Tag Archives: COVID-19

[Updated] Washington state announces new restrictions as COVID cases explode

Update: 12:05 PM – the announced restrictions will be in place for four weeks.

Governor Inslee of Washington state will be holding a press conference at 11 AM to announce new restrictions on activities and businesses due to a dramatic increase in COVID cases. The sweeping restrictions will prohibit indoor dining, reduce capacity at all retail locations including grocery stores to 25%, and requires entertainment venues such as movie theaters and zoos to close.

Washington state has seen a record number of new cases, exceeding 2,000 a day, while hospitalizations have started to increase. Late last week, UW Medicine announced it was implementing its surge plan which includes adding hospital beds and staff while dialing back on elective surgeries and in-office visits.

Government officials in Idaho have made things more complicated for Washington state. While Idaho does not havee a mask requirement, the hospitals in the panhandle region have become overwhelmed, and the state has started sending its COVID patients to Seattle and Portland, Oregon. In eastern Washington and Clark County in southwestern Washington, positive test rates range from 10.4% in Clark County to 37.7% in Whitman County. Less than 5% positive is ideal, and anything over 10% indicates under-testing and widespread transmission. Anything over 20% is considered a critical situation.

The state of Washington has released the following statement.

In order to slow the spread of rapidly increasing COVID cases in our state, and ensure that hospitals and medical systems are not overwhelmed, we are taking the very difficult but necessary steps to protect public health.

We recognize this will cause financial hardship for many businesses and the governor and staff are exploring ways to mitigate the impacts.

These rules are effective Monday, Nov. 16th at midnight (12:01 AM Tuesday), except for where noted as in the case of restaurants (detailed below).

If the activity is not listed, it should follow its current guidance. All K-12/higher education and childcare are exempt from the new restrictions and will follow current guidance. These restrictions do not apply to courts and court-related proceedings.

  • Indoor social gatherings with people from outside your household are prohibited.
  • Outdoor social gatherings should be limited to 5 people from outside your household.
  • Restaurants and bars are closed for indoor service. Outdoor dining and to-go service are permitted. Outdoor dining must follow the outdoor dining restriction. Table size limited to 5 for outdoor dining. These restaurant restrictions go into effect at 12:01 AM Wednesday, November 18.
  • Fitness facilities and gyms are closed for indoor operations. Outdoor fitness classes may still occur but they are limited by the outdoor gathering restriction listed above. Drop off childcare closed.
  • Bowling Centers are closed for indoor service.
  • Miscellaneous Venues: All retail activities and business meetings are prohibited. Only professional training and testing that cannot be performed remotely is allowed. Occupancy in each meeting room is limited to 25% or 100 people, whichever is fewer.
  • Movie Theaters are closed for indoor service. Drive-in movie theaters are still permitted and must follow the current drive-in movie theater guidance.
  • Museums/Zoos/Aquariums are closed for indoor service.
  • Real Estate open houses are prohibited.
  • Wedding and Funeral receptions are prohibited. Ceremonies are limited to no more than 30 people.
  • In-store retail limited to 25% indoor occupancy and must close any common/congregate non-food-related seating areas. Food court indoor seating is closed.
  • Religious services limited to 25% indoor occupancy no more than 200 people, whichever is fewer. No choir, band, or ensemble shall perform during the service. Soloists are permitted to perform. Facial coverings must be worn at all times by congregation members and no congregational singing.
  • Professional Services are required to mandate that employees work from home when possible, and to close offices to the public. If they remain open, occupancy is restricted to 25%.
  • Personal services are limited to 25% of maximum occupancy.
  • Long-term Care Facilities outdoor visits only. Exceptions can be made for essential support person and end-of-life care.
  • Youth (school and non-school) and adult sporting activities are limited to outdoor-only for intrateam practices, masks required for athletes.

A household is defined as the individuals residing in the same domicile.

UW Medicine implements “surge plan” due to growing COVID-19 cases

UW Medicine announced they are implementing surge plans due to a dramatic increase in COVID-19 cases in Washington state. In a publicly available memo, UW Medicine indicated that the rapidly growing cases are starting to impact the patient load within the hospital system.

Part of the surge plan includes increasing resources in its Emergency Operations Center to support the increase of bed capacity, staffing, and supplies. The memo goes on to hint that there will be a reduction in in-office visits and a shift to more telemedicine appointments to balance patient and healthcare provider safety.

Additionally, although no specific information was provided, prioritization of surgical procedures will be evaluated. The memo went on to indicate that emergency and critical surgeries would continue.

The memo is available online.

