Tag Archives: fda

53 nutritional and beverage products recall impacts several popular brands

[WASHINGTON, D.C.] – The United States Food and Drug Administration announced that Lyons Magnus has voluntarily recalled 53 nutritional and beverage products, including popular brands such as Premier Protein, Stumptown, and Oatly, due to microbial contamination.

The products are potentially contaminated with the organism Cronobacter sakazakii. Common symptoms from infection include fever, vomiting, and urinary tract infection. Infections are rare, and so far, there have been no reported cases.

The recall was announced on July 29 and mostly impacted institutional packages of products sold to restaurants, gyms, and long-term care facilities. The impacted brands include Lyons Ready Care, Lyons Barista Style, Pirq, Glucerna, Aloha, Intelligentsia, Kate Farms, Oatly, Premier Protein, MRE, Stumptown, and Imperial. A complete list of the recalled products is available on the FDA’s website.

Impacted Glucerna products were sold at Costco, BJ’s Wholesale, and Sam’s Club under the Glucerna brand name.

Anyone who has a recalled product in his or her possession should dispose of it immediately or return it to the place of purchase for a refund. Consumers in all time zones with questions may contact the Lyons Recall Support Center 24/7 at 1-800-627-0557

Record number of new COVID cases in Washington as hospitalizations climb

[OLYMPIA, Wash.] – (MTN) The Washington State Department of Health reported that the rate of new COVID cases exploded to 541.9 per 100,000 residents on Monday. The same report showed that coronavirus-related hospitalizations increased 49 percent in a week, from 736 on Dec. 26 to 1,099 on Jan. 2.

Several factors impacted today’s report, which may not show the true impact of COVID in Washington. Most tests sites were closed on New Year’s Day across the state, and numerous Western Washington test locations were closed on Dec. 30, 31, and Jan. 2 due to weather, power issues at one location, and insufficient staff. The hospitalization data appeared incomplete to the Malcontent News research team and will likely be updated tomorrow with more data.

A staggering 26 counties have extreme transmission, with another eight experiencing high transmission. Pierce County has the highest case rate in Washington, 771.0 per 100,000 people.

In King County, 25 people on average are hospitalized a day with COVID, breaking the previous record set during the Delta wave in September. Through Dec. 30, hospitalizations are up 81 percent, and the new case rate of 685.1 has never been higher.

The IHME forecasts hospitalizations will peak in early February, and COVID-related deaths will peak in March.

It wasn’t all bad news in the report. The number of Washingtonians who have received booster shots increased significantly from last week. There is strong evidence from multiple studies and hospitalization data from Israel, Europe, and the United Kingdom, that a third booster dose provides robust protection from severe COVID.

In welcome news to many parents, the United States Food and Drug Administration (FDA) authorized booster shots for 12 to 15-year-olds today and shortened the waiting period for the age group from six months after the second dose to five.

On Sunday, Dr. Anthony Fauci indicated that the United States Centers for Disease Control (CDC) was reconsidering new isolation and quarantine guidelines based on feedback. The CDC has faced withering criticism from healthcare providers and frontline workers for cutting quarantine time in half and relying on the honor system for those who are infected by asymptomatic.

Although Omicron has become the dominant strain in the United States, data out of Connecticut and Washington indicates it won’t squeeze Delta out. Complicating treatment and mitigation, ten percent of COVID cases continue to be Delta or so-called Delta Plus.

According to the New York Times, the United States recorded 1,003,043 new COVID cases on Monday, shattering all previous records. The 7 day moving average is approaching 500,000 new cases a day, which Malcontent News believes is a red line for United States hospitals.

There are now 102,479 people hospitalized with COVID, an increase of 41% from a week ago. Daily new hospital admissions now exceed all previous waves, except the first one, which peaked on Jan. 9, 2021. The United States will set a new all-time hospitalization record if the rate of increase remains unchanged during the coming week.

Testing resources in the United States are stretched to the breaking point, with laboratories processing a near-record number of tests daily. Monday night, the Georgia Department of Health tweeted they could not provide an updated COVID report because there is so much data.

University of Washington Medicine (UWM) officially takes over testing sites from King County on Tuesday. UWM announced that they would no longer provide prophylaxis COVID testing for work and travel, reserving resources only for people who are symptomatic or had close contact with someone infected with the coronavirus.

Speculation on how severe the Omicron variant is compared to Delta continues to run rampant. Disease acquired immunity, vaccinations, boosters, and demographic differences between nations have made reaching a concrete conclusion difficult. There is growing evidence that for the vaccinated, especially with boosters, the Omicron variant is mild to moderate for most.

For the unvaccinated, the data is less conclusive. In South Africa, hundreds have died in the last two weeks. While hospitalizations appear to have peaked, the number has remained almost unchanged for a week while the number of ICU patients and those requiring ventilators has grown. A study published by the United Kingdom Health Security Agency tracked 815 hospitalized Omicron patients with a median age of 45.5. The report found that 57 people had died in the group – seven percent. The ages of those who died ranged from 41 to 99.

COVID cases fueled by Omicron skyrocket globally, nationally, and in Washington

Texas officials report the first Omicron related fatality in the United States

Editor’s Note: As a policy, Malcontent News does not quote or publish data from pre-print studies. The transmission rate of the Omicron SARS-CoV2 variant is so high it is spreading at a rate faster than the scientific review process. For this reason, we are using pre-print studies in our reporting and analysis for the Omicron variant. We will continue to backlink to all quoted sources to support transparency in reporting.

Updated: Story edited to report first Omicron death in the United States

[KIRKLAND, Wash.] – (MTN) Washington state moved back to high transmission risk for COVID as new cases fueled by the Omicron variant grew 32 percent over the weekend. The highly contagious variant was discovered in South Africa, spreading to over 90 countries in six weeks.

The United States was reminded how serious Covid-19 is this evening, with Texas reporting the first Omicron-related death in the nation. Judge Lina Hidalgo of Harris County, Texas, tweeted that a man in his 50s had died of Omicron. He was unvaccinated and had health issues. It is reported he was treated with monoclonal antibodies, which have been rendered ineffective against the Omicron variant.

The U.S. Centers for Disease Control (CDC) reported 73% of new COVID cases across the United States are the Omicron variant, swamping Delta cases. The World Health Organization estimated cases are doubling every 1.5 to three days.

The CDC estimates that Omicron is 90% of new COVID cases in the New York City area, the Southeast, the Ohio River Valley and Great Lakes states, and the Pacific Northwest. Omicron cases have been detected in 48 of 50 states, with Montana, Indiana, and Vermont confirming cases this afternoon.

On December 20, North Dakota, Montana, Indiana, and Vermont reported their first confirmed Omicron cases and Texas reported an Omicron-related death – Oklahoma and South Dakota lag the rest of the country in genomic sequencing of test samples

In Miami, lines of cars waited for hours to get COVID tests. Governor Ron DeSantis had boasted Florida had conquered coronavirus on Oct. 27, using data from the New York Times. On Monday evening, Florida reported more than 7,000 new cases a day, an increase of almost 300% in two weeks – second only to Hawaii.

The Washington State Department of Health (WSDoH) reported a sharp increase in COVID cases. The counties with the highest rates were distributed across Washington from the Olympic Pennisula to the Palouse. Only Wahikakum County reported low community spread on Monday.

Percent of Total Population Fully VaccinatedPercentage of Vaccinated People with Booster DoseTotal Population in GroupAverage 7-Day New Case Rate
70.00% or above39.15%2,343,250170.1
60.00% to 69.99%35.36%1,669,300136.0
50.00% to 59.99%32.23%3,339,300111.6
40.00% to 49.99%29.41%268,97577.6
32.70% to 39.99%35.38%151,85085.5
7 Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County, Booster percentage is based on totally fully vaccinated, not eligible, Average 7-day New Case Rate <25 normal, =>25 to 99.9 moderate, => 100, high transmission

Federal officials believe the actual case count is much higher due to asymptomatic carriers and home testing, which isn’t reported to county and state health departments.

According to the University of Washington Virology Lab, the genomic sequencing of SGTF COVID test samples was 70% positive for Omicron on Dec. 16. Data provided by Pavitra Roychoudhury, MSc, Ph.D., of the University of Washington Virology Division, showed Omicron cases had been lab-confirmed in Benton, Franklin, King, Pierce, Snohomish, Thurston, Walla Walla, Whatcom, and Yakima Counties.

Researchers had looked at test samples as far back as Nov. 7 from Idaho, Oregon, and Washington.

Frustration was building on social media as Western Washington residents tried to find rapid COVID antigen tests, booster shots, and appointments for children 5 to 11 to get vaccinated. People waited for hours in long lines to get lab tested for Covid-19 and worried about travel plans as the time to get test results back grew past 72 hours.

Seattle Mayor Jenny Durkan announced that the Rainier Beach and West Seattle vaccination clinics will remain open for boosters and vaccinations into January 2022. Tests sites across the city run in cooperation with the University of Washington are expanding hours to try and meet growing demand. There are fixed test sites at Aurora, SODO, Rainier Beach, and West Seattle, as well as seven Curative kiosks placed throughout the City. In partnership with the City of Seattle, UW Medicine has also opened a site at City Hall, which is available to the public. Appointments are encouraged at all locations, and sites will be closed on Christmas Day.   

Area hospitals are at capacity even though COVID hospitalizations are low

The number of hospitalized COVID patients in Washington has slowly dropped through December. The WSDoH reported there were 640 hospitalized Covid-19 patients on Sunday, and 81 were on ventilators. The numbers are significantly higher than the end of the Fifth Wave in late May, and area hospitals are already filled with non-COVID patients.

Data from the U.S. Health and Human Services (HHS) found regional hospitals have scant resources to manage another surge. Almost half of the regional hospital beds available are at Swedish on Broadway in Seattle and St. Joseph’s Medical Center in Tacoma. The report indicated there were 730 beds available, but that includes resources for pediatric patients and neonatal incubators. Available ICU beds include NICU incubators, PICU beds, and critical care resources for post-surgical, transplant, trauma, and burn patients.

HospitalCityAcute Care TotalAcute Care AvailableICU TotalICU Available
OverlakeBellevue26417344
Swedish – Cherry HillSeattle17024216
Seattle Children’sSeattle308299612
U.W. Medical CenterSeattle6415813998
Swedish – BroadwaySeattle568907955
HarborviewSeattle40099710
Virginia MasonSeattle238203313
EvergreenHealthKirkland2518372
Swedish – IssaquahIssaquah10083026
Valley MedicalRenton292365027
St. Anne’sBurien161443123
Swedish – EdmondsEdmonds1731495
Harrison MemorialBremerton28136496
MultiCareAuburn13831161
St. FrancisFederal Way15545151
St. Anthony’sGig Harbor1080163
ProvidenceEverett61147778
Tacoma GeneralTacoma310-9462
Mary Bridge Children’sTacoma8334114
St. Joseph’sTacoma5732347614
Data is through December 9, 2021, as reported to the U.S. Health and Human Services for all hospitals with more than 50 beds and ICU resources within 30 miles of downtown Bellevue – acute care beds include adult, pediatric, and neonatal, ICU beds include NICU, PICU, and specialized critical care units for post-surgical, trauma, and burns

In a worrying sign from New York, officials reported on Monday night that while many people are experiencing breakthrough cases and having mild symptoms, unvaccinated individuals were 11 times more likely to be hospitalized.

More data released on vaccine and monoclonal antibody effectiveness against Omicron

In an announcement early Monday, Moderna said preliminary data from lab testing found that a booster of the currently available vaccine increased antibody levels to an effective level. The drugmaker said its currently FDA-approved 50 microgram booster increased neutralizing antibody levels 37-fold against Omicron and 83-fold with a 100 microgram “full dose” booster.

An independent study released last week that evaluated the effectiveness of the Pfizer, Moderna, and Johnson & Johnson vaccines had similar results. Vaccine effectiveness appears to be significantly impacted by how long ago someone received their final dose or booster. Multiple studies have found the Johnson & Johnson vaccine is significantly less effective.

Results from a study that reviewed the effectiveness of the Moderna, Pfizer, and Johnson & Johnson vaccines after three months, more than six months, with the previous infection, and with a booster. The Johnson & Johnson vaccine was evaluated using a Modern 50 microgram dose as a booster

A study from the U.K. found that relying on immunity from a previous COVID infection was only 19 percent effective against preventing symptomatic reinfection and 20 percent when relying on vaccination without a booster. The same study found that a booster dose increased protection by 50 to 85 percent. Overall the risk for reinfection was 5.4 times greater than Delta. The study done by the Imperial College of London used PCR test data from Nov. 29 to Dec. 11.

In New York, hospitalists at Mount Sinai Hospital were advised to stop administering monoclonal antibodies because they were ineffective against Omicron. The memo reported that most people seeking treatment had breakthrough infections with mild symptoms that didn’t warrant hospitalization.

Washington state is waiting for the first 552 doses of the monoclonal antibody sotrovimab. Granted Emergency Use Authorization (EUA) by the U.S. Food and Drug Administration (FDA) in May, it is the only remaining effective early treatment for Omicron in the United States.

Concern grows as the hopes of Omicron being “only a cold” fade away

South Africa officials reported 105 COVID-related deaths across the nation on Monday. The number of ICU patients has increased 144 percent since Nov. 25. Omicron appears to have peaked in Gauteng Province but continues to spread rapidly across the nation of almost 60 million.

