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WA state employee vaccination rates increase significantly – local and national update for October 8, 2021

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

[KING COUNTY, Wash.] – (MTN) New Covid-19 case rates have dropped to the lowest level since August 17, but you wouldn’t know it in Eastern Washington. Six of the seven lowest vaccinated counties are in the East Hospital Region. Available resources declined in the eastern third of the state while all other Hospital Regions improved. The worsening situation is driven by low vaccination rates, staffing issues caused by working conditions and pay, and people from Idaho crossing the border seeking medical help.

Congressional Representative Cathy McMorris Rodgers (WA-R) tested positive for Covid-19 in an apparent breakthrough case.

The latest data from the state indicates almost 90% of all employees are fully vaccinated, a significant increase from a week ago.

There have been 400 million Covid-19 vaccine doses administered in the United States, and your chances of experiencing a serious adverse reaction are about equal to your chances of drowning.

Among area schools, the Bellevue School District had a rough week with a significant number of new Covid-19 cases, while Northshore improved.

The City of Kirkland will be holding a health fair and vaccination clinic on November 6, and it is possible that vaccinations for 5 to 11-year-olds will be approved by that time.

Customs and Border Patrol agents have a severe case of hypocrisy when it comes to getting vaccinated.

Given the worsening situation in Eastern Washington, we have extended a recreational travel advisory to nine counties.

The five states with the highest rate of new Covid-19 cases tonight are Montana, Alaska, Idaho, Wyoming, and North Dakota. In Anchorage, Alaska, City Hall has descended into chaos, while in Idaho, Janice McGeachin managed to stay out of the news.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on October 8, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for October 8, 2021

Washington state Covid-19 update

New cases are now lower than August 17, when we started our daily coverage of the Delta surge. New cases were statistically unchanged or down in all but the least vaccinated counties, where new Covid-19 cases increased again.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
60.00% or above (4)203.9
50.00% to 59.99% (13 counties)501.8
40.00% to 49.99% (14 counties)598.4 (down)
29.30% to 39.99% (8 counties)754.6 (up)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through October 7, Washington’s statewide 14-day rolling average is 387.4. Covid-19 cases per 100K.

Ferry County was unchanged, with 1,137.8 new cases per 100K residents.

Counties in the 800.0 to 999.9 per 100K range include Columbia, Garfield, Grant, Klickitat, Lincoln, Pend Oreille, and Stevens. New cases in Columbia county have grown significantly this week, and it is just under the 1,000 threshold.

Counties in the 600.0 to 799.9 per 100K range include Asotin, Benton, Chelan, Columbia, Franklin, Grays Harbor, Mason, Okanogan, and Walla Walla. Adams, Cowlitz, Douglas, and Lewis counties are close to the 600 threshold – however, the four counties showed improvement this week.

New cases by age group drifted downward while hospitalizations were unchanged or down for all age groups except 35 to 49-year-olds.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11160.20.8
Ages 12-19188.10.9
Ages 20-34157.83.9 (down)
Ages 35-49174.89.2 (up)
Ages 50-64119.515.5
Ages 65-7987.4 (down)15.2 (down)
Ages 80+100.438.8
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 55 deaths yesterday. The state of Washington is not reporting the percentage of positive cases.

Rep. Cathy McMorris Rodgers test positive for Covid-19

Representative Cathy McMorris Rodgers (WA-R), 52, reported on her website she has experienced a breakthrough case of Covid-19.

Yesterday, despite being fully vaccinated, I tested positive for COVID-19. My symptoms are mild and I am quarantining at home and following CDC and local health guidelines. My offices in Spokane, Walla Walla, Colville, and Washington, D.C. remain open and are continuing to work for the people of Eastern Washington. As I have said for months, I encourage everyone in Eastern Washington to talk to your doctor about getting the vaccine if you haven’t already.”

With 10 days to go, almost 90% of all Washington state employees are fully vaccinated

Vaccination rates across most Washington state departments and divisions increased significantly this week as data was processed. The Department of Corrections jumped to 89%, the Department of Social and Health Services is 91% inoculated, Washington State University employees 88%, Washington State Ferries reported 90%, and the Department of Children, Youth, and Families increased to 87%.

On September 22 a survey conducted by the U.S. Census Bureau indicated only 8.2% of Washingtonians would not, or were very unlikely to, get the Covid-19 vaccination.

Hawaii mandated vaccination for more than 14,000 state employees, and the last update indicated almost 93% were fully or partially vaccinated. For colleges, private employers, and hospital systems, final vaccination rates have ranged from 94% to virtually 100%.

Travel Advisories

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

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

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

Thank you

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

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

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

Vaccination

400 million Covid-19 vaccine doses administered

The U.S. surpassed 400 million coronavirus vaccinations Friday after a nearly year-long mass vaccination drive, the largest in the nation’s history — and though more than 65% of Americans have received at least one dose, some states still haven’t vaccinated close to half their population.

According to the CDC, through October 4 and 396 million doses administered there have been 1,172 incidents of serious complications and 4 confirmed vaccine-related deaths. There have been 906 confirmed myocarditis and pericarditis cases, mostly among adolescent and young men who received the mRNA vaccines from Pfizer or Moderna. There have been 219 cases of Guillain-Barre Syndrome, mostly among men under 50 and who received the Johnson & Johnson vaccine. Additionally, there have been 47 incidents of VITT, mostly among women of childbearing years who received the Johnson & Johnson vaccine. Among the 47 incidents of VITT, there have been 4 deaths, including Jessica Berg-Wilson of Seattle.

The odds of experiencing a serious adverse event from the various Covid-19 vaccines are similar to the odds of drowning in the United States. The odds of dying from a COVID vaccine are infinitesimal.

Pfizer vaccine booster shots are now available

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

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

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

King County, Washington is reporting over 86.7% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 17.1% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 649 additional acute care patients. ICUs are at 87.4% of capacity statewide, with 30.0% of ICU patients fighting Covid-19 – an estimated 353 patients with 52% on ventilators. The state has the staff to support approximately 150 additional ICU patients.

The 7-day rolling average hospital admission rate for new COVID patients was 121. The Department of Health reported 1,207 Covid-19 patients statewide on October 7, with 185 requiring ventilators.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman92.9%47.1%90.1%27.6%
NorthIsland, San Juan, Skagit, Whatcom73.7%33.6%86.4%13.0%
North CentralChelan, Douglas, Grant, Okanogan81.9%47.1%75.2%20.9%
NorthwestClallam, Jefferson, Kitsap, Mason91.4%43.1%95.9%27.3%
Puget SoundKing, Pierce, Snohomish91.7%24.8%94.6%13.7%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima88.8%33.2%84.2%21.3%
SouthwestClark, Cowlitz, Klickitat, Skamania 71.3%32.2%87.4%20.2%
WestGrays Harbor, Lewis, Pacific, Thurston77.3%20.7%85.1%15.4%
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%

Every region except the East showed improvement in the last week.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Ardmore (2*)
– Bellevue (7**)
– Big Picture (1*)
– Cherry Crest (1*)
– Chinook (4*)
– Eastgate (1*)
– Enatai (3*)
– Highland (9**)
– Interlake (3*)
– Lake Hills (4*)
– Newport (4*)
– Newport Heights (1*)
– Puesta del Sol (1*)
– Sammamish (4*)
– Sherwood Forest (2*)
– Spiritridge (1*)
– Stevenson (2*)
– Tillicum (1*)
– Wilburton (3*)
– Woodridge (3*)
None
Lake WashingtonYELLOW– Bell Elementary (1*)
– Barton Elementary (1*)
– Dickinson/Explorer Elementary (1*)
– Ella Baker Elementary (1*)
– Eastlake High (2*)
– Finn Hill Middle School (3*)
– Franklin Elementary (2*)
– Frost Elementary (2*)
– ICS (1*)
– Inglewood Middle School (1*)
– Juanita Elementary (1*)
– Kamiakin Middle School (4*)
– Keller Elementary (2*)
– Kirkland Middle School (1* see notes)
– Lakeview Elementary (4*)
– McAuliffe Elementary (1*)
– Muir Elementary (1*)
– Northstar Middle (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Redmond High School (2*)
– Renaissance Middle School (1*)
– Rosa Parks Elementary (1*)
– Rush Elementary (1*)

see notes below
None
NorthshoreYELLOW– Arrowhead Elementary (6)
– Bothell High School (37**)
– Canyon Creek Elementary (18)
– Canyon Park Middle School (5)
– Cottage Lake Elementary (3)
– Crystal Springs Elementary (24)
– East Ridge Elementary (2)
– Fernwood Elementary (1)
– Frank Love Elementary (21)
– Hollywood Hills Elementary (34)
– Inglemoor High School (1)
– Innovation Lab High School (2)
– Kenmore Elementary (3)
– Kenmore Middle School (18)
– Kokanee Elementary (6)
– Leota Middle School (3)
– Lockwood Elementary (30**)
– Maywood Hills Elementary (12**)
– Moorlands Elementary (2)
– North Creek High School (14**)
– Northshore Middle School (14)
– Secondary Academy for Success (3)
– Shelton View Elementary (6)
– Skyview Middle School (14)
– Sunrise Elementary (8)
– Timbercrest Middle School (6)
– Wellington Elementary (36**)
– Westhill Elementary (52)
– Woodin Elementary (5)
– Woodinville High School (11)
– Woodmoor Elementary (21**)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

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

We have a parent confirmed report of a single Covid-19 case at Kirkland Middle School, with an additional 17 students quarantined.

We multiple parents e-mailed us about two confirmed Covid-19 cases at Juanita High School. However, because the district sent the e-mail on Monday, we cannot confirm if these are new or included in the last dashboard update.

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

Kirkland-Bellevue-Woodinville

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

In-language assistance will be available in Spanish, Portuguese, Vietnamese, Russian, and Chinese.

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 100,083 new cases and 2,392 deaths nationwide on Thursday.

U.S. Customs and Border Protection fighting against federal vaccination mandate

President Biden’s order mandating federal employees to be fully vaccinated next month has generated anger in CBP’s ranks, particularly among conservative-leaning U.S. Border Patrol agents and the union that represents them. The Washington Post reported that In recent weeks, leaders at the National Border Patrol Council (NBPC) have joined Republican lawmakers who allege the Biden administration is allowing migrants to spread the coronavirus in the United States and placing the CBP workforce at greater risk, while also opposing his vaccination order.

At least 47 CBP employees have died of covid-19 as of Tuesday , according to the agency, including one Border Patrol agent last month who was days from retirement. More than 11,400 have been infected with the deadly pathogen, about 19 percent of the workforce.

Editor’s Note: If it isn’t that big of a deal, and migrants should be required to get vaccinated, then why…

Alaska

New cases in Alaska continue to decline and dropped to the second-highest in the United States. The state continues to operate under “crisis standards of care” with 186 Covid-19 patients statewide. Alaska has 129 staffed ICU beds statewide, with 18 available. There were 839 new cases reported today. At the current rate of new cases detected, 1% of Alaska residents are catching Covid-19 every 8 days. Test positivity is now over 10%, as Anchorage struggles with a shortage of test resources.

