Some readers might wonder: Whatever happened to Alisa Haushalter? The former director of the Shelby County Health Department, Haushalter was, not so long ago, one of the most visible people in the public eye as department head at the height of the Covid-19 pandemic.
By one measure — the fact that she was publicly accountable and on call on a daily, even hourly basis — she may have been for a time the single most visible of all local officials. Not only was she at the helm of the health department and having to cope directly with the scourge of Covid, managing local responses to it as best as she could; she had the responsibility of communicating every aspect of the disease’s progress and every important piece of data relating to its impact on the community. It was 24/7 and then some.
It is certainly arguable that Haushalter herself was one of the chief victims in Shelby County of the Covid-19 pandemic. Her work as the director was hailed as exemplary then and later by her associates in the department and in county government at large.
But, simply because of the prominence of her position, she was caught up in various controversies that owed more to the inherent disruptiveness wrought by the pandemic than to any actions she was responsible for.
Consider this a tease for a forthcoming lengthier, and possibly eye-opening, treatment of Haushalter’s pivotal and arguably heroic service on behalf of Shelby County in a time of crisis. Suffice it to say for the moment that political pressures relating to state vs. local issues played a large role in her decision, in February 2021, to step down as health department director.
But her service to Shelby County has continued. When she came here in 2016, after years of health service, first in Nashville and later at the renowned Nemours health complex in Delaware, she had a request of then-County Mayor Mark Luttrell, who hired her.
For three years, while working in Nashville, she had gone back and forth between the state’s two largest cities working on her doctorate, which she got from the University of Tennessee Health Science Center.
“When I was in Nashville,” she recalls, “I had dual appointments. I taught at Vanderbilt, and I was at the health department there. So when I came here, part of my discussion with Mayor Luttrell was, ‘Can I have a dual appointment so that I’m still teaching?’” The answer was yes, and, while serving as health department director she taught health policy at UT.
Her thinking was eminently commonsensible. “That really was sort of how I came back to Tennessee. You learn along with the students, and the students get to learn from someone who has experience, not just what they’re getting from reading the book. And so it has always been a good match.”
Upon leaving the department, Haushalter would expand her teaching load to include, currently, healthcare economics and population health.
She has never departed from the idea of service. She’s still very much here and on the case, keeping her hand in — learning, doing, and teaching. Aside from her regular students, she says, she’s still on call at the department. “There are team members over there that still reach out to me that I coach or mentor.”
Her bottom line: “I’m committed to public health, I’m committed to nursing and have spent decades doing that. And I’m committed to Shelby County.”
The late Rep. Barbara Cooper of Memphis gets vaccinated against COVID-19 in February 2021. (Photo: Karen Pulfer Focht)
The former leader of Shelby County’s COVID-19 vaccine rollout has lost a legal bid to declare she was wrongly blamed for allowing hundreds of doses to expire during the pandemic.
Judy Martin, Shelby County’s former chief of nursing and immunizations, lost her job amid public fallout over the lost doses in early 2022.
Martin had reported 1,000 expired doses she discovered during an inventory. With even more doses set to go bad, she loaded hundreds of vaccines into her car to take to a local prison. But a snowstorm in Memphis scuttled those plans. She left 700 doses in the car and told nobody, legal filings said.
When news broke that Shelby County had allowed even more doses to expire than initially reported, Martin retired in order to avoid being fired.
“I learned that the information regarding the level of vaccine that expired in Shelby County was not accurate,” Mayor Lee Harris soon tweeted. “We have terminated the site manager who managed the relationship with the pharmacy and allegedly provided the initial false information.”
Martin sued the county alleging the tweet was defamatory and asserted her right to a “name-clearing hearing.” A federal court in Memphis dismissed those claims, siding with the county.
On Tuesday the Sixth Circuit Court of Appeals again sided with the county in a ruling that concluded Martin had not suffered any harm from the mayor’s tweet. The ruling noted Martin had received community support amid the controversy, the nursing board took no disciplinary action against her and that she was able to land quickly in another job.
“Getting fired is unpleasant,” the ruling said. “And having that termination broadcast is even more so. But the Constitution of the United States says little about lost jobs and nothing about this one.”
