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Devaluing Incarcerated Populations: Deprioritizing Incarcerated Populations for COVID-19 Vaccination.

Kristin Merss1, Barbara J Bowers1

  • 1School of Nursing, University of Wisconsin-Madison, Madison, WI, USA.

Western Journal of Nursing Research
|September 13, 2023
PubMed
Summary
This summary is machine-generated.

COVID-19 vaccine plans often excluded incarcerated populations, despite their high risk. Many states initially prioritized them but later deprioritized them, undermining equitable vaccine allocation.

Keywords:
COVID-19COVID-19 VaccinesImmunization ProgramsIncarcerationPrisonershealth equity

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Area of Science:

  • Public Health
  • Health Policy
  • Epidemiology

Background:

  • The COVID-19 pandemic disproportionately affected incarcerated populations, necessitating focused health protection measures.
  • Correctional nurses played a crucial role in managing COVID-19 outbreaks within correctional facilities.
  • Equitable vaccine allocation frameworks were developed to address pandemic-related health disparities.

Purpose of the Study:

  • To evaluate the prioritization of incarcerated populations in state COVID-19 vaccination plans.
  • To assess adherence to the National Academies' framework for equitable vaccine distribution.

Main Methods:

  • Review of 15 state COVID-19 vaccination plans.
  • Analysis of initial and subsequent versions to track changes in prioritization.
  • Identification of how incarcerated populations were categorized in vaccine phases.

Main Results:

  • Ten of thirteen initial plans included incarcerated persons in early vaccination phases (1 and 2).
  • Eight states later deprioritized incarcerated populations by removing them as a distinct group.
  • The framework's goal of equity was compromised as incarcerated individuals were often excluded from high-risk prioritization.

Conclusions:

  • Incarcerated populations faced prolonged COVID-19 risk due to inconsistent prioritization in vaccination plans.
  • Policy and practice interventions are needed to ensure ethical and equitable care for high-risk incarcerated groups.
  • Addressing structural and political factors is essential for improving healthcare access in correctional settings.