City Hall in Anchorage was thrown into complete chaos after a sixth hearing on whether to enact a mask mandate in Alaska’s largest city. A fissure formed between Mayor Dave Bronson and the Assembly leadership, which is becoming increasingly supportive of implementing more safety precautions. Public comments devolved into conspiracy theories and shouting matches at times.

The Bronson administration and its allies have been using the hearings to rile up anti-mask and anti-science testimony over the course of the last two weeks. Bronson has been staunchly against any measures to limit the spread of Covid-19, has endorsed the use of ivermectin to treat covid, and has blamed hospitals for being strained by Alaska’s worst-in-the-nation surge.

Part of his platform when he ran for mayor was ending all the city’s Covid-19 orders, including the mask mandate, which remains in effect after others have been revoked. Many of Bronson’s positions run contrary to the advice of public health officials.

On Friday, two “senior members” of Mayor Bronson’s staff tested positive for Covid-19, in apparent breakthrough cases. The Midnight Sun reported the two infected employees are municipal manager Amy Dembroski and municipal attorney Patrick Bergt. Another hearing planned for tonight was canceled. Thursday night’s hearing was packed with hundreds of people, most of who were not masked. Mayor Bronson has never stated if he is vaccinated but calls it “experimental” and claims he had COVID in early 2021.

Hospitals in Anchorage, Bethel, and Valdez continue to be the most impacted by the ongoing surge.

May the odds ever be in your favor.

Idaho

Idaho has reported more than 1,682 new Covid-19 and another 53 deaths today. Idaho has now lost 3,040 residents to coronavirus, passing over 3,000 today. The current surge is so bad, 699 of the 3,040 COVID deaths have occurred since August 30. The average age for new cases is 39.6 years old, and the age group with the most cases is 19 to 29-year-olds.

Dave Jeppesen, Idaho Health & Welfare director, said, “The number of people who have died from COVID-19 in Idaho is frankly too high. It makes me incredibly sad because those are moms and dads and siblings and sons and daughters, and families throughout the state mourn their losses. I mourn with them. And I also want to encourage everyone who can to get vaccinated. It’s your best protection against this unpredictable disease.”

The state continues to operate under crisis standards of care while some facilities are not assisting with load leveling.

Editor’s Note: Congratulations to Janice McGeachin for staying out of the news for 24 hours.

Montana

Montana’s situation continues to worsen with KTVQ reporting 1,315 new Covid-19 cases, 9 deaths, and 463 residents hospitalized. Montana has surpassed Alaska for the highest new case rate in the United States and the planet.

Hospitals in Missoula have been on the razor’s edge during the current surge and set several records this week. There are 56 Covid-19 patients in Missoula hospitals, one short of the previous record.

“While this surge appears to be plateauing in other parts of the nation, health officials warn we may not see that happen in Montana which remains one of the few states in the nation with less than 50% of its population fully vaccinated,” Missoula Public Health said in a release.

St. Peter’s Health reported they had a record number of Covid-19 hospitalizations with 41 patients needing care. The statistic represents around 50 percent of the organization’s acute medical care inpatient beds according to KTVH.

“St. Peter’s does not believe the surge at the hospital is at its peak, as hospitalizations and deaths associated with COVID-19 typically lag case reporting by two to three weeks. Lewis and Clark County has reported high case numbers this week, with Tuesday’s total of 132 new cases representing the highest since December 2020,” St. Peter’s Health wrote in a press release.

Critical care at Bozeman Deaconess Hospital is currently at 95 percent capacity with the National Guard still assisting.

Officials at the hospital have asked for an extension of the National Guard’s help. “We did just request an extension from our initial request from the National Guard,” says Kallie Kujawa, System Director of Quality and Safety. “We are confident that will be granted so that we can continue to use them in the next few weeks,” according to a report by KBZK.

Currently, 148 National Guard servicemembers are assisting 12 medical facilities. In the good news column, vaccinations climbed 42%.

In breaking news, hospital admissions in Montana are at record levels. The 7 day moving average is 113 hospital admission, which almost equals Washington state.

Wyoming

Officials reported 404 confirmed cases, and hospitalizations dropped slightly to 213. Sixteen of 36 hospitals have ICU capacity – with eight having one or two beds remaining each. Additionally, Cheyenne Veterans Affairs Medical Center has three ICU beds remaining.

Covid-19 test positivity improved to 17.05%.

Wyoming officials are drafting a plan for statewide implementation of crisis standards of care.

Misinformation

Taking the day off

New Covid case rate drops to mid-August level – local and national update for October 7, 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) For the first time since August 17, the 14 days moving average for new Covid-19 cases in Washington state dropped below 400. Hospitalizations have only declined slightly. A combination of patients arriving sicker, non-Covid related hospitalizations, and transfer patients both inside and outside of Washington continue to push medical workers to the breaking point.

UW Medicine will no longer do solid organ transplants on patients who refuse the Covid-19 vaccine.

Pfizer applies for Covid-19 vaccine emergency use authorization for children 5 to 11 years old and the FDA will hold a hearing on October 26.

Hospitalizations in Eastern Washington are increasing, and the eastern half of the state continues to see many more new Covid-19 cases versus other regions with higher vaccination rates. Providence Regional Medical Center in Everett reported 30 patients in the emergency department waiting for beds.

Leaders in Alaska, Idaho, and Montana appear to be trying to find new levels of awful in their response, and non-response to the situation in their respective states. Wyoming had a record number of pediatric patients in September, and state officials are drafting a “crisis standards of care” plan.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on October 7, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for October 7, 2021

Washington state Covid-19 update

For the first time since August 17, the new case rate is below 400. New cases were down slightly in all but the least vaccinated counties, where new Covid-19 cases increased.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
60.00% or above (4)205.3
50.00% to 59.99% (13 counties)513.4
40.00% to 49.99% (14 counties)613.4
29.30% to 39.99% (8 counties)739.7 (up)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through October 6, Washington’s statewide 14-day rolling average is 398.0 Covid-19 cases per 100K.

Ferry County continues to get worse, reporting 1,137.8 new cases per 100K residents. This is approaching the same level the county experience in April after a superspreader event in the town of Republic.

Counties in the 800.0 to 999.9 per 100K range include Columbia, Grant, Klickitat, Lincoln, Pend Oreille, and Stevens.

Counties in the 600.0 to 799.9 per 100K range include Adams, Asotin, Benton, Chelan, Columbia, Cowlitz, Franklin, Garfield, Grays Harbor, Mason, Okanogan, and Walla Walla. Douglas and Lewis counties are just under 600.0.

New cases by age group were statistically unchanged while hospitalizations were mixed.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11167.00.8 (down)
Ages 12-19196.10.8
Ages 20-34164.94.6 (down)
Ages 35-49174.88.8
Ages 50-64121.815.8 (up)
Ages 65-7993.616.7 (down)
Ages 80+106.936.6 (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 57 deaths yesterday. The state of Washington is not reporting the percentage of positive cases.

UW Medicine requires Covid-19 vaccine for all solid organ transplant patients

UW Medicine now requires all recipients of solid organ transplants to be vaccinated for Covid-19. The hospital system updated its Covid-19 FAQ yesterday, making a previously reported policy official. The site indicated the policy was put into place because, “After a transplant, your immune system is suppressed and in a prolonged weakened state. This makes you less able to develop an appropriate immune response to the vaccine. It also makes you more vulnerable to infections from viruses like COVID-19 that can lead to severe illness or death.”

Unvaccinated organ transplant patients experience 20% to 30% mortality if they catch Covid-19, which is about the same fatality rate of smallpox or the mild variant of Ebola. Patients who need an organ transplant typically require other vaccines such as an MMR booster, Hepatitis B, and Varicella or Zoster.

Patient compliance with medical instructions pre-transplant weighs into the authorization decision. People who exhibit low compliance pre-transplant typically don’t follow through on their care plan after a transplant. Alcoholics that need a liver transplant are required to be clean and sober for months while lung transplant recipients need to stop using tobacco products.

Additionally, some anti-vaccination followers believe they are part of a “pureblood” movement and are rejecting blood transfusions because the blood supply isn’t separated between vaccinated and unvaccinated. That begs the question if the blood of a vaccinated person isn’t acceptable, why would an organ from a vaccinated person be?

Central Washington University professor dies of Covid-19

58-year-old Dr. Maria Roditeleva-Wibe, scholar and college professor, died of Covid-19 on October 2. Roditeleva-Wibe was a Russian immigrant and had worked at Central Washington University for over 20 years.

In 1999 she accepted a proposal to become an exchange professor at Central Washington University where she began teaching music theory, music history, class piano, and world music. Over the 20 plus years of her stay at Central, Maria regularly accompanied students and faculty members, as well as performing her own piano recitals. In 2006 Central awarded her the Outstanding Non-Tenure Track Teaching Award in recognition of her work; this was followed by Maria’s reception in 2013 of the Distinguished Teaching Award to honor her outstanding contribution to CWU’s academic life.

A former student, who asked not to be identified out of respect for the family, told Malcontent News Roditeleva-Wibe didn’t trust the government and was unvaccinated.

She leaves behind her husband, Mark.

Travel Advisories

We continue to recommend avoiding recreational travel to Spokane County. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

The East Hospital Region inched closer to receiving a recreational travel advisory. Hospitals in Eastern Washington are very stressed due to the unvaccinated population east of the Cascade and Idaho residents seeking treatment in Washington state.

Thank you

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

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

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

Vaccination

Pfizer applies for Covid-19 vaccine Emergency Use Authorization for children 5-11

Pfizer and BioNTech have asked federal regulators to authorize emergency use of their coronavirus vaccine for kids ages 5 to 11, the companies announced Thursday, according to a report in USA Today.

The Food and Drug Administration and the Centers for Disease Control and Prevention will need to sign off on the vaccine before it becomes available to children of those ages. An independent expert panel will review the data on October 26.

Pfizer vaccine booster shots are now available

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

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

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

King County, Washington is reporting over 86.7% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 17.2% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 666 additional acute care patients. ICUs are at 88.1% of capacity statewide, with 30.0% of ICU patients fighting Covid-19 – an estimated 352 patients with 56% on ventilators. The state has the staff to support approximately 145 additional ICU patients.

The 7-day rolling average hospital admission rate for new COVID patients was 123. The Department of Health reported 1,193 Covid-19 patients statewide on October 6, with 197 requiring ventilators.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman93.1%46.6%89.2%27.7%
NorthIsland, San Juan, Skagit, Whatcom74.8%34.2%86.2%13.1%
North CentralChelan, Douglas, Grant, Okanogan83.2%48.6%75.1%21.7%
NorthwestClallam, Jefferson, Kitsap, Mason92.2%43.2%95.9%27.2%
Puget SoundKing, Pierce, Snohomish91.0%24.7%94.6%13.5%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima88.1%33.1%83.6%21.2%
SouthwestClark, Cowlitz, Klickitat, Skamania 72.8%33.1%85.9%21.4%
WestGrays Harbor, Lewis, Pacific, Thurston78.7%21.8%84.5%15.9%
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%

We’re seeing a tale of two Hospital Regions in the data. All four metrics for the West Hospital Region are approaching a level that would trigger a recreational travel advisory. In contrast, The West Hospital Region continues to inch closer to normal. Eastern Washington and the Olympic Peninsula are the two regions holding the rest of the state back. It is important to note that the Puget Sound Region and East Region have a significant number of transfer patients, both from within Washington and out of state.

