COVI

D-19
Cr
iti
calI
ndi
cat
ors
Augus
t19,2021

I
ntr
oduc
tion
AsTennes s
e e(TN)moni torsreopeninga c
rossthestate
,theTennes
s eeDepa r
tmentofHea
lth(TDH)will
ma i
ntai
n
vi
gil
anceofc ricalCOVI D-19indicat
or satthestat
ea ndcount
ylevelstoi
denf y‘pr
oblemareas’a
crossthest
ate
andprovidee arl
yindi
c a onofs ustai
ne dincr
easesincommunitytr
a nsmis
sion.
Theseme tr
icswe rede v
e l
ope dinli
newi ththeWhi teHouseproposedS t
ateGa ngCrit
eri
aa ndhelpoffic i
al
s
monitortrendsinfourk eya r
ea s
:
•T r
endsi nCOVID-19Ca ses(s
eeonpa ge2)
•T r
endsi nCOVID-19S y
mpt oms( seeonpa ge7)
•T r
endsi nCOVID-19T esngCa pabi
lies(seeonpa ge8)
•T r
endsi nHe a
lthcareSy s
temCa paci
ty(seeonpa ge9)

Be
ginni
ngJ
une12t
h,2020,
cas
etr
ends(
beg
inni
ngonpa
ge2)i
ncl
udebot
hconfir
meda
ndpr
oba
blec
ase
s.

COVI
D-9i
nTN ataGl
anc
e

977,
230 7,
232 56,
738 13,
142
Tot
alNumberof New COVI
D-19 Ac
tiveCOVID-
19 Tot
alNumberof
COVID-
19Cases Cas
esToday CasesToday COVI
D-19Deat
hs

KeyDefini
ti
ons
Bel
owa rede finionsimpor tantt ounde rs
tandingthisrepor t
.Ina ddiont othesedefinions,eachv i
sua i
za oninthi
s
re
portwillbee x
plai
nedi nfurthe rdet
ailinthet ec
hnicalnot e
s(se epage11 ):
•InT N,aCOVID-19c aseisc ountedintheda il
yc as
ec ount, demog r
a phi
cs,andoutc
ome s,i
fitcl
assifiedasa
confirme dorproba bl
ec as e.Pl
easese etheCOVI D-19c asede finionhe re.
•Ac onfirmedc aseissome onewhot est
e dposiv e(viaPCRt es
t)f
ort hevir
usthatcas
uesCOVI D-19(SARS-Cov-
2).
•Apr obablecaseissome onewhoma yha v
et e
s t
edne g
av ebyPCR, t
estedposivebyanot he
rty peoftestor
ma ynotha vebeent est
e da tal
l,butha sanill
nessc onsi
stentwi t
hCOVI D-19,andmayha veotherr i
skfa
ctors.
Fore xample
:
•I fapersonisac l
os ec ont
actofaCOVI D-19cas eandha sac l
inica
ll
y-compa bl
eill
ness,t
hispe rs
on
me et
sthec r
iteri
at obeapr obablecase
•Thespecimencol
leconda teist
hedatesome one'
sCOVID-19l absamplewasc ol
lec
ted.Duetolab
t
urnaround met heremaybedelay
sbe t
we enwhenas pec
ime ni sc
oll
e c
tedandac onfirmedcaseisre
porte
d
t
ot hepubli
c.Unl
essother
wisest
ated,
vis
ua l
i
za onsint
hisre portusespeci
me ncoll
econda teasitmore
a
c c
uratel
yindi
cat
e swhenapa entwassick(andnotwhent heircas
ewa sreporte
dt othepubli
c)
.

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021.
 COVI
D-19 Cr
iti
calI
Augus
ndi
cat
or
t19,2021
s

Tr
endsi
nCOVI
D-19Cas
esi
nTN
T
hefol
lowi
ngs
econwil
lvi
sua
li
zetheCOVI
D-19ca
setr
ends(bot
hconfirmedandpr
oba
ble
)inT
N,i
ncl
udi
ngne
wly
r
epor
tedca
ses
,thea
cvenumberofcas
es,
andthenumberofCOVI
D-19confir
meddea
ths.

Epi
demi
cCur
veofCOVI
D-19Cas
esbySpec
imenCol
lec
tionDat
e1
Thec urv
ebel
owv is
ua l
i
zesthenumbe
rofnewcaseseachdaysi
ncethebeginni
ngoftheCOVID-
19outbr
eak
.Thenumberof
caseseachda
ya revis
uali
zedint
hebl
uel
ineandthemov i
ng7-dayave
rageisvisua
li
zedwi
ththeredl
i
ne.OnDecember20t
h,
2020, t
hemoving7-dayavera
gewast
hehig
hestofthepandemic
, a
vera
ging6,946newcase
s/day.

Il
lnessthat
began
duringthis
timemay
10K notyetbe 10K
reported.

19Cases
8K 8K

D-
19Cases

ageofCOVI
6K 6K
D-
COVI

ngAver
4K 4K
Movi

2K 2K

0K 0K
Mar1,20 J
un1,20 Sep1,20 Dec1,20 Mar1,21 J
un1,21 Sep1,21

Spec
imenCol
lec
tionDat
e
Thee
pidemi
ccurv
eisbase
donthedaythespe
cimenwascol
l
ecte
d.T
heref
ore,t
hemos tr
ecentday’
sdatamaynotbec
ompleteastes
tre
sul
tst
ake
anave
rageof2-
5daystober
eflect
edinthevi
sual
i
za on.
Tolear
nmoreaboutt
hisv
isual
iz
a on, pl
eas
eref
ere
ncethet
echni
calnot
es.

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021. PAGE2|
 COVI
D-19 Cr
iti
calI
Augus
ndi
cat
or
t19,2021
s

St
atewi
deNumberandRat
eofAc
tiveCas
es2

Thechar
tbe l
owv i
sual
iz
esthenumbera
ndrateofacveCOVI
D-19ca
sesinT
N. OnSepte
mbe r3rd,
2020(ora
ng el
ine)T
DH
updat
editsdefinionofa nacvecas
esigni
ficant
lyl
ower
ingt
henumberofacv ec
asesonthatdayandmovingforwar
d.Since
TDHupdateditsdefinionofanacvecase,t
henumberandrat
eofacvecas
eshitapeakonDe cember21s
t,2020with85,406
cas
es.

sons)
1000

000Per
60K OnAugus t19,2021,t her
ewer e
56,738activeCOVI D-19casesin 800

per100,
TN.Ther ateofac ti
vec aseswas
veCases

830.8per100, 000per sons.

