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Washington’s Defunct Atomwaffen Division had Deep Ties to the Terrorist Org, Russia Imperialist Movement

[KIRKLAND, Wash.] – MTN On February 26, 2020, in the Totem Lake Fred Meyer parking lot in Kirkland, FBI agents moved in and arrested neo-Nazi group Atomwaffen Division leader Cameron Brandon Shea of Redmond, Washington, on a warrant for four felonies. Shea, who worked in the Seattle suburb grocery store, was arrested with four coconspirators on various charges. On the surface, Atomwaffen appears to be an internally created extremist group that identifies with the policies of Nazi Germany. In reality, the group has ties to the Russian Imperial Movement (RIM), and former Washington state residents Kaleb James Cole and Aiden Bruce Umbaugh likely received military training in St. Petersburg, Russia.

The trail that led three Washingtonians to connect with Russian neo-Nazi terrorist leaders follows a twisted path that begins in the mind of a 14-year-old American in 1966. The road winds through a global white nationalist movement with roots in St. Petersburg, Russia, leading to the creation of Iron March by a Russian national who used the pseudonym of Alexander Slavros, and amplified by Brandon Clint Russell. In late 2015, the Atomwaffen division in the United States was born, and a few months later, Cole created the Washington Divison of Atomwaffen in the suburbs of Seattle. Among those who created a deeper connection to the terrorist organization RIM? The founder of the white power Traditionalist Worker Party and Iron Dome, Matthew Heimbach.

Russell, a dual citizen of The Bahamas and the United States, was openly radicalized in his teens. He engaged in the online forum Iron March, where he quickly grew credibility among the neo-Nazi movement. Despite his beliefs being public and his direct ties to five radicalized far-right organizations, Russell was able to enlist in the Florida National Guard. A 2017 double homicide investigation in Tampa, Florida, revealed Russell’s connections and the discovery of bomb-making materials, radioactive isotopes, and neo-Nazi propaganda.

Russell was never charged with the murder of his roommates, both members of Atomwaffen. He was arrested on federal charges and, in September 2017, pled guilty to possessing an unregistered destructive device and illegally storing explosives. Within Russell’s orbit was John Cameron Denton, one of the earliest members of Atomwaffen. Between 2016 and 2017 and likely before his arrest, Russell passed leadership to the neo-Nazi group to him.

Heimbach was influenced by the ramblings of cult leader Charles Manson and his admirer James Mason. Mason is considered the Godfather of fascist terrorism in North America. Among white nationalists, the 1992 book The Seige is a manifesto for creating a global race war to establish white nationalist rule. Mason’s writings call for the creation of autonomous neo-Nazi terror cells and the destruction of the United States government.

Mason’s radicalization started when he was 14 and joined the American Nazi Party (ANP) in the 1960s. After the founder of the ANP was assassinated in 1967, Mason wandered for several years before joining the National Socialist Liberation Front. In 1982 Mason started writing letters to Manson disciples Sandra Good and Lynette “Squeaky” Fromme. The pair were imprisoned for participating in the grizzly Manson Family murder spree in 1969, leaving seven dead. Good and Fromme introduced Mason to Manson through correspondence, and Manson, from his prison cell, formed the Universal Order movement with Mason in 1982.

Mason had started writing a series of essays in 1980 for a self-published monthly newsletter called The Seige. From 1980 to 1986, Mason praised Manson and professed that the cult leader would be the ideal person to mold a new Nazi leadership in a post-race-fueled civil war America. Michael Moynihan (not to be confused with the American journalist) was a reader of The Seige, and in 1992 he edited and published the writings as a book called The Seige: The Collective Writings of James Mason. In 2003, the Black Sun Press republished the book under a new name, The Seige. and added a foreword written by Mason.

Around the same time The Seige was being prepared for publication Stanislav Vorobyev formed RIM in St. Petersburg, Russia. The ultranationalist organization embraces neo-Nazi ideology, wants to restore Russia to its pre-1917 borders, eliminate those not of ethno-Russian blood and re-establish rule by the Russian Orthodox Church and white nationalists with bloodlines to the tsarist Romanovs.

RIM didn’t draw much attention in post-Soviet collapsed Russia until 2007 when Vorobyev formed the Rezerv Paramilitary Club (RPC). In Russia, paramilitary clubs are legal and controlled by the Voluntary Society for Cooperation with the Army, Aviation, and Navy (DOSAAF). DOSAAF was created in the 1950s by the Soviet Union to promote a healthy lifestyle and teach the history of Russian military glory. The RPC formed a paramilitary training camp at an abandoned Soviet-era military base in St. Petersburg with the blessing of the Kremlin.

In 2012 with support from then Russian Federation President Dmitry Medvedev, RIM formed the New Force political party. The platform softened its extremist message to become more palatable to the Russian public. It claimed to support “democratic values” but called for restricting immigration to ethnic Russians and holding undocumented immigrants in slave labor camps. In 2013 working with other Russian-based neo-Nazi groups, RIM went public, organizing an anti-immigration protest in Voronezh, Russia.

In late 2013 as Ukraine made its intentions of pulling away from the Kremlin known, Vorobyev wrote, “The stability of anti-Russian regimes on all the territory inhabited by the Russian ethnos” is the greatest threat to the “Russian national survival.” Working with pro-Russian figures in Ukraine, members of RIM were involved in destabilizing the Kyiv government and fomenting Euromaidan counterprotests that led to dozens of deaths.

On February 28, 2014, the day after the Russian military occupied the Crimea Peninsula, members of RIM flew with the Russian military to Sevastopol. Among the passengers were Vorobyev and Nikolay Trushchalov, the head of external affairs for RIM. In March, four members of RIM met with neo-Nazi pro-Russian separatist leaders in the Ukrainian city of Donetsk.

After the meeting in Donetsk, RIM coordinated with other ultranationalist and pro-Nazi organizations in Russia, including Rodina. It held a demonstration in Moscow to support ethnic Russians living in Ukraine. In a cynical twist, Russian organizations aligned with Nazi ideology led protests accusing the legitimate government in Kyiv of Nazi atrocities.

Around the same time, the RPC received its new name, the Russian Imperial Legion, and started training mercenaries to fight against Ukraine. RIM actively recruited military veterans and provided two weeks of combat training, sending squad-sized groups into separatist-controlled Ukraine through humanitarian corridors. RIM mercenaries reported directly into the Russian 1st and 2nd Army Corps of the Donetsk (DNR) and Luhansk People’s Republics (LNR). Vorobyev and Trushchalov worked with Russian military veteran and Russian Federal Security Service (FSB) agent Igor Girkin (who goes by the alias Igor Strelkov). Girkin is accused of being directly responsible for the downing of Malaysia Airlines Flight 17, which killed 298 when a Boeing 777-200ER was shot down on the Ukraine-Russia border. Girkin was the first commander of the 1st Army Corps of the DNR and had up to 300 RIM-provided mercenaries of the Imperial Legion under his command.

The troops led by Girkin were accused of committing dozens of atrocities against Ukrainians and Ukrainian soldiers. Even today, Girkin on Telegram rails against prisoner of war exchanges done by the Russian Federation in Ukraine and reminds his followers that if he was still in charge of the DNR 1st Army Corps, he would take no prisoners.

In the fall of 2014, Girkin was forced to flee to Russia after a series of military failures in the Donbas, refusal to comply with the directives of the Kremlin and the negative publicity from the downing of Flight 17. The FSB started a purge of Girkin-aligned leaders in the 1st Army Corps due to their ideology being out of alignment with Moscow’s goals. But among white nationalists and neo-Nazis, the credibility of RIM and the Imperial Legion grew, gaining international attention on Telegram, the dark web, and the Russian Facebook clone VKontakte.

Although overt racism and white nationalism were pushed just under the surface in American society starting in the late 1970s, the ideology and its purveyors didn’t fade away. The Internet, economic dissatisfaction caused by the Great Recession of 2008, and the election of Barack Obama and his “liberal agenda” caused the movement to rise back to the surface. Hate groups found the Internet was the perfect place to share their message, radicalize people in their youth, and recruit members to their ranks. The organizations weaponized the First Amendment to support their cause while amplifying their messages through the use of marketing agencies, troll farms, and automated bots. Social media companies and web host providers were slow to respond.

Among those to embrace this newfound acceptance was Heimbach, the co-founder of the Traditionalist Worker Party. In 2011, he joined the Youth for Western Civilization (YFWC) club at Towson University in Maryland. Like Mason and Russell, Heimbach’s radicalization started in his teens, and like RIM founder Vorobyev in Russia, he earned a degree in history. In 2012 Heimbach wrote in the YFWC blog, “No longer will the homosexual, Muslim, and black supremacist groups be allowed to hijack our campus. [We are] preparing to take our campus back, all we need is the help of people like you to make it happen.”

For the administration of Towson University, the blog posts and campus vandalism with the messages of “white pride” and “white guilt is over” scrawled on sidewalks and buildings was a bridge too far. In the spring of 2012, the university dissolved the YFWC chapter. Undeterred, Heimbach created the White Student Union and invited Jared Taylor, the creator of the ultranationalist faux think tank American Renaissance, to speak at the university. Taylor was so impressed by Heimbach’s radical views on race that he took him under his wing.

In 2013 Taylor invited Heimbach to speak at the American Renaissance conference in Nashville, Tennessee. Another featured speaker was neo-Nazi Richard Spencer, a speaker, and organizer of the Unite the Right rally in Charlottesville, Virginia, in 2017. Taylor’s session was called “Report from the Trenches.” At the conference, Heimbach asked Paul Ramsey, “Where do we create our ethnostate?”

Ramsey replied, “We need to Balkanize and create our own homeland. We have a right to exist.”

With white nationalist movements moving to the open in the United States and Russia and politicians in both countries embracing the ideology, the twin paths a world apart were on a collision course.

In 2015 the International Conservative Forum of Russia was held in St. Petersburg with support from the Russian government. The conference was organized by Rodina and RIM, attracting leaders and influencers of white nationalist organizations from Germany, Italy, Greece, Norway, Sweden, Finland, and the United States. Among the attendees from the United States was Taylor of American Renaissance. Also in attendance was Russell, who had already laid the foundation to create Atomwaffen.

Russell began spreading his ultranationalist message online in 2011 when he was 16 years old, creating the neo-Nazi organization Iron March in 2013. In 2015 while in St. Petersburg, he met with Taylor of American Renaissance and the leaders of the Nordic Resistance Movement of Sweden, the National Action group of Germany, CasPound of Italy, and Golden Dawn of Greece. In October of 2015, Russell announced the creation of Atomwaffen in Florida.

Shortly after the same conference and Taylor’s return to the United States, his pupil Heimbach formed Iron Dome. The new organization was created in parallel with the Traditionalist Worker Party, but aligned with the call of direct action and terror cell-based ultranationalism. Iron Dome would eventually merge with Atomwaffen.

Matthew Heimbach’s Traditional Worker Party of the United States and the Russia Imperial Movement show unity between the two groups in this Facebook graphic

Members of the Nordic Resistance Movement who attended the Russian forum in 2015 returned to St. Petersburg in 2016 and received combat training from RIM. From November 2016 to January 2017, Nordic Resistance Movement members Anton Thulin, Viktor Melin, and a third coconspirator executed three terrorist attacks in Gothenburg, Sweden. The trio targeted a coffee shop and two asylum homes for refugees. In the third incident, the bomb failed to detonate. The three were tried and found guilty of the attacks and sentenced to 8-1/2 years in prison.

At the Unite the Right rally in Charlottesville, Heimbach met members of the Atomwaffen Division and moved the Traditionalist Workers Party further right, fully embracing anti-Semtisim and white nationalism. According to ProPublica and the Southern Poverty Law Center, Heimbach wrote on Discord after Charlottesville, “The Jews will use their guns to try to stop us, but also their pigs and courts to try to break our spirits.” In the same post, he referred to people of the white race as victims of the “Zionist Occupation Government” – repeating the antisemitic conspiracy that a Jewish deep state international conspiracy runs the United States government. Heimbach was enamored with Atomwaffen, calling the group “our friends.”

After Charlottesville, RIM’s Western European representative Stanislav Shevchuk traveled to the United States to establish connections between RIM and far-right extremist white nationalist groups. Heimbach had become a regular on American news programs, interviewed by the mainstream media where he was given an open platform to share his white nationalist views. Due to Heimbach’s public profile in the United States and his connections to Taylor, Mason, Spencer, and his embrace of Atomwaffen, Shevchuk asked to meet with the white nationalist figure. Despite being a highly visible voice for white nationalism in the United States, behind the curtain, he held little influence. The real power brokers in Atomwaffen were Cole, Shea, Russell, and Denton, who was the leader of Atomwaffen in the United States.

Matthew Heimbach (left) and Stanislav Shevchuk (right) hold the flag of the Russia Imperial Movement in front of the White House in 2017

Heimbach gave Shevchuk a guided tour of Washington D.C., where they displayed the RIM nationalist flag outside the White House. They also visited Gettysburg, Pennsylvania, and posed in front of a statue of Robert E. Lee with a Confederate flag and the RIM nationalistic flag of black, yellow, and white.

While Heimbach was the bearded smiling face of white nationalism and anti-Semitism, Cole, Shea, Russell, and Denton were moving ahead with a far more violent plan influenced by Mason. In 2016, Cole founded the Washington chapter of Atomwaffen in the shadow of Seattle.

Although Seattle and Portland, Oregon are perceived to be liberal strongholds, both cities lie in what was once the Oregon Territory which passed increasingly aggressive anti-immigration legislation. On June 18, 1844, the Oregon Territory Provisional Government passed a law that Blacks attempting to settle in the territory would be publicly whipped with 39 lashes every six months.

On September 27, 1850, the United States Congress passed the Donation Land Claim Act, which made it illegal for anyone other than whites, or whites of mixed race with indigenous peoples, to settle in the Oregon Territory. The law designated that any white male United States citizen eighteen years or older could claim a 320-acre parcel of land free of charge in parts of modern-day Washington, Oregon, Idaho, and Wyoming.

More than 160 years later, hate groups, white nationalist organizations, anti-Semites, and neo-Nazis thrive just out of view. The Proud Boys, III%, Patriot Front, and Patriot Prayer operate in the open and actively recruit members online and among the antivaccination and antigovernment communities.

Overt racism, anti-Black, and anti-immigration legislation and violence continued in the Pacific Northwest for more than a century, the echoes continuing to impact immigration patterns within the United States. The 2020 United Census showed that people who identify as Black make up 1% of Idaho, 2% of Oregon, and 4.3% of Washington – 13.4% of people in the United States identify as Black. For Atomwaffen, Western Washington was a fertile ground to recruit new members who grew up in a monocultural environment and saw everything wrong in the world shimmering in the Seattle skyline.

Cole’s life was ordinary before becoming an Atomwaffen Divison leader. He grew up in Everett, spent time in Bellingham, and eventually moved to Arlington. By 2015 he was already deeply radicalized and held neo-Nazi beliefs. Members of Atomwaffen practiced firing guns in the forests north of Seattle. In 2018 Cole and Aiden Bruce-Umbaugh, of Olympia, Washington embarked on a one-month trip to Germany, Poland, Ukraine, and allegedly Russia, where they had a purpose.

During that trip, Cole and Bruce-Umbaugh allegedly traveled to St. Petersburg and received combat training from RIM. The pair slipped into Russia through Ukraine using a green corridor in the Donbas. After completing Imperial Legion training, the pair traveled back through Ukraine, entered Poland, and visited the Nazi Concentration Camp Auschwitz. A picture was taken on the train tracks that lead to the extermination camp, Bruce-Umbagh with a thumbs up and Cole pointing to the sky. Cole wasn’t flashing a number one but referencing the extermination of ethnic Jews at the death camp and the ash and smoke rising from the incinerators.

Aiden Bruce-Umbaugh (left) and Kaleb James Cole (right) pose outside the main entrance at the Auschwitz Concentration Camp in Poland after recently completing combat training in Russia

The training in firearms, explosives, moving as a squad, and terrorist tactics were taken back to Washington state. At an abandoned cement factory in Concrete, members of Atomwaffen attended “hate camps” to train in guerilla and urban warfare and fire automatic weapons. Cole, despite never being in the United States military or having received any military training of public record, also set up a second “hate camp” in the Nevada desert near Death Valley.

Cole was also behind the editing and design of propaganda, posters, and slick recruiting videos. The scenes from “Devil’s Tower,” as the locals called the graffiti-covered ruins, closely resemble the videos made by Russian-proxy troops from Chechnya. The soldiers in those videos are called the “Chechen TikTok unit” and create numerous videos of fighters shooting wildly at nothing and staging raids of empty buildings.

Atomwaffen members holding the organization’s flag during weapons training in Concrete, Washington

In 2018, neo-Nazi posters began appearing at churches, government offices, and public areas in Kirkland, Redmond, and Bellevue. The posters and propaganda appeared across the region for almost two years. The content was never connected back to Atomwaffen, but the designs of some of the materials were similar. Emboldened by the sign campaign, Patriot Front also distributed materials in the suburban areas east of Seattle.

A 2018 investigation by  ProPublica found Atomwaffen had cells in 23 states and was growing in influence and violence. By 2019 federal, state, county, and local authorities were increasingly concerned by Atomwaffen’s actions and rhetoric. Domestic terrorist experts believed that the language was moving from suggesting there should be a race war to purge the United States to discussing direct action. On September 26, 2019, a King County judge granted the Seattle Police Department’s request to issue an extreme risk protection order on Cole. In October, authorities seized five military-style rifles, three handguns, gun parts, and ammunition at Cole’s residence in Arlington.

Cole had an opportunity to have his guns returned at a hearing a couple of weeks later but instead fled to Montgomery, Texas, where he found refuge with Denton. The extreme risk protection order was automatically extended for a year because Cole defaulted by not attending the hearing. Because of Cole’s propaganda abilities and combat training, Denton allegedly made Cole the Texas leader of Atomwaffen. His tenure would be very short-lived, as Shea had already made a mistake and allowed an FBI informant to infiltrate the group.

Graphic design work by Kaleb James Cole threatened the press, featured Nazi symbols, Charles Manson, and scenes of open revolution

Only days after arriving in Texas, Cole was involved in a November 4, 2019, traffic stop in the west Texas town of Post, with Bruce-Umbaugh in the passenger seat. Police found marijuana, concentrated THC, an AR-15, two AK-47s, a 9mm pistol, and 1,500 rounds of ammunition. The extreme risk protection order on Cole was flagged during the stop, but Bruce-Umbaugh claimed that the drugs and guns were his. Cole was behind the wheel of the blue Ford Focus with Washington plates, and despite this glaring discrepancy, Bruce-Umbaugh was arrested, and Cole was released.

A month later, the mistake was identified, and a warrant was issued for Cole’s arrest for unlawful possession of a firearm with bail set at $20,000. Bruce-Umbaugh was unable to post bond for his release and languished in a west Texas jail cell, where authorities confronted him about a nascent Atomwaffen plot.

In November 2019, Shea had unknowingly contacted an FBI informant and invited the agent to join a budding operation to threaten journalists across the country. His goal was to “erode the media/states air of legitimacy by showing people they have names and addresses, and hopefully embolden others to act.” The informant worked with Shea on his plans and through conversations exposed other Atomwaffen members, including Cole, now hiding in the outskirts of Houston. An undercover agent visited Cole in January 2020, and in a sworn statement claimed the newly minted Atomwaffen Division leader of Texas was wearing a Klu Klux Klan robe.

Later that same month, Atomwaffen threatened a Seattle TV news reporter, the regional director of the Anti-Defamation League Pacific Northwest Chapter, and attempted to threaten a Florida reporter. In the Florida incident, the flyers were affixed to the wrong home.

On February 26, 2020, the group was unraveled by the FBI Joint Terrorism Task Force. Operation Erste Saule arrested five members of Atomwaffen in four states. John Cameron Denton and Kaleb J. Cole were arrested in Texas. Cameron Brandon Shea was arrested in Kirkland, Washington, as he walked into a Fred Meyer grocery store to start his work shift. Also arrested were John Garza of Arizona and Tyler “Taylor” Parker-Dipeppe of Florida.

Bruce-Umbaugh was also federally charged while he was still sitting in a west Texas jail cell. On February 3, 2020, he pled guilty to federal charges of possession of firearms and ammunition by a prohibited person.

Three months after Operation Erste Saule and the FBI investigation revealing the military training of Atomwaffen members in St. Petersburg, Russia, the United States Department of State designated the Russia Imperial Movement and members of its leadership as Specially Designated Global Terrorists. It was the first time the United States government had declared a white supremacist group a terrorist organization.

On April 6, 2020, Vorobyev, Nikolayevich, and Denis Garijev were designated as terrorists “for providing training for acts of terrorism that threaten the national security and foreign policy of the United States and being leaders of such a group.”

In September of the same year, National Counterterrorism Center Director Christopher Miller confirmed that United States members of the “extreme right” had traveled to Russia for military training. Testifying before Congress with FBI Director Chris Wray, Miller reported Americans have traveled to Russia to train with RIM and the Imperial Legion. He added that the relationship between extremists in the United States and RIM had remained casual and had not organized into cross-nation terrorism. Miller did not list the names of the organizations or individuals that had trained with the Imperial Legion during his testimony.

The Russian Federation does not consider RIM a terrorist organization. A Kremlin spokesperson defended the group and its military training of foreign fighters declaring, “We are also not going to prohibit foreigners from coming to visit their barracks or receive training. That is its purpose.”

Like many countries that identify as being formed by people with white ancestry, Ukraine has its own problem with neo-Nazi ideology. A lot of digital ink has been spilled about the history of the Azov Battalion and its founding members identifying with white supremacism and Nazi beliefs. While white nationalist extremists founded the Azov Battalion in 2014, the military unit slowly shifted its political alignment and views during the last six years. The early ranks were mostly filled with Russian-speaking residents of eastern Ukraine and were funded partly by Jewish businessperson and billionaire Ihor Kolomoyskyi. The group was colloquially called “The Men In Black” to counter Russia’s “little green men.”

Before the war in Ukraine, members of Atomwaffen were still within the ranks of the Azov Battalion. The battalion ejected the extremists from its ranks in 2020, including those with Atomwaffen.

When the Russia-Ukraine War started on February 24, Russian propaganda had turned the Azovs into mythical monsters while ignoring the thousands of ultranationalist neo-Nazis being trained and deployed to Ukraine under the watchful eye of DOSAAF. It used the group as justification to invade Ukraine for “denazification.” Despite the legends, the Azov Regiment had fewer than 3,000 troops, including Israeli foreign volunteers within the ranks. In May 2022, new insignia for the unit was introduced, wiping the last hints of its white nationalist founding.

While the Kremlin and the social media accounts it backs push a denazification agenda in Ukraine, it is estimated that several thousand members of the Imperial Legion are fighting in Ukraine, concentrated in Izyum and the Donbas. In an ironic twist, ultranationalist mercenaries with the Imperial Legion fought in Mariupol, likely against the Azov Battalion, to “denazify” Ukraine.

In Izyum, Ukraine, two mercenaries with Russian Private Military Company Wagner Group pose outside the destroyed hospital in the city center. The person on the left is trained by the Imperial Legion and wearing a Nazi-inspired patch.

While the alleged atrocities of Azov are mostly limited to memes, propaganda, and disinformation, an internal report of the German Federal Intelligence Service BND claims that the Imperial Legion engages in destroying cultural icons that don’t align with the Russian Orthodox Church and tortures and executes Ukrainian prisoners of war.

Unlike Russia, all 50 states ban private militias that are involved in extremist activity or move their presence into the public domain. Despite these regulations, enforcement is almost non-existent. It is estimated there are almost 300 private militias operating in the United States. They represent a fertile ground for recruitment to fight in Ukraine with Russian extremist organizations and Private Military Companies such as the Wagner Group. For those that survive, they bring back that experience, which can be applied to future domestic terrorism.

Kaleb James Cole was convicted of conspiracy, three counts of mailing threatening communications, and one count of interfering with a federally protected activity. On January 11, Cole was sentenced to 84 months in federal prison. Cole has been labeled a terrorist by Canada.

Cameron Brandon Shea pled guilty to one count of conspiring to commit three offenses against the United States: interference with federally-protected activities because of religion and one count of interfering with a federally protected activity because of religion. On April 25, Shea was sentenced to 36 months in federal prison.

Aiden Bruce-Umbaugh pled guilty to possessing firearms and ammunition by a prohibited person. On April 28, 2020, he was sentenced to 30 months in federal prison. While awaiting his sentencing in jail, he bragged to other inmates about his photo at Auschwitz and openly told others he was a Nazi.

John Cameron Denton was convicted of conspiracy and a hate crime for “swatting” over 130 people. Denton participated in a conspiracy that conducted swatting attacks between October 2018 and February 2019. Swatting is a harassment tactic that involves deceiving emergency dispatchers into believing that a person or persons are in imminent danger of death or bodily harm and causing the dispatchers to send police and emergency services to an unwitting third party’s address. Denton chose his targets motivated by racial hatred. On May 4, 2021, Denton was sentenced to 41 months in federal prison.

Johnny Roman Garza pled guilty to conspiracy to mail threatening communications, to commit stalking, and to interfere with federally protected activities. On September 8, 2020, he was sentenced to 16 months in federal prison.

Tyler “Taylor” Parker-Dipeppe pled guilty to conspiracy to mail threatening communications, to commit stalking, and to interfere with federally protected activities. Taylor, who is transgender, uses he/him pronouns and goes by the name Tyler, was abused by his biological father and stepfather growing up. Growing up in Egg Harbor, New Jersey, he was so severely bullied in school for identifying as male, that he brought a lawsuit against the school and was paid a $50,000 settlement. Parker-Dipeppe fell into Atomwaffen when he was 15 or 16, and found a family within the group while hiding he is transgender.

As the only person in the Florida Atomwaffen cell that owned a car, he and another member drove to St. Petersburg, Florida to affix threatening posters on a journalist’s home, but went to the wrong house. After making the threat, Parker-Dipeppe confessed to his mother what had happened and was afraid the group would learn he is transgender. He confessed his LGBTQIA status to Shea in Washington state and was kicked out of Atomwaffen.

On September 8, 2020, United States District Judge John Coughenour sentenced Parker-Dipeppe to time served, saying he struggled with sentencing but given his history, “enough is enough.” Parker-Dipeppe is now married and employed, and fears that he will be targeted for violence in the future.

Brandon Clint Russell pled guilty to one count of possessing an unregistered destructive device and one count of unlawful storage of explosive material. On January 9, 2018, he was sentenced to 60 months in federal prison. While awaiting sentencing in jail, Russell tried to send bomb-making information to members of Atomwaffen. He wrote in one letter, “I don’t care how long you put me in jail, your Honor, … as soon as I get out, I will go right back to fight for my White Race and my America!” Russell will be eligible for release in January 2023.

Matthew Heimbach’s life and connections with the white nationalist movement fell apart in 2017. On March 2, 2016, Heimbach was caught on camera harassing and shoving a Black woman at a Donald Trump rally in Louisville, Kentucky. As the incident unfolded, then-candidate Trump yelled, “get her out!” On May 17, 2017, Heimbach was charged with misdemeanor harassment. Heimbach called the charges “politically motivated” and said he “acted pursuant to the directives and requests of Donald J. Trump.” On July 20, 2017, Heimbach cut a plea deal. He was fined $145 and sentenced to 90 days in jail for second-degree disorderly conduct. The sentence was suspended through a deferred adjudication agreement that required Heimbach not to get in further legal trouble for the next two years.

On March 14, 2018, Heimbach was arrested again for two counts of domestic violence assault against his wife, Jessica Parrott, and his father-in-law Matt Parrott. Ms. Parrott believed that Heimbach was having an affair, so she and her father set up a sting operation to confirm her suspicions. Her suspicion was well placed, but to the pair’s surprise, Heimbach was having an affair with his mother-in-law. Heimbach allegedly choked his father-in-law until he lost consciousness. Ms. Parrott told police that Heimbach “demanded that I tell the cops to leave,” kicked a wall, grabbed her face, and threw me face-first into a bed.” Despite violating his deferred adjudication agreement and being charged with two domestic violence assaults, bail was set for $1,000.

On May 16, 2018, Heimbach was sentenced to 37 days in jail for violating his 2017 plea agreement. In a June 2018 hearing, the Parrotts did not want to pursue charges. After the 2018 domestic violence incident, the Traditionalist Worker Party, which Heimbach founded with Parrott, collapsed.

The neo-Nazi and white nationalist movements have rejected Heimbach, labeling him a traitor, informant, and a communist. In 2020, he stated he was done with identifying with white nationalism.

