For the most up-to-date information on the coronavirus COVID-19 visit For more information about Governor Abbott's executive order on mandatory face coverings for Texans visit this link.

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Coronavirus (COVID-19)

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COVID-19 daily positive case update

Click here for the new daily positive case breakdown (Excel Spreadsheet)

August 3, 2020

Total positive cases: 2,421

Currently hospitalized: 48

There are 47 new positive cases of COVID-19 to report today: 20 PCR cases and 27 antigen cases.


3 de agosto de 2020

Total de casos positivos: 2,421

Actualmente hospitalizado: 48

Hay 47 nuevos casos positivos de COVID-19 para informar hoy: 20 casos PCR y 27 casos de antígeno.

 Daily COVID-19 positive graph_8-3-20

Daily COVID-19 hospitalization graph_8-3-20

Types of COVID-19 tests we report

Our health department began receiving positive antigen test results on June 30. These positive cases are treated no differently than positive PCR tests with regard to investigation, monitoring and release. From this point forward, we began reporting both PCR and antigen tests positive results daily.

PCR tests

Polymerase chain reaction (PCR) tests are a molecular diagnostic testing technique that detects the genetic material from the virus and can help diagnose an active COVID-19 infection. Testing samples are collected from the nasal cavity using swabs.

Antigen tests

These diagnostic tests quickly detect fragments of proteins found on or within the virus by testing samples collected from the nasal cavity using swabs. Antigen tests are very specific for the virus but are not as sensitive as molecular PCR tests. This means that positive results from antigen tests are highly accurate, but there is a higher chance of false negatives, so negative results do not rule out infection. With this in mind, negative results from an antigen test may need to be confirmed with a PCR test prior to making treatment decisions or to prevent the possible spread of the virus due to a false negative.

Released Cases 

This number is inclusive of positive cases as well as people in contact with positive cases who were also in quarantine or isolation. Read more about "released cases" on our FAQ page.

Note about Monday/Wednesday/Friday reports

Effective July 27, we will be moving our weekly Friday reports to Monday/Wednesday/Fridays. We will first post the daily number of positive cases at or around 2 p.m. like normal, then the graphics with the additional information will follow later in the afternoon with no set time frame. 

Before publishing our M/W/F reports we contact Shannon Medical Center and San Angelo Community Medical Center to get the number of pending tests directly from them. Because of the antigen tests, you cannot calculate the pending test category by using the other categories like was done in the past. Antigen positive tests are included in our cumulative positive total and total overall test count. Antigen negative tests are not a confirmed negative test but they are still recognized as a test that was administered in Tom Green County. Because of this they are included in the total number of tests but not included in the negative test category. The pending number reflected in our graphic is reported directly from our testing sites.

COVID-19 Monday/Wednesday/Friday Reports - English

Updated on 08/03/2020 3:23 PM

Monday/Wednesday/Friday COVID-19 test reports for Tom Green County.

Lunes / miércoles / viernes Informe de prueba COVID-19

Updated on 08/03/2020 3:26 PM

Lunes / miércoles / viernes Informe de prueba COVID-19

Recent news



August 3, 2020

July 31, 2020

Quick links

  • If you are currently under quarantine or isolation (either a positive COVID-19 case or a contact to a known case) and have met the requirements to be released, please fill out this form on our website. Once you have completed the form it will be reviewed and you will be sent an official release document. Visit our website at

City of San Angelo COVID-19 subpages:

Educational Videos

Dr. James Vretis, Local Health Authority for Tom Green County, answered questions on COVID-19 during a Facebook LIVE event on July 21. Watch the video below.

La Dra. Carolina Ojeda habla sobre COVID-19 en San Angelo. La Dra. Ojeda trabaja en medicina interna en el Hospital de Shannon.

Michael Wood, MD, Hospitalist at Shannon Medical Center, speaks about the importance of reducing the spread of COVID-19 in Tom Green County. Michael Wood is a part of the team treating the hospitalized COVID-19 patients at Shannon Medical Center.

Michael Wood, MD, Hospitalist at Shannon Medical Center, speaks about treating hospitalized COVID-19 patients in Tom Green County.

Press conference with Shannon Medical Center providing an update on COVID-19 in San Angelo.