KING reported that Providence Regional Medical Center in Everett is backed up against a wall. On Wednesday they had 40 boarders, that is patients in the emergency department waiting for a bed, and 30 on Thursday.

“It’s disappointing we’re still in this position,” said Darren Redick, CEO of Providence Northwest Service Area.

“As of yesterday, we’ve opened up a six-bed satellite ICU to care for additional ICU patients, because we’re out of bed capacity in our normal ICU,” Redick explained. The hospital has been forced to cancel elective surgeries due to the surge of patients coming through the doors.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Ardmore (2*)
– Bellevue (7**)
– Big Picture (1*)
– Chinook (4*)
– Eastgate (1*)
– Enatai (3*)
– Highland (8**)
– Interlake (3*)
– Lake Hills (4*)
– Newport (4*)
– Newport Heights (1*)
– Puesta del Sol (1*)
– Sammamish (4*)
– Sherwood Forest (2*)
– Spiritridge (1*)
– Stevenson (2*)
– Tillicum (1*)
– Wilburton (3*)
– Woodridge (3*)
None
Lake WashingtonYELLOW– Bell Elementary (1*)
– Barton Elementary (1*)
– Dickinson/Explorer Elementary (1*)
– Ella Baker Elementary (1*)
– Eastlake High (2*)
– Finn Hill Middle School (3*)
– Franklin Elementary (2*)
– Frost Elementary (2*)
– ICS (1*)
– Inglewood Middle School (1*)
– Juanita Elementary (1*)
– Kamiakin Middle School (4*)
– Keller Elementary (2*)
– Kirkland Middle School (1* see notes)
– Lakeview Elementary (4*)
– McAuliffe Elementary (1*)
– Muir Elementary (1*)
– Northstar Middle (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Redmond High School (2*)
– Renaissance Middle School (1*)
– Rosa Parks Elementary (1*)
– Rush Elementary (1*)

see notes below
None
NorthshoreYELLOW– Arrowhead Elementary (5)
– Bothell High School (42**)
– Canyon Creek Elementary (19)
– Canyon Park Middle School (4)
– Cottage Lake Elementary (3)
– Crystal Springs Elementary (23)
– East Ridge Elementary (9)
– Fernwood Elementary (1)
– Frank Love Elementary (22)
– Hollywood Hills Elementary (34)
– Inglemoor High School (1)
– Innovation Lab High School (1)
– Kenmore Elementary (2)
– Kenmore Middle School (19)
– Leota Middle School (3)
– Lockwood Elementary (25**)
– Maywood Hills Elementary (11**)
– Moorlands Elementary (2)
– North Creek High School (7)
– Northshore Middle School (2)
– Secondary Academy for Success (4)
– Shelton View Elementary (6)
– Skyview Middle School (11)
– Sunrise Elementary (7)
– Timbercrest Middle School (5)
– Wellington Elementary (31**)
– Westhill Elementary (52)
– Woodin Elementary (5**)
– Woodinville High School (11)
– Woodmoor Elementary (12)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

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

Maywood Elementary in the Northshore School District reported six confirmed Covid-19 cases.

We have a parent confirmed report of a single Covid-19 case at Kirkland Middle School, with an additional 17 students quarantined.

We multiple parents e-mailed us about two confirmed Covid-19 cases at Juanita High School. However, because the district sent the e-mail on Monday, we cannot confirm if these are new or included in the last dashboard update.

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

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 111,503 new cases and 2,556 deaths nationwide on Wednesday. The United States has now lost 704,000 residents to Covid-19 since February 29, 2020. In 2020, when no vaccine was available, 352,000 people died – so far in 2021, with a vaccine, the same number have passed on.

A study out of the U.K., where they keep more detailed records of unvaccinated versus vaccinated fatalities, indicated just 1.2% of deaths since January 1 were among unvaccinated people. Covid-19 data in the United States are recorded at a state level, and some states such as Florida, Idaho, Texas, and Wyoming, don’t track statistics for vaccinated versus unvaccinated.

Alaska

Editor’s Note: I must remain objective. I must remain objective. I must remain objective.

As Alaska experiences the highest Covid-19 new case rate on the planet, Anchorage has been forced to ration Covid-19 testing because of a surprise budget shortfall.

Alaska Public Radio reported a spokesman for Mayor Dave Bronson said the administration plans to ask the city Assembly for additional cash “in the near future.” But for now, it’s scaling back its testing contractor’s hours at multiple sites around the city, with reductions totaling 108 hours a week, the contractor said.

Technically, Anchorage’s purchase order with its testing provider, California-based Visit Healthcare, runs through the end of October. But the city is paying a flat rate of $98 a test, and amid Alaska’s delta variant-driven surge, demand has been so high that without the reduced hours, Bronson’s administration would have exhausted its appropriation from the Assembly by Oct. 18, according to Acting Health Director Joe Gerace.

New cases in Alaska still lead the nation but have declined significantly from last week – but a lack of testing resources helps keep that number down. The state is still operating under “crisis standards of care” with 180 Covid-19 patients statewide. Alaska has 125 staffed ICU beds statewide, with 26 available. There were 842 new cases reported today. At the current rate of new cases detected, 1% of Alaska residents are catching Covid-19 every 8 days, and the state is under testing.

There appears to be a scandal at PeaceHealth Ketchikan. In April, registered nurse Marian Weber started work on the remote island as a traveling nurse. According to KTOO, she was a whistleblower who reported unsafe staffing levels impacting patient care.

“We had one patient that was intubated, and we had one that required continuous BiPAP (a type of ventilator), and these are ICU-level … patients,” she said.

But Weber said they weren’t placed in the intensive care unit — even though there were rooms available in the ICU that she said were equipped to handle COVID-19 patients.

Instead, she said, they were placed with the rest of the hospital’s COVID-19 patients in a section of the medical-surgical unit. And that was a problem, she said, because it meant critically ill patients couldn’t be monitored effectively from outside their rooms.

She was told to report the situation to a hospital administrator. On August 24, four days after reporting her concerns and just after signing a four-month contract extension, she was fired. On September 28, the hospital reported Sherry Dunlay, interim director of acute care, had abruptly departed.

Hospitals in Anchorage, Bethel, and Valdez continue to be the most impacted by the ongoing surge.

Idaho

Idaho has reported more than 1,321 new Covid-19 and another 24 deaths today. The state continues to see 1/2 of 1% of all residents infected every 7 days. In good news, the positivity rate dropped to 14.6%, however, it is likely higher with almost 8,000 tests awaiting processing.

Lt. Governor Janice McGeachin’s Indoctrination Task Force lost a member to Covid-19 this week. The task force was created to monitor and prevent critical race theory in Idaho schools, and other non-patriotic ideologies.

Pete Coulson, 67, was a member of the task force and told people he was “vaccinated by Christ.” After a three-week battle, he died of Covid-19.

“I am deeply saddened at the loss of Pete Coulson, as I’m sure everyone in (the) Treasure Valley is,” McGeachin wrote in a prepared statement Thursday. “He was loved by everyone who knew him, and he will be greatly missed. I’m praying for his family.”

If you’ve been following our coverage and thinking McGeachin’s beliefs and values are concerning, you’re not alone. According to a report in the News & Observer, a group of Republicans in Idaho have had enough.

Prominent mainstream Republicans, worried the state’s hard-right drift could scuttle their efforts to grow Idaho’s economy, are asking Democrats and Independents to register as Republicans to vote in the party’s May primary. “Everybody and their dog ought to get out to the primary and have their say so,” said Jim Jones, a former chief justice of the Idaho Supreme Court and former Republican Idaho attorney general. “That’s where your vote counts.”

Kootenai Health told KTVB they set a record for the number of pregnant women hospitalized and saw a sharp increase in stillbirths.

“We have definitely seen more pregnant hospitalization in the ICU,” said Robert Scoggins, Kootenai Health’s ICU medical director. “You are really taking care of two people and I think that’s a really difficult situation, makes us all very nervous but so far we have been lucky.”

But not all of Idaho’s hospitals are so lucky. St. Luke’s Magic Valley in Twin Falls is reporting more stillbirths.

“We are seeing more stillbirths, unexplained stillbirths and towards the end of the pregnancy,” said Dr. Stacy Seyb, who specializes in Maternal-Fetal Medicine.

Dr. Seyb said in April there were 18 confirmed cases of COVID cases in pregnant women across all St. Luke’s locations. September saw 150 confirmed cases. and 97% of hospitalized pregnant women are unvaccinated.

“If you are pregnant, you are three to five times more likely to be hospitalized and twice as likely to succumb to the process and die,” Dr. Seyb said. “The thing about COVID is it causes issues with blood clotting and placentas are very vulnerable to blood clots and I think we can see smaller babies that aren’t growing well as well and so those are the types of things we see overall.”

May the odds ever be in your favor.

Montana

Montana’s situation continues to worsen with KTVQ reporting 1,301 new Covid-19 cases and 21 more hospitalizations, increasing the number to 465. At the current rate of new confirmed cases, 1% of all Montanans are infected with Covid-19 every eight days. With a hospitalization rate of 5%, Montana does not have the staffing or facility resources to meet the current surge.

Hospitalizations have increased 40% in the last month and Billings Clinic is having to pay traveling staff as much as $200 an hour to work in the struggling hospital.

According to Montana Public Radio, the Montana Hospital Association has asked the Gianforte administration to use federal COVID relief dollars to contract traveling staff like nurses and respiratory therapists, especially for small critical access hospitals that can’t afford them right now. Gianforte’s administration declined to do that. Spokesperson Jack O’Brien says the administration will find other ways to help hospitals obtain staffing, though no additional details were provided.

ICU nurse Laurie Sutphin had this to say. “The worst thing is that we had so much hope when the vaccine came out. We thought we’d never be here again.”

Wyoming

Officials reported 681 confirmed cases, and hospitalizations grew to 217. Wyoming had 12 pediatric Covid-19 patients in September, beating the record set in August according to the Star Tribune.

Ten Wyoming facilities reported a critical staffing shortage Thursday. Eleven reported anticipating such a shortage within the week.

According to Oil City News, seven hospitals had zero available ICU beds available and four had only one ICU bed available. While ICU beds are not exclusively used to treat COVID-19 patients, when hospitals deal with surges in these patients, that can put a strain on their ability to care for other types of critical-needs patients.

Wyoming officials are drafting a plan for statewide implementation of crisis standards of care.

Misinformation

Taking the day off

Idahoans are overwhelming Eastern Washington hospitals – local and national update for October 6, 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) Hospitals in Eastern Washington are starting to feel the crush of transfer patients and Idahoans seeking medical treatment in Washington state. As new cases decline statewide, hospitalizations have plateaued, with Eastern Washington taking on the brunt of new cases.

More Seattle Police Officers provided proof of vaccination while city officials forged a plan for October 18. In contrast, over 93% of Washington State Patrol employees are vaccinated, including more than 90% of commissioned officers. A King County Sheriff Office Sergeant did a reply-all e-mail about the vaccine mandate that was full of conspiracy theories – it’s a sad story.

In Eastern Washington, 19 municipal and state employees filed a federal civil rights lawsuit against the looming vaccine mandate.