Heimbach was named a defendant in Sines v. Kessler in October 2017 due to the violence that erupted at the Charlottesville Unite the Right rally. Heimbach was found liable for civil conspiracy and ordered to pay $500,000 in punitive damages.

James Mason still writes about Charles Manson, calls for violence against Jews, and his support of neo-Nazi ideals. He is currently considered the leader of Atomwaffen, an allegation he denies. Mason claims that Atomwaffen collapsed in 2020 after the arrests of key leaders.

Mason has a significant criminal record including a 1992 guilty plea of “illegal use of a minor in nudity-oriented materials” after two police raids in 1988 and 1991 found child pornography in his home. He was fined $500. In 1994 Mason was arrested again and charged with two counts of sexual exploitation of a minor and two counts of contributing to the delinquency of a minor. Mason, who was 42 years old at the time, had threatened his Latina 16-year-old ex-girlfriend and her mother with a gun. He was sentenced to 36 months in prison.

Jared Taylor continues to lead the faux think tank American Renaissance. Taylor doesn’t view Jews as a threat to a new order. He severed his ties with Heimbach as he became more radicalized by RIM and Atomwaffen. In 2017, Taylor had a front-row VIP seat at the inauguration of President Donald Trump. Taylor is banned from traveling to 26 European Union nations that comprise the Schengen Area.

Richard Spencer’s life also fell apart in 2017. Spencer planned to hold a neo-Nazi march in Whitefish, Montana, in January 2017. Congressional Representative Ryan Zinke, Senator Steve Daines, Senator Jon Tester, Montana Governor Steve Bullock, and Montana Attorney General Tim Fox condemned the planned event. The community of Whitefish rallied to create a counterprotest, and the march never happened. Spencer became a pariah in Montana and was forced to move to an apartment in Virginia.

In 2014 while doing a speaking tour in Hungary, Spencer enraged Prime Minister Viktor Orban so much, that the right-wing leader pressed through legislation that banned Spencer – the Polish government passed a similar measure. In 2018 Spencer was detained in Iceland trying to enter Sweden and was forced to return to the United States due to his ban on travel in the Schengen Area.

Also, in 2018, his Russian-born wife filed for divorce, accusing him of being abusive in their marriage. Audio recordings and text messages sent to Nina Kouprianova threatened to break her nose and encouraged her to commit suicide.

Spencer was threatened with jail time in June 2020, owing more than $60,000 to the guardian ad litem assigned to defend the interests of the two children he had with his ex-wife. He was also named a defendant in Sines v. Kessler in October 2017 and ordered to pay $500,000 in punitive damages.

Stanislav Shevchuk was sanctioned by the United States Department of Treasury on June 15, 2022, for reaching out to individuals in the United States for the purpose of identifying racially and ethnically motivated violent extremists to support fundraising, training, and recruitment.

Russia Imperialist Movement – RIM does not support Russian President Vladimir Putin and his regime. Still, they see his policies and the war in Ukraine as a means to move their white nationalistic plan forward. It is believed several thousand mercenaries are part of the Imperial Legion fighting in Ukraine, the Central African Republic, Lybia, and Syria. The Imperialist Movement maintains Russian sanction training centers in St. Petersburg and Moscow (both in Russia). It is believed the Imperial Legion assists in training contract volunteers of the Russian army and forced conscripts of the DNR and LNR north of Izyum, Ukraine. Imperial Legion fighters report directly to the Russian armed forces command structure and work cooperatively with the Russian Federation Armed Forces, DNR, and LNR separatists. They continue to train foreign fighters in combat and terrorist tactics worldwide with the blessing of the Kremlin.

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

Nurses threatened at Harborview – local and national update for September 27, 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) Cases moved upward while hospitalizations declined in Washington state. The number of COVID positive students in the Bellevue School District dropped significantly, while cases and quarantines expanded in Northshore, particularly at Bothell High School.

The rollout of additional monoclonal antibody clinics in Washington remains hobbled due to a tight supply and ongoing negotiations with potential locations.

Over 4,000 people joined Turning Point USA and former Washington state representative Matt Shea for a “medical freedom” rally in Spokane. An anti-vaccination rally is planned for September 30 at Swedish Hospital and Harborview Medical Center. At Harborview, staff spoke out over the weekend about getting threats from family members of COVID patients.

A 38-year old Washington State Trooper died of COVID over the weekend, leaving behind a wife and two children.

Vaccination rates in Washington climbed again but appeared to be slowing in many counties. The number of vaccinated adolescents in the Kirkland-Bellevue-Woodinville area increased dramatically last week.

Alaska and Idaho continue to operate under crisis standards of care. Help came to Montana in the form of the Veteran’s Administration opening its doors to non-veteran patients. We’ve added Wyoming to a state we’re tracking and consider it at risk of expanding crisis standards of care.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 27, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 27, 2021

Washington state COVID update

Data points to another plateau, following the pattern of the last three weeks. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, the 14 day moving average for new cases is 797.4 per 100K, statistically unchanged from Friday. The Central Hospital Region, which represents King County, is 275.3, a slight increase. We have broken out the counties that have 60% or more of their residents vaccinated. The new case rate is 416% higher in counties that are under 40% vaccinated.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
60.00% or above (3)182.6
50.00% to 59.99% (12 counties)560.7
40.00% to 49.99% (15 counties)730.6 (up)
28.40% to 39.99% (9 counties)760.5
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 26, Washington’s statewide 14-day rolling average is 463.9 COVID cases per 100K, indicating newly detected cases jumped over the weekend. Counties in the 1,000.0 to 1,399.9 range include Lincoln (1,257.9), Franklin (1.056,5), Okanogan (1,066.5), and Stevens (1,104.1). Counties in the 800.0 to 999.9 per 100K range include Adams, Asotin, Garfield, Grant, and Pend Oreille. Adams reported 978.0, and Grant reported 976.7 per 100K, putting the two counties just under the 1,000 threshold.

New cases were up in every age group, while hospitalizations were down for pediatric and geriatric patients.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11231.9 (up)0.7 (down)
Ages 12-19245.8 (up)1.7
Ages 20-34234.3 (up)5.4
Ages 35-49231.7 (up)10.1
Ages 50-64160.8 (up)14.4
Ages 65-79115.6 (up)19.5 (down)
Ages 80+118.1 (up)31.5 (down)
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 did not provide a number for reported deaths in Washington state. The state of Washington is not reporting the percentage of positive cases.

Expansion of monoclonal antibody treatment clinics in Washington remains stalled out

We reported last week that Washington state was dealing with a restricted supply of monoclonal antibodies, and the situation hasn’t improved in the previous week. Cassie Sauer, CEO of the Washington State Hospital Association (WSHA), fielded a question during today’s briefing.

She said that the state was still working to identify partners that could provide the early stage COVID treatment outside of a hospital or urgent care setting.

Monoclonal antibodies are lab-engineered immune system proteins developed using similar processes as the FDA-approved mRNA Pfizer vaccine. For COVID-positive patients with mild symptoms and who don’t require supplemental oxygen, the therapy has shown to be highly effective in triggering a strong immune response. However, the treatment is not recommended for symptomatic cases that have lasted more than a week with worsening symptoms.

They are not an effective treatment for people who have been symptomatic for more than a week, have moderate or severe symptoms, or require oxygen therapy. Ms. Sauer said that some people were using the treatment as a “get out of jail free card” versus getting vaccinated.

Anti-vaccination protests planned at Swedish Hospital and Harborview Medical Center

Waking up Washington plans a “Seattle March for Healthcare Workers Against COVID Mandates” for September 30. The group announced they would march through Seattle from Swedish Hospital to Harborview Medical Center during the lunch hour.

Vaccination rates for doctors and nurses are high nationwide, with 97% doctors and 88% of nurses fully vaccinated. So far, hospital systems that have mandated vaccinations have seen very little attrition among the highest skilled workers.

Staff threatened at Harborview Medical Center over COVID treatment and mask wear

KING 5 reported over the weekend that family members of COVID patients were verbally and physically assaulting nurses at Harborview Medical Center.

“At first, there was a feeling of camaraderie and people really applauding health care workers,” said Sam Conley, a neuroscience acute care nurse at Harborview Medical Center in Seattle. 

But nearly two years after the pandemic began, amid a new period of vaccine requirements, mask enforcement, and staff shortages, Conley said the strains of the job have been as difficult as ever.

“It’s the verbal and physical abuse from visitors and family members that’s been some of the most challenging aspects of providing care,” Conley said. “I’ll have to ask visitors several times, ‘Hey, I need you to put that mask back on.'”

38-year old Washington State Trooper dies of COVID

On Sunday morning, the Washington State Patrol reported that Detective Eric Gunderson, a 16-year veteran of the WSP, died of COVID. The department indicated that Detective Gunderson contracted COVID “in service to the state of Washington.”

The WSP would not comment on how long he was sick, or if he worked while COVID positive, or his vaccination status. COVID has been the leading killer of law enforcement since 2020.

According to KOIN, Gunderson became ill on a business trip. Gunderson was assigned to District 1, which serves Pierce and Thurston Counties. He left behind a wife and two sons.

The Seattle Times reported that 68% of all Washington state workers impacted by the October 18 vaccination deadline are fully inoculated and have submitted their documentation.

Turning Point USA and former state rep Matt Shea lead anti-government/anti-vaccination rally in Spokane

Turning Point USA, founded by Charlie Kirk in 2021, created an offshoot organization called Turning Point Faith, collaborated with On Fire Ministries for an anti-vaccination rally in Spokane. An estimated 4,000 people gathered at Riverfront Park to hear Dr. Ryan Cole, Ada County, Idaho health officer, Leslie Monookian of Health Freedom Defense Fund, and former state representative Matt Shea. Washington state representative Jenny Graham (R-Spokane) was expected to speak but was a no-show at the rally.

Matt Shea’s speech was about freedom. He says getting fired from your job is good because you are standing up for your “rights.” 

Ms. Monookian advocated for ceasing all doctor visits, told the crowd that they and their children would be raped and murdered soon if this continues, and shared many comparisons to Nazis.

Matt Shea recently formed his own church, On Fire Ministries, after a schism with Ken Peters and the so-called Church at Planned Parenthood (TCAPP). TCAPP, along with Covenant Church, was ordered by a judge last week to stop protests outside of the Planned Parenthood Clinic after a year-long legal battle.

Matt Shea has been a subject of controversy for over a decade. While serving in Iraq, his commander had to disarm him due to “anger management issues.” In 2018 he distributed a manifesto titled Biblical Basis for War. The Spokane County Sheriff reported Shea to the FBI and said the manifesto was racist, anti-Semitic, and based on the white supremacist ideology of Christian Identity. The group wants to create a white-ethnostate based on Christian dogma in the Pacific Northwest.

Dr. Ryan Cole is antimask, called the COVID vaccine, “needle rape,” and leads the public health efforts in Ada County, Idaho, where Boise is located.

On the same day, Turning Point USA hosted a “medical freedom” rally in Enumclaw.

The anti-vaccination movement has increasingly aligned with anti-government and white nationalist groups. Organizations like Christian Identity and the Proud Boys using the messages of government overreach and defending freedom as recruiting tools.

Travel Advisories

We recommend avoiding recreational travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties. If the number of new cases in the South Central Hospital Region continues to decline, we will likely lift our advisory for this region in the next 7 to 14 days. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

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

Number of vaccinated Washington state residents continues to rise

The Washington State Department of Health released updated vaccination numbers for the state and its 39 counties. On Monday, 76.4% of all residents 12 and over have received at least one dose, and 69.7% were fully vaccinated.

The number of people fully vaccinated slowed down last week. All but one county, Skamania, reported at least a modest increase. With 73.2% of residents fully vaccinated, San Juan County continues to lead the state. At 28.4%, Stevens County was in last and is the only county with less than 30% of residents fully vaccinated.

The two counties have a stark difference in the number of new COVID cases. On Monday, San Juan County was down to 51.9 cases per 100K people, while Stevens County was 1,104.1.

Pfizer vaccine booster shots are now available

Booster shots for eligible individuals are now available statewide. Individuals who received both doses of the Pfizer vaccine more than 6 months ago, are 65 or older, or are immunocompromised can receive their third dose immediately.

In the Kirland-Bellevue-Woodinville area, Walgreens, Rite-Aid, Bartell’s, and QFC are offering booster shots. Additionally, the third dose is available at the CVS located within the Target store at 17,700 NE 76th Street in Redmond.

Most locations require an appointment that can be set up online.

King County, Washington is reporting over 85% 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.

COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. 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

According to the DoH COVID Dashboard, 20.6% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 89.4% of capacity statewide, with 31.7% of ICU patients fighting COVID. The number of ICU patients dropped significantly from last week.

The 7-day rolling average hospital admission rate for new COVID patients was down to 147, which is still higher than the January 2021 peak. The Department of Health reported 1,329 COVID patients statewide on September 26 and 220 on ventilators. Monday data is typically incomplete, so expect to see those numbers change tomorrow. If that number holds, hospitalizations have dropped 15%.

The number of patients at EvergreenHealth in Kirkland dropped 26% from last week. Currently, the hospital is treating 29 patients, 78% fully vaccinated (one patient, under 12, is not eligible). The ICU is caring for 9 patients, 78% fully vaccinated, with five on ventilators – none vaccinated. Only one vaccinated patient is under 60 years old. There was no additional information on the pediatric patient.

Cassie Sauer, CEO of the Washington State Hospital Association (WSHA), indicated she was “cautiously optimistic” about the declining number of hospitalizations. However, she cautioned that the future is uncertain with the arrival of cooler weather and, eventually, flu season.

At the same briefing, Dr. Radha Agrawal with Overlake Medical Center in Bellevue said the patients she is treating are younger, sicker, and not responding to treatment. 

“Once they get on a ventilator, the rate of success has been really, really low,” she said, adding, “We’re seeing so many younger people this year. It’s tragic, and it’s tragic for the patients, and it’s tragic for the families, and it’s tragic for the people taking care of them.”

KING also spoke with Dr. Todd Freudenberger, who works at Overlake Medical Center, about the stress and burnout staff are experiencing.

“I’ve never seen anything like it,” said Dr. Freudenberger. “It’s particularly bad among our nursing staff.”

He said the start of every day involves assessing how short of staff they will be and how they will staff a constant influx of new COVID-19 positive patients. 

Unlike Idaho, Washington state has not declared what’s called ‘crisis standards of care,’ which is a decision that would force health care providers to systematically ration care because of a lack of space and resources.

“We are on a razor’s edge of that,” Dr. Freudenberger. “That would get at the very core of what we do as health care providers.”

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueGREEN– Bellevue (1)
– Eastgate (1)
– Enatai (4)
None
Lake WashingtonYELLOW– Alcott Elementary (1*)
– Barton Elementary (1*)
– Dickinson/Explorer Elementary (2*)
– Ella Baker Elementary (3*)
– Eastlake High (1*)
– Evergreen Middle School (1*)
– Franklin Elementary (2*)
– Finn Hill Middle School (1*)
– ICS (1*)
– Inglewood Middle School (2*)
– Juanita Elementary (1*)
– Kamiakin Middle School (3*)
– Keller Elementary (2*)
– Kirkland Middle School (1*)
– Lake Washington High (1*)
– Lakeview Elementary (3*)
– Muir Elementary (1*)
– Redmond Middle School (1*)
– Redmond High School (1*)
– Renaissance Middle School (1*)
– Rush Elementary (2*)

NorthshoreRED– Arrowhead Elementary (19)
– Canyon Creek Elementary (24)
– Canyon Park Middle School (8**)
– Cottage Lake Elementary (15)
– Crystal Springs Elementary (47**)
– East Ridge Elementary (22)
– Fernwood Elementary (13**)
– Frank Love Elementary (31)
– Hollywood Hills Elementary (19)
– Inglemoor High School (7)
– Innovation Lab High School (10)
– Kenmore Elementary (16)
– Kenmore Middle School (41**)
– Kokanee Elementary (51)
– Leota Middle School (5)
– Lockwood Elementary (20)
– Maywood Hills Elementary (20**)
– North Creek High School (21**)
– Northshore Middle School (12**)
– Ruby Bridges Elementary (9)
– Secondary Academy for Success (10)
– Shelton View Elementary (18**)
– Skyview Middle School (77**)
– Sunrise Elementary (20)
– Timbercrest Middle School (32**)
– Wellington Elementary (67)
– Westhill Elementary (19)
– Woodin Elementary (16**)
– Woodinville High School (20)
– Woodmoor Elementary (20**)
– Bothell High School (13*/102)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed 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 10 active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.

The Bellevue School District moved back to green status while new confirmed COVID cases were reported in four Lake Washington schools.

The number of positive cases between staff and students grew to 13 at Bothell High School over the weekend, with another 102 students are quarantined. The NECS reports the school has 1,607 students, and the Northshore School District website reports 236 faculty. Although the numbers in the district may appear to be bad, it is the only school district we are monitoring that is performing weekly universal COVID testing.

King County COVID vaccination rates – at least one dose ages 12 to 19 – by zip code as of September 27, 2021

Vaccination rates among adolescents 12 to 19 jumped significantly throughout the Kirkland-Bellevue-Woodinville area, although the sharp divide between the northern and southern half remains. Every zip code below 80% vaccinated for the age group saw an increase of at least 5% in a week.

We recommend that parents in the Bellevue and Lake Washington School District request better transparency on their publicly facing COVID dashboards.

Kirkland-Bellevue-Woodinville

King County Public Health updated the vaccination rates by zip code, with the numbers improving throughout the region. The northern half of Kirkland, Bothell, and Kenmore, continue to lag behind the rest of the local area.

King County, Washington, at least one dose of COVID vaccine, all eligible ages, as of September 27, 2021
Zip CodePercent vaccinated, at least one dose, 12 and older
9815592.7%
9802889.5%
9801185.9%
9803484.7%
9803392.3%
9807290.4%
9805294.8%
98004>95.0%
9803993.7%
9800594.6%
9800789.2%

Vaccination rates for those 12 and older by zip code – at least one dose

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 30,952 new cases and 286 deaths nationwide. Most states do not provide reporting over the weekend, so a significant amount of data is missing.

President Joe Biden got his Pfizer vaccine booster shot today in a live broadcast.

“Boosters are important, but the most important thing we need to do is get more people vaccinated,” Biden said before receiving his injection.

“The vast majority of Americans are doing the right thing. Over 77% of adults have gotten at least one shot,” he said. “About 23% haven’t gotten any shots. And that distinct minority is causing an awful lot of damage for the rest of the country. This is a pandemic of the unvaccinated. That’s why I’m moving forward with vaccination requirements wherever I can.”

Life expectancy in the United States declined 1.5 years in 2020, the most significant drop since World War II. COVID deaths drove the decrease, with the life expectancy of men dropping 2.2 years.

Alaska

COVID is spinning out of control in Alaska, with the state reporting 21 COVID deaths on Monday and almost 4,000 new cases from Friday to Sunday. The state is leading the United States for new COVID cases with a staggering 7 day moving average of 1,225 new cases per 100K residents. Once the top state for vaccination, since April, it has slid to 32nd place.

Hospitals are currently treating 215 COVID patients, which is more than half of the state’s largest hospital capacity. Statewide there are only 18 ICU beds available.

The first 100 hospital workers from FEMA arrived in the state today.

Arizona

 On Monday, a Maricopa County judge struck down Arizona’s ban on face-mask mandates by school districts as unconstitutional, just two days before the ban was to have become law. 

Superior Court Judge Katherine Cooper ruled the ban on certain COVID-19 mitigation measures violated the so-called “single-subject rule” for legislation by being inserted into a state budget bill. 

“The bill is classic logrolling – a medley of special interests cobbled together to force a vote for all or none,” Cooper said in her 17-page ruling. 

Ninety minutes after the decision was released, Gov. Doug Ducey’s spokesman said the ruling by a “rogue judge” would be challenged:

Idaho

While Dr. Ryan Cole was exporting COVID misinformation in Spokane on Sunday, the Gem State set new records. The state is now treating 774 COVID patients, a new record. Among the 774, 207 in the ICU – Idaho only has 170 ICU beds.

St Luke’s Health was treating 303 COVID patients statewide and reported every ICU patient was unvaccinated.

Idaho is seventh in the nation for new COVID cases, and models don’t expect peak hospitalizations to come until late October.

Federal taxpayers have had to shell out $1.9 million in FEMA assistance to 331 families looking for aid with funeral expenses with almost 300 more applications in the pipeline.

For the week ending Sunday, the state reported another 1,516 cases involving 5- to 17-year-olds. That’s a 10% increase from the previous week, as K-12-aged children continue to account for a growing share of Idaho’s coronavirus caseload. Nine children were hospitalized with COVID-19 in the past week. 

Montana

Montana hospitals have more patients in the ICU than they did during the previous record peak over the winter. Hospitals averaged 109.3 COVID patients in the ICU per day last week, almost 15 a day higher than the previous record. Nearly half of all ICU patients are fighting COVID, and nearly none of them are vaccinated.

In Yellowstone County, 129 people are hospitalized with COVID-19. Of those, 111 are unvaccinated. Between the two hospitals, 30 patients are in the ICU, and 20 are on ventilators. Of those, all are unvaccinated.

FEMA approved the use of the Fort Harrison Veterans Affairs Medical Center for non-veteran patients.

“With more hospital beds available, hospitals now have another tool in their toolbox to treat Montanans in need of care as their systems are strained,” Gov. Greg Gianforte said Friday in a statement.

Montana has the fifth-highest rate of new COVID cases in the country, with 15% to 19% of all tests coming back positive.

New York

The deadline for 450,000 healthcare workers to get vaccinated has arrived in New York with a wide range of reports from hospital systems across the state. Statewide, over 95% of nurses and almost all doctors got vaccinated or had an exemption approved. Hospital systems are reporting a wide range of results from “total compliance” to 15% attrition. The number of clinicians that left has been reported to be low statewide.

The hardest-hit system appears to be Erie County Medical Center in Buffalo. The hospital announced it has suspended elective inpatient surgeries and stopped accepting intensive-care patients as it prepares to fire “hundreds of unvaccinated employees,” a spokesman Peter Cutler said.

In New York City, up to 11% of the 43,000 public health system employees refused to get vaccinated.

Ohio

The world-renowned Cleveland Clinic is now seeing its highest volume of COVID-19 patients since last winter, causing long wait times in Clinic emergency departments and fewer nonessential surgeries.

About 460 patients — including 135 in intensive care units — are in the Clinic’s Ohio hospitals. This is more than double the number of patients that were hospitalized with COVID-19 at the Clinic one month ago. The majority of these patients are unvaccinated, the hospital system said.

Statewide, unvaccinated people account for close to 94% of recent coronavirus hospitalizations, according to data from the Ohio Department of Health.

Oregon

To our south, Oregon has 886 COVID patients hospitalized, which is an increase of 11 from over the weekend. Almost a quarter of all COVID patients are in the ICU, and although that number declined by 25 over the weekend, most of that was due to patients succumbing to COVID.

Oregon hospitals will continue to remain under severe strain from the current surge of COVID-19 cases well into the fall, according to an updated forecast released today from Oregon Health & Science University.

The current surge, fueled by the highly contagious delta variant, is slowly beginning to abate as the virus finds fewer people who aren’t immune either through vaccination or recent infection. However, the new forecast indicates that hospitalizations will remain at extremely high levels until October 5 and will stay high well into December.

Wyoming

The Wyoming Department of Health reported an additional 854 confirmed COVID-19 cases. The number of COVID-19 patients in Wyoming hospitals fell below 200 on Sunday to 198 and dropped further to 192 on Monday, according to the WDH. The most recent peak in COVID-19 hospitalizations occurred on September 8, when there were 233 COVID-19 patients in Wyoming hospitals.

Five hospitals had zero available intensive care unit beds. Four had only one available ICU bed. While ICU beds are not exclusively used to treat COVID-19 patients, when hospitals deal with surges in these patients, that can put a strain on their ability to care for other types of critical-needs patients.

Misinformation

Taking the day off

Local and national COVID update for September 15, 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) Hospitalizations have dropped 9% in Washington state from the record high set on September 9, but resources remained stretched to the limit with hospitals struggling with a crush of patients.

The number of schools in the Lake Washington and Northshore School Districts with COVID cases continues to grown.

The Washington State Department of Health has requested 1,200 medical professionals to reinforce hospitals. Health officials in Spokane express outrage that the Spokane County Fair is ongoing, with reports of only 25% of people wearing masks indoors.

Skagit County is restricting COVID testing, and Washingtonians are complaining about a lack of access to get tested for COVID in Eastern and Southwest Washington.

The planned protest at Skyview High School in Vancouver was a bust today.

There remains confusion and disagreement between the FDA, CDC, and the Biden Administration about the start of general booster shots for people who received the Pfizer vaccine.

In the misinformation section, we explain HEK-293 and the use of fetal stem cells in the development, testing, and production of medications and vaccines. If you’re trying to get a religious exemption because of HEK-293, you should read up on the other medications that have used the cells.

This update uses the latest data from the Washington State Department of Health released on September 15, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 15, 2021

Washington state COVID update

Today’s data shows a continued downward trend in new cases. However, there are concerns that new cases are being under-reported in Eastern and Southwest Washington. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, new cases are 854.8 per 100K people while the Central Hospital Region, which represents King County, had a rate of 295.5.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
50.00% or above (12 counties)496.3
40.00% to 49.99% (18 counties)736.8 (down)
27.30% to 39.99% (9 counties)764.6 (down)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 14, Washington’s statewide 14-day rolling average was 493.1 COVID cases per 100K, which is the first time since August 24 the state average has been below 500. Lincoln (1,303.2 per 100K), Franklin (1,192.6 per 100K), and Stevens (1,145.5 per 100K) reported an extreme number of new cases. Counties in the 800.0 to 999.9 per 100K range include Asotin, Benton, Chelan, Clallam, Cowlitz, Douglas, Grant, Grays Harbor, Lewis, Okanagan, and Pend Oreille.

Last week Yakima County reported the closures of outdoor testing centers due to severe wildfire smoke creating low air quality. Additionally, there was the Labor Day holiday week in the last 14 days, and most testing centers were closed on Sunday and Monday. Questions were raised about the limited availability of testing centers in Eastern and Southwest Washington today by several reporters during the Washington State Department of Health press conference held today.

Washington State Secretary of Health Dr. Umair Shah said there were “no imminent plans” to reopen mass testing sites, but indicated they were working with local and federal partners.

“We have added community-based testing sites but not huge testing sites,” Dr. Shah said.

The Washington State Department of Health reports a data backlog for test positivity, with the published number 14 days old. According to Johns Hopkins University Medicine, the positivity rate for the last 30 days is 13.33%, and over the previous 7 days, 14.36%. These numbers indicate the state is under testing, and the jump of the previous 7 days rolling average to over 14% is a sign there is an increase in under testing.

The Department of Health changed how they are reporting Cases, Hospitalizations, and Testing by Age, so we can’t provide an indication on if these numbers are an increase or decrease from previous days. If you are comparing it to previous days you should not interpret this data as indicating a massive jump in numbers.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11212.00.7
Ages 12-19249.62.1
Ages 20-34257.67.9
Ages 35-49233.713.1
Ages 50-64173.319.6
Ages 65-79127.526.9
Ages 80+129.744.6
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 Wednesday.

Skagit County announces restrictions on COVID testing

Citing an increasing number of people who live outside of Skagit county, and people seeking testing for work or school, officials announced new restrictions on who can access the Skagit County Public Health test site.

Our staff is taxed to the limit, just like our hospitals are right now,” said Danica Sessions, Skagit County Public Health spokeswoman.

Officials reported they were performing 400 tests a day, and half of the people being tested didn’t live in Skagit County. On Monday, several people were turned away because they weren’t a resident of the county or did not have any COVID symptoms.

Spokane hospital Chief Medical Officer slams officials for having Spokane County Fair

Providence Health Care, which announced yesterday they were stopping all non-emergency surgeries held a press conference to discuss the current state of Spokane hospitals. Chief Medical Officer Dr. Dan Getz expressed outrage about the Spokane County Fair being held.

It makes zero sense in the middle of the pandemic and we’re hearing reports that we’re lucky if a quarter of those people are wearing masks,” Getz said. “And, so what it tells me is the community doesn’t understand the level of crisis that we’re dealing with and they don’t understand the incredibly difficult decisions that they’re making and delaying care for people.”

Spokane County Commissioner Josh Kerns released a statement about the decision to keep the fair going.

