Bingham was the ninth prisoner to die of COVID-19 in North Carolina—or at least, he would have been counted as such. The death certificates confirmed the deaths due to COVID-19 that North Carolina’s prison system announced, through September 20, when the deadliest months for North Carolina prisoners were yet to come. North Carolina has had relatively few prisoners die of the virus compared to other states, such as California and Michigan. Known as the Office of Corrections Ombuds, it has provided independent reports on state prison conditions and data throughout the pandemic. This decision about whether a prisoner’s death is COVID-19-related is made internally, by the prison system’s chief medical officer, according to Bull.