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Incidence Rate in the Town of Barnstable
The average daily COVID-19 incidence rate of Town of Barnstable residents, calculated from case reports received during the past fourteen days, decreased to an average of cases per day (see right side of graph below).

Local, County, State, and Nationwide Cumulative Case Counts and Death Counts
Town of Barnstable: 11,561 total cases (positive residents) cumulatively to date, 139 new cases during the last two weeks.
Barnstable County: 45,113 cases cumulatively to date resulting in 662 deaths of Barnstable County residents. This includes three (3) deaths of Barnstable County residents during the past two weeks.
Massachusetts: 1,902,403 cases of State of Massachusetts residents cumulatively to date, 20,459 confirmed deaths.
United States: According to John Hopkins University, there have been a total of 97,150,321 positive COVID-19 cases cumulatively in the United States resulting in 1,067,190 deaths nationwide as of October 21st.

Hospitalizations in Barnstable County
Cape Cod Healthcare reported to us that on October 19th, there were a total of twenty-seven (27) patients who were being treated for COVID-19 at Cape Cod and Falmouth hospitals. One (1) of the twenty-seven patients was in intensive care.

Hospitalizations in Massachusetts
According to the Massachusetts Department of Public Health, on October 18th there were a total of 253 patients primarily hospitalized for COVID-19 in Massachusetts. In total, there were 868 patients hospitalized with COVID -19. Of those 868 patients, 539 patients (62%) were reported to be fully vaccinated when they contracted COVID-19.

Deaths of Massachusetts Residents During the Past Week
There were fifty-eight (58) new, confirmed deaths of Massachusetts residents during the past seven days. The average age of death was 79 years old.

Vaccination and Booster Status/ Barnstable County Residents
Eighty percent (80%) of the Barnstable County residents are fully vaccinated. Sixty-four percent (64%) of Barnstable County residents received booster doses after being fully vaccinated, compared to 60% of the Massachusetts population and compared to 49% of the national population.

COVID-19 Community Level Designation & Prevention Steps
The Centers for Disease Control and Prevention (CDC) continues to classify Barnstable County as being at a medium COVID-19 community level. Community levels can be low, medium, or high and are determined by looking at hospital admissions and the total number of COVID-19 cases in an area.

The following prevention steps are recommended by the CDC:
• Stay up to date with COVID-19 vaccines;
• Get tested if you have symptoms.
• If you are at high risk for severe illness, talk to your healthcare provider about whether you need to wear a mask and take other precautions

Respectfully submitted,

Thomas McKean, RS, CHO
Director of Public Health