Washington watches and waits for the Omicron COVID variant to arrive

Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.

[KIRKLAND, Wash.] – (MTN) Health officials and researchers are in a race against time to unlock the secrets of the Omicron COVID variant and its potential impact on public health as more nations report discovered cases.

Washington state is one of the leaders in genomic sequencing of COVID tests samples in the United States, led by the University of Washington Medicine. Standard PCR tests can detect a marker for a potential Omicron variant. Omicron shares a mutation with the Alpha variant that the current PCR tests look for, enabling researchers to see if a specific spike protein has a deletion. That would become a probable case that would be tagged for confirmational sequencing.

President Joe Biden addressed the nation on Monday saying, “there are three messages about the new variant that I want the American people to hear. First, this variant is a cause for concern, not a cause for panic.”

The President went on to praise South African officials and their scientific community for, “the kind of transparency that should be encouraged and applauded.”

Currently, in Washington, 99.6% of new COVID cases are the Delta variant, and 0.4% are Mu. The last cases of the Beta, Epsilon, Eta, and Kappa variants were detected in June and the last cases of Gamma and Iota were in August.

“Omicron has an unprecedented number of spike mutations, some of which are concerning for their potential impact on the trajectory of the pandemic,” the WHO said in a statement today.

“The overall global risk related to the new variant …is assessed as very high.”

On Sunday, Dr. Angelique Coetzee told South Africa Today, “Most of these cases are mild whether they are vaccinated or not. There is no increase in our hospital admissions currently.”

Hospital admission for COVID-19 by week, South Africa Gauteng Province, Public and Private Hopsital, through November 28, 2021

Less than 12 hours later, the hospital admission data from the South Africa Department of Health painted a very different picture. In the previous week, COVID hospitalizations had increased 66% nationwide and 210% in Gauteng Province, the epicenter for Omicron cases. Two weeks ago 135 Covid-19 patients were hospitalized in and around Johannesburg jumping to 580 on Monday morning. Hospitalizations at public and private hospitals increased almost equally and officials at Baragwanath Hospital reported moderate to severe symptoms with almost all patients unvaccinated or partially vaccinated with the Pfizer vaccine.

Dr. Coetzee in her interview on Sunday went on to take a more cautionary position, “Two weeks from now we might say something different, but we urge…people out there please get vaccinated, listen, do the right thing, and stop going to big gatherings.”

She also added the unvaccinated should be worried, saying, “especially if you are above the age of 50, we have seen this many times.”

“There is a saying. You’re not safe until everyone is vaccinated.”

The 7 day rolling average for new COVID cases in South Africa grew to 2,275 on Monday, 90% of new cases are Omicron, and 10.8% of tests are coming back positive

The WHO appeared to address the reports from Dr. Coutzee and her reports on the severity of the new variant in a statement last night. “There is currently no information to suggest that symptoms associated with Omicron are different from those from other variants.”

The statement added, “Initial reported infections were among university students—younger individuals who tend to have more mild disease—but understanding the level of severity of the Omicron variant will take days to several weeks.”

Dr. Coetzee saw her first suspected Omicron variant patient on November 18 and has based her statement of symptoms being mild on two-dozen patients who are mostly university students and younger, and about 50% vaccinated. In an interview with the BBC on Thursday, she stated all were in good health with no comorbidities.

Although she is credited and has self-proclaimed to have “discovered” Omicron, the first detection of the B.1.1.529 variant was collected on November 9 in Botswana and confirmed by South African scientists on November 11. South African officials notified WHO on November 24, a day before Dr. Coutzee stated she contacted South African authorities on her observations.

Despite a lot of unanswered questions, a clearer picture is slowly starting to emerge. The three riddles scientists need to solve are how contagious Omicron is compared to the Delta variant, can it escape public health measures, preventions, and treatments, and if the symptoms are the same, worse, or milder than previous variants.

Here is what is currently known about the Omicron COVID variant.

Symptoms

For children, adolescents, and young adults there is conflicting information. One doctor is reporting mostly mild symptoms that can be treated at home while hospital officials are reporting cases are similar to Delta.

The WHO stated on Sunday, “There is currently no information to suggest that symptoms associated with Omicron are different from those from other variants.”

Transmissiblity

Concern is growing among the CDC, WHO, and a constellation of health officials that Omicron is highly transmissible. At least equal to Delta and possibly higher.

In less than two weeks, Omicron went from almost non-existent to 90% of new cases in South Africa. It appears it can effectively outcompete the Delta variant. However, this introduces bias in the data because the Delta wave had just ended in South Africa. Did Omicron become the dominant strain by outcompeting Delta or due to the absence of Delta? More research needs to be done to answer that question.

There are other variables that could explain the sharp increase in cases that go beyond the simple reproductive number, known as R0. Omicron has so many more mutations than previous strains, it could be benefiting from immune escape. Although the R0 is lower than Delta, its uniqueness compared to previous mutations enables it to reinfect people relying on natural immunity. So overall transmissibility may be lower than Delta, but its ability to escape immunity results in more infections.

Is it in the United States

Cassie Sauer, CEO of the Washington State Hospital Association said on Monday, “I think that there is almost no chance that it’s not [here.]”

The United States does not have a national standard or requirement to genetically sequence some or all COVID tests that come back positive. Those decisions are left up to individual states. It is likely that states with aggressive public health programs such as California, Washington, Colorado, New York, or Massachusetts will identify the first cases.

How long do researchers think Omicron has been circulating

Dr. Trevor Bedford from Fred Hutchinson in Houston, Texas successfully estimated the arrival of the original COVID strain in 2020, using data from the Washington State Department of Health. Using the same methodology, Dr. Bedford’s model indicates that Omicron likely started circulating between September 19 and October 21. There is no evidence to support that the variant originated in South Africa.

Credit – Dr. Trevor Bedford, Fred Hutchinson, Houston, Texas – probability of origin date for Omicron variant

Why are so many travelers testing positive

In total numbers, there aren’t many travelers testing positive. When you consider that in all but two cases the testing of 200 to 250 people on an aircraft has yielded one or two positives, the percentage of breakthrough cases is small. Headlines are blaring two positive cases detected, which is critical to know – they aren’t blaring 248 negative tests on 777 that landed tonight.

Because the people tested are 95% to 100% vaccinated, this creates a false data fallacy. You have an almost exclusive sample of vaccinated people.

In South Africa, the Department of Health has reported almost everyone hospitalized in the last two weeks is unvaccinated or only partially vaccinated. Dr. Coetzee reported 12 of 24 patients she cared for were unvaccinated.

Based on this early data, it appears the current vaccines remain at least moderately effective at preventing infection and remain very effective at stopping moderate to severe COVID.

Are the current vaccines ineffective

There isn’t enough data, and almost every public company making a vaccine announced over the weekend they were testing their current versions against Omicron. Pfizer, Moderna, and Johnson & Johnson announced over the holiday weekend they were testing to see if the current vaccines remained effective.

There is some data out of South Africa that is indicating that vaccines are helping prevent moderate to severe illness and the cases being detected among vaccinated travelers appear to be asymptomatic to mild. However, many of those cases were detected in the last 72 hours and more time is needed to see how these new cases will progress.

In Israel, the first three travel-related cases were fully vaccinated with boosters. One was Pfizer, one was J&J, and one was AstraZeneca. We know that the viral-vector vaccines haven’t performed as well against the Delta variant as the mRNA vaccines.

The evidence suggests that there is more vaccine escape with Omicron, but not outright vaccine ineffectiveness. It still appears to be preventing hospitalizations, which would indicate it would prevent deaths.

Pfizer said they could make a new version if required in 100 days and Moderna said it would take 60 to 90 days. Johnson & Johnson did not provide a timeline but made a statement today they could create an updated version if it was required.

There are some new COVID vaccines in development called subunit vaccinations. There has been no information about the impact Omicron will have on the research.

Is disease acquired immunity still effective

There is growing evidence that immunity gained from a previous COVID infection that isn’t supported by vaccination, is experiencing significant breakthrough numbers.

Researchers are working to determine if the sharp increase in the number of cases and the high positivity rate of tests is due to Omicron being equally or more transmissible than Delta, or if part of the increase is being driven by other factors.

The pattern of mutations found in Omicron is very distant from all previous strains.

Are monoclonal antibodies still effective

There is evidence that Omicron has a significant ability to resist monoclonal antibodies. Specific mutations may have the capability to not only bypass B cells but resist T cells (which isn’t the same as HIV which destroys your T cells).

UW Medicine is evaluating the performance of currently available antiviral treatments and we will know more information in the coming weeks.

Will the new antivirals that are pending approval still be effective

There was a report from Pfizer on Monday morning that Paxlovid is effective against the Omicron variant, which is very good news. This is easy to administer than monoclonal antibodies, easier to distribute, and cheaper.

Nothing has been stated about Monulpiravir from Merck. The FDA will be considering the EUA request this week but there are hints they will label Monulpiravir a Class C drug if the EUA is granted. A Class C drug can’t be used by pregnant women, women actively trying to get pregnant, and nursing mothers because the drug has not been tested to determine if it causes birth defects or pregnancy complications. The FDA has already requested data for Merck to understand the impact better.

What should I do

Health officials recommend you continue to do the same things you are doing now. Get vaccinated if you’re not already. Get a booster shot if you’re eligible, and over 2.4 million Washingtonians are currently eligible. Wear a mask, wash your hands, avoid crowded indoor spaces, and reconsider your short term travel plans if you were planning to fly.

Scientists rush to understand the Omicron COVID variant as world leaders play politics

[KIRKLAND, Wash.] – (MTN) Public health officials are scrambling to understand the seriousness of the Omicron Covid-19 variant as a growing list of nations report probable and confirmed cases.

First confirmed on November 11 among four people from Botswana who had returned from traveling to neighboring South Africa, new cases in the nation of 59 million have leaped from 356 on the 11th to 3,220 on Saturday. Test positivity also increased dramatically in the last 16 days climbing from 1.1% to 9.2%. Test positivity over 5% is an indicator of under testing and over 7% is a signal there is growing community transmission.

Confirmed COVID cases in South Africa from November 11 to November 27, Data from South Africa Ministry of Health COVID Daily Report Dashboard

On Friday, the World Health Organization (WHO) named the variant formerly known at B.1.1.529, Omicron, and labeled it a Variant of Concern (VOC). The variant has more than 50 mutations from the original COVID strain and shares many mutations with other VOCs. There are 32 mutations on the spike proteins, which can potentially impact transmissibility and increase the level of vaccine escape the Delta variant has.

Before the WHO met on Friday, new cases were confirmed in Israel, Belgium, and Hong Kong. By Saturday, Italy, England, Germany, and the Czech Republic have reported confirmed cases. Netherlands officials stopped two flights arriving from Johannesburg and retested more than 650 people for Covid-19, finding 61 new cases. The people who tested positive have been placed in isolation and their cases are being genetically sequenced to determine which variant they have.

On Friday evening all but two confirmed cases of the Omicron variant outside of the African continent were travel-related. One case in Belgium appears to have been caused by community spread. In Hong Kong, a person in a quarantine hotel became infected by another COVID positive occupant “across the hall.” The case detected in Belgium involves an unvaccinated individual while the Hong Kong case involves a person vaccinated in May or June.

Disinformation is spreading that cases are only among the vaccinated. South Africa had some early success in rolling out the COVID vaccine, but today only 24.11% of the population is fully vaccinated. Further misinformation that vaccines created the mutation isn’t supported or factual. Vaccines prevent mutations by reducing the number of people who can be infected and only 6% of all Africans are vaccinated against COVID. Because most recreational international travel requires a person to be fully vaccinated, travel-related cases are creating a short-term data fallacy.

Many nations including the United States and Canada have announced travel restrictions or bans to a varying list of six to ten countries in the southern part of Africa. Starting Sunday, air travel from South Africa, Botswana, Zimbabwe, Namibia, Lesotho, Eswatini, Mozambique, and Malawi will be restricted to US citizens and lawfully permanent residents. Delta and United Airlines have direct flights to South Africa from the United States.

A chorus of epidemiologists and health officials are calling the restrictions ineffective and politically motivated.

Based on the history of other variants it is likely Omicron was circulating before its November 9 detection. The United States relaxed air travel restrictions on November 8. There are no confirmed or suspected cases in North America, but infectious disease expert Dr. Anthony Fauci told reporters it is “possibly” already here.

One mutation is working in favor of public health and helping track the spread of the new variant. Omicron is missing a protein, and the absence can be detected by a PCR test. Genomic sequencing is still required for final confirmation, but the mutation makes probable cases easy to detect.

Pfizer and its Germany partner BioNTech as well as Moderna announced on Friday there were studying the efficacy of the currently available COVID vaccines and have plans to create an update if required. Both indicated research would take approximately two weeks and Pfizer stated a new vaccine could be available in 100 days, pending regulatory approval.

“From the beginning, we have said that as we seek to defeat the pandemic, it is imperative that we are proactive as the virus evolves,” said Moderna’s Chief Executive Officer Stéphane Bancel. “We have three lines of defense that we are advancing in parallel: we have already evaluated a higher dose booster of mRNA-1273, second, we are already studying two multi-valent booster candidates in the clinic that were designed to anticipate mutations such as those that have emerged in the Omicron variant and data is expected in the coming weeks, and third, we are rapidly advancing an Omicron-specific booster candidate.”