There were new Covid-19 cases reported in all three school districts we track.

Nationally, a Maryland man killed his pharmacist brother and two other people due to his alleged belief in Covid-19 vaccine conspiracies.

Scientists learn the secrets of Covid Toe and how to treat it. In another study, researchers find increasing proof that Covid-19 can damage the pancreas, leading to a sudden onset of diabetes.

Alaska, Idaho, Montana, and Wyoming continue to have hospitals operating under crisis standards of care protocols. In Coeur d’Alene, Kootenai Health has been using those protocols for almost a month.

A 51-year-old man whose wife sued to treat him with ivermectin in an Ohio hospital died in late September.

A common objection to receiving the Covid-19 vaccine is the belief that the government assumes no liability. Is it true? We tackle that issue in misinformation.

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


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for October 6, 2021

Washington state Covid-19 update

New cases in Washington state continue to decline slowly. We’re adding some new metrics. A combination of increasing vaccination rates, mask wear, and the Delta variant running out of new hosts contributes to the slowdown.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
60.00% or above (4)212.0 (down)
50.00% to 59.99% (13 counties)515.1 (down)
40.00% to 49.99% (14 counties)624.1 (down)
29.30% to 39.99% (8 counties)713.3 (up)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through October 5, Washington’s statewide 14-day rolling average is 403.8 Covid-19 cases per 100K.

Ferry County reported 1,011.4 new cases per 100K residents.

Counties in the 800.0 to 999.9 per 100K range include Grant, Klickitat, Lincoln Pend Oreille, and Stevens.

Counties in the 600.0 to 799.9 per 100K range include Asotin, Benton, Chelan, Columbia, Cowlitz, Franklin, Garfield, Grays Harbor, Mason, Okanogan, and Walla Walla. Franklin County remained just under 800 while Adams, Douglas, Lewis, and Spokane counties were just under 600.0.

New cases were down from birth to 34 years old and statistically unchanged for 35 and above. Pediatric and adolescent hospitalizations were up, along with ages 50 to 64 and over 80.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11170.3 (down)1.1 (up)
Ages 12-19202.1 (down)0.8 (up)
Ages 20-34166.1 (down)5.0
Ages 35-49173.98.4
Ages 50-64120.115.1 (up)
Ages 65-7997.617.4
Ages 80+109.835.2 (up)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 53 deaths yesterday. The state of Washington is not reporting the percentage of positive cases.

Idahoans seeking medical care pushing Eastern Washington hospitals to the brink

Dr. Dan Getz, the chief medical officer of Providence Medical Center in Spokane, Washington, said patients from Idaho are pushing Providence Medical toward capacity limits, leaving hospitals scrambling for options. KATC reported hospitals have had to pause some surgeries to create space.

“Idaho is currently in crisis standards of care where they basically said, ‘We can’t deliver normal care for people in our state,’ and they’re looking at rationalizing things,” Getz said. “We are not in that crisis in Washington state — however if we continue to see increasing cases and we are not able to care for our community, that’s always a potential.”

At Multicare Deaconess Hospital in Spokane, the staff says they are spread thin.

Luke Eckoff, a Covid-19 ICU nurse at Multicare Deaconess Hospital, said, “Flight teams are bringing patients from outlying hospitals — and that’s putting more strain on us. These rural hospitals don’t have the capacity we do to take care of these patients. What that’s doing is putting further pressure on our hospital and resources. It’s hard at the end of the day when you have to put that patient in the body bag. And that’s happening more and more.”

More SPD officers present proof of vaccination

The number of Seattle Police Department officers who haven’t confirmed being fully vaccinated dropped to 292 today. Brandi Kruse of KCPQ tweeted that an additional 101 SPD officers have requested vaccination exemptions.

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

“The problem is they’re using bully tactics to force their employees to get this, and that’s what’s led to this disconnect,” Solan said. “Right now, more than ever, our community’s begging for police officers to stop the rise in crime. And we need politicians who are willing to understand the public safety staffing crisis that they created. They’re in charge, they can change this.”

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

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

Over 93% of Washington State Patrol workers provided proof of vaccination

The Washington State Patrol reported Wednesday that more of its workers are providing proof they are vaccinated, according to a report by KXLY.

Only seven percent of its employees hadn’t been vaccinated or turned in proof they got the shot. That means 152 of its 2,184 employees could face getting fired if they do not meet the vaccine mandate deadline of October 18. Of those, only 91 are commissioned troopers.

King County Sheriff Deputy sends department-wide reply all e-mail against vaccine mandate

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

The original e-mail sent on Monday reminded KCSO employees they needed to submit their vaccination status so the department could make a staffing plan.

“Our planning process is hampered by lack of complete information because some have not yet provided evidence of vaccination,” the chiefs’ e-mail reads. “Again, we are hopeful that you have the required information but have not yet shared it with HR. One of our goals is to plan for possible separation in a way that is least likely to disrupt your city or precinct, and it is hard to do that without all the information.”

In his reply, Lefler indicated he had requested an exemption but had not gotten a response from King County, adding, “What [is[ King County is going to do about the thousands of us who have requested medical and/or religious exemptions.”

He then stated that being a sheriff deputy was equal to being under constant siege in war, called out King County Executive Dow Constantine, and called for the entire department to quit. Lefler then suggested that the vaccine mandate would lead to gun control and remove “CPO” (conceal carry permits).

“Anything goes once the precedent is set. I will fight for what is right, and you reading this know in your gut that I am right,” Lefler continues. “It’s not just about a jab in the arm. It’s about our very freedoms. This is about our right to self-determination and choice. God gave us these rights, but only if we are willing to fight for them.”

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

According to the website Together We Served, Lafer was in Marine Corps from 2001 to 2005 and served in Iraq. The unit he was with deployed to Fallujah and Ramadi during his tour at the height of the Iraqi insurrection. It is worth noting that Lefler would have been required to take the Emergency Use Authorized Anthrax vaccine as part of his military service and could have used Nerve Agent antidotes as part of his military tour.

All US service members are required to be vaccinated against Covid-19 by December.

Sgt. Tim Meyer e-mailed the South Seattle Emerald after the original story was published.

“KCSO appreciates Sgt. Lefler’s years of service and the difficult decision he is trying to make for himself and his family,” Meyer’s e-mail to the Emerald reads. “We do not have ‘thousands’ of deputies, rather we employ roughly 750. We hope we don’t lose any of them. As our members struggle with the decision to comply with the Executive’s mandate, we know some would like to believe that the Sheriff and her command staff have the power to get the mandate rescinded. That is not possible.”

Approximately 100 KCSO employees have applied for Covid-19 vaccine exemptions.

19 state and municipal workers file lawsuit over vaccine mandate

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

The suit lists as defendants Governor Inslee, Spokane Fire Chief Brian Schaeffer, Washington State Patrol  Chief John Batiste, and other leaders of state agencies.

The suit claims “the plaintiffs are on the brink of having adverse employment action against them. It claims that in each case, “a form of disability or sincere religious belief requires them to decline vaccination.”

The group of workers comprises Washington State Patrol troopers, Spokane firefighters, and employees of other state agencies, including the Department of Social and Health Services.

Virtually none of the lawsuits filed at a federal level have been successful at blocking a vaccine mandate. The 1905 United States Supreme Court ruling of Jacobson versus Massachusetts cemented the rights of municipalities, counties, and states to mandate vaccines and other public health measures.

Federal medical team of 8 nurses and 10 certified nursing assistants deployed in Spokane

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

The team of eight nurses and 10 certified nursing assistants (CNA), and eight nurses will be deployed to the Avalon Care Center in North Spokane. The medical staff is from ACI Federal, according to the Washington Department of Health (DOH). According to the DOH, these are not federal resources but are available through a federal contract. Avalon Care Center will pay for the nurses. 

Travel Advisories

Today, we are lifting our travel advisory to Yakima, Klickitat, Benton, Franklin, and Walla Walla Counties. We continue to recommend when visiting those counties, you use reasonable caution and don’t engage in dangerous activities.

We continue to recommend avoiding recreational travel to Spokane County. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

We continue to monitor the situation in the East Hospital Region and may expand our travel advisory beyond Spokane County.

Thank you

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

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

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

Vaccination

Pfizer vaccine booster shots are now available

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

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

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

King County, Washington is reporting over 86.7% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 17.4% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 665 additional acute care patients. ICUs are at 88.1% of capacity statewide, with 30.0% of ICU patients fighting Covid-19 – an estimated 353 patients with 57% on ventilators. The state has the staff to support approximately 142 additional ICU patients.

The 7-day rolling average hospital admission rate for new COVID patients was 123. The Department of Health reported 1,199 Covid-19 patients statewide on October 5, with 200 on ventilators.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman92.6%45.5%88.7%27.0%
NorthIsland, San Juan, Skagit, Whatcom74.8%33.4%86.0%13.2%
North CentralChelan, Douglas, Grant, Okanogan85.1%50.2%75.6%22.2%
NorthwestClallam, Jefferson, Kitsap, Mason92.2%42.8%96.0%27.0%
Puget SoundKing, Pierce, Snohomish91.3%24.6%94.5%13.6%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima87.9%33.8%84.1%21.7%
SouthwestClark, Cowlitz, Klickitat, Skamania 72.6%32.9%86.4%22.2%
WestGrays Harbor, Lewis, Pacific, Thurston81.6%23.1%85.5%17.0%
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%

There was very little change in the status of Hospital Regions overnight, with the East and Northwest Hospital Regions below the threshold of issuing a travel advisory.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Ardmore (1*)
– Bellevue (7**)
– Big Picture (1*)
– Chinook (3*)
– Eastgate (1*)
– Enatai (3*)
– Highland (8**)
– Interlake (3*)
– Lake Hills (4*)
– Newport (4*)
– Newport Heights (1*)
– Puesta del Sol (1*)
– Sammamish (4*)
– Sherwood Forest (2*)
– Spiritridge (1*)
– Stevenson (1*)
– Tillicum (1*)
– Wilburton (3*)
– Woodridge (3*)
None
Lake WashingtonYELLOW– Bell Elementary (1*)
– Barton Elementary (1*)
– Dickinson/Explorer Elementary (1*)
– Ella Baker Elementary (1*)
– Eastlake High (2*)
– Finn Hill Middle School (3*)
– Franklin Elementary (2*)
– Frost Elementary (2*)
– ICS (1*)
– Inglewood Middle School (1*)
– Juanita Elementary (1*)
– Kamiakin Middle School (4*)
– Keller Elementary (2*)
– Kirkland Middle School (1* see notes)
– Lakeview Elementary (4*)
– McAuliffe Elementary (1*)
– Muir Elementary (1*)
– Northstar Middle (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Redmond High School (2*)
– Renaissance Middle School (1*)
– Rosa Parks Elementary (1*)
– Rush Elementary (1*)

see notes below
None
NorthshoreYELLOW– Arrowhead Elementary (4)
– Bothell High School (42**)
– Canyon Creek Elementary (23)
– Canyon Park Middle School (6)
– Cottage Lake Elementary (3)
– Crystal Springs Elementary (26)
– East Ridge Elementary (12)
– Fernwood Elementary (1)
– Frank Love Elementary (17)
– Hollywood Hills Elementary (27)
– Inglemoor High School (1)
– Innovation Lab High School (1)
– Kenmore Elementary (3)
– Kenmore Middle School (25)
– Leota Middle School (4)
– Lockwood Elementary (40**)
– Maywood Hills Elementary (29)
– Moorlands Elementary (1)
– North Creek High School (5)
– Northshore Family Partnership (30)
– Northshore Middle School (2)
– Secondary Academy for Success (5)
– Shelton View Elementary (5)
– Skyview Middle School (12)
– Sunrise Elementary (9)
– Timbercrest Middle School (5)
– Wellington Elementary (26)
– Westhill Elementary (50)
– Woodin Elementary (16**)
– Woodinville High School (11)
– Woodmoor Elementary (12)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

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

Bellevue School District added two more confirmed Covid-19 cases at Highland Middle School, for a total of eight. Additionally, a confirmed case was reported at Ardmore Elementary School.

