Tag Archives: booster shot

COVID cases confirmed in LWSD – local and national COVID update for September 3, 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) Two Lake Washington School District schools reported COVID cases today, as the CDC released a study on the impact the Delta variant is having among pediatric patients. New COVID cases continue at a very elevated rate, and data continues to hint the plateau in new cases is crumbling.

Pierce County joins King County in an outdoor mask mandate for large events, and members of Patriot Prayer and the Proud Boys forced three Vancouver, Washington schools into lockdown due to an antimask protest. Someone is running around Pullman pretending to be a mask enforcer, including taking pictures of driver’s licenses. For big breakfast and cholesterol fans, sad news from Seattle with Beth’s Cafe announcing they are closing again.

Nationally, this felt like awful humans doing awful things day. A high school principal in Tuscon was threatened by a group of anti-maskers leading to one arrest. We learned that a doctor in Arkansas did not get medical consent to give prisoners Ivermectin.

In good news, Florida has hit peak COVID, but hospitalizations and deaths are trailing indicators. Some models indicate that Oregon will hit its peak next week as the state teeters on running out of resources.

Finally, if you have tickets to Dave Matthews, two band members have been exposed to COVID, but the show will go on.

This update uses the latest data from the Washington State Department of Health released on September 3, 2021.


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Washington State Update for September 3, 2021

Washington state COVID update

Through August 22, Washington’s statewide 14-day rolling average increased again to 521.7 COVID cases per 100K. Asotin (1,033.6 per 100K), Columbia (1,290.3 per 100K) Franklin (1,218.5 per 100K), and Okanogan (1,082.8 per 100K) reported an extreme number of new cases. Benton, Chelan, Clallam, Cowlitz, Douglas, Garfield, Grant, Lewis, Lincoln, Stevens, and Yakima counties are not far behind, with rates between 800.0 and 999.9 per 100K.

King County is at 324.9 cases per 100K.

The Washington Department of Health will not be updating data Saturday through Monday due to the Labor Day holiday. We do not expect to have a clear view of the situation for COVID cases until the middle of next 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 14.34%, and over the previous 7 days, 12.90%. Hospitalizations were up in all age groups except 12 to 19 years old. New cases for people over 80 years old were down slightly in the latest data.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1128.2 (up)0.2 (up)
Ages 12-1923.0 (up)0.2
Ages 20-3466.41.6 (up)
Ages 35-4953.1 (up)2.8 (up)
Ages 50-6437.1 (up)4.4 (up significantly)
Ages 65-7918.5 (up)3.8 (up significantly)
Ages 80+4.8 (down)1.5 (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 32 COVID-related deaths on Thursday. Another concerning trend, the data from USA Today, indicates that the plateau has broken, with Washington reporting over 4,300 new cases on Thursday, the second day in a row over 4,000.

Pierce County enacts outdoor mask mandate for large events

One day after King County enacted an outdoor mask mandate for large events, Dr. Anthony L-T Chen, Director of Health for Tacoma-Pierce County Health Department, issued a countywide health order requiring the same. Everyone 5 years and older in Pierce County must wear a face covering at any outdoor event with 500 or more people in attendance regardless of vaccination status beginning Tuesday, Sept. 7, 2021.

The county also recommends wearing a mask in any crowded outdoor setting where physical distancing is not possible. This order, along with the statewide mask order, requires masks to be worn in indoor public settings like grocery stores, malls, and community centers.

“We are taking this step to ensure the most vulnerable people in our community do not become infected or spread COVID-19,” Dr. Chen said. “The highly contagious Delta variant is causing a rapid increase of positive COVID-19 cases and leading to increased hospitalizations and deaths.

“Wearing masks in crowds of 500 or more will reduce community transmission and protect children under the age of 12, people who are immunocompromised and unvaccinated adults.”

Yesterday, Pierce County Health released a video featuring Zac Duris, an ICU Nurse at St. Joseph Medical Center in Tacoma.

ICU Nurse Zac duris from st. joseph medical center talks about his experiences treating covid patients

Duris tells heartbreaking stories. From young, seemingly healthy people dying to families who can’t see their loved ones. 

“What sticks with me is the really ill patients who have families at home who are really concerned about them,” Duris said. “I can take care of critically ill patients with or without COVID. But what COVID has done has made families have to suffer more because they can’t be at their bedsides with their loved ones.” 

Right Wing extremists force three Vancouver schools into lockdown, harass students and staff

Patriot Prayer, headed by Joey Gibson, spread misinformation on the Internet that a student at Skyview High School was refusing to wear a mask and would be arrested on school grounds on Friday. Members of Patriot Prayer, the Proud Boys, and other anti-mask and anti-vaccination protesters gathered at the school chanting “USA.”

Three schools, Skyview High School, Alki Middle School, and Chinook Elementary School, went into lockdown. Students reported that teachers guarded classroom doors, and people trying to enter Skyview High School were met by security.

“All the learning gets disrupted. We have to sit down quietly, not make noise, and we were hunkered down in our classrooms for around an hour to an hour-and-a-half,” said Lucas, a 16-year-old high school student at Skyview. OPB is withholding Lucas’ last name to protect his identity.

He compared the lockdown to similar drills performed to prepare students for school shooters. Lucas said some students were harassed by the anti-mask demonstrators outside the school building.

“They’ve gotten pretty wild out here recently. It’s kind of crazy,” Lucas said.

Equal opportunity reporting – someone is trying to enforce mask wear at Washington State University – Pullman

Washington State University in Pullman sent out an alert to students warning them about a person claiming to be part of “mask enforcement.” The university, university police, and the city of Pullman all stated they were not doing any enforcement activity, and the person doing this is not an employee.

More alarming, the person took pictures of driver’s licenses and claimed that students would get a ticket in the mail. The person is described as a male driving a 2000s Toyota (which we realize doesn’t say much).

Northwest Washington Fair linked to 108 COVID cases

The Whatcom County Health Department is aware of 108 COVID-19 cases associated with the 10-day 2021 Northwest Washington Fair in Lynden.

“This includes both people who were contagious while they were at the fair and people who may have been exposed while they were at the fair,” health department spokesperson Jennifer Moon told The Bellingham Herald in an emailed statement Friday, Sept. 2. “We don’t have a more specific breakdown. This number may continue to increase as we continue to investigate cases.”

Officials refused to release attendance numbers for the fair.

Fake COVID vaccination cards intercepted in Seattle

Homeland Security Investigations in Seattle, which is a part of the U.S. Immigration and Customs Enforcement, said agents recently intercepted some fake COVID vaccination cards that were shipped to the United States through Seattle, with a final destination of Idaho.

No arrests have been made, and no information was shared on who the intended recipient in Idaho was.

Seattle icon Beth’s Cafe closing again due to COVID

During the height of the winter peak, Beth’s Cafe closed its doors because delivery only wasn’t fitting their business model. The cafe was sold to new owners, who reopened operating under limited hours. A combination of construction on Aurora Avenue eliminating parking, COVID, and a reduction in the nightlife, which fueled their business, is forcing Beth’s to close again.

The webpage indicates the closure will be for 3 to 6 months, or until things with COVID get under control. The 24-hour restaurant opened in 1954 and is famous for its 12-egg omelets, quirky clientele, and amazing milkshakes.

Expect long ferry waits this weekend

Washington State Ferries are expected to have significant delays this weekend due to many staffers out with COVID. Ironically, there were rumors of a “sick out” this weekend over looming vaccine mandates. Officials report that a sickout hasn’t materialized beyond the employees they already knew were sick so far.

“We just don’t have enough people to help run the boats,” said Ian Sterling with the Washington State Ferries. “Add COVID onto that, and unfortunately, we just lose out on the ferry fleet.”

According to Sterling, they’re dealing with major staffing shortages because of the pandemic, and there were rumors of a potential “sick out” this weekend because of the state vaccine mandate for state workers.

“Thankfully,” Sterling said, “we’re not seeing any evidence of that at this point in time.”

Dave Matthews Band changing weekend shows at The Gorge to an “alternate format”

The bassist and drummer of the Dave Matthew’s Band have had a COVID exposure and won’t be available for a planned show at The Gorge in George, Washington this weekend (yes, national readers, there is a George, Washington). The site says they are moving to an “alternate format” and that things will sound different from previous shows.

Organizers require proof of vaccination or a negative COVID test in the last 48 hours. We request you wear a mask.

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 released a new dashboard showing the effectiveness of vaccines in preventing new cases, hospitalizations, and death.

King County Health COVID-19 Outcomes by Vaccination Status Dashboard

Looking at data from the last 30 days, a person who is not fully vaccinated is 7 times more likely to test positive for COVID, 49 times more likely to be hospitalized, and 32 times more likely to die of COVID related illness. The data is age-adjusted to account for factors such as older people being more likely to have comorbidities while younger people are less likely to be vaccinated.

When looking at the data, be mindful that each statistic should be seen as a gate. You are 7 times more like to test positive for COVID if you’re unvaccinated. Among the people who tested positive, you’re 49 times more likely to end up in the hospital. If you’re unvaccinated and in the hospital, you’re 32 times more likely to die. So each number is a slice of a smaller and smaller group of people.

To booster shot, or not to booster shot, that is the question

Yesterday we wrote a lengthy piece about natural immunity versus immunity from vaccination and data out of Israel on the impact of booster shots. Our stressed-out editorial team (seriously, we need more copy editors desperately) struck the closing line of, “Confused? To some degree, we are too, but the evidence available supports that natural immunity wanes faster than vaccination-based immunity and booster shots are effective.”

Ehem – we should have left in.

A story in the New York Times reported Dr. Janet Woodcock, acting commissioner of the FDA, and Dr. Rochelle Walensky, head of the CDC, urged caution and advised that their agencies needed more time before approving any further action regarding booster shots. The issue isn’t around the existing recommendation for immunocompromised and the elderly to get booster shots. There is significant data to support they are needed and effective.

Yesterday, we reported a growing number of voices joining the World Health Organization, recommending putting the brakes on booster shots. The two critical issues are large swaths of the world population is currently unvaccinated and don’t have access to a first dose, let alone a third. Secondly, although the data is supportive of booster shots, the data also shows that a vast majority of people who get breakthrough cases only have mild symptoms, especially those under 65.

The whole question of booster or not might be moot, as Moderna is reporting that they will not meet a September 20, 2021 deadline for booster shot approval. The Biden Administration is faced with the choice of offering a booster shot for Pfizer only or delaying the program.

Widespread data isn’t available yet for the Johnson & Johnson vaccine and the need for a booster shot, but early tests show a significant boost in the immune response. Unlike Pfizer and Moderna, which are mRNA vaccines, Johnson & Johnson uses a neutralized adenovirus as a messenger to the immune system.

Misleading headlines on the number of Americans with COVID anitbodies in their blood

Some digital ink has been spilled today after a study was published in JAMA declared 83% of blood donations have detectable COVID antibodies in them. This has led to a series of misleading headlines leaping to the conclusion that between natural exposure and immunization efforts, 83% of Americans now have some form of immunity against COVID.

No. Because the study includes this critical text.

“Based on a sample of blood donations in the US from July 2020 through May 2021, vaccine- and infection-induced SARS-CoV-2 seroprevalence increased over time and varied by age, race and ethnicity, and geographic region. Despite weighting to adjust for demographic differences, these findings from a national sample of blood donors may not be representative of the entire US population.”

Here is the problem of leaping to conclude that 83% of Americans have some form of immunity. The data only represents people who donate blood, which is roughly 6.8 million Americans. People under 17 (16 in some states), who are under 110 pounds, have high or low blood pressure, diabetes, certain cancer and cancer history, HIV/AIDs, a history of Hepatitis or potential exposure, persons who are pregnant, or recently had a tattoo or STD can’t donate blood.

