Tag Archives: covid long hauler

Idahoans are overwhelming Eastern Washington hospitals – local and national update for October 6, 2021

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[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.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on October 6, 2021.


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Washington State Update for October 6, 2021

Washington state Covid-19 update

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 VaccinatedAverage 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 Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11170.3 (down)1.1 (up)
Ages 12-19202.1 (down)0.8 (up)
Ages 20-34166.1 (down)5.0
Ages 35-49173.98.4
Ages 50-64120.115.1 (up)
Ages 65-7997.617.4
Ages 80+109.835.2 (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.

Nationally, law enforcement officers are one of the lowest vaccinated professions. Mike Solan, president of the Seattle Police Officer Guild (SPOG), spoke with KING 5.

“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.”

It’s hard to benchmark where the final numbers will land on October 18. The San Francisco Police Department has 2,140 officers. With a Covid-19 vaccine deadline looming on October 23, 267 remained unvaccinated.

According to the national police union, the Fraternal Order of Police, 716 law enforcement officers have died in the line of duty from Covid-19 since March 2020.

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

Sergeant Cameron Lefler of the King County Sheriff Department sent a department-wide e-mail on Monday, responding to an e-mail sent by three KCSO leaders, blasting the vaccine mandate and sharing conspiracy theories. The South Seattle Emerald received a copy of the original e-mail and Lefler’s response.

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.”

The term “jab” is common in Europe and widely used in Covid-19 misinformation, particularly Russian-backed sources. Multiple articles starting in January 2021 outlined the Kremlin-backed disinformation campaigns designed to sow mistrust in European and North American-created vaccines.

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

A new lawsuit was filed on October 5 by 19 employees claiming their civil rights are being violated by the looming vaccination mandate, in a story reported by KXLY.

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

A medical team available through the federal government arrived at a Spokane care facility to help with Covid-19-related care on Wednesday, KREM reported.

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!

In August, King County Health Officer Dr. Jeff Duchin mentioned the N95 Project as a trusted source for N95 masks. A check on the website showed that a 50 count box of United States manufactured N95 masks are available for $40.00. We recommend wearing N95 masks indoors as they provide the best protection against COVID when properly fitted.

No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks

Vaccination

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.

For information on getting a vaccination in King County, you can visit the King County Department of Public Health website.

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 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 RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman92.6%45.5%88.7%27.0%
NorthIsland, San Juan, Skagit, Whatcom74.8%33.4%86.0%13.2%
North CentralChelan, Douglas, Grant, Okanogan85.1%50.2%75.6%22.2%
NorthwestClallam, Jefferson, Kitsap, Mason92.2%42.8%96.0%27.0%
Puget SoundKing, Pierce, Snohomish91.3%24.6%94.5%13.6%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima87.9%33.8%84.1%21.7%
SouthwestClark, Cowlitz, Klickitat, Skamania 72.6%32.9%86.4%22.2%
WestGrays Harbor, Lewis, Pacific, Thurston81.6%23.1%85.5%17.0%
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.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Ardmore (1*)
– Bellevue (7**)
– Big Picture (1*)
– Chinook (3*)
– Eastgate (1*)
– Enatai (3*)
– Highland (8**)
– Interlake (3*)
– Lake Hills (4*)
– Newport (4*)
– Newport Heights (1*)
– Puesta del Sol (1*)
– Sammamish (4*)
– Sherwood Forest (2*)
– Spiritridge (1*)
– Stevenson (1*)
– Tillicum (1*)
– Wilburton (3*)
– Woodridge (3*)
None
Lake WashingtonYELLOW– 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
NorthshoreYELLOW– 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

Three people are dead across two counties in Maryland and Jeffrey Allen Burnham, 46, is in jail after he confronted his brother for administering Covid-19 vaccines, according to a report by WTTG.

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.

Covid long haulers are developing diabetes

As early as June 2020, scientists were alarmed to discover that Covid-19 was damaging the pancreases of some patients and triggering Type I insulin-dependent diabetes. When the Delta variant exploded in India, doctors saw a dramatic increase in sudden onset diabetes among Covid-19 patients. New research indicates that after recovery from Covid-19, a growing number of people are suffering from damage to their pancreas, according to a report in Yahoo!News.

“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.

According to a report by the BBC, both causes involve how the body fights Covid-19.

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.

While Idaho tries to out-Florida, Florida, the state crossed the grim milestone of 3,000 Covid-19 related deaths, reporting another 47 fatalities today. Compared to Washington, Idaho’s mortality rate is almost double with no end in sight to the current surge.

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.

You can read the transcript here.

May the odds ever be in your favor.

Montana

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.

St. Peter’s Health in Helena, which has been operating under crisis standards of care for weeks, reported 31 patients hospitalized with Covid-19, and the ICU was at full capacity, with 87% of all ICU patients infected with Covid-19. On Sunday, 14 out of the 18 rooms in the emergency department had seriously ill Covid-19 patients in them.

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.”

Wyoming

Officials reported another 483 confirmed cases, and hospitalizations grew to 201. Over 40% of patients are in two hospitals – Casper’s Wyoming Medical Center and Cheyenne Regional Medical Center.

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)
  • Zika
  • Pandemic Influenza
  • Anthrax
  • Acute Radiation Syndrome
  • Botulinum Toxin
  • Smallpox

People who have a documented vaccine injury can start the claim process online at the HRSA Injury Compensation Programs page.