The Northshore School District added multiple schools to their report. Lockwood Elementary reported three more confirmed cases this morning, bringing the count to nine. Bothell High School and Woodin Elementary each have six confirmed cases.

We have a parent confirmed report of a single Covid-19 case at Kirkland Middle School, with an additional 17 students quarantined.

We multiple parents e-mailed us about two confirmed Covid-19 cases at Juanita High School. However, because the district sent the e-mail on Monday, we cannot confirm if these are new or included in the last dashboard update.

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

Kirkland-Bellevue-Woodinville

The City of Kirkland has rolled out additional phases of its COVID-19 relief program to provide immediate financial assistance for small businesses, thanks to funding available through the American Rescue Plan Act. A limited number of $1,000 to $10,000 grants are now available for small Kirkland-based businesses behind on rent for the commercial properties they lease. To start the application process, businesses should go to www.kirklandwa.gov/business-help to complete and submit the intake form between October 5 – October 19, 2021. Program funds may only be used as a payment against a small business tenant’s past-due rent due to COVID-19 economic hardship experienced between March 1, 2020, to September 30, 2021. Note that the application process requires the cooperation of tenants and landlords, and payments will be made to the landlord.

“The pandemic has had a profound impact on many of our businesses, making it difficult for some to keep up with rent and stay in their current locations,” said Deputy Mayor Jay Arnold. “Our hope is that by passing federal relief funding directly to businesses and landlords that these businesses can get the foothold they need to thrive in our Kirkland community.”

For questions about the small business rent relief grant program, contact businesssupport@kirklandwa.gov  (425) 587-3266 or the City’s Business Response Team at (206) 686-3424.

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 95,756 new cases and 1,916 deaths nationwide on Wednesday. As of October 4, the CDC reported 65,162 hospitalized Covid-19 patients in the United States, down 13.6% from the week before. The number of Covid-19 related deaths decreased 3.3%, indicating that the Delta variant surge is ending.

Maryland man accused of killing 3 due to alleged belief of Covid-19 vaccine conspiracies

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

According to arrest documents, Burnham’s mother told investigators that he wanted to confront his brother – a pharmacist – because he purportedly helped administer vaccines.

Burnham had told their mother he believed the government was poisoning people with vaccines, and he “repeatedly stated, “Brian knows something!” – police say.

Investigators say a tipster alerted Maryland State Police that Burnham had arrived at his home in a red Corvette, and said that “his brother had been ‘killing people with the COVID shot.'”

Burnham has been charged with two counts of first-degree murder and two counts of second-degree murder and the use of a handgun in the commission of a crime.

Covid long haulers are developing diabetes

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

“Clearly there’s a link, there’s some sort of mechanism that makes the diseases fuel one another,” Francesco Rubino chair of metabolic surgery at King’s College London, told Insider. “The question is whether new-onset diabetes could be caused by this virus.”

One theory was that the body could be confusing pancreas cells for the coronavirus, and trying to destroy them. This would disrupt insulin supply and cause diabetes, the scientists thought.

Remember “Covid Toe?” Doctors may have figured out what causes it

A small study published in the British Journal of Dermatology reported that researchers had identified the cause of Covid Toe and how to treat it.

Based on blood and skin tests, these latest study findings suggest two parts of the immune system may be at play.

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

One is an antiviral protein called type 1 interferon, and the other is an antibody that mistakenly attacks the person’s own cells and tissues, not just the invading virus.

Cells lining small blood vessels supplying the affected areas are also involved, say the investigators from the University of Paris, France.

The researchers studied 50 people with suspected Covid toe in the spring of 2020 and 13 others with similar lesions not linked to Covid infections because they occurred long before the pandemic began.

Alaska

New cases in Alaska still lead the nation but have declined significantly from last week. The state is still operating under “crisis standards of care” with 184 Covid-19 patients statewide. Alaska has 126 staffed ICU beds statewide, with 28 available. There were 867 new cases reported today, about equal to Tuesday. Over 10% of Covid-19 tests are coming back positive, indicating under testing is accelerating.

Before the current surge hit Alaska, it had the third-lowest death per capita in the United States. Six weeks later, the state is ranked 25th. More than 25% of all Covid-19 deaths reported in Alaska happened after August 1, 2021, despite the widespread availability of vaccines.

Hospitals in Anchorage, Bethel, and Valdez continue to be the most impacted by the ongoing surge.

Officials are also concerned by a rising test positivity rate, which is just below 10%.

California

Los Angeles leaders on Wednesday approved one of the nation’s strictest vaccine mandates — a sweeping measure that would require the shots for everyone entering bars, restaurants, nail salons, gyms, or even a Lakers game.

According to a report by NBC News, the City Council voted 11-2 in favor of the ordinance that will require proof of full vaccination by Nov. 4.

The move came after the council postponed a vote last week to deal with concerns ranging from who could be fined for violations to whether employees could end up in fist-fights when they have to serve as vaccine door monitors.

Florida

According to The Palm Beach Post, six weeks after Tamara Drock was admitted to Palm Beach Gardens Medical Center, the 47-year-old Loxahatchee woman is in a medically induced coma and tethered to a ventilator.

It was an outcome that her husband, Ryan, tried to prevent.

“No ventilators,” he said of his orders to the hospital staff.

With his hope and his wife’s options running out, Drock on Friday filed suit in Palm Beach County Circuit Court to force the hospital to give his wife the drug that he believes helped him and others recover from the highly contagious respiratory disease.

“I think it’s worth a shot,” Drock said. “I don’t have anything to lose.”

The second-largest study to date for the effectiveness of ivermectin against COVID, which has received multiple peer reviews, indicated that ivermectin had no meaningful impact and for sicker patients created worse outcomes. The study done in Argentina was randomized, double-blind, and placebo-controlled – the gold standard. The report concluded the only statistical difference was subjects taking ivermectin who became moderately to severely ill required mechanical ventilation much sooner than the placebo group.

Only one court case in Ohio successfully forced a hospital to administer ivermectin, and two weeks later, the judge reversed his decision.

Idaho

Governor Brad Little reversed Lt. Governor Janice McGeachin’s executive orders banning vaccine passports or mandatory Covid-19 testing at K-12 schools and universities in Idaho, eight minutes after he landed in Boise.

McGeachin also tried to activate the National Guard to deploy Idaho troops, already assisting with the Covid-19 surge, to the Mexico border. According to The Independent, the commanding general of the Idaho National Guard told McGeachin she can’t activate troops to send to the U.S.-Mexico border.

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

Idaho has reported more than 1,000 new Covid-19 cases per day for the last 27 days. The 7 day moving average has reached 1,320.6 cases per day and is likely higher due to a backlog of more than 8,200 tests.

Idaho now has 715 Covid-19 patients, down from a peak of almost 800 at the end of September. The state has 170 staffed ICU beds and reported 184 ICU patients. At St. Luke’s, the mortality rate for people in the ICU has reached 40%, and 98% of ICU patients are unvaccinated.

Almost a month after Kootenai Health declared it was moving to crisis standards of care, the number of Covid-19 patients they are treating has increased, according to a report by KTVB.

“150 COVID patients is about 75 percent of our normal pre-COVID bed capacity for med surge admissions,” said Jeremy Evans, Kootenai Health’s Chief Regional Operations Officer. “Today, we have got 44 critical care patients and 17 on ventilators. It continues to amaze me how our medical staff, our clinical staff, and our leaders, are able to accommodate this surge.”

Evans added that around 10 to 20 patients are admitted to the hospital for COVID-19 treatments each day.

“We have seen a lot of deaths, we are averaging about one a day in the COVID population, I spent the last week in the ICU and it’s a very hard place to work right now it’s just a constant struggle to take care of these patients on a daily basis,” said Robert Scoggins, the Medical Director of the ICU.

According to Boise Public Radio, unvaccinated Idahoans continue to be hospitalized at five and a half times the rate of vaccinated people, straining the hospital systems and overwhelming health care workers. Yet, misinformation and anger continue to spread throughout the state — with hateful acts targeted at the doctors and nurses working to treat those infected.

Boise Public Radio’s program Idaho Matters was joined by Dr. David Pate, former CEO of St. Luke’s Health System and a current member of the Idaho Coronavirus Task Force, and Dr. Frank Johnson, Chief Medical Officer for St. Luke’s Boise, Elmore and McCall.

You can read the transcript here.

May the odds ever be in your favor.

Montana

While Alaska appears to have peaked and Idaho is on a plateau, Montana continues to deteriorate. According to KPAX, the state has 11,550 active cases and added 30 more hospitalized patients overnight, raising the number to 444 – a new record. Over 5% of Montanans who have tested positive for Covid-19 have ended up hospitalized.

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

National Guard troops have been deployed to Great Falls and Livingston to aid with expanding surge of cases.

Ohio

Jeffrey Smith, 51, who was at the center of a lawsuit forcing a Cinncinati hospital to treat him with ivermectin, died on September 25 of Covid-19, according to KXAN.

Jeffrey Smith’s wife, Julie Smith, claimed she offered to sign documents releasing all other parties, doctors, and the hospital from all liability related to the Ivermectin treatment and dosage. But the hospital declined. Smith said her husband, who was on a ventilator, had a very slim chance of survival, and she was willing to try anything to keep him alive.

Judge Gregory Howard ordered West Chester Hospital to give Smith 30 milligrams of ivermectin every day for three weeks, even though there is no supporting evidence that it treats Covid-19.

Another Butler County judge reversed Howard’s decision in September, saying ivermectin didn’t show “convincing evidence” in treating COVID-19. Butler County Judge Michael Oster said in his ruling, “judges are not doctors or nurses… public policy should not and does not support allowing a physician to try ‘any’ type of treatment on human beings.”

Wyoming

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

Like Alaska, Montana, and Idaho, hospitals are tipping over into “crisis standards of care.” Cody Regional Health and Memorial Hospital of Sweetwater County reported they continue to move from “contingency care” to “crisis standards of care” as the situation changes.

Misinformation

A common reason for refusing to get vaccinated is the belief that the government is mandating vaccination but does not accept any liability for vaccine injuries. Is that true?

The short answer, no.

The Health Resources and Services Administration is a federal program that provides compensation to people who have suffered a serious vaccine injury or surviving family members. The program has existed for years and is known as the Countermeasures Injury Compensation Program (CICP).