Governor Inslee to address Washington state 5:30 PM today

Governor Jay Inslee will address Washingtonians at 5:30 PM as the numbers for COVID-19 infections in the state of Washington accelerate. According to the Washington Department of Health, COVID-19 hospitalizations have increased 22% from November 3 to November 9, the most recent data available. Additionally, the rate of newly diagnosed cases, a gauge on how quickly COVID-19 is spreading, is near the highest levels recorded for the state, 145.2 per 100K.

Hospital capacity statewide remains positive, but the number of COVID patients is increasing, as well as those critically ill. ICU availability also remains. Idaho has been sending their sickest patients to Western Washington, with the state outstripping their hospital capacity. Idaho does not have a mandatory mask requirement and officials in the panhandle, where the infections are the worst, recently lifted pubic health restrictions.

Rural counties and counties where mask compliance is lower, or outright resisted is seeing some of the worst numbers. Positive test rates in Whitman County are 37.3%, Adams County 22.1%, Spokane County12.4%.and Clark County along the Oregon border is 10.4%.

This is a breaking news story and we will provide more information as it becomes available.

COVID-19 devastates the BIPOC community

Sprawling across Arizona, Nevada, and Utah, the 173,000 member Navajo Nation suffers from “Dikos Ntsaaígíí-19” – COVID-19. Over seven-percent of the Navajo have tested positive for COVID-19, with 591 deaths. If the Navajo Nation was an independent country, the mortality rate of 4.7% would be third-worst globally, behind Iran and Mexico.

Tribal officials called the outbreak out of control this week. In this sprawling desert region, where one-third of the population has no access to running water, officials declared a 56-hour curfew in an attempt to curb case growth. The curfew is on top of an existing daily curfew from 9 PM to 5 AM.

Doctors Without Borders/Médecins Sans Frontières (MSF) has been working with the Navajo and Pueblo Nations since April. In neighboring New Mexico, almost 50% of all COVID-19 deaths are Indigenous peoples who make up 10% of the state population. Reservations across the United States have reported a complete lack of support from the Bureau of Indian Affairs, the federal government, and state officials. In Washington state a request for PPE from the federal government resulted in the shipment of body bags.

In South Dakota, where governor Kirsti Noem, R, has refused to have a mask mandate and permitted events such as the Sturgis Motorcycle Rally, Cheyenne River Sioux, and Oglala Sioux tribes established COVID-19 checkpoints to enter their reservations. Governor Noem sued in federal court to remove the checkpoints, but the courts supported tribal autonomy, and the checkpoints have persisted. Tribal leaders in South Dakota stated they had established the checkpoints to protect tribal members due to a lack of medical resources and PPE.

Inequality isn’t limited to Indigenous peoples. The respected medical journal The Lancet published a study on July 14, 2020, comparing the Bronx Montefiore Health System’s mortality rate before and after COVID-19. The study included over 505,000 patients in the system and concluded that the mortality rate of Blacks due to COVID was higher. Factors such as age and comorbidities could not explain the higher rate in the population.

Closer to home in Washington state, six percent of all COVID deaths are Black while making up four percent of the people. For Hispanics, the numbers are far worse, with 38% of state fatalities coming from the ethnic group, which makes up 13% of the population. COVID tore through Yakima County earlier this year, where state farmers fought against guidelines to protect farmworkers from the disease. County leaders took a strong anti-mask position, and the county sheriff refused to enforce regulations. When it was time for the early summer harvest in the agricultural county, officials had to fly patients to Seattle, Portland, and Spokane to relieve overloaded hospitals.

APM Research Labs has been compiling mortality statistics based on race for COVID since March, and it paints a grim picture. Only Asian Americans have a lower mortality rate for Coronavirus. For Black Americans, the mortality rate is double for whites. Despite the higher infection and mortality rates, the Kaiser Family Foundation concluded that minorities as a group were less likely to be tested for COVID-19, be sicker when tested, and require more treatment due to the delay in identifying patients. The study also stated about Black households, “they are more likely to be working in low-income jobs that cannot be done from home, to be living in larger households in densely populated areas, and to utilize public or shared modes of transportation.

With the United States setting national and world records for the most positive tests in a day three days last week, the disparity is only getting worse. The IHME estimates that as many as 400,000 Americans could be dead from COVID by February 1, 2021, without drastic steps taken to lower infection rates. Back in Navajo County, Dikos Ntsaaígíí-19 may have impacted the national election. According to the Navajo Times, members of the nation voted in record numbers in Arizona, with 97% of the tribe voting for Joe Biden.