La Rocca v. Dalsheim

120 Misc. 2d 697, 467 N.Y.S.2d 302, 1983 N.Y. Misc. LEXIS 3785
CourtNew York Supreme Court
DecidedAugust 8, 1983
StatusPublished
Cited by2 cases

This text of 120 Misc. 2d 697 (La Rocca v. Dalsheim) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
La Rocca v. Dalsheim, 120 Misc. 2d 697, 467 N.Y.S.2d 302, 1983 N.Y. Misc. LEXIS 3785 (N.Y. Super. Ct. 1983).

Opinion

OPINION OF THE COURT

Albert M. Rosenblatt, J.

At issue is the potential spread or threat of AIDS (Acquired Immunodeficiency Syndrome)1 at Downstate Correctional Facility in Fishkill, New York.

[698]*698Procedurally, the petitioners, as inmates at Downstate, have proceeded under CPLR article 78, alleging that the Department of Correctional Services has established an AIDS program at Downstate without adequate and proper facilities, and that petitioners’ rights and those of others similarly situated are being violated.

The petitioners seek an injunction against forming or maintaining a central AIDS program at Downstate, and an order halting all inmate and employee movement in and out of the prison until examinations are given to inmates and employees to insure that the disease has not spread. Lastly, they seek an order removing all AIDS sufferers from the prison for treatment at a hospital.

The State denies the existence of “any threat to the health and/or safety of the petitioners,” and seeks dismissal, asserting that petitioners, inter alla, have not shown themselves to be affected by any action or policy of the respondents. Commendably, the Attorney-General focused on the merits, subordinating technical arguments.

The court held a hearing, both at Downstate and in the courthouse, at which it took proof on the incidence of AIDS at Downstate, the care and housing of afflicted inmates, the facility’s medical and hygienic procedures, and other evidence, including medical testimony, in order to determine — to the extent that current scientific knowledge allows — whether people at Downstate are in any special danger of contracting the syndrome.

There is no doubt that this proceeding was generated by widespread concern over the threat of AIDS to the national population generally, and, in particular, to certain “high risk” groups, including those which, to a significant degree, inhabit correctional facilities.

News reports of the potential spread of the syndrome have been enough to alarm anyone, through media characterizations of hysteria,2 epidemic,3 tragedy,4 lethal mys[699]*699tery,5 and the deadly spread6 of a phenomenon which one journalist termed a potential threat to the United States blood supply.7

The top health official of the United States called the battle against AIDS the number one priority of the United States Public Health Service.8

Further, media accounts have produced a heightened anxiety among homosexuals, a group reported to be a prime target of AIDS. The accounts have described a frightened homosexual community,9 the appearance of hot lines, crisis centers, medical advisory boards, and informational newsletters for homosexuals.10

After homosexuals, the affliction most often strikes intravenous (IV) drug users.11

These journalistic accounts have been fortified by equally disquieting medical and scientific writings which stress the enigmatic relentless nature of the ailment.12

It would be surprising, amid this climate of national concern, if an unsettling atmosphere did not exist among inmates and correction officers in the very institutions which combine a relatively high incidence of intimate sexual contact among males, and a significant number of IV drug users — the two most afflicted AIDS groups. The popular press has reported as much.13 Indeed, the coalescence of the two high-risk groups marks it for special attention.14

[700]*700That being so, it falls to the court to evaluate the risks by examining the known features of AIDS as measured against the existing conditions at Downstate.

THE SYNDROME

Much of the information and statistical data on A TPS emanates from the United States Department of Health and Human Services, Public Health Service, Centers for Disease Control in Atlanta, Georgia (hereinafter CDC), which define AIDS, for purposes of epidemiologic surveillance, as “a reliably diagnosed disease that is at least moderately indicative of an underlying cellual immunodeficiency in a person who has had no known underlying cause of cellular immunodeficiency, nor any other cause of reduced resistance reported to be associated with that disease.”15

Dr. John P. Hanrahan, an internal medicine specialist and epidemiologist at the CDC, testified that the cellular immunodeficiency referred to is a condition in which the body’s immune system is compromised, impairing its ability to resist infections which, in the normal system, would be easily defeated.16

As a result of this dysfunction, the body becomes a defenseless host to an array of opportunistic infections or rare cancer disorders, notably, a previously exotic malignancy known as Kaposi’s sarcoma17 which, though formerly limited to males in equatorial Africa and elderly men of eastern European descent,18 has now appeared in 30% of all AIDS cases, and a variety of pneumonia — generally fatal for AIDS sufferers — which has appeared in 50% of all AIDS cases.19

[701]*701The immunodeficient condition produces symptoms which include enlarged lymph nodes (swollen glands), diarrhea, unexplained weight loss, and persistent skin markings associated with Kaposi’s sarcoma.20

Its incubation period is uncertain and is variously said to range anywhere from 1 to 4 years.21

THE DEMOGRAPHICS OF AIDS IN COMPARISON TO THE PRISON POPULATION

Downstate Correctional Facility is a reception and classification center. Its inmate population is slightly over 1,000, but there is a monthly turnover of more than two thirds. Prisoners enter Downstate for classification and are sent to other correctional facilities in the State. Thus, over the course of a year, there would be almost 10,000 inmates passing through Downstate. Of these, the majority are from New York City.22

1,922 cases of AIDS have been reported in the United States and Puerto Rico as of July 26, 1983, 75% of whom were homosexuals, 13% were heterosexual IV drug users, 6% were heterosexual, drug free, Haitians, and 0.3% were hemophiliacs who did not fall into the other three groups. The remaining 5% fall outside of the four groups.23

Nationally, a narrow geographic distribution has been identified, in which a. substantial number of AIDS victims are from New York City; 45%, or more than four times greater than the next highest city, San Francisco.24

[702]*702More than 700 cases were reported in New York City in 1983, with the figure doubling monthly, and predictions of possibly 20,000 cases within two years.25

On considerations of age,26

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Related

Harris v. Thigpen
727 F. Supp. 1564 (M.D. Alabama, 1990)
Rivers v. State
142 Misc. 2d 563 (New York State Court of Claims, 1989)

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Bluebook (online)
120 Misc. 2d 697, 467 N.Y.S.2d 302, 1983 N.Y. Misc. LEXIS 3785, Counsel Stack Legal Research, https://law.counselstack.com/opinion/la-rocca-v-dalsheim-nysupct-1983.