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.

A little brown pill could be a giant game changer – local and national update for October 1, 2021

Photo credit: Emory University

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.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on October 1, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for October 1, 2021

Washington state COVID update

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 VaccinatedAverage 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 Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11195.00.6
Ages 12-19220.6 (up)1.3 (down)
Ages 20-34191.75.2
Ages 35-49189.88.8
Ages 50-64137.615.2
Ages 65-79104.320.0
Ages 80+108.332.6
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.

According to KING 5, tribal officials were forced to evacuate the site on Thursday.

“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

This is not new territory for Amazon. In 2017 the “Frequently Bought Together” recommendation included ingredients to make homemade bombs. The Seattle-based company adjusted the recommendations made by the feature and said they would police recommendations in the future to prevent the recommendation of dangerous combinations.

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.

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 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.

Thank you

Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!

In August, King County Health Officer Dr. Jeff Duchin mentioned the N95 Project as a trusted source for N95 masks. A check on the website showed that a 50 count box of United States manufactured N95 masks are available for $40.00. We recommend wearing N95 masks indoors as they provide the best protection against COVID when properly fitted.

No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks

Vaccination

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.

For information on getting a vaccination in King County, you can visit the King County Department of Public Health website.

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 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 RegionICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
East88.6%44.6%89.6%26.7%
North80.8%28.5%88.0%13.1%
North Central96.4%58.9%75.7%26.3%
Northwest92.3%38.3%95.4%24.6%
Puget Sound91.8%23.4%94.6%14.4%
South Central85.7%34.9%83.2%25.4%
Southwest74.3%37.3%88.3%24.9%
West89.1%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.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Bellevue (6**)
– Big Picture (1*)
– Chinook (1*)
– Eastgate (1*)
– Enatai (3*)
– Highland (3*)
– Interlake (3*)
– Lake Hills (3*)
– Newport (4*)
– Newport Heights (1*)
– Puesta del Sol (1*)
– Sammamish (1*)
– Sherwood Forest (2*)
– Spiritridge (1*)
– Stevenson (1*)
– Tillicum (1*)
– Wilburton (2*)
– Woodridge (3*)
None
Lake WashingtonYELLOW– Alcott Elementary (1*)
– Barton Elementary (1*)
– Dickinson/Explorer Elementary (2*)
– Ella Baker Elementary (3*)
– Eastlake High (1*)
– Evergreen Middle School (1*)
– Franklin Elementary (2*)
– Finn Hill Middle School (1* – 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
NorthshoreRED– 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.

A 4th-grade teacher in the Kelso School District has died, district officials said, later adding that her classroom of 21 students is quarantining over positive COVID-19 cases through October 11.

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.

Merck, in collaboration with Ridgeback Bio, acquired the drug in July of 2020.

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

JetBlue Airways Corp. told workers that two provisions in a recent federal mandate mean they must get fully vaccinated against COVID-19, possibly as soon as December 8. The east coast-centric airline joins United, Hawaiian Airlines, and Alaska Air Group in mandating vaccination for its employees.

Supreme Court Justice Brett Kavanaugh tests positive for COVID

Supreme Court Justice Brett Kavanaugh has tested positive for COVID-19, according to a story on CNN. This is the first publicly known case of coronavirus among the high court’s justices.

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.

In a story reported by the Anchorage Daily News, she painted a grim and immediate picture of deaths occurring almost daily at the hospital, largely among unvaccinated people.

“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.”

California

California will require students attending school in-person to get vaccinated for Covid-19 after the Food and Drug Administration grants full approval for their age group, Gov. Gavin Newsom announced Friday.

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.

Colorado

At least 92% of Denver’s municipal employees were vaccinated against COVID-19 as of Friday, a day after the city’s vaccine mandate took effect in a bid to slow the spread of the virus during the fall and winter, according to a review of city compliance data.

The AP reported that almost 99% of the city’s 10,869 full-time employees were fully vaccinated or had an exemption accepted.

Idaho

Idaho reported 1,778 new cases yesterday and 24 deaths as the state continue to operate under “crisis standards of care” without a load management agreement between hospitals.

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.”

On the afternoon of September 24, PMC had about 10 patients with COVID on ventilators. The number of patients needing mechanical ventilation almost doubled during the ensuing hours. In response, PMC requested seven more ventilators from its parent company, Ardent Health Services, said Dr. Dan Snell, PMC’s chief medical officer.

“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.

KTVB reported across the St. Luke’s Health System 264 of their 607 patients admitted to the hospital are COVID positive. 66 of the 78 patients in the ICU are COVID patients and 97% of the COVID patients in the ICU are unvaccinated.

“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.

Maine

Tom Edge, a retail pharmacy manager for Pen Bay Medical Center in Rockport, Maine, said he’s refused to fill six prescriptions for ivermectin in the last month, according to the Portland Press Herald.

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.

Montana

While the hallways of the Billings Clinic are lined with COVID patients and the hospital in Helena has operated under crisis standards of care for two weeks, Elsie Arntzen, the Republican state superintendent at the Montana Office of Public Instruction spoke at a “medical freedom” rally.

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.”

Montana reported 962 new cases and 8 more deaths today, but not much else in the form of data.

New York

The Supreme Court on Friday declined to block New York City’s requirement that public school teachers receive COVID-19 vaccinations, marking the second time the nation’s high court has declined to wade into the issue. 

