condition

Sheriff Robert Luna has asked the National Institute of Corrections to examine conditions and practices at Los Angeles County jails, a request made after 10 inmates died in jail custody in less than three months.

The request comes amid growing concern over conditions inside county lockups. In September, California Atty. Gen. Rob Bonta sued the Sheriff’s Department over what he called “unsafe and unconstitutional conditions at county jails.”

Luna has also faced questions from the Sheriff Civilian Oversight Commission over health conditions, health access, drug use, and other factors that have led to in-custody deaths.

Now, the Sheriff’s Department is asking the National Institute of Corrections to conduct a comprehensive review of county jails in an effort to reduce the number of deaths, Luna told The Times.

“I want someone to come in and review from top to bottom,” Luna said.

Specifics on when the review would begin, and what it would entail, have not yet been set, but Luna said the aim is to get an outside, “unbiased view.”

Officials with the National Institute of Corrections referred questions to the federal Bureau of Prisons, its parent agency, which did not respond to a request for comment.

The National Institute of Corrections provides state, local and federal resources and guidance.

The agency, according to its site, provides “on site technical assistance” to jail administrators, and also helps to identify “gaps in policy and practice.”

The review, Luna said, would entail “everything we’re doing from policy, procedure, facilities, to make sure we’re not missing anything,” Luna said.

Inmate deaths have raised concerns among top sheriff officials and agencies charged with overseeing sheriff operations. The department saw 46 in-custody deaths in 2025, a steep increase from the 32 reported in 2024.

In-custody deaths are reviewed by the Office of Inspector General and the U.S. Department of Justice.

Bonta’s lawsuit against the Sheriff’s Department, filed in September 2025, alleged inmates were being “forced to live in filthy cells with broken and overflowing toilets, infestations of rats and roaches, and no clean water for drinking or bathing.”

In a statement, Bonta’s office alleged that a lack of access to healthcare in the jails, and conditions inside, contributed to a “shocking rate of preventable in-custody deaths, such as suicides.”

In a previous interview, Luna referred to the spate of death at the start of the year as a “kick in the groin.”

Efforts to reduce deaths are challenging partly because the inmate population inside the jails has been increasingly older, and ill, Luna said, with many of them suffering from drug addiction or long-term conditions.

About 82% of those in custody disclosed at least one medical or mental health issue when booked, officials said.

According to department data, half of the 46 inmate deaths recorded in 2025 were listed as natural. Autopsy results to determine the causes of death are still pending in this year’s cases.

Luna has pointed to changes that have already been made as efforts to improve conditions, including deploying body-worn cameras at the Inmate Reception Center, Men’s Central Jail and Twin Towers Correctional Facility.

The department has also opened a remodeled mental health assessment area at the Inmate Reception Center, the primary intake and release point for county inmates near Men’s Central Jail.

Appearing on BBC Morning Live, Dr Punam Krishan gave exact time people should have cough for before getting it checked

A BBC doctor has said that this week, two patients came to her with a cough, and it turned out to be a disease with no cure. Appearing on BBC Morning Live, Dr Punam Krishan was speaking out about a chronic condition which 1.7 million suffer from – but hundreds of thousands more have without knowing.

And she explained exactly how long people should have a cough for before they get it checked out properly. Host Nick Knowles raised how a viewer had asked about COPD and cures he’d seen online, which claim it can be sorted out in 7-14 days. Because the weather has changed, people are also experiencing hayfever, and symptoms like a lingering cough or wheezing can be easy to dismiss.

Dr Punam said: “Over the last few years, I’ve been seeing more and more patients coming through to me and saying, ‘Look, I’ve seen this on social media or I’ve tried this’ and it has the potential to cause harm as well and there is a lot of misinformation and it can be really hard and you can see why adverts like this can be so appealing if you are somebody who’s living with COPD.

“So, for anyone who doesn’t know what that stands for, it stands for chronic obstructive pulmonary disease. It’s a term that we use to describe lung conditions that really make your breathing difficult. Now, the thing is if you do come across anything online, you’re not sure about it, always go to a trusted medical source.

“So, the NHS website’s a great place to start. Medical experts, speak to your doctor or your pharmacist before trying anything. Unfortunately, when it comes to COPD, it is a progressive lung condition, which means it can worsen over time. So, sadly, there isn’t a cure. Certainly, nothing over 7 to 14 days that’s going to make a difference.”

Dr Punam said the illness is often missed or just put down to ageing. She said: “Around 1.7 million people in the UK are currently living with COPD, but we believe that number is actually a lot higher. And that’s because the symptoms can develop over a long period of time and they tend to develop slowly . So, people tend to dismiss them or put it off to maybe it’s because I’m getting older. Maybe it’s because I’m unfit. COPD tends to be diagnosed when you’re like middle-aged or older adults, but it can affect anybody earlier as well.”

She said smoking is one of the most common causes. The two main problems within COPD are emphysema and chronic bronchitis. She added: “And what’s really happening in the lungs during that is that it causes inflammation. It causes narrowing of the airways. It causes scarring. It affects the tiny air sacs in our lungs whose job it is to transfer oxygen into the bloodstream so that we can breathe properly. So of course, if those are damaged, it really does impact you long term.”

She said people should not ignore coughs – and gave an exact time people should get it checked out. Dr Punam said: “A lot of people do just sit on it and dismiss it. The earlier you get it diagnosed, the better it is because there are lots of things that we can do to support the symptoms.

“So, if you have a new cough that is persisting, I would say the rule of thumb is four to six weeks. If something is persisting beyond that time, it’s not going away. You don’t know why you’ve got it, so have a chat with your doctor because we can investigate that to look at the root cause, but don’t just dismiss it. Anything more than four weeks, a cough that you just don’t know why it’s there, get it looked at.”

Nick asked: “We’ve had hay fever as we’ve been hearing this week already this year. Is that a complication?” Dr Punam said: “Well, it is. Just this week, actually, I had two patients who have COPD who came in because they felt that their hay fever had started affecting them.

“The thing is a quarter of people that have got COPD will be sensitive to pollen. We’re loving spring – it’s around the corner. But with that, of course, pollen counts rise and if you’re sensitive to that, it can affect your breathing. So often I find people with COPD can get misdiagnosed, or maybe it’s just a flare-up of the condition or a chest infection, but actually, if you’re coughing a lot more, if you’re producing a lot more phlegm, you’re congested, now is the time.”