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WA Covid vaccine mandate now hours away – local and national update for October 16, 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) It should come as no surprise with the Washington vaccine mandate impacting state employees, teachers, and health care workers on Monday, there is an incredible amount of local news.

New Covid-19 cases in Washington continued to decline while Eastern Washington continues to hold back progress for the rest of the state. In Spokane, officials requested a 20 person Department of Defense strike team to support overwhelmed hospitals. In an ironic twist, 11 Republican State Senators signed a letter urging Governor Jay Inslee to deploy National Guard troops to rural Washington hospitals battered by Covid-19 patients. Several of the signatories have actively worked against mask and vaccination mandates.

The Seattle Police Department will be operating at blackwatch plaid modified phase 4 rules on Monday, with 130 officers still not sharing their vaccination status with the department. In related news, a federal judge tossed a lawsuit against Governor Jay Inslee and the vaccine mandate on Friday.

University Washington Medicine (UMC) announced that hospitals will be open to visitors again starting October 19, but you’ll need to prove you are vaccinated or have a negative COVID test to go into Harborview Medical Center.

Locally up to 20 Redmond firefighters are facing termination and 12 learned their previously accepted religious exemptions were rejected. On Friday up to 200 Boeing employees and their supporters protested in Everett after the defense contractor announced they were implementing a vaccine mandate.

If you have Covid-19 and you’re seeking monoclonal antibody treatment you’re in luck with two facilities in Kirkland offering the therapeutic.

There was a single COVID case reported at Bennett Elementary School in the Bellevue School District on Friday.

The State Trooper that died of Covid-19 wasn’t vaccinated according to his family, and they are appealing to everyone to stop politicizing his death.

Out in Pullman, Cougar fans are wondering if Nick Rolovich has coached his last game.

On the Kitsap Peninsula, Vice Admiral Bill Galanis told more than 15,000 civilian naval workers to get vaccinated or they’ll no longer work for the U.S. Navy. A Clark County physician assistant had his license revoked after spreading Covid-19 misinformation for more than a year. Another nurse in Washington is under investigation after she appeared on the Stew Peters show and made wild accusations on air.

Yakima and Spokane are getting new mass Covid-19 testing sites starting Monday and Yakima Valley Memorial Hospital is now offering monoclonal antibody treatments.

A Food and Drug Administration (FDA) panel unanimously recommended booster shots for all recipients of the Johson & Johnson vaccine, and further recommend that the viral-vector vaccine require two-doses. The FDA also announced that a panel won’t review the antiviral molnupiravir until November 30, indicating the drug likely won’t be approved in 2021.

A worker at CVS accidentally gave a 17-year old six-times the recommended dose of the Pfizer vaccine while another worker at Walgreens accidentally gave an adult dose of the Pfizer vaccine to a 4 and 5-year-old.

The CDC released travel guidelines for the 2021 holiday season and visiting grandma is a go, as long as everyone is vaccinated or wears a mask. On the topic of masks, if you’re still using a cloth one, it’s time to throw it away and use disposable surgical or N95 masks instead.

Cam Newton’s agent let everyone know that he is now vaccinated and call me crazy, but I’m just not a big Geno Smith fan.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on October 15, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for October 16, 2021

Washington state Covid-19 update

The number of people vaccinated in Clallam County was adjusted downward, pushing the county just under 60%. This change is reflected in our daily chart, and we expect Clallam County to be back over 60% on Tuesday when the vaccination data is updated.

The lowest vaccinated counties have 387% more new cases of Covid-19 than the most vaccinated. Only one of the least vaccinated counties is in the western half of the state.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
60.00% or above (4)194.4 (down)
50.00% to 59.99% (13 counties)431.4
40.00% to 49.99% (12 counties)478.0 (down)
29.90% to 39.99% (8 counties)753.1
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through October 14, Washington’s statewide 14-day rolling average dropped slightly to 349.4 Covid-19 cases per 100K – statistically unchanged from Thursday.

Ferry County (1,393.3) and Garfield County (1,390.6) still have new case rates above 1,000. They are now significant outliers compared to the rest of the state.

For the first time since August 17, not a single county is reporting new case rates between 800 and 999.9. In Eastern Washington, a combination of rising vaccination rates in many counties and the Delta variant running out of new hosts is driving case numbers downward.

Counties in the 600.0 to 799.9 per 100K range include Chelan, Columbia, Klickitat, Lincoln, Pend Oreille, and Stevens.

New cases were statistically unchanged, while hospitalizations were up for ages 35 to 49.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11150.71.2
Ages 12-19169.21.3
Ages 20-34153.74.0
Ages 35-49157.28.5 (up)
Ages 50-64118.712.1
Ages 65-7986.719.3
Ages 80+85.535.9
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 46 deaths on Thursday and 36 more on Friday.

Seattle Police Department will operate on modified phase 4 rules starting Monday

Seattle officials announced that SPD officers would be operating on 12-hour shifts six days a week starting Monday as they try to determine how many officers are vaccinated. On Thursday, officials reported 84% of SPD employees had provided proof of vaccination status. The number dropped to 82% on Friday with no explanation.

An “unofficial” website claiming not to be associated with the Seattle Police Officer Guild, while using common language from union president Mike Solan, advised officers not to provide their vaccination status information before October 18. In early September, it was implied approximately 200 officers would not provide their vaccination status until the deadline.

According to KING 5, Solan called out Mayor Jenny Durkan for not making accommodations to the Seattle Police Department.

“For some reason, this mayor is refusing that, which I think is unreasonable and is void of common sense,” said Solan. 

The mayor’s office responded to Solan’s request in a statement to KING 5, saying, “COVID-19 is currently the number one cause of death for our first responders. Throughout the pandemic, we have seen dozens of firefighters and officers exposed, with some hospitalized even with testing and PPE. This deadly disease puts our families, children, co-workers, and the community at risk, so Mayor Durkan sincerely hopes that anyone at risk of leaving the City or at departments statewide will make the decision to stay by getting vaccinated.”

The department has 1,043 commissioned officers. If the current number holds, 187 will be suspended after Monday. Earlier this week, on the Dori Monson Show, Solan hinted the number of officers refusing to get vaccinated was around 50. Officers were informed they will not be automatically fired but will need to appear at a “Loudermill hearing.”

The Seattle Times and Forbes reported during the summer of 2020, the average SPD officer made $153,000 a year in salary. The figure did not include benefits, pension, or government employee discount benefits. The pay in Seattle is more than double what the average officer makes nationwide.

Solan is not alone in defying vaccination orders among the police officers represented by a union. Chicago Police Union president John Catanzara took a similar position in a video earlier this week and communicated the same early numbers, claiming 50% of the force will walk off the job. According to the best available data provided by Chicago officials, over 70% of the CPD is already fully vaccinated.

In a breaking news update to this story, KIRO 7 reported that 100 SPD officers remain unvaccinated, and another 130 have withheld their vaccination status.

Federal judge tosses lawsuit attempting to block Washington state vaccine mandate

In a widely expected decision by federal court watchers, Judge Barbara J. Rothstein, a Carter Administration nominee, rejected a lawsuit by more than 100 municipal, county, and state employees attempting to block the Washington state employee vaccine mandate.