40K 600

veCases(
t
Aci

400

i
20K

t
eofAc
200

Rat
0K TDHupdat
edi
tsdefini
tionofanac
tivec
aseon9/
3/2020 0

Mar1,20 May1,20 J
ul1,20 Sep1,20 Nov1,20 J
an1,21 Mar1,21 May1,21 J
ul1,21 Sep1,21

Dat
eofPubl
icRepor
t

Dai
lyPer
centofPos
iti
veCOVI
D-19Tes
ts3

T
hechar
tbe
lowv
isua
li
zest
hedai
lyperc
entofposiveCOVI
D-19tes
ts.
Fort
oda
y,Aug
ust19,
2021,
theda
il
ypos
ivi
ty
r
atewa
s15.
2%andtheposivi
tyrat
efort
helast7dayswa
s17.2%.

25

20
y% pos

15
15.
2%
l
Dai

10
Posi
tivi
tyRat
e10%

5
Posi
tivi
tyRat
es5%

0
Mar1,20 May1,20 J
ul1,20 Sep1,20 Nov1,20 J
an1,21 Mar1,21 May1,21 J
ul1,21 Sep1,21

Dat
eofPubl
icRepor
t

On5/ 3/
2021,TDHshiedtoamorere
li
abl
esy
ste
m-gener
ateddat
e,t
hedat
etheCOVI
D-19casewasaddedtothesur
veil
l
ancesys
tem.Bec
aus
eofthi
s
change,t
hisv
isual
i
za onhashadami
nors
hi i
nthenumberofne
wc as
esr
epor
tedf
oreachdayandther
efor
e,thedai
lyper
centofpos
iveCOVI
D-19te
sts
.

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021. PAGE3|
COVI
D-19 Cr
iti
calI
ndi
cat
Augus
ors
t19,2021

Pos
iti
veTes
tsper100,
000Per
sonbyPubl
icHeal
thRegi
on(
overl
ast7days
)4

T
hema pbe l
owshowst henumbe rofnewposivet
e s
tsi
nt hela
st7daysper100,000pers
ons.T
hearr
owi ndi
cator
srepres
ent
t
hetrend(upordown)a scomparedtotheweekpr
ior
.F orthewe e
kofAugust19,2021,t
hehig
hes
trateofposivetestswas
s
eenintheMe mphi
s -
ShelbyMetro.Addiona
lly
,8ofthe13publichea
lthr
egionssawa ni
ncr
easei
nthenumbe rofposive
c
asescomparedtothewe ekpri
or.

393.
4
▲
419.
7
289.
7 300.
1 248.
9 ▲
▼ ▼ ▲ 242.
2
251.
5
318.
4 ▲
▲
▲ 347.
0
▼ 339.
2 369.
9
460.
5 ▲ ▲ 298.3 Posi
tiveTest
sbyRegi
on
▼ ▼
242.
2 460.
5

TN SARS-
CoV-
2Var
iantCas
eSummar
y5

Bel
owi satablesumma r
iz
ingCOVID-19var
iantcas
esr e
portedtotheTenness
eeDe part
mentofHe alt
h.Bec
ausesequenci
ngis
notperfor
me dbya l
ll
aborat
ori
es,t
he s
edataa r
eac onveni
encesampleandnotindic
av eofthetruepreva
lenceofva
riant
s.
Tolea
rnmor ea boutCOVI
D-19vari
ants,pl
easeseetheSARS-CoV-
2Va ri
antCl
ass
ifica onsandDefinionspubl i
shedbythe
CDC:h ps://
www. cdc.
gov/c
orona
v i
rus/
2019-ncov
/cases-
updates
/var
iant-
sur
vei
lla
nce/var
iant
-i
nfo.html

Addionaldat
aonv ar
iantproporonsna onal
lyandbyst
atea
rea
vai
abl
efr
omt
heCDCa
t:
h ps:
//c
ovid.
cdc
.gov
/covid-
data-
tr
acker
/#var
iant
-pr
oporons

Var
iant
sofConcer
n
B.
1.1.
7 B.1.
351 B.
1.617.
2 P.
1
TN Regi
on AY.
1-Del
ta AY.
2-Del
ta AY.
3-Del
ta
-
Alpha -
Beta -
Delta -
Gamma
Bl
ount
vil
le-
Sul
li
vanRegi
on 31 0 0 0 0 11 4
Chat
tanooga-
Hami
ltonRegi
on 81 0 0 0 2 50 0
EastTennesseeRegi
on 231 2 1 0 15 121 20
J
ackson-
Madi
sonRegi
on 16 0 0 0 2 7 1
Knoxvi
ll
e-KnoxRegi
on 48 1 0 0 7 43 4
Memphi
s-Shel
byRegi
on 1,
662 4 0 2 671 744 39
Mi
d-Cumber
landRegi
on 558 1 0 1 28 164 13
Nashvi
ll
e-Davi
dsonRegi
on 353 1 0 2 14 120 11
Nor
theastRegi
on 318 5 0 6 7 42 12
Sout
h-Cent
ralRegi
on 128 1 0 1 4 39 0
Sout
heastRegi
on 168 0 0 0 0 48 3
Upper
-Cumber
landRegi
on 315 0 0 0 17 62 22
WestTennesseeRegi
on 343 7 0 0 55 138 11
Gr
andTot
al 4,
252 22 1 12 822 1,
589 140

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021. PAGE4|
COVI
D-19 Cr
iti
calI
Augus
ndi
cat
ors
t19,2021

TN SARS-
CoV-
2Var
iantCas
eSummar
yCont
inued5
Be
lowi
sat
abl
esumma
riz
ingt
heCOVI
D-19v
ari
ant
sofi
nte
res
tca
sesr
epor
tedt
otheT
enne
sse
eDe
par
tme
ntofHe
alt
h.

TN Regi
on B.
1.525-
Eta B.
1.526-
Iot
a B.
1.617.
1-Kappa

Chat
tanooga-
Hami
ltonRegi
on 0 1 0
EastTennesseeRegi
on 0 7 0
J
ackson-
Madi
sonRegi
on 1 1 0
Knoxvi
ll
e-KnoxRegi
on 0 1 0
Memphi
s-Shel
byRegi
on 0 25 1
Mi
d-Cumber
landRegi
on 3 21 0
Nashvi
ll
e-Davi
dsonRegi
on 0 20 0
Nor
theastRegi
on 1 8 0
Sout
h-Cent
ralRegi
on 0 4 0
Sout
heastRegi
on
Upper
-Cumber
landRegi
on 0 10 0
WestTennesseeRegi
on 0 10 0
Gr
andTot
al 5 108 1

Vac
cineBr
eakt
hroughCas
esi
nTN6
CDCde
finesCOVID-19Vac
cineBrea
kthr
oughCasesasaU.S.r
esi
de ntwit
hS ARS-CoV-
2RNAorang e
nde t
ectedonare
spir
atoryspeci
mencol
lec
ted≥
14
day
sa erc
omple ngtheprimar
yseri
esofanFDA-a
uthori
zedCOVI D-
19v a
c c
ine.Tol
earnmor
eaboutbrea
kthroug
hcas
esacrosstheUSandhowtheya
re
bei
ngr
epor
tedtotheCDC:h ps:
//www.cdc
.gov/
vacci
nes
/covi
d-19/heal
th-
de part
ments
/br
eak
thr
ough-c
ases.
html