“Our community has had so many events taken from them over the last eighteen months. The fair staff has worked closely with the Washington State Department of Health and the Spokane Regional Health District to make the Spokane County Interstate Fair as safe as possible. Large events have been happening across the State of Washington including the Washington State Fair, College Football games, and professional sporting events.”

Providence and Sacred Heart have a combined 150 COVID patients under their care – including 29 from Idaho. Of the 18 COVID patients on ventilators, none of them are vaccinated.

Anti-vaccine protest planned at Skyview High School in Vancouver is a bust

The group Waking Up Washington planned a protest at Skyview High School in Vancouver, Washington on Wednesday, but it appears it was a protest of just two people.

The Seattle Truth Network, in coordination with Wake Up Washington, is planning an anti-vaccination event on September 25 at Rooster’s Bakery and Cafe in Woodinville.

Washington state requests 1,200 additional medically trained people to come to the state

“Washington state has requested 1,200 personnel to help our system,” Dr. Scott Lindquist, State Epidemiologist for Communicable Disease for the Washington Department of Health said. Nineteen months of relentless demand drove many skilled medical workers to walk away from being hospitalists through early retirement, moving to private practice, or taking more lucrative jobs as a traveling healthcare provider.

“Our healthcare workers are truly stressed now.”

The question of looming vaccination mandates for healthcare workers at both a state and federal level was raised. “Last year before we even had vaccines in our state, all of us said if we just had a tool to fight this pandemic. As a country, we did everything we can to develop a vaccine,” Washington state Secretary of Health Dr. Umair Shah said.

“Vaccines are free they are safe they are effective.”

“When we go through all these efforts – when you hear certain people saying I’m OK with losing my job, we hope you will reconsider this.”

Travel Advisories

We recommend avoiding all travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with the states of Alaska and Idaho. Hospital resources in these regions are so constrained that you may receive inadequate care if you experience a medical emergency.

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

September 20 is just 5 days away, and there is still no final decision or guidance on what a vaccine booster shot program for the general public would look like. Today the staff of the Food and Drug Administration deferred on providing their recommendation until September 17. The agency released a 23-page document, Vaccines and Related Biological Products Advisory Committee Meeting, September 17, 2021.

“Factors supporting licensure of a booster dose should consider the effectiveness of primary vaccination with COMIRNATY over time and against circulating variants, the effectiveness (and its duration) of booster vaccination in preventing important COVID-19-related outcomes in individuals who have already received a primary vaccination series, the dynamics of the pandemic in the United States, and the risks of booster vaccination in the general population or in certain subpopulations.”

“Some observational studies have suggested declining efficacy of COMIRNATY over time against symptomatic infection or against the Delta variant, while others have not. However, overall, data indicate that currently US-licensed or authorized COVID-19 vaccines still afford protection against severe COVID-19 disease and death in the United States. There are many potentially relevant studies, but FDA has not independently reviewed or verified the underlying data or their conclusions. Some of these studies, including data from the vaccination program in Israel, will be summarized during the September 17, 2021 VRBPAC meeting.”

Booster shot approval would only apply to recipients of the Pfizer vaccine if the program moves forward on September 20.

New data from a large COVID-19 trial done by Moderna, indicated that the vaccination protection provided wanes after 6 to 12 months.

“This is only one estimate, but we do believe this means as you look toward the fall and winter, at minimum we expect the estimated impact of waning immunity would be 600,000 additional cases of COVID-19,” Moderna President Stephen Hoge told investors.

The research showed that people who received the vaccination in 2020, had a statistically higher infection rate than those who received their shots in 2021. Data from multiple studies and the CDC indicates that Moderna is highly effective against the Delta variant.

“The first six months are great, but you can’t count on that being stable out to a year and beyond,” Mr Hoge said.

Finally, the Nicki Minaj kerfuffle over the cousin’s friend with the swollen testicles allegedly from the COVID vaccine (no, it doesn’t do that) reached such a fevered pitch, an exasperated Dr. Terrence Deyalsingh, the Health Minister of Trinidad & Tobago made a statement during the nation’s COVID update.

King County, Washington is reporting over 85% 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.

COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. 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

According to the DoH COVID Dashboard, 23.0% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 91.9% of capacity statewide, with 35.9% of ICU patients fighting COVID. This is a new record for patients in ICU and the percentage of patients with COVID.

The hospital admission rate Epidemiologic Curve dashboard is not working for the second day in a row. The Department of Health reported there were 1,636 COVID patients statewide on September 14 and 266 on ventilators. This is the third day of decline, and total hospitalized patients are down 9% from the September 9 peak.

Dr. Scott Lindquist, State Epidemiologist for Communicable Disease for the Washington Department of Health talked about the trend in the state numbers. “We are starting to see a downward trend, but I would be cautious about this,” he said, adding “It is encouraging to see this stalling out.”

Despite the improvement, the hospital system in Washington state remains on a razor’s edge. “All of our resource hospitals are over capacity, every one of them,” said Dr. Steve Mitchell, Medical Director, WMCC, and Emergency Department at Harborview Medical Center.

“All of them are going through incredible lengths to care for patients. They are also taking staff that don’t normally work in ICUs and extending the staff into critical care units.”

“When our ICUs and our alternative ICUs are full…they back up into our emergency departments. The trickle-down from that is patients wait for a long period time waiting for a bed and ambulances keep coming. Those same ambulances can’t unload into our emergency department so they then become unavailable for other emergency calls.”

“I want you to hear this, this is not just my hospital, it is every resource hospital throughout our state.”

Dr. Mitchell also discussed patient transfers and the growing challenges to balance resources across Washington. “Over 1,000 requests since July 1 from hospitals who have been unable to place their patients from small rural critical access hospitals to a location where they can intervene and fix those patients.”

“Just yesterday there were 2 patients that both had severe COVID in far North Central Washington. After many hours of searching…we found that they could accept them in King County.”

“So sad to see the younger age of the people in our critical care unit,” Dr. Michell said as he talked about 4 critical patients in their 20’s under treatment for COVID at Harborview Medical Center.

Of the four, one had very recently died, another was on ECMO, and the last two were being proned to help them breathe. Three of the four were unvaccinated. The vaccinated patient is severely immunocompromised.

Back to School

School DistrictStatusQuarantinesClosures
BellevueYELLOW– Bellevue (3)
– Chinook (1)
– Highland (3)
– Interlake (1)
– Newport (3)
– Newport Heights (19)
– Sherwood Forest (11)
– Spiritridge Elementary (23)
– Stevenson Elementary (2)
None
Lake WashingtonRED– Alcott Elementary (1*)
– Carson Elementary (2*)
– Dickinson Elementary (1*)
– Eastlake High (1*)
– Einstein Elementary (1*)
– Ella Baker Elementary (1*)
– Robert Frost Elementary (9)
– Juanita Elementary (2*)
– Juanita High School (37)
– Peter Kirk Elementary (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Rose Hill Elementary (1*)
– Rose Hill/Stella Schola Middle School (1*)
– Thoreau Elementary (4)
– Robert Frost (?)
– Kamiakin Middle School (140)
– Mark Twain Elementary (3*)
NorthshoreYELLOW– Arrowhead Elementary (10)
– Bothell High School (35**)
– Canyon Creek Elementary (16)
– Canyon Park Middle School (5)
– Cottage Lake Elementary (12)
– Crystal Springs Elementary (14)
– East Ridge Elementary (12)
– Fernwood Elementary (7)
– Frank Love Elementary (20)
– Hollywood Hills Elementary (3)
– Inglemoor High School (5)
– Innovation Lab High School (3)
– Kenmore Elementary (5)
– Kenmore Middle School (37**)
– Kokanee Elementary (20)
– Maywood Hills Elementary (10)
– North Creek High School (13**)
– Northshore Middle School (7)
– Ruby Bridges Elementary (4)
– Secondary Academy for Success (1)
– Shelton View Elementary (18**)
– Skyview Middle School (71)
– Sunrise Elementary (19)
– Timbercrest Middle School (23)
– Westhill Elementary (6)
– Woodin Elementary (4)
– Woodinville High School (18)
– Woodmore Elementary (18**)
Under Investigation
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

The Lake Washington School District data hasn’t been updated since Friday, but we do have a parent report that a classroom has been quarantined at Robert Frost Elementary.

Northshore School District now has 5 schools reporting 5 or more confirmed COVID cases with an expanding number of students in quarantine across the district.

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulitaive Case Tracker is reporting 143,895 new cases and 1,823 deaths nationwide.

Yesterday the United States hit another milestone nobody wanted to see – 1 in 500 residents have died of COVID since the first officially recorded fatality in Kirkland, Washington on February 29, 2020.

To put that into perspective consider this. Lumen Field where the Seahawks and Sounders FC play can seat 72,000 people. If the stadium was full for a game, 144 random fans would not leave the stadium alive.

Although the national rate is 1 in 500, for King County, it is 1 in 1,221. The significant improvement over the national average is due to several factors including early action at the start of the outbreak, lockdowns, social distancing, mask wear, a gradual return to normalcy in the spring of 2021, and a high vaccination rate.

Alaska

Alaska shattered every previous COVID record today reporting 1,095 new cases along with a record number of hospitalizations, ICU patients, and patients on ventilators. Yesterday the largest hospital in the state had to move to crisis standards of care. The impact of the decision is starting to ripple across the vast and remote state.

Nearly all hospitals are struggling, and each is grappling with how best to respond to unsustainable patient levels, Dr. Anne Zink, Alaska’s chief medical officer, said Wednesday.

“They’re almost all at a crisis level right now,” she said. For smaller facilities, enacting crisis standards of care may not always make the most sense based on the types of resources and protocols already in place.

“We’ve had increasing challenges accessing particularly things like (kidney) dialysis” and other similarly specialized care that is only available at a few hospitals in Anchorage, Zink said.

Alabama

The good news is the number of patients hospitalized with COVID continues to decline, but within those numbers, there is a dark reality. Dr. Don Williamson, president of the Alabama Hospital Association, said Monday that he’s “hopeful but not confident yet that things are beginning to improve,” and noted that “one of the reasons our hospitalization numbers appear to be stable to declining is because we’ve had a pretty substantial daily death count. We’re reporting more than 40 deaths a day now for almost three weeks.”

As of today, 84% of the 2,355 hospitalized COVID patients are unvaccinated, including 761 in the ICU. The state has 558 patients on ventilators, with a national survival rate of just 20% to 30%.

Arkansas

COVID hospitalizations have declined for more than a week, but the state is seeing a similar trend to Alabama. ICU cases have increased by 18 within the last 24 hours, bringing the total to 450. According to the ADH data, this is the first time ICU cases have increased in five days.

Arizona

Attorney General Mark Brnovich filed a 14-page complaint in federal court that seeks to invalidate President Biden’s vaccine requirements for federal workers and large companies. In the complaint, Brnovich makes a false claim on the process of undocumented immigrants as part of his legal argument.

“In a nutshell: unauthorized aliens will not be subject to any vaccination requirements even when released directly into the United States (where most will remain), while roughly a hundred million U.S. citizens will be subject to unprecedented vaccination requirements,” the state told the court. “This reflects an unmistakable — and unconstitutional — brand of favoritism in favor of unauthorized aliens.”

Immigrations and Customs Enforcement have contracted agencies to FEMA to provide health inspection to undocumented immigrants who will be held or released into the United States, this includes COVID testing and vaccinations. So far in 2021, almost 1.3 million people have been processed along the U.S. border.

Arizona will likely record its 20,000 COVID death next month.

Florida

After months of complaints from local, county, and federal officials, Florida is providing COVID death data at a county level again. People on both sides of the mask and vaccination argument have lamented not having access to the data to serve as proof points for the need, or lack of need for masks in schools, as one example.

Florida new cases continue to decline and are now 45% of peak levels, hovering between 11,000 and 12,000 reported a day. Hospitalizations are down from a peak of over 17,000 to 10,979 reported today. 2,673 are in the ICU. The state of Florida does not report how many patients are on ventilators.

Lisa Wilson of Belle Glade, Florida is a tireless advocate of vaccination who even went door to door to fight misinformation and talk to people about getting vaccinated. She persuaded pastors in church to advocate getting vaccinated, along with friends, neighbors, and family. Despite all her efforts, COVID took a terrible toll.

In the last three weeks, Wilson lost 6 relatives, all of them unvaccinated. Wilson remains baffled about why her family members so steadfastly refused to get vaccinated.

“In my grandmother’s case, I think some of her children advised her not to do it,” Wilson said. “They said she was too old, that it wasn’t safe, that she never left the house, anyway.”

The last time she talked to her uncle during a Facetime chat from his hospital bed, he told her he wished he’d followed her advice.

“Tell all of our family to get vaccinated. It’s horrible. It hurts,” she said he cried, as he gasped for air.

She said she couldn’t bring herself to talk to her grandmother on Facetime. When she took her grandmother to the hospital, doctors said her prognosis was grim.

“I didn’t want to see her with tubes running everywhere and watch her struggling to breathe,” Wilson said. “Other grandkids did it and they regretted it.”

Georgia

Georgia’s top epidemiologist said Tuesday that 60% of COVID-19 outbreaks in the state over the last several weeks have occurred in K-12 schools.

“Which is about a seven-fold increase than it had been even in previous waves in this pandemic,” state epidemiologist Cherie Drenzek said during a Board of Public Health meeting.

With a 240% increase of COVID-19 cases among children since July, Georgia’s students are at the center of the current surge.

“The magnitude of this, of the number of cases here in this age group among school children, is very significant,” Drenzek said.

Drenzek said the current surge has caused more than 100 recent outbreaks in schools statewide since July 4.

Hawaii

After standing at the edge of an angry COVID volcano, Hawaii appears to have reached a peak.

Lt. Gov. Josh Green said there were 448 people hospitalized with COVID on Sept. 3. The state is now down to 346.

“That’s a sign Hawaii is moving in the right direction,” Green said.

But he added Hawaii health officials won’t know for sure until at least Friday. That’s when they’ll get a complete picture of how much the virus spread over Labor Day weekend.

“I suspect our cases have plateaued. And our hospitalizations should drop in the next two weeks. Unless we get a surprise,” Green said.

And while cases are going down, some facilities are still struggling to meet patient needs.

Idaho

The northern half of Idaho continues to operate in crisis standards of care and officials seem pessimistic that the southern half of the state can avoid reaching the same situation.

“Our cases continue to increase,” said Elke Shaw-Tulloch, public health administrator for the Idaho Department of Health and Welfare. “The flow of sick people into hospitals continues to increase. It’s incredibly high and the stress on the hospitals is very real.”

The IDHW says a record number of people are being hospitalized with Covid right now. If that doesn’t change soon, hospitals in southern Idaho could have to implement crisis standards of care.

635 COVID-19 cases were identified among teens ages 13-17, representing a record in Idaho for the entire pandemic. Adding to that, case rates are increasing among this particular age group at a faster rate compared to any other age group, at any point during the pandemic.

“The number of children 12 to 18 that are positive, is greater this week than last week it is growing at an accelerated rate and our internal data shows a positivity rate of 20%, which is incredibly high,” said pediatrician and CEO of Primary Health Medical Group, Doctor David Peterman.

“I’m incredibly disappointed and to a certain degree disheartened because we know that something as simple as having our children wear masks in school, and teachers and staff, we can slow the spread of covid,” he said.

That’s unlikely as Dr. Ryan Cole, who called the COVID vaccination “needle rape,” works with the American Frontline Doctors, and considers masks useless, is one off the leading health officials in the Gem State.

According to campaigners and former officials in Idaho who spoke to Business Insider, Cole’s elevation demonstrates how the state’s public health apparatus was stripped back and politicized as the pandemic rages.

The CDH is Idaho’s biggest health authority, covering Ada, Boise, Elmore, and Valley counties. Its board is elected by 12 commissioners, three from each county.

Cole made it onto the board thanks to a backlash against CDH restrictions which propelled coronavirus skeptics into positions of power.

Illinois

In Illinois, the 88 hospitals in the southern part of the state are completely full while COVID testing is indicating positivity rates over 20% in the same region.

Louisiana

In Louisana, the number of COVID patients has plummeted in the last four weeks, while morgues and funeral homes struggle to keep up with the recently deceased. Just like in Alabama, the good news of declining hospitalizations is masking a grim reality.

“Everybody’s focused on the front line and whatnot, but not the ones dealing with the bodies,” said Cedrick L. Lawson, who works alongside Cobb as an assistant manager.

He said morgues have become so crowded, hospitals will sometimes call his home even before a patient dies to make sure someone can come pick up the body quickly and make space for the next.

On any given day, Cobb and Lawson host up to 10 funerals, back-to-back, with practically no time in between. Often they’re so busy attending to grieving families, they forget to eat.

Oklahoma

Eighteen months into the COVID-19 pandemic, and there is still a wait at some local hospitals for beds. Health care leaders met virtually to give updates on numbers and data they’re closely following.

“Given Labor Day activities, I think that all health care providers probably have their fingers crossed and are hoping for the best but not assuming that will hold once we get at the requisite days past Labor Day,” Patti Davis, President of the Oklahoma State Hospital Association said.

Dr. Woody Jenkins, in Stillwater, said their hospital capacity is maxed out. “Overall, our patients are younger and sicker than the last surge,” Jenkins said. “The length of stays are longer, to past 20 days, and some have been on the ventilators for over 10 days.”

Another major concern, according to Jenkins, is losing nursing staff to mental health strain and fatigue.

“We must find a way out of this darkness and navigate toward brighter skies,” he said.

In Edmond, Oklahoma, six parents have sued the school district seeking an injunction to block quarantine requirements for students who have a close contact exposure.

“Our battle really isn’t with the district and the teachers or even our superintendent. We really want our school district to come in compliance with the law and keep healthy kids in school,” said Brian Shellem, who filed the lawsuit with five other parents.

Finally, Oklahoma has found a unique way to lower the number of reported COVID cases in the state. State officials have stopped COVID testing within the state’s prison system.

Oregon

Two out of five nurses with Kaiser Permanente are considering leaving the industry altogether, in a recent survey done by the hospital network and insurance provider. Nurses are ready to quit not due to low morale or vaccine mandates, but the offer made in ongoing contract negotiations with Kaiser and staffing levels that many consider dangerous.

Kaiser Permanente is offering a 1% raise across the board, and a 1% lump sum raise for each year of the contract. That rate of pay increase doesn’t even keep up with inflation going as far back as 2010.

Kaiser says to address future costs and affordability, it is, “proposing a market-based compensation structure for those hired in 2023 and beyond.”

The union sees that as unacceptable.

“The current proposal on the table is that they want to put in a two-tier wage system where new hires will be paid less than what we are paid, meaning that our work that we perform–it’s not worth what we’re currently being paid to do,” said Holt.

Misinformation

A growing strategy among those seeking an exemption from receiving the COVID vaccine on religious grounds is a firmly held religious belief against abortion and a belief that life starts at conception. The argument then becomes because fetal stem cells were used in the testing or development of the COVID vaccines, it is against one’s belief to accept the vaccine.

Of eight COVID vaccines evaluated, two used fetal stem cells in the development, with one of those distributed in the United States. The Pfizer and Moderna mRNA vaccines were tested on fetal stem cells, and the Johnson & Johnson vaccine was used during the production of the vaccine.

Ha! I got you! Not so fast.

The cells used come from a genome known as HEK-293. The original 293 cells were derived in 1973 from the kidney of an aborted human embryo of unknown parenthood by transformation with sheared Adenovirus 5 DNA. After many attempts, cell growth took off only several months after the isolation of a single transformed clone. The cells used today are thousands of generations old and are clones of the original cells gathered in 1973.

They’re still aborted cells! Test tube or not!

This is where the argument falls apart. HEK-293 cells have been used in either the development, testing, or production of a long list of medications.

If you’ve “done your research” and have been using “alternative treatments” as preventatives or treatment for COVID, you better sit down. Zithromax, Hydroxychloroquine, and Ivermectin have all been tested as part of their production and development using HEK-293 cells. Other common vaccinations include Rubella, part of the MMR, and the chickenpox and shingles vaccines. If you used the monoclonal antibody treatment Regeneron, you’ve also used a drug developed with HEK-293 cells.

Additionally, as far back as 2003, the Catholic Church released a statement specifically addressing the use of HEK-293 cells for the development of medications. The Jewish and Islamic faiths have made similar statements and years before the development of the COVID vaccine.

If you’ve ever taken any of these drugs or vaccines, especially the prescription drugs, or your social media is covered with claims praising the use of Hydroxychloroquine or Ivermectin, your religious exemption is probably in jeopardy.

  • Tylenol / Acetaminophen
  • Advil / Motrin / Ibuprofen
  • Aleve / Naproxen
  • Pseudoephedrine / Sudafed / SudoGest / Suphedrine (and we can add Meth to that list)
  • Diphenhydramine / Benadryl
  • Loratadine / Claratin
  • Dextromethorphan / Delsym / Robafen Cough / Robitussin
  • Guaifensin / Mucinex
  • Tums
  • Maalox
  • Docusate / Colace / Ex-Lax Stool Softner
  • Senna Glycoside / Sennoside / Senna / Ex-Lax / Senokot
  • Pepto-Bismol
  • Phenylephrine / Preparation H / Vazculep / Suphedrine PE
  • Mepyramine / Pyirlamine
  • Lidocaine / Lidoderm / Recticare
  • Levothyroxine / Synthroid / Tirosint / Levoxyl
  • Atorvastatin / Lipitor
  • Amlodipine / Norvasc
  • Metoprolol / Toprool XL / Lopressor
  • Omeprazole / Prilosec OTC / Zegerid OTC / OmePPi
  • Losartan / Cozaar
  • Albuterol / Salbutamol / ProAir / Ventolin
  • Sacubitril / Valsartan / Entresto
  • Tenapanor / Ibsrela
  • Enbrel / Etanercept
  • Azithromycin / Zithromax
  • Hydroxychloroquine / Plaquenil
  • Remdesivir / Veklury
  • Dapaglifozin / Farxiga / Ipragliflozin / Suglat / Enavoglifozin / Jardiance
  • Ivermectin / Stromectol
  • Canagliflozin / Invokana / Sulisent / Prominad
  • Metformin / Glucophage / Riomet / Glumetza
  • Cerivastatin / Baycol / Lipobay / Fluvastatin / Lescol / Pitavastatin / Livalo / Pravatatin / Pravachol / Rosuvatatin / Crestor
  • Simvastatin / FloLipid / Zocor
  • Oxbryta / Voxelotor
  • Lisinopril / Qbrelis / Zestril / Prinivil
  • Regeneron / regen-COV
  • Hepatitis A vaccine
  • Rubella vaccine
  • Varicella vaccine (chickenpox)
  • Zoster vaccine (shingles)
  • Rabies vaccine

7,000 COVID deaths – local and national COVID update for September 14, 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) Although Washington reached a grim milestone of 7,000 COVID-related deaths today, data on new cases indicated that the Evergreen State is reaching a peak. The divide between the most and least vaccinated counties continues to widen, and the number of patients in the ICU reached a critical level statewide.

The Lake Washington School District expands how much COVID data they are sharing and in the Northshore School District, a concerning trend has emerged at three schools.

Hospitals in Spokane are suspending all non-emergency surgeries as they struggle to support the lower vaccinated counties in Eastern Washington and the surge in Idaho. In Bellingham, officials report they are inching closer to crisis standards.

Edmonds canceled Oktoberfest for the second year in a row.

Almost 4,800 state employees have requested a vaccination exemption, about 8% of the 60,000 person workforce. Protesters are coming to Vancouver, Washington’s Skyview High School on Wednesday despite a court order, and they are bringing infamous Seattle street preacher Matthew with them.

The mayor of Puyallup is started a fundraiser to show appreciation to hospital workers.

We have expanded our travel advisory to include Spokane County and the state of Alaska, with the latter having the largest hospital move to “crisis standards of care.”

In the misinformation section, we discuss swollen testicles and Betadine.

This update uses the latest data from the Washington State Department of Health released on September 14, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 14, 2021

Washington state COVID update

Today’s data provided a strong indication that Washington state has hit a peak while demonstrating the effectiveness of vaccines. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, new cases are 883.3 per 100K people, essentially unchanged from yesterday. In comparison, the Central Hospital Region, which represents King County, had a rate of 295.4. In addition, for counties that are 50% fully vaccinated or higher, the 14-day rolling average of new cases dropped below 500 for the first time since we started tracking.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
50.00% or above (12 counties)494.0 (down)
40.00% to 49.99% (18 counties)747.0 (down)
27.30% to 39.99% (9 counties)781.4 (down)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 13, Washington’s statewide 14-day rolling average was 500.8 COVID cases per 100K, which is within the 500 to 535 range the state has bounced between. Lincoln (1,294.1 per 100K), Franklin (1,170.9 per 100K), and Stevens (1,121.5 per 100K) reported an extreme number of new cases. Counties in the 800.0 to 999.9 per 100K range include Adams, Asotin, Benton, Chelan, Clallam, Cowlitz, Douglas, Grant, Grays Harbor, Lewis, Okanagan, and Pend Oreille. Although Yakima County fell off of the report, its case rate is 799.4 per 100K.

The Washington State Department of Health reports a data backlog for test positivity, with the published number 14 days old. According to Johns Hopkins University Medicine, the positivity rate for the last 30 days is 13.40%, and over the previous 7 days, 13.67%. These numbers indicate the state is under testing. Further, there has been little change in the positivity rate for almost a month.

The 7-day case rate was up for birth to 34 years old, and down for 80 and over. Hospitalizations were mostly flat, with a slight increase for adolescents from 12 to 19 years old.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1134.0 (up)0.1
Ages 12-1926.3 (up)0.2 (up)
Ages 20-3459.1 (up)1.5
Ages 35-4950.22.5
Ages 50-6437.43.9
Ages 65-7918.73.7
Ages 80+5.0 (down)1.8
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 63 deaths on Tuesday and Washington state crossed a grim milestone of 7,000 COVID-related deaths since February 29, 2020.

Edmonds Oktoberfest canceled due to concerns about COVID

For the second year in a row, The Rotary of Clubs of Edmonds has canceled Oktoberfest due to concerns about COVID. The event had been scheduled for September 24 and 25. The organization made an announcement on the Oktoberfest website.

This change was made as a safety precaution given the current COVID-19 environment. The rate of new COVID cases reached an all-time high last week at 464 per 100,000 people, according to data released Tuesday, Sept. 7, by the Snohomish Health District.

“This decision was not made lightly,” said Maggie Peterson, Edmonds Rotary President. “We very much want Edmonds Oktoberfest to be a family-friendly traditional event but the current rise in COVID-19 cases, combined with the start of the school year, creates a situation where there would be many vaccinated and unvaccinated individuals co-mingling. We are looking forward to bringing back Oktoberfest (or similar event) including the Kids Korner and all corresponding fun activities in 2022!”

Edmonds Oktoberfest Founder and Committee Co-Chair David Kaufer added, “We are dependent on volunteers to run this event, with more than 170 volunteer slots identified. We do not feel comfortable placing them, as well as attendees and other participants, in a situation where they may be at a higher risk of catching or transmitting this highly contagious variant.”

Those who have purchased tickets for Edmonds Oktoberfest may request a refund by emailing david@edmondsrotary.com. 

Almost 4,800 state employees ask to be exempt from vaccine mandate

The Seattle Times is reporting that almost 4,800 state employees, about 8% of the 60,000 state government employees required to get vaccinated have requested an exemption. Exemptions can be granted on religious or medical grounds, but the bar is high for both. As we reported a few days ago, there are only a handful of religions in the United States that have a core tenet of refusing Western medicine such as vaccinations.

The request for exemptions represents a cross-section of 24 different state agencies from the Washington State Patrol to the Department of Revenue. In attempting to read the entrails on how many employees may eventually quit, over 80% of state workers represented by the Washington Federation of State Employees ratified a compromise agreement for a vaccine mandate with more than 80% approval. The union represents almost 47,000 of the state’s 60,000 government workers. On the other end of the spectrum, a lawsuit filed in Walla Walla which attempts to dismantle the vaccine mandate has 89 plaintiffs.

State employees not represented by the WFSE have until October 4 to receive the single dose Johnson & Johnson vaccine to be in compliance with the October 18 deadline if they have not received their first dose of the Moderna or Pfizer vaccines. Certain employees with the WFSE could go past that date if they meet certain requirements set in the compromise ratified last week.

Anti-vaccine protest planned at Skyview High School in Vancouver – again

The group Waking Up Washington is planning a protest at Skyview High School in Vancouver, Washington on Wednesday, and they are bringing infamous Seattle street preacher Matthew with them. If you have ever been to a protest, rally, concert, march, parade, or large sporting event in Seattle, you have likely heard Matthew.

