[SEATTLE, Wash.] – A 37-year-old Lynnwood, Washington man was indicted Wednesday by a federal grand jury for a hate crime and four counts of interstate threats, announced U.S. Attorney Nick Brown. Joey David George will be arraigned on the indictment on August 11, 2022, in Seattle Federal Court. George remains detained at the Federal Detention Center at SeaTac, Washington.
“By law, the decision to charge a hate crime is appropriately deliberate – with consultation and approval from DOJ’s Civil Rights Division in Washington DC,” said U.S. Attorney Nick Brown. “In this case, the hate-filled threats to kill, based on race, are fittingly being prosecuted as a hate crime.”
The probable cause court filing on July 21 outlined the alleged incidents. According to records filed in the case, on July 19 and 20, George allegedly telephoned a grocery store in Buffalo, New York, and threatened to shoot Black people in the store.
“On July 19, 2022, an individual called a Tops grocery store in Buffalo, New York. The caller, who identified himself as “Peter,” spoke with an employee at the store. The caller asked how many Black people were in the store. He said he would make the news if he shot and killed all of the Black people, including all of the women, children, and babies. He asked if the employee had cleared out the building. He said there was a chance he was already in the store or somewhere nearby. He said that if he did not see anyone at the store, he would travel to the Jefferson Tops store,” the court filing said.
The Tops Friendly Market store in Buffalo had reopened on July 14, two months after a racially motivated mass shooting left ten dead and three injured. In the second call, George allegedly ranted about a “race war.” Law enforcement traced the phone number and identified George as the person who made the call. The second Tops location in Buffalo on Jefferson Avenue, had a grand reopening on July 16 after an extensive renovation.
In addition to the calls to Buffalo, George is charged in connection with a May 2022 call to a Shari’s Restaurant and Pies in San Bruno, California. In that call, George, using the pseudonym “Tony Sumorrah,” talked to a San Bruno, California police officer. George told the officer that he called Shari’s restaurant because “he wanted to attack Black people and strike fear into the Bay Area’s Black community. He stated Black people are not human but rather “sub-humans.” He said he was proud of his actions because he instilled fear in the employees and customers of the restaurant.”
The San Bruno police department obtained location data for the origination point of the call. The call was made from Lynnwood, Washington, using a T-Mobile-provided cellphone number with Joey George as the subscriber. T-Mobile confirmed the May 12 call to Shari’s came for George’s number and phone. In the eyes of the law, a restaurant is a place of public accommodation, which added the hate crime charge: Interference with a Federally Protected Activity.
Additionally, George is charged with making interstate threats to a business in Maryland, saying he intended to shoot Black people at the store. The fourth count of the indictment charges him with making interstate threats to bomb a restaurant in Connecticut.
On January 16, 2022, George threatened marijuana dispensaries in Seattle and Skyway. An employee answered the call, and the male caller asked if there were any Black employees at the business. The male caller stated that he carried a gun and would go to the business to shoot any Black people who were there at the time of his arrival. According to the dispensary, a similar threat was made to their Skyway location. T-Mobile records show the call to the Seattle business came from George’s cellphone. George is not facing charges for the January 2022 incident, and it is unclear if the Seattle Police Department was contacted about the threat and if they were if they initiated a case and performed an investigation.
George is facing up to 30 years in prison based on the five charges.
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[KING COUNTY, Wash.] – (MTN) Officials in five states have reported Omicron cases from Hawaii to New York, as the world races to better understand the danger the new variant presents.
In Washington, the first set of local COVID data was made available in a week, indicating that hospitalizations are plateaued again and new cases are down. Twenty-six counties no longer have high rates of transmission. There was an increase in new cases among 20 to 49-year-olds compared to last week.
Governor Jay Inslee reported that FEMA was sending two mobile vaccination clinics to King County, with the first one opening on December 20 in Federal Way.
One-third of the 3.3 million booster eligible residents of Washington have leveled up, while in some areas people are searching for appointments to get a third dose.
Almost 75% of residents age 12 and over are now fully vaccinated, and 17% of all Washington children ages 5 to 11 have received at least one dose of the Pfizer vaccine.
Locally, new COVID cases in the Bellevue, Lake Washington, and Northshore School Districts were down from last week. Vaccination rates for children 5 to 11 that live in the three districts are remarkable with some zip codes reporting almost 60% of all kids already receiving their first dose.
In national news, the United States has confirmed ten Omicron variant cases in California, Colorado, Hawaii, Minnesota, and New York. The infections in Hawaii, Minnesota, and several in New York were caused by community transmission.
President Joe Biden announced new programs to try and combat the spread of COVID in the United States, but Republicans in the Senate threatened to have the United States default on the national debt if he implemented meaningful strict measures.
In South Africa officials are becoming increasingly alarmed as new cases and hospitalizations increase exponentially. The Gauteng Province, home to 15.7 million is the hardest hit, but cases were increasing across the nation. Officials there reported COVID hospitalizations increased more than 23% overnight, and ICU admissions jumped almost 40%.
A study published tonight from South Africa reported that people relying on natural immunity had a 240% higher chance of reinfection with the Omicron variant, compared to the Beta or Delta variants.
In disinformation, we explore the claim that the Omicron variant is no worse than a cold or flu.
No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks
Washington State Update for December 2, 2021
Washington state Covid-19 update
After a six-day break from updated and accurate data from the Washington State Department of Health, we’re back. A week ago the question was how much would Thanksgiving travel impact new case rates. The Omicron variant has changed the plot.
Vaccination data for the state was updated. A couple of counties had numbers drop from last week. This has happened before as data gets validated but this update dropped Grant County below 50% – so the brackets changed.
Skagit and Whatcom Counties new cases rates are down about 40% from three weeks ago. The surge of cases among mostly unvaccinated residents is winding down. New
New cases have decreased a smidge compared to last week but do not reveal any significant trends.
Percent of Total Population Fully Vaccinated
Total Population in Group
Average 14-Day New Case Rate
70.00% or above (3 counties)
2,343,250
127.7
60.00% to 69.99% (5 counties)
1,374,000
261.0
50.00% to 59.99% (15 counties)
3,420,400
227.8
40.00% to 49.99% (9 counties)
487,375
234.7
32.30% to 39.99% (6 counties)
151,850
176.7
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County
Through December 2, Washington’s statewide 14-day rolling average is 203.2 Covid-19 cases per 100K, and the 7 day rolling average is 82.7.
No counties have a case rate over 400.0. per 100,000 residents. Twenty-six counties representing 5.65 million Washingtonians have a 7 day moving average case rate under 100.
New cases by age declined for every age group except 20 to 49-year-olds, which increased. Hospitalizations for ages 20 to 34 also increased.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
91.5
0.1
Ages 12-19
83.3
0.5
Ages 20-34
100.1
9.1
Ages 35-49
100.1 (not a typo)
5.5
Ages 50-64
73.8
8.8
Ages 65-79
44.1
10.2
Ages 80+
40.6
17.0
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
The USA Today COVID Tracker has not been updated since November 30 but reports 9,303 Washingtonians have died from Covid-19 related illness.
FEMA sending mobile vaccination clinics to Washington
Governor Jay Inslee announced that FEMA would be sending two mobile vaccination clinics to Washington. The first site will open on December 20 in Federal Way and is slated to operate for a month. A second location is planned but a date and location were not announced.
“This is great news in the ongoing fight against COVID. I am grateful for our strong partnership with the federal government, and these FEMA Family Mobilization Clinics coming to King County is a great result of that partnership,” said Inslee. “This is an innovative model that will help increase equitable access to vaccination for all Washingtonians.”
A constellation of partners is working with FEMA including the Washington State Department of Health, the King County Executive’s Office, and Seattle & King County Public Health.
Some people in Western Washington have reported problems in securing vaccination appointments for boosters due to high demand.
One-third of booster eligible Washingtonians have leveled up
The Washington State Department of Health reported 1.08 million of the 3.3 million eligible for boosters have rolled up their sleeves. There is significant evidence that vaccine and disease acquired immunity declines after five to seven months, but a number of factors such as age and other health issues can affect the duration.
There is some evidence within the genetic sequencing of the Omicron variant that disease-acquired immunity from previous mutations won’t be as strong as vaccine-based immunity.
Over 17% of Washington kids age 5 to 11 have received their first dose of the COVID vax
The Washington State Department of Health reported 116,121 children from 5 to 11 have received their first dose of the Pfizer COVID vaccine, about 17% of all eligible kids in Washington.
The Pfizer vaccine Emergency Use Authorization (EUA) was amended to include 5 to 11-year-olds. They receive two smaller doses and reach fully vaccinated after five weeks. Initial data indicates that due to the stronger immune response of children and adolescents, a booster or third dose is not needed. That could change with time or if another variant emerges that is vaccine-resistant.
Washington state approaching 75% of population 12 and older fully vaccinated
The Washington State Department of Health reported 80.8% of all Washingtonians 12 and older have received at least one dose of the COVID vaccine and 74.6% are fully vaccinated.
Although this is good news, Washington is starting to fall behind other states. The Mayo Clinic reported that Washington was in 10th place for 12 to 17-year-olds fully vaccinated, 9th place for 18 to 64-year-olds, and tied with 32 other states for first place for 65 and older.
Travel Advisories
Due to the confirmation of community transmission of the Omicron variant in the United States, we are advising our readers to reconsider air travel and recreational travel plans. Especially if those plans include going to places with large crowds or major events at enclosed buildings.
Thank you
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King County, Washington is reporting over 85.0% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines. The Pfizer vaccine has EUA approval for children 5 to 15 years old.
COVID vaccines and boosters are free for anyone 5 and older. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
It has been a week since the last report and hospital status has improved significantly while the number of COVID patients receiving care remains elevated. The Washington State Department of Health reported 89.4% of staffed acute care beds were occupied with 10.2% of patients infected with Covid-19. There are 706 COVID patients statewide with an estimated 212 in the ICU – 114 requiring ventilators.
Statewide, there are an estimated 753 acute care and 151ICU beds available.
On Wednesday, the 7 day rolling average hospital admission rate for new COVID patients was statistically the same as last week – 65.
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
– Blackwell (1*/4) – Dickinson/Explorer (2*/7) – Eastlake High (1*/3) – Ella Baker (1*/0) – Evergreen Middle School (1*/0) – Finn Hill Middle School (2*/18) – Inglewood Middle School (1*/0) – Juanita High (2*/39) – Kamiakin Middle School (2*/12) – Keller (2*/7) – Kirkland Middle School (1*/8) – Lakeview Elementary (2*/2) – Lake Washington High School (1*/7) – Mead (2*/7) – Northstar Middle School (12) – Redmond High School (1*/10) – Redmond Middle School (1*/19) – Rush (2*/8) – Thoreau (2*/6)
None
Northshore
YELLOW
– Bothell High School (3*/12) – Canyon Creek Elementary (5**/11) – Canyon Park Middle School (1*/4) – Crystal Springs Elementary (1*/17) – Fernwood Elementary (1*/0) – Frank Love Elementary (1*/10) – Kenmore Elementary (1*/6) – Kenmore Middle School (4*/32) – Kokanee Elementary (0/1) – Leota Middle School (1*/2) – Maywood Hills Elementary (3*/4) – Moorlands Elementary (1*/2) – Northshore Middle School (1*/13) – Ruby Bridges Elementary (0/1) – Shelton View Elementary (0/2) – Skyview Middle School (1*/4) – Sunrise Elementary (2*/2) – Timbercrest Middle School (2*/0) – Wellington Elementary (1*/1) – Woodin Elementary (0/2) Woodmore Elementary (0/4)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases – (x*/y) x is positive cases and 7 quarantined, quarantined does not include positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
Based on reader feedback, and improvement in the data we are receiving, we have adjusted how we are reporting data. The Lake Washington and Northshore School Districts are now reported as (X*/Y) or (X**/Y). X represents the number of positive cases while Y represents how many are in quarantine. The number in quarantine does not include positive cases. If there are two asterisks, that indicates five or more confirmed cases within the last 14 days at that school.
Confirmed COVID cases were down in the three school districts we track. The Bellevue School District did not have updated data for quarantined students today.
The Lake Washington School District updates data once a week, and we’ve had no parent confirmed reports on new COVID cases this week.
We continued to encourage parents to request daily updates from the Lake Washington School District. This change would bring the three school districts we track into alignment.
Bellevue-Bothell-Kirkland-Woodinville local COVID news
King County Public Health updated the vaccination rates by zip code and now reports the data from ages 5 and up. Vaccination rates for children between 5 to 11 remain remarkable for the region.
Percentage of King County Residents 5 and older who have received at least one dose of COVID vaccine, December 2, 2021
Zip Code
Percent vaccinated, at least one dose, 5 to 11 years old
Percent vaccinated, at least one dose, 5 and older
98155
46.8%
92.5%
98028
42.7%
88.5%
98011
37.2%
85.2%
98034
38.8%
84.3%
98033
59.5%
93.5%
98072
39.2%
88.2%
98077
35.7%
80.2%
98052
55.0%
94.6%
98004
51.3%
>95.0%
98039
44.6%
90.7%
98005
53.4%
94.8%
98007
32.3%
88.0%
98008
44.5%
91.2%
98053
46.0%
92.9%
98074
50.5%
>95.0%
98075
43.0%
>95.0%
Vaccination rates with at least one dose
National Round-Up
Johns Hopkins University Cumulative Case Tracker reports 137,602 new cases and 1,960 deaths nationwide on Thursday. New cases continue to grow at a significant rate in the United States. There is no way to know if Omicron is driving the increase, but current data indicates that over 99% of new cases are Delta or one of its sublineages.
At least 10 Omicron COVID variant cases confirmed in the United States
Health officials in California, Colorado, Hawaii, Minnesota, and New York confirmed at least one case of the Omicron variant in their states.
Yesterday, the Centers for Disease Control confirmed the first Omicron variant case in the United States. The travel-related case was an 18 to 49-year-old male tested in the San Francisco area. They were fully vaccinated with an mRNA vaccine but not eligible for a booster because six months hadn’t passed since their second shot. They returned from South Africa on November 22 and tested on November 29. They have mild symptoms and are quarantined at home.
Late tonight, California officials reported a second travel-related case in Los Angeles county. That person traveled from South Africa to Los Angeles via London and returned on November 22. They are fully vaccinated but did not receive a booster. They are experiencing mild symptoms and are quarantined at home. Health officials reported they have already contacted and tested all close contacts, and didn’t find any new cases.
This morning Minnesota officials reported a community transmission case. The person identified as male, traveled to New York City to attend an anime convention at the Javits Center from November 19 to 21. The event had 53,000 attendees. They were fully vaccinated with an mRNA vaccine and had received a booster in early November.
Around lunchtime, Colorado officials reported a travel-related case. The woman was fully vaccinated but had not received a booster. She told authorities she had worn a mask during all her travels and developed symptoms after returning home from southern Africa last week. She has mild symptoms and is quarantined at home.
In the late afternoon, New York Governor Kathy Hochul reported five cases in the metro New York City area. There wasn’t little information available on each case, which is a combination of community transmission and travel-related. Two were in Queens, two in Brooklyn, one in Suffolk County, and one was not identified. The condition and vaccination status weren’t readily available.
Close to press time, officials in Hawaii reported their first case of an unvaccinated individual. The person had not traveled so officials believe it was caused by community transmission. The person is unvaccinated and was previously infected with COVID. They were tested on November 29, and currently are experiencing moderate symptoms. The press release from the State of Hawaii Department of Health did not indicate if they were hospitalized.
President Joe Biden announces winter battle plan to fight COVID
Under the threat of letting the United States default on its national debt, President Joe Biden conceded he would not push further vaccine mandates and announced other measures to combat COVID and the Omicron variant.
Requiring travelers entering the country by air to test negative for Covid-19 within a day of departure, regardless of vaccination status or nationality
Extending the requirement that masks be worn on airplanes, trains and public transportation to March 18
Requiring private health insurance companies to cover 100% of the cost of at-home tests for COVID
Public education to encourage 100 million eligible adults to get boosters shots
Editor’s Note: Consider us very underwhelmed.
Global update
New Omicron variant cases and hospitalizations skyrocket in South Africa
The number of new COVID cases and hospitalizations in South Africa is increasing at an alarming rate, with officials concerned that a record peak in infections is only 14 to 21 days away.
The South Africa Department of Health (SADOH) reported 74% of all detected COVID cases in November and 90% of new cases in the last week of the month were the Omicron variant. New cases have increased exponentially since November 24, the same day South African officials alerted the World Health Organization of the new variant.
Officials haven’t provided specifics on how much more transmissible Omicron is to previous variants, only saying that is higher.
New COVID cases in South Africa November 11 to December 2, 2021
SADOH reported 11,535 new cases today, an increase of 468% from a week ago. The 7 day rolling average for new cases jumped to 5,093. South Africa is testing about 52,000 people a day as the positivity rate increase at a significant rate. Officials reported 22.4% of the tests performed on Wednesday as positive for COVID infection.
In Gauteng Province, home to 15.7 million people, the number of hospitalized patients increased 23.4% overnight, jumping from 1,035 to 1,351 total patients. ICU patients increased by 38.5% while people needing oxygen held steady at 15% and ventilator use increased from 27 to 30.
Study from South Africa indicates COVID reinfection risk is very high
Researchers look at data from 2.8 million individuals who had lab-confirmed COVID positive tests at least 90 days before November 27, 2021. Among that group, they identified 35,670 lab-confirmed reinfections. The study found that reinfection with the Beta or Delta variant was infrequent, with disease acquired immunity providing protection. The research did not take the severity of illness into consideration for the initial or subsequent infections.
Reinfection rates from November 1 to November 27 increased by 240%, indicating that natural immunity may not provide much benefit. The results of the study could have implications on the effectiveness of monoclonal antibodies, but more data is required.
The study was done by a number of respected individuals but has not been peer-reviewed.
Disinformation
Although some officials have stated that Omicron cases appear to be mild, disinformation campaigns have latched on to these statements and are claiming an infection is no worse than a cold or flu.
On November 26 and again on November 28, Dr. Angleique Coetzee said that the infections she saw in her private practice were ‘very mild.’ On November 28 she expanded her statement to say that the observation was ‘not anecdotally’ and other clinicians were echoing her findings. She also stated that hospitalizations were not increasing. Her comments were addressed in a World Health Organization Omicron update on the same day.
“There is currently no information to suggest that symptoms associated with Omicron are different from those from other variants. Initial reported infections were among university students—younger individuals who tend to have more mild disease—but understanding the level of severity of the Omicron variant will take days to several weeks.”
We do not believe that Dr. Coetzee is actively spreading disinformation and is speaking from her direct experience as a clinician. We also believe that people are misunderstanding what a ‘mild’ case of COVID means. A mild case is a case that doesn’t require clinical intervention or hospitalizations. With Covid-19 that’s more than a cold or the flu.
Dr. Rudo Mathivha is the head of critical care at Baragwanath Hospital in Soweto, a level 1 trauma center and the largest hospital in the Southern Hemisphere with 3,400 beds. Dr. Mathivha did a series of interviews in South Africa yesterday and reported she was seeing an increase in hospital admissions in children under 5 years old accompanied by a dramatic increase in patients needing high care and admission to the ICU.
“The number of ill patients presenting to hospitals has increased exponentially,” she said.
“We are seeing definitely a change in the demographic profile of patients. We are seeing toddlers under five presenting with symptoms and they are sick enough to require admission and to require supplemental oxygen.”
Researchers don’t know how severe Omicron infections will be at this time, and anyone making claims on the severity, either way, is not presenting informed information. Anyone claiming that Omicron is just a cold is spreading disinformation.
[OLYMPIA] – (MTN) California governor Gavin Newsom and Colorado governor Jared Polis issued directives last week instructing healthcare providers to allow booster shots to anyone 18 and older, breaking from federal guidelines and forging a different path from the Western States Pact.
In April 2020, California, Oregon, and Washington entered into an agreement that would align the COVID response between the three states. Two weeks later Nevada and Colorado joined the pact. A similar agreement was reached on the East Coast, including many New England and Mid-Atlantic states. The cooperative agreements were created to share research and education telecommunications networks and services to align the regional response.
The states have largely been in agreement for the last 19 months so the recent fracture on booster protocols is a new development. After Colorado announced their directive on Tuesday, Charlie Boisner, the COVID-19 Public Information Officer for the Washington State Department of Health, told Malcontent News in an e-mail, “DOH is following guidance from the FDA, CDC and Western States as to whom is eligible to receive a booster shot. Additional populations may be recommended to receive a booster as more data becomes available. Washington has no plans of implementing measures outside of current authorizations.”
In a follow-up after California announced they were also breaking from FDA and CDC guidance and issuing a directive for “boosters for all,” Boisner responded, “Washington has no plans of implementing measures outside of current authorizations.”
Several Western Washington hospitals are dealing with a significant number of breakthrough cases among staff that were vaccinated in January and February.
On Monday morning New Mexico, also dealing with a late fifth wave surge, and New York City issued directives to make Covid-19 booster shots eligible for anyone 18 and over who wants one.
Colorado is facing a late fifth wave, with hospitals operating at crisis standards of care and projections indicating the state will run out of hospital resources by Christmas. Cases are also up in California with the surges in both states largely driven by the unvaccinated. Within the data, there is growing evidence that vaccines and natural immunity are waning. Among the unvaccinated reinfections are increasing dramatically and among the vaccinated, breakthrough cases among those vaccinated more than six months ago are creeping upward.
Last week Dr. Anthony Fauci urged anyone eligible to receive a booster to get one as soon as possible.
Germany may serve as a warning for the United States and the impact from a confusing rollout of booster shots. Ranked 45th for vaccination rates, only 3% of the population has received a COVID booster shot. In the eastern parts of Germany where only 50% of the population is vaccinated, cases are raging again. The German government is planning to deploy 12,000 troops to assist overwhelmed hospitals. Historically, Europe has been a leading indicator of the next surge to hit the Americas.
Earlier this year Israel dealt with a surge of Delta cases when the nation was vaccinated at a similar level to the United States today. The nation implemented a booster program in early July and expanded it twice, making boosters available for everyone 12 and older on September 25. Case rates have returned to a normal level, despite ranking 47th in vaccination rate in the world, and only slightly ahead of the United States.
During a White House briefing on Wednesday, Dr. Rochelle Walensky, director of the U.S. Centers for Disease Control and Prevention (CDC), said there continued to be a need to prioritize those who are currently eligible for a Covid-19 booster but added, “as you likely know, FDA is currently looking at the data for expanding boosters to all populations.”