A group of teachers in New York had asked the Supreme Court for an emergency injunction to block implementation of the mandate, which required them to receive a shot by 5 p.m. Friday or face suspension without pay when schools open Monday.

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.

Wyoming

Wyoming hospitals are reporting 210 COVID patients hospitalized, 50 on ventilators, and 35 ICU beds available statewide. Wyoming has 37 hospitals including Veteran’s Administration facilities and 15 have available ICU beds.

Misinformation

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.

DOH reporting hospitalization data again – local and national update for September 30, 2021

Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.

[KING COUNTY, Wash.] – (MTN) Six days after our story about data missing since August on the COVID dashboard from the Washington Department of Health, a significant amount of information was returned. The appearance of granular hospitalization data has enabled us to better understand the situation in Washington state.

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.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 30, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 30, 2021

Washington state COVID update

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 VaccinatedAverage 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 Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11189.80.7
Ages 12-19206.71.7
Ages 20-34191.25.1 (down)
Ages 35-49192.89.2 (down)
Ages 50-64140.715.1
Ages 65-79100.019.5 (up)
Ages 80+106.931.2
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!

In August, King County Health Officer Dr. Jeff Duchin mentioned the N95 Project as a trusted source for N95 masks. A check on the website showed that a 50 count box of United States manufactured N95 masks are available for $40.00. We recommend wearing N95 masks indoors as they provide the best protection against COVID when properly fitted.

No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks

Vaccination

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.

For information on getting a vaccination in King County, you can visit the King County Department of Public Health website.

Malcontent News

Hospital Status

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 RegionICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
East89.3%45.5%90.1%27.3%
North80.9%27.0%88.4%13.1%
North Central96.9%59.0%75.8%27.2%
Northwest92.5%38.9%95.4%25.0%
Puget Sound91.6%23.4%94.5%14.7%
South Central86.1%36.5%84.3%26.4%
Southwest73.1%38.3%88.1%25.0%
West88.8%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.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Bellevue (1)
– Eastgate (1)
– Enatai (4)
– Lake Hills (3)
– Sherwood Forest (7)
None
Lake WashingtonYELLOW– Alcott Elementary (1*)
– Barton Elementary (1*)
– Dickinson/Explorer Elementary (2*)
– Ella Baker Elementary (3*)
– Eastlake High (1*)
– Evergreen Middle School (1*)
– Franklin Elementary (2*)
– Finn Hill Middle School (1* – 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

NorthshoreRED– 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.

The Kent Reporter stated the Kent School District closed a classroom at Panther Lake Elementary School due to COVID.

“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

The at-home antigen tests that produce results in minutes — and are more comfortable because you don’t have to swab your nose deeply — detect certain proteins in the virus. However, the tests can provide false negatives according to a report by the Kansas City Star.

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.

Among thousands of the earliest survivors of COVID-19 in Wuhan, China, nearly half had at least one persistent symptom a full year after being released from the hospital, according to a new study published in JAMA Network Open.

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.

Kaiser Permanente said 90% of employees have reported they are vaccinated, including 97% of doctors, in a report by KCRA. Employees still have until December 1 before they risk termination.

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.

Idaho

Idaho reported 1,905 new cases yesterday and 53 deaths. Hospitalizations have dropped to around 750, and the number of patients in the ICU has dropped to just below 200. It is unclear if this improvement is due to deferring patient procedures such as elective surgery, due to crisis standards of care rules, people following misinformation to not go to hospitals or a plateauing of cases.

“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.

Charter school enrollment increased by more than 6,000 students for the 2020/2021 school year–the first academic year fully consumed by the pandemic.

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.

“(My mom) wasn’t gullible, and I guess that’s one thing I’ve tried to make clear,” Chaney told KTVB. “She was the first in her family to graduate with a bachelor’s degree, she got a master’s degree, so she was an intelligent person who made her own decision.”

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.”

Kay Craig, a physical therapist who has worked for St. Luke’s for more than 28 years, applied for a religious exemption for the COVID vaccination and had it approved.

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.”

Indiana

The Indy Star is reporting Megan Bournique is suing Ascension St. Vincent hospital for refusing to administer Ivermectin to her critically ill mom.

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 largest study to date on the effectiveness of Ivermectin found it had no effect and was contraindicated for patients with moderate to severe COVID.

Also reported by the Indy Star, Governor Eric Holcomb renewed the state’s public health emergency order once again on Thursday.

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.”

Michigan

The Republican legislature put language in the 2022 budget signed by Governor Gretchen Whitmer, rescinding funding to any county or school system that independently declares a public health emergency. Multiple counties and school districts are ending quarantine rules and mask requirements out of fear of losing education dollars from the state.

May the odds ever be in your favor.

Montana

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.”

It continues to be very challenging to get meaningful information out of the state of Montana. The state reported 1,217 new cases with 415 hospitalized. The Department of Health and Human Services did report that over 88% of the people hospitalized and 83.5% of confirmed COVID-related deaths were unvaccinated.

New York

Spectrum News reported a group of New York City teachers asked the U.S. Supreme Court for an injunction to stop the city from enforcing its COVID-19 vaccine mandate, court records show.

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

KOIN reported hospitals in Oregon continue to be nearly filled. There are 816 COVID patients hospitalized across the state, with 231 in the ICU. Only 10% of ICU beds are available, and only 8% of non-ICU beds.

