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New Covid cases decline and kids 5 to 11 get first vax doses – local, state and national update for November 3, 2021

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

[KING COUNTY, Wash.] – (MTN) New COVID cases are down 10% this week providing the strongest signal yet the fifth wave is winding down in Washington. Hospitalizations remain on a plateau but if new cases continue to decline, the number of Covid-19 patients should start to drop in another 10 to 14 days.

Washingtonian children between 5 to 11 got the first doses of the Pfizer COVID vaccine, with thousands more expected in the coming days. The Western States Safety Review Workgroup recommended the vaccine today. Healthcare providers and pharmacies are asking for patience as supply catches up with demand. Children vaccinated by November 15 will be fully immunized by Christmas. For three Tri-Cities children, the vaccine didn’t come soon enough.

A Benton County sheriff deputy who is a school resource officer for multiple districts is unvaccinated, creating a conundrum for officials due to a loophole. Malcontent News received more information about the Eatonville School District, where three employees remain on unpaid leave, and school district attorneys believe they are not at risk of losing state funding. Kenton Gartrell, who was a candidate for the Yakima School District was warned he had to wear a mask or face a trespass order.

Palmer Davis, one of the key people for spreading COVID disinformation and arranging protests in Oregon and Washington announced on her blog she is selling her house, and implied will leave Washington state. A report in The Guardian called out Sinclair Broadcast Group and Clark County Today for spreading COVID disinformation.

The U.S. Air Force announced 800 active duty service members refused to get vaccinated and could face disciplinary action or discharge. Another 5,000 are awaiting a decision on their exemption requests.

A pilot with American Airlines and seller of online supplements has set up a website to support Southwest Airline employees in the name of medical freedom and donations.

Green Bay Packers Quarterback Aaron Rodgers said he was vaccinated. Turns out he isn’t and he has COVID. If he is asymptomatic he can return to the field on November 13.

Colorado joined Alaska, Idaho, and Montana declaring crisis standards of care due to a significant number of COVID patients, and we have updated our travel advisory list.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on November 3, 2021.


vaccinationhospitalsschoolslocalnationaldisinformation

Washington State Update for November 3, 2021

Washington state Covid-19 update

For the first time since we have tracked data by total population vaccinated, all groups have a 14 day new case rate below 400.0. Twelve Washington counties are reporting 7 day moving average case rates below 100 and three counties, Columbia, Garfield, and San Juan are below 25. A new case rate under 25 indicates Covid-19 is endemic in those counties.

The statewide vaccine mandate deadline for hundreds of thousands of workers was 16 days ago. For the holdouts that waited until the last minute, peak protection against Covid-19 was reached this week. The sharp drop in new cases is happening concurrently with peak protection being reached by tens of thousands across the state.

The inversion of new cases rates between counties 40% to 49.99% vaccinated and 50% to 59.99% vaccinated is statistically insignificant.

Percent of Total Population Fully VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70% or above (3 counties)2,343,250200.4
60.00% to 69.99% (4 counties)1,242,200335.0 (down)
50.00% to 59.99% (15 counties)3,433,900354.3 (down)
40.00% to 49.99% (9 counties)599,225347.8
31.20% to 39.99% (8 counties)158,300367.0 (down)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County

Through November 2, Washington’s statewide 14-day rolling average is 304.8 Covid-19 cases per 100K – a significant drop from yesterday. If this trend can continue hospitalizations should start to decline faster in two to three weeks.

Lincoln and Skagit counties have new case rates between 600.0 to 799.9 – both are in the low 600s.

Asotin, Chelan, Douglas, Grant, Ferry, Klickitat, Lewis, Okanagan, Skamania, Spokane, and Stevens counties have a new case rate between 400.0 and 599.9. Cowlitz, Mason, and Pend Oreille were just under 400.

The 7 day case rate was down across all groups. Hospitalization rates were mostly unchanged except for people 65 to 79, which saw a decrease, and those 80 and above which saw a slight increase.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11132.80.5
Ages 12-19117.80.9
Ages 20-34124.3 (down)3.9
Ages 35-49137.9 (down)7.5
Ages 50-64105.311.7
Ages 65-7979.6 (down)17.4 (down)
Ages 80+78.322.1 (up)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 34 deaths on Tuesday.

Western States Scientific Safety Review Workgroup recommends Covid-19 vax for children 5 to 11

The governors of California, Nevada, Oregon, and Washington approved the use of the Pfizer vaccine for children 5 to 11 after the information provided by Pfizer, the FDA, and CDC was reviewed by the Western States Scientific Safety Review Workgroup. Dr. Arthur Reingold, MD, and Chair of the group released a letter today in support of vaccinating children 5 to 11 to protect them from Covid-19.

The Western States Scientific Safety Review Workgroup thoroughly reviewed the evidence from the clinical trial in children ages 5-11 years of the 10 µg PfizerBioNTech COVID-19 vaccine presented to the U.S. Federal Drug Administration’s Vaccine Related Biological Products Advisory Committee (VRBPAC) on October 26, 2021 and the U.S. Centers for Disease Control and Prevention’s Advisory Committee on Immunizations Practices (ACIP) on November 2, 2021 and considered the committees’ discussions.

The Workgroup carefully assessed the safety data for the vaccine, including the absence of any severe adverse events among vaccine recipients in the clinical trial. Reactions were mild, self-limited, similar to those seen in adolescents and adults and with other vaccines routinely recommended for children and were less common in those ages 5-11 years than in those 16-25 years. Based on the substantial experience in older children and adolescents, the Workgroup concluded that the risk of myocarditis following receipt of the lower dose vaccine in children 5-11 years of age is likely to be low.

The Workgroup noted the vaccine’s efficacy of more than 90% against symptomatic COVID-19 disease in this age group. Expanding COVID-19 vaccination in this age group will protect children 5-11 years of age who are vaccinated and allow them to more safely engage in educational and other activities important to their health and development; give parents a means of further protecting their children; and contribute to control of the COVID-19 pandemic in our states. The Workgroup strongly urges that states make every effort to reduce or eliminate disparities in the availability and uptake of COVID-19 vaccines in children 5-11 years of age, as well as in older children, adolescents, and adults.

Based on this review, the Workgroup concluded the vaccine is safe and effective in this age group. Because substantial numbers of children of this age remain at risk of COVID-19 illness and its complications, including hospitalization and death, the Workgroup is confident that the benefits of this vaccine for children ages 5-11 years substantially outweigh any known or likely risks. Therefore, the Workgroup supports its use under Emergency Use Authorization (EUA) as a two-dose series of 10 µg per dose given three weeks apart.

Benton County Sheriff deputy is unvaccinated school resource officer

Brad Klippert, who has been a Benton County sheriff school resource officer for the Kiona-Benton City school district for more than 20 years, told the Tri-City Herald he has not gotten a COVID-19 vaccination nor been asked for a medical or religious exemption from the requirement.

He also fills in as the school resource officer for the Finley School District.

That flies in the face of a new state requirement that began Oct. 18 that any employee or contractor working with children in Washington schools needs to have either the vaccine or an exemption, according to the Office of the Superintendent of Public Instruction.

“In this case, the Kiona Benton School District contracts with the Benton County Sheriff’s Department for school resource officer (SRO) services,” Katy Payne, the office’s director of communications, told the Herald. “The sheriff’s department is required to verify the vaccination status and process requests for exemptions of any SROs they send to school districts.”

The Washington state vaccine mandate did not require sheriff deputies to get vaccinated, so deputy Klippert is in compliance with the department. However, the mandate did require anyone working within public or private schools to provide proof of vaccination or receive an exemption.

King County sheriff deputies were required to get vaccinated by October 18 by a mandate established by the County Council and King County Executive Dow Constantine.

Three Tri-Cities students ages 10 to 19 have died of Covid-19 in 2021

Currently, in the Tri-Cities, the highest rate of new cases of COVID-19 is in ages 15 to 39 according to the Tri-City Herald. The newspaper also reported three Tri-Cities students between 10 and 19 have died from COVID complications.

Whatcom County has had 9 Covid-19 related deaths in the last 10 days

Whatcom and Skagit counties have become Covid-19 hot spots in the last couple of weeks, with the virus tearing through pockets of unvaccinated people.

The death reported Tuesday was for a resident who first tested positive for COVID-19 on Oct. 11, The Bellingham Herald’s analysis of the state’s epidemiological data showed. It represents the ninth epidemiological death the county has seen in October and increased the county’s total number of deaths since August 1 to 52, the Bellingham Herald found.

Eatonville School District teacher termination tempest in a teacup

There have been multiple stories about the Eatonville School District and the School Board defying the Superintendent of Public Instruction Chris Reykdal, Eatonville over the removal of unvaccinated staff in the district.

On October 25, Jeff Lucas, Chairman of the Eatonville School District Board of Directors reported in an e-mail only three staffers are unvaccinated and don’t have an approved accommodation. Additionally, the letter indicates school district attorneys do not believe district funding from the state is at risk.

“First, despite what the whole world is saying, the mandate does not specify people be terminated. They are “prohibited from engaging in work”. OSPI and our attorneys have told us that means these folks are not working and therefore not being paid.”

“Second, that is exactly what’s happening. We haven’t opened the door for a COVID free for all. All the masking and distancing requirements remain. We have 3 people, not 15 as most think, that are refusing vaccine and any accommodation. They haven’t been to work for 2 weeks and will not return until they get the vaccine or agree to accommodations.”

“Third, there is not a funding threat as we are not violating the mandate. It’s certainly a bit of semantics but if they were determined to terminate these employees, they could have very easily used that exact language, and should have.”

Yesterday, Superintendent Reykdal indicated the district was at risk of losing funding and said Eatonville was the only district that has not started the termination process for unvaccinated staff.

Leader of Covid-19 disinformation group Waking Up Washington calling it quits

Palmer Davis has been a principal organizer of Covid-19 anti-mask, anti-vaccine, and anti-mask rallies. She has aligned herself with America’s Frontline Doctors, Scott Miller, Joey Gibson, and Patriot Prayer, the Proud Boys, and runs websites that sell fake COVID cures.

In a blog on one of the websites she manages, Davis announced she was calling it quits and likely leaving Washington.

A sign wave in the snow. Waking Up WA was just a way to give back to the freedom community. It was never a brand I wanted to build, it was never about me… I never even wanted WA to be a state that needed such a huge ecosystem of activists to try to save it.

“Many protests and rallies later, I am proud of the work we’ve done. Never perfect, never finished – just … better. A sign wave outside Costco is always better than shopping at Costco.

“I don’t want to leave, but I also have to be honest. I have to sell my house, my folks have gone to Idaho, and I have… no skin… in this game.”

“My name is Palmer, and I started Waking Up WA in early 2021 to do sign waves in Vancouver. I am not the biggest, I am not the boldest, and I am not the bravest activist in this state.”