The lawsuit was filed on September 10 in Walla Walla County, with 89 plaintiffs. The original lawsuit claimed, “The penalties for not taking affirmative action to comply with the Governor’s Mandate are overly severe, punitive, and unconscionable.”

Plaintiffs included William Cleary, a firefighter with a very large King County-based department, and Washington State Fire Marshal Charles LeBlanc.

Nationally, federal lawsuits have been filed in 39 different states, with two resulting in temporary stays. The first was specific to New York employees seeking religious exemptions, and the second was among a handful of United Airlines employees who were suspended without pay. The legality of vaccine mandates at a state level has been litigated for 119 years in federal court. The United States Supreme Court ruled in 1905 in the case Jacobson vs. Massachusetts that municipalities, counties, and states had the right to make and mandate public health decisions.

Up to 20 City of Redmond firefighters face termination

Anywhere from 12 to 20 Redmond firefighters face termination on Monday as they continue to battle the looming vaccination mandate. Several employees who previously received religious exemptions had them rejected by the city upon further review.

Many people seeking a religious exemption have cited their anti-abortion beliefs as their foundation of “deeply held religious beliefs.” The mRNA vaccines from Pfizer and Moderna were tested using clonal human fetal kidney cells (HEK293), and the Johnson & Johnson vaccine is produced using the same cells.

While committees accepted many exemption requests initially, the position has become problematic among medical providers. In Washington state, firefighters, some police officers, and all patient-facing healthcare workers are required to have the MMR, Hepatitis B, Varicella, and if over 50 years old, Zoster vaccines. All of these vaccines use HEK293 in their development, testing, or production. Workers who had no previous religious belief against these vaccines are having their exemption requests rejected.

Additionally, some workers have used boilerplate language provided by anti-vaccination groups and filed fake exemption requests. Malcontent News was told off the record by several officials that religious requests that used this wording are being rejected.

Waking Up Washington plans an anti-vaccine mandate protest (again) in Seattle for Monday

Palmer Davis of Waking Up Washington is calling for another Seattle area protest against the vaccination mandate on Monday at noon in front of Seattle City Hall. The organization previously called for a protest at Swedish Hospital and Harborview Medical Center, where Ms. Davis advocated online for trying to enter Harborview. That protest never materialized and the organization never made a statement or released photos of the event.

Given the vaccine mandate starts on the 18th and a number of state workers have already accepted they are losing their jobs, it is more likely someone will show up.

In ironic twist, state GOP urges Governor Jay Inslee to deploy National Guard to fight Covid-19

On October 8, 11 Washington state Senators signed a letter requesting Governor Jay Inslee deploy the National Guard to aid overwhelmed rural county hospitals. The letter was signed by Senate Minority Leader John Braun (R-Centralia), Senator Jeff Wilson (R-Longview), and retiring Senator Ann Rivers (R-La Center).

On June 7, Senator Braun penned an op-ed in the Tri-City Herald against vaccine mandates which could be filed under the category “did not age well.”

For several months, the state seemed content to focus on providing access to the vaccine. But in mid-May, we saw a change in the federal guidance on wearing masks and distancing, and the state followed suit. Suddenly, Washington employers had more control over their own safety standards than they’d had in over a year. It didn’t last long. Barely a week later, on May 21, the Department of Labor and Industries (L&I) issued new guidance that puts employers in the position of becoming the “vaccine police.”

During the 2021 legislative session, Republicans introduced legislation to prevent discrimination based on vaccination status in places of public accommodation. Although leaders of the Democrat majority didn’t support our proposal, they at least recognized it would be a mistake to go the other direction and pursue a vaccine-passport policy.

When Braun penned the op-ed in June, the Alpha variant of Covid-19 was in statewide decline, and almost all Covid-19 related restrictions ended on June 30. By early September, hospitals in Yakima, Walla Walla, and Richland were on the edge of moving to crisis standards of care due to an overwhelming number of Covid-19 cases.

In a Facebook post on June 23, 2020, Senator Wilson posted he was against mask mandates and made repealing Covid-19 safety measures part of his platform.

In May of this year, he joined Senator Braun against Washington L&I mask requirements. The Reflector reported Braun and Wilson reminded constituents that private businesses have the right to make their own rules for customers. It mirrors State Health Secretary Umair Shah’s plea for Washingtonians to “respect the rules of the room.”

The statewide mask mandate was lifted in late June 2021.

The question about deploying the National Guard came up repeatedly since August when the Delta surge started in Washington. Other states that deployed the National Guard found it had a devastating impact, removing medical personnel already working at hospitals and causing worse staffing issues. Additionally, the Washington State National Guard is already deployed to other states assisting in their failed Covid-19 response and dealing with hurricane and disaster response.

Washington state opening mass Covid-19 testing sites in Yakima and Spokane

Weeks after being announced, two new mass Covid-19 testing sites will be opening in Yakima and Spokane.

The site in Yakima will open on October 18 at 1301 South Fair Avenue at 9 a.m. The entrance to the site is from gate 15 off of Pacific Avenue and will provide free PCR testing.

The site will be open five days a week, Sunday through Thursday. Officials report it will take two to three days to receive test results. People are encouraged to preregister for testing. A drive-up option is available.

In hard-hit Spokane, a drive-up site will open Monday at 8:30 a.m. at Spokane Falls Community College. The site will be open on Monday, Tuesday, Thursday, and Friday from 8:30 a.m. to 6:00 p.m. Tests will also be free, and results will be available within 48 to 72 hours.

According to local officials, a second Spokane location will be opening soon, but no details were provided.

Yakima Valley Memorial Hospital offering monoclonal antibody treatments

Yakima Valley Memorial now has access to monoclonal antibody treatments for eligible Covid-19 patients, according to NBC KNDO and KNDU. Monoclonal antibodies are an experimental treatment with emergency approval from the FDA.

Chief Medical Officer at YVM, Dr. Marty Brueggemann, said while the treatment is new, it shows a lot of promise.

“Its not the end all, be all, but it is an important tool and it does show promise and certainly once you get covid if we can save a few admissions and people having to go through that then hey that’s the goal here,” Dr. Brueggemann said.

Monoclonal antibodies are meant for people with mild to moderate covid-19 symptoms and are most effective when used before the seventh day of symptoms. Individuals can contact the hospital for more information, and the therapy is free for qualified patients. 

Approximately 200 Boeing workers and supporters protest looming vaccine mandate

Waving signs like “coercion is not consent” and “stop the mandate,” some 200 Boeing employees and others protested on Friday over the defense contractor and planemaker vaccine requirement for employees.

According to Reuters, about 200 employees and supporters lined up in Everett. “It’s my choice, and it’s my body,” one avionics engineer said, his voice nearly drowned out by anti-Biden chants and trucks honking to show support along the busy street outside Boeing’s factory in Everett, north of Seattle.

“It’s an experimental drug given under a pseudo-emergency,” he added.

Another worker, an assembly mechanic, said: “This is America. We don’t just do what we’re told because one person says to.”

In March of 2020, workers protested against the company demanding the Everett plant be closed after an employee died of Covid-19 and citing unsafe work conditions. Boeing suspended operations for 14 days after union pressure.

