It appears to be the perfect environment for breeding a culture for many deadly diseases that we know. Possibly many that are unknown to modern science. A perfect place for these deadly diseases to mutate and a wonderful place to share our joys with the rest of the world - transporting to Your world. Some have died, others transferred never to be heard of again. Respiratory ailments are our normal or our most common.
Medical care is almost a joke.
Mrs. Farrell has a vested interest in saving costs for her company. Every dollar she does not spend on our medical care, is profit in her company s pocket. Thus, you have a direct conflict with medical care and the Deputy Warden. Not only that, but Deputy Warden Jerry Farrell forces all inmates outside at 7 AM under the guise of cleaning the dorms. However, every single dorm cleaner will tell you that it was much easier cleaning when the people were NOT outside.