Tennessee Lookout is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Tennessee Lookout maintains editorial independence. Contact Editor Holly McCall for questions: info@tennesseelookout.com. Follow Tennessee Lookout on Facebook and X.
Kits to help prevent and stop opioid overdoses are free in Shelby County until supplies run out.
The Shelby County Health Department (SCHD) is distributing the kits at select sites (see below) on a first-come, first-served basis. The kits contain two doses of nasal-spray naloxone (known as Narcan by its brand name), 10 fentanyl test strips, and instructions for each.
SCHD Health Officer Dr. Michelle Taylor said the kits are being distributed “to save lives.”
“From 2018 to 2020, overdoses killed more people in Shelby County than automobile accidents,” Taylor said in a statement.
The program is a partnership with the Tennessee Department of Health (TDH), which says naloxone is “a proven tool in the battle against drug abuse and overdose death.”
“When too much of an opioid medication is taken, [the opioid] can slow breathing to a dangerously low rate,” reads the TDH web page on naloxone training. “When breathing slows too much, overdose death can occur. Naloxone can reverse this potentially fatal situation by allowing the person to breathe normally again.”
The state says naloxone is not “dangerous medicine.” But state law does require proper training to give the drug and be covered against civil lawsuits. In 2014, the Tennessee General Assembly passed a Good Samaritan Law that give civil immunity to those administering the drug to someone they “reasonably believe” to be overdosing on an opioid.
To get the required training, the state offers an interactive online course here and a read-through version of the class here.
After the review, trainees must pass an online quiz available here. Once complete, trainees can then add their name to a printable certificate found here.
Regional Overdose Prevention Specialists (ROPS) offices are located throughout the state of Tennessee. They are the point of contact for most opioid overdose training and the distribution of naloxone.
The state says more than 450,000 units of naloxone have been distributed through ROPS from October 2017 to March 2023. In that time, state officials have documented at least 60,000 lives saved with naloxone, a number that’s likely higher “because of stigma and other factors.”
State Sen. London Lamar (D-Memphis) wanted to make naloxone even more widely available in this year’s legislative session. Her bill would have mandated that some bars (selling more than $500,000 worth of alcoholic beverages per year) keep naloxone on premises as a condition of keeping their liquor-by-the-drink license.
The legislation was similar to New York City’s “Narcan Behind Every Bar” campaign. But Lamar’s bill was never fully reviewed and stalled in the committee system.
Fentanyl test strips were illegal in Tennessee until last year. Possession of such strips were a Class A misdemeanor and distribution was a Class E felony. But lawmakers made them legal to fight opioid overdoses when Gov. Bill Lee signed a bill into law in March 2022.
To use the strips, small amounts of drugs are mixed with water. The strips are dipped into the solution for 15 seconds. Then, the strips produce colored bars to signal whether or not the sample contains fentanyl or if the test is inconclusive.
In 2018, researchers found that some community groups across the country began to distribute fentanyl test strips. At the time, they found that most (81 percent) drug users who got the strips, used them. Some (43 percent) changed their drug-use behavior because of the strips and most (77 percent) said they were more aware of overdose safety by having the strips.
Those kits with naloxone and the fentanyl test strips are available from 8 a.m. to 4:30 p.m. at
The government agencies that should be protecting a South Memphis neighborhood from cancer-causing air pollution have fallen down on the job, environmental justice advocates say, so they’re stepping up.
At Shady Grove Missionary Baptist Church church in Mallory Heights on Saturday, June 3rd community organizers with Memphis Community Against Pollution (MCAP) and the Mallory Heights CDC alerted South Memphis residents to the colorless, odorless gas that’s poisoned the area for decades, letting them know what they could do to change that.
The gas comes from a facility two miles away. Sterilization Services of Tennessee (SST) at 2396 Florida Street uses ethylene oxide, also known as EtO, to remove bacteria from medical and dental equipment, which decreases the risks of infections in hospitals and clinics.
But breathing in the chemical over many years, the Environmental Protection Agency (EPA) now says, can cause illnesses such as leukemia, non-Hodgkin’s lymphoma, and stomach and breast cancers.
And the SST facility operates 24 hours a day, seven days a week.
