Gitarama has the most overcrowded penetintury in the world housing over 6000 prisoners in a building design for only 500 people. Inmates are so hungry they bite chunks of meat out of each other to survive. The jail is so congested that inmates have no option but to stand all day and all night and many suffer from rotting feet. The floor is moist and filled with raw feces. Gangrene slowly sets on inmates toes, they turn black and fall off later. Inmates that are not so lucky to only have toes fall off, doctors have no choice but to amputate lower limbs to save the persons life. The unbearable stench is so horrible that it can be noticed a half mile away upon arriving to the prison. The survival rate is low due to the violence and the demimishing conditions in the building where one in eight prisoners will die from disease or violence.