Because the pool (no pun intended) of people who can donate blood is already limited, there is no way to adjust this data to account for all the exceptions. It is a safer assumption that people who donate blood are more likely than the national average to have been vaccinated as a group.

When it comes to accepting donated blood, there is a movement among hardcore anti-vaccination adherents to refuse blood transfusions and blood-based agents because it can’t be proven the source is from an unvaccinated individual. We don’t recommend going too deep down that rabbit hole. The language used aligns with white nationalist ideals and the concept of “purity of blood.”

King County, Washington is reporting over 83% 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, 21.6% 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 88.5% of capacity statewide, with 34.2% of ICU patients fighting COVID, virtually unchanged from yesterday.

The new hospital admission rate for COVID patients is 189 per day, an increase from yesterday. On September 2, there were 1,533 patients hospitalized with COVID and 233 on ventilators. This is the first day since August 20, when a new record was not set. There were 31 fewer patients in acute care and 8 fewer patients on ventilators.

Data for pediatric patients receiving acute care or in a PICU due to COVID is not available.

EvergreenHealth released information on the number of patients currently under care in Kirkland and their vaccination status. On Monday, they reported 44 patients being treated for COVID. On Thursday, the number had dropped to 35. 72% of all COVID patients and 91% of ICU patients are unvaccinated. These numbers align with data released from King County today.

EvergreenHealth patient information at the Kirkland hospital for September 2, 2021

Back to School

School DistrictStatusQuarantinesClosures
BellevueGREENNoneNone
Lake WashingtonYELLOW– Kamiakin Middle School (28)
– Juanita High School (8)
None
NorthshoreGREENNoneNone
Local School Districts Scorecard

The first day of school brought COVID exposures to two Lake Washington School District schools. Parents at Kamiakin Middle School were notified about a confirmed COVID-positive case involving 28 people in close contact with the infected person.

Close contact is defined as anyone who has been within 6 feet of a person with COVID for a combined total of 15 minutes or more within a 24-hour period, or a person who lives in the same household as a person with a positive e COVID test, including caregivers. The standard does not mention any difference between licensed caregivers such as daycares or after-school programs or non-licensed caregivers such as a neighbor providing babysitting.

Unvaccinated close contacts are advised to quarantine for 14 days. Vaccinated contacts are advised to get a PCR COVID test (not a rapid test) 3 to 5 days after exposure.

Juanita High School also notified parents about a COVID-positive confirmed case involving 8 people in close contact. In both incidents, the district indicated they are deep cleaning the impacted areas. The Lake Washington School District COVID Safety Plan was last updated on August 18 and is available online.

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

Bellevue-based Peter Pan Seafoods, with locations in Washington and Alaska, is mandating vaccination for all employees. The company is rolling out the mandate in phases, with office personnel part of the first wave.

National Round-Up

Johns Hopkins University Cumulitaive Case Tracker 153,143 new cases and 1,588 COVID-related deaths on Thursday. With the holiday weekend upon us, we don’t expect to have another set of accurate numbers until the end of next week.

CDC release long awaited study on hospitalizations associated with COVID among children

Dr. Katelyn Jetelina provided an excellent analysis of an early release study from the CDC, Hospitalizations Associated with COVID-19 Among Children and Adolescents — COVID-NET, 14 States, March 1, 2020–August 14, 2021.

  • Infection rates were highest among children birth to 4-years old at 69.2 cases per 100K
  • This was closely followed by adolescents age 12 to 17 years old at 63.7 cases per 100K
  • Rates were lowest among children ages 5 to 11 years old at 24.0 cases per 100K
  • Among all age groups, 26.5% of children admitted to the hospital required PICU care, 6.1% went on ventilators, and the mortality rate was 0.7%
  • Pediatric hospitalizations rates increased fivefold in August compared to June
  • Hospitalization rates among infants and toddlers from birth to 4 years old increased tenfold
  • The hospitalization rate among unvaccinated adolescents from 12 to 17 years old was 10 times higher than among the vaccinated

We will deviate from one point Dr. Jetelina made in her analysis. We agree that there wasn’t a significant change in ICU admissions, children requiring ventilators, and fatalities when comparing Delta to the original strain and Alpha variants circulating in June. It is important to note that fewer children required ICU care, but the number of children who required ventilators increased, and the mortality rate went from 0.7% to 1.8%.

The challenge parents are facing isn’t that the Delta variant is more aggressive with children. The problem is there is widespread community transmission, particularly among the unvaccinated.

“Pediatric hospitalizations have dramatically increased in the past month,” Dr. Jetelina said. “Yes, the media is accurately portraying the situation on the ground. And, hospitalizations have increased the most for 0-4-year-olds. Importantly, this isn’t because Delta is more severe, it’s because we are transmitting Delta in the community, and our kids aren’t protected. Your decision not to get a vaccine or implement public health measures in schools or the community is directly impacting the health of kids.”

Etcetera

Boxer Oscar De La Hoya has tested positive for COVID and is hospitalized. De La Hoya, 48, who had a planned return to boxing this weekend after a 13-year break, is on hold. He tweeted from a hospital bed that is he is fully vaccinated. In the video, he isn’t on oxygen but appears exhausted and talks in a raspy voice.

We try to steer away from partisan sources and paywalls. We had a hard time finding a piece of local news or neutral source for this. Former President Donald Trump told the Wall Street Journal that he likely wouldn’t get a COVID booster shot, sort of.

“I feel like I’m in good shape from that standpoint—I probably won’t,” Trump said in an interview with the publication. “I’ll look at stuff later on. I’m not against it, but it’s probably not for me.”

We only toss in the “sort of” because in two sentences, he said probably twice, and given the last six years, OK, we’ll stop.

Alabama

Governor Kay Ivey on Friday reallocated $12.3 million of the Coronavirus Relief Fund to secure qualified, out-of-state travel nurses to work in Alabama hospitals in a temporary capacity.

“I’m pleased to see more folks getting vaccinated, but we are still in the thick of COVID-19, and our hospitals are overwhelmed,” Governor Ivey said. “In consideration of the current surge of the virus and the strain on our dedicated healthcare professionals, I have directed the $12.3 million of CARES Act funding be reallocated to recruit more trained staff to our nursing corps. Until our vaccination rates rise and our COVID-19 hospitalization rates fall, we will need the extra support these nurses provide.”

COVID cases in Alabama continue to surge, setting a new record of 4,705 new cases per day this week. Total hospitalizations declined—however, the number of patients in the ICU and on ventilators both set records.

The number of new COVID cases among school students more than doubled, with over 9,100 new cases reported in the last week, impacting 51 school districts.

Arizona

Kelly Walker, the owner of Viva Coffee House in Tuscon, Arizona, is no stranger to controversy. Rishi Rambaran is a 40-year-old parent of a student who attends Mesquite Elementary School in Tuscon. His child was told they would have to quarantine because of a COVID exposure and would not attend a school field trip.

Walker posted on his business’s Facebook page, “Apparently, Mesquite Elementary thinks they can break the law and act like the covid Gestapo. We will be headed over there shortly to disagree. Come join us because we won’t have this in OUR community!

Facebook post from Kelly Walker’s business Viva Coffee, highlighting another post from Rishi Rambaran

Walker, Rambaran, his child, and a third unidentified adult entered the school, confronted principal Diane Vargo in her office, and threatened her with a citizen’s arrest. Walker was allegedly equipped with black “military-style” zip-tie handcuffs and streamed the whole incident on his Instagram account. Vargo asked them to leave, and when they refused, called the police.

Vargo was forced to leave the school grounds for her own safety, and the men left before police arrived. Officials credit Vargo for using her active shooter training to deescalate the situation. Rambaran has been arrested and is facing a criminal charge of trespass. School officials and the Pinal County Sheriff say they are working on charges for the other men. There was no indication if Child Protective Services have become involved because a juvenile witnessed the interaction.

Vargo did nothing illegal and followed the guidelines established by the Republican-run Arizona state legislature and quarantining the child.

Editorial Opinion: Individuals such as Kelly Walker are a danger to the United States. He represents a small subset of very vocal individuals who actively foment the idea of violent action against the government and anyone that opposes his worldview. People like him, who have never served in a war zone, never been shot at, never watched their comrade’s in arms die, have a dangerous lust for the violence they’ve never experienced. His words and actions have motivated others into dangerous actions. We fully support the rights of the First Amendment to speak of your grievances and seek redress from the government. Continued calls for violence at a local, state, or federal level that lead people to action, are akin to screaming fire in a crowded movie theater. To quote the late Supreme Court Justice Potter Stewart, “I shall not today attempt further to define the kinds of material I understand to be embraced within that shorthand description, and perhaps I could never succeed in intelligibly doing so. But I know it when I see it.”

(yes, Justice Stewart was addressing hardcore pornography, it’s an analogy)

We would also be remiss if we did not point out, the only person arrested to date is a member of the BIPOC community. The events that happened yesterday directly result from disinformation campaigns and the radicalization of a subset of Americans with continued calls for violence.

Arkansas

We reported last week about Dr. Rob Karas, who was prescribing Ivermectin to inmates at the Washington County Jail with the approval of Sheriff Tim Helder. A couple of days later, we reported that Dr. Karas was under investigation by the state of Arkansas Medical Board.

According to a report in the Associated Press, multiple prisoners have come forward stating they were never told they were receiving Ivermectin. Some were told they were receiving vitamins or steroids.

Edrick Floreal-Wooten, an inmate, said he was given ivermectin at the jail after testing positive on Aug. 21.

“I asked what are they, and they’d just tell me vitamins,” Floreal-Wooten said. “With me being sick and all of us being sick, we thought that they were there to help us. I never thought they would do something shady.”

After seeing a news article about ivermectin being prescribed to inmates, Floreal-Wooten said he refused to take the drug last week.

Asked whether he would have taken the drug had they told him at the outset it was ivermectin, he responded: “Never. I’m not livestock. I’m a human.”

The ACLU said it has also heard from several inmates who say they were told the drug was vitamins or steroids.

Anti-vaccination disinformation recently latched on to the Nuremberg Code, and in some cases, has threatened people with citizens arrest, violence, and execution.

In 2017, JAMA had this to say. “The story of the Nuremberg Code is not one of the ethical norms taking on the force of law. Rather, its legacy shows the fundamental importance of a robust, organized medical profession that protects its independence from political interests and its ability to chart its own moral course, yet is at the same time open to the essential role of nations and government agencies that respect broadly defined and agreed-upon rules to protect the rights and well-being of human research participants.”

California

Like Missouri and maybe Florida (read further), California appears to be moving past a peak in COVID cases. That doesn’t mean the 3rd largest state geographically and with the largest population isn’t seeing hot spots in rural areas. The Central Valley, northern California along the I-5 corridor, and hospitals in Sacramento are still dealing with a massive surge of patients as Delta tears through the unvaccinated.

The high caseload is impacting schools, with several districts being forced to close their doors. The situation is further complicated by regional wildfires creating dangerous conditions at times.

Colorado

If you see a pattern of COVID plus schools equal problems in schools, you would be correct. The number of COVID cases in Colorado schools tripled this past week, impacting 43 learning institutions. Positive infections among students grew to 410 this week, which indirectly impacts exposed students and educations who then must quarantine.

A doctor in Denver found a seller of fake vaccination cards on a gun-selling website, and the state attorney general’s office is now investigating.

Florida

Yesterday’s spike in COVID cases was likely an outlier, as the trend of falling new cases and hospitalizations continue in Florida. We feel confident in saying Florida has hit its peak. “While the total number of hospitalizations remain high and workforce challenges remain, it is encouraging that fewer hospitals are expecting critical staffing and oxygen shortages. As Floridians continue to get vaccinated and with expanded availability of monoclonal antibody treatments for those who test positive, it looks like the worst of this surge may finally be behind us.”

