Health officials: Dare County is in a surge of COVID-19 cases

Dare County is continuing to experience widespread community transmission of the COVID-19 virus. Dare County is in the red category on the CDC’s Level of Community Transmission map. Red indicates a high level of community transmission of the virus. The percentage of positive COVID-19 tests to total COVID-19 tests in Dare County last week was 19.1%.

All individuals, regardless of vaccination status, ages 5 and over should wear a mask when indoors in public settings. All individuals should consider wearing a mask when outside if gathering in large crowds. Individuals ages 12 and over should get vaccinated for COVID-19 to help prevent serious illness, hospitalizations and death.

The total number of new positive cases reported in Dare County for the past week was 259, which marks the 3rd highest week of new positive cases since the pandemic began. During the same week last summer, there were a total of 30 new positive cases reported in Dare County and a 4.75% positivity rate. Of the 259 new cases last week:

  • 228 (88%) are symptomatic

  • 192 (74%) acquired the virus by direct contact with someone who was positive for COVID-19.

  • 64 were breakthrough cases (11 had J&J vaccine; 30 had Moderna, 23 had Pfizer).

Currently, there are 167 active COVID-19 cases among residents of Dare County. There are 16 individuals hospitalized due to complications from COVID-19 (10 residents and 6 non-residents). Sadly, 2 residents died this past week from complications associated with COVID-19.

The reported positive cases only include laboratory confirmed cases reported by medical providers, urgent care centers, the hospital, or the state, which includes tests performed at area pharmacies. Self-reported over the counter home tests are not counted in the reported count totals, however contact tracing is conducted for the positive self reported cases.

Breakthrough Cases

When an individual tests positive for COVID-19 more than two weeks after receiving the final dose of a COVID-19 vaccine that is considered a breakthrough case. Vaccine breakthrough cases are expected. COVID-19 vaccines are effective and are a critical tool to bring the pandemic under control. However, no vaccines are 100% effective at preventing illness in vaccinated people. There will be a small percentage of fully vaccinated people who still get sick, are hospitalized, or die from COVID-19. According to the CDC, there is evidence that vaccination may make illness less severe for those who are vaccinated and still get sick.

Since the week of April 12th when the first breakthrough case was reported, there have been 1,605 positive cases of COVID-19 reported in Dare County with 314 of those cases being identified as breakthrough cases. Of the 207 breakthrough cases:

  • 182 residents and 132 non-residents

  • 152 reported mild symptoms and 16 reported moderate symptoms

  • 1 was hospitalized

  • 0 deaths

  • 68 had the J&J vaccine

  • 125 had the Moderna vaccine

  • 119 had the Pfizer vaccine

  • 2 had Astrazeneca

The whole numbers provided above are for informational purposes and not an indication of effectiveness of one vaccine compared to the others. Of note, the Moderna vaccine has been the predominant vaccine administered by Dare DHHS. The breakdown of the COVID 19 vaccines administered by Dare DHHS are: 5% J&J, 24% Pfizer and 71% Moderna.

COVID Vaccinations in Dare

All individuals 12 years of age and over are encouraged to get the COVID-19 vaccination. COVID-19 vaccinations are readily available at numerous locations throughout the county including the health department and many area pharmacies like: Walgreens, CVS, Sunshine Family Pharmacy, Island Pharmacy, Bear Drugs, and Beach Pharmacy.

Individuals ages 12 and over should get vaccinated regardless of whether you already had COVID-19. That’s because experts do not yet know how long you are protected from getting sick again after recovering from COVID-19. Even if you have already recovered from COVID-19, it is possible that you could be infected with the virus that causes COVID-19 again. Studies have shown that vaccination provides a strong boost in protection in people who have recovered from COVID-19. If you were treated for COVID-19 with monoclonal antibodies or convalescent plasma, you should wait 90 days before getting a COVID-19 vaccine. Talk to your doctor if you are unsure what treatments you received or if you have more questions about getting a COVID-19 vaccine.

Since late December 2020, a total of 25,178 (68%) of eligible Dare County residents have received an initial dose of the COVID-19 vaccine and 23,542 (64%) are fully vaccinated.

Booster Dose Information

It is anticipated that by the third week of September, anyone who was fully vaccinated with an mRNA COVID vaccine (Pfizer or Moderna) at least 8 months ago will be eligible for a booster vaccine. We are in the process now of organizing multiple vaccine clinics to be hosted in late September, October and November to provide booster doses to individuals once they reach the 8 month post second dose time frame. Registration is not open yet for these clinics. We will have additional information available by next week on when the registration process will begin for these clinics. At this time, registration is only open for those who can attest to moderate to severe immune compromise.

Protect Yourself and Your Family

NC DHHS epidemiological data indicates the state and Dare County are in the middle of another surge of COVID-19 infections. The Delta variant is believed to be the most prevalent variant in Dare County at this time. The CDC and NC DHHS indicate it is a significantly more contagious variant. For every one person infected by the Delta variant it is estimated they may spread the virus to 6 other individuals. Getting vaccinated is the best way to protect yourself against COVID-19. People who are vaccinated are far less likely to get infected with COVID-19 than those who are not vaccinated. Based on self-reports during contact tracing interviews, in the low percentage of breakthrough cases, individuals who are vaccinated are experiencing mild to no symptoms.

In addition to getting vaccinated, other ways you can protect yourself and your family include limiting prolonged direct contact with unvaccinated individuals who do not live in your household, and washing your hands frequently with soap and water or using hand sanitizer. It is also recommended that all individuals in Dare County wear a mask indoors, as Dare County is currently considered an area of high community transmission.

Key Metrics

Each week we review the 4 key metrics associated with disease investigation and surveillance. The metrics are:

  • Number of Tests

  • Confirmed Cases

  • Positive Tests as a Percent of Total Tests

  • COVID Like Illness Surveillance

This past week there were 1,354 COVID-19 diagnostic tests reported in Dare County. This brings the total number of tests performed since early March of last year to 48,606.  There were 259 positive cases between August 23 and August 30. The percentage of positive tests to overall tests in Dare County since we started testing in March 2020 increased to 9.52%. The percent of positive tests to total tests for the past week remains high at 19.1%. Syndromic surveillance of individuals presenting with COVID like symptoms to the emergency department and urgent care centers showed an increase in activity from the previous week. These graphs can be found on the Dare County website at

Communications and Information Sharing

Dare County DHHS has an established schedule of communication to share information regarding COVID-19. Every Tuesday, a written update which includes the previous week’s COVID-19 key metrics is issued. Additional updates will be released as needed. All released videos and written updates can be found on our website, DHHS facebook page, Dare County Twitter page, and Dare Emergency Management Twitter page. If you would like to receive these updates directly to your email, please sign up to receive our enotifications.

New positive cases are updated on the dashboard and on our website and shared on the DHHS facebook page Monday- Friday. To find the most up-to-date information on COVID-19 cases in Dare County visit State COVID-19 data is available at