The state recorded another 1,896 new cases and 20 deaths.

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.

Tennessee

Tennessee leads the nation in delicious Whiskey, country music, some of the friendliest people you can meet, Nissan Altimas, and COVID-related school closures. If you think we’re being flippant, the Tennessean shares our tone.

“Unsurprising to many students and parents, Tennessee has seen the most COVID-related school closures so far this school year according to a new Centers for Disease Control and Prevention study published.”

From August 2 to September 17, Tennessee saw more than 400 schools close for at least one day, according to the study released last week.

Utah

Utah Governor Spencer Cox said Thursday the state appears to be headed toward the “other side” after several weeks of a COVID-19 surge in a story by KSL.

“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%.

Governor Cox also warned Utah lawmakers if they approve a bill to ban businesses from requiring COVID vaccinations, it won’t make it past his desk. When a reporter asked if the bill landed on his desk if it would be, “dead on arrival,” the governor said, “yes.”

“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.”

Wisconsin

Wisconsin Public Radio is reporting state senator André Jacque was released from the hospital more than three weeks after being placed on a ventilator because of a COVID-19 infection.

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.

You can read more at Politifact, but the bottom line is, the claim is untrue.

Antivax protests ramp up as cases go down – local and national update for September 29, 2021

Photo credit – University of Washington Medicine

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 most vaccinated county in Washington, San Juan, became the first county to see the number of new COVID cases drop into an acceptable range today. Across Washington, the number of new COVID cases and hospitalizations continues to decline.

The percentage of acute care patients treated for COVID dropped below 20% for the first time in weeks, adding more evidence that the fifth wave peaked.

Protesters plan to try and enter Swedish and Harborview Medical Center tomorrow as part of a protest against vaccine mandates for healthcare workers. A large anti-mandate protest is scheduled for Sunday in Olympia and includes speakers from The Post Millenial, Turning Point USA, and failed gubernatorial candidate Loren Culp.

Washington state will start disciplining doctors and nurses who spread COVID misinformation.

The CDC urges pregnant women to get vaccinated, reporting 97% of pregnant people hospitalized are unvaxxed. The deadline to get vaccinated to meet the Washington state employee mandate arrives on Sunday.

A new study out of the U.K. indicates 36% of people who have symptomatic cases of COVID become long haulers, in the most extensive study to date.

Alaska has two more hospitals move to crisis standards of care, Idaho continues the Hunger Games while Montana takes a bold new approach to its COVID problem – stop reporting data.

If Alaska were a country, it would have the highest COVID infection rate on the planet, and if Idaho were a country, it would have the highest COVID death rate on the planet.

In misinformation, we do a rerun to the questions, “what about Israel?”

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 29, 2021.

Editor’s Note: A security upgrade took our site offline for a few hours last night. We apologize for any inconvenience. This was not related to any malicious activity but was required to fix a critical security flaw.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 29, 2021

Washington state COVID update

The first wave has ended in San Juan County, where 73.2% of the eligible population was vaccinated. The 7 day moving average for new cases dropped to 23.1 today, showing the archipelago has COVID under control.

New cases continued to drop statewide. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, the 14 day moving average for new cases decreased to 742.9 per 100K. The Central Hospital Region, which represents King County, declined to 245.1.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
60.00% or above (3)172.2 (down)
50.00% to 59.99% (12 counties)509.3 (down)
40.00% to 49.99% (15 counties)660.3 (down)
28.40% to 39.99% (9 counties)724.7 (down)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 28, Washington’s statewide 14-day rolling average is 429.8 COVID cases per 100K, the lowest number since August 18. Counties in the 1,000.0 to 1,399.9 range include Lincoln (1,049.8) and Stevens (1,069.3), the least vaccinated county in Washington. Counties in the 800.0 to 999.9 per 100K range include Franklin, Garfield, Grant, Grays Harbor, and Okanogan.

New cases were down for all ages except 50 to 64 years old, which was statistically unchanged. Pediatric patients increased while geriatric patients decreased.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11194,8 (down)0.7 (up)
Ages 12-19213.0 (down)1.7
Ages 20-34200.7 (down)5.6
Ages 35-49201.5 (down)9.9
Ages 50-64142.815.0
Ages 65-79102.5 (down)18.5 (down)
Ages 80+106.5 (down)31.5 (down)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 63 deaths on Tuesday, with data from the weekend included in the number. The state of Washington is not reporting the percentage of positive cases.

“We’re seeing some hopeful signs, and disease is still very, very high. Hospitalizations are still very, very high. Hospital admissions are still significantly higher than they were at the peak of the 3rd wave. And those are new admissions every day, and so that means occupancy is still very high. It continues to be high. And so, hospitals continue to they’re having to delay care for non-urgent procedures,” said Lacy Fehrenbach, Deputy Secretary for COVID-19 Response at the Washington State Department of Health.

Antivax protesters plan to enter Swedish and Harborview Medical Center tomorrow

At least one promoter of the Waking up Washington “Seattle March for Healthcare Workers Against COVID Mandates” is calling for marchers to enter Swedish and Harborview Medical Center to force people to “hear inconvenient truths.”

The march will start at 11:30 a.m. tomorrow, with protesters against vaccine mandates told to gather at Swedish before marching through Seattle to Harborview Medical Center.