Over 40,000 Floridians have received monoclonal antibody treatments, reducing hospitalizations by 10%.

As tens of thousands of students are now in quarantine due to COVID exposure, more school districts are considering mask mandates in open rebellion of governor Ron DeSantis. Since DeSantis’ order, more than a dozen Florida counties have rebelled and voted to require masks to protect students and teachers as the Delta variant sweeps across the state.

Earlier this week, populous Brevard County along Florida’s east coast, which went for Trump over President Joe Biden by more than 16 percentage points in November, narrowly voted to approve a 30-day school mask mandate.

A day later, Hernando County, which supported Trump over Biden by almost 30 points, also passed a mandate, but one that allows parents to opt-out.

Georgia

Georgia hit a grim milestone, logging its 20,000 confirmed COVID death since February 2020. After setting a record for hospitalizations yesterday, the numbers declined slightly on Friday. However, the state reported 106 deaths yesterday, which could account for the drop in hospitalizations.

Hawaii

A city council meeting in Honolulu led by Mayor Rick Blagiardi devolved into a shouting match and a platform for misinformation as more than 250 people spoke virtually.

Many of those who spoke repeated misinformation about the shots that are circulating on the internet.

Outside Honolulu Hale, demonstrators stood in protest. Inside the city building, they listened to the virtual council hearing without wearing masks.

The mayor addressed the overwhelming takeaway of the testimony, telling councilmembers, “The kinds of things you’re hearing today, ‘It’s my right to get sick, and when I get sick, you have to take care of me’ has a breaking point.”

The issue of out-of-state travelers came up, but Dr. Julius Pham of Queen’s Medical Center pushed back.

“Mostly, it’s travel among our own residents who have gone out of state and have come back.”

The medical experts also underscored the gravity of the situation, saying that hospitals are overflowing with COVID patients and quickly running low on supplies.

Councilmember Tommy Waters called the testimony “sobering.”

Iowa

New data out of Iowa echoes data across the United States – most patients in the ICU with COVID are unvaccinated. The state moved from reporting data once a week to three times a week and rolled out new dashboards today.

As of Friday, the Iowa Department of Public Health reports that 88.7% of COVID-19 patients in intensive care are not fully vaccinated.

Individuals not fully vaccinated make up for 82% of patients hospitalized because of COVID-19.

The Iowa DPH reports 527 COVID-19 patients in Iowa hospitals, with 100 admitted in the past 24-hours. One hundred and forty-two patients are in intensive care.

Kentucky

The situation in Kentucky has gone from bad to very bad in the last 24 hours. Kentucky Children’s Hospital in Lexington has reached full capacity, with COVID patients and children infected with RSV. The hospital has 199 total beds, including 16 PICU and PCICU beds, 12 progressive care unit beds, and 43 acute care beds. The hospital is also a Level 1 pediatric trauma hospital. State officials reported 5,111 new cases today, 30% of them among children 18-years old and younger.

Almost 90% of all ICU beds in Kentucky are occupied, with 661 people fighting COVID. A stunning 69% of people in ICU are on ventilators. The mortality rate for people infected with the Delta variant and on a ventilator for 7 or more days is close to 70%.

Like Idaho, FEMA strike teams have been deployed to the state to shore up exhausted and demoralized medical staff.

Gov. Beshear said three FEMA Emergency Medical Services (EMS) strike teams are on site in Kentucky tasked with transfers and transporting COVID-19 patients. The EMS strike teams are being managed by the Kentucky Board of Emergency Management Services (KBEMS) through American Medical Response.

Each team is comprised of five advanced life support ambulances, and each ambulance is staffed with one paramedic and one emergency medical technician (EMT). Each strike team is positioned regionally in Somerset, Prestonsburg, and Louisville. They are centrally dispatched and can respond to any area in the state.

Nevada

The Clark County School Board of Trustees authorized mandating the COVID-19 vaccine for employees during a marathon meeting that stretched into early Thursday morning, but the plan itself remains subject to negotiations with employee bargaining groups.

The 5-1 vote came after five hours of public testimony — the overwhelming majority of which was in opposition — and more than two hours of discussion. Trustee Danielle Ford cast the lone dissident vote, outlining a myriad of concerns ranging from operational challenges to medical accommodations being upheld. 

Trustee Katie Williams, who has unabashedly argued for personal choice regarding vaccines, participated at the beginning of the meeting by phone but was not present for the vote. Last week, she included a hashtag known to be affiliated with the QAnon conspiracy theory in a tweet about the potential vaccine mandate. The tweet was later deleted.

Before the public weighed in, Clark County Superintendent Jesus Jara laid out his pitch for approving the resolution, which merely gives staff the green light to develop a plan for mandating the vaccine. 

“The best medically available mitigation strategy we currently have is the vaccine,” he said. “The authority that I am requesting is to allow me as the superintendent to develop a plan and processes necessary to implement the full vaccination of our staff. I am not — let me be clear — I am not asking for authority for student vaccinations. Planning takes time. Development of the processes takes time. COVID-19 is not waiting.”

Clark County includes the city of Las Vegas, where a significant majority of all Nevada residents live.

Oklahoma

An Oklahoma judge blocked a state law banning public school mask mandates but added a requirement that parents and students could opt out if they wanted to.

Judge Natalie Mai said she would issue a temporary injunction that will go into effect next week when she issues a written order detailing her ruling. Mai said she is blocking the law because it applies only to public, not private, schools and that schools adopting a mask mandate must provide an option for parents or students to opt-out of the requirement.

The ruling drew praise from Gov. Kevin Stitt, who signed the law and opposes mask mandates without exemptions, and Dr. Mary Clarke, president of the Oklahoma State Medical Association, which joined the lawsuit brought by four parents who oppose the law.

Oregon

More hospitals in Oregon have requested mobile morgues as fatalities continue to rise. Providence Portland and Providence St. Vincent hospitals are bringing in temporary morgues, and Salem Health has signed a contract for a temporary morgue if needed.

“We’ve never seen anything like this,” said Salem Health CEO Cheryl Nester Wolf in testimony to the Salem Chamber of Commerce on Thursday. “We didn’t see this at the beginning of the pandemic. The delta variant is a horse of a different color than where we started.”

Models predict that Oregon will hit its peak next week.

An Oregon State Trooper from Bend is on paid leave after post a video on social media in uniform from his issued vehicle. However, he does not directly identify himself as a member of the Oregon State Patrol.

“I have personal and religious reasons as to why I will not take the vaccine, but also the freedom not to,” said the trooper, which Portland attorney Dan Thenell confirmed to NewsChannel 21 is Zachary Kowing, 29, an eight-year OSP trooper assigned to the Bend office.

Kowing posted the 2-minute, 35-second video about a week ago on his Instagram account, thinblueline_patriot, where he refers to himself as “pro-choice-life” and “pro-freedom,” with a ‘SAVE OREGON!’ logo over the U.S. flag.

He calls mask requirements illegal (they mostly aren’t depending on the language) while saying he didn’t oppose vaccination in general but would rather rely “on his body’s ability to fight the virus.”

South Carolina

Pediatric cases are exploding in South Carolina, which now has the highest infection rate in the United States for all ages. Dr. Jonathan Knoche, DHEC medical consultant, said that, since Aug. 21, the 11 to 20 age group had recorded the highest number of new cases in the state. The second highest group are those 0 to 10 age group.

South Dakota

Hospitalizations in South Dakota are now at the highest level since January, as new COVID cases have increased 685% since the first day of the Sturgis Motorcycle Rally on August 6. The surge in new cases, total cases, and hospitalizations far exceed the surge in cases the state saw in 2020 after the famous motorcycle rally.

Texas

Small town Texas is reeling from the closure of 45 school districts, impacting 42,000 students. From August 23 to 29, 27,353 students tested positive for COVID in the Lonestar state.

“By far, this is worse in terms of planning than last year,” said Tim Savoy, spokesperson for Hays Consolidated Independent School District, which closed some classrooms. “There’s no question about it. Last year we had a lot of tools at our disposal: We could require masks, and we could provide a virtual option that was funded. The delta variant really kind of appeared and just exploded on us.”

State data about the number of coronavirus cases in districts that have closed at least once during the school year thus far is incomplete — 19 have not reported any cases in students or staff to the state, while the state has suppressed case totals in 22 districts due to privacy policies. The list of public school closures in Texas is also incomplete, according to TEA. The agency is tracking closures informally based on media and district reports since districts are not required to report closures to TEA, said Frank Ward, an agency spokesperson.

The closures have been particularly hard in Deep East Texas, with districts closed in Brackett, Groveton, Hemphill, Livingston, Lumberton, Onalaska, and Trinity.

While Governor Greg Abbott was on CNBC tonight saying things were going well in Texas, the Texas Department of State Health Services removed an FAQ page on the practice referring to it as “the oldest, most utilized, and most important tool public health uses to manage infectious diseases.”

The new state budget, which took effect September 1, prohibits the use of state funds “for the purpose of contact tracing of COVID-19.”

Misinformation

Taking the day off

Local and national COVID update for August 20, 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) Multiple sources reported to us today that the state of Washington is considering a plan to place renewed restrictions on gatherings within public indoor spaces, as hospitalizations reached a new record. There is some evidence that the growth of new cases may be slowing down, as more hospitals report they are running out of resources.

There are reports out of Washington D.C. that the Pfizer and Moderna vaccine may receive full FDA approval next week. Trials for both the vaccine started more than a year ago, while the Johnson & Johnson vaccine was released later, requiring more data.

Bonadventure Senior Living is under fire after a recruiter for the company in Oregon posted a video on Tik Tok called for unvaccinated nurses to work for the eldercare company in Oregon, Washington, and Colorado. That story took a much darker turn today with new allegations of criminal activity.

This update uses the latest data from the Washington State Department of Health released on August 19, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for August 20, 2021

Are new COVID restrictions coming?

Governor Inslee is considering setting capacity limits for indoor public venues, according to several people we spoke to today. The plan being considered would not return Washington state to the phases used during the spring of 2021 but would put limits on the number of people who can gather in one place in specific public settings. No specific date was given, but there were indications if the plan is implemented it would happen end of August or early September.

On August 13, the National Terrorism Advisory Bulletin from the U.S. Department of Homeland Security expressed concern over the growing threat from domestic extremists groups due to the rise of COVID cases.

“Extremists may seek to exploit the emergence of COVID-19 variants by viewing the potential re-establishment of public health restrictions across the United States as a rationale to conduct attacks.  Pandemic-related stressors have contributed to increased societal strains and tensions, driving several plots by domestic violent extremists, and they may contribute to more violence this year.”

The report did not mention any specific threats and is a broad assessment of the risk of terrorism, foreign or domestic, at a national level. A large anti-vaccination rally is planned to happen on Saturday in Olympia from noon to 3 PM.

Washington state COVID update

COVID continues to spread through Washington at levels not seen since December of 2020. Through August 12, the 14 day rolling average Washington grew again to 455.8 COVID cases per 100K. This breaks the record high that was set yesterday. The USA Today COVID Tracker indicated that on Thursday, Washington reported over 3,900 new COVID cases. New cases continue to grow exponentially, with the epidemiological curve showing signs that things are slowing.

Washington State Newly Diagnosed COVID Cases per 100K During the Prior Two Weeks Through August 12, 2021

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 11.69%, and over the previous 7 days, 12.69%. We continue to see widespread transmission in the state, with another small decrease in the 7-day average.

The 7-day moving average for COVID-related deaths has increased again to 8 per day and the USA Today COVID tracker reported 33 deaths in Washington state Thursday. It is important to note that fatalities are a trailing indicator that usually increases two to four weeks after hospitalizations begin growing. The growing number of fatalities would align with the spike in hospitalizations that started two weeks ago.