Two different studies were released in October 2021, providing insight into how long natural and vaccine immunity last. Neither offer lifetime protection and lifetime protection was never promised. A growing list of studies indicates that natural and vaccine-based immunity wanes after five to seven months.
On October 1, a study on the durability of immunity against reinfection by SARS-CoV-2 was published in The Lancet. Researchers predicted that natural immunity began to fade after 142 to 185 days and natural immunity would disappear after 16 months, The study also stated that this would vary widely depending on age, overall health, genetics, and risk factors, and immunity could be as short as three months or as long as five years.
Before the first Covid-19 vaccines became publicly available, researchers and scientists were publicly stating that boosters would be likely and that testing programs would evaluate the effectiveness of future boosters. Those predictions came true.
Many people are eligible for booster shots today including 188 million American adults who are overweight with a BMI of 25 or higher.
[SEATTLE, Wash.] – (MTN) During a Facebook Live with Congresswoman Anna Eshoo (CA-D) on Tuesday, Dr. Anthony Fauci M.D., Director of the National Institute of Allergy and Infectious Diseases, recommended Americans who are eligible to get a Covid-19 booster shot to get one as soon as possible due to waning immunity.
With concern growing about a sixth wave in states that finished beating back the Delta surge and states such as Colorado, Michigan, Minnesota, and Vermont having a late fifth wave, questions about eligibility for boosters are growing.
Some states aren’t waiting for direction from the federal government. California Governor Gavin Newsom and California Health Secretary Dr. Mark Ghaly told state residents 18 and older they should “absolutely” sign up to get a COVID booster. On Thursday, Colorado Governor Jared Polis issued a directive that defies current federal guidance on Covid-19 booster shots, permitting all state residents 18 and older to get them.
During a White House briefing on Wednesday, Dr. Rochelle Walensky, director of the U.S. Centers for Disease Control and Prevention (CDC), said there continued to be a need to prioritize those who are currently eligible for a Covid-19 booster but added, “as you likely know, FDA is currently looking at the data for expanding boosters to all populations.”
Who is currently eligible for a Covid-19 booster
Eligibility depends on which vaccine you received and several other factors.
Janssen/Johnson & Johnson
If your initial vaccine was Janssen/Johnson & Johnson and you’re 18 or older, you are eligible for a booster 60 days after receiving your first dose. There are no limitations for age, comorbidities, living arrangements, or vocation.
The FDA has approved a mix-and-match approach, and you can receive a booster using the Pfizer or Moderna vaccine or a second Johnson & Johnson dose.
The Johnson & Johnson vaccine has a 1:500,000 chance of causing a rare condition called VITT. In the United States, there have been 47 reported cases and four deaths. If you were assigned female at birth and have a family history of blood clots or low platelets, or you are of childbearing age and using a hormone-based form of birth control, and you’re concerned about VITT, talk to your healthcare provider, OB/GYN, or fertility specialist.
If you’ve had a confirmed case of Covid-19 in the last 90 days and you were symptomatic, talk to your doctor or healthcare provider on whether you should wait to receive a booster.
BioNTech/Pfizer and Moderna
Anyone 65 or older and received the Pfizer or Moderna vaccine is eligible for a booster 180 days after their second dose. People 18 to 64 can qualify for a third dose if they have certain medical conditions, work in a high-risk environment, or live in an area where social distancing isn’t feasible.
Medical conditions that put you at risk for severe Covid-19
Chronic lung disease such as moderate to severe asthma, bronchiectasis, COPD including obstructive sleep apnea, fibrosis or prior lung damage due to scarring, injury, or prior disease, cystic fibrosis, pulmonary embolism or history of, or pulmonary hypertension or history of
Dementia or Alzheimer’s
Diabetes – Type 1 or Type 2
Down Syndrome
Heart disease such as heart failure, coronary artery disease, high blood pressure, cardiomyopathies
HIV
Immunocompromised, auto-immune disease, taking immunosuppressants, or using drugs that suppress the immune system such as steroids both oral and topical
Mental health conditions including mood disorders, depression, and schizophrenia
Body Mass Index (BMI) over 25
Pregnant, trying to get pregnant, or sexually active and could get pregnant and would carry pregnancy to term
Sickle cell disease or Thalassemia
Smoking or vaping currently or in the past
Solid-organ or blood stem cell transplant
Stroke or cerebrovascular disease
Substance abuse past or present including alcohol, opiods, or cocaine
Tuberculosis
Living conditions
If you have any of these living arrangements, you qualify for a booster.
Long-term care facility
Homeless shelter – short or long term
Jail or prison inmate
Community living arrangements such as dormatories, halfway houses, group homes, or hostels
Live with a high-risk individual with a medical condtion listed above, or live in a multi-generational household, and you are the primary care provider
First responders such as healthcare workers, firefighters, police, or congregate care providers
Educational staff such as teachers, support staff, athletics staff, transportation, and daycare workers
Food and agriculture workers
Manufacturing workers
Correctional officers and employees who work in jails or prisons including healthcare, educators, and mental health providers
U.S. Postal Service workers
Public transit workers
Grocery store workers and other retail and service employees that have high contact with the public
There have been less than 1,000 mild to moderate myocarditis cases in the United States connected with receiving the mRNA Pfizer or Moderna vaccines. Most of these cases involved adolescents or young men. If you were assigned male at birth and have a history of heart disease, or are worried about myocarditis, talk to your healthcare provider to see if the Jassen/Johnson & Johnson vaccine is a better option.
Just like the J&J vaccine, If you’ve had a confirmed case of Covid-19 in the last 90 days and you were symptomatic, talk to your healthcare provider to determine if you should wait to receive a booster.
I thought the COVID vaccine was forever
The idea that the Covid-19 vaccine would be one and done is a creation of misinformation, misunderstanding, and poor reporting by some news outlets.
As the first COVID wave was winding down in the United States in May 2020, there were discussions about having “immunity passports.” People who had a confirmed Covid-19 case could be permitted to return to work and other activities based on the assumption they possessed natural immunity. Shortly after the discussions started, early evidence began to pile up that natural immunity was short-lived. The journal Nature Medicine shared a report on June 18 showing natural immunity started to fade after three months.
The closest claim that immunity from natural exposure or vaccination would last a lifetime came from former President Donald Trump in October 2020. Still, even then, he never made a complete claim of lifetime protection. On October 11, 2020 during an interview with Maria Bartiromo, Trump discussed his personal battle with Covid-19.
“It looks like I’m immune for, I don’t know, maybe a long time, maybe a short time,” he said. “It could be a lifetime. Nobody really knows, but I’m immune. So the President is in very good shape to fight the battles.”
As Trump was recovering from COVID and considering if he had “long time” immunity, there was more evidence that natural immunity started to fade after three months and a growing number of reinfection cases. For public health officials, an even bigger concern was many people who got reinfected suffered from more severe cases.
In December, when the first Covid-19 vaccines were about to become publicly available in the United States, the medical community was already cautioning the public it was unknown how long immunity would last.
In January 2021, Dr. Kristen Marks M.D., an infectious disease specialist at New York-Presbyterian, said, “We really don’t know whether you’re still immune a year after vaccination. Some of the clinical trials will study adding a booster in a year and comparing whether that’s better or if the immunity is just as good for two years with the two shots. That remains to be determined.”
Data from the United Kingdom and Israel have shown that all immunity wanes. Although cases grew dramatically in both countries, hospitalizations and fatalities did not match the winter 2020 surges. A vast majority of the hospitalized, critically ill, and deaths were among the unvaccinated. In Israel, an aggressive booster program ended their wave where new cases have drifted downward to early July levels.
How long does natural and vaccine based immunity last
Two different studies were released in October 2021, providing insight into how long natural and vaccine immunity last. Neither offer lifetime protection.
On October 1, a study on the durability of immunity against reinfection by SARS-CoV-2 was published in The Lancet. Researchers predicted that natural immunity had a half-life of 142 to 185 days. Half-life means how long does it take for half of the antibodies for a disease to disappear from a person’s blood serum. The study estimated that after 16 months, the average person would no longer have any natural immunity to Covid-19. However, the study also stated that this would vary widely depending on age, overall health, genetics, and risk factors. The half-life could be as short as 45 days or as long as 31 months.
Three days later, the Lancet published a study on vaccine-based immunity titled Effectiveness of mRNA BNT162b2 COVID-19 vaccine up to 6 months in a large integrated health system in the USA. That study indicated that immunity waned from 30% to 50% after five months depending on the mRNA vaccine administered, age, and Covid-19 variants. Simply put, vaccine immunity and natural immunity, when accounting for a range of factors, have similar half-lives.
The viral-vector vaccine from Johnson & Johnson has received less research and has been administered to approximately 15 million Americans. A third study indicated the J&J vaccine was the least effective of the three available options in the United States, particularly with the Delta variant.
Why aren’t the vaccines 100% effective
It is a common misconception that vaccines are 100% effective, especially in industrialized nations. Due to a combination of high vaccination rates for diseases such as measles, mumps, and polio, and enough immunized people to provide community immunity, it is easy to believe that vaccines are perfect and forever.
For example, polio still exists in several countries, and the U.S. Department of Defense and the CDC recommend a poliovirus booster for anyone traveling to those regions. Certain members of Generation X have been advised to get an updated MMR vaccination because data shows that protection from measles doesn’t last a lifetime. Even Ben Shapiro complained on Twitter in 2015 that his 13-month old son was exposed to pertussis and became severely ill.
When it comes to the COVID vaccines, no one in the medical community said any vaccines were 100% effective, and the data has always been publicly available.
In Phase 3 studies, the Pfizer-BioNTech and Moderna vaccines were 95% effective in the first few months after vaccination. Put simply, “If there were 100 people who would have gotten COVID, it prevented 95 of them from getting it, but it didn’t prevent all 100,” says Dr. Marks. “It definitely provides some protection, but it’s not perfect.”
The Johnson & Johnson vaccine reported a 72% efficacy rate in preventing moderate to severe disease from COVID-19 in the U.S. and was 85% effective in preventing severe disease.
The good news is that early data found that those who did contract COVID-19 after receiving the vaccine did not develop a severe form of the disease. “So even if it doesn’t completely prevent illness, the study data shows that it does reduce the severity,” Dr. Marks said. Ten months later, the early projections have largely come true.
In King County, Washington, 22% of all confirmed Covid-19 infections since January 17 have been breakthrough cases. Eleven percent of people hospitalized were vaccinated, and 15% died of Covid-19 related illness. When the total number of vaccinated versus unvaccinated residents is considered, the effectiveness of vaccines, even as the need for boosters is increasing, is evident.
Population
Confirmed Cases
Hospitalized
Deaths
Fully vaccinated
1.633M
20,252
433
115
Partial or unvaccinated
319K
71,857
3,373
667
349,000 King County residents are under 12 years old and were not vaccine eligible from January 7 to November 10
Unvaccinated King County residents were 12 times more likely to be hospitalized and 13 times more likely to die of Covid-19 from January 17 to November 3.
Additionally, a comparison of King County, Washington, and Dallas County, Texas, provides additional data on vaccination and public health programs’ impact. King County experienced the first superspreader event in February 2020, the first Covid-19 death, and had the first mass casualty situation at a hospital in the United States. A month later, Texas suffered its first Covid-19 death. Over the next 627 days, King County implemented some of the strictest COVID rules in the nation while Dallas County took a more open approach.
On November 1, Dallas County reported its 5,000 COVID-related death while King County reported 2,022. Simply put, 1 in every 530 residents of Dallas County has died of COVID since March 2020 versus 1 in every 1,137 residents in King County since February 2020.
Will we need to get boosters forever
To answer that question, we need to move away from facts and science and step into the arena of opinion. The short answer is, “maybe,” but it depends on the advancement of medical science, improvements in available vaccines, and our own behavior.
In the short term, the data is clear – peak immunity against current Covid-19 variants lasts 142 to 185 whether it is natural or vaccine-based. A regimen of booster shots will likely be needed every 6 to 12 months over the next few years.
Two antiviral drugs are currently being evaluated in the United States. Molnupiravir by Merck is reported to reduce hospitalizations and deaths by 50%, while Pfizer released a study on a medication they are developing that was 88% effective in early testing. Both drugs are oral and would be game-changers in the treatment of Covid-19.
Another way to get off the booster shot treadmill would be to reach 90% to 95% immunity, reducing the number of available hosts for Covid-19 to a level that the disease can’t widely spread in the population – so-called ‘herd immunity.” Given the resistance of 62 million Americans to get vaccinated, and almost half the world doesn’t have access to the COVID vaccine, that seems unlikely.
A third game-changer would be a new variant that emerges and is far more transmissible than the current dominant Delta strains but with significantly less severe symptoms. A version of Covid-19 that is closer to moderate Influenza in symptoms and lethality and is as contagious as measles would quickly infect the population, run out of hosts, and burn itself out while not overwhelming hospitals. This could also lead to “herd immunity.”
The final possibility is the vaccines themselves get better. The original Salk polio vaccine, authorized in 1955, was 50% effective at preventing infections but 90% effective at preventing hospitalizations. It wasn’t until 1962 when the Sabin oral vaccine replaced the Salk vaccine, that infections dropped 90% after a first dose and 99% after four doses.
If the Covid-19 vaccines follow a similar development path as other vaccines, a more effective version will likely be discovered in the future.
Why didn’t the United States approve boosters for all after the Biden Administration announced its intent
Over the summer, the Biden Administration and the World Health Organization (WHO), FDA, and CDC had a very public disagreement on who should get booster shots. President Biden wanted every adult to be eligible for a booster. The WHO objected, pointing out how some nations had no access to COVID vaccines while the United States was throwing out expired doses. The FDA and CDC also pushed back, arguing there wasn’t enough real-world data to support boosters for all.
While the debate raged, experts had a real-world case study unfolding on the other side of the world. Israeli officials started boosters for anyone over 60 on July 13 and three weeks later dropped the age to 40. On September 25, they dropped the age again to 12 and older. The program was highly effective at controlling deaths and hospitalizations, and when Israel is compared to the United Kingdom, the booster program implemented was an evident success.
On September 22, the FDA approved booster shots for recipients of the Pfizer vaccine, and on October 20 added the vaccine by Moderna. Eligibility was limited to people who were 65 or older or were 18 to 64 and worked or lived in places with a high risk of exposure or had a serious underlying medical condition that increased their chances of severe COVID. The FDA recommended a booster six months after receiving the second dose.
Also, on October 20, the FDA authorized boosters for anyone who received the Johnson & Johnson vaccine. As the Delta variant raged in the southeastern United States during the summer of 2021, it became evident the J&J vaccine offered less protection against hospitalization. Additionally, the viral-vector vaccines created by Astra Zeneca and developed in Russia and China were also low-performing. Anyone who received the Johnson & Johnson vaccine was advised to get a booster 60 days after the first dose.
Unfortunately, the ethical and trust concerns that tainted the debate in the United States have resulted in new COVID cases stuck on a high plateau for the last three weeks. New cases are rising in most states, and the pattern of Covid-19 infections looks eerily similar to the United Kingdom. A vast majority of hospitalized COVID patients continue to be unvaccinated.
The world needs to learn to live with Covid-19 and everyone will eventually have a date with the illness. The question is, will you be effectively vaccinated or not when it happens.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) Hospitals in Eastern Washington are starting to feel the crush of transfer patients and Idahoans seeking medical treatment in Washington state. As new cases decline statewide, hospitalizations have plateaued, with Eastern Washington taking on the brunt of new cases.
More Seattle Police Officers provided proof of vaccination while city officials forged a plan for October 18. In contrast, over 93% of Washington State Patrol employees are vaccinated, including more than 90% of commissioned officers. A King County Sheriff Office Sergeant did a reply-all e-mail about the vaccine mandate that was full of conspiracy theories – it’s a sad story.
In Eastern Washington, 19 municipal and state employees filed a federal civil rights lawsuit against the looming vaccine mandate.
There were new Covid-19 cases reported in all three school districts we track.
Nationally, a Maryland man killed his pharmacist brother and two other people due to his alleged belief in Covid-19 vaccine conspiracies.
Scientists learn the secrets of Covid Toe and how to treat it. In another study, researchers find increasing proof that Covid-19 can damage the pancreas, leading to a sudden onset of diabetes.
Alaska, Idaho, Montana, and Wyoming continue to have hospitals operating under crisis standards of care protocols. In Coeur d’Alene, Kootenai Health has been using those protocols for almost a month.
A 51-year-old man whose wife sued to treat him with ivermectin in an Ohio hospital died in late September.
A common objection to receiving the Covid-19 vaccine is the belief that the government assumes no liability. Is it true? We tackle that issue in misinformation.
New cases in Washington state continue to decline slowly. We’re adding some new metrics. A combination of increasing vaccination rates, mask wear, and the Delta variant running out of new hosts contributes to the slowdown.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
60.00% or above (4)
212.0 (down)
50.00% to 59.99% (13 counties)
515.1 (down)
40.00% to 49.99% (14 counties)
624.1 (down)
29.30% to 39.99% (8 counties)
713.3 (up)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Not Adjusted for Population
Through October 5, Washington’s statewide 14-day rolling average is 403.8 Covid-19 cases per 100K.
Ferry County reported 1,011.4 new cases per 100K residents.
Counties in the 800.0 to 999.9 per 100K range include Grant, Klickitat, Lincoln Pend Oreille, and Stevens.
Counties in the 600.0 to 799.9 per 100K range include Asotin, Benton, Chelan, Columbia, Cowlitz, Franklin, Garfield, Grays Harbor, Mason, Okanogan, and Walla Walla. Franklin County remained just under 800 while Adams, Douglas, Lewis, and Spokane counties were just under 600.0.
New cases were down from birth to 34 years old and statistically unchanged for 35 and above. Pediatric and adolescent hospitalizations were up, along with ages 50 to 64 and over 80.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
170.3 (down)
1.1 (up)
Ages 12-19
202.1 (down)
0.8 (up)
Ages 20-34
166.1 (down)
5.0
Ages 35-49
173.9
8.4
Ages 50-64
120.1
15.1 (up)
Ages 65-79
97.6
17.4
Ages 80+
109.8
35.2 (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 53 deaths yesterday. The state of Washington is not reporting the percentage of positive cases.
Idahoans seeking medical care pushing Eastern Washington hospitals to the brink
Dr. Dan Getz, the chief medical officer of Providence Medical Center in Spokane, Washington, said patients from Idaho are pushing Providence Medical toward capacity limits, leaving hospitals scrambling for options. KATC reported hospitals have had to pause some surgeries to create space.
“Idaho is currently in crisis standards of care where they basically said, ‘We can’t deliver normal care for people in our state,’ and they’re looking at rationalizing things,” Getz said. “We are not in that crisis in Washington state — however if we continue to see increasing cases and we are not able to care for our community, that’s always a potential.”
At Multicare Deaconess Hospital in Spokane, the staff says they are spread thin.
Luke Eckoff, a Covid-19 ICU nurse at Multicare Deaconess Hospital, said, “Flight teams are bringing patients from outlying hospitals — and that’s putting more strain on us. These rural hospitals don’t have the capacity we do to take care of these patients. What that’s doing is putting further pressure on our hospital and resources. It’s hard at the end of the day when you have to put that patient in the body bag. And that’s happening more and more.”
More SPD officers present proof of vaccination
The number of Seattle Police Department officers who haven’t confirmed being fully vaccinated dropped to 292 today. Brandi Kruse of KCPQ tweeted that an additional 101 SPD officers have requested vaccination exemptions.
“The problem is they’re using bully tactics to force their employees to get this, and that’s what’s led to this disconnect,” Solan said. “Right now, more than ever, our community’s begging for police officers to stop the rise in crime. And we need politicians who are willing to understand the public safety staffing crisis that they created. They’re in charge, they can change this.”
Over 93% of Washington State Patrol workers provided proof of vaccination
The Washington State Patrol reported Wednesday that more of its workers are providing proof they are vaccinated, according to a report by KXLY.
Only seven percent of its employees hadn’t been vaccinated or turned in proof they got the shot. That means 152 of its 2,184 employees could face getting fired if they do not meet the vaccine mandate deadline of October 18. Of those, only 91 are commissioned troopers.
King County Sheriff Deputy sends department-wide reply all e-mail against vaccine mandate
The original e-mail sent on Monday reminded KCSO employees they needed to submit their vaccination status so the department could make a staffing plan.
“Our planning process is hampered by lack of complete information because some have not yet provided evidence of vaccination,” the chiefs’ e-mail reads. “Again, we are hopeful that you have the required information but have not yet shared it with HR. One of our goals is to plan for possible separation in a way that is least likely to disrupt your city or precinct, and it is hard to do that without all the information.”
In his reply, Lefler indicated he had requested an exemption but had not gotten a response from King County, adding, “What [is[ King County is going to do about the thousands of us who have requested medical and/or religious exemptions.”
He then stated that being a sheriff deputy was equal to being under constant siege in war, called out King County Executive Dow Constantine, and called for the entire department to quit. Lefler then suggested that the vaccine mandate would lead to gun control and remove “CPO” (conceal carry permits).
“Anything goes once the precedent is set. I will fight for what is right, and you reading this know in your gut that I am right,” Lefler continues. “It’s not just about a jab in the arm. It’s about our very freedoms. This is about our right to self-determination and choice. God gave us these rights, but only if we are willing to fight for them.”
According to the website Together We Served, Lafer was in Marine Corps from 2001 to 2005 and served in Iraq. The unit he was with deployed to Fallujah and Ramadi during his tour at the height of the Iraqi insurrection. It is worth noting that Lefler would have been required to take the Emergency Use Authorized Anthrax vaccine as part of his military service and could have used Nerve Agent antidotes as part of his military tour.
All US service members are required to be vaccinated against Covid-19 by December.
Sgt. Tim Meyer e-mailed the South Seattle Emerald after the original story was published.
“KCSO appreciates Sgt. Lefler’s years of service and the difficult decision he is trying to make for himself and his family,” Meyer’s e-mail to the Emerald reads. “We do not have ‘thousands’ of deputies, rather we employ roughly 750. We hope we don’t lose any of them. As our members struggle with the decision to comply with the Executive’s mandate, we know some would like to believe that the Sheriff and her command staff have the power to get the mandate rescinded. That is not possible.”
Approximately 100 KCSO employees have applied for Covid-19 vaccine exemptions.
19 state and municipal workers file lawsuit over vaccine mandate
The suit lists as defendants Governor Inslee, Spokane Fire Chief Brian Schaeffer, Washington State Patrol Chief John Batiste, and other leaders of state agencies.
The suit claims “the plaintiffs are on the brink of having adverse employment action against them. It claims that in each case, “a form of disability or sincere religious belief requires them to decline vaccination.”
