University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


correctional Medicine, Primary Care


Sarah Bolander, DMsc, MMS, PA-C,DFAAPA



The incarcerated adult diagnosed with Covid 19 is at a higher risk of spreading and developing poorer clinical prognoses than the general population with the Covid 19 virus. Prisoners are confined in an overcrowded, communal living situation where social distancing presents a challenge. The incarcerated adult population was more likely to present with worse symptoms, severe chronic care problems, increased rates of being intubated, and increased likelihood of being hospitalized with 30-day readmissions than patients in the general population. In addition, prisoners/patients were also documented as having higher mortality rates than the general population. Since the beginning of the pandemic, new strategies have emerged that have significantly improved clinical outcomes for the prison population across the United States.

Strategies include using throat and nasal swabbing to screen all inmates and staff members, mandatory mask mandates for prisoners and staff, and mitigating movement to decrease the spread of Covid 19. The further requirement is that all visitors and workers be fully vaccinated.

Keywords: incarcerated, prison, Covid 19, treatment, prevention, vaccine, adults, management strategies.


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