Jagtap.

At some quarantine centres, prisoners attempted to take things in their own hands.

Jyoti Jagtap, an artist with the cultural troupe Kabir Kala Manch, and arrested for her alleged role in the Elgar Parishad case, started pranayama classes at the quarantine centre set up opposite Arthur Road central prisons.

“She was at the centre for close to a month. It was a difficult time but we (her legal team) wanted her to do her best to survive in that space. Since she knew a few yoga movements, especially the breathing exercises, we encouraged her to practice and help others at the quarantine centre too,” says her lawyer, Susan Abraham. A suggestion to provide eggs to ailing prisoners was also made, Abraham adds.   

Communication gap and staff

Besides the congestion and unhygienic living conditions, another problem that prisoners, their family members and lawyers have constantly complained about is the lack of proper communication channels at these quarantine centres.

Advocate Desai has, in fact, raised this issue several times in the high court. There is a court order directing prison authorities to ensure similar facilities like those in prisons are made available at these temporary quarantine centres too, Desai says. “But that isn’t the case in most centres,” he points out.

“Most times, lawyers and families are not even informed where a prisoner is lodged. And in most centres, there are no proper telephone services established. This problem happened last year and it still persists,” Desai adds.

Prisons – besides being overcrowded, also lack adequate staff – particularly medical staff. In some prisons, instead of the required allopathic doctors, Ayurvedic doctors have been appointed. These doctors have been, from time to time, accused of administering medicines they are not qualified to give. In some jails, there is just no medical care available at all. Prisoners in Kalyan and Jalgaon district jails have complained of receiving only “iron tablets” for any kind of illness. 

Since the jails do not have enough staff to spare, the government has deputed Zilla Parishad and municipal corporation employees to handle the quarantine centres. “They are barely equipped to handle a prison system. Not all of them are healthcare workers. The state has not made doctors or appropriate health workers available in most quarantine centres,” Desai added. 

*Name changed to protect identity

Token Temporary Measures to Decongest Prisons Can’t Save Inmates from COVID-19

Immediate and permanent measures to improve medical care in prisons are necessary to prevent any colossal tragedy, as already 2,803 inmates have tested positive for COVID-19 in the country.

The second wave of the COVID-19 pandemic has resulted in another spike of positive cases in prisons across the country. According to various news reports, in prisons across the country, as many as 2,803 inmates have tested positive for COVID-19, and nine inmates and one prison staff have succumbed to the virus during the second wave of the pandemic since March 2021.

Prison inmates are one of the most vulnerable populations during a pandemic. As they assume the status of ‘ward of the state’ and are entirely dependent on the authorities for their wellbeing, the government has a greater responsibility to protect their right to life and health. This responsibility lies with the state government as per Schedule VII, List II, Entry 4 of the constitution

On May 7, taking cognisance of the spread of the pandemic in prisons, the Supreme Court ordered the state authorities to limit arrests and decongest prisons. Earlier, on April 16, the Bombay high court initiated suo-moto public interest litigation (PIL) to address this situation. On April 20, the Bombay high court issued an order directing the state government to conduct an RT-PCR test for every individual arrested and vaccinate every accused above 45 years. Further, the court also directed the state to establish temporary prisons and COVID-19 care centres, and release inmates on parole and interim bail to minimise the outbreak.

Also read: As COVID-19 Cases Rise, Activists, Lawyers Appeal for the Release of Prisoners in Delhi

In March 2020, the Supreme Court had recommended similar temporary measures to prevent the outbreak in the prisons. However, even after these measures, the pandemic resulted in as many as 18,157 positive COVID-19 cases and 17 deaths in prisons last year.

Representative Photo: Public domain

Inadequate temporary measures 

Lack of infrastructure, poor sanitation and medical care has been a longstanding concern for our prison system. These issues have exacerbated during the pandemic, making inmates extremely vulnerable to the virus. In the absence of measures to address these concerns, the temporary measures to decongest prisons have quite naturally been insufficient to address the spread of infection.

a. Decongestion of prisons

On March 23, 2020, the Supreme Court asked states to consider releasing prisoners on parole and interim bail to decongest the prisons. However, the measure proved insufficient as even after the implementation of this direction, 27% of the prisons in 19 states continue to be overcrowded.

The limited functioning of the courts and procedural hurdles delayed decongestion measures across the country. Moreover, the increased use of criminal justice machinery during the lockdown resulted in a high number of arrests, thereby nullifying the effect of this measure. A study by the Criminal Justice and Police Accountability Project shows that in Madhya Pradesh, while the state government released 6,500 to 7,000 inmates to decongest prisons, in the immediate months after the announcement of the lockdown, just as many new undertrial inmates (6,497 inmates) were added to the prison population. As a result, at the end of June 2020, 109 out of 131 jails in Madhya Pradesh continued to be overcrowded, and 23 jails housed twice the number of inmates than their capacities.

b. Isolation of new inmates

The isolation of new prison inmates intends to decrease the ingress in prison and thereby transmission of the infection from outside. However, in the absence of proper sanitation and medical facilities in prisons, it is difficult to expect a healthy and caring environment in these isolation centres.

The accounts of undertrial prisoners in the Panchpouli COVID-19 quarantine centre are highlighted in these articles (here and here) published on The Wire. As per one undertrial prisoner, while the new inmates were housed separately from those tested positive for COVID-19, there was no such separation during meals. Further, as per the accounts, the isolation centre had very poor sanitary conditions and a total lack of medical support, even for pregnant inmates.

c. Establishing COVID-19 care centre

A COVID-19 care centre is important to ensure medical care to the inmates. However, establishing such centres will also require a sufficient number of medical professionals. As per the Prison Statistics 2019, as of December 31, 2019, prisons in India had only 762 medical officers to care for 4,78,600 prison inmates.

The lack of medical professionals in prisons and general apathy towards prison inmates may result in inhumane conditions for those suffering from COVID-19. The recent reports regarding the condition of Kerala journalist Siddique Kappan raise similar concerns. In a letter to the Chief Justice of India, Kappan’s wife Raihanth noted that Siddique, who tested positive for COVID-19 in Mathura prison and was undergoing treatment in KM Medical College Hospital, was chained to a cot like an animal and was even denied access to the toilet.

Inmates at the Patiala Central Jail stitch masks to help deal with the COVID-19 outbreak. Photo: PTI

Immunisation of inmates 

Despite being one of the most vulnerable demography in this pandemic, the majority of prison inmates are yet to receive vaccine jabs.

Also read: COVID-19: PUDR Asks Delhi HC to Take Action on ‘Alarming’ Situation in City’s Prisons

Recently, some states like Delhi, Madhya Pradesh, Punjab, and Kerala have initiated vaccination drives for inmates. However, except Kerala, no other states have provided a clear timeline for the vaccination programme. In the absence of any plan to prioritise prison inmates for vaccination, the looming shortage of vaccines can further delay their immunisation.

Build capacity and amplify medical care in prisons

In their order, the Bombay high court observed that the present prison system is “woefully short of the requirements” and said that it is “high time that the appropriate department of the (state) government looks into the proposals as early as possible and conveys the green signal for setting up new prisons…”

Though establishing new prisons requires extensive planning and adequate budgetary allocation, an expedited process is crucial to address the capacity constraints and prepare the prisons for similar challenges in the future.

Apathy towards prisoners and the absence of adequate medical care will make it impossible to tackle the rising COVID-19 cases in prisons. Immediate and permanent measures to improve medical care are necessary to prevent any colossal tragedy.

Aditya Ranjan is a Research Fellow for the Judicial Reforms Initiative at the Vidhi Centre for Legal Policy.