The group of workers comprises Washington State Patrol troopers, Spokane firefighters, and employees of other state agencies, including the Department of Social and Health Services.
Virtually none of the lawsuits filed at a federal level have been successful at blocking a vaccine mandate. The 1905 United States Supreme Court ruling of Jacobson versus Massachusetts cemented the rights of municipalities, counties, and states to mandate vaccines and other public health measures.
Federal medical team of 8 nurses and 10 certified nursing assistants deployed in Spokane
The team of eight nurses and 10 certified nursing assistants (CNA), and eight nurses will be deployed to the Avalon Care Center in North Spokane. The medical staff is from ACI Federal, according to the Washington Department of Health (DOH). According to the DOH, these are not federal resources but are available through a federal contract. Avalon Care Center will pay for the nurses.
Travel Advisories
Today, we are lifting our travel advisory to Yakima, Klickitat, Benton, Franklin, and Walla Walla Counties. We continue to recommend when visiting those counties, you use reasonable caution and don’t engage in dangerous activities.
We continue to recommend avoiding recreational travel to Spokane County. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.
We continue to monitor the situation in the East Hospital Region and may expand our travel advisory beyond Spokane County.
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!
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Vaccination
Pfizer vaccine booster shots are now available
Booster shots for eligible individuals are now available statewide. Individuals who received both doses of the Pfizer vaccine more than six months ago, are 65 or older, or are immunocompromised can receive their third dose immediately.
In the Kirland-Bellevue-Woodinville area, Walgreens, Rite-Aid, Bartell’s, and QFC are offering booster shots. Additionally, the third dose is available at the CVS located within the Target store at 17,700 NE 76th Street in Redmond.
Most locations require an appointment, which can be scheduled online.
King County, Washington is reporting over 86.7% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.
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.
According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 17.4% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 665 additional acute care patients. ICUs are at 88.1% of capacity statewide, with 30.0% of ICU patients fighting Covid-19 – an estimated 353 patients with 57% on ventilators. The state has the staff to support approximately 142 additional ICU patients.
The 7-day rolling average hospital admission rate for new COVID patients was 123. The Department of Health reported 1,199 Covid-19 patients statewide on October 5, with 200 on ventilators.
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
There was very little change in the status of Hospital Regions overnight, with the East and Northwest Hospital Regions below the threshold of issuing a travel advisory.
– Bell Elementary (1*) – Barton Elementary (1*) – Dickinson/Explorer Elementary (1*) – Ella Baker Elementary (1*) – Eastlake High (2*) – Finn Hill Middle School (3*) – Franklin Elementary (2*) – Frost Elementary (2*) – ICS (1*) – Inglewood Middle School (1*) – Juanita Elementary (1*) – Kamiakin Middle School (4*) – Keller Elementary (2*) – Kirkland Middle School (1* see notes) – Lakeview Elementary (4*) – McAuliffe Elementary (1*) – Muir Elementary (1*) – Northstar Middle (1*) – Redmond Elementary (2*) – Redmond Middle School (1*) – Redmond High School (2*) – Renaissance Middle School (1*) – Rosa Parks Elementary (1*) – Rush Elementary (1*)
see notes below
None
Northshore
YELLOW
– Arrowhead Elementary (4) – Bothell High School (42**) – Canyon Creek Elementary (23) – Canyon Park Middle School (6) – Cottage Lake Elementary (3) – Crystal Springs Elementary (26) – East Ridge Elementary (12) – Fernwood Elementary (1) – Frank Love Elementary (17) – Hollywood Hills Elementary (27) – Inglemoor High School (1) – Innovation Lab High School (1) – Kenmore Elementary (3) – Kenmore Middle School (25) – Leota Middle School (4) – Lockwood Elementary (40**) – Maywood Hills Elementary (29) – Moorlands Elementary (1) – North Creek High School (5) – Northshore Family Partnership (30) – Northshore Middle School (2) – Secondary Academy for Success (5) – Shelton View Elementary (5) – Skyview Middle School (12) – Sunrise Elementary (9) – Timbercrest Middle School (5) – Wellington Elementary (26) – Westhill Elementary (50) – Woodin Elementary (16**) – Woodinville High School (11) – Woodmoor Elementary (12)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than 10 active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
Bellevue School District added two more confirmed Covid-19 cases at Highland Middle School, for a total of eight. Additionally, a confirmed case was reported at Ardmore Elementary School.
The Northshore School District added multiple schools to their report. Lockwood Elementary reported three more confirmed cases this morning, bringing the count to nine. Bothell High School and Woodin Elementary each have six confirmed cases.
We have a parent confirmed report of a single Covid-19 case at Kirkland Middle School, with an additional 17 students quarantined.
We multiple parents e-mailed us about two confirmed Covid-19 cases at Juanita High School. However, because the district sent the e-mail on Monday, we cannot confirm if these are new or included in the last dashboard update.
We continued to encourage parents to request improved daily data reporting from the Lake Washington School District.
Kirkland-Bellevue-Woodinville
The City of Kirkland has rolled out additional phases of its COVID-19 relief program to provide immediate financial assistance for small businesses, thanks to funding available through the American Rescue Plan Act. A limited number of $1,000 to $10,000 grants are now available for small Kirkland-based businesses behind on rent for the commercial properties they lease. To start the application process, businesses should go to www.kirklandwa.gov/business-help to complete and submit the intake form between October 5 – October 19, 2021. Program funds may only be used as a payment against a small business tenant’s past-due rent due to COVID-19 economic hardship experienced between March 1, 2020, to September 30, 2021. Note that the application process requires the cooperation of tenants and landlords, and payments will be made to the landlord.
“The pandemic has had a profound impact on many of our businesses, making it difficult for some to keep up with rent and stay in their current locations,” said Deputy Mayor Jay Arnold. “Our hope is that by passing federal relief funding directly to businesses and landlords that these businesses can get the foothold they need to thrive in our Kirkland community.”
For questions about the small business rent relief grant program, contact businesssupport@kirklandwa.gov (425) 587-3266 or the City’s Business Response Team at (206) 686-3424.
National Round-Up
Johns Hopkins University Cumulative Case Tracker is reporting 95,756 new cases and 1,916 deaths nationwide on Wednesday. As of October 4, the CDC reported 65,162 hospitalized Covid-19 patients in the United States, down 13.6% from the week before. The number of Covid-19 related deaths decreased 3.3%, indicating that the Delta variant surge is ending.
Maryland man accused of killing 3 due to alleged belief of Covid-19 vaccine conspiracies
According to arrest documents, Burnham’s mother told investigators that he wanted to confront his brother – a pharmacist – because he purportedly helped administer vaccines.
Burnham had told their mother he believed the government was poisoning people with vaccines, and he “repeatedly stated, “Brian knows something!” – police say.
Investigators say a tipster alerted Maryland State Police that Burnham had arrived at his home in a red Corvette, and said that “his brother had been ‘killing people with the COVID shot.'”
Burnham has been charged with two counts of first-degree murder and two counts of second-degree murder and the use of a handgun in the commission of a crime.
“Clearly there’s a link, there’s some sort of mechanism that makes the diseases fuel one another,” Francesco Rubino chair of metabolic surgery at King’s College London, told Insider. “The question is whether new-onset diabetes could be caused by this virus.”
One theory was that the body could be confusing pancreas cells for the coronavirus, and trying to destroy them. This would disrupt insulin supply and cause diabetes, the scientists thought.
Remember “Covid Toe?” Doctors may have figured out what causes it
A small study published in the British Journal of Dermatology reported that researchers had identified the cause of Covid Toe and how to treat it.
Based on blood and skin tests, these latest study findings suggest two parts of the immune system may be at play.
One is an antiviral protein called type 1 interferon, and the other is an antibody that mistakenly attacks the person’s own cells and tissues, not just the invading virus.
Cells lining small blood vessels supplying the affected areas are also involved, say the investigators from the University of Paris, France.
The researchers studied 50 people with suspected Covid toe in the spring of 2020 and 13 others with similar lesions not linked to Covid infections because they occurred long before the pandemic began.
Alaska
New cases in Alaska still lead the nation but have declined significantly from last week. The state is still operating under “crisis standards of care” with 184 Covid-19 patients statewide. Alaska has 126 staffed ICU beds statewide, with 28 available. There were 867 new cases reported today, about equal to Tuesday. Over 10% of Covid-19 tests are coming back positive, indicating under testing is accelerating.
Before the current surge hit Alaska, it had the third-lowest death per capita in the United States. Six weeks later, the state is ranked 25th. More than 25% of all Covid-19 deaths reported in Alaska happened after August 1, 2021, despite the widespread availability of vaccines.
Hospitals in Anchorage, Bethel, and Valdez continue to be the most impacted by the ongoing surge.
Officials are also concerned by a rising test positivity rate, which is just below 10%.
California
Los Angeles leaders on Wednesday approved one of the nation’s strictest vaccine mandates — a sweeping measure that would require the shots for everyone entering bars, restaurants, nail salons, gyms, or even a Lakers game.
According to a report by NBC News, the City Council voted 11-2 in favor of the ordinance that will require proof of full vaccination by Nov. 4.
The move came after the council postponed a vote last week to deal with concerns ranging from who could be fined for violations to whether employees could end up in fist-fights when they have to serve as vaccine door monitors.
Florida
According to The Palm Beach Post, six weeks after Tamara Drock was admitted to Palm Beach Gardens Medical Center, the 47-year-old Loxahatchee woman is in a medically induced coma and tethered to a ventilator.
It was an outcome that her husband, Ryan, tried to prevent.
“No ventilators,” he said of his orders to the hospital staff.
With his hope and his wife’s options running out, Drock on Friday filed suit in Palm Beach County Circuit Court to force the hospital to give his wife the drug that he believes helped him and others recover from the highly contagious respiratory disease.
“I think it’s worth a shot,” Drock said. “I don’t have anything to lose.”
The second-largest study to date for the effectiveness of ivermectin against COVID, which has received multiple peer reviews, indicated that ivermectin had no meaningful impact and for sicker patients created worse outcomes. The study done in Argentina was randomized, double-blind, and placebo-controlled – the gold standard. The report concluded the only statistical difference was subjects taking ivermectin who became moderately to severely ill required mechanical ventilation much sooner than the placebo group.
Only one court case in Ohio successfully forced a hospital to administer ivermectin, and two weeks later, the judge reversed his decision.
Idaho
Governor Brad Little reversed Lt. Governor Janice McGeachin’s executive orders banning vaccine passports or mandatory Covid-19 testing at K-12 schools and universities in Idaho, eight minutes after he landed in Boise.
McGeachin also tried to activate the National Guard to deploy Idaho troops, already assisting with the Covid-19 surge, to the Mexico border. According to The Independent, the commanding general of the Idaho National Guard told McGeachin she can’t activate troops to send to the U.S.-Mexico border.
Idaho has reported more than 1,000 new Covid-19 cases per day for the last 27 days. The 7 day moving average has reached 1,320.6 cases per day and is likely higher due to a backlog of more than 8,200 tests.
Idaho now has 715 Covid-19 patients, down from a peak of almost 800 at the end of September. The state has 170 staffed ICU beds and reported 184 ICU patients. At St. Luke’s, the mortality rate for people in the ICU has reached 40%, and 98% of ICU patients are unvaccinated.
Almost a month after Kootenai Health declared it was moving to crisis standards of care, the number of Covid-19 patients they are treating has increased, according to a report by KTVB.
“150 COVID patients is about 75 percent of our normal pre-COVID bed capacity for med surge admissions,” said Jeremy Evans, Kootenai Health’s Chief Regional Operations Officer. “Today, we have got 44 critical care patients and 17 on ventilators. It continues to amaze me how our medical staff, our clinical staff, and our leaders, are able to accommodate this surge.”
Evans added that around 10 to 20 patients are admitted to the hospital for COVID-19 treatments each day.
“We have seen a lot of deaths, we are averaging about one a day in the COVID population, I spent the last week in the ICU and it’s a very hard place to work right now it’s just a constant struggle to take care of these patients on a daily basis,” said Robert Scoggins, the Medical Director of the ICU.
According to Boise Public Radio, unvaccinated Idahoans continue to be hospitalized at five and a half times the rate of vaccinated people, straining the hospital systems and overwhelming health care workers. Yet, misinformation and anger continue to spread throughout the state — with hateful acts targeted at the doctors and nurses working to treat those infected.
Boise Public Radio’s program Idaho Matters was joined by Dr. David Pate, former CEO of St. Luke’s Health System and a current member of the Idaho Coronavirus Task Force, and Dr. Frank Johnson, Chief Medical Officer for St. Luke’s Boise, Elmore and McCall.
While Alaska appears to have peaked and Idaho is on a plateau, Montana continues to deteriorate. According to KPAX, the state has 11,550 active cases and added 30 more hospitalized patients overnight, raising the number to 444 – a new record. Over 5% of Montanans who have tested positive for Covid-19 have ended up hospitalized.
National Guard troops have been deployed to Great Falls and Livingston to aid with expanding surge of cases.
Ohio
Jeffrey Smith, 51, who was at the center of a lawsuit forcing a Cinncinati hospital to treat him with ivermectin, died on September 25 of Covid-19, according to KXAN.
Jeffrey Smith’s wife, Julie Smith, claimed she offered to sign documents releasing all other parties, doctors, and the hospital from all liability related to the Ivermectin treatment and dosage. But the hospital declined. Smith said her husband, who was on a ventilator, had a very slim chance of survival, and she was willing to try anything to keep him alive.
Judge Gregory Howard ordered West Chester Hospital to give Smith 30 milligrams of ivermectin every day for three weeks, even though there is no supporting evidence that it treats Covid-19.
Another Butler County judge reversed Howard’s decision in September, saying ivermectin didn’t show “convincing evidence” in treating COVID-19. Butler County Judge Michael Oster said in his ruling, “judges are not doctors or nurses… public policy should not and does not support allowing a physician to try ‘any’ type of treatment on human beings.”
Like Alaska, Montana, and Idaho, hospitals are tipping over into “crisis standards of care.” Cody Regional Health and Memorial Hospital of Sweetwater County reported they continue to move from “contingency care” to “crisis standards of care” as the situation changes.
Misinformation
A common reason for refusing to get vaccinated is the belief that the government is mandating vaccination but does not accept any liability for vaccine injuries. Is that true?
The short answer, no.
The Health Resources and Services Administration is a federal program that provides compensation to people who have suffered a serious vaccine injury or surviving family members. The program has existed for years and is known as the Countermeasures Injury Compensation Program (CICP).
Federal declarations issued by the Secretary of the U.S. Department of Health and Human Services specify the countermeasures covered by the Program. Declarations have been issued for medical countermeasures against the following vaccinations.
COVID-19
Marburg
Ebola
Nerve Agents and Certain Insecticides (Organophophorus and/or Carbamate)
Claims filed under CICP for lost income are capped at $50,000 per year and won’t provide compensation for pain, suffering, emotional distress, or similar damages. According to the Washington Post, there have been 686 claims filed in CICP.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) The big news today is about a little brown capsule called molnupiravir. The Phase 3 trial of the oral medication cut COVID hospitalizations and deaths by 50%, and Merck has applied for Emergency Use Authorization with the FDA. The impact of this new medication could go far beyond COVID with researchers at Emory University claiming it could be useful against other viral diseases.
New COVID cases and hospitalizations held steady statewide. A report in the Seattle Times indicated more than half of rural Washington transfer patients ended up in King County hospitals.
The Bellevue School District updated its COVID dashboard and revealed there are 37 confirmed COVID cases. In the Northshore School District, cases continued to grow at Bothell High School and Crystal Springs Elementary School reported 11 confirmed cases.
There are an estimated 604 adult acute care and 132 ICU beds available statewide, and approximately 56% of COVID patients in the ICU are on a ventilator.
The Nisqually Nation was forced to evacuate a COVID quarantine site in Roy, Washington after multiple threats were made. A post on Facebook falsely claimed it was a newly built government quarantine site for rounding up the unvaccinated.
Amazon continues to promote dangerous COVID treatments on its website.
Alaska Air Group announced they will require all employees to get vaccinated, but a hard deadline was not set.
Alaska, Idaho, and Montana continue to struggle with surging COVID cases.
Supreme Court Associate Justice Sonia Sotomayor denied an emergency request by New York educators to block the state’s vaccine mandate. That’s a bigger deal than you think, and it wasn’t unexpected.
In the misinformation section, we tackle “it’s just the flu” very graphically.
New cases held steady statewide with no statistical difference from yesterday. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, the 14 day moving average for new cases increased to 727.9 per 100K. The Puget Sound (Central) Hospital Region, which represents King County, was statistically unchanged at 244.5.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
60.00% or above (3)
171.9
50.00% to 59.99% (12 counties)
506.9
40.00% to 49.99% (15 counties)
653.9
28.40% to 39.99% (9 counties)
734.4
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population
Through September 30, Washington’s statewide 14-day rolling average is 426.6 COVID cases per 100K, statistically unchanged from yesterday.
For the first time in over a month, no counties reported a new case rate over 1,000 per 100K residents. Based on this change we are updating how we report county performance.
Counties in the 800.0 to 999.9 per 100K range include Ferry, Frankin, Grant, Grays Harbor, Lincoln, Okanogan, Pend Oreille, and Stevens. Ferry County is a new hot spot, while cases in southeast Washington are on the decline. Stevens County is just under 1,000.
Counties in the 600.0 to 799.9 per 100K range include Adams, Asotin, Columbia, Klickitat, Cowlitz, Benton, Walla Walla, Garfield, Douglas, Lewis, Chelan, and Spokane. Adams County is just under 800 and Yakima County is just under 600.0.
We will keep descending these brackets until most counties fall below 450 per 100K residents. Currently, 28 counties still have widespread transmission of COVID.
New cases were up for 12 to 19-year-olds while hospitalizations were down for the same age group.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
195.0
0.6
Ages 12-19
220.6 (up)
1.3 (down)
Ages 20-34
191.7
5.2
Ages 35-49
189.8
8.8
Ages 50-64
137.6
15.2
Ages 65-79
104.3
20.0
Ages 80+
108.3
32.6
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
The USA Today COVID Tracker reported 72 deaths on Thursday. The state of Washington is not reporting the percentage of positive cases.
Nisqually Nation forced to evacuate COVID quarantine site after threats
Because three or four generations can be living under the same roof, a COVID-positive person can have a significant impact on the entire household. The Nisqually Nation started using a 26-acre property in Roy, Washington last year enabling tribal members to quarantine away from family members. The tribe was forced to evacuate the site after an online misinformation campaign labeled the location a concentration camp.
The Facebook group Americans Against 2nd Class Treatment posted on September 28, 2021, about the site, claiming it was a “new COVID quarantine site” and they were “just getting to work on it.” In reality, the site has existed for more than a decade, and the Nisqually Nation bought the 26-acre parcel in 2014. Earlier this month, they cleared some timber between the buildings and Highway 702, making the location more visible from the road.
Comments quickly developed with people calling it a “concentration camp” and a “gulag.” The group went on to post that the Nisqually Nation was forced to hire security and block the access road with boulders due to ongoing threats at the property.
“Who does that,” said Nisqually Tribal Councilmember Hanford McCloud, “It’s beyond ridiculous.”
McCloud said about 30 people have stayed on the property in the last 18 months, giving them a safe place to recover and prevent the spread of COVID-19.
A caretaker and his family, along with two COVID-19 patients, were placed in a hotel, said Tribal Health Officer Mary Szafranski.
Amazon continues to recommend dangerous COVID treatments on its website
A surge of social media videos in the last two weeks on YouTube and Tik Tok has advocated nebulizing hydrogen peroxide as a preventative and home treatment for COVID. Content creators have danced around guidance medical guidance to spread the misinformation.
For the third time in 60 days, Amazon is at the center of controversy with the AI designed to drive more sales, recommending medical saline and hydrogen peroxide with nebulizer purchases.
Amazon recommendation for hydrogen peroxide and medical saline when purchasing a nebulizer – October 1, 2021
In August the online behemoth was called out for promoting Ivermectin, and publishing reviews with veiled dosing instructions for humans. A couple of weeks later, Amazon was dinged again for recommending books that spread COVID misinformation.
Multiple medical groups have appealed for people not to drink or nebulize hydrogen peroxide. The human body does not have a finite capacity to process hydrogen peroxide and the solution hasn’t been recommended for wound care in years.
The Asthma and Allergy Foundation of America wrote, “A concerning and dangerous trend is circulating on social media channels like Facebook, Twitter, and TikTok. People are breathing in hydrogen peroxide through nebulizers to try to prevent or treat COVID-19.”
“DO NOT put hydrogen peroxide into your nebulizer and breathe it in. This is dangerous!”
Alaska Air Group mandates vaccination for all employees
Alaska Air Group joined Delta and Hawaiian Airlines, mandating all employees of Alaska Airlines, Horizon Air, and McGee get vaccinated against COVID. The airline stopped short of setting a hard deadline, but employees who prove they are fully vaccinated by December 1 will receive a $200 bonus. The mandate impacts certain vendors and contractors also.
“Since our company does significant work for the federal government, we have determined that Alaska Airlines, Horizon Air, and McGee employees – all part of Alaska Air Group – do fall under this federal vaccine mandate, along with other major U.S.airlines,” Alaska Air Group said in a statement.
The airline reported on September 1, that 75% of its workforce was already fully vaccinated.
United Airlines reported yesterday that 320 of 67,000 employees decided to quit over the vaccine mandate they implemented earlier this year. Nationally compliance for vaccine mandates has ranged from 89% to virtually 100% across cities, counties, states, schools, hospitals, and private employers.
More than half of rural Washington COVID transfer patients ended up in King County
A Seattle Times analysis found that from July 1 to September 23, 229 of 414 COVID transfer patients in Washington state ended up in King County hospitals. The Seattle Times story is behind a paywall and The Slog written by The Stranger is more politically charged on this topic for our COVID coverage specifically. You can see this summary by the author Joseph O’Sullivan on Twitter.
NEW: Slammed by #covid19, rural WA hospitals have transferred hundreds of patients to metro areas since July 1.
We recommend avoiding recreational travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties. If the number of new cases in the South Central Hospital Region continues to decline, we will likely lift our advisory for this region in the next 3 to 10 days. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.
We may implement a travel advisory for Eastern Washington, based upon renewed hospitalization data now available from the Department of Health.
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Vaccination
Deadline for single dose Johnson & Johnson vaccine and second dose for Pfizer and Moderna vaccine looms for state workers
Thousands of state workers have until Sunday to receive their second Pfizer or Moderna dose or the single-dose Johnson & Johnson vaccine. Over 68% of state workers reported last week they were fully vaccinated. Data from companies, schools, and other states such as Hawaii and New York, indicates final acceptance would likely exceed 95%.