The Pfizer vaccine is fully approved by the FDA for individuals 16 years and older in the United States and other nations. The Moderna vaccine is under review for full FDA approval, and the Johnson & Johnson vaccine is expected to be submitted by the end of the year.

Shipyards’ commander to workers – get vaccinated or you’ll no longer work for the U.S. Navy

Vice Admiral Bill Galanis sent an “all-hands” email, including more than 15,000 naval shipyard workers in Washington state to get vaccinated or face termination. Workers have until November 8 to submit an exemption request on religious or medical grounds.

The Kitsap Sun reported Vice Admiral Galanis wrote, “We are moving quickly toward a workforce where vaccinations are a condition of employment,” said Vice Adm. Bill Galinis. “Frankly, if you are not vaccinated, you will not work for the U.S. Navy.” 

The all-hands email, shared by employees of Naval Sea Systems Command to the Kitsap Sun, marks the Navy’s position, in following the executive order issued by President Joe Biden, for the 15,000-member workforce at the Puget Sound Naval Shipyard, as well as those at shipyards in Hawaii, Maine, and Virginia. Galinis cast Covid-19 as not just a health risk but one that “directly impacts the readiness of our Fleet and our workforce.”

Union officials were disappointed in the email, hoping to bargain with the U.S. Navy for additional accommodations. Shipyard leaders indicated up to 35% of the staff could resign, but so far, nationally, none of these dire predictions have come true.

The U.S. Navy is the largest employer in Kitsap County, including 20,000 civilians and 11,000 U.S. navy personnel.

Clark County anti-vaccination and anti-mask physician assistant license suspended

On August 19, the state of Washington announced they would be cracking down on medical professionals who promote Covid-19 disinformation, and a Clark County physician assistant is the first to be censured.

An investigation into the practice of Scott Miller began in August 2021 and ended with his license revoked by the Washington Medical Commission (WMC). The commission found accusations against Miller had merit and suspended his license to practice medicine due to treatment for patients falling below the standard of care. Accusations against Miller included:

  • Starting a public camaign promoting ivermectin as a Covid-19 cure
  • Prescribing ivermectin to at least one patient without providing an adequate examination
  • Interfering with the care of hospitalized patients
  • Engaging in a hostile and threatening campaign against both hospitals and individual physicians regarding Covid-19 treatment
  • Lying on his licensing application and denying he was already under investigation by the state of California

Miller is aligned with the group Waking Up Washington, led and organized by Palmer Davis, one of the principal creators of Covid-19 misinformation in the Pacific Northwest. In 2020, he was promoting hydroxychloroquine as a cure. He was one of the leaders claiming Covid-19 was circulating in the United States in 2019 and promoting Vitamin D and C along with melatonin as capable of stopping viral replication in human cells.

Miller, who runs Miller Family Pediatrics in Washougal, Washington, spoke at a Camas School Board Meeting in May of 2021 against mask mandates and promoted ivermectin as a “cure.”

“I don’t know anybody that’s died (from COVID-19),” Miller said. “I’ve treated 350 COVID patients. Do you know there’s treatment? … I treat people every day. I had 90 COVID patients come into my clinic last month.” Miller then went on to call the school board “pure evil.”

The Camas-Washougal Post Record reported Miller falsely claimed ivermectin, a drug used to treat parasites in animals, as well as vitamin D and vitamin C were cures for the novel coronavirus that has killed nearly 720,000 Americans since March 2020. The European Medicines Agency and the United States Food and Drug Administration have both said the available data “does not support the drug’s use for Covid-19 outside of well-designed clinical trials.” Likewise, the World Health Organization has warned against using ivermectin for COVID-19. In February, the drug’s manufacturer, Merck & Co., Inc., stated it has found ivermectin has “no scientific basis for a potential therapeutic effect against Covid-19” as well as “a concerning lack of safety data in the majority of studies.”

Washington state nurse under ethics investigation after her appearance on the Stew Peters Show

State officials are investigating nurse Corrine Lund after her appearance on the Stew Peters Show, part of Mojo 5.0, a “Libertarian Talk Radio” network, claiming she is a hospital supervisor who has witnessed misconduct where she worked.

In a tear-filled interview, Lund claimed she overhead doctors and nurses wishing patients would die and that sedated patients were being vaccinated for Covid-19 without consent. Lund was a Registered Nurse with UW Medicine from 2012 to 2016. She still holds a valid nurse license in Washington, but an investigation could not find any evidence she is employed or has been employed in health care since 2017.

State trooper who died of Covid-19 was unvaccinated according to family

The family of fallen Washington state Trooper Eric Gunderson released a statement that Gunderson was not anti-vaccination but didn’t believe he needed to get vaccinated.

“Eric was a young man. At 38, he was in the peak physical condition necessary to perform his duties as a member of the Washington State Patrol S.W.A.T. team,” the statement said, in part. “He thought — we all thought — that Covid was something that happened to someone else. He was not in a high risk group.”

According to the family and the Washington State Patrol, Gunderson contracted Covid-19 during a business trip to Orlando, Florida, during the height of the Delta variant surge in the Sunshine state.

“He contracted the virus while traveling for work this summer, a trip planned before the dangers of the Delta variant were fully understood, when many travel restrictions had been reduced, and there was a sense that Covid was in decline,” the statement said. “After he returned from his trip, he became very sick, very quickly. He was hospitalized and died some six weeks later.

To say that the comments on social media attached to this story are awful would be an understatement. Regardless of your views on vaccination, a husband and father of two died unnecessarily.

His family wrote, “His death is a tragedy. It is not a symbol.”

The most up-to-date numbers available indicated 91.5% of all commissioned Washington State Patrol officers and 93% of WSP employees are fully vaccinated.

Speculation about Nick Rolovich future employment status is rampant

The highest-paid state employee in Washington, Nick Rolovich, has been playing peek-a-boo with state officials and the press over his vaccination status. Last week Rolovich, who has a record of 4-6 leading the Cougars at press time (each win has cost Washington taxpayers $1.65 million), stated to USA Today he was seeking a religious exemption.

The panel at Washington State University that will determine the fate of Rolovich is not attached to the athletics department, according to CougCenter.com. If the panel determines he does not have “sincerely held values,” his request will be rejected.

Over 95% of staff and 98% of students at WSU Pullman are fully vaccinated or have an approved exemption.

Harborview Medical Center will require all visitors to show proof of vaccination or negative Covid-19 test for entry

Harborview Medical Center will allow visitors into the hospital beginning October 19, with new protocols in place. Starting Tuesday, all inpatient visitors over the age of 12 and individuals over the age of 18 accompanying an adult outpatient must show proof of being fully vaccinated against COVID-19 or provide evidence of a negative COVID-19 test collected within the past three days.

Visitors will be allowed at all four UW Medicine facilities starting Tuesday but will be limited to one or two people depending on the hospital, patient, and what department is treating the patient.

UW Medicine indicated the proof of vaccination or negative test policy would be rolled out at the remaining facilities in the coming weeks.