Are changes coming to the Evergreen State Fair?

In a KOMO News report, Jeremy Husby of Snohomish County Parks & Recreation expressed concern about the upcoming Evergreen Fair. Husby said that capacity limits were already in place, but they were expecting between 18,000 and 24,000 people to attend. According to the Washington State Department of Health, Snohomish County hospitals have reached the same utilization level as early 2021. “When we know we are at a capacity where we can’t not serve the public and we can’t provide a safe space,” Husby said. “We need to make that call to shut down the fair,” Husby told KOMO.

Bonadventure Senior Living

On Monday, TikTok user @thisdaneshguy reposted a recruiting video made by Bonadventure Senior Living employee Shanya Hall, which went viral. Bonadventure, based in Salem, Oregon, manages senior living facilities in Washington, Oregon, and Colorado. In the video, Hall says, “I just wanted to tell you that if you are a nurse, a caregiver, a tech, and you now need a new job because of this, hit me up. I’ll hire you. I need nurses, caregivers, med techs, in Washington, Colorado, and Oregon.”

The video was taken down on August 9, the same day Governor Jay Inslee announced that healthcare workers would be required to get vaccinated against COVID. The Salem Reporter ran a story on Tuesday where they interviewed Hall. In the interview, she said she made the video on July 29, and it had been viewed more than 50,000 times before it was taken down.

When asked what she would say to families who are concerned about unvaccinated health workers caring for their family members, she said protecting residents is the number one priority for Bonaventure.

“I get being concerned or being scared but we are taking precautions,” she said. “We wouldn’t want to put anybody in the way of danger.”

In the same story, Jeremiah Gray, divisional director of operations at Bonaventure for Oregon, stated that they could not require vaccines for their staff because of an Oregon law. However, that was only partially true while the recruiting video was still on TikTok. On August 5, 2021,  the Oregon Health Authority filed a final temporary rule requiring COVID-19 vaccination or weekly testing for individuals who work in healthcare settings.

In a since-deleted Facebook post, Gray responded to the TikTok video on the Bonadventure, defending the company, and again stating that they are prevented by Oregon law to require vaccinations. That point became moot, with the federal nursing home vaccine mandate issued earlier this week. Today, in another video posted on TikTok by @thisdaneshguy, the creator claims that multiple employees of Bonadventure have shared internal e-mails with him about directives made by the company that put residents and patients at risk. Among the claims made, eight current and former employees are accusing Bonadventure of falsifying federal issued COVID vaccination cards, including in Washington state. That information has been turned over to The Statesman Journal, which ran a deeper story about Bonadventure yesterday.

Data from the United States and Israel indicates that the majority of COVID breakthrough cases that lead to severe cases are among people over 70 years old with multiple comorbidities. This was on of the key drivers for the United States to make the controversial decision to provide booster shots to recipients of mRNA vaccines.

The University of Washington Medicine is allegedly denying organ transplants to patients who refuse to get a COVID vaccine. In an interview with Jason Rantz, Sam Allen of Monroe claims he was removed from the heart transplant waitlist for refusing to get the COVID vaccine. Allen claims he had a “dispute” with his cardiologist over wearing a mask, and then was called.

“The cardiologist called me and we had a discussion, and he informed me that, ‘well, you’re going to have to get a vaccination to get a transplant.’ And I said, ‘well that’s news to me. And nobody’s ever told me that before.’ And he says, ‘yeah, that’s our policy.”

Allen was removed from the waitlist on June 7. Although post-transplant organ rejections are less common, and the medications to prevent the condition have dramatically improved, organ transplant patients face a lifetime of being immunocompromised. University of Washington Medicine would not confirm if this was a policy or part of evaluating how viable an individual patient is for a transplant.

Etcetra

Gig Harbor announced they are canceling all remaining summer events including Summer Sounds at Skansie and Movies in the Park.

Yesterday it was widely reported that WSU football coach Nick Rolovich, had agreed to get a COVID vaccine. The Seattle Times is reporting that when pressed, Rolovich would not clearly state that he would.

Former University of Washington wide receiver Lamarr Mitchell died of COVID after a 10-day battle. Lamarr was part of the 1991 Rose Bowl team and was described by his family as healthy and fit. He was unvaccinated and went from being on a ventilator to kidney failure in 24 hours. His family was called at 4 AM to come and say their final goodbyes but became stuck in traffic and did not get to the hospital in time. Lamarr’s parents are appealing for people to get vaccinated.

“We got to get the message out there we have to get the message out there; this is real. This is real,” she pleaded.

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Last month, 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

There are multiple reports tonight that the Food and Drug Administration will issue full approval of the Pfizer COVID vaccine as early as Monday. Pfizer started Phase I trials of the COVID vaccine in May of 2020. Researchers used development efforts to create a vaccine for SARS and MERS as a foundation for the COVID vaccine. COVID or SARS-Cov-2 is similar to the original SARS strain, which appeared in 2003, and MERS which appeared in 2012.

Phase III trials were completed in November enabling the FDA to issue an emergency authorization for the vaccine. Distribution began on December 14, 2020, to tens of millions of Americans. Pfizer would be the first to receive full approval because it was the first vaccine to complete its trials in the United States.

Washington state is providing COVID vaccine booster shots for moderately and severely immunocompromised residents. People who received an mRNA vaccine are eligible for the booster. People who received the Johnson & Johnson vaccine do not require a booster at this time.

Almost two million Washingtonians who are vaccine eligible remain unvaccinated. The group Find a COVID Shot WA can assist anyone who needs help making an appointment. The group of 75 volunteers has been operating since the beginning of 2021 and offers support in 20 languages.

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King County, Washington is over 80% vaccinated, and Washington state is over 70%. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA is expected to provide full approval to the Pfizer vaccine next month.

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

On August 19, 86.4% of available adult staffed acute care beds in Washington state have patients. The data indicated there were 1,211 acute care beds available statewide and 210 in King County. The Northwest, South Central, and East Regions were over 80% utilization and the Central and West Regions are now over 90%. According to the Washington State Department of Health, there are 1,221 COVID patients in acute care, an increase of 16 since yesterday, which is 13.7% of all acute care patients.

Washington State Hospital Acute Care Beds Occupied by Patients – August 19, 2021

Statewide ICUs were 85.9% occupied with 171 staffed beds available, 52 located in King County. Although the number of COVID patients statewide in the ICU dropped to 327.

Washington State ICU Patients with COVID – August 19, 2021

Washington state continues to have a critical shortage of blood, with a less than 24 hour supply for five out of eight blood types. The situation has deteriorated since August 3. There will be a blood drive in Kirkland on August 30 and 31. We will publish additional details when they become available.

The West Region, which includes Tacoma, is down to 9 available ICU beds and the East Region, which includes Spokane, has 10 ICU beds available.

PeaceHealth St. John Medical Center in hard-hit Cowlitz County issued a statement on Facebook that the hospital, “is now at maximum capacity.” The facility appealed that, “only people who are experiencing true medical emergencies come to our E.R. for care.”

In another comment, PeaceHealth stated, “We are experiencing an exceptionally high number of caregivers unable to work due to COVID-19, and we have great concern that – as patient demand continues to surge – we will be faced with a corresponding increase in the number of caregivers unavailable to help.”

The hospital is no longer doing COVID testing and advised people to use urgent care facilities. People were suggesting other locations to get a COVID test but frustration was boiling over.

Barbara Anderson wrote, “The only urgent care center in Longview will not see u unless u are a current Peace Heath [sic] patients [sic]. Where should the rest go?”

You can listen to a podcast with Cherelle Montanye, Chief Administration Officer for PeaceHealth St. John, and Cathrine Kroll, Director for Infection Prevention.

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Back to School

No update

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University reported over 138,400 new cases and 908 deaths. Nationwide, 11.36% of COVID tests are coming back positive.

The CDC issued a warning tonight for older adults, and people in high-risk groups not to take cruises, even if they are vaccinated. The new guidance applies to older adults, people with certain medical conditions and pregnant and recently pregnant people. Prior to Friday’s announcement, the agency recommended that only people who were not fully vaccinated against COVID-19 avoid cruise ships.

Alabama

Former President Donald Trump is holding a rally in Cullman, Alabama tomorrow, forcing the city to declare a COVID state of emergency. Alabama added 3,800 new COVID cases on Wednesday and the state ran out of ICU beds the day before. The declaration of the State of Emergency allowed the city to provide the additional personnel and equipment for this weekend’s political rally after it was requested by Cullman Regional Hospital, which is overwhelmed with patients.

Florida

The Sunshine State only releases COVID data once a week on Friday’s and the data indicates that it may be hitting its COVID peak. New cases were flat week over week for the first time in over two months. However many state residents are complaining they can’t get tested. Of the 150,118 new cases reported, 20,331 were children under 12 years old. Florida has 16,973 people hospitalized with COVID, a new record.

Pictures taken by Louie Lopez at a monoclonal antibody treatment center recently set up by Governor Ron DeSantis went viral late this week. The images show people lying on the floor, barely able to move or breathe, and moaning waiting for treatment. The lobby only had two chairs according to Lopez, and one patient laid on the floor for almost 30 minutes before someone came with a wheelchair. A spokesperson for the city confirmed that according to organizers at the site, the woman in the picture was waiting to be treated with Regeneron.

Regeneron is only effective if given within the first 96 hours of the first sign of COVID symptoms that are mild to moderate. Ron DeSantis has fought against any entity that has attempted to mandate vaccines or masks, and has only loosely promoted the COVID vaccine. The announcement that he was creating Regeneron clinics raised eyebrows when it was revealed that his top political contributor is also a major investor in Regeneron Pharmaceutical Inc.

Mayor Buddy Dyer of Orlando appealed for residents to conserve water due to a shortage of oxygen. The Orlando Utility Commission treats the city’s water with liquid oxygen and supplies that ordinarily go toward water treatment have been diverted to hospitals for patients suffering from the virus, Mayor Dyer said.

“We acknowledge that the No. 1 priority for the liquid oxygen should be for hospitals,” Dyer said at a news conference.

The city-owned utility typically goes through 10 trucks of liquid oxygen a week but its supplier recently said that it would be cut back to five to seven trucks a week to accommodate hospitals, said Linda Ferrone, OUC’s chief customer, and marketing officer.

Hawaii

Yesterday we reported that hospitals on the island of Oahu were on the brink of having to implement disaster plans. City officials in Honolulu made a “disaster area” declaration today. At Queen’s West Hospital, a rush of new COVID patients overwhelmed the hospital, on top of many already waiting for beds in the emergency room. The City set up a disaster area and tents.

Hawaii also appealed for traveling nurses, with more than 500 expected to arrive next week. Honolulu having to potentially move to “black tag triage” is coming at the same time that flooding rains are expected this weekend.

This disaster is happening at the same time that the state’s 1,200 first responders are fighting a court battle against Hawaii’s COVID vaccination mandate.

Hawaii has the strictest entry rules of all 50 states, but people are attempting to circumvent them using fake vaccination cards.

Mississippi

Seventy-three Mississippi hospitals have asked for a combined 1,450 healthcare professionals to supplement their staff, as the state’s hospital system teeters on the brink of collapse. Efforts that are described as “last-ditch” to shore up the system included support from the federal government and building two field hospitals in a parking garage.

Mississippi State Department of Health Reported a sharp spike in calls to their Poison Control Center due to Ivermectin poisoning. State officials sent out a health alert warning to health care providers about the use of the horse dewormer. Although Ivermectin is used in humans to treat scabies, it is highly concentrated for livestock. At least 70% of the calls into poison control have been for Ivermectin poisoning.