This action is being driven by 14-year old Melanie Gabriel, a student at the school who was attempting to get a 504 exemption to not have to wear a mask. The anti-vaccination activity in Oregon and Washington is largely run by a handful of people. Michelle Morales-Walker is the most prominent voice and face of the movement. She is supported by Joey Gibson of Patriot Prayer, Ammon Bundy, Washougal Women, and Palmer Davis of La Center.

The group was withdrawn from a planned protest in Olympia on Saturday, due to a Proud Boys rally planned for the same day.

The Seattle Truth Network, in coordination with Wake Up Washington, is planning an anti-vaccination event on September 25 at Rooster’s Bakery and Cafe in Woodinville.

Puyallup Mayor organizing fund raiser for employees at MultiCare Good Samaritan Hospital

Puyallup Mayor Julie Door organized a GoFundMe page earlier this month to raise money for Starbucks gift cards, which will be distributed to 2,134 employees at MultiCare Good Samaritan Hospital.

Door created the GoFundMe page on Sept. 2 and had $6,050 as of Sept. 10. She thought she could show support for the employees by raising funds to give each of them a $5 Starbucks gift card.

Editor’s Opinion: Not directed at Mayor Door, however, most medical workers would prefer for everyone to wear a mask and get vaccinated so they don’t show up in the emergency department sick due to COVID. It isn’t a lack of gratitude. They’re exhausted and see this current wave as preventable.

Travel Advisories

We recommend avoiding all travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with the states of Alaska and Idaho. Hospital resources in these regions are so constrained that you may receive inadequate care if you experience a medical emergency.

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

No update beyond please get vaccinated.

King County, Washington is reporting over 85% 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.

COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. 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

According to the DoH COVID Dashboard, 23.1% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 91.4% of capacity statewide, with 35.6% of ICU patients fighting COVID. This is the highest level of occupancy within Washington state ICUs and the highest percentage of COVID patients under care.

The hospital admission rate Epidemiologic Curve dashboard wasn’t working today. It appears the daily hospitalization rate is in the 160s, which would be close to yesterday. This is another encouraging sign that the state may be hitting a peak. The Department of Health reported there were 1,683 COVID patients statewide on September 13 and 269 on ventilators. Both numbers indicate a decline although we have no way of knowing if the decline was due to fatalities or releases.

Providence Hospital announced this afternoon that they were stopping all non-emergency surgeries effective tomorrow, due to the growing patient load in Eastern Washington.

We got a response from the Washington State Department of Health on getting data on NICU, PICU, and pediatric COVID cases. The state is working on tracking that data and providing it as either a report or a dashboard. The date of availability was not provided.

News that Washington was still taking transfer patients from out state has created outrage on social media. The Washington State Hospital Association indicated they were taking patients but emphasized it was far fewer than in the past. Additionally, there are some hospital networks that have facilities between Washington and Oregon or Washington and Idaho, and patient transfers within those systems would be normal. In the same press conference, the WHSA indicated that a patient from Spokane was transferred to Idaho.

Everett Providence reported today that they are accepting “two to three” transfer patients a day, mostly from the North Puget Sound region. However, they currently have patients from Alaska, Idaho, and Montana. Officials also pointed out that Snohomish County is sending patients to King County.

In Bellingham, PeaceHealth Regional Chief Medical Officer Dr. Sudhakar Karlapudi stated the hospital was “at the cusp” of facing a COVID crisis similar to what hospitals in Yakima, Richland, and Walla Walla are facing. The hospital set a new record for the number of COVID patients under care over the weekend.

Back to School

School DistrictStatusQuarantinesClosures
BellevueYELLOW– Bellevue (3*)
– Chinook (1*)
– Highland (1*)
– Newport Heights (19)
– Spiritridge Elementary (23)
– Stevenson Elementary (2*)
None
Lake WashingtonRED– Alcott Elementary (1*)
– Carson Elementary (2*)
– Dickinson Elementary (1*)
– Eastlake High (1*)
– Einstein Elementary (1*)
– Ella Baker Elementary (1*)
– Robert Frost Elementary (9)
– Juanita Elementary (2*)
– Juanita High School (37)
– Peter Kirk Elementary (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Rose Hill Elementary (1*)
– Rose Hill/Stella Schola Middle School (1*)
– Thoreau Elementary (4*)
– Kamiakin Middle School (140)
– Mark Twain Elementary (3*)
NorthshoreYELLOW– Arrowhead Elementary (7)
– Bothell High School (28**)
– Canyon Creek Elementary (12)
– Canyon Park Middle School (4)
– Cottage Lake Elementary (13)
– Crystal Springs Elementary (13)
– East Ridge Elementary (3)
– Fernwood Elementary (7)
– Frank Love Elementary (12)
– Hollywood Hills Elementary (3)
– Inglemoor High School (3)
– Innovation Lab High School (2)
– Kenmore Elementary (3)
– Kenmore Middle School (31)
– Maywood Hills Elementary (6)
– North Creek High School (15**)
– Ruby Bridges Elementary (4)
– Shelton View Elementary (14**)
– Skyview Middle School (67)
– Sunrise Elementary (18)
– Timbercrest Middle School (21)
– Westhill Elementary (6)
– Woodin Elementary (4)
– Woodinville High School (18)
Under Investigation
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

The Lake Washington School District updated its tracking dashboard providing a better degree of insight on the number of confirmed COVID cases among students and faculty, mirroring the information provided by the Bellevue School District.

Although there are a significant number of impacted schools in the LWSD, there have not been any community transmission outbreaks within the district. The number of impacted schools in BSD declined overnight, and we were able to get more data on quarantines.

The more concerning trend is in the Northshore School District where 3 schools now have 5 or more reported confirmed COVID cases. Bothell High School has 7 confirmed cases between students and faculty, and another 21 in quarantine. Shelton View Elementary has 5 confirmed cases among students and another 9 in quarantine. North Creek High School has 7 confirmed cases among students, and 8 more in quarantine.

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulitaive Case Tracker has not been updated at press time.

Three states have exited the CDC ‘high’ COVID transmission category – Vermont, the most vaccinated state, Connect, the second most vaccinated state, and California, the 16th most vaccinated state.

The Pentagon announced guidance on the vaccination mandate that was established in August for active-duty military. Service members have three months to become fully vaccinated for face discharge from the force. The Marines released a soldier last week for refusing to wear a mask, issuing a general discharge under honorable conditions.

In what could be called ironic, Russian President Vladamir Putin is self-isolating after he was exposed to COVID. Putin who is vaccinated has faced accusations from European and North American nations of backing the spread of COVID misinformation to undermine trust in democratic governments.

Alaska

Providence Alaska Medical Center in Anchorage Alaska, the largest hospital in the state, was forced to move to crisis standards of care on Tuesday. The hospital published a two-page letter explaining why they had to restrict care and start making black tag triage decisions.

“At this time, we feel we have an ethical obligation to be transparent with our community and share with the public the distressing reality of what is happening inside the walls of our hospital. The state’s COVID-19 Dashboard isn’t equipped or designed to demonstrate the intricacies of providing medical care during this unprecedented time. More than 30% of the adult patients hospitalized at Providence have tested positive for COVID-19.

Our caregivers are doing their best, just as they have been for the past 18 months of this pandemic. We
believe that the Providence administration has acted in good faith throughout the pandemic, following the guidance of local and national experts to create policies and procedures that protect patients and caregivers.

While we are doing our utmost, we are no longer able to provide the standard of care to each and every
patient who needs our help. The acuity and number of patients now exceeds our resources and our ability to staff beds with skilled caregivers, like nurses and respiratory therapists. We have been forced within our hospital to implement crisis standards of care.

What does this mean? In short, we are faced with a situation in which we must prioritize scarce resources and treatments to those patients who have the potential to benefit most. We have been required to develop and enact policies and procedures to ration medical care and treatments, including dialysis and specialized ventilatory support.”

Doctor Kristen Solana Walkinshaw, Chief of Staff indicated that this decision could have a dramatic impact on healthcare across Alaska.

Anchorage Mayor Dave Bronson last weeksaid he will not ask residents to get vaccinated, issue a mask mandate, or order other COVID-19 restrictions. Bronson also said hospital capacity issues weren’t caused by COVID-19 patients but nurses leaving their jobs over vaccination requirements.

“Nurses here are not leaving because of the vaccine mandates. They’re leaving because they’re overwhelmed by the emotional toll it’s taking,” Gonsette, the Providence hospitalist, said in an interview Tuesday. “Part of it, we all feel it, is because we are not heard. The public either wants to bury their head in the sand or maybe some of them really don’t know what’s going on. Those are the ones we’re trying to reach.”

Colorado

We have avoided reporting on right-wing radio or TV personalities who have become infected or have died from COVID, but Bob Enyart was a special kind of awful. Enyart, a provocateur who gleefully mocked the deaths of AIDS victims, had encouraged his listeners not to get any of the three available COVID-19 vaccines because he claimed they had been tested on “cells of aborted babies.” (Though coronavirus vaccines do not contain fetal cells, Johnson & Johnson used a historic fetal cell line to produce and manufacture its vaccine; Pfizer and Moderna used a fetal cell line in a very early phase to confirm efficacy prior to production.) He also successfully sued the state of Colorado over COVID-related restrictions on church attendance.

Enyart’s wife is still hospitalized with COVID.

Editor’s Note: It is ironic that Mr. Enyart would die after exaggerating the danger AIDS presented to the general population while minimizing the impact of the second pandemic in his lifetime.

Idaho

The situation in Idaho is going from worse to catastrophic. In a media briefing today Idaho Health and Welfare Director Dave Jeppesen reported “Hospitalizations in Southwest, Central and South Central health districts, which includes the Treasure Valley and the Magic Valley, are reaching a critical point,” Jeppesen said. “Without a change in direction, crisis standards of care are imminent for all three of those health districts.”

The rising number of COVID patients has already forced Idaho hospitals to delay some surgeries and treatments. Health officials say more than 90% of COVID patients are unvaccinated. During crisis standards of care, Jeppesen says hospital administrators are forced to make tough decisions about how to allocate scarce resources.

Boise Mayor Lauren McLean announced new COVID-related restrictions that will start on Friday.

Any permitted event or activity held in a city-owned building must require masks indoors, require masks outdoors if six feet of physical distance can not be maintained, and submit a plan to the city for approval, and requiring “COVID-19 Protocol Ambassadors” on-site. In addition, the mayor said, all events over 250 people must require proof of vaccination or a recent negative COVID test. 

Event organizers will be tasked with supplying masks to those who do not have them. 

North Dakota

Hospitals in Fargo, North Dakota are reaching crisis levels as Minnesota deals with its own increase in cases, and is limiting the number of transfer patients.

“We do believe that here in Fargo, we’re probably about two to three weeks away from peaking in terms of COVID cases. But we’re already at capacity and have been for a few weeks now due to our overall non-COVID census being very high,” said Dr. Doug Griffin, vice president and chief medical officer at Sanford Health in Fargo.

Griffin said most of their COVID patients are local or coming from western North Dakota, where vaccination rates remain low. Griffin said the hospital is turning away patients who need critical care, some from as far away as southern Minnesota. 

Ohio

Governor Mike DeWine would instate a statewide mask mandate for K-12 schools if it weren’t for a state law passed earlier this year that allows state lawmakers to repeal health orders.

“If I could put on a statewide mandate, if the health department could do it, we’d do it,” he said during a Tuesday press conference. “The legislature has made it very clear that if we put a mandate on for kids in schools to wear a mask, they would take it off.”

DeWine’s comments were a shift from the Republican governor’s previous position, which had been that there isn’t an “appetite” for such mandates. DeWine has instead emphasized personal responsibility and sharing information with Ohioans.

Oregon

The number of Oregonians hospitalized with COVID-19 peaked on September first, but experts say the situation is still dire, and hospitalization rates are likely to remain high for months

“The good news is that we did peak,” said Peter Graven with Oregon Health and Science University. “The bad news is, the model is showing that it could take until the end of October or even November until we really get down to the levels that we had prior to the surge.”

Tennessee

Tennessee is now ranked as the worst state in the nation for COVID spread. The state, which ranks 40th for vaccinations, has the highest new case rate, and if it were a country, it would be third-worst in the world.

Utah

Parents in Utah aren’t getting notified about a child’s COVID exposure for days, and sometimes up to a week after it happened.

With recent testing difficulties and delays in contact tracing, parents around Utah are saying they aren’t getting notified of their kids’ classroom exposures until it’s almost too late to do anything about it. Quarantine periods generally are backdated to begin 10 days after the exposure or a student began having symptoms, but families may not know to start quarantine until days later.

Misinformation

We have a two for one tonight for misinformation. Part one – Nicki Minaj.

There is no scientific evidence, nor one single VAERS entry prior to September 13, 2021, stating that the COVID vaccine causes swelling in a man’s testicles. There is no scientific evidence to back up the claim that the COVID vaccine causes infertility in men or women (there is evidence that COVID infections cause stillbirths and premature births).

However, there is a condition that can cause swelling of the testicles, infertility, and a mate wanting to call off a wedding. That’s called gonorrhea. This type of misinformation is called a false causality fallacy where the “link between premises and conclusion depends on some imagined causal connection that probably does not exist.”

That would be correct.

First, it was hydroxychloroquine, and more than a year after former President Donald Trump stopped advocating it as a possible treatment, people are still taking it.

Then it was Chlorine dioxide, a chemical bleach that has been previously advertised as a junk science cure for autism.

Next came ivermectin – and we’ve beat that dead horse into the ground.

Then it was glyphosate, a herbicide.

Now it’s Betadine, the iodine-based antibacterial antiseptic. Yes, Betadine, and apparently people are drinking it and gargling with it, despite it being toxic when ingested. Additionally, long-term consumption of excess iodine can damage the thyroid.

The manufacturer of Betadine was receiving so many calls and inquiries they were forced to put a COVID-19 FAQ on their website.

“Betadine® Antiseptic First Aid products have not been approved to treat coronavirus. Betadine® Antiseptic First Aid products should only be used to help prevent infection in minor cuts, scrapes and burns.”

Betadine won’t prevent, treat, or cure COVID.

Local and national COVID update for September 13, 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) The number of hospitalized COVID patients dropped slightly over the weekend, while the number of critically ill patients on ventilators increased. New King County and statewide vaccination data show the gap between the most vaccinated and least vaccinated counties grew wider. A new IHME forecast indicates Washington may have hit the peak but forecasts a long fall ahead.

Two more schools in the Lake Washington School District reported COVID cases, while the number of quarantined students at Kamiakin Middle School rose to 140.

The Washington State Hospital Association stated hospitals were operating in “contingency care” as staffing, transportation, and some critical equipment remain in tight supply. 911 dispatchers in Seattle were diverting ambulance calls for part of the day on Saturday, as local emergency departments were flooded with a surge of patients.

A ferry was delayed by a man who refused to wear a mask, and on Friday, ferries heading to the San Juan Islands were canceled due to a sick out.

Complaints have emerged at the Spokane County Fair and the Washington State Fair due to people not wearing masks indoors and lax enforcement.

Almost 90 Washington state employees have filed a lawsuit in Walla Walla trying to block the governor’s vaccination mandate. A woman was cited for trespass in Vancouver for refusing to wear a mask and refusing to leave a private business.

This update uses the latest data from the Washington State Department of Health released on September 13, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 13, 2021

Washington state COVID update

The gap between the highest vaccinated counties versus the least widened more over the weekend. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, new cases are 886.1 per 100K people. In comparison, the Central Hospital Region, which represents King County, had a rate of 318.6.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
50.00% or above (12 counties)530.8 (up)
40.00% to 49.99% (18 counties)764.5 (up)
27.30% to 39.99% (19 counties)848.6 (up)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 12, Washington’s statewide 14-day rolling average was 526.1 COVID cases per 100K, which is slightly up from Friday but still within the 500 to 535 range the state has bounced between for weeks. Asotin (1,007.1 per 100K), Clallam (1,057.7 per 100K), Douglas (1,024.0 per 100K), Franklin (1,182.0 per 100K), Grant (1,036.7 per 100K) Lincoln (1194.6 per 100K), Okanogan (1,013.2 per 100K), and Stevens (1,191.2 per 100K) reported an extreme number of new cases. Counties in the 800.0 to 999.9 per 100K range include Adams, Benton, Chelan, Columbia, Cowlitz, Grays Harbor, Lewis, Pend Oreille, and Yakima. Garfield County dropped to 764.0

The Washington State Department of Health reports a data backlog for test positivity, with the published number 14 days old. According to Johns Hopkins University Medicine, the positivity rate for the last 30 days is 13.40%, and over the previous 7 days, 13.81%. These numbers indicate the state is under testing. Further, there has been little change in the positivity rate for almost a month.

The 7-day case rate by age was up in every age group except 35 to 49-year-olds. Hospitalizations were flat or slightly down over the weekend, and that decrease is mirrored in the patient reports from the Washington State Hospital Association.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1131.8 (up)0.1
Ages 12-1925.0 (up)0.1 (down)
Ages 20-3457.4 (up)1.3
Ages 35-4949.5 (down)2.6
Ages 50-6437.0 (up)3.7
Ages 65-7918.1 (up)3.5 (down)
Ages 80+5.4 (up)1.7
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 68 deaths on Friday. Numbers from over the weekend typically include multiple days of data and should not be used to read a trend.

Seattle Fire Department diverted 911 calls for ambulances on Saturday

For part of the day on Saturday, calls to Seattle 911 for ambulances were being diverted, with only the most serious calls being responded to. Critical calls were still covered, while others, which would normally get an EMS response, were told they would need to transport themselves.

Hospitals may decide to divert ambulances from going to their emergency room when they get overwhelmed with patients or are expecting a surge from incidents such as a mass casualty event. On Saturday, multiple emergency departments were beyond capacity in Seattle, which created a ripple effect impacting emergency departments both east and north of the city. On Saturday evening, one area hospital had over 80 patients in the emergency department and another 22 waiting for hospital beds.

The number of people coming into emergency departments wasn’t just due to COVID. There was an influx of medical emergencies such as cardiac arrests and several significant auto accidents. Additionally, the Washington State Hospital Association reported this morning there is a shortage of ambulances for ground transit.

Calls to 911 for EMS and fire services were above average on Saturday but nowhere near the record set on June 28, when the department responded to 555 calls for aid.

Latest IHME forecast projects Washington state has hit the peak

On Friday, the IHME updated its forecast models, which projected that Washington state has hit the peak for the current wave. The projected number of fatalities through December 1 declined slightly also, to 8,784. Part of the decline is due to the Washington vaccination mandate for state employees and the statewide order for mask wear. The model projects that if mask wear compliance was 100%, we could save 600 lives.

The model also projects that the state will only see a gradual decline in cases and will settle to half of the current volume of new cases, patients, and fatalities. The Washington State Hospital Association expressed today that slashing the number of hospitalized COVID patients from 22% to 11% as a new normal would be unsustainable for the healthcare system.

Vancouver police cite woman for trespass over refusal to wear mask

The incident apparently happened on September 8 but blew up on social media over the weekend after a story was run in the Post Millenial. A woman with her children at Chuck’s Produce and Street Market on Southeast Mill Plain Blvd. refused to wear or mask or leave the store when directed by staff. She continued to shop and was told police would be called.

When Vancouver police arrived, she continued to refuse the leave the store and went to checkout. While she continued to defy store management and the police, she was cited for trespassing.

Woman issued a trespass citation for refusing to leave a store in Vancouver, Washington, on September 8

Kitsap ferry delayed by man who refused to wear a mask

On Saturday, the 7:40 PM sailing of the Kitsap ferry from Fauntleroy was delayed for over an hour by a man who refused to wear a mask. According to Washington State Ferry employees, the man was asked to put a mask on during the crossing and refused. He then became “aggressive” toward the crew and appeared to be inebriated. He was issued a 60-day no-trespass order from the Washington State Ferries property. We also hope he didn’t drive off in a vehicle.

Weekend sick-out impacts ferry service to the San Juan Islands

After weeks of threats, a sickout impacted ferry service to the San Juan Islands on Friday evening. Two ferry runs out of Anacortes to Friday Harbor, the 4:45 PM and the 8:20 PM, along with the additional stops at Lopez, Shaw, and Orcas, were canceled due to a lack of Coast Guard certified personnel. Additionally, the #3 Samish was running behind schedule for the afternoon and early evening.

The Washington Federation of State Employees, which includes Washington State Ferries employees, ratified their agreement over mandated COVID vaccination with the state of Washington on Thursday. Over 80% of members voting in favor of the compromise agreement.

Spokane County Fair organizers respond after photos emerge of maskless guests and vendors

Photos emerged over the weekend of non-existent mask wear at the Spokane County Fair. According to KREM, Kevin Humphrey, a regular guest at the fair, talked to officials about the lack of masks and was told that masks were only checked at the entrance but were not being enforced.

In response to the photos, Spokane Interstate Fair Director Erin Gurtel wrote, “The Spokane Fair and Expo Center staff is communicating with all vendors in writing daily, along with verbal announcements over the Fairgrounds sound system multiple times a day. All of the vendors have been made aware of the requirement to wear masks indoors and starting tomorrow, September 13th, we will require this indoors and outdoors.”

The fair has also created numerous signs to post all over the grounds to communicate the new requirement of outdoor masks, Gurtel said. The fair’s team is also doing its best to communicate the requirement and make sure it is “being adhered to,” she added.

People complaining about lack of masks at the Washington State Fair

In Puyallup, where up to one million people are expected to visit the Washington State Fair through September 26, complaints are growing about maskless vendors and guests. Numerous pictures and videos emerged of groups of people both indoors and out.

89 state employees sue over Washington state employee vaccine mandate

A group of state employees from the Washington State Patrol, Washington State Ferries, and Washington State Department of Corrections filed a lawsuit in Walla Walla against the looming vaccine requirement.

According to a report in Northwest News, Nathan Arnold, the lawyer who filed the lawsuit, wrote, “The penalties for not taking affirmative action to comply with the Governor’s Mandate are overly severe, punitive, and unconscionable.” He also called the penalty of termination “arbitrary and capricious,” especially for employees who can work from home or have natural immunity from having previously contracted COVID-19.

The lead plaintiffs are William and Sherra Cleary. Mr. Cleary was listed as a King County firefighter and Ms. Cleary as a healthcare worker who is also pregnant. The plaintiffs are looking for the court to declare the vaccine mandate unconstitutional.

The Tri-Cities Herald reported Troopers Travis Brawdy and Brittany Crosby with the Washington State Patrol and Michele Vasquez, an employee of the Washington state Department of Revenue, were also listed as plaintiffs.

The Supreme Court’s 1905 ruling, Jacobson vs. Massachusetts, is a frequently used case to justify vaccine mandates at a municipal, county, and state level. The ruling by the Supreme Court was challenged as recently as last month, with a case being reviewed by Trump-appointed Justice Amy Coney Barrett. In that case, she ruled against the plaintiffs’ attempt to block a vaccine mandate at the University of Indiana.

Largest Tri-Cities employer mandating vaccination for all employees by November 15

Prior to the announcement by the Biden Administration, Pacific Northwest National Laboratory (PNNL) announced they would require all employees to be vaccinated by November 15. The company is located in Richland, and the decision was made by Battelle, the Department of Energy contractor that operates PNNL.

The Biden Administrator’s order for federal employees and contractors to get vaccinated also impacts 11,000 workers at Hanford.

Travel Advisories

We recommend avoiding all travel to Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with the state of Idaho. Hospital resources in these regions are so constrained that you may receive inadequate care if you experience a medical emergency.

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

Vaccination rates are increasing statewide. As of September 13, 75.1% of all Washingtonians 12 and up have received at least one dose of the COVID vaccine. In King County, 85% of all residents have received at least their first dose, and 78.9% are fully vaccinated.

Booster Shots

Tension is growing between the Biden Administration, the CDC and FDA, and global health leaders with the WHO over booster shots.

A group of leading U.S. and international scientists questioned the need for booster shots on Monday in a Viewpoint titled Considerations in boosting COVID-19 vaccine immune responses, published in the respected medical journal, The Lancet.

The report, in which two senior Food and Drug Administration officials were contributors along with the World Health Organization, came as another study indicated the FDA approved Pfizer vaccine and the emergency authorized Moderna and Johnson & Johnson vaccines remain highly effective against hospitalization and death.

“The ability of vaccines that present the antigens of earlier phases of the pandemic (rather than variant-specific antigens) to elicit humoral immune responses against currently circulating variants6,7 indicates that these variants have not yet evolved to the point at which they are likely to escape the memory immune responses induced by those vaccines.”

King County, Washington is reporting over 85% 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.

COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. 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

According to the DoH COVID Dashboard, 23.2% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 90.9% of capacity statewide, with 35.0% of ICU patients fighting COVID. All of these numbers are up from over the weekend.

The new hospital admission rate for COVID patients was 162 per day on September 11. This is a decrease from last week and is an indicator that the state may be at its peak. The Department of Health reported there were 1,742 COVID patients statewide on September 12 and 275 on ventilators. That is down from the 283 reported on Saturday. Weekend numbers typically get adjusted upward on Tuesday as additional data is processed.

EvergreenHealth reported there are 39 COVID patients in Kirkland and none in Monroe.

The Washington State Hospital Association held its weekly press conference, telling reporters that hospitals are operating under “contingency care” statewide. From walk-in clinics to trauma centers, medical facilities continue to struggle with the crush of regular and COVID patients.

We are in a crisis, but we are not in crisis standards of care,” said Washington State Hospital Association (WSHA) Executive Vice President Taya Briley.

Briley also reported that 95% of hospitalized COVID patients statewide are unvaccinated, saying, “We are far, far above our peak from last year.”

Dr. Christopher Baliga with Virginia Mason Franciscan Health in Seattle added, “The hospitals are struggling.”

“Everyone who works in healthcare, it does feel like everybody has gone back to normal. It is scary, frustrating, and disheartening for people not to understand what is going on. We have stretched almost as far as we can go.”

“With the last surge in the fall, our hospitals were empty. That’s not true anymore. All of those patients are there…and they are sicker. This is non-COVID. YOu now have a hospital that is essentially full having to manage an influx of COVID patients.”

When asked about what additional resources would be available to improve the situation, Briley reported there were few options left. The state was already enlisting the help of unpaid volunteers. The WSHA had already reached out for National Guard resources, but the critical staff and equipment have already been deployed to other states to support their COVID surges, along with aiding in hurricane, flooding, and climate disasters. Federal resources are also stretched thin.

The press conference closed with an appeal to get vaccinated, wear a mask, and avoid risky behavior that could cause a general injury.

Back to School

School DistrictStatusQuarantinesClosures
BellevueYELLOW– Bellevue (7)
– Chinook (10)
– Clyde Hill (1)
– Highland (1)
– Interlake (1)
– Newport (3)
– Sammamish (2)
– Somerset (1)
– Tillicum (1)
– Tyee (1)
– Woodridge (13)
None
Lake WashingtonRED– Benjamin Franklin Elementary (?)
– Juanita Elementary (1)
– Juanita High School (37)
– Peter Kirk Elementary (2)
– Robert Frost Elementary (9)
– Thoreau Elementary (4)
– Kamiakin Middle School (140)
– Mark Twain Elementary
NorthshoreYELLOW– Arrowhead Elementary (1)
– Bothell High School (19)
– Canyon Creek Elementary (9)
– Canyon Park Middle School (4)
– Cottage Lake Elementary (4)
– Crystal Springs Elementary (4)
– East Ridge Elementary (2)
– Fernwood Elementary (2)
– Frank Love Elementary (11)
– Hollywood Hills Elementary (1)
– Inglemoor High School (2)
– Kenmore Elementary (1)
– Kenmore Middle School (7)
– Maywood Hills Elementary (2)
– North Creek High School (6)
– Ruby Bridges Elementary (1)
– Secondary Academy for Success (1)
– Shelton View Elementary (7)
– Skyview Middle School (10)
– Sunrise Elementary (4)
– Timbercrest Middle School (9)
– Westhill Elementary (5)
– Woodin Elementary (1)
– Woodinville High School (7)
– Woodmore Elementary (9)
None
Local Districts Scorecard

In the Lake Washington School District, new quarantines were announced at Ben Franklin and Robert Frost, while the number of quarantined students at Kamiakin Middle School grew to 140, 24% of the student body. Several classrooms are now fully virtual, moving the school over into the closure column.