Doctors at UW Medicine in Seattle are studying the effectiveness of antiviral medications against the new strain. Dr. Deborah Fuller, speaking with local TV station KCPQ, did not specifically state if monoclonal antibodies such as Regeneron, molnupiravir by Merck, or Paxlovid by Pfizer were being studied.

Regeneron has been an effective early treatment for COVID and is credited with preventing as many as 10,000 hospitalizations in Florida. Some of the mutations indicate that Omicron may be able to resist or escape the drug. Molnupiravir is an antiviral developed in 2019 as a treatment for Influenza, Ebola, and other viral infections. Research showed the oral medication halved severe Covid-19 infections and deaths and is pending Emergency Use Authorization (EUA) from the U.S. Food and Drug Administration (FDA). Paxlovid was developed as a therapeutic for Covid-19 and was 89% effective at preventing hospitalization. The antiviral is also an oral medication and is being reviewed by the FDA to receive a EUA.

Molnupiravir is an antiviral medication currently under evaluation by the FDA that has shown strong promise as a viable COVID treatment

New York Governor Kathy Hochul declared a state of emergency on Friday evening ahead of any new case spikes. The declaration goes into effect on December 3 and will enable the state to increase hospital capacity and release funds to hire additional staff and medical supplies. When the United States State Department eased travel restrictions on November 8, New York City was the number one chosen destination for European travelers. Orlando and Phoenix were number two and three.

A lot more will be known in the next two to four weeks about Omicron. The three questions epidemiologists will be working to answer include does Omicron spread faster than Delta, can Omicron escape some of our therapies and public health measures, and if those sickened by the new variant suffer from equal, more severe, or more mild symptoms.

Public health officials recommend that getting vaccinated and getting your booster if you’re eligible, wearing masks, avoiding crowded indoor spaces, and deferring travel are the best lines of defense until more is known. People who feel sick should not dismiss their symptoms as a cold or flu and should test for COVID. A positive result with a home test should be followed up with a PCR test to confirm the results and help public health track which variants are spreading.

The Washington State Department of Health is closed from Thursday to Sunday for the Thanksgiving holiday and has not made any statement.

As of Saturday afternoon, the number of confirmed cases globally can be counted in the dozens – caution and not panic should be the word of the day.

WHO holds emergency meeting as multiple nations implement Africa travel restrictions over new COVID variant concerns

[KIRKLAND, Wash.] – (MTN) World health officials are alarmed due to a new fast-spreading Covid-19 variant in South Africa causing the World Health Organization to hold an emergency meeting as Asian stock markets plunged and the Dow Jones futures dropped 735 points.

The new variant, so far identified as B.1.1.529 has not been named, but the WHO is expected to assign it a name today, likely the Nu variant.

The variant was first detected in Botswana but has quickly spread in South Africa and two travel-related cases have been confirmed in Hong Kong. Botswana officials stated the four detected cases are among fully vaccinated individuals. in South Africa, cases are increasing rapidly in Gauteng Province, home to Johannesburg and one of the largest air travel hubs on the continent. In the span of a week, new cases went from a cluster to growing so fast scientists believe it has achieved community spread.

Officials in the U.K. are taking no chances. Health Secretary Sajid Javid announced that six African nations – South Africa, Namibia, Zimbabwe, Botswana, Lesotho, and Eswatini – have been placed on the red list, placing strict rules on air travel.

Starting on Friday, any non-UK and Irish residents will be banned from entering England if they have been in the red list countries in the last ten days. Beginning Sunday, British nationals who have been in those countries will be required to quarantine upon entry. Additionally, health officials in the UK are asking anyone who has traveled to the impacted regions to get a PCR test as soon as possible.

South Africa’s Foreign Minister Naledi Pandor said the travel restrictions “seems to have been rushed,” in a statement where he expressed concern over the impact on tourism and business.

Israel and Singapore joined the U.K. early on Friday and added Mozambique to their travel restriction lists.

New case rate growth is much faster than Delta, which indicates the potential for a very high R0, or “r-naught,” which is the measure of how transmissible a communicable disease is. In little more than two weeks, B.1.1.529 has grown to almost 90% of all detected cases in South Africa.

According to Johns Hopkins University, only 24.11% of South Africans are fully vaccinated which would aid a new variant to spread unchecked. Health officials in South Africa and with the WHO are concerned that the new variant is circulating more widely than current data suggests.

The B.1.1.529 has more than 50 mutations, which is significantly higher than any other viable variant previously seen. More than 30 of those alternations are changes to the spike protein, which is the mechanism that enables the SARS-CoV-2 virus to identify hosts cell and is the primary target of the body’s immune response.

B.1.1.529 has more than twice the number of mutations as the Delta variant

In a report published by the Journal Nature, Penny Moore, a virologist at the University of Witwatersrand in Johannesburg, indicated that computer models suggest not only does B.1.1.529 have mutations that are already known to aid in evading an immune response from B cells but could fool the body’s T cells.

B cells do the yeoman’s work of fighting virus infections, but have a shorter memory and can be tricked by a smaller set of mutations. T cells are the second line of immune defense with better memory and capabilities to spot mutations. When T cells identify a threat that was initially missed, they summon B cells to aid in the response. This is how disease acquired and vaccine immune response works. If the new variant is capable of evading T cells then the benefits of vaccine immunity would be reduced and disease acquired immunity could be rendered ineffective.

Disease acquired and vaccine immunity works the same. Antibodies bind to the spike proteins preventing the virus from entering cells so it can replicate. If the antibodies can’t bind to spike mutations and the mutations still enable the SARS-CoV-2 virus to identify host cells, the virus can spread inside the body unchecked causing a Covid-19 infection.

Another challenge is if these findings are accurate – the new variant may be capable of outmaneuvering monoclonal antibodies – blunting a critical early treatment.

One mutation is helping scientists track the spread of the new variant. A specific mutation to the spike protein enables researchers to identify the variant through a standard PCR test instead of waiting for genomic sequencing.

Currently, there are more questions than answers. Researchers know the new variant is spreading rapidly in South Africa and causing a new surge. What is not known is if the rapid spread is being driven by a mostly unvaccinated population or because it is more transmissible. It also is not known if the new variant causes equal, more severe, or mild illness. There is no data about the capability the new antivirals Molnupiravir and Paxlovid could have in fighting B.1.1.529.

It is important to note that Beta, Gamma, and Mu were previous variants found to have high resistance to vaccine and disease acquired immunity but weren’t very transmissible. All three variants faded out because Delta was more contagious. In the simplest terms, Delta outbred the other variants. A key requirement for a new variant to spread rapidly would be the capability to outrun Delta.

Most important of all, there is no concrete scientific evidence that B1.1.529 is evading viral vector or mRNA-based vaccines. Previous variants have taken months to identify while this one was found, sequenced, and placed under investigation in a matter of days.

No cases have been detected in North America or any United States territories.

Healthcare experts watch Thanksgiving with worry – local and state COVID update for November 25, 2021

Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.

[KING COUNTY, Wash.] – (MTN) On November 24 the fifth wave came to an end with Washington state falling below high transmission for COVID. Despite the good news and 26 counties with moderate to low transmission rates, the number of new Covid-19 cases mostly among the unvaccinated is well above spring 2021 levels. Across the United States, epidemiologists are open about their worry of normal travel, family gatherings, and surging cases where the weather has turned cold.

In Washington, new case rates among every age group fell below high transmission for the first time since Malcontent News started tracking the data. Rates among the most vaccinated population, those 65 and older are the lowest while infection rates for children birth to 19 are the highest.

Six GOP state senators, five that are unvaccinated, are suing over announced COVID protocols in Olympia for the upcoming legislative session.

Officials in two counties are reporting significant Covid-19 outbreaks in their jails, and the Department of Corrections has had 94 cases at Cedar Creek Correction Center in the last 30 days. Staff at county jails outside of King County are not required to be vaccinated.

Almost 1 in 6 children 5 to 11 in Washington state have received their first dose of the Pfizer COVID vaccine in under two weeks.

A Washington paper mill has been fined almost $140,000 after an investigation into a Covid-19 outbreak at the facility that left one worker dead.

KING 5 did an investigation into a medical clinic in Ellensburg which revealed Dr. Anna Elperin allegedly running a COVID vaccine medical exemption mill. Dr. Elperin was charging patients $150 to $200 cash for exemptions.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on November 24, 2021.


hospitalsschoolslocalnationalstate updatesdisinformation

In August, King County Health Officer Dr. Jeff Duchin mentioned the N95 Project as a trusted source for N95 masks. A check on the website showed that a 50 count box of N95 masks are available for $40.00, and a package of 10 count children sized KN95 masks are available for $10.50. We recommend wearing N95 or KN95 masks indoors as they provide the best protection against COVID when properly fitted.

No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks

Washington State Update for November 24, 2021

Washington state Covid-19 update

Over 11.75 million people have traveled by air since Friday with Thanksgiving kicking off the holiday season tomorrow. AAA predicts another 48.3 million will travel by car, only slightly below the 49.9 million who took to the road in 2019 before COVID. All eyes will be on new case rate numbers late next week.

New cases in Washington are at the lowest level since late July, but higher than where experts had hoped they would be at this point. The data continues to support that 70% or more of the total population has a significant impact on reducing the transmission of COVID.

Percent of Total Population Fully VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70.00% or above (3 counties)2,343,250143.8
60.00% to 69.99% (5 counties)1,374,000302.7
50.00% to 59.99% (16 counties)3,532,200252.9
40.00% to 49.99% (9 counties)375,575259.8
32.00% to 39.99% (6 counties)151,850224.5
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County

Through November 23, Washington’s statewide 14-day rolling average is 228.7 Covid-19 cases per 100K, and the 7 day rolling average is 83.7. You can mark November 23, 2021 on you calendar as the day the fifth wave ended in Washington state.

Only Chelan (452.6) and Douglas (446.9) Counties have new case rates over 400.0.

Twenty-six counties representing 5.35 million Washingtonians have a 7 day moving average case rate under 100. Also in good news, every age group is now below “high transmission” rates. New case rates remain higher among people under 50 years old.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1197.80.5
Ages 12-1992.30.5
Ages 20-3494.72.2
Ages 35-4996.24.6
Ages 50-6472.77.4
Ages 65-7948.810.2
Ages 80+57.321.0
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 29 deaths on Tuesday and 38 deaths on Wednesday.

Six GOP state senators suing over Washington House’s Covid-19 protocols

Six GOP state representatives including anti-vaccination event favorite Bob Walsh are suing Democratic leaders over COVID protocols outlined for the upcoming legislative session. Five of the six plaintiffs are unvaccinated according to their lawsuit.

The plan allows a limited number of vaccinated members to be on the floor, but the exact number will be “maximized based on needs for social distancing.” Unvaccinated members who wish to be in their on-campus offices during the session must receive a negative test three days a week. Members will not need access to the floor to vote on bills.

The measure was approved last Thursday by the Executive Rules Committee. House Speaker Laurie Jinkins has said the lawsuit is “without merit” and her focus will be on 2022.

Multiple COVID outbreaks among Washington State prisons and county jails

Outbreaks of Covid-19 among inmates have been reported at three different correctional institutions in Washington state.

Clark County Jail in Vancouver, Washington reported there are approximately 30 inmates who are COVID positive.

In Yakima, the Yakima County Jail reported 47 inmates and 4 staffers had Covid-19.

In Littlerock, the Cedar Creek Corrections Center has reported 94 confirmed COVID cases over the last 30 days.

Almost 1 in 6 Washington kids age 5 to 11 have received their first dose of the COVID vax

Two weeks after vaccinations for 5 to 11-year-olds were authorized by the FDA, the DOH is reporting 101,103 eligible children have received their first dose, about 15% of all eligible kids in Washington.

The Pfizer vaccine Emergency Use Authorization (EUA) was amended to include 5 to 11-year-olds. They receive two smaller doses and reach fully vaccinated after five weeks. Initial data indicates that due to the stronger immune response of children and adolescents, a booster or third dose is not needed. That could change with time or if another variant emerges that is vaccine-resistant.

Washington paper mill fined $140,000 after L&I investigation into COVID deaths

A Cowlitz County, Washington, papermaking plant is facing nearly $140,000 in fines after one worker died and more than a dozen machine operators got sick with COVID-19.

An inspection by the Department of Labor & Industries reportedly revealed that during March and April, 15 workers who worked at the same machine at WestRock Services LLC tested positive for COVID-19. Of the 15, one worker reportedly died and two others were hospitalized from complications of the virus. Neither the death nor the hospitalizations were allegedly reported to L&I as required.

The inspection also reportedly revealed that in one instance, a machine operator recovering from coronavirus told WestRock’s onsite nurse he was having difficulty walking, was in pain, and was having shortness of breath, while another worker at the same machine had already been sent home after testing positive for COVID-19 the same morning.

L&I fined WestRock $139,832.00 for not following COVID-19 protocols and failing to report a death and hospitalizations to L&I. A formal complaint was filed with the Nursing Care Quality Assurance Commission under the Washington State Department of Health due to concerns about the nurse’s actions.

