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"content": "Officer, the Director of Health Services in the Kenya Prisons Service, the Director of Water in the Ministry of Water and Irrigation, the Chief Executive Officer of the Nairobi Water and Sewerage Company and the Commissioner of Prisons. The team of experts reached important findings. (a) The team found that the infection was cholera, caused by vibrio cholera, a highly contagious bacterium that is spread orally through contamination of water or food. Cholera is reputed to attack very swiftly without warning and the period between onset and fatality can be as brief as 45 minutes. Typically, it can be between 45 minutes and four hours. (b) The team found out that the source of infection was a newly admitted inmate who was a healthy carrier of the bacteria. (c) The team tested the water consumed and used at the prison both from the borehole and from the Nairobi Water and Sewerage Company and both samples were found to be bacteria free and safe for human consumption. (d) The team found out that the spread of the infection was not due to congestion - although the prison is highly congested; it has a capacity of 1,300 inmates but, today, holds 3,100 inmates. (e) The doctors found out that many of the cases that had resulted in death had prior health conditions that complicate the management of cholera. Three of the dead inmates, for instance, were already physically weak and on anti-retroviral medication. Two were anaemic and on malaria treatment. Two were in an advanced age of approximately 70 years and were fairly weak. One had chronic liver disease, commonly known as cirrhosis. (f) The team also found out that the health facility at the Kamiti Maximum Prison required upgrading to a district hospital status to cope with the difficult situations that occasionally arise. The Minister has since commenced plans to expand that facility. As I said earlier, this includes Kodiaga Prison in Kisumu."
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