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117 Dead

Since 2000, dozens have died in county jails. Poor medical care has contributed to the problem.

Yeisleny Nodarse inhaled sharply when she walked into the Kendall Regional Medical Center's intensive care unit.

It was March 2007 and the pretty, raven-haired 20-year-old was there to visit her uncle, Rodolfo Ramos. But she barely recognized the man who lay in the bed before her. His eyes, once a warm, mischievous brown, were half-closed, dull, and unfocused. He was slack-jawed — lips purple, swollen, and cracked. His normally latte-color skin was pale and tinged with death.

Shaking, Yeisleny stepped closer and gently stroked his skinny arm. She peered at his face, focusing on his nose and cheeks, where there were dozens of tiny, raised black spots. She would later discover they were ant bites.

Her eyes traveled slowly down his body, past the open sores on his forearms to bruises on his emaciated legs. His hands were enormous, "like an elephant's," she recalls. It was difficult to know where to look without cringing. The last time she had seen Tio Rodolfo, he was a barrel-chested, grinning guy who liked to salsa dance. Now his feet had a bluish tint, and there were open sores on the tips of his big toes. These wounds, she would learn, were the work of rats.

Then Yeisleny noticed the 41-year-old's ankles were shackled to the bed.

I know he was in jail before he was brought to the hospital, she thought angrily. But why is he shackled? Where's he going to go? He's dying.

Ramos had been accused of kidnapping and battery when he walked into Miami-Dade's Metro West jail in February 2006. He left a year later — before a trial could be held — in a coma. An ambulance delivered him to Kendall Regional. After seeing his lifeless body — and hearing from a nurse he was 93 percent brain-dead — Yeisleny had called a lawyer and shared her suspicion: The people in the jail "were killing her uncle," she said. Not the inmates, but the guards and medical staff. Ramos, who was diabetic and had other health problems, didn't receive insulin or the proper medical care while behind bars. "He was left to die," Yeisleny says flatly. Indeed Ramos shuffled off this mortal coil April 14; the official cause of death is still undetermined.

Ramos is one of at least seven Miami-Dade inmates who have passed away under suspicious circumstances since January 2006. Some of the others:

• Kippo Pruitt, age 51, was in jail on a drug charge. He died May 21 after slipping into a diabetic coma. Family members say he didn't receive needed insulin.

Eugene Smith was awaiting trial on attempted murder. The 21-year-old was in a solitary cell and on suicide watch when he overdosed April 1. It is believed he had hoarded medicine provided by prison health care.

Lazaro Diaz, age 36, complained of chest pains while in jail 18 months ago. He had a heart attack a few days later. His pleas for help might have been ignored by jailers — though they found no "inappropriate behavior" by the staff.

Willie Daniels, a 57-year-old mentally ill inmate, died of hypothermia in January 2006. Arrested for lunging at an officer, he was found comatose in the psychiatric ward, his temperature a chilly 79 degrees. Jailers called the death accidental.

• Twenty-two-year-old accused gang member Arlin Madrid Reyes complained of stomach pains November 1. He died six days later of salmonella poisoning. Jailers couldn't find the source, but the kitchen was "under health department review," according to an investigation, and 18 others also showed signs of salmonella.

At least 15 other former inmates claim they received shoddy medical care. Many contend they were permanently affected by the poor treatment. All but one were awaiting trial when the subpar care was administered.

Who's responsible? First there's the Corrections Health Service, which is run by the Jackson Public Health Trust and spends $24 million of taxpayers' money each year to care for county inmates. Trust Chairman Ernesto de la Fe, Vice Chairman John Copeland III and board member Javier Souto (who is also a county commissioner) didn't return repeated calls seeking comment.

One Public Health Trust board member — former Miami-Dade Police Capt. Diego Mello — was unaware of the travesty. "I haven't heard anything about this," Mello said when reached by phone. "What you're telling me is new."

Then there's Miami-Dade Corrections Chief Tim Ryan, who took the helm from Charles McRay in late 2006. He is ultimately charged with keeping inmates safe, and alive, while in custody. Following the August 6 suicide of inmate Christopher Walls (who was awaiting trial on charges of killing a bail bondsman) at Turner Guilford Knight Correctional Center, a full review of procedures is under way, the jail chief tells New Times. "[Corrections] investigates every inmate death," Ryan states via e-mail. "We are constantly reviewing policy, procedures, and practices to ensure that we maintain the expected operational levels of the community standards of care."

Says Miami attorney David Kubiliun, who has been in contact with many of the families of the ill and deceased — and plans to sue in federal court soon: "For many years this problem of medical care has been ignored. These people are criminals in the public's eye. No one really cares. But all of these guys have one thing in common: They aren't in a prison. They are accused in the eyes of the law. They are as innocent as you and I."