Investigation into Ellensburg clinic reveals alleged medical exemption mill

A months-long investigation by KING 5 of Dr. Anna Elperin, owner of Awake Health in Ellensburg, revealed a disturbing pattern of charging patients $150 to $200 cash only for medical exemptions without examination.

Over the fall, four different undercover investigators visited the clinic seeking medical exemptions. They had to pay $150 cash upfront, and found the staff not wearing masks, few questions asked, and in one case, the exemption is just written with no exam.

Dr. Elperin has attended numerous protests about masks, vaccines, and mandates, and told employees and patients that she believes it is a hoax

KING 5 reported that 20% of all medical exemption requests at Central Washington University were signed off by Dr. Elperin. The investigation also revealed that most wasted their money, having their exemption requests rejected.

Labor and Industries have had 12 complaints about Awake Health and took no action on ten. On Wednesday KING 5 reported that L&I had opened up an investigation and did a surprise inspection.

You can read the whole story on KING 5.

Second mass COVID testing site opens up in Spokane

A second mass COVID-19 testing will open in Spokane Valley on Friday at the Spokane County Fair and Expo Center on Havana Street according to a report by KXLY.

It will be open Mondays, Tuesdays, Thursdays and Fridays from 8 a.m. to 5:30 p.m. Online registration for an appointment time is encouraged, but not required.

The site will be operated by Discovery Health MD and will offer lab-based PCR tests for anyone who has symptoms or has been exposed to COVID-19. Test results are usually available within 48-72 hours and are provided through a secure online portal.

Travel Advisories

Due to the impact of severe flooding, a forecast indicating more flooding, and strained hospital resources, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.

We continue to advise to avoid all nonessential travel to Alaska, Colorado, Idaho, and Montana. Hospital resources in these states remain constrained, and you may receive inadequate care if you experience a serious medical emergency.

Finally, we continue to recommend avoiding recreational travel to Wyoming. The situation continues to improve but hospital resources remain constrained.

Thank you

Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!

King County, Washington is reporting over 85.0% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines. The Pfizer vaccine has EUA approval for children 5 to 15 years old.

COVID vaccines and boosters are free for anyone 5 and older. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.

For information on getting a vaccination in King County, you can visit the King County Department of Public Health website.

Malcontent News

Hospital Status

Overall hospital status continues to improve with the Olympic Peninsula remaining highly stressed. The DOH reported 90.8% of staffed acute care beds were occupied with 11.6% of patients infected with Covid-19. There are 740 COVID patients statewide with an estimated 238 in the ICU – 123 requiring ventilators.

Statewide, there are an estimated 627 acute care and 134 ICU beds available.

On Wednesday, the 7 day rolling average hospital admission rate for new COVID patients had dropped to 63.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman87.1%37.5%86.2%15.5%
NorthIsland, San Juan, Skagit, Whatcom64.0%23.1%81.5%13.5%
North CentralChelan, Douglas, Grant, Okanogan97.2%46.5%71.2%14.1%
NorthwestClallam, Jefferson, Kitsap, Mason95.2%22.1%96.4%11.2%
Puget SoundKing, Pierce, Snohomish92.2%17.9%95.8%10.7%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima88.1%14.5%81.9%11.1%
SouthwestClark, Cowlitz, Klickitat, Skamania69.9%16.5%82.2%11.4%
WestGrays Harbor, Lewis, Pacific, Thurston90.1%14.7%93.0%12.5%
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%

School Readiness

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueGREEN– Bellevue (1*)
– Interlake (1*)
– Odle (1*)
– Puesta del Sol (1*)
– Stevenson (1*)
– Somerset (1*)
– Tillicum (1*)
– Tyee (1*)
None
Lake WashingtonYELLOW– Alcott (3*/11)
– Audubon (1*/7)
– Blackwell (2*/3)
– Carson (1*/3)
– Clara Barton (4*/24)
– Eastlake High (1*/17)
– Ella Baker (2*/4)
– Evergreen Middle School (1*/0)
– Finn Hill Middle School (5)
– Inglewood Middle School (5**/34)
– Juanita High (1*/12)
– Kamiakin Middle School (2*/27)
– Kirk Elementary (3*/13)
– Kirkland Middle School (1*/10)
– Lakeview Elementary (1*/1)
– Lake Washington High School (3*/7)
– McAuliffe (2*/6)
– Northstar Middle School (12)
– Redmond High School (1*/12)
– Renaissance Middle School (1*/6)
– Rose Hill Middle (1*/7)
– Rush Elementary (3*/0)
– Sandburg/Discovery (1*/4)
– Smith Elementary (1*/9)
None
NorthshoreYELLOW– Bothell High School (4*/11)
– Canyon Creek Elementary (4*/14)
– Canyon Park Middle School (1*/4)
– Crystal Springs Elementary (4*/8)
– Eastridge Elementary (1*/2)
– Fernwood Elementary (1*/3)
– Frank Love Elementary (2*/18)
– Inglemoor High School (1*/0)
– Kenmore Middle School (0/2)
– Kokanee Elementary (1*/2)
– Leota Middle School (0/3)
– Maywood Hills Elementary (8**/7)
– Moorlands Elementary (0/3)
– North Creek High School (1*/1)
– Northshore Middle School (1*/8)
– Ruby Bridges Elementary (2*/2)
– Skyview Middle School (0/2)
– Sunrise Elementary (1*/2)
– Timbercrest Middle School (2*/5)
– Wellington Elementary (3*/5)
– Westhill Elementary (3*/0)
– Woodin Elementary (1*/1)
– Woodinville High School (2*/1)
– Woodmoor Elementary (1*/6)

Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases – (x*/y) x is positive cases and 7 quarantined, quarantined does not include positive cases

We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.

Based on reader feedback, and improvement in the data we are receiving, we have adjusted how we are reporting data. The Lake Washington and Northshore School Districts are now reported as (X*/Y) or (X**/Y). X represents the number of positive cases while Y represents how many are in quarantine. The number in quarantine does not include positive cases. If there are two asterisks, that indicates five or more confirmed cases within the last 14 days at that school.

The Northshore School District moved back to status yellow, with the outbreak at Maywood Hills Elementary under control. The Bellevue School District finishes out the week status green with eight confirmed cases districtwide.

The Lake Washington School District updates data once a week, and we’ve had no parent confirmed reports on new COVID cases this week.

We continued to encourage parents to request daily updates from the Lake Washington School District. This change would bring the three school districts we track into alignment.

Bellevue-Bothell-Kirkland-Woodinville local COVID news

No update

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 111,112 new cases and 1,633 deaths nationwide on Wednesday. The Delta variant continues to target the unvaccinated and a very small, but growing number of people vaccinated more than six months ago. New cases are up 14% since last week.

State Updates

The team is taking the day off

Disinformation

The team is taking the day off

400 years after the “first Thanksgiving” the Wampanoags are finally being heard

[SEATTLE, Wash.] – (MTN) Despite COVID cases increasing in 31 states, millions of Americans will come together on Thursday to celebrate Thanksgiving. Established as a national holiday by the Roosevelt administration in 1941 to aid in economic recovery and boost morale as the nation came out of the grips of the Great Depression, the contemporary version of Thanksgiving Americans celebrate, bears little resemblance to its namesake feast attended by pilgrims and Wampanoags in New England in the early 17th century.

In a recent Washington Post article detailing Wampanoag feelings about Thanksgiving four centuries later, Mashpee Wampanoag Cultural Outreach Coordinator, Darius Coombs, stated: “For us, Thanksgiving kicked off colonization.” English settler-colonization produced devastating consequences for Indigenous peoples throughout the nation. It introduced deadly diseases, stripped Native peoples of their ancestral lands, aimed to eliminate Indigenous culture, and worked to erase any evidence of violence and genocide from its history.

The whitewashed version of the Thanksgiving myth told at dinner tables and at schools across the nation that portrays the relationship between pilgrims and Wampanoags as peaceful and reciprocal erases the dispossession and genocide of the Indigenous nations of the Northeast and other Native peoples that soon followed.

Indigenous peoples along the New England coast had already negotiated a series of encounters with Europeans by the time pilgrims reached Plymouth in 1620. Aside from encounters with the French, Spanish, and Dutch, Native peoples witnessed a failed English settlement attempt at Roanoke in the late 16th century and the establishment of the Jamestown colony in Virginia in 1607. Apart from Jamestown, most Europeans were temporary nuisances for Native peoples, as colonists often extracted resources and labor in service of the metropole—or home colony—before returning to their homeland. The English, however, never intended to leave, but rather to become permanent residents. This introduced a new and detrimental form of colonization Native peoples had yet to encounter.

While traditional colonialism generally resulted in temporary invasions, English settler colonialism had entirely different aims. As historian Patrick Wolfe explained, settler colonialism is a “structure, not an event,” whereby settler colonizers develop lasting institutions predicated on the elimination of Native peoples. Little did the Wampanoag know that the beleaguered visitors that reached their shores in early November of 1620 planned to stay.

Pilgrims reached the northeast at a time when Wampanoags experienced significant turmoil that included crippling waves of diseases introduced through contact with Europeans. Diseases dramatically decreased Wampanoag numbers and left the remaining population vulnerable to more powerful Native polities in the region, such as the Narragansett to the West. Wampanoag leader Massasoit, much to the chagrin of his people took a “wait and see” approach with the newcomers and hoped to create an alliance that offered a degree of mutual protection. With Tisquantum—a Wampanoag man who learned to speak English during his time as a captive—acting as a liaison, Massasoit hesitantly brokered an arrangement with pilgrims that later came back to not only haunt him but Native peoples for generations to come.

In the initial stages of this alliance, power swayed in the Wampanoag’s favor. As historian Colin Calloway notes, Europeans often depended on Native peoples “for food, information, and assistance in finding their way,” as well as “adjusting to a new environment.”

This proved no different for English colonists—especially relative to the environment. New England winters were unlike anything colonists experienced in their homeland. In fact, during their first winter at Plymouth, more than half of the pilgrim population died as a result of harsh conditions and resource scarcity. Thus, colonists were reliant on Indigenous people’s knowledge and hospitality to ensure their survival.

The fact colonists became dependent on Wampanoags is evidenced in a letter written in December of 1621 by Edward Winslow. Writing to a friend in England, Winslow noted how during the last spring colonists set “some twenty acres of Indian corn… and according to the manner of the Indians…manured our grounds with herrings.” Winslow also elaborated on colonists’ relations with Wampanoags, noting how they found them to be faithful allies and “often went to them” in times of need. Winslow’s letter goes on to demonstrate that during the early period of their relationship, the Wampanoags took on a paternal role: teaching pilgrims how to farm, gather food, and even hunt game in the wilderness—a place colonists often refused to go without the company of their Indigenous allies.

More interesting, though, are Winslow’s references to the first Thanksgiving. In this same letter, Winslow described the event that became a national myth as a “three-day feast attended by King Massasoit and some ninety men.” Winslow noted that Wampanoags “went out and killed five deer” for the feast “which they brought to the plantation and bestowed upon our governor, captain, and others.”

What Winslow detailed as a feast of celebration that included the Wampanoags and colonists leaves out one very important piece of information—pilgrims never intended to invite their Native allies to join in their festivities.

As many historians have documented, the Wampanoags only found out about the feast after colonists shot off rounds of celebratory gunfire. Concerned his allies might be in danger, Massasoit gathered many of his warriors and went to the colony to investigate. Upon arrival, colonists informed Massasoit they were celebrating a successful and bountiful harvest. In a demonstration of good faith and reciprocity, the Wampanoags gifted their English allies with five deer, which served as the focal point of the feast. Only after imparted these gifts upon their English friends, did colonists welcome their Native allies to join.

It is important to note that the celebration that became the root of the contemporary Thanksgiving myth would not have been possible without the Indigenous knowledge provided to colonists. And while the feast represents a cordial, yet unequal relationship between the two parties, English friendliness soon turned to hostility. The relationship once defined by coexistence ended, and a new relationship based on conflict and violence emerged.

Roughly five decades after the “first Thanksgiving” took place, an ever-growing population of colonists blatantly rejected the cordiality of their predecessors. By the late 1660s, Massasoit saw his people and territory shrink considerably—a consequence of the prolonged encounters between Native peoples and the English. Too old to continue in his position of leadership, Massasoit passed the torch to his son Metacomet, who is often referred to in the historical record by his English name “Philip.” Having grown weary of ongoing land encroachment and cultural destruction through religious conversion, Metacomet replaced friendliness with resistance, and in June of 1675, violent conflict broke out between Native peoples in the region and colonists that became known as “King Philips War.”

King Philips War lasted nearly three years and is recognized as “one of the bloodiest conflicts in American history.” This period of violence resulted in the destruction of numerous Native villages and the death of 2,500 English colonists equaling roughly thirty percent of the settler population. Native peoples in the region, however, failed to emerge victoriously.

Rather as violence and dispossession escalated, Metacomet watched as the English sold his wife and son into slavery in the Caribbean. Then, in an effort to deter further Indigenous resistance efforts, colonial leaders executed Metacomet. Viewing him as a “treacherous fiend who deserved a traitor’s death” the English quartered his body and cut off his head, placing it on a wooden pole at the entrance to Fort Plymouth where it remained for more than two decades. In the decades that followed, Native genocide exponentially increased as settler-colonists worked to dispossess Native peoples and gain control of valuable land and resources.

