NEW: Deaths, hospitalizations down as weekend case total nears 1,600 in Nevada


Breakthrough cases now 23.4% of all new reports in Clark County

Below is the full COVID-19 report for Nov. 19-21.

LAS VEGAS (KLAS) — Three-day totals show new COVID-19 cases persisting around the state, but numbers of hospitalizations and deaths have dropped.

On Mondays, reports include totals from tests conducted on Friday, Saturday and Sunday.

The test positivity rate in Nevada held steady at 7.7%, but dropped slightly in Clark County — from 7.1% down to 7.0%.

Breakthrough cases reported late last week in Clark County show an additional 7 deaths among people who were fully vaccinated, along with 45 hospitalizations 773 new breakthrough cases. COVI-19 breakthrough cases now account for 23.4% of all reported new cases in the county.

A look at current COVID-19 numbers:


  • New cases: 1,246 (total: 341,250)
  • Deaths: 9 (total: 6,130)
  • Test positivity rate: 7.0% (down from 7.1% on Friday)
  • Hospitalizations: 553 (down 5 from Friday)


  • New cases: 1,598 (total: 453,771)
  • Deaths: 12 (total: 7,930)
  • Test positivity rate: 7.7% (unchanged from Friday)
  • Hospitalizations: 688 (down 27 from Friday)

The state is following the Centers for Disease Control and Prevention guidance on the mask rule. The mandate will remain in place in each county until the following conditions are met:

  • The COVID-19 test positivity rate must be below 8%
  • The case rate (per 100,000 population over 7 days) must be below 50 for two full weeks. A rating above 100 cases per 100,000 individuals or higher is considered “high” transmission risk, while 50-99.99 per 100,000 is considered “substantial” by the CDC. The county must reach “moderate” for two full weeks.

Test positivity in Clark County is at 7.0%, down from 7.1% on Friday. The current case rate for Clark County is “high” at 126.3.

Nevada’s test positivity rate is at 7.7%, unchanged from Friday. It fell below 5.0%, the World Health Organization’s goal, on May 17 and climbed above it on June 28.

Of the 12 additional COVID-19-related deaths reported in Nevada, 9 were from Clark County. Southern Nevada now accounts for 6,130 of the state’s 7,930 deaths. The 14-day rolling average is at 4 deaths per day.

As of Nov. 18, the Southern Nevada Health District reports there are 202 breakthrough deaths (+7), 652 breakthrough hospitalizations (+45) and 12,898 breakthrough cases (+773). (Increases are compared to numbers reported on Nov. 11.)

As of yesterday, a total of 5,513,280 COVID-19 tests have been conducted in Nevada, with an increase of 27,009 since Friday’s report. The number of tests reported has gone up as more employers require employees to be vaccinated or go through weekly testing.

*NOTE: Daily lab data from DHHS and SNHD reports is updated every morning for the previous day.


The test positivity rate in Clark County has dropped below 8%, which takes the county off the state’s watch list for elevated transmission risk. If the county can sustain levels for test positivity and testing, state restrictions — including mask requirements — could be relaxed. A separate measure of the county’s case rate — currently “high” at 107.9 cases (per 100,000 population over the past seven days) — needs to drop below 50 for two straight weeks before the mask mandate can end.

In today’s report, eight of Nevada’s 17 counties are still flagged for high transmission.

Clark County’s case rate (465 per 100,000 over the past 30 days) is flagged in data reported today. Test positivity rate (7.0%) and testing (311 tests per day per 100,000) are within the state’s acceptable range.


The state’s health department reports 3,543,022 doses of the COVID-19 vaccine have been administered in Nevada, as of Nov. 21.

As of today, 52.03% of Nevadans currently eligible for the vaccine are fully vaccinated, and 60.92% of the eligible population has initiated vaccinations. Clark County reports that 51.26% of its eligible residents are fully vaccinated.

Percentages shifted downward in today’s reports — likely indicating that they have been adjusted to include children 5-11 who are now eligible for vaccination.


NOTE: The state is not updating hospitalization data on weekends or holidays.

According to the state’s Department of Health and Human Services (DHHS), the number of hospitalized patients in Nevada was DOWN (-27) from the last report.

The current number of hospitalizations is 688 confirmed/suspected cases. Hospitals reported 181 of those patients were in intensive care units, and 101 were on ventilators. To give some perspective, the state set a record high for hospitalized patients on Dec. 13 with 2,025 cases.


The number of people who have recovered from the virus in Southern Nevada continues to increase. The latest county update estimates a total of 324,464 recovered cases; that’s 95.1% of all reported cases in the county, according to SNHD’s latest report.

The health district provides a daily map with the number of positive tests in each ZIP code in Clark County.


Nevada reopened to 100% capacity on June 1 and social distancing guidelines lifted, helping the state return to mostly pre-pandemic times, with some exceptions.

The CDC reversed course on July 27, saying fully vaccinated Americans in areas with “substantial and high” transmission should wear masks indoors when in public as COVID-19 cases rise. Most of Nevada falls into those two risk categories.

Nevada said it would adopt the CDC’s guidance with the new mask guideline that went into effect at 12:01 a.m. on July 30. This overrides Clark County’s employee mask mandate, which went into effect in mid-July.

On Aug. 16, Gov. Sisolak signed a new directive that allows fully vaccinated attendees at large gatherings to remove their masks, but only if the venue chooses to require everyone in attendance to provide proof of vaccination. Those who have just one shot and are not “fully vaccinated” would still be allowed to attend, as would children under 12, but both would need to wear masks.

Masks still must be worn when required by federal, state, local, tribal, or territorial laws, rules and regulations, including local businesses and workplace guidance.

State approval for vaccinating children 5-11 years old was given on Nov. 3, with plans by the Southern Nevada Health District to begin vaccinations on Nov. 10. The Pfizer vaccine is the only vaccine approved for children at this time.

SEE ALSO: Previous day’s report

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