MCAP’s president, Keshaun Pearson, calls the inaction from local leadership inhumane and reflective of racist policies that have plagued his family and community for generations — dating back to the Reconstruction era.
“They continue to slow lynch this community.”
Keshaun Pearson, president of Memphis Community Against Pollution
“They continue to slow lynch this community,” Pearson said. “This is intentional. This is directed at a specific demographic.”
While the EPA has known EtO is a hazardous air pollutant for at least 30 years, scientists and analysts only recently started taking steps to address the carcinogen. The action comes after the agency discovered that EtO has a cancer-causing risk 60 times higher than previously known.
In response, the EPA proposed new regulations requiring facilities such as SST to reduce emissions by 80 percent. Before the regulations become the new standard, the public can submit comments by June 27th. But the standards are in a dense, jargon-laden 68-page packet with 380 supporting documents.
So, MCAP and Mallory Heights CDC — with some of the same players who stopped the Byhalia Pipeline in 2021 — are organizing in-person and virtual meetings to help people in South Memphis understand the proposed new rules.
“We deserve clean air just like everybody else,” said Pearson.
A chance to submit concerns and questions
Eighty-six commercial sterilization facilities operate across the United States, many of which are in communities that were once redlined and now experience environmental injustice. The EPA determined that 23 of those facilities pose elevated lifetime cancer risks, including SST in South Memphis, an area riddled with various industrial facilities and their pollutants.
At the direction of the EPA, the Shelby County Health Department (SCHD) notified an undisclosed number of residents and held one informational meeting, but MCAP is doubling down on the health department’s work. In addition to holding multiple community meetings, the organization sent 11,000 mailers recently to people in the area, encouraging them to submit their concerns and questions.
MCAP is urging people to tell the EPA that it needs a shorter compliance period when new regulations go into place. It’s something the regional EPA air and radiation division director, Caroline Freeman, has emphasized herself because that kind of feedback from people in Memphis can directly influence the agency.
As the EPA’s timeline stands, once this round of public comment closes and the rules are finalized, it could take up to three years for facilities like SST to comply with the new standards. Those standards would update the Clean Air Act to require commercial sterilizers to use technologies and procedures proven to reduce EtO emissions. Concerns raised through public comment could require SST to act sooner to reduce their emissions under such rules.
Concerns raised through public comment could require Sterilization Services of Tennessee to act sooner to reduce their emissions under such rules.
“I need you to hear me on this,” Freeman said in October during the EPA’s first public meeting in Memphis. “EPA does plan to solicit comments on a shorter compliance time period. So, that is why it’s critical you are aware that these rules are coming forward.”
So far, more than 25,000 comments have been submitted.
The EPA is especially concerned about SST’s emissions because a high concentration of the chemical has been released for a long duration. SST has been operating since 1976.
EtO contributes to nearly 82 percent of overall cancer risk in the census tract where the SST facility is located, according to the Union of Concerned Scientists. That level of EtO exposure could mean an increase of 20 cancer cases per 10,000 people exposed for 70 years.
Wind carries EtO, which can stay in the air for up to three months. In Memphis, it can loft over hundreds of homes in a ring of emissions that emanates from the facility. The chemical especially poses risks for children and babies. Their growing bodies make them more susceptible because EtO can mutate and damage DNA.
But because air filtration systems and N-95 masks do not prevent EtO inhalation, people can’t protect themselves or their families from this chemical.
But because air filtration systems and N-95 masks do not prevent EtO inhalation, people can’t protect themselves or their families from this chemical.
Can the health department “do better?”
While zoned industrial in the corner of an I-55 interchange, SST is not an isolated facility. It sits within five miles of more than 130,000 people and about 180 schools and childcare centers, according to the Union of Concerned Scientists report. The community in that same area, it says, is 87 percent people of color and 57 percent low income, both percentages that are 20 percent greater than the county average.
About 86 percent of the EtO emissions coming from SST do not go through a device that breaks down the chemical before it is released into the environment, according to the EPA. In an SST sterilization chamber and aeration room, EtO is dispersed over the medical supplies where the control captures and cleans EtO from the air.
