single day. the state is lagging in vaccination rates making things even worse hospital resources are dwindling. let's go to knoxville where we find nbc's liz mclaughlin. liz, talk to me about the situation there when you think about some of these astounding numbers, how hospitals really they're buckling under the pressure of these high covid numbers. >> reporter: absolutely. it's nothing short of a dire situation. and here in eastern tennessee they're being hit especially hard. we're looking at icu beds as one of the biggest challenges here in this region of eastern tennessee. they have these community calls three times a week where they kind of talk about the capacity. and sometimes there are zero icu beds for adults available, zero. other times statewide there's between 2 and 6% available. so really dwindling, and resources are very much stretched thin. this surge is even higher. some numbers even higher than the winter surge we saw before the vaccine was widely available to the population.