COVID-19 Monthly Epidemiological Report

March 2021

Unless otherwise indicated, data for analyses in this report were extracted from Texas Health Trace on 04/12/2021 and include cases with event dates
through 03/31/2021. Results are subject to change.

Key Takeaways
Continued Decrease in New Cases
• The number of new COVID-19 cases continued to decline during March, with the addition of 5,620 new cases with event
date* during March. This is 2.7% of all cases to date. Young adults ages 20-29 contributed 22% of the March total.
• 209,470 individuals are known to have had COVID-19. The age-adjusted case rate is 10,687 (per 100,000 population).
Hospitalizations and Deaths
• New COVID-19 hospital admissions continued to decline throughout March, leveling off on about 3/20/2021; daily new
admissions averaged 33 per day. COVID-19 hospital occupancy also declined, to a daily average census of 245 beds.
• By the end of March, daily counts of ICU patients and those on ventilators declined to 68 and 29 respectively.
• 169 deaths occurred during March, bringing the total to 3,276 deaths from COVID-19. Case fatality rate is 1.6%, higher
for males (1.9%) than females (1.3%). Greatest risk of death is among the most elderly: 20% for cases 80+ years of age.
Other Trends
• For most of March, COVID-19 test positivity has remained below the target benchmark of 5%.
• During March, 20 deaths occurred in Congregate settings, the lowest since the pandemic began.
* Event date is the date of symptom onset or first positive COVID-19 test, whichever is known to occur first.

I. Current Status and Overview of COVID-19 in Bexar County

Summary: During the five calendar weeks of March a
total of 9,626 cases (including backlog), and 62 deaths
were reported in Bexar County. New COVID-19
associated hospitalizations totaled 1,126. March
continued the declines of February, with deaths and test
positivity stabilized by about mid-month.
Weekly newly reported cases continued to decline
throughout March, with 65% fewer reported than during
February. (Note that newly reported cases may have
occurred anytime during the previous 14 days.)
Weekly new hospital admissions also continued the
decline seen in February. March saw 50% fewer new
hospitalizations for COVID-19 compared to February.
Weekly reported deaths varied somewhat early in
March, but by mid-month had stabilized at fewer than
10. This was a 55% decline over deaths reported during
February.
(Note that reported deaths may have occurred anytime
during the previous 14 days.)
Weekly test positivity stayed lower than the 5%
benchmark except during the second week of March,
averaging 3.0%. (Note that these dates pertain to when
test results were available, not when test specimens
were obtained.)
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 COVID-19 Monthly Epidemiological Report
March 2021
II. Testing & Positivity Rate
Bexar county's COVID-19 weekly positivity rate steadily decreased throughout March, continuing the decline seen since
early January, with a low of 2.1% in the final week. About 200,000 tests were processed, with an average positivity rate
of 3%. The week of March 6th-12th had the lowest number of tests, possibly due to spring break.
Source: Aggregate Labs Report of labs conducting COVID-19 testing

Number of Tests and Percent Positive by Week

(May 31st - April 2nd)
80,000 30%

70,000
25%
60,000
20%

Positivity Rate
Count of Tests

50,000

40,000 15%

30,000
10%
20,000
5%
10,000

0 0%
8/2 - 8/8
6/07 - 6/13
6/14 - 6/20
6/21 - 6/27

9/16 - 9/12

10/4-10/10

10/25 - 10/31

11/8-11/14

11/28-12/4

1/2 - 1/8
12/5-12/11

1/16 - 1/22
1/23 - 1/29

2/20 - 2/26

3/13 - 3/19
3/20 - 3/26
10/18 -10/24

12/26-1/1

3/6 - 3/12
5/31 - 6/6

6/28 - 7/4
7/5 - 7/11
7/12-7/18
7/19-7/25
7/26 - 8/1

8/9 - 8/15
8/16-8/22
8/23-8/29
8/30 - 9/5

9/13-9/19
9/20-9/26
9/27-10/3

10/11-10/17

11/1-11/7

11/15-11/21
11/22-11/28

12/12-12/18
12/19-12/25

1/9 - 1/15

1/30 - 2/5
2/6 - 2/19

3/27 - 4/2
2/27 - 3/5
Week

Positive Tests Negative and Inconclusive Tests Percent Positive

III. Trends & Demographic Characteristics among COVID-19 Cases

A year into the pandemic, March saw a leveling off of COVID-19 cases and percent positive tests following the winter
surge in Bexar County.