Federal declarations issued by the Secretary of the U.S. Department of Health and Human Services specify the countermeasures covered by the Program. Declarations have been issued for medical countermeasures against the following vaccinations.

  • COVID-19
  • Marburg
  • Ebola
  • Nerve Agents and Certain Insecticides (Organophophorus and/or Carbamate)
  • Zika
  • Pandemic Influenza
  • Anthrax
  • Acute Radiation Syndrome
  • Botulinum Toxin
  • Smallpox

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

Claims filed under CICP for lost income are capped at $50,000 per year and won’t provide compensation for pain, suffering, emotional distress, or similar damages. According to the Washington Post, there have been 686 claims filed in CICP.

Washington records 4th vaccine death in U.S. – local and national update for October 5, 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) Dr. Umair A. Shah, Washington State Secretary of Health, confirmed the death of a Seattle woman who suffered serious complications after receiving the Johnson & Johnson vaccine. Jessica Berg-Wilson received the single-dose vaccination on August 26 and died of complications on September 7.

New COVID cases continue to decline statewide, while the gap between the least and most vaccinated counties is starting to narrow.

Seattle Police Officer Eric Whitehead, who refused to wear a mask at a Seattle hospital on January 15, was disciplined after the OPA determined he had acted unprofessionally. SPD also announced that more than 350 officers had not submitted proof of vaccination to city officials.

Less than 9% of Washingtonians say they will never get the Covid-19 vaccine, down by almost half from six weeks ago. According to the Washington Department of Health, over 70% of all Washingtonians over 11 years old are fully vaccinated.

The Lancet released a study on natural immunity to Covid-19 and how long it lasts. Researchers came up with a wide range, but the average is just 16 months.

Highland Middle School in the Bellevue School District and Lockwood Elementary in the Northshore School District reported six active Covid-19 cases in both facilities.

The City of Kirkland has funds available from the American Rescue Plan Act to aid small businesses behind on commercial property rent.

Nationally, the CDC pulled the holiday travel guidance they published on Friday, saying it was outdated information posted by mistake. The Department of Justice will start investigating the most egregious threats, and violent acts at school board meetings after multiple states pleaded for aid.

If you’ve got a home rapid Covid-19 test from the company Ellume, it might be under recall due to a high rate of false positives.

New York City Department of Education, Kaiser Permanente, and Northwell Health, representing more than 475,000 employees across the United States, reported vaccination rates from 95% to 99%. For the 8,000 New York DoE workers who so far are refusing to get vaccinated, some took to direct action in Union Square.

Alaska, Idaho, Montana, and Wyoming continue to demonstrate the impact of laisse faire public health strategies. Again, in Idaho, Janice McGeachin goes full awful, while Wyoming state senator Anthony Bouchard pushes Covid-19 misinformation and argues with a Tik Tok influencer on Twitter.

We lift our travel advisory to the South Central Hospital Region but continue to keep a close eye on the east.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on October 5, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for October 5, 2021

Washington state Covid-19 update

New cases in Washington state continue to decline slowly. We’re adding some new metrics. A combination of increasing vaccination rates, mask wear, and the Delta variant running out of new hosts contributes to the slowdown.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
60.00% or above (4)212.0 (down)
50.00% to 59.99% (13 counties)533.1 (down)
40.00% to 49.99% (14 counties)650.1 (down)
29.30% to 39.99% (8 counties)679.0 (down)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through October 4, Washington’s statewide 14-day rolling average is 417.1 Covid-19 cases per 100K, the lowest number since August 18.

For the second time in three days, no counties reported more than 1000 new cases per 100K residents.

Counties in the 800.0 to 999.9 per 100K range include Ferry, Grant, Grays Harbor, Klickitat, Lincoln Pend Oreille, and Stevens.

Counties in the 600.0 to 799.9 per 100K range include Adams, Asotin, Benton, Chelan, Columbia, Cowlitz, Franklin, Mason, Okanogan, and Walla Walla. Franklin County remained just under 800 while Spokane, Lewis, Douglas, Garfield, and Chelan counties were just under 600.0.

New cases were up for all people under 80 years old were down, and unchanged for those 80 and above. Hospitalizations were mixed. Down for children and adolescents, up for age 35 to 49, and down for ages 65 to 79.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11185.2 (down)0.7 (down)
Ages 12-19220.8 (down)0.4 (down)
Ages 20-34183.5 (down)5.4
Ages 35-49183.2 (down)8.4 (up)
Ages 50-64127.9 (down)14.3
Ages 65-7998.9 (down)17.7 (down)
Ages 80+111.233.3
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 42 deaths yesterday. The state of Washington is not reporting the percentage of positive cases.

Washington Department of Health confirms Johnson & Johnson vaccine related death

Washington Secretary of Health Dr. Umair A. Shah confirmed today that a Seattle resident became the fourth person to die in the United States from a vaccine-related injury. Jessica Berg Wilson, 37, received the Johnson & Johnson vaccine on August 26. On September 7, she died after a Vaccine-Induced Thrombotic Thrombocytopenia (VITT) formed.

VITT is an extremely rare condition identified in April 2021, specifically to adenovirus-vector vaccines such as Johnson & Johnson and AstraZeneca. The FDA suspended emergency use authorization of the Johnson & Johnson vaccine on April 23 after reports of blood clots and six possible deaths.

During a five-week pause, researchers determined the incident rate was less than 3 per million people. In contrast, the risk for serious blood clots due to a Covid-19 infection is 207 per one million. Additionally, doctors determined that common emergency room strategies for treating blood clots, such as using the anti-clotting drug heparin, were contraindicated. The CDC created updated guidelines on identifying and properly treating VITT in patients and reauthorized the single-dose vaccine.

As of June 30, the CDC has confirmed 35 incidents of VITT and three fatalities after 12. 5 million doses were administered. Berg-Wlson is the fourth Covid-19 vaccine-related death in the United States, where 185 million people are fully vaccinated, and approximately 15.4 million have received the Johnson & Johnson vaccine. The Seattle Times reported 47 incidents of VITT through the end of September in a separate article.

Yesterday we reported that the VAERS database indicated a 30 to 39-year-old female from Washington state who received the Janssen/Johnson & Johnson vaccine had died. Twitter created a firestorm on Sunday night and Monday morning when the social media platform labeled her death as misinformation.

VITT has only been documented with the Johnson & Johnson vaccine in the United States. The condition is very rare, with similar odds to dying from snakebite in the United States. It is more prevalent among women from 30 to 50 years old. Hormone-based contraceptives can slightly increase risk, along with a personal or family history of blood clotting disorders. The condition will typically appear two to three weeks after inoculation but can occur as far as seven weeks out.

If you are still choosing to get vaccinated, talk to your healthcare professional about which vaccine is best for you. Additionally, if you have recently received the Johnson & Johnson vaccine, learn the symptoms to watch for. Be sure that your medical provider is aware you were recently vaccinated if you got to an emergency room.

SPD Officer who refused to wear a mask at hospital emergency department suspended one day

The Seattle Office of Police Accountability (OPA) recommended officer Eric Whitehead receive a one-day suspension over his refusal to wear a mask at an area Hospital on Friday, January 15, 2021, while Washington state was experiencing a Covid-19 surge.

A five-month investigation determined that Whitehead violated only one rule, Standards and Duties 5.001.10, to be professional. The investigation also recommended administrative changes in how SPD Human Resources documents medical waivers issued to officers and communicates acceptance of the request.

On January 15, Whitehead was called to an unnamed area hospital to assist with a disruptive suspect in the Emergency Department. Four other SPD officers were present, and all were wearing masks. Whitehead was given a mask by a nurse but refused to wear it. He told the nurse, “I hear that. I’m here doing a job. I’m talking to my squadmate about what we got going on. You want me to wear a mask or whatever. We can entertain that idea later on, okay. I just wanna do my job right now, just like you.”

The nurse contacted the charge nurse, who reported the issue to a nursing security supervisor. The supervisor again asked Whitehead to wear a mask, who responded with, “Is she all in a tizzy about it?”

Whitehead expressed concern that the surgical mask could be used as a weapon against him. Whitehead ultimately put on the mask when talking with the detainee, and after some other action, left the hospital.

The entire incident was filmed on security cameras and Whitehead’s body camera. The OPA found that Whitehead was not honest with investigators. He told the OPA he maintained social distance from other people and said the hospital staff he was medically exempt from wearing a mask. The videos and testimony from the hospital staff and other officers indicated he did neither.

When asked why he never told the hospital about his exemption and the discrepancy in his testimony, he changed his story, indicating the “interaction had become contentious.” Whitehead told investigators he had a medical exemption from SPD, allowing him not to wear a mask.

According to the OPA report, “A copy of a memorandum that Named Employee 1 submitted to the HR Lieutenant on June 28, 2020. In that memorandum, he stated that he had a medical condition that prevented him from wearing facemasks and asserted that he was entitled to not do so by the Americans with Disabilities Act (ADA). He noted in the memorandum that wearing the facemask caused him mental and physical strain, as well as increased respiratory distress. He wrote that he tried using a variety of different facemasks but stopped doing so as they continued to cause him problems.

Whitehead did receive an e-mail saying that state and city could grant an exemption, but it never stated he had been given one. Whitehead presented the OPA with letters from two doctors. One letter claims he has a dermatological condition that is exacerbated by mask wear.

Despite his claims that any mask caused “mental and physical” strain, Whitehead was on duty for multiple protests during the summer of 2020. During his service, he was exposed to pepper spray, OC, and blast balls, while wearing a full-face respirator, ballistic vest, and riot gear as part of his duties without issue.

OPA Director Andrew Myerberg has come under fire for failing to enforce existing SPD department rules and working too closely with SPOG in an Office of Inspector General complaint. Director Myerberg is currently interviewing for a different job in Arizona and planning to leave the OPA.

SPOG estimates as many as 200 SPD officers will voluntarily separate from the department after the October 18 vaccine mandate deadline. The Seattle Police Department reported tonight that 354 sworn officers had not submitted proof of vaccination. While vaccination rates for hospital staff, educators, and skilled workers such as pilots, bankers, flight attendants, and computer programmers, have ranged from 95% to 99.5%, law enforcement officers remain one of the lowest vaccinated groups.

Seattle Mayor Jenny Durkan has refused to indicate if she will fire the unvaccinated officers after October 18 or leave the issue for the next mayor.

Editor’s Note: Our Chief Content Officer is listed as a party in an ongoing OPA investigation into the conduct of SPOG President Mike Solan. One of our Senior Staff was listed as a part of a closed OPA investigation for the excessive use of force.

Less than 9% of Washingtonians say they will never get the Covid-19 vaccine

According to a recent survey conducted by the U.S. Census Bureau, 8.2% of the 18 and older population in Washington state say they will either probably or definitely not get the vaccination. This is down almost by half from approximately six weeks ago—the survey, published on September 22.

Travel Advisories

Today, we are lifting our travel advisory to Yakima, Klickitat, Benton, Franklin, and Walla Walla Counties. We continue to recommend when visiting those counties, you use reasonable caution and don’t engage in dangerous activities.

We continue to recommend avoiding recreational travel to Spokane County. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

We continue to monitor the situation in the East Hospital Region and may expand our travel advisory beyond Spokane County.