Earlier in the summer, Davis was able to draw hundreds at events across the state, sometimes charging admission fees of $20 per person. The last event the group promoted was on October 30 in Winlock for “Freedomween.” A planned protest at Harborview Medical Center on September 25 drew no interest, and the Free to Choose protest on October 18 outside of Seattle City Hall drew about 100 people from across the state. A protest in Olympia on October 22 drew a scant group.

Report in The Guardian calls out Sinclair Broadcast Group and Clark County Today for platforming Covid-19 misinformation

The Guardian released an article today outlining how anti-vaccination and Covid-19 disinformation creators moved from national news outlets to local news, creating deeper distrust and confusion across the United States. One of the news outlets highlighted was Washington state’s Clark County Today.

Clark County Today has published content from prominent anti-vaccine groups or advocates for unproven Covid-19 treatments. Although they have innocuous names that mimic traditional local news outlets, their content often promotes anti-vaccine views or furthers Covid-19 conspiracy theories. Researchers have come to call these types of organizations “pink slime” outlets and they have become a growing part of the media landscape in recent years.

“The problem that occurs with this is that they don’t have the same journalistic standards – many of them have a decided political agenda to them,” Abernathy said.

In one post from early October, Clark County Today, which was founded by David Madore, a wealthy Republican donor who has bankrolled local candidates in Washington state, republished an article from the anti-vaccine Children’s Health Defense in full. Another article on the site covers local support for Scott Miller, a physician’s assistant whom the state medical commission suspended in October for advocating ivermectin, but does not mention allegations that he attempted to bully local hospital staff into prescribing the drug and spread medical misinformation that resulted in the suspension.

The publication responded to The Guardian stating in part “the site’s coverage of the pandemic was informed by the “one-sided” approach from “mainstream news media, social media and even Big Tech.” 

Yakima School District warned school board candidate to wear a mask or get a no trespass order

According to the letter sent by Yakima School District’s director of safety and security, Sara Cordova, Kenton Gartrell was in violation of a Yakima School District Operational Procedure – Disruption of School Operations and RCW 28A.28A.635.20 willfully disobeyed school administrative personnel while at his daughter’s open house at Nob Hill Elementary at the beginning of the school year.

In a report provided by KOMO News, Gartrell said the confrontation between him and two school administrators began after he claims he was told he needed to leave because he refused to put a mask on.

The letter obtained from the district says as Gartrell and his family were leaving, two administrators met them outside to reiterate the expectation that all people inside the building must wear a mask. The letter says Gartrell began recording the interaction, where he argues with the principal that the mask requirement is not law, and that he expects accommodations for him and his child regarding masks and vaccines, then calls her a “bureaucratic bully.”

In early results, Gartrell was losing in his election bid.

Travel Advisories

With new cases starting to decline statewide, we continue to hope the East Hospital Region travel advisory can end in the next seven to 14 days. For now, we’re maintaining our recreational travel advisory to the region, including Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties. Acute care and ICU capacity remain limited.

Additionally, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.

We are adding Colorado to our list of states to avoid all nonessential travel. On Sunday, Governor Jared Polis signed an executive order implementing crisis standards of care. We continue to strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Alaska and the Idaho Panhandle are experiencing an extreme number of Covid-19 hospitalizations. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a serious medical emergency.

We are downgrading our travel advisory for Wyoming and recommend avoiding recreational travel at this time. The situation has improved significantly in the last two weeks.

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

Vaccinate Washington web portal now includes Pfizer-BioNTech pediatric ages 5 to 11 vaccine locator

Despite up to 316,000 doses of the Pfizer vaccine for children ages 5 to 11 expected to arrive in Washington this week, officials are asking for patience and kindness as parents scramble to make appointments. The Washington State Vaccine Locator provided by the Washington State Department of Health has added Pfizer-BioNTech pediatric ages 5 to 11 as a filter for searching for appointments and locations.

To find a location for your child, or a booster for yourself, you only need to provide your zip code at the Vaccinate WA website. On the results page, you can click on the down arrow to add filters, and select Pfizer-BioNTech Pediatric age 5 – 11.

A search this afternoon provided four locations in Seattle including Docere Center for Natural Medicine, UW Medicine at two locations, and Harborview Medical Center.

CVS, Rite-Aid, Walgreens, and Walmart are also accepting appointments online.

King County, Washington is reporting over 88.6% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.

COVID vaccines and boosters are free for anyone 5 and older. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.

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 15.0% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 648 additional acute care patients.

ICUs are at 88.5% of capacity statewide, with 25.0% of ICU patients fighting Covid-19 – an estimated 295 patients with 58.0% on ventilators. The state has the staff to support approximately 138 additional ICU patients.

On Tuesday, the 7-day rolling average hospital admission rate for new COVID patients was 94. The Department of Health reported 1,045 Covid-19 patients statewide on November 2, with 170 requiring ventilators.

Hospital Region readiness was largely unchanged from yesterday.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman88.3%33.8%90.4%20.0%
NorthIsland, San Juan, Skagit, Whatcom61.3%27.5%63.5%12.5%
North CentralChelan, Douglas, Grant, Okanogan89.0%56.1%78.4%23.9%
NorthwestClallam, Jefferson, Kitsap, Mason88.5%35.2%96.5%19.2%
Puget SoundKing, Pierce, Snohomish92.9%20.4%96.0%12.7%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima91.6%23.4%84.1%19.2%
SouthwestClark, Cowlitz, Klickitat, Skamania 73.1%22.0%88.7%13.5%
WestGrays Harbor, Lewis, Pacific, Thurston89.6%30.2%91.2%17.3%
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%

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Ardmore (1*)
– Bennett (1*)
– Highland (2*)
– Newport Heights (2*)
– Sammamish (2*)
– Stevenson (3*)
– Tyee (1*)
– Woodridge (1*)
None
Lake WashingtonYELLOW– Alcott (5)
– Bell (24)
– Blackwell (5 – see notes)
– Carson Elementary (6)
– Clara Barton (3)
– Eastlake High (48)
– Ella Baker (6)
– Finn Hill Middle School (6)
– Frost (5)
– ICS (4)
– Juanita Elementary (1)
– Juanita High (17)
– Kamiakin Middle School (25)
– Keller (6)
– Kirk Elementary (10)
– Lakeview Elementary (7)
– Lake Washington High School (7)
– McAuliffe (1)
– Muir Elementary (1)
– Redmond Middle School (1)
– Redmond High School (52)
– Rockwell (2)
– Sandburg/Discovery (4)
– Timberline Middle School (28)
– Twain Elementary (15)
None
NorthshoreYELLOW– Arrowhead Elementary (2)
– Bothell High School (20**)
– Canyon Creek Elementary (3)
– Canyon Park Middle School (2)
– Crystal Springs Elementary (17)
– East Ridge Elementary (3)
– Fernwood Elementary (5)
– Frank Love Elementary (10)
– Hollywood Hills Elementary (7)
– Inglemoor High School (23**)
– Kenmore Elementary (22)
– Kenmore Middle School (5)
– Kokanee Elementary (7)
– Lockwood Elementary (12**)
– Maywood Hills Elementary (2)
– Morelands Elementary (1)
– North Creek High School (20**)
– Northshore Middle School (13)
– Ruby Bridge Elementary (10**)
– Shelton View Elementary (8)
– Skyview Middle School (17**)
– Timbercrest Middle School (4)
– Wellington Elementary (8**)
– Westhill Elementary (19)
– Woodin Elementary (8**)
– Woodinville High School (4)
– Woodmoor Elementary (11)
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 ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.

There was a parent confirmed Covid-19 case reported at Blackwell Elementary in the Lake Washington School District on Monday and an additional parent confirmed COVID case on Tuesday, including three in quarantine. Because LWSD updates data weekly, we add a footnote for parent-reported cases during the week.

We continued to encourage parents to request daily updates from the Lake Washington School District. We would also encourage parents to request the Bellevue School District include data on close contacts. These two changes would bring the three school districts we track into alignment.

Kirkland-Bellevue-Woodinville

Kirkland Health Fair and Community Vaccination Event on November 6

The Kirkland Health Fair and Community Vaccination Event will be held on Saturday, November 6, from 10 a.m. to 2 p.m at Juanita High School. Hosted by the City of Kirkland in partnership with Public Health – Seattle and King County, the event will provide Covid-19 vaccination, information, education, and more.

At this time, organizers are not planning to provide vaccinations for children 5 to 11 years old, according to David Wolbrecht, Senior Neighborhood Services Coordinator with the City of Kirkland. We do have an inquiry in with the City to learn if this will change now that the vaccination is approved and doses are available.

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 72,754 new cases and 1,461 deaths nationwide on Tuesday. The United States broke 750,000 confirmed Covid-19 related deaths since February 29, 2020 today. That is close to every man, woman, and child in the state of North Dakota dying in 21 months.

800 U.S. Air Force personnel refuse to get vaccinated by deadline

The United States Air Force (USAF) and Space Force reported that 800 active duty service members among a force of 326,000 have refused to get vaccinated or seek an accommodation. The number is well below the 12,000 figure shared last week.

Just under 5,000 USAF personnel have a questionable future, among almost 8,500 who remain unvaccinated. Almost 5,000 have requested a religious exemption and are awaiting a decision. Another 2,700 will retire before April 1, 2022, and under Pentagon rules, do not have to get vaccinated.

The remaining 800 could face disciplinary action or discharge, although USAF leaders have not announced what the next course of action will be. The Military Times reported that local commanders would make final decisions. Airmen and officers who receive a less than honorable discharge will be ineligible for veterans’ benefits, according to the same report.

The Pentagon reported 315,500 were fully vaccinated or completing their final doses and just under 2,000 had been granted accommodations on medical grounds.

Different branches have different deadlines, with the Air Force having the earliest requirement. The United States Navy reported almost 99% of their active duty force was at least partially vaccinated, the highest of the military branches. The last group required to get vaccinated is reservists and the National Guard, with a deadline of June 30, 2022.

CDC issues Level 4 travel advisories to four nations due to Covid-19 risk

The CDC added Belgium, Burkina Faso, Russia, and Slovakia to its list of Level 4 countries representing a very high risk of Covid-19 exposure.

Level 4 is the highest rating and advises people to avoid all travel if possible. COVID cases have been surging in Europe and the Covid VUI-21, also known as Delta Plus, continues to grow in the United Kingdom, Russia, and Denmark, where the variant has been identified.

Other European nations with a Level 4 travel advisory include Albania, Austria, Belarus, Bosnia and Herzegovina, Bulgaria, Estonia, Georgia, Greece, Kosovo, Latvia, Lithuania, Moldova, Norway, Romania, Serbia, Switzerland, Turkey, Ukraine, and the United Kingdom.

Denmark is under a Level 3 travel advisory.

The travel advisories come as the United States will allow vaccinated international tourist and business travelers to return to the United States starting on November 8.