Multiple unions have reached agreements at a municipal, county, or state level, to extend the deadline past October 18 for individuals who received at least their first dose. Additionally, workers with denied exemptions requests will be given extra time.
Pfizer vaccine booster shots are now available
Booster shots for eligible individuals are now available statewide. Individuals who received both doses of the Pfizer vaccine more than 6 months ago, are 65 or older, or are immunocompromised can receive their third dose immediately.
In the Kirland-Bellevue-Woodinville area, Walgreens, Rite-Aid, Bartell’s, and QFC are offering booster shots. Additionally, the third dose is available at the CVS located within the Target store at 17,700 NE 76th Street in Redmond.
Most locations require an appointment, which can be scheduled online.
King County, Washington is reporting over 86.2% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.
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.
According to the DoH COVID Dashboard, 18.7% of all acute care patients hospitalized in Washington have COVID. Currently, 91% of all staffed acute care beds are occupied statewide with approximately 604 available. ICUs are at 89.0% of capacity statewide, with 30.0% of ICU patients fighting COVID – an estimated 354 patients with 56% on ventilators. The state has approximately 132 ICU beds available.
The 7-day rolling average hospital admission rate for new COVID patients dropped to 105 – finally below the January 7, 2021 peak of 113. The Department of Health reported 1,274 COVID patients statewide on September 30 with 197 on ventilators. Hospitalizations dropped slightly while the number of patients on ventilators is unchanged.
Hospital Region
ICU Occupancy
ICU COVID Patients
Acute Care Occupancy
Acute Care COVID Patients
East
88.6%
44.6%
89.6%
26.7%
North
80.8%
28.5%
88.0%
13.1%
North Central
96.4%
58.9%
75.7%
26.3%
Northwest
92.3%
38.3%
95.4%
24.6%
Puget Sound
91.8%
23.4%
94.6%
14.4%
South Central
85.7%
34.9%
83.2%
25.4%
Southwest
74.3%
37.3%
88.3%
24.9%
West
89.1%
31.4%
87.6%
21.8%
Hospital status by region – September 30, 2021 – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
There was very little change in the status of Hospital Regions.
– Alcott Elementary (1*) – Barton Elementary (1*) – Dickinson/Explorer Elementary (2*) – Ella Baker Elementary (3*) – Eastlake High (1*) – Evergreen Middle School (1*) – Franklin Elementary (2*) – Finn Hill Middle School (1* – see below) – ICS (1*) – Inglewood Middle School (2*) – Juanita Elementary (1*) – Kamiakin Middle School (3* – see notes below) – Keller Elementary (2*) – Kirkland Middle School (1*) – Lake Washington High (1*) – Lakeview Elementary (3*) – Muir Elementary (1*) – Redmond Middle School (1*) – Redmond High School (1*) – Renaissance Middle School (1*) – Rush Elementary (2*)
See notes below
None
Northshore
RED
– Arrowhead Elementary (14) – Canyon Creek Elementary (31**) – Canyon Park Middle School (12**) – Cottage Lake Elementary (17) – East Ridge Elementary (16) – Fernwood Elementary (13**) – Frank Love Elementary (30) – Hollywood Hills Elementary (29) – Inglemoor High School (8) – Innovation Lab High School (11) – Kenmore Elementary (13) – Kenmore Middle School (49**) – Kokanee Elementary (60) – Leota Middle School (6) – Lockwood Elementary (32) – Maywood Hills Elementary (21**) – Moorlands Elementary (48) – North Creek High School (27) – Northshore Middle School (17**) – Ruby Bridges Elementary (9) – Secondary Academy for Success (16) – Shelton View Elementary (20**) – Skyview Middle School (63**) – Sunrise Elementary (23) – Timbercrest Middle School (44) – Wellington Elementary (74) – Westhill Elementary (38) – Woodin Elementary (17**) – Woodinville High School (23) – Woodmoor Elementary (23**)
– Bothell High School (14*/137) – Crystal Springs Elementary 11*/45)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than 10 active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
in the Northshore School District, Bothell High School currently has 14 confirmed COVID cases between students and faculty and Crystal Springs Elementary has 11. The number of quarantined students at Bothell High school swelled to 137.
The Bellevue School District updated its COVID dashboard overnight. The district will be providing updated data daily, but no longer reports on the number of students and faculty quarantining.
We received a confirmed parent report on Wednesday of one new COVID case at Finn Hill Middle School with 52 students moved to quarantine.
We received a confirmed parent report on Thursday of two new COVID cases at Kamiakin Middle School with 27 additional close contacts.
We received a parent report on Thursday of one new COVID case at Old Redmond Schoolhouse (preschool) with an unknown number of close contacts.
Because Lake Washington doesn’t update its dashboard daily, we are adding these as footnotes. We have not added the Old Redmond Schoolhouse to the scorecard above because it is not officially listed on the Lake Washington School District dashboard.
Karen James, who taught 4th Grade at Barnes Elementary, died on Monday, September 27, according to the Kelso School District.
A district spokesperson said they could not comment on the cause of death, however, they later said, “Late yesterday [Thursday, Sept. 30] afternoon we learned of one additional positive COVID-19 case in Miss James’ classroom.”
We continued to encourage parents to request improved daily data reporting from the Lake Washington School District.
Kirkland-Bellevue-Woodinville
No update
National Round-Up
Johns Hopkins University Cumulative Case Tracker is reporting 110,010 new cases, 2,718 deaths nationwide, and 699,000 COVID-related deaths since February 29, 2020. Based on the Johns Hopkins University data, the United States will reach 700,000 confirmed COVID-related deaths tomorrow morning (other dashboards reported 700,000 deaths last night and earlier today).
Merck seeking FDA Emergency Use Authorization for pill that treats mild and moderate COVID
Merck and Ridgeback Biotherapeutics have been studying an oral antiviral medicine called molnupiravir which, during Phase 3 testing, reduced the risk of hospitalization and death by 50%. Phase 3 testing has been so successful Merck is submitting an application for Emergency Use Authorization in the United States and plans to submit marketing applications to other regulatory agencies worldwide.
The test program was a randomized, placebo-controlled, double-blind, multi-site study done in 23 countries across 5 continents. There were 1,550 patients enrolled and to date, they have data from 775 people. Molnupiravir reduced the risk of hospitalization or death by almost 50% compared to the placebo group. Through Day 29, no deaths were reported in patients who received molnupiravir, as compared to 8 deaths in patients who received a placebo.
“More tools and treatments are urgently needed to fight the COVID-19 pandemic, which has become a leading cause of death and continues to profoundly affect patients, families, and societies and strain health care systems all around the world. With these compelling results, we are optimistic that molnupiravir can become an important medicine as part of the global effort to fight the pandemic,” said Robert M. Davis, chief executive officer and president, Merck.
Unlike monoclonal antibodies which must be administered in a clinical setting by injection or IV, molnupiravir is a pill that can be prescribed by a doctor and taken at home.
“With the virus continuing to circulate widely, and because therapeutic options currently available are infused and/or require access to a healthcare facility, antiviral treatments that can be taken at home to keep people with COVID-19 out of the hospital are critically needed,” said Wendy Holman, chief executive officer of Ridgeback Biotherapeutics. “We are very encouraged by the results from the interim analysis and hope molnupiravir, if authorized for use, can make a profound impact in controlling the pandemic.”
An Axios report this evening states that in the fall of 2019, an Emory University professor presented the drug to the Trump Administration. The professor reported the school had developed a new powerful antiviral medication that could treat influenza, Ebola, and many other viruses. In February 2020, as COVID arrived in the United States, the professor came forward again, asking for funding for Phase 2 and Phase 3 testing to evaluate the effectiveness of the medication against COVID. The Trump administration declined to fund the research.
The drug could be a game-changer in the battle against COVID worldwide. Pills are easier to transport and store, don’t need preparation, and don’t need to be administered at a hospital or clinic. The medication is also being tested as an emergency preventative for individuals exposed to COVID but who have not tested COVID positive. The impact for the immunocompromised and elderly could be dramatic.
Approval by the FDA and ramping up distribution is likely months away. If molnupiravir can deliver these results globally, it has the potential to end the ongoing public health crisis. If Emory University has successfully created a broad-spectrum oral antiviral, this discovery has the potential to rival penicillin.
JetBlue requiring employees to get COVID vaccination
Kavanaugh, who is fully vaccinated, tested positive on Thursday night, the court said in a statement. The justice’s immediate family tested negative and he has no symptoms.
His positive diagnosis for coronavirus means he won’t be on the bench Monday, the start of the new term, and what would be the first in-person session with all nine justices.
Alaska
Alaska reported 1,044 new COVID cases today and a new case rate of 1,066 per 100,000 residents, indicating that the state may have hit a peak. The remote state continues to have the highest new case rate on the planet. Hospitals in Anchorage Bethel, and Valdez continue to operate under crisis standards of care protocols.
The 202 hospitalized COVID patients are essentially unchanged from yesterday. The number of available ICU beds jumped to 23 and the number of ICU patients dropped to 107. There are 83 ICU patients on ventilators, 35 with COVID.
Amanda Frey, a nurse at Fairbanks Memorial Hospital, sat down after a long day at work recently and made a brief video describing what it’s like to die with COVID-19: gasping for breath, terrified and beyond comfort.
“COVID-19 patients that die transition from being OK to actively dying very suddenly, and often without warning. They start to experience a state of panic and air hunger that is very difficult to manage and causes severe anxiety,” Frey says. “The medications that we usually use for patients at the end of life don’t help as much with COVID-19 patients when they’re dying. So what we’re seeing are deaths that are not only isolated but they’re also very traumatic.”
Newsom’s latest order, the first of its kind nationwide, will roll out in two phases for students learning in person. The mandate will first take effect for students ages 12 and over after the FDA grants full approval to that entire age group.
California is the first in the nation with a statewide vaccination mandate for primary school students. Implementation depends upon fully FDA approval of at least one of the COVID vaccines for children 12 to 15. Although no date has been set, full approval is expected during the first half of 2022.
Earlier this week, we blasted Jordan Herget, the CEO of Portneuf Medical Center, for reporting that the hospital in Pocatello was operating normally and they didn’t expect to have to move to crisis standards of care. From ambulance bays to emergency departments, any medical professional can tell you the worst thing you can say aloud is, “gee, it sure is quiet tonight.”
“Our situation hasn’t improved. A week later we’re very much in an emergency just like we were a week ago and our staff are being pushed to our limits,” Hergett said.
“In our adult ICUs, our youngest patient today is 22 years old,” St. Luke’s Chief Medical Officer Dr. Jim Souza said. “About 70% of our patients are 55 years or younger in the intensive care unit. And in the intensive care unit, 25% are younger than 40. They’re sicker. They’re staying longer. The average length of stay in the ICU is up by two whole days, and their mortality rate is significantly higher than it was in the December surge.”
The VA Hospital in Boise requested a mobile morgue to support the hospital facility which is at capacity. Idaho has struggled with the influx of corpses in the last two weeks. Officials have been forced to stack bodies, store them in railroad cars, and store embalmed bodies in non-refrigerated areas.
Typically, ivermectin is rarely used on humans, Edge said, and he filled only three legitimate prescriptions for the drug in the past year. The most recent prescriptions he’s received came from out-of-state doctors, he said, “which is always a little bit of a red flag anyway.”
When he looked up one prescriber online, Edge found a list of doctors that people can call and, for a fee, get a consultation over the phone and then a prescription for ivermectin.
Asked later if she felt that speaking at an event where the tone seemed overwhelmingly against school boards that have voted to install mask mandates, Arntzen said, “I don’t believe this disrespects anyone in the educational community.”
“My role is here,” she continued. “My role is, number one, in the healing process in the discord we have between the school board room, where they might be in Montana, and to parents, whoever they might be, and putting the emphasis on children.”
Associate Justice Sonia Sotomayor denied the emergency request without comment. A federal appeals court earlier in the week permitted New York’s mandate.
The Supreme Court ruled in 1905 in Jacobson vs Massachusetts, that municipalities, counties, and states had the power to mandate vaccines as part of public health efforts. The decision has been litigated dozens of times over the last 116 years, as recently as August.
When an emergency filing is made with the court, the Justice that is assigned to that region can render a decision or request that the entire court to hear the case. In August, Associate Justice May Comey-Barrett ruled independently on a challenge filed by students at the University of Indiana. Justice Comey-Barrett also denied the appeal without comment.
In the landmark 1905 case, the Supreme Court ruled that the 10th Amendment gave states the power to make public health decisions.
It’s just a cold. It’s just the flu.Content warning, some viewers may find this disturbing.
Tik Tok user Mae Mae documented her hospital journey in August and September after she caught COVID. She was partially vaccinated when she became ill and ended up hospitalized. In her videos, her condition continued to deteriorate, and the cannula she is wearing indicates she was on high flow oxygen.
You read stories from respiratory therapists, nurses, and doctors of COVID patients who become exhausted as they struggle to breathe – but we don’t see it. Mae Mae went to the line of needing to go on a ventilator before she bounced back.
This is COVID – this is what it looks like. It is not a cold, it is not the flu. Mae Mae survived and is still dealing with lingering symptoms.
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.
New cases dropped statewide except in the least vaccinated counties. The three most vaccinated counties have new case numbers below 100 (7 day moving average) while the least vaccinated county has the highest new case rate in the state.
There are an estimated 615 acute care and 132 ICU beds available statewide, and approximately 55% of COVID patients in the ICU are on a ventilator.
Organizers of an anti-mandate rally failed to gather a crowd for the planned march, and the day was uneventful on First Hill and at Harborview Medical Center. It’s possible the high vaccination rate among healthcare professionals was a factor.
We received information on new COVID cases in the Lake Washington School District from parents.
In regional news, there is a good news story out of Idaho tonight, although the Hunger Games continue. The surge in Alaska is relentless, while Montana remains on the edge of a knife.
In national news, in-home rapid COVID tests aren’t as accurate as you think, rural America is being decimated by COVID, Health and Human Services clarifies that your employer is not violating HIPAA when it asks to confirm your vaccination status, and another study out about long COVID indicates this will be a problem for years to come.
In misinformation, we examine a Zero Hedge blog that claims that a Pfizer therapeutic in testing for COVID symptoms is essentially the same drug as Ivermectin.
Jefferson and King County reported under 100 new COVID cases per 100K residents using the 7 day moving average, joining San Juan County in dropping to double digits. Simply put, the three most vaccinated counties in Washington have the lowest number of new cases.
New cases dropped statewide except in the least vaccinated counties. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, the 14 day moving average for new cases plunged to 707.1 per 100K. The Puget Sound (Central) Hospital Region, which represents King County, held steady at 245.1.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
60.00% or above (3)
175.5
50.00% to 59.99% (12 counties)
505.4
40.00% to 49.99% (15 counties)
645.4 (down)
28.40% to 39.99% (9 counties)
735.4 (up)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population
Through September 29, Washington’s statewide 14-day rolling average is 422.8 COVID cases per 100K, statistically unchanged from yesterday. New case rates were flat or down for all but the least vaccinated counties.
The only county in the 1,000.0 to 1,399.9 range is Stevens (1,014.8), which is also the least vaccinated. The county’s new case rate is more than 17 times higher than San Juan, the highest vaccinated county in the state.
Counties in the 800.0 to 999.9 per 100K range include Franklin, Garfield, Grant, Grays Harbor, Lincoln, and Okanogan. Adams and Pend Oreille are just under the 800 threshold.
New cases were statistically unchanged in every age group. Hospitalizations were down slightly for ages 20 to 49, and up slightly for ages 65 to 79.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
189.8
0.7
Ages 12-19
206.7
1.7
Ages 20-34
191.2
5.1 (down)
Ages 35-49
192.8
9.2 (down)
Ages 50-64
140.7
15.1
Ages 65-79
100.0
19.5 (up)
Ages 80+
106.9
31.2
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
The USA Today COVID Tracker reported 63 deaths on Wednesday. The state of Washington is not reporting the percentage of positive cases.
Antivax protest at Swedish and Harborview Medical Center doesn’t materialize
Despite the promotion on multiple websites, coordination by several organizations, and plans shared on Facebook, Telegram, and some dark corners of the web, the anti-vaccination community took a loss today. After a large rally in Spokane and a “Town Hall” in Woodinville over the weekend, organizers could not rally groups to protest at the only Level 1 trauma center in the state.
Lewis County Commissioner Gary Stamper dies of COVID
Q13 Fox is reporting Lewis County Commissioner Gary Stamper died from COVID after a three-week battle at PeaceHealth hospital in Vancouver, he was 67 and vaccinated.
Travel Advisories
We recommend avoiding recreational travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties. If the number of new cases in the South Central Hospital Region continues to decline, we will likely lift our advisory for this region in the next 4 to 11 days. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.
We may implement a travel advisory for Eastern Washington, based upon renewed hospitalization data now available from the Department of Health.
Thank you
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Vaccination
Deadline for single dose Johnson & Johnson vaccine and second dose for Pfizer and Moderna vaccine looms for state workers
Thousands of state workers have until Sunday to receive their second Pfizer or Moderna dose or the single-dose Johnson & Johnson vaccine. Over 68% of state workers reported last week they were fully vaccinated. Data from companies, schools, and other states such as Hawaii and New York, indicates final acceptance would likely exceed 95%.
Multiple unions have reached agreements at a municipal, county, or state level, to extend the deadline past October 18 for individuals who received at least their first dose. Additionally, workers with denied exemptions requests will be given extra time.
Pfizer vaccine booster shots are now available
Booster shots for eligible individuals are now available statewide. Individuals who received both doses of the Pfizer vaccine more than 6 months ago, are 65 or older, or are immunocompromised can receive their third dose immediately.
In the Kirland-Bellevue-Woodinville area, Walgreens, Rite-Aid, Bartell’s, and QFC are offering booster shots. Additionally, the third dose is available at the CVS located within the Target store at 17,700 NE 76th Street in Redmond.
Most locations require an appointment, which can be scheduled online.
King County, Washington is reporting over 86.2% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.
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.
The Department of Health is reporting numbers on statewide hospital resources and providing information by Hospital Regions again. We have deep insight into the situation at a state and regional level.
According to the DoH COVID Dashboard, 19.0% of all acute care patients hospitalized in Washington have COVID. Currently, 91% of all staffed acute care beds are occupied with approximately 615 available.
ICUs are at 89.0% of capacity statewide, with 30.0% of ICU patients fighting COVID – an estimated 358 patients with 55% on ventilators. The state has an estimated 132 staffed ICU beds available. On a per-capita basis, staffed ICU bed availability in Washington is only slightly better than in Alaska, so the system remains very stressed.
The 7-day rolling average hospital admission rate for new COVID patients dropped slightly to 133. The Department of Health reported 1,288 COVID patients statewide on September 29 with 197 on ventilators. Both numbers increased slightly from yesterday.
Hospital Region
ICU Occupancy
ICU COVID Patients
Acute Care Occupancy
Acute Care COVID Patients
East
89.3%
45.5%
90.1%
27.3%
North
80.9%
27.0%
88.4%
13.1%
North Central
96.9%
59.0%
75.8%
27.2%
Northwest
92.5%
38.9%
95.4%
25.0%
Puget Sound
91.6%
23.4%
94.5%
14.7%
South Central
86.1%
36.5%
84.3%
26.4%
Southwest
73.1%
38.3%
88.1%
25.0%
West
88.8%
32.4%
87.7%
22.6%
Hospital status by region – September 30, 2021 – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
With the return of this critical information, we can better assess region by region status. We will hold our travel advisories and watch for trends in the East, North Central, and South Central Regions. It is very likely we will drop the travel advisory to South Central counties next week, but may add an advisory to the East Region counties.
– Alcott Elementary (1*) – Barton Elementary (1*) – Dickinson/Explorer Elementary (2*) – Ella Baker Elementary (3*) – Eastlake High (1*) – Evergreen Middle School (1*) – Franklin Elementary (2*) – Finn Hill Middle School (1* – see below) – ICS (1*) – Inglewood Middle School (2*) – Juanita Elementary (1*) – Kamiakin Middle School (3* – see notes below) – Keller Elementary (2*) – Kirkland Middle School (1*) – Lake Washington High (1*) – Lakeview Elementary (3*) – Muir Elementary (1*) – Redmond Middle School (1*) – Redmond High School (1*) – Renaissance Middle School (1*) – Rush Elementary (2*)
See notes below
Northshore
RED
– Arrowhead Elementary (16) – Canyon Creek Elementary (25**) – Canyon Park Middle School (11**) – Cottage Lake Elementary (15) – Crystal Springs Elementary (54**) – East Ridge Elementary (23) – Fernwood Elementary (13**) – Frank Love Elementary (29) – Hollywood Hills Elementary (27) – Inglemoor High School (8) – Innovation Lab High School (11) – Kenmore Elementary (12) – Kenmore Middle School (49**) – Kokanee Elementary (61) – Leota Middle School (5) – Lockwood Elementary (32) – Maywood Hills Elementary (21**) – Moorlands Elementary (49) – North Creek High School (26**) – Northshore Middle School (14**) – Ruby Bridges Elementary (9) – Secondary Academy for Success (15) – Shelton View Elementary (20**) – Skyview Middle School (68**) – Sunrise Elementary (23) – Timbercrest Middle School (46) – Wellington Elementary (74) – Westhill Elementary (33) – Woodin Elementary (18**) – Woodinville High School (20) – Woodmoor Elementary (22**)
– Bothell High School (13*/124)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than 10 active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
The Northshore School District numbers only wiggled across a number of schools while the Bellevue School District is unchanged from yesterday.
We received a confirmed parent report on Wednesday of one new COVID case at Finn Hill Middle School with 52 students moved to quarantine.
We received a confirmed parent report on Thursday of two new COVID cases at Kamiakin Middle School with 27 additional close contacts.
We received a parent report of one new COVID case at Old Redmond Schoolhouse (preschool) with an unknown number of close contacts.
Because Lake Washington doesn’t update its dashboard daily, we are adding these as footnotes. We have not added the Old Redmond Schoolhouse to the scorecard above because it is not officially listed on the Lake Washington School District dashboard.
We continued to encourage parents to request the Bellevue and Lake Washington School Districts to improve their COVID data reporting.
“As of (Wednesday) September 29 one classroom is closed,” according to the district’s COVID-19 dashboard and school status map. “Otherwise, the building is open and offering in-person instruction to students in the remaining classrooms. The school contacted all impacted families of the closed classroom on September 29.”
