COVID-19: 10/7/2021 Update

Tennessee Daily COVID-19 Cases 10.8.21 (Source:
Tennessee Daily COVID-19 Cases 10.8.21 (Source:

Welcome to the Friday update and, thankfully, to continuing declines in cases numbers, hospitalization, and death totals. Make no mistake: they remain high, and we may well see additional surges. Still, it’s easy to imagine we may be approaching a lull in transmission similar to what we experienced last summer. Maybe. The virus hasn’t been extremely predictable and U.S. vaccination rates remain poor and its worse in our home state. If the numbers continue to fall, I’m imagining taking a break from COVID reporting starting in November, but we’ll see.

The statistics referenced below, unless otherwise linked, are largely based on numbers from these sites:

The New York Times COVID Database

The State of Tennessee COVID Dashboard

The State of Tennessee COVID Vaccination Dashboard

The Knox County Health Department COVID Dashboard

The KCHD COVID Vaccination Dashboard


International News

Cases across the world continue a steady decline at about the same pace as last week, with a 7% decline in cases this week and a 9% decline in deaths.

Just over 327.5 million cases of COVID-19 have been confirmed since the beginning of the pandemic, along with 4,849,332 deaths from the virus. Just under 18.1 million cases are currently active, down about 300,000 from last week. Just over 2.9 million new cases were added this week, as well as 48,468 deaths.

New cases are averaging 419,566 per day, down from 450,395 a week ago. Deaths from the virus are averaging 6,924 per day, down from 7,919 a week ago. The current daily rate of global deaths from the virus is the lowest it has been since November 1, 2020. This very well may be the result of vaccinations.

Over 6.41 billion doses of the various vaccinations have been administered, including about 170 million in the last week, down from about 180 million a week ago. Fifteen countries have fully vaccinated 70% or more of their population, the same number as a week ago. Twenty additional countries have fully vaccinated at least 60% of their population, up two from last week. The top five countries in the world for full vaccination rates are U.A.E. (86%), Portugal (85%), Malta (84%), Singapore (81%) and Qatar (78%).

Eighteen countries, mostly in Africa, have fully vaccinated fewer than 1% of their citizens. This number is down from 20 a week ago. The countries in the world with the lowest vaccination rates all have rates .2% or lower and include (from the lowest) Congo, Turkmenistan, Yemen, Benin, Chad, Haiti, and Central African Republic.

National News

Over 45 million cases of COVID-19 have been confirmed in the U.S. since the beginning of the pandemic, along with 730,206 deaths from the virus. The U.S. continues to lead the world in total cases and deaths. Among countries with at least 1 million citizens, the U.S. remains sixth in per capita cases, but has moved up one spot to fifteenth in per capita deaths from the virus, surpassing Italy.

New cases in the U.S. declined by 12% this week, to just over 779,000. The average number of new cases each day is 97,614, down from 109,464 a week ago. Over the last two weeks, new cases have declined by 22%. The current pace of new cases is like early August.

There are 9.81 million Americans with an active case of COVI-19, down about 70,000 from last week. While this number remains very high, it began dropping October 2 after setting a pandemic record the day before.

COVID-19 deaths in the U.S. have also continued to decline. The U.S. is averaging 1,765 COVID-19 deaths each day, down from 1,927 a week ago and down about 13% over the last two weeks. Hospitalizations have fallen by 20% in the last two weeks. The states seeing the highest current rate of death from the virus include (from the top) West Virginia, Idaho, Georgia, Wyoming, and Alabama. The states with the lowest current death rates include Nebraska, Connecticut, New York, New Hampshire, and Rhode Island.

The states with the highest rate of increase in virus cases this week are, in order, Alaska, Montana, North Dakota, Wyoming, and West Virginia. Alaska’s rate has finally begun a decline, down 9% over the last two weeks. In order, these states rank 33rd, 36th, 45th, 48th, and 50th in full vaccination rates, for an average of 42nd.

The states with the lowest spread rates in the country this week are Connecticut, California, Hawaii, Florida, and Louisiana. In order of full vaccination, these states rank 2nd, 15th, 17th, 20th, and 44th, for an average of 20th. This is the lowest average vaccination rate I remember reporting for the states with the lowest spread (though the gap between 20th and 42nd is still significant).