Southwest Airlines Covid-19 disinformation website and Telegram group run by person selling supplements on Tik Tok

Southwest Airlines has been the subject of a number of headlines after thousands of flight cancelations rocked the airlines, backtracking on COVID vaccination requirements after pressure from Texas governor Greg Abbott, and a pilot that announced the Joe Biden insult, “Let’s go, Brandon,” on a flight.

The disruption to flights happened just hours after Southwest announced they would require the Covid-19 vaccine for its employees. The airline blamed air traffic control issues and weather for the disruption. The pilot union blamed a 28% staff reduction in 2020 and insisted that aircrews were not staging a sick out.

Despite the claims no organized action was taken, there was only a single, short-lived disruption of air traffic control in Florida and some weather delays in Texas. A bipartisan group of congressional leaders is calling for Southwest and other airlines to be investigated after they received billions in aid to protect payroll and retain employees and now blame poor service on staffing reductions.

Now a new public-facing website called Southwest Freedom Fliers has created the illusion of a broader vaccination revolt behind the scenes.

Southwest Freedom Flyers is a grassroots collection of Southwest Airlines Employees fighting in opposition to vaccine mandates” the website states.

“We are an independent group but coordinating with an industry wide effort to preserve our religious and medical freedoms.”

The website does have a disclaimer, “We do not speak for or represent Southwest Airlines or any unions. We are not affiliated with Southwest Airlines or any unions.

According to Yahoo News, the person behind the website is Shawn Alexander Walker. Walker, in a video that has gone viral in the anti-vaccination community and was amplified by Candace Owens, explains part of the reason why he formed the movement.

“I have to choose between putting food on the table for my family, and freedom of choice,” Walker says before opining about the nature of America on top of footage of a Civil War reenactment. He then warns that “shifting baseline syndrome” will destroy the nation’s conception of freedom entirely, complete with pseudoscientific graphics of brain activity to bolster this point. The video ends with Walker directing viewers to a website for a group of pilots, dubbed the U.S. Freedom Flyers, who oppose the vaccine mandate.

Walker doesn’t even appear to work for Southwest Airlines, appearing in Tik Tok videos wearing an American Airlines lanyard. He is also a rep for the supplement Cell Sauce, which he promotes heavily on his channel.

Medical freedom is coded language for the antivaccination movement and the site has the option to donate to Walker’s group, which he claims is listed as a 501(c)(4) charitable organization.

Aaron Rodgers claimed he was vaccinated, turns out he isn’t and is now COVID positive

Green Bay Packers quarterback Aaron Rodgers has tested positive for COVID-19 and will not play against the Kansas City Chiefs on Sunday, a source confirmed to ESPN.

The NFL has considered Rodgers as unvaccinated since the start of the season, despite his statement that he was vaccinated during a press conference earlier this year..

Rodgers was placed on the league’s reserve/COVID-19 list along with cornerback Isaac Yiadom on Wednesday, and the NFL said it would look into how the Packers have handled the league’s Covid-19 protocols.

State Updates

Alaska

Alaska reported 195 Covid-19 patients in hospitals across the state and hospitalized and 688 new cases on Wednesday. Test positivity dropped to 8.2% while the 7 day moving average for new cases held steady at 589 per 100,000 residents. The state had 27 ICU beds available. Reluctantly accepted emergency measures in Anchorage combined with colder weather creating more isolation are starting to drive numbers down.

It isn’t all good news. This past week’s 7 day case total for the Yukon-Kuskokwim region was the 14th highest since the beginning of the pandemic and the sixth highest in 2021 according to KYUK Public Media. The hospital in Bethel has been operating under crisis standards of care for weeks.

The Yukon-Kuskokwim Health Corporation reported 254 new COVID-19 cases in the region from Oct. 25 to Oct. 31. YKHC also reported two new hospitalizations in-region, two medevacs, and the deaths of three residents due to the virus during this one week period.

On Tuesday, Governor Mike Dunleavy signed an executive order that prohibits all state agencies from participating in or assisting with federal vaccine mandates for employers. The order also tasks the state’s attorney general with reviewing all federal vaccine mandates and looking for ways to challenge them in court.

Colorado

Hospitals in Colorado are being allowed to turn away patients as the state experiences its worst COVID surge in a year, according to a report by NBC News.

An order signed Sunday by Gov. Jared Polis gives health care professionals the authority to prioritize crisis care under the direction of the state health department.

While the state has a nearly 80 percent partial vaccination rate, unvaccinated people with severe Covid-19 are overwhelming hospitals, many of which reported being over 90 percent capacity, according to Scott Bookman, Covid-19 incident commander for the Colorado Department of Public Health and Environment.

Colorado has the fifth-highest number of COVID patients in the nation, and 80% to 90% are unvaccinated.

Montana

Montana reported 356 people were hospitalized and 873 new cases. Big Sky Country currently has 9,052 residents that are COVID positive.

Hospitals remain in crisis standards of care.

Disinformation

Taking the night off

Covid vax for kids 5 to 11 available – local and state update for November 2, 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) The CDC has approved the Pfizer low dose Covid-19 vaccine for children 5 to 11 years old and the first 5,700 doses were available today at Harborview Medical Center. New cases remain stubbornly high in Washington while the gap between the best and worst counties narrowed.

America’s Frontline Doctors aligned Dr. Ryan Cole is under investigation by the Washington State Medical Commission for undisclosed violations. A Covid-19 survivor returned to Harborview Medical Center to apologize and give thanks to the people who saved his life.

The Washington State Department of Health reported 73.1% of eligible Washingtonians are fully vaccinated as the state approaches 80% with at least one dose. Superintendent of Public Instruction Chris Reykdal reported that the Eatonville School District has still not fired its unvaccinated staff, and is the only district in the state defying the October 18 vaccine mandate.

Dallas County, Texas reported its 5,000 COVID related death. 627 days have passed since the first confirmed Covid-19 case in King County, Washington. How do the two counties with similar populations compare almost two-years later?

Spokane Regional Health opened up new Covid-19 isolation services for people who need to isolate but don’t have the resources. Point Roberts, Washington is getting ready for the land border to open between Canada and the United States, bringing more than 600 days of isolation to an end.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on November 2, 2021.


vaccinationhospitalsschoolslocalnationaldisinformation

Washington State Update for November 2, 2021

Washington state Covid-19 update

New case rates dipped to the lowest level in months, raising the question if the plateau is finally cracking or if this is an anomaly. Ten Washington counties are reporting 7 day moving average case rates below 100 and two counties, Columbia and San Juan are below 25. A new case rate under 25 indicates Covid-19 is endemic in those counties.

Columbia County is one of the least vaccinated in the state while San Juan County is the highest. Although both counties are remote, the population density in San Juan county is 13 times higher.

The inversion of new cases rates between counties 40% to 49.99% vaccinated and 50% to 59.99% vaccinated continued for the second day in a row. Okanogan, Skagit, and Spokane counties are driving this trend.

Increasing vaccination rates statewide are causing hotspots to form among unvaccinated groups. For example, counties 50% to 59.99% vaccinated contain some of the highest (Skagit) and lowest (Pacific) new case rates.

Percent of Total Population Fully VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70% or above (3 counties)2,343,250206.4 (down)
60.00% to 69.99% (4 counties)1,242,200346.7
50.00% to 59.99% (15 counties)3,433,900371.9 (down)
40.00% to 49.99% (9 counties)599,225355.2 (down)
31.20% to 39.99% (8 counties)158,300400.5 (down)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County

Through November 1, Washington’s statewide 14-day rolling average is 317.6 Covid-19 cases per 100K – a significant drop from yesterday and the lowest rate since mid-August.

Four counties, Ferry, Klickitat, Lincoln, and Skagit, have a new case rate between 600.0 to 799.9.

Asotin, Chelan, Douglas, Grant, Lewis, Mason, Okanagan, Skamania, Spokane, and Stevens counties have a new case rate between 400.0 and 599.9. Pend Oreille, Cowlitz, and Yakima counties were just under 400.

The 7 day case rate was down across all groups, although the decrease for people 80 and older was statistically insignificant. Hospitalization rates were mostly unchanged except for those over 80, with the rate falling to the lowest level since we began tracking the data by age.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11141.3 (down)0.5
Ages 12-19123.5 (down)0.9
Ages 20-34136.4 (down)3.8
Ages 35-49148.8 (down)7.7
Ages 50-64112.7 (down)11.9
Ages 65-7985.5 (down)18.3
Ages 80+76.820.3 (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 31 deaths on Monday. We reported that on October 20, the Eatonville school board voted to take no action against unvaccinated staffers. The state indicated that the school was risking losing funding if it did not comply with the October 18 vaccine mandate.

Dr. Ryan Cole under investigation by the Washington Medical Commission

Dr. Ryan Cole, a derma-pathologist in Garden City, is under investigation by the Washington Medical Commission according to a report by KTVB. Cole received a physician license in Washington in 2007, and is licensed in several other western states.

He has drawn criticism from medical doctors and health officials for spreading misinformation about the COVID-19 pandemic, including touting the use of the anti-parasite drug Ivermectin as a treatment for the virus, despite both the Food and Drug Administration and the Centers for Disease Control warning that it has not been proven effective against COVID-19. Cole has also opposed the COVID-19 vaccine, referring to it as “needle rape and a “clot shot.”

On September 25, Dr. Ryan Cole joined up to 4,000 protesters from Eastern Washington and Idaho. He was joined by extremists Matt Shea and spoke at the event hosted in part by Turning Point Faith.

On October 30, he spoke at the Alaska Early Treatment Medical Summit in Anchorage, Alaska. On America’s Frontline Doctors new Tik Tok channel, he has appeared with other AFL representatives.

Unvaccinated Covid-19 survivor returns to Harborview Medical Center to apologize and give thanks

Richard Soliz spent 28 days at Harborview Medical Center fighting for his life from COVID. The graphic designer told KOMO he had fallen down a social media hole, “after reading about side effects, claims of microchipping during the vaccination process and questions about government approval of the vaccines.”

“It’s emotional for us to see someone do well,” Dr. James Town, a pulmonologist and director of the medical ICU at Harborview Medical Center said. “Particularly when things are so dark.”

When Soliz made the rounds to thank the staff who saved his life, they were touched.

“Oh wow, you look great,” nurse Kimmy Siebens told him. “To see you alive is just amazing. You look so great.”

While it’s not unusual for trauma patients to return and thank the medical personnel who helped them, very few COVID-19 patients have done the same, according to hospital workers.

“We do put so much of our own heart into the care and worry,” Siebens said. “We never really get to see people get that much better. And so it’s amazing. It makes it feel like it’s definitely all worth it, you know?”

73.1% of eligible Washingtonians are fully vaccinated

The Washington State Department of Health reported 79.1% of all residents 12 and older have received at least one dose of the Covid-19 vaccine and 73.1% are fully vaccinated.