Thank you

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

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

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

Vaccination

Over 70% of elgible Washington state residents are fully vaccinated

The Washington Department of Health reported that as of October 4, 2021, 70.7% of all residents 12 and older are fully vaccinated against Covid-19. An additional 6.4% have received at least one dose. Concern over the Delta variant, dwindling vaccine hesitancy, and multiple vaccine mandates have significantly increased the number of people vaccinated.

Tracking statewide data, counties where 60% or more of all residents are fully vaccinated have dramatically lower rates of new Covid-19 cases.

Large comparative study indicates natural immunity from Covid-19 fades after 5 to 6 months

The Lancet published a study that reported natural immunity for Covid-19 fades after 148 to 185 days on average. The report, The durability of immunity against reinfection by SARS-CoV-2: a comparative evolutionary study, was conducted by Yale University, Temple University, and the University of North Carolina.

The report found, “Reinfection by SARS-CoV-2 under endemic conditions would likely occur between 3 and 63 months after peak antibody response, with a median of 16 months. This protection is of less than half the duration revealed for the endemic coronaviruses circulating among humans.”

Three to 63 months is a very wide range, and a serology test that detects the presence of Covid-19 antibodies can’t determine how robust a response the body would make if reinfected. The researchers added, “Relying on herd immunity without widespread vaccination jeopardises millions of lives, entailing high rates of reinfection, morbidity, and death. In areas with low vaccination, our data-driven analysis reinforces the need for continued safety practices such as social distancing, proper indoor ventilation, and mask wearing to avoid reinfection as pandemic conditions continue.”

Other studies have indicated that the combination of vaccination and natural immunity creates a supercharged response to the Covid-19 virus.

Pfizer vaccine booster shots are now available

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

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

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

King County, Washington is reporting over 86.7% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 17.5% of all acute care patients hospitalized in Washington have Covid-19. Currently, 91% of all staffed acute care beds are occupied statewide, with approximately 654 available. ICUs are at 88.4% of capacity statewide, with 30.0% of ICU patients fighting Covid-19 – an estimated 352 patients with 55% on ventilators. The state has approximately 138 ICU beds available.

The 7-day rolling average hospital admission rate for new COVID patients was 124. The Department of Health reported 1,192 Covid-19 patients statewide on October 4, with 192 on ventilators. The total number of patients for October 3 was adjusted downward slightly, to 1,197.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman92.2%46.1%88.6%26.4%
NorthIsland, San Juan, Skagit, Whatcom74.9%32.6%86.9%12.8%
North CentralChelan, Douglas, Grant, Okanogan86.9%51.8%76.8%23.1%
NorthwestClallam, Jefferson, Kitsap, Mason92.5%42.2%96.0%26.4%
Puget SoundKing, Pierce, Snohomish91.6%24.4%94.5%13.8%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima87.6%34.0%83.5%22.2%
SouthwestClark, Cowlitz, Klickitat, Skamania 72.5%33.4%87.1%22.9%
WestGrays Harbor, Lewis, Pacific, Thurston83.9%24.1%86.2%17.7%
Hospital status by region – September 30, 2021 – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%

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

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Bellevue (7**)
– Big Picture (1*)
– Chinook (3*)
– Eastgate (1*)
– Enatai (3*)
– Highland (6**)
– Interlake (3*)
– Lake Hills (4*)
– Newport (4*)
– Newport Heights (1*)
– Puesta del Sol (1*)
– Sammamish (2*)
– Sherwood Forest (2*)
– Spiritridge (2*)
– Stevenson (1*)
– Tillicum (1*)
– Wilburton (2*)
– Woodridge (3*)
None
Lake WashingtonYELLOW– Bell Elementary (1*)
– Barton Elementary (1*)
– Dickinson/Explorer Elementary (1*)
– Ella Baker Elementary (1*)
– Eastlake High (2*)
– Finn Hill Middle School (3*)
– Franklin Elementary (2*)
– Frost Elementary (2*)
– ICS (1*)
– Inglewood Middle School (1*)
– Juanita Elementary (1*)
– Kamiakin Middle School (4*)
– Keller Elementary (2*)
– Lakeview Elementary (4*)
– McAuliffe Elementary (1*)
– Muir Elementary (1*)
– Northstar Middle (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Redmond High School (2*)
– Renaissance Middle School (1*)
– Rosa Parks Elementary (1*)
– Rush Elementary (1*)
None
NorthshoreYELLOW– Arrowhead Elementary (3)
– Bothell High School (31)
– Canyon Creek Elementary (26)
– Canyon Park Middle School (6)
– Cottage Lake Elementary (3)
– Crystal Springs Elementary (28)
– East Ridge Elementary (14)
– Fernwood Elementary (1)
– Frank Love Elementary (9)
– Hollywood Hills Elementary (27)
– Inglemoor High School (1)
– Innovation Lab High School (1)
– Kenmore Elementary (3)
– Kenmore Middle School (23)
– Leota Middle School (4)
– Lockwood Elementary (37**)
– Maywood Hills Elementary (28)
– North Creek High School (4)
– Northshore Family Partnership (30)
– Northshore Middle School (2)
– Secondary Academy for Success (4)
– Shelton View Elementary (5)
– Skyview Middle School (12)
– Sunrise Elementary (9)
– Timbercrest Middle School (8)
– Wellington Elementary (21)
– Westhill Elementary (41)
– Woodin Elementary (16**)
– Woodinville High School (11)
– Woodmoor Elementary (11)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

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

Bellevue School District added a 7th confirmed Covid-19 case at Bellevue High School and reported six confirmed cases at Highland Middle School.

The Northshore School District added multiple schools to their report. Lockwood Elementary reported six confirmed cases overnight, putting another 31 students and faculty into quarantine.

The Lake Washington School District updates its Covid-19 dashboard once a week. We received multiple parents confirmed Covid-19 e-mails yesterday. However, Lake Washington updates its dashboards on Monday, and we can’t ensure if the parental reports add to the dashboard numbers or are included in the Monday report.

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

Kirkland-Bellevue-Woodinville

The City of Kirkland has rolled out additional phases of its COVID-19 relief program to provide immediate financial assistance for small businesses, thanks to funding available through the American Rescue Plan Act. A limited number of $1,000 to $10,000 grants are now available for small Kirkland-based businesses behind on rent for the commercial properties they lease. To start the application process, businesses should go to www.kirklandwa.gov/business-help to complete and submit the intake form between October 5 – October 19, 2021. Program funds may only be used as a payment against a small business tenant’s past-due rent due to COVID-19 economic hardship experienced between March 1, 2020, to September 30, 2021. Note that the application process requires the cooperation of tenants and landlords, and payments will be made to the landlord.

“The pandemic has had a profound impact on many of our businesses, making it difficult for some to keep up with rent and stay in their current locations,” said Deputy Mayor Jay Arnold. “Our hope is that by passing federal relief funding directly to businesses and landlords that these businesses can get the foothold they need to thrive in our Kirkland community.”

For questions about the small business rent relief grant program, contact businesssupport@kirklandwa.gov  (425) 587-3266 or the City’s Business Response Team at (206) 686-3424.

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 167,209 new cases and 2,106 deaths nationwide. Tuesday’s update will include numbers from over the weekend.

CDC pulls holiday travel guidance from website

The Centers for Disease Control and Prevention (CDC) on Monday took down a page with holiday COVID-19 guidance, saying it was old information posted in error and that updated guidance would be coming soon, according to a report in The Hill.

The page, updated on Friday, gave a range of guidance on holiday gatherings, including that opening windows for indoor gatherings would improve ventilation and noting that virtual or outdoor gatherings are the safest option.

An agency spokesperson said the page “doesn’t reflect the CDC’s guidance ahead of this upcoming holiday season” and added that the agency “will share additional guidance soon.”

At home Covid-19 rapid test recalled due to excessive false positives

The Australian company, Ellume, recalled over 400,000 rapid test kits sold in the United States for an unacceptable level of false positives. The test kits were shipped from April to August, and currently, 200,000 kits remain unused.

In a statement on Ellume’s website, the company wrote, “we noted an increased chance that Ellume COVID-19 Home Tests from specific lots may provide an incorrect positive result. Following a thorough investigation, we isolated the cause and confirmed that this incidence of false positives is limited to specific lots.”

“We worked with the Food and Drug Administration (FDA) to voluntarily remove affected Ellume tests from the market. Importantly, the reliability of negative results is unaffected by this issue and are not included within this recall.”

In parallel, the FDA released a “Safety Communication” outlining the recall. People who have used one of the Ellume tests and believe they had a false reading are asked to report the incident to MedWatch.

Almost 99% of all Kaiser Permanente employees get vaccinated

Kaiser Permanente has placed more than 2,200 of its employees nationwide, who have refused to get vaccinated against COVID-19, on unpaid administrative leave.

The health care company announced its vaccine mandate on August 2, with a deadline of Sept. 30. It has more than 220,000 employees across the country, with suspensions impacting about 1% of its entire workforce.

Over 98% of Northwell Health employees get vaccinated

New York State’s largest private hospital system laid off 1,400 workers who wouldn’t get vaccinated against Covid-19, a spokesperson for the health care network confirmed Monday afternoon.

Hospital and nursing home workers were required to get at least one dose of the Covid-19 vaccine by September 27th, under a state mandate first announced in mid-August. Last week, Northwell said it started warning employees and planned layoffs, starting with the highest-paid workers who refused the shots.

The hospital system employed over 76,000 workers, with 98.2% getting vaccinated.

8,000 New York City Department of Education employees on unpaid leave

Almost 95% of New York City’s more than 148,000 Department of Education employees have received at least one dose of the Covid-19 vaccine. The vaccination rate among teachers exceeded 96%. City leaders reported they don’t anticipate staffing shortages for teachers, while other departments were hit harder.

Approximately 500 cafeteria workers have been put on unpaid leave. Employees on leave who get vaccinated after the deadline can return to work. Additionally, employees that volunteer to quit will be provided healthcare coverage by the city for a year.

Department of Justice addresses violent threats against school officials and teachers

Citing an increase in harassment, intimidation, and threats of violence against school board members, teachers, and workers in our nation’s public schools, today Attorney General Merrick B. Garland directed the FBI and U.S. Attorneys’ Offices to meet in the next 30 days with federal, state, Tribal, territorial and local law enforcement leaders to discuss strategies for addressing this disturbing trend. These sessions will open dedicated lines of communication for threat reporting, assessment, and response by law enforcement.   

“Threats against public servants are not only illegal, they run counter to our nation’s core values,” wrote Attorney General Garland. “Those who dedicate their time and energy to ensuring that our children receive a proper education in a safe environment deserve to be able to do their work without fear for their safety.”

According to the Attorney General’s memorandum, the Justice Department will launch a series of additional efforts in the coming days designed to address the rise in criminal conduct directed toward school personnel. Those efforts are expected to include the creation of a task force, consisting of representatives from the department’s Criminal Division, National Security Division, Civil Rights Division, the Executive Office for U.S. Attorneys, the FBI, the Community Relations Service, and the Office of Justice Programs, to determine how federal enforcement tools can be used to prosecute these crimes and ways to assist state, Tribal, territorial and local law enforcement where threats of violence may not constitute federal crimes.

