COVID-19: 2/18/2021 Update (State, Local, KCS, UTK + Today’s Health Department Briefing)

Tennessee Daily Cases 2.18.2020 (Source:
Tennessee Daily Cases 2.18.2020 (Source:

More cold, wet weather without snow. Sorry Old Man Winter, but if that’s what you’ve got, I’m ready to move on. Sunday looks nice and, of course, since we are in East Tennessee, after this week of nasty winter weather, we’ll hit the sunny 60s next week. I will look forward to spring for many reasons, but I’ll miss many of our usual downtown markers of spring. I walked outside a few days ago and something in the air immediately sprang Big Ears to my mind. Wouldn’t that be nice about right now?

State News:

The number of daily cases reported by the state of Tennessee continues to decline rapidly. After the previous day set a new post-November 1 low at 962, the state reported 780 yesterday, still just over the November 1 number (754). State pandemic case numbers have now reached 639,607 confirmed cases and 120,696 probable cases.

729,629 cases are considered inactive, while 19,689 Tennesseans are currently COVID-positive. It’s the fewest active cases the state has reported since October 14 (19,245). New daily cases are now averaging 1,413 per day, the lowest since October 4 (1,174).

57 Covid-positive Tennesseans were reported hospitalized with the illness yesterday, bringing the pandemic total for the state to 18,120. Even though hospitalizations are much lower than six weeks ago, the number hospitalized has risen slightly for two consecutive days, something it has not done since the beginning of January. The current total is up ten to 1,133. The number of ICU patients (305) and ventilated patients (167) continues to drop slowly.

Tennessee Daily Testing and Positive Test Rate 2.18.2020 (Source: Johns Hopkins University)

The state reported 31 deaths yesterday, as the downward trend in virus-related deaths continues. The average number of deaths over the last seven days has been 37 per day. The number represents the lowest average number of deaths recorded by the state since December 2.

Testing continues at a very low level, but the positive test rate is also remaining much lower than we’ve previously experienced. Just over 7,900 tests were reported yesterday, with the pandemic total just over 6.6 million. Johns Hopkins University reports Tennessee has averaged 8.7% over the last seven days, a rate last seen in the state in early November.

The state reports 1,054,418 total shots have been given of the vaccine, with 8,241 given the day of the report. For the last seven days, the state is reporting 123,475 shots were given, a drop of about 17,000 from the previous seven-day rolling period. 10.24% of state residents have been given at least one shot, while 339,407 state residents have gotten both vaccines.

At our current rate, the state could be completely vaccinated 716 days from today, or by February 4, 2023. A week ago the projection was July 24, 2022, meaning our pace has slowed enough that it would take an additional seven months.

Knox County Daily Cases 2.18.2021 (Source: Knox County Health Department)

Local News:

After missing yesterday’s report, the Knox County Health Department is reporting 49 cases for yesterday and 78 for today. It brings case totals for the county to 39,141 confirmed cases and 6,579 probable cases. 43,353 cases are inactive, and 1,847 people currently have an active case of the virus. This represents the lowest active case number reported since November 15 (1,618).

A total of 59 COVID-positive Knox County residents are currently hospitalized, bringing the total number to 1,214. The hospitalization number has been relatively stable for the last ten days or so, with the number hospitalized ten days ago identical to today.

Three deaths were added today (representing the last two days). Each of the three people who died were 75 years old or older. To date, 520 Knox County residents have died of the illness with an age breakdown as follows: 11 (ages 18-44), 78 (45-64), 122 (65-74), and 309 (75+).

Benchmarks were updated yesterday, and public health capacity is now being evaluated based on vaccine distribution in the county. Four of the metrics including case rate, testing capacity, public health capacity and hospital capacity were each rated yellow. The metric for deaths was rated red.

The state is reporting a 16.4% positive test rate for the county over the last seven days. This number is higher than it was a week ago and underscores that our improvements are precarious.