Bexar County COVID-19 Cases by 7 Day Average of Event Date* and Positivity Rate
3,500 60%
Daily New Cases
3,000 7 Day New Case Average
50%
Positivity Rate
Count and 7 Day New Case Average

2,500
40% Positivity Rate %

2,000

30%
1,500

20%
1,000

10%
500

0 0%
3/1/20 4/1/20 5/1/20 6/1/20 7/1/20 8/1/20 9/1/20 10/1/20 11/1/20 12/1/20 1/1/21 2/1/21 3/1/21
Event Date
*Event date refers to either illness onset date (if symptomatic) or test collection date (if asymptomatic, or if symptom onset date is unavailable). This differs
from Reported Date.
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 COVID-19 Monthly Epidemiological Report
March 2021
Percentage of Total COVID-19 Cases in
Bexar County
Percentage of Total byCOVID-19
Event Month
Cases in
Bexar County
Mar '21,(N= by Event Month Apr, 0.4%
209,470)
2.7% Per current data, 2.7% of all cases
Feb '21, 6.2% Mar, 0.3%
Mar '21, 2.7% May,Apr,
0.6%0.4%
Feb '21, 6.2% Mar, 0.3% reported in Bexar County to date
May, 0.6%
occurred in March of 2021. Compared to
Jun, 10.6%
the new case rates for December 2020
Jun, 10.6%
and January 2021, March indicates a
Jul, 12.0% continued decline in case count that
Jan '21, 25.1% Jul, 12.0% began in the month of February.
Jan '21, 25.1% Aug, 3.7% NOTE: The numbers provided in this chart are
Aug,2.1%
Sep, 3.7% based on event date – the date of first
Sep,3.4%
Oct, 2.1% symptoms or test collection date if the person
Nov, 10.0%
Oct, 3.4% was asymptomatic or symptom data is
Dec, 22.9% Nov, 10.0% unavailable.
Dec, 22.9%

III. A. Race/Ethnicity Distribution of Cases

Among cases for whom race/ethnicity data are available (61.3%), Hispanic individuals make up a larger proportion of
cases than they do of the general population of Bexar County. This pattern is observed across every age-group, and may
suggest that the pandemic has disproportionately affected the Hispanic population.

Race and Ethnicity in Bexar County Cases with Race and Ethnicity Data
(N=1,952,843) (N=128,348)
1% 3% 0% 2%

8% 5%
NH Other 18%
28%
NH Asian
NH Black
Hispanic
NH White
60% 75%

Notes:
1. Due to limitations inherent in our database, data collection procedures, and/or our sources, data on race and/or ethnicity are currently unavailable for about
39% of cases. For this reason, meaningfully accurate determination of racial and ethnic disparities in COVID-19 diagnoses is currently not possible.
2. The number of Bexar County residents above is the ACS (5-yr) 2019 population estimate.
3. NH = Non-Hispanic

04/22/2021 3
 COVID-19 Monthly Epidemiological Report
March 2021
III. B. Age and Gender Distribution of Cases
Distribution of Cases by Age Group, over Time
(N = 209,274*)
30%
Percent of Cases (per Month)

25%

20%

15%

10%

5%

0%
Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Age Groups '21 '21 '21

0-9 10-19 20-29 30-39 40-49

50-59 60-69 70-79 80+

Since May 2020 the proportions of new cases by each age group
have remained rather consistent. Young adults (age group 20-29, Cases by Age Group (%)
red line) have comprised the greatest percent of cases, and ages (N=209,280*)
80+ (black line) the least, with relatively little change over time.
However the case proportion of age group 10-19 (turquoise 80+
70-79 2.3%
dashes) has increased over time. Before the summer surge (June-
4.3%
July), this group averaged about 5% of monthly cases, then
0-9
increased during the summer surge until by September it 6.3%
comprised 14% of all new cases (similar to adults ages 40-49; dark 60-69 10-19
green line), and has remained at 13-16% since. Most of this trend 8.6% 12.2%
is attributable to older teenagers.
The proportion of cases among young children (ages 0-9; dashed 50-59
beige line) also increased from the early months of the pandemic 12.9%
to about 6% during the summer, increasing slightly in February (to
about 8% to 9%). 20-29
20.5%
March saw 5,620 new cases, about 3% of the total to date.
Compared to February, numbers of new cases declined 40-49
substantially during March in every age group: 53% - 60% among 15.3%
ages 0 to 59, and 67%-70% among ages 60 and above. The
smallest declines were in age group 20-29, and the greatest 30-39
among adults aged 80+ (data not shown). 17.5%
†Age-specific rates use the ACS (5-yr) 2019 population estimates for Bexar County.
Age-adjusted rates are weighted using the US Standard Population 2000. *Excludes 190 cases (0.1%) with age not available.

