The Volokh Conspiracy
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Is there Criminal Liability For Airline Passengers Who Knowingly Conceal COVID-19 Symptoms?
"EMT Who Gave CPR to Man Possibly Infected With COVID-19 on Flight Says He Has Virus Symptoms"
On December 14, a passenger boarded a United flight from Orlando to Los Angeles. Before the flight, the passenger exhibited several COVID-19 symptoms, such as lost of taste and smell. Indeed, the passenger's wife said the passenger was short of breath, and was flying back to Los Angeles to get tested for COVID. The United check-in process asks passengers if they are exhibiting any COVID symptoms. If they have any symptoms, they cannot obtain a boarding pass. Here the passenger lied to the airline.
During the flight, the passenger stopped breathing. Another passenger on the flight performed CPR. The flight made an emergency landing in New Orleans. The passenger was rushed to the hospital, where he died. The flight then continued to Los Angeles. Now, the good samaritan has coronavirus symptoms, including a headache, cough, and body aches. And United is scrambling to notify all of the other passengers.
Could the passenger (had he survived) been charged with some sort of criminal liability? More generally, can a person with COVID-19 be charged with recklessly putting others at risk of spreading the virus? My South Texas colleague Geoff Corn, and Professor Rachel E. VanLandingham, wrote an op-ed on this broader question. Here is an excerpt:
An American student was jailed in the Cayman Islands last week for violating the British territory's strict COVID-19 rules. The United States needs to start treating the reckless exposure of others to such risk as what it is: a crime. Whether charged as a violation of public health regulations, reckless endangerment or even criminal assault, the bottom line is that at some point people need to be held accountable for their indifference to the health and safety of others they interact with. And with the evolving ability to establish a real evidentiary link between such reckless indifference and a resulting COVID-19 death, even the prospect of involuntary manslaughter prosecution is not out of the question.
Proving such a serious crime might seem implausible, but it's not as much of a leap as some may assume. One example is a recent report about nursing home workers in Washington state whose decision to attend a wedding appears to be directly linked to the deaths of some of their patients. As with drunken driving, where prosecutors can prove a victim's death was a reasonably foreseeable consequence of a defendant's recklessness, involuntary manslaughter is an appropriate charge.
Criminal prosecution for reckless conduct serves to deter others from putting the rest of us at risk. We recognize prosecuting such cases would be neither routine nor easy, and that it would be challenging to prove a causal link between a defendant's reckless conduct and a subsequent COVID-19 death. Nonetheless, do these challenges justify continuing to simply shrug our collective shoulders at such blatant, knowingly risky — that is, reckless — conduct? Should those who recklessly endanger the rest of us as the result of this behavior do so with impunity?
In this case, the passenger died. But his wife knew, and perhaps encouraged him to fly, knowing that he had symptoms. Could she be charged on some sort of accomplice liability theory?
These questions are beyond my area of expertise, but I wanted to flag them here.
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IANAL .... but if negligence can be criminal in some cases, I'd think it could be charged here too. Gross negligence? Reckless endangerment? I have seen several such terms but do not know the legal "definitions", which probably change from jurisdiction to jurisdiction, and depend on the type of law. I don't know what it takes to prove these things.
Related question -- whose criminal law applies? State of takeoff, state of destination, state over whose airspace the contact was made with the other passenger, or federal law? Or any one of these?
Probably federal law, plus any state on or above whose territory the alleged criminal endangerment occurred.
Quarantine laws allow the confinement of people who are infected. They do not allow the confinement of people who are not. AIDS patients have been charged with attempted murder after having sex with people without informing them of their infectious status.
State v. Hinkhouse, 912 P.2d 921 (Or. App. 1996)
Have any of those AIDS patients been convicted -- a DA can indict a ham sandwich, and I'm more interested in precedent of convictions being upheld.
Furthermore, these were people who knew they had AIDS -- it's a different story to suspect that you might have something. It goes all the way back to Ollie North and "plausible deniability."
That said, why the hell didn't United have an ambo bag aboard? It was AIDS (and more Hepatitis) that led to the shift toward these, and that was 25-30 years ago. If they are required to have a defib aboard, they really ought to have an ambo bag -- I think that could be an interesting liability suit against United.
I'd be very surprised to see an EMT do mouth-to-mouth if he had access to an ambo bag.
https://en.wikipedia.org/wiki/Bag_valve_mask
These were people who knew they had AIDS -- it's a different story to suspect that you might have something. It goes all the way back to Ollie North and "plausible deniability."
