Just over half of incarcerated people are vaccinated, despite being locked in COVID-19 epicenters

Most states did not prioritize incarcerated people in their vaccination plans. As a result, seven months since the first vaccines were distributed, just 55% of people in prison have been vaccinated, leaving them vulnerable to infection.

By Tiana Herring and Emily Widra

Throughout the pandemic, prisons have been a hotspot for COVID-19, with case rates in prisons between four to five times higher than in the general population. Despite being disproportionately impacted by the pandemic, however, most states did not prioritize incarcerated people in their vaccination plans. As a result, seven months since the first vaccines were distributed, just 55% of people in prison have been vaccinated, leaving them vulnerable to infection.

Using data from the UCLA Law COVID-19 Behind Bars Data Project, The Marshall Project/AP, and other state-specific sources, we calculated the current rate of vaccinations among incarcerated people in 48 state prison systems and the federal Bureau of Prisons. For our measure of vaccination, we counted anyone who had received at least one dose of a vaccine as of May 14, 2021. Our findings are disheartening:

• In 17 state prison systems and the Bureau of Prisons, less than half of incarcerated people have received a vaccine.
• Vaccination rates are the worst in Utah, South Carolina, and Alabama where 20% or less of the prison population has received the first dose of a vaccine.
• And two states - Florida and Wyoming - have not released any vaccination information at all. Their lack of transparency makes it impossible to hold these Departments of Corrections accountable and ensure they are doing all they can to limit the spread of the virus.

As we recently reported, many states prioritized correctional staff for early vaccine access, under the misguided assumption that a fully-vaccinated staff would act as a preventative "barrier" between incarcerated people and the communities surrounding prisons. With many correctional staff refusing to be vaccinated, the median staff vaccination rate across the country was still just 48% at last count. To meaningfully protect people in prison, incarcerated people need to be vaccinated at much higher rates than we're seeing thus far.

For sourcing and more details on each state see the appendix in the online version of this briefing.

Only ten states have vaccinated more than 70% of people incarcerated in their prison systems. Some of these states - Massachusetts, Oregon, and California - included incarcerated people in the early phases of their vaccination schedules. Had more states prioritized vaccinating people in prisons, vaccination rates would be higher across the board.

Vaccinating incarcerated people may be one of the only fast and effective mitigation strategies available to prevent the spread of the virus and save lives: The inability to socially distance in prisons combined with the higher rates of chronic health issues among incarcerated people has led to prison mortality rates two to three times higher than that of the general population.

Since vaccinations started in the U.S., there have been too many avoidable deaths. In Nevada, for example, one-third of COVID deaths in prisons occurred this year (after vaccines became available). Similarly, New Hampshire's first COVID prison death didn't occur until December 30, 2020, and there have since been two more deaths in 2021. In Oklahoma, incarcerated people became eligible to receive the vaccine late last year, but vaccinations did not start until March; and since January, at least 11 people may have died from COVID-19. Although the number of new cases each day has gone down in the United States since January, incarcerated people are still unprotected and dying, even when we have effective vaccines available.

The dark history of the prison medical system could be a huge barrier to vaccine uptake in prisons. Many incarcerated people are wary of the prison medical system, and for good reason: prison medical systems have long been notorious for unethical experimentation and inadequate medical care. According to the results of a survey published by The Marshall Project in February, more than half of incarcerated respondents did not believe the prison was acting in their best interest by making the vaccine available, and very few respondents believed medical staff would provide accurate information about the vaccine.

To address these concerns, public health experts have been clear: education is crucial to vaccine acceptance behind bars. There are educational resources designed specifically for COVID-19 vaccine education for people in prisons that can be used to address common questions and concerns. The reality is that vaccine education needs to be more than just handing out flyers and hanging up posters: to combat distrust in the prison system, prisons should bring in outside experts and trusted community members to discuss the vaccines with incarcerated people. Correctional staff - who have shown widespread reluctance to take the vaccine themselves - should not be relied up on to deliver accurate information about vaccines.

Nearly 397,000 people in prisons have tested positive for COVID-19 since March 2020, and the virus will only continue to spread without widespread vaccinations behind bars. For more than a year, incarcerated people have dealt with devastating consequences of the virus, ranging from the inability to see their loved ones, to the unnecessary use of solitary confinement, to death. Lack of visitation and the use of solitary confinement, as well as discontinued programming and limited access to health care are all incredibly dangerous, in addition to the dangers of COVID-19. States need to start investing in and accelerating vaccine education and administration for people in prisons.

* * *

For an appendix table, footnotes, and more details about our data sources, see the online version of this briefing.