But rather than getting sucked into this cleansing technology, EtO escapes through what the EPA calls fugitive emissions. That means the emissions are possibly emanating through leaks, ventilation, gaps in windows and through open doors. As Freeman said, fugitive emissions are “unfortunately” not covered under current regulations.
But the Southern Environmental Law Center (SELC), which represents MCAP, claims the facility isn’t in compliance with current EtO federal regulations. The Tennessee Department of Environment and Conservation (TDEC) delegated authority to Shelby County Health Department to administer an air pollution control program.
SELC filed a petition with the SCHD, asking it to issue an enforcement provision that allows the health department director to issue emergency air pollution orders, which would address EtO emissions faster than the EPA. In a written statement, the department denied the petition, citing that SST is meeting local standards.
However, under municipal code, an air pollution emergency episode can be declared “during adverse air dispersion conditions that may result in harm to public health or welfare.” Since the Memphis facility is among the most high-risk, and with an improved understanding on the chemical’s harmful impact, SELC and MCAP believe it is within reason for the director to exercise this power. They filed an appeal, asserting that leaders are refusing to act. A hearing is scheduled in August.
“When you know better, you do better, and we’re not seeing that from the facility. We’re not seeing that from the health department.”
Amanda Garcia, Tennessee office director for the Southern Environment Law Center
“This facility has known for many years that its pollution is harming people in the community,” said Amanda Garcia, Tennessee office director for SELC. “When you know better, you do better, and we’re not seeing that from the facility. We’re not seeing that from the health department.”
Sterilization Services has voluntarily reduced EtO at its facilities in other states, but not at its Memphis plant, according to Garcia’s office. SST did not respond to emails requesting comment.
The SCHD was noticeably absent at MCAP’s community meeting earlier this month. U.S Rep. Steve Cohen (D-Memphis) and staff from the office of city council member Edmund Ford, Sr. — both of whom represent the district — attended.
“I’m here because you’re here, and you’re in danger.”
U.S. Rep. Steve Cohen (D-Memphis)
“I’m here because you’re here, and you’re in danger,” said Cohen. “This is just unacceptable that our health department has failed us and that this company hasn’t jumped into action.”
Absent data, but some lived experiences
Over the weekend of the Saturday the 3rd, community organizers convened residents who live near SST in preparation for two EPA meetings on last week. Pearson took issue with a March SCHD meeting, in which he and others felt SCHD leaders failed to hold SST accountable for polluting the neighborhood.
“They offered us cards for our comments, and to have our questions listened to, and if you were at that meeting, it didn’t quite go that way,” Pearson said. “They answered the questions that supported the talking points they already had, and that’s just not fair.”
At that meeting, the SCHD presented a study that did not find evidence of increased cancer rates near SST.
But because of other variables such as genetics and socioeconomics, proving environmental causes of cancer is challenging and establishing a link through statistical analysis is unlikely — facts that the health department stressed in its presentation. In fact, when SCHD director Michelle Taylor shared the results, she reminded audience members that the lack of evidence does not diminish the EPA’s EtO warning.
Researchers unaffiliated with government agencies or community organizations have been critical of methodologies used for other local EtO studies — such as an air pollution analysis commissioned by Memphis Mayor Jim Strickland in July 2022. Since there are no government-sanctioned air monitors in South Memphis, the researchers hired by the city set up a temporary sampling site.
The researchers said that over four days of monitoring, EtO was not detected — a finding that comes with many shortcomings, according to researcher Richard Peltier at Institute for Global Health, an interdisciplinary program out of the University of Massachusetts. At the SELC’s request, he reviewed the measurement techniques and argued that it is difficult to draw conclusions through just 62 hours of sampling with variable wind directions.
“The city of Memphis study does not provide useful information about ambient concentrations of ethylene oxide in the community.”
Richard Peltier, University of Massachusett
“The city of Memphis study,” he wrote, “does not provide useful information about ambient concentrations of ethylene oxide in the community.”
Over the last 10 years, study after study has shown that South Memphis disproportionally experiences air pollution with alarming health risks. But community members don’t need the data because they say they are watching it happen to their loved ones.
By combining their lived experiences with new science from the EPA, Pearson believes his communities can push government agencies to reduce EtO and cancer risks quicker than what is currently being proposed.