Mississippi also reported that the fastest-growing group infected with COVID is children from 5 to 17 years old. The state is seeing 20 to 30 pediatric patients hospitalized on any given day, with 3 to 5 needing ventilators.

There are so many COVID cases in the state, officials made an emergency order allowing school districts to offer hybrid and remote learning options through October 31.

New Hampshire

New Hampshire COVID test positivity has reached the highest level since January with 82 people hospitalized.

Oregon

There is no good news coming out of Oregon today. COVID hospitalizations have set a new record every day since August 10, in the Pacific Northwest State. In the last 30 days, cases have increased 500% putting the hospital system on the brink. Oregon is requesting outside help to come to the state including 35 physicians, 35 advanced practice providers, 300 registered nurses, 10 paramedics, and 100 respiratory therapists.

In Roseburg, a COVID patient died in the Emergency Department because there wasn’t an available ICU bed at CHI Mercy Health.

“A COVID-positive patient was in our Emergency Department, within our four walls, waiting for an open Intensive Care Unit bed to receive life-saving care. It had been several hours because other COVID-positive patients had filled those beds. Even after expanding ICU care onto other floors, there weren’t any beds available for this patient. We didn’t have enough. This patient died in the Emergency Department waiting for an Intensive Care Unit bed.”

Texas

Lt. Governor Dan Patrick blamed “Black Texas” for the surge of COVID in the Lonestar State. During an interview on Fox News Patrick said, “The Democrats like to blame Republicans,” Patrick said. “Well, the biggest groups in most states is African Americans who are not vaccinated. Last time I checked, over 90 percent of them vote for Democrats in their major cities and major counties.”

Blacks make up 12% of the population of Texas – a state where only 45% of all people are vaccinated. Black vaccination rates in the state match that among white Texans.

State officials previously were blaming undocumented immigrants for the spread of COVID in the state, but mostly backed away from the claim after the City of McAllen declared a state of emergency. Of the 586,000 undocumented immigrants processed in the city in the first seven months of 2021, 7,500 were COVID posted after testing – a rate under 2%. The state of Texas is at 19.8% positivity as of this Friday.

Georgia

The Peachtree State has the fourth-highest number of pediatric patients with COVID in the United States, just three weeks after school started. Children’s Hospitals are reporting ICUs are at 70% to 90% capacity and cases are continuing to grow.

“We haven’t reached that critical moment yet where we’re unable to provide that care,” said Dr. James Black, medical director of emergency services at Albany’s Phoebe Putney Memorial Hospital. “We’re doing everything we can to stay just ahead of that, but it’s a race and a race that most of us are losing.”

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Misinformation

An ongoing piece of misinformation is the COVID vaccine has microchips in it. Typically the needle used to vaccinate an adult is 28 gauge and has an outer diameter of 1/3 of an mm. The inner diameter is about 1/6 of an mm (0.184 mm). That’s about thick enough to pass a human hair through with a touch of room to spare. The smallest 5G chip available today is about the size of your fingernail. That’s just the 5G chip, not the microprocessor to run it, not an antenna that can transmit through your body to the nearest 5G tower. It doesn’t include a power source and most critically, it doesn’t include having a heat sink or other way to regulate the temperature.

The RFID chips they inject into pets such as cats and dogs are about the size of a grain of rice. They provide no way to track, only identification with a scanner. The 12 gauge needle used to insert an RFID chip into a dog is almost 3 mm (and anyone who has had a large-bore IV can tell you, needles that big are very unpleasant). Additionally, they are passive RFID chips that don’t require a battery and are incapable of transmitting any data, let alone to a 5G cell tower.

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Local and national COVID update for August 19, 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.

[KIRKLAND, Wash.] – (MTN) Washington state set a new hospitalization record as COVID cases continue to grow. The Delta variant represents 98% of all cases in Washington state. The CDC released a study that examines breakthrough cases and hospitalizations from May to July, that provides a better understanding of vaccine effectiveness.

The Washington State Department of Health has released the latest COVID data through August 18, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for August 19, 2021

Washington state continues to set new records as cases and hospitalizations continue to rise. Through August 11, the 14 day rolling average Washington is recording 437.9 COVID cases per 100K. This breaks the record high that was set yesterday. New cases continue to grow exponentially, doubling every 7 to 10 days. The number of people seeking COVID tests has increased 20% to 50% in the last month throughout King County.

Washington State Newly Diagnosed COVID Cases per 100K During the Prior Two Weeks Through August 11, 2021

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 11.71%, and over the previous 7 days, 12.92%. We continue to see widespread transmission in the state, with a slight decrease in the 7-day average.

The 7-day moving average for COVID-related deaths has increased to 7 per day. It is important to note that fatalities are a trailing indicator that usually increases two to four weeks after hospitalizations begin growing.

Washington State University football coach Nick Rolovich, the highest-paid public employee in the state of Washington, says he will follow the state’s COVID vaccine requirement. He had previously said he would not get a vaccine due to personal reasons, even after WSU announced they would require vaccines. When asked about having to get vaccinated his only statement was, “It is what it is.”

On Pac-12 media day. Rolovich said, “I’m not against vaccinations, and I wholeheartedly support those who choose to be vaccinated, including our players, staff, and coaches… I think we all know this virus is deadly, and these vaccines are free. I urge everyone to consider being vaccinated. I do.”

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Last month, 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 most recent Morbidity and Mortality Weekly Report (MMWR) from the Centers for Disease Control (CDC) included the study, New COVID-19 Cases and Hospitalizations Among Adults, by Vaccination Status – New York, May 3 – July 25, 2021. The study looked at COVID cases and hospitalizations among the entire population of the metro New York City area, approximately 13.9 million people.

From May 3 to July 25, Delta went from 2% of COVID cases to 80%, and New York City dropped mask mandates and occupancy restrictions.

CDC MMWR for August 18, 2021, Vaccine Effectiveness in New York City from May 3 to July 25, 2021

The small dashed line on the top of both charts represents overall vaccine effectiveness in preventing new COVID cases and preventing hospitalizations. The dash-dot line represents how many people have been vaccinated. The dashed line represents the total number of infections and hospitalizations among the unvaccinated. The solid line represents the total number of cases of infections and hospitalizations among the vaccinated, and the dotted line between them is the average between the two lines.

The study indicated that overall age-adjusted vaccine effectiveness dropped from 91.7% to 79.8% as the Delta variant became the dominant strain. In contrast, hospitalizations moved in a narrow range of 91.9% to 95.3%. The report states, “Currently authorized vaccines have high effectiveness against COVID-19 hospitalization, but effectiveness against new cases appears to have declined in recent months, coinciding with the Delta variant’s increase.”

The data showing an increase in breakthrough cases while showing little change in overall hospitalizations is mirroring data from hospital systems in Washington, and across the country. Another study that was in the New York Times indicated that 74% of breakthrough cases nationwide are among people 65 and older.

It is important to remember that no vaccine is 100% effective and there is strong evidence that COVID vaccinations lessen the severity among those who get an infection, and vaccinated individuals have dramatically lower mortality rates compared to the unvaccinated.

Appreciation goes to Dr. Katrine Wallace, P.hD of the University of Illinois, Chicago, for bringing this study to our attention.

Washington state is providing COVID vaccine booster shots for moderately and severely immunocompromised residents. People who received an mRNA vaccine are eligible for the booster. People who received the Johnson & Johnson vaccine do not require a booster at this time.

Almost two million Washingtonians who are vaccine eligible remain unvaccinated. The group Find a COVID Shot WA can assist anyone who needs help making an appointment. The group of 75 volunteers has been operating since the beginning of 2021 and offers support in 20 languages.

Join the conversation on Facebook and share your thoughts

King County, Washington is over 80% vaccinated, and Washington state is over 70%. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA is expected to provide full approval to the Pfizer vaccine next month.

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 reached an all-time high for COVID hospitalizations, surpassing the December 2020 peak, with the Delta variant representing 98% of cases. The Washington Hospital Association CEO Cassie Sauer reported there were 1,240 hospitalized patients with COVID-19. This number does not align with the Washington State Department of Health data, and we have reached out to understand the difference in numbers.

On August 18, 85.7% of available acute care beds in Washington state have patients. The data indicated there were 1,285 acute care beds available statewide and 314 in King County. The West, Central, South Central, and East Regions were over 80% utilization. According to the Washington State Department of Health, there are 1,205 COVID patients in acute care, an increase of 31 since yesterday. 13.4% of all hospitalized acute care hospital patients are being treated for COVID. More than 20% of acute care patients in The West Region, which includes Pierce County, are hospitalized with COVID. This indicates that the hospitals in that region are under stress.

Washington State Hospital Acute Care Beds Occupied by Patients – August 18, 2021

Statewide ICUs were 85.5% occupied with 176 staffed beds available. King County has 56 ICU beds available. The number of COVID patients in the ICU dropped to 342 patients.

Washington State ICU Patients with COVID – August 18, 2021

Washington state continues to have a critical shortage of blood, with a less than 24 hour supply for five out of eight blood types. The situation has deteriorated since August 3. There will be a blood drive in Kirkland on August 30 and 31. We will publish additional details when they become available.

The West Region, which includes Tacoma, is down to 11 available ICU beds and almost 2 out 5 ICU patients are fighting COVID. in the more rural North Central District, 45% all ICU patients are hospitalized with COVID.

With the epidemiological curve doubling every 7 to 10 days, our hospital system is in danger of being overrun.

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Back to School

Yesterday we reported on Governor Inslee’s directive requiring all employees and contractors working for private K–12 schools and public K–12 school districts, charter schools, and educational service districts to be fully vaccinated by October 18, 2021. Due to the overwhelming amount of news yesterday, we cut the story short. The vaccine directive includes most of Washington state’s childcare workers.

The mandate includes employees, contractors, and volunteers working in licensed and licensed-exempt childcare centers and in early learning and youth development programs. Individuals that provide babysitting services to friends, neighbors, or direct family members from the same household are exempt.

Employees must provide proof of vaccination by showing their vaccine card, certificate of COVID-19 vaccination, or Washington State Immunization Information System printout. Individuals cannot use attestation as proof of immunization, and daycare providers cannot opt-out.

Individuals who have a medical condition, have been recently infected with COVID, and are under recommendation not to get a vaccination for 90 days, or who have a genuine and deeply held religious exemption can apply with the state. State officials said anyone applying for an exemption will be rigorously vetted and personal and philosophical reasons are not allowed.

FACT CHECK: In 1905, the United States Supreme Court decided that the states have the power to mandate vaccinations (Jacobson v. Massachusetts, 197 U.S. 11 (1905)). Last week, Trump appointed Supreme Court Justice Amy Comey Barrett, denied an appeal from students at Indiana University to block the school’s vaccine mandate. Because the Supreme Court was not in session, enabling Justice Comey Barrett to render a decision independently. A three-judge federal appeals court panel, including two judges appointed by former President Donald Trump, previously sided with Indiana University to require vaccinations.

To comply, employees need to have their second mRNA vaccination dose or the single-dose Johnson & Johnson vaccine by October 4, 2021. 

Kirkland-Bellevue-Woodinville

We will be featuring area businesses that require vaccinations for their customers and require their staff to be vaccinated. The Lounge at DeLille Cellars is a place where you can enjoy wine by the glass and bottle with hand-crafted fare from Executive Chef Michael C. Toni. Located in Woodinville, they offer light bites for sharing to salads, sandwiches, entrees, such as steak frites and fresh pasta made daily.

No promotional consideration is given. If you have a business that requires proof of vaccination and you’re located on the eastside, send an email to tips@malcontentment.com. We’ll feature a new business here every day.

