Many hands are being wrung online and privately on where the redline that triggers the beginning of World War III lie. A continuing narrative online is Russia has nukes, and they aren’t afraid to use them. When you look at the world’s involvement in Ukraine a clear picture emerges. World War III already started, and we’re moving closer from an intense cold war to a broadening hot war.
Noam Chomsky created a firestorm over Easter Weekend with his published views on Ukraine. His position could be summarized as Zelenskyy has put up a great fight, but there is no possible way to win, he needs to accept that Crimea and Donbas belong to Russia, and accept their updated terms of surrender.
To accept this with everything we know would mean turning a blind eye to 500,000 forced deportations, mass graves, systemic rape as a terror tool, forced starvation in Mariupol, filtration camps, and plans for forced reeducation of children illegally taken from Ukraine. It means ignoring over 100 hospitals bombed, over 70 cultural sites destroyed, the intentional targeting of civilians, the use of antipersonnel mines, and cluster bombs intentionally targeting civilians. It means ignoring the documented FSB raids in the Kherson Oblast on April 14 – 15, alleged torture centers, and the undeniable satellite images showing the rapid expansion of graves. It is ignoring the evidence of extrajudicial executions on roadsides and the clear torture of prisoners of war, after the video of Aiden Aslin emerged.
Why poke an angry bear? That bear has 6,000 nuclear warheads! (1,588, but I digress).
The reality?
The hot war remains in Ukraine, with insurgency and special forces operations in Belarus and the edges of Russia. Mines or drones have arrived in Romania, Turkey, Croatia, Russia, and Poland regardless of blame.
Ships flagged or owned by Estonia, Malta, Panama, Dominica, and Sri Lanka have been hit by missiles or mines – with two sunk. Turkey closed the Dardanelles and Bosphorus Straights to all warships that don’t have a homeport in the Black Sea on February 28.
Almost 100 cargo ships remain blockaded in the Black Sea, most carrying wheat and grain for Africa and the Middle East. As the blockade drags on, Egypt and Ethiopia (Tigray specifically) inch closer to a humanitarian crisis. The worst swarm of locusts in twenty-five years is devastating South Africa and Namibia. Namibia has been dealing with food insecurity issues since 2019 due to drought, corruption, and insect infestation. African and Middle Eastern students were trapped by Russian aggression, and students from Nigeria are still trapped in Kherson – completely forgotten by the world.
Countries worldwide have pledged direct military aid and humanitarian aid to Russia while sanctioning the nation.
Russia was forced to scrounge weapons from Iran, which recently showed up in Ukraine. It is not determined if these came from the Iranian government or militias.
Russia has its fingers in conflicts in Central and Eastern Africa, while the US and NATO have their fingers in conflicts in the Middle East.
India and China haven’t picked a side to date. There is little evidence that China has sent military aid to Russian beyond potentially MREs – but that hasn’t been proven. China has sent humanitarian aid to Ukraine. China hasn’t bought discounted Russian oil and restricted some bank activity. On TV and social media, even Chinese state media appears to be playing both sides – with reporters embedded with Russian military units while other sources report Russian war crimes.
China is also dealing with its worst COVID-19 crisis since the outbreak started. It has to dedicate massive internal resources in an attempt to maintain a “zero COVID” policy. China’s hospital system is too fragile to let COVID run its course as many other nations did from December 2021 to March 2022. Omicron and its growing list of variants are the most contagious viruses known to man, and the Chinese COVID vaccine works about as well as Russia’s Sputnik-V (which is to say, using accepted health measures for vaccine efficacy, it doesn’t work)
India has the world’s third-largest military budget, ahead of Russia. The nation gets most of its military hardware from Russia and imports 80% of its oil (less than 3% from Russia). Over the weekend, India canceled an order to buy 47 Mi-17 military helicopters from Russia, claiming they are working on a domestic production program.
So far, India could be described as sympathetic but not engaged. India remains belligerent toward Pakistan, and both are nuclear-armed nations.
Pakistan, Bosnia and Herzegovina, and Serbia have significant internal political problems. For Pakistan, the change in a new ruling alliance was brought on by internal issues. In Bosnia and Herzegovina and Serbia, growing tension and problems appear to be brought on by Russian influence, fanning the flames of decades of hatred and conflict.