Despite this, Native peoples continue to find various ways to resist, rebuild, and heal from the generations of trauma settler colonization has produced. So, while many of us are actively and willingly participating in a reenactment of a tradition that has little basis in fact, Native peoples across the nation will reject the myth of Thanksgiving in favor of observing a day of mourning to reflect on all that they have lost—which all began with a friendly meal.

Special Report: Everything you think you know about Thanksgiving is wrong

Most of us envision a romantic portrayal of Thanksgiving. Pilgrims, seeking freedom, come to the new land, and in peaceful cooperation with the Native Americans carve out a hardscrabble life. After a good harvest in their first year, the Pilgrims invite the local Native Americans for a feast, everyone ate turkey, and all were happy — the end.

There is also a revisionist story to Thanksgiving that the creation of the holiday is a blood-soaked nightmare. After the massacre of Native Americans, it was celebrated annually with a big turkey dinner to give thanks for the divine providence to clear the land of heathens.

Neither of these narratives is correct, and the story lies somewhere between.

The Pilgrim’s trip was financed by business interests who would buy cash crops from the Pilgrims upon the establishment of a colony in the new world, somewhere in the vicinity of modern New York City, south of the 42nd parallel, along the New Jersey coast. The story of that hurricane and the Mayflower almost sinking? True.

The sailing of the Pilgrims was supposed to be on two ships, the Mayflower and the Speedwell. The Speedwell was an unseaworthy wreck and waiting to attempt to repair her resulted in the crossing happening at the height of hurricane season. Instead of 65 onboard, there were 130 along with sheep, dogs, chickens, and goats. The settlers would not have been allowed on deck, so would have spent most of their time in the foul, smoke-filled air, smelling of waste and bilge, in a rolling sea. If it sounds awful, you’re right, it was.

The story of the printing press being used to secure a cracked timber in the Mayflower? Sort of true. A tool called a jackscrew, which is similar in appearance, was used to save the ship.

When the Pilgrims finally landed, they had been blown hopelessly off course and landed on what is today Cape Cod, not Plymouth. They sent a shore excursion and found the native population hostile. The real story is that white traders and fishermen had been coming to the northeast coast for decades to trade, trap, fish, and take slaves.

Realizing they had blown off course and were north of the 42 parallel, they created the Mayflower Compact, a bit of a dubious agreement of self-government with loyalty to the King of England. It was the first Democracy in the new world.

The Mayflower sailed around Cape Cod looking for safe harbor, and they arrived off what is modern-day Plymouth. There is no Plymouth rock (sorry) that the Pilgrims stepped out on, and if there were, centuries of weather would have sent it up onto the shore or back out to the sea. A small party scouted the land, and much to their amazement, found it cleared, developed, and abandoned. They found signs that something catastrophic had happened to the local peoples, including dried corn and meats in crumbling longhouses, and some hurriedly dug graves. They saw this as divine providence that God had cleared this land for them.

What had happened was a great plague had swept North America in the late 1500s, killing about 90% of the population on the continent. It is one of the worst human population die-offs in the history of the world. The common belief is that early whites brought smallpox and other diseases to the land, but that doesn’t hold up to native accounts from countless tribes, including those who never made contact with the whites. They all describe a fever, that is more like a severe virus or flu unique to the continent. No one ever reported the telltale boils of smallpox or the red rash of measles.

Fearful of establishing a colony in a lightly scouted area, the Pilgrims elected to stay on the Mayflower. The conditions were in a word, horrific, and that winter was extremely harsh. Shore excursions could find almost no game, and arriving in October, the growing season in New England had long passed. By March of 1621, only 53 passengers and half the crew were alive. Of those, most were very ill, suffering from scurvy, dysentery, and malnutrition. The Mayflower sailed back to England in April of 1621, taking with it water in its drinking casks instead of beer, which was the chosen drink (even for infants and children). The investors were angry when the Mayflower arrived on its return voyage, empty of any riches from the new land.

Weak, sick, and with little success, the colonists started building their village in Plymouth, under the watchful eye of the Wampanoag and Nauset. The great plague had left only 10% of the Wampanoag and a handful of Nauset as survivors. A debate raged on what to do with these visitors. The warriors advised chief Massasoit to kill them. They were weak, the track record of dealing with whites was bleak, and they could easily crush the colonists. Some debated to leave them alone. Let nature takes its path with the ill-prepared whites slowly dying off. They argued that most of the population was women and children and they appeared to have no understanding of the land.

Massasoit had other problems, enemies laid to the west in the Narraganset, and he had no way to defend his people. The settlers had iron tools, and he felt that an alliance could help protect his people, and they could trade for items. He also thought that it was the moral thing to do.

Much to the colonists’ shock on March 16, 1621, an Eastern Abenaki Native American named Samoset (also spelled Somerset) walked right into the Pilgrim settlement. He said in English, “Hello Englishmen!” He stayed for the night, asking for beer, and told the settlers that he would bring others. The next day they arrived seeking to trade with skins, but being a Sunday, the Pilgrims refused. On March 22, 1621, Samoset returned, with four warriors and Squanto, a Wampanoag.

Squanto is a complex character in this story. Captured along with Samoset by white traders, he was taken in as a slave in England, where he learned English and English customs. Listening to his captors, he discovered they were obsessed with a metal – gold. Squanto hatched a plan to get back home and escape, telling them he knew where gold was in the new world, and he could show them with the help of Samoset. An expedition went back to the northeast coast. At the first opportunity, Samoset and Squanto escaped, and no vast treasure was found.

Squanto and Samoset came back to North America to discover their nations were wiped out by disease, and their people viewing them with distrust. They had not suffered during the last decade, in the minds of the survivors of the plague, while the Wampanoag and Abenaki died. Squanto was never fully trusted for the rest of his days.

Enter the other character in this story, Edward Winslow. During that meeting on March 22, the Wampanoag demanded they receive a hostage before holding talks because they did not trust the whites. After some discussion, Edward Winslow was selected, volunteered, or was voluntold – depending on which account you follow. A peace treaty was negotiated. Squanto was left behind under the guise he would provide aid to the settlers. In reality, he was left behind to serve as a spy for Massasoit.

The story of Squanto teaching the Pilgrims to plant Indian Wheat (corn as we call it today), how to fertilize the soil with fish and lobsters, where and how to hunt the native animals, how to fish the native streams, and identify edible plants are all true. Had Squanto not helped the Pilgrims, the colony would have likely failed by the winter of 1621-22.

The exact date of the first Thanksgiving is not known, but it was in the fall or early winter of 1621. The Pilgrims were in a much better state through the help of Squanto, Massasoit, and the Wampanoag/Nauset. However, the story you were taught in school – not remotely true.

Sometime in the late fall or early winter, a large contingent of the surviving Wampanoag showed up at the Plymouth colony, about 90 to 100 people. The Pilgrims numbered 53 when they made landfall in March of 1621 and had dwindled to 47. So those paintings of lots of Pilgrims and a few Native Americans? Not true.

The Wampanoag brought with them, among other things, five killed deer. For the Pilgrims and English society in 1621, venison was like bring lobster, filet minion, veal chops, and toro sushi all at the same time to someone’s house. The Wampanoag said to paraphrase heavily, “we’re going to have a feast – here.

The Pilgrims accepted the offer (not that there was much choice), and of course, provided their food to add to the feast. Wild turkey might have been on the menu, but the real food of choice for the first Thanksgiving was – venison. In an ironic twist, the feast went on for three days. The Puritans were against all forms of sin, and a three-day feast of food and alcohol check off the” gluttony” box. In addition, there are reports of gambling, trade, and exchange of stories.

So that is the real story of the first Thanksgiving.

As for celebrations after? They happened sporadically on years of a good harvest. The Wampanoag/Nauset enjoyed an increasingly shaky peace with the settlers until 1674 – just 53 years. By then, all of the surviving original Pilgrims had died. With it, the understanding of the incredible debt owed to the Wampanoag and Chief Massasoit. Boston had grown to the second-largest city in North America, behind New York.

Edward Winslow came to be a trusted friend of Massasoit. In 1623 Massasoit fell gravely ill, possibly from the same illness that killed most of the natives almost two decades earlier. Edward Winslow was sent for by Massasoit, as were other area chiefs, to sit with the sick leader and to be there for his passing. Edward Winslow personally nursed his friend, and Massasoit survived. A bond was formed in the longhouse that would last until Massasoit’s death. Sadly, it would be Massasoit’s son and Winslow’s son that would undo their hard work and lay the foundation for King Phillips War – more on that later.

Ships laden with more settlers arrived almost daily, and Edward Winslow’s son, Josiah, who became governor of the Plymouth Colony, held the native population in contempt. Metacomet, also known as Phillip by his baptized name, was Massasoit’s third son and became the leader of Wampanoag.

In 1671 Josiah humiliated Metacomet forcibly disarming him and his warriors and making them sign a very one-sided treaty. The Wampanoag became subjugated unless they would conscript themselves to “praying towns,” giving up their ways and following both the Christian God and the English ways in all aspects. To meet these requirements, increasing numbers of indigenous peoples moved into “praying towns.”

By 1674 rumors of war swept the land. Fear had grown so large that in December, over 300 Wampanoag and Nauset who were living in praying towns were rounded up. They brought men, women, and children to Deer Island in Boston Harbor. With no food, drinking water, shelter, or way to keep warm, the entire population froze to death.

In 1675, under the orders of Josiah Winslow, three Wampanoag were hung from a tree for the murder of a John Sasamon. No one knows how John died, whether it was murder, an accident, or suicide. Did he fall through the ice of Assawmpset Pond? The trial to this day is considered make-believe, and one of the hanged included a close friend of Metacomet.

In response, Metacomet declared an open guerrilla war on the colonists. Over the next three years, the bloodiest conflict in the continent’s history was fought, with over 10% of the settler population killed and entire towns wiped off the map. There was an open discussion about evacuating the colonies in the early stages of the war due to the ruthless violence of the Wampanoag and supporting tribes.

In the end, Metacoment’s family was murdered, which broke his spirit, and literally, broke him. Despite an offer from the governor of Rhode Island for sanctuary for him and the straggling survivors of his people, he allowed himself to be captured. Metacomet was tried, found guilty of treason, hung, quartered, and beheaded. His head was put on display and left for years. The Wampanoag and their supporters were eradicated. The rest is as they say…history.

Updated: FDA and CDC approve COVID vaccination boosters for all adults

Update: CDC Director Rochelle Walensky granted final approval to the FDA amendments of the Pfizer and Moderna EUAs.

[WASHINGTON, D.C.] – (MTN) The U.S. Food and Drug Administration amended the emergency use authorizations (EUA) for the Moderna and Pfizer-BioNTech Covid-19 vaccines authorizing a single booster dose for all individuals 18 and older six months after receiving their second dose. Shortly after, the Centers for Disease Control panel of vaccine scientists unanimously endorsed the FDA’s authorization. CDC Director Rochelle Walensky needs to provide final approval, but that is expected to happen on Friday.

Pfizer requested the Emergency Use Authorization (EUA) for its Covid-19 vaccine to be amended to include booster doses for all adults on November 9 and Moderna made an identical request on November 17. Previously, only adults 65 and over, and people 18 to 64 with certain medical conditions, work in specific jobs, or live in communal areas were authorized to get a booster if they had received an mRNA vaccine from either company.

3.3 million Washington state residents 16 and older were fully vaccinated on May 30, according to the Washington State Department of Health (DOH). By the end of November, almost every person in that group will be eligible for a booster after Walensky gives her approval.

Almost all of these people would be eligible for a booster shot. Despite the mounting evidence that immunity wanes after five to seven months, only 675,000 residents have received boosters through November 7.

Data out of Israel, the United Kingdom, and Germany indicate that the United States is woefully unprepared for a sixth wave. Israel authorized boosters for older residents in July at the beginning of its fifth wave and expanded the program to include everyone 12 and older in September. That program was instrumental in ending the fifth wave.

For 9.2 million Israelis, COVID is now endemic. The government took a unified approach, enabling local councils within individual communities to determine if their city was green, yellow, or red. Almost all of Isreal is in a “green life category.” Masks aren’t required and life, travel, business, and entertainment are normal. Israel has a similar vaccination rate to the United States but a much larger number of people who received boosters.

Multiple studies have shown that infection acquired immunity and vaccine immunity are strong for five to seven months and then start to wane. In December 2020 health officials set expectations that it was unknown how long immunity would last, and many indicated that future booster shots would be likely. Anti-vaccination advocates and disinformation campaigns have used waning immunity as a talking point to sow distrust in vaccination programs.

Last month, the FDA and CDC approved booster shots for anyone 18 and older that received the viral-vector Johnson & Johnson vaccine.

All eyes on FDA and CDC for booster ruling tomorrow – local, state, and national update for November 18, 2021

Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.

[KING COUNTY, Wash.] – (MTN) New cases declined slightly while hospitalizations now rest on a seven-day-old plateau as Washington approaches the end of the 21st month fighting Covid-19. Sixteen counties no longer have “high transmission” rates.