Rates climbed statewide driven in part by a number of local, county, state, federal, and private employer mandates.

Eatonville School District fails to fire unvaccinated employees as deadline passes

KING 5 is reporting the school district still has not removed unvaccinated staff. According to Superintendent of Public Instruction Chris Reykdal, Eatonville is the only district in the state challenging the mandate. The district has not released any information on how many employees could be impacted, but statewide the impact among teachers and administrators was negligible.

Eatonville is one of the only school districts in the state that was forced to move to remote learning when a spike of cases popped up at Eatonville Middle School.

The Eatonville School District appears to be headed toward a showdown with the state.

Dallas County, Texas versus King County, Washington two different approaches, two results

King County, Washington experienced the first Covid superspreader event in February 2020, the first death, and had the first mass casualty event at a hospital in the United States. A month later, Texas suffered its first Covid-19 death. Over the next 627 days King County implemented some of the strictest COVID rules in the nation while Dallas County took a more open approach.

So was there a major difference between approaches? King County has 2.30 million residents compared to 2.65 million residents. On November 1, Dallas County reported its 5,000 COVID-related death while King County reported 2,022. Simply put, 1 in every 530 residents of Dallas County has died of COVID since March 2020 versus 1 in every 1,137 residents in King County since February 2020.

Both counties have multiple regional hospitals, a major children’s hospital, and a Level 1 trauma center. In Dallas County, 88% of hospitalizations and 98% of fatalities were unvaccinated compared to 90% and 88% in King County. The number of vaccinated deaths in King County are higher due to the false data fallacy. In Dallas County only 60.7% of all eligible residents have received at least one dose of Covid-19 vaccine compared to 88.6% in King County.

King County has maintained maks mandates, instituted vaccine mandates, followed the CDC back to school protocols, and was one of the last places in the country to fully reopen in spring 2021. Many large employers have maintained work from home rules for their employees. Additionally large scale testing centers were readily available through most of the pandemic and the county had specific outreach programs to BIPOC, LGBTQIA+, and poor communities to increase vaccination rates.

The protocols, mandates, and rules have been hard on King County residents and businesses, but is there a price tag on 2,318 lives? To provide some contrast, 2,744 people died in the collapse of the World Trade Center towers on September 11, 2001.

Spokane Regional Health opens Covid-19 isolation services in cooperation with the Salvation Army

Spokane Regional Health District (SRHD) has partnered with Salvation Army to provide isolation services for individuals in the community who test positive for COVID-19 and do not have the resources to isolate themselves at home.

Isolation is a crucial component in the fight against COVID-19. Throughout the pandemic response, isolation has been provided for members of the community whose living situation makes it difficult to isolate safely from others. This could be due to many reasons such as living in a multigenerational household or within a congregate setting.

Contracted through Spokane County, Salvation Army will provide isolation services within six of their studio apartments for the next 12 months. Two of the apartments are adjoining rooms to help assist larger families. Transition from the United Gospel Mission (UGM) facility took place yesterday.

Dr. Francisco Velázquez, SRHD health officer, explained UGM’s support was instrumental to ensuring isolation was provided at a time it was most needed when cases were rising. It gave SRHD time to find a long-term solution that meets the needs of Spokane County.

“Having Salvation Army as a long-term isolation partner is essential to our recovery efforts,” Velázquez said. “Salvation Army’s commitment to serve the community and support public health is invaluable.”

Washington state to provide no cost Covid-19 testing for Canadian citizens who own property in Point Roberts

A geographical anomaly isolated from the rest of the United States, Point Roberts has endured over 600 days of isolation from the rest of the world due to the land border closure of the U.S. – Canada border. On November 8, land travel will be permitted again for vaccinated individuals but for Point Roberts, there is a unique challenge.

Canadian citizens who own homes in Point Roberts will be able to check on their property for the first time in 18 months. Not only do they need to provide proof of vaccination, but to cross the border they also need a negative Covid-19 test in the last three days. That requirement goes both ways, mandating a second test to return to Canada.

Normally, foreign nationals in the United States would be required to pay for that test, which creates a significant barrier for those who need to move across the border. To add complexity, Canada won’t accept a rapid test, and PCR testing is only available in Port Roberts on Wednesdays and Sundays.

To support Canadians that own property in the U.S. enclaveve, Point Roberts has arranged for the state of Washington to pay for testing for Canadians who own property there but cannot afford the test or do not have private U.S. health insurance to cover the cost.

The Vancouver Sun reported Fire Chief Christopher Carleton defended the decision to provide the free testing.

“The majority of people coming in will be property owners and they already pay property taxes to the State of Washington,” he said. “Therefore to provide an international traveler that owns property in Point Roberts a test to go back home after coming into the community and seeing their home for the first time in 18 months, I think is the right thing to do.”

Travel Advisories

We are very encouraged by the hospital readiness data for the East Hospital Region and believe we can end the travel advisory in the next five to 12 days. For now, we’re maintaining our recreational travel advisory to the East Hospital Region, including Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties. Acute care and ICU capacity remain limited.

Additionally, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.

We continue to strongly advise against all nonessential travel to Alaska, Idaho, Montana, and Wyoming. Alaska and the Idaho Panhandle are experiencing an extreme number of Covid-19 hospitalizations. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a serious medical emergency. Data out of Wyoming is encouraged and we may drop our travel advisory in the next 14 to 21 days.

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 Director authorizes Pfizer Covid-19 vaccine for emergency use in children 5 to 11 – vaccine is immediately available

CDC Director Dr. Rochelle Walensky gave the final approval required to make the Pfizer Covid-19 vaccine available to children 5 to 11 years old in the United States.

The Food and Drug Administration (FDA) authorized the low dose version of the Pfizer vaccine in a 17-0-1 vote last week. Due to federal rules on distribution, the CDC is required to clear the FDA recommendation. The CDC Advisory Panel granted unanimous approval in a 14-0 vote, with Dr. Walensky granting final approval a few hours later.

The immune responses of children 5 through 11 were comparable to adolescents and young adults. In addition, the vaccine was found to be 90.7% effective in preventing COVID-19 in children 5 through 11. The vaccine’s safety was studied in approximately 3,100 children who received the vaccine and no serious side effects.

Health and Human Services purchased 28 million doses with regional distribution starting this week. KCPQ reported that 5,700 doses arrived at Harborview Medical Center today and the Seattle Times reported last week another 310,000 doses should be expected in the days to come.

King County, Washington is reporting over 88.6% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.

COVID vaccines and boosters are free for anyone 5 and older. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.

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 15.0% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 654 additional acute care patients.

ICUs are at 88.3% of capacity statewide, with 25.0% of ICU patients fighting Covid-19 – an estimated 295 patients with 60.0% on ventilators. The state has the staff to support approximately 140 additional ICU patients.

On Monday, the 7-day rolling average hospital admission rate for new COVID patients was 107. The Department of Health reported 1,046 Covid-19 patients statewide on November 1, with 176 requiring ventilators.

The vast majority of hospitalized Covid-19 patients are unvaccinated and the number of patients won’t decline significantly until the number of new cases moves lower.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman88.1%33.7%89.9%19.8%
NorthIsland, San Juan, Skagit, Whatcom59.3%26.9%64.6%12.3%
North CentralChelan, Douglas, Grant, Okanogan89.5%57.5%77.6%24.3%
NorthwestClallam, Jefferson, Kitsap, Mason88.9%36.2%96.1%20.0%
Puget SoundKing, Pierce, Snohomish92.9%20.1%95.8%12.7%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima91.1%23.2%84.2%19.2%
SouthwestClark, Cowlitz, Klickitat, Skamania 73.2%22.4%89.2%13.7%
WestGrays Harbor, Lewis, Pacific, Thurston88.3%31.1%91.1%17.5%
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%

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Bennett (1*)
– Cherry Crest (1*)
– Newport Heights (2*)
– Sammamish (2*)
– Stevenson (3*)
– Tyee (1*)
– Woodridge (1*)
None
Lake WashingtonYELLOW– Alcott (5)
– Bell (24)
– Blackwell (1* – see notes)
– Carson Elementary (6)
– Clara Barton (3)
– Eastlake High (48)
– Ella Baker (6)
– Finn Hill Middle School (6)
– Frost (5)
– ICS (4)
– Juanita Elementary (1)
– Juanita High (17)
– Kamiakin Middle School (25)
– Keller (6)
– Kirk Elementary (10)
– Lakeview Elementary (7)
– Lake Washington High School (7)
– McAuliffe (1)
– Muir Elementary (1)
– Redmond Middle School (1)
– Redmond High School (52)
– Rockwell (2)
– Sandburg/Discovery (4)
– Timberline Middle School (28)
– Twain Elementary (15)
None
NorthshoreYELLOW– Arrowhead Elementary (3)
– Bothell High School (15**)
– Canyon Creek Elementary (3)
– Canyon Park Middle School (1)
– Crystal Springs Elementary (11)
– East Ridge Elementary (3)
– Fernwood Elementary (5)
– Frank Love Elementary (13)
– Hollywood Hills Elementary (3)
– Inglemoor High School (23**)
– Kenmore Elementary (21)
– Kenmore Middle School (5)
– Kokanee Elementary (7)
– Lockwood Elementary (7**)
– Maywood Hills Elementary (2)
– Morelands Elementary (1)
– North Creek High School (9**)
– Northshore Middle School (12)
– Ruby Bridge Elementary (10**)
– Shelton View Elementary (8)
– Skyview Middle School (18**)
– Timbercrest Middle School (1)
– Wellington Elementary (7**)
– Westhill Elementary (18)
– Woodin Elementary (8**)
– Woodinville High School (4)
– Woodmoor Elementary (11)
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 ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.

There was a parent confirmed Covid-19 case reported at Blackwell Elementary in the Lake Washington School District. Because LWSD updates data weekly, we add a footnote for parent-reported cases during the week.

We continued to encourage parents to request daily updates from the Lake Washington School District. We would also encourage parents to request the Bellevue School District include data on close contacts. These two changes would bring the three school districts we track into alignment.

Kirkland-Bellevue-Woodinville

Kirkland Health Fair and Community Vaccination Event on November 6

The Kirkland Health Fair and Community Vaccination Event will be held on Saturday, November 6, from 10 a.m. to 2 p.m at Juanita High School. Hosted by the City of Kirkland in partnership with Public Health – Seattle and King County, the event will provide Covid-19 vaccination, information, education, and more.

At this time, organizers are not planning to provide vaccinations for children 5 to 11 years old, according to David Wolbrecht, Senior Neighborhood Services Coordinator with the City of Kirkland.

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 121,139 new cases and 1,201 deaths nationwide on Tuesday. The United States will break 750,000 COVID-related deaths since February 29, 2020 tomorrow or Thursday.