New vaccination data was released by the county today (oddly, it wasn’t due to be updated until tomorrow) and indicates that 75,487 vaccinations have been given here. 50,971 county residents have gotten one shot, while another 24,410 have gotten both shots. 10.84% of county residents have received at least one shot.

Knox County Vaccination Distribution 2.18.2021 (Source: Knox County Health Department)

Knox County Health Department Briefing:

Charity Menefee led today’s briefing and thanked the public workers who ensure the roads are clear for county residents. She said vaccination clinics continue this week and eligibility expands to teachers and people 65 and over starting on Monday. She pointed out that eligibility does not necessarily mean access, as demand continues to far out-strip supply. She pleaded with people to call the health department to remove their names from the wait list if they get their shots elsewhere.

She said the delay in data yesterday due to some probable cases on one particular day being coded as confirmed cases. They took the day to sort it out and make sure it was accurate. She confirmed the numbers above. Cases dropped during this period to about 120 per day from 127 the previous period. She said we need to not become complaisant, as the numbers remain high.

She said testing rates have dropped, but the hope is this reflects a lower rate of spread. Lab turnaround time is less than two days. She said vaccinations are heading in the right direction. Regarding deaths, she said 32 deaths occurred in the last fourteen days and is trending in the correct direction, but remains high enough they still consider it to be red.


  • People are scrambling for information regarding who has the vaccine and how to make appointments. Could a page be established, perhaps linked to the Knox County Vaccination page that lists major providers and links to their registration or appointment portals? The Tennessee department of health has a website that does that and we have the link on our page.
  • Are all vaccinations included in the Knox County report? All that are given to Knox County residents are included.
  • Will the expansion of availability limits delay those over 75 getting their vaccinations? We hope the wider availability of vaccination sites and vaccine will prevent this?
  • Is your waiting list prioritized? It is first come, first served among all the people who are eligible.
  • Assuming County Commission approves the Food City site, how quickly will you use it? Early March.
  • What guidance are you giving to bus drivers, interns, substitute teachers and others regarding eligibility? Yes
  • Do school administrators qualify? Yes
  • How many are on your waiting list? A little over 10,000
  • Are you seeing fewer sign-ups since other sites are opening? It is too early for that.
  • Is the wait list open even if there isn’t a current clinic? Yes, if you meet criteria.
  • How many people will be added to eligibility lists on Monday? We’re still working on that. It will be large.
  • When do you expect to open the wait list to the new groups? 8:30 Monday morning.
  • Do you think the state moved to open the new categories too quickly? They are looking at the whole state and some counties were ready. We are trying to stay in step with them, but our county is larger, and it will take longer.
  • When people are vaccinated in other counties, don’t you get reports and you could take them off your list? It is theoretically possible, but practically impossible.
  • At what point should we feel more comfortable with relaxing behaviors? The cut-offs established by the BOH would be one starting point. It does not mean we abandon the five core actions.
Knox County Schools Active Cases 2.18.2021 (Source: Knox County Schools)

Knox County Schools News:

The number of active cases reported by the Knox County Schools jumped by twenty over the previous day, to 141, including 110 students and 31 staff members. 3,139 students and staff are considered recovered. 1,483 are in quarantine or isolation, including 1,349 students and 134 staff members. Isolation/quarantine numbers are up about 10% from the previous day.

Metrics for the system look about as good as they’ve looked in a while, with teacher attendance, student attendance, cafeteria support, and bus service all rated green, while custodial remains yellow and substitute availability has risen to yellow, which is rare. No schools are currently all-virtual due to COVID-19.

University of Tennessee Active Cases 2.18.2021 (Source: University of Tennessee)

University of Tennessee News:

The University of Tennessee is reporting 80 active cases of COVID-19, including 60 students and 20 staff members. 2,811 students and staff have recovered, and 14 new cases were reported yesterday. 328 are currently in quarantine or isolation, including 67 staff members, 188 residential students, and 73 non-residential students.