Over
allMet
rics
: Sympt
oms
:
COVI
D-19Out
come Br
eakt
hrough Tot
al %
Symptoms Br
eakt
hr oughCases
Cases 16,
296 977,
230 1.
7% Yes 3,699
Hospi
tal
izedCases* 368 23,
889 1.
5% No 621
Dec
easedCases*
* 108 13,
142 0.
8% Unknown 11, 976

Summar
yofRecentBr
eakt
hroughCas
es:
% ofCases % ofCOVI
DHospital
izat
ions % ofCOVI
DDeaths
Mont
h
Unvacci
nated Unvac
cinat
ed* Unvacci
nat
ed*
*
May-J
uly 90% 88% 94%

*Hos pi
tali
za ons:Hospi
tal
i
za ondatai
sre por
tedfromc a
s eint
erv
iewsorvi
aTenness
eeHospit
alAssocia onda t
a.Plea
senote,T
DHc urr
entl
y
conductsmorer obus
tacv esur
vei
ll
anceforhospit
ali
zedCOVI D-
19casest
hatar
ev a
cci
nat
edtha nforthosethatareunvacci
nat
ed;ther
e f
oret
heda
ta
f
orhos pit
ali
za onsamongtheunvacc
inat
e dma ybemor eincomplet
e.Wea r
eworki
ngtoimprovethec omplet
e nessofourhos
pit
ali
za ondat
a.

**Dea
ths
:De at
hswhe
reCOVI
D-19i
sac
aus
eorc
ont
ri
bu ngf
act
orl
i
ste
dont
hede
athc
erfic
ate
.Ot
herc
ase
sma
ysl
lbeunde
r
i
nvesga on.

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021. PAGE5|
COVI
D-19 Cr
iti
calI
Augus
ndi
cat
or
t19,2021
s

7DayRunni
ngAver
ageofNew Cas
esi
nMet
ropol
it
anPubl
icHeal
thRegi
ons
7

Bl
ount
vil
le/
Sul
li
vanCount
y
800
es

Chat
tanooga/
Hami
ltonCount
y
ageofNew Cas

J
acks
on/
Madi
sonCount
y
Knoxvi
ll
e/KnoxCount
y
600 Memphi
s/Shel
byCount
y
Nas
hvi
ll
e/Davi
dsonCount
y

400
7DayAver

200

0
Mar1,20 J
un1,20 Sep1,20 Dec1,20 Mar1,21 J
un1,21 Sep1,21
Theplotabovei
ll
ust
rat
esthe7dayrunni
ngaver
ageofnewCOVID-19cas
es(ba
sedonthedateofpubl
i
cr e
port
)fort
hesi
x
me t
ropol
ita
npubli
cheal
threg
ions
.TheNa s
hvi
l
le/Da
vids
ona ndMemphis
/Shel
bymetr
opoli
tanare
ashavecons
ist
entl
yre
por
ted
hig
he rc
ountsofCOVI
D-19cas
escompa r
edtot
heotherfourmet
ropol
i
tanarea
ssi
ncetheoutbr
eakbegan.

7DayRunni
ngAver
ageofNew Cas
esi
nRur
alPubl
icHeal
thRegi
ons
7

Eas
tTennes
seeRegi
on
es

Mi
d-Cumber
landRegi
on
ageofNew Cas

1500 Nor
theas
tRegi
on
Sout
hCent
ralRegi
on
Sout
heas
tRegi
on
UpperCumber
landRegi
on
Wes
tRegi
on
1000
7DayAver

500

0
Mar1,20 J
un1,20 Sep1,20 Dec1,20 Mar1,21 J
un1,21 Sep1,21
T
heplota
boveil
l
ust
rat
esthe7da
yrunni
nga
ver
ageofne
wCOVI
D-19c
ase
s(ba
sedont
heda
teofpubl
i
cre
por
t)f
ort
hes
eve
n
r
ura
lpubl
iche
alt
hregi
ons
.

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021. PAGE6|
 COVI
D-19 Cr
iti
calI
Augus
ndi
cat
or
t19,2021
s

NumberofDeat
hsperDay(
bydat
eofdeat
h)8

OnAugus
t19,
2021,thet
otalnumberofconfir
medCOVID-
19deat
hswas13,142(10,
597c
onfirmedand2,
545pr
obabl
e).
Be l
ow
ar
ethenumberofCOVI
D-19deathsbyt
heda t
eofde
ath.T
here
dliner
epre
se nt
sthe4dayrunni
nga
verag
enumberofdeat
hs.
Deat hsthat
occur r
ed
120 duringt hi
s 120
timemay
notyetbe
110 repor t
edto 110
TDH.

100 100

90 90

hs
ageNumberofDeat
80 80

70 70
hs
Deat

ngAver
60 60

DayMovi
50 50

4-
40 40

30 30

20 20

10 10

0 0
Mar1,20May1,20 J
ul1,20 Sep1,20 Nov1,20 J
an1,21 Mar1,21 May1,21 J
ul1,21 Sep1,21

Dat
eofDeat
h

Cas
eFatali
tyRat
e: 30-
DayCas
eFat
ali
tyRat
e:
1.
3% 0.
5%
(
13,
142/
977,
230) (
453/
96,
592)

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021. PAGE7|
 COVI
D-19 Cr
iti
calI
Augus
ndi
cat
or
t19,2021
s

COVI
D-19Ac
tiveCl
ust
erMoni
tor
ingTabl
e9
T
hetabl
ebe
lowshowst
henumberacveCOVI
D-19clust
ersthata
rec
urr
entl
ybeingmoni
tor
edbyr
egi
ona
ndc
lus
tert
ype
.To
l
ear
nmorecl
ust
erandc
lus
tert
ype
s,pl
eas
eref
erenc
et heendnote
sonpage14.
Fac
ili
tyType CHR ETR J
MR KKR MCR MSR NDR NER SCR SER SUL UCR WTR Tot
al
Assi
stedCar
eLi
vingFac
ili
ty 2 1 7 6 4 6 1 3 2 1 7 40

Bar 3 3

Communi
ty 6 7 3 34 12 22 26 9 4 3 3 11 141

Const
ruc
tion/
Bui
ldi
ng 1 1

Cor
rec
tional 1 2 1 3 1 11 3 3 1 1 5 32

Far
m 1 1

Homel
essShel
ter 2 2

I
ndust
rial 1 1 6 2 2 1 4 3 5 25

Nur
singHome 6 14 1 7 18 6 8 2 4 11 2 8 23 110

Ot
herf
aci
li
ty 7 6 1 11 8 9 3 1 2 1 6 56

Ot
herHeal
thc
are 1 3 3 7

Rest
aur
ant 1 1 4 1 1 1 9

SummerCamp 1 1 1 1 2 1 2 13

Tot
al 24 33 14 63 55 47 61 14 6 27 10 23 57 440

F
ormor
einf
orma onont
heme
troa
ndr
egi
ona
lhe
alt
hde
par
tme
nts
,pl
eas
ecl
i
ckher
eors
eepa
ge15.