State Updates

Alaska

Alaska reported 196 Covid-19 patients in hospitals across the state and hospitalized and 499 new cases on Tuesday. Test positivity increased to 8.7% while the 7 day moving average for new cases dropped to 576 per 100,000 residents. The state had 25 ICU beds available. All of these are favorable signs that the situation in Alaska may finally be improving.

University of Alaska Interim President Pat Pitney says that Alaska’s higher education campuses, research sites, and contractors will need to be vaccinated for Covid-19.

“Without acting on this vaccine requirement, we could lose substantial federal contracts, and with them jobs that support more than 750 employees and their families,” said Pitney. “In addition, the ripple effect of the loss of these contracts would be widely felt as UAF’s research enterprise works with local contractors and suppliers across the state.”

The decision is in response to President Biden’s executive order (EO) 14042, Ensuring Adequate COVID Safety Protocols for Federal Contractors, which requires all employees paid by or supporting new or modified federal contracts to be vaccinated by early December. The order requires not only people directly paid by federal contracts but also anyone who works to support them or works in the same facility to get a COVID vaccine.

According to a report in the Daily Beast (a publication we reluctantly share, other sources are behind a paywall), roughly 1,200 attendees flocked to the Alaska Early Treatment Medical Summit on Saturday, the Anchorage Daily News reported. Organizers told the outlet that attendees paid $20 for tickets to hear from doctors who have been shunned from mainstream medical circles for pushing unproven drugs touted as miracle treatments to fight COVID-19 infection.

“I’m just here to tell you after a long dinner and meeting with these folks, this is the best science available,” Dave Bronson proclaimed during a nine-minute speech on Saturday at Anchorage’s ChangePoint Church.

According to a video of the event, posted by organizers from the Alaska Covid Alliance, Richard Urso, a Houston ophthalmologist who helped launch America’s Frontline Doctors and has defended using hydroxychloroquine as a treatment for the virus, told the crowd that Bronson had “helped organize a lot of what’s happening behind the scenes.”

Mayor spokesperson Corey Allen Young backpedaled on Monday, suggesting Bronson was not involved in any planning for the event. He also stated that Bronson nor any other city employee was compensated.

Idaho

State officials reported that hospitals are still operating at crisis standards of care today and 11.5% of Covid-19 tests are coming back at positive. The weekly update by Idaho officials had audio problems so hospitalization was not shared.

While the Panhandle has had no relief since early September, officials reported that 6 of the 7 counties with the highest case rates are now in Eastern Idaho.

Idaho recieved 11,400 doses of the Pfizer vaccine for children ages 5 to 11 today, and expects another 12,000 doses later this week.

The Idaho State Board of Education on Tuesday approved a decision joining a federal lawsuit to block contractor requirements in President Joe Biden’s executive orders that include COVID-19 vaccine mandates, but colleges and universities will meanwhile abide by the order.

It’s not clear how many workers in Idaho would be affected by the order.

Montana

Montana reported 371 people were hospitalized, down significantly from two weeks ago, however with 1,100 new cases being added a day, 1% of Montanans are catching COVID every 10 days.

Hospitals will remain under a “crisis standards of care” designation for now, giving them the ability to ration health care as needed to deal with high numbers of COVID-19 patients in intensive care units and hospital beds.

The state’s positivity rate of new cases is still more than double the 5% goal set by the U.S. Centers of Disease Control and Prevention, Shaw-Tulloch said. More than 1,000 new cases were reported to the state on Monday, according to the Idaho Department of Health and Welfare. More than 3,570 Idaho residents have died of COVID-19 since the pandemic began.

New York

In 24 hours, 2,000 of the 9,000 vaccination mandate holdouts among New York City’s municipal employees got their first dose administered. City officials belief between completed vaccination and approved exemptions, less than 3% of all municipal employees will leave their jobs.

Much like in Washington state, dire predictions of massive staff losses have not come to pass.

Disinformation

Taking the night off

91.4% of WA state employees fully vaxxed – local and national update for October 14, 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) Governor Jay Inslee reported the state does not anticipate widespread service disruption from the looming vaccine mandate and stated 91.4% of all employees have provided their vaccination information.

New Covid-19 cases were slightly lower while hospitalizations were almost unchanged.

People attending large indoor and outdoor events will have to provide proof of vaccination or a negative COVID test starting November 15.

An Eatonville Elementary School teacher sent her students home with more than homework assignments and good job stickers. We have a parent confirmed report of a new Covid-19 case at Mark Twain Elementary in the Lake Washington School District.

The FDA recommended booster shots for certain people who received the Moderna vaccine.

Alaska, Idaho, Montana, and Wyoming continue to struggle but we can look on the bright side – it is Health Care Worker Appreciation Month in Idaho by declaration of Governor Brad Little.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on October 14, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for October 14, 2021

Washington state Covid-19 update

New cases were up for the five most vaccinated and eight least vaccinated counties, but the overall trend remains positive.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
60.00% or above (5)228.7 (up)
50.00% to 59.99% (14 counties)426.8
40.00% to 49.99% (12 counties)519.3
29.90% to 39.99% (8 counties)765.0 (up)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through October 13, Washington’s statewide 14-day rolling average dropped slightly to 351.4 Covid-19 cases per 100K.

Ferry County (1,289.5) and Garfield County (1,393.3) remain the two counties with new case rates of over 1,000 per 100K residents.

Columbia and Grant counties reported new case rates between 800.0 to 999.9 per 100K.

Counties in the 600.0 to 799.9 per 100K range include Chelan, Klickitat, Lincoln, Pend Oreille, and Stevens. Mason County remains just under the 600 threshold.

New cases and hospitalizations by age were statistically unchanged from yesterday.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11146.41.0
Ages 12-19168.71.6
Ages 20-34151.33.6
Ages 35-49154.47.3
Ages 50-64113.413.1
Ages 65-7985.319.1
Ages 80+84.133.7
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 90 deaths on Wednesday. The number is inflated due to several days of data being reported.

Proof of vaccination or negative Covid test will be required at large events beginning November 15

Governor Jay Inslee announced new requirements for people 12 and older who attend large events in Washington.

Starting November 15, people over 11 years old who attend indoor events with at least 1,000 people or outdoor events with at least 10,000 people will need to show proof of vaccination or a negative Covid-19 test to attend. The negative test has to be in the last 72 hours. A PCR or rapid test will be accepted.

Many large venues in Washington state such as T-Mobile Park, Lumen Field, and the soon opening Climate Pledge Arena already have similar requirements in place.

Outside of Lumen Field, pop-up vendors are offering rapid tests for entry but at a premium price.

Statewide employee fully vaccinated rate creeps upward

On Monday, the state of Washington reported 89.5% of impacted employees had provided proof they were fully vaccinated – this morning the number had increased to 91.4%. According to Governor Jay Inslee, approximately 5,000 state employees have not provided proof of vaccination, requested an exemption, or indicated they were going to retire or resign. Another 2.4% of employees have requested a medical or religious exemption.

Almost 600 employees have sued the state of Washington in Walla Walla to try and block the vaccine mandate. Another 19 local, county, and state employees filed a federal lawsuit in Spokane claiming the vaccine mandate was a violation of their civil rights.

State officials indicated today they do not expect widespread disruption from the mandate. The only state agency that has postured for potential issues is Washington State Ferries, which is reducing services starting October 16.

Malcontent News remains confident that between vaccinations and accommodations, 97% to 98% of all state employees will be working as normal on October 19.

Eatonville elementary school teacher sends students home with her resignation letter

Students attending Eatonville Elementary School came home with more than homework and good job stickers this week when a teacher included a resignation letter.

Parents reported the letter was included with other school material this week.

“I received my letter of termination last Thursday and I only have a few more days as your child’s teacher,” the letter said.

“I am not sure what the Eatonville School District has planned for filling my position or the countless other positions that will be lost on the 18th but please remember, YOU are your child’s first teacher and number one advocate.”

The letter called earlier safety protocols “a joke” and complained that the school has a “no entry” sign.

There is little to indicate there will be a mass exodus of teachers or other professionals in Washington state based on all the currently available data.

Letter sent home with students who attend Eatonville Elementary School and are taught by Jessica Kerby

Travel Advisories

Due to an increase in acute care hospitalizations, we’re adding a recreational travel advisory to the East Hospital Region. This includes Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties. Acute care and ICU capacity remain limited, and the ratio of Covid-19 patients to other hospital patients is extremely high. Please reconsider non-essential travel plans to these counties.

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

We are not adding a travel advisory for the Northwest Hospital Region which includes Clallam, Jefferson, Kitsap, and Mason counties but don’t recommend engaging in risky recreational behavior on the Olympic Peninsula. Although hospitals are very constrained, the region is adjacent to the Puget Sound and West Hospital Regions, which have adequate resources.

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

FDA panel supports booster for Moderna Covid-19 vaccine

A federal advisory panel voted Thursday to support booster shots of the Moderna COVID-19 vaccine for people 65 and up, as well as younger adults with certain medical problems or jobs that put them at increased risk for infection. 

According to a report in USA Today, the booster shot will be a half-dose of the same vaccine already given. Company data suggested that the lower dose was as effective but had potentially fewer side effects.

The Food and Drug Administration committee, whose decision needs to be verified by a different advisory panel as well as top federal officials, spent Thursday reviewing data about the safety and effectiveness of a third dose of Moderna vaccine, as well as the effect boosters are having on a COVID-19 outbreak in Israel.

Tomorrow the committee will discuss the Johnson & Johnson vaccine and potentially make a recommendation for booster shots.

Any recommendation by the FDA will be subject to further review, and ultimately a vote by the CDC.

King County, Washington is reporting over 87.3% 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 16.5% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 620 additional acute care patients. ICUs are at 86.5% of capacity statewide, with 27.0% of ICU patients fighting Covid-19 – an estimated 317 patients with 51% on ventilators. The state has the staff to support approximately 160 additional ICU patients.

The 7-day rolling average hospital admission rate for new COVID patients dipped to 90. The Department of Health reported 1,156 Covid-19 patients statewide on October 13, with 163 requiring ventilators. Data for Tuesday was adjusted to 1,141 patients and 155 on ventilators.