In state news, British Columbia and Washington have eased border crossing rules, waiving COVID test requirements at some crossings. Drivers who need to bypass road closures due to flooding and mudslides can cross the border without the required PCR test, but only if they agree they are transiting between border crossing.

Governor Inslee backed down from plans to use stricter measures for Washington employers with 100 or more workers, as the nation waits to see what happens to the Biden Administration’s OSHA Covid-19 vaccination requirements.

The Washington State Department of Health announced that free in-home COVID test kits will be made available in nine counties.

Locally, the Bellevue School District is down to five confirmed COVID cases districtwide between students and staff. In the Northshore School District, Maywood Elementary is dealing with a surge of new Covid-19 cases, with 11 cases, eight confirmed this week.

Nationally the number of new cases is up 14% and more governors provided guidance or directives to make booster shots available to all adults. The vaccination deadline is ten days away from the U.S. Navy and Marine Corps. The Pentagon reported 99% of sailors are vaccinated versus 93% of marines.

The NFL is dealing with another potential COVID scandal, with Tampa Bay Buccaneers wide receiver Antonio Brown accused of buying a fake vaccination card.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on November 18, 2021.


vaccinationhospitalsschoolslocalnationaldisinformation

Washington State Update for November 18, 2021

Washington state Covid-19 update

New Covid-19 case rates are showing a pattern of county hotspots instead of widespread transmission. As an example, Chelan County just rolled over 60% of all residents vaccinated this week but is dealing with a bump in new cases.

There remains a significant difference between lower-vaccinated counties and counties where at least 70% of the total population is fully inoculated.

If Washington state wants to ever get to a place of endemic spread, the data indicates the bare minimum vaccination rate would be 70% of the entire population.

Percent of Total Population Fully VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70.00% or above (3 counties)2,343,250167.4
60.00% to 69.99% (4 counties)1,242,200328.5
50.00% to 59.99% (17 counties)3,664,000306.1
40.00% to 49.99% (9 counties)375,575285.1
31.80% to 39.99% (6 counties)151,850241.3
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County

Through November 17, Washington’s statewide 14-day rolling average is 264.5 Covid-19 cases per 100K. There are signs that a new plateau is forming with transmission rates too high coming into the start of the holiday travel season.

Chelan, Douglas, Klickitat, Lewis, Lincoln, Skagit, and Spokane counties have new case rates between 400.0 and 599.9. Okanogan and Grays Harbor Counties were just under 400.

Sixteen counties representing 3.52 million Washingtonians have a 7 day moving average case rate under 100.

The 7 day new case rate was unchanged and the hospitalization rate increased for elderly patients 80 and older..

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11119.80.7
Ages 12-19111.10.9
Ages 20-34116.72.8
Ages 35-49125.35.9
Ages 50-6494.99.6
Ages 65-7964.016.0
Ages 80+66.025.7 (up)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 27 deaths on Wednesday and 39 on Tuesday.

British Columbia and Washington agree to ease border rules due to severe flooding and road closures

Canadian border agents will be waiving COVID-19 test requirements for people choosing to drive through Washington State to bypass highway closures between the Lower Mainland and the Okanagan due to flooding and landslides.

“Given the current situation in B.C., travelers who must transit through the United States to get to their residence in Canada are exempt from the COVID-19 pre-arrival test, the test in Canada, and quarantine requirements,” stated a Canada Border Services Agency (CBSA) spokesperson by email.

CBSA expects to be using pre-existing exemptions within federal government orders to apply to travelers who are simply transiting Washington State highways, such as between the Osoyoos border crossing and checkpoints entering Surrey.

Individuals will still need to present a valid passport to cross the international border.

Governor Inslee backs down on expansion of OSHA vaccine and test requirements

During media availability today, Governor Jay Inslee indicated the state was backing down on expanding pending Biden Administration rules that would require companies with more than 100 employees to have vaccinated staff or rest weekly. Earlier the governor had said the state was considering removing the testing requirement and applying the same standard to medium and large private employers that are required for state employees.

The new OSHA rules that were supposed to go into effect on January 5, 2022 are in limbo. The 5th Circuit Court of Appeals upheld a stay of the mandate, calling it “staggeringly overbroad,” saying it failed to account for the different levels of risk faced by workers in different workplace settings. The court ruled OSHA may not implement the mandate unless another court overturns the ruling.

The 6th Circuit Court was selected using a ping pong ball to hear the broader case, which will likely head to the Supreme Court.

Nine Washington counties offering free at-home Covid-19 test kits

Nine counties in the northeastern, south central, and southwestern parts of Washington will offer free at-home COVID tests to residents.

Kira Lewis, a public health nurse at the Spokane Regional Health District, says at-home tests take about 10 minutes, and could be taken Thanksgiving or Christmas morning before going over to a family member’s house.

“More testing in the community that’s accessible to all members of the public helps people make good decisions about their social lives and interacting with others,” she said. “That is important for the individual and it’s important for our community as a whole moving forward, continuing to have high rates of transmission in our area. We need to meet that with high rates of available testing.”

The nine counties are Adams, Benton, Cowlitz, Ferry, Franklin, Okanogan, Pend Oreille, Spokane, and Stevens.

Travel Advisories

Due to severe flooding and strained hospital resources, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.

We continue to advise to avoid all nonessential travel to Alaska, Colorado, Idaho, and Montana. Hospital resources in these states remain constrained, and you may receive inadequate care if you experience a serious medical emergency.

Finally, we continue to recommend avoiding recreational travel to Wyoming. The situation continues to improve but hospital resources remain constrained.

Thank you

Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!

In August, King County Health Officer Dr. Jeff Duchin mentioned the N95 Project as a trusted source for N95 masks. A check on the website showed that a 50 count box of United States manufactured N95 masks are available for $40.00. We recommend wearing N95 masks indoors as they provide the best protection against COVID when properly fitted.

No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks

Vaccination

More states open up booster shots to all adults

Kentucky, Louisiana, Maine, Massachusetts, Vermont, and Utah joined eight other states already opening up booster shots to all adults, as more governors try to get ahead of the start of a sixth wave.

New York and Rhode Island haven’t made boosters available to all adults statewide, but are asking healthcare providers not to turn anyone away in counties with high transmission rates.

Arkansas and West Virginia reported encouraging news that many were taking advantage of the new guidelines.

Get Your Booster

If you are eligible for a Covid-19 booster shot Malcontent News strongly encourages you to not delay getting your second or third dose. It is fast, free, and easy. There is growing evidence that the half-life of Covid-19 vaccines is six to ten months, and the half-life for so-called natural immunity is 5 to 7 months.

According to the Washington State Department of Health, through November 7, 675,000 residents have received their Covid-19 booster. Over 1.8 million adults in Washington have a BMI of 25 or higher or are older than 65.

There is significant data that shows natural and vaccine-based immunity starts to fade after four to seven months and countries that implemented aggressive Covid-19 booster shot programs significantly reduced new cases and hospitalizations.

King County, Washington is reporting over 83.5% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines. The Pfizer vaccine has EUA approval for children 5 to 15 years old.

COVID vaccines and boosters are free for anyone 5 and older. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.

For information on getting a vaccination in King County, you can visit the King County Department of Public Health website.

Malcontent News

Hospital Status

Hospital readiness continues to slowly improve except on the Olympic Peninsula. Although the number of COVID patients under care is in decline, the total number of hospitalized patients is unchanged due to deferred elective surgeries, increased movement among the population creating more injuries, and other wintertime diseases.

According to the DoH COVID Dashboard, 91.2% of all staffed acute care beds are occupied, and 12.3% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 633 additional acute care patients.

ICUs are at 87.6% of capacity statewide, with 20.2% of ICU patients fighting Covid-19 – an estimated 238 patients with 49.1% on ventilators. The state has the staff to support approximately 147 additional ICU patients.

On Wednesday, the 7 day rolling average hospital admission rate for new COVID patients was 89. The Department of Health reported 882 Covid-19 patients statewide with 117 requiring ventilators. The number of hospitalized Covid-19 patients has been in the mid-800s to low-900s for seven days in a row.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman86.1%24.1%89.0%13.8%
NorthIsland, San Juan, Skagit, Whatcom67.3%26.6%81.5%12.5%
North CentralChelan, Douglas, Grant, Okanogan94.7%43.1%75.2%17.0%
NorthwestClallam, Jefferson, Kitsap, Mason92.8%26.1%96.8%12.9%
Puget SoundKing, Pierce, Snohomish91.5%18.6%95.4%11.4%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima87.1%18.7%84.3%15.3%
SouthwestClark, Cowlitz, Klickitat, Skamania70.0%13.5%85.7%9.0%
WestGrays Harbor, Lewis, Pacific, Thurston87.8%18.7%91.7%14.2%
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%

School Readiness

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueGREEN– Bennett (1*)
– Bellevue (1*)
– International (1*)
– Puesta del Sol (1*)
– Somerset (1*)
None
Lake WashingtonYELLOW– Alcott (3*/11)
– Audubon (1*/7)
– Blackwell (2*/3)
– Carson (1*/3)
– Clara Barton (4*/24)
– Eastlake High (1*/17)
– Ella Baker (2*/4)
– Evergreen Middle School (1*/0)
– Finn Hill Middle School (5)
– Inglewood Middle School (5**/34)
– Juanita High (1*/12)
– Kamiakin Middle School (2*/27)
– Kirk Elementary (3*/13)
– Kirkland Middle School (1*/10)
– Lakeview Elementary (1*/1)
– Lake Washington High School (3*/7)
– McAuliffe (2*/6)
– Northstar Middle School (12)
– Redmond High School (1*/12)
– Renaissance Middle School (1*/6)
– Rose Hill Middle (1*/7)
– Rush Elementary (3*/0)
– Sandburg/Discovery (1*/4)
– Smith Elementary (1*/9)
None
NorthshoreRED– Arrowhead Elementary (0/1)
– Bothell High School (5**/9)
– Canyon Creek Elementary (4*/24)
– Canyon Park Middle School (1*/12)
– Crystal Springs Elementary (3*/34)
– Eastridge Elementary (1*/3)
– Fernwood Elementary (1*/2)
– Frank Love Elementary (0/6)
– Hollywood Hills Elementary (2*/0)
– Inglemoor High School (4*/1)
– Kenmore Middle School (1*/2)
– Kokanee Elementary (1*/1)
– Leota Middle School (2*/1)
– Moorlands Elementary (0/5)
– North Creek High School (2*/8)
– Northshore Middle School (1*/9)
– Ruby Bridges Elementary (1*/4)
– Shelton View Elementary (0/1)
– Skyview Middle School (0/1)
– Sunrise Elementary (1*/4)
– Timbercrest Middle School (2*/8)
– Wellington Elementary (1*/5)
– Westhill Elementary (2*/3)
– Woodin Elementary (3*/5)
– Woodinville High School (2*/2)
– Woodmoor Elementary (2*/3)
– Maywood Hills Elementary (11**/5)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases – (x*/y) x is positive cases and 7 quarantined, quarantined does not include positive cases

We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.

Based on reader feedback, and improvement in the data we are receiving, we have adjusted how we are reporting data. The Lake Washington and Northshore School Districts are now reported as (X*/Y) or (X**/Y). X represents the number of positive cases while Y represents how many are in quarantine. The number in quarantine does not include positive cases. If there are two asterisks, that indicates five or more confirmed cases within the last 14 days at that school.

The Northshore School District moves to status red with Maywood Hills Elementary reporting 11 confirmed COVID cases and eight this week. It is the largest Covid-19 outbreak in terms of new cases reported at the same time in the three school districts Malcontent News tracks since school started.

The Bellevue School District stays status green with five confirmed cases in the last 14 days districtwide. Additionally, we can process quarantine data by the day, and we will start tracking those numbers next week.

The Lake Washington School District updates data once a week, and we’ve had no parent confirmed reports on new COVID cases this week.

We continued to encourage parents to request daily updates from the Lake Washington School District. This change would bring the three school districts we track into alignment.

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 111,106 new cases and 1,622 deaths nationwide on Wednesday. The Delta variant continues to target the unvaccinated and a very small, but growing number of people vaccinated more than six months ago. New cases are up 14% since last week.

Vaccination deadline looms for active duty U.S. Navy and Marine Corps personnel

The Pentagon reported that 99% of sailors and 93% of Marines were either fully or partially vaccinated, with the November 28 deadline ten days away. Among the five branches, the Navy has the highest vaccination rate while the Marines have the lowest.

Marines and sailors who choose not to get the Covid-19 vaccine by the end of November will be released from the service, in a general but honorable discharge, officials with those services have said, making them ineligible for some benefits from the GI Bill.

The Orange County Register reported a message sent to the troops said “Marines refusing to take the vaccine absent medical exemptions, religious accommodations or pending appeal,” will be processed for discharge and additional disciplinary action or even a court martial is not out of the question. The Navy has issued a similar message.

Army will push out soliders who refuse to get Covid-19 vaccine

Soldiers who refuse to get the COVID-19 vaccine and have not requested an exemption will no longer be allowed to re-enlist or be promoted, effectively ending their military careers, according to a report by Defense One. The new directive applies to active-duty troops as well as reservists and National Guardsmen, including those serving in states whose governors do not require the vaccine. 