The reason is Louisiana, which has done a stunning turnaround in recent weeks from one of the worst spreads in the country to the fifth lowest. How did this happen with such a low vaccination rate? Masking. A state-wide mask mandate was put in place on August 4 — not just for schools, but for every indoor space. They were averaging 4,338 cases per day when the mandate went into effect. It continued to rise for nine days before dropping to its current level of 859 cases per day. Cases in the U.S. did not peak until early September, so they were weeks ahead in their decline.

In the U.S., just under 399.6 million COVID-19 vaccination shots have been given, including about 6.7 million doses in the last week. At this point, many of those are booster doses, so it obscures the number of new people becoming vaccinated. About 949,000 doses a day were given over the last week, up from 727,000 per day the week before. The New York Times still reports the same percentages for the U.S. as a week ago: 56% are fully vaccinated and 65% have at least one shot.

15 states have vaccinated at least 60% of their population, up from 13 last week. The states leading in vaccination rates remain the same, with Rhode Island moving ahead of Maine: Vermont, Connecticut, Rhode Island, Maine, and Massachusetts. Vermont is the only state to have reached a 70% vaccination rate. The lowest states remain the same (starting at the bottom), with Idaho dropping below Wyoming: West Virginia, Idaho, Wyoming, Alabama, and Mississippi.

Tennessee Daily COVID-19 Deaths 10.8.21 (Source:

State News

The state of Tennessee has reported 1,246,815 cases of COVID-19 during the pandemic, leading all states in the country in per capita cases. The state added 18,295 cases in the last week, down about 6,300 from the previous week. The current daily average of 2,630 new cases per day is down from 3,527 a week ago. The rate of spread in the state is 19th worst in the country, down ten spots from last week, with a 43% decline in cases over the last two weeks.

15,507 Tennesseans have died of COVID-19, including 358 this week, a drop from 409 reported last week. The state is averaging 51 deaths per day, down from 59 a week ago. Average daily COVID-19 deaths in the state peaked on February 6 at 135 per day but fell to just 2 per day in mid-June. Tennessee ranks 21st in per capita COVID-19 deaths since the beginning of the pandemic, surpassing Michigan’s rate to move up a spot this week.

COVID-19 hospitalizations continue their decline, with 2,022 hospitalizations reported across the state, compared to 2,484 a week ago and the peak of 3,831 on September 9. 627 COVID-positive Tennesseans are in ICUs, and 437 are on ventilators, down from 749 and 532, respectively, a week ago. Pediatric hospitalizations are up and down but have settled into a range. There are more pediatric COVID-19 patients than a week ago, with 39 COVID-positive children hospitalized, 12 in ICUs and 7 on ventilators. 33 were hospitalized a week ago, with 11 in ICUs and 3 on ventilators. ICU availability has increased to 8% from the 7% reported last week.

Tennessee COVID-19 Hospitalizations 10.8.21 (Source:
Tennessee COVID-19 Pediatric Hospitalizations 10.8.21 (Source:

Test totals continued to average around 20,000 a day across the state, with over 21,000 tests reported yesterday. The positivity rate of 10.38% for the day, reflects a continued improvement, with a drop from 12.66% a week ago. Johns Hopkins University puts our positivity rate at 15%. Tennessee ranks 39th in per capita testing in the U.S., down two spots from last week.

144.5 thousand Tennesseans got a vaccination over the last seven days, an uptick from 109,000 last week. The state keeps two running totals now, including a separate one for the booster, which does likely account for the surge. The only way to know how many of the 144.5 thousand were booster shots is to have tracked the booster numbers over the last week and subtract them.

I’ve now started tracking them, but had not last week, so I can’t calculate how many of the shots given this week were boosters. Next week I should be able to answer that. For now, all I know is that of the 6,921,009 vaccinations given, 186,626 were boosters. Clearly a solid amount of the shots given were first or second shots because 47% of Tennessee residents are fully vaccinated, up from 46.2% last week. 53% have gotten at least one shot, up from 52.6% last week. The state dropped back to 43rd in full vaccination rates in the U.S. after ranking 42nd a week ago.