The East and Northwest Hospital Regions remain highly stressed.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman91.2%39.9%91.5%25.3%
NorthIsland, San Juan, Skagit, Whatcom62.9%22.3%87.0%10.1%
North CentralChelan, Douglas, Grant, Okanogan93.1%50.0%77.6%21.7%
NorthwestClallam, Jefferson, Kitsap, Mason90.1%40.0%95.9%22.1%
Puget SoundKing, Pierce, Snohomish89.9%23.2%94.8%13.7%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima88.9%28.7%84.5%22.4%
SouthwestClark, Cowlitz, Klickitat, Skamania 66.6%25.7%84.6%16.8%
WestGrays Harbor, Lewis, Pacific, Thurston84.0%24.9%88.5%17.1%
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%

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Ardmore (2*)
– Bellevue (7**)
– Big Picture (1*)
– Cherry Crest (1*)
– Clyde Hill (1*)
– Chinook (4*)
– Eastgate (2*)
– Enatai (3*)
– Highland (9**)
– Interlake (4*)
– Lake Hills (7**)
– Newport (6**)
– Newport Heights (1*)
– Puesta del Sol (1*)
– Sammamish (4*)
– Sherwood Forest (2*)
– Spiritridge (1*)
– Stevenson (2*)
– Tillicum (1*)
– Wilburton (3*)
– Woodridge (3*)
None
Lake WashingtonYELLOW– Bell Elementary (4*)
– Blackwell Elementary (1*)
– Carson Elementary (2*)
– Dickinson/Explorer Elementary (1*)
– Eastlake High (3*)
– Finn Hill Middle School (4*)
– Franklin Elementary (1*)
– Frost Elementary (2*)
– ICS (1*)
– Inglewood Middle School (2*)
– Juanita Elementary (3*)
– Juanita High School (4*)
– Kamiakin Middle School (2*)
– Keller Elementary (1*)
– Kirkland Middle School (1*)
– Lakeview Elementary (4*)
– Lake Washington High School (2*)
– Mead Elementary (2*)
– Muir Elementary (1*)
– Northstar Middle (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Redmond High School (2*)
– Rosa Parks Elementary (3*)
– Rose Hill Middle School (1*)
– Timberline Middle School (2*)
– Twain Elementary (1* – see notes)
None
NorthshoreYELLOW– Arrowhead Elementary (3)
– Bothell High School (29**)
– Canyon Creek Elementary (10)
– Canyon Park Middle School (14)
– Cottage Lake Elementary (1)
– Crystal Springs Elementary (29)
– East Ridge Elementary (2)
– Frank Love Elementary (16)
– Hollywood Hills Elementary (69)
– Inglemoor High School (2)
– Innovation Lab High School (2)
– Kenmore Elementary (8)
– Kenmore Middle School (31)
– Kokanee Elementary (13)
– Leota Middle School (4)
– Lockwood Elementary (27**)
– Maywood Hills Elementary (6)
– Moorlands Elementary (3)
– North Creek High School (8)
– Northshore Middle School (7)
– Ruby Bridge Elementary (4)
– Secondary Academy for Success (6)
– Shelton View Elementary (7)
– Skyview Middle School (11)
– Sunrise Elementary (7)
– Timbercrest Middle School (9)
– Wellington Elementary (30)
– Westhill Elementary (12)
– Woodin Elementary (24)
– Woodinville High School (13)
– Woodmoor Elementary (15)

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.

Lockwood Elementary in the Northshore School District has 6 confirmed Covid-19 cases.

We have a parent confirmed report of a single Covid-19 case at Mark Twain Elementary School in the Lake Washington School District.

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 120,321 new cases and 3,054 deaths nationwide on Thursday.

Alaska

Alaska added 986 new cases with 209 patients hospitalized with Covid-19. Twenty of Alaska’s 31 hospitals are operating under crisis standards of care. There are 21 staffed ICU beds statewide despite the arrival of hundreds of government contract healthcare workers two weeks ago.

After making progress with a reduction in new cases last week, the number has been slowing increasing again with a new case rate of 852 per 100K residents, the highest in the United States. The numbers are increasing despite Anchorage cutting back on Covid-19 testing due to budgetary issues.

Idaho

Officials in Idaho haven’t released hospitalization numbers since Monday when they reported 653 hospitalized and 175 in the ICU. Of the 274,560 cases reported statewide since the pandemic started, only 3.5% were due to vaccine breakthroughs.

State officials reported 1,935 new cases and 30 additional deaths today. New cases are increasing again after appearing to flatten out over the last couple of weeks. At the current rate, Idaho will add 13,300 new cases a week – infecting 1% of the state’s entire population every 10 days.

Idaho Governor Brad Little declared October Health Care Worker Appreciation Month. Generosity has poured in including thank you signs, baked goods, meal deliveries, and open tabs in hospital cafeterias. Hospital workers are appreciative of the support, but some reported they are so busy trying to save lives during crisis standards of care, they can’t stop and enjoy the show of support.

Montana

Montana reported 1,300 new cases, 13 deaths, and 479 people hospitalized. The hospitalization number dropped sharply, however, every 11 days 1% of Montana residents become infected with Covid-19.

Wyoming

In Wyoming, 461 new Covid-19 cases were reported but no deaths. Hospitalization data was not updated by the state.

Misinformation

Taking the day off

DoH COVID data has been broken since August – local and national update for September 24, 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) Worsening problems with data from the Washington State Department of Health is hobbling efforts to understand the current situation and forecast the future. In counties where 40% or more of the total population is vaccinated, the number of cases per 100,000 people is down. Hospitalizations are up among people under 35 and have declined for individuals over 49. There is very little else that can be said with certainty.

Confirmed COVID cases between students and faculty at Bothell High School in the Northshore School District have grown to 12, with 100 more in quarantine. School officials in Eatonville moved its middle school to remote learning at least until mid-October due to an unspecified number of cases.

If you qualify for a Pfizer booster shot, we checked area pharmacies and grocery stores – they’re available now.

The Washington Department of Health data and reporting problems, which started in August and has only gotten worse, have become problematic. The new Modeling and Surveillance Situation Report, released by the DoH today, expressed uncertainty in the ongoing COVID situation because critical data is missing. Choose your path wisely over the next two months based on what is in the report. The first option makes for a harsh winter while the second path forecasts a sixth wave.

The City of Seattle has reached an agreement with three more unions today over modifications to the vaccine mandate. The Seattle Fire Department agreed to the compromise plan and incentives. The Seattle Police Officer Guild was absent from the negotiations.

Anti-vaccination advocates are becoming more desperate and violent. Hospital workers were threatened and attacked in multiple states this week, and the anti-vaccination group Waking Up Washington has resorted to telling their followers not to go to hospitals. The same group is planning an anti-vaccination “town hall meeting” at a Woodinville restaurant tomorrow. If you’re planning to attend, be sure to bring $20 cash and be ready to pay at the door.

Idaho and Alaska are still operating under “crisis standards of care,” and Alaska, in particular, is getting much worse. If you want to feel your blood pressure rise and have veins bulging out of your neck, please, read the Idaho section. We recommend not having anything breakable nearby. In Helena, Montana, where the city’s hospital is operating under crisis standards of care, state legislatures debated whether things are really that bad.

The situation in the Pacific Northwest is so deranged reporting Oregon has 60 available ICU beds statewide is now considered good news.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 24, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 24, 2021

Washington state COVID update

Data continues to show improvement across Washington, particularly in most of the highly 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 is 803.4 per 100K, statistically unchanged from yesterday. The Central Hospital Region, which represents King County, is 258.7, a slight drop from yesterday.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
50.00% or above (13 counties)464.5 (down)
40.00% to 49.99% (17 counties)683.3 (down)
28.10% to 39.99% (9 counties)755.8
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 23, Washington’s statewide 14-day rolling average is 446.4 COVID cases per 100K – the change is “statistically insignificant,” but it’s worth noting the margin was 0.4 cases!. Counties in the 1,000.0 to 1,399.9 range include Lincoln (1,257.9), Franklin (1.127.5) and Stevens (1,115.0). Counties in the 800.0 to 999.9 per 100K range include Adams, Benton, Garfield, Grant, Grays Harbor, Okanogan, and Pend Oreille.

New cases by age group are statistically unchanged. Hospitalizations were up for people under 35 years old and down for individuals over 49 years old.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11193.41.3
Ages 12-19201.41.5 (up)
Ages 20-34193.45.0 (up)
Ages 35-49196.89.9
Ages 50-64135.414.7 (down)
Ages 65-7997.621.7 (down)
Ages 80+94.933.3 (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 has not been updated since yesterday. The state of Washington is not reporting the percentage of positive cases.

COVID reports from the Washington Department of Health providing fewer details

As Washington state entered what local officials called the fifth wave, the state provided fewer details on the Washington State Department of Health COVID-19 Data Dashboard. Between August 30 and September 24, the state removed or has delayed granular information, including:

  • Total number of staffed adult acute care beds available
  • Total number of adult acute care beds occupied
  • Total number of staffed adult ICU care beds available
  • Total number of adult ICU beds occupied
  • Staffed acute care and ICU beds available by Hospital Region
  • Number of COVID patients in acute care and the ICU by Hospital Region
  • Percentage of positive COVID cases detected by daily testing by county and state – accurate data hasn’t been available since August 27, and all data stopped updating last week – there will be no reporting until November 1

Some metrics, particularly hospital occupancy, number of people in the ICU, and number of people on ventilators, have gone through multiple revisions. When these issues have occurred in other states, they became the subject of national attention.

Suppose you compare the quality and quantity of data from the DoH to other states such as South Carolina. In that case, it exposes a breakdown in the region’s ability to gather and analyze COVID information.

South Carolina reported 2,602 confirmed new cases and another 889 probable cases today. The state had 111 confirmed COVID-related deaths and another 11 probable fatalities under investigation. The state processed 36,766 PCR tests, and 9.4% were positive. Currently, 8,511 acute care beds are being utilized, 86.4% of staffed beds in the state. Of those patients, 2,196 have COVID, with 533 in the ICU and 369 on ventilators. There was 223 hospital admission for COVID patients, and 28 hospitals in the South Carolina are experiencing staffing shortages.

We were able to write that in five minutes. The analysis in the first section of the state update took over half an hour and required processing raw data in Excel.

Last year, Washington state moved quickly to create detailed reports during the start of the pandemic. The state was the first to have a confirmed COVID case, a confirmed COVID death, and the first super spreader event. EvergreenHealth in Kirkland and the Kirkland Fire Department literally wrote the books for hospital COVID response, initial case management, and EMS response to potential COVID cases.

The lack of data, while Washington is in the worst COVID surge to date, is glaring, considering these tools were once available. We once led the nation in the capacity to process PCR tests and report the data. It erodes public trust when the number of skeptics is declining, and the remaining are increasingly radicalized. Doctors and nurses in the United States are being assaulted, stalked, and getting death threats. Anti-vaccination organizations are now advocating for people not to go to hospitals and, in a few cases, have attempted to remove people, including ICU patients, on BIPAP and ventilators.

Finally, current reporting does not track pediatric hospitalizations or pediatric acute care, NICU, or PICU resources despite weeks of promises that information would be shared.

We are disappointed that other larger media organizations are not highlighting these issues, especially when you consider the number of headlines generated by the actions of Florida, Georgia, Iowa, and Nebraska.

Department of Health issues updated modeling and surveillance situation report

The latest SitRep report from the Washington Department of Health highlights data fidelity problems, a shortage of testing capability statewide and provides one pessimistic outlook for the coming months.