On September 21, organizer Palmer Davis shared with her followers, “If our goal is to demand action from those inside the building, standing outside [emphasis hers] of it is kind of a waste of time.”

“What works is to get inside.” [emphasis hers]

“Face-to-face discussion forces people to hear inconvenient truths and answer inconvenient questions.”

Ms. Davis provided no additional specifics on what action could happen when they enter the hospitals, but she didn’t indicate they plan to disrupt patient care.

Available data doesn’t support large-scale resistance among the medical community over receiving the COVID vaccination. New York was the first to reach the deadline for a statewide mandate for healthcare workers. Over 92% of the state’s 692,326 impacted healthcare workers had received at least a first dose by Monday. More than 15,000 additional workers have told officials they will start their vaccination series.

Vaccination rates among patient-facing staff are even higher. The vaccination rate for nurses is estimated to exceed 97% and for doctors was almost 100%,

Large anti-vaccination protest planned in Olympia on Sunday

Local activists are planning a large anti-vaccination mandate rally at the Washington State Capitol on Sunday. Listed speakers include Ari Hoffman, writer at the Post Millenial, Katie Daviscourt of Turning Point USA, serial lawsuit filer Glen Morgan, Loren Culp, the former police chief of Republic, Washington State Representative Jim Walsh, and Winlock mayor Brandon Svenson.

“October 4s the deadline to receive the 2nd dose of the MRNA injection in order to be considered “fully vaccinated” by October 18 [sic] OctoOctober [sic] 3 thousands of State Workers and others from 1–4 p.m. as we stand united against this unreasonable and un-American mandate. Only by standing together do we have any hope of pressuring this Governor to reverse course. If he will not, then we must demand that our Representatives in the Legislature hold a special session to end this lawless and harmful action.”

The United States Supreme Court ruled in 1905 vaccination mandates at the municipal, county, and state levels are Constitutional. The court’s finding has been litigated dozens of times in the 116 years since, including August of this year. Several students at the University of Indiana filed a case with the Supreme Court over the university’s vaccine mandate. Justice Amy Coney-Barrett issued a ruling in favor of the school after determining it didn’t warrant an emergency hearing with the entire court.

About 1,700 state employees have had exemptions approved but could still lose their jobs if a non-public facing position can’t be found for them.

Washington doctors face discipline for spreading COVID misinformation

The Washington Medical Commission says practitioners who misrepresent prevention measures, including vaccines and mask-wearing or prescribe non-approved medications such as Ivermectin, will be subject to disciplinary action.

Patients concerned about a provider’s conduct can file a complaint with the commission.

Washington nurses will face the same action.

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 5 to 12 days. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

Thank you

Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!

In August, King County Health Officer Dr. Jeff Duchin mentioned the N95 Project as a trusted source for N95 masks. A check on the website showed that a 50 count box of United States manufactured N95 masks are available for $40.00. We recommend wearing N95 masks indoors as they provide the best protection against COVID when properly fitted.

No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks

Vaccination

CDC urges pregnant women to get vaccinated as deaths, premature births, and stillbirths rise among the unvaccinated

The CDC strongly recommends COVID-19 vaccination either before or during pregnancy. As of SeptemSeptember 27, more than 125,000 laboratory-confirmed COVID-19 cases have been reported in pregnant people, including more than 22,000 hospitalized cases and 161 deaths. The highest number of COVID-19-related deaths in pregnant people in a single month was reported in August 2021. Data from the COVID-19-Associated Hospitalization Surveillance Network (COVID-NET) indicate almost 97% of pregnant people hospitalized (either for illness or for labor and delivery) with confirmed SARS-CoV-2 infection were unvaccinated.

In addition to the risks of severe illness and death for pregnant and recently pregnant people, there is an increased risk for adverse pregnancy and neonatal outcomes, including preterm birth and admission of their babies to an ICU. Other negative consequences, such as stillbirth, have been reported. Despite the known risks of COVID-19, as of SeptemSeptember 18, 31.0% of pregnant people were fully vaccinated before or during their pregnancy.

Although the absolute risk is low, compared with non-pregnant symptomatic people, symptomatic pregnant people have more than a two-fold increased risk of requiring ICU admission, invasive ventilation, ECMO, and a 70% increased risk of death.

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 have reported they are fully vaccinated, and data from companies, schools, and other states such as Hawaii and New York, indicated that final acceptance would 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.

For information on getting a vaccination in King County, you can visit the King County Department of Public Health website.

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 19.5% of all acute care patients hospitalized in Washington have COVID. This is the first time the Washington state hospital system is not under “severe stress” in weeks. ICUs are at 89.3% of capacity statewide, with 30.5% of ICU patients fighting COVID. Although these numbers are very encouraging, thousands of vital surgeries and other medical procedures have been delayed for months. Some hospitals are starting to do elective procedures again, which will continue to keep ICU beds full.

The 7-day rolling average hospital admission rate for new COVID patients dropped to 137. The Department of Health reported 1,267 COVID patients statewide on SeptemSeptember 2897 on ventilators.

