RT Article T1 Pathways to Immunity: Patterns of Excess Death Across the United States and Within Closed Religious Communities JF Journal of religion and health VO 62 IS 4 SP 2820 OP 2835 A1 Stein, Rachel E. A1 Colyer, Corey A1 Corcoran, Katie E. A1 Mackay, Annette M. LA English PB Springer Science + Business Media B. V. YR 2023 UL https://ixtheo.de/Record/1858710006 AB Public health officials promoted COVID-19 vaccines to limit burdens placed on the U.S. healthcare system and end the pandemic. People in some closed religious communities refused to vaccinate and likely acquired temporary immunity through infection. This paper compares the death rates in Amish, Old Order Mennonites, and conservative Mennonite groups to a rate estimated for the U.S. population. Approximately two-thirds of the U.S. population was immunized against COVID-19, while few in the Amish/Mennonite community were. We find divergent patterns. Once vaccines became available, excess deaths declined in the general population and remained elevated among Amish and Mennonites. Vaccination campaigns must consider and value the cultural beliefs of closed religious communities to be effective. K1 Amish K1 Covid-19 K1 Closed religious communities K1 Excess death K1 Immunity DO 10.1007/s10943-023-01838-z