Vaccination rates remain the highest among older groups and the lowest among the young. Current percentages of full vaccinations by age group include 12-15 (30.4%), 16-20 (35.6%), 21-30 (37.3%), 31-40 (46.8%), 41-50 (51.9%), 51-60 (59.3%), 61-70 (71.3%), 71-80 (79.6%), and 81+(74%).

Knox County Daily Cases 10.8.21 (Source: Knox County Health Department)

Local News

The Knox County Health Department has reported 60,761 confirmed cases and 15,434 probable cases of COVID-19 since the beginning of the pandemic. For the last week, the KCHD has reported 906 confirmed cases and 421 probable cases compared with 1,189 confirmed cases and 625 probable cases the prior week. The current average of 129 confirmed cases per day reflects a drop from 170 per day last week. That said, the rate of decline has slowed, as reflected in the comparison between the twenty-eight-day trend line (steeper decline) and the fourteen-day trend line (less steep decline).

Today, the KCHD is reporting 121 newly confirmed cases and 29 probable cases. Active cases now number 2,210, a drop from 2,885 a week ago. It is the lowest number of active cases reported in the county since August 11 (1,819).

COVID-19 hospitalizations continue to decline, with the 19-hospital region reporting 416 hospitalizations from the virus, with 125 in area ICUs, and 99 on ventilators. A week ago, those numbers were 494, 143, and 110, respectively. Only 11 ICU beds are currently available in the region, down from 13 a week ago and, assumedly, reflecting demand from other illnesses. 143 of the 299 ICU beds currently in use is occupied by a patient with COVID-19.

19-Hospital East Central Tennessee COVID-19 Patients 10.8.21 (Source: Knox County Health Department)
UT Medical Center COVID-19 Patients 10.8.21 (Source: UT Medical Center)
East Tennessee Children’s Hospital COVID-19 Patients (Source: East Tennessee Children’s Hospital)

The latest report from UT Hospital indicates a census of 79 COVID-19 patients, down from 83 a week ago. 86% those hospitalized are not vaccinated and the average age for COVID-19 patients in the ICU is 60. Covenant Hospitals report 230 confirmed COVID19 patients, down from 289 a week ago. They report 84% of COVID-19 ICU patients are unvaccinated with an average age of 58.

East Tennessee Children’s Hospital reports five pediatric COVID-19 hospitalizations over the last week, down from 10 the week before. Three were 0-5 years-old, one was 6-11 years old, and one was 12 years old or older. Of the older group, the single patient was not vaccinated. As of the last report, four children remain hospitalized, with three in the ICU.

Deaths remain stubbornly high in the county, with 20 additional deaths from the virus reported this week, for an average of just below three each day. Still, this is a significant improvement from the 36 deaths reported the previous seven days. Of the 20 who died in the last week, one was between the ages of 18-44, five were between the ages of 45-64, six were between the ages of 65-74, and ten were 75 years old or older. 862 Knox County residents have now died of COVID-19.

Test demand continues to drop, falling below 6,000 over the last seven days. The positive test rate of 17.7% moved up slightly from last week’s 17.1%, which is troublesome and indicates we are not finding number of cases we need to find to slow the spread. Turnaround time for results is around 1.4 days, a number which has shown steady improvement with the reduction in test demand.

Knox County COVID-19 Vaccinations 10.8.21 (Source: Knox County Health Department)

The pace of vaccinations has recently increased in the county, with 12,033 shots given this week, up from 9,402 given last week. Again, it is likely that a large portion of the increase is due to booster shots. First and second vaccination rates continue to move up at glacial paces, with 52.8% of Knox County residents fully vaccinated (up from 52.16% last week) and 57.15% having had at least one shot (up from 56.78% a week ago).

Knox County Schools Active Cases 10.8.2021 (Source: Knox County Schools)
University of Tennessee Active Cases 10.8.21 (Source: University of Tennessee)

The Knox County Schools are reporting 189 active cases among students and staff, down from 281 a week ago. The University of Tennessee is reporting 41 cases, down from 47 a week ago. Both KCS and UTK are far below their peaks reached a few weeks ago.

  • Knox County’s School Board Meeting this week, with nothing on the agenda about masks, featured 65 speakers, most of them speaking to oppose masks. At three minutes each, the public forum session took four hours. It also prompted an NBC piece on Knox County, which came out today.