Hospitals in Eastern and Southwest Washington remain very strained due to low vaccination rates and, to a far lesser extent, out-of-state transfer patients.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Bellevue (1)
– Eastgate (1)
– Enatai (4)
– Lake Hills (3)
– Sherwood Forest (7)
None
Lake WashingtonYELLOW– Alcott Elementary (1*)
– Barton Elementary (1*)
– Dickinson/Explorer Elementary (2*)
– Ella Baker Elementary (3*)
– Eastlake High (1*)
– Evergreen Middle School (1*)
– Franklin Elementary (2*)
– Finn Hill Middle School (1* – see below)
– ICS (1*)
– Inglewood Middle School (2*)
– Juanita Elementary (1*)
– Kamiakin Middle School (3*)
– Keller Elementary (2*)
– Kirkland Middle School (1*)
– Lake Washington High (1*)
– Lakeview Elementary (3*)
– Muir Elementary (1*)
– Redmond Middle School (1*)
– Redmond High School (1*)
– Renaissance Middle School (1*)
– Rush Elementary (2*)

See notes below

NorthshoreRED– Arrowhead Elementary (16)
– Canyon Creek Elementary (25)
– Canyon Park Middle School (11**)
– Cottage Lake Elementary (13)
– Crystal Springs Elementary (52**)
– East Ridge Elementary (21)
– Fernwood Elementary (13**)
– Frank Love Elementary (25)
– Hollywood Hills Elementary (26)
– Inglemoor High School (8)
– Innovation Lab High School (11)
– Kenmore Elementary (12)
– Kenmore Middle School (50**)
– Kokanee Elementary (62)
– Leota Middle School (5)
– Lockwood Elementary (31)
– Maywood Hills Elementary (21**)
– Moorlands Elementary (51)
– North Creek High School (26**)
– Northshore Middle School (13**)
– Ruby Bridges Elementary (9)
– Secondary Academy for Success (12)
– Shelton View Elementary (18**)
– Skyview Middle School (75**)
– Sunrise Elementary (21)
– Timbercrest Middle School (46)
– Wellington Elementary (77)
– Westhill Elementary (30)
– Woodin Elementary (17**)
– Woodinville High School (19)
– Woodmoor Elementary (21**)
– Bothell High School (13*/121)
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 went back to status yellow, with 10 confirmed COVID cases between students and staff in the district.

We received a confirmed parent report of one new COVID case at Finn Hill Middle School with 52 students moved to quarantine. Because Lake Washington doesn’t update its dashboard daily, we are adding this as a footnote.

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 111,162 new cases and 2,543 deaths nationwide. COVID-related hospitalizations have declined to 79,000. The Pacific Northwest and Appalachia have become the new COVID hotspots, while Alabama leads the nation in per capita COVID deaths.

Dwindling COVID data is hampering efforts to track and report the real situation

The Johns Hopkins COVID Dashboard is struggling to get meaningful data, as more states purposely stop reporting.

“The fact that they created it, the infrastructure sits there, they put resources towards it, and then they decided not to make it sustainable is really concerning and just disheartening,” says Lauren Gardner, an associate professor of engineering at Johns Hopkins University. “It’s like they started going down the right path and then pulled back.”

By the first week of June, 24 U.S. states reported cases and deaths less than seven times a week, and four states reported only one to three times a week, according to JHU. More states followed suit, even as cases began to rise again due to the Delta variant. Currently, 36 states have pulled back from daily reporting, and seven of them are reporting only three times a week or less, including hard-hit Florida, which is reporting weekly.

New study finds 36% of people who had COVID are long haulers

In a study published Tuesday in the journal PLOS Medicine, researchers found that about 36% of those studied still reported COVID-like symptoms three and six months after diagnosis. Most previous studies have estimated lingering post-COVID symptoms in 10% to 30% of patients.

The study, led by University of Oxford scientists in the United Kingdom, searched anonymized data from millions of electronic health records, primarily in the United States, to identify a study group of 273,618 patients with COVID-19 and 114,449 patients with influenza as a control.

Alaska

If Alaska were a country, it would have the highest new COVID case rate on the planet, and the 1,172 new cases per 100,000 people is an improvement from yesterday. Two more hospitals, Yukon-Kuskokwim Health Corp. in Bethel and the 11-bed Providence Valdez Medical Center, announced they were implementing crisis standards of care. In Valdez, crisis standards of care only apply to patients requiring oxygen due to a shortage.

Yukon-Kuskokwim Health Corp. made the crisis care decision as many of the hospitals that typically take patient transfers in Anchorage and elsewhere continue to operate at capacity, officials said Wednesday. Hospitals in outlying areas already say they have to treat more challenging patients in-house because they can’t move them out for higher levels of care.

Dr. John Cullen described the likelihood of a much higher mortality rate “similar to a battlefield scenario” until COVID-19 cases start to drop to the Valdez City Council.

Alaska has 207 COVID patients hospitalized and 22 ICU beds available statewide – both numbers are an improvement from yesterday. Of the 106 patients in the ICU, a staggering 84 are on ventilators.

Twenty-seven-bed Fairbanks Memorial Hospital reported an infant was hospitalized with COVID, and 3 deaths overnight ranging in age from 40 to 55 years old.

More than 300 Alaska doctors and other medical professionals, who are frustrated about inaction and incivility around COVID-19, signed an open letter this week asking people to think of what’s best for their fellow Alaskans and consider getting vaccinated.

The letter signers also say they stand in solidarity with their colleagues who spoke at an Anchorage Assembly meeting earlier this month after their impassioned testimony was met with jeers and denials.