The Justice Department will also create specialized training and guidance for local school boards and school administrators. This training will help school board members and other potential victims understand the type of behavior that constitutes threats, how to report threatening conduct to the appropriate law enforcement agencies, and how to capture and preserve evidence of threatening conduct to aid in the investigation and prosecution of these crimes.

As the anti-vaccination and medical freedom movement has gotten smaller, some elements within the movements have become increasingly radicalized. School board meetings have been disrupted nationwide, including the Lake Washington School District. In other communities, fights have broken out in meetings, board members have received death threats, stalked, doxxed, and had their homes vandalized.

Alaska

The mayor of Alaska’s largest city apologized Thursday for his comments supporting some residents’ use of Holocaust imagery to liken a proposed citywide mask mandate to the oppression of Jewish people in Nazi Germany, the Associated Press reported.

Anchorage Mayor Dave Bronson has said he staunchly opposes the proposal and initially defended the use of yellow Stars of David worn by other critics this week at heated public hearings. Such imagery has been used by opponents of mask and vaccine mandates across the U.S., drawing condemnation from the Anti-Defamation League and other Jewish organizations.

New cases in Alaska still lead the nation but have declined significantly from last week. The state is still operating under “crisis standards of care” with 194 Covid-19 patients statewide. Alaska has 122 staffed ICU beds statewide, with 19 available.

Hospitals in Anchorage, Bethel, and Valdez continue to be the most impacted by the ongoing surge.

Officials are also concerned by a rising test positivity rate, which is just below 10%.

Idaho

Editor’s Note: I must maintain objectivity. I must maintain objectivity. I must maintain objectivity. I must maintain objectivity.

While his state struggles to deliver medical services and deal with the mounting number of corpses, Idaho governor Brad Little departed the state to visit the U.S.-Mexico border. According to a report by KTVB, less than 24 hours after he left, Lt. Governor Janice McGeachin signed an executive order as acting governor banning vaccine passports or mandatory Covid-19 testing at K-12 schools and universities in Idaho.

In a tweet, McGeachin wrote that she “fixed” Little’s executive order on vaccine passports, which was initially issued in April, to include K-12 schools and universities.

Less than ten minutes after McGeachin announced her executive order, Little responded on Twitter, stating he did not authorize McGeachin to act on his behalf and “I will be rescinding and reversing any actions taken by the Lt. Governor when I return.”

McGeachin also tried to activate the National Guard to deploy Idaho troops, already assisting with the Covid-19 surge, to the Mexico border. According to The Independent, the commanding general of the Idaho National Guard told McGeachin she can’t activate troops to send to the U.S.-Mexico border.

Governor Little issues a terse statement late on Tuesday.

“Attempting to deploy our National Guard for political grandstanding is an affront to the Idaho constitution [sic] and insults the men and women who have dedicated their life to serving our state and the country.”

This isn’t the first time McGeachin has pulled this type of political stunt, as she postures herself as the candidate that Idaho deserves in the upcoming 2022 election.

If you’re wondering why McGeachin is blocking school testing, Kathryn Turner, deputy state epidemiologist, reported the state was allocating $4 million to 19 school districts to aid Covid-19 testing programs. McGeachin’s order, temporary or not, blocks that money.

As of October 2, Idaho had a record 15 pediatric patients fighting Covid-19.

Idaho added 1,835 new cases on Tuesday and reported 11 deaths. The number of hospital beds within the state has improved slightly, Health and Welfare Director Dave Jeppesen said on Tuesday. He added improving bed availability could be, in part, attributed to the high number of deaths recently.

In a briefing on Tuesday, Jeppesen reported 89.1% of all Covid-19 cases are among the unvaccinated, 90.3% of hospitalizations, and 88% of deaths. Officials said that despite the intervention of volunteers, the National Guard, federal resources, and FEMA strike teams, staffing levels remain at crisis standards of care levels.

“Due to COVID patient volume added to non-COVID urgent patient care, we have been forced to care for patients in repurposed clinical areas and a non-clinical space (a hospital gym),” Dr. Steven Nemerson of St. Luke’s Hospital told the Idaho Statesman in an e-mail. The system has been “using ratios of patients to health care team members exceeding contingency standards of care despite staffing resources received through the state of Idaho and FEMA (the Federal Emergency Management Agency).”

May the odds ever be in your favor.

Montana

While Alaska appears to have peaked and Idaho is on a plateau, Montana continues to deteriorate. According to the Billings Gazette, the state has 11,498 active cases, with 419 people hospitalized.

Despite activating the National Guard, asking for FEMA strike teams, and the Veteran’s Administration opening up a hospital to civilians, eight out of 10 large hospitals in the state reported having limited bed availability or nearing capacity. Likewise, eight out of 10 large hospitals reported having limited intensive care unit availability or nearing ICU capacity. 

New York

A video caught the men in Union Square flipping over a table next to a mobile coronavirus testing van, tearing down the tent erected next to it and tossing a chair, before police intervened to stop them permanently destroying any property, according to a report in The Independent.

Protesters at the rally shouted “boo” and “shame on you” at the staff member working at the Covid-19 testing site as they went past, followed by chants of “no vaccine mandate.”

Hundreds of Department of Education staffers were involved in the protest, following the coronavirus vaccine mandate that went into place on Monday.

Wyoming

On September 16, Republican lightning rod, state senator, Ivermectin enthusiast, and 2022 Congressional candidate Anthony Bouchard assembled a panel to discuss Covid-19 vaccine mandates at hospitals. The esteemed group of top experts included Ryne Paulson, D.D.S., Melissa Hieb D.O., Andrew McAfee M.D., and Dena L’Heureux M.D. All four spouted conspiracy theories and anti-vaccination rhetoric and claimed they would medicine if the state passed a vaccine mandate. All of this was political theater if any providers accept or work for an organization that receives federal dollars.

How well is that going?

The Wyoming Medical Center in Casper reported they admitted 17 Covid-19 patients – in 24 hours from Saturday to Sunday. Only one of the recently admitted patients is vaccinated. Wyoming added 627 new Covid-19 cases on Monday, in a state with 578,000 residents. If that pace holds, almost 1% of all Wyomingians will catch Covid-19 this week. Test positivity on Monday was over 18%, which is down from last week.

The state reported 45 new Covid-19 related deaths and breaching 1,000 total deaths since the pandemic started in 2020. Put another way, 1.7% of the entire population of Wyoming has died from Covid-19.

Like Alaska, Montana, and Idaho, hospitals are tipping over into “crisis standards of care.” Cody Regional Health and Memorial Hospital of Sweetwater County reported they continue to move from “contingency care” to “crisis standards of care” as the situation changes.

Rural hospitals in Wyoming, Montana, Idaho, and Alaska are dependent on larger hospitals in Washington, Oregon, Colorado, and Utah to take more challenging patients. Oregon and Washington barely avoided moving to crisis standards of care last month, while Colorado and Utah are dealing with their surges. With interstate transfers gridlocked, states like Wyoming, which only has 37 hospitals, have been forced to make do with their resources.

Misinformation

Taking the day off

DoH COVID data has been broken since August – local and national update for September 24, 2021

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

[KING COUNTY, Wash.] – (MTN) Worsening problems with data from the Washington State Department of Health is hobbling efforts to understand the current situation and forecast the future. In counties where 40% or more of the total population is vaccinated, the number of cases per 100,000 people is down. Hospitalizations are up among people under 35 and have declined for individuals over 49. There is very little else that can be said with certainty.

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

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

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

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

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

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

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

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


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 24, 2021

Washington state COVID update

Data continues to show improvement across Washington, particularly in most of the highly vaccinated counties. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, the 14 day moving average for new cases is 803.4 per 100K, statistically unchanged from yesterday. The Central Hospital Region, which represents King County, is 258.7, a slight drop from yesterday.

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

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

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

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11193.41.3
Ages 12-19201.41.5 (up)
Ages 20-34193.45.0 (up)
Ages 35-49196.89.9
Ages 50-64135.414.7 (down)
Ages 65-7997.621.7 (down)
Ages 80+94.933.3 (down)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker has not been updated since yesterday. The state of Washington is not reporting the percentage of positive cases.

COVID reports from the Washington Department of Health providing fewer details

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

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

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

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

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

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

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

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

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

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

Department of Health issues updated modeling and surveillance situation report

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

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

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

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

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

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

Eatonville Middle School moves to virtual learning due to COVID outbreak

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

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

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

Seattle reaches agreement with major public employee unions over vaccination mandates

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Editor’s comment: Nothing suspicious about that.

Anti-vaccination event flyer for Woodinville tomorrow

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

Travel Advisories

We recommend avoiding all travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

Thank you

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

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

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

Vaccination

No update

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

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

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

Malcontent News

Hospital Status

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

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

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

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

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

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

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

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

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

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

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

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

Back to School

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

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

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

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

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

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

Kirkland-Bellevue-Woodinville

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

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

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

National Round-Up

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

Alaska

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Idaho

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Montana

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

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

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

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

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

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

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

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

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

Oregon

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

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

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

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

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

Misinformation

Taking the day off

Growing optimism – local and national update for September 23, 2021

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

[KING COUNTY, Wash.] – (MTN) The latest numbers for Washington state were positive while our neighbors to the north and east continue to struggle. The number of new cases and hospitalizations remained stable, with little change from yesterday.

Governor Jay Inslee extended the eviction moratorium until October 23, as state, county, and local officials struggle to distribute funds.

More plaintiffs joined a lawsuit against Washington state, attempting to block the vaccine mandate for state employees, teachers, and healthcare workers.

Very little changed in area school districts, with minor adjustments for the number of quarantined students.

The CDC votes on booster shots for recipients of the Pfizer vaccine and recommends jabs for a narrow group of people.

Idaho and Alaska continue to operate under crisis standards of care, while Montana struggles to support overrun hospitals.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 23, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 23, 2021

Washington state COVID update

Data for new cases provided the best news Washington state has received in months. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, the 14 day moving average for new cases is 806.6 per 100K, statistically unchanged from yesterday. The Central Hospital Region, which represents King County, is 270.6, also statistically unchanged.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
50.00% or above (13 counties)479.2
40.00% to 49.99% (17 counties)694.2
28.10% to 39.99% (9 counties)761.6
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 22, Washington’s statewide 14-day rolling average is 456.0 COVID cases per 100K. Counties in the 1,000.0 to 1,399.9 range include Lincoln (1,285.1), Franklin (1,154.2) and Stevens (1,135.8). Counties in the 800.0 to 999.9 per 100K range include Adams, Asotin, Benton, Garfield, Grant, Grays Harbor, and Okanogan. Three counties, Chelan, Lewis, and Pend Oreille, are just under 800.0.

These numbers are a significant improvement from last week.

The rate of new cases and hospitalizations by age group was essentially unchanged.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1119791.4 (down)
Ages 12-19206.41.2
Ages 20-34192.34.6
Ages 35-49197.9 (up)10.2
Ages 50-64138.617.2
Ages 65-79102.423.8
Ages 80+102.236.2
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 58 deaths on Wednesday.

COVID outbreak at Colville skilled nursing and rehabilitation center

An outbreak of COVID that started on August 25 spread through a COVID skilled nursing facility