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  • tereska smith 07/12/2010 10:11:00 PM

    hi my name tereska smith and my brother eugene smith was placed on suicide watch should have been watch and should not been given any kind of medicine which he was still giving and he committed suicide over dose. i wish its some one who can help me so that i can sue dade county jail.

  • SHAWN 01/31/2009 5:03:00 AM

    THIS IS SO FREAKING SAD FOR MY BABY LUCKY SHE THE 1 IN THE WHITE SHES SO STRESSED BOUT THIS AND THAT FAT GIRL KEEP BUGGIN HA BUT THATS WHY WE MOVIN TO NEW YORK

  • Patty 08/30/2008 3:10:00 AM

    The inmates in Metro West Detention Center are not getting good medical attention. CHS Medical Director Dr. Kathryn Villano, which I believe doesnt work at Metro West anymore, she is aware and does not care what goes on in Metro West. I have a recording from the compliance officer stating that the medical staff at Metro West have not taken care of the inmates.

  • Roscoe 07/04/2008 5:43:00 PM

    I recently did a sentence in miami dade. they treat you worse than a caged dog and youll get sick within days, people die in there. a lot of people in there arent criminals and just waiting to go to court.its worse than any hell you can imagine.u wouldnt know how many health violations they have unless you go

  • BH 08/24/2007 9:14:00 AM

    Unfortunately I was arrested recently and spent 1 1/2 days in Miami Dade Downtown jail. I was in awe at the conditions and I say this short of any bias. Standing room only in a filthy cell the first 20 hours. Many were sick, homeless and one person was throwing up all over the cell from I believe to be heroin. Water was scarce and the guards were arrogant. The next cell was controlled by the inmates who gave out jail necessities to the chosen. I witnessed a fight where an inmate punched another in the face for giving "lip" to one of the inmates running the cell. Guards looked the other way. Beyond disgusting.

  • Elizabeth 08/23/2007 3:19:00 AM

    SJS is also caused by cocaine. This guy should have been treated from day 1.

  • Mr. Karma 08/22/2007 4:30:00 AM

    I don't have any sympaty for criminals, however, i do not believe in torture or murder. Those who are in charge of these prisioners and violating their humans right shall be brought to justice. In a city with so many cry babies calling jails in Cuba inhumane, it's beyond believe what's happening right under their noses and not to take notice of it. May be Michael Moore could create a film about the corruption in this Banana Republic, not that i'm a fan of Mr. Moore but is there any other available options.

  • Jenny 08/22/2007 1:59:00 AM

    This is disgusting, again Miami is in the focus of bad and deadly headlines. I am wondering if the county jail's purchasing department is ordering more drugs and re-selling them on the black market or shall I say on the jail market. Yeah inmate, well save your life, for a cost???????????? Are they over the budget since there are so many inmates that need medical attention??????? How's about a forensic investigation on that department. Taxpayers money, I would love to see the requisitions for the "Medical Supplies" we are told they are purchasing, where is MY taxpayer money going to? I can go to Jackson for free and get the help I need, or any county hospital for that matter, why are these people left to die????????????? Is this what Florida calls "Capital Punishment", we use this so we dont have to electricute them, just let them die on our cells, oh yeah and we will dispose of them naturally, well let the rats eat them, you will have no burial fees. What is Justice coming too...............................

  • Claire and Francesca Contreras 08/21/2007 8:23:00 PM

    We loudly applaud the realities this article brings to surface. We are not especially informed on the conditions of Miami Dade jails but it seems the disturbing factual accounts of inhumanity highlighted speak for themselves. We would only critisize that the article seems to agree with the fact that these inmates stand less of a chance of receiving adequate health care because of the charges they face and the outcomes of their trials. Jail is not a death sentence. The reasons they are in jail should be completely independent of the health care they receive while there. We feel the article should stress this point. The cop out offered by some of the officials responsible, that the conditions in jail are optimal to those on the streets and that the availability of health care is greater sets a horrifying standard. Not only is the lesser of two evils argument inhumane but certain cases detailed in the article show that many inmates' health conditions declined significantly once inside or developed because of jail conditions. Finally, while the argument that funding is inadequate may have some base one of the most startling facts 117 Dead reveals is the drop in full-time employees between 2003 and 2006 despite a constant budget of 24 million, where is this money going?

  • JT Garmin 08/19/2007 12:28:00 AM

    It seems to me, being a prudent man, that we have much more to worry about in this city than criminals dying in jail. What about the children dying of starvation every day? Or the corruption in our city and county government? These are things that effect each of us. Corruption is so rampant in Dade County, it seems reporters could make a name for themselves investigating that. Such as county commissioners getting rich from kickbacks from lobbyists. Check their bank accounts before and after becoming commissioners. Or their lavish lifestyles. On a commissioners pay? How poetic.

  • K'Shawn Delta 08/16/2007 4:08:00 AM

    Elephants do not have hands. It undercuts the New Times' credibility to publish such inaccurate and unverified allegations.

 
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