“…I am so glad my home is in South Memphis, where people continue to fight, and we’ve been fighting a long time,” said Pearson.
No clusters of major cancers were found in a government investigation of the area around Sterilization Services in South Memphis after health alerts were raised on emissions from the company last year.
The company uses ethylene oxide (EtO) in its Florida Street facility to sterilize medical equipment. The gas is odorless and colorless and the Environmental Protection Agency (EPA) wasn’t aware emissions could raise cancer rates until 2016.
Now, the EPA says EtO emissions from the facility could pose a risk to those living in the neighborhood around it. The agency held public meetings in Memphis last year to warn the residents but said there was little they could do.
Since that meeting, officials with the Shelby County Health Department (SCHD) and the Tennessee Department of Health (TDH) reviewed areas around the company’s facility. Specifically, they were looking for heightened cases of leukemia, non-Hodgkins lymphoma, stomach cancer, and breast cancer.
”This cancer cluster investigation did not provide evidence of increased amounts of leukemia, non-Hodgkins lymphoma, stomach, or breast cancers clustered near the Sterilization Services of Tennessee facility compared to a group of residents away from the facility,” reads the report. “Just because we cannot find evidence of increased rates of cancer that are associated with EtO does not mean there may not be increased risk.”
For the study, health officials compared the area around Sterilization Services to another area far from the facility, basically from Cordova to Eads in eastern Shelby County. To get a better context of any population shifts that may have happened, they also compared data from 2000-2009 and from 2010-2019.
SCHD officials announced the findings of the study this week in a public meeting. SCHD director Dr. Michelle Taylor fielded questions from the a audience and from those watching a live-stream of the meeting. Taylor said the company has been “very cooperative” during the investigation process.
“We’ve never had a problem with them, with our inspectors going in, asking questions, getting information for from them, none of that,” Taylor said. “So, really it is about finding out what the EPA [Environmental Protection Agency] is expecting in the way of additional controls and then figuring out and negotiating how quickly that can happen.”
The company has used EtO here since the 1970s. The SCHD has permitted the facility since 1985. The EPA did not begin regulating emissions of EtO until 1994.
The company is now in compliance with all local, state, and federal regulations on emissions. The EPA is working on some rule changes to limit EtO emissions at places like Sterilization Services.
Until then, the company can only be asked to make changes voluntarily, which is what the Memphis City Council asked them to do in a resolution in January. At the time, council member Dr. Jeff Warren said Sterilization Services has facilities across the U.S. and has already enacted emission interventions at some of them.
Citizens asked Taylor this week if the health department could intervene and demand the company to act, even to get them to move.
“If we learned anything from Covid, we know that our authority is limited at the health department,” Taylor said. “Industry is not just regulated by us, it’s regulated by code enforcement, it’s regulated by zoning, it’s regulated by many other divisions that are not the health department. So, when you’re talking about asking an industry to move somewhere else, the short answer is, we as a health department, as a single entity — we just cannot do that alone.”
Shelby County Mayor Lee Harris and the Shelby County Health Department invited community-based organizations to form the HIV Equity Coalition (HIVE Coalition) in response to the state of Tennessee cutting HIV funding.
According to a statement from the mayor’s office, the HIVE Coalition “will engage area stakeholders to discuss the current problems facing people with HIV and how Governor Bill Lee, the State of Tennessee, and Health Commissioner Ralph Alvarado’s refusal to accept nearly $10 million in federal funds for HIV care and prevention will impact patients and vulnerable populations.”
“The HIVE Coalition will also discuss ways for the community and local officials to help support organizations following the state’s destructive decision,” said the statement.
Mayor Harris was joined by representatives from the Shelby County Health Department, Friends for Life, OUTMemphis, Hope House, and the Elizabeth Taylor AIDS foundation to host a panel discussion on Zoom to not only discuss the work they are doing to help those impacted by HIV, but to share how cutting funds will disrupt their efforts.
“This is the start of our efforts, which we are committed to sustaining until our vulnerable HIV population has the level of healthcare access that we know is needed,” said Harris.
According to Jerri Green, senior policy advisor for Shelby County, there are 19,000 Tennesseans living with HIV. Green added that Shelby County ranked number three in “incidence rates of new HIV infections in the United States,” and the disease disproportionately affects those in minority populations.