COVI
D-19Confir
medCl
ust
ersbyWeek10
T
hev
isua
li
za onbe
lows
howst
henumbe
rofne
wcl
ust
ersi
den fie
dinT
enne
sse
eea
chwe
ek.
140

120
i
dentfied

100
ersI

80
ust
NumberofNew Cl

133
60 122 120119
11011113
1
102 104
103 105
100 98 100
96
91 94
88 88
87 85 86
83 83 80 83
40 73 74
65 65 6769
60 63
57 54
52
44 47 43 4447
20 4041 38 41 3540
32 28 29 29
27 26 25
22 2021
16 15
0 1051097

J
un14,20 Aug9,20 Oc
t4,20 Nov29,20 J
an24,21 Mar21,21 May16,21 J
ul11,21 Sep5,21

Week

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021. PAGE8|
 COVI
D-19 Cr
iti
calI
Augus
ndi
cat
ors
t19,2021

Tr
endsi
nCOVI
D-19Sympt
omsi
nTN
Thefoll
owingseconwi llvi
sual
izethetr
endsinCOVID-
19s y
mpt omsba s
e dondatacol
lec
tedt
hroughTN’ss
yndromic
sur
v e
il
lancesys
tem, ESS
ENCE .ES
S E
NCEtrack
spa e ntc
hiefcomplai
ntsanddischa
rgediag
nose
sf r
om95e merge
ncy
depart
me ntsacr
ossthestate.
Theda taar
etypic
all
yrecei
vedfromparc ipa ngEDswithi
n24hoursofapa ent
encounter
.Theseda t
aa r
eusedtog etpr
e-di
agnosce sma tesofhealt
hc ondions(l
ik
eCOVID-19)bei
ngre
ported
fr
ome me rgenc
yde part
me nt
s.

Syndr
omi
cSur
vei
ll
anc
e(Emer
genc
yRoom)Dat
a11
25.
00%
Cor
onavi
rus
-li
keI
ll
nes
s
s
t

I
nfluenz
a-l
ikeI
ll
nes
s
s
mentVii

20.
00%
t
gencyDepar

15.
00%
lEmer

10.
5%
10.
00%
ageofAl
cent

5.
00%
Per

2.
3%

0.
00%

Nov10,19 J
an26,20 Apr12,20 J
un28,20 Sep13,20 Nov29,20 Feb14,21 May2,21 J
ul18,21

WeekSt
art
ingDat
e

Cornavi
rusli
keil
lness(CLI
)isdefinedassymptomt er
ms ,f
reet
ext,ordi
scharg
ediagnosess
peci
fiedbyCDCt hatar
elik
elytoberel
atedtoil
lne
sscausedby
the2019novelCoronavir
us.Thevisi
tsc
ountedwithi
nt he
secri
ter
iawill
contai
nape rc
entag
eil
lness
escaus
e dbycondionsothert
ha nnovelc
oronavi
rus
i
nfe con.Thevi
sitscount
edwi t
hinthesec
rit
eriawil
lcontai
napercenta
geill
nesse
scausedbycondionsothertha
nnov el
coronavi
rusinf
econ. The
se
resul
tsshoul
dbec onsi
deredpreli
minar
yinnatureanda r
enotall
confirme ddia
gnosesofdi
sea
s e
.

Influenzal
ikeil
lness(
ILI
)isdefinedbyterms,
fre
ete x
t,ordis
char
gediag
nos
esthata
rel
ike
lytoberel
ate
dtoil
lne
ssc
ausedbyseas
ona l
influe
nz a
.Thevi
si
ts
countedwithi
nthesecri
teri
awill
contai
napercent
ageill
ness
escause
dbycondionsot
herthani
nfluenz
ainf
econ.The
seresul
tsshoul
dbec onsi
der
ed
prel
iminar
yinna t
ureanda r
enota l
lconfir
meddiagnosesofdi
seas
e.

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021. PAGE9|
COVI
D-19 Cr
iti
calI
Augus
ndi
cat
or
t19,2021
s

Tr
endsi
nCOVI
D-19Tes
tingCapabi
li
ti
es
T
hef
oll
owi
ngseconwi
l
lvis
ual
iz
etheCOVI
D-19t
esngt
rendsi
nTN,
inc
ludi
ngl
abor
ator
yte
sngt
urna
round me
a
ndt
herat
esoft
esngac
rosst
hesta
te.

Labor
ator
yTes
ting&Tur
nar
oundTi
me12
Bel
owisthenumbe
rofCOVI
D-19l
abor
ator
yte
stsc
onduc
tedi
nTNov
ert
hel
asty
eara
swe
lla
sthea
ver
agel
abor
ator
y
tur
nar
ound mebymonth.

SEPTEMBER2020 1.
41Days(
737,
316Labs)

OCTOBER2020 1.
27Days(
859,
192Labs)

NOVEMBER2020 1.
82Days(
980,
935Labs)

DECEMBER2020 1.
37Days(
1,097,
876Labs)

J
ANUARY2021 1.
18Days(
830,
653Labs)

FEBRUARY2021 1.
02Days(
506,
478Labs)

MARCH2021 0.
89Days(
492,
521Labs)

APRI
L2021 0.
83Days(
434,
275Labs)

MAY2021 0.
79Days(
309,
696Labs)

J
UNE2021 0.
79Days(
201,
550Labs)

J
ULY2021 0.
76Days(
244,
185Labs)

AUGUST2021 0.
86Days(
200,
385Labs)

0.
0 0.
2 0.
4 0.
6 0.
8 1.
0 1.
2 1.
4 1.
6 1.
8 2.
0 2.
2 2.
4 2.
6
Aver
ageTur
nar
oundTi
mei
nDays(
#ofLabs)

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021. PAGE10|
 COVI
D-19 Cr
iti
calI
Augus
ndi
cat
or
t19,2021
s

Tr
endsi
nCOVI
D-19Hos
pit
alCapac
ity
Thefol
lowingseconwi l
lvi
sual
izet
re ndsinhospi
talc
apacit
y,inc
ludingthenumbe rofCOVID-19posivepa ent
s
curr
entl
yadmie d,
hospi
talbedu li
za on, andbed/venlatoravail
abi
li
ty.Al
lofthevis
uali
za onsbelowwere
cre
atedusi
ngda taf
romtheT NHe a
lthcareRe s
ourceTr
acki
ngS ys
tem( HRTS),
at ooldeve
lopedbyT DHthatmana
ges
heal
thcar
ef a
cil
i
tybed,ser
viceandassetavail
abil
i
ty.T
he s
eda taarereport
edbyhos pi
tal
sacrossTNda i
l
y.

