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In Texas, COVID-19 case totals and hospitalizations are rising. The state says prisons and meatpacking plants are key factors.

By Carla Astudillo, Jolie McCullough and Mandy Cai, The Texas Tribune

The 14-day trend line shows new infections in Texas have risen about 71% in the past two weeks.

As Texas moves forward with  a new phase of Gov.  Greg Abbott’s plan for reopening businesses, the daily number of confirmed coronavirus casesand hospitalizations is on a steady, upward trend.

Throughout the state, the number of new cases reported each day has grown from an average of about 1,081 during the week ending May 24 to about 1,527 in the past week. (Public health data varies day to day, so officials use a seven-day rolling average to better capture trends over time.)

The 14-day trend line shows new infections in Texas have risen about 71% in the past two weeks. Although confirmed infections have increased across the state, hot spots like state prisons and meatpacking plants, which have recently been the sites of mass or targeted testing, are responsible for a portion of the increase, according to the Texas Department of State Health Services.

Meanwhile, on Monday, the state reported 1,935 Texans were being treated for COVID-19 in hospitals, which is the highest number of hospitalizations reported by the state so far.

Part of the state’s increase of new confirmed cases reported since late May is a result of mass testing in some prisons, which began May 12. Since prisons started reporting test results May 26,  the number of prisoners reported to be infected with the new coronavirus has skyrocketed — jumping from about 2,500 to 6,900 in two weeks.

State data shows that overall cases jumped by 19,000, or 34%, from May 25 to June 7, and nearly a quarter of that increase came from 10 counties with prisons and meatpacking plants.

But determining exactly how much of the statewide increase comes from recent prison testing is complicated because DSHS does not include all prison cases in the statewide total. The Texas Department of Criminal Justice, which oversees prisons, reports COVID-19 cases directly to DSHS, but DSHS says the statewide tally is based on reports from Texas counties — and some counties don’t include prison cases in their statistics. (DSHS spokespeople have repeatedly said they are working to ensure all counties include prison cases in their numbers.)

On Friday, Pecos County Judge Joe Shuster told The Texas Tribune that the Texas attorney general’s office instructed the county — which has a prison that led to a recent spike in COVID-19 cases — not to include prisoners in its county infection numbers. Brazoria County officials also said Friday they would no longer include prison cases in their county reports, according to  Community Impact.

The attorney general’s office said it could not comment on advice given to local officials because of attorney-client privilege. A DSHS spokesperson said the agency expected to have an update on its data reporting process this week “to ensure that TDCJ cases are consistently included on our dashboard.”

And the percentage of tests coming back positive — a metric Abbott and White House officials have pointed to as indicative of a state’s readiness for reopening — is also increasing. The 14-day trend line shows the positive rate in Texas has risen about 62% over the past two weeks.

In addition, the number of people hospitalized from the coronavirus, reported each day, has grown from an average of 1,656 during the week ending May 24 to 1,811 in the past week. Hospital capacity in Texas has been cited by Abbott as a key metric dictating his decision to reopen the state. Texas, unlike states like New York and Louisiana, has yet to face overcrowded hospitals and an inadequate supply of ventilators for coronavirus patients.

For states to consider reopening, the White House recommends they see either a downward trajectory of COVID-19 cases over 14 days or a downward trajectory in the percentage of positive test results over 14 days.

Abbott has said that Texans should anticipate temporary increases in the positivity rate as the state dispatches surge response teams to three kinds of hot spots: prisons and jails, nursing homes and meatpacking plants.

Texas began allowing retail stores, restaurants, movie theaters, malls, museums and libraries to open at 25% capacity May 1.

Abbott announced his third phase of reopening Wednesday,  allowing most businesses to operate at 50% capacity effective immediately. Restaurants will be allowed to operate at 75% capacity beginning Friday under the governor’s order.

Edgar Walters contributed to this story.