Robin Ninefeldt told Alaska Public Media, “I personally know a young gentleman who lost his life because the health aide clinic ran out of a supply of oxygen. That’s a reality. And when I talk with my colleagues who are in the ICU, you’re dealing with the people doing your very best to keep them alive through supportive therapies, watching them pass away, watching families literally erupt into screams in tears because it is tragic to have someone taken from you so quickly.”

Idaho

Boise State University has provided insight into how much impact “crisis standards of care” are having in Idaho. At the start of the surge tearing through the state, 4.04% of residents who became infected with COVID died. This is well above the region and national average and exacerbated by distrust in the medical community, uninsured residents, and significant comorbidities in the state. Today, the rate is over 9% – if Idaho were a country, it would rival Peru.

The state reported another 1,684 confirmed cases, 90 new hospitalizations, and 24 deaths today. The average age of a person with COVID has dropped to 39.7 years old, with most new cases among 18 to 29-year-olds. The situation may be worse, with the Idaho Division of Public Health needing to process 11,500 outstanding positive cases.

That backlog not only limits the accuracy of reported COVID-19 cases in real-time but also limits local public health districts in their ability to contact trace properly. According to local health districts, this backlog of cases has developed due to a lack of necessary staffing to process cases in real-time. However, hiring more staff hasn’t been easy.

“There is a stigma against public health across much of Idaho, including our district, which makes it so people don’t want to work for public health simply because they don’t want to face the harassment public health workers are facing right now,” said Brianna Bodily, public information officer for South Central Public Health District.

Idaho Governor Brad Little toured the monoclonal treatment site at the Kootenai County Fair Grounds.

“I want to remind everybody the monoclonal antibody treatment is a second to people getting vaccinated. We’ve got to get our numbers down.”

“Compared to the vaccines we’ve had before, there’s been more follow up on this vaccine than anything in history,” Gov. Little said.

Hospital officials describe border communities, like Spokane and Coeur d’Alene, as the ‘stopgap’ for ineffective Covid practices in Idaho, which Gov. Inslee mentioned during his trip to Spokane.

As nurses and doctors fought to keep a critically ill woman alive at St. Luke’s McCall Medical Center, which has just 15 beds, someone was busy painting swastikas outside. The staff is now demoralized and fearful.

“It was heartbreaking,” said Paddy Kinney, a physician and the on-duty hospitalist that night. “The timing of it was tough. Anytime you leave the hospital after you’ve worked all night trying to save somebody and you go home to your family, it’s hard to leave the hospital. You’re wondering if you could have done more or if that person is going to ultimately survive the night.

“But then to leave and be faced with that on your way out the door was really heartbreaking for people.”

“It’s disheartening to hear that our healthcare workers went from feeling like heroes to feeling at risk,” Idaho Department of Health and Welfare (DHW) Director Dave Jeppesen told reporters Tuesday.

Kootenai Health, in northern Idaho, increased security after people got into disputes with staff over masking requirements and staged protests outside the hospital. “I mean, we had a protest outside the hospital against masks and vaccines a couple of weeks ago that the patients that were dying of COVID inside could see,” Kootenai Health chief of staff Dr. Robert Scoggins said. “I think that was awful.”

Dr. Ryan Cole, who heads the public health efforts in Ada County, was blasted for making false claims that the COVID vaccine caused a twentyfold increase in cancer rates.

Cole claimed that he saw an uptick in cancers in vaccinated people, such as a “20 times increase in endometrial cancer”. However, he offered nothing in the way of data to support his claim, meaning that viewers only have his word for it.

Public health authorities haven’t reported a sudden cancer surge since the COVID-19 vaccination campaign began in the U.S. in December 2020. Furthermore, the spike that Cole alleged to be occurring would also have been observed worldwide if it were true. Yet, no reports have been corroborating Cole’s claim that people are now developing cancer at record rates.

The number of children and teens in Idaho hospitals for COVID-19 at the end of this summer was five times higher than what hospitals were seeing in June, according to data presented Wednesday afternoon in a briefing with doctors representing Saint Alphonsus, St. Luke’s, and Primary Health.

The number of hospitalized infants and children younger than five years old was ten times higher during the last week of August compared to June.

“That’s a scary figure,” said Dr. David Peterman, CEO of Primary Health Medical Group, who’s also a pediatrician.

Kentucky

Wednesday marks the highest day of COVID-19 deaths in Kentucky with 82. The second highest was on JanuarJanuary 28, with 69 deaths.

Michigan

Two Michigan residents, including a registered nurse, were arrested on Wednesday and charged with selling fraudulent COVID-19 vaccine cards.

Bethann Kierczak, 37, faces charges of theft or embezzlement related to a healthcare benefit program and theft of government property.

The complaint alleges that starting as early as May, the registered nurse distributed and sold real COVID-19 cards that had either been stolen or embezzled from a Veterans Affairs hospital. For the cards to look even more authentic, Kierczak used stolen or embezzled vaccine lot numbers for the cards, prosecutors say. Kierczak is accused of using Facebook’s Messenger feature to connect with potential buyers and sell the cards for between $150 and $200 each.

Montana

It continues to be very challenging to get meaningful information out of the state of Montana, beyond multiple hospitals operating at crisis standards of care or right to the line. The state reported more than 1,300 new cases but provided no information on total hospitalizations, ICU capacity, or the number of people on ventilators.