Kirkland-Bellevue-Woodinville
No update
National Round-Up
Johns Hopkins University Cumulative Case Tracker is reporting 123,269 new cases and 2,531 deaths nationwide. The United States will reach a tragic milestone of 700,000 confirmed COVID-related deaths since February 29, 2020, this weekend.
At-home rapid tests aren’t as accurate as PCR tests
Dr. Rachel Liesman, director of clinical microbiology, said there haven’t been a lot of false positives reported with the rapid tests.
“If you’re symptomatic it will give you a really quick result and that can be helpful,” she said. “But I think given … the potential ramifications of missing a case, I would recommend that if you get a negative (and you have COVID symptoms), you go and get a PCR test because those have much better sensitivity.
Center for Infectious Disease Research and Policy report indicates COVID is decimating rural America
Rural Americans are currently twice as likely to die from COVID-19 infections compared with their urban peers, according to Kaiser Health News and data from the Rural Policy Research Institute (RPRI) at the University of Iowa.
Since March 2020, 1 in 434 rural Americans has died from COVID-19, compared with roughly 1 in 513 urban Americans. And unlike deaths in urban areas, the vaccine rollout has not slowed COVID-19 fatalities in rural parts of the country due to low uptake. Short-staffed hospitals and limited access to healthcare are also contributing factors, the researchers say.
Virus incidence rates in September were roughly 54% higher in rural areas than elsewhere, and in 39 states, rural counties had higher rates of COVID than urban counties.
In related news, health officials in Idaho, a predominately rural state with some of the lowest vaccination rates in the country, said more kids and babies are being hospitalized with COVID-related complications. As of this week, 1,700 new COVID-19 cases were reported in children in Idaho, according to the Associated Press.
Health and Human Services Releases Guidance on employer verification of vaccination status and HIPAA
The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) issued guidance to help the public understand when the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule applies to disclosures and requests for information about whether a person has received a COVID-19 vaccine.
The guidance reminds the public that the HIPAA Privacy Rule does not apply to employers or employment records. This is because the HIPAA Privacy Rule only applies to HIPAA-covered entities (health plans, health care clearinghouses, and health care providers that conduct standard electronic transactions), and, in some cases, to their business associates.
Today’s guidance addresses common workplace scenarios and answers questions about whether and how the HIPAA Privacy Rule applies. This information will be helpful to the public as we continue to navigate the COVID-19 pandemic.
China study on long COVID mirrors results of similar studies in the United States and U.K.
The study followed up with 2,433 adult patients who had been hospitalized in one of two hospitals in Wuhan early on in the pandemic. Most had nonsevere cases, but a small number had severe COVID-19 and required intensive care. All of the patients were discharged between February 12 and April 10, 2020, and the study follow-up took place in March of 2021.
Alaska
Alaska reported 1,270 new COVID cases today and a new case rate of 1,165 per 100,000 residents. The remote state continues to have the highest new case rate on the planet. Hospitals in Anchorage, Bethel, and Valdez are operating under crisis standards of care protocols.
“It’s been Hell,” said Heidi DeCaro, a respiratory therapist at Providence Alaska Medical Center, whose job includes assisting COVID-19 who are struggling to breathe.
In a Thursday interview, DeCaro and a few of her co-workers described generally untenable work conditions. The team has been caring for up to twice their normal patient loads, their shifts have stretched as long as 15 hours, and they’ve lost “about a third” of their co-workers due mainly to burnout, exhaustion, and a demoralizing work environment, they said.
The 203 hospitalized COVID patients are essentially unchanged from yesterday. The number of available ICU beds dropped to 16. Of the 113 ICU patients statewide, 87 are on ventilators, 36 with COVID. The majority of new cases are among people under 40 years old and unvaccinated.
Linda Gaines talked to KTOO about the situation in Haines, Alaska, after her husband was airlifted to Anchorage. Some models are now predicting hospitalizations won’t peak until November, and oxygen supplier Norco, Inc. is already struggling to keep up with demand.
“As I went up into the lobby area, there was probably 50 more people standing to get into the emergency room,” she said. “And then going outside, there was more people in the parking lot, waiting to get up to the main entry to go to the emergency room.”
Doug Williams of Guardian Flight described a similar situation ground ambulances face in urban hotspots. Aircraft that would normally arrive, load, and fly off are forced to wait on the tarmac while doctors try to find a bed for a sick patient. This takes the aircraft offline while it waits, slowing down the entire system.
California
The deadline for healthcare workers to get vaccinated has almost arrived, and in Sacramento, hospitals are preparing to discipline and terminate employees.
Dignity Health also reported about 90% of employees are vaccinated and employees suspensions will start tomorrow. Sutter Health said 98% of employees are vaccinated in a system with more than 55,000 employees. Sutter Health will terminate “out of compliance” employees on October 15.
UC Davis Health told KCRA that 94% of more than 15,000 employees are vaccinated. Between exemption requests and partially vaccinated employees, a spokesperson said about 50 employees have not gotten vaccinated in defiance of the requirement.
“While there is not an immediate shortage of oxygen, there is a tremendous amount of growing stress to the supply chain network,” Elias Margonis, President of Norco, Inc. wrote in a letter. “Many hospitals have already pushed their bulk storage systems to limits of requiring emergency upgrades.”
In an interview with the Idaho Statesman, Margonis said Norco’s storage systems are generally designed to require shipments of new oxygen every three weeks or, in some cases, every six weeks. These days, many hospitals that Norco supplies are needing new shipments every three or four days, and some have had to use their reserve tanks.
The gaps between the haves and have nots extend into the universe of COVID. People with means and resources cant get monoclonal antibody treatments through private clinics and send their children to private and charter schools, which ironically, support remotely learning, mask mandates, and vaccination requirements for staff.
Jenn Thompson, the Director of the Idaho Public Charter School Commission says population growth makes that seem like a big increase, but it’s only a roughly 1% increase from the previous academic year.
“About 60% of the growth we saw last year was very specifically parents enrolling in virtual schools and the data we can look at right now is about half of that is holding,” Thompson said.
Idaho state representative Greg Chaney is mourning the loss of his mother, who died of COVID less than a week after becoming symptomatic. Chaney said his mother, who was 74, was unvaccinated.
Rep. Chaney said he believes that his mom was misled by misinformation
“I think she was skeptical about whether it was really as bad as it was billed to be,” Rep. Chaney said. “I think she viewed it as ‘I’ve been through a lot of stuff in my time on this planet and this is just another thing in the stuffing box.'”
“I think there was enough out there that validated her skepticism.”
In an interview with KTVB, she discussed a change of heart after seeing the reality first hand and doing her own research. After Craig traveled out of town for surgery and returned, she saw firsthand how the pandemic was overwhelming Idaho’s hospitals.
“I didn’t believe them when they said it was 98% or 96% unvaccinated and through my own research, it truly is,” she said. “I looked in the ICU today and it’s 27-year-olds, it’s 33-year-olds, it’s 60-year-olds. I had another good friend and her brother-in-law died at 40.”
At this point, Craig decided she had seen enough and received the Johnson & Johnson COVID-19 vaccine.
“I have peace now. It’s funny, there are some like my parents. They never said anything to me but now that I am vaccinated they are like, ‘Phew’ you know? Because you worry about your kids.”
The emergency lawsuit asks a judge to intervene and order the Indianapolis hospital to respect a prescription for ivermectin issued to Eliot by a physician assistant named Maria Carson, according to the lawsuit.
Marion Superior Judge Kurt Eisgruber ordered Ascension St. Vincent to give Eliot the drug pending a response to the lawsuit by the hospital. After lawyers representing the hospital challenged the order in court Wednesday, Eisgruber backtracked with a new order saying Ascension St. Vincent did not have to give Eliot the drug.
The extension comes one day after state health officials offered cautious optimism with the state’s waning COVID-19 trends, including decreasing cases and hospitalizations. State Health Commissioner Dr. Kris Box emphasized, however, that they do not expect these declines to be “linear.”
“We may see cases bounce back up and bounce back down,” Box said. “If you look at other states, that’s what they see — kind of a ‘sawtooth’ pattern. That is the nature of this disease.”
Montana reported its 2,000 COVID death last night, with the official total at 2,009 this evening. Governor Greg Gianforte released a statement according to the Montana Free Press. High blood pressure and diabetes were each recorded as a factor in about 1 in 5 of the state’s 2020 COVID-19 deaths. Chronic lung disease was a factor in about 1 in 7. Dementia was a factor in about 1 in 9.
“The governor joins all Montanans whose hearts go out to the family, neighbors, and friends of those we have lost to the virus,” the statement read. “As the governor has said repeatedly, vaccination remains the best solution to protect ourselves and our loved ones from the virus, and we continue to make progress with the millionth dose of vaccine administered in the state yesterday.”
The emergency injunction request was filed Thursday, a day before Department of Education employees must receive at least their first COVID-19 shot to continue working.
“While a temporary interruption of work is not actionable, the mandate here would have a permanent effect: it is open-ended, where if a teacher never gets vaccinated, he or she will never be able to return to work,” the plaintiffs said in their petition.
The petitioners say an immediate injunction is necessary, arguing the “Court will lose the opportunity to provide meaningful relief” to public school employees if it does not issue an injunction before the Friday 5 p.m. deadline for DOE staff to get their first shot.
The Supreme Court has reviewed other emergency case requests from students and faculty and rebuked all challenges. The Supreme Court case of Jacobson vs. Massachusetts in 1905 found that municipalities, counties, and states can mandate vaccinations as a matter of public health, and the case law has been challenged multiple times.
Oregon also reported similar data to Washington state and national data from the CDC on breakthrough cases. Of all the breakthrough cases, only 4.6% of people were hospitalized and less than 1% died. The average age of vaccinated people who died was 80.5.
“Over the last 14 days, our positive tests are down about 20% in the state, and so there are good indicators that we have summited the peak of the delta variant,” Cox said during his monthly PBS news conference.
Meanwhile, on Thursday, the Utah Department of Health reported 1,704 new coronavirus cases and 12 deaths.
The rolling seven-day average for positive tests is now 1,355 per day, and the percent positivity rate of those tested is 14.2%.
“We support businesses in their decisions on whether or not to require vaccines, and I continue to do that,” the governor said during his monthly PBS Utah news conference.
“I know that position can be maddening to some, and that’s fine. But I’m a huge believer in free markets, and a mandate not to allow businesses to have mandates is a mandate in and of itself, and it’s government still telling businesses what they can and can’t do. And I’m opposed to that. I think that businesses should be able to have a mandate.”
Jacque, a Republican from De Pere who has been a vocal opponent of mask and vaccine mandates, tested positive for the virus last month.
“He and his family wish to thank everyone for the prayers and good wishes that are making his recovery possible,” a spokesperson for the senator said Tuesday. “Sen. Jacque is doing much better; he is in touch with his staff on legislative and district issues, and he is reaching out to his friends and colleagues.”
Jacque will continue respiratory and occupational therapy, but he’s feeling well mentally, the spokesperson said in a statement.
While he was hospitalized his wife, Renée Jacque, appealed for people to get vaccinated and to place “their trust in medical professionals.”
Wyoming
Wyoming hospitals are reporting 211 COVID patients hospitalized, 43 on ventilators, and only 33 ICU beds available statewide. Wyoming has 37 hospitals including Veteran’s Administration facilities. Only 13 have available ICU beds. More alarming, over 21% of COVID tests performed at hospitals are positive.
Misinformation
The latest one on social media is a drug that Pfizer is studying that is “suspiciously similar” to Ivermectin. The misinformation is coming from a blog on Zero Hedge that claims the Pfizer drug is essentially the same as Ivermectin.
The blog post is based on an article from the Reuters news agency about a Pfizer drug known as PF-07321332. The article said Pfizer has begun a study of the pill in up to 2,660 healthy adults who live in the same household as someone with a confirmed symptomatic COVID-19 infection.
Pfizer described the drug as a protease inhibitor, which is “designed to block the activity of the main protease enzyme that the coronavirus needs to replicate.” That would stop symptoms from worsening, a spokesperson said.
Zero Hedge seized on the protease inhibitor fact, claiming “that’s exactly what ivermectin” does.
Pfizer’s protease inhibitor is not similar to that of animal medicine and does not use the same mechanism, a Pfizer spokesperson told us.
Benjamin Neuman, the chief virologist at Texas A&M University’s Global Health Research Complex, said ivermectin’s main job is to block ion channels that parasites use to store up positively and negatively charged atoms. SARS-CoV-2 does not have any ion channels like the ones that ivermectin blocks, so there is not an obvious way for ivermectin to work in COVID-19, he said.
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) After a relatively quiet week for COVID news, things exploded over the last 24 hours, creating a super-sized update for today.
New COVID cases in Washington state were declining but now appear to be on a new unsustainable plateau. The gap between the highest and lowest vaccinated Hospital Region grows to the broadest level to date. One county’s new case rate has increased so high a new category had to be created.
Washington hospitalizations also plateaued, and ventilator use remains at near-record levels. In Olympia, St Peter’s Hospital reported 10 COVID-related deaths in 24 hours. We spent a lot of time examining reports that Eastern Washington hospitals are overrun with Idaho residents seeking treatment. We did not find any credible reports to support these rumors. We share our opinion on what Washington state should do to prevent our hospital system from joining our Pacific Northwest neighbors.
New cases and hospitalizations are up for children and adolescents statewide, and new COVID cases were reported in all three school districts we track. Snohomish County reported a 433% increase in active COVID cases at childcare centers and schools. In Yakima County, officials report 25% to 35% of new COVID cases among children. Parents in West Seattle and Olympia think COVID quarantine rules for unvaccinated adolescents are unfair.
Hundreds gathered in Olympia, and smaller pockets of protesters were across Washington, defying outdoor masking guidelines to protest against vaccine mandates. Some have adopted a view that harkens back to a dark time in world history.
Officials reported more than 20 people who have attended the Washington State Fair were COVID positive when they were there.
Most applications for religious exemption by Washington State Patrol employees have been rejected. In contrast, unions leaders representing 71,000 healthcare workers in Washington state say that the state is in an “unprecedented crisis.”
The University of Washington is seeking volunteers for a study of a new COVID vaccine booster. Phase 2 testing will include individuals vaccinated with the Pfizer, Moderna, or Johnson and Johnson vaccine.
We expanded our travel advisory again to include the state of Montana and Lincoln County in Washington.
In vaccination news, the FDA votes on booster shots for people who received the Pfizer vaccine. An editorial in the British Medical Journal about the potential connection between COVID vaccinations and menstruation was misrepresented as a study in numerous headlines. The update is very late tonight, in part because we pored through reports and data to give you a lot more insight.
In regional news, the stories coming out of hospitals in Alaska, Idaho, and Montana are gut-wrenching. It is not hyperbole to state the ability to deliver medical care in all three states is collapsing.
Finally, in the misinformation section, we address an oldie but a goodie – do masks cause carbon dioxide poisoning? (no)
The last week of data indicates Washington has stepped down to a slightly lower plateau versus seeing a continued decline. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, new cases are 888.5 per 100K, a significant increase. In the Central Hospital Region, which represents King County, the rate is 290.0. This is the widest gap in new cases between the two hospital districts.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
50.00% or above (12 counties)
488.8
40.00% to 49.99% (18 counties)
750.8 (up)
27.30% to 39.99% (9 counties)
768.0
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population
Through September 17, Washington’s statewide 14-day rolling average was 489.2 COVID cases per 100K, which is statistically unchanged. Lincoln County reported 1,438.9 new cases per 100K, one of the highest rates recorded in any Washington county since new COVID cases have been tracked. Counties in the 1,000.0 to 1,399.9 range include Franklin (1,254.7) and Stevens (1,138.9). Counties in the 800.0 to 999.9 per 100K range include Adams, Asotin, Benton, Chelan, Clallam, Douglas, Grant, Grays Harbor, Lewis, Okanogan, Pend Oreille, and Walla Walla. It is worth noting that Benton County is at 989.8, just under the 1,000 threshold, and Yakima County moved up to 791.2, just under the 800 threshold. We are concerned when we get to the middle of next week, and the test data from the Labor Day weekend is out of the 14-day rolling average, we will see another jump in the numbers.
The USA Today COVID Tracker also indicates a flattening over the previous week (when you adjust for the dip in weekend reporting and the bump when the data from over the weekend is reported). If you think we’re alarmists, we’re not the only journalists seeing this trend.
One other piece of discouraging news comes out of the United Kingdom. Healthcare experts highlighted how Delta peaked in the U.K. (and Israel) after 45 to 60 days before rapidly declining as a predictive model for the United States. The U.K. reported a record 26,911 new cases and a record-high number of hospitalizations – 8,339 patients. Even more worrying, 81.6% of all U.K. residents are fully vaccinated compared to 51.4% of the United States.
The Johns Hopkins Washington State Overview is reporting alarming positivity rates. Positivity for the last 30-day rolling average is reported at 15.23% and the 7-day rolling average 24.16%. We do not believe these numbers accurately represent the test positivity rate and are a statistical anomaly.
Today is the third day of updated data from the WSDOH, and we are feeling more confident about tracking trends now. Pediatric and adolescent cases increased. This isn’t surprising now that in-person school is back across all of Washington state. Hospitalizations for ages birth to 11 increased about 30%. However, the total number of children hospitalized is small, so don’t read too much into that bump.
New cases among all other age groups were flat or down slightly. With total new cases appearing to be settling on a plateau, this may be an early warning sign that new pediatric cases are increasing the overall number. This could have significant implications for states outside of Washington, particularly Alaska, Idaho, Montana, and Wyoming (read our national round up).
Hospitalizations also increased for ages 35 to 49 and people 80-years old and above. Both jumps were large enough to be notable but not alarming.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
208.4 (up)
1.0 (up)
Ages 12-19
248.6 (up)
2.4
Ages 20-34
232.2
6.5 (down)
Ages 35-49
220.0
13.2 (up)
Ages 50-64
160.3
19.8
Ages 65-79
114.2 (down)
24.8
Ages 80+
126.8
39.1 (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 56 deaths on Thursday and an additional 56 deaths on Friday.
Snohomish County reports active COVID cases among childcare centers and schools increased 433%
A new Snohomish Health District report shows the rapid increase in cases associated with childcare facilities, K-12 schools, higher education, and youth sports and camps over the last month. For the two weeks ending September 16, there were nearly five times as many investigations in K-12 settings (202) than the previous period ending September 2 (42 investigations). There were 367 confirmed and probable cases and more than 2,100 close contacts involving childcare, schools, and youth sports during that timeframe.
The number of investigated cases in Snohomish County among child care centers, public and private K-12 schools, higher education, and athletic and youth camps increased from 950 to 2,160 – a 433% increase in two weeks.
“When cases occur among students or staff, and they will, we work with the schools to optimize the number of individuals being quarantined and try to prevent transmission in the school,” said Dr. Chris Spitters, Health Officer for the Snohomish Health District. “From time to time, there may be a classroom or two in a school that may need to be temporarily closed depending on the number of cases, but those episodes won’t necessarily call for any change in school-wide, district-wide, or county-wide operations. We need students, families, and teachers to work with us to get cases down and keep the impacts small.”
Hundreds gather to protest vaccine mandates in Olympia while others do flag waves across the state
Only a handful of people there were wearing masks while standing on the side of the road, waving signs and hearing from the cars which support their cause. At least one protester held a sign with the hashtag, “pureblood.” Anti-vaccination adherents claim the reference is from the Harry Potter books. The term originated in Nazi Germany, where people were required to have a “Blood Certificate” to get married and have children. The idea was to have purebloods to ensure the survival of the Aryan race.
Olympia officials had begged people to stay away from the city due to a planned Proud Boys rally on the same day. On the Internet, several anti-vaccination groups along with counter-protesters advised their followers to stay away.
Today, the group Waking UP Washington organized several flag waves across Washington state with small groups dotted along I-5.
More than 20 people who worked at or attended the Washington State Fair were COVID positive
So far, 435,000 people have attended the fair, scheduled to end on September 26. At a vaccination clinic within the fairgrounds, 235 people have received vaccinations. On Friday, 50% of all residents in Pierce County were vaccinated.
Because Washington state is highly vaccinated, the current R0 is R1.1 (forecasted range R0.7 to R1.5) for all residents. If this is accurate, the impact shouldn’t be significant unless an infected person has an unusually high viral load, a super spreader, or moves around through highly unvaccinated groups.
25% to 35% of new COVID cases in Yakima County are children and adolescents
“Certainly, the schools have seen a lot of activity that they’re navigating. You probably saw that the Tribal School in Toppenish basically canceled school for the next two weeks after going quarantine, essentially hit the reset button,” Brueggemann said.
Washington state job growth slowed in August
State-level unemployment data was released yesterday by the Bureau of Labor Statistics and individual states. In Washington, job growth slowed, with just under 17,000 new jobs created. The job market through Washington could best be described as white-hot overall, with tens of thousands of unfilled positions at every skill level.
Most applications for a relegious exemption by Washington State Patrol have been rejected
The Washington State Patrol (WSP) reported that of 364 religious exemptions applications received, 284 had been reviewed, and all were rejected. Initially, 373 applications were submitted, but nine employees rescinded their requests.
“As to your inquiry regarding relative exposure probabilities, I would suggest you direct it to qualified epidemiologists, but from my laymen’s perspective, it presupposes that lower or varied risks is [sic] somehow unworthy of attention. As we have all seen, the pandemic, it’s [sic] impacts, and response strategies have evolved over time as more has become known.”
When pressed on why the bar was so high for a religious exemption and all requests rejected to date, Loftis wrote, “…the search for accommodation can be difficult as by its very nature, working for WSP often has a significant public engagement component.”
Moving to our opinion, if we read between the lines, it appears state officials are concerned about long-term liability. Suppose an asymptomatic unvaccinated trooper were to pass COVID to a member of the public while on duty, and that person became hospitalized or died. In that case, it seems this would be a significant legal exposure.
Additionally, an asymptomatic or symptomatic officer with COVID couldn’t work for 14 days and could force others to quarantine.
West Seattle and Olympia families claim school guidelines for quarantining students are unfair
Jeremy Gollyhorn is upset with decisions about his child who had a COVID exposure at Denny International Middle School in Seattle. The 12-year old student is unvaccinated, and following state and national guidelines, is required to quarantine for 14 days. If they were vaccinated, they would have been permitted to return to class with a strong recommendation to get tested 3 to 5 days after the exposure.
Gollyhorn said it makes no sense.
“Vaccinated people can still spread COVID too, so what’s the difference there?” he said.
“It’s not fair,” said Willis, who reported her daughter chose not to get the vaccine because she did not think she needed it.