Travel Advisories

Due to increased acute care hospitalizations, we’re maintaining our recreational travel advisory to the East Hospital Region, including Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties. Acute care and ICU capacity remain limited, and the ratio of Covid-19 patients to other hospital patients is exceptionally high. Please reconsider nonessential travel plans to these counties.

With the announcement that Spokane officials have requested additional federal resources to support local hospitals, the travel advisory will likely continue through the 2021 holiday season.

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 recommended booster for all Johnson & Johnson vaccine recipients and changing to a two-dose regime

On Friday, an influential Food and Drug Administration advisory committee said the agency should authorize boosters of Johnson & Johnson’s single-shot Covid-19 vaccine to the more than 15 million Americans who have already received the initial dose.

CNBC reported a unanimous vote – by the agency’s Vaccines and Related Biological Products Advisory Committee – is a critical step before the U.S. can begin giving second shots to J&J recipients. Some of them have said they are anxious to get the additional protection. Studies have shown one dose of J&J’s vaccine to be comparatively less effective than the two-dose messenger RNA vaccines made by PfizerBioNTech and Moderna.

The panel recommended the boosters to everyone 18 and over who’s already received J&J’s first shot at least two months after the initial dose. Many committee members said it should be considered a two-dose vaccine, much like Moderna and Pfizer’s.

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 16.3% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 616 additional acute care patients. ICUs are at 86.7% of capacity statewide, with 26.0% of ICU patients fighting Covid-19 – an estimated 311 patients with 51% on ventilators. The state has the staff to support approximately 157 additional ICU patients.

On Friday, the 7-day rolling average hospital admission rate for new COVID patients increased slightly to 94. The Department of Health reported 1,115 Covid-19 patients statewide on October 14, with 159 requiring ventilators.

Every hospital region showed improvement this week. The East and Northwest Hospital Regions remain highly stressed. Earlier this week, 19% of all hospitalized Covid-19 patients in Washington were in Spokane County medical facilities.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman92.2%38.8%91.4%24.9%
NorthIsland, San Juan, Skagit, Whatcom63.2%22.2%87.8%9.6%
North CentralChelan, Douglas, Grant, Okanogan93.1%47.9%78.4%22.0%
NorthwestClallam, Jefferson, Kitsap, Mason91.0%40.0%96.3%21.6%
Puget SoundKing, Pierce, Snohomish89.9%22.7%94.8%13.5%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima89.2%27.5%84.5%22.2%
SouthwestClark, Cowlitz, Klickitat, Skamania 66.8%25.1%84.5%16.5%
WestGrays Harbor, Lewis, Pacific, Thurston85.7%27.1%88.2%17.6%
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%

Sacred Heart Medical Center received a Department of Defense “strike team” of 20 healthcare workers to provide additional support. For months, the hospital has been overwhelmed with Covid-19 patients and recently started seeing more patients from Idaho seeking medical treatment.

The team includes physicians, respiratory therapists, and nurses. The team will stay at the hospital for at least two months.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Ardmore (2*)
– Bellevue (7**)
– Bennett (1*)
– 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.

Bennett Elementary School in the Bellevue School District reported a single confirmed Covid-19 case on Friday.

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

Monoclonal antibody treatment available in Kirkland

EvergreenHealth in Kirkland offers monoclonal antibody treatment to qualified people who have tested positive for Covid-19 and are experiencing mild or moderate symptoms that don’t require hospitalization or oxygen therapy.

Dr. Cynthia Keller, M.D., of Center in Wellness, is also offering the treatment.

Covid-19 vaccination clinic at Microsoft campus in Redmond to close October 29

Although not exactly in the local coverage area, the Covid-19 vaccination clinic run by EvergreenHealth at the Microsoft Campus will close on October 29.

EvergreenHealth sees increase in Covid-19 patients at Kirkland hospital

EvergreenHealth reported on October 11, 39 Covid-19 patients were being treated at the Kirkland hospital, up significantly from last week and a jump of 4 patients overnight.

On October 10, the hospital reported caring for 35 COVID patients, and 75% were unvaccinated. Seven patients were in the ICU, with one requiring a ventilator.

EvergreenHealth was the epicenter for the first Covid-19 superspreader event in the United States when dozens of patients at Life Care Center in Kirkland were sickened with the virus in February and March 2020. The facility was fined $611,000 in April 2020 due to management inaction and a failed attempt to cover up the outbreak.

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 116,962 new cases and 2,191 deaths nationwide on Saturday, October 16. The CDC reported that new cases and hospitalizations were down last weeks while the number of people getting vaccinated increased. The number of people testing positive for Covid-19 dropped to 5.7%. Although still elevated, test positivity below 5% indicates adequate community testing and a lack of community spread.

CDC issues new Covid-19 guidelines for 2021 American holiday season

The CDC issued travel guidelines for celebrating the 2021 holiday season, and for the most part, heading over the river and through the woods to grandma’s house is approved – as long as you’re vaccinated.

The guidelines recommend wearing a well-fitting mask over your mouth and nose if you’re not fully vaccinated or when indoors in a public setting. The organization also recommends avoiding crowded indoor spaces with poor ventilation and if you start to feel sick before or during your travels, stay home.

It is also recommended to reconsider visiting people who have a weakened immune system regardless of vaccination status and getting tested for Covid-19 before going to large gatherings to assure you’re not an asymptomatic carrier.

On the subject of masks and Covid-19

If you’re using a cloth mask to protect others from Covid-19, experts recommend you stop using them, according to a report in CNBC and backed by a study out of Yale and Stanford University.

In an August study currently under peer review, a group of researchers from universities including Yale and Stanford found that surgical masks are 95% effective at filtering out virus particles — compared to just 37% for cloth masks.

That held true even after the surgical masks were washed with soap and water ten times, though the CDC and the FDA both say you shouldn’t reuse disposable surgical masks under any circumstances.

Public health officials in European countries like France, Germany, and Austria are currently urging people to wear medical or surgical masks instead of homemade cloth masks — but it’s not quite as simple as tossing out your cloth masks and buying a replacement stockpile of disposables.

Cloth masks were recommended during the beginning of the pandemic as “better than nothing” because surgical and N-95 masks were scarce. Now that the supply chain has stabilized for the medical community and residents alike, the available masks offer a better solution when properly used.

Emergency Use Authorization approval of molnupiravir in 2021 is unlikely

The Food and Drug Administration said Thursday it would ask its outside experts to meet on November 30 to scrutinize Merck’s antiviral pill that showed strong promise in its ability to treat Covid-19.

The meeting means U.S. regulators almost certainly won’t issue a decision on the drug until December, signaling that the agency will conduct a detailed review of the experimental treatment’s safety and effectiveness. The panelists are likely to vote on whether Merck’s drug should be approved, though the FDA is not required to follow their advice.

“We believe that, in this instance, a public discussion of these data with the agency’s advisory committee will help ensure a clear understanding of the scientific data and information that the FDA is evaluating,” said Dr. Patrizia Cavazzoni, director of FDA’s drug center.

The oral therapeutic was under development by Emory University before the Covid-19 outbreak as an antiviral treatment for Influenza and Ebola. Researchers from Emory University reached out to the Trump Administration in 2019 seeking additional funding to move the drug into human testing and received no response. They approached the administration again in February 2020 as a potential treatment for Covid-19, but officials declined to fund additional research. Emory university sold the drug to Merck and Ridgeback Biotherapeutics in the summer of 2020.