“What we’re really talking about is creating equity in a space where this funding being cut is going to jeopardize that equity,” said Michelle Taylor, director of the Shelby County Health Department. “The fact that this funding is being cut is going to be devastating to the community.”
Taylor also explained that community-based organizations help the Shelby County Health Department’s outreach efforts in not only the treatment space but the prevention space as well.
Molly Quinn serves as the executive director of OUTMemphis, which launched its HIV prevention campaign 12 years ago. While the organization focuses most of its programs and services on the LGBTQ community, its HIV prevention services are open to all.
“We feel very strongly about the importance of LGBTQ experiences in our public health outcomes, which are so severely negative in this part of the country, in this part of the world,” said Quinn. “We really look forward to a time when politics are no longer a part of our public health.”
Hope House serves families that have been affected by HIV. They also have a full service social services house that provides support services and more to those living with HIV.
“Prevention is so incredibly important,” said Melissa Farrar, director of social services at Hope House. “We have babies that are not living with HIV because of prevention efforts in our community, so the prevention funding is so important for everyone in the community. It’s so important that everyone has equitable access to prevention services.”
Diane Duke, CEO of Friends For Life, explained that they initially started out as a “group of people who helped their friends die with dignity,” but her organization has come a long way thanks to prevention efforts.
“We are dependent on funds from the federal government in order for us to be successful in our mission,” said Duke.
Duke explained that they received a grant for $463,000. However, funding from the CDC qualified them for the 340B Drug Pricing Program, which according to their website, “enables covered entities to stretch scarce federal resources as far as possible, reaching more eligible patients and providing more comprehensive services.” According to Duke, that would result in losses of $1.7 million in funding annually.
There were 73 presumptive monkeypox cases in Shelby County as of Friday, September 23rd, according to the Shelby County Health Department (SCHD). Earlier in August, the Shelby County Health Department reported four monkeypox cases within the county.
Monkeypox, which is a rare disease caused by an infection of the monkeypox virus, is part of the same family of viruses which causes smallpox, according to SCHD.
Despite how infectious the disease can be, some residents said they weren’t shocked by the outbreak.
“I was shocked but not surprised when I first heard of monkeypox,” said chemist-analyst, Ndoricimpaye Leya. “I am still practicing social distancing and wearing my mask for time to time and being mindful that these viruses are still out there.”
So far, 877 Shelby County residents have received at least one dose of the two-dose series of monkeypox vaccinations, according to the SCHD.
Amy Alaina, Human Resources adminstrator at AirToGround Services, said that the pandemic prompted her company to increase the amount of cleaning supplies in the workplace, and they are ready to keep using those procedures. However, she believes that monkeypox won’t have the same impact as Covid-19.
“I don’t think monkeypox will warrant the same measures, because to my understanding, the symptoms of monkeypox will go away on their own,” said Alaina.
Symptoms of monkeypox can include fever, headache, muscle aches and backache, swollen lymph nodes, chills, exhaustion, and respiratory symptoms, according to the health department.
“It was overwhelming hearing about monkeypox when Covid hasn’t been eliminated,” said Leya. “To keep my head-space clear, I continue to be mindful of my health and I’m staying up to date with the CDC guidelines.”
Health experts say monkey pox symptoms are like smallpox but milder, and monkeypox is rarely fatal — and not related to chickenpox.
“Covid opened our eyes to a number of things,” Alaina said. “Some things I was already doing as far as keeping things tidy and clean. But I am not going to let this virus, or any other virus stop me from doing the things that I love.”
The Shelby County Health Department is offering appointments for the monkeypox vaccination during the following evening and weekend hours at its 814 Jefferson headquarters:
• Monday and Wednesday, October 3rd and 5th, 8 a.m. to 7 p.m.
• Monday and Wednesday, October 17th and 19th, 8 a.m. to 7 p.m.
• Monday and Wednesday, October 24th and 26th, 8 a.m. to 7 p.m.
• Monday and Wednesday, October 31st and November 2nd, 8 a.m. to 7 p.m.
Appointments will be available between 8 a.m. to noon on Saturday, October 22nd and October 29th.Those who meet the current criteria for vaccination may sign up for an appointment here.