National Round-Up

Johns Hopkins University reported over 137,980 new cases and 1,145 deaths. This is the second day in a row where COVID deaths in the United States broke 1,000. Nationwide, 11.35% of COVID tests are coming back positive. Nationwide, 77% of all ICU beds are occupied and almost 1 out of 3 people in the ICU are battling COVID.

Burnout among nurses is reaching a crisis in the United States. Now dealing with the fourth wave (or fifth wave in Washington state) in the last 18 months, the trauma, stress, long hours, and under-appreciation is shrinking the nursing corps, and that is even before vaccination mandates started in hospital systems across the United States. In an interview with ICU nurse Cassandra Alexander, she quipped, “Why stay in a hard, dangerous, seemingly thankless job?”

Toyota, the largest car company in the world, is having to cut 40 percent of its global production, shutting down plants in its home nation of Japan. The production reduction is happening due to the global semiconductor shortage and parts suppliers closing in Malaysia due to a severe COVID outbreak in the archipelago. For US customers who want a Heche en Nippon product, the slowdown impacts the RAV4, Corolla, Camry, and Lexus ES.

As a disclaimer, we try to pick from more neutral sources so we’re not exactly fans of Vanity Fair. However, the differences from the on-the-air message versus what goes on behind the cameras at Fox News are worth highlighting. While hosts like Laura Ingraham and Tucker Carlson rail against vaccination and masks, mandates, vaccine cards, and mask wear, their employer has a different take.

In a Tuesday memo updating staff on COVID-19 procedures, Fox News Media chief executive Suzanne Scott said that the company has “asked all employees—whether on-site as part of our essential workforce or working remotely—to upload their vaccination status” into an internal database. “All employees must enter their status no later than today, August 17th, by close of business,” Scott wrote.

Scott added that while masks remain optional for vaccinated employees, the company is “requiring employees to wear a mask in small, confined spaces with limited opportunities for social distancing and where there are multiple employees, including control rooms.”

Arkansas

Hope that Arkansas had hit its peak fourth wave peak is fading as cases and hospitalizations started to climb again. Of Arkansas’ 262 school districts, 118 have issued mask mandates and another 87 have banned them. The state did cross a critical milestone, with 51% of the eligible population vaccinated against COVID.

Hawaii

On Oahu, where Honolulu is located, Straub Hospital is overcapacity in its ICU as the state deals with its worst surge of COVID cases ever. Dr. Johnathan Paladino reported the ICU was at 125% capacity and is currently at stage five of its seven-stage disaster plan. Patient triage is now being performed in a tent. Earlier in the week, the Queens Health System had also run out of ICU capacity. The disaster plan, based on military battlefield triage will hopefully not get to stage six or seven. At stage six care would be rationed, with the most critically sick could find care delayed. Stage seven is so-called “black tag triage,” where the sickest patients, regardless of having COVID or not, would be moved to comfort care.

Missouri

Missouri state representative Sara Walsh, another outspoken critic of vaccination and masks, reported that her husband has died of COVID. Steve Walsh died early this morning after the couple becomes infected in July. Neither were vaccinated, and the state representative said she didn’t get vaccinated because of concerns about friends’ negative reactions to the vaccine and said she didn’t feel she needed it as she’d been healthy since the pandemic began. Walsh is running for U.S. Representative Vicky Hartzler’s 4th District congressional seat in the 2022 election.

Mississippi

Yesterday we reported that Alabama had run out of ICU beds, and Mississippi has been adding additional capacity in tents over the last two weeks. Mississippi set a record for the most case, the most patients hospitalized, the most patients in ICU, and the most patients on ventilators. Even with the expanded capacity, the state is down to 11 ICU beds.

Oregon

Governor Kate Brown announced that educators in the Pacific Northwest state who teach K-12, have until October 18 to receive a vaccination or face termination. “We will need confirmation from a qualified medical care provider on any medical exemption. And, we will be reviewing that each religious exemption that is requested is based on bonified beliefs,” said PPS Chief Human Resources Officer Sharon Reese. The mandate comes one day after Washington state issued a similar directive. Oregon has one of the fastest-growing rates of COVID in the United States, with many rural hospitals overwhelmed.

Texas

While Texas Governor Greg Abbott battles COVID in isolation at the governor’s mansion, he continues to battle mask mandates in Texas school districts. The town of Paris, Texas found a loophole in the Governor’s executive order, and modified the school dress code, making masks required.

“The Texas Governor does not have the authority to usurp the Board of Trustees’ exclusive power and duty to govern and oversee the management of the public schools of the district,” Paris ISD said in a release posted on its website. “Nothing in the Governor’s Executive Order 38 states he has suspended Chapter 11 of the Texas Education Code, and therefore the Board has elected to amend its dress code consistent with its statutory authority.”

Texas Attorney General Ken Paxton is taking the San Antonio Independent School District to court after the district mandated all staff be vaccinated for COVID-19. The School District is claiming they have the right to mandate vaccinations under the Equal Employment Opportunity Commission rules, while AG Paxton says it violates state law. We wrote yesterday how the Supreme Court has addressed challenges on vaccination mandates at a state level since 1905, and it is likely Texas will not prevail in its challenge.

Georgia

Parents in Cobb County, Georgia are pulling their children out of school, just three weeks after the 2021-2022 school year started. Last week the entire fifth-grade class at East Side Elementary was sent home because of a spike of COVID cases in the school. Parents had to select either remote or in-person learning during the spring, while masks and social distancing requirements were in place. The district voted not to require masks, going against federal guidelines. The situation has gotten tense with parents on both sides of the argument squaring off. Georgia’s PICUs are 75% to 90% full, with a growing number of pediatric COVID patients.

Wisconsin

Republican State Senator Andre Jacques, one of Wisconsin’s most conservative lawmakers and an outspoken critic of mask and vaccine mandates, is in the hospital with COVID. Jacques, who is married and has six children, reported on Monday night that several of his family members are also sick. On Wednesday no one would comment on his condition beyond he has pneumonia, is very tired, but in good spirits. Since his positive test, his legislative office said it “has been following all protocols.” 

Minnesota

The number of children in childcare becoming infected with COVID is growing, with 120 new cases among the unvaccinated a week. The increase started at the height of summer camp season in the last week of July, said Dr. Beth Thielen, a pediatric infectious disease specialist at M Health Fairview. “That was really before things even started to spiral in Minnesota.”

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Misinformation

You may have seen a claim that 45,000 people have died within 3 days of receiving the COVID vaccine based on information in the VAERS database. This misinformation is often touted with, “look it up for yourselves,” and has been shared widely on social media.

The VAERS database is a self-reporting tool, that anyone can complete online. It is true you can download the data and do analysis. The data is raw, has not been reviewed or verified, and relies upon the honesty of the people reporting. That would require in part, 45,000 reporting in three days that a relative had died from the vaccine. It is a significant leap to then assume that you had 100% reporting and it was 100% accurate.

It is true that there have been limited adverse actions from the COVID vaccine and three documented fatalities during the initial release of the Johnson & Johnson vaccine. All vaccines come with some degree of risk, and the 28 documented hospitalizations related to blood clots are among 14 million people who have received the vaccine in the United States (full disclosure, that includes your author). It is important to note that the CDC and NIH suspended the Johnson & Johnson vaccine after six reported incidents for two weeks. During the pause, they created additional guidance on how to identify a potential rare reaction and a proper treatment plan.

But wait, there’s more. The VAERS database only has 6,000 self-reported fatality reports from December 2020 to July 2021. In early May there were 4,700. So where did the 45,000 number come from?

The organization America’s Front Line Doctors is behind the numbers and the lawsuit. But there is a huge problem with the claim, even if you want to cling to it as fact. The lawsuit states that an unnamed person (Jane Doe) who is a computer program calculated her estimate of deaths happening within 3 days of vaccination by examining the VAERS data and comparing it against medical claims. The lawsuit goes on to say, “The number of deaths occurring with (sic) 3 days of injection with the Vaccines exceeds those reported by VAERS by a factor of at least 5.”

There in the lies the problem. We don’t know when the data was pulled, but we do know the number of reports had to be under 6000. No explanation was given on the factor of five. Even if there was any veracity to the claim, the number in the lawsuit should be between 25,000 to 30,000. The other critical point is the data in VAERS is unverified data.

Americas Frontline Doctors were behind a July 27, 2020, viral video touting a cocktail of hydroxychloroquine, zinc, and Zithromax as a treatment for COVID. The claims were untrue, created a shortage of hydroxychloroquine, and left states like Oaklahoma looking to sell back the drug they bought last year under the advice of then-President Trump when he retweeted their video.

The three leaders of Americas Frontline Doctors are Dr. Stella Immanuel of Houston, Dr. Dan Erickson, and Dr. Simone Gold.

Dr. Simone Gold is the founder of the organization, she was a major advocate of hydroxychloroquine in 2020. Dr. Gold participated in the Capitol Insurrection that happened on January 6, 2021, in Washington D.C. and was arrested by federal officials after videos and pictures emerged of her within the Capitol.

On April 22, 2020, Dr. Dan Erickson made a claim that COVID had a mortality rate of 0.03% based on testing within their private clinic. According to Johns Hopkins University of Medicine, COVID mortality is 1.7% in the United States. Erickson appeared in the “documentary” Plandemic, and was also an advocate of hydroxychloroquine.

Dr. Immanuel has a well-documented history of making false medical claims throughout her career. This includes claiming that endometriosis, infertility, miscarriages, and sexually transmitted diseases are caused by “spirit spouses” (aka demons), and space alien DNA in humans. Dr Immanuel was warned by the Texas State Medical Board in August of 2020 about her practice and claims. She continues to run her private practice in Houston.

The report that 45,000 people died from the COVID vaccines is false, even if you take the lawsuit at face value.

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Local and national COVID update for August 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.

[KIRKLAND, Wash.] – (MTN) The Biden Administration announced guidance for COVID vaccine booster shots, Washington state renewed its mask mandate while requiring K-12 educators to get vaccinated, as the United States has its first day with 1,000 COVID related deaths since April.

The Washington State Department of Health has released the latest COVID data through August 17, 2021. COVID cases continue to rise through the state, and more hospital systems are curtailing or delaying elective procedures and closing their doors to visitors.

Washington State Update for August 18, 2021

Today, Governor Jay Inslee held a press conference in Olympia, announcing the renewal of the statewide mask mandate effective Monday, August 23, 2021. “We are requiring all individuals, including the vaccinated, to mask up inside in all public places,” the governor said.

The mask directive applies to all individuals over the age of 5 in indoor public settings regardless of their vaccination status. Exceptions include athletes while engaged in active play or when people are eating or drinking. Additionally, persons who have a bonafide medical condition are exempt.

People who are fully vaccinated and work in places that don’t face the public, such as computer programmers or machine operators, do not have to wear masks when working in those environments. For private events where everyone is vaccinated, masks are not required.

For the unvaccinated over 5 years old, masks are required in all indoor settings.

“There is a strong recommendation for crowded situations outdoors,” said Secretary of Health Umair A. Shah, MD, MPH, adding, “There is no requirement.” Dr. Shah’s guidance was to wear a mask in densely crowded areas outdoors or in large group settings such as sporting events, fairs, or concerts. As of this writing, the new directive has not been published on the State of Washington Department of Health website. We will provide a link in our next update or when it is made available.

Last month, 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

The number of COVID cases and rate of infection continue to deteriorate. Through August 10, the 14 day rolling average Washington is recording 419.2 COVID cases per 100K. This represents the highest rate of new infections since the December 2020 peak. New cases continue to grow exponentially, doubling every 7 to 10 days.

Washington State Newly Diagnosed COVID Cases per 100K During the Prior Two Weeks Through August 10, 2021

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 10.53%, and over the previous 7 days, 13.78%. Both of these numbers would indicate widespread community transmission and significant under testing of the population.