In Phase 3 testing, the drug reduced hospitalizations and deaths among Covid-19 patients by 48%. The drug companies did not report the observed side effects in applying for the Emergency Use Authorization (EUA). However, they did indicate that more patients in the placebo group reported side effects. Phase 3 testing of molnupiravir is still ongoing.

The drug has already come under withering fire from conspiracy theorists and at least one U.S. senator claiming the antiviral is just rebranded ivermectin.

The chemical composition of ivermectin and molnupiravir and how they work in the human body is documented and publicly available. The molecular structure and how the drugs work within the human body are entirely different. Organizations like America’s Frontline Doctors and the FLCCC have enriched themselves by pushing ivermectin and overcharging for telemedicine appointments.

On Covid-19 disinformation promoter Tucker Carlson’s show run on Fox News, Senator Ron Johnson (R-WI) said, “Now they are all hopping on board this Merck molnupiravir peer review,” Johnson said of the establishment experts. “The doctor groups I’m dealing with, they call it money-piravir. [Merck] patented ivermectin. They’ve been trashtalking ivermectin in favor now of this drug that will be like $700 a dose versus ivermectin cost about $0.06 or $0.07 a pill,” he said.

The lowest price Malcontent News could find for ivermectin was at QFC through GoodRx, at $1.50 per pill. The list price is $7.10 per pill, with a 20 pill dose costing $142.

A four-pill regime of molnupiravir is estimated to cost around $710, significantly cheaper than a four-injection course of monoclonal antibodies, which costs $2,100. All of this math ignores the average hospital stay for Covid-19 costs $17,064 in the United States, and the cost of the Johnson & Johnson vaccine is $10 a dose, and the mRNA Pfizer and Moderna vaccines are $15 a dose.

In contrast, monoclonal antibodies are credited with reducing hospitalizations in Florida by 10% to 25%. This isn’t to diminish the impact of the therapy. However, medical professionals can only administer monoclonal antibodies requiring either intravenous therapy or four injections over 30 minutes.

CVS worker accidentally injects woman with 6X the proper dose of the Pfizer vaccine

WSLS in Virginia reported a 17-year old teenager accidentally received an overdose of the Pfizer vaccine at a CVS pharmacy in Salem.

Ellaica Desdura knew she wanted to get her COVID-19 vaccine so she could travel back to the Philippines next year.

“I know it’s required when we are going to go back there, so I really need to get vaccinated,” said Ellaica.

What she did not expect was getting six times the usual amount of the Pfizer shot.

“The pharmacist came to us, like told us like, just wait for 30 minutes because they gave me a little bit stronger dose,” she continued.

CVS has since confirmed the incident, and on October 15, Desdura told WSLS she still was not feeling well.

Walgreens worker accidentally vaccinates 4 and 5 year old for Covid-19 instead of Influenza

CNN reported a Walgreens in Evansville, Indiana, accidentally vaccinated Alexandra and Joshua Price’s 4 and 5-year-old children with the COVID-19 vaccine instead of a vaccine for Influenza on October 5. The Pfizer vaccine isn’t approved by the Food and Drug Administration for children under 12.

“Walgreens called me to say there was a mix-up, we did not receive the flu shot,” Alexandra Price told the local news outlet. “And I’m like well what did we get? And he was like we got the Covid-19 shot … And instantly I was like, ‘Well what does this mean for my kids?’”

Mr. and Ms. Price reported they are fully vaccinated. After the initial accident, they requested Walgreens provide vaccination cards for their children to indicate they had already received their first dose, but Walgreens balked.

Walgreens officials confirmed the children received a full adult dose of the Pfizer Covid-19 vaccine, three times the amount that the Food and Drug Administration is currently considering approving.

“The children have experienced a number of adverse effects since receiving the Pfizer COVID-19 vaccine. Fever, body aches, cough, headaches, and nausea are among the symptoms the children are experiencing,” according to a statement released by the Prices’ attorney, Dan Tuley. “The 4- and 5-year-old are also under treatment of a pediatric cardiologist for tachycardia and elevated blood pressure, respectively.”

After a follow-up appointment Tuesday, Alexandra said that Lucas has improved, but Sophia has worsened. “Her blood pressure is in the 98th percentile, and she continues to have no energy.”

Cam Newton reportedly gets vaccinated for 14 million reasons

According to the team, former New England Patriots quarterback Cam Newton was released before the start of the 2021 regular season due to not adapting to the Patriots’ system or refusing to get vaccinated, according to his supporters. the NFL Network reported today that Newton has had a change of heart and is now vaccinated and looking to play again.

Newton missed a practice session during preseason football over a “miscommunication” over Covid-19 protocols. Famous curmudgeon Bill Belichick is intolerant of any perceived insubordination among players. In 2009 Belichick sent Adalius Thomas home for being nine minutes late to a team meeting during a blizzard. In 2014 Jonas Gray was benched after a 201 yard game against the Colts for being late to practice a week later. Most famously, Malcolm Butler was benched for Super Bowl LII after a shouting match with the coaching staff. Many outside observers believe the benching cost the team a Super Bowl win.

Whether Newton’s vaccination status was an issue in August is moot, but it likely would be a point of concern for any NFL team that is considering adding him to the roster. The three-time Pro Bowler, Super Bowl Champion, and one-time MVP had a significant shoulder injury in 2016 that reduced his on-field capabilities.

Maybe the Seahawks would consider him instead of Geno Smith?

State Updates

Due to the overwhelming amount of local news, we will not do a state update today. The situation in Alaska, Idaho, Montana, and Wyoming can best be described as lousy, terrible, dire, and getting worse, in that order.

Misinformation

Can President Joe Biden, or any President for that matter, order the dishonorable discharge of U.S. servicemembers?

No.

That fact hasn’t stopped the spread of a meme claiming President Biden has ordered the dishonorable discharge of 46% of the U.S. armed forces. First, as far back as August 2021, almost 90% of the 1.4 million active duty troops in the U.S. military were fully vaccinated, had the first dose of vaccine, or were scheduled to get vaccinated, according to the Pentagon. That shoots down the 46% number out of the gate.

Reservists and National Guard troops have until June 2022 to get vaccinated, further shredding the claim.

The president has absolutely no authority to order a service member dishonorably discharged,” Richard Rosen, director of the Center for Military Law and Policy at Texas Tech University, told USA TODAY in an email.

The disinformation was started by blogger Sandra Rose, who told USA TODAY she is “not a trained journalist” and that readers view her blog for “entertainment and gossip,” not news. She declined to comment further. 

A review of her blog indicates she has dipped her toe into Covid-19 misinformation, but it does not appear that she actively spreads disinformation.

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

Photo credit: Emory University

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

[KING COUNTY, Wash.] – (MTN) The big news today is about a little brown capsule called molnupiravir. The Phase 3 trial of the oral medication cut COVID hospitalizations and deaths by 50%, and Merck has applied for Emergency Use Authorization with the FDA. The impact of this new medication could go far beyond COVID with researchers at Emory University claiming it could be useful against other viral diseases.

