San Antonio Express-News

Questions remain on vaccines for inmates

- By Jolie McCullough

Texas’ prisons and jails have been coronaviru­s hot spots throughout the pandemic.

At least about 200 Texas inmates have died with COVID-19. So have more than 30 people who worked inside the state’s prisons — and countless others have spread the virus inside lockups and into the surroundin­g communitie­s.

But it is unclear when the stilllimit­ed doses of vaccines will be made available to the 186,000 people detained in Texas prisons and jails. That timeline is among several factors Texas prison officials either haven’t decided or haven’t publicly released more than nine months into the pandemic and weeks after leaders knew a vaccine was on the horizon.

And if the doses remain voluntary once they do arrive for inmates, lockup staff will need to convince incarcerat­ed people — many of whom are skeptical of prison medical care — to get the shot.

In Texas, health care workers and people in long-term care facilities like nursing homes are at the front of the line to receive the vaccine. Several states have earmarked doses for the incarcerat­ed soon after those initial groups of health care workers and first responders. Because of the diseasepro­ne environmen­t they live and work in, advocates in the state and throughout the country have urged officials to prioritize inmates and correction­s staff to get the coronaviru­s vaccine rapidly.

But Texas officials have so far remained largely silent on when people behind bars may receive the doses.

At a press conference last week, Gov. Greg Abbott skirted a reporter’s question about when prisoners would get the vaccine. And a Texas Department of Criminal Justice spokespers­on declined to answer questions on how and when the vaccine would be distribute­d in the state prison system, referring questions to the governor’s office and the University of Texas

Medical Branch, which is handling vaccine distributi­on for the state prison system.

Though seven Texas prisons were set to receive 1,100 doses this week, according to the state health department's weekly distributi­on list, a UTMB spokespers­on said that only health care workers at the units were in line to get the shot so far.

Spokesmen for the governor did not respond to questions, including whether the second-phase of people to receive the vaccine — those 65 and older or with certain chronic medical conditions — will include inmates that fall into those categories as well. A health department spokespers­on said anyone 65 and older will be eligible for the vaccine.

Whenever the doses do arrive for inmates and other staff, however, the lockups will likely need to convince at least some of them to sign up for the vaccine if it isn't mandatory. A spokespers­on for the state health department said Tuesday that the vaccine can't yet be required because it has so far only been authorized for emergency use. A Harris County jail spokespers­on said last week that, at this time, vaccines will be voluntary for jail inmates when they become available. A spokespers­on for TDCJ did not know as of Tuesday if the vaccine would be voluntary for its prisoners.

The governor has said that the shot will be voluntary for everyone. His office did not respond to questions on if that would apply to prisons and jails, too.

Prisoner advocates said there is a lot of fear and distrust of the vaccine from inmates and their loved ones on the outside. It's a wariness that many people in the free world feel as well with the rapidly developed vaccine. But prison health and condition experts said there are multiple reasons that exaggerate the skepticism, from a history of medical experiment­ation on prisoners to a lack of informatio­n in lockups.

“It speaks to the incredible distrust that exists inside prisons of medical care and whether people feel like they're being treated with dignity or respect and whether anyone cares about their safety,” said Michele Deitch, a senior lecturer and prison conditions expert at the University of Texas' LBJ School of Public Affairs and law school. “I don't think it's justified, it's just understand­able.”

Inmates and their family members have referred to prison experiment­s where, in the last century, prisoners in the United States have been infected with viruses

 ?? Bob Owen / Staff photograph­er ?? Inmates in the McConnell Prison in Beeville walk by barred windows as they go to change their bedsheets.
Bob Owen / Staff photograph­er Inmates in the McConnell Prison in Beeville walk by barred windows as they go to change their bedsheets.

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