So far, COVID deaths remain very low, with a 7 day rolling average of 6 per day. It is important to note that fatalities are a trailing indicator that usually increases two to four weeks after hospitalizations begin growing.

In hard-hit Klickitat County, Sheriff Bob Songer reported he was infected with COVID in July and had a 5-day hospital stay. Sheriff Songer has been vocal in his position of not supporting COVID-related rules. He says he will continue to fight pandemic-related restrictions as he recovers at home and requiring oxygen. He dismissed his need for supplemental oxygen in an interview, stating he is a smoker with chronic pulmonary issues.

Washington state-based Alaska Airlines is said to be considering a vaccination mandate for their employees after three died from COVID in July. The deaths included Captain Eric Moss, a 53-year old pilot that would have likely not had any comorbidities. It is reported all three were unvaccinated.

EXTRA CREDIT: Airline pilots have to follow strict air medical standards to maintain flight status. The Aircraft Owners and Pilot Association can provide you with more information.

Vaccination

President Joe Biden announced that COVID vaccination booster shots would be available starting September 20 for anyone who has received their second mRNA vaccine dose at least eight months ago.

“Based on our latest assessment, the current protection against severe disease, hospitalization, and death could diminish in the months ahead, especially among those who are at higher risk or were vaccinated during the earlier phases of the vaccination rollout,” top health officials said in a joint statement. 

Unlike vaccines from Pfizer and Moderna, the Johnson & Johnson vaccine uses a disabled adenovirus to deliver the instructions. This adenovirus is in no way related to the coronavirus. It cannot give you COVID-19, nor can it spread COVID-19 to other people. The virus delivers instructions to the immune system on how to defeat coronavirus without giving it the ability to replicate.

Tik Tok creator hotvickkrishna made this video that explains how the Johnson & Johnson vaccine works and why only one dose is required.

The decision to start providing booster shoots is not without controversy. The World Health Organization advised against boosters today, in part because global vaccination rates remain low, and among the poorest nations, vaccinate rates are only 1.3%. The WHO added that boosters are not indicated as being needed “for now.”

Yesterday, we reported that Texas Governor Greg Abbott, currently infected with COVID, received a booster shot. During an interview with Sean Hannity on Fox News, former President Donald Trump derided booster shots as a money-making scheme while falsly stating that vaccine developers said the COVID vaccine was forever.

FACT CHECK: On April 2, 2021, the CDC released a report indicating that the Pfizer and Moderna mRNA vaccines would be effective for at least six months. The study tracked 3,950 individuals from December 2020 to March 2021 under real-world conditions. Another study released in June 2021 from Washington University in St. Louis indicated the mRNA vaccines could be effective for years “so long as the virus and its variants do not evolve much beyond their current forms.”

During Governor Inslee’s press conference today, Dr. Shah reported seeing a “20% increase in vaccinations in the last two weeks” in Washington state.

Governor Inslee appealed to the almost 2 million Washingtonians vaccine eligible but have not gotten the jab. “Instead of shutting down businesses and schools, we are using tools to keep our businesses and schools open,” Inslee said. “This isn’t your grandpa’s illness anymore, and 95% of the people sick and hospitalized today are unvaccinated.”

Washington state is providing COVID vaccine booster shots for moderately and severely immunocompromised residents. People who received an mRNA vaccine are eligible for the booster. People who received the Johnson & Johnson vaccine do not require a booster at this time.

The group Find a COVID Shot WA can assist anyone who needs help making an appointment. The group of 75 volunteers has been operating since the beginning of 2021 and offers support in 20 languages.

King County, Washington is over 80% vaccinated, and Washington state is over 70%. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA is expected to provide full approval to the Pfizer vaccine next month.

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

Governor Inslee stated, “our healthcare system is overwhelmed.”

“We have [hospital] systems telling us: “We have staff shortages, we are fatigued, and we are back at this. Please help us.”

In an interview with KING 5, Dr. James Town, medical director of the medical ICU at Harborview, reported, “We’re seeing people from their 30s to their 50s, more than 90% of patients. In fact, I think all of the patients in our hospital now are unvaccinated patients.”

Harborview Medical Center is Washington state’s only Level I trauma hospital with 413 beds. As recently as August 11, the hospital had more than 500 patients, and the wait time for patients arriving by ambulance was up to 90 minutes long.

“We have broken our previous record for hospitalizations set in December, and we are witnessing exponential growth,” Governor Inslee stated.

On August 17, 84.0% of available acute care beds in Washington state have patients. The data indicated there were 1,461 acute care beds available statewide and 314 in King County. The Northwest, West, Central, South Central, and East Regions were over 80% utilization. There are 1,174 COVID patients in acute care, an increase of 82 since yesterday. 12.8% of all hospitalized acute care hospital patients are being treated for COVID.

Washington State Hospital Acute Care Beds Occupied by Patients – August 17, 2021

Statewide ICUs were 82.9% occupied with 211 staffed beds available. King County has 70 ICU beds available. Unfortunately, the number of COVID patients in the ICU jumped significantly from yesterday. The number of ICU patients increased 72% overnight, to 400 patients – almost 1 in 3 people in the ICU.

Washington State ICU Patients with COVID – August 17, 2021

Washington state continues to have a critical shortage of blood, with a less than 24 hour supply for five out of eight blood types. The situation has deteriorated since August 3. There will be a blood drive in Kirkland on August 30 and 31. We will publish additional details when they become available.

The East Region, which includes Spokane, has 16 ICU beds remaining.

With the epidemiological curve doubling every 7 to 10 days, our hospital system is in danger of being overrun.

Today in Everett, anti-vaxxers protested out of Providence Hospital, where the first confirmed COVID case in the United States was treated. Hospital workers walked out during lunchtime, giving the middle finger to the crowd. One employee in scrubs said they felt “betrayed, hurt, and sad.”

anti-vax protesters outside of everett providence hospital on august 18, 2021

Back to School

Governor Inslee announced a directive requiring all employees and contractors working for private K–12 schools and public K–12 school districts, charter schools, and educational service districts to be fully vaccinated by October 18, 2021

All staff, faculty, administrators, contractors, coaches, volunteers, and visitors must provide proof of vaccination, a bonafide medical exemption, or proof of sincerely held religious beliefs by the deadline or face termination of employment. If a school employee contracts COVID and is recommended to wait 90 days before receiving their COVID vaccination, they need to seek accommodation before the October 18 deadline.

The order does not apply to state-tribal education compact schools or to students. 

“We are well past the point where testing can keep people safe,” Inslee stated. “Before you leave your job, talk to your doctor. Don’t listen to all this baloney on the Internet. Don’t leave your career until you talk to your doctor about this vaccine,” he continued.

“This is fundamentally a health and safety issue.”

“Delta is not Alpha. It is impacting more folks, and it is more transmissible, Washington State Superintendent of Public Instruction Chris Reykdal said.

“Our goal here is safety first and foremost. Shutdowns have impacts. When 1.1 million kids are home, someone has to be there at home. Opening school is important. It matters to learning, it matters to our economy, and it matters to your families.”

According to the Washington Office of Superintendent of Public Instruction, COVID cases have increased 79% for children ages 4 to 10, 59% for ages 11 to 14, and 66% for teens ages 15 to 19. 

Employees must provide proof of vaccination by showing their vaccine card, certificate of COVID-19 vaccination, or Washington State Immunization Information System printout. Individuals cannot use attestation as proof of immunization, and school systems cannot opt out. 

FACT CHECK: In 1905, the United States Supreme Court decided that the states have the power to mandate vaccinations (Jacobson v. Massachusetts, 197 U.S. 11 (1905)). Last week, Trump appointed Supreme Court Justice Amy Comey Barrett, denied an appeal from students at Indiana University to block the school’s vaccine mandate. Because the Supreme Court was not in session, enabling Justice Comey Barrett to render a decision independently. A three-judge federal appeals court panel, including two judges appointed by former President Donald Trump, previously sided with Indiana University to require vaccinations.

To comply, employees need to have their second mRNA vaccination dose or the single-dose Johnson & Johnson vaccine by October 4, 2021. 

Superintendent Reykdal stated that vaccination rates among current teaching staff are “well in excess of 70%.”

In explaining why he passed the mandate, Governor Inslee stated, “The freedom from COVID is a freedom we are protecting here. We are protecting your freedom to be alive, go to school, and run your business.”

Kirkland-Bellevue-Woodinville

Yesterday we created some confusion due to the wording in our story. The Lake Washington School District will not require students to provide a daily health screening/attestation. Parents are urged to keep their children home if they are experiencing COVID-like symptoms, have been directly exposed to COVID, or are sick.

National Round-Up

Johns Hopkins University reported over 128,900 new cases and 1,001 deaths. It is the first time the United States has reported more than 1,000 COVID-related deaths in a day since April. Nationwide, 11.45% of COVID tests are coming back positive

Hospitalization of children infected with COVID has hit “the highest level ever seen,” according to Dr. Cedric Dark, assistant professor at Baylor College of Medicine and board member with Doctors for America.

According to Dr. Katelyn Jetelina, MD, 121,427 kids have tested positive for COVID, representing 18% of all reported COVID cases in the United States. Texas has the most pediatric cases, with 509 children hospitalized. Pediatric patients are growing exponentially in the United States, pushing children’s hospitals to the limit. 

On the current trajectory, Dr. Denise Dewald, MD, projects the United States will need 6,800 PICU staffed beds to meet the anticipated peak. The nation only has 4,500 beds, and unlike adults, PICU cannot be expanded simply by adding surge capacity in tent hospitals or moving patients to adult care units. Pediatric patients require specialized equipment, medical staff, and medications. 

Pope Francis issued an appeal urging people to get vaccinated against COVID-19, saying the vaccines could bring an end to the pandemic.

“Thanks to God’s grace and to the work of many, we now have vaccines to protect us from COVID-19,” the Pope said in a video message made on behalf of the nonprofit U.S. group the Ad Council and the public health coalition COVID Collaborative.

“They grant us the hope of ending the pandemic, but only if they are available to all and if we work together.”

The Pope was vaccinated back in March, declaring it was an ethical obligation.

EXTRA CREDIT: What does the Bible say about Christians seeing a doctor? Read this point of view from Compelling Truth.

President Joe Biden announced that staff members at nursing homes would now be required to be fully vaccinated against COVID-19, or those facilities would risk losing their Medicare and Medicaid funding. The President reported that since COVID started, 130,000 residents in nursing homes have passed away.

According to early August data from the Centers for Medicare and Medicaid Services, only 60 percent of staff members at long-term-care facilities have received the full course of the coronavirus vaccine. 

The Delta variant is making a significant impact on air travel and tourism, with 54% of Americans reporting less interest in traveling and 27% postponing a planned trip. The number of people buying cancelable tickets has increased 37%, and trip cancelation is rising.

Alabama ran out of ICU beds on Tuesday night and added 4,465 new COVID cases. Dr. Don Williams, president of the Alabama Hospital Association, reported that the state is actually negative 11 for staffed ICU beds and has an additional 30 patients awaiting transfer to an ICU. Alabama has 2,723 people hospitalized with COVID, including 41 pediatric patients. Last week, Governor Kay Ivey announced a temporary emergency order enabling doctors, nurses, and pharmacists to practice in Alabama using expedited medical licenses.

In Florida, University of Florida researchers project the state will hit its peak in late August or early September. The report indicates that Florida would reach 33,000 new cases a day, 220,000 a week. The school reported that 94% of their hospitalized patients are unvaccinated. The university is caring for six pediatric patients, the most on record.

The Los Angeles, California City Council voted to require city employees to get the COVID vaccine. Employees will have until early October to get vaccinated.

