USA TODAY US Edition

Police use spit hoods despite deaths

Experts say studies cited by department­s on the safety of mesh bags are flawed

- Daphne Duret, Jennifer Titus and Libby Hendren This article was published in partnershi­p with The Marshall Project, a nonprofit news organizati­on covering the U.S. criminal justice system, and WTSP 10 Tampa Bay. Duret reports for The Marshall Project. Ti

When Tim Peters started banging on a neighbor’s door and shouting about religion just before sunrise with a beer bottle in his hand, someone called the county sheriff. Neither the deputies nor Peters’ wife, Julie, could get him to calm down.

He ended up in the medical unit at the Hernando County jail north of Tampa in April 2022. Video from his cell showed the 49-year-old handyman struggling with deputies. They pepper sprayed him. Then they covered his face with a mesh bag known as a spit hood. When it became soaked with saliva and blood, they added another one. Minutes later, Peters was motionless in a wheelchair.

Jail staff spent nearly three minutes pumping on his chest to revive him before they took the bags off of his head. He died at a hospital the next day. A medical examiner noted the use of the spit hoods in her report but concluded that the cause of death was undetermin­ed.

“He was my best friend, and I was his,” Julie Peters said. “The person in that video, that was not the Tim I know.”

Spit hoods, also called masks, socks or nets, briefly became part of the national debate about police use of force in 2020, when 41-year-old Daniel Prude suffocated after police in Rochester, New York, forced a hood on him because he claimed to have COVID and spat in their direction.

A few police department­s, like the one in Tucson, Arizona, have since stopped using the restraints. But many have not – and the deaths have continued.

Police used spit hoods on at least 31 people who died in their custody between 2013 and 2023, according to an investigat­ion by The Marshall Project and WTSP, the CBS affiliate in Tampa.

There are no national reporting requiremen­ts on deaths involving spit hoods. And most department­s that give patrol officers the masks don’t track how often they are used.

Many department­s have no policies on deploying the device – and among the ones who do, the rules vary wildly. The Polk County Sheriff ’s Office, southwest of Orlando, said it doesn’t have a policy, and that spit hoods “are used when it makes common sense.”

In most of the deaths the news organizati­ons analyzed, medical examiners said they couldn’t determine how people died, or they cited other causes, like drug overdoses.

The Marshall Project and WTSP found at least five cases where coroners mentioned spit hoods as a possible cause or contributi­ng factor in fatalities.

“One death is too many,” said George Kirkham, a Florida State University criminolog­y professor who is an expert in police use of force. “We can say more people die from shootings or beatings, but the families of these folks are devastated just the same.”

Mentions of spit hoods in deaths involving police can remain hidden from public view for months or forever. Sheriff’s officials in Florida did not initially tell the public that they placed two hoods on Peters.

They revealed it only after WTSP reporters pressed the agency for more details and eventually obtained an unredacted 21-minute video of Peters’ death.

Many police department­s include spit hoods in their use-of-force policies and consider them restraints. But other police chiefs and law enforcemen­t leaders have characteri­zed spit socks as sanitary devices. The hoods keep people from spitting on officers and save them from potential health risks from contact with saliva. In fact, health care workers also use the nets to keep patients from spitting on them in places like hospitals, ambulances and nursing homes.

Some research studies have shown that even dense spit hoods are easier to breathe in than an N95 mask, and study subjects could breathe even in hoods sprayed with artificial saliva. But critics say none of those studies mimicked the chaos and stress of being arrested or held in jail.

Still, sheriff ’s deputies in Hernando County cited one of those studies, by researcher­s at the University of California, San Diego, in defending their actions in Peters’ death.

In a news conference last fall, Hernando County Sheriff Al Nienhuis said Peters fought deputies who tried to restrain him, and that they put a second spit sock on Peters because the first one had become wet. Spokespers­on Denise Moloney told The Marshall Project she couldn’t comment extensivel­y but said deputies left the hoods on Peters when they started CPR because their immediate priority was to revive him.

“We did everything in our power to help him,” Moloney said. “We don’t believe the spit hood was the source of the issues he had.”

The officers were not charged with any wrongdoing.