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 COVID-19 Monthly Epidemiological Report
March 2021
IV. The Extent of COVID-19 in the Bexar County Population
Distribution of Bexar County Residents by Gender and Age The upper pyramid shows the distribution of
Bexar County residents by age and gender.
80+ Male Female
The case pyramid (middle graph) demonstrates
70-79
that children have contributed fewer cases of
60-69
COVID-19 compared to adults ages 20-59, and
50-59
Age Group

that the least cases have occurred among older

40-49
adults, ages 70+ years.
30-39

20-29 Age-specific case rates† (curved lines in middle

10-19 graph, representing cases per 100,000 persons of
0-9 the same age group) present a more nuanced
200,000 150,000 100,000 50,000 00 50,000 100,000 150,000 200,000 picture. If COVID-19 occurred equally in each age
Distribution of COVID-19 Cases by Gender and Age Group group, the curves would be vertical straight lines.
with Respective Case Rates per 100,000* The curves show the lowest case rates have
Male Cases Incidence Rate Female Cases Incidence Rate occurred among young children of either gender
80+
(ages 0-4 years: about 4,600 cases per 100,000
70-79
people in this age group, or 4.6%). The highest
60-69
case rates have been among young adults ages
Age Group

50-59
40-49 20-29: 14,700 cases per 100,000 females
30-39 (14.7%) and 12,300 cases for males (12.3%).
20-29 Overall, 10.7% of Bexar County (close to 1 per 9
10-19
people) is known to have had COVID-19.
0-9
†Age-specific rates use the ACS (5-yr) 2019 population estimates
25,000 20,000 15,000 10,000 5,000 0 5,000 10,000 15,000 20,000 25,000 for Bexar County.
Case Counts and Cases per 100,000 Population
This analysis excludes 6,327 cases (3.1%) for whom age and/or
*Excludes 6,327 cases (3.0%) for whom age and/or gender was not available at time of this analysis.
gender are currently not available.

COVID-19 cases have been more common

among younger adult women than men, and Age-Specific COVID-19 Case Rates, by Gender
especially in the 20-29 year age group. This (per 100,000 population)
(N = 203,143*)
pattern was established in June 2020, and has
Cases per 100,000 Population

16,000
generally persisted since then. 14,000 Female
Through the end of March 106,798 females 12,000 Male

and 96,345 males have had COVID-19. 10,000

8,000
Age-adjusted case rates‡ (per 100,000) are
6,000
10,790 for females and 9,991 for males
4,000
(female excess is 8% ). The overall age- 2,000
adjusted case rate is now 10,687 per 100,000 0
population. 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+
Age Group (years)
‡Age-adjusted rates are weighted using the US Standard *Excludes 6,327 cases (3.0%) for whom age and/or gender was not available at time of this analysis.
Population 2000. †Age-specific rates use the ACS (5-yr) 2019 population estimates for Bexar County.
‡Age-adjusted rates are weighted using the US Standard Population 2000.

04/22/2021 5
 COVID-19 Monthly Epidemiological Report
COVID-19 Case Rate per 100,000 Population March 2021

The geographic distribution of total COVID-19

cases by zip code continues to show the
highest rates of infections have been in the
southern portion of Bexar County, with a few
zip codes in the north and east also showing
some of the highest case rates.
March 2021 COVID-19 Case Rate per 100,000 Population For the month of March 2021, the highest
rates of new COVID-19 infections occurred
particularly in zip codes in the southwest
portion of Bexar County. This pattern has
remained consistent over time.

Data Source: SAMHD COVID-19 case data through 04/12/2021, event dates through
03/31/2021; U.S. Census, ACS 2019 5-year Population Estimates, Table S0101.