United Kingdom officials reported another five Omicron COVID-related deaths, bringing the total to 12. Hospitalizations of children under 5 increased 39% week over week, and thousands of healthcare workers have been stricken with Covid-19 infections, causing staffing issues.

A study by the University of Texas Austin for the CDC was made public on Dec. 16. It looked at 18 different scenarios for the spread of Omicron. In ten of those scenarios, the healthcare system in the United States is overrun by patients.

President Joe Biden will address the nation on Tuesday to outline the administration’s new steps to aid states and communities while trying to curb the spread of COVID.

Yesterday, former President Donald Trump addressing a crowd of admirers in Dallas told the audience he had received his booster. A smattering of jeers and boos rippled across American Airlines Center.

“Don’t, don’t, don’t, don’t …” he said.

“There’s a very tiny group over there,” the former President added.

Where London goes with Omicron Seattle will follow, with the rest of the US close behind

[KIRKLAND, Wash.] – (MTN) A record 93,000 new COVID cases were reported in the United Kingdom by the National Health Service just hours after Trevor Bedford, Ph.D., an Associate Professor, Biostatistics, Bioinformatics and Epidemiology Program Vaccine and Infectious Disease Division, at Fred Hutchinson Cancer Research indicated that where London goes, Seattle will follow five days later.

France closed its borders to the UK on Friday evening and on Saturday, London Mayor Sadiq Khan declared a “major incident” as Covid-19 hospital admissions rose 30% in a week. The National Health Service reported seven people have died from the Omicron variant and believe that “hundreds of thousands” of cases are going unreported. Cases are expected to grow at a dizzying rate well into January.

On Friday, Bedford told reporters that 50 percent of new Covid-19 cases in King County, were likely Omicron and doubling every 2.4 days. The next day, Pavitra Roychoudhury, MSc, Ph.D., of the University of Washington Virology Division tweeted that Omicron was 50 percent of all cases in Washington.

In an interview published on Saturday in the New York Intelligencer, Bedford shared his prediction on what is to come. “I can expect caseloads that are huge. I can easily expect a 50 percent attack rate from Omicron. I can easily expect that.”

“Attack rate,” is how much of the population will be infected – and Bedford predicts that half of the United States population will catch the Omicron variant. Because the United States does not take a national approach to genomic sequencing, and not all hospitals test patients for COVID at admission, the number of people already hospitalized is murky. From the earliest reports, the hospitalization rate was between 2% to 5%.

There was little good news to be found over the weekend on the impact the new wave is going to have on the United States. In the Northeast, Mid-Atlantic, and Great Lakes Region hospitals are already at or over capacity and receiving additional aid from FEMA. Many states are struggling with dwindling testing funds and a lack of data because tracking systems were dismantled over the summer.

A cascade of drug makers indicated late in the week that the current version of monoclonal antibodies in distribution aren’t effective against the Omicron variant. Unlike vaccines, which target all antibodies, monoclonal antibodies only target one. The antibody that was “cloned” in the process was effective against previous variants but doesn’t produce a significant immune response with Omicron.

In a series of studies, only Sotrovimab, produced by GlaxoSmithKline, showed promise against the fast-spreading variant. The monoclonal antibody received Emergency Use Authorization ( EUA) from the U.S. Food and Drug Administration (FDA) on May 26. Health and Human Services (HHS) reported they would be distributing 55,000 doses across the United States this week, with Washington receiving 552.

Back in the UK, the National Health Service reported that on any given day, about one percent of the national health force would be absent from work due to illness. In London, the number of workers calling out sick surged 40 percent. In the United States, healthcare workers have been fleeing the profession for years, while nurses have complained about short staffing for over a decade. Area hospitals will be impacted dramatically if Omicron starts to infect their workforces.

HHS reported over 68,000 people were hospitalized with COVID across the United States. Statewide on Friday, only eight percent of acute care and 12 percent of ICU beds were available. In King County many hospitals are already at or above capacity, but not due to COVID patients. A shortage of staffed skilled nursing and rehabilitation beds has left patients ready for discharge nowhere to go.

Over the summer when patient loads were lower, the Delta wave brought Oregon and Washington hospitals to the brink of crisis standards of care while collapsing the healthcare systems in Idaho and Alaska. Hospitalization rates for COVID and non-COVID patients are already much higher as the region prepares to face the biggest challenge yet.

According to HHS, EvergreenHealth Kirkland had 19 acute care beds available while Overlake had 17. Both hospitals were reporting ICUs near capacity with 3 beds at Evergreen and 4 at Overlake.

During the Delta surge, states learned that activating the National Guard for nurses and doctors was a poor option. Trained hospital staff who are “weekend warriors” were frequently already supporting surging hospital admissions. The activation in some cases made staffing situations worse.

King County residents vented their frustration on social media about the inability to get a booster shot, find home COVID antigen tests, and PCR test results being delayed. In other circles, Seahawks fans raged against the scheduling change against the Rams due to coronavirus.

Officials in the UK pleaded with government officials to implement further public health restrictions to stem the tide of new cases, as models indicate that by January, the island nation could see 3,000 to 4,000 new hospitalizations a day. Londoners were already starting to deal with closed shops and restaurants, and delays in services because so many people have been sickened.

It is unlikely any additional restrictions will be implemented across the United States, where COVID has been turned into a political weapon. The U.S. Department of Homeland Security (DHS) indicated in a Nov. 10 memo, “If a new COVID-19 variant emerges and new public health restrictions are imposed as a result, anti-government violent extremists could potentially use the new restrictions as a rationale to target government or public health officials or facilities.

Numerous studies and growing real-world data from Africa and Europe indicate that immunity from prior COVID infections or vaccination without a booster provides enough protection to prevent severe COVID symptoms that result in hospitalization and death. Booster shots ideally received within the previous 12 weeks, boost immunity for more.

For people relying on viral vector vaccines such as Johnson & Johnson, AstraZeneca, or Russia’s GNCEM, there appears to be even less protection without a booster. On Thursday, The Centers for Disease Control (CDC) endorsed the recommendation from the Advisory Committee on Immunization Practices (ACIP) to recommend the mRNA Pfizer and Moderna vaccines over Johnson and Johnson. The decision was made due to the waning effectiveness of the J&J vax and nine confirmed fatalities, seven women including one from Seattle, and two men, from vaccine-induced immune thrombotic thrombocytopenia (VITT).

A study published on Dec. 14 found that Moderna with a booster provided the best protection from Omicron, followed by Pfizer with a booster, and then Johnson & Johnson with a Moderna booster. The study also evaluated individuals who had a previous COVID infection and then got vaccinated. They found that immunity was better than vaccination without a booster, but not as robust.

Real-world data from Europe and Africa indicate that relying on immunity from a previous COVID infection is offering little protection from becoming symptomatic. Epidemiologists have stated it is possible to be infected with the Delta and Omicron variants at the same time. It also appears that natural immunity from Omicron won’t protect a person from a later Delta infection.

There is mounting evidence that Omicron is no more severe than Delta, but little evidence it is less so. On Friday the Imperial College of London released a report that found no evidence that Omicron is “mild.”

“The study finds no evidence of Omicron having lower severity than Delta, judged by either the proportion of people testing positive who report symptoms or by the proportion of cases seeking hospital care after infection. However, hospitalisation data remains very limited at this time.”

The challenge for the public and health experts is comparing the current global wave to previous spikes in COVID cases. During the original wave in the spring of 2020, no one had any type of immunity. When the Alpha and Beta waves came in the winter of 2020, vaccines were just rolling out. When Delta arrived the variant was more transmissible and more severe than prior strains. It also was capable of nibbling around the edges of vaccine protection due to its mutations.

Omicron has arrived in a population that has received a variety of mRNA and viral-vector vaccines with different doses as well as disease acquired immunity from different strains. The timing of receiving a vaccine, prior infection, or a combination also impacts how much immunity a person has.

Many people are more mobile and have returned to work and school while simultaneously taking fewer precautions. An additional challenge is the rate of vaccination is not homogenous, with highly vaccinated communities adjacent to vaccine-resistant populations.

All of these factors are obscuring the true nature of Omicron and because the United States does a poor job of genomic sequencing in some states, little is known about the current hospitalized population and which variant patients have.

Although data out of South Africa has been more encouraging, experts had warned that the recent end of the Delta wave, a higher than understood vaccination rate, and the youthful nature of the South Africa population would favor better outcomes. Although only 26% of South Africa’s total population is vaccinated, over 34% of the county was ineligible due to age. On Oct. 20, the nation expanded vaccination to 12 to 17-year-olds and introduced booster shots to adults on Dec. 9. In reality, 44% of South African adults are fully vaccinated, including 61 percent of people over 50. Additionally, only 5.7% of South African residents are 60 or older.

Researchers are watching King County closely for several reasons. The region is a leader in genomic sequencing and research. As Omicron moves through the region it will provide critical data to build a better understanding of transmissibility, the impact on public health measures, prevention and treatment, and how severe Omicron is. King County is highly vaccinated, but has pockets of low vaccine acceptance, providing a more realistic cross-section. Finally, New York City is almost unique compared to other US cities due to its size, reliance on public transit, and the number of people who live in buildings with communal areas.

Dr. Cameron Webb, the senior policy advisor for equity for the White House COVID Response Team shared early symptoms to look for if you start feeling ill.

  • Sore throat, espeically if it is more than mild
  • Headache
  • Fatigue – severe fatigue appears more common in children
  • Runny nose
  • Sneezing
  • Dry cough

County health officials continue to appeal for people to get vaccinated and get a booster shot if they are eligible. They recommend frequent hand washing and wearing an N-95, KN-94, or KN95 mask whenever you’re out of your home, and to stop using cloth masks. When it comes to Christmas and New Year’s celebrations and travel plans, it is recommended to test the day off and celebrate outside or in well-ventilated indoor areas.

Because of the systems put in place by King County Public Health and supported by County Executive Dow Constantine, the region is better prepared to provide vital data to the rest of the nation. It is very likely that by Christmas, Seattle will feel a lot more like March 2020 than December 2021.

10 Omicron cases in 5 states – local, state, national, and global COVID update for December 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) Officials in five states have reported Omicron cases from Hawaii to New York, as the world races to better understand the danger the new variant presents.

In Washington, the first set of local COVID data was made available in a week, indicating that hospitalizations are plateaued again and new cases are down. Twenty-six counties no longer have high rates of transmission. There was an increase in new cases among 20 to 49-year-olds compared to last week.

Governor Jay Inslee reported that FEMA was sending two mobile vaccination clinics to King County, with the first one opening on December 20 in Federal Way.

One-third of the 3.3 million booster eligible residents of Washington have leveled up, while in some areas people are searching for appointments to get a third dose.

Almost 75% of residents age 12 and over are now fully vaccinated, and 17% of all Washington children ages 5 to 11 have received at least one dose of the Pfizer vaccine.

Locally, new COVID cases in the Bellevue, Lake Washington, and Northshore School Districts were down from last week. Vaccination rates for children 5 to 11 that live in the three districts are remarkable with some zip codes reporting almost 60% of all kids already receiving their first dose.

In national news, the United States has confirmed ten Omicron variant cases in California, Colorado, Hawaii, Minnesota, and New York. The infections in Hawaii, Minnesota, and several in New York were caused by community transmission.

President Joe Biden announced new programs to try and combat the spread of COVID in the United States, but Republicans in the Senate threatened to have the United States default on the national debt if he implemented meaningful strict measures.

In South Africa officials are becoming increasingly alarmed as new cases and hospitalizations increase exponentially. The Gauteng Province, home to 15.7 million is the hardest hit, but cases were increasing across the nation. Officials there reported COVID hospitalizations increased more than 23% overnight, and ICU admissions jumped almost 40%.

A study published tonight from South Africa reported that people relying on natural immunity had a 240% higher chance of reinfection with the Omicron variant, compared to the Beta or Delta variants.

In disinformation, we explore the claim that the Omicron variant is no worse than a cold or flu.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on December 02, 2021.


hospitalsschoolslocalnationalglobal updatesdisinformation

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 N95 masks are available for $40.00, and a package of 10 count children sized KN95 masks are available for $10.50. We recommend wearing N95 or KN95 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

Washington State Update for December 2, 2021

Washington state Covid-19 update

After a six-day break from updated and accurate data from the Washington State Department of Health, we’re back. A week ago the question was how much would Thanksgiving travel impact new case rates. The Omicron variant has changed the plot.

Vaccination data for the state was updated. A couple of counties had numbers drop from last week. This has happened before as data gets validated but this update dropped Grant County below 50% – so the brackets changed.

Skagit and Whatcom Counties new cases rates are down about 40% from three weeks ago. The surge of cases among mostly unvaccinated residents is winding down. New

New cases have decreased a smidge compared to last week but do not reveal any significant trends.

Percent of Total Population Fully VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70.00% or above (3 counties)2,343,250127.7
60.00% to 69.99% (5 counties)1,374,000261.0
50.00% to 59.99% (15 counties)3,420,400227.8
40.00% to 49.99% (9 counties)487,375234.7
32.30% to 39.99% (6 counties)151,850176.7
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County

Through December 2, Washington’s statewide 14-day rolling average is 203.2 Covid-19 cases per 100K, and the 7 day rolling average is 82.7.

No counties have a case rate over 400.0. per 100,000 residents. Twenty-six counties representing 5.65 million Washingtonians have a 7 day moving average case rate under 100.