New Hampshire

Governor Chris Sununu condemned the actions of protesters that caused the postponement of Wednesday’s Executive Council. The protesters, part of an escalating COVID protest movement, were opposed to a state contract to expand vaccination efforts. The protesters’ yelling and threats led several state health department employees to leave the meeting under police escort.

“We will not allow our state employees to be put in harm’s way for simply doing their jobs,” Sununu said, echoing a statement he released earlier in the day. “That is not what New Hampshire is about.”

New York

Disney’s Aladdin on Broadway canceled tonight’s performance – the show’s first since reopening last night – after breakthrough COVID cases were detected within the musical’s company.

In a tweet posted shortly before 7 p.m. E.T., the production stated, “Through our rigorous testing protocols, breakthrough COVID-19 cases have been detected with the company of Aladdin at The New Amsterdam Theatre. Because the wellness and safety of our guests, casts, and crew are our top priority, tonight’s performance, Wednesday, September 29 has been canceled.”

North Carolina

3 Doors Down have begun canceling concerts on their ongoing The Better Life 20th anniversary U.S. tour that will require all artists, crew, and attendees to show proof of vaccination against COVID-19 or a recent negative COVID test. Two shows have been canceled so far.

Those concerts were originally scheduled for October 7 at the Red Hat Amphitheater in Raleigh, N.C., and October 9 at Cadence Bank Amphitheatre in Atlanta.

Virginia

A 10-year-old girl in Suffolk died Monday from COVID-19 after being tasked to walk sick children in her class to the clinic, her mother wrote on Facebook. She is the 12th youth under the age of 20 in the state to die of the virus.

Teresa Makenzie Sperry, a student at Hillpoint Elementary School, was admitted to Children’s Hospital of Kings Daughters in Norfolk and died after her heart failed, her mother, Nicole Sperry, wrote.

Misinformation

“Look at Israel.” This is a common refrain from people who claim that vaccinations don’t work. They cite Israel’s high vaccination rate and the hospitalization rate among the vaccinated population. We wrote about the data fallacy when looking at percentages for new cases, hospitalizations, and deaths when evaluating vaccination performance. Let’s pull these claims apart.

Israel is highly vaccinated. In April 2021, that statement is correct. Israel was the global leader in vaccination. By the time Delta surged in Israel, the nation had dropped to 32nd place. Today Israel is tied with Saudia Arabia and Germany in 21st place, with 67% of the population with at least one dose, narrowly ahead of the United States and behind Sweden. Globally, there are 17 nations with a vaccination rate of 70% or higher.

The United Arab Emirates, where 84% of the population is fully vaccinated, has a population similar to Michigan. The Middle East nation is reporting under 300 new COVID cases a day. The country never had a significant Delta surge.

For our analysis, we went straight to the source – The Israel Ministry of Health COVID website and its COVID Control Panel.

Israel vaccination rate from JuJune 30o September 232021

The first graphic shows the vaccination rate in Israel stalled out and barely changed over three months. The booster shot program started on JuJuly 302021, and about half of the previously vaccinated residents had received the first dose by the end of September.

Severely ill patients over 60 years old by immunization status previous 90 days

The next chart shows the impact of the Delta wave as it rolled through Israel. The number of severely ill patients, defined differently than the United States, rises quickly among the unvaccinated, representing only 33% to 36% of the population, depending on the time within the surge.

The number of severely ill patients also increases at just 25% of the peak level among the unvaccinated, despite representing 64% to 67% of the population. Finally, the number of severely ill patients over the last 3 months is negligible among residents who received a booster shot.

We know that most breakthrough cases are among people over 65 years old. Israeli doctors found the same situation.

Around half of the country’s 600 patients presently hospitalized with severe illness (AuAugust 202021) have received two doses of the Pfizer Inc shot, a rare occurrence out of 5.4 million fully vaccinated people.

The majority of these patients received two vaccine doses at least five months ago, are over the age of 60, and have chronic illnesses known to exacerbate a coronavirus infection. They range from diabetes to heart disease and lung ailments, as well as cancers and inflammatory diseases that are treated with immune-system suppressing drugs, according to Reuters interviews with 11 doctors, health specialists, and officials.

Deaths by immunization status in Israel, last 90 days, under 60 years old

What about those under 60 years old? The overall rate of death among those under 60 is almost negligible. Unvaccinated residents have a slightly higher occurrence versus those who receive two doses. Once again, the unvaccinated group represents a much smaller number of people, about 3.3 million, versus the vaccinated group of 6.5 million. There is one more thing in this graph, in the last 90 days, the total number of deaths among residents under 60 who received a booster shot is 3.

Current hospitalizations “seriously” ill patients in Israel by age and vaccination status

The last chart shows the current situation among “seriously ill” patients in Israel. The majority of the 660 hospitalized patients are under 70 years old, and a vast majority are unvaccinated. It isn’t until you get to 80 and above that, the number of breakthrough cases comes close to the number of unvaccinated patients.

Of the 660 seriously ill patients, 285 are in the ICU, and 227 are on respirators, and the chart above shows, a vast majority are unvaccinated.

The argument that the vaccine didn’t work in Israel is a data fallacy. The vaccine is highly effective at preventing severe COVID and death, even when facing the Delta variant and an aged population. In the last 90 days, based on data from Israel, only 3 people who received booster shots died from COVID.