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 COVID-19 Monthly Epidemiological Report
March 2021

COVID-19 March ‘21 Case Rates

by Percent of Population Fully
Vaccinated by Zip Code

This map shows the geographic distribution by zip code of COVID-19 case
rates per 100,000 population during the month of March 2021 (based on
Event Date) and the rate of COVID-19 fully vaccinated persons per 100,000
population. These variables are broken into low, medium, and high rates of
COVID-19 during March 2021 and rates of the population who have been fully
vaccinated for COVID-19. Zip codes with the dark green indicate they are in the highest third of new COVID-19 case rates
in March 2021, as well as are in the lowest third of rates of fully vaccinated persons. Conversely, those zip codes in solid
grey indicate they are in the lowest third of new COVID-19 case rates for the month of March 2021 and are in the highest
third for rates of fully vaccinated persons population. In general, zip codes near to the southwest of downtown have
higher COVID-19 case rates and lower vaccination rates. Conversely, zip codes in the northern portion of Bexar County
have lower COVID-19 case rates and higher vaccination rates.
Data Source: SAMHD COVID-19 Database, as of 04/12/2021; U.S. Census Bureau, ACS 2019 5-Year Estimates, Table S1701

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 COVID-19 Monthly Epidemiological Report
March 2021
V. Congregate Setting & School-Related Cases
Cases occurring in congregate settings have declined substantially in the past two months: 20 cases occurred during March.
Total deaths associated with congregate settings are now 514. Case fatality in congregate settings is 16.2%.

COVID-19 Cases in Bexar County Congregate Settings

(n= 3,175)
400
359
350
Number of Cases Identified

300

250
250 241 238
216
200 186
154
150 137 132
108 107 104 100
93 99
100 83 77 76
72 64
40 47 48
50 30 31
23 21 15
4 6 2 8 4 0
0

Week Identified

The number of cases among children infectious while physically at school also declined during March. It is important to
note that the majority of these cases were NOT caused by in-school exposure. The 14 outbreaks to date in Bexar County
schools with known in-school transmission have contributed only 100 (2.1%) of the 4,689 cases denoted below.

COVID-19 Cases in Bexar County Schools by Event Date

(n= 4,689)
600
553

Previously Reported New Data

500
424

400 369 360

335
Number of Cases

302 290
300 267
229

200 184
170
145
119
78 83 88 87
100 74 68 65
58 64
29
42 44 38 47 35
2 2 9 8 9 12
0

Event Date
Note: The lighter teal indicates new data not previously reported in the weekly congregate settings report.
04/22/2021 8
 COVID-19 Monthly Epidemiological Report
March 2021
VI. Hospitalizations and Deaths among COVID-19 Cases
VI. A. Hospitalizations
When examining the winter surge of the pandemic, the 7-day case average (navy) peaked approximately 14 days before average
hospitalizations (gold), consistent with the summer surge. New death data obtained during March shows that average deaths
(coral) peaked approximately 11 days after peak case average and 3 days before peak hospitalization average, a key difference
seen between the two peaks of the pandemic.

Bexar County Cases by 7 Day Average of Event Date

3,000
STRAC COVID-19 Hospitalizations and Date of Death 60
7 Day Average Event Date and Patients in Hospital

7 Day Avg Event Date

2,500 7 Day Avg Patients in Hospital 50
7 Day Deaths Avg
Preliminary Death 7 Day Average

7 Day Deaths Average

2,000 40

1,500 30

1,000 20

500 10

0 0
3/1/20 4/1/20 5/1/20 6/1/20 7/1/20 8/1/20 9/1/20 10/1/20 11/1/20 12/1/20 1/1/21 2/1/21 3/1/21

Data Source: COVID-19 Daily Surveillance Data Public– STRAC Data, pulled on 2/7/2021

In March, COVID-19 positive occupancy (coral) declined to an average of 245 beds per day, a 68% decrease from
February. Available (unoccupied) staffed beds (teal) make up about a 13% of total staffed beds. COVID-19 positive
occupancy was only 6%, which hasn't been seen since September 2020. Non-COVID positive occupancy (navy) increased
13% from February to an average of 3,597 beds per day in February.
STRAC Hospital Capacity
5,000
4,500
4,000
3,500
Total Staffed Beds

3,000
2,500
2,000
1,500
1,000
500
0
4/1/20 5/1/20 6/1/20 7/1/20 8/1/20 9/1/20 10/1/20 11/1/20 12/1/20 1/1/21 2/1/21 3/1/21

*Data was not reported on 9/7/2020 due to Labor Day Occupied COVID Occupied Non COVID Available Staffed Beds
Data Source: COVID-19 Daily Surveillance Data Public– STRAC Data, pulled on 3/7/2021
*General and specialty hospitals in Bexar county designated by the Southwest Texas Regional Advisory Council as part of the local trauma/emergency healthcare system.
Includes hospitals in the Baptist, Christus, Methodist, Texas VistaMed, University, BAMC and VAMC systems treating COVID+ patients.
04/22/2021 9
 COVID-19 Monthly Epidemiological Report
March 2021
Hospitalizations decreased through the beginning of March and leveled off around 3/20/2021, two months after the
highest count of COVID-19 patients in area hospitals. COVID-19 patients in the ICU made up almost 40% of
hospitalizations on average for March, similar to February.
Note: Patients typically stay several days in the hospital, especially in the ICU.