New cases by age declined for every age group except 20 to 49-year-olds, which increased. Hospitalizations for ages 20 to 34 also increased.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1191.50.1
Ages 12-1983.30.5
Ages 20-34100.19.1
Ages 35-49100.1 (not a typo)5.5
Ages 50-6473.88.8
Ages 65-7944.110.2
Ages 80+40.617.0
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 November 30 but reports 9,303 Washingtonians have died from Covid-19 related illness.

FEMA sending mobile vaccination clinics to Washington

Governor Jay Inslee announced that FEMA would be sending two mobile vaccination clinics to Washington. The first site will open on December 20 in Federal Way and is slated to operate for a month. A second location is planned but a date and location were not announced.

“This is great news in the ongoing fight against COVID. I am grateful for our strong partnership with the federal government, and these FEMA Family Mobilization Clinics coming to King County is a great result of that partnership,” said Inslee. “This is an innovative model that will help increase equitable access to vaccination for all Washingtonians.”

A constellation of partners is working with FEMA including the Washington State Department of Health, the King County Executive’s Office, and Seattle & King County Public Health.

Some people in Western Washington have reported problems in securing vaccination appointments for boosters due to high demand.

One-third of booster eligible Washingtonians have leveled up

The Washington State Department of Health reported 1.08 million of the 3.3 million eligible for boosters have rolled up their sleeves. There is significant evidence that vaccine and disease acquired immunity declines after five to seven months, but a number of factors such as age and other health issues can affect the duration.

There is some evidence within the genetic sequencing of the Omicron variant that disease-acquired immunity from previous mutations won’t be as strong as vaccine-based immunity.

Over 17% of Washington kids age 5 to 11 have received their first dose of the COVID vax

The Washington State Department of Health reported 116,121 children from 5 to 11 have received their first dose of the Pfizer COVID vaccine, about 17% of all eligible kids in Washington.

The Pfizer vaccine Emergency Use Authorization (EUA) was amended to include 5 to 11-year-olds. They receive two smaller doses and reach fully vaccinated after five weeks. Initial data indicates that due to the stronger immune response of children and adolescents, a booster or third dose is not needed. That could change with time or if another variant emerges that is vaccine-resistant.

Washington state approaching 75% of population 12 and older fully vaccinated

The Washington State Department of Health reported 80.8% of all Washingtonians 12 and older have received at least one dose of the COVID vaccine and 74.6% are fully vaccinated.

Although this is good news, Washington is starting to fall behind other states. The Mayo Clinic reported that Washington was in 10th place for 12 to 17-year-olds fully vaccinated, 9th place for 18 to 64-year-olds, and tied with 32 other states for first place for 65 and older.

Travel Advisories

Due to the confirmation of community transmission of the Omicron variant in the United States, we are advising our readers to reconsider air travel and recreational travel plans. Especially if those plans include going to places with large crowds or major events at enclosed buildings.

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!

King County, Washington is reporting over 85.0% 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. The Pfizer vaccine has EUA approval for children 5 to 15 years old.

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

It has been a week since the last report and hospital status has improved significantly while the number of COVID patients receiving care remains elevated. The Washington State Department of Health reported 89.4% of staffed acute care beds were occupied with 10.2% of patients infected with Covid-19. There are 706 COVID patients statewide with an estimated 212 in the ICU – 114 requiring ventilators.

Statewide, there are an estimated 753 acute care and 151ICU beds available.

On Wednesday, the 7 day rolling average hospital admission rate for new COVID patients was statistically the same as last week – 65.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman88.3%19.9%86.7%10.0%
NorthIsland, San Juan, Skagit, Whatcom69.5%28.2%80.0%12.3%
North CentralChelan, Douglas, Grant, Okanogan91.1%34.1%70.4%12.9%
NorthwestClallam, Jefferson, Kitsap, Mason92.2%20.0%95.8%8.7%
Puget SoundKing, Pierce, Snohomish90.5%16.9%94.3%9.7%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima89.0%16.8%82.7%10.3%
SouthwestClark, Cowlitz, Klickitat, Skamania64.9%14.2%79.6%10.0%
WestGrays Harbor, Lewis, Pacific, Thurston88.6%18.3%92.3%13.1%
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%

School Readiness

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueGREEN– Bellevue (2*)
– Interlake (2*)
– Odle (1*)
– Highland (1*)
– Newport (1*)
– Tyee (1*)
None
Lake WashingtonYELLOW– Blackwell (1*/4)
– Dickinson/Explorer (2*/7)
– Eastlake High (1*/3)
– Ella Baker (1*/0)
– Evergreen Middle School (1*/0)
– Finn Hill Middle School (2*/18)
– Inglewood Middle School (1*/0)
– Juanita High (2*/39)
– Kamiakin Middle School (2*/12)
– Keller (2*/7)
– Kirkland Middle School (1*/8)
– Lakeview Elementary (2*/2)
– Lake Washington High School (1*/7)
– Mead (2*/7)
– Northstar Middle School (12)
– Redmond High School (1*/10)
– Redmond Middle School (1*/19)
– Rush (2*/8)
– Thoreau (2*/6)
None
NorthshoreYELLOW– Bothell High School (3*/12)
– Canyon Creek Elementary (5**/11)

– Canyon Park Middle School (1*/4)
– Crystal Springs Elementary (1*/17)
– Fernwood Elementary (1*/0)
– Frank Love Elementary (1*/10)
– Kenmore Elementary (1*/6)
– Kenmore Middle School (4*/32)
– Kokanee Elementary (0/1)
– Leota Middle School (1*/2)
– Maywood Hills Elementary (3*/4)
– Moorlands Elementary (1*/2)
– Northshore Middle School (1*/13)
– Ruby Bridges Elementary (0/1)
– Shelton View Elementary (0/2)
– Skyview Middle School (1*/4)
– Sunrise Elementary (2*/2)
– Timbercrest Middle School (2*/0)
– Wellington Elementary (1*/1)
– Woodin Elementary (0/2)
Woodmore Elementary (0/4)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases – (x*/y) x is positive cases and 7 quarantined, quarantined does not include 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.

Based on reader feedback, and improvement in the data we are receiving, we have adjusted how we are reporting data. The Lake Washington and Northshore School Districts are now reported as (X*/Y) or (X**/Y). X represents the number of positive cases while Y represents how many are in quarantine. The number in quarantine does not include positive cases. If there are two asterisks, that indicates five or more confirmed cases within the last 14 days at that school.

Confirmed COVID cases were down in the three school districts we track. The Bellevue School District did not have updated data for quarantined students today.

The Lake Washington School District updates data once a week, and we’ve had no parent confirmed reports on new COVID cases this week.

We continued to encourage parents to request daily updates from the Lake Washington School District. This change would bring the three school districts we track into alignment.

Bellevue-Bothell-Kirkland-Woodinville local COVID news

King County Public Health updated the vaccination rates by zip code and now reports the data from ages 5 and up. Vaccination rates for children between 5 to 11 remain remarkable for the region.

Percentage of King County Residents 5 and older who have received at least one dose of COVID vaccine, December 2, 2021
Zip CodePercent vaccinated, at least one dose, 5 to 11 years oldPercent vaccinated, at least one dose, 5 and older
9815546.8%92.5%
9802842.7%88.5%
9801137.2%85.2%
9803438.8%84.3%
9803359.5%93.5%
9807239.2%88.2%
9807735.7%80.2%
9805255.0%94.6%
9800451.3%>95.0%
9803944.6%90.7%
9800553.4%94.8%
9800732.3%88.0%
9800844.5%91.2%
9805346.0%92.9%
9807450.5%>95.0%
9807543.0%>95.0%
Vaccination rates with at least one dose

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 137,602 new cases and 1,960 deaths nationwide on Thursday. New cases continue to grow at a significant rate in the United States. There is no way to know if Omicron is driving the increase, but current data indicates that over 99% of new cases are Delta or one of its sublineages.

At least 10 Omicron COVID variant cases confirmed in the United States

Health officials in California, Colorado, Hawaii, Minnesota, and New York confirmed at least one case of the Omicron variant in their states.

Yesterday, the Centers for Disease Control confirmed the first Omicron variant case in the United States. The travel-related case was an 18 to 49-year-old male tested in the San Francisco area. They were fully vaccinated with an mRNA vaccine but not eligible for a booster because six months hadn’t passed since their second shot. They returned from South Africa on November 22 and tested on November 29. They have mild symptoms and are quarantined at home.

Late tonight, California officials reported a second travel-related case in Los Angeles county. That person traveled from South Africa to Los Angeles via London and returned on November 22. They are fully vaccinated but did not receive a booster. They are experiencing mild symptoms and are quarantined at home. Health officials reported they have already contacted and tested all close contacts, and didn’t find any new cases.

This morning Minnesota officials reported a community transmission case. The person identified as male, traveled to New York City to attend an anime convention at the Javits Center from November 19 to 21. The event had 53,000 attendees. They were fully vaccinated with an mRNA vaccine and had received a booster in early November.

Around lunchtime, Colorado officials reported a travel-related case. The woman was fully vaccinated but had not received a booster. She told authorities she had worn a mask during all her travels and developed symptoms after returning home from southern Africa last week. She has mild symptoms and is quarantined at home.

In the late afternoon, New York Governor Kathy Hochul reported five cases in the metro New York City area. There wasn’t little information available on each case, which is a combination of community transmission and travel-related. Two were in Queens, two in Brooklyn, one in Suffolk County, and one was not identified. The condition and vaccination status weren’t readily available.

Close to press time, officials in Hawaii reported their first case of an unvaccinated individual. The person had not traveled so officials believe it was caused by community transmission. The person is unvaccinated and was previously infected with COVID. They were tested on November 29, and currently are experiencing moderate symptoms. The press release from the State of Hawaii Department of Health did not indicate if they were hospitalized.

President Joe Biden announces winter battle plan to fight COVID

Under the threat of letting the United States default on its national debt, President Joe Biden conceded he would not push further vaccine mandates and announced other measures to combat COVID and the Omicron variant.

  • Requiring travelers entering the country by air to test negative for Covid-19 within a day of departure, regardless of vaccination status or nationality
  • Extending the requirement that masks be worn on airplanes, trains and public transportation to March 18
  • Requiring private health insurance companies to cover 100% of the cost of at-home tests for COVID
  • Public education to encourage 100 million eligible adults to get boosters shots

Editor’s Note: Consider us very underwhelmed.

Global update

New Omicron variant cases and hospitalizations skyrocket in South Africa

The number of new COVID cases and hospitalizations in South Africa is increasing at an alarming rate, with officials concerned that a record peak in infections is only 14 to 21 days away.

The South Africa Department of Health (SADOH) reported 74% of all detected COVID cases in November and 90% of new cases in the last week of the month were the Omicron variant. New cases have increased exponentially since November 24, the same day South African officials alerted the World Health Organization of the new variant.

Officials haven’t provided specifics on how much more transmissible Omicron is to previous variants, only saying that is higher.

New COVID cases in South Africa November 11 to December 2, 2021

SADOH reported 11,535 new cases today, an increase of 468% from a week ago. The 7 day rolling average for new cases jumped to 5,093. South Africa is testing about 52,000 people a day as the positivity rate increase at a significant rate. Officials reported 22.4% of the tests performed on Wednesday as positive for COVID infection.

In Gauteng Province, home to 15.7 million people, the number of hospitalized patients increased 23.4% overnight, jumping from 1,035 to 1,351 total patients. ICU patients increased by 38.5% while people needing oxygen held steady at 15% and ventilator use increased from 27 to 30.

Study from South Africa indicates COVID reinfection risk is very high

Researchers in South Africa and Canada reported data from South Africa suggests that, in contrast to the Beta and Delta, the Omicron variant of COVID demonstrates substantial population-level evidence for evasion of immunity from prior infection.

Researchers look at data from 2.8 million individuals who had lab-confirmed COVID positive tests at least 90 days before November 27, 2021. Among that group, they identified 35,670 lab-confirmed reinfections. The study found that reinfection with the Beta or Delta variant was infrequent, with disease acquired immunity providing protection. The research did not take the severity of illness into consideration for the initial or subsequent infections.

Reinfection rates from November 1 to November 27 increased by 240%, indicating that natural immunity may not provide much benefit. The results of the study could have implications on the effectiveness of monoclonal antibodies, but more data is required.

The study was done by a number of respected individuals but has not been peer-reviewed.

Disinformation

Although some officials have stated that Omicron cases appear to be mild, disinformation campaigns have latched on to these statements and are claiming an infection is no worse than a cold or flu.

On November 26 and again on November 28, Dr. Angleique Coetzee said that the infections she saw in her private practice were ‘very mild.’ On November 28 she expanded her statement to say that the observation was ‘not anecdotally’ and other clinicians were echoing her findings. She also stated that hospitalizations were not increasing. Her comments were addressed in a World Health Organization Omicron update on the same day.

“There is currently no information to suggest that symptoms associated with Omicron are different from those from other variants.  Initial reported infections were among university students—younger individuals who tend to have more mild disease—but understanding the level of severity of the Omicron variant will take days to several weeks.”

We do not believe that Dr. Coetzee is actively spreading disinformation and is speaking from her direct experience as a clinician. We also believe that people are misunderstanding what a ‘mild’ case of COVID means. A mild case is a case that doesn’t require clinical intervention or hospitalizations. With Covid-19 that’s more than a cold or the flu.

Dr. Rudo Mathivha is the head of critical care at Baragwanath Hospital in Soweto, a level 1 trauma center and the largest hospital in the Southern Hemisphere with 3,400 beds. Dr. Mathivha did a series of interviews in South Africa yesterday and reported she was seeing an increase in hospital admissions in children under 5 years old accompanied by a dramatic increase in patients needing high care and admission to the ICU.