Number
/Rat
eofCOVI
D-19Hos
pit
ali
zedPat
ient
s13

Bel
owi sthenumberofCOVID-
19pa entscurr
entl
yhospi
tali
zed(
darkbl
ue)
,andofthosehos
pit
ali
zedwhoar
eintheI
CU(gr
een)a
nd
ar
eusingv enlat
ors(
li
ghtbl
ue).T
heg r
eyba rr
epres
ent
st henumberofpa e
ntsperrepornghospi
tal
,ar
atetha
tcanhe
lpusbe er
i
nter
pre tcha
ngesi
nCOVID-19hospi
tal
i
za ons(asnota
llhospi
tal
srepor
teac
hday).

T
hetota
lnumberofCOVI
D-19posiv
epa e
ntshospi
tal
i
zedacros
sTNonAugust19,2021was2,701.
The
reare794COVID-
19pa e
nts
c
urre
ntl
yintheI
CUand488u li
zi
ngvenl
ator
s.Thenumberofadmiedpa entspe
rhos pi
tal
reporngwas21.
27(wit
h114hos
pital
s
r
eporng).

3500

25
3000
I
npa ent 2,
701
I
CU
tal

Ven l
ated
sperhospi

20 2500
ent

s
2000

ent
15
i
ngpat

i
Pat
ti

1500
epor
#ofr

10

1000
794

5
500

0 0
May1,20 J
ul1,20 Sep1,20 Nov1,20 J
an1,21 Mar1,21 May1,21 J
ul1,21 Sep1,21

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021. PAGE11|
 COVI
D-19 Cr
iti
calI
Augus
ndi
cat
or
t19,2021
s

Hos
pit
alUt
il
izat
ionandConfir
medCOVI
DHos
pit
ali
zat
ionsi
nTN13

Tot
alBedCapaci
ty:12,
344
12K

Thi
sv i
suali
llus
tratest
het ot
a l
numbe rof
10K hospit
albeds(adultfloorbe ds
)occupiedby
9,
188 non-COVID-19(li
ghtblue)andconfirme d
COVID-19pa e nts(da
rkerblue)s
inceJuly15t
h,
2020.
8K
nUse

Addiona l
ly,ple
a s
enotethef ol
lowing:
Non-
COVI
DHos
pit
ali
zat
ions
•OnDe c
embe r18,2020thisv i
sual
iza onwas
oorBedsi

changedtoc omparethenumbe rofhospi

tal
beds(adultfloorbeds)occ
upi edby
6K
non-COVID-19pa e nt
sandc onfirme dCOVID-19
Fl

pa ents(excl
udingCOVID-
19pa e ntsusi
ngICU
beds)acr
os sTN.

4K •OnAug us
t19,2021,20.
8%(1,907/
9,188)of
floorbedhospi
tal
i
za onsinT
e nness
eewe re
COVID-
19pa ents.

1,
907
2K
COVI
DHos
pit
ali
zat
ions

0K

J
ul1,20 Oc
t1,20 J
an1,21 Apr1,21 J
ul1,21

Qui
ckGl
anc
eatHos
pit
alBed&Vent
il
atorAvai
labi
li
ty13
Be
lowi
sabr
iefs
naps
hotoft
hec
urr
ent
lya
vai
l
abl
efloorbe
ds,
ICUbe
dsa
ndv
enl
ator
sac
ros
sTN.

66% 11% 7%
1,
280/
1,941 1,
326/
12,
410 147/
2,235

Avai
labl
eAdul
tVent
ilat
ors Avai
labl
eFl
oorBeds Avai
labl
eICUBeds

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021. PAGE12|
COVI
D-19 Cr
iti
calI
Augus
ndi
cat
ors
t19,2021

Tec
hni
calNot
es
1.
Epi
demi
cCur
vef
orCOVI
D-19Ca
sesbyS
pec
imenCol
l
econDa
te(
pag
e2)

Thevi
suali
za ononpa ge2showst hedai
lynewCOVID-
19cas
es(bl
uebars
)and4-daymovi
ngaver
ageofne
wc as
es(re
dline
).Af
our
daymovingaverageist
hea ver
ageofoneda t
apoi
ntandthet
hre
epr e
cedi
ngdatapoint
s.L
ook
ingatt
hemov i
ngave
ragehel
psto
unde
rsta
ndt r
e ndsandaccountforfluct
ua onsi
nthedata
.

Areprobabl
eca
sesinc
ludedintheEpidemicCurve?
Proba
blecas
esarei
ncl
udedintheepidemiccurveint
hisr
epor
t.F
ort
hepr
oba
blec
ase
swhe
res
pec
ime
ncol
l
econda
tei
snota
vai
l
abl
e,
thedatet
hepa ent
'si
ll
nessorsymptomsbe ga
ni sus
ed.

CanIrecreatethiswithT DHpublicl
yavai
labledata?
Notexactl
y .T
hepubl icdownloadabl
eda t
asets(
Da i
l
yCa seInforma on)pr es
entCOVID-19cas
ec ountsbase
dont hedaytheywe re
publi
cl
yre port
e d,notspeci
me ncoll
econda te.Howe v
e r
,usingthecolumnNe w_Casesonecanc r
ea t
easimil
arvi
suali
za on.The
pri
ma r
ydiffe rencebe tweenthevis
uali
za onusingthepublicdatas
etme thodandtheoneinthisreportwouldbethatthetre
ndsseen
i
nt hi
sreportshoulda li
gnwit
ht re
ndsseenroughly2-5da y
sl at
erinthepubli
cdatase
tv i
sua
li
za on. Agai
n,t
hiswouldbebe caus
eofthe
2-5daylagbe t
we ens peci
menc ol
leconda teandpublicreportdate.

2.
Sta
tewi
deNumbera
ndRa
teofAcv
eCa
ses(
pag
e3)

T
hev
isua
li
za ononpa
ge3s
howst
henumbe
r(l
i
ghtbl
ueba
rs)a
ndr
ate(
dar
kbl
uel
i
ne)ofa
cvec
ase
sea
chda
yinT
N.

HowdoesT DHcountrec
ov er edCOVID-
19Cases?
Thenumberofacv eCOVID- 19casesar
edeter
minedby:
totalnumberofc
ase
s-i
nacve/
recov
ere
dc a
ses.
TDHcons
idersacas
e
“i
nacv e
/re
c ov
ered”when: 1)theyareatl
eas
t14daysbeyondthei
rsympt
omonse
tda
te,orar
eatle
ast14da
ysbeyondthefirs
tte
st
confir
mingil
lnes
sifas
ymptoma c ,a
nd2)arenotdece
ased.