The world is already at war across every continent (except Antarctica). Globally, we are deep into Cold War II and the closest to a hot war, not a proxy war, since 1962. Internally, Russia is already messaging a population of 139,980,000 that they may have to declare war, and it is all NATO’s fault.
The irony of this is if Russia had been successful in its original war plan, then Russia would be directly up against NATO nations. Further, Russian aggression in Ukraine has likely convinced Sweden and Finland to join NATO and accelerated the European Union applications of Ukraine and Moldova.
This isn’t war- or fear-mongering – look at the map. It is our reality. The world is already at war.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) New Covid-19 cases crept upward today while hospitalizations remain on a plateau. This appears to be a bump versus a new trend.
Washington State Ferries inched closer back to normal with three routes adding additional vessels today.
City of Seattle officials announced they were starting the termination process for 1611 five employees who have refused to get vaccinated.
In Benton County, the newly appointed sheriff announced he won’t require Covid-19 vaccinations for his staff. It’s a bit of non-news because the department doesn’t have a vaccine mandate.
Instead of taking the loss and calling it a day, the anti-vaccination leader Palmer Davis has another grift protest planned for Olympia on Friday.
We have expanded our recreational travel advisory to include all the counties on the Olympic Peninsula as hospitals reach the highest occupancy levels since the Delta surge began on August 17.
The CDC approved booster shots for the Moderna and Johnson and Johnson vaccine as well as agreed with the FDA on a mix-and-match strategy. The FDA is expected to issue final authorization as soon as tomorrow.
A new Covid-19 case was reported at Fernwood Elementary in the Northshore School District while the Bellevue School District inches closer back to status “green.”
In disinformation, the Chinese government has started a new social medial campaign suggesting that Covid-19 came from Maine lobsters. Is it true? Get your drawn butter and bib because it gets messy.
Finally, we hope to provide more in-depth national coverage again starting tomorrow.
New Covid-19 cases crept upward statewide. This is the first mid-week increase we have seen since September. The state opened several mass testing which may be pushing the numbers upward. Having access to accurate data on test positivity would help us understand if this is bump-up is an anomaly, a good trend, or a bad trend.
Percent of Total Population Fully Vaccinated
Total Population in Group
Average 14-Day New Case Rate
60.00% or above (5 counties)
2,659,450
222.5 (up)
50.00% to 59.99% (16 counties)
4,098,600
373.4 (up)
40.00% to 49.99% (10 counties)
860,525
442.4
30.30% to 39.99% (8 counties)
158,300
506.9 (up)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Adjusted for Population
Through October 20, Washington’s statewide 14-day rolling increased to 333.9 Covid-19 cases per 100K.
Ferry County (1,302.2) and Garfield County (1,213.5) continue to be hot spots.
Only two counties, Chelan and Grant, have a new case rate between 600.0 to 799.9 per 100K residents, and Chelan is 600.1.
Counties between 400.0 and 599.9 include Asotin, Columbia, Cowlitz, Douglas, Franklin, Grays Harbor, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pend Oreille, Skagit, Spokane, Stevens, and Yakima.
New cases increased for pediatric and geriatric patients. Hospitalizations for ages 65 to 79 have increased for the second day in a row.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
154.2 (up)
0.6 (down)
Ages 12-19
166.9
1.6
Ages 20-34
154.2 (up)
3.8
Ages 35-49
167.4
9.1
Ages 50-64
125.8
12.2
Ages 65-79
101.1 (up)
18.8 (up)
Ages 80+
102.9 (up)
31.5
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
Washington State Ferries returning to normal on several routes
Less than a week after cutting ferry schedules in anticipation of vaccine-mandate-related staffing cuts, Washington State Ferries (WSF) announced that four routes are moving closer to normal operations.
The Fauntleroy/Vashon/Southworth went back to three boats in services while the Seattle/Bainbridge and Edmonds/Kingston route returned to two boat services.
Number of Seattle firefighters facing termination drops to 5
The City of Seattle has started the termination process for five firefighters while another 74 await a decision on their exemption requests. On Monday officials reported 16 firefighters had not turned in proof of vaccination. On Tuesday the number dropped to 11.
We have a report that minutes after a small group of protesters with SFD departed Seattle City Hall on Tuesday, the boots and shoes they left behind were collected and given to the houseless.
