Social distancing and personal infection control are almost impossible in overcrowded settings where poor ventilation and sanitation are likely increase the speed at which the virus spreads. In Bangladesh 10 doctors serve 68 prisons, while Ghana has two doctors covering 46 prisons with 15,000 inmates.
In prisons the mortality rate is already up to 50% higher than in the outside world.
Florian Irminger, executive director of Penal Reform International (PRI), said: “Prison systems globally were at crisis point before the coronavirus pandemic. Now prisons across the world are ticking time bombs set to be devastated by this virus because of overcrowding, lack of basic healthcare, limited access to clean water … and inhumane living conditions.”
Doreen Namyalo Kyazze, PRI’s Africa programme manager in Kampala, said: “It is frankly terrifying to think how Covid-19 will impact on prisons in the region, which are some of the most severely overcrowded in the world and are extremely lacking in healthcare services, as well as the most basic sanitary conditions.”