STRAC ICU and Non-ICU COVID-19 Patients in Bexar County Hospitals

1,600

1,400

ICU
1,200
Non-ICU
Hospitalizations

1,000

800

600

400

200

0
4/1/20 5/1/20 6/1/20 7/1/20 8/1/20 9/1/20 10/1/20 11/1/20 12/1/20 1/1/21 2/1/21 3/1/21 3/31/21
Month
Data Source: COVID-19 Daily Surveillance Data Public– STRAC Data, pulled on 4/12/2021

Distribution of Total Hospitalized Cases by 10-Year Age Groups

(N=8,209) To date, 8,210 individuals have been
% of Hospitalized Cases

hospitalized due to COVID-19.

25%
18.7% 20.0% 18.0%
20% Hospitalization trends by age have
13.7%
15% remained consistent with previous
9.1% 9.2% reports. Cases with ages 50-79
10%
5.1% account for the majority of
5% 1.6% 1.7% 2.7%
0.1% hospitalizations (57%)*.
0%
0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99 100+
Approximately 70% of hospitalized
Age Group
cases have reported underlying
Hospitalized Cases with Underlying Conditions conditions.
(N=8,210)
Among hospitalized COVID-19 cases
Cardiovascular Disease 42.8% with a reported underlying condition,
Hypertension 32.8%
the most prevalent is cardiovascular
Diabetes 37.5% disease, followed by diabetes.
Hypertension is included in the
Lung Condition 15.8%
9.4% category "cardiovascular disease",
Asthma
and also shown separately to
Kidney Disease 12.9%
highlight conditions of special
Immunocompromised 8.1%
interest. Similarly, asthma is included
in "lung condition", and is also shown
Thyroid Disorder 4.4% separately.

*Excluding one case without a known date of

0% 10% 20% 30% 40% 50% birth.
Percentage of All Hospitalized Cases with Underlying Conditions
04/22/2021 10
 COVID-19 Monthly Epidemiological Report
March 2021
VI. B. Deaths
During March, 169 deaths occurred due to COVID-19, bringing
the total to 3,276. The case fatality rate is now 1.6 deaths per Age-Specific Mortality Rates, by Gender
(per 100,000 population; N = 3,248*)
100 cases. The total age-adjusted mortality rate† since the 2,500
pandemic began is now 180 deaths per 100,000 population.

Deaths per 100,000 Population

Male
2,000
Males continue to account for more than half of all deaths Female
(56%; N=1,823), with case fatality per 100 cases is now 1.9
1,500
deaths for males, and 1.3 deaths for females.
Reflecting the higher male risk of death with COVID-19, the 1,000

male age-adjusted mortality rate is 65% higher than the rate

500
for females: 229 deaths per 100,000 male population,
compared to 139 for females. The graph of age-specific
0
mortality rates‡, shows that the higher rate of male deaths is 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+
first observed in age group 30-39 years. This pattern has Age Group (years)
* Excludes 28 deaths (0.8%) with gender and/or age unavailable.
persisted throughout the pandemic.
†Age-adjusted rates use the ACS 5-yr 2019 gender-specific population estimates for Bexar County and the US Standard Population 2000 weights.
‡Age-specific rates use ACS 5-yr 2019 gender-specific population estimates for Bexar County. Crude rates do not adjust for age.

Age-Specific Mortality Rates, by Race/Ethnicity

(per 100,000 population; N=2,928* ) Among the 89% of deceased cases for whom race/ethnicity
2,500 is available, Hispanic individuals account for 68% of COVID-
Deaths (per 100,000 population)

Hispanic
19 related deaths, compared to 60% of the Bexar County
2,000 NH
White population†.
Other
1,500 The excess age-specific mortality among Hispanic individuals
starts to become evident by age group 45-54, and increases
1,000 rapidly through age group 65-74.
Disparities between Non-Hispanic White individuals and Non-
500
Hispanic Black individuals have not been observed to date. It

0
continues to appear that Hispanic individuals have a
Under 5 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ disproportionate burden of death due to COVID-19.
Age Group †ACS 5-yr 2019 population estimates for Bexar County.
NOTE: Race/ethnicity is not available for 309 (11%) deceased cases and age for
*Excludes 347 deaths (11%) with race/ethnicity unavailable plus 1 with age unavailable. one further case.

