New Model Shows COVID-19 Death Toll is 100,000 Higher Than Current Projections

Failure to reduce jail population is the Achilles heel for the efforts to mitigate the spread of COVID-19 in the U.S.

April 22, 2020 10:00 am

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NEW YORK — COVID-19 could claim the lives of approximately 100,000 more people than current projections stipulate if jail populations are not dramatically and immediately reduced, according to a new epidemiological model released today by the ACLU and academic research partners. The findings indicate that — even if communities across the United States continue practicing social distancing and following public health guidance — we will still experience much higher death rates if no substantial action is taken to reduce jail populations.

“We are likely facing massive loss of life — both in jails and in communities around the country — if dramatic steps aren’t taken to reduce the incarcerated population in this country,” said Udi Ofer, director of the ACLU’s Justice Division. “Mass incarceration was a major public health crisis before the outbreak of COVID-19, but this pandemic has pushed it past the breaking point. The revolving doors of jails make them a tinderbox for COVID-19 spread within our communities. This data is a wakeup call as to the true cost of 50 years of mass incarceration and its impact on communities across the nation, disproportionately communities of color.”

The U.S. is the largest incarcerator in the world, with just four percent of the world’s population and 21 percent of its incarcerated population. There are almost 740,000 people in jail in the U.S. on any given day — a person is admitted every three seconds. About 40 percent of all incarcerated people suffer from at least one chronic health condition, such as asthma or diabetes. This means the U.S. faces a unique challenge in mitigating the spread of COVID-19 and is likely facing a much higher death count than models based on data from other countries predict.

The ACLU model used data pulled from more than 1,200 midsize and large jail systems around the country, whose surrounding communities account for 90 percent of the U.S. population. It found that, unequivocally, keeping people out of jail saves lives — both inside the jail and in the surrounding community. Other key findings from the model include:

  • If a model that doesn’t account for jails predicts the U.S. death toll will be 100,000, our model shows that that projection undercounts deaths by 98 percent. Actual deaths, once we account for jails, could be more than double, rising to 200,000.
  • Implementing swift, bold reforms to reduce arrests by 50 percent can save 12,000 lives in jails and 47,000 lives in the surrounding communities.
  • Aggressive action and policy change could save as many as 23,000 people in jail and 76,000 in the broader community if we stop arrests for anything but the five percent of crimes defined as most serious by the FBI — including murder, rape, and aggravated assault — and double the rate of release for those already detained.
  • States that have begun to reduce their jail populations are quantifiably saving lives. Colorado, for example, has so far achieved a 31 percent reduction in jail population. Our model found this likely will save 1,100 lives — reducing total lives lost in the state by 25 percent.
  • Every day that goes by without action means more people will die. Delaying action for a week could mean a difference of 18,000 lives lost in the U.S.

“The prevailing epidemiological models largely fail to take into account our incarceration rates and the complete absence of social distancing in our jails – which is why we had to build our own model,” said Lucia Tian, chief analytics officer, ACLU. “While we always knew that jails would have an impact on loss of life in this pandemic, the model shows us just how large that impact may be — that even under our best-case scenarios, we could be looking at 100,000 more deaths. We can’t save our community while ignoring our jails.”

The original model was developed by Dr. Nina Fefferman at the University of Tennessee, Dr. Eric Lofgren at Washington State University, and Dr. Kristian Lum from the University of Pennsylvania, in collaboration with Aaron Horowitz and Brooke Madubuonwu of the ACLU’s data analytics team, experts from the ACLU, and other corrections organizations.

Since the start of the COVID-19 pandemic, the ACLU and its state affiliates have filed over 25 legal actions to reduce populations in detention centers, prisons, and jails. The ACLU has also led advocacy efforts nationwide, pressuring governors to adopt our model executive order, and pressuring prosecutors and sheriffs to reduce their jail and prison populations. At least 16,000 people have been released from jails and prisons or never brought into the criminal legal system in the first place due to this work.

The white paper with key results outlined can be found, here.

The original academic paper on Allegheny County can be found on medRxiv, here.

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