Benton County Sheriff says he won’t require vaccinations
Tom Croskrey, the new Benton County Sheriff announced he would not require employees to get vaccinated. The announcement seems to be a recruiting attempt directed at the City of Seattle, King County, and the Washington State Patrol. The Washington state employee vaccine mandate did not include law enforcement officers at a local or county level.
Hatcher was accused of domestic violence and then a cover-up that led to command staff and employees quitting in 2019 and 2020 due to a loss of confidence in his leadership abilities and a toxic work environment.
In the 2017 domestic violence case, Hatcher was charged in 2019 with fourth-degree assault with domestic violence and witness tampering. A Spokane County prosecutor decided not to move forward with prosecution in October 2019. Additional details emerged around the case that led to four police unions calling for Hatcher to resign.
On August 17 security cameras showed Hatcher had packed his office and left the department.
Palmer Davis inspired by her mentor Joey Gibson discovers another reason to protest
Despite vaccination rates rising significantly in the last month and minimal impact from the October 18 vaccine mandate, grifters need to make money Waking Up Washington is planning another protest. The protest will be against vaccine passports in Olympia at the capitol on Friday.
The number of people attending anti-vaccination, anti-mask, and anti-mandate protests has dwindled over the last month with a couple of exceptions.
Davis had called for a school walkout on October 18 which never materialized. Earlier in the month, she called for protests at Swedish Hospital and Harborview Medical Center and no one showed up.
Travel Advisories
Due to a continued high level of hospitalizations, we’re maintaining our recreational travel advisory to the East Hospital Region, including Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties. Acute care and ICU capacity remain limited, and the ratio of Covid-19 patients to other hospital patients is exceptionally high. Additionally, we are adding the Northwest Region, which includes Clallam, Jefferson, Kitsap, and Mason counties. We are making this change because hospitals are at or just under capacity across this region.
Please reconsider nonessential travel plans to these counties.
We are walking back that our travel advisory for the East Hospital Region will likely last through the remainder of 2021. Current data is somewhat encouraging, and we believe the situation could improve significantly in the next four weeks.
We strongly advise against all nonessential travel to Alaska, Idaho, Montana, and Wyoming. Hospital resources in these regions are constrained, and you may receive inadequate care in Alaska, Idaho, and Montana if you experience a serious 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!
The CDC left the same limits set by the FDA to persons over 64-years old, 18 to 64 years old and immunocompromised, and persons who work in occupations where they are frequently exposed to Covid-19.
The FDA is expected to update the Emergency Use Authorization for the Moderna vaccine as soon as tomorrow.
Booster shots for Jassen/Johnson & Johnson vaccine approved by the CDC
The CDC also authorized a second “booster” shot of the Johnson & Johnson vaccine two months after receiving the first dose. Anyone who received the J&J vaccine is eligible for a booster regardless of age. The approval comes a day after an FDA panel made the same recommendation.
Unlike the Moderna vaccine, the CDC did not specify a protocol for which vaccine to get as a booster.
A final authorization could from the FDA as soon as tomorrow.
Mix and Match of Covid-19 booster shots approved by the CDC
In a third decision, the CDC approved mix and match Covid-19 booster shots a day after the FDA approved the recommendation.
The mix and match authorization will help innoculate vulnerable communities such as nursing home residents faster while enabling individual choice.
As an example, a woman who received the Johnson & Johnson vaccine and is currently taking birth control could get a Pfizer or Moderna booster as an alternative.
The FDA is also expected to authorize this measure quickly.
Respected epidimiologist recommends Moderna as the booster of choice for people who received the Johnson & Johnson vaccine
Dr. Katelyn Jetelina made a series of recommendations in her newsletter day, that outlines in detail the pros and cons of each mix-and-match vaccine scenario.
However, Dr. Jetelina indicated that the choice may not be that simple for everyone, and mixing and matching the different vaccines come with different benefits and the possibility of adverse reactions.
King County, Washington is reporting over 87.6% 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 15.4% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 619 additional acute care patients.
ICUs are at 85.5% of capacity statewide, with 25.0% of ICU patients fighting Covid-19 – an estimated 291 patients with 51% on ventilators. The state has the staff to support approximately 171 additional ICU patients.