COVID cases are spiking in Wisconsin, where 683 COVID patients are being cared for statewide. Dr. Ben Weston, the director of Medical Services for the Milwaukee County Office of Emergency Management, called attention to the steep increase in hospitalizations during a press call with Milwaukee County officials. 

“For those who have not yet gotten vaccinated, now is the time,” Weston said. “The delta variant is widespread, and the vaccine significantly decreases your risk of infection, the risk of severe symptoms, your risk of hospitalization, and your risk of death.”

New COVID cases in Wisconsin have reached the highest levels since February.

According to Oregon governor Kate Snow, hospitals are at 93% of capacity, and 9 out of 10 ICU beds are full. Oregon has seen a surge of cases in the last ten days, with one of the fastest-growing rates in the country. 

MISINFORMATION

A lot of digital ink has been spilled about the drug Ivermectin. On July 28, even the Wall Street Journal ran an opinion piece called, Why is the FDA Attacking a Safe, Effective Drug? The Wall Street Journal updated the op-ed piece recently with this disclaimer, “This article has been edited to remove a reference to a study of 200 healthcare workers by Ahmed Elgazzar of Benha University in Egypt. Messrs. Henderson and Hooper relied on a summary of studies published in the American Journal of Therapeutics. They learned after publication that this study has been retracted because of charges of data manipulation.”

Neither David R. Henderson nor Charles L. Hooper, the writers of the articles, are medical doctors, medical researchers, or immunologists. Additionally, Mr. Hooper is president of Objective Insights, a firm that consults with pharmaceutical clients. Who is one of Objective Insights’ clients? Merck, the maker of Ivermectin

You might have seen videos out of San Diego County where several anti-vax, anti-mask, and COVID deniers took to the microphone. The BBC investigated how Russia is hiring American actors they are recruiting through YouTube and social media to create misinformation content and attend anti-vax protests.

Denver, Colorado actress Audra J. Morgan was identified as a speaker in San Diego by internet sleuths. After being identified, she was found in photos at several protests around the country.

Local and national COVID update for August 17, 2021

Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions.

[KIRKLAND, Wash.] – (MTN) The Washington State Department of Health has released the latest COVID data through August 16, 2021. COVID cases continue to rise through the state, and more hospital systems are curtailing or delaying elective procedures and closing their doors to visitors.

Washington State Update for August 17, 2021

Through August 9, the 14 day rolling average in Washington is recording 396.1 COVID cases per 100K people, almost 16X higher than the target of 25 per 100K. This represents the highest rate of new infections since January 18, 2021, and is based on data from July 27 to August 9. New cases continue to grow exponentially, with little indication that the state is nearing a peak.

Washington State Newly Diagnosed COVID Cases per 100K During the Prior Two Weeks Through August 9, 2021

The number of people seeking COVID tests has increased dramatically since July 17 and is reaching April 2021 levels. 

The rate of hospitalized COVID patients has grown to 9.4 per 100K residents, on a 7 day rolling average through August 10. Using the incomplete data through August 16, the rate jumps to 11.4, the highest ever recorded.

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 of Medicine, the positivity rate for the last 30 days is 10.6% and over the previous 7 days 13.55%. Both of these numbers would indicate widespread community transmission and significant under testing of the population.

So far, COVID deaths remain very low, but fatalities are a trailing indicator that usually starts to increase two to four weeks after hospitalizations begin growing. This trend is starting in Florida, where the state is recording over 150 deaths a day.

Vaccination

As of August 16, 71.5% of all Washingtonians 12 and older have received at least one dose of the COVID vaccine. Vaccination rates are growing again statewide. Vaccine hesitancy is slowly declining, and concern over the Delta variant is motivating Washingtonians to take action.

Vaccination rates remain low among the youngest people. For residents 65 and over, 83.8% are partially or fully vaccinated, while 52.9% of 18 to 34-year-olds are. People under 65 now make up the majority of hospitalized patients.

Washington state has started providing COVID vaccine booster shots for moderately and severely immunocompromised residents. People who received an mRNA vaccine are eligible for the booster. People who received the Johnson & Johnson vaccine do not require a booster at this time.

The group Find a COVID Shot WA can assist anyone who needs help making an appointment. The group of 75 volunteers has been operating since the beginning of 2021 and offers support in 20 languages.

The Washington State Department of Health tweeted today about fake vaccination exemption forms circulation in the state. A person seeking an exemption does not need to complete a form from the Department of Health, and the form does not provide you with an automatic exemption.

The Biden Administration is widely expected to announce the recommendation to receive a vaccination booster shot eight months after the final dose of an mRNA vaccine. The guidance does not extend to those who received the Johnson and Johnson vaccination.

King County, Washington is over 80% vaccinated, and Washington state is over 70%. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA is expected to provide full approval to the Pfizer vaccine next month.

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

Hospital capacity remains tight, but the impact from a growing list of hospital systems canceling elective procedures is helping. In today’s data, it does appear that new COVID patients are quickly filling up the extra space.

On August 16, 82.8% of available acute care beds in Washington state have patients. The data indicated there were 1,560 acute care beds available statewide and 353 in King County. The West, Central, South Central, and East Regions were over 80% utilization. There are 1,092 COVID patients in acute care, 12.1% of all hospitalized patients.

Washington State Hospital Acute Care Beds Occupied by Patients – August 16, 2021

Statewide ICUs were 81.9% occupied with 222 staffed beds available. This is an improvement from Friday when 179 beds were remaining. King County has 79 ICU beds available. Unfortunately, the number of COVID patients in the ICU jumped significantly from yesterday. Almost 1 in 4 ICU patients have COVID – 289 people. Total hospitalizations are at January 2021 levels, and the epidemiologic curve indicates the state will set new historic highs next week.

Washington State ICU Patients with COVID – August 16, 2021

Benton, Cowlitz, Lewis, and Thurston Hospitals are at record levels, and many counties are at near-record levels. King County remains manageable, but the epidemiological curve shows that the county could be at January 2021 levels next week.

Yesterday, University Washington Medicine and Harborview Medical Center announced they would be delaying some elective procedures and evaluating the situation on a case-by-case basis through September 19, 2021. The medical system joins a growing list of hospital systems redirecting resources to deal with the Fifth Wave hitting Washington state.

Washington state faces a critical shortage of blood, with a less than 24 hour supply for five out of eight blood types. The situation has deteriorated since August 3. There will be a blood drive in Kirkland on August 30 and 31. We will publish additional details when they become available.

Back to School

The Washington State Department of Health released new guidelines for K-12 student-athletes and extra-curricular activities. Masks are not required for student-athletes in low and moderate contact sports, regardless of vaccination status. For high contact sports, masks are not required unless the student-athlete is unvaccinated. They will still be able to play but are required to have a negative COVID test. Masks must be worn in weight rooms, traveling by bus or public transit to events, and when not actively practicing and playing. Basketball, wrestling, water polo are considered high contact sports. Cheerleaders fall under the same category as high contact sports.

The vaccination rate among Washingtonians age 12 to 17 remains low. Currently, 46.2% of children ages 12 to 15 and 52.9% of 16 to 17-year-olds have received at least one dose. 

Kirkland-Bellevue-Woodinville

There has been some confusion among parents in the Lake Washington School District about the availability of virtual instruction for the 2021-2022 school year. The website indicates initial enrollment ended on June 30. Due to renewed interest in remote learning, parents can sign up on the waitlist. Some people are reporting success in getting their children into virtual learning.

In breaking news, the Lake Washington School District announced tonight they will not be doing daily health screenings for students with are attending in-person classes.

National Round-Up

Johns Hopkins University reported over 210,000 new cases and 686 deaths. Nationwide, 11.56% of COVID tests are coming back positive. There was some good news with Georgia, Florida, and Texas in the number two, three, and four slots for vaccinations, only behind California.

The TSA has extended the mask mandate for passengers of planes, trains, and buses until January 18, 2022. The mandate was set to expire on September 14, but faced with the surge in cases the Biden Administration determined it was in the best interest of the nation to make the extension. The FAA has reported a record number of “air rage” cases in 2021. So far there have been 3,889 incidents of unruly passengers, 74% of those cases over mask requirements.

Over the weekend, a maskless man was filmed lording over an elderly woman for wearing a mask on a New York City subway. The man, identified on social media and research news site Heavy as Ryan Bartels, 27. The incident is full of endless irony including occurring on the Q Train, and the man chanting, “1776” over and over again while wearing a shirt with a British Union Jack flag on it. Bartels was later spotted at an anti-vaccine rally and photographed making white power hand gestures.

Several states ravaged by the most recent wave may have hit their peaks, declining case numbers in hard-hit Missouri and Arkansas. However, many states are setting new records for infections and hospitalizations. Florida, Louisana, Hawaii, Mississippi, and Oregon set records for daily new COVID cases over the weekend.

Rural hospitals in Oregon are overwhelmed with patients, and the state has redeployed 1500 members of the National Guard to provide additional support.

In Kansas, hospitals are struggling with an explosion of new cases over the last six weeks while being severely short-staffed. Since the winter wave, hospitals in the flyover state have lost 30% of their employees due to burnout, attrition, and healthcare professionals joining the ranks of traveling doctors and nurses.

Stormont Vail Health in Topeka is turning down requests to take patients suffering from strokes, heart attacks, kidney failure, and cancer. One hospital in Abeline, Kansas, had to fly a patient to Wisconsin. 

Texas has requested five mobile morgues from FEMA and refrigerator trucks in anticipation of existing facilities becoming overwhelmed. Governor Greg Abbott (R-TX) tested positive for COVID this morning. He has been put into quarantine, is reported to be asymptomatic, and receiving Regeneron’s monoclonal antibody treatment.

The governor also revealed he had received a COVID booster shoot, raising questions about his overall health. Abbott uses a wheelchair after a freak accident, where an oak tree fell on him while jogging when he was 26.

Yesterday, the governor attended a Republican fundraiser in Collin County, described as “standing room only.” The governor tweeted pictures of him addressing a maskless crowd, shoulder-to-shoulder indoors. All attendees have reportedly been notified of their exposure.

A maskless Abbott made a statement from Austin early this evening and is being widely derided tonight on social media.

The Texas governor has barred schools and communities from issuing mask mandates and prevented districts from providing mandatory reporting of exposure to COVID in the classroom. Several school systems have implemented mask and notification rules going against the direction of the state.

Mississippi has set up a second field hospital as officials continue to try and stave off a collapse of the state’s hospital system. Samaritan’s Purse is providing the second field hospital. The US Department of Health And Human Services has sent a team of three-dozen doctors, nurses, and specialists to help man the mobile hospital in a parking garage. Mississippi has seen a record number of pediatric COVID patients, with 18 in the hospital, five in the ICU, and four on ventilators.

Florida is now logging 29,000 new COVID cases a day, and they continue to grow exponentially. In Hillsborough County Public Schools, 5,599 students and 316 teachers are in quarantine, crippling the district. The school board is holding an emergency meeting to consider what action it should take, including mandating masks.

Governor Ron DeSantis signed an executive order barring schools from issuing mask mandates, arguing it should be a parental choice. Broward County has already gone against the executive order, and Miami-Dade County is expected to also. The US Department of Education announced that if Governor DeSantis cuts the pay of school officials in districts passing mask mandates, they will cover the pay gap.

Georgia crossed a grim milestone, recording its one-millionth confirmed COVID case. The state is seeing near-record hospitalizations and, like its neighbors, is struggling to find facilities for patients.

Chicago has joined New Orleans in passing an indoor mask mandate, regardless of vaccination status. Also, from Chicago, a pharmacist has been arrested for selling COVID vaccination cards on eBay. Tangtang Zhao, 34. appeared in federal court earlier today and faces up to 10 years in prison for selling 125 cards on eBay.