Of all deceased cases, approximately 71% Comorbidities

Deceased CasesAmong DeceasedConditions
with Underlying Cases
(N=3,276)
were reported to have comorbid conditions. Cardiovascular Disease 51.8%
Hypertension 37.6%
Approximately half of deceased cases were
Diabetes 37.2%
reported as having cardiovascular disease
Kidney Disease 18.9%
(51.8%), 37.2% had diabetes, and 18.9% had
kidney disease. Lung Condition 13.4%
Asthma 3.9%
Note: For the purposes of this report, hypertension is Immunocompromised 7.4%
included in the category "cardiovascular disease", and also
shown separately to highlight conditions of special interest. Thyroid Disorder 4.2%
Similarly, asthma is included in "lung condition", and is shown
separately. 0% 10% 20% 30% 40% 50% 60
Percentage
Percentageofofall
allDeceased
DeceasedCases
Cases with
with Comorbid
UnderlyingConditions
Conditions
04/22/2021 11
 COVID-19 Monthly Epidemiological Report
March 2021
This pyramid graph of deaths with
superimposed age-specific mortality rates Deaths by Gender and Age Group
highlights the disparate burden of deaths with Age-Specific Death Rates
(N = 3,248*)
among older individuals. Almost 55% of 500 400 300 200 100 0
9
all COVID-19 deaths have occurred 80+ 80+
8
among cases 70 years of age and older. 70-79 70-79
7
28% more deaths have occurred among 60-69 60-69

Age Group
6
males than females, despite the higher 50-59 50-59
5
COVID-19 incidence among females. The 40-49 40-49
4
pyramid graph also shows that more 30-39 30-39
3
deaths have occurred among males than 20-29 20-29

females in almost every age group, Male Deaths Female Deaths 2

10-19 10-19
Male Mortality Rates Female Mortality Rates 1
particularly among younger adults. 0-9 0-9
0
Among people with COVID-19 who are 500 400 300 200 100 0 100 200 300 400 500
80 years of age or older, the risk of Death Counts and Deaths per 10,000 Population
death is 24% for males, and 17% for * Excludes 28 deaths (0.8%) with gender and/or age unavailable.

females.

COVID-19 Case Fatality Rate per 100 Cases

(Excluding Congregate Settings)
This map shows COVID-19 deaths per
100 COVID-19 cases (case fatality rate),
excluding congregate settings (defined
here as nursing homes, assisted living
facilities, jails, homeless shelters,
rehabilitation facilities, and military
barracks). The geographic distribution
continues to show the highest case
fatality rates closest to downtown. This
spatial distribution has remained
consistent over time.

Source: SAMHD COVID-19 case data up

to 04/12/2021, event dates through
03/31/2020

04/22/2021 12
 COVID-19 Monthly Epidemiological Report
March 2021
VII. Percent Change of COVID-19 Cases, January—February
Percent Change in COVID-19 Cases from Feb ‘21 to Mar ‘21 by Zip Code
During the month of March 2021, zip codes to
the north and west saw the largest percent
increase in COVID-19 cases from February 2021
to March 2021 compared to zip codes near
downtown and to the south and east of
downtown. Zip codes to the south of downtown
tended to see the largest percent decrease in
new COVID-19 cases in March 2021 compared to

Percent Change in COVID-19 Cases

from Feb ’21 to Mar ’21 by Council District

The map to the right depicts the percent

change in COVID-19 cases from February
2021 to March 2021 by City of San
Antonio Council District.
Compared to February 2021, during
March 2021 every Council District saw at
least a 45% decrease in new monthly
COVID-19 cases. The Council Districts
with the largest percent decrease in new
cases are Council Districts 3 and 6, with
approximately 69% and 59% fewer new
COVID-19 cases respectively during
March 2021.

04/22/2021 13
 COVID-19 Monthly Epidemiological Report
March 2021
VIII. Bexar County COVID-19 Cases by Event Date: The Pandemic in Review

04/22/2021 14