ABSTRACT
BACKGROUND: The largest outbreaks of COVID-19 in the United States have occurred in correctional facilities, and little is known about the feasibility and acceptability of SARS-CoV-2 vaccine campaigns among incarcerated people. OBJECTIVE: The aim of this study was to describe a statewide vaccination program among incarcerated people and staff working in a prison setting. METHODS: Between December 2020 and February 2021, the Rhode Island Department of Corrections (RIDOC) offered the opportunity for SARS-CoV-2 vaccination to all correctional staff and sentenced individuals. Two RIDOC public health educators provided education on the vaccine, answered questions, and obtained consent before the vaccine clinic day for the incarcerated group. All staff received information on signing up for vaccines and watched an educational video that was created by the medical director. Additional information regarding vaccine education and resources was sent via email to the entire RIDOC department. RESULTS: During this initial campaign, 76.4% (1106/1447) of sentenced individuals and 68.4% (1008/1474) of correctional staff accepted and received the vaccine. Four months after the first vaccine was offered, 77.7% (1124/1447) of the sentenced population and 69.6% (1026/1474) of staff were fully vaccinated. CONCLUSIONS: This study demonstrates the feasibility and efficiency of vaccine implementation in a carceral setting. Education and communication likely played an important role in mitigating vaccine refusals.
ABSTRACT
The COVID-19 pandemic has exposed innumerable flaws in US society, including a failure to ensure equitable community health, systemic racism, and a broken system of punishment and incarceration. Given the demonstrated risk of COVID-19 transmission in prisons and jails, any actions short of substantial decarceration represent a "deliberate indifference"-that is, knowing that incarcerated people face a substantial risk of serious harm and failing to take measures to abate it, which the US Supreme Court has found violates the Eighth Amendment. Alexandria Macmadu is a doctoral student in the Department of Epidemiology at the Brown University School of Public Health.