The Sheriff’s Office operates and manages the jails, but works closely with the Health Department's Corrections Health Division to provide medical care to the adults in custody. Beginning in May 2023, seven people died in custody, said Sheriff Nicole Morrisey O’Donnell as she read the names of those who died and their causes of death. Three people died by suicide; one from natural causes; and two by fentanyl toxicity; One death remains under investigation.