It is important to note that quarantined does not indicate widespread infection. To date, none of the area schools we are following have reported a significant outbreak of COVID cases that has been transmitted in school or at school activities.

Kirkland-Bellevue-Woodinville

King County Public Health updated the vaccination rates by zip code, with the numbers improving throughout the region. The northern half of Kirkland continues to lag behind the rest of the local area.

King County COVID vaccination rates – at least one dose – by zip code as of September 13, 2021
Zip CodePercent vaccinated, at least one dose, 12 and older
9815592.7%
9802889.2%
9801188.7%
9803486.0%
9803392.6%
9807291.6%
98052>95.0%
98004>95.0%
9803994.3%
98005>95.0%
9800789.9%
Vaccination rates for those 12 and older by zip code – at least one dose

National Round-Up

Johns Hopkins University Cumulitaive Case Tracker does not reflect nationwide data on Monday due to the way states report their information.

Irresponsible headline of the day – 57% of hospitalized COVID patients are asymptomatic or have mild symptoms

The Atlantic is grabbing headlines with a story out this afternoon, Our Most Reliable Pandemic Number is Losing Meaning. There is a lot that is problematic with this story and the interpretation of a study released today. The study, The COVID-19 Hospitalization Metric in the Pre- and Post-vaccination Eras as a Measure of Pandemic Severity: A Retrospective, Nationwide Cohort Study, is a pre-print non-reviewed study. The study includes a list of prestigious and respected doctors from the Veteran’s Administration and Tufts University.

For those who only read headlines (and the coming misinformation memes), there are many things to consider that the story in The Atlantic did not.

  • COVID patients, even when asymptomatic or mildly sick, require additional safety protocols for hospital staff. This takes up time, equipment, and personal protection equipment. This would be the same protocols for patients with other infectious diseases such as a measles outbreak. The critical difference is the scale of the number of COVID positive patients coming into hospitals.
  • The report only analyzed patients in the Veteran’s Administration, which is heavily male, and does not include pediatric patients. The VA demographics are not representative of the United States population.
  • The report study period ended in June, before the surge in Delta cases.
  • The study did not control for patients who required oxygen therapy before being admitted to a VA hospital, a condtion that is more common among veterans than the general population.
  • The VA has a policy of testing all patients for COVID regardless of what they come into the hospital for. That is not reflective of all hospitals in the United States.
  • Not all severe cases of COVID are admitted to a VA hospital, and those cases aren’t included in the data.

The report concludes, “Consideration should be given to updating the definition of COVID-19 hospitalizations to improve differentiation between hospitalization caused by COVID-19 and those associated with detection of SARS-CoV-2 through the addition of straightforward and objective measures of disease severity.”

Alabama

Alabama is seeing several indicators that could mean it’s reached a peak, at least temporarily, in the latest COVID-19 surge.

After reaching a peak of 2,890 COVID-19 inpatients on Sept. 1, the state’s hospitals are starting to see a steady fall in the number of coronavirus patients.

As of Monday, hospitals were down to 2,474 patients being treated for the virus, according to the latest data from the Alabama Department of Public Health. It’s not clear to what extent the drop in hospitalizations is due to deaths or discharges.

Alaska

The number of patients in Alaska hospitalized with COVID-19 rose again over the weekend, setting yet another new record.

By Monday, the state health department reported 210 COVID-19 patients in Alaska hospitals — the most ever. Thirty-three of them were on ventilators.

Health care officials have also cautioned that the true number of hospitalizations is likely even higher because the state’s data doesn’t include some long-term coronavirus patients, reported the Anchorage Daily News.

Hospitals in Anchorage had no remaining ICU beds on Monday.

California

A Grover Beach bank manager and Army veteran says he was called a racist slur and then attacked and beaten in the parking lot — all because he asked a customer to wear a mask.

Police have confirmed they are investigating a report of a hate crime and battery that occurred in the city last week, but they declined to disclose further details.

The Wells Fargo employee asked the man to wear a mask, and he responded aggressively. When he offered a mask to the customer, he started rummaging through the file cabinets and drawers of the bank, forcing employees to threaten to call the police.

The man then threatened the employee, calling him a racial slur and finishing with, “I better not catch you outside.”

When the bank closed at 5:30, the man was waiting for the banker and assaulted him in the parking lot. The employee fought back, and as a coworker called the police, the attacker fled. He was chased for a block, and as police arrived, scrambled over a fence.

“It’s crazy,” he added. “The guy went home, he plotted, he laid in wait, he ambushed me. And he called me a ‘sp–.’ I’m thinking, ‘Gosh, you know, he completely escalated on his own. He didn’t like the idea of having to wear a mask.’”

Florida

As Florida’s new case and hospitalization numbers continue to decline, Governor Ron DeSantis appears poised to try and move the numbers in the other direction.

Standing firm in the face of the Biden Administration, Florida Gov. Ron DeSantis on Monday said any cities and counties in the Sunshine State that mandate the COVID-19 vaccine for public government employees will be fined $5,000 per worker.

Speaking in Alachua County, DeSantis said government agencies in violation could potentially face millions of dollars in penalties.

“We are gonna stand for the men and women who are serving us. We are gonna protect Florida jobs,” DeSantis said. “We are not gonna let people be fired because of a vaccine mandate.”

Georgia

After weeks of rising COVID-19 case numbers, Georgia could finally be seeing a slowdown.

Cases started climbing in late June and finally topped out toward the end of August. At that point, the state averaged more than 9,200 new cases a day. The average dropped by almost a thousand a week later.

Georgia never surpassed January’s surge that topped out at an average of nearly 11,000 new cases a day, but the state did almost double the peak from July 2020 of less than 4,700.

Health experts questioned whether traveling and get-togethers over the Labor Day weekend would keep cases climbing. The holiday still falls well within the two-week preliminary data window, so the state is still counting tests from that time. 

Idaho

According to data from the Idaho Department of Health and Welfare, Idaho added 25 new COVID-19 deaths and more than 2,700 cases to its pandemic ledger Monday. The numbers are part of a surge of COVID-19 infections that have set new hospital and intensive care unit admissions records.

Idaho’s 2,713 new cases, which included the weekend, brought the state’s seven-day moving average for new daily cases to 1,400. Hospitalizations hit a record high on Friday, with 626 patients hospitalized with COVID-19 statewide.

The Panhandle and North Central Health Districts in Idaho continue to operate using “crisis standards of care.” We strongly recommend not to travel to Idaho during this time of medical crisis. Any health emergency requiring hospitalization could result in you receiving inadequate care.

Illinois

We reported last week about Veronica Wolski. A well-known figure in the Chicago area for her sign waves over an expressway, last week it was widely reported that she was in the hospital with COVID.

Veronica Wolski in a Chicago area Staples refusing to wear a face mask, and on BIPAP therapy at a Chicago area hospital

Wolski died on Sunday night to the outrage of the QAnon community, disgraced lawyer Lin Wood, and former national security advisory Michael Flynn. According to her supporters, she had requested to be treated with ivermectin, and the hospital has refused.

A harassment campaign led by Wood and Flynn flooded the hospital with phone calls and e-mails.

Disgraced lawyer Lin Wood’s statement on the death of Veronica Wolski

Wolski was a passionate supporter of Bernie Sanders starting in 2014, campaigning vigorously for the Vermont Senator. When Sanders failed to get the nomination from the Democratic Party, she became despondent and starting following the QAnon conspiracy.

North Carolina

The Union County Public School Board voted Monday morning to end COVID-19 contact tracing and quarantining for non-positive students and staff.

That means students can go to school even if they have come in close contact with someone who is COVID-positive. The only people who have to stay home are those who have tested positive or have symptoms.

The School Board released a statement after the decision was made.

“At the Sept. 13 Special Called meeting, the Union County Board of Education voted effective immediately, to halt all staff responsibilities regarding contact tracing and quarantining for students and staff, except as required by law. The statutory authority of managing contact tracing and quarantining is that of Union County Public Health.

“As required by law, school nurses, administrators and school staff will continue to address positive, presumptive or confirmed cases of COVID-19. All students and staff who do not have a positive COVID-19 test or symptoms, should return to school or work immediately.

“If students or employees have the following symptoms: fever or chills, sore throat, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, new loss of taste or smell, sore throat, congestion or runny nose, nausea, diarrhea and vomiting, headache, they should stay home, stay away from others and call their health care provider.

“Students and employees who have been isolated due to a positive case or COVID-19 symptoms, should not report to school or work until they have completed 10 days of isolation, symptoms have improved and fever free for 24 hours without fever-reducing medication.

“Face coverings are still optional for students and staff in Union County Public Schools.”

UNC Rex Hospital in Raleigh set up tents outside its Emergency Department on the same day more than 11,000 new cases of COVID were reported statewide. The surge tents will allow UNC Rex to expand its Emergency waiting areas and treatment areas.

“The hospital is full,” said Rex Director of Emergency Services Kim Boyder. “We are like 90% or greater capacity in the hospital. So that means we also get backed up in the ER. So that means we need additional space for not only the volume but some of the boarding.”

Oregon

During the weekend, Oregon surpassed 300,000 confirmed and presumptive COVID-19 cases since the start of the pandemic, the state health authority reported on Monday.

Although COVID-19 related hospitalizations have declined since Friday, 93% of Oregon’s hospital beds for adults are full, and there are just 62 adult intensive care unit beds available in the state.

Between Friday and Sunday, health officials say there were 32 deaths due to COVID-19. To date, the state’s death toll since the start of the pandemic is 3,446.

Oregon is in the midst of its worst COVID-19 surge since the start of the pandemic — which health officials say is fueled by unvaccinated people and the highly transmissible delta variant.

Misinformation

Taking the day off

State employees approve vaccine mandate compromise – local and national COVID update for September 10, 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) Hospitals in Eastern Washington continue to struggle with more officials warning they are running out of staff and resources. Counties with higher vaccination rates have fewer new COVID cases, while counties with low vaccination rates run out of options.

There were more COVID cases in all three school districts we are monitoring, including Peter Kirk Elementary and an expansion of quarantined students at Juanita High School and Kamiakin Middle School.

The Washington Federation of State Employees overwhelmingly approved a compromise agreement with Washington in support of the Governor’s vaccine mandate.

The Proud Boys and Patriot Prayer ignored a court order barring protests within one mile of Vancouver, Washington schools. The same organizers of the ongoing Vancouver protests have an event scheduled in Woodinville on September 25.

New data from the CDC shows that Moderna is the vaccine winner against the Delta variant and provides a hint on why the Johnson and Johnson vaccine has all but disappeared.

Reactions to announcements made by the Biden Administration yesterday are following partisan lines to the surprise of no one.

Finally, you probably heard about a study that indicated that 85% of men who take ivermectin become infertile. A study that we haven’t mentioned until right now. We cover that one in our misinformation section.

This update uses the latest data from the Washington State Department of Health released on September 10, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 10, 2021

Washington state COVID update

Although COVID cases remain on a plateau statewide, counties with lower vaccination rates have more new cases per capita.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
50.00% or above (12 counties)517.8
40.00% to 49.99% (17 counties)697.2
27.30% to 39.99% (10 counties)828.5
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, new cases are 844.9 per 100K people.

Through September 9, Washington’s statewide 14-day rolling average was 508.0 COVID cases per 100K. Clallam (1,008.2 per 100K), Columbia (1,075.3 per 100K), Franklin (1297.0.0 per 100K), Lincoln (1049.5 per 100K, Okanogan (1,001.6 per 100K), and Stevens (1,060.5 per 100K) reported an extreme number of new cases. Counties in the 800.0 to 999.9 per 100K range include Asotin, Benton, Chelan, Cowlitz, Douglas, Grant, Lewis, Pend Oreille, and Yakima. Garfield County dropped to 764.0

King County is at 301.1 cases per 100K, statistically unchanged from yesterday.

The Washington State Department of Health reports a data backlog for test positivity, with the published number 14 days old. According to Johns Hopkins University Medicine, the positivity rate for the last 30 days is 13.73%, and over the previous 7 days, 13.84%. These numbers indicate the state is under testing, and testing locations are becoming overwhelmed in the hardest-hit counties. The rate of hospitalization was flat to down across all age groups.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1128.3 (up)0.1
Ages 12-1922.00.2
Ages 20-3450.4 (down)1.2 (down)
Ages 35-4945.22.8
Ages 50-6433.23.8 (down)
Ages 65-7916.63.8 (down)
Ages 80+5.1 (down)1.6
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 59 deaths yesterday.

Washington Federation of State Employees union ratifies COVID vaccination mandate agreement

Members of the Washington Federation of State Employees ratified an agreement with the state addressing the effects of Governor Inslee’s vaccine mandate. The vote concluded Thursday night, with more than 80 percent casting their ballot in favor of ratification.

The agreement provides an additional leave day, a retirement option, vaccine access and education on work time, and a fair, equitable, and consistent process for employees seeking a medical or religious exemption.

“Our union was able to achieve what we set out for—a victory for public health and due process,” said WFSE President and Psychiatric Social Worker Mike Yestramski.

State employees have until this Sunday to get their first dose and comply with the October 18 deadline to be totally vaccinated. Although the Johnson & Johnson vaccine could be received as late as October 4 to meet the deadline, the supply of the single-dose vaccine is low.

Patriot Prayer, Proud Boys, and activists ignore protest injuction in Vancouver

Multiple groups protested at Skyview High School in Vancouver in defiance of a court order restricting protests within one mile of any school in the city. Skyview High School parents received an e-mail informing them of the multiple protests planned. The school district added security and was “coordinating with the Clark County Sheriff’s Office.”

E-mail message sent to Skyview High School parents warning of new protests by anti-vaccination and anti-government groups

Members of Patriot Front, the Proud Boys – including Tusitala “Tiny” Toese, and the Washougal Moms protested on school grounds and across the street. Police did not intervene to enforce the court order. The group then left to protest at the home of Clark County district judge Suzan Clark’s home. Social media posts and a website listed the judge’s address publicly, and on Telegram, there were calls to come armed to her home. Protesters arrived at the published address this afternoon to find that it wasn’t the residence of Judge Clark.

The Group Wake Up Washington calling for a protest at a District Judge’s home to protest a court order

The group that organized the planned protest at the judge’s home also organizes anti-vaccination protests across Washington state, including upcoming area protests in Seattle, Marysville, and Woodinville. The Seattle Truth Network, in coordination with Wake Up Washington, is planning an anti-vaccination event on September 25 at Rooster’s Bakery and Cafe in Woodinville.

Palmer Davis of La Center is behind the announcement to protest at the judge’s house yesterday. Davis ran for a city council seat in La Center last month, receiving 4.68% of the vote in a 4 candidate field.

The anti-vaccination and the anti-government movements are intersectional, with Open Schools USA, Wake Up Washington, and Washougal Mom’s have embraced support from right-wing organizations. In a study released on August 27, the Proud Boys were among the top three factions in the country that brandished firearms at protests, and Patriot Prayer was among the top ten. The same study found that 25% of the events that the Proud Boys showed up at descended into violence.

Travel Advisories

We recommend avoiding all travel to Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with the state of Idaho. Hospital resources in these regions are so constrained that you may receive inadequate care if you experience a medical emergency.

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

The CDC Morbidity and Mortality Weekly Report (MMWR) included a new report studying the Interim Estimates of COVID-19 Vaccine Effectiveness Against COVID-19–Associated Emergency Department or Urgent Care Clinic Encounters and Hospitalizations Among Adults. The report studied vaccine effectiveness against the Delta variant in nine states from June to August.

The research data was collected from 187 hospitals and 221 emergency departments and urgent care clinics. The nine states utilized were selected because the Delta variant accounted for at least 50% of the laboratory-confirmed COVID cases at the start of the study period. Researchers examined confirmed COVID cases among 32,867 adults 18 and over, and vaccination status was confirmed using electronic records and immunization registries. For the study, a person was considered fully vaccinated 14 days after they received their final dose.

The median age of an infected person was 43 years old, and the median age for an individual hospitalized was 65. The study did not take into account factors such as weight, race, community COVID restrictions or mandates, or comorbidities.

The study found that the Moderna vaccine was the most effective against the Delta variant, followed by Pfizer and Johnson & Johnson. For the Johnson & Johnson vaccine, some of the data is concerning.

VaccineEffectiveness Against Delta VariantEffectiveness Against Hospitalization
Johnson & Johnson65%60%
Moderna92%95%
Pfizer77%80%
All Vaccinated Individuals82%86%
CDC Study on vaccination effectiveness against the Delta variant – September 10, 2021

The study does have several limitations. Overall vaccine effectiveness and how much immunity declines over time have not been fully evaluated, and the time between being completely vaccinated before testing positive was not considered. The study did not account for partial vaccinations, with data included in the unvaccinated group. Lastly, although the study uses a significant population sample, the findings are likely too narrow to apply to the entire United States.

The federal government stopped the distribution of the Johnson & Johnson vaccine in June of this year, and doses are very hard to find. This report provides some insight into why the one-dose vaccine has fallen out of favor.

King County, Washington is reporting over 84% 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.

COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. 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

According to the DoH COVID Dashboard, 22.4% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 89.6% of capacity statewide, with 34.1% of ICU patients fighting COVID, a small increase compared to yesterday.

The new hospital admission rate for COVID patients is 176 per day on September 7. The Department of Health reported there were 1,755 COVID patients statewide and 261 on ventilators.

Yesterday, we reported that at least one hospital in Yakima was having to ration care and warned they were close to crisis standards of care. In Colville, Mount Carmel Hospital is full, and more than half of the patients have COVID.

“Stevens County today has 14. When you think about only having 25 beds or less in critical access,” Peg Currie, the chief operating officer at Providence Healthcare, explained. “Imagine what the emergency rooms are like, the waiting lists are like, to try to get into a higher level of acute care.”

The Walla Walla County Department of Community Health reported over the last 2 weeks, Mary Hospital had no beds available, and the county recorded the most lab-confirmed cases of COVID in a single month since the pandemic began. On Wednesday, 90% of the hospitalized COVID patients in Walla Walla were unvaccinated.

Officials in Spokane County held a press conference today, reporting a record number of COVID and total patients in the hospital.

As of Friday morning, 150 patients with COVID-19 are hospitalized at Sacred Heart and Holy Family Hospital in Spokane, and 95% are unvaccinated, Providence COO Peg Currie said during the press conference.

“It’s not a record that we wanted to break, but we have broken that,” Currie said. “Many of these [patients] are in our ICUs, and everybody that is in the Sacred Heart and Holy Family ICU now on a ventilator is not vaccinated.”

The age group that Providence is seeing the most in its hospitals is 40 to 50 years old, Currie said, which is much younger than previously hospitalized patients. 

Back to School

School DistrictStatusQuarantinesClosures
BellevueYELLOW– Bellevue (7)
– Chinook (10)
– Highland (1)
– Interlake (1)
– Newport (3)
– Sammamish (2)
– Somerset (1)
– Tillicum (1)
– Tyee (1)
– Woodridge (13)
None
Lake WashingtonRED– Kamiakin Middle School (94)
– Juanita Elementary (1)
– Juanita High School (37)
– Peter Kirk Elementary (2)
– Thoreau Elementary (4)
– Mark Twain Elementary – 2nd-grade class (multiple confirmed cases)
NorthshoreYELLOW– Arrowhead Elementary (1)
– Bothell High School (18)
– Canyon Creek Elementary (10)
– Canyon Park Middle School (4)
– Crystal Springs Elementary (5)
– East Ridge Elementary (2)
– Fernwood Elementary (2)
– Frank Love Elementary (9)
– Hollywood Hills Elementary (1)
– Inglemoor High School (1)
– Kenmore Elementary (1)
– Kenmore Middle School (10)
– Maywood Hills Elementary (2)
– North Creek High School (11)
– Ruby Bridges Elementary (2)
– Shelton View Elementary (6)
– Skyview Middle School (11)
– Sunrise Elementary (1)
– Timbercrest Middle School (6)
– Westhill Elementary (5)
– Woodin Elementary (1)
– Woodinville High School (6)
– Woodmore Elementary (9)
None
Local Districts Scorecard

The number of students moving to quarantine expanded at Juanita High School and Kamiakin Middle School in the Lake Washington School District. Parents were notified that 29 at Juanita High and 13 at Kamiakin had close contact with a positive COVID case. Additionally, parents at Peter Kirk Elementary were notified that 2 students had been put into quarantine due to a COVID exposure.

Multiple school districts throughout Western Washington are reporting COVID cases, including Shoreline and Edmonds.

The next board meeting for the Lake Washington School District is Monday, September 13, 2021, at 7:00 PM and will be remote only.

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulitaive Case Tracker was not updated at press time.

Yesterday’s announcement by the Biden Administration’s mandating the COVID vaccine for most federal employees and contractors, and requesting OSHA to implement a program that mandates vaccination or weekly COVID screening at companies with 100 or more employees, is being met with fierce resistance along partisan lines.

The governors of Arizona, Indiana, Georgia, Montana, South Carolina, Tennessee, and Texas vowed to fight the looming OSHA rules in court. During a visit with first lady Jill Biden to a middle school in Washington D.C., the president was asked his message to Republicans who decry the vaccine mandates as federal overreach and plan to challenge them in court.

“Have at it,” Biden said. “We’re playing for real here. This isn’t a game.”

Alaska

Officials reported another record number of patients in the hospital with COVID as the medical struggles to cope. Large hospitals in cities such as Anchorage are so full of COVID patients that rural hospitals can’t transfer critical care patients. Similar to Idaho, Oregon, and Eastern Washington, patient care is starting to suffer as hospitals weigh their options.

Nome’s hospital doesn’t even have any COVID-19 patients, but it still faces “a COVID problem,” as Dr. Tim Lemaire, a family practitioner and member of the Norton Sound Health Corp. incident command team, put it. “We don’t have COVID here, but we can’t get our regular patients … care because of COVID everywhere else.”

Trying to move patients with heart attacks, strokes, or injuries from four-wheeler accidents, Norton Sound Regional Hospital sometimes has to call three or four facilities to find an open bed, at least once moving a patient all the way to Seattle to get them into an ICU.

State officials say rural hospitals throughout the state are suddenly facing unheard-of medical situations because they’re holding patients they’ve never had to before.

Brian Ritchie, the state’s health emergency response operations manager, helped a rural hospital find oxygen supplies after COVID-positive patients on high-flow therapy ran through existing cylinders faster than expected.

California

San Francisco schools started in-person instruction on August 16. A month later, the school district has reported 227 confirmed COVID infections among 52,000 students and almost 10,000 staff. Officials noted that in San Francisco, 90% of students age 12 to 17 are fully vaccinated.

The district hasn’t experienced a single outbreak during the first month of instruction. Officials define an outbreak as “three or more cases in non-related households in which the source of infection occurred at the school, and not another setting.”

The San Francisco health department also emphasized that vaccinations “are our best defense to protect children,” noting most pediatric cases of COVID-19 in the city came from unvaccinated adults in a household getting the virus and spreading it to unvaccinated children.

Colorado

Hospitals are starting to move to surge plans as the number of available ICU beds dropped below 200 today. COVID-19 Incident Commander Scott Bookman spoke with reporters today at a press conference with Governor Jared Pollis.

“The difference between this wave and all past waves is that Coloradans have returned to their normal lives,” Bookman said. “Those who have been vaccinated have been given the opportunity to go out and live their lives. What comes with that is additional cases of trauma, additional heart attacks, additional strokes – we have seen people who have delayed receiving care over the course of the pandemic because they were afraid to go to their doctor. And this is all coming together with the increase in COVID hospitalizations at this point to really stress our health care system.”

Colorado’s hospitals report that 81% of those hospitalized in the state are unvaccinated, and 85% of recent COVID deaths were unvaccinated, said Herlihy.

Florida

Less than 24 hours after a court blocked a mask mandate ban in Florida, the First District Court of Appeal has reinstated a stay on DeSantis’ ban on mask mandates in schools.

DeSantis’ press secretary Christina Pushaw tweeted: “(First) District Court of Appeals just granted the State of Florida’s request to reinstate the stay — meaning, the rule requiring ALL Florida school districts to protect parents’ rights to make choices about masking kids is BACK in effect!”

Yesterday, a Brevard County School Board meeting was far more subdued than the August 30 meeting that made national headlines. While things were quieter outside, a crowd of over 20 people gathered to burn masks. A counter-protestor with a megaphone, a Firehouse Subs helmet, and a fire extinguisher lectured them about fire safety and threatened to put out any fire they lit.

Megan Alexandra Blankebhiller of Jacksonville, Florida, arrived in a hospital emergency room on August 13. As she waited to be seen, she shot a short Tik Tok video, where the screams of another person could be heard in the background. The screams were coming from a person who had lost a loved one in another area of the emergency department.

Blankenbiller, who was 31 and unvaccinated, was admitted to the hospital with COVID. She made a series of videos appealing for her followers to get vaccinated from her bed as her condition declined.

“I shouldn’t have waited,” she said in the video, which has been viewed nearly 900,000 times. “If you are even 70% sure that you want the vaccine, go get it. Don’t wait. Go get it because hopefully, if you get it, you won’t end up in the hospital like me.” 

@atasteofalex

**Also, Tonic Water. Nasty stuff but good for you!! Stay safe out there guys!

♬ original sound – It’s Alex, Betch. 💋

By August 20, Blankenbiller was in critical condition and on a ventilator, and she died shortly thereafter. Blankenbiller’s sister, Cristina Blankenbiller, told WebMD in an interview that their family had agreed to get vaccinated, including Alexandra, shortly before she became ill.

Idaho

The Panhandle and North Central Health Districts in Idaho continue to operate using “crisis standards of care.” We strongly recommend not to travel to Idaho during this time of medical crisis. Any health emergency requiring hospitalization could result in you receiving inadequate care.

Illinois

Veronica Wolski was well known in the Chicago area for producing videos and harassing retail employees and people wearing masks. In one video, she walked through a Staples, wearing a “Lone Ranger” style mask, telling the manager who asked her to wear a mask that she has one on and has a medical condition that exempts her.

Veronica Wolski in a Chicago area Staples refusing to wear a face mask, and on BIPAP therapy at a Chicago area hospital

Wolski is hospitalized with COVID at Ressurection Medical Center in Norwood Park, Illinois. According to her supporters, she has requested to be treated with ivermectin, and the hospital has refused. Wolski was known in QAnon circles. Her situation has drawn the attention of disgraced attorney Lin Wood and former National Security Advisor Michael Flynn (have we mentioned lately how the anti-vaccination and the anti-government movements are intersectional).

The hospital is being flooded with phone calls and e-mails after deciding not to treat her with ivermectin. Hospital officials released a statement to the media about the state of her care.

“At AMITA Health, our first priority is the health and safety of our patients. Our physicians and clinicians follow the full guidance of the FDA and the CDC in the treatment of COVID-19. And while AMITA Health Resurrection Medical Center has received hundreds of phone calls and emails associated with one patient’s care, we have simply and respectfully noted the concerns shared.”

The largest peer-reviewed study on the effectiveness of ivermectin in treating COVID so far indicated that the anti-parasitic provided no benefit compared to a placebo. For hospitalized patients, it made them sicker.

Oregon

The good news is Oregon appears to have a peak in cases and hospitalizations. The same forecast that accurately predicted the peak now is forecasting that cases will only gradually fall off over the next two to three months, leaving hospitals in the state straining to care for patients.

Hospitalizations peaked at 1,178 COVID-19 cases on Sept. 1, and critical care resources remain under extreme strain, with roughly half of all intensive care units in the state filled with COVID-19 patients who are largely unvaccinated.

“It looks like we are seeing the flattening of cases that we had hoped for,” said Peter Graven, Ph.D., lead data scientist in OHSU’s Business Intelligence unit. “However, we are still projecting it will be a very long time before hospitalization levels return to more manageable levels.

Tennessee

Tennessee High schooler Grady Knox’s passionate plea for the health of himself and others was mocked earlier this week at a Rutherford County Board of Education meeting, a scene that has drawn national attention. 

Knox was ridiculed, even laughed at, Tuesday evening by some in the school board meeting audience when he said his grandmother died of COVID-19 after being exposed to a person without a mask.

Knox’s grandmother lived at Adams Place retirement community in Murfreesboro before she died of COVID-19.

After three hours of debate and Knox being heckled, the board decided to have masks remain optional at the school.

One of the persons who heckled Knox was quickly identified as Erika Casher, a nurse who had spoken at other school board meetings. It was reported today that Casher was terminated from her position with Cigna.

Texas

Karra Harwood of Baycliff, Texas, is mourning the death of her 4-year old daughter, Kali Cook, who died of COVID. Harwood, who is unvaccinated, had become sick and was confirmed to have on Monday. After her diagnosis, she isolated herself from her family.

