It is sad but it is also not surprising.

If people create and allow and sustain those conditions they are literally killing themselves in a bizarre ignorance-driven self-genocide.

If you don't know to not shit where you bathe, You invite death.

If you don't know that you should not wallow and live in a cesspool, you invite death.

If you can't separate from people doing this things, you invite death.

If they are being held there against their will in conditions created against their will then they need to fight for their lives to end it or their lives will end without a fight.