On September 8, we analyzed the new case, hospitalization, and death statistics in King County for the vaccinated versus the unvaccinated. It is correct that vaccinated people can still become infected with COVID. Still, the number is extremely low, and most breakthrough cases are among the immunocompromised and people over 70 years old.
University of Washington seeking volunteers for COVID booster shot study
Researchers at the University of Washington School of Medicine are enrolling volunteers for a COVID-19 booster vaccine trial. Volunteers will participate in the second stage of a phase 1 vaccine trial. Phase 1 vaccine trials are designed to test the safety and tolerability of and immune response to a new vaccine.
In the first stage of the trial, the experimental vaccines were given to unvaccinated volunteers. In this second stage, the vaccines will be given as a booster shot to volunteers who have already been vaccinated against SARS-CoV-2.
Unlike current vaccines, the trial vaccines seek to elicit an immune response to multiple SARS-CoV-2 proteins in addition to the spike protein that is targeted by currently available vaccines made by Moderna, Pfizer, and Johnson & Johnson.
The hope is that by targeting a number of coronavirus proteins, the vaccine will provide protection against a wide variety of SARS-CoV-2 strains and variants. The vaccine candidates were developed by Gritstone bio, headquartered in Emeryville, CA.
“With the emergence of the Delta and other COVID-19 variants, we need to stay ahead of the virus by developing effective vaccines that will aid in the prevention of all strains of COVID,” said Dr. Anna Wald, director of the UW Medicine Virology Research Clinic and head the UW School of Medicine’s allergies and infectious diseases division. She is the trial site principal investigator.
“We hope that these investigational vaccines enhance and broaden the immune response elicited by vaccines currently available in the U.S.,” said Dr. Tia Babu, acting assistant professor at the University of Washington School of Medicine and a trial investigator.
To enroll, participants must be age 18 or older, healthy, without significant allergies, without a history of prior SARS-CoV-2 infection, and have been vaccinated against COVID-19 at least four months prior to enrollment. Persons over age 60 are encouraged to participate.
Participants will be asked to:
Make nine to 14 or more in-person clinic visits and also will receive one to two telephone check-ins with study staff over 12 to 14 months.
Receive one or two injections of investigational vaccine.
Have blood drawn several times to monitor safety and to see whether the vaccine results in an immune response.
Keep track of how they’re feeling after the injection.
Interested participants should contact the UW Medicine Virology Research Clinic: gritstone@uw.edu or 206-520-4340
Washington state nurse unions urge immediate action to prop up hospitals
Washington unions that represent 71,000 healthcare workers are appealing for immediate action, saying that the state is on the brink of an “unprecedented crisis.” The Washington State Nurses Association, SEIU Healthcare 1199NW, and the UFCW 21 made a joint statement warning that the combination of work conditions, pay, chronic staffing shortages, and the ongoing “fifth wave” of COVID cases is decimating healthcare workers.
“Amid the fifth wave of COVID, spurred on by the Delta variant, and hospitals overflowing with patients who need critical care, our state health care workers continue to heroically perform their jobs a year-and-a-half into this pandemic,” said Julia Barcott, chair of the WSNA Cabinet and an ICU nurse at Astria Toppenish Hospital. “But nurses and other frontline workers are people, too. We’re losing overworked nurses to overwhelming burnout, the distress of working short-staffed, better-paying traveler nurse jobs, and even for signing bonuses of up to $20,000 to move to a different hospital. We’re worried for our patients and the impact of the staffing crisis on the care they receive.”
This isn’t just a crisis for frontline workers, it’s also a public health crisis. Because hospitals were already understaffed well before the coronavirus pandemic hit, we are now seeing a new story every day about a regional hospital at maximum capacity. Without immediately addressing the shortage of staff and untenable workloads for frontline workers, there could be dire consequences to Washington’s health care infrastructure.
“Chronic understaffing is a disaster for patient care. Health care workers don’t want to see patients stuck in overflowing ICUs or being treated in ER hallways, or be forced to turn away ambulances at the door, but that’s the reality of health care right now,” said Faye Guenther, UFCW 21 president. “Hospitals need to immediately respond to this patient care crisis. That means focusing on meaningful, sustainable solutions that will recruit and retain qualified caregivers in every department.”
As many anti-vaccination activists falsely conflate the staffing crisis with looming vaccine deadlines for health care workers, it’s important to understand that health care staffing shortages predate the coronavirus pandemic. As a result of years of staffing and management decisions, many hospitals already didn’t meet adequate staffing for average patient levels. COVID exacerbated this already strained infrastructure, and hospitals’ response to the pandemic has only worsened this preexisting crisis.
“What’s really driving this crisis is that hospitals have spent the last two decades balancing their budgets on the backs of health care workers and patients,” said Jane Hopkins, RN, executive vice president of SEIU Healthcare 1199NW. “COVID has been a stress test on our health care system, and we are seeing the system fail that test due to management’s choice to understaff. Retention bonuses for frontline workers who have stayed on the job, adequate pay for extra hours worked, and aggressive hiring to staff at full capacity would go a long way right now.”
Opinion: To save Washington hospitals it’s time to close the borders
Military leaders, analysts, and planners evaluate the capabilities of a force using combat effectiveness. Combat effectiveness takes more into account than the number of well-trained soldiers and the quality and quantity of available equipment. It considers leadership, psychological stress, the level of support on the battlefield and the home front, and the clarity of mission. If enough of these factors deteriorate, a military unit or even an entire army can become “combat ineffective.” Our medical community has been combat ineffective for months, and no one is doing anything about it. It is time for a strategic retreat and for officials in Washington state to close the doors to out-of-state COVID patients.
We are expanding our travel advisories today. We recommend avoiding all travel to Spokane, Lincoln, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with Alaska, Idaho, and Montana. Hospital resources in these regions, except Lincoln County, are so constrained that you may receive inadequate care if you experience a medical emergency.
We recommend avoiding travel to Lincoln County because the number of new cases per 100K residents exceeds 1,400.
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Vaccination
FDA panel votes against COVID booster shots for all, but recommends expanding the existing booster shot guidelines
The booster shot program the Biden Administration wanted to start on Monday for people who received the Pfizer vaccine will, at the minimum, be delayed. On Friday, an FDA panel voted 16-2 against booster shots for all. The vote was widely reported in news sources as breaking news.
FDA officials took a break and had a second vote to recommend booster shots for those over 65, at high risk for severe COVID-19, or who work in jobs with significant exposure to COVID patients. The panel voted 18-0 in support of the guidelines.
If the recommendation is authorized, this will expand the current booster shoot guidelines released in August. A third dose was approved for immunocompromised individuals who received the mRNA vaccines from Pfizer and Moderna.
Medical conditions that warrant a second dose include receiving active treatment for cancer, organ transplant recipients, recipients of a stem cell transplant in the last 24 months, moderate to severe primary immunodeficiency, advanced or untreated HIV infection, people under treatment with high-dose corticosteroids such as prednisone, and those being treated with immunosuppressive drugs.
Vaccination impact on menstruation is being researched
When COVID first erupted across the globe, many infected women of childbearing age reported changes in their periods. Anecdotally, there are reports from women that periods became heavier after receiving the COVID vaccine, and others reported a change in their cycle.
The BMJ, the journal of the British Medical Association, published an editorial recommending an investigation into the possible link between the COVID vaccine and changes in menstruation. This story was widely run and in some publications misrepresented as the results of a study in the headlines. The editorial included this quote.
“Most people who report a change to their period after vaccination find that it returns to normal the following cycle and, importantly, there is no evidence that covid-19 vaccination adversely affects fertility. In clinical trials, unintended pregnancies occurred at similar rates in vaccinated and unvaccinated groups.”
“Anecdotally, some women seem to be reporting heavier periods after receiving the COVID-19 vaccine, and we would support more data collection in this area to understand why this might be the case.”
“If you do notice any bleeding that is unusual for you, then we would recommend you contact your doctor. You can also report any concerns or possible side effects of the COVID-19.”
The Medicines and Healthcare Regulatory Agency in the United Kingdom has a website similar to VAERS in the United States called Yellow Card. People can report suspected side effects of “medicines, vaccines, medical devices, and test kits.” Weekly reports are available at the Medicines and Healthcare Products Regulatory Agency website. Just like VAERS, anyone can submit a Yellow Card report. Unreviewed data should not be considered indicative of any trend.
A study on the Potential Effects of COVID-19 Vaccination on Menstruation received $1.67 million in funding from the United States National Institute of Health on August 30. The study is a joint project conducted by Boston University, Harvard Medical School, Johns Hopkins University, Michigan State University – East Lansing, and Oregon Health and Sciences University – Portland.
Information on how to participate in the study is not available yet.
An article by Randy S. Morris, M.D., Board Certified in Infertility and Reproductive Endocrinology, and the Medical Director of IVF1 found neither COVID nor the COVID vaccine impacted fertility. The report, SARS-CoV-2 Spike Protein Seropositvity from Vaccination or Infection does not Cause Infertility, studied 143 women who underwent Frozen Embryo Transfer (FET) from January 1to May 7, 2021.
All the participants gave serum samples and were tested for the presence of anti-SARS-CoV-2 spike IgG. Testing revealed 55 women who had COVID antibodies in their bloodstream. Participants were notified of the presence of antibodies, 35 were vaccinated, and 20 had experienced a COVID infection. None of the women who had COVID were hospitalized.
Dr. Morris wrote in the discussion section of his article, “In vitro fertilization with FET is an excellent method to study the impact of various factors on implantation since it bypasses many of the variables that normally impact a woman’s ability to conceive, such as ovulation, fertilization, and preimplantation embryo development. The current study failed to identify the difference in the implantation or pregnancy rates between women with documented seropositivity to the spike protein and women without seropositivity.”
They found no significant difference in a successful transplant rate among women who had no COVID antibodies (73.9%), those who were vaccinated (80.0%), and those who had natural immunity (73.7%).
Dr. Morris is a respected subject matter expert in this field. Before being part of the research group, women seeking IVF treatment to become pregnant received an extensive and detailed baseline study of their physiology and reproductive potential.
A connection to seeking fertility treatment in the first place due to the COVID vaccine cannot be made. The study was conducted from January 1 to May 7, 2021, and the first public COVID vaccine was received on December 14, 2020. It takes months of testing and preparation to perform a FET. The Mayo Clinic has an excellent article written in laypersons terms explaining the process of InVitro Fertilization.
The report does have limitations. The sample group of 143 participants is small and limited to women with a history of reproductive issues. The sample size of women who have antibodies due to a COVID exposure was limited to 20 people, which is very small. Reports typically aren’t peer-reviewed but do receive scrutiny from reputable journals before publication.
King County, Washington is reporting over 85% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over.
COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
According to the DoH COVID Dashboard, 22.4% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 91.5% of capacity statewide, with 36.2% of ICU patients fighting COVID. All of these numbers are unchanged.
While ICU utilization has remained close to 90%, the number of patients in the ICU with COVID continues to increase. This is due to three factors. Hospitals are operating under “contingency care” protocols statewide and have canceled most elective surgeries that would require post-surgical ICU resources. Additionally, the surge of new cases that started in August is running its course. The timeline from infection to symptoms, hospitalization, ICU, and death can be 4 to 6 weeks, particularly among otherwise healthy individuals. Finally, Washington state hospitals are caring for dozens of out-of-state COVID patients, many of them critically ill.
The 7-day rolling average hospital admission rate for new COVID patients is 183 a day. This is down from a peak of 193 and above the winter surge, where daily admissions peaked at 115 a day. The Department of Health reported there were 1,649 COVID patients statewide on September 16 and 274 on ventilators. Hospitalizations declining 9% from September 9 to September 14 but appear to have plateaued.
Yakima Valley Memorial Hospital, which said they were approaching the need to move to crisis standards of care last week, reported the situation has improved, but the facility remains exceptionally stressed. The hospital is at 103% capacity, with 45 patients treated for COVID, 95% unvaccinated. On Thursday, 75 employees of the hospital had to stay home.
– Alcott Elementary (1*) – Carson Elementary (2*) – Dickinson Elementary (1*) – Eastlake High (1*) – Einstein Elementary (1*) – Ella Baker Elementary (1*) – Robert Frost Elementary (9) – Juanita Elementary (2*) – Juanita High School (37) – Kirkland Middle School (37) – Peter Kirk Elementary (1*) – Redmond Elementary (2*) – Redmond Middle School (1*) – Rose Hill Elementary (1*) – Rose Hill/Stella Schola Middle School (1*) – Thoreau Elementary (4)
– Kamiakin Middle School (140) – Mark Twain Elementary (3*)
Northshore
YELLOW
– Arrowhead Elementary (12) – Bothell High School (48**) – Canyon Creek Elementary (19) – Canyon Park Middle School (5) – Cottage Lake Elementary (12) – Crystal Springs Elementary (28) – East Ridge Elementary (17) – Fernwood Elementary (10**) – Frank Love Elementary (14) – Hollywood Hills Elementary (10) – Inglemoor High School (5) – Innovation Lab High School (4) – Kenmore Elementary (15) – Kenmore Middle School (38**) – Kokanee Elementary (24) – Leota Middle School (2) – Maywood Hills Elementary (11) – North Creek High School (16**) – Northshore Middle School (9**) – Ruby Bridges Elementary (6) – Secondary Academy for Success (7) – Shelton View Elementary (18**) – Skyview Middle School (78) – Sunrise Elementary (21) – Timbercrest Middle School (23) – Westhill Elementary (6) – Wellington Elementary (48) – Westhill Elementary (6) – Woodin Elementary (5) – Woodinville High School (21) – Woodmoor Elementary (19**)
Under Investigation
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
The Lake Washington School District data hasn’t been updated since Friday of last week. We have a confirmed report from the Lake Washington School District of one COVID case at Kirkland Middle School and 36 exposures.
Three more schools in the Bellevue School District have reported cases and quarantines.
Northshore School District now has 7 schools reporting 5 or more confirmed COVID cases. The district has 313 students and faculty in quarantine and 23 new positive cases in the last week – 22 students and one staff member.
We will continue to recommend that parents in the Bellevue and Lake Washington School Districts request better transparency on their publicly facing COVID dashboards.
Kirkland-Bellevue-Woodinville
No update
National Round-Up
Johns Hopkins University Cumulative Case Tracker is reporting 207,886 new cases and 2,635 deaths nationwide. Most states do not provide daily updates, so the number released on Friday tends to be inflated and represents multiple days of data. Tracking the moving average is a better way to understand national trends.
The COVID crisis in Alaska is deepening, with Providence Alaska Medical Center still operating under “crisis standards of care.” The inability to transfer patients to the largest and best-equipped hospital in the state is having a ripple effect on other hospitals.
Alaska has no state standard for “crisis standards of care,” forcing hospitals to make independent decisions. Government officials started forming a committee this week. Meanwhile, the state legislature considered more pressing matters.
Some anti-vaccination advocates believe that the distribution of COVID vaccines is a violation of the code, established after the full measure of Nazi atrocities in human medical experimentation was discovered. State Rep. Sara Hannan (Juneau-D) was in a race to the bottom, declaring Nazi experimentation on prisoners “produced results.”
“I did not mean to imply any support for NAZIs nor their experimentation in any way. My remarks were incorrect, insensitive, and hurtful. I am sorry and will strive to do better,” said Hannan.
Dr. Gina Wilson-Ramirez, an ER physician in Anchorage, described the situation at Providence. ER wait times for people with severe chest pain, and people are dying waiting to be treated. The waiting room for the emergency department is so full, portapotties were placed in the parking lot, and people were asked to stay in their cars. In the waiting room itself, doctors are now treating patients. Two COVID patients waited more than 8 hours before being seen and required oxygen.
Dr. Ben Westley, who also works at Providence, discussed a situation with two patients who needed dialysis to stay alive, but there was only one machine. Both were critically ill, one in their 30’s and the other older. Doctors decided to ration care between patients, putting one on dialysis during the day and the other at night.
The next day, the older patient was still declining, and there was still only one machine. The younger patient became prioritized for treatment.
Another patient who had COVID needed ECMO, which isn’t available in Alaska. After searching within the Providence network and five other facilities, no location could be found, and the man died.
“The way we’re getting equipment freed up is mainly when we’re discontinuing care on people. And it’s not always because they’re living,” said Dr. Wilson-Ramirez.
At Mat-Su Regional Medical Center near Wasilla, emergency department director Dr. Tom Quimby said he’s seen emergency patients wait as long as five hours. The 125-bed hospital has 42 COVID patients, and the ICU is at 100% capacity – every patient with COVID and on ventilators. Over 50% of the patients arriving in the emergency department have COVID.
“We’ve all seen COVID-19 cases continue to spread rapidly across our nation, the state of Alaska, and in our local community,” U.S. Air Force Col. Kirsten Aguilar, 673d Air Base Wing and JBER commander, said in a statement Friday. “After close consultation with JBER mission commanders, I have decided to declare a Public Health Emergency.”
Commanders advised personnel to avoid places that do not require masks or social distancing, and the base has moved to Health Protection Condition Bravo.
There were 64,714 deaths and 57,641 births in 2020. Harris, holding his weekly update on the state’s efforts against the COVID-19 pandemic, said data going back more than a century showed it was the first year in which the births and deaths data was flipped. He added it could happen again in 2021 if the state continues with its current trend.
“The numbers of deaths have, unfortunately, not declined at this point,” Harris stated of Alabama’s death rate, which includes at least seven pregnant women.
Popular YouTube vintage resellers Dusty and Tristan Graham, who espoused anti-vaccination views and conspiracy theories on their channel, both died of COVID. Tristan Graham, who had previously survived bone cancer, died at home on August 25. Dusty Graham died on Thursday.
Little did she know, she would become a rare statistic.
“I started to go into anaphylaxis shock – my mom was there with me – I had my EpiPen ready. We were prepared if something happened, hoping it wouldn’t because it wasn’t supposed to compare to statistics and ingredients – everything we thought,” said Case.
Per the CDC, two to five people per million vaccinated in the U.S. experience anaphylaxis after a COVID-19 vaccine.
Eva Baisey, known as one of the longest living heart transplant recipients in medical history, has died from COVID-19 at age 55. She passed away on September 12, 2021 — more than 34 years after receiving a heart.
While she was vaccinated, her husband had refused to take it. “There was so much information floating around. He didn’t have all the facts,” she said about why her husband wasn’t vaccinated.
“My purpose is to make sure no one goes through what he went through. There wasn’t one day, one hour, one moment that he didn’t suffer,” she said. “This did not have to happen.”
Florida has had 63 law enforcement officers die of COVID.
GOP leaders in Hillsborough County are scrambling after Gregg Prentice died of COVID and took how to access the financial information of the Hillsborough County Republican Executive Committee to the grave with him. Prentice, who was 61, died one day after being diagnosed with COVID and was staunchly against wearing masks.
Friend Jason Kimball blames Tampa General Hospital for the 61-year-old’s death, alleging staff “illegally intubated” Prentice the day before he died. During a Sept. 13 Tampa City Council meeting, Kimball requested an investigation be launched. However, members of the City Council denied any wrongdoing or mistreatment from the hospital.
“My public comments are really going to be about Tampa General Hospital,” Kimball said at the council meeting. “There’s a dire situation going on right now…that I don’t think anyone is aware of, and I have firsthand knowledge of it. They’re intubating everyone entering Tampa General Hospital as a first line of action. They’re using fatality-treatment protocol, and I think that the city council really needs to do an investigation…They’re intubating people illegally. …When you call 911, and you go to that hospital, you’re going into a bad situation.”
Councilman John Dingfelder quickly shut down Kimball’s comment, blasting it as “dangerous.”
Hawaii
Approximately two weeks ago, Honolulu started requiring so-called vaccine passports to enter certain businesses. Yesterday state officials reported hospitalizations had dropped 25%.
Idaho
The crisis in the Gem State is deepening, with doctors and nurses now working in impossible conditions and forced to make unthinkable choices. In Idaho’s St. Luke’s Health System, patients are being ventilated by hand — with a nurse or doctor squeezing a bag — for up to hours at a time while hospital officials work to find a bed with a mechanical ventilator, said chief medical officer Dr. Jim Souza.
Over the past seven days, 1/2 of 1% of every person in Idaho tested positive for COVID.
Chris Roth, president, and CEO at St. Luke’s Health System in Boise said the overwhelming patient volumes result from COVID-19 patients and historic levels of traditional patient care, with the latter primarily brought on by pent-up demand from patients delaying care last year because of COVID-19.
“I’ve never seen any volumes even close to what we’re seeing in my history at St. Luke’s of 14 years,” Roth said.
St. Luke’s had a record 173 COVID-positive admissions to its hospital at the end of August, breaking the 172-admissions record back in the December surge. It recently broke the record again with 281 COVID-19 admissions.
“If we continue on this course over the next several weeks, St. Luke’s Health System will become a COVID health system,” said Roth, noting it will consume every resource and bed it has with coronavirus patients. The vast majority of St. Luke’s ICU patients are COVID positive, with 98% of them unvaccinated.
Although state officials reported a steady number of 170 ICU patients across the state, the number isn’t increasing because there is no more ICU capacity.
To free up space, hospitals are discharging patients that still require critical care, such as high flow oxygen delivery. Norco Medical President Elias Margonis said the company had seen an increase in customers seeking specialty oxygen equipment that flows at a rate of 8, 12, or 20 liters per minute rather than the standard 4 or 5 liters per minute, he said.
Primary Health Medical Group, Idaho’s largest independent primary care and urgent care system, is so swamped with patients they have been forced to close early, with wait times stretching for hours.
There is rampant misinformation that Idaho is operating under a universal do not resuscitate order. This is not true. The false claims are coming from a section within the state’s crisis standards of care plan. In situations where a hospital can no longer support mechanical ventilation of ICU patients, the guidance recommends that no attempt at resuscitation be made if the patient goes into cardiac arrest.
“Adult patients hospitalized during a public health emergency, when crisis standards of care have been declared (and a hospital is using the mechanical ventilation allocation framework due to demand for ventilators exceeding supply), should receive aggressive interventions; however, they should receive NO attempts at resuscitation (compressions, shocks or intubation if not yet intubated) in the event of cardiac arrest. The likelihood of survival after a cardiac arrest is extremely low for adult patients. As well, resuscitation poses significant risk to healthcare workers due to aerosolization of body fluids and uses large quantities of scarce resources such as staff time, personal protective equipment, and lifesaving medications, with minimal opportunity for benefit. This universal DNR order does not apply to pediatric patients; however, pediatric patients requiring a ventilator after resuscitation would enter the ventilator triage protocol after resuscitation, just like other patients needing ventilator access.”