Dr. James Vretis, Local Health Authority for Tom Green County, talks about comorbidities and COVID-19. Comorbidity is the simultaneous presence of two chronic diseases or conditions in a patient.


Mental Health

Visit for more information.



Local Health Authority

A local health authority is a reputable physician appointed by either the health department or county commissioners to implement both state and local laws relating to public health.

San Angelo’s local health authority is Dr. James Vretis, an emergency medicine physician with 41 years of experience in his field and numerous other roles within the medical community. Vretis has served as San Angelo’s local health authority since July 2017.

During the COVID-19 pandemic, Vretis’ position as local health authority is more crucial than ever. Some of his important duties include deciding on and implementing restrictions that the general public has to abide by under law. An abundance of research precedes each and every decision, he said, and every order he issues is in the best interest of the public’s health.

Some of Vretis’ responsibilities reside at a more personal level. If someone has been ordered to self-isolate or quarantine themselves, Vretis is the one who not only established those orders but is also tasked with maintaining and enforcing them. So, say someone tested positive for COVID-19. Under Vretis’ authority, that person would be ordered to isolate themselves to prevent spread of the disease. In partnership with the health department, Vretis would monitor the person to make sure they are obeying the orders and make any arrangements necessary to help them comply (such as grocery delivery).

Whatever the situation, Vretis must be ready and willing to protect the health of the citizens of San Angelo. So, the next time you hear about a public health-related decision in place, such as occupancy limits at bars or restaurants, know that a highly qualified medical professional put in much research and thought before making that decision.

Vretis also serves as medical director for the San Angelo Fire Department, Grape Creek Volunteer Fire Department and Carlsbad Volunteer Fire Department. His other roles include serving as Tactical Medical Director for the Tom Green, Concho, Sterling and Reagan sheriff’s offices. In addition, Vretis is a SWAT team physician for the Department of Public Safety and the Texas Ranger Special Operations Group SRT4.

He is board certified in Emergency Medicine and Emergency Medical Services and is on the Board of Advisors for the Committee for Tactical Emergency Casualty Care. He has lectured and presented at many national and international conferences in the recent past, including the Special Operations Medical Scientific Assembly, Western Pediatric Trauma Conference, Pediatric Trauma Society, Committee for Tactical Emergency Casualty Care and the National Association of EMS Physicians Scientific Assembly.

To contact Dr. Vretis, please email him at

City of San Angelo Disaster Declaration 

April 30, 2020 - (English document linkSpanish document link) - Extending our declaration to follow Governor Abbott’s direction. 

Governor Abbott's Executive Orders

Visit for the most up-to-date guidance from the governor on activities, services and restrictions in the state of Texas related to COVID-19.


Visit the governor's website here.

Coronavirus (COVID-19)

Coronaviruses are a large family of viruses. Common human coronaviruses can cause mild to moderate upper-respiratory tract illnesses, such as the common cold. There have been coronaviruses that have caused more severe illness, such as Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). For more information on COVID-19 visit the Centers for Disease Control and Prevention's website at

People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

This list does not include all possible symptoms. CDC will continue to update this list as we learn more about COVID-19.

While there is no current vaccine to prevent infection with 2019-nCoV, as with other respiratory-transmitted diseases, there are certain preventative measures to help stop the spread of respiratory viruses, including:

  • Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand sanitizer.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Avoid close contact with people who are sick.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect touched objects and surfaces.

When to Seek Emergency Medical Attention

Look for emergency warning signs* for COVID-19. If someone is showing any of these signs, seek emergency medical care immediately

  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion
  • Inability to wake or stay awake
  • Bluish lips or face

*This list is not all possible symptoms. Please call your medical provider for any other symptoms that are severe or concerning to you.

Call 911 or call ahead to your local emergency facility: Notify the operator that you are seeking care for someone who has or may have COVID-19.


These measures are everyday habits that can help prevent the spread of several viruses.

Because this is a rapidly evolving situation, for the latest developments and additional guidance on the 2019-nCoV for the public, healthcare professionals, and travelers, visit the CDC and DSHS websites.   

Centers for Disease Control  

Texas Department of State Health Services  

For any further information, contact us at 325-657-4214 or 325-657-4493.