On Monday, the 7-day rolling average hospital admission rate for new COVID patients was 106. The Department of Health reported 1,101 Covid-19 patients statewide on October 19, with 149 requiring ventilators. The patient count is between 1,080 and 1,160 for the 11th day in a row.
Hospital readiness is starting to show signs of real improvement in the East Region. The North Region includes some of the highest vaccinated counties and is approaching normalcy.
The new trouble spot is the Olympic Peninsula where hospital resources are reaching full capacity.
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
School and Education
School District
Status
Less than 10 Active Cases
10 or More Active Cases
Bellevue
YELLOW
– ESC East (1*) – Ardmore (1*) – Bennett (1*) – Interlake (1*) – Lake Hills (1*) – Newport (1*) – Newport Heights (1*) – Puesta del Sol (1*) – Sherwood Forest (1*) – Spiritridge (3*)
None
Lake Washington
YELLOW
– Bell Elementary (3*) – Blackwell Elementary (2*) – Carson Elementary (3*) – Einstein (1*) – Eastlake High (3*) – Finn Hill Middle School (3*) – Inglewood Middle School (1*) – Juanita Elementary (5*) – Juanita High School (4*) – Kamiakin Middle School (3* see notes) – Kirk Elementary (1*) – Kirkland Middle School (1*) – Lakeview Elementary (5*) – Lake Washington High School (4*) – Mead Elementary (2*) – Northstar Middle (1*) – Redmond Elementary (1*) – Redmond Middle School (2*) – Redmond High School (2*) – Rosa Parks Elementary (2*) – Rose Hill Middle School (1*) – Timberline Middle School (6*) – Twain Elementary (2*)
None
Northshore
YELLOW
– Arrowhead Elementary (2) – Bothell High School (34**) – Canyon Creek Elementary (9) – Canyon Park Middle School (22) – Cottage Lake Elementary (4) – Crystal Springs Elementary (27) – East Ridge Elementary (3) – Fernwood Elementary (3) – Frank Love Elementary (44) – Hollywood Hills Elementary (43) – Inglemoor High School (6) – Kenmore Elementary (3) – Kenmore Middle School (37**) – Kokanee Elementary (9) – Lockwood Elementary (11**) – Maywood Hills Elementary (1) – Moorlands Elementary (2) – North Creek High School (6) – Northshore Middle School (25) – Ruby Bridge Elementary (7) – Secondary Academy for Success (3) – Shelton View Elementary (1) – Skyview Middle School (2) – Sunrise Elementary (3) – Timbercrest Middle School (15) – Wellington Elementary (13) – Westhill Elementary (5) – Woodin Elementary (5) – Woodinville High School (3) – Woodmoor Elementary (3)
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 ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
No new cases were reported in the Bellevue or Lake Washington School Districts.
We received a parent confirmed report of three new Covid-19 cases at Kamiakin Middle School with 14 additional quarantines on Monday.
Fernwood Elementary in the Northshore School District reported a confirmed Covid-19 case and the number of staff and students who are Covid-19 positive at Lockwood Elementary increased to five.
Kirkland-Bellevue-Woodinville
No update
National Round-Up
Johns Hopkins University Cumulative Case Tracker reports 86,759 new cases and 3,071 deaths nationwide on Thursday. The death number is inflated after Oregon officials added 550 Covid-19 related deaths today due to a computer error.
Misinformation
Did Covid-19 cross over to humans from Maine lobsters?
As absolutely insane as that sounds, a disinformation campaign emerging out of China is claiming just that.
Zha Liyou, the Chinese consul general in Kolkata, India, tweeted an unfounded claim that Covid-19 could have been imported to China from the United States through a batch of Maine lobsters shipped to a seafood market in Wuhan in November 2019. It marks the latest in a series of theories that have been pushed by pro-China accounts since the start of the pandemic, according to a report in NBC News.
With some further digging, Schliebs uncovered a network of more than 550 Twitter accounts, which he shared with NBC News, spreading a nearly identical message, translated into multiple languages — including English, Spanish, French, Polish, Korean, and even Latin — at similar times each day between 8 a.m. and 11 a.m. China Standard Time.
Some of the accounts were “unsophisticated sock puppets” with “very few or zero followers,” Schliebs said, while others appeared to be accounts that were once authentic but had been hijacked and repurposed to spread disinformation.
For whatever it is worth, the Maine CDC said the claims have no scientific basis.
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
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
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.
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