New COVID cases and hospitalizations held steady statewide. A report in the Seattle Times indicated more than half of rural Washington transfer patients ended up in King County hospitals.

The Bellevue School District updated its COVID dashboard and revealed there are 37 confirmed COVID cases. In the Northshore School District, cases continued to grow at Bothell High School and Crystal Springs Elementary School reported 11 confirmed cases.

There are an estimated 604 adult acute care and 132 ICU beds available statewide, and approximately 56% of COVID patients in the ICU are on a ventilator.

The Nisqually Nation was forced to evacuate a COVID quarantine site in Roy, Washington after multiple threats were made. A post on Facebook falsely claimed it was a newly built government quarantine site for rounding up the unvaccinated.

Amazon continues to promote dangerous COVID treatments on its website.

Alaska Air Group announced they will require all employees to get vaccinated, but a hard deadline was not set.

Alaska, Idaho, and Montana continue to struggle with surging COVID cases.

Supreme Court Associate Justice Sonia Sotomayor denied an emergency request by New York educators to block the state’s vaccine mandate. That’s a bigger deal than you think, and it wasn’t unexpected.

In the misinformation section, we tackle “it’s just the flu” very graphically.

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


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for October 1, 2021

Washington state COVID update

New cases held steady statewide with no statistical difference from yesterday. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, the 14 day moving average for new cases increased to 727.9 per 100K. The Puget Sound (Central) Hospital Region, which represents King County, was statistically unchanged at 244.5.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
60.00% or above (3)171.9
50.00% to 59.99% (12 counties)506.9
40.00% to 49.99% (15 counties)653.9
28.40% to 39.99% (9 counties)734.4
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 30, Washington’s statewide 14-day rolling average is 426.6 COVID cases per 100K, statistically unchanged from yesterday.

For the first time in over a month, no counties reported a new case rate over 1,000 per 100K residents. Based on this change we are updating how we report county performance.

Counties in the 800.0 to 999.9 per 100K range include Ferry, Frankin, Grant, Grays Harbor, Lincoln, Okanogan, Pend Oreille, and Stevens. Ferry County is a new hot spot, while cases in southeast Washington are on the decline. Stevens County is just under 1,000.

Counties in the 600.0 to 799.9 per 100K range include Adams, Asotin, Columbia, Klickitat, Cowlitz, Benton, Walla Walla, Garfield, Douglas, Lewis, Chelan, and Spokane. Adams County is just under 800 and Yakima County is just under 600.0.

We will keep descending these brackets until most counties fall below 450 per 100K residents. Currently, 28 counties still have widespread transmission of COVID.

New cases were up for 12 to 19-year-olds while hospitalizations were down for the same age group.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11195.00.6
Ages 12-19220.6 (up)1.3 (down)
Ages 20-34191.75.2
Ages 35-49189.88.8
Ages 50-64137.615.2
Ages 65-79104.320.0
Ages 80+108.332.6
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 72 deaths on Thursday. The state of Washington is not reporting the percentage of positive cases.

Nisqually Nation forced to evacuate COVID quarantine site after threats

Because three or four generations can be living under the same roof, a COVID-positive person can have a significant impact on the entire household. The Nisqually Nation started using a 26-acre property in Roy, Washington last year enabling tribal members to quarantine away from family members. The tribe was forced to evacuate the site after an online misinformation campaign labeled the location a concentration camp.

The Facebook group Americans Against 2nd Class Treatment posted on September 28, 2021, about the site, claiming it was a “new COVID quarantine site” and they were “just getting to work on it.” In reality, the site has existed for more than a decade, and the Nisqually Nation bought the 26-acre parcel in 2014. Earlier this month, they cleared some timber between the buildings and Highway 702, making the location more visible from the road.

Comments quickly developed with people calling it a “concentration camp” and a “gulag.” The group went on to post that the Nisqually Nation was forced to hire security and block the access road with boulders due to ongoing threats at the property.

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

“Who does that,” said Nisqually Tribal Councilmember Hanford McCloud, “It’s beyond ridiculous.”

McCloud said about 30 people have stayed on the property in the last 18 months, giving them a safe place to recover and prevent the spread of COVID-19.

A caretaker and his family, along with two COVID-19 patients, were placed in a hotel, said Tribal Health Officer Mary Szafranski.

Amazon continues to recommend dangerous COVID treatments on its website

A surge of social media videos in the last two weeks on YouTube and Tik Tok has advocated nebulizing hydrogen peroxide as a preventative and home treatment for COVID. Content creators have danced around guidance medical guidance to spread the misinformation.

For the third time in 60 days, Amazon is at the center of controversy with the AI designed to drive more sales, recommending medical saline and hydrogen peroxide with nebulizer purchases.

Amazon recommendation for hydrogen peroxide and medical saline when purchasing a nebulizer – October 1, 2021

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

In August the online behemoth was called out for promoting Ivermectin, and publishing reviews with veiled dosing instructions for humans. A couple of weeks later, Amazon was dinged again for recommending books that spread COVID misinformation.

Multiple medical groups have appealed for people not to drink or nebulize hydrogen peroxide. The human body does not have a finite capacity to process hydrogen peroxide and the solution hasn’t been recommended for wound care in years.

The Asthma and Allergy Foundation of America wrote, “A concerning and dangerous trend is circulating on social media channels like Facebook, Twitter, and TikTok. People are breathing in hydrogen peroxide through nebulizers to try to prevent or treat COVID-19.”

“DO NOT put hydrogen peroxide into your nebulizer and breathe it in. This is dangerous!”

Alaska Air Group mandates vaccination for all employees

Alaska Air Group joined Delta and Hawaiian Airlines, mandating all employees of Alaska Airlines, Horizon Air, and McGee get vaccinated against COVID. The airline stopped short of setting a hard deadline, but employees who prove they are fully vaccinated by December 1 will receive a $200 bonus. The mandate impacts certain vendors and contractors also.

“Since our company does significant work for the federal government, we have determined that Alaska Airlines, Horizon Air, and McGee employees – all part of Alaska Air Group – do fall under this federal vaccine mandate, along with other major U.S.airlines,” Alaska Air Group said in a statement.

The airline reported on September 1, that 75% of its workforce was already fully vaccinated.

United Airlines reported yesterday that 320 of 67,000 employees decided to quit over the vaccine mandate they implemented earlier this year. Nationally compliance for vaccine mandates has ranged from 89% to virtually 100% across cities, counties, states, schools, hospitals, and private employers.

More than half of rural Washington COVID transfer patients ended up in King County

A Seattle Times analysis found that from July 1 to September 23, 229 of 414 COVID transfer patients in Washington state ended up in King County hospitals. The Seattle Times story is behind a paywall and The Slog written by The Stranger is more politically charged on this topic for our COVID coverage specifically. You can see this summary by the author Joseph O’Sullivan on Twitter.

Travel Advisories

We recommend avoiding recreational travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties. If the number of new cases in the South Central Hospital Region continues to decline, we will likely lift our advisory for this region in the next 3 to 10 days. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

We may implement a travel advisory for Eastern Washington, based upon renewed hospitalization data now available from the Department of Health.