Testing shortages create uncertainty in how many active cases are missed as hospital admissions spiked to a level 60% higher than the peak in January 2021. At the end of August, the statewide R0, the rate of transmission, dropped below 1.0. It has since increased to 1.3 and was showing an exponential growth curve. The report estimates that 1 in 106 Washingtonians are experiencing an active COVID case, the highest rate recorded since August 2020.

Statewide immunity to COVID is estimated at just over 60%, with 1 in 5 having some degree of natural immunity. With 40% of the entire population exposed, the Delta variant has a significant number of new hosts it can infect. Unvaccinated residents are ninefold more likely to be hospitalized than unvaccinated.

The state has two forecasted models. The first is based on the R0 at 0.9, which would support a declining number of new cases. Under that model, daily hospital admissions for COVID would return to levels seen outside of surges, less than 40 people a day statewide.

The second model assumes R0 doubles to 1.8 due to the Thanksgiving holiday and the state population becoming fatigued with mask wear. If this scenario becomes a reality, December daily hospital admissions will increase to 141 to 240 per day by the end of the year.

Neither scenario predicts that hospital occupancy will drop below the spring 2021 surge. The current IHME forecast model paints a similar picture, with the current projection supporting the first, more optimistic scenario.

Eatonville Middle School moves to virtual learning due to COVID outbreak

Officials in Eatonville announced that Eatonville Middle School was moving to remote learning through October 11 at the minimum. The district didn’t release any specific information on the number of infected students, staff, or if there is significant transmission within the school.

Located between Olympia and Mount Rainier in Pierce County, the town had 3,000 residents. According to the DoH, only 47.9% of county residents are fully vaccinated.

Letter to parents announcing Eatonville Middle School is moving to remote learning

Seattle reaches agreement with major public employee unions over vaccination mandates

Mayor Jenny Durkan announced the City of Seattle had reached a tentative agreement with the Coalition of City Unions, Fire Fighters Union Local 27, and IBEW Local 77 regarding vaccination requirements for City employees.

“Since the pandemic touched down in Seattle, our officers, firefighters, and frontline workers have worked day in and day out to provide nation-leading testing, vaccination, and relief programs for our residents. Those efforts are a key reason we have one of the highest vaccination rates and lowest cases and hospitalizations of every major American city,” said Mayor Durkan.

The agreement is expected to be ratified, provides 8 hours of paid time off for any employee who submits a vaccination form by October 5 and is fully vaccinated by October 18. Employees can begin the vaccination process by October 18 and not face termination. They will have to use their available accrued time off while going through the vaccination process, which can last from two to six weeks. Finally, each employee will receive 40 hours of supplementary paid leave for COVID-related reasons. Employees who are fully vaccinated by October 18 will receive an additional 40 hours of supplemental leave for a total of 80 hours.

“Worker safety and certainty are of paramount importance, and the unions involved with these negotiations centered those concerns throughout a complex and time-sensitive process,” said Shaun Van Eyk, PROTEC17 Union Representative and Coalition of City Unions Co-Chair. “We believe that these two tentative agreements honor the essential, public-sector workers whose work could not be performed remotely and create clear, transparent, and equitable pathways for all City workers with respect to the vaccine mandate. While both agreements took a great deal of time and effort to reach, the outcome is unquestionably worth it for the health and safety of our union members, their families, and our communities.”

The city has now reached vaccination agreements with six labor unions. The Seattle Police Officer Guild, SPOG, was not part of the agreement. The city indicated they were still negotiating with police union leaders.

Almost 90 local, county, and state employees sued Washington state to try and block vaccine mandates earlier this month. One of the plaintiffs claimed up to 150 City of Seattle firefighters were ready to resign. In August, SPOG Union President Mike Solan said up to 200 officers were prepared to quit.

Anti-vaccination activist groups calling for the sick to “avoid hospitals”

As part of a national trend, the activist group Waking Up Washington is telling its followers to “avoid hospitals” because “they’ve fired many of their free thinkers.”

In a video posted today by Palmer Davis of La Center, Washington, she suggests that up to 15% of the medical workforce has been terminated or will be terminated by October 18. Nationally, no single medical system has come close to those numbers, with 97% to 99.5% of all employees choosing to get vaccinated.

Ms. Davis is a central figure in the Washington state anti-vaccination movement, which has seen its numbers dwindle since the summer months. She told her followers to go to another website for medical treatment plans. The site includes access to an online doctor for prescriptions of medications, with a $149 fee for a consultation for Ivermectin. According to WebMDRx, 10 pills cost between $23 and $56.

The site also links to the discredit organization America’s Frontline Doctors and the FLCCC. We have elected not to link to that website as it provides dangerous medical advice.

Suggested treatments include hydrogen peroxide nebulization and taking dandelion, pine needle, and eucalyptus supplements. Neublizing hydrogen peroxide can be fatal, and none of these supplements have any therapeutic value. The website DNS is provided by Google, according to a whois search.

This trend isn’t unique in Washington, with other groups recommending “vigilante treatments” in unchecked Facebook groups and shared through Tik Tok videos. Hospital workers have been assaulted in Alaska, Massachusetts, Texas, Georgia, Idaho, Washington, and Canada in the last month.

Anti-vaccination “town hall meeting” in Woodinville tomorrow at local restaurant

Tomorrow, the same group is holding a “town hall meeting” at Rooster’s Bakery and Cafe in Woodinville. The event touts legal resources to fight vaccine mandates and “expert testimony” about “rigged statistics.”

To attend, you are required to pay a $20 fee in cash at the door.

Editor’s comment: Nothing suspicious about that.

Anti-vaccination event flyer for Woodinville tomorrow

Rooster’s Bakery and Cafe has multiple complaints on Yelp for not following COVID guidelines. The cafe’s Facebook page hasn’t been updated since the fall of 2020.

Travel Advisories

We recommend avoiding all travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with 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

No update

King County, Washington is reporting over 85% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over.

COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.

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, 22.0% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 89.5% of capacity statewide, with 33.9% of ICU patients fighting COVID. There has been a slow decline for all data points over the last week.

The 7-day rolling average hospital admission rate for new COVID patients was unavailable today. The Department of Health reported 1,436 COVID patients statewide on September 23 and 233 on ventilators. We aren’t confident that these numbers are accurate. Hospital occupancy rates don’t support this much of a decline, and the state dashboard noted, “The “hospital admission rate” metric on the Healthcare System Readiness tab was not updated today due to an interruption in our data systems.”

Harborview Medical Center is only at 113% capacity, which is an improvement from last week when the Level I trauma center was at 117% capacity.

KCPQ in Seattle reported that almost half of nurses in Washington are ready to leave the profession. The issue isn’t vaccine mandates. Nurses are burned out from the trauma of 19 months of death, harassment, and vanished community support.

Chelsey Roos, a registered nurse who works at St. Joseph’s Hospital in Tacoma, spoke with KCPQ.

“You get into your car after work, and you just want to cry.”

“Not only do we have roughly 50% more cases than we had during the December surge, but we’re caring for all of those patients with fewer staff, because it’s been so challenging for particularly our nurses, that people are choosing to leave healthcare because of how stressful it’s been,” says Dr. Steven Mitchell, the medical director of Harborview Medical Center’s Emergency Room.

It’s a perfect storm, the stress of the job causing many to leave-which then leaves the remaining nurses with an even heavier workload.

“It burns people out, its burning people out so easily, we can’t seem to keep enough nurses working or wanting to work in acute care or a hospital, it’s just becoming too much, and I think people are wanting to reprioritize things in their lives,” says Roos.

Providence Hospital in Spokane reported an increase in the number of pediatric patients in a press briefing today. Station KXLY quoted Providence Sacred Heart Medical Center Chief Medical Officer Dr. Daniel Getz.

“I don’t know what my daily census is today, but this is really the first time in the COVID surge this last week where we’ve seen an increase in children that have been admitted for the care of COVID.”

KREM reported the number could be as high as 10, but we have trust issues with their reporting after the Medical Lake report.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Bellevue (1)
– Big Picture (1)
– Chinook (1)
– Eastgate (1)
– Enatai (36)
– Interlake (2)
– Lake Hills (13)
– Puesta del Sol (2)
– Wilburton (3)
None
Lake WashingtonYELLOW– Alcott Elementary (2*)
– Ella Baker Elementary (3*)
– Community School Elementary (7)
– Dickinson Elementary (2*)
– Eastlake High (1*)
– Einstein Elementary (1*)
– Evergreen Middle School (1*)
– Finn Hill Middle School (1*)
– Benjamin Franklin Elementary (2*)
– Robert Frost Elementary (9)
– Inglewood Middle School (3*)
– Juanita Elementary (2*)
– Juanita High School (1*)
– Kamiakin Middle School (4* – see below)
– Helen Keller Elementary (1*)
– Peter Kirk Elementary (2*)
– Kirkland Middle School (1*)
– Lake Washington High (1*)
– Lakeview Elementary (1*)
– Muir Elementary (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Redmond High School (1*)
– Rose Hill Elementary (1*)
– Rose Hill/Stella Schola Middle School (2*)
– Thoreau Elementary (4)
– Mark Twain Elementary (3*)

NorthshoreRED– Arrowhead Elementary (13)
– Canyon Creek Elementary (24)
– Canyon Park Middle School (8)
– Cottage Lake Elementary (16)
– Crystal Springs Elementary (47**)
– East Ridge Elementary (24)
– Fernwood Elementary (13**)
– Frank Love Elementary (28)
– Hollywood Hills Elementary (17)
– Inglemoor High School (7)
– Innovation Lab High School (9)
– Kenmore Elementary (15)
– Kenmore Middle School (39**)
– Kokanee Elementary (50)
– Leota Middle School (5)
– Lockwood Elementary (8)
– Maywood Hills Elementary (14**)
– North Creek High School (21**)
– Northshore Middle School (10**)
– Ruby Bridges Elementary (7)
– Secondary Academy for Success (10)
– Shelton View Elementary (18**)
– Skyview Middle School (82**)
– Sunrise Elementary (21)
– Timbercrest Middle School (28)
– Wellington Elementary (64)
– Westhill Elementary (10)
– Woodin Elementary (9)
– Woodinville High School (21)
– Woodmoor Elementary (21**)
– Bothell High School (12*/100)
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.

We had a parent-reported confirmed COVID case at Kamiakin Middle School on Tuesday. Because the Lake Washington School District updates its dashboard weekly, we don’t know if this is in addition to the 3 cases reported on Monday or if any of those earlier cases have returned to class. We have set the number to 4.

The number of positive cases between staff and students has swelled to 12 at Bothell High School, with another 100 students quarantined. The NECS reports the school has 1,607 students, and the Northshore School District website reports 236 faculty. Although the numbers in the district may appear to be bad, they are the only school district of the three we are following that is performing weekly universal COVID testing.

We recommend that parents in the Bellevue and Lake Washington School District request better transparency on their publicly facing COVID dashboards.

