COVID-19: 12/10/2020 Update (State, Local, KCS and Health Department Briefing)

Tennessee Daily Cases 12.10.2020 (Source: TN.gov)
Tennessee Daily Cases 12.10.2020 (Source: TN.gov)

Good Thursday afternoon. As our situation gets more serious, it is a good time to remember to get outside, breathe some fresh air and remember there is life outside our homes and it can be safely enjoyed. It’s also the time of year to watch for warmer days and grab them. The highs today and tomorrow are in the 60s. It’s great weather for a long walk. Whether downtown or elsewhere, get outside and take care of yourself. It is going to be a long winter.

State News:

The state of Tennessee reported a record 8,213 new cases for the day, yesterday. The number is a new pandemic high and breaks the record set just two days earlier. With the current pandemic surge, the state ranked 8th worst for most new cases for the day. The seven-day average number of cases for the state is now 5,525 per day, the highest it has been at any point in the pandemic.

The new cases bring Tennessee’s totals to 385,948 confirmed cases and 37,014 probable cases. 376,851 people are recovered or to have inactive cases, while 40,940 are ill or have an active case.

The state reported 62 additional deaths for the day which, while high for us (though lower than the 100 reported the day before), ranked only 18th in the country for the day as deaths surge across the country. The five states with the most deaths each had over 200 for the day and the country set a new record of 3,265 deaths. Tennessee is now averaging 69 deaths per day, the highest that number has reached at any time.

Tennessee Daily Testing and Positive Test Result Rate 12.10.2020 (Source: Johns Hopkins University)

An additional 85 COVID-positive Tennessee residents were hospitalized for the day, bringing the pandemic total to 12,862. As of the most recent day with complete results (12/8), 2,603 Tennesseans are hospitalized with the virus, a new pandemic record. 645 of these are in ICUs across the state and 328 are on ventilators, both also near record highs. ICU beds continue to be the closest to a stress point, with 10% available state-wide.

The state reported results for 44,106 tests yesterday, moving back toward the upper end of our test range and contributing to the larger number of cases. Positive test results continue to be nearly 4 times the level recommended for a thorough testing program, at 18.15% for the day. Johns Hopkins University reports an 18.9% seven-day average for positive test results in Tennessee.

Knox County Daily Cases 12.10.2020 (Source: Knox County Health Department)

Local News:

The Knox County Health Department reported 383 new cases of COVID-19 among county residents today. The number is the fourth-highest total for a single day in the county and all four have come in the first ten days of December. The new cases bring the county’s totals to 21,898 confirmed cases and 1,327 probable cases. 18,927 county residents are considered to have inactive cases, while 2,167 are considered active.

A pandemic high of 146 Covid-positive Knox County residents are currently hospitalized, bringing that total to 649 who have been hospitalized at some point. In updated numbers reported yesterday, there are 14 adult ICU beds available in the East Region, including hospitals in Knox and several surrounding counties.

A single day pandemic high of 8 deaths were reported in the county today, pushing the pandemic total over 200 to 203. Thirty-six people have died of the illness in the first ten days of this month, a number greater than any other full month, except November. Of the eight deaths reported today, one person was between 18 and 44, one was between 64 and 75 and six were over 75.

The state website is reporting a 22.2% positive test rate for Knox County over the last seven days.

Knox County Health Department Briefing:

Charity Menefee chaired today’s briefing and thanked state-level public health workers have done to support local health departments. She started by re-iterating some points made on Tuesday. Regarding contact tracing, she repeated that individuals who think they have been exposed should self-quarantine and continue to do so until they get test results back or ten days have passed. She urged people to contact the people with whom they have had a fifteen-minute or more exposure, with less than six feet of separation. You will likely not hear from the health department.

She noted the above numbers and discussed the benchmarks, all of which continue as red. Regarding cases, she said the last two weeks set a two-week period record. Lab turn-around time for test response is six-to-seven days. She said there have been 15 deaths over the last seven days.

