Austin public health officials expressed concern about the death of COVID-19 vaccines seven weeks into the national rollout. They also confirmed a slight downturn in the number of confirmed COVID cases and related hospital admissions following the massive surge that emerged around the holiday season.

A vaccine update

Since being designated a hub provider for Travis County earlier this month, Austin Public Health has received three weekly allotments of 12,000 doses. Local public health officials said Tuesday that they expect to receive another 12,000 doses next week as well. However, APH Director Stephanie Hayden-Howard continued to ask residents to manage their expectations, adding that the department wouldn't know for sure what their next shipment will be until later this week.

If APH receives additional doses, they will administer them Wednesday through Sunday of next week, continuing to prioritize frontline workers and residents 65 years of age and older.

At this stage of the rollout, vaccine supply remains extremely limited, with only 2% of the Travis County population receiving shots, Hayden-Howard said. This is far cry from the 70% to 75% threshold needed to achieve herd immunity.

Of the 333,650 vaccines allocated by the state last week, Travis County received 4.4%. Travis County has administered 65,050 of the vaccine so far, according the State Health Department.

Although these numbers may be proportional to the doses received elsewhere in the state, Texas remains at the end of the line when receiving the doses. Anaylis last week found that Texas was close to last in how many vaccines it was getting per capita.

Travis County officials said they are doing what they can to get the most people vaccinated as soon as possible, despite this shortage. APH is working with outside consultants to find areas for mass vaccinations, including drive-through options and implementing at-home vaccines for seniors, for whom APH is putting together a call center, Hayden-Howard said.

COVID on the decline

Despite the significant challenges with vaccine availability, there is some good news.

The daily average numbers of confirmed COVID cases and related hospital admissions are both on the decline after flattening last week. The average number of cases confirmed each day is 577, down from 680 last week, and the average number of related hospital admissions each day is 81, down from 87.8 last week.

"All the measures this week showed significant improvements in our COVID-19 situation in Travis County," Austin-Travis County Interim Health Authority Dr. Mark Escott said.

Travis County remains squarely in Stage 5, the highest according to APH's risk-based guidelines, but for the first time since late December the trend line is clearly moving down from the peak.

City of Austin

Another positive sign arrived yesterday from hospitals in Trauma Service O, an 11-county region that includes the Austin area, Escott said. COVID patients now account for fewer than 15% of hospitalizations in the area, which is the threshold the state has set as an indicator of surge. TSA O now has a lower rate of COVID hospitalizations than the trauma services areas for every other major metro city in Texas. Those that include Houston, El Paso, Dallas-Forth Worth and San Antonio are all reporting that at least 18% of their hospitalizations are due to COVID.

Dr. Mark Escott attributed the long-awaited dip to people in Austin changing their behavior.

"We've got to continue that effort, we've got to push it down further," he said. "But we are doing an excellent job and, and I'm proud of this community for the work."