Kirkland-Bellevue-Woodinville

Booster shots for eligible individuals are now available in the Kirland-Bellevue-Woodinville area. 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.

We canvased area drug and grocery stores to check for availability. Walgreens, Rite-Aid, Bartell’s, and CV are all offering booster shots immediately. Booster shots are also available at the CVS located within the Target store at 17,700 NE 76th Street in Redmond. Additionally, the QFC at Kirkland Urban is providing booster shots.

Most locations require an appointment that can be set up online. The Kirkland Urban QFC was already completely booked through the weekend.

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 128,731 new cases and 3,157 deaths nationwide.

Alaska

Alaska continues to operate in crisis standards of care as the situation in the vast and remote state continues to deteriorate. Officials reported 1,793 new cases and a staggering 41 deaths (yes, we know the headline says 1800 cases and 44 deaths – if you read the story, it says 1793 cases and 41 deaths, talk amongst yourselves – we’re over it) in the state of just over one million people. The numbers included hundreds of older cases due to a data entry backlog.

The state had a record of 217 COVID patients hospitalized. The statewide 7 day moving average for new COVID cases is a staggering 976 per 100K people, and currently, 9.2% of all COVID tests are coming back positive.

The state now has 20 ICU beds available, an improvement from yesterday, and 74 residents on ventilators.

The Guardian reported Soldotna’s Central Peninsula Hospital spokesperson Bruce Richards discussed worker burnout and frustration with the crisis, particularly because it was preventable. “The evidence speaks for itself,” Richards said. “It’s very clear that a vaccine will help keep you out of the hospital.”

Soldotna’s Central Peninsula hospital, about 150 miles from Anchorage, is operating at 133% capacity. Richards is worried about what will come next. “We all know that hospitalizations lag following these high-case days, so I don’t know what’s in store for us.”

The situation has become so desperate that medevac aircraft that would typically fly patients to Anchorage or Seattle are moving patients from Anchorage to rural hospitals.

The goal is to make more room at the busy Anchorage hospitals, which offer more intensive care and other services, especially sick patients that rural hospitals can’t support.

This practice is known as “load leveling,” and it’s done more regularly between hospitals in urban areas, where patients can be moved by ambulance. It’s far rarer in rural Alaska, though, since most hospitals in those areas aren’t connected by road and can be hundreds of miles apart.

“Once you start involving learjets and medevac companies, it gets infinitely more complicated,” Brunner said in an interview Thursday.

Patients that don’t need critical care are flown to acute care hospitals in rural areas. For many rural hospitals, the patients they receive are sicker than they usually see, straining staff. Worse, patients are separated from family and friends and face potential air ambulance bills in the tens of thousands of dollars.

In the 6,000 resident town of Bethel, Alaska, half the police force is threatening to resign over a recent vaccination mandate. The remote city is only accessible by boat or airplane during the warmer months, and ice road in the winter. The city is experiencing one of the highest COVID case rates in the state and country and doesn’t have the resources to deal with the surge. City officials decided to mandate vaccinations.

“The city had no choice,” James Harris, Human Resource Manager, told The Daily Beast. “We had to react.”

Resistance to the vaccine from police in Bethel is endemic of opposition the vaccine has seen from police departments across the country. Many officers have refused vaccine mandates, filed unsuccessful lawsuits, and decried the measures as unconstitutional.

But in Bethel, some say police have gone a step further, dangling the possibility of increased violence over remote residents’ heads if the city were to push half of the police force out of a job.

Among other highlights, Police Chief Richard Simmons baldly told KYUK earlier this week that the small city was “one of the most violent communities in the nation” and needed every one of its officers.

Available data shows that Bethell has a high crime rate but not one of the highest in the nation.

Alaskans have been abusive to health care workers who ask them about COVID-19 or discuss the disease in public, according to health officials. 

Alaska Chief Medical Officer Dr. Anne Zink, who also works in a hospital emergency department, said many retail pharmacists have stopped asking customers if they’d like the vaccine because of the fury it triggers.

“We see many triage nurses in the emergency department also afraid to ask that question,” Zink said, “because patients have been violent towards them in the emergency department when asking the question if they’re vaccinated or if they have COVID-19.”

Idaho

Idaho reported 1,646 new COVID cases and 34 new deaths on Friday. The state continues to operate under crisis standards of care. Unlike states such as Alaska, Oregon, and Washington, which use “load leveling” to maximize resources, Idaho hospitals can go it alone.

While people are dying in hospital waiting areas in the Panhandle, hospitals in the eastern part of the state are operating under “contingency care.” Both Oregon and Washington are running on “contingency care protocols,” which give medical providers options to defer certain treatments and take other steps to maximize resources.

Editor’s Note: It is unconscionable that parts of Idaho are stacking bodies in morgues, storing corpses in unrefrigerated areas, and placing them in railroad cars while people are dying in waiting rooms, that any hospital could have the audacity to speak about available resources publicly. If Idaho has unused resources, maybe Washington state should be less generous in its support.

The Idaho State Journal reported  Portneuf Medical Center has been operating near capacity amid a surge in COVID-19 cases, but CEO Jordan Herget is confident the hospital has ample resources to avoid crisis standards of care.

While hospitals in the Magic and Treasure valleys and Northern Idaho have added beds in conference rooms, cafeterias, and other available spaces, Herget believes PMC should have adequate traditional bed capacity heading forward.

On Monday, Herget said PMC would open a special care unit with nine rooms equipped with negative pressure technology to treat patients with contagious upper respiratory diseases, such as the coronavirus.

“Older adults are facing serious risk of discrimination, resulting in death,” because of Idaho’s crisis standards, Justice for Aging attorneys wrote in their complaint letter. Symptomatic breakthrough cases are overwhelming among people over 70 years old.

Boise State University opted to tell the doctors and nurses trying to save lives to get bent, halting its plan to require fans to show proof of vaccination for COVID-19 or test negative for the coronavirus before attending a football game at Albertsons Stadium.

The school wrote in a statement on Friday, “In light of our declining campus positivity rates and high vaccination rates, the university will shift from testing all ticket holders in the student section to random sample testing of that population before next week’s football game.”

According to the Idaho Department of Health and Welfare, the percentage of Idaho’s eligible population (12 and older) fully vaccinated is just 51.5%.

We’re sure that Dr. Ashley Carvalho, completing her residency training in Boise, appreciates this decision. A family member of a COVID patient under her treatment threatened to shoot her last week, and police had to be called to the hospital.

Photo credit – Dr. Ashley Carvalho – photo after being a family member of a patient threatened to shoot her

“I received a slew of verbal abuse from a patient’s family members who called me an incompetent doctor, threatened me with physical violence, and demanded I give them my name and medical license number so they could sue. This was because I refused to prescribe Ivermectin, which is not proven to treat COVID-19 and is recommended only in clinical trials at this point, and hydroxychloroquine, which current research suggests is not effective or safe in treating COVID-19. My patient was struggling to breathe, but the family refused to allow me to provide care. A call to the police was the only solution.”

But wait, there’s more. In Coeur d’Alene, police had to fend off anti-mask and anti-vaccination protesters who attempted to storm the school district’s board of trustees special meeting on Friday. Yes, the story is from KREM, and yes, we were roasted, but KREM has receipts in the form of videos of the incident (feel free to talk amongst yourselves).

Several physicians from Kootenai Health were slated to speak during the meeting as the hospital hit two milestones this week: its highest number of COVID-19 inpatients and the highest number of COVID-19 ICU patients at 43. The hospital in Coeur d’Alene typically only has 26 ICU beds.

The group was described as a “mob” of 200 people who were “extremely hostile.”

Editor’s Note: We remind you again, our state is supporting Idaho’s bad choices. In the coming weeks, it is likely at least a couple of the people in this “mob” will be begging the doctors who had planned to speak today to save their lives.

Wait – there’s more. Andy Grover, the executive director of the Idaho School Administrators Association, told the Idaho Board of Education that workers are leaving Idaho schools “for hiring bonuses and higher wages in fast food.”

“When there’s that kind of things to compete against, we don’t have a chance,” he said. “We just don’t have employees. We’ve seen from 2 or 3 classified staff, all the way to 60 classified staff, that districts are missing across the state.”

He said three school districts were closed Friday, two due to staffing shortages and one because of COVID-19 cases among students. He said open schools are also struggling with lower than normal attendance.

Montana

Montana reported 1,326 new COVID cases across the state where officials aren’t reporting unvaccinated versus vaccinated cases. The state has 395 people hospitalized with COVID and didn’t share how many are on ventilators.

In Billings, the city’s largest hospital reported running out of “hallway space” to put patients while the ICU is operating at 160% capacity.

According to KHN, Billings Clinic said it might soon implement “crisis standards of care” that would force staff to save provisions for patients they can most likely save.

Yellowstone County is seeing the worst of the surge. The Montana Department of Health and Human Services reported 2,461 current active cases there, as much as the next two counties combined.

Another county health officer resigned in Montana. Blaine County public health nurse Jana McPherson-Hauser said her resignation would take effect October 15 because of the “constant negativity, pushback, disregard and lack of support” that health officials have faced throughout the coronavirus pandemic.

And in Helena, where a hospital is operating at crisis standards of care, state lawmakers questioned health officials on the severity of the situation.

During Wednesday’s meeting, Rep. Jane Gillette, a Republican from Bozeman, disputed concern over the jump in new cases.

“I’m not sure I would feel really dismayed about the rate increase when you just think of it really mathematically,” Gillette said. “… Just put in simple terms, if you had two (cases) at one point and you increased to four, you’d increase by 50%, so you just kind of have to put it in … more broad terms and not … lose the other data. So, for instance, when we look at the number of COVID cases per 100,000, we’re pretty much just middle of the pack normal.”

If being the sixth-worst in the United States is “middle of the pack,” Montana is competing with its neighbor to the west in a race to the political bottom.

Oregon

Another 2,113 new confirmed and presumptive cases were added, bringing the state total to 320,990.

There were 855 COVID-19 hospitalizations, 30 fewer than the previous day, and 268 patients in ICU beds, which was an increase of five. There were 60 available adult ICU beds across the state of Oregon, which is an improvement from two weeks ago.

The OHA’s latest COVID-19 forecast shows a slowing in the decline of daily cases and hospitalizations through mid-October. The report estimates 495 cases per 100,000 people, or an average of 1,480 daily cases and 81 hospitalizations for the two weeks between September 29 and October 12.

In our neighbor to the south, new COVID cases among children now outnumber those among the elderly.

In another sign that the anti-vaccination movement isn’t as big as it presents itself, a little more than 5% of Oregon’s 42,000 state employees have applied for vaccination exemptions. About 90% of the 2,284 requests come from people seeking religious exemptions. So far, almost half of state employees have provided proof of vaccination.

Misinformation

Taking the day off