This report from the Coastal Bend COVID Task Force provides updates on the COVID-19 pandemic in the Texas Coastal Bend region as of April 23, 2021. Key details include: new daily COVID cases have leveled off and are slightly increasing; hospitalizations and fatalities have leveled off and are slightly decreasing; relying only on vaccinations to slow transmission could lead to another outbreak. The report recommends continuing safety measures like vaccination, face coverings, social distancing, and avoiding multi-household gatherings.