“The number of ill patients presenting to hospitals has increased exponentially,” she said.

“We are seeing definitely a change in the demographic profile of patients. We are seeing toddlers under five presenting with symptoms and they are sick enough to require admission and to require supplemental oxygen.”

Researchers don’t know how severe Omicron infections will be at this time, and anyone making claims on the severity, either way, is not presenting informed information. Anyone claiming that Omicron is just a cold is spreading disinformation.

Healthcare experts watch Thanksgiving with worry – local and state COVID update for November 25, 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) On November 24 the fifth wave came to an end with Washington state falling below high transmission for COVID. Despite the good news and 26 counties with moderate to low transmission rates, the number of new Covid-19 cases mostly among the unvaccinated is well above spring 2021 levels. Across the United States, epidemiologists are open about their worry of normal travel, family gatherings, and surging cases where the weather has turned cold.

In Washington, new case rates among every age group fell below high transmission for the first time since Malcontent News started tracking the data. Rates among the most vaccinated population, those 65 and older are the lowest while infection rates for children birth to 19 are the highest.

Six GOP state senators, five that are unvaccinated, are suing over announced COVID protocols in Olympia for the upcoming legislative session.

Officials in two counties are reporting significant Covid-19 outbreaks in their jails, and the Department of Corrections has had 94 cases at Cedar Creek Correction Center in the last 30 days. Staff at county jails outside of King County are not required to be vaccinated.

Almost 1 in 6 children 5 to 11 in Washington state have received their first dose of the Pfizer COVID vaccine in under two weeks.

A Washington paper mill has been fined almost $140,000 after an investigation into a Covid-19 outbreak at the facility that left one worker dead.

KING 5 did an investigation into a medical clinic in Ellensburg which revealed Dr. Anna Elperin allegedly running a COVID vaccine medical exemption mill. Dr. Elperin was charging patients $150 to $200 cash for exemptions.

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


hospitalsschoolslocalnationalstate updatesdisinformation

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 N95 masks are available for $40.00, and a package of 10 count children sized KN95 masks are available for $10.50. We recommend wearing N95 or KN95 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

Washington State Update for November 24, 2021

Washington state Covid-19 update

Over 11.75 million people have traveled by air since Friday with Thanksgiving kicking off the holiday season tomorrow. AAA predicts another 48.3 million will travel by car, only slightly below the 49.9 million who took to the road in 2019 before COVID. All eyes will be on new case rate numbers late next week.

New cases in Washington are at the lowest level since late July, but higher than where experts had hoped they would be at this point. The data continues to support that 70% or more of the total population has a significant impact on reducing the transmission of COVID.

Percent of Total Population Fully VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70.00% or above (3 counties)2,343,250143.8
60.00% to 69.99% (5 counties)1,374,000302.7
50.00% to 59.99% (16 counties)3,532,200252.9
40.00% to 49.99% (9 counties)375,575259.8
32.00% to 39.99% (6 counties)151,850224.5
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County

Through November 23, Washington’s statewide 14-day rolling average is 228.7 Covid-19 cases per 100K, and the 7 day rolling average is 83.7. You can mark November 23, 2021 on you calendar as the day the fifth wave ended in Washington state.

Only Chelan (452.6) and Douglas (446.9) Counties have new case rates over 400.0.

Twenty-six counties representing 5.35 million Washingtonians have a 7 day moving average case rate under 100. Also in good news, every age group is now below “high transmission” rates. New case rates remain higher among people under 50 years old.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1197.80.5
Ages 12-1992.30.5
Ages 20-3494.72.2
Ages 35-4996.24.6
Ages 50-6472.77.4
Ages 65-7948.810.2
Ages 80+57.321.0
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 29 deaths on Tuesday and 38 deaths on Wednesday.

Six GOP state senators suing over Washington House’s Covid-19 protocols

Six GOP state representatives including anti-vaccination event favorite Bob Walsh are suing Democratic leaders over COVID protocols outlined for the upcoming legislative session. Five of the six plaintiffs are unvaccinated according to their lawsuit.

The plan allows a limited number of vaccinated members to be on the floor, but the exact number will be “maximized based on needs for social distancing.” Unvaccinated members who wish to be in their on-campus offices during the session must receive a negative test three days a week. Members will not need access to the floor to vote on bills.

The measure was approved last Thursday by the Executive Rules Committee. House Speaker Laurie Jinkins has said the lawsuit is “without merit” and her focus will be on 2022.

Multiple COVID outbreaks among Washington State prisons and county jails

Outbreaks of Covid-19 among inmates have been reported at three different correctional institutions in Washington state.

Clark County Jail in Vancouver, Washington reported there are approximately 30 inmates who are COVID positive.

In Yakima, the Yakima County Jail reported 47 inmates and 4 staffers had Covid-19.

In Littlerock, the Cedar Creek Corrections Center has reported 94 confirmed COVID cases over the last 30 days.

Almost 1 in 6 Washington kids age 5 to 11 have received their first dose of the COVID vax

Two weeks after vaccinations for 5 to 11-year-olds were authorized by the FDA, the DOH is reporting 101,103 eligible children have received their first dose, about 15% of all eligible kids in Washington.

The Pfizer vaccine Emergency Use Authorization (EUA) was amended to include 5 to 11-year-olds. They receive two smaller doses and reach fully vaccinated after five weeks. Initial data indicates that due to the stronger immune response of children and adolescents, a booster or third dose is not needed. That could change with time or if another variant emerges that is vaccine-resistant.

Washington paper mill fined $140,000 after L&I investigation into COVID deaths

A Cowlitz County, Washington, papermaking plant is facing nearly $140,000 in fines after one worker died and more than a dozen machine operators got sick with COVID-19.

An inspection by the Department of Labor & Industries reportedly revealed that during March and April, 15 workers who worked at the same machine at WestRock Services LLC tested positive for COVID-19. Of the 15, one worker reportedly died and two others were hospitalized from complications of the virus. Neither the death nor the hospitalizations were allegedly reported to L&I as required.

The inspection also reportedly revealed that in one instance, a machine operator recovering from coronavirus told WestRock’s onsite nurse he was having difficulty walking, was in pain, and was having shortness of breath, while another worker at the same machine had already been sent home after testing positive for COVID-19 the same morning.

L&I fined WestRock $139,832.00 for not following COVID-19 protocols and failing to report a death and hospitalizations to L&I. A formal complaint was filed with the Nursing Care Quality Assurance Commission under the Washington State Department of Health due to concerns about the nurse’s actions.

Investigation into Ellensburg clinic reveals alleged medical exemption mill

A months-long investigation by KING 5 of Dr. Anna Elperin, owner of Awake Health in Ellensburg, revealed a disturbing pattern of charging patients $150 to $200 cash only for medical exemptions without examination.

Over the fall, four different undercover investigators visited the clinic seeking medical exemptions. They had to pay $150 cash upfront, and found the staff not wearing masks, few questions asked, and in one case, the exemption is just written with no exam.

Dr. Elperin has attended numerous protests about masks, vaccines, and mandates, and told employees and patients that she believes it is a hoax

KING 5 reported that 20% of all medical exemption requests at Central Washington University were signed off by Dr. Elperin. The investigation also revealed that most wasted their money, having their exemption requests rejected.

Labor and Industries have had 12 complaints about Awake Health and took no action on ten. On Wednesday KING 5 reported that L&I had opened up an investigation and did a surprise inspection.

You can read the whole story on KING 5.

Second mass COVID testing site opens up in Spokane

A second mass COVID-19 testing will open in Spokane Valley on Friday at the Spokane County Fair and Expo Center on Havana Street according to a report by KXLY.

It will be open Mondays, Tuesdays, Thursdays and Fridays from 8 a.m. to 5:30 p.m. Online registration for an appointment time is encouraged, but not required.

The site will be operated by Discovery Health MD and will offer lab-based PCR tests for anyone who has symptoms or has been exposed to COVID-19. Test results are usually available within 48-72 hours and are provided through a secure online portal.

Travel Advisories

Due to the impact of severe flooding, a forecast indicating more flooding, and strained hospital resources, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.

We continue to advise to avoid all nonessential travel to Alaska, Colorado, Idaho, and Montana. Hospital resources in these states remain constrained, and you may receive inadequate care if you experience a serious medical emergency.

Finally, we continue to recommend avoiding recreational travel to Wyoming. The situation continues to improve but hospital resources remain constrained.

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!

King County, Washington is reporting over 85.0% 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. The Pfizer vaccine has EUA approval for children 5 to 15 years old.

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

Overall hospital status continues to improve with the Olympic Peninsula remaining highly stressed. The DOH reported 90.8% of staffed acute care beds were occupied with 11.6% of patients infected with Covid-19. There are 740 COVID patients statewide with an estimated 238 in the ICU – 123 requiring ventilators.

Statewide, there are an estimated 627 acute care and 134 ICU beds available.

On Wednesday, the 7 day rolling average hospital admission rate for new COVID patients had dropped to 63.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman87.1%37.5%86.2%15.5%
NorthIsland, San Juan, Skagit, Whatcom64.0%23.1%81.5%13.5%
North CentralChelan, Douglas, Grant, Okanogan97.2%46.5%71.2%14.1%
NorthwestClallam, Jefferson, Kitsap, Mason95.2%22.1%96.4%11.2%
Puget SoundKing, Pierce, Snohomish92.2%17.9%95.8%10.7%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima88.1%14.5%81.9%11.1%
SouthwestClark, Cowlitz, Klickitat, Skamania69.9%16.5%82.2%11.4%
WestGrays Harbor, Lewis, Pacific, Thurston90.1%14.7%93.0%12.5%
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%

School Readiness

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueGREEN– Bellevue (1*)
– Interlake (1*)
– Odle (1*)
– Puesta del Sol (1*)
– Stevenson (1*)
– Somerset (1*)
– Tillicum (1*)
– Tyee (1*)
None
Lake WashingtonYELLOW– Alcott (3*/11)
– Audubon (1*/7)
– Blackwell (2*/3)
– Carson (1*/3)
– Clara Barton (4*/24)
– Eastlake High (1*/17)
– Ella Baker (2*/4)
– Evergreen Middle School (1*/0)
– Finn Hill Middle School (5)
– Inglewood Middle School (5**/34)
– Juanita High (1*/12)
– Kamiakin Middle School (2*/27)
– Kirk Elementary (3*/13)
– Kirkland Middle School (1*/10)
– Lakeview Elementary (1*/1)
– Lake Washington High School (3*/7)
– McAuliffe (2*/6)
– Northstar Middle School (12)
– Redmond High School (1*/12)
– Renaissance Middle School (1*/6)
– Rose Hill Middle (1*/7)
– Rush Elementary (3*/0)
– Sandburg/Discovery (1*/4)
– Smith Elementary (1*/9)
None
NorthshoreYELLOW– Bothell High School (4*/11)
– Canyon Creek Elementary (4*/14)
– Canyon Park Middle School (1*/4)
– Crystal Springs Elementary (4*/8)
– Eastridge Elementary (1*/2)
– Fernwood Elementary (1*/3)
– Frank Love Elementary (2*/18)
– Inglemoor High School (1*/0)
– Kenmore Middle School (0/2)
– Kokanee Elementary (1*/2)
– Leota Middle School (0/3)
– Maywood Hills Elementary (8**/7)
– Moorlands Elementary (0/3)
– North Creek High School (1*/1)
– Northshore Middle School (1*/8)
– Ruby Bridges Elementary (2*/2)
– Skyview Middle School (0/2)
– Sunrise Elementary (1*/2)
– Timbercrest Middle School (2*/5)
– Wellington Elementary (3*/5)
– Westhill Elementary (3*/0)
– Woodin Elementary (1*/1)
– Woodinville High School (2*/1)
– Woodmoor Elementary (1*/6)

Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases – (x*/y) x is positive cases and 7 quarantined, quarantined does not include 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.

Based on reader feedback, and improvement in the data we are receiving, we have adjusted how we are reporting data. The Lake Washington and Northshore School Districts are now reported as (X*/Y) or (X**/Y). X represents the number of positive cases while Y represents how many are in quarantine. The number in quarantine does not include positive cases. If there are two asterisks, that indicates five or more confirmed cases within the last 14 days at that school.

The Northshore School District moved back to status yellow, with the outbreak at Maywood Hills Elementary under control. The Bellevue School District finishes out the week status green with eight confirmed cases districtwide.

The Lake Washington School District updates data once a week, and we’ve had no parent confirmed reports on new COVID cases this week.

We continued to encourage parents to request daily updates from the Lake Washington School District. This change would bring the three school districts we track into alignment.

Bellevue-Bothell-Kirkland-Woodinville local COVID news

No update

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 111,112 new cases and 1,633 deaths nationwide on Wednesday. The Delta variant continues to target the unvaccinated and a very small, but growing number of people vaccinated more than six months ago. New cases are up 14% since last week.

State Updates

The team is taking the day off

Disinformation

The team is taking the day off

Updated: FDA and CDC approve COVID vaccination boosters for all adults

Update: CDC Director Rochelle Walensky granted final approval to the FDA amendments of the Pfizer and Moderna EUAs.