Opponents of police use of spit nets say deaths such as Peters’ challenge the findings of the controlled lab experiment­s that have found spit hoods safe.

Until the University of California study last year, all the research that involved humans tested people’s ability to breathe under dry hoods. And even the artificial saliva the researcher­s used was thinner than real human spit, some experts say.

Dr. Dan Woodard said he believes that’s one reason the studies are faulty. A former emergency room physician, Woodard testified in 2018 as an expert witness in the case of a Florida man who died in police custody under a spit restraint. Woodard has been studying the effects of spit hoods ever since.

People restrained in masks during police encounters can spit up vomit or blood, which also have a thicker consistenc­y than the liquid used in the study, Woodard said in an interview.

“Plus, these are people who are in a controlled environmen­t,” Woodard said of the studies. “They haven’t just finished running from the police or getting punched or hit or thrown to the ground.”

People who have tried to breathe in spit masks during police encounters describe it as a scary experience.

Nzinga Bayano Amani had several encounters with law enforcemen­t in Knoxville, Tennessee as a civil rights activist before 2022. But it was only after officers served Amani with an arrest warrant in the middle of a City Council meeting that year that Amani found out what it was like to be in a hood.

Amani, who is now suing the Knoxville Police Department and the Knox County Sheriff’s Office for the encounter, said officers misplaced the elastic band of the spit hood that is supposed to go around the neck, and Amani struggled to breathe after the band was caught in their mouth. Amani was able to take deep breaths through their nose to avoid losing consciousn­ess, they said.

“I knew if at any time I got any more stressed or agitated, there’s a possibilit­y I could have passed out,” Amani said.

Both agencies declined to comment, citing the active lawsuit. In their response to Amani’s complaint, the agencies said officers acted reasonably.

In more than half of the 31 deaths involving spit hoods that The Marshall Project and WTSP compiled, police agencies used the hood in conjunctio­n with other restraint techniques or tactical weapons, including hog-tying, pepper spray and stun guns.

Medical experts say that these combinatio­ns often worsen the problems that lead to serious injury or death.

In the murder trial last fall of three Tacoma, Washington, police officers involved in the 2020 death of 33-year-old Manuel Ellis, most of the testimony centered on the officers beating and tasering Ellis before forcing him to lie face down on the pavement as some of them knelt on his back.

A fourth officer, who placed a spit hood over

Ellis’ head during the confrontat­ion, never faced any criminal charges and was cleared of any wrongdoing.

A medical examiner ruled Ellis died of a lack of oxygen from the officers applying pressure to his back, and mentioned the spit hood as another factor. Dr. Roger Mitchell, a forensic pathologis­t who testified during the trial, also listed the spit hood as a possible contributi­ng cause of Ellis’ death.

Mitchell testified that he examined the spit hood police used on Ellis and found blood and mucus caked on the mesh.

“Any time that I would see a spit hood with blood, then I would worry that he would be at risk of aspirating blood or breathing in fluid or blood that is being gathered in the spit hood,” Mitchell testified.

The officers said the force they used was necessary, and a jury in December acquitted them of all charges. At the time of Ellis’ death, Tacoma police had no policy on the use of spit restraints. A spokesman said the department is revamping its use-of-force policy, including spit hoods.

Among department­s with spit hood policies, most require officers to remove the sacks when a person is vomiting, bleeding from the mouth or suffering from other medical conditions, according to The Marshall Project’s review of policies from 100 department­s in 25 states.

But only 10 of those department­s restrict spit hoods to cases in which someone is actively spitting or biting others, or is about to do so. Only 11 require officers to warn people before putting them in a spit mask. And only 12 policies point out that people in a mental health crisis can experience high distress when in a spit net.

Most makers of spit hood devices say they sell them with clear instructio­ns, noting that the manufactur­ers cannot be held liable for any injuries if the bags are used improperly.

Those guidelines generally say officers should never leave spit hoods on for more than several minutes at a time, and never leave the person unattended. They also warn against using the devices on people who are bleeding heavily from the mouth or are vomiting, or who appear to be in a mental health crisis.