Later that evening, Kali’s grandmother noticed she was sick, and at 2 a.m. found that she had a fever. At 7 a.m., she was found dead in her bed. An autopsy confirmed that Kali also had COVID.

“She was so funny and sassy,” said Karra Harwood, Kali’s mother. “She wasn’t your average little girl. She’d rather play with worms and frogs than wear bows. She was just so pretty and full of life.”

Harwood said she didn’t want people to think of her daughter as an anonymous statistic through sobs Thursday. She wanted people to know who her daughter was.

“I would rather her be a name than just a little girl,” she said. “She was beautiful.”

“I was one of the people that was anti. I was against it,” she said. “Now, I wish I never was.”

Misinformation

A lot of schadenfreude has been spilled in the news on social media after a 2011 study on the Effects of Ivermectin therapy on the sperm functions of Nigerian onchocerciasis patients reemerged. The study found that 85% of men who took ivermectin to treat onchocerciasis (river blindness) suffered from low sperm count and poor sperm quality, rendering them infertile.

The story was widely published, and tonight, many media outlets are retracting the story. We never highlighted this piece of news, and we’re labeling the claim as misinformation.

The problems with the study are numerous. First, it only involved 37 men, which is a very small sample size. Researchers wanted to include more people in the study, but many were disqualified because they already had low sperm count and/or low sperm quality.

The men took ivermectin for 11 months to treat active river blindness, which is longer than almost anyone taking human or animal formulations of ivermectin as a preventative or treatment for COVID (no, it doesn’t do either).

The study found that 85% of the men they observed over the 11 months had poor sperm quality and/or count, rendering them infertile. The study didn’t account for other potential factors, which may have been very likely given so many test subjects were rejected before the study was done because they were already functionally infertile.

Misinformation cuts both ways, and you should always consider your own personal biases when consuming information and deciding what is fact and fiction.

Eastern Washington hospitals on the brink – local and national COVID update for September 9, 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) Hospitals in Eastern Washington are in a state of collapse with oxygen running low and open discussion of having to move to crisis standards of care. Our Pacific Northwest neighbors in Idaho and Alaska continue to see cases and hospitalizations rise, while Oregon is seeing numbers decline. The updated IHME forecast also paints a bleaker picture for the Evergreen State.

Northshore School District was stable for new cases, while Bellevue moved into status yellow and Thoreau Elementary in Lake Washington reported a new case, and 4 quarantined. Microsoft decides to pause the reopening of U.S. offices indefinitely as Delta continues to surge.

Governor Inslee announced a statewide mask mandate for outdoor large events and fielded questions on why the state isn’t moving to restrict capacity at restaurants, bars, and other venues.

The Clallam County health officer is receiving threats after requiring vaccination verification in restaurants in bars. School officials in Vancouver, Washington had to get an emergency court order against the Proud Boys, Patriot Front, and Open Schools USA. This wasn’t the only COVID-related violence in the United States in the last couple of days.

The Biden Administration announced a long list of measures that will require as many as 100 million to get vaccinated and enable additional safety protocols.

We explain religious exemptions and dive into misinformation about the COVID vaccine and convicted felon Robert O. Young who pretends to be a doctor.

We have good news in Mississippi in Texas tonight – so it isn’t all gloom and doom.

This update uses the latest data from the Washington State Department of Health released on September 9, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 9, 2021

Washington state COVID update

Through September 8, Washington’s statewide 14-day rolling average was 511.6 COVID cases per 100K. Clallam (1,029.0 per 100K), Columbia (1,123.1 per 100K), Franklin (1,328.0 per 100K), and Okanogan (1,027.1 per 100K) reported an extreme number of new cases. Clallam and Okanogan counties broke 1,000 per 100K again, and Franklin County’s 1,328.0 per 100K is one of the highest infection rates we have ever seen. Counties in the 800.0 to 999.9 per 100K range include Asotin, Benton, Chelan, Cowlitz, Douglas, Garfield, Grant, Lewis, Lincoln, Pend Oreille, Stevens, and Yakima.

King County is at 302.2 cases per 100K, nearly unchanged from yesterday.

The Washington State Department of Health reports a data backlog for test positivity, with the published number 14 days old. According to Johns Hopkins University Medicine, the positivity rate for the last 30 days is 13.36%, and over the previous 7 days, 13.74%. The rate of hospitalization by age was nearly unchanged from yesterday.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1127.00.1 (down)
Ages 12-1921.70.2
Ages 20-3451.9 (down)1.4
Ages 35-4945.82.8
Ages 50-6434.1 (up)4.2
Ages 65-7917.04.3 (up)
Ages 80+5.4 (up)1.8
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 48 deaths yesterday. There may be delayed reporting in that number from the holiday weekend. Still, the dramatic increase of Washingtonians on ventilators that started last week is probably running its course.

Governor Inslee mandates masks at large outdoor events

In a press conference today, Governor Jay Inslee announced that Washington was expanding its existing mask mandate to include large outdoor events. The new rule, which will go into effect on September 13, requires anyone 5 or older to wear a mask, regardless of vaccination status, at outdoor events with more than 500 people.

The new mandate mirrors existing rules already implemented in King and Pierce counties. Additionally, everyone is encouraged to wear a mask outdoors if they are in an area where social distancing and free movement are challenging or impossible.

This expands the current indoor mask mandate that was implemented on August 23.

The governor stated, “We have no plans to do that. We are not considering doing that,” after being asked why the state was not implementing capacity restrictions for bars, restaurants, and other venues.

Dr. Umair Shah, the Washington State Secretary of Health, added, “we have that tool today. Vaccines and that is the tool we are using today.”

When asked if Washington was considering a statewide vaccine passport, Governor Inslee said, “It is not something that is going to happen in the next couple of days, but we are looking at it.”

Clallam County Health Officer receiving threats after restaurant and bar vaccination requirement

Dr. Allison Berry, the Clallam County Health Officer, expressed fear for her safety and refused to go into her office due to threats and harassment after implementing a so-called vaccine passport requirement at bars and restaurants last week.

“It’s been really scary,” said Berry. “It’s certainly affected my life, the way I take care of my child, the way I try to guarantee both of our safety, and the way I do my job,” Berry told KING5 news.

The Clallam County Sheriff’s Office is investigating a few of the comments made toward Berry but said, at this time, none are in criminal violation of the law.

While people are trying to instill fear, Berry said she stands by her decision. 

“I think for me, it’s important not to let people who would threaten public officials win,” said Berry.

After the failure of the January 6 insurrection, right-wing and white nationalist groups have been aligning themselves with the anti-vaccination movement. Matt Braynard, who is leading the Justice for J6 rally in Washington D.C. on September 18, is aligned with Del Bigtree of ICAN. Bigtree produced the movie Vaxxed and was a speaker at the Stop the Steal rally on January 6.

Violent incidents were reported in Texas, Michigan, and Missouri in the last 24 hours.

Judge issues emergency order in Vancouver, Washington to protect students

Last Friday, the Proud Boys joined other protesters in Vancouver, Washington, forcing three schools into lockdown while harassing students and faculty and attempting to enter the school building. The protest was caused by misinformation spread by an anti-vaccination and antimask advocate, who claimed a student would be arrested at Skyview High School for refusing to wear a mask. Many of the same people who protested on Friday were in Olympia Saturday at an event that devolved into multiple people being attacked and a shooting.

The same person who organized the protest last week in Vancouver posted on social media on Tuesday, calling for another protest at Skyview High School. This morning, Clark County District Judge Suzan Clark granted an injunction prohibiting protests, rallies, or other gatherings.

The injunction requires that “protests, rallies, gatherings on or near school premises that disrupt educational services, immediately cease and desist and not be allowed to convene on or within a one-mile radius of any Vancouver School District building or grounds.” The injunction is effective as long as state-issued mask mandates are in effect.

“Our district understands and supports free speech and the right for people to be involved in peaceful protests,” said Superintendent Jeff Snell. “However, our first priority is to ensure student and staff safety and an educational environment free of disruption. This responsibility prompted us to present our concerns to the court.”  

Former prosecutor and criminal defense attorney Angus Lee penned a warning letter to Clark County Sheriff Chuck Atkins and Chief James McElvain advising them not to make an”invalid arrest.” Lee’s letter is inflammatory and includes transphobic rhetoric while accusing the Clark County Sheriff of providing carte blanche to Black Live Matters protesters last year.

The protests are being driven by the parents and supporters of 14-year old Melanie Gabriel, who is seeking a 504 Plan with the Vancouver School District to allow her to attend Skyview without wearing a mask.

Gabriel made news last year as an 8th grader in Oregon, where she was involved in protests demanding the return of in-person instruction, and she is listed as a co-founder of Open Schools USA, along with Michelle Morales-Walker. The group attended an anti-vaccination mandate in McMinnville, Oregon, on September 6.

IHME forecast for Washington state gets bleaker

The IHME updated the forecast for Washington state through December 1, and the situation has gotten bleaker. The model now forecasts 8,864 COVID deaths total by December 1 if the state continues on its current trajectory. Fatalities are forecasted to peak on November 2.

Hospital resources are projected to peak next week but stay at that high state until October. More concerning, the model predicts the state may be at a peak for new cases now but shows cases increasing again in November to even higher levels than the current peak.

If everyone wore a mask, we could save 1,000 lives, according to the model.

Travel Advisories

We recommend avoiding all travel to Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with the state of Idaho. Hospital resources in these regions are so constrained that you may receive inadequate care if you experience a medical emergency.

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

With vaccination mandates growing nationwide, and the anti-vaccination movement shrinking in numbers, some people are applying for a religion-based vaccine exemption. This raises the question, Which religions shun vaccination as part of their tenets.

To research this, we wanted to go back before 2020, and we decided to use a source from academia. The Health and Wellness portal of Vanderbilt University Medical Center has a white paper on the topic, published in 2010.

The short answer is none of the major religions, nor their branches have an anti-vaccination doctrine. There are a few sects, mostly aligned with Christianity, that have an established theological objection. That includes Dutch Reformed, Faith Tabernacle, Chuch of the First Born, Faith Assembly, and End Time Ministrie.

In Islam and Judaism, only the strictest adherents are against vaccines that specifically use porcine gelatine – an ingredient not found in any version of the COVID vaccine.

Additionally, the Church of Christ, Scientist, which strongly encourages members to rely on faith and prayer for healing, does not have an official doctrine against western medicine or vaccinations.

Anyone who has already applied for an exemption claiming to be a member of the Jehovah’s Witnesses should expect it to be denied. It is a common misconception the religious group is against vaccination, but that hasn’t been a tenet since 1952. In an article published in 2011, the group provided a list of health recommendations, including encouraging vaccination.

King County, Washington is reporting over 84% 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.

COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. 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

According to the DoH COVID Dashboard, 22.3% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 88.8% of capacity statewide, with 34.3% of ICU patients fighting COVID, unchanged from yesterday.

The new hospital admission rate for COVID patients is 188 per day, indicating that the state has caught up on reporting over the weekend. The Department of Health adjusted the number of total COVID patients reported on September 7 slightly down to 1,740 but increased the number of people on ventilators to 268. On September 8, there were 1,767 patients and 260 on ventilators.

In today’s press briefing, Dr. Shah said that balance loading at hospitals was “challenging,” and they were asking healthcare partners “to defer elective procedures.”

“We can’t do this alone. This isn’t about me. This is about the we,” he pleaded.

The University of Washington Medicine was only performing day surgeries unless they were trauma or critical care related. In some cases, patients were waiting in the operating room for an hour before being moved to the PACU or ICU at some hospitals.

Peg Currie, CEO of Providence hospitals in Spokane, used the word “misery” to describe ICU conditions. The number of patients waiting for care in emergency rooms has skyrocketed locally, Currie said, and transfer lists remain long and challenging to accommodate.

“You see these lists of people who want care from your (hospital), and you have to make them wait – that’s heartbreaking,” Currie said.

Providence has formed patient placement committees to triage patients at most risk for a higher level of care and decide what smaller hospitals can handle.

In Yakima, the situation is worse with Yakima Memorial Valley Hospital rationing care, low on oxygen, and patients leaving the waiting room without being seen. Recently the internal demand for oxygen rose so high an entire unit was push beyond capacity. The lines that deliver oxygen can freeze if the flow exceeds design, cutting off the supply to all patients.

Dr. Marty Brueggman said the hospital was moving closer to “crisis standards of care” and gave a stern warning.

“They may decide that we don’t have the resources to care for you and your chance of survival is low, so we’re not gonna ask if you want to resuscitate or not. We’re just not gonna be able to do it.”

Yesterday we shared a statement from the Washington Department of Health and information from the Washington State Hospital Association. The official plan in Washington state is not to let an individual hospital go to crisis standards of care. If all resources are exhausted statewide, either the worst impacted region or the entire state would move to so-called black tag triage.

Yakima is located in the South Central Hospital Region, including Yakima, Klickitat, Benton, Franklin, and Walla Walla counties.

Back to School

School DistrictStatusQuarantinesClosures
BellevueYELLOW– Bellevue (4)
– Chinook (10)
– Interlake (1)
– Newport (1)
– Sammamish (2)
– Somerset (1)
– Tillicum (1)
– Tyee (1)
– Woodridge (6)
None
Lake WashingtonRED– Kamiakin Middle School (81))
– Juanita Elementary (1)
– Juanita High School (8)
– Thoreau Elementary (4)
– Mark Twain Elementary – 2nd-grade class (multiple confirmed cases)
NorthshoreYELLOW– Arrowhead Elementary (1)
– Bothell High School (12)
– Canyon Creek Elementary (4)
– Canyon Park Middle School (4)
– Crystal Springs Elementary (5)
– East Ridge Elementary (2)
– Fernwood Elementary (2)
– Frank Love Elementary (2)
– Hollywood Hills Elementary (1)
– Kenmore Elementary (1)
– Kenmore Middle School (19)
– Maywood Hills Elementary (2)
– North Creek High School (8)
– Ruby Bridges Elementary (1)
– Shelton View Elementary (6)
– Skyview Middle School (12)
– Sunrise Elementary (1)
– Timbercrest Middle School (6)
– Westhill Elementary (4)
– Woodin Elementary (3)
– Woodinville High School (4)
– Woodmore Elementary (9)
None
Local Districts Scorecard

With Bellevue School District reporting 10 confirmed COVID cases, it moves to Yellow on the scorecard. Lake Washington reported a confirmed COVID case at Thoreau Elementary, while Northshore adds to the list of schools with quarantined students. The number of quarantined people at Skyview Middle School dropped by more than half today, in a positive sign.

Multiple school districts throughout Western Washington are reporting COVID cases, including Seattle, Federal Way, Puyallup, Lynnwood, and Issaquah.

The next board meeting for the Lake Washington School District is Monday, September 13, 2021, at 7:00 PM and will be remote only.

Kirkland-Bellevue-Woodinville

Microsoft notified employees and vendors today it has indefinitely delayed their return to U.S. offices until the uncertainty around the trajectory of COVID is clearer.

“Given the uncertainty of COVID-19, we’ve decided against attempting to forecast a new date for a full reopening of our U.S. work sites, [sic]” Jared Spataro, a corporate vice president, wrote in a blog post.

Microsoft had planned to have workers return in October. Other area tech companies that have delayed a return to the office include Google and Amazon. Amazon and Microsoft have a large presence in Bellevue, and Google has a 54-acre campus in Kirkland.

National Round-Up

Johns Hopkins University Cumulitaive Case Tracker 176,710 new cases and 2,146 COVID-related deaths on Thursday.

President Joe Biden issued two executive orders today to combat the spread of COVID. The first mandates vaccination for all federal employees and contractors “to the extent consistent with applicable law.”

“In light of the public health guidance regarding the most effective and necessary defenses against COVID-19, I have determined that to promote the health and safety of the Federal workforce and the efficiency of the civil service, it is necessary to require COVID-19 vaccination for all Federal employees, subject to such exceptions as required by law.”

The mandate would extend the existing order to the US military and healthcare workers who provide services at facilities that accept Medicare and Medicaid to include 300,000 Head Start early childhood education and other federal education program employees.

The second executive order calls for Ensuring Adequate COVID Safety Protocols for Federal Contractors. The order does not specifically mandate vaccination for government contractors or their subcontractors but instead calls for the development of guidelines to assure that government contractors can fulfill their obligations.

“This order promotes economy and efficiency in Federal procurement by ensuring that the parties that contract with the Federal Government provide adequate COVID-19 safeguards to their workers performing on or in connection with a Federal Government contract or contract-like instrument.”

“These safeguards will decrease the spread of COVID-19, which will decrease worker absence, reduce labor costs, and improve the efficiency of contractors and subcontractors at sites where they are performing work for the Federal Government.  Accordingly, ensuring that Federal contractors and subcontractors are adequately protected from COVID-19 will bolster economy and efficiency in Federal procurement.”

The largest change for ordinary Americans is the Occupational Safety and Health Administration (OHSA) developing rules that will require private businesses with 100 or more employees to do weekly COVID testing or mandate vaccination. The new rules, when implemented, would impact up to 80 million Americans, with a large swath already fully or partially vaccinated. Businesses would be required to pay employees for their time to get vaccinated or tested, and the administration is working with national pharmacies to expand testing to 10,000 sites. Additionally, Walmart, Amazon, and Kroger will offer at-home COVID tests at cost for the next 3 months.

In total, the order impacts roughly 100 million Americans and 80% of all businesses. Among active-duty service members, approximately 90% were fully or partially vaccinated on August 9. Nationally 88% of nurses and 96% of doctors are vaccinated. Earlier this week, the United States crossed the threshold of 75% of adults with at least one dose of the COVID vaccine.

Buried in the news today, the TSA has doubled the fines that passengers of buses, trains, and aircraft could face for refusing to wear a mask.

Alabama

Governor Kay Ivey responded strongly to the announcements from the Biden Administration.

“Once again, President Biden has missed the mark. His outrageous, overreaching mandates will no doubt be challenged in the courts. Placing more burdens on both employers and employees during a pandemic with the rising inflation rates and lingering labor shortages is totally unacceptable.

“Alabamians have stepped up by rolling up their sleeves to get the covid-19 vaccine, increasing our doses administered significantly in recent weeks. We have done so without mandates from Washington D.C. or Montgomery. I’ve made it abundantly clear: I support the science and encourage folks taking the vaccine. However, I am absolutely against a government mandate on the vaccine, which is why I signed the vaccine passport ban into law here in Alabama. This is not the role of the government.

“I continue encouraging any Alabamian who can to get the covid-19 vaccine. We have a safe and effective tool at our fingertips, so let’s roll up our sleeves and get this thing beat.”

Alaska

More than 200 people are now hospitalized with COVID-19 in Alaska, setting yet another record as health care leaders sound dire warnings and say the state’s hospitals are treading water.

By Thursday, hospitals and ICUs around the state continued to report being at or near capacity as a surge driven by the highly contagious delta variant continues in Alaska. Facilities have reported that staffing shortages and limited bed capacity are their top concern and say they’re not sure how much longer they can continue operating under such high levels of stress.

“Emergency departments remain open for emergency, life-sustaining treatments, but they are very tight,” said Dr. Anne Zink, Alaska’s chief medical officer, during a call with reporters.

Critical cardiac, orthopedic, burn, and infectious disease patients normally would be transferred to Seattle once they are stable enough to travel. Yesterday, the Washington State Hospital Association told reporters that transferring patients was a major challenge within Washington and were “under no obligation” to accept out-of-state patients.

California

On Thursday, the Los Angeles Unified School District’s school board approved a requirement for most students age 12 and over to be vaccinated against COVID-19 to attend in-person classes.

The mandate requires “COVID-19 vaccinations for all students who access in-person instructional programs operated on district facilities, who are 12 years of age and older.”

The plan requires students age 12 and older who participate in in-person extracurricular programs to have a first vaccine dose by Oct. 3 and their second no later than Oct. 31.

All other students aged 12 and up would be required to receive their first dose by Nov. 21 and their second by Dec. 19. Other students would have to receive their first dose no later than 30 days after their 12th birthday and their second dose no later than eight weeks after turning 12.

Colorado

A total of 80 Colorado schools have active COVID-19 outbreaks as of Wednesday, according to the latest data released by the Colorado Department of Public Health and Environment (CDPHE). 

The outbreaks represent a total of 886 cases, 86% of which have been students. The number of K-12 outbreaks nearly doubled from the previous week when 42 were reported.

Georgia

Atlanta’s public safety-net hospital is the latest to temporarily cancel elective surgeries, saying it’s overrun with COVID-19 patients.

Grady Memorial Hospital CEO John Haupert said Wednesday that the hospital was “inundated” with patients over Labor Day even as it officially diverted ambulances.

More than 5,900 people sickened by the respiratory illness are in Georgia hospitals. COVID-19 patient numbers have been hovering around a record 6,000 for more than a week.

While hospitals in Georgia teeter on crisis standards of care, Governor Brian Kemp tweeted he would fight the Biden Administration’s executive order.

Florida

Cases in the Sunshine State continue to decrease along with hospitalizations, while fatalities continue at more than 1,000 per week.

“Let’s keep our fingers crossed because it looks like we are on the backend of this doggone delta wave,” said Dr. Thomas Unnasch, an infectious disease researcher at the University of South Florida who has been forecasting COVID-19 trends in our region since the beginning of the pandemic.

The seven-day rolling average of new COVID-19 infections in Florida peaked in mid-August at just under 21,800 and has been slowly declining ever since, according to Dr. Unnasch’s forecast models.

Idaho

The Panhandle and North Central Health Districts in Idaho continue to operate using “crisis standards of care.” We strongly recommend not to travel to Idaho during this time of medical crisis. Any health emergency requiring hospitalization could result in you receiving inadequate care.

Maine

More Maine residents were in critical care with COVID-19 or connected to ventilators on Thursday than at any point since the pandemic began 18 months ago.

While the 193 total hospitalizations in Maine is still shy of last winter’s peak numbers, the 74 patients in intensive care unit beds is the most to date. Additionally, 38 of those individuals – or roughly 20 percent of all hospitalizations – required ventilators to assist breathing.

New cases in Maine are now equal to the January 2021 peak and are continuing to climb.

Michigan

On Tuesday, a crowd of unmasked high school students backed by parents forced their way into Manchester High School.

When questioned about how the mask mandate would be enforced, a sheriff’s deputy who was overseeing the situation said: “I’m not going to force anybody. I’m not putting masks on anybody. That’s not my job. This is a county health department order.” 

Similar incidents happened at other schools in the district. These incidents do have consequences.

Like other states, Michigan is facing a staffing crisis in hospitals. Vaccine mandates aren’t a large factor at this time. Burn out, poor working conditions, and better pay as traveling nurses or on contract have skilled staff abandoning hospitals. As noted in the Vaccination Section, 88% of nurses and 96% of doctors are already vaccinated nationally.

“I am fatigued, and I am heartsick, and I’m tired of watching people suffer needlessly and die of a disease that could have been prevented by a simple and safe and effective vaccine,” Dr. Nicole Linder said. “I don’t want to watch my patients’ families suffer with the grief of this, and also the guilt if they played some role in their family member’s decision not to be vaccinated.

“The issues that we’re dealing with in caring for these hospitalized COVID patients that weren’t present during the earlier waves, I think, do create a new dimension of stress and sadness and fatigue for those of us on the front lines. You’re taking care of people who are dying that didn’t need to die.”

Mississippi

In good news, Mississippi closed its last field hospital located in a Jackson parking garage as cases and hospitalizations continue to decline.

Jim Craig, senior deputy for the Mississippi Department of Health and Director of Health Protection, said the state is seeing a small improvement in hospital bed availability, but ICU capacity continues to be “very scarce.”

“The bed capacity for ICU space is effectively zero still in the state of Mississippi,” Craig said. Craig said the Department of Health has applied to extend the support of federal partners working at the Jackson and Biloxi Veterans Affairs hospitals, the 23-person Department of Defense military team at the University of Mississippi Medical center, and a group working on monoclonal antibody administration at the university.

A total of 1,660 people were hospitalized with coronavirus in Mississippi on Aug. 18, compared with 1,285 on Tuesday. A Johns Hopkins COVID-19 tracker showed that, as of Tuesday, Mississippi had the ninth-highest COVID-19 rate in the U.S. The state had 79.5 new cases and 1.3 deaths per 100,000 residents.

Missouri

In ironically named Pleasant Hill, a fight broke out in the Pleasant Hill High School parking lot after the school board voted unanimously to pass a mask mandate. Three people were cited.

One man was handcuffed by a sheriff’s deputy after confronting a woman who used her cell phone to video record a group of parents who had gathered outside the Pleasant Hill High School auditorium, said Maj. Kevin Tieman, a spokesman for the sheriff’s office.

“There was an altercation between a couple of people out front of the school with a lady saying that she’d been harassed or assaulted by somebody else,” Tieman said. “She said they took her cell phone away from her.”

Missouri was one of the first states to see Delta surge and was the first state to improve. That progress may be fading as the state’s southeast corner is now dealing with a major outbreak.

In June, Missouri Delta Medical Center in Sikeston posted on Facebook that it had just six people hospitalized with COVID-19. That number rose to 21 in July and 79 in August. The first six days of September saw 20 patients already, including six in intensive care and two on ventilators. None of the 20 patients were vaccinated, the hospital says.

The town of 16,000 residents about 145 miles sits in Scott and New Madrid counties. State tracking on Thursday showed those counties had the worst rates of new COVID-19 cases over the past seven days. Eight of the nine hardest-hit counties over the past week are in the southeastern corner of the state.

New York

New York City Mayor Bill de Blasio nixed the idea of a vaccine mandate for the city’s students.

“We just don’t think that’s the right thing to do,” he said.

Ohio

Ohio’s children’s hospitals are reporting an increase in admissions of children with COVID-19, fueled by the spread of the Delta variant.

It has pushed some hospital intensive care units near capacity and comes amid an early peak in hospitalizations due to respiratory syncytial virus (RSV).

“The Delta variant seems to be causing more symptoms in children than the initial COVID variant,” said Dr. Michael Bigham, a pediatric ICU physician, and chief quality officer with Akron Children’s Hospital.

COVID-19 is not the only virus resulting in filled beds in children’s hospitals. Doctors said RSV is nearing a peak about two to three months earlier than usual.

“As soon as the masks went away, boom, there was RSV, even being in the middle of summer where RSV has no business being,” UH Rainbow Pediatric Infectious Disease Specialist Dr. Amy Edwards said.

She said the reduction in masking and the return to school are clear factors in the increasing spread of respiratory viruses.

Oregon

Oregon is joining Florida in hitting its peak, and the worst part of the surge is now upon the state.

“For the past several days, OHA has reported sharp increases in the daily deaths associated with COVID-19,” OHA Director Patrick Allen said in a statement. “This grim trend follows several weeks of record, or near-record, daily cases and hospitalizations. Oregonians should be prepared to see this tragic toll escalate dramatically in coming days and weeks.”

South Carolina

According to data released by the state Department of Health and Environmental Control, South Carolina reported nearly 3,500 more COVID-19 cases and 55 more deaths on Thursday.

More than 1,000 people have died of COVID-19 in South Carolina over the last month. The statewide death toll is now 11,051.

DHEC also reported Thursday that 3,466 new cases came in from testing completed two days ago. That brings the state’s COVID-19 case count to nearly 780,000 since the beginning of the pandemic, according to DHEC.

Texas

Nothing says “howdy partner” like threatening to hang a country judge in a grocery store and live stream the whole thing. Bexar County Judge Nelson Wolff, who was physically assaulted last year, had a woman follow him around an H-E-B grocery store, calling him a traitor, communist, and supporter of the devil.

As she trails behind Wolff, a masked H-E-B employee comes up to speak with her. “You’re a traitor, too,” she tells him, before turning her attention back to the judge.

“You’re going to go to jail. They’re going to hang you. Treason, crimes against humanity, Nuremberg trial. You’re going down,” the woman said. “You better enjoy your freedom while it lasts, buddy, and you got to answer to God.”

In better news, Flavia Souza, the Houston’s Museum District Child Care Center director, worked diligently and patiently to fight misinformation and vaccine hesitancy to convince the entire staff to get vaccinated. Instead of using incentives or mandates, she applied logic, education, and open dialog among her staff as more and more got vaccinated.

Today, the Fort Worth Independent School District was handed a legal victory when a judge with the Second Appellate District of Texas in Fort Worth sided with the school district – opening the door for Fort Worth ISD to bring back a mask mandate.

