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EXHIBIT a Declaration of Dr. Georges C. Benjamin

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EXHIBIT a Declaration of Dr. Georges C. Benjamin EXHIBIT A Declaration of Dr. Georges C. Benjamin I, Georges C. Benjamin, M.D, declare and state as follows: 1. I am the Executive Director of the American Public Health Association (APHA). I have served in that role since December, 2002. The APHA has more than 25,000 individual public health professional members and our mission is to: “Improve the health of the public and achieve equity in health status.” 2. I am a graduate of the Illinois Institute of Technology and the University of Illinois College of Medicine. I am licensed to practice medicine in Maryland and the District of Columbia. I am board-certified in internal medicine and a Master of the American College of Physicians, a fellow of the National Academy of Public Administration, a fellow emeritus of the American College of Emergency Physicians, an elected member of the National Academy of Medicine (Formally the Institute of Medicine) of the National Academies of Sciences, Engineering and Medicine, a honorary fellow of the Faculty of Public Health and an honorary fellow of the Royal Society of Public Health. 3. I served as the Secretary of the Maryland Department of Health and Mental Hygiene. I became Secretary of Health in Maryland in April 1999, following four years as its Deputy Secretary for Public Health Services. I served as Secretary of the Department until December of 2002. 4. Following graduation from medical school, I began my career at the Madigan Army Medical Center in Tacoma, Washington in 1981, serving there until I was transferred to the Walter Reed Army Medical Center in Washington, D.C. in 1983. Following my discharge from the United States Army in 1987, I was appointed as Chair of the Department of Community Health and Ambulatory Care at the District of Columbia General Hospital, serving in that post until December of 1990. From January 1990 to the fall of 1991 I was the Acting Commissioner for Public Health for the District of Columbia, and the Director of the Emergency Ambulance Bureau in the District of Columbia Fire Department. I returned to serve as the Director of the Emergency Ambulance Bureau from 1994 to 1995. 5. I started my medical practice in the United States Army, where, from 1981 to 1983 I managed a 72,000-patient per year ambulatory care service as chief of the Acute Illness Clinic at the Madigan Army Medical Center and was an attending physician within the Department of Emergency Medicine in Tacoma, Washington. From 1983 to 1987 I served as chief of emergency medicine at the Walter Reed Army Medical Center. 6. In April 2016, I was appointed by President Obama to the National Infrastructure Advisory Council. In that role, I help advise the President on how best to assure the security of the nation's critical infrastructure. 7. I have extensive experience working on issues related to vulnerable populations including people who are incarcerated. Coronavirus Epidemic 8. On March 11, 2020, the World Health Organization declared that the rapidly spreading outbreak of COVID-19, a respiratory illness caused by a novel coronavirus, is a pandemic, announcing that the virus is both highly contagious and deadly.1 To date, the virus is known to spread from person-to-person through respiratory droplets, close personal contact, and from contact with contaminated surfaces and objects.2 The CDC also warns of “community spread” where the virus spreads easily and sustainably within a community where the source of the infection is unknown.3 Experts are still learning how it spreads. 9. The incubation period (between infection and the development of symptoms) for COVID-19 is typically five days, but can be as short as two days. Some infected persons never experience symptoms. There is evidence that transmission can occur before the development of symptoms or from persons who are infected and never develop symptoms. 10. As of April 4, 2020, novel coronavirus has infected more than 1,139,207 people, leading to more than 60,874 deaths worldwide.4 In the United States, there are at least 278,537 confirmed cases and there have been at least 9,920 deaths.5 There are confirmed coronavirus cases in every state, the District of Columbia, Puerto Rico, Guam, and the U.S. Virgin Islands. 11. The first COVID-19 cases in Maryland were reported on March 5.6 The virus has been spreading rapidly. There have been at least 3,125 COVID-19 confirmed cases in Maryland and 53 deaths as of April 2, 2020.7 12. The COVID-19 virus has made its way into the Maryland correctional system. As of April 3, the Maryland Department of Public Safety and Correctional Services reported at least three prisoners, eight staff and two Division of Probation and Parole employees have been 1 World Health Organization, Media Briefing on March 11, 2020: https://www.who.int/dg/speeches/detail/whodirector-general-s-opening-remarks-at-the-media-briefing-on-covid-19- --11-march-2020. 