That said, why the hell didn't United have an ambo bag aboard? It was AIDS (and more Hepatitis) that led to the shift toward these, and that was 25-30 years ago. If they are required to have a defib aboard, they really ought to have an ambo bag -- I think that could be an interesting liability suit against United.
I'd be very surprised to see an EMT do mouth-to-mouth if he had access to an ambo bag.
https://en.wikipedia.org/wiki/Bag_valve_mask
My answer: No.
Not unless you're going to take the political leaders of our country and subject them to criminal charges for violating the very same orders and conditions that they themselves pass, order, and promote. I'm talking about Gavin and Pelosi and Cuomo and more.
Otherwise you just have a two tier system, where the rich and powerful do what they want, and the poor and powerless get persecuted.
This is a guy who had symptoms of COVID and was flying back home to get a test. That puts it on a higher level of negligence than any John Doe taking a flight.
I agree the same should apply to both politicians and us little people. But you can make a distinction along the lines I have indicated without violating that goal.
Was he a MD?
Who? The passenger who had COVID, or the EMT who contracted it from him?
I think the answer is neither. I don't see what that has to do with anything.
It's also pretty important that he had to sign a form disclaiming symptoms. So, he had to commit a fraudulent act to get on the plane.
I know that a lot of times people don't take these sorts of requirements seriously. They just check whatever boxes they need to in order to do what they do. But if you intentionally check the wrong box, and as a result you end up having the opportunity to harm someone else, that's a reasonable hook for criminal liability. After all, he could have just told the truth and stayed home.
This looks like an important expansion of the body of law that should probably have its own name.
Let's call it Karen Law.
If Gavin Newsom doesn’t have to resign as governor for showing everyone Covid rules are optional, then no one should ever face any punishment for reckless behavior related to Covid.
Ben
But isn't that pretty stupid? No one has suggested that idiots who go out in public and end up infecting others with Covid should be charged criminally. Unless I mis-read the OP. I think the argument is: People who are idiots and go out in public and infect, AND reasonably should have known they were themselves infected, should (or could) be criminally charged.
With AIDS; I think it was the assholes who were positive, *KNEW* they were positive, and then went out and slept with other men and/or women (without disclosing the HIV-positive status) who were threatened with prosecution. It was almost 3 decades ago, but my (faulty??) recollection is that people were indeed charged. Here's a link, which says that 500-600 were convicted (note: the vast majority of these convictions were when the unknowing sexual partner did *not* end up infected with the virus!)
https://www.propublica.org/article/hiv-criminal-transmission
HIV is deadly and not spread by merely breathing. Covid is like the flu.
You should read the article above where charging people criminally is discussed using the words "criminal prosecution" instead of claiming no one has made the suggestion.
Ben -- We didn't know that in the early '80s.
Ben,
I think you meant to use Donald Trump as your example, not Gavin Newsom, right? Newsom had no reason to believe he himself had Covid. (He was still an ass-hat to ignore his own orders, of course.) Trump DID HAVE Covid and still was going around in public, taking his mask off in public, etc etc etc etc.
Trump never implemented any Covid restrictions. He had no such authority. Newsom has. The restrictions are for everyone, not just people with Covid. Newsom is included in everyone.
I guess Covid isn't really serious and the restrictions aren't really serious. Newsom doesn’t take them seriously. Nor do you. Which is fine with me. We will all simply acknowledge Covid is not very serious.
People have been convicted of aggravated assault or similar charges by deliberately infecting someone with HIV, so I don't see why similar charges couldn't be done for Covid. You'd have to prove that the person was minimum reckless about it, so just not admitting that you have a cough when you have allergies is not going to cut it. But since he was flying back specifically to get tested, that definitely sounds reckless to me.
HIV is a deadly infection that (until recently) is impossible to cure. Covid is like the flu, only about twice as dangerous or so. Do you want to arrest people for traveling with the flu?
additional point -
1918 flu killed approx 0.61% of the US population
1957 flu killed approx 0.067% of the US population
1968 flu killed approx .05% of us population
2020 covid through dec 21, 2020 has killed approx 0.098% of the US population and is on track to kill approx 0.15% of the US population.
One major difference is the ages of those dying of covid or with covid is the ages dying.
the 1918 flu - The fatality rate for those over age 55 was extremely low since they had developed immunity from the 1873 flu.
the 1957 & 1968 fatality rate was killed across all ages with only limited skewing to the elderly.