In Ammon, protesters gathered against vaccine mandates. “There is a huge pushback against vaccine mandates,” protest organizer and association spokeswoman Halli Stone said. “You can see there is a great deal of sentiment. People care. If they have a point to rally, they come out. They hate being told they have to take an experimental vaccine that has been proven to be dangerous.”
Many protestors at the event were adamant they were not anti-vaccine. Still, multiple people shared they are not getting vaccinated and have concerns about its safety, despite the FDA saying vaccines are safe.
IU Health said that employees who didn’t comply with the September 1 deadline were placed on a two-week unpaid suspension period ending September 14, with the 125 employees resigning afterward, according to the spokesperson.
“A total of 125 employees, the equivalent of 61 full-time employees, chose not to receive the COVID-19 vaccine and have left the organization,” a spokesperson said.
“Most of the employees who chose not to be vaccinated worked part-time, less than part-time or have not worked for a number of months.”
Mississippi’s death rate from COVID-19 is 308 per 100,000 people, as of Sept. 17. New Jersey’s is 306. Louisiana and New York, respectively, have the next-highest rates, with 288 and 281 per 100,000 people.
Mississippi’s top health official said Thursday that the numbers of new virus cases are still “far more than we’d like to see” and warned that more deaths would follow.
“We’re recording well over 2,500 (cases) a day, in recent days, far more than we’d like to see,” said State Health Officer Dr. Thomas Dobbs. “A lot of that’s going to translate into the tragedy.”
“It is really dire,” said Dr. James McKay, chief physician executive for Providence Montana, who oversees St. Patrick Hospital in Missoula and St. Joseph Medical Center in Polson. “It has never been this bad.”
Officials at Billings Clinic said the transition into crisis care could occur “rapidly” and that it would also impact patients with conditions unrelated to COVID-19. The number of COVID patients at the hospital in Missoula has increased dramatically in recent weeks, and that many are younger, some in their 20s and 30s. The hospital has turned an ambulance garage into a makeshift triage area for COVID patients to handle the increase.
The temporary emergency rule waives regulations to make it easier for hospitals to transfer certain patients to other healthcare facilities, freeing up needed hospital beds.
Gianforte said in a news release: “As our hospitals and health care workers continue to work around-the-clock to deliver life-saving care to Montanans, this new tool will help reduce the burdens our providers face. We will continue to work with hospitals and providers to support their ongoing response.”
Additionally, the Montana Department of Labor and Industry has started reaching out to nurses, nurse practitioners, and other medical workers whose licenses may have expired or retired to ask for help.
“The Department hears regularly from employers, including health care providers, who have been impacted by the ongoing workforce shortage. With COVID-related hospitalizations increasing statewide, at the Governor’s direction, the Department is looking at ways to mitigate the health care worker shortage and ensure there are no unnecessary delays in the licensure process for individuals qualified to provide medical services,” wrote Jessica Nelson, public information officer for the department.
Total COVID cases have jump 55% in the last two weeks, outstripping COVID ravaged Idaho.
The three women repeatedly punched the host at Carmine’s on the Upper West Side and broke her necklace Thursday afternoon after she asked for proof of vaccination, which is required to dine inside at a restaurant in New York City, police said in a news release.
All three women are from the Houston area and have been ordered to appear in a New York court on October 5 after receiving citations for misdemeanor assault and criminal mischief. The 24-year old victim was treated at a New York hospital and released. She is expected to recover fully.
Jeffrey Bank, the CEO of Carmine’s, said the restaurant was forced to hire security. “It’s ridiculous that she’s sitting here saying, ‘Please don’t assault me.’ It’s just surreal,” Bank said, adding the restaurant was hiring security. “We want everyone to feel safe. Is it necessary? I don’t know, but after last night for sure, we’re going to have it.”
“We will push back against widespread propaganda by producing our own media, and advancing our own narrative, instead of succumbing to the one being pushed on us. We will not accept the rampant politicization of science and medicine, and we will return these institutions to being neutral sources of information for the benefit of society, over government and corporate interests,” a press release about Saturday’s event reed on the organizers’ website.
State officials reported that five people had been hospitalized for ivermectin poisoning, including two that required critical care.
Between August 1 and September 14, the Oregon Poison Center at OHSU saw a total of 25 cases of “Oregonians intentionally misusing ivermectin to treat or prevent COVID-19.” Of those cases, five had to be hospitalized–two people became so severely ill that they had to be admitted into the ICU.
The poison center reported that recent cases displayed various symptoms, including mental confusion, balance issues, low blood pressure, and seizure. Patients sickened by the drug ranged in ages from the 20s to 80s. OHSU said there was an even split between men and women who took the drug and between people who were attempting to treat COVID-19 and trying to prevent getting the virus.
In Salem, Oregon, 500 people gathered to protest vaccine mandates. Luke Yamaguchi, an Albany nutritionist who serves on the board of the protest sponsor, Oregonians for Medical Freedom, slammed Gov. Kate Brown’s mask mandate for school children and in outdoor public spaces — drawing jeers and laughs from the unmasked assembly.
“Mandated medicine has no place in a free country,” said Yamaguchi. “Who is to say that you will necessarily agree with the next vaccine that is mandated?”
Officials reported 1,002 people with coronavirus in hospitals across the state, which is 25 fewer than Thursday. There are 287 people with coronavirus in intensive care unit (ICU) beds, one more than Thursday.
The OHA said 58 available adult ICU beds out of 658 total (9% availability) and 369 adult non-ICU beds out of 4,246 (9% availability).
“We’re in September, and our cases, our hospitalizations, our deaths are actually higher than they were last year. So I don’t think we should lower our guard. We should actually apply the tools that we have that we know work,” he said.
Peter Graven, analytics director of OSHU, said all cases are tipping downwards in Oregon, and breakthrough cases are just a small fraction of the total number for the state.
Texas
Parents in a conservative corner of Texas are turning one of Governor Greg Abbott’s “pro-life” mantras on its head, arguing in a federal lawsuit that his school mask policy is threatening the lives of their children.
The school district said in a statement that it couldn’t address specific claims while the case proceeds but that it “strongly disagrees that the students’ constitutional rights have been violated by leaving masks as an option for students and staff.”
The district “continues to work proactively and professionally with parents who have questions or concerns about Covid-related issues,” it said. “The vast majority of these concerns have been resolved without the need for litigation.”
On Wednesday, there were 45 COVID-19 patients at the Wyoming Medical Center and 43 at the Cheyenne Regional Medical Center. Four hospitals had no available intensive care unit beds on Wednesday. Three had only one ICU bed open. While ICU beds are not exclusively used to treat COVID-19 patients, when hospitals deal with surges in these patients, that can put a strain on their ability to care for other types of critical-needs patients.
More alarming is the growing number of pediatric patients. Wyoming has 37 hospitals and no dedicated children’s hospitals. Pediatric resources are already stretched to the limit in the state. Officials are concerned that the state will run out of resources and have limited options to transfer patients to other regions.
LaTulippe was recorded dismissing the importance of masks in a speech at a “Stop the Steal” rally in Salem on November 7, 2020.
“I hate to tell you this, I might scare you, but I and my staff, none of us, once wore a mask in my clinic,” he told the crowd, reported The Huffington Post. “And how many problems did we have in our clinic from that? Zero.”
The Oregon Medical Board issued an emergency revocation of his medical license in December 2020. On September 2, the board made a final order permanently revoking his license for “dishonorable or unprofessional conduct; repeated negligence in the practice of medicine; and gross negligence in the practice of medicine.” He was also fined $10,000.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) Although Washington reached a grim milestone of 7,000 COVID-related deaths today, data on new cases indicated that the Evergreen State is reaching a peak. The divide between the most and least vaccinated counties continues to widen, and the number of patients in the ICU reached a critical level statewide.
The Lake Washington School District expands how much COVID data they are sharing and in the Northshore School District, a concerning trend has emerged at three schools.
Hospitals in Spokane are suspending all non-emergency surgeries as they struggle to support the lower vaccinated counties in Eastern Washington and the surge in Idaho. In Bellingham, officials report they are inching closer to crisis standards.
Edmonds canceled Oktoberfest for the second year in a row.
Almost 4,800 state employees have requested a vaccination exemption, about 8% of the 60,000 person workforce. Protesters are coming to Vancouver, Washington’s Skyview High School on Wednesday despite a court order, and they are bringing infamous Seattle street preacher Matthew with them.
The mayor of Puyallup is started a fundraiser to show appreciation to hospital workers.
We have expanded our travel advisory to include Spokane County and the state of Alaska, with the latter having the largest hospital move to “crisis standards of care.”
In the misinformation section, we discuss swollen testicles and Betadine.
Today’s data provided a strong indication that Washington state has hit a peak while demonstrating the effectiveness of vaccines. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, new cases are 883.3 per 100K people, essentially unchanged from yesterday. In comparison, the Central Hospital Region, which represents King County, had a rate of 295.4. In addition, for counties that are 50% fully vaccinated or higher, the 14-day rolling average of new cases dropped below 500 for the first time since we started tracking.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
50.00% or above (12 counties)
494.0 (down)
40.00% to 49.99% (18 counties)
747.0 (down)
27.30% to 39.99% (9 counties)
781.4 (down)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population
Through September 13, Washington’s statewide 14-day rolling average was 500.8 COVID cases per 100K, which is within the 500 to 535 range the state has bounced between. Lincoln (1,294.1 per 100K), Franklin (1,170.9 per 100K), and Stevens (1,121.5 per 100K) reported an extreme number of new cases. Counties in the 800.0 to 999.9 per 100K range include Adams, Asotin, Benton, Chelan, Clallam, Cowlitz, Douglas, Grant, Grays Harbor, Lewis, Okanagan, and Pend Oreille. Although Yakima County fell off of the report, its case rate is 799.4 per 100K.
The Washington State Department of Health reports a data backlog for test positivity, with the published number 14 days old. According to Johns Hopkins University Medicine, the positivity rate for the last 30 days is 13.40%, and over the previous 7 days, 13.67%. These numbers indicate the state is under testing. Further, there has been little change in the positivity rate for almost a month.
The 7-day case rate was up for birth to 34 years old, and down for 80 and over. Hospitalizations were mostly flat, with a slight increase for adolescents from 12 to 19 years old.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
34.0 (up)
0.1
Ages 12-19
26.3 (up)
0.2 (up)
Ages 20-34
59.1 (up)
1.5
Ages 35-49
50.2
2.5
Ages 50-64
37.4
3.9
Ages 65-79
18.7
3.7
Ages 80+
5.0 (down)
1.8
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
The USA Today COVID Tracker reported 63 deaths on Tuesday and Washington state crossed a grim milestone of 7,000 COVID-related deaths since February 29, 2020.
Edmonds Oktoberfest canceled due to concerns about COVID
This change was made as a safety precaution given the current COVID-19 environment. The rate of new COVID cases reached an all-time high last week at 464 per 100,000 people, according to data released Tuesday, Sept. 7, by the Snohomish Health District.
“This decision was not made lightly,” said Maggie Peterson, Edmonds Rotary President. “We very much want Edmonds Oktoberfest to be a family-friendly traditional event but the current rise in COVID-19 cases, combined with the start of the school year, creates a situation where there would be many vaccinated and unvaccinated individuals co-mingling. We are looking forward to bringing back Oktoberfest (or similar event) including the Kids Korner and all corresponding fun activities in 2022!”
Edmonds Oktoberfest Founder and Committee Co-Chair David Kaufer added, “We are dependent on volunteers to run this event, with more than 170 volunteer slots identified. We do not feel comfortable placing them, as well as attendees and other participants, in a situation where they may be at a higher risk of catching or transmitting this highly contagious variant.”
Those who have purchased tickets for Edmonds Oktoberfest may request a refund by emailing david@edmondsrotary.com.
Almost 4,800 state employees ask to be exempt from vaccine mandate
State employees not represented by the WFSE have until October 4 to receive the single dose Johnson & Johnson vaccine to be in compliance with the October 18 deadline if they have not received their first dose of the Moderna or Pfizer vaccines. Certain employees with the WFSE could go past that date if they meet certain requirements set in the compromise ratified last week.
Anti-vaccine protest planned at Skyview High School in Vancouver – again
The group Waking Up Washington is planning a protest at Skyview High School in Vancouver, Washington on Wednesday, and they are bringing infamous Seattle street preacher Matthew with them. If you have ever been to a protest, rally, concert, march, parade, or large sporting event in Seattle, you have likely heard Matthew.
This action is being driven by 14-year old Melanie Gabriel, a student at the school who was attempting to get a 504 exemption to not have to wear a mask. The anti-vaccination activity in Oregon and Washington is largely run by a handful of people. Michelle Morales-Walker is the most prominent voice and face of the movement. She is supported by Joey Gibson of Patriot Prayer, Ammon Bundy, Washougal Women, and Palmer Davis of La Center.
The group was withdrawn from a planned protest in Olympia on Saturday, due to a Proud Boys rally planned for the same day.
The Seattle Truth Network, in coordination with Wake Up Washington, is planning an anti-vaccination event on September 25 at Rooster’s Bakery and Cafe in Woodinville.
Puyallup Mayor organizing fund raiser for employees at MultiCare Good Samaritan Hospital
Door created the GoFundMe page on Sept. 2 and had $6,050 as of Sept. 10. She thought she could show support for the employees by raising funds to give each of them a $5 Starbucks gift card.
Editor’s Opinion: Not directed at Mayor Door, however, most medical workers would prefer for everyone to wear a mask and get vaccinated so they don’t show up in the emergency department sick due to COVID. It isn’t a lack of gratitude. They’re exhausted and see this current wave as preventable.
Travel Advisories
We recommend avoiding all travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with the states of Alaska and Idaho. Hospital resources in these regions are so constrained that you may receive inadequate care if you experience a medical emergency.
Thank you
Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!
No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks
Vaccination
No update beyond please get vaccinated.
King County, Washington is reporting over 85% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over.
COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
According to the DoH COVID Dashboard, 23.1% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 91.4% of capacity statewide, with 35.6% of ICU patients fighting COVID. This is the highest level of occupancy within Washington state ICUs and the highest percentage of COVID patients under care.
The hospital admission rate Epidemiologic Curve dashboard wasn’t working today. It appears the daily hospitalization rate is in the 160s, which would be close to yesterday. This is another encouraging sign that the state may be hitting a peak. The Department of Health reported there were 1,683 COVID patients statewide on September 13 and 269 on ventilators. Both numbers indicate a decline although we have no way of knowing if the decline was due to fatalities or releases.
We got a response from the Washington State Department of Health on getting data on NICU, PICU, and pediatric COVID cases. The state is working on tracking that data and providing it as either a report or a dashboard. The date of availability was not provided.
News that Washington was still taking transfer patients from out state has created outrage on social media. The Washington State Hospital Association indicated they were taking patients but emphasized it was far fewer than in the past. Additionally, there are some hospital networks that have facilities between Washington and Oregon or Washington and Idaho, and patient transfers within those systems would be normal. In the same press conference, the WHSA indicated that a patient from Spokane was transferred to Idaho.
Everett Providence reported today that they are accepting “two to three” transfer patients a day, mostly from the North Puget Sound region. However, they currently have patients from Alaska, Idaho, and Montana. Officials also pointed out that Snohomish County is sending patients to King County.
– Alcott Elementary (1*) – Carson Elementary (2*) – Dickinson Elementary (1*) – Eastlake High (1*) – Einstein Elementary (1*) – Ella Baker Elementary (1*) – Robert Frost Elementary (9) – Juanita Elementary (2*) – Juanita High School (37) – Peter Kirk Elementary (1*) – Redmond Elementary (2*) – Redmond Middle School (1*) – Rose Hill Elementary (1*) – Rose Hill/Stella Schola Middle School (1*) – Thoreau Elementary (4*)
– Kamiakin Middle School (140) – Mark Twain Elementary (3*)
Northshore
YELLOW
– Arrowhead Elementary (7) – Bothell High School (28**) – Canyon Creek Elementary (12) – Canyon Park Middle School (4) – Cottage Lake Elementary (13) – Crystal Springs Elementary (13) – East Ridge Elementary (3) – Fernwood Elementary (7) – Frank Love Elementary (12) – Hollywood Hills Elementary (3) – Inglemoor High School (3) – Innovation Lab High School (2) – Kenmore Elementary (3) – Kenmore Middle School (31) – Maywood Hills Elementary (6) – North Creek High School (15**) – Ruby Bridges Elementary (4) – Shelton View Elementary (14**) – Skyview Middle School (67) – Sunrise Elementary (18) – Timbercrest Middle School (21) – Westhill Elementary (6) – Woodin Elementary (4) – Woodinville High School (18)
Under Investigation
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
The Lake Washington School District updated its tracking dashboard providing a better degree of insight on the number of confirmed COVID cases among students and faculty, mirroring the information provided by the Bellevue School District.
Although there are a significant number of impacted schools in the LWSD, there have not been any community transmission outbreaks within the district. The number of impacted schools in BSD declined overnight, and we were able to get more data on quarantines.
The more concerning trend is in the Northshore School District where 3 schools now have 5 or more reported confirmed COVID cases. Bothell High School has 7 confirmed cases between students and faculty, and another 21 in quarantine. Shelton View Elementary has 5 confirmed cases among students and another 9 in quarantine. North Creek High School has 7 confirmed cases among students, and 8 more in quarantine.
Three states have exited the CDC ‘high’ COVID transmission category – Vermont, the most vaccinated state, Connect, the second most vaccinated state, and California, the 16th most vaccinated state.
The Pentagon announced guidance on the vaccination mandate that was established in August for active-duty military. Service members have three months to become fully vaccinated for face discharge from the force. The Marines released a soldier last week for refusing to wear a mask, issuing a general discharge under honorable conditions.
In what could be called ironic, Russian President Vladamir Putin is self-isolating after he was exposed to COVID. Putin who is vaccinated has faced accusations from European and North American nations of backing the spread of COVID misinformation to undermine trust in democratic governments.
Alaska
Providence Alaska Medical Center in Anchorage Alaska, the largest hospital in the state, was forced to move to crisis standards of care on Tuesday. The hospital published a two-page letter explaining why they had to restrict care and start making black tag triage decisions.
“At this time, we feel we have an ethical obligation to be transparent with our community and share with the public the distressing reality of what is happening inside the walls of our hospital. The state’s COVID-19 Dashboard isn’t equipped or designed to demonstrate the intricacies of providing medical care during this unprecedented time. More than 30% of the adult patients hospitalized at Providence have tested positive for COVID-19.
Our caregivers are doing their best, just as they have been for the past 18 months of this pandemic. We believe that the Providence administration has acted in good faith throughout the pandemic, following the guidance of local and national experts to create policies and procedures that protect patients and caregivers.
While we are doing our utmost, we are no longer able to provide the standard of care to each and every patient who needs our help. The acuity and number of patients now exceeds our resources and our ability to staff beds with skilled caregivers, like nurses and respiratory therapists. We have been forced within our hospital to implement crisis standards of care.
What does this mean? In short, we are faced with a situation in which we must prioritize scarce resources and treatments to those patients who have the potential to benefit most. We have been required to develop and enact policies and procedures to ration medical care and treatments, including dialysis and specialized ventilatory support.”
Doctor Kristen Solana Walkinshaw, Chief of Staff indicated that this decision could have a dramatic impact on healthcare across Alaska.
“Nurses here are not leaving because of the vaccine mandates. They’re leaving because they’re overwhelmed by the emotional toll it’s taking,” Gonsette, the Providence hospitalist, said in an interview Tuesday. “Part of it, we all feel it, is because we are not heard. The public either wants to bury their head in the sand or maybe some of them really don’t know what’s going on. Those are the ones we’re trying to reach.”
Colorado
We have avoided reporting on right-wing radio or TV personalities who have become infected or have died from COVID, but Bob Enyart was a special kind of awful. Enyart, a provocateur who gleefully mocked the deaths of AIDS victims, had encouraged his listeners not to get any of the three available COVID-19 vaccines because he claimed they had been tested on “cells of aborted babies.” (Though coronavirus vaccines do not contain fetal cells, Johnson & Johnson used a historic fetal cell line to produce and manufacture its vaccine; Pfizer and Moderna used a fetal cell line in a very early phase to confirm efficacy prior to production.) He also successfully sued the state of Colorado over COVID-related restrictions on church attendance.
Enyart’s wife is still hospitalized with COVID.
Editor’s Note: It is ironic that Mr. Enyart would die after exaggerating the danger AIDS presented to the general population while minimizing the impact of the second pandemic in his lifetime.
Idaho
The situation in Idaho is going from worse to catastrophic. In a media briefing today Idaho Health and Welfare Director Dave Jeppesen reported “Hospitalizations in Southwest, Central and South Central health districts, which includes the Treasure Valley and the Magic Valley, are reaching a critical point,” Jeppesen said. “Without a change in direction, crisis standards of care are imminent for all three of those health districts.”
Any permitted event or activity held in a city-owned building must require masks indoors, require masks outdoors if six feet of physical distance can not be maintained, and submit a plan to the city for approval, and requiring “COVID-19 Protocol Ambassadors” on-site. In addition, the mayor said, all events over 250 people must require proof of vaccination or a recent negative COVID test.
Event organizers will be tasked with supplying masks to those who do not have them.
“We do believe that here in Fargo, we’re probably about two to three weeks away from peaking in terms of COVID cases. But we’re already at capacity and have been for a few weeks now due to our overall non-COVID census being very high,” said Dr. Doug Griffin, vice president and chief medical officer at Sanford Health in Fargo.
Griffin said most of their COVID patients are local or coming from western North Dakota, where vaccination rates remain low. Griffin said the hospital is turning away patients who need critical care, some from as far away as southern Minnesota.
“If I could put on a statewide mandate, if the health department could do it, we’d do it,” he said during a Tuesday press conference. “The legislature has made it very clear that if we put a mandate on for kids in schools to wear a mask, they would take it off.”
DeWine’s comments were a shift from the Republican governor’s previous position, which had been that there isn’t an “appetite” for such mandates. DeWine has instead emphasized personal responsibility and sharing information with Ohioans.
“The good news is that we did peak,” said Peter Graven with Oregon Health and Science University. “The bad news is, the model is showing that it could take until the end of October or even November until we really get down to the levels that we had prior to the surge.”
With recent testing difficulties and delays in contact tracing, parents around Utah are saying they aren’t getting notified of their kids’ classroom exposures until it’s almost too late to do anything about it. Quarantine periods generally are backdated to begin 10 days after the exposure or a student began having symptoms, but families may not know to start quarantine until days later.
Misinformation
We have a two for one tonight for misinformation. Part one – Nicki Minaj.