The Nov. 16 memo, signed by Army Secretary Christine Wormuth, says troops’ service records will be flagged the day they make their final vaccine refusal, which follows a meeting with a medical professional and a second order to get vaccinated. This flag will bar them from being promoted, reenlisting, continuing to receive enlistment bonuses, attending service-related schools, or receiving tuition assistance.

“I authorize commanders to impose bars to continued service…for all soldiers who refuse the mandatory vaccine order without an approved exemption or pending exemption request,” Wormuth wrote in the memo. “The Soldier will remain flagged until they are fully vaccinated, receive an approved medical or administrative exemption, or are separated from the Army.” 

Tampa Bay Buccaneers wide receiver Antonio Brown accused of buying fake vaccine card

Days after brushing aside Green Bay Packers quarterback Aaron Rodgers less than truthful vaccination status, wide receiver Antonio Brown is accused by his former chef of buying a fake vaccination card, plunging the NFL into another public relations mess.

The Tampa Bay Times broke the story earlier today, with the chef claiming Brown bought the card to avoid NFL protocols. If true, Brown in theory could face massive fines from the NFL for repeated protocol violations. Aaron Rodgers broke as many as 16 Coivid-19 protocols but was ultimately fined $14,650 for attending an unsanctioned Halloween party.

Brown could be in additional trouble with the FBI. Buying a fake vaccination card is a federal crime. The Tampa Bay Buccaneers issued a brief statement via Twitter, indicating they had collected all vaccination records during the preseason and “no irregularities were observed.”

State Updates

Arizona

Phoenix will require all city employees to be vaccinated by January 22, 2022, or face termination. Phoenix joins other cities such as New York City, Los Angeles, San Francisco, and Seattle that already require government employees to be vaccinated against COVID.

Colorado

UCHealth in Colorado will be getting a helping hand from the Department of Defense in the battle against COVID-19 according to a report by KKTV Channel 11.

A news release from UCHealth issued on Thursday states a team of about 20 nurses, providers, respiratory therapists, and administrators will be deployed to UCHealth Poudre Valley Hospital (PVH) for about a month. The team is expected to ease capacity and staffing challenges. The request came from Gov. Jared Polis.

“We are so grateful that this team will assist us in providing exceptional care in northern Colorado,” said Kevin Unger, the president, and chief executive officer at PVH and UCHealth Medical Center of the Rockies in Loveland. “We anticipate this additional support and other plans we already have in the works will help make a significant difference.”

District of Columbia

Mayor Muriel Bowser of Washington said on Tuesday that an indoor mask mandate in the nation’s capital would be eased on November 22, reflecting a shift away from mask requirements as coronavirus vaccination rates continue to rise and infections fueled by the Delta variant subside in the city.

The New York Times reported about 88 percent of the District of Columbia’s adult residents have received at least one vaccine dose, according to city health officials.

Masks will still be required in certain circumstances, including on public transportation, inside school buildings, and in congregate living facilities like nursing homes, college dormitories, and jails.

Idaho

In what could be read as a victory for Governor Brad Little and a blow to Lt. Governor Janice McGeachin, the Idaho legislature ended its special session making almost no changes to state COVID policies.

The House of Representatives approved five bills and sent them to the Senate. But the Senate did little more than refer them to committee and adjourn.

The Senate did adopt a memorial piece of legislation that sends a message to the president and Congress “to make a very forceful statement about our position on the presidential mandates related to Covid-19,” said Senate Majority Leader Chuck Winder.

Kansas

An Olathe mother has filed a lawsuit against Walmart over the COVID-19 vaccine according to a report by FOX 4.

The lawsuit alleges that the woman’s 15-year-old girl was vaccinated by a Walmart employee at the store’s pharmacy without parental consent. The 15-year-old girl wanted the COVID-19 vaccine so she could hang out with her friends.

“The biggest problem I have with this situation is that Walmart vaccinated my daughter without my consent and knowledge,” said the girl’s mom Michelle Tonkinson.

In a statement, Walmart said, Walmart is committed to offering quality and compliant health care. We take allegations like this seriously. We will review the claims and respond with the court as appropriate once we are served.”

Massachusetts

Massachusetts health officials reported another 3,196 confirmed COVID-19 cases — the most in one day since February — and eight new deaths Thursday, according to a report by NBC 10.

The report pushed the state’s number of confirmed COVID-19 cases to 826,996 since the start of the pandemic and its death toll to 18,834.

The number of new confirmed cases in Wednesday’s report from the Department of Public Health had been the most in one day since September, according to archival data. But that report included “a backlog of testing results” from several prior days. The prior single-day high had been in February — and February 6 was the last time more than 3,196 cases were confirmed in one day.

Massachusetts Governor Charlie Baker announced the state was opening up booster shots to anyone over 18 years old, joining a growing list of states breaking with current FDA guidelines.

Minnesota

Hospitals across the state are delaying surgeries to free up bed space in the face of growing concerns over hospital capacity constraints, according to a report by KSTP.

“Things have been getting worse in the last couple of weeks,” said Rahul Koranne, president and CEO of the Minnesota Hospital Association. “We have emergency departments that are full of patients. We have patients in beds in hallways. Our units are full.”

Only 1.1% of ICU beds and 0.5% of non-ICU beds were available in the metro Thursday, according to response capacity data from the Minnesota Department of Health.

“Everybody’s delaying surgeries. We’re pulling this lever across the board. Our care teams, our leaders, our surgical teams are making this decision minute by minute,” Koranne said. “Shoulder surgeries, knee surgeries, but even the last couple of weeks, what we are having to do unfortunately is push back some heart surgeries. At the end of the day, we only have a limited amount of care capacity available.”

Missouri

On Thursday, the Missouri Department of Health and Senior Services once again reconfigured the state’s COVID data dashboard, adding thousands of previously unreported deaths and infections, according to a report by the St. Louis Dispatch.

Some date back to the spring of 2020, and many are instances of illness or death now attributed to Covid-19 but that weren’t publicly tallied by the state at the time.

As part of the update, the state also began reporting COVID cases that occurred after vaccination or prior infection. The numbers show that such cases have been remarkably rare, and are most common among those with underlying health conditions.

The department added 2,792 “probable” Covid-19 deaths, increasing the state total 22%

New Mexico

According to state health officials, around 25% of all COVID-19 cases in the last week were among children in a report by KOB.

School-age children are included in that group, so could this impact in-person learning? School districts around the state have new “enhanced” COVID procedures in place, in case the surge gets worse.

If a school has a certain percentage of COVID-positive cases, that facility would be required to start implementing those additional measures. The good news, so far, is that both Rio Rancho Public Schools and Albuquerque Public Schools said they have not reached that point, they hope to keep it that way.

Utah

For the third day in a row, 13 Utahns have been added to the death toll from COVID-19 — a number that now stands at 3,411 people, according to the Utah Department of Health in a story published by the Salt Lake Tribune.

The health department on Thursday also reported 1,789 new coronavirus cases in the past day. The rolling seven-day average for positive tests stands at 1,633 per day.

Intensive care units in the state remain near capacity, and over capacity in the state’s largest hospitals. According to the health department, 96.7% of all ICU beds and 101.8% of ICU beds in larger medical centers are occupied. (Hospitals consider anything over 85% to be functionally full.) Of all ICU patients, 44.2% are being treated for COVID-19.

Virginia

On Thursday, Sentara Healthcare faced off in court with one of their own doctors, Paul Marik, according to WTKR.

Marik, who is the director of the Critical Care Unit at Sentara Norfolk General Hospital, is suing the healthcare system because they won’t allow him to treat COVID-19 patients with the drug ivermectin, along with a host of other drugs that make up his developed MATH+ Protocol.

“Almost all of the treatments we use have been demonstrated to be safe and effective in randomized controlled trials,” Marik said.

Marik claims that Sentara’s policy may have led to the deaths of four of his patients who were never given the opportunity to learn of or be treated with potentially life-saving medicines. He said these actions are criminal.

There is not a single peer reviewed study that used accurate placebo controlled double blind study data that indicates Ivermectin is effective as a preventative or treatment. The largest validated study to date indicated that for the sickest patients, the antiparisitic drug was counterindicated.

Disinformation

Taking the night off

2.6 million Washingtonians in need of Covid boosters as FDA mulls expanding eligibility

[WASHINGTON, D.C.] – (MTN) The US Food and Drug Administration confirmed that the Vaccines and Related Biological Products Advisory Committee will meet to consider authorizing Pfizer vaccine Covid-19 boosters for all this week.

Pfizer requested the Emergency Use Authorization (EUA) for its Covid-19 vaccine to be amended to include booster doses for all adults 18 and older regardless of comorbidities, vocation, or living situation on November 9. Currently, only adults 65 and over, and people 18 to 64 with certain medical conditions, work in specific jobs, or live in communal areas are authorized to get a booster.

Dr. Peter Marks, director of the FDA’S Center for Biologics Evaluation and Research, told CNN the EUA amendment request was the center’s “highest priority.”

3.3 million Washington state residents 16 and older were fully vaccinated on May 30, according to the Washington State Department of Health (DOH). Under the updated guidelines, almost all of these people would be eligible for a booster shot. Despite the mounting evidence that immunity wanes after five to seven months, only 675,000 residents have received boosters and the DOH told Malcontent News last week the state would not deviate from current federal guidelines.

A growing list of states isn’t waiting for the federal government. Arkansas, California, Colorado, Kansas, Minnesota, New Jersey, New Mexico, and West Virginia have issued guidance or directives for anyone who received their second dose of mRNA vaccine more than six months ago to get a booster shot within the last week.

Sunday on Face the Nation, Colorado governor Jared Polis expressed frustration on information coming from the FDA and CDC on boosters.

“I’ve been very frustrated with the convoluted messaging out of the CDC and the FDA. Everybody should get the booster after six months. The data is incredibly clear that it increases your personal protection level. That’s why my parents got it. I got it. My family members got it.”

Yesterday, speaking at the Reuters Total Health Conference, Dr. Anthony Fauci of the National Institutes of Health (NIH) called for the United States to authorize boosters for all.

“To me, if you want to get to endemic, you have got to get the level of infection so low that it does not have an impact on society, on your life, on your economy,” Fauci said. “People will still get infected. People might still get hospitalized, but the level would be so low that we don’t think about it all the time and it doesn’t influence what we do.”

“To get there,” he said, “would take a lot more people rolling up their sleeves for initial COVID-19 shots and boosters.”

The FDA is widely expected to approve Pfizer’s request but the authorization will require approval by the Centers for Disease Control and must be signed off by CDC Director Dr. Rochelle Walensky to become official policy.

The Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices will hold an emergency meeting on Friday to discuss Pfizer’s request.

Data out of Israel, the United Kingdom, and Germany indicate that the United States is woefully unprepared for a sixth wave. In Germany where cases are exploding only 3% of the population has received booster shots. Most cases continue to be among the unvaccinated in low-vaccinated regions.

Israel authorized boosters for older residents in July at the beginning of its fifth wave and expanded the program to include everyone 12 and older in September. That program was instrumental in ending the fifth wave where life has largely returned to normal. Despite the surge in cases, hospitalizations and deaths were significantly blunted compared to the winter of 2020.

Germany and Israel have similar vaccination rates to the United States and the Delta variant has repeatedly moved through areas with low-vaccinated populations as seasonal changes move people indoors. COVID cases are increasing in 31 U.S. states with Colorado, Minnesota, Wisconsin, Pennsylvania, and Maine are dealing with significant surges.

Multiple studies have shown that infection acquired immunity and vaccine immunity are strong for five to seven months and then start to wane. In December 2020 health officials set expectations that it was unknown how long immunity would last, and many indicated that future booster shots would be likely. Anti-vaccination advocates and disinformation campaigns have used waning immunity as a talking point to sow distrust in vaccination programs.

Moderna has not applied with the FDA to amend the EUA for its vaccine and the FDA did not indicate it would be including Moderna in the discussions. Mixing and matching of COVID boosters were approved on October 21, but there is no indication if boosters for all are approved by the FDA and CDC, that mix and match rules will extend to recipients of the Moderna vaccine.

You can read our special report, Who is eligible for a COVID-19 booster and why should get one now, to learn if you are currently eligible.

9,000 Washingtonians have died due to COVID – local, state, and national update for November 16, 2021

Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.

[KING COUNTY, Wash.] – (MTN) New cases and hospitalizations are down and vaccination rates are up across the Evergreen state but for 9,028 Washingtonians progress came too late as the state crossed another grim milestone.

New cases continue to drop statewide and the Washington State Department of Health (DOH) reported 80% of all residents 12 or older have received at least one dose of the Covid-19 vaccine. Despite the success, Washington ranks about 14th nationally for the most vaccinated population. The DOH also reported that hospitalizations are down significantly from last week.

A report from the DOH indicated that children and adolescents in Eastern Washington have the highest incidents of Covid-19 infections in the state during the last two weeks of October.

Kaiser Peramente reported 828 Washington residents received an expired dose of the Moderna vaccine between October 25 and 27 and they are reaching out to impacted patients. If you have concerns you can call (206) 630-2080.