(Credit: Shelby County Health Department/Facebook)
The county’s infant mortality rate decreased by 28 percent from 2019 to 2020, according to the Shelby County Health Department (SCHD), though officials could not precisely point to the cause of the drop.
The infant mortality rate is the probability of a newborn dying before reaching the age of one, according to the World Health Organization. Shelby County has historically had one of the highest infant mortality rates in the country.
State and county averages here are still higher than the national average. But the new figure is the lowest infant mortality rate in Shelby County since 2009, according to the 2022 Tennessee Child Fatality Annual Report.
SCHD officials said a number of factors contribute to infant mortality such as “physical and mental health of families before, during, and between pregnancies, along with the health education, and resource systems that support those families.”
SCHD spokeswoman Joan Carr said state officials have not yet released statewide vital statics for 2020. So, the health department does not yet have enough information to determine all the factors that have contributed to Shelby County’s infant mortality decrease.
“However, Shelby County Health Department has been making sustained efforts over the past 20-plus years to reduce Shelby County’s historically high infant mortality rates,” Carr said.
Dr. Michelle Taylor, SCHD director, said her department “provides a wide range of programs and resources that directly and indirectly impact infant mortality rates by providing families with support they need to give babies a healthy start in life.” Some of these include TennCare Presumptive Prenatal Program, Women, Infant, and Children (WIC) program, and the Community Health Access and Navigation in Tennessee (CHANT) program.
“While we celebrate the recent decrease in infant mortality, it’s important to note that [infant mortality rate] in Shelby County and Tennessee overall remains higher than the national average, and the significant racial disparity between Black infant deaths and white infant deaths have not improved since 2016,” said Taylor. “Black infants in Tennessee are still twice as likely to die before their first birthday than white infants.”
Tennessee’s infant mortality rate exceeds the national rate, which is 6.3 infant deaths per 1,000 live births, according to the state’s child fatality report. However, this is the lowest reported rate for Tennessee over a 20-year period.
In 2020, 495 children in Tennessee did not survive to their first birthday. Shelby County still had the highest infant mortality rate in the state that year with 89 deaths.
No new Covid cases were reported to the Shelby County Health Department (SCHD) Tuesday. The last day no new cases were reported was March 12, 2020. That was two years, three weeks, and three days ago.
But the figure does not mean Covid is gone in Shelby County. The seven-day rolling average of new cases was 31 Tuesday, and 14 new cases were reported on Monday.
Credit: Shelby County Health Department
However, nearly all Covid metrics have been trending down here for awhile now. For example, the test positivity rate — the average number of all positive Covid tests reported to the health department — was .6 percent last week. That figure was at a record-high 45.5 percent in December, at the height of the Omicron surge.
Credit: Shelby County Health Department
Chip Washington, the health department’s public information officer for the Covid-19 Response Team said “there could be any number of factors” for the zero new cases reported Tuesday. He said the figure could be because of a lower number of people being tested, people doing at-home tests and not reporting to the SCHD, increased vaccinations, and more.
As of Tuesday, only 230 people were reported to the SCHD to have Covid; 43 of those were pediatric cases.
As of Tuesday, 3,251 people had died of Covid since March 2020.
Data suggest the Omicron wave is receding in Shelby County.
The seven-day rolling average of new cases reported by the Shelby County Health Department (SCHD) has fallen by 480 in the last week. That figure was 2,321 last Wednesday, January 12th. The figure reported this morning (Wednesday, January 19th) was 1,841. This means the county is averaging hundreds of fewer Covid cases almost every day.
Credit: Shelby County Health Department
Data show a quick fall in new cases based on the day their samples were collected. New Covid cases based on samples taken on New Year’s Day show a pandemic-record high of 2,625.
Credit: Shelby County Health Department
The number fell to 2,613 on the next day and has continued to fall (with some slight increases) to 1,813 new cases recorded last Wednesday, according to the latest data from the health department.
The average rates of new positive tests are falling, too. More than 43 percent of all tests given in Shelby County the last week of December 2021 resulted in a positive Covid case, a pandemic record. That number fell in the first week of January to about 36 percent, according to the latest data from the SCHD.