[WASHINGTON, D.C.] – (MTN) The U.S. Food and Drug Administration amended the emergency use authorizations (EUA) for the Moderna and Pfizer-BioNTech Covid-19 vaccines authorizing a single booster dose for all individuals 18 and older six months after receiving their second dose. Shortly after, the Centers for Disease Control panel of vaccine scientists unanimously endorsed the FDA’s authorization. CDC Director Rochelle Walensky needs to provide final approval, but that is expected to happen on Friday.

Pfizer requested the Emergency Use Authorization (EUA) for its Covid-19 vaccine to be amended to include booster doses for all adults on November 9 and Moderna made an identical request on November 17. Previously, only adults 65 and over, and people 18 to 64 with certain medical conditions, work in specific jobs, or live in communal areas were authorized to get a booster if they had received an mRNA vaccine from either company.

3.3 million Washington state residents 16 and older were fully vaccinated on May 30, according to the Washington State Department of Health (DOH). By the end of November, almost every person in that group will be eligible for a booster after Walensky gives her approval.

Almost all of these people would be eligible for a booster shot. Despite the mounting evidence that immunity wanes after five to seven months, only 675,000 residents have received boosters through November 7.

Data out of Israel, the United Kingdom, and Germany indicate that the United States is woefully unprepared for a sixth wave. Israel authorized boosters for older residents in July at the beginning of its fifth wave and expanded the program to include everyone 12 and older in September. That program was instrumental in ending the fifth wave.

For 9.2 million Israelis, COVID is now endemic. The government took a unified approach, enabling local councils within individual communities to determine if their city was green, yellow, or red. Almost all of Isreal is in a “green life category.” Masks aren’t required and life, travel, business, and entertainment are normal. Israel has a similar vaccination rate to the United States but a much larger number of people who received boosters.

Multiple studies have shown that infection acquired immunity and vaccine immunity are strong for five to seven months and then start to wane. In December 2020 health officials set expectations that it was unknown how long immunity would last, and many indicated that future booster shots would be likely. Anti-vaccination advocates and disinformation campaigns have used waning immunity as a talking point to sow distrust in vaccination programs.

Last month, the FDA and CDC approved booster shots for anyone 18 and older that received the viral-vector Johnson & Johnson vaccine.

All eyes on FDA and CDC for booster ruling tomorrow – local, state, and national update for November 18, 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 cases declined slightly while hospitalizations now rest on a seven-day-old plateau as Washington approaches the end of the 21st month fighting Covid-19. Sixteen counties no longer have “high transmission” rates.

In state news, British Columbia and Washington have eased border crossing rules, waiving COVID test requirements at some crossings. Drivers who need to bypass road closures due to flooding and mudslides can cross the border without the required PCR test, but only if they agree they are transiting between border crossing.

Governor Inslee backed down from plans to use stricter measures for Washington employers with 100 or more workers, as the nation waits to see what happens to the Biden Administration’s OSHA Covid-19 vaccination requirements.

The Washington State Department of Health announced that free in-home COVID test kits will be made available in nine counties.

Locally, the Bellevue School District is down to five confirmed COVID cases districtwide between students and staff. In the Northshore School District, Maywood Elementary is dealing with a surge of new Covid-19 cases, with 11 cases, eight confirmed this week.

Nationally the number of new cases is up 14% and more governors provided guidance or directives to make booster shots available to all adults. The vaccination deadline is ten days away from the U.S. Navy and Marine Corps. The Pentagon reported 99% of sailors are vaccinated versus 93% of marines.

The NFL is dealing with another potential COVID scandal, with Tampa Bay Buccaneers wide receiver Antonio Brown accused of buying a fake vaccination card.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on November 18, 2021.


vaccinationhospitalsschoolslocalnationaldisinformation

Washington State Update for November 18, 2021

Washington state Covid-19 update

New Covid-19 case rates are showing a pattern of county hotspots instead of widespread transmission. As an example, Chelan County just rolled over 60% of all residents vaccinated this week but is dealing with a bump in new cases.

There remains a significant difference between lower-vaccinated counties and counties where at least 70% of the total population is fully inoculated.

If Washington state wants to ever get to a place of endemic spread, the data indicates the bare minimum vaccination rate would be 70% of the entire population.

Percent of Total Population Fully VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70.00% or above (3 counties)2,343,250167.4
60.00% to 69.99% (4 counties)1,242,200328.5
50.00% to 59.99% (17 counties)3,664,000306.1
40.00% to 49.99% (9 counties)375,575285.1
31.80% to 39.99% (6 counties)151,850241.3
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County

Through November 17, Washington’s statewide 14-day rolling average is 264.5 Covid-19 cases per 100K. There are signs that a new plateau is forming with transmission rates too high coming into the start of the holiday travel season.

Chelan, Douglas, Klickitat, Lewis, Lincoln, Skagit, and Spokane counties have new case rates between 400.0 and 599.9. Okanogan and Grays Harbor Counties were just under 400.

Sixteen counties representing 3.52 million Washingtonians have a 7 day moving average case rate under 100.

The 7 day new case rate was unchanged and the hospitalization rate increased for elderly patients 80 and older..

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11119.80.7
Ages 12-19111.10.9
Ages 20-34116.72.8
Ages 35-49125.35.9
Ages 50-6494.99.6
Ages 65-7964.016.0
Ages 80+66.025.7 (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 27 deaths on Wednesday and 39 on Tuesday.

British Columbia and Washington agree to ease border rules due to severe flooding and road closures

Canadian border agents will be waiving COVID-19 test requirements for people choosing to drive through Washington State to bypass highway closures between the Lower Mainland and the Okanagan due to flooding and landslides.

“Given the current situation in B.C., travelers who must transit through the United States to get to their residence in Canada are exempt from the COVID-19 pre-arrival test, the test in Canada, and quarantine requirements,” stated a Canada Border Services Agency (CBSA) spokesperson by email.

CBSA expects to be using pre-existing exemptions within federal government orders to apply to travelers who are simply transiting Washington State highways, such as between the Osoyoos border crossing and checkpoints entering Surrey.

Individuals will still need to present a valid passport to cross the international border.

Governor Inslee backs down on expansion of OSHA vaccine and test requirements

During media availability today, Governor Jay Inslee indicated the state was backing down on expanding pending Biden Administration rules that would require companies with more than 100 employees to have vaccinated staff or rest weekly. Earlier the governor had said the state was considering removing the testing requirement and applying the same standard to medium and large private employers that are required for state employees.

The new OSHA rules that were supposed to go into effect on January 5, 2022 are in limbo. The 5th Circuit Court of Appeals upheld a stay of the mandate, calling it “staggeringly overbroad,” saying it failed to account for the different levels of risk faced by workers in different workplace settings. The court ruled OSHA may not implement the mandate unless another court overturns the ruling.

The 6th Circuit Court was selected using a ping pong ball to hear the broader case, which will likely head to the Supreme Court.

Nine Washington counties offering free at-home Covid-19 test kits

Nine counties in the northeastern, south central, and southwestern parts of Washington will offer free at-home COVID tests to residents.

Kira Lewis, a public health nurse at the Spokane Regional Health District, says at-home tests take about 10 minutes, and could be taken Thanksgiving or Christmas morning before going over to a family member’s house.

“More testing in the community that’s accessible to all members of the public helps people make good decisions about their social lives and interacting with others,” she said. “That is important for the individual and it’s important for our community as a whole moving forward, continuing to have high rates of transmission in our area. We need to meet that with high rates of available testing.”

The nine counties are Adams, Benton, Cowlitz, Ferry, Franklin, Okanogan, Pend Oreille, Spokane, and Stevens.

Travel Advisories

Due to severe flooding and strained hospital resources, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.

We continue to advise to avoid all nonessential travel to Alaska, Colorado, Idaho, and Montana. Hospital resources in these states remain constrained, and you may receive inadequate care if you experience a serious medical emergency.

Finally, we continue to recommend avoiding recreational travel to Wyoming. The situation continues to improve but hospital resources remain constrained.

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

More states open up booster shots to all adults

Kentucky, Louisiana, Maine, Massachusetts, Vermont, and Utah joined eight other states already opening up booster shots to all adults, as more governors try to get ahead of the start of a sixth wave.

New York and Rhode Island haven’t made boosters available to all adults statewide, but are asking healthcare providers not to turn anyone away in counties with high transmission rates.

Arkansas and West Virginia reported encouraging news that many were taking advantage of the new guidelines.

Get Your Booster

If you are eligible for a Covid-19 booster shot Malcontent News strongly encourages you to not delay getting your second or third dose. It is fast, free, and easy. There is growing evidence that the half-life of Covid-19 vaccines is six to ten months, and the half-life for so-called natural immunity is 5 to 7 months.

According to the Washington State Department of Health, through November 7, 675,000 residents have received their Covid-19 booster. Over 1.8 million adults in Washington have a BMI of 25 or higher or are older than 65.

There is significant data that shows natural and vaccine-based immunity starts to fade after four to seven months and countries that implemented aggressive Covid-19 booster shot programs significantly reduced new cases and hospitalizations.

King County, Washington is reporting over 83.5% 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. The Pfizer vaccine has EUA approval for children 5 to 15 years old.

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

Hospital readiness continues to slowly improve except on the Olympic Peninsula. Although the number of COVID patients under care is in decline, the total number of hospitalized patients is unchanged due to deferred elective surgeries, increased movement among the population creating more injuries, and other wintertime diseases.

According to the DoH COVID Dashboard, 91.2% of all staffed acute care beds are occupied, and 12.3% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 633 additional acute care patients.

ICUs are at 87.6% of capacity statewide, with 20.2% of ICU patients fighting Covid-19 – an estimated 238 patients with 49.1% on ventilators. The state has the staff to support approximately 147 additional ICU patients.

On Wednesday, the 7 day rolling average hospital admission rate for new COVID patients was 89. The Department of Health reported 882 Covid-19 patients statewide with 117 requiring ventilators. The number of hospitalized Covid-19 patients has been in the mid-800s to low-900s for seven days in a row.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman86.1%24.1%89.0%13.8%
NorthIsland, San Juan, Skagit, Whatcom67.3%26.6%81.5%12.5%
North CentralChelan, Douglas, Grant, Okanogan94.7%43.1%75.2%17.0%
NorthwestClallam, Jefferson, Kitsap, Mason92.8%26.1%96.8%12.9%
Puget SoundKing, Pierce, Snohomish91.5%18.6%95.4%11.4%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima87.1%18.7%84.3%15.3%
SouthwestClark, Cowlitz, Klickitat, Skamania70.0%13.5%85.7%9.0%
WestGrays Harbor, Lewis, Pacific, Thurston87.8%18.7%91.7%14.2%
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%

School Readiness

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueGREEN– Bennett (1*)
– Bellevue (1*)
– International (1*)
– Puesta del Sol (1*)
– Somerset (1*)
None
Lake WashingtonYELLOW– Alcott (3*/11)
– Audubon (1*/7)
– Blackwell (2*/3)
– Carson (1*/3)
– Clara Barton (4*/24)
– Eastlake High (1*/17)
– Ella Baker (2*/4)
– Evergreen Middle School (1*/0)
– Finn Hill Middle School (5)
– Inglewood Middle School (5**/34)
– Juanita High (1*/12)
– Kamiakin Middle School (2*/27)
– Kirk Elementary (3*/13)
– Kirkland Middle School (1*/10)
– Lakeview Elementary (1*/1)
– Lake Washington High School (3*/7)
– McAuliffe (2*/6)
– Northstar Middle School (12)
– Redmond High School (1*/12)
– Renaissance Middle School (1*/6)
– Rose Hill Middle (1*/7)
– Rush Elementary (3*/0)
– Sandburg/Discovery (1*/4)
– Smith Elementary (1*/9)
None
NorthshoreRED– Arrowhead Elementary (0/1)
– Bothell High School (5**/9)
– Canyon Creek Elementary (4*/24)
– Canyon Park Middle School (1*/12)
– Crystal Springs Elementary (3*/34)
– Eastridge Elementary (1*/3)
– Fernwood Elementary (1*/2)
– Frank Love Elementary (0/6)
– Hollywood Hills Elementary (2*/0)
– Inglemoor High School (4*/1)
– Kenmore Middle School (1*/2)
– Kokanee Elementary (1*/1)
– Leota Middle School (2*/1)
– Moorlands Elementary (0/5)
– North Creek High School (2*/8)
– Northshore Middle School (1*/9)
– Ruby Bridges Elementary (1*/4)
– Shelton View Elementary (0/1)
– Skyview Middle School (0/1)
– Sunrise Elementary (1*/4)
– Timbercrest Middle School (2*/8)
– Wellington Elementary (1*/5)
– Westhill Elementary (2*/3)
– Woodin Elementary (3*/5)
– Woodinville High School (2*/2)
– Woodmoor Elementary (2*/3)
– Maywood Hills Elementary (11**/5)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases – (x*/y) x is positive cases and 7 quarantined, quarantined does not include 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.

Based on reader feedback, and improvement in the data we are receiving, we have adjusted how we are reporting data. The Lake Washington and Northshore School Districts are now reported as (X*/Y) or (X**/Y). X represents the number of positive cases while Y represents how many are in quarantine. The number in quarantine does not include positive cases. If there are two asterisks, that indicates five or more confirmed cases within the last 14 days at that school.

The Northshore School District moves to status red with Maywood Hills Elementary reporting 11 confirmed COVID cases and eight this week. It is the largest Covid-19 outbreak in terms of new cases reported at the same time in the three school districts Malcontent News tracks since school started.

The Bellevue School District stays status green with five confirmed cases in the last 14 days districtwide. Additionally, we can process quarantine data by the day, and we will start tracking those numbers next week.