Tranzport Products, the maker of the Tranzport Hood, says the company urges police agencies to train officers on how to use the hood. John Cominsky, the product’s inventor, said in an interview that growing sales attest to the need for the hoods. Although he said he would welcome national guidelines or policies regarding spit mask use, Cominsky said the only instructio­ns police officers need for his product are the ones he provides.

“Anything can be misused,” he said. But he said his mask, which has an opening in the front below the person’s chin, is “safe for the officer and the person in it when used properly.”

The U.S. Department of Justice has noted officers’ improper usage of spit restraints in investigat­ions of police misconduct. Medical experts have also recognized the caveat of proper usage. In the 2015 death of Ben C de Baca in police custody in Bernalillo, New Mexico, a medical examiner attributed de Baca’s death to cocaine intoxicati­on, but listed suffocatio­n from the physical restraint as a contributi­ng factor.

“If improperly placed, spit shields also have the potential to impair breathing by suffocatio­n,” Dr. Ian Paul wrote in de Baca’s report.

De Baca’s family settled a wrongful death suit against Bernalillo police in 2019 for an undisclose­d amount. In a court filing, the officers denied any wrongdoing.

In the United States, the use of masks goes back to before the Civil War, when historians say slave owners placed enslaved people in locked hoods to intentiona­lly make it harder for them to breathe or eat as punishment.

The first reports of people spitting on police officers as an act of protest go back more than a century. Some department­s used spit masks during the early days of the AIDS epidemic in the 1980s, when officers erroneousl­y feared that they would contract the illness if a person with HIV spat on them.

More recently, at the start of the COVID pandemic, some police chiefs and union leaders warned against people trying to transmit the disease by spitting on officers. By the summer of 2020, epidemiolo­gists made it clear that COVID was an airborne disease, which meant the mesh spit hoods police officers use couldn’t stop its spread.

Edwin Budge, a Seattle-based lawyer who has successful­ly sued police in cases where people have been killed or injured in encounters that involved spit hoods, says he understand­s the need for some device to keep police safe from people who spit on them. The problem is that officers fail to recognize that spit hoods can be deadly if used incorrectl­y.

“They have to be used really cautiously in the field,” Budge said. “Rule number one is that you shouldn’t ever impair anyone’s ability to breathe.”

Nearly two years after Peters’ death, his wife said she can still hear him laugh sometimes. The husband she remembers was as witty as he was gentle, an animal lover who liked to play the guitar and serenade her with renditions of John Legend’s “All of Me.”

She doesn’t know what led to his behavior the morning he was arrested, Julie Peters said. She thought he may have been suffering from a psychologi­cal breakdown, though she said he had never been diagnosed with a mental illness. She remembers the moment sometime after the arrest, when an officer confirmed that her husband was at the jail.

“Oh, thank God,” she thought. “He’s safe.”

Two days later, he was dead.

In more than half of the 31 deaths involving spit hoods that The Marshall Project and WTSP compiled, police agencies used the hood in conjunctio­n with other restraint techniques or tactical weapons, including hog-tying, pepper spray and stun guns. Medical experts say that these combinatio­ns often worsen the problems that lead to serious injury or death.

 ?? PROVIDED BY HERNANDO COUNTY SHERIFF’S OFFICE ?? On April 15, 2022, Tim Peters was in distress as he argued with staff at the Hernando County Jail north of Tampa, Fla. Deputies pepper-sprayed him and covered his head with a mesh hood to prevent him from spitting on them.
PROVIDED BY HERNANDO COUNTY SHERIFF’S OFFICE On April 15, 2022, Tim Peters was in distress as he argued with staff at the Hernando County Jail north of Tampa, Fla. Deputies pepper-sprayed him and covered his head with a mesh hood to prevent him from spitting on them.
 ?? BRIANNA PACIORKA/USA TODAY NETWORK ?? Nzinga Bayano Amani testifies in Knox County, Tenn., on March 7. Amani was acquitted of obstructin­g a road during a demonstrat­ion in April 2021.
BRIANNA PACIORKA/USA TODAY NETWORK Nzinga Bayano Amani testifies in Knox County, Tenn., on March 7. Amani was acquitted of obstructin­g a road during a demonstrat­ion in April 2021.
 ?? ?? Ellis
Ellis

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