When the Virginia Department of Corrections began receiving COVID-19 vaccines in January 2021, it faced a new crisis: high refusal rates among the very population it had spent months trying to protect. Barton and West-Bailey, working within VADOC's Dialogue Unit, used daily refusal-rate data to identify the sites with the greatest hesitancy, then collaborated with wardens, superintendents, and chiefs of security to set up dialogue sessions at those locations. The goal was to understand the thinking behind vaccine resistance, give inmates a genuine voice, and learn what the Department could do to address their concerns — recognising that personal stories and testimony were shaping perspectives far more than official messaging. The paper is published in The World Needs Dialogue! Four: Putting Dialogue to Work (2022). It documents a case in which dialogue served as a public health tool inside a carceral system still grieving the loss of its most prominent leader, Warden Earl Barksdale, who had served for over 40 years.