Howistherat
eofa cvecasesc
alc
ula
ted?
Theacv er
ateist
hetota
lnumberofi
ndiv
idual
swhoacv e
lyhaveCOVI
D-19i
nTNdivi
dedbythest
atepopul
a on,se
ee xampl
e
cal
cul
a onandint
erpr
eta onbel
ow.Thepopul
a onoft
hestat
eisfr
omthe2018pr
ojec
tedpopul
a onesma teforTenne
ssee
.

CanI r
ecreatethiswithTDHpubli
cl
ya v
ail
abledata?
Yes.Usi
ngthepubl icdownl
oadabl
edatase
ts(Dai
lyCaseI
nfor
ma on)youcanus
ethecolumnTota
l_Acv etogett
hedai
lynumberof
acv ecasesa ndtheinst
ruconsabovetocal
cula
tethera
te.I
fyouwanttounde
rst
andhowT DHcalcul
ate
s"Total
Acve"youcan
cal
culat
eity ours
elfbysubt
racngthenumbe rofrec
over
edcases(
Tot
a l
_Re
cover
ed)andthenumberofcaseswhohav
edied
(T
otal_Deaths)fr
omt hetot
alnumberofcase
s(Total
_Cas
es).

3.Da
il
yPer
centofPos
iveCOVI
D-19t
est
s(pa
ge3)

T
hevi
suali
za ononpa
ge3s
howst
heda
il
ypos
ivi
tyr
ate(
bluel
i
ne)a
swe
lla
stwot
hre
shol
dst
hati
ndi
cat
eift
hepos
ivi
tyr
atewa
s
a
bov
ee i
ther5%or10%.

Howi sthedail
yper centofposivetestsc
alc
ula
ted?
Theda i
l
ype rc
e ntofposivet e
stsi
scalc
ula
tedbytak
ingthenumberofnewposivetest
sfort
hatdaydivi
dedbythetotal
numberof
newt es
tsforthatday.Thesenumbersarepubl
ic
lyavai
la
blei
nthedownloadabl
edat
a-Dail
yCaseI
nfo.Whil
ethenumbe rofne
wtest
s
conductedthatdayca nbefoundinthecol
umnNe w_Test
s,t
henewpos ivenumberoft
estsc
anbec a
lcul
atedbysubtr
acng
yest
erdaystotalPos_Test
sfromtoday'
stot
alPos
_Test.

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021. PAGE13|
COVI
D-19 Cr
iti
calI
Augus
ndi
cat
or
t19,2021
s

Da
il
yPer
centofPos
iveCOVI
D-19t
est
s(pa
ge3)c
on nued

CanIrecreat
ethi
swithTDHpubli
cl
yavai
l
abledat
a?
Yes.
Us i
ngthepubl
icdownl
oada
bledat
aset
s(Dai
l
yCaseI
nfor
ma on)a
ndt
hei
nst
ruconsa
bov
eonei
sabl
etor
ecr
eat
ethe
vi
sual
iza on.

4.
TNS
ARS
-CoV-
2Va
ria
ntCa
seS
umma
ry(
pag
e4)

T
het
abl
eonpa
ge4s
umma
riz
est
heCOVI
D-19v
ari
antc
ase
side
n fie
dinT
N(l
ear
nmor
eaboutv
ari
ant
she
re)
.

CanIr
ecr
eatethi
swithTDHpubli
cl
ya v
ail
abl
edata?
No.T
hecountofvar
iantc
ase
sisnotcur
rent
lyav
ail
abl
eint
heT
DHpr
ovi
dedpubl
i
cda
tas
ets
.

5.
Pos
iveT
est
sper100,
000Per
sonsbyPubl
i
cHea
lthReg
ion(
Overt
hel
ast7Da
ys)(
pag
e4)

T
her e
giona
lleve
lma ps
howsthenumberofne
wposivete
stsper100,
000pe
rsonsbypubl
i
cheal
thr
egi
oni
nthel
ast7da
ys.
The
a
rrowsindi
cat
etrends(
upordown)oft
henewpos
iv et
est
sratecompare
dtotheweekpri
or.

Howist
henumberofpos ivet es
tsper100,
000pers
onsca
lcul
atedint
hema p?
The
serat
esar
ec a
lcul
ate
dbyt hetaki
ngthenumberofnewposiv et
est
sfort
hereg
iondi
vi
dedbyt
her
egi
on'
spopul
a on.
Thi
sist
hen
mulpli
edby100,
000toha v
et henumberper100,
000per
sons.

Arethenumberofc asesthesamea st
henumberofpos ivet es
ts?
No,notne ces
sar
il
y.Thenumbe rofpos
iv etes
tsist
hetota
l numberofPCR-pos
iv elabor
ator
yr e
sultsthathavebee
nr e
portedt oTDH,
whil
et henumberofcasesareindi
vi
dualpeopl
ewhoa reei
therconfirmedorprobableCOVID-
19c ases.
Indivi
dual
sareonlycounted
onceinthisnumber,
noma e rhowma nyposivetest
stheymi g
hthavehad.Theref
ore,i
fanindi
vidualtest
edposivemulpl e me si
n
agivenwe ekint
hesamea reatheywouldbecounte
dmulpl e mesinthi
sma p(butwouldonlybecounte doncei
nthec as
ec ount
s)
CanIr ec
reatethi
swi thTDHpubli
cl
ya v
a i
l
ableda t
a?
Yes.Thenumbe rsrequir
edtocr
eatethecalc
ula onexpl
ai
nedabov
ea republ
i
clyav
aila
bleintheCount
yNe wdata
setbutonl
yatt
he
countyleve
l.Inordertorec
rea
tethisvi
sual
iz
a ononewi l
lne
edtogroupthecoun es(andcount
ypopula ons
)bythei
rpubl
i
cheal
th
regi
on( c
anbef oundhe r
e).

6.
Vac
cineBr
eak
thr
oug
hCa
sesi
nTN(
pag
e5)

T
hetabl
eonpage5showssomede mog
raphic
,hospi
tal
i
za on,
andde
a t
hme t
ri
csfort
heCOVID-
19v
acc
inebr
ekt
hroug
hca
ses
i
den fie
dinTN.
T ol
earnmoreaboutbr
eakthr
oughcasesa
ndhowtheyarer
eport
e ds
eeher
e.