“At this time, there are no court orders or executive orders that are prohibiting the District from implementing a mask requirement,” Fort Worth ISD officials said.

Wyoming

Wyoming is now fewer than 15 COVID-19 patients away from reaching a new all-time high during the pandemic. Peak hospitalizations in Wyoming occurred on Nov. 30, 2020, when there were 247 COVID-19 patients in hospitals across the state.

Four hospitals in the rural and sparsely populated state have no ICU capacity left, while Ivinson Memorial Hospital in Laramie had only one bed.

Misinformation

There appears to be a fresh take in the misinformation department about the COVID vaccine containing graphene oxide. This is a super sciency document about the characteristics of the compound. The Reader’s Digest version is as a powder, graphene oxide is brown, and when suspended in a fluid, it is yellow. The COVID vaccines are clear, so there is an immediate problem with this conspiracy theory.

The second issue is the viscosity of graphene oxide. The accusation is the vaccination is made up of 99% of the stuff, but if that were the case, the injection would be in a solid-state. Even at just an 8% solution, the fluid would have the same density of axle grease or peanut butter.

The biggest issue with this conspiracy theory is its origin. The disinformation campaign comes from Dr. Robert O. Young, who double-downed on his claims as recently as August 27. There is a major problem. Dr. Robert O. Young isn’t a doctor. He doesn’t hold a master’s degree, an undergraduate, an associate, or even a vocational certificate. He has never had any education beyond graduating high school.

In 2018, as part of a settlement in a $105 million lawsuit, he agreed never to use the title of doctor again or make any claims of having any medical expertise. As a matter of fact, Mr. Young has been charged 21 times for practicing medicine without a license in Arizona, Utah, and California from 1995 to 2014.

In 2014 when he pleaded guilty, he had to state that he has no post-high school educational degrees from any accredited schools as part of the deal. Additionally, He stated he was none of the following: a microbiologist, a medical doctor, a hematologist, a naturopathic doctor, or a trained scientist.

Mr. Young offered a “pH Miracle Retreat” before he was shut down, which cost attendees $1,295 to $2,495 per night.

DoH issues a stark warning – local and national COVID update for September 8, 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) The somewhat positive news that new COVID cases continue to try and hold a peak was dampened by a stark warning issued by the Washington State Department of Health over dwindling resources. While new cases plateau, the number of hospitalized patients, ICU patients, and patients on ventilators continues to climb.

There were no new cases or quarantines reported in the Lake Washington School District today, where officials are working on a remote learning solution for students who can’t attend class. Northshore saw more cases, including a significant jump at two middle schools.

Yes, Sounders FC will also require vaccination or a negative PCR test to attend games, and a potential sickout at Seattle City Light didn’t materialize. Washington state poison control is getting a lot of calls about ivermectin, and Cowlitz County requested a mobile morgue.

Amazon gets called out for surfacing books and materials that provide COVID misinformation.

In the south, the Gulf States appear to have reached a peak (we don’t know about Louisiana) while the Pacific Northwest, including Alaska, and Kentucky, Ohio, West Virginia, and Indiana deal with regional surges.

This update uses the latest data from the Washington State Department of Health released on September 8, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 8, 2021

Washington state COVID update

The data today is still a bit hazy, but hospitalization data has caught up with more health systems reporting after the long weekend. Through September 7, Washington’s statewide 14-day rolling average was 506.4 COVID cases per 100K, which is down slightly from the last update. Washington state continues to bounce between 500.0 and 535.0. Columbia (1,147.0 per 100K) and Franklin (1,208.1 per 100K) reported an extreme number of new cases. Counties in the 800.0 to 999.9 per 100K range include Asotin, Benton, Chelan, Clallam, Cowlitz, Douglas, Garfield, Grant, Lewis, Okanogan, Pend Oreille, Stevens, and Yakima.

King County is at 300.4 cases per 100K, another decline from yesterday. The data is encouraging that the state is holding at a plateau for new cases, after some alarming trends last week.

The Washington State Department of Health reports a data backlog for test positivity, with the published number 14 days old. According to Johns Hopkins University Medicine, the positivity rate for the last 30 days is 13.11%, and over the previous 7 days, 13.83%. The rate of hospitalization was unchanged for ages birth to 49, and up for ages 50 and above.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1126.3 (down)0.2
Ages 12-1921.2 (down)0.2
Ages 20-3453.1 (down)1.3
Ages 35-4945.1 (down)2.8
Ages 50-6431.5 (down)4.1 (up)
Ages 65-7917.0 (down)4.0 (up)
Ages 80+5.01.7 (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 52 deaths yesterday, but that almost certainly includes more than one day of data due to the holiday weekend.

The Sounders FC too

Yesterday we covered how the Cougars, Huskies, Mariners, Kraken, Seahawks, and Storm would require proof of vaccination or a negative COVID test to attend games – you can add the Sounders FC to that list too.

Seattle Sounders FC announced for events at Lumen Field during the 2021 regular season and postseason that proof of COVID-19 vaccination or a negative FDA-approved test for entry to games and events will be required, beginning at the Rave Green’s first home match on September 19.

“Sounders FC is proud to work with our friends at the Seahawks to take steps forward together in supporting public health,” said Sounders FC Owner & President of Business Operations Peter Tomozawa. “As excited as we have been to welcome fans back to Lumen Field this season, we recognize that the COVID-19 pandemic is not yet over and we want to do everything in our power to continue to provide a safe and comfortable matchday experience to everyone who comes out to the stadium. Part of that means executing King County’s expanded mask mandate effectively immediately, and a larger part is working with the Seahawks and Lumen Field to institute vaccination verification for all of our events. The Seahawks are beginning that process on September 19, and Sounders FC is prepared to follow suit starting with our first home match after that point, on October 3.”

Calls to Washington Poison Control about ivermectin triples

Scott Phillips, medical director for the Washington Poison Center, told the Seattle Times that his agency has seen a threefold increase in calls relating to ivermectin since last year, attributing the rise to misinformation about the drug’s effects on COVID-19.

According to Phillips, most calls were inquiring about the safety of the drug, which is used to treat parasites and certain skin conditions in animals and less often in humans. However, the center has also received calls from individuals who were recently hospitalized or were experiencing symptoms of poisoning, Phillips said.

Ivermectin was developed in the 1970s and was first approved for use in animals in 1981. Developed from an organism found in the soil of Japan, it is highly effective against a wide range of internal and external nematodes and arthropods. In 1988 it was approved to be used in humans. The drug is credited for the near eradication of river blindness and lymphatic filariasis. Both diseases were common in Africa and are caused by parasites. River blindness is spread by flies and lymphatic filariasis by mosquitoes.

In the United States, particularly in rural communities and through disinformation from anti-vaccination groups, people have been self-medicating using animal formulations as a preventive or treatment. The improper use has led to hospitalizations, blindness, and liver damage in extreme overdoses. Where many online recommendations include daily dosing followed by a wider interval, in impoverished areas where ivermectin use is ubiquitous to prevent parasites, dosing can be a single pill a year.

Ivermectin as a treatment for COVID rose in popularity due to a preprint study earlier this year. The study was pulled after failing peer review, which indicated that data was manipulated and falsified. Media outlets NewsMax, OAN, and InfoWars continue to advocate its use, despite numerous warnings and the single discredited study. Contrary to the accusation from people such as U.S. Senator Rand Paul (KY-R), tests for ivermectin for combating COVID, and a long list of other diseases are not being blocked by any government agency or Merck. Quite the contrary, there are countless studies going on for a wide range of potential applications, almost all of them for the treatment of parasites.

The largest study to date for the effectiveness of ivermectin against COVID, which has received multiple peer reviews, indicated that ivermectin had no meaningful impact, and for sicker patients created worse outcomes. The study done in Argentina was randomized, double-blind, and placebo-controlled – the gold standard. The report concluded the only statistical difference was subjects taking ivermectin who became moderately to severely ill, required mechanical ventilation much sooner than the placebo group.

If you take away one thing from this let it be this. For humans, ivermectin is a Class C Pregnancy Drug that should not be taken by children under 33 pounds, pregnant women, or women who are nursing. In studies during its development, it was shown to cause birth defects in animals. There is no clinical or scientific evidence it has any impact on the prevention or treatment of COVID, and the best available data indicates that for the sickest patients, it produces worse outcomes.

Another threat of a sickout that didn’t happen

Seattle City Light braced for a sickout yesterday over a looming vaccine mandate, which never materialized. Online groups called for the sickout, involving the city’s 250 linemen. Yesterday only 2 called in sick.

Senator Warren (MA-D) urges Amazon to tackle COVID misinformation

Last week we wrote about how Amazon, Google, and Microsoft were amplifying COVID misinformation around ivermectin due to their algorithms. It appears other people are noticing also. In a letter to Amazon CEO Andy Jassy, Senator Warren outlines her staff’s findings when searching the Amazon website for various COVID-related terms, and asks the company to take action.

The senator’s staff found that searches for terms including “COVID-19,” “COVID,” “vaccine,” “COVID-19 vaccine” and “pandemic” led to results such as books offering “falsehoods about COVID-19 vaccines and cures,” including at least one that Amazon tagged as a best seller. We were able to duplicate some of the findings in her letter.

“As cases of COVID-19 continue to rise, Amazon is feeding misinformation loops through its search and ‘Best Seller’ algorithms, potentially leading countless Americans to risk their health and the health of their neighbors based on misleading and inaccurate information that they discover on Amazon’s website,” Warren wrote.

Editor’s Note: Irresponsible headlines like the one used by the New York Times (Elizabeth Warren Accuses Amazon of Peddling COVID Misinformation) for this story do not benefit the general public or support an environment of open dialog.

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

King County Health updated its COVID-19 outcomes by Vaccination Status dashboard today. The unvaccinated are sevenfold more likely to test positive for COVID, 50 times more likely to be hospitalized, and 30 times more likely to die from the data compiled over the previous 30 days.

King County Public Health COVID-19 Outcomes Vaccination Status Dashboard for September 8, 2021

So if vaccines are so effective, why is the number of vaccinated people with breakthrough cases increasing? Those numbers of people who were vaccinated testing positive are alarming!

King County has 2.26 million residents and according to King County Public Health, 67.6% of all residents are fully vaccinated. That would come out to 1,527,760 fully vaccinated, and 732,240 partially vaccinated or unvaccinated. The King County website indicates 1,528,211 fully vaccinated, so it provides a check for our math.

For positive COVID tests during the last 30 days, 6,010 vaccinated people, out of 1,527,760 total had a breakthrough case. That’s 0.39% of all vaccinated King County residents. During the same time period, 12,972 partially vaccinated and unvaccinated residents out of 732,240 tested positive for COVID – that’s 1.79%. Looking only at the 32% versus 68% can lead to a data fallacy if you don’t consider the total population of the two groups.

Study from Yale University and published in The Lancet indicate average age for hospitalized breakthrough cases is 80-1/2 years old

In a study of hospitalized patients in the Yale New Haven Health System, researchers identified 969 individuals who tested positive for the SARS-CoV-2 infection during a 14-week period between March and July 2021. Of that group, 54 were fully vaccinated.

These patients tended to be older — between 65 and 95 years old with a median age of 80.5 — and had preexisting comorbidities, such as cardiovascular disease and Type 2 diabetes. A subset of patients was also on immunosuppressive drugs that may affect vaccine efficacy.

“The majority of fully vaccinated patients experience mild or no symptoms if infected with SARS-CoV-2,” Chun said. “This research identifies those who suffered more severe disease, and we need a better understanding of how to best manage these patients.”

Chun noted that many of the patients with severe breakthrough infections in the study were hospitalized before the Delta variant became the predominant variant of SARS-CoV-2 in the United States. Additional research will be needed to determine the impact of the Delta variant on the rate of breakthrough COVID-19, he said.

Researchers noted the study was done before Delta became the dominant variant, and they are continuing to gather data.

King County, Washington is reporting over 84% 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.

COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. 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

Washington State Department of Health sounds the alarm with available hospital resources dwindling

The Washington State Department of Health released a statement today, indicating that the state is running out of options to stretch healthcare resources further.

Hospital capacity is currently stressed across the state of Washington. The surge in hospitalizations is one that the Washington Department of Health (DOH), with its healthcare partners, has been monitoring closely. At this time, partners across Washington have undertaken a number of strategies to stretch resources and mitigate current challenges.

DOH has adopted and plans to use the ethical framework developed by the National Academy of Medicine, which stresses the importance of an ethically grounded system to guide decision-making in a crisis standard of care situation. It also defines surges capacity within the healthcare systems, during normal operations and disaster operations, as a continuum: from conventional to contingency and finally crisis. The goal is to prevent ever having to utilize crisis standards of care anywhere in Washington.

DOH is working with state, federal, and private partners to mitigate Washington’s health care surge by accessing additional volunteer and contracted resources, coordinating information sharing, and supporting efforts to shift patients to healthcare facilities that can best support their care. DOH encourages Washingtonians to help by doing their part such as getting vaccinated, wearing masks in crowded or indoor public places, and taking other preventive steps.

Hospital status update

According to the DoH COVID Dashboard, 22.2% of all acute care patients hospitalized in Washington have COVID, unchanged from yesterday. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 88.7% of capacity statewide, with 34.3% of ICU patients fighting COVID.

The new hospital admission rate for COVID patients is 188 per day, indicating that the state has caught up on reporting from over the weekend. The Department of Health adjusted the number of total COVID patients reported on September 6 to 1,775, a new record. On September 7, the number dropped slightly to 1,743 with 265 on ventilators.

Cowlitz County commissioners declared an emergency and formally requested a mobile morgue for the county. Coroner Tim Davidson said the morgue and the county’s funeral homes are maxed out on capacity and are “being creative” to maintain cold storage. All together, the facilities can typically hold 45 bodies and right now have about 65, he said.

PeaceHealth St. John Medical Center in Longview ended COVID testing at the hospital on August 19 because they were overwhelmed with patients. Yesterday hospital officials reported 30% of all patients are fighting COVID, and 80% are unvaccinated.

PeaceHealth St John COVID patients in Longview, Washington, September 7, 2021

Data for pediatric patients receiving acute care or in a PICU due to COVID is not available.

Back to School

School DistrictStatusQuarantinesClosures
BellevueGREEN– Bellevue (4)
– Chinook (4)
– Newport (1)
– Sammamish (2)
– Somerset (1)
– Tyee (1)
– Woodridge (6)
None
Lake WashingtonRED– Kamiakin Middle School (81))
– Juanita Elementary (1)
– Juanita High School (8)
– Mark Twain Elementary – 2nd-grade class (multiple confirmed cases)
NorthshoreYELLOW– Bothell High School (17)
– Canyon Creek Elementary
– Canyon Park Middle School (3)
– Crystal Springs Elementary (5)
– Fernwood Elementary (2)
– Frank Love Elementary (2)
– Kenmore Elementary (1)
– Kenmore Middle School (19)
– Kokanee Elementary (1)
– North Creek High School (3)
– Ruby Bridges Elementary (1)
– Shelton View Elementary (6)
– Skyview Middle School (28)
– Sunrise Elementary (1)
– Timbercrest Middle School (3)
– Westhill Elementary (4)
– Woodin Elementary (3)
None
Local Districts Scorecard

The biggest change overnight was in the Northshore School District, where 19 students at Kenmore Middle School and another 27 students at Skyview Middle School were put into quarantine. Cases slightly increased in the Bellevue School District, while no new cases or additional closures were reported for Lake Washington. LWSD is setting up virtual learning for the 81 students in quarantine at Kamiakin Middle School.

The next board meeting for the Lake Washington School District is September 13, 2021, at 7:00 PM and will be remote only.

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulitaive Case Tracker 261,683 new cases and 1,513 COVID-related deaths on Wednesday. The new case number would include a backlog of data from the holiday weekend, while the COVID-related death number is likely incomplete.

Alabama

Alabama may be reaching a plateau in cases, as officials hold their breath to see the impact of the Labor Day weekend. According to Dr. Don Williamson with the Alabama Hospital Association, when looking at the numbers of hospitalizations during the last couple of weeks, the state of Alabama might have hit a plateau. He said only the coming weeks will tell.

“We had 27 hundred and 76 patients in the hospital, and that is about 300 below our historic highs but we are running that number now for over a week,” Williamson said.

Like other hospital officials and researchers, models are being based on the Delta variant and its spread in the United Kingdom, where cases reached a peak about 60 days after it first arrived.

Alabama is ramping up test capacity statewide and has partnered with CVS to provide 13 additional testing locations.

Alaska

Alaska is the forgotten member of the Pacific Northwest states and is in a state of crisis that mirrors Washington state. According to the state’s data, almost all of Southcentral and Interior intensive care units are full or near capacity. Doctors in the state have repeatedly warned that the system is at its limit. Hospitalizations have roughly doubled since state hospital officials sounded the alarm about a month ago.

The state also reported more than 840 new cases of COVID-19 for Tuesday — among the highest single-day counts since the pandemic began. Alaska is dependent on Washington state to take their critical patients that need orthopedic, cardiac, and burn care.

Currently, almost 21% of all patients hospitalized are fighting COVID, with 23 on ventilators.

Arizona

Last week reported on an alarming incident at Mesquite Elementary School in Tuscon, Arizona where three men confronted the principal and threatened to citizen arrest her. All three men have been identified and all three have been criminally charged. Frank Tainatongo, 48, was charged on Tuesday, Kelly Walker, the owner of a Viva Coffee Shop was charged Monday and Rishi Rambaran was charged last week.

All three men face a single count of third-degree trespass, which has a maximum sentence of 30 days.

In another high-profile incident of Arizona’s acting badly, Janene Hoskovec, 55, went viral after harassing people in a Nebraska grocery store for wearing masks. In the video, she coughed on people intentionally, while mocking their mask wear and calling them, “sheep.”

Viral video of Janene Hoskovec

Lincoln, Nebraska, where Hoskovec was visiting family, currently has an indoor mask mandate. The video went viral after being posted on Tik Tok, and internet sleuths quickly tracked down her identity. The father of the 13-year old girl who shot the video, and was the target of Hoskovec said, “She instigated the whole thing. Picked a mother/child to harass. Think they just wanted to getaway. Lady kept following them. Some other folks stepped in.”

Earlier today her employer, SAP, said it was investigating the situation and at press time released a statement.

“We have reviewed the incident and can confirm that the individual in question no longer works for SAP.”

Florida

In Florida, Leon County circuit court judge John C. Cooper ruled the state cannot enforce a ban on public schools mandating the use of masks against the coronavirus while an appeals court sorts out whether the ban is ultimately legal.

Cooper said the overwhelming evidence before him in a lawsuit by parents challenging the DeSantis ban was that wearing masks does provide some protection for children in crowded school settings, particularly those under 12 for whom no vaccine yet exists.

“We’re not in normal times,” Cooper said, in a hearing held remotely. “We are in a pandemic. We have a variant that is more infectious and dangerous to children than the one we had last year.”

Idaho

Yesterday the Panhandle and the North Central Health Districts in Idaho had to move to “crisis standards of care.” Today there was a report of a non-COVID-related cardiac patient who died in the northern part of the state because there was no oxygen available for their care.

Now, other parts of the state are sounding the alarm, as the hospital system is collapsing despite all efforts to prevent it.

According to the South Central Public Health District (SCPHD), southern Idaho is right on the edge.

“What we’ve been warned as a health district is that we’re very close in our region, the situation is very extreme,” said Public Information Officer with SCPHD, Brianna Bodily. Department of Health and Welfare officials stated that Treasure Valley hospitals are “really close” to activating crisis standards of care too.

Editor’s Note: We strongly recommend not to travel to Idaho during this time of medical crisis. Any health emergency requiring hospitalization could result in you receiving inadequate care.

Kentucky

A house bill in the Kentucky legislature that would end the student mask mandate failed to pass in a special session called on Tuesday. The bill, House Bill 1, would give schools more flexibility to respond to the COVID-19 pandemic. It would give schools 20 flexible remote learning days and create a “test-to-stay” program, so they can test out of quarantine. Students who are exposed to COVID-19 can stay in school as long as they continue to test negative each day. The mask mandate survived by one vote.

Mississippi

Mississippi COVID cases appear to have peaked (along with Alabama, Arkansas, and Florida) but pediatric cases in particular, and deaths continue to rise. Currently, more than 15,000 students in Alabama are in quarantine and over 18,825 tested positive for COVID in the last 28 days.

Officials recorded another death of a child – a 4-month old baby.

Nevada

Officials are enacting a statewide mask mandate as cases continue to rise in rural areas. Nevada Health Response reported all of Nevada’s 17 counties are currently experiencing substantial or high COVID-19 transmission.

Ohio

The Ohio Children’s Hospital Association released a 17-page statement, signed by dozens of members issuing a dire warning on pediatric hospital resources in the state.

“Twelve to 15 kids hospitalized per day in the ICU and on ECMO,” said Grace Wakulchik, president and CEO of Akron Children’s Hospital, during the press conference.

“We currently have 26 children in the hospital, nine of which are in the ICU and five on ventilators,” said Tim Robinson, CEO at Nationwide Children’s Hospital.

“We have been very full, and we anticipate being very full again this week,” said Patty Manning-Courtney, MD, chief of staff at Cincinnati Children’s Hospital.

Ohio, Kentucky, and Indiana are seeing a similar surge to the one ongoing in Washington, Oregon, and Idaho.

Oregon

The models that predicted Oregon would hit its peak this week appear to be coming true with hospitalization numbers starting to trend down. But like in other states where cases are tailing off, the final phase where fatalities increase has now begun.

Douglas County Public Health reported the death of an infant from COVID, who passed on Monday.

Portland Mayor Ted Wheeler (who is in open competition with Jenny Durkan for least popular large city major in the United States) has dropped the vaccination requirement for Portland Police officers.

The city attorney’s office advised city staff on Tuesday that the order issued last week that all employees be fully vaccinated against COVID-19 or risk losing their jobs could not be extended to the city’s police force. That was due to new guidance from the Oregon Health Authority, which said the Governor’s order mandating vaccines for health care workers likely did not apply to police.

The issue in question was whether police officers were medical first responders, similar to firefighters. The city attorney determined that this was not the case.

South Carolina

If South Carolina was a country, it would have the third-highest rate of COVID cases on the planet behind only Mongolia and Grenada. When asked who bears responsibility for South Carolina’s latest surge, Dr. Brannon Traxler, director of public health at the S.C. Department of Health and Environmental Control, on Wednesday said, “I don’t think that this is a matter of who to blame.

“From a public health standpoint, we know that the answers to stopping the spread of this virus are vaccines, wearing masks, washing hands, and practicing physical distancing,” Traxler said.

“DHEC is not interested, myself included, in pointing fingers or blaming one person or a group of people because this pandemic, which really is unprecedented, as we’ve all heard so many times, is just so complex. … We all have individual choices to make.”

Three South Carolina cities, Columbia, West Columbia, and Cayce passed emergency mask orders today.

South Dakota

Active cases of COVID in South Dakota are now at levels not seen since January 7. Active cases are now at 6,182, up from Friday (5,970) while hospitalizations ticked down slightly.

Texas

The state of Texas is seeing a trend similar to Alabama. Hospitalizations appear to have peaked for adults, while pediatric hospitalizations continue to increase. The state has been hit with COVID and RSV cases, stretching pediatric ICU resources to the limit.

Dr. Jim Versalovic from Texas Children’s believes that we are seeing this spike right now because so many kids are back inside classrooms.

He says Texas Children’s is at a high plateau right now, which hopefully means their numbers will start to go back down at some point.

“We’ve had a census exceeding 50 children and adolescents per day most of the past two weeks,” Dr. Versalovic said about Texas Children’s. “We continued to have numbers above 40 just in the past 24 hours. We set a new record in the past week in terms of the number of children testing positive at Texas Children’s, well over 380 positive tests in a 24 hour period.”

Over the holiday weekend, Texas had more than 300 children hospitalized for confirmed COVID cases.

West Virginia

Governor Jim Justice announced Wednesday “West Virginia leads the nation in the acceleration rate of new cases.”

He also outlined that 10 schools have closed due to an increase in cases and one entire county, Clay County, has closed schools in the district due to COVID-19 cases and exposure. 29 districts have issued masked mandates for students K-12.

As of Wednesday, 813 West Virginians are in the hospital battling COVID-19 complications. According to DHHR data, 252 have been admitted to the ICU and 132 are currently on ventilators. Gov. Justice said the number of patients in the ICU and on ventilators is at an all-time high for the state.

Governor Justice is a bit of a minor star on social media due to his mannerism and delivery of his COVID updates to his state. You can watch for yourself in this clip that went viral today.

Governor Jim Justice of West Virgina

Misinformation

Taking the day off

Mark Twain Elementary closes classroom – local and national COVID update for September 7, 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) The number of students in quarantine at Kamiakin Middle School almost tripled today, and a second-grade classroom at Mark Twain Elementary was closed due to “multiple confirmed COVID cases.” All three school districts we are following are reporting students and faculty in quarantine.

If you want to watch live professional sports in Washington, you’re going to need a COVID vaccination or a PCR test, with every team along with the Huskies and Cougars announcing requirements today.

Washington state COVID numbers are incomplete due to the long holiday weekend, but they aren’t good as hospitalizations, and ICU patients set new records. In a press conference today with the Washington State Hospital Association, the alarm was sounded about the impact COVID is having on pregnant women and shrinking available medical resources.

Vaccination rates at a local, county, state, and national level grew as fewer people are vaccine-hesitant. It was reported up to 200 Seattle Police Officers will resist or quit over the City of Seattle vaccine mandate, and someone has set up a website calling for officers to resist.

There was a lot of irresponsible hype about the Mu variant this weekend after several news sources ran with a story about the variant being identified in 49 states. No, you don’t need to lose sleep over Mu. A pre-print report that was recently released and is well researched indicates the number of COVID mutations is declining at a country and global level as more people get vaccinated.

Nationally, Idaho had to move to “crisis standards of care” today in two districts, imperiling the health of Idahodians that require medical resources. Hawaii got an emergency shipment of oxygen from the mainland over the weekend, averting a crisis. Remember the ivermectin story out of Oklahoma last week? We go over what went sideways with that and what is truth and reality as more information has come out. The short version – almost everyone got it wrong except the doctor interviewed in the first place.

Finally, my day started at 7 AM, and I haven’t had lunch or dinner. There are probably a lot of typos – your patience is appreciated. (OK, just did a ton of edits)

This update uses the latest data from the Washington State Department of Health released on September 7, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 7, 2021

Washington state COVID update

Today is the first update from Washington state since Friday. Data isn’t complete from all agencies, making the fidelity of data cloudy for the next couple of days. Through September 6, Washington’s statewide 14-day rolling average was 517.7 COVID cases per 100K, which is statistically unchanged from the last update. Clallam (1,042.1 per 100K), Columbia (1,147.0 per 100K) Franklin (1,217.4 per 100K), and Okanogan (1,015.5 per 100K) reported an extreme number of new cases. Counties in the 800.0 to 999.9 per 100K range include Asotin, which dropped below 1,000.0 over the weekend, and Benton, Chelan, Cowlitz, Douglas, Garfield, Grant, Lewis, Pend Oreille, Stevens, and Yakima. Lincoln county fell off the list, dropping to 760.2

King County is at 311.8 cases per 100K, a slight decline.

The Washington State Department of Health reports a data backlog for test positivity, with the published number 14 days old. According to Johns Hopkins University Medicine, the positivity rate for the last 30 days is 13.29%, and over the previous 7 days, 15.31%. Hospitalizations were down for the 20 to 34 and the 50 to 64 age groups. The data released today should be considered incomplete due to the 3-day holiday weekend.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1127.4 (down)0.2
Ages 12-1922.40.2
Ages 20-3458.5 (down)1.3 (down)
Ages 35-4947.3 (down)2.8
Ages 50-6433.2 (down)3.7 (down)
Ages 65-7917.8 (down)3.8
Ages 80+4.91.5
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 did not report the number of COVID-related deaths today.

Huskies, Cougars, Mariners, Seahawks, Storm and Kraken requiring vaccinations for home games

In an avalanche of announcements today, almost every major college and professional sports franchise announced that proof of vaccination would be required to attend home games in Washington state.

The Seattle Seahawks announced that the team and Lumen Field will require proof of COVID-19 vaccination. All guests age 12 and older will be required to provide proof of COVID-19 vaccination or a negative COVID-19 test result taken within 72 hours before kickoff to attend Seahawks games at Lumen Field. The Seahawks will begin enforcing the new policy starting with the team’s home opener on September 19 vs. the Tennessee Titans. In accordance with current Washington state and King County mask mandates, fans and staff will also be required to wear masks at all times except while actively eating or drinking, regardless of vaccination status.