Covid fatality rate is heavily skewed to the elderly, especially nursing homes. approx 35%-40% covid deaths are nursing homes residents. The median life expectancy for a male entering nursing homes is less than 4 months, the median life expectancy for a female entering a nursing home is approx 7-8 months (note that the average life expectancy is approx 12-13 months due to a few lasting a couple of years).
You think covid-19's going to kill half again as many people? That seems kinda unlikely. I'm sort of expecting Covid-19 to peter out before the vaccine is fully deployed - pandemics don't go on indefinitely.
And skewing young (relative to seasonal flu) is what makes pandemic flu most worrisome. (btw, there's some evidence older people had partial immunity to the 1957 flu because of exposure to the 1893 flu).
(It's also the case that our population today is significantly older than it was in 1917, 1957, or 1968.)
squirrelloid - my estimate of US Covid deaths was based on going from 320k to 500k. Whether that happens or not, I dont know, I was using the 500k based on current trend. that Being said, the deaths through the 3rd week of Dec at 320k seems a little suspect. Early nov, the US death count was at 220k, so a jump of 100k in less than 5 weeks seems to be out of line and possibly dubious.
Not sure about the 1893 flu having an effect on the 1957 flu fatalities, since that would have created immunity that would have mitigated the negative impact of the 1918 flu for those over age 30 which didnt happen. It was only those over age 55 that benefited from the exposure to the 1873 /1875 flu
Its about the *strain* of flu, not just that it was the flu. So if the 1873-5 flu provided partial immunity to the '18 flu, that suggests both were H1N1 flus. '57 flu was H2N2 - no cross-immunity. So 1893 exposure had no effect on H1N1, but could have potentially provided partial immunity in '57. (We don't actually know what the 1873 or 1893 flu strains were, but evidence of later partial immunity to particular pandemic flus is suggestive as to strain).
What's your limiting principle? Shall we charge people with reckless endangerment for, horrors, knowingly going out in public with flu or common cold symptoms? (Yes, complications from a cold can be fatal, albeit rarely).
In California is practically legal to knowingly infect someone with HIV so I don't see why this is such a big deal.
Amos,
I'm a lawyer. Can you explain to me what "practically legal" means?
My own take is that it means: It's illegal.
But I gather that you think it means something else, yes?
Its been reduced to a misdemeanor (and they'd reduce it even more if they thought they could get away with it) which is practically legal these days. You get punished more for having fireworks or a pair of nunchucks.
"You get punished more for having fireworks or a pair of nunchucks."
Even worse - NOT wearing a mask
I'd say yes, the passenger ought to be liable, and his estate still should be. Why should his death make a difference, except to make a stronger case that he did know?
What is he going to be charged with ?
Allowing the guy to let his body develop natural immunity. The survival rate is 99.9+%
Are you stupid or do you play one on TV?
THE GUY BOARDED A PLANE WITH COVID SYMPTOMS, HEADING TO LA, WHERE HE PLANNED TO TEST FOR THAT VIRUS.
He could have "developed natural immunity" by staying in Florida for 2 weeks.
And whatever the "survival rate" is, COVID has affected some people severely without dying. I know a guy in his 30s who got it, survived, and has been in a wheelchair for about six months. With no hope of recovery.
Yes, what the guy did was reckless and he should be charged with reckless endangerment, or whatever the jurisdiciton charging him with calls it.
Hypothetical. John Driver oversleeps and realizes he is late to a business meeting. He decides to speed over to the meeting and drives 90 mph. He remembers a shortcut through a school zone, so takes his chances and takes the shortcut. Do you think he should be charged with anything?
Felony stupid for thinking his job was important?
uses all caps because he can only make an emotion-based argument
You want jails full of ordinary people who made simple mistakes. And you’re going to pretend it's easy for everyone to know whether they have Covid or not without a test, even though all the restrictions on businesses are based on the idea that it can be hard to tell when you have it sometimes.
What should people with allergies do?
Q. "Do you have a cough?"
A. Yeah, a little every other day or so because allergies.
You're under arrest for leaving your house then. Because ***holes are afraid of the bogeyman and arresting people who are not like them is their first and only answer they have for everything they're afraid of.
I think there's a serious threshold question here.
Flu is sometimes fatal. Yes, seasonal flu is not quite as fatal as Covid-19, but that's a difference of degree, not kind. Can you be prosecuted for boarding a flight while having flu symptoms? Or getting on a bus with flu? Going to work with flu? Does a death need to result from the flu for you to be liable, or is just getting other people sick sufficient to create liability?