Questions:

  • Knox County reports 8 deaths today and a new hospitalization record. Is this from Thanksgiving? What happens for Christmas? This is probably too early for the bulk of the Thanksgiving infections. As for Christmas, the main point is to modify celebrations to limit spread.
  • What percentage can be contacted for contact tracing? We are still looking at it and we’ll give more information later.
  • Is it safe to go to a Christmas Parade? I would advocate watching it on television. If in person, maintain 6 feet of distance from others.
  • What is the number of vaccines we are expecting next week? It changes every day. It may not be next week.
  • What will distribution look like out the gate? The vaccine section of our website has details. The first round will go through hospitals.
  • Do hospitals have firm dates? No. We will probably know the day before it happens.
  • The latest White House report says vaccines won’t have an impact on case numbers until late spring. Is that what you anticipate? Yes. We expect a small number of vaccines each week.
  • Was the Health Department involved in the decision to close in-person instruction for schools? It was their decision.
  • Comment on upcoming undertaking? It will be a huge undertaking and we’ll get it out as quickly as we can once we receive it.
  • Should the school board meet virtually? We encourage everyone to avoid gathering if possible.
  • Will the media be able to cover the initial delivery of vaccines? That would be up to the hospitals.
  • Why would Anderson County be processing results more quickly than Knox County? It is hard to compare. The health department is getting faster turnaround than others in the county.
  • I don’t see many Knox County specifics in the state plan. How many cold freezers does the county have? We aren’t giving specifics as they are changing rapidly. We don’t want to put out misinformation.
  • If people want to dine outside can they do so safely? Dine with those in your household, not with others. Lockdown tents are probably no better than being inside.
  • Would it be possible to add staffing to the hospital metric as that seems to be the issue for the hospital? We’ll bring it up, but that number is so fluid, it may be hard to communicate in this format.
  • How many cases were traced back to the gun show? We don’t discuss clusters. We simply discourage social gathering and if you do so, distance from others and wear masks.
Knox County Schools Active Cases 12.10.2020 (Source: Knox County Schools)

Knox County Schools News:

The dominant news regarding Knox County Schools is that, at least for a week, the system is moving to virtual-only instruction for the entire system, much as many other systems across the U.S. have done in recent weeks. In making the announcement, Dr. Thomas, Superintendent for Knox County Schools, alluded to the rising number of cases and of quarantined students and staff as obstacles to in-person instruction, in addition to limited availability of substitutes. The shift begins Monday and plans call for bringing all students whose families have elected in-person instruction back into the schools on January 3.

The number of active cases reported for the school system dropped by one from the previous day’s record, to 243, including 159 students and 84 staff members. 1,211 are considered recovered and 2,649 are in quarantine or isolation, up 135 from the previous day. Of those in quarantine or isolation, 2,306 are students and 343 are staff members.

Interestingly, all metrics remain green, except the two that have been yellow or red for most of the year, custodial and substitute availability. It would seem logical that student and/or teacher attendance would be red for the schools to close. It may be because, once a school goes virtual, all of its students can attend, thus potentially improving attendance by sending everyone home. More strangeness in a strange year.

Prior to the announcement, more schools were added to the virtual-only list and that growing number likely illustrates as much as anything why school officials concluded that in-person instruction had simply collapsed. The list, which had grown from 8 schools to thirteen schools only the day before, increased to 16 schools before the system-wide announcement was made. The sixteen schools are:

Halls Elementary – December 14

Powell Middle – December 14

Bonny Kate Elementary – January 5, 2021

Carter Middle – January 5, 2021

Central High – January 5, 2021

Halls Middle – January 5, 2021

Holston Middle – January 5, 2021

Gibbs Elementary – January 5, 2021

Gibbs Middle – January 5, 2021

Gresham Middle – January 5, 2021

KAEC – January 5, 2021

Ridgedale – January 5, 2021

South-Doyle High – January 5, 2021

South-Doyle Middle – January 5, 2021

Vine Middle – January 5, 2021

Whittle Springs – January 5, 2021