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H1N1 vaccine: Should inmates move up in line?

States are providing the H1N1 vaccine to high-risk groups, and in some cases that includes parts of the prison populations.

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Should those in prison and jails across the country receive priority status for getting the H1N1 vaccine?

With vaccines in short supply, it's become a difficult issue for public health departments and correctional facilities across the country.

Earlier this week, the White House had to rebut erroneous reports that the vaccine had been given to detainees at the Guantánamo prison camp in Cuba.

"There is no vaccine in Guantánamo and there's no vaccine on the way to Guantánamo," said White House spokesman Robert Gibbs at a press briefing.

But a cohesive national strategy seems lacking. Local departments of public health are deferring to federal Centers for Disease Control and Prevention (CDC) guidelines for establishing high-priority groups. According to the CDC, vaccination planning is a state issue.

The nation's top public health agency issues recommendations, but "states are in charge of vaccinations," says CDC spokesman Tom Skinner.

Though the CDC has acknowledged that certain settings – including prisons, schools, day care centers, and universities, among others – may increase the risk of contracting the H1N1 virus, they do not give vaccine priority to those groups.

Instead, they limit priority to those with individual risk factors, including pregnant women, those who care for young children, individuals younger than 24, healthcare workers, or people with certain underlying health conditions.

"Certain settings may increase the risk of infections, but we haven't prioritized vaccinations for those settings," says Mr. Skinner. "Our recommendations are based on population risk factors."

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