(IFR for seasonal flu is ~0.1%, but that's with ~50% of people 50-65 getting vaccinated, and ~67% of people >65 getting vaccinated. Covid-19 IFR estimates vary greatly at this point, in part because the size of the denominator is unclear. A WHO study - https://www.who.int/bulletin/online_first/BLT.20.265892.pdf - found a median global covid-19 IFR ~0.27%.
Of course, both of these have highly age stratified IFRs. Relevantly, the IFR for seasonal flu for cohorts 65 or older is greater than the IFR for Covid-19 for those younger than 50 - so there are some classes of exposure for seasonal flu that are more dangerous than some classes of exposure for covid-19. Legally, would liability depend on the age of the person exposed?)
(Pandemic flu, of course, has generally been more fatal than Covid-19, and unlike covid-19, pandemic flu has tended to skew younger than seasonal flu, not older).
And indeed, even a cold can lead to death (generally by paving the way for a bacterial infection). It doesn't happen very often, but it does happen. Will exposing others to a common cold create liability?
This feels like a dangerous road to walk down. There's no clear line to draw, and no limiting principle which doesn't result in ridiculous situations once you open the door. Fundamentally, Covid-19 is just another respiratory virus.
Even if, the guy who died was Covid+, how do you possibly prove you got it from him, to the exclusion of all others? Or, is it the 51% likely formula of guess-ology?
For a civil case, preponderance of the evidence is enough.
For a criminal case, the prosecution would have to show that beyond a reasonable doubt. But that is if they are prosecuting a homicide.
That is why they would likely charge reckless endangerment. That kind of crime does not require proof that anything bad resulted. Just that the defendant acted recklessly in a manner that could, or likely would, cause a negative result. Think of my example of the guy who drives 90 mph in a school zone. That's reckless endangerment, even if no one is hurt.
Fair enough. Under that theory, leaving the house with any communicable disease is a crime. Getting Cold Medicine at the Drug store is now reckless endangerment. Prior to this year, when is the last time having a fever in public was criminally enforced?
Geez...people here really are opposed to safety.
Say that I live next to a large woods. I like to sit on my front porch and shoot my gun into the air (ie, into the woods). I do this even though I know that hunters and hikers use those woods. But shit, it's a large area, and the odds of hitting anyone are remote. Maybe 1 in 10,000. Maybe 1 in 100,000. Or 1 in a million. Maybe even less liked.
BUT . . . if one of my bullets *does* happen to hit a hiker/hunter, it is 100% certain that I'll be charged with some crime. Some version of manslaughter, probably. Reckless endangerment. Etc. Even though there was only a remote chance that harm would result from my shooting. And I presume that I'll be convicted as well, in spite of my truthful and accurate "I knew there was a close-to-zero chance that my shots would ever hit anyone" defense.
Results do matter in the law. At least, sometimes.
"liked" = likely
The comparison with HIV makes sense to me. Many, many people knew that they were HIV+ and had sex anyway. Even those who used condoms were putting others at risk every time they slept with someone -- considerable risk, if we believe the "9% failure rate" Planned Parenthood &c. routinely cite for condom use.
It is true that some were, eventually, prosecuted for "recklessly" endangering others. But those prosecuted were a small fraction of those that could reasonably be considered liable, and no one, as I recall, was attacked for their reckless, life-endangering conduct in the manner that the current victims of a much less dangerous virus are. People were very careful not to stigmatize gay men and IV drug users then, whereas COVID-19 is the sort of disease anyone might get, and therefore does not pose the same ethical problems. To the extent that there are things one might do to stay away from COVID-19, most of them are things it's considered fair to stigmatize people for (not masking, hanging out with friends, going to restaurants, flying, &c.), while the rest are no-nos -- no one is going to attack anyone for co-morbidities, for example, even though it is possible not to be obese or diabetic or hypertensive. (I'm not exempting myself here -- I am pre-diabetic and somewhat overweight myself.)
The real difficulty is that the people ostensibly schooling this on good behavior are always not masking, hanging out with friends, going to restaurants, flying, &c. Why on earth should anyone heed them?
Wire fraud might apply if the information was entered into a computer.
I'd be shocked if, this past year, no First Year criminal law class had a hypo like this.
One of those, "What crimes could the flyer be charged with?" type questions.