Whatisabr ea
kthroughcase?
CDCde fine
sCOVI D-19Brea
k t
hroughCase
sasaU.S.r
e s
ide
ntwit
hS ARS-
CoV-2RNAorang e
nde t
ect
e donarespir
atoryspe
cimen
col
l
ected≥14da ysa ercomple ngthepri
maryse
rie
sofa nF
DA-author
iz
edCOVID-19va
cci
ne.Al
lca
s esmee ngthisdefinionthr
oug
h
Apri
l30tharereporte
d.AsofMa y1st,
CDCa s
kedthatonl
ycas
eswithsever
eoutc
ome s(
hospi
tal
i
za onordeath)bereport
ed.

CanIr
ecr
eatethi
swithTDHpubl
i
clyavai
l
ableda
ta?
No,v
acci
nebre
a k
thr
oughinf
orma oni
snotpubl
i
clya
vai
l
abl
e.

7.
7Da
yRunni
ngAv
era
geofNewCa
sesi
nMet
ropol
i
tana
ndRur
alPubl
i
cHea
lthReg
ions(
seepa
ge6)

Thev i
sual
iz
a onsonpa ge6s howt he7da yr
unni
ngaverag
eofne wCOVID-
19casesf
oral
loft
heme t
ropol
i
tanandrur
alpubl
ichealt
h
reg
ions.Thesenewc a
sec ountsareba s
edonthei
rpubli
creportdat
eandnots
pe c
imenc
oll
econda t
e.A7da ymovi
ngaver
ageisthe
aver
a geofoneda t
apointandt hesixprec
edi
ngdatapoi
nts.Looki
ngatt
hemovingav
era
gehelpst
ounders
tandtr
endsandaccountfor
fluctua onsinthedat
a.

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021. PAGE14|
COVI
D-19 Cr
iti
calI
Augus
ndi
cat
ors
t19,2021

7Da
yRunni
ngAv
era
geofNewCa
ses(
pag
e6&7)c
on nued

CanI r
ecreatethi
swit
hT DHpubli
cl
ya vai
l
abledat
a ?
Yes
, us
ingthedownloadabl
edatas
et-CountyNewa ndthecolumnNe w_Ca
se,oneisabl
etoseethedai
lyc
ountsatthecount
yle
ve l
.
Thesecountscanaddedtoget
hert
oc r
eatethedai
lynewc asecount
sforeachpubl
icheal
thre
gion.T
he7da yave
rageofnewcasescan
bethenca l
cula
tedbytot
a l
i
ngthedai
lynewc as
ecounts(byregi
on)fort
odayandtheprevi
ous6daysandthendi
vidi
ngby7.

8.
NumberofDea
thsperDa
y(byda
teofdea
th)(
pag
e7)

Thevi
sual
iz
a onsonpa g
e7s howthenumberofCOVID-19deathsbyda t
eofdeath(bl
uebar
s)andthe4-
daymovi
ngavera
geofthe
numberofdeat
hs.Afourdaymovingav
erag
eistheaverageofoneda tapoi
ntandthethr
eepre
c e
dingda
tapoi
nts
.Look
ingatt
he
movi
ngaverag
ehe l
pstounderst
andtr
endsandaccountforfluc
t ua onsi
nthedata.

Whatisaprobabl
edeath?
Aprobabl
eCOVID-19deathi
sifape
rsondie
sandthehe
alt
hcar
eprovi
dert
hats
igne
dt he
irdeat
hce
rfic a
tedete
r mine
dt ha
tCOVID-
19
di
seasewasthei
rcaus
eofdeathorasig
nific
antc
ondioncont
ri
bu ngtode
ath,
thenthepers
onmeetst
heprobablecas
ec r
it
eri
aand
wouldbeconsi
deredaproba
bledeat
h.

I
sdateofthedeat
hthesamedayiti
spubli
clyr
eport
ed?
No,
simil
arl
ytospec
imencol
le
conda te
, t
hedateofdea
thfr
equentl
yocc
urs2-
5day
sbe
for
ethede
athi
sre
por
tedt
othepubl
i
cduet
o
l
ag meinr e
porng .
Ther
efor
e,t
hemos trec
entday'
sdat
ama ynotbec
omplet
e.

Howc a
nI cal
culat
etheCaseFata
lit
yRa t
e?Wha taboutthe30-Da yCas
eF ata
li
tyRat
e?
Acasefat
ali
tyrat
eiscal
cul
atedbytaki
ngthetot
a l
numbe rofCOVI D-
19dea t
hsdiv
ide
dbyt het
ota
lnumberofCOVI
D-19cas
es.A30-
day
cas
efatal
i
tyratewouldonl
ylookatthetota
lnumbe rofdeat
hsa ndnumbe rofcas
esfort
helas
t30days
.Bothoft
hesera
tesca
nbe
pr
oducedusingthepubl
icl
ydownloadabl
edatas
e t
s(Dail
yCaseInforma on).

CanIrecreat
et hi
swithT DHpubli
cl
ya v
ail
a bl
eda t
a?
Notexactl
y.Thepubli
cdownl oa
dabledataset
s-Dai
lyCaseI
nfor
ma onpresentsCOVID-19deat
hsbasedont hedaytheywerepublicl
y
re
ported,notthedateofde a
th.However,usi
ngtheNe w_Deat
hscol
umnonec ancrea
teasimil
arvi
suali
za on.Thepr
ima r
ydifference
betweenthev i
sual
iz
a onus i
ngthepubli
cda ta
setme t
hodandtheoneinthi
sr epor
twouldbethetrendsseeninthi
sreportshoul
d
al
ignwithtre
ndss ee
nr oughl
y2-5dayslat
e rwit
hthepubli
cdatas
etvi
sual
i
z a on.Agai
n,thi
swouldbebe ca
useofthe2-5da ylag
betweendateofde at
ha ndpubli
crepor
tda te.

9.
COVI
D-19Acv
eCl
ust
erMoni
tor
ingT
abl
e(pa
ge8)

T
het
abl
eonpa
ge8di
spl
ayst
henumbe
rofa
cveCOVI
D-19c
lus
ter
stha
tar
ecur
rent
lybe
ingmoni
tor
edbyr
egi
ona
ndc
lus
tert
ype
.

Wha tthedefinionofaCOVI D-19Cl ust

er?
ACOVI D-19cl
ust
eristwo(2)ormor econfir
me dcas
es(
withposivela
bres
ult
s)ofCOVID-19tha
tarel
inkedbythesa
mel oca onof
exposure(f
orexampleahospita
l, nursi
nghome,gr
ocer
ystor
e,corr
econsfac
il
it
y,et
c.)orexpos
ureevent(
forexa
mpleawor kpart
y,
vaca on,etc
.)t
hati
snotahous e holdexposur
e.I
nTN,themostcommonl
yreport
edclust
e r
shavebee
ni ncor
reconsfa
ciliesand
nursi
nghome s.