2 Centers for Disease Control and Prevention, Coronavirus Disease 2019: How it Spreads, https://www.cdc.gov/coronavirus/2019-ncov/prepare/transmission.html 3 Id. 4 Johns Hopkins University Coronavirus COVID-19 Global Cases by the Center for Systems Science and Engineering, https://coronavirus.jhu.edu/map.html. 5 Id. 6 Ovetta Wiggins and Jenna Portnoy, Coronavirus in Maryland: three Montgomery County residents contracted the virus, The Washington Post (5 March 2020). 7 See Maryland Dep’t of Health Coronavirus Disease 2019, http://coronavirus.maryland.gov (last accessed April 4, 2020). 2 US-DOCS\114846822.1 confirmed infected.8 These infections are geographically dispersed in Jessup, Baltimore, and Hagerstown and led to quarantines in correctional facilities.9 First responders throughout the State have confirmed infections.10 This does not capture the full extent of cases, as there have been reported cases at County detention centers, including Prince George’s County.11 13. There is currently no vaccine or cure for COVID-19. The Centers for Disease Control and Prevention have emphasized the need to prevent further transmission of the virus. To prevent new infections, the Centers for Disease Control and Prevention strongly recommend the following actions: physical distancing by keeping at least 6 feet of space between people, avoiding group settings, thorough and frequent handwashing, and cleaning surfaces with EPA approved disinfectants.12 The President’s Coronavirus Guidelines for America, to slow the spread of the coronavirus, warns that social gatherings in groups of more than 10 people should be avoided.13 14. On March 23, 2020, the CDC issued “Interim Guidance on Management of Coronavirus Disease 2019 (COVID-19) in Correctional and Detention Facilities.” This Guidance was drafted with the recognition that people who are incarcerated live, work, eat, study, and recreate within congregate environments, heightening the potential for COVID-19 to spread once introduced.14 These measures emphasize the importance of physical distancing, medical isolation of symptomatic and infected individuals, rigorous screening, and significantly enhanced hygienic practices, and are the minimum measures necessary to limit transmission to incarcerated persons, staff and the public. 15. The CDC recommends that social or physical distancing strategies be implemented to increase the physical space between incarcerated persons, “ideally 6 feet between all individuals, regardless of the presence of symptoms.” 8 BREAKING: COVID-19 in MD Prisons; 17 People Test Positive, Fox 45 News (April 3, 2020); https://foxbaltimore.com/news/coronavirus/breaking-covid-19-in-md-prisons-17-people-test-positive. 9 Id. 10 Coronavirus Latest: Anne Arundel County Police Officer Test Positive for COVID-19, WJZ Channel 13, CBS Baltimore (April 2, 2020): https://baltimore.cbslocal.com/2020/04/02/coronavirus-latest-anne-arundel-county- police-officer/; Coronavirus Cases: 2 Baltimore Sheriff’s Deputies Test Positive for COVID-19 WJZ Channel 13, CBS Baltimore (April 2, 2020): https://baltimore.cbslocal.com/2020/04/02/coronavirus-cases-2-baltimore-sheriffs- deputies-test-positive-for-covid-19/. 11 Keith L. Alexander , Dan Morse and Spencer S. Hsu, As inmates in D.C., Maryland and Virginia test positive for the coronavirus, jail officials scramble to reduce the risk, Washington Post (Apr. 1, 2020). 12 How to Protect Yourself, Centers for Disease Control and Prevention, https://www.cdc.gov/coronavirus/2019- ncov/prepare/prevention.html. See also Coronavirus, Social Distancing, and Self-Quarantine, Johns Hopkins Medicine, https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronavirus/coronavirus-social- distancing-andself-quarantine. 13The President’s Coronavirus Guidelines for America, https://www.whitehouse.gov/wpcontent/uploads/2020/03/03.16.20_coronavirus-guidance_8.5x11_315PM.pdf. 14 Interim Guidance on Management of Coronavirus Disease 2019 (COVID-19) in Correctional and Detention Facilities, Centers for Disease Control and Prevention, https://www.cdc.gov/coronavirus/2019- ncov/community/correction-detention/guidance-correctional-detention.html. 3 US-DOCS\114846822.1 16. The CDC specifically recommends enforcing space between people in common areas; reassigning bunks to provide more space between people “ideally 6 feet or more in all directions”; staggering meals and time in recreational spaces; limiting the size of group activities; and rearranging seating in the dining hall so that there is more space between individuals. 17. To mitigate the spread of Covid-19 in correctional setting, the CDC recommends that facilities clean and disinfect surfaces and objects that are frequently touched several times per day; ensure there is sufficient stocks of hygiene supplies, cleaning supplies, and medical supplies; provide a no-cost supply of soap, running water, disposable towels, tissues and no- touch trash receptacles for disposal to people in custody sufficient to allow for frequent hand washing; and consider relaxing restrictions on allowing alcohol-based hand sanitizer where security concerns allow. 18. The CDC recommends rigorous screening protocols.
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