My cousin in Trinidad won’t get the vaccine cuz his friend got it & became impotent. His testicles became swollen. His friend was weeks away from getting married, now the girl called off the wedding. So just pray on it & make sure you’re comfortable with ur decision, not bullied
There is no scientific evidence, nor one single VAERS entry prior to September 13, 2021, stating that the COVID vaccine causes swelling in a man’s testicles. There is no scientific evidence to back up the claim that the COVID vaccine causes infertility in men or women (there is evidence that COVID infections cause stillbirths and premature births).
However, there is a condition that can cause swelling of the testicles, infertility, and a mate wanting to call off a wedding. That’s called gonorrhea. This type of misinformation is called a false causality fallacy where the “link between premises and conclusion depends on some imagined causal connection that probably does not exist.”
That would be correct.
First, it was hydroxychloroquine, and more than a year after former President Donald Trump stopped advocating it as a possible treatment, people are still taking it.
Then it was Chlorine dioxide, a chemical bleach that has been previously advertised as a junk science cure for autism.
Next came ivermectin – and we’ve beat that dead horse into the ground.
Then it was glyphosate, a herbicide.
Now it’s Betadine, the iodine-based antibacterial antiseptic. Yes, Betadine, and apparently people are drinking it and gargling with it, despite it being toxic when ingested. Additionally, long-term consumption of excess iodine can damage the thyroid.
“Betadine® Antiseptic First Aid products have not been approved to treat coronavirus. Betadine® Antiseptic First Aid products should only be used to help prevent infection in minor cuts, scrapes and burns.”
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) The number of hospitalized COVID patients dropped slightly over the weekend, while the number of critically ill patients on ventilators increased. New King County and statewide vaccination data show the gap between the most vaccinated and least vaccinated counties grew wider. A new IHME forecast indicates Washington may have hit the peak but forecasts a long fall ahead.
Two more schools in the Lake Washington School District reported COVID cases, while the number of quarantined students at Kamiakin Middle School rose to 140.
The Washington State Hospital Association stated hospitals were operating in “contingency care” as staffing, transportation, and some critical equipment remain in tight supply. 911 dispatchers in Seattle were diverting ambulance calls for part of the day on Saturday, as local emergency departments were flooded with a surge of patients.
A ferry was delayed by a man who refused to wear a mask, and on Friday, ferries heading to the San Juan Islands were canceled due to a sick out.
Complaints have emerged at the Spokane County Fair and the Washington State Fair due to people not wearing masks indoors and lax enforcement.
Almost 90 Washington state employees have filed a lawsuit in Walla Walla trying to block the governor’s vaccination mandate. A woman was cited for trespass in Vancouver for refusing to wear a mask and refusing to leave a private business.
The gap between the highest vaccinated counties versus the least widened more over the weekend. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, new cases are 886.1 per 100K people. In comparison, the Central Hospital Region, which represents King County, had a rate of 318.6.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
50.00% or above (12 counties)
530.8 (up)
40.00% to 49.99% (18 counties)
764.5 (up)
27.30% to 39.99% (19 counties)
848.6 (up)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population
Through September 12, Washington’s statewide 14-day rolling average was 526.1 COVID cases per 100K, which is slightly up from Friday but still within the 500 to 535 range the state has bounced between for weeks. Asotin (1,007.1 per 100K), Clallam (1,057.7 per 100K), Douglas (1,024.0 per 100K), Franklin (1,182.0 per 100K), Grant (1,036.7 per 100K) Lincoln (1194.6 per 100K), Okanogan (1,013.2 per 100K), and Stevens (1,191.2 per 100K) reported an extreme number of new cases. Counties in the 800.0 to 999.9 per 100K range include Adams, Benton, Chelan, Columbia, Cowlitz, Grays Harbor, Lewis, Pend Oreille, and Yakima. Garfield County dropped to 764.0
The Washington State Department of Health reports a data backlog for test positivity, with the published number 14 days old. According to Johns Hopkins University Medicine, the positivity rate for the last 30 days is 13.40%, and over the previous 7 days, 13.81%. These numbers indicate the state is under testing. Further, there has been little change in the positivity rate for almost a month.
The 7-day case rate by age was up in every age group except 35 to 49-year-olds. Hospitalizations were flat or slightly down over the weekend, and that decrease is mirrored in the patient reports from the Washington State Hospital Association.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
31.8 (up)
0.1
Ages 12-19
25.0 (up)
0.1 (down)
Ages 20-34
57.4 (up)
1.3
Ages 35-49
49.5 (down)
2.6
Ages 50-64
37.0 (up)
3.7
Ages 65-79
18.1 (up)
3.5 (down)
Ages 80+
5.4 (up)
1.7
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
The USA Today COVID Tracker reported 68 deaths on Friday. Numbers from over the weekend typically include multiple days of data and should not be used to read a trend.
Seattle Fire Department diverted 911 calls for ambulances on Saturday
For part of the day on Saturday, calls to Seattle 911 for ambulances were being diverted, with only the most serious calls being responded to. Critical calls were still covered, while others, which would normally get an EMS response, were told they would need to transport themselves.
Hospitals may decide to divert ambulances from going to their emergency room when they get overwhelmed with patients or are expecting a surge from incidents such as a mass casualty event. On Saturday, multiple emergency departments were beyond capacity in Seattle, which created a ripple effect impacting emergency departments both east and north of the city. On Saturday evening, one area hospital had over 80 patients in the emergency department and another 22 waiting for hospital beds.
The number of people coming into emergency departments wasn’t just due to COVID. There was an influx of medical emergencies such as cardiac arrests and several significant auto accidents. Additionally, the Washington State Hospital Association reported this morning there is a shortage of ambulances for ground transit.
Calls to 911 for EMS and fire services were above average on Saturday but nowhere near the record set on June 28, when the department responded to 555 calls for aid.
Latest IHME forecast projects Washington state has hit the peak
On Friday, the IHME updated its forecast models, which projected that Washington state has hit the peak for the current wave. The projected number of fatalities through December 1 declined slightly also, to 8,784. Part of the decline is due to the Washington vaccination mandate for state employees and the statewide order for mask wear. The model projects that if mask wear compliance was 100%, we could save 600 lives.
The model also projects that the state will only see a gradual decline in cases and will settle to half of the current volume of new cases, patients, and fatalities. The Washington State Hospital Association expressed today that slashing the number of hospitalized COVID patients from 22% to 11% as a new normal would be unsustainable for the healthcare system.
Vancouver police cite woman for trespass over refusal to wear mask
The incident apparently happened on September 8 but blew up on social media over the weekend after a story was run in the Post Millenial. A woman with her children at Chuck’s Produce and Street Market on Southeast Mill Plain Blvd. refused to wear or mask or leave the store when directed by staff. She continued to shop and was told police would be called.
When Vancouver police arrived, she continued to refuse the leave the store and went to checkout. While she continued to defy store management and the police, she was cited for trespassing.
Not 2 miles from my home in Vancouver, WA you find: Police writing tickets to citizens for grocery shopping at Chuck's on Millplain without a face mask. Someone tell me what's brought us to this (Hat tip to retired cop who sent it to me) pic.twitter.com/sS14i5Otts
Woman issued a trespass citation for refusing to leave a store in Vancouver, Washington, on September 8
Kitsap ferry delayed by man who refused to wear a mask
On Saturday, the 7:40 PM sailing of the Kitsap ferry from Fauntleroy was delayed for over an hour by a man who refused to wear a mask. According to Washington State Ferry employees, the man was asked to put a mask on during the crossing and refused. He then became “aggressive” toward the crew and appeared to be inebriated. He was issued a 60-day no-trespass order from the Washington State Ferries property. We also hope he didn’t drive off in a vehicle.
Weekend sick-out impacts ferry service to the San Juan Islands
After weeks of threats, a sickout impacted ferry service to the San Juan Islands on Friday evening. Two ferry runs out of Anacortes to Friday Harbor, the 4:45 PM and the 8:20 PM, along with the additional stops at Lopez, Shaw, and Orcas, were canceled due to a lack of Coast Guard certified personnel. Additionally, the #3 Samish was running behind schedule for the afternoon and early evening.
The Washington Federation of State Employees, which includes Washington State Ferries employees, ratified their agreement over mandated COVID vaccination with the state of Washington on Thursday. Over 80% of members voting in favor of the compromise agreement.
Spokane County Fair organizers respond after photos emerge of maskless guests and vendors
Photos emerged over the weekend of non-existent mask wear at the Spokane County Fair. According to KREM, Kevin Humphrey, a regular guest at the fair, talked to officials about the lack of masks and was told that masks were only checked at the entrance but were not being enforced.
In response to the photos, Spokane Interstate Fair Director Erin Gurtel wrote, “The Spokane Fair and Expo Center staff is communicating with all vendors in writing daily, along with verbal announcements over the Fairgrounds sound system multiple times a day. All of the vendors have been made aware of the requirement to wear masks indoors and starting tomorrow, September 13th, we will require this indoors and outdoors.”
The fair has also created numerous signs to post all over the grounds to communicate the new requirement of outdoor masks, Gurtel said. The fair’s team is also doing its best to communicate the requirement and make sure it is “being adhered to,” she added.
People complaining about lack of masks at the Washington State Fair
In Puyallup, where up to one million people are expected to visit the Washington State Fair through September 26, complaints are growing about maskless vendors and guests. Numerous pictures and videos emerged of groups of people both indoors and out.
89 state employees sue over Washington state employee vaccine mandate
A group of state employees from the Washington State Patrol, Washington State Ferries, and Washington State Department of Corrections filed a lawsuit in Walla Walla against the looming vaccine requirement.
According to a report in Northwest News, Nathan Arnold, the lawyer who filed the lawsuit, wrote, “The penalties for not taking affirmative action to comply with the Governor’s Mandate are overly severe, punitive, and unconscionable.” He also called the penalty of termination “arbitrary and capricious,” especially for employees who can work from home or have natural immunity from having previously contracted COVID-19.
The lead plaintiffs are William and Sherra Cleary. Mr. Cleary was listed as a King County firefighter and Ms. Cleary as a healthcare worker who is also pregnant. The plaintiffs are looking for the court to declare the vaccine mandate unconstitutional.
The Tri-Cities Herald reported Troopers Travis Brawdy and Brittany Crosby with the Washington State Patrol and Michele Vasquez, an employee of the Washington state Department of Revenue, were also listed as plaintiffs.
The Biden Administrator’s order for federal employees and contractors to get vaccinated also impacts 11,000 workers at Hanford.
Travel Advisories
We recommend avoiding all travel to Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with the state of Idaho. Hospital resources in these regions are so constrained that you may receive inadequate care if you experience a medical emergency.
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The report, in which two senior Food and Drug Administration officials were contributors along with the World Health Organization, came as another study indicated the FDA approved Pfizer vaccine and the emergency authorized Moderna and Johnson & Johnson vaccines remain highly effective against hospitalization and death.
“The ability of vaccines that present the antigens of earlier phases of the pandemic (rather than variant-specific antigens) to elicit humoral immune responses against currently circulating variants6,7 indicates that these variants have not yet evolved to the point at which they are likely to escape the memory immune responses induced by those vaccines.”
King County, Washington is reporting over 85% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over.
COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
According to the DoH COVID Dashboard, 23.2% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 90.9% of capacity statewide, with 35.0% of ICU patients fighting COVID. All of these numbers are up from over the weekend.
The new hospital admission rate for COVID patients was 162 per day on September 11. This is a decrease from last week and is an indicator that the state may be at its peak. The Department of Health reported there were 1,742 COVID patients statewide on September 12 and 275 on ventilators. That is down from the 283 reported on Saturday. Weekend numbers typically get adjusted upward on Tuesday as additional data is processed.
EvergreenHealth reported there are 39 COVID patients in Kirkland and none in Monroe.
The Washington State Hospital Association held its weekly press conference, telling reporters that hospitals are operating under “contingency care” statewide. From walk-in clinics to trauma centers, medical facilities continue to struggle with the crush of regular and COVID patients.
We are in a crisis, but we are not in crisis standards of care,” said Washington State Hospital Association (WSHA) Executive Vice President Taya Briley.
Briley also reported that 95% of hospitalized COVID patients statewide are unvaccinated, saying, “We are far, far above our peak from last year.”
Dr. Christopher Baliga with Virginia Mason Franciscan Health in Seattle added, “The hospitals are struggling.”
“Everyone who works in healthcare, it does feel like everybody has gone back to normal. It is scary, frustrating, and disheartening for people not to understand what is going on. We have stretched almost as far as we can go.”
“With the last surge in the fall, our hospitals were empty. That’s not true anymore. All of those patients are there…and they are sicker. This is non-COVID. YOu now have a hospital that is essentially full having to manage an influx of COVID patients.”
When asked about what additional resources would be available to improve the situation, Briley reported there were few options left. The state was already enlisting the help of unpaid volunteers. The WSHA had already reached out for National Guard resources, but the critical staff and equipment have already been deployed to other states to support their COVID surges, along with aiding in hurricane, flooding, and climate disasters. Federal resources are also stretched thin.
The press conference closed with an appeal to get vaccinated, wear a mask, and avoid risky behavior that could cause a general injury.
– Benjamin Franklin Elementary (?) – Juanita Elementary (1) – Juanita High School (37) – Peter Kirk Elementary (2) – Robert Frost Elementary (9) – Thoreau Elementary (4)
– Kamiakin Middle School (140) – Mark Twain Elementary
Northshore
YELLOW
– Arrowhead Elementary (1) – Bothell High School (19) – Canyon Creek Elementary (9) – Canyon Park Middle School (4) – Cottage Lake Elementary (4) – Crystal Springs Elementary (4) – East Ridge Elementary (2) – Fernwood Elementary (2) – Frank Love Elementary (11) – Hollywood Hills Elementary (1) – Inglemoor High School (2) – Kenmore Elementary (1) – Kenmore Middle School (7) – Maywood Hills Elementary (2) – North Creek High School (6) – Ruby Bridges Elementary (1) – Secondary Academy for Success (1) – Shelton View Elementary (7) – Skyview Middle School (10) – Sunrise Elementary (4) – Timbercrest Middle School (9) – Westhill Elementary (5) – Woodin Elementary (1) – Woodinville High School (7) – Woodmore Elementary (9)
None
Local Districts Scorecard
In the Lake Washington School District, new quarantines were announced at Ben Franklin and Robert Frost, while the number of quarantined students at Kamiakin Middle School grew to 140, 24% of the student body. Several classrooms are now fully virtual, moving the school over into the closure column.
It is important to note that quarantined does not indicate widespread infection. To date, none of the area schools we are following have reported a significant outbreak of COVID cases that has been transmitted in school or at school activities.
Kirkland-Bellevue-Woodinville
King County Public Health updated the vaccination rates by zip code, with the numbers improving throughout the region. The northern half of Kirkland continues to lag behind the rest of the local area.
King County COVID vaccination rates – at least one dose – by zip code as of September 13, 2021
Zip Code
Percent vaccinated, at least one dose, 12 and older
98155
92.7%
98028
89.2%
98011
88.7%
98034
86.0%
98033
92.6%
98072
91.6%
98052
>95.0%
98004
>95.0%
98039
94.3%
98005
>95.0%
98007
89.9%
Vaccination rates for those 12 and older by zip code – at least one dose
National Round-Up
Johns Hopkins University Cumulitaive Case Tracker does not reflect nationwide data on Monday due to the way states report their information.
Irresponsible headline of the day – 57% of hospitalized COVID patients are asymptomatic or have mild symptoms
The Atlantic is grabbing headlines with a story out this afternoon, Our Most Reliable Pandemic Number is Losing Meaning. There is a lot that is problematic with this story and the interpretation of a study released today. The study, The COVID-19 Hospitalization Metric in the Pre- and Post-vaccination Eras as a Measure of Pandemic Severity: A Retrospective, Nationwide Cohort Study, is a pre-print non-reviewed study. The study includes a list of prestigious and respected doctors from the Veteran’s Administration and Tufts University.
For those who only read headlines (and the coming misinformation memes), there are many things to consider that the story in The Atlantic did not.
COVID patients, even when asymptomatic or mildly sick, require additional safety protocols for hospital staff. This takes up time, equipment, and personal protection equipment. This would be the same protocols for patients with other infectious diseases such as a measles outbreak. The critical difference is the scale of the number of COVID positive patients coming into hospitals.
The report only analyzed patients in the Veteran’s Administration, which is heavily male, and does not include pediatric patients. The VA demographics are not representative of the United States population.
The report study period ended in June, before the surge in Delta cases.
The study did not control for patients who required oxygen therapy before being admitted to a VA hospital, a condtion that is more common among veterans than the general population.
The VA has a policy of testing all patients for COVID regardless of what they come into the hospital for. That is not reflective of all hospitals in the United States.
Not all severe cases of COVID are admitted to a VA hospital, and those cases aren’t included in the data.
The report concludes, “Consideration should be given to updating the definition of COVID-19 hospitalizations to improve differentiation between hospitalization caused by COVID-19 and those associated with detection of SARS-CoV-2 through the addition of straightforward and objective measures of disease severity.”
After reaching a peak of 2,890 COVID-19 inpatients on Sept. 1, the state’s hospitals are starting to see a steady fall in the number of coronavirus patients.
As of Monday, hospitals were down to 2,474 patients being treated for the virus, according to the latest data from the Alabama Department of Public Health. It’s not clear to what extent the drop in hospitalizations is due to deaths or discharges.
By Monday, the state health department reported 210 COVID-19 patients in Alaska hospitals — the most ever. Thirty-three of them were on ventilators.
Health care officials have also cautioned that the true number of hospitalizations is likely even higher because the state’s data doesn’t include some long-term coronavirus patients, reported the Anchorage Daily News.
Hospitals in Anchorage had no remaining ICU beds on Monday.
Police have confirmed they are investigating a report of a hate crime and battery that occurred in the city last week, but they declined to disclose further details.
The Wells Fargo employee asked the man to wear a mask, and he responded aggressively. When he offered a mask to the customer, he started rummaging through the file cabinets and drawers of the bank, forcing employees to threaten to call the police.
The man then threatened the employee, calling him a racial slur and finishing with, “I better not catch you outside.”
When the bank closed at 5:30, the man was waiting for the banker and assaulted him in the parking lot. The employee fought back, and as a coworker called the police, the attacker fled. He was chased for a block, and as police arrived, scrambled over a fence.
“It’s crazy,” he added. “The guy went home, he plotted, he laid in wait, he ambushed me. And he called me a ‘sp–.’ I’m thinking, ‘Gosh, you know, he completely escalated on his own. He didn’t like the idea of having to wear a mask.’”
Speaking in Alachua County, DeSantis said government agencies in violation could potentially face millions of dollars in penalties.
“We are gonna stand for the men and women who are serving us. We are gonna protect Florida jobs,” DeSantis said. “We are not gonna let people be fired because of a vaccine mandate.”
Cases started climbing in late June and finally topped out toward the end of August. At that point, the state averaged more than 9,200 new cases a day. The average dropped by almost a thousand a week later.
Georgia never surpassed January’s surge that topped out at an average of nearly 11,000 new cases a day, but the state did almost double the peak from July 2020 of less than 4,700.
Health experts questioned whether traveling and get-togethers over the Labor Day weekend would keep cases climbing. The holiday still falls well within the two-week preliminary data window, so the state is still counting tests from that time.
Idaho’s 2,713 new cases, which included the weekend, brought the state’s seven-day moving average for new daily cases to 1,400. Hospitalizations hit a record high on Friday, with 626 patients hospitalized with COVID-19 statewide.
The Panhandle and North Central Health Districts in Idaho continue to operate using “crisis standards of care.” We strongly recommend not to travel to Idaho during this time of medical crisis. Any health emergency requiring hospitalization could result in you receiving inadequate care.
Illinois
We reported last week about Veronica Wolski. A well-known figure in the Chicago area for her sign waves over an expressway, last week it was widely reported that she was in the hospital with COVID.
Veronica Wolski in a Chicago area Staples refusing to wear a face mask, and on BIPAP therapy at a Chicago area hospital
Wolski died on Sunday night to the outrage of the QAnon community, disgraced lawyer Lin Wood, and former national security advisory Michael Flynn. According to her supporters, she had requested to be treated with ivermectin, and the hospital has refused.
A harassment campaign led by Wood and Flynn flooded the hospital with phone calls and e-mails.
Disgraced lawyer Lin Wood’s statement on the death of Veronica Wolski
Wolski was a passionate supporter of Bernie Sanders starting in 2014, campaigning vigorously for the Vermont Senator. When Sanders failed to get the nomination from the Democratic Party, she became despondent and starting following the QAnon conspiracy.
North Carolina
The Union County Public School Board voted Monday morning to end COVID-19 contact tracing and quarantining for non-positive students and staff.
That means students can go to school even if they have come in close contact with someone who is COVID-positive. The only people who have to stay home are those who have tested positive or have symptoms.
The School Board released a statement after the decision was made.
“At the Sept. 13 Special Called meeting, the Union County Board of Education voted effective immediately, to halt all staff responsibilities regarding contact tracing and quarantining for students and staff, except as required by law. The statutory authority of managing contact tracing and quarantining is that of Union County Public Health.
“As required by law, school nurses, administrators and school staff will continue to address positive, presumptive or confirmed cases of COVID-19. All students and staff who do not have a positive COVID-19 test or symptoms, should return to school or work immediately.
“If students or employees have the following symptoms: fever or chills, sore throat, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, new loss of taste or smell, sore throat, congestion or runny nose, nausea, diarrhea and vomiting, headache, they should stay home, stay away from others and call their health care provider.
“Students and employees who have been isolated due to a positive case or COVID-19 symptoms, should not report to school or work until they have completed 10 days of isolation, symptoms have improved and fever free for 24 hours without fever-reducing medication.
“Face coverings are still optional for students and staff in Union County Public Schools.”
“The hospital is full,” said Rex Director of Emergency Services Kim Boyder. “We are like 90% or greater capacity in the hospital. So that means we also get backed up in the ER. So that means we need additional space for not only the volume but some of the boarding.”
Although COVID-19 related hospitalizations have declined since Friday, 93% of Oregon’s hospital beds for adults are full, and there are just 62 adult intensive care unit beds available in the state.
Between Friday and Sunday, health officials say there were 32 deaths due to COVID-19. To date, the state’s death toll since the start of the pandemic is 3,446.
Oregon is in the midst of its worst COVID-19 surge since the start of the pandemic — which health officials say is fueled by unvaccinated people and the highly transmissible delta variant.
Misinformation
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Journalists, activists, and researchers defending the First Amendment
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