Cl
usterTypesQuickDefinions -
Communi t
yc l
ust
ersi
ncludet hos
eas
soc
iat
edwi
th:
Fir
stResponders
Rel
igi
ous/spi
ri
tualor
ganiza ons
Daycar
es,educa onals
e ng s
Apart
me ntcomplexes

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021. PAGE15|
COVI
D-19 Cr
iti
calI
Augus
ndi
cat
or
t19,2021
s

COVI
D-19Acv
eCl
ust
erMoni
tor
ingT
abl
e(pa
ge8)c
on nued

Businesses
Shoppingfacil
ie s
Sports/fit
nessfacil
ies
Othe rfac
il
ie scl
ustersi
ncl
udefac
il
iessuchasca
mps.
Othe rHealt
hcareclus
tersi
ncl
udeprov
ide
rtypess
ucha
s:
Me ntalheal
thinst u ons
Pharma ci
es
Homehe alt
ha g
e nci
es
Dens toffic e
s

Met
ro/
Reg
iona
lHea
lthDepa
rtmentAbbr
evi
a ons
:
CHR Cha a
noog
aHa
mil
tonCount
yHe
alt
hDe
par
tme
nt
E
TR E
astT
enne
sse
eRe
giona
lHe
alt
hDe
par
tme
nt
J
MR J
ack
sonMa
dis
onCount
yHe
alt
hDe
par
tme
nt
KKR Knox
vil
l
eKnoxCount
yHe
alt
hDe
par
tme
nt
MCR Mi
dCumbe
rla
ndRe
giona
lHe
alt
hDe
par
tme
nt
MS
R Me
mphi
sShe
lbyCount
yHe
alt
hDe
par
tme
nt
NDR Na
shv
il
leDa
vids
onCount
yHe
alt
hDe
par
tme
nt
NE
R Nor
the
astRe
giona
lHe
alt
hDe
par
tme
nt
S
CR S
out
hCe
ntr
alRe
giona
lHe
alt
hDe
par
tme
nt
S
ER S
out
hea
stRe
giona
lHe
alt
hDe
par
tme
nt
S
UL S
ull
i
vanCount
yHe
alt
hDe
par
tme
nt
UCR Uppe
rCumbe
rla
ndRe
giona
lHe
alt
hDe
par
tme
nt
WT
R We
stT
enne
sse
eRe
giona
lHe
alt
hDe
par
tme
nt

CanIrec
rea
tethi
swit
hT DHpubli
cl
yavai
l
abledat
a?
No,c
lust
eri
nfor
ma onisnotpubl
i
clya
vai
labl
e.

10.
COVI
D-19Confir
medCl
ust
ersbyWeek(
pag
e8)

T
hev
isua
li
za ononpa
ge8s
howst
hene
wcl
ust
ersi
den fie
dinT
enne
sse
eea
chwe
ek.

Wha tthedefinionofaCOVI D-19Cl ust

er?
ACOVI D-19cl
ust
eristwo(2)ormor econfir
me dcas
es(
withposivela
bres
ult
s)ofCOVID-19tha
tarel
inkedbythesa
mel oca onof
exposure(f
orexampleahospita
l, nursi
nghome,gr
ocer
ystor
e,corr
econsfac
il
it
y,et
c.)orexpos
ureevent(
forexa
mpleawor kpart
y,
vaca on,etc
.)t
hati
snotahous e holdexposur
e.I
nTN,themostcommonl
yreport
edclust
e r
shavebee
ni ncor
reconsfa
ciliesand
nursi
nghome s.

CanIrec
rea
tethi
swit
hT DHpubli
cl
yavai
l
abledat
a?
No,c
lust
eri
nfor
ma onisnotpubl
i
clya
vai
labl
e.

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021. PAGE16|
COVI
D-19 Cr
iti
calI
Augus
ndi
cat
or
t19,2021
s

11.
Syndr
omi
cSur
vei
l
lanc
e(E
mer
genc
yRoom)Da
ta(
pag
e9)

T
hevis
ual
i
za onsonpage9showst
heperc
entofa
lleme
rgencyr
oomvi
si
tsi
ntha
tar
ere
porngbot
hCor
nav
irusl
i
keI
l
lne
ss(
CLI
)and
I
nflue
nzal
ikeI
ll
ness(
IL
I)i
nTN.Thi
sdas
hboardc
anals
obefoundonl
i
neher
e.

CanIrec
rea
tethi
swithTDHpublic
lyavai
l
abl
edata?
Yesandno.
WhileESSE
NCEdat
ai snoti
ncl
udedi
nthepubli
cl
yavai
l
abledat
asets
,theda
shboar
da bov
edoe
spr
ovi
det
hewe
ekl
ype
rce
nt
ofIL
IandCLI
symptomsint
hetoolps .
There
for
e,onecoul
drec
reatethev
isua
li
za oni
fdesi
red.

CanIrecrea
tet
hiswit
hT DHpubl
ic
lyava
il
ableda
ta?
Yesandno,whi
lela
bturnar
ound meisnotpubl
i
clyr
epor
ted,
thel
abt
esngv
olumec
ande
ter
mine
dus
ingt
heNe
w_T
est
scol
umnof
theDail
yCaseI
nfor
ma onpubli
cdata
set
.

12.
LabT
esng&T
urna
roundT
ime(
pag
e10)

Thevis
ual
iza ononpage10s
howst
hev
olumeofCOVI
D-19l
abt
esnga
nda
ver
aget
urna
round mef
ort
hemont
hsofMa
rcht
hroug
h
October(
sofar)i
n2020.

CanI r
ecr
eatet
hiswithTDHpubl
i
clyava
il
ableda
ta?
Yesandno,whil
ela
bt ur
nar
ound meisnotpubl
i
clyr
epor
ted,
thel
abt
esngv
olumec
anbede
ter
mine
dus
ingt
heNe
w_T
est
scol
umn
oftheDai
lyCas
eInfor
ma onpubl
icda
taset
.

13.
HRT
S-Repor
tedHos
pit
ali
za ons&BedCa
pac
ity(
pag
e11a
nd12)

T
hevis
ual
iza onss
eeonpa
ges11a
nd12s
howsT
N'shos
pit
alc
apa
cit
ythr
oug
hacv
ehos
pit
ali
za ons
,cur
rentbe
du l
i
za on,
andbe
d
a
vai
l
abil
it
y.

CanIrec
rea
tethi
swithTDHpubl
i
clyavai
l
abl
eda
ta?
No,HRTSdat
aisnotpubl
i
cal
l
yavai
la
ble
.

T
oac
ces
sal
lthedownloa
dabl
eda t
ase
t smen onedinthetec
hni
calnotes
,pleas
ese
e:
h ps:
//www.t
n.g
ov/hea
lth/
cedep/nc
ov/
da t
a/downloa
dabl
e-data
sets.
html

Thi
srepor
twaspr
oduc
edbyt
heTennes
seeDepar
tmentofHeal
thonAugus
t20,2021. PAGE17|