Graph

The graph above shows the active case count trends in Watauga County as of Oct. 25.

The following COVID-19 information is compiled from local and state agencies from Oct. 19 to Oct. 25.

Cases

Watauga County has reached 5,929 total cases as of Oct. 25 — an increase of 58 cases from last week. The active case count has dropped during the course of the week with 56 active cases as of Oct. 25.

AppHealthCare reported no new deaths from Oct. 19 to Oct. 25. AppHealthCare reported one death on Sept. 17 and one death on Sept. 20 to bring the total deaths due to COVID-19 among Watauga County residents to 37.

The Triad HealthCare Preparedness Coalition region — which includes Alexander, Alleghany, Ashe, Caldwell, Catawba, Davie, Davidson, Forsyth, Guilford, Iredell, Randolph, Rockingham, Rowan, Stokes, Surry, Watauga, Wilkes and Yadkin — reports 329 people are hospitalized, with 91 of those in the ICU as of Oct. 25.

AppHealthCare reported seven active clusters in Watauga County as of its last situation update on Oct. 22. In its COVID-19 situation report, AppHealthCare reported clusters at:

  • Thunder Hill Residence Hall with 15 cumulative cases. The last positive result came on Oct. 13, and as of the last report one case was active.
  • The Standard at Boone with 10 cumulative cases. The last positive result came on Oct. 12, and as of the last report one case was active.
  • The Cottages of Boone with 12 cumulative cases. The last positive result came on Oct. 14, and as of the last report one case was active.

The App State COVID-19 dashboard reports 14 active COVID-19 cases among students and two among employees as of Oct. 25. For the week ending on Oct. 25, 1,580 COVID-19 tests were conducted with 15 — or 0.9 percent — coming back positive. Since Aug. 1, the university has conducted 17,504 on-campus COVID-19 tests with 550 — or 3.1 percent — coming back positive.

Vaccines

The North Carolina Department of Health and Human Services reports Watauga County has administered 31,848 first dose COVID-19 vaccines as of Oct. 25. NCDHHS also reports 29,753 people have completed the vaccine series in Watauga County — up approximately 300 from last week — as of Oct. 25.

As of Oct. 19, 57 percent of the population in Watauga County has been at least partially vaccinated and about 53 percent of the population has been fully vaccinated, according to NCDHHS.

App State reports 64 percent of students are vaccinated and 94 percent of employees are vaccinated as of Oct. 25.

State update

The $25 Summer Card pilot program operated by North Carolina Department of Health and Human Services was successful in encouraging COVID-19 vaccination, according to a published research letter by authors from NCDHHS, the Advanced Center for COVID-19 Related Disparities at the Julius L. Chambers Biomedical Biotechnology Research Institute at North Carolina Central University and the Departments of Biostatistics and of Health Behavior at the Gillings School of Global Public Health at the University of North Carolina at Chapel Hill.

A research letter published in JAMA Internal Medicine today highlights the effectiveness of the $25 Summer Card program. The letter is one of the first to provide data on guaranteed financial incentives for COVID-19 vaccination.

“Within a week, this well-designed incentive program halved the drop in COVID-19 vaccination that North Carolina was experiencing,” said Dr. Noel T. Brewer, PhD, UNC Gillings School of Global Public Health. “Using guaranteed cash incentives is a best practice, recommended by the CDC. It builds on 70 years of psychological research showing that rewards are most effective when delivered immediately after the behavior.”

During the one-week review period, COVID-19 vaccinations decreased by just 26% in clinics offering the $25 cards, but declined by 51 percent elsewhere in the four counties where the program was tested. During the same period, vaccination decreased statewide by 49 percent.

The incentive program study guaranteed a $25 card to adults who either received their first dose of COVID-19 vaccine at, or drove someone to, participating providers in four North Carolina counties. The pilot program distributed 2,890 cards to vaccine recipients and 1,374 to drivers. The $25 Summer Card program switched to providing $100 cards after this evaluation was conducted, and data on the $100 Summer Card program are not included in the authors’ review.

“Providing guaranteed small financial incentives is a promising strategy to increase COVID-19 vaccination uptake,” said Dr. Charlene Wong, NCDHHS Chief Health Policy Officer for COVID-19. “The design of our $25 incentive pilot program in North Carolina helped alleviate transportation and other cost barriers to vaccination, particularly for low-income, Latinx and Black individuals.”

“North Carolina Central University was pleased to be a key partner in North Carolina’s effort to increase COVID-19 vaccination rates through incentive vaccination clinics,” said William Pilkington, D.P.A., M.P.A, M.A., H.O.P.E. Co-Program Director, Julius L. Chambers Biomedical Biotechnology Research Institute, NCCU. “The university’s staff developed and administered surveys at the clinics that produced results clearly demonstrating the value of incentives to promote more equitable distribution of the COVID-19 vaccinations.”

Of 401 vaccine recipients surveyed, 41% reported the $25 card was an important reason why they decided to get vaccinated. The cards were more important to respondents who were not white as well as respondents with lower incomes.

Additionally, “someone driving me here today” was an important reason for 49% of respondents, more commonly among Black, Hispanic and lower-income respondents. Lower-income and older individuals, especially, were more likely to have been brought by a driver who received a cash card.

The letter on the study findings is titled “Guaranteed financial incentives for COVID-19 vaccination: A pilot program in North Carolina, US” and was co-authored by Charlene A. Wong, MD, MSPH, (NCDHHS), William Pilkington, PhD, (NCCU), Irene A. Doherty, PhD, MPH, (NCCU), Ziliang Zhu (UNC-Chapel Hill), Hattie Gawande (NCDHHS), Deepak Kumar, PhD (NCCU), and Noel T. Brewer, PhD (UNC-Chapel Hill). NCDHHS provided vaccine data and funding for the program, UNC-Chapel Hill analyzed the vaccine data, and NCCU conducted surveys and survey analyses.

All research articles published in JAMA Internal Medicine are made available via free public access for 12 months after publication at: jamanetwork.com/journals/jamainternalmedicine.

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