State Senator Doug Ericksen (Ferndale-R) reported he had COVID and was stuck in the Latin American nation of El Salvador. Ericksen, who has tried to block vaccination programs is reported to have flown out of the country by air ambulance tonight.

Locally, King County has updated how they report vaccination rates to include children 5 to 11 and the initial data is very encouraging. In the Bellevue-Kirkland-Woodinville region along with the supporting school districts, first dose vaccination rates ranged from 81.7% to 95.0% for all residents. In little more than a week, 18.5% to 35.5% of children 5 to 11 got their first dose of the COVID vaccine, depending on the zip code they live in.

Covid-19 cases in the Bellevue, Lake Washington, and Northshore School Districts remain under control.

Nationally, Dr. Anthony Fauci has called for boosters for all and the states of Arkansas, California, Colorado, New Mexico, West Virginia, along with New York City decided not to wait for FDA authorization. The DOH reported they will continue to follow existing federal guidelines.

When it comes to boosters, Mr. T. (yes, that Mr. T.) pity the fool who doesn’t get their booster shot. The 69-year old actor and former wrestler got his booster shot on November 13.

Pfizer has formally requested for Emergency Use Authorization from the FDA for the antiviral drug Paxlovid. In Phase 2 and 3 testing and when combined with another HIV drug, Paxlovid reduced hospitalizations by 89% for people infected with COVID, if taken within the first five days of early symptoms.

The Centers for Medicare and Medicaid Services announced new guidelines for residents of nursing homes. The sweeping changes essentially eliminates all visitation restrictions at any facility that receives federal funding.

In other national news, a Connecticut nursing home is reporting an outbreak of Covid-19 sickened 89 and killed eight. A grieving Georgia husband is accusing a school district of working his COVID positive wife to death because she didn’t have any sick time left. Brad Little, governor of Idaho got his Covid-19 booster and shared it on Twitter as the Gem State enters the third month under crisis standards of care. COVID cases are exploding in Maine, Minnesota, and Pennsylvania while hospitals in Alaska, Colorado, and Montana continue to struggle with resources.

A Texas doctor has had their privledges suspended for sharing COVID disinformation, while a doctor turned legislature in Maryland is facing disciplinary action for prescribing invemectin. In Michigan, a third lawmaker is facing criminal charges for groping a nurse practioner while seeking a prescription for his COVID infection.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on November 16, 2021.


vaccinationhospitalsschoolslocalnationaldisinformation

Washington State Update for November 16, 2021

Washington state Covid-19 update

The Washington State Department of Health has updated the vaccination rate data, shifting the brackets again. With 31.8% of the total population vaccinated, Stevens County remains the least vaccinated county in Washington while San Juan County at 74.5% is at the top of the pile.

Several counties with higher case rates moved into new brackets on Monday. We start to see a decline in these numbers at 55% vaccinated so some of the anomalies in the data will shift in the next 7 to 10 days. The least vaccinated counties are rural and largely agricultural. With the end of farming and harvest season and poor weather, people are congregating less often.

There remains a significant difference between lower-vaccinated counties and counties where at least 70% of the total population is fully inoculated.

Percent of Total Population Fully VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70.00% or above (3 counties)2,343,250166.6
60.00% to 69.99% (4 counties)1,242,200323.2
50.00% to 59.99% (17 counties)3,664,000302.3
40.00% to 49.99% (9 counties)375,575362.5
31.80% to 39.99% (6 counties)151,850300.3 (down)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County

Through November 15, Washington’s statewide 14-day rolling average is 267.0 Covid-19 cases per 100K.

Chelan, Douglas, Grant, Klickitat, Lewis, Lincoln, Skagit, and Spokane counties have new case rates between 400.0 and 599.9. Cowlitz, Mason, Pend Oreille, and Stevens counties were just under 400.

Fourteen counties representing 3.14 million Washingtonians have a 7 day moving average case rate under 100.

The 7 day new case rate and hospitalization rate has decreased from last week.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11118.90.9
Ages 12-19113.80.7
Ages 20-34120.12.7
Ages 35-49126.65.4
Ages 50-6490.89.4
Ages 65-7962.614.1
Ages 80+70.322.5
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 56 deaths on Monday. As of Monday, 9,028 Washingtonians have died from Covid-19 related illness.

IHME forecast points to a sixth wave and 13,530 Washingtonians dead by March 1

The updated IHME forecast points to a sixth wave for Washington with hospitalizations peaking on February 3, 2022. Although the forecast model shows a significant increase in confirmed cases, hospitalizations would not exceed the fifth wave that is currently winding down, and mortality is projected to be much lower due to the high vaccination rate.

If everyone in Washington were to wear a mask, the IHME model predicts we could save 1,500 lives.

Many hospitalists have reported they would not be capable of handling the stress and trauma of another wave, and feel unsupported by the community.

80% of Washingtonians 12 and above have received at least one dose of Covid-19 vaccine

The Washington State Department of Health reported 80.0% of Washingtonians 12 and older have received at least one dose of the Covid-19 vaccine, and 73.9% of the state is fully vaccinated.

According to the Mayo Clinic and through November 7, Washington state ranks eleventh in the United States for children ages 12 to 17 fully vaccinated, ninth for adults 18 to 64, and eight for seniors 65 and older.

When you consider at least a single dose, Washington drops to 14th place for children ages 12 to 17, 14th for adults 18 to 65, and in a 32-way first-place tie for seniors 65 and older.

The red-blue political divide is also strong in the data. Among children 12 to 17 and adults 18 to 64 the first red state is Utah in 19th place. For seniors over 65, Washington is tied with 31 other states that have achieved >99% vaccinated.

Vermont leads for the most vaccinated adolescents while Massachusetts leads with the most vaccinated adults and seniors.

Over 800 Kaiser Peramente patients received expired Moderna vaccine doses

Kaiser Permanente is contacting 828 patients across Washington state that were inadvertently given expired doses of the Moderna vaccine between October 25 and October 27. Both Kaiser Permanente and Moderna have stated that there is no impact on patient safety or efficacy.

“After consultation with Kaiser Permanente clinical experts, there is no evidence that the vaccine administered is ineffective or unsafe,” according to a statement from Kaiser Permanente. “Our clinical experts do not recommend a repeat vaccine dose for patients who were administered these doses.”

Patients with questions about their vaccines can call (206) 630-2080.

Eastern Washington children have the highest case rate in Washington

The Washington State Department of Health released a report on November 10 that showed an alarming 14 day new case rate among children and adolescents from birth to 19 years old during the last two weeks of October.

Education Service District (ESD) 101 encompasses Adams, Ferry, Lincoln, Pend Oreille, Spokane, Stevens, and Whitman Counties and had a 14 day new case rate of 569.5 per 100,000 children and adolescents.

King and Pierce Counties comprise ESD 121 and had a new case rate of 303.1 per 100,000. The lowest rate in the state was on the Olympic Peninsula, known as ESD 114 with a new case rate of 290.0.

Although severe COVID is uncommon in children and adolescents, Mary Bridge Hospital in Tacoma reported that 40% of their hospitalized Covid-19 patients in September developed MIS-C, which can be fatal.

There is little Information about long COVID among children and adolescents and most studies available currently are highly flawed. Among the limited studies that are credible, there isn’t significant evidence that long COVID symptoms last more than 12 weeks among pediatric patients.

State senator Doug Ericksen who fought against vaccine mandates infected with Covid-19 in El Salvador

Washington State Ultra-Conservative Freedom Caucus creator state senator Doug Ericksen (Ferndale-R) reached out to his Washington legislature allies requesting assistance after becoming Covid-19 positive in El Salvador. Ericksen was in the Latin American country as an election observer when he tested positive for COVID.

“I took a trip to El Salvador and tested positive for COVID shortly after I arrived. I cannot get back home, and it’s to the point that I feel it would be beneficial for me to receive iv monoclonal antibodies (Regeneron).”

Over 60% of the residents of El Salvador are fully vaccinated, however, hospitalized treatment for Covid-19 is mostly limited to comfort care and oxygen therapy. Ericksen has not shared if he is vaccinated, nor did he share if he was attempting unproven therapies such as Ivermectin, zinc, Vitamin C or Vitamin D, which would be available.

On October 19, Ericksen called for the resignation of Governor Jay Inslee (WA-D) due to the statewide vaccine mandate.

“Inslee has done significant damage to the credibility of state government and has eroded the public’s trust. Now he is firing thousands of public employees without regard to the harm it will cause. This effort to punish can only be seen as the willful act of a failed governor. Inslee has failed miserably. We don’t take this lightly. But the only thing that can allow our state to heal and move forward is for Jay Inslee to resign.”

On November 1, Ericksen indicated he would try to reintroduce Senate Bill 5144, which would “prohibit discrimination against those who are not vaccinated.”

“Washington state is number one in government coercion, but I don’t think that is an honor the people of Washington want,” Ericksen stated. “This is a natural result of a system that allows the governor to declare an emergency and then keep his sweeping emergency powers as long as he wants.”

There is an unconfirmed report that Ericksen was flown out of El Salvador on an air ambulance today.

Travel Advisories

We are lifting the travel advisory to Eastern Washington. Hospital resources and new case rates have dropped to a level where there are adequate medical resources to support a health emergency.

Due to severe flooding and strained hospital resources, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.

We continue to advise to avoid all nonessential travel to Alaska, Colorado, Idaho, and Montana. Hospital resources in these states remain constrained, and you may receive inadequate care if you experience a serious medical emergency.

Finally, we continue to recommend to avoid recreational travel to Wyoming. The situation continues to improve but hospital resources remain constrained. Wyoming transfers critical patients to Colorado and Utah, and both states have limited to no capacity to take transfer patients.

Thank you

Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!

In August, King County Health Officer Dr. Jeff Duchin mentioned the N95 Project as a trusted source for N95 masks. A check on the website showed that a 50 count box of United States manufactured N95 masks are available for $40.00. We recommend wearing N95 masks indoors as they provide the best protection against COVID when properly fitted.

No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks

Vaccination

Fauci calls for boosters for all

Speaking at the Reuters Total Health Conference, Dr. Anthony Fauci of the National Institutes of Health (NIH) called for the United States to authorize boosters for all.

“To me, if you want to get to endemic, you have got to get the level of infection so low that it does not have an impact on society, on your life, on your economy,” Fauci said. “People will still get infected. People might still get hospitalized, but the level would be so low that we don’t think about it all the time and it doesn’t influence what we do.”

To get there, he said, would take a lot more people rolling up their sleeves for initial COVID-19 shots and boosters.

If the United States makes boosters available for everyone, it is possible the country can get control of the virus by spring of 2022, Fauci added.

Editor’s Note: Although we agree with Dr. Fauci, we believe it will be near impossible to convince the remaining 62 million American adults who are unvaccinated, to get vaccinated.

Get Your Booster

If you are eligible for a Covid-19 booster shot Malcontent News strongly encourages you to not delay getting your second or third dose. It is fast, free, and easy. There is growing evidence that the half-life of Covid-19 vaccines is six to ten months, and the half-life for so-called natural immunity is 5 to 7 months.

According to the Washington State Department of Health, through November 7, 675,000 residents have received their Covid-19 booster. Over 1.8 million adults in Washington have a BMI of 25 or higher or are older than 65.

There is significant data that shows natural and vaccine-based immunity starts to fade after four to seven months and countries that implemented aggressive Covid-19 booster shot programs significantly reduced new cases and hospitalizations.

King County, Washington is reporting over 83.5% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines. The Pfizer vaccine has EUA approval for children 5 to 15 years old.

COVID vaccines and boosters are free for anyone 5 and older. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.

For information on getting a vaccination in King County, you can visit the King County Department of Public Health website.

Malcontent News

Hospital Status

There has been significant improvement for Hospital Readiness across Washington state except on the Olympic Peninsula. Many hospitals have restarted elective procedures and seasonal illness has returned to Washington state, adding to the overall patient load.

According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 12.8% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 621 additional acute care patients.

ICUs are at 88.4% of capacity statewide, with 20.0% of ICU patients fighting Covid-19 – an estimated 236 patients with 44.9% on ventilators. The state has the staff to support approximately 153 additional ICU patients.