Thank you

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

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

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

Vaccination

Deadline for single dose Johnson & Johnson vaccine and second dose for Pfizer and Moderna vaccine looms for state workers

Thousands of state workers have until Sunday to receive their second Pfizer or Moderna dose or the single-dose Johnson & Johnson vaccine. Over 68% of state workers reported last week they were fully vaccinated. Data from companies, schools, and other states such as Hawaii and New York, indicates final acceptance would likely exceed 95%.

Multiple unions have reached agreements at a municipal, county, or state level, to extend the deadline past October 18 for individuals who received at least their first dose. Additionally, workers with denied exemptions requests will be given extra time.

Pfizer vaccine booster shots are now available

Booster shots for eligible individuals are now available statewide. Individuals who received both doses of the Pfizer vaccine more than 6 months ago, are 65 or older, or are immunocompromised can receive their third dose immediately.

In the Kirland-Bellevue-Woodinville area, Walgreens, Rite-Aid, Bartell’s, and QFC are offering booster shots. Additionally, the third dose is available at the CVS located within the Target store at 17,700 NE 76th Street in Redmond.

Most locations require an appointment, which can be scheduled online.

King County, Washington is reporting over 86.2% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 18.7% of all acute care patients hospitalized in Washington have COVID. Currently, 91% of all staffed acute care beds are occupied statewide with approximately 604 available. ICUs are at 89.0% of capacity statewide, with 30.0% of ICU patients fighting COVID – an estimated 354 patients with 56% on ventilators. The state has approximately 132 ICU beds available.

The 7-day rolling average hospital admission rate for new COVID patients dropped to 105 – finally below the January 7, 2021 peak of 113. The Department of Health reported 1,274 COVID patients statewide on September 30 with 197 on ventilators. Hospitalizations dropped slightly while the number of patients on ventilators is unchanged.

Hospital RegionICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
East88.6%44.6%89.6%26.7%
North80.8%28.5%88.0%13.1%
North Central96.4%58.9%75.7%26.3%
Northwest92.3%38.3%95.4%24.6%
Puget Sound91.8%23.4%94.6%14.4%
South Central85.7%34.9%83.2%25.4%
Southwest74.3%37.3%88.3%24.9%
West89.1%31.4%87.6%21.8%
Hospital status by region – September 30, 2021 – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%

There was very little change in the status of Hospital Regions.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Bellevue (6**)
– Big Picture (1*)
– Chinook (1*)
– Eastgate (1*)
– Enatai (3*)
– Highland (3*)
– Interlake (3*)
– Lake Hills (3*)
– Newport (4*)
– Newport Heights (1*)
– Puesta del Sol (1*)
– Sammamish (1*)
– Sherwood Forest (2*)
– Spiritridge (1*)
– Stevenson (1*)
– Tillicum (1*)
– Wilburton (2*)
– Woodridge (3*)
None
Lake WashingtonYELLOW– Alcott Elementary (1*)
– Barton Elementary (1*)
– Dickinson/Explorer Elementary (2*)
– Ella Baker Elementary (3*)
– Eastlake High (1*)
– Evergreen Middle School (1*)
– Franklin Elementary (2*)
– Finn Hill Middle School (1* – see below)
– ICS (1*)
– Inglewood Middle School (2*)
– Juanita Elementary (1*)
– Kamiakin Middle School (3* – see notes below)
– Keller Elementary (2*)
– Kirkland Middle School (1*)
– Lake Washington High (1*)
– Lakeview Elementary (3*)
– Muir Elementary (1*)
– Redmond Middle School (1*)
– Redmond High School (1*)
– Renaissance Middle School (1*)
– Rush Elementary (2*)

See notes below
None
NorthshoreRED– Arrowhead Elementary (14)
– Canyon Creek Elementary (31**)
– Canyon Park Middle School (12**)
– Cottage Lake Elementary (17)
– East Ridge Elementary (16)
– Fernwood Elementary (13**)
– Frank Love Elementary (30)
– Hollywood Hills Elementary (29)
– Inglemoor High School (8)
– Innovation Lab High School (11)
– Kenmore Elementary (13)
– Kenmore Middle School (49**)
– Kokanee Elementary (60)
– Leota Middle School (6)
– Lockwood Elementary (32)
– Maywood Hills Elementary (21**)
– Moorlands Elementary (48)
– North Creek High School (27)
– Northshore Middle School (17**)
– Ruby Bridges Elementary (9)
– Secondary Academy for Success (16)
– Shelton View Elementary (20**)
– Skyview Middle School (63**)
– Sunrise Elementary (23)
– Timbercrest Middle School (44)
– Wellington Elementary (74)
– Westhill Elementary (38)
– Woodin Elementary (17**)
– Woodinville High School (23)
– Woodmoor Elementary (23**)
– Bothell High School (14*/137)
– Crystal Springs Elementary 11*/45)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than 10 active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.

in the Northshore School District, Bothell High School currently has 14 confirmed COVID cases between students and faculty and Crystal Springs Elementary has 11. The number of quarantined students at Bothell High school swelled to 137.

The Bellevue School District updated its COVID dashboard overnight. The district will be providing updated data daily, but no longer reports on the number of students and faculty quarantining.

We received a confirmed parent report on Wednesday of one new COVID case at Finn Hill Middle School with 52 students moved to quarantine.

We received a confirmed parent report on Thursday of two new COVID cases at Kamiakin Middle School with 27 additional close contacts.

We received a parent report on Thursday of one new COVID case at Old Redmond Schoolhouse (preschool) with an unknown number of close contacts.

Because Lake Washington doesn’t update its dashboard daily, we are adding these as footnotes. We have not added the Old Redmond Schoolhouse to the scorecard above because it is not officially listed on the Lake Washington School District dashboard.

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

Karen James, who taught 4th Grade at Barnes Elementary, died on Monday, September 27, according to the Kelso School District.

A district spokesperson said they could not comment on the cause of death, however, they later said, “Late yesterday [Thursday, Sept. 30] afternoon we learned of one additional positive COVID-19 case in Miss James’ classroom.”

We continued to encourage parents to request improved daily data reporting from the Lake Washington School District.

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 110,010 new cases, 2,718 deaths nationwide, and 699,000 COVID-related deaths since February 29, 2020. Based on the Johns Hopkins University data, the United States will reach 700,000 confirmed COVID-related deaths tomorrow morning (other dashboards reported 700,000 deaths last night and earlier today).

Merck seeking FDA Emergency Use Authorization for pill that treats mild and moderate COVID

Merck and Ridgeback Biotherapeutics have been studying an oral antiviral medicine called molnupiravir which, during Phase 3 testing, reduced the risk of hospitalization and death by 50%. Phase 3 testing has been so successful Merck is submitting an application for Emergency Use Authorization in the United States and plans to submit marketing applications to other regulatory agencies worldwide.

The test program was a randomized, placebo-controlled, double-blind, multi-site study done in 23 countries across 5 continents. There were 1,550 patients enrolled and to date, they have data from 775 people. Molnupiravir reduced the risk of hospitalization or death by almost 50% compared to the placebo group. Through Day 29, no deaths were reported in patients who received molnupiravir, as compared to 8 deaths in patients who received a placebo.

