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Early vaccination in prisons, a public health priority, proves politically charged

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First came the outcry in a Denver newspaper op-ed, arguing that Colorado’s coronavirus vaccination plan would bring relief to a man who fatally shot four people before it protected the author’s law-abiding, 78-year-old father.

Then came the backlash on social media. The accusation that state leaders were coddling convicts like Nathan Dunlap, who is being held for life in the Colorado State Penitentiary for the 1993 slayings at a Chuck E. Cheese restaurant, caught fire in pro-Trump Facebook groups with titles such as “ALL ABOARD THE TRUMP TRAIN.” Within days, the person behind the broadside, a Republican district attorney, was making his case on Fox News, labeling the state’s vaccination plan “crazy.”

The plan, which put incarcerated people in line for coronavirus immunization ahead of the elderly and those with chronic conditions, had been released by the state health department. It was the product of months of deliberation by members of the state’s medical advisory group — physicians, public health officials and experts in bioethics. But their framework, when subject to the machinery of online outrage, quickly unraveled. ...

The shift in Colorado offers an early sign that prisons and jails, which disproportionately hold people of color and have reported some of the most virulent coronavirus outbreaks, are creating daunting dilemmas for state leaders apportioning finite shares of the vaccine. The episode illustrates how a system of preferences geared to stop the virus where it is most destructive may clash with other values in a nation that incarcerates more people than does any other. ...

 

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