On Tuesday, the 7-day rolling average hospital admission rate for new COVID patients was 84. The Department of Health reported 830 Covid-19 patients statewide with 106 requiring ventilators.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman84.5%21.9%89.3%12.5%
NorthIsland, San Juan, Skagit, Whatcom66.4%28.2%82.6%12.5%
North CentralChelan, Douglas, Grant, Okanogan94.7%43.9%75.9%17.9%
NorthwestClallam, Jefferson, Kitsap, Mason92.8%25.5%97.0%13.1%
Puget SoundKing, Pierce, Snohomish91.3%18.2%95.3%11.4%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima88.2%19.2%84.5%15.6%
SouthwestClark, Cowlitz, Klickitat, Skamania70.0%12.7%86.2%16.9%
WestGrays Harbor, Lewis, Pacific, Thurston87.0%19.5%91.2%12.8%
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%

School Readiness

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueGREEN– Bennett (1*)
– Bellevue (1*)
– Clyde Hill (1*)
– International (1*)
– Lake Hills (2*)
– Newport Heights (1*)
– Puesta del Sol (1*)
None
Lake WashingtonYELLOW– Alcott (3*/11)
– Audubon (1*/7)
– Blackwell (2*/3)
– Carson (1*/3)
– Clara Barton (4*/24)
– Eastlake High (1*/17)
– Ella Baker (2*/4)
– Evergreen Middle School (1*/0)
– Finn Hill Middle School (5)
– Inglewood Middle School (5**/34)
– Juanita High (1*/12)
– Kamiakin Middle School (2*/27)
– Kirk Elementary (3*/13)
– Kirkland Middle School (1*/10)
– Lakeview Elementary (1*/1)
– Lake Washington High School (3*/7)
– McAuliffe (2*/6)
– Northstar Middle School (12)
– Redmond High School (1*/12)
– Renaissance Middle School (1*/6)
– Rose Hill Middle (1*/7)
– Rush Elementary (3*/0)
– Sandburg/Discovery (1*/4)
– Smith Elementary (1*/9)
None
NorthshoreYELLOW– Arrowhead Elementary (1*1)
– Bothell High School (3*/13)
– Canyon Creek Elementary (5**/18)
– Canyon Park Middle School (1*/1)
– Crystal Springs Elementary (3*/13)
– Eastridge Elementary (0/3)
– Fernwood Elementary (2*/3)
– Frank Love Elementary (0/10)
– Hollywood Hills Elementary (3*/0)
– Inglemoor High School (5**/2)
– Kenmore Middle School (2*/3)
– Kokanee Elementary (1*/1)
– Leota Middle School (2*/1)
– Maywood Hills Elementary (3*/5)
– Moorlands Elementary (0/5)
– North Creek High School (2*/10)
– Northshore Middle School (1*/22)
– Ruby Bridges Elementary (2*/6)
– Shelton View Elementary (0/2)
– Skyview Middle School (0/1)
– Sunrise Elementary (1*/4)
– Timbercrest Middle School (0/5)
– Wellington Elementary (0/3)
– Westhill Elementary (3*/3)
– Woodin Elementary (3*/7)
– Woodinville High School (4*/2)
– Woodmoor Elementary (3*/3)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases – (x*/y) x is positive cases and 7 quarantined, quarantined does not include positive cases

We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.

Based on reader feedback, and improvement in the data we are receiving, we have adjusted how we are reporting data. The Lake Washington and Northshore School Districts are now reported as (X*/Y) or (X**/Y). X represents the number of positive cases while Y represents how many are in quarantine. The number in quarantine does not include positive cases. If there are two asterisks, that indicates five ore more confirmed cases within the last 14 days at that school.

The Bellevue School District moves back to status green with eight confirmed cases in the last 14 days districtwide. In the Lake Washington School District, Inglewood Middle School reported five confirmed cases on Monday, moving the school to status yellow.

We continued to encourage parents to request daily updates from the Lake Washington School District. We would also encourage parents to request the Bellevue School District include data on close contacts and quarantines. These two changes would bring the three school districts we track into alignment.

Kirkland-Bellevue-Woodinville

King County Public Health updated the vaccination rates by zip code and now reports the data from ages 5 and up. This resets vaccination status through the region. Based on reader feedback, we have added zip codes 98008, 98053, 98074, 98075, and 98077 to fully ecompass the Lake Washington School District and the King County portions of the Northshore School District.

Vaccination rates for children between 5 to 11 are in a word, remarkable.

Percentage of King County Residents 5 and older who have received at least one dose of COVID vaccine, November 16, 2021
Zip CodePercent vaccinated, at least one dose, 5 to 11 years oldPercent vaccinated, at least one dose, 5 and older
9815520.5%89.5%
9802822.5%85.9%
9801118.0%82.7%
9803422.6%81.7%
9803335.5%90.0%
9807219.9%85.2%
9807718.5%76.7%
9805230.5%91.7%
9800425.0%95.0%
9803926.5%87.5%
9800526.7%91.7%
9800714.0%86.0%
9800819.1%88.0%
9805331.9%90.2%
9807428.1%93.5%
9807522.5%91.4%
Vaccination rates with at least one dose

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 143,685 new cases and 1,241 deaths nationwide on Tuesday.

Pfizer formally requests Emergency Use Authorization for the antiviral Paxlovid and agrees to license the drug to 95 countries

Pfizer announced it is seeking Emergency Use Authorization (EUA) of its investigational oral antiviral candidate, Paxlovid, for the treatment of mild to moderate Covid-19 in patients at increased risk of hospitalizations or death.

“With more than 5 million deaths and countless lives impacted by this devastating disease globally, there is an urgent need for life-saving treatment options. The overwhelming efficacy achieved in our recent clinical study of Paxlovid, and its potential to help save lives and keep people out of the hospital if authorized, underscores the critical role that oral antiviral therapies could play in the battle against COVID-19,” said Albert Bourla, Chairman and Chief Executive Officer, Pfizer. “We are moving as quickly as possible in our effort to get this potential treatment into the hands of patients, and we look forward to working with the U.S. FDA on its review of our application, along with other regulatory agencies around the world.”

In Phase 2 and Phase 3 testing, Paxlovid provided an 89% reduction in risk of COVID-19-related hospitalization or death from any cause in patients treated with PAXLOVID compared to placebo within three days of symptom onset, with no deaths in the treatment group. Similar results were seen within five days of symptom onset.

Additionally, Pfizer announced it has signed a voluntary licensing agreement to expand production of Paxlovid, to 95 low- and middle-income countries, covering 53% of the world’s population.

Dr. Soumya Swaminathan, Chief Scientist for the World Health Organization welcomed the news in a tweet.

Mr. T pity the fool that don’t get a booster

The 69-year old actor and retired professional wrestler Mr. T tweeted over the weekend that he received his Covid-19 booster shot, declaring, “I pity pain!”

He thanked his doctor and nurses and told TMZ he wanted to play it safe.

More states break with the FDA/CDC and approve boosters for all

The list of states that are recommended for anyone 18 or older to get a booster continues to grow. Last week Colorado and California broke ranks with the FDA and recommended all residents over 18 who got their first dose of the Johnson & Johnson vaccine more than 60 days ago, or the mRNA Pfizer or Moderna second dose more than 180 days ago to get their COVID booster.

As of today, Arkansas, New Mexico, and West Virginia, along with New York City have joined the list. Minnesota is expected to announce an expansion of booster shot availability on Wednesday.

For some states, “the reason they’ve gone ahead and done this is they are really concerned about experiencing another wave in their state of transmissions and we have seen in some states an uptick in Covid-19 cases. Unfortunately, a lot of those are driven by those who are not vaccinated, but there are some breakthrough infections among those who are vaccinated,” Hemi Tewarson, executive director of the National Academy for State Health Policy, told CNN on Tuesday.

Washington, Oregon, California, Nevada, and Colorado created the Western States Pact to align their Covid-19 response, share research, and public education. The Washington State Department of Health stated last week that Washington has no plans to deviate from current federal guidelines.

Editor’s Note: It is our opinion that DOH’s stance is a mistake given the strong evidence that a sixth wave is coming. It is our recommendation to get a booster if you’re eligible, and a lot of people are eligible.

Centers for Medicare and Medicaid Services eases rules for nursing home visits

The Centers for Medicare and Medicaid Services (CMS) has updated guidelines for nursing home visitation, essentially reopening the doors.

“Early in the pandemic, visitation restrictions were implemented to mitigate the risk of visitors introducing COVID-19 to the nursing home. Today’s guidance update reflects that, while visitors, residents, or their representatives should be made aware of the risks associated with visiting loved ones, visitation should now be allowed for all residents at all times.”

Visits must also be allowed to take place indoors for all residents, whether they’re vaccinated or not, even when a facility is experiencing a COVID-19 outbreak investigation or when a resident is on transmission-based precautions or quarantine. While visits under such conditions are “not recommended” by the CMS, they must be allowed if that’s what a resident chooses. ​

State Updates

Connecticut

A Connecticut nursing home has moved into recovery mode after suffering an outbreak of COVID-19. Geer Village said that the outbreak, which started in September, left eight residents dead and 89 residents and staff members infected according to a report by CBS News.

The North Canaan-based facility, which includes independent and assisted living among other services, said it conducts bi-weekly testing on residents and staff. In a statement, Director of Nursing Cady Bloodgood and Chief Executive Officer Kevin O’Connell said they are continuing to “monitor the situation closely.” 

“Sadly, we have lost 8 residents with serious underlying health issues to COVID,” the facility said on Friday. “We are encouraged to see 69 staff and residents already recovered and coming off isolation. While we must continue with COVID-19 prevention protocols, we want to assure everyone we are doing our best to keep residents and staff safe.”

Georgia

A husband is accusing school officials of making his wife continue to work at a Georgia school despite being COVID positive, ultimately causing her to die according to a report by WSB.

Sara Anderson, was a cafeteria worker at Conyers Middle School who died from COVID on October 5.

“She was a hard worker, and if a manager asked her to do anything, she did it,” Robert Anderson said. He said Sara started feeling sick on September 15 and felt worse the next day. He says her manager told her she was out of sick days and that she had to go into work.

“She was pressured into going to work again, and that was on the 17th. On the 18th, she passed out,” Robert Anderson said.

Doctors diagnosed Sara Anderson with COVID, and then COVID pneumonia. A few days later, she was in the ICU and passed on October 5.

Idaho

Idaho governor Brad Little received his Covid-19 booster shot publicly in an attempt to urge others in his state to get vaccinated. Idaho entered its third month operating at crisis standards of care on November 16, with COVID cases still raging through the Panhandle region.

Illinois

State health officials Tuesday reported 1,627 COVID-19 patients were being treated in hospitals throughout Illinois, according to the Daily Herald. Of those hospitalized, 325 were in intensive care, according to the Illinois Department of Public Health.

Hospitalizations have increased by 16.8% from a week ago, IDPH figures show. Current the state test positivity rate is 2.8%, which points to over-testing, but increased from 2.2% a week ago.

Maine

More and more signs are emerging that COVID-19 is spreading rapidly through Maine, especially among unvaccinated populations, contributing to troubling spikes in hospitalizations and deaths as a holiday week approaches.

The state set yet another pandemic high with 275 hospitalizations on Tuesday and also set a record for the rate of tests that are coming back positive, 8.5 percent on average over the last seven days. Thirteen additional deaths were reported Tuesday as well.

According to the Portland Press Herald, most new cases are in the rural parts of Maine which have the lowest vaccination rates.

Maryland

Representative Andy Harris (R-Md.) said a complaint was filed against him with a medical board for prescribing ivermectin to COVID-19 patients. 

Harris alluded to the complaint during the House Freedom Caucus meeting about vaccine mandates on Monday, The Baltimore Sun reported.

“An action is currently being attempted against my medical license for prescribing ivermectin, which I find fascinating, because as an anesthesiologist, I know I use a lot of drugs off-label that are much more dangerous,” Harris said at the meeting.

Michigan

Michigan state Senator John Bizon faces misdemeanor assault charges after a nurse practitioner with Oaklawn Medical Group accused him of inappropriately touching her while seeking medication to treat his Covid-19 infection.

The incident in question occurred on August 14, at Oaklawn After Hours Express in Marshall, according to a report filed with the Marshall Police Department on August 17. Two health practictioners filed complaints about Bizon groping them and making inappropriate comments.

Minnesota

Minnesota is preparing to expand COVID-19 vaccine booster access to all adults this week, with or without federal backing, and encouraged renewed protections in communities and schools against a worsening pandemic wave.

The positivity rate of COVID-19 diagnostic testing rose above a 10% high-risk threshold in Minnesota, which is reporting high viral transmission levels in 86 of 87 counties but particularly severe levels in central and northern counties with lower vaccination rates.

“I don’t think we can say that any place in Minnesota is in particularly great shape right now,” state Health Commissioner Jan Malcolm said.

You can read more at the Star Tribune.

Pennsylvania

Republican Rep. Scott Perry of Pennsylvania has tested positive for Covid-19, his office announced Tuesday, a day after he was elected chair of the conservative House Freedom Caucus.

Perry’s office said in a statement announcing his diagnosis that the congressman, who has not publicly indicated whether he has been vaccinated against the virus, is experiencing “quite mild” symptoms and he “will continue working while quarantining at home.”

The Congressman’s office indicated they would issue no further statements on his status or treatment plan.

The state recorded 5,778 new COVID-19 cases on Tuesday and 72 more deaths. Officials reported 2,948 residents hospitalized, up 154 patients in 24 hours.

Texas

Houston Methodist Hospital in Texas has suspended privileges for an ear, nose, and throat doctor after she tweeted several opinions on COVID-19 vaccines, including advising patients from getting it according to a report by XKAN.

A hospital representative confirmed the suspension of Dr. Mary Talley Bowden to The Washington Post. Houston Methodist said Bowden, who only recently joined staff and says she is vaccinated, is “spreading dangerous misinformation which is not based in science.”

Bowden tweeted earlier this month that she was “shifting focus to treating the unvaccinated” due to the “current climate and writing on the wall,” in addition to the promotion of experimental treatments over the FDA-approved coronavirus vaccines.

New cases are starting to rise again in the Lonestar state, with 28 hospitals reporting they have no available ICU beds.

Disinformation

Taking the night off