“More tools and treatments are urgently needed to fight the COVID-19 pandemic, which has become a leading cause of death and continues to profoundly affect patients, families, and societies and strain health care systems all around the world. With these compelling results, we are optimistic that molnupiravir can become an important medicine as part of the global effort to fight the pandemic,” said Robert M. Davis, chief executive officer and president, Merck.

Unlike monoclonal antibodies which must be administered in a clinical setting by injection or IV, molnupiravir is a pill that can be prescribed by a doctor and taken at home.

“With the virus continuing to circulate widely, and because therapeutic options currently available are infused and/or require access to a healthcare facility, antiviral treatments that can be taken at home to keep people with COVID-19 out of the hospital are critically needed,” said Wendy Holman, chief executive officer of Ridgeback Biotherapeutics. “We are very encouraged by the results from the interim analysis and hope molnupiravir, if authorized for use, can make a profound impact in controlling the pandemic.”

An Axios report this evening states that in the fall of 2019, an Emory University professor presented the drug to the Trump Administration. The professor reported the school had developed a new powerful antiviral medication that could treat influenza, Ebola, and many other viruses. In February 2020, as COVID arrived in the United States, the professor came forward again, asking for funding for Phase 2 and Phase 3 testing to evaluate the effectiveness of the medication against COVID. The Trump administration declined to fund the research.

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

The drug could be a game-changer in the battle against COVID worldwide. Pills are easier to transport and store, don’t need preparation, and don’t need to be administered at a hospital or clinic. The medication is also being tested as an emergency preventative for individuals exposed to COVID but who have not tested COVID positive. The impact for the immunocompromised and elderly could be dramatic.

Approval by the FDA and ramping up distribution is likely months away. If molnupiravir can deliver these results globally, it has the potential to end the ongoing public health crisis. If Emory University has successfully created a broad-spectrum oral antiviral, this discovery has the potential to rival penicillin.

JetBlue requiring employees to get COVID vaccination

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

Supreme Court Justice Brett Kavanaugh tests positive for COVID

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

Kavanaugh, who is fully vaccinated, tested positive on Thursday night, the court said in a statement. The justice’s immediate family tested negative and he has no symptoms.

His positive diagnosis for coronavirus means he won’t be on the bench Monday, the start of the new term, and what would be the first in-person session with all nine justices.

Alaska

Alaska reported 1,044 new COVID cases today and a new case rate of 1,066 per 100,000 residents, indicating that the state may have hit a peak. The remote state continues to have the highest new case rate on the planet. Hospitals in Anchorage Bethel, and Valdez continue to operate under crisis standards of care protocols.

The 202 hospitalized COVID patients are essentially unchanged from yesterday. The number of available ICU beds jumped to 23 and the number of ICU patients dropped to 107. There are 83 ICU patients on ventilators, 35 with COVID.

Amanda Frey, a nurse at Fairbanks Memorial Hospital, sat down after a long day at work recently and made a brief video describing what it’s like to die with COVID-19: gasping for breath, terrified and beyond comfort.

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

“COVID-19 patients that die transition from being OK to actively dying very suddenly, and often without warning. They start to experience a state of panic and air hunger that is very difficult to manage and causes severe anxiety,” Frey says. “The medications that we usually use for patients at the end of life don’t help as much with COVID-19 patients when they’re dying. So what we’re seeing are deaths that are not only isolated but they’re also very traumatic.”

California

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

Newsom’s latest order, the first of its kind nationwide, will roll out in two phases for students learning in person. The mandate will first take effect for students ages 12 and over after the FDA grants full approval to that entire age group.

California is the first in the nation with a statewide vaccination mandate for primary school students. Implementation depends upon fully FDA approval of at least one of the COVID vaccines for children 12 to 15. Although no date has been set, full approval is expected during the first half of 2022.

Colorado

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

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

Idaho

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

Earlier this week, we blasted Jordan Herget, the CEO of Portneuf Medical Center, for reporting that the hospital in Pocatello was operating normally and they didn’t expect to have to move to crisis standards of care. From ambulance bays to emergency departments, any medical professional can tell you the worst thing you can say aloud is, “gee, it sure is quiet tonight.”

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

“Our situation hasn’t improved. A week later we’re very much in an emergency just like we were a week ago and our staff are being pushed to our limits,” Hergett said.

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

“In our adult ICUs, our youngest patient today is 22 years old,” St. Luke’s Chief Medical Officer Dr. Jim Souza said. “About 70% of our patients are 55 years or younger in the intensive care unit. And in the intensive care unit, 25% are younger than 40. They’re sicker. They’re staying longer. The average length of stay in the ICU is up by two whole days, and their mortality rate is significantly higher than it was in the December surge.”

The VA Hospital in Boise requested a mobile morgue to support the hospital facility which is at capacity. Idaho has struggled with the influx of corpses in the last two weeks. Officials have been forced to stack bodies, store them in railroad cars, and store embalmed bodies in non-refrigerated areas.

Maine

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

Typically, ivermectin is rarely used on humans, Edge said, and he filled only three legitimate prescriptions for the drug in the past year. The most recent prescriptions he’s received came from out-of-state doctors, he said, “which is always a little bit of a red flag anyway.”

When he looked up one prescriber online, Edge found a list of doctors that people can call and, for a fee, get a consultation over the phone and then a prescription for ivermectin.

Montana

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

Asked later if she felt that speaking at an event where the tone seemed overwhelmingly against school boards that have voted to install mask mandates, Arntzen said, “I don’t believe this disrespects anyone in the educational community.”

“My role is here,” she continued. “My role is, number one, in the healing process in the discord we have between the school board room, where they might be in Montana, and to parents, whoever they might be, and putting the emphasis on children.”

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

New York

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

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

Associate Justice Sonia Sotomayor denied the emergency request without comment. A federal appeals court earlier in the week permitted New York’s mandate.

The Supreme Court ruled in 1905 in Jacobson vs Massachusetts, that municipalities, counties, and states had the power to mandate vaccines as part of public health efforts. The decision has been litigated dozens of times over the last 116 years, as recently as August.

When an emergency filing is made with the court, the Justice that is assigned to that region can render a decision or request that the entire court to hear the case. In August, Associate Justice May Comey-Barrett ruled independently on a challenge filed by students at the University of Indiana. Justice Comey-Barrett also denied the appeal without comment.

In the landmark 1905 case, the Supreme Court ruled that the 10th Amendment gave states the power to make public health decisions.

Wyoming

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

Misinformation

It’s just a cold. It’s just the flu. Content warning, some viewers may find this disturbing.

Tik Tok user Mae Mae documented her hospital journey in August and September after she caught COVID. She was partially vaccinated when she became ill and ended up hospitalized. In her videos, her condition continued to deteriorate, and the cannula she is wearing indicates she was on high flow oxygen.

You read stories from respiratory therapists, nurses, and doctors of COVID patients who become exhausted as they struggle to breathe – but we don’t see it. Mae Mae went to the line of needing to go on a ventilator before she bounced back.

This is COVID – this is what it looks like. It is not a cold, it is not the flu. Mae Mae survived and is still dealing with lingering symptoms.