Adiala HIV outbreak

The disclosure that 148 inmates of Adiala Jail are HIV-positive should shame the Punjab prisons department and the provincial health authorities in equal measure. It is the single largest cluster detected in any prison across the province, and is a damning indictment of the conditions in which prisoners are being kept. With a sanctioned capacity of 1,994, Adiala jail currently houses 4,337 inmates — more than double its limit. Under such circumstances, the spread of disease is neither surprising nor accidental, but rather an inevitable result of outright neglect.

That this crisis has been allowed to fester reflects a complete abdication of responsibility by those tasked with safeguarding the health and rights of prisoners. Prisons are not closed systems. Inmates cycle in and out. Staff go home each day. Outbreaks that begin inside can spill into the community, burdening an already stretched public-health system. International practice shows that early detection and timely treatment can reduce transmission rates.

Jails are not beyond the pale of the law. The Constitution guarantees even those behind bars the right to life and dignity. Yet Punjab's prisons resemble warehouses of misery. The presence of a former prime minister in the same facility has drawn additional scrutiny. While Imran Khan is held in isolation, the fact that such diseases are spreading within the jail walls raises obvious concerns about the overall environment in which prisoners are confined.

The provincial government and prison authorities can no longer look away. Overcrowding must be addressed through reforms to bail laws and alternative sentencing. Regular medical screenings and proper treatment facilities are urgently needed. The state's contempt for those it incarcerates is now endangering lives — and with it, its own claim to justice.