Residential institutions such as prisons are known to be pressure cookers for epidemics in that everyone is living in close quarters, often with air systems that recycle the same air over and over. Jails and prisons are particularly risky because such a high percentage of people in these institutions enter with poor health and have compromised immune systems due to other challenges. The same is true for homeless shelters, drug treatment facilities, etc. Given the lack of leadership from the federal government, it is critical that people who work and live in these facilities became loud advocates for their safety.