The Seattle Kraken and Climate Pledge Arena made an identical announcement almost at the same time. In compliance with the mandate from Washington state, Climate Pledge Arena and the Seattle Kraken have announced that all guests, ages 12 and over, attending Kraken games, concerts, and events at Climate Pledge Arena will be required to provide proof of vaccination upon entry. In the near term, all guests will also be required to wear a mask while attending events until further guidance from Washington state.

The Kraken and Climate Pledge Arena will introduce a seamless and convenient process to allow guests to show proof of full vaccination via their smartphones. Additionally, Climate Pledge Arena will require proof of vaccination for all events.

A few hours later, the University of Washington Huskies and the Washington State Cougars made their announcements. The Huskies will implement a vaccine verification system for all Husky Athletics tickets events beginning on Sept. 25, starting with the Huskies’ football game against California at Husky Stadium.

Husky fans over the age of 12 will need to provide proof of vaccination or proof of a negative COVID-19 test within 72 hours of the event.

The Washington State Cougars will require proof of vaccination for fans age 12 and older, beginning with home games at Gesa Field in October.

Cougar fans that are not vaccinated will need to show proof of a negative COVID-19 within 72 hours of the event.

Shortly after the college announcements, the Seattle Storm and the Angel of the Winds Arena in Everett made their announcement. According to a team spokesperson, the team will require proof of vaccination or a negative COVID-19 test within 72 hours of game time during playoffs, which begins on Sept. 23.

Until then, the team plans to provide vaccinated and unvaccinated sections for its remaining two home games on Tuesday, Sept. 7, and Friday, Sept. 17.

An hour later, the Mariners and T-Mobile park made a similar statement. However, any proof of vaccination requirement won’t happen unless the Mariners make the postseason. For now, the Public Health order for masks applies to fans ages 5 and older in all locations of T-Mobile Park, including seats and concourses, but masks are not required while fans are actively eating and drinking. The proof of vaccination policy won’t be installed until potential postseason games at the earliest.

4 ejected and 6 arrested on Seattle to Anchorage Alaska Airlines flight forced to make an emergency landing over mask wear

Four passengers were ejected from Alaska Airlines flight 109 before it even departed Seattle for Anchorage, Alaska, and another 6 were arrested when the flight had to divert to Juneau. Officials in Seattle had to escort 4 people off the aircraft on Saturday before it even left the gate for being disruptive and refusing to wear masks.

After the plane took off, 6 additional passengers from the same group became combative. They refused to follow directions, and things escalated to threats directed at passengers and the flight crew, with one stating, “we are locked and loaded.” The cabin crew became so nervous about the threats they approached several passengers, asking if they could assist if the group got more violent.

The pilot announced the aircraft had a mechanical problem and needed to make an emergency landing in Juneau. When the plane landed, local and state police were waiting, boarded the aircraft, and escorted the six men off the plane in handcuffs.

Alaska Airlines stated the six men removed did not continue to Anchorage on Alaska Airlines flight. There was no information at press time on whether any of the six men were booked or are facing criminal charges.

Seattle Police Officers Guild “unofficially” sets up anti-vaccination website

Someone within the Seattle Police Department has set up a website encouraging officers not to report their vaccination status to the City of Seattle, with the vaccination looming. The introduction of the website reads, “Welcome fellow SPD family members who have made it here. As you are aware by now, the city is demanding that all SPD officers provide the City with proof of vaccination or submit a request for vaccination exemption by September 22, 2021. This mission is one of human rights, constitutional rights, civil liberties, and freedom of choice. We all must band together in our stance for freewill, personal choice, medical freedoms and consent without coercion, retaliation, harassment, disciplinary action, or termination.”

The legality of local and state government-mandated vaccinations was addressed by the Supreme Court in 1905, in the case Jacobson vs. Massachusetts. As reported on Saturday, the WFSE reached an agreement with the State of Washington on modifications to the vaccination mandate that provides more equity. This agreement doesn’t impact SPOG or the Seattle Police Department. It is also clear the union, for that matter, any union would have pursued a Constitutional legal avenue if a valid one existed.

The site states it is not affiliated with the Seattle Police Officer’s Guild but uses the SPOG rallying cry of “hold the line.” Interestingly, the site does not state if it is affiliated with the Seattle Police Department.

The about section states, “My name does not matter. I took an oath, just the same as so many of you. I am someone who refuses to sit back and watch the futures of so many great men and women be placed at risk of being ripped away by a government entity who has no right forcing us all to to [sic] submit to a vaccine and disclose private medical information regarding the same.”

Jason Rantz reported that up to 200 Seattle Police Officers refuse to get vaccinated or hand over their information for verification. This would represent about 19% of the current force but does not align with other municipalities, states, schools, and private businesses that have had vaccine mandate deadlines pass. The state of Hawaii mandated 14,000 workers to get vaccinated, and so far, 92.6% have gotten at least the first dose. Vaccine mandates at hospital systems and colleges have yielded 95% to 99.6% compliance.

Reports King County and Seattle are working on a vaccine verification program to access non-essential businesses

KOMO reports that Seattle and King County are working on starting a vaccine verification program similar to those implemented in Honolulu, New York City, San Francisco, and Clallam and Jefferson counties. No details were announced, but similar programs in other cities and counties have required proof of vaccination to enter bars and restaurants.

The program would not be implemented until at least October, and according to Constantine, would have at least a five-week lead time to give people time to get vaccinated.

First deadline to get first vaccination to meet October 18 state work vaccination requirement has come and gone

For employees planning to get vaccinated by the October 18 stated deadline, the date for the first dose of the Moderna vaccine was yesterday. The interval between the first and second shot is 4 weeks, followed by two weeks to reach maximum effectiveness. Guidelines still under consideration by the federal government would call for a booster shot 8 months after the second dose.

The Pfizer vaccine, which is fully FDA approved for people 16 years old and over, has a deadline of September 13. The first vaccine to reach full approval has a 21 day period between the first and second shot.

The Johnson & Johnson shot is a one-and-done shot, requiring 14 days to reach maximum effectiveness. On paper, state employees could wait until October 4. However, federal distribution of the vaccine has ground to a halt, making doses difficult to find.

King and Pierce counties outdoor mask mandate begins

Washington’s two most populous counties, including the cities of Bellevue, Seattle, and Tacoma, had their outdoor mask mandates go into effect today. People who attend outdoor events with 500 or more people will be required to wear masks regardless of vaccination status. Mask wear is highly recommended in crowded outdoor areas where social distancing is impossible, and movement is restricted. Mask wear is required outdoors if you’re unvaccinated in almost all situations.

Did you go to the Ellensburg Rodeo or Dave Matthews Band shows at The Gorge?

County officials in Kittitas County are appealing to anyone who went to the Ellensburg Rodeo or Dave Matthews at the Gorge to get a COVID test over the next few days. Officials in Kittitas County are going to be adding testing capacity. The public health community is concerned that the combination of these two events and public schools starting this week will break the back of the local hospital.

Kittitas Valley Hospital is a small acute care facility with 25 beds. They are currently full, and 24% of their patients have COVID. According to a spokesperson with the facility. Officials warned in a Washington State Hospital Association press conference today that the ability to move patients between Washington hospitals is starting to gridlock.

Pediatric death

The Washington State Hospital Association reported a pediatric COVID patient died in Spokane at Sacred Heart last week. No additional information on age, hospital or city of residence was given. This is the 13th COVID-related death of a juvenile patient in Washington state.

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

King County Health reports 84.4% of all eligible residents age 12 and older have received at least one dose of the COVID vaccine. Additionally, every eligible age group from 12 to 80+ years old is over 70% for at least a first dose. Twenty to 29 years old are the furthest behind at 71.5%, with adolescents from 12 to 19 years old at 72.5%.

Washington state reports that 73.9% of all residents age 12 and up have received at least one dose of the COVID vaccine.

Nationally the United States reached a milestone with 75% of all adults 18 and over, with at least one dose of the COVID vaccine.

United Kingdom vaccine advisory board does not recommend vaccination for 12 to 15 year olds

The United Kingdom vaccine advisory board determined that children age 12 to 15 were at such a low risk from COVID that vaccination would provide only a “marginal benefit.”

The UK’s four chief medical officers have now been asked to have the final say and consider the wider impact on schools and society.

Health Secretary Sajid Javid said a decision would be made shortly.

The Joint Committee on Vaccination and Immunisation did advise widening the existing vaccine program to include an extra 200,000 teenagers with specific underlying conditions such as children with chronic heart, lung, and liver conditions.

A CDC study released last week, Hospitalizations Associated with COVID-19 Among Children and Adolescents — COVID-NET, 14 States, March 1, 2020–August 14, 2021, found that children 5 to 11 years old were at a significantly lower risk than children from birth to 4 and 12 to 17. The CDC study found that the hospitalization rate among unvaccinated adolescents from 12 to 17 was 10 times higher than among the vaccinated.

University of Washington Medicine appeals for pregnant women to get vaccinated

A spokesperson from UWMC outlined data on the increasing number of pregnant women hospitalized in Washington state today in a press conference with the Washington State Hospital Association. In a recent study evaluating 800,000 pregnant women at more than 500 medical facilities, researchers found that being unvaccinated increased the risk of early delivery (before 37 weeks) 22 fold. Unvaccinated pregnant women had a 14 times greater risk of needing a ventilator and a 15 times greater risk of death.

When the blood oxygen level in a pregnant woman drops to a dangerous level, early delivery may happen spontaneously. In other cases, it may need to be induced to try and save the mother and child. UWMC reported turning away patient transfer requests for pregnant women who needed ICU-level care and not just due to COVID. The hospital has no capacity for interstate transfers.

King County, Washington is reporting over 84% 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.

COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. 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

According to the DoH COVID Dashboard, 22.2% of all acute care patients hospitalized in Washington have COVID, another new record. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 88.8% of capacity statewide, with 34.9% of ICU patients fighting COVID, virtually unchanged from last week.

The new hospital admission rate for COVID patients is 173 per day, down significantly from last week – however, the Washington State Hospital Association note in a press conference this morning that hospital occupancy information was incomplete due to the holiday weekend. On September 6, there were 1,585 patients hospitalized with COVID and 246 on ventilators, according to the Department of Health. This was a new record.

The WSHA reported 1,674 COVID patients hospitalized, up 7% from last week, a new record. The number of ICU patients on ventilators was up 34% from last week.

The Washington Department of Health has not responded to our request to explain the difference between the state and WSHA numbers.

EvergreenHealth reported 39 COVID patients at Kirkland and zero at Monroe on Monday. This is lower than the 44 reported last week but higher than the 35 reported on Friday.

EvergreenHealth Kirkland hospitalized COVID patients for September 7, 2021

During the WSHA press conference today, red flags were raised on several issues within Washington state, as hospitalized patient numbers and ICU use continues to grow. It was explained that staff and equipment for kidney dialysis are in critically short supply in Washington, impacting more than COVID patients.

When the Delta variant exploded in India, officials saw numerous patients with kidney and pancreas damage developing type 1 diabetes as a long-hauler syndrome. A recent study by the Washington University of Medicine and US Veterans Affairs sees a similar trend in the United States.

Additionally, the organization reported that Washington state is already “triaging care.” Currently, the Washington Medical Coordination Center, operated out of Harborview Medical Center, assists hospitals in Washington state to “find beds for patients where beds can’t be found…beyond the normal system.”

Routinely, hospitals work within their networks and with agreed partnerships to move patients. A year ago, the state agreed to share resources so that if moving patients within networks wasn’t possible, coordination could happen across the state. Larger hospitals are on a “guaranteed acceptance” if a patient has nowhere to go, but that is not a long-term commitment, and the WMCC has no commitment to coordinate with or accept out-of-state patients.

“If you come in with a stroke or a cardiac event, there is no bed for you,” said Dr. Linda Eckert of Kittitas Valley Hospital. “This isn’t just a COVID emergency. This is an emergency for rural residents.”

When questioned about what going to “crisis standards of care” would look like, WSHA president Cassie Sauer explained that Washington has an agreement not to let a single hospital going into crisis care. If resources were to become exhausted, a hospital region or the entire state would move to crisis care standards.

“Healthcare is not an unlimited resource,” Dr. Sauer concluded.

Data for pediatric patients receiving acute care or in a PICU due to COVID is not available.

Back to School

School DistrictStatusQuarantinesClosures
BellevueGREEN– Bellevue (4)
– Chinook (4)
– Newport (1)
– Sammamish (1)
– Somerset (1)
– Tyee (1)
– Woodridge (6)
None
Lake WashingtonRED– Kamiakin Middle School (81))
– Juanita Elementary (1)
– Juanita High School (8)
– Mark Twain Elementary – 2nd-grade class (multiple confirmed cases)
NorthshoreYELLOW– Bothell High School (12)
– Canyon Park Middle School (1)
– Crystal Springs Elementary (5)
– Fernwood Elementary (3)
– Frank Love Elementary (1)
– Hollywood Hill Elementary (1)
– Inglemoor High School (1)
– Hollywood Hills Elementary (1)
– Kokanee Elementary (1)
– Maywood Hills Elementary (3)
– North Creek High School (1)
– Northshore Middle School (2)
– Ruby Bridges Elementary (15)
– Shelton View Elementary (5)
– Skyview Middle School (2)
– Timbercrest Middle School (2)
– Westhill Elementary (1)
– Woodin Elementary (3)
– Woodmoor Elementary (6)
None
Local Districts Scorecard

All three area school districts are now reporting COVID cases and quarantines. The Lake Washington School District moved into red status less than one week after school started.

Bellevue School District is reporting exposures and confirmed cases at 7 different schools. However, they currently have less than 10 confirmed cases.

The Lake Washington School District has hit growing quarantines and exposures at two schools, while infections spread to four facilities. Kamiakin Middle School now has 81 students, with 53 more exposed to a COVID positive student.

Additionally, in a message sent to parents this morning, school officials indicated an entire classroom at Mark Twain Elementary was put into quarantine.

“We are writing to inform you that there have been positive cases of COVID-19 reported that involves our school. The individuals and the families who tested positive, along with close contacts, have already been notified by the school.  This letter is intended to keep our community informed to what is happening at Mark Twain.  Currently, we are following the direction of the Department of Health and shutting down a classroom in an abundance of caution because of multiple positive cases.”

There was an additional single case at Juanita Elementary reported over the weekend.

The Northshore School District is reporting 19 facilities with students or faculty in quarantine. Currently, none of the 19 schools impacted have reported widespread exposure.

The next board meeting for the Lake Washington School District is September 13, 2021, at 7:00 PM and will be remote only.

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulitaive Case Tracker 73,331 new cases and 530 COVID-related deaths on Tuesday. These numbers are missing many reports nationally due to the Labor Day holiday.

About the Mu variant

An article over the holiday weekend about the Mu variant got a lot of attention in the press. Catchy headlines announce that Mu has been found in 49 states (including Washington) and now represents 4% of all cases in Alaska.

Mu, also known as B.1.621, is considered a “variant of interest” by the World Health Organization, had blaring headlines that the variant represents 39% of all COVID cases sequenced in Columbia, is worse than Delta, and breaks through vaccines more effectively. The variant gained the “variant of interest” distinction because of the number of genetic mutations, its increased resistance to current COVID vaccines and people infected do become sicker.

Scary headline-grabbing stuff!

Mu only represents 0.2% of cases globally, and that 39% number of Columbia is under 1,000 total cases. Additionally, there are signs that the number of Mu cases globally is in decline.

When a virus mutates, it becomes concerning if it is more transmissible, more deadly, and can escape vaccine immunity. Data from Belgium indicates that Mu is more deadly, and data from multiple countries shows that it is better at causing breakthrough cases than Delta. An official R0 is not available for Mu, but nothing indicates it is equally or more transmissible than Delta. Because Mu can’t outspread Delta, it can only establish itself in small pockets of unvaccinated communities.

For another variant to become the next globally dominant strain, it will have not only to be more vaccine-resistant than Delta, but it is going to have to out replicate it. That’s a tall task for the next mutation.

The end of the pandemic and moving to an endemic is in sight

Are you ready for some good news? A report published as a pre-print in medRxiv called COVID-19 vaccines dampen genomic diversity of SARS-CoV-2: Unvaccinated patients exhibit more antigenic mutational variance and provided insight into how increasing vaccination rates are impacting the formation of new COVID mutations.

A critical disclaimer, the article has not been peer-reviewed, and several of the researchers have connections to various firms and agencies. However, the researchers include doctors from the Mayo Clinic and Harvard and analyzed genomic sequencing information globally. In a discussion, Dr. Katelyn Jetelina referenced the study today, along with a couple of our researchers.

The study examined 1.8 million genomes from 183 countries and territories between December 2019 and May 2021 and identified 1,296 unique lineages for COVID mutations. The study reached three critical conclusions:

  • The diversity of COVID mutations is declining globally
  • The diversity of COVID mutations is declining at a country level
  • Areas with more vaccinated people are seeing less total mutations
Study indicating that the number of COVID mutations is declining as vaccinations become more widespread globally

The study also indicated that vaccinated patients with breakthrough cases produce significantly fewer mutations than unvaccinated patients.

The good news is as more people get vaccinated, the number of variants is in decline, and as of early this summer, globally, we are starting to win the war. The Delta variant waves in India and the United Kingdom ran for 40 to 60 days before sharply declining. This happened because Delta is so infectious, it spreads easily among the unvaccinated and runs out of uninfected hosts.

There are signs that the United States is reaching a national peak, but there will be hotspots for weeks to come. The more vaccinated people, the harder it will be for COVID to produce a variant that can out replicate Delta and can breakthrough vaccinated and natural immunity.

We will never eliminate COVID, but if we can slow down the mutation of the existing strains, it becomes increasingly unlikely we will get something worse than Delta, that can also out replicate it.

Biden Administration to announce a new national COVID strategy on Thursday

President Joe Biden will deliver remarks on Thursday laying out a six-pronged strategy involving both the public and private sectors in his administration’s latest efforts to stop the spread of the coronavirus and boost vaccination rates.

The announcement from White House press secretary Jen Psaki comes as the U.S. reached more than 40 million recorded cases of COVID-19 since the pandemic began and as health officials race to contain the highly contagious delta variant.

We can tell you this much. It will not include a national mask or vaccine mandate.

Today, the United States reached a grim milestone of 650,000 COVID deaths and is currently adding more than one million COVID cases a week.

Alabama

Alabama continued to struggle with COVID and reported having negative 92 ICU beds over the weekend, meaning 92 more patients needed ICU bed care than the state’s hospitals had formal ICU beds. While some hospitals had available ICU beds to care for the critically ill, others had patients awaiting that care. More than half of the state’s 1,618 ICU patients on Sunday had COVID-19. In plain language, Alabama is in “crisis care management” even without the declaration.

Of the 2,713 people hospitalized with COVID-19 statewide on Sunday, 84 percent were unvaccinated, according to the Alabama Hospital Association. 

This evening, a group of night-shift nurses and hospital workers gathered outside UAB Hospital, briefly refusing to clock in for work in protest of long hours driven by the ongoing coronavirus pandemic and what they say is unfair pay.

“The COVID pandemic and recent Delta variant surge have stressed the healthcare system and put tremendous pressure on our staff – including nurses on the front lines,” UAB Hospital Chief Nursing Officer Terri Poe said in a statement.

Lindsey Harris, president of the Alabama State Nurses Association, spoke to reporters after the workers entered the hospital. Although she had not spoken to the specific nurses who gathered at UAB tonight, Harris said Alabama nurses are paid 8% less on average than their counterparts in neighboring states.

Many hospitals are losing thousands of nurses and skilled professionals moving to contract work and traveling nursing due to significantly higher pay.

The state held a moment of silence today for the 12,000 Alabamians who have died from COVID.

Arizona

Tucson cannot force its employees to get a COVID-19 vaccine, and the city puts millions of dollars of state revenue at risk if it continues to enforce a mandate handed down by the City Council last month, Attorney General Mark Brnovich said Tuesday.

Tucson’s vaccine mandate is illegal, and the city could be held liable for attempting to force government employees to take it against their beliefs,” Brnovich said in a released statement. “COVID-19 vaccinations should be a choice, not a government mandate.”

If the city does not rescind or amend the policy within 30 days, it could lose state revenue dollars, Brnovich’s office said.

In other news, the Cyber Ninjas are still sick with COVID and have not released their election report to the Arizona state Senate.

Florida

A Florida doctor said she would no longer treat primary care patients in person who has not received the COVID-19 vaccine. 

Linda Marraccini, a family medicine doctor in South Miami, sent a letter to patients informing them that because the Pfizer vaccine has been approved for general use by the Food and Drug Administration, unvaccinated individuals will no longer be allowed to attend in-person appointments at her practice.

“This is a public health emergency — the health of the public takes priority over the rights of any given individual in this situation,” Marraccini wrote in the letter obtained by NBC Miami. “It appears that there is a lack of selflessness and concern for the burden on the health and well-being of our society from our encounters.”

Dr. Marraccini is not the first physician to make this announcement, and doctors can fire patients if they follow a procedure that does not medically abandon their patients.

There is a lot of evidence that the surge in Florida has reached its peak. Sewage samples from the Space Coast paint a different picture, with the amount of COVID in the waste system doubled from what was tested a month ago.

Georgia

Georgia set a new hospitalization record with 6,032 COVID patients statewide. In another tragic tale, a 4-year-old girl in a pediatric hospital recovering from abdominal surgery became infected with COVID and died one day later.

“It’s an empty hole in our heart, and she was amazing,” Chris Wishart told WRDW. “I couldn’t have had a better daughter. She was everything I’d want in a daughter.”

Hawaii

Maui County will require vaccination cards to access indoor restaurants, nearly identical to a vaccination ID mandate in Honolulu. The program will go into effect on September 15.

Hawaii got an emergency shipment of medical-grade oxygen on Sunday, preventing disaster at state hospitals that were critically low of the important resource. Another shipment is expected later this week.

Idaho

The sum of all fears became a reality today as multiple hospitals in Northern Idaho went to “crisis standards of care,” including the Panhandle and the North Central Health District. The Idaho Department of Health and Welfare announced the decision Tuesday morning. It applies to North Idaho, based on a recommendation from a large health care committee and patient-advocacy stakeholders from around the state.

Kootenai Health in Coeur d’Alene and surrounding area hospitals have run out of resources to care for the influx of patients.

According to the Idaho Department of Health and Welfare, hospitals and healthcare systems potentially affected are:

Panhandle Health District — Benewah Community Hospital, Bonner General Hospital, Boundary Community Hospital, Kootenai Health, Shoshone Medical Center.

North Central Health District — Gritman Medical Center, Clearwater Valley Hospital and Clinics, St. Joseph Regional Medical Center, St. Mary’s Hospitals & Clinics, Syringa Hospital & Clinics.

The move allows hospitals to allot scarce resources like intensive care unit rooms to patients most likely to survive.

Other patients will still receive care, but they may be placed in hospital classrooms or conference rooms rather than traditional hospital rooms or go without some life-saving medical equipment.

“Crisis standards of care is a last resort. It means we have exhausted our resources to the point that our healthcare systems are unable to provide the treatment and care we expect,” Idaho Department of Health and Welfare Director Dave Jeppesen said in a statement.

This standard of care isn’t just for COVID patients but any other medical care. Travel and activity in this area should be avoided because a medical emergency or car accident could result in not receiving adequate care due to a lack of resources.

Ohio

A judge ruled Monday that an Ohio hospital cannot be forced to give a patient ivermectin for Covid-19, reversing an earlier decision that ordered it to administer a parasite medication that has not been approved to treat the disease.

In an 11-page decision, Hamilton County Common Pleas Judge Michael Oster Jr. wrote that there “was no doubt that the medical and scientific communities do not support the use of ivermectin as a treatment for Covid-19.”

Jeffrey Smith has been at West Chester Hospital since July and has been intubated since August 1. The original order has run its course. Julie Smith, the patient’s wife, claims that her husband’s condition has improved, but he is still on a ventilator.

UC Health, which operates West Chester Hospital, did not immediately respond to a request for comment. A spokeswoman told The Cincinnati Enquirer that the decision was “positive.”

“We implore all members of the community to do what we know works: wear a mask, become fully vaccinated and use social distancing whenever possible,” Martin told the newspaper. “At UC Health, we respect the expertise of our clinicians and appreciate the scientific rigor used to develop treatments, medications, and other therapies.

“We do not believe that hospitals or clinicians should be ordered to administer medications and/or therapies, especially unproven medications and/or therapies, against medical advice.”

Oklahoma

Last week we shared a local news report from Oklahoma from Dr. Jason McElyea about ivermectin overdoses overwhelming hospitals in the rural southeast portion of the state. In his report, he indicated that patients, including gunshot victims, had to wait in ambulances for available resources.

Rolling Stone and several other publications picked up the story. Over the weekend, one of the hospitals denied the claims made by Dr. McElya. Fox News then jumped on that claim, roasting Rolling Stone for publishing false information.

Having shared the KFOR story ourselves, we monitored this over the weekend and were prepared to do a retraction. Today, INTEGRIS Gover Hospital made a statement, “what we can confirm is that we have seen a handful of ivermectin patients in our emergency rooms.” The hospital added: “And while our hospitals are not filled with people who have taken ivermectin, such patients are adding to the congestion already caused by COVID-19 and other emergencies.” In a follow-up message Monday night, hospital spokesperson Kristi Wallace said they had no beds available that night.

So what went wrong here? The original story we linked to provided quotes from Dr. McElya but didn’t fully explain what he said. In another article done by Tulsa World, more context from the same interview was provided. He told a story about being unable for hours to find space at a big-city hospital for a gunshot victim he was treating in a small-town emergency room — but this article did not attribute the scarcity of appropriate beds to ivermectin. In fact, the article did not mention ivermectin at all.

When Northeastern Health System Sequoyah issued a statement saying he hadn’t worked there in more than two months, that the hospital hadn’t seen any patients with complications from taking ivermectin and that it “has not had to turn away any patients seeking emergency care,” ring wing media pounced on the story as badly as KFOR did.

One thing that jumped out at us was the word “northeast,” as the original KFOR story referenced “Southeast Oklahoma.” At the time the statement was made over the weekend, several other hospitals had not released statements.

In reaching the finish line, it appears KFOR didn’t provide proper context, aggregators (including us) were too quick to grab the story, the right-wing media was too quick to jump on a single denial, and Dr. McEyea statement as presented by KFOR was taken out of context.

Everyone screwed up – including us – we aren’t going to retract the story now there is more context, but we do apologize and will not use KFOR as an aggregate source in the future.

Texas

A 74-year-old man whose family sought a court order against Memorial Hermann over his COVID-19 treatment has died.

Pete Lopez of Richmond had been at Memorial Hermann Sugar Land for almost a month battling COVID-19. According to his family, he was put on a ventilator on Aug. 19.

His family, who has been appealing with Memorial Hermann to administer the controversial drug, won a court order for the hospital to treat him with the controversial drug.

Despite the family’s court order win, they claimed the hospital refused to administer the drug.

According to Snider, Lopez was previously prescribed ivermectin by VA Medical Center, but he was admitted to the hospital before he was able to take it.

“He had the prescription with him at the hospital, and the doctors knew that,” Snider told Eyewitness News on Sunday. “We have been asking them to administer it since day one.”

A judge signed a court order in favor of the family on Sept. 3, according to documents.

Vermont

Three Vermont State Police troopers out of the Shaftsbury barracks have resigned, and a criminal probe is underway into allegations that they may have violated federal law by making fake Covid-19 vaccination cards.

The matter has been referred to the U.S. Attorney Office in Vermont and FBI, which is investigating, according to a statement released by the Vermont State Police Tuesday afternoon in response to questions raised by VTDigger.

Michael Schirling, the commissioner of the Vermont Department of Public Safety, told VTDigger he couldn’t comment beyond the statement. 

“Because there’s an ongoing federal investigation, I can’t get into in any more detail than what’s in the release,” he said.

Two of the troopers, Shawn Sommers and Raymond Witkowski, submitted their resignations on Aug. 10, according to the state police statement. That’s a day after another trooper brought the matter to a supervisor.

As a result of further investigation by the state Department of Public Safety, the third trooper, David Pfindel, resigned effective Sept. 3, according to the statement. 

According to the statement, the troopers “are suspected of having varying roles in the creation of fraudulent COVID-19 vaccination cards,” a possible violation of federal law.

Misinformation

Taking the day off