The Lake Washington School District updates data once a week, and we’ve had no parent confirmed reports on new COVID cases this week.

We continued to encourage parents to request daily updates from the Lake Washington School District. This change would bring the three school districts we track into alignment.

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 111,106 new cases and 1,622 deaths nationwide on Wednesday. The Delta variant continues to target the unvaccinated and a very small, but growing number of people vaccinated more than six months ago. New cases are up 14% since last week.

Vaccination deadline looms for active duty U.S. Navy and Marine Corps personnel

The Pentagon reported that 99% of sailors and 93% of Marines were either fully or partially vaccinated, with the November 28 deadline ten days away. Among the five branches, the Navy has the highest vaccination rate while the Marines have the lowest.

Marines and sailors who choose not to get the Covid-19 vaccine by the end of November will be released from the service, in a general but honorable discharge, officials with those services have said, making them ineligible for some benefits from the GI Bill.

The Orange County Register reported a message sent to the troops said “Marines refusing to take the vaccine absent medical exemptions, religious accommodations or pending appeal,” will be processed for discharge and additional disciplinary action or even a court martial is not out of the question. The Navy has issued a similar message.

Army will push out soliders who refuse to get Covid-19 vaccine

Soldiers who refuse to get the COVID-19 vaccine and have not requested an exemption will no longer be allowed to re-enlist or be promoted, effectively ending their military careers, according to a report by Defense One. The new directive applies to active-duty troops as well as reservists and National Guardsmen, including those serving in states whose governors do not require the vaccine. 

The Nov. 16 memo, signed by Army Secretary Christine Wormuth, says troops’ service records will be flagged the day they make their final vaccine refusal, which follows a meeting with a medical professional and a second order to get vaccinated. This flag will bar them from being promoted, reenlisting, continuing to receive enlistment bonuses, attending service-related schools, or receiving tuition assistance.

“I authorize commanders to impose bars to continued service…for all soldiers who refuse the mandatory vaccine order without an approved exemption or pending exemption request,” Wormuth wrote in the memo. “The Soldier will remain flagged until they are fully vaccinated, receive an approved medical or administrative exemption, or are separated from the Army.” 

Tampa Bay Buccaneers wide receiver Antonio Brown accused of buying fake vaccine card

Days after brushing aside Green Bay Packers quarterback Aaron Rodgers less than truthful vaccination status, wide receiver Antonio Brown is accused by his former chef of buying a fake vaccination card, plunging the NFL into another public relations mess.

The Tampa Bay Times broke the story earlier today, with the chef claiming Brown bought the card to avoid NFL protocols. If true, Brown in theory could face massive fines from the NFL for repeated protocol violations. Aaron Rodgers broke as many as 16 Coivid-19 protocols but was ultimately fined $14,650 for attending an unsanctioned Halloween party.

Brown could be in additional trouble with the FBI. Buying a fake vaccination card is a federal crime. The Tampa Bay Buccaneers issued a brief statement via Twitter, indicating they had collected all vaccination records during the preseason and “no irregularities were observed.”

State Updates

Arizona

Phoenix will require all city employees to be vaccinated by January 22, 2022, or face termination. Phoenix joins other cities such as New York City, Los Angeles, San Francisco, and Seattle that already require government employees to be vaccinated against COVID.

Colorado

UCHealth in Colorado will be getting a helping hand from the Department of Defense in the battle against COVID-19 according to a report by KKTV Channel 11.

A news release from UCHealth issued on Thursday states a team of about 20 nurses, providers, respiratory therapists, and administrators will be deployed to UCHealth Poudre Valley Hospital (PVH) for about a month. The team is expected to ease capacity and staffing challenges. The request came from Gov. Jared Polis.

“We are so grateful that this team will assist us in providing exceptional care in northern Colorado,” said Kevin Unger, the president, and chief executive officer at PVH and UCHealth Medical Center of the Rockies in Loveland. “We anticipate this additional support and other plans we already have in the works will help make a significant difference.”

District of Columbia

Mayor Muriel Bowser of Washington said on Tuesday that an indoor mask mandate in the nation’s capital would be eased on November 22, reflecting a shift away from mask requirements as coronavirus vaccination rates continue to rise and infections fueled by the Delta variant subside in the city.

The New York Times reported about 88 percent of the District of Columbia’s adult residents have received at least one vaccine dose, according to city health officials.

Masks will still be required in certain circumstances, including on public transportation, inside school buildings, and in congregate living facilities like nursing homes, college dormitories, and jails.

Idaho

In what could be read as a victory for Governor Brad Little and a blow to Lt. Governor Janice McGeachin, the Idaho legislature ended its special session making almost no changes to state COVID policies.

The House of Representatives approved five bills and sent them to the Senate. But the Senate did little more than refer them to committee and adjourn.

The Senate did adopt a memorial piece of legislation that sends a message to the president and Congress “to make a very forceful statement about our position on the presidential mandates related to Covid-19,” said Senate Majority Leader Chuck Winder.

Kansas

An Olathe mother has filed a lawsuit against Walmart over the COVID-19 vaccine according to a report by FOX 4.

The lawsuit alleges that the woman’s 15-year-old girl was vaccinated by a Walmart employee at the store’s pharmacy without parental consent. The 15-year-old girl wanted the COVID-19 vaccine so she could hang out with her friends.

“The biggest problem I have with this situation is that Walmart vaccinated my daughter without my consent and knowledge,” said the girl’s mom Michelle Tonkinson.

In a statement, Walmart said, Walmart is committed to offering quality and compliant health care. We take allegations like this seriously. We will review the claims and respond with the court as appropriate once we are served.”

Massachusetts

Massachusetts health officials reported another 3,196 confirmed COVID-19 cases — the most in one day since February — and eight new deaths Thursday, according to a report by NBC 10.

The report pushed the state’s number of confirmed COVID-19 cases to 826,996 since the start of the pandemic and its death toll to 18,834.

The number of new confirmed cases in Wednesday’s report from the Department of Public Health had been the most in one day since September, according to archival data. But that report included “a backlog of testing results” from several prior days. The prior single-day high had been in February — and February 6 was the last time more than 3,196 cases were confirmed in one day.

Massachusetts Governor Charlie Baker announced the state was opening up booster shots to anyone over 18 years old, joining a growing list of states breaking with current FDA guidelines.

Minnesota

Hospitals across the state are delaying surgeries to free up bed space in the face of growing concerns over hospital capacity constraints, according to a report by KSTP.

“Things have been getting worse in the last couple of weeks,” said Rahul Koranne, president and CEO of the Minnesota Hospital Association. “We have emergency departments that are full of patients. We have patients in beds in hallways. Our units are full.”

Only 1.1% of ICU beds and 0.5% of non-ICU beds were available in the metro Thursday, according to response capacity data from the Minnesota Department of Health.

“Everybody’s delaying surgeries. We’re pulling this lever across the board. Our care teams, our leaders, our surgical teams are making this decision minute by minute,” Koranne said. “Shoulder surgeries, knee surgeries, but even the last couple of weeks, what we are having to do unfortunately is push back some heart surgeries. At the end of the day, we only have a limited amount of care capacity available.”

Missouri

On Thursday, the Missouri Department of Health and Senior Services once again reconfigured the state’s COVID data dashboard, adding thousands of previously unreported deaths and infections, according to a report by the St. Louis Dispatch.

Some date back to the spring of 2020, and many are instances of illness or death now attributed to Covid-19 but that weren’t publicly tallied by the state at the time.

As part of the update, the state also began reporting COVID cases that occurred after vaccination or prior infection. The numbers show that such cases have been remarkably rare, and are most common among those with underlying health conditions.

The department added 2,792 “probable” Covid-19 deaths, increasing the state total 22%

New Mexico

According to state health officials, around 25% of all COVID-19 cases in the last week were among children in a report by KOB.

School-age children are included in that group, so could this impact in-person learning? School districts around the state have new “enhanced” COVID procedures in place, in case the surge gets worse.

If a school has a certain percentage of COVID-positive cases, that facility would be required to start implementing those additional measures. The good news, so far, is that both Rio Rancho Public Schools and Albuquerque Public Schools said they have not reached that point, they hope to keep it that way.

Utah

For the third day in a row, 13 Utahns have been added to the death toll from COVID-19 — a number that now stands at 3,411 people, according to the Utah Department of Health in a story published by the Salt Lake Tribune.

The health department on Thursday also reported 1,789 new coronavirus cases in the past day. The rolling seven-day average for positive tests stands at 1,633 per day.

Intensive care units in the state remain near capacity, and over capacity in the state’s largest hospitals. According to the health department, 96.7% of all ICU beds and 101.8% of ICU beds in larger medical centers are occupied. (Hospitals consider anything over 85% to be functionally full.) Of all ICU patients, 44.2% are being treated for COVID-19.

Virginia

On Thursday, Sentara Healthcare faced off in court with one of their own doctors, Paul Marik, according to WTKR.

Marik, who is the director of the Critical Care Unit at Sentara Norfolk General Hospital, is suing the healthcare system because they won’t allow him to treat COVID-19 patients with the drug ivermectin, along with a host of other drugs that make up his developed MATH+ Protocol.

“Almost all of the treatments we use have been demonstrated to be safe and effective in randomized controlled trials,” Marik said.

Marik claims that Sentara’s policy may have led to the deaths of four of his patients who were never given the opportunity to learn of or be treated with potentially life-saving medicines. He said these actions are criminal.

There is not a single peer reviewed study that used accurate placebo controlled double blind study data that indicates Ivermectin is effective as a preventative or treatment. The largest validated study to date indicated that for the sickest patients, the antiparisitic drug was counterindicated.

Disinformation

Taking the night off

2.6 million Washingtonians in need of Covid boosters as FDA mulls expanding eligibility

[WASHINGTON, D.C.] – (MTN) The US Food and Drug Administration confirmed that the Vaccines and Related Biological Products Advisory Committee will meet to consider authorizing Pfizer vaccine Covid-19 boosters for all this week.

Pfizer requested the Emergency Use Authorization (EUA) for its Covid-19 vaccine to be amended to include booster doses for all adults 18 and older regardless of comorbidities, vocation, or living situation on November 9. Currently, only adults 65 and over, and people 18 to 64 with certain medical conditions, work in specific jobs, or live in communal areas are authorized to get a booster.

Dr. Peter Marks, director of the FDA’S Center for Biologics Evaluation and Research, told CNN the EUA amendment request was the center’s “highest priority.”

3.3 million Washington state residents 16 and older were fully vaccinated on May 30, according to the Washington State Department of Health (DOH). Under the updated guidelines, almost all of these people would be eligible for a booster shot. Despite the mounting evidence that immunity wanes after five to seven months, only 675,000 residents have received boosters and the DOH told Malcontent News last week the state would not deviate from current federal guidelines.

A growing list of states isn’t waiting for the federal government. Arkansas, California, Colorado, Kansas, Minnesota, New Jersey, New Mexico, and West Virginia have issued guidance or directives for anyone who received their second dose of mRNA vaccine more than six months ago to get a booster shot within the last week.

Sunday on Face the Nation, Colorado governor Jared Polis expressed frustration on information coming from the FDA and CDC on boosters.

“I’ve been very frustrated with the convoluted messaging out of the CDC and the FDA. Everybody should get the booster after six months. The data is incredibly clear that it increases your personal protection level. That’s why my parents got it. I got it. My family members got it.”

Yesterday, speaking at the Reuters Total Health Conference, Dr. Anthony Fauci of the National Institutes of Health (NIH) called for the United States to authorize boosters for all.

“To me, if you want to get to endemic, you have got to get the level of infection so low that it does not have an impact on society, on your life, on your economy,” Fauci said. “People will still get infected. People might still get hospitalized, but the level would be so low that we don’t think about it all the time and it doesn’t influence what we do.”

“To get there,” he said, “would take a lot more people rolling up their sleeves for initial COVID-19 shots and boosters.”

The FDA is widely expected to approve Pfizer’s request but the authorization will require approval by the Centers for Disease Control and must be signed off by CDC Director Dr. Rochelle Walensky to become official policy.

The Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices will hold an emergency meeting on Friday to discuss Pfizer’s request.

Data out of Israel, the United Kingdom, and Germany indicate that the United States is woefully unprepared for a sixth wave. In Germany where cases are exploding only 3% of the population has received booster shots. Most cases continue to be among the unvaccinated in low-vaccinated regions.

Israel authorized boosters for older residents in July at the beginning of its fifth wave and expanded the program to include everyone 12 and older in September. That program was instrumental in ending the fifth wave where life has largely returned to normal. Despite the surge in cases, hospitalizations and deaths were significantly blunted compared to the winter of 2020.

Germany and Israel have similar vaccination rates to the United States and the Delta variant has repeatedly moved through areas with low-vaccinated populations as seasonal changes move people indoors. COVID cases are increasing in 31 U.S. states with Colorado, Minnesota, Wisconsin, Pennsylvania, and Maine are dealing with significant surges.

Multiple studies have shown that infection acquired immunity and vaccine immunity are strong for five to seven months and then start to wane. In December 2020 health officials set expectations that it was unknown how long immunity would last, and many indicated that future booster shots would be likely. Anti-vaccination advocates and disinformation campaigns have used waning immunity as a talking point to sow distrust in vaccination programs.

Moderna has not applied with the FDA to amend the EUA for its vaccine and the FDA did not indicate it would be including Moderna in the discussions. Mixing and matching of COVID boosters were approved on October 21, but there is no indication if boosters for all are approved by the FDA and CDC, that mix and match rules will extend to recipients of the Moderna vaccine.

You can read our special report, Who is eligible for a COVID-19 booster and why should get one now, to learn if you are currently eligible.

9,000 Washingtonians have died due to COVID – local, state, and national update for November 16, 2021

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[KING COUNTY, Wash.] – (MTN) New cases and hospitalizations are down and vaccination rates are up across the Evergreen state but for 9,028 Washingtonians progress came too late as the state crossed another grim milestone.

New cases continue to drop statewide and the Washington State Department of Health (DOH) reported 80% of all residents 12 or older have received at least one dose of the Covid-19 vaccine. Despite the success, Washington ranks about 14th nationally for the most vaccinated population. The DOH also reported that hospitalizations are down significantly from last week.

A report from the DOH indicated that children and adolescents in Eastern Washington have the highest incidents of Covid-19 infections in the state during the last two weeks of October.

Kaiser Peramente reported 828 Washington residents received an expired dose of the Moderna vaccine between October 25 and 27 and they are reaching out to impacted patients. If you have concerns you can call (206) 630-2080.

State Senator Doug Ericksen (Ferndale-R) reported he had COVID and was stuck in the Latin American nation of El Salvador. Ericksen, who has tried to block vaccination programs is reported to have flown out of the country by air ambulance tonight.

Locally, King County has updated how they report vaccination rates to include children 5 to 11 and the initial data is very encouraging. In the Bellevue-Kirkland-Woodinville region along with the supporting school districts, first dose vaccination rates ranged from 81.7% to 95.0% for all residents. In little more than a week, 18.5% to 35.5% of children 5 to 11 got their first dose of the COVID vaccine, depending on the zip code they live in.

Covid-19 cases in the Bellevue, Lake Washington, and Northshore School Districts remain under control.

Nationally, Dr. Anthony Fauci has called for boosters for all and the states of Arkansas, California, Colorado, New Mexico, West Virginia, along with New York City decided not to wait for FDA authorization. The DOH reported they will continue to follow existing federal guidelines.

When it comes to boosters, Mr. T. (yes, that Mr. T.) pity the fool who doesn’t get their booster shot. The 69-year old actor and former wrestler got his booster shot on November 13.

Pfizer has formally requested for Emergency Use Authorization from the FDA for the antiviral drug Paxlovid. In Phase 2 and 3 testing and when combined with another HIV drug, Paxlovid reduced hospitalizations by 89% for people infected with COVID, if taken within the first five days of early symptoms.

The Centers for Medicare and Medicaid Services announced new guidelines for residents of nursing homes. The sweeping changes essentially eliminates all visitation restrictions at any facility that receives federal funding.

In other national news, a Connecticut nursing home is reporting an outbreak of Covid-19 sickened 89 and killed eight. A grieving Georgia husband is accusing a school district of working his COVID positive wife to death because she didn’t have any sick time left. Brad Little, governor of Idaho got his Covid-19 booster and shared it on Twitter as the Gem State enters the third month under crisis standards of care. COVID cases are exploding in Maine, Minnesota, and Pennsylvania while hospitals in Alaska, Colorado, and Montana continue to struggle with resources.

A Texas doctor has had their privledges suspended for sharing COVID disinformation, while a doctor turned legislature in Maryland is facing disciplinary action for prescribing invemectin. In Michigan, a third lawmaker is facing criminal charges for groping a nurse practioner while seeking a prescription for his COVID infection.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on November 16, 2021.


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Washington State Update for November 16, 2021

Washington state Covid-19 update

The Washington State Department of Health has updated the vaccination rate data, shifting the brackets again. With 31.8% of the total population vaccinated, Stevens County remains the least vaccinated county in Washington while San Juan County at 74.5% is at the top of the pile.

Several counties with higher case rates moved into new brackets on Monday. We start to see a decline in these numbers at 55% vaccinated so some of the anomalies in the data will shift in the next 7 to 10 days. The least vaccinated counties are rural and largely agricultural. With the end of farming and harvest season and poor weather, people are congregating less often.

There remains a significant difference between lower-vaccinated counties and counties where at least 70% of the total population is fully inoculated.

Percent of Total Population Fully VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70.00% or above (3 counties)2,343,250166.6
60.00% to 69.99% (4 counties)1,242,200323.2
50.00% to 59.99% (17 counties)3,664,000302.3
40.00% to 49.99% (9 counties)375,575362.5
31.80% to 39.99% (6 counties)151,850300.3 (down)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County

Through November 15, Washington’s statewide 14-day rolling average is 267.0 Covid-19 cases per 100K.

Chelan, Douglas, Grant, Klickitat, Lewis, Lincoln, Skagit, and Spokane counties have new case rates between 400.0 and 599.9. Cowlitz, Mason, Pend Oreille, and Stevens counties were just under 400.

Fourteen counties representing 3.14 million Washingtonians have a 7 day moving average case rate under 100.

The 7 day new case rate and hospitalization rate has decreased from last week.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11118.90.9
Ages 12-19113.80.7
Ages 20-34120.12.7
Ages 35-49126.65.4
Ages 50-6490.89.4
Ages 65-7962.614.1
Ages 80+70.322.5
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 56 deaths on Monday. As of Monday, 9,028 Washingtonians have died from Covid-19 related illness.

IHME forecast points to a sixth wave and 13,530 Washingtonians dead by March 1

The updated IHME forecast points to a sixth wave for Washington with hospitalizations peaking on February 3, 2022. Although the forecast model shows a significant increase in confirmed cases, hospitalizations would not exceed the fifth wave that is currently winding down, and mortality is projected to be much lower due to the high vaccination rate.

If everyone in Washington were to wear a mask, the IHME model predicts we could save 1,500 lives.

Many hospitalists have reported they would not be capable of handling the stress and trauma of another wave, and feel unsupported by the community.

80% of Washingtonians 12 and above have received at least one dose of Covid-19 vaccine

The Washington State Department of Health reported 80.0% of Washingtonians 12 and older have received at least one dose of the Covid-19 vaccine, and 73.9% of the state is fully vaccinated.

According to the Mayo Clinic and through November 7, Washington state ranks eleventh in the United States for children ages 12 to 17 fully vaccinated, ninth for adults 18 to 64, and eight for seniors 65 and older.

When you consider at least a single dose, Washington drops to 14th place for children ages 12 to 17, 14th for adults 18 to 65, and in a 32-way first-place tie for seniors 65 and older.

The red-blue political divide is also strong in the data. Among children 12 to 17 and adults 18 to 64 the first red state is Utah in 19th place. For seniors over 65, Washington is tied with 31 other states that have achieved >99% vaccinated.

Vermont leads for the most vaccinated adolescents while Massachusetts leads with the most vaccinated adults and seniors.

Over 800 Kaiser Peramente patients received expired Moderna vaccine doses

Kaiser Permanente is contacting 828 patients across Washington state that were inadvertently given expired doses of the Moderna vaccine between October 25 and October 27. Both Kaiser Permanente and Moderna have stated that there is no impact on patient safety or efficacy.

“After consultation with Kaiser Permanente clinical experts, there is no evidence that the vaccine administered is ineffective or unsafe,” according to a statement from Kaiser Permanente. “Our clinical experts do not recommend a repeat vaccine dose for patients who were administered these doses.”

Patients with questions about their vaccines can call (206) 630-2080.

Eastern Washington children have the highest case rate in Washington

The Washington State Department of Health released a report on November 10 that showed an alarming 14 day new case rate among children and adolescents from birth to 19 years old during the last two weeks of October.

Education Service District (ESD) 101 encompasses Adams, Ferry, Lincoln, Pend Oreille, Spokane, Stevens, and Whitman Counties and had a 14 day new case rate of 569.5 per 100,000 children and adolescents.

King and Pierce Counties comprise ESD 121 and had a new case rate of 303.1 per 100,000. The lowest rate in the state was on the Olympic Peninsula, known as ESD 114 with a new case rate of 290.0.

Although severe COVID is uncommon in children and adolescents, Mary Bridge Hospital in Tacoma reported that 40% of their hospitalized Covid-19 patients in September developed MIS-C, which can be fatal.

There is little Information about long COVID among children and adolescents and most studies available currently are highly flawed. Among the limited studies that are credible, there isn’t significant evidence that long COVID symptoms last more than 12 weeks among pediatric patients.

State senator Doug Ericksen who fought against vaccine mandates infected with Covid-19 in El Salvador

Washington State Ultra-Conservative Freedom Caucus creator state senator Doug Ericksen (Ferndale-R) reached out to his Washington legislature allies requesting assistance after becoming Covid-19 positive in El Salvador. Ericksen was in the Latin American country as an election observer when he tested positive for COVID.

“I took a trip to El Salvador and tested positive for COVID shortly after I arrived. I cannot get back home, and it’s to the point that I feel it would be beneficial for me to receive iv monoclonal antibodies (Regeneron).”

Over 60% of the residents of El Salvador are fully vaccinated, however, hospitalized treatment for Covid-19 is mostly limited to comfort care and oxygen therapy. Ericksen has not shared if he is vaccinated, nor did he share if he was attempting unproven therapies such as Ivermectin, zinc, Vitamin C or Vitamin D, which would be available.

On October 19, Ericksen called for the resignation of Governor Jay Inslee (WA-D) due to the statewide vaccine mandate.

“Inslee has done significant damage to the credibility of state government and has eroded the public’s trust. Now he is firing thousands of public employees without regard to the harm it will cause. This effort to punish can only be seen as the willful act of a failed governor. Inslee has failed miserably. We don’t take this lightly. But the only thing that can allow our state to heal and move forward is for Jay Inslee to resign.”

On November 1, Ericksen indicated he would try to reintroduce Senate Bill 5144, which would “prohibit discrimination against those who are not vaccinated.”

“Washington state is number one in government coercion, but I don’t think that is an honor the people of Washington want,” Ericksen stated. “This is a natural result of a system that allows the governor to declare an emergency and then keep his sweeping emergency powers as long as he wants.”

There is an unconfirmed report that Ericksen was flown out of El Salvador on an air ambulance today.

Travel Advisories

We are lifting the travel advisory to Eastern Washington. Hospital resources and new case rates have dropped to a level where there are adequate medical resources to support a health emergency.

Due to severe flooding and strained hospital resources, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.

We continue to advise to avoid all nonessential travel to Alaska, Colorado, Idaho, and Montana. Hospital resources in these states remain constrained, and you may receive inadequate care if you experience a serious medical emergency.

Finally, we continue to recommend to avoid recreational travel to Wyoming. The situation continues to improve but hospital resources remain constrained. Wyoming transfers critical patients to Colorado and Utah, and both states have limited to no capacity to take transfer patients.

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

Fauci calls for boosters for all

Speaking at the Reuters Total Health Conference, Dr. Anthony Fauci of the National Institutes of Health (NIH) called for the United States to authorize boosters for all.

“To me, if you want to get to endemic, you have got to get the level of infection so low that it does not have an impact on society, on your life, on your economy,” Fauci said. “People will still get infected. People might still get hospitalized, but the level would be so low that we don’t think about it all the time and it doesn’t influence what we do.”

To get there, he said, would take a lot more people rolling up their sleeves for initial COVID-19 shots and boosters.

If the United States makes boosters available for everyone, it is possible the country can get control of the virus by spring of 2022, Fauci added.

Editor’s Note: Although we agree with Dr. Fauci, we believe it will be near impossible to convince the remaining 62 million American adults who are unvaccinated, to get vaccinated.

Get Your Booster

If you are eligible for a Covid-19 booster shot Malcontent News strongly encourages you to not delay getting your second or third dose. It is fast, free, and easy. There is growing evidence that the half-life of Covid-19 vaccines is six to ten months, and the half-life for so-called natural immunity is 5 to 7 months.

According to the Washington State Department of Health, through November 7, 675,000 residents have received their Covid-19 booster. Over 1.8 million adults in Washington have a BMI of 25 or higher or are older than 65.

There is significant data that shows natural and vaccine-based immunity starts to fade after four to seven months and countries that implemented aggressive Covid-19 booster shot programs significantly reduced new cases and hospitalizations.

King County, Washington is reporting over 83.5% 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. The Pfizer vaccine has EUA approval for children 5 to 15 years old.

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

There has been significant improvement for Hospital Readiness across Washington state except on the Olympic Peninsula. Many hospitals have restarted elective procedures and seasonal illness has returned to Washington state, adding to the overall patient load.

According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 12.8% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 621 additional acute care patients.

ICUs are at 88.4% of capacity statewide, with 20.0% of ICU patients fighting Covid-19 – an estimated 236 patients with 44.9% on ventilators. The state has the staff to support approximately 153 additional ICU patients.

On Tuesday, the 7-day rolling average hospital admission rate for new COVID patients was 84. The Department of Health reported 830 Covid-19 patients statewide with 106 requiring ventilators.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman84.5%21.9%89.3%12.5%
NorthIsland, San Juan, Skagit, Whatcom66.4%28.2%82.6%12.5%
North CentralChelan, Douglas, Grant, Okanogan94.7%43.9%75.9%17.9%
NorthwestClallam, Jefferson, Kitsap, Mason92.8%25.5%97.0%13.1%
Puget SoundKing, Pierce, Snohomish91.3%18.2%95.3%11.4%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima88.2%19.2%84.5%15.6%
SouthwestClark, Cowlitz, Klickitat, Skamania70.0%12.7%86.2%16.9%
WestGrays Harbor, Lewis, Pacific, Thurston87.0%19.5%91.2%12.8%
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%

School Readiness

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueGREEN– Bennett (1*)
– Bellevue (1*)
– Clyde Hill (1*)
– International (1*)
– Lake Hills (2*)
– Newport Heights (1*)
– Puesta del Sol (1*)
None
Lake WashingtonYELLOW– Alcott (3*/11)
– Audubon (1*/7)
– Blackwell (2*/3)
– Carson (1*/3)
– Clara Barton (4*/24)
– Eastlake High (1*/17)
– Ella Baker (2*/4)
– Evergreen Middle School (1*/0)
– Finn Hill Middle School (5)
– Inglewood Middle School (5**/34)
– Juanita High (1*/12)
– Kamiakin Middle School (2*/27)
– Kirk Elementary (3*/13)
– Kirkland Middle School (1*/10)
– Lakeview Elementary (1*/1)
– Lake Washington High School (3*/7)
– McAuliffe (2*/6)
– Northstar Middle School (12)
– Redmond High School (1*/12)
– Renaissance Middle School (1*/6)
– Rose Hill Middle (1*/7)
– Rush Elementary (3*/0)
– Sandburg/Discovery (1*/4)
– Smith Elementary (1*/9)
None
NorthshoreYELLOW– Arrowhead Elementary (1*1)
– Bothell High School (3*/13)
– Canyon Creek Elementary (5**/18)
– Canyon Park Middle School (1*/1)
– Crystal Springs Elementary (3*/13)
– Eastridge Elementary (0/3)
– Fernwood Elementary (2*/3)
– Frank Love Elementary (0/10)
– Hollywood Hills Elementary (3*/0)
– Inglemoor High School (5**/2)
– Kenmore Middle School (2*/3)
– Kokanee Elementary (1*/1)
– Leota Middle School (2*/1)
– Maywood Hills Elementary (3*/5)
– Moorlands Elementary (0/5)
– North Creek High School (2*/10)
– Northshore Middle School (1*/22)
– Ruby Bridges Elementary (2*/6)
– Shelton View Elementary (0/2)
– Skyview Middle School (0/1)
– Sunrise Elementary (1*/4)
– Timbercrest Middle School (0/5)
– Wellington Elementary (0/3)
– Westhill Elementary (3*/3)
– Woodin Elementary (3*/7)
– Woodinville High School (4*/2)
– Woodmoor Elementary (3*/3)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases – (x*/y) x is positive cases and 7 quarantined, quarantined does not include 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.

Based on reader feedback, and improvement in the data we are receiving, we have adjusted how we are reporting data. The Lake Washington and Northshore School Districts are now reported as (X*/Y) or (X**/Y). X represents the number of positive cases while Y represents how many are in quarantine. The number in quarantine does not include positive cases. If there are two asterisks, that indicates five ore more confirmed cases within the last 14 days at that school.

The Bellevue School District moves back to status green with eight confirmed cases in the last 14 days districtwide. In the Lake Washington School District, Inglewood Middle School reported five confirmed cases on Monday, moving the school to status yellow.

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 and quarantines. These two changes would bring the three school districts we track into alignment.

Kirkland-Bellevue-Woodinville

King County Public Health updated the vaccination rates by zip code and now reports the data from ages 5 and up. This resets vaccination status through the region. Based on reader feedback, we have added zip codes 98008, 98053, 98074, 98075, and 98077 to fully ecompass the Lake Washington School District and the King County portions of the Northshore School District.

Vaccination rates for children between 5 to 11 are in a word, remarkable.

Percentage of King County Residents 5 and older who have received at least one dose of COVID vaccine, November 16, 2021
Zip CodePercent vaccinated, at least one dose, 5 to 11 years oldPercent vaccinated, at least one dose, 5 and older
9815520.5%89.5%
9802822.5%85.9%
9801118.0%82.7%
9803422.6%81.7%
9803335.5%90.0%
9807219.9%85.2%
9807718.5%76.7%
9805230.5%91.7%
9800425.0%95.0%
9803926.5%87.5%
9800526.7%91.7%
9800714.0%86.0%
9800819.1%88.0%
9805331.9%90.2%
9807428.1%93.5%
9807522.5%91.4%
Vaccination rates with at least one dose

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 143,685 new cases and 1,241 deaths nationwide on Tuesday.

Pfizer formally requests Emergency Use Authorization for the antiviral Paxlovid and agrees to license the drug to 95 countries

Pfizer announced it is seeking Emergency Use Authorization (EUA) of its investigational oral antiviral candidate, Paxlovid, for the treatment of mild to moderate Covid-19 in patients at increased risk of hospitalizations or death.

“With more than 5 million deaths and countless lives impacted by this devastating disease globally, there is an urgent need for life-saving treatment options. The overwhelming efficacy achieved in our recent clinical study of Paxlovid, and its potential to help save lives and keep people out of the hospital if authorized, underscores the critical role that oral antiviral therapies could play in the battle against COVID-19,” said Albert Bourla, Chairman and Chief Executive Officer, Pfizer. “We are moving as quickly as possible in our effort to get this potential treatment into the hands of patients, and we look forward to working with the U.S. FDA on its review of our application, along with other regulatory agencies around the world.”

In Phase 2 and Phase 3 testing, Paxlovid provided an 89% reduction in risk of COVID-19-related hospitalization or death from any cause in patients treated with PAXLOVID compared to placebo within three days of symptom onset, with no deaths in the treatment group. Similar results were seen within five days of symptom onset.

Additionally, Pfizer announced it has signed a voluntary licensing agreement to expand production of Paxlovid, to 95 low- and middle-income countries, covering 53% of the world’s population.

Dr. Soumya Swaminathan, Chief Scientist for the World Health Organization welcomed the news in a tweet.

Mr. T pity the fool that don’t get a booster

The 69-year old actor and retired professional wrestler Mr. T tweeted over the weekend that he received his Covid-19 booster shot, declaring, “I pity pain!”

He thanked his doctor and nurses and told TMZ he wanted to play it safe.

More states break with the FDA/CDC and approve boosters for all

The list of states that are recommended for anyone 18 or older to get a booster continues to grow. Last week Colorado and California broke ranks with the FDA and recommended all residents over 18 who got their first dose of the Johnson & Johnson vaccine more than 60 days ago, or the mRNA Pfizer or Moderna second dose more than 180 days ago to get their COVID booster.

As of today, Arkansas, New Mexico, and West Virginia, along with New York City have joined the list. Minnesota is expected to announce an expansion of booster shot availability on Wednesday.

For some states, “the reason they’ve gone ahead and done this is they are really concerned about experiencing another wave in their state of transmissions and we have seen in some states an uptick in Covid-19 cases. Unfortunately, a lot of those are driven by those who are not vaccinated, but there are some breakthrough infections among those who are vaccinated,” Hemi Tewarson, executive director of the National Academy for State Health Policy, told CNN on Tuesday.

Washington, Oregon, California, Nevada, and Colorado created the Western States Pact to align their Covid-19 response, share research, and public education. The Washington State Department of Health stated last week that Washington has no plans to deviate from current federal guidelines.

Editor’s Note: It is our opinion that DOH’s stance is a mistake given the strong evidence that a sixth wave is coming. It is our recommendation to get a booster if you’re eligible, and a lot of people are eligible.

Centers for Medicare and Medicaid Services eases rules for nursing home visits

The Centers for Medicare and Medicaid Services (CMS) has updated guidelines for nursing home visitation, essentially reopening the doors.

“Early in the pandemic, visitation restrictions were implemented to mitigate the risk of visitors introducing COVID-19 to the nursing home. Today’s guidance update reflects that, while visitors, residents, or their representatives should be made aware of the risks associated with visiting loved ones, visitation should now be allowed for all residents at all times.”

Visits must also be allowed to take place indoors for all residents, whether they’re vaccinated or not, even when a facility is experiencing a COVID-19 outbreak investigation or when a resident is on transmission-based precautions or quarantine. While visits under such conditions are “not recommended” by the CMS, they must be allowed if that’s what a resident chooses. ​

State Updates

Connecticut

A Connecticut nursing home has moved into recovery mode after suffering an outbreak of COVID-19. Geer Village said that the outbreak, which started in September, left eight residents dead and 89 residents and staff members infected according to a report by CBS News.

The North Canaan-based facility, which includes independent and assisted living among other services, said it conducts bi-weekly testing on residents and staff. In a statement, Director of Nursing Cady Bloodgood and Chief Executive Officer Kevin O’Connell said they are continuing to “monitor the situation closely.” 

“Sadly, we have lost 8 residents with serious underlying health issues to COVID,” the facility said on Friday. “We are encouraged to see 69 staff and residents already recovered and coming off isolation. While we must continue with COVID-19 prevention protocols, we want to assure everyone we are doing our best to keep residents and staff safe.”

Georgia

A husband is accusing school officials of making his wife continue to work at a Georgia school despite being COVID positive, ultimately causing her to die according to a report by WSB.

Sara Anderson, was a cafeteria worker at Conyers Middle School who died from COVID on October 5.

“She was a hard worker, and if a manager asked her to do anything, she did it,” Robert Anderson said. He said Sara started feeling sick on September 15 and felt worse the next day. He says her manager told her she was out of sick days and that she had to go into work.

“She was pressured into going to work again, and that was on the 17th. On the 18th, she passed out,” Robert Anderson said.

Doctors diagnosed Sara Anderson with COVID, and then COVID pneumonia. A few days later, she was in the ICU and passed on October 5.

Idaho

Idaho governor Brad Little received his Covid-19 booster shot publicly in an attempt to urge others in his state to get vaccinated. Idaho entered its third month operating at crisis standards of care on November 16, with COVID cases still raging through the Panhandle region.

Illinois

State health officials Tuesday reported 1,627 COVID-19 patients were being treated in hospitals throughout Illinois, according to the Daily Herald. Of those hospitalized, 325 were in intensive care, according to the Illinois Department of Public Health.

Hospitalizations have increased by 16.8% from a week ago, IDPH figures show. Current the state test positivity rate is 2.8%, which points to over-testing, but increased from 2.2% a week ago.

Maine

More and more signs are emerging that COVID-19 is spreading rapidly through Maine, especially among unvaccinated populations, contributing to troubling spikes in hospitalizations and deaths as a holiday week approaches.

The state set yet another pandemic high with 275 hospitalizations on Tuesday and also set a record for the rate of tests that are coming back positive, 8.5 percent on average over the last seven days. Thirteen additional deaths were reported Tuesday as well.

According to the Portland Press Herald, most new cases are in the rural parts of Maine which have the lowest vaccination rates.

Maryland

Representative Andy Harris (R-Md.) said a complaint was filed against him with a medical board for prescribing ivermectin to COVID-19 patients. 

Harris alluded to the complaint during the House Freedom Caucus meeting about vaccine mandates on Monday, The Baltimore Sun reported.

“An action is currently being attempted against my medical license for prescribing ivermectin, which I find fascinating, because as an anesthesiologist, I know I use a lot of drugs off-label that are much more dangerous,” Harris said at the meeting.

Michigan

Michigan state Senator John Bizon faces misdemeanor assault charges after a nurse practitioner with Oaklawn Medical Group accused him of inappropriately touching her while seeking medication to treat his Covid-19 infection.

The incident in question occurred on August 14, at Oaklawn After Hours Express in Marshall, according to a report filed with the Marshall Police Department on August 17. Two health practictioners filed complaints about Bizon groping them and making inappropriate comments.

Minnesota

Minnesota is preparing to expand COVID-19 vaccine booster access to all adults this week, with or without federal backing, and encouraged renewed protections in communities and schools against a worsening pandemic wave.

The positivity rate of COVID-19 diagnostic testing rose above a 10% high-risk threshold in Minnesota, which is reporting high viral transmission levels in 86 of 87 counties but particularly severe levels in central and northern counties with lower vaccination rates.

“I don’t think we can say that any place in Minnesota is in particularly great shape right now,” state Health Commissioner Jan Malcolm said.

You can read more at the Star Tribune.

Pennsylvania

Republican Rep. Scott Perry of Pennsylvania has tested positive for Covid-19, his office announced Tuesday, a day after he was elected chair of the conservative House Freedom Caucus.

Perry’s office said in a statement announcing his diagnosis that the congressman, who has not publicly indicated whether he has been vaccinated against the virus, is experiencing “quite mild” symptoms and he “will continue working while quarantining at home.”

The Congressman’s office indicated they would issue no further statements on his status or treatment plan.

The state recorded 5,778 new COVID-19 cases on Tuesday and 72 more deaths. Officials reported 2,948 residents hospitalized, up 154 patients in 24 hours.

Texas

Houston Methodist Hospital in Texas has suspended privileges for an ear, nose, and throat doctor after she tweeted several opinions on COVID-19 vaccines, including advising patients from getting it according to a report by XKAN.

A hospital representative confirmed the suspension of Dr. Mary Talley Bowden to The Washington Post. Houston Methodist said Bowden, who only recently joined staff and says she is vaccinated, is “spreading dangerous misinformation which is not based in science.”

Bowden tweeted earlier this month that she was “shifting focus to treating the unvaccinated” due to the “current climate and writing on the wall,” in addition to the promotion of experimental treatments over the FDA-approved coronavirus vaccines.

New cases are starting to rise again in the Lonestar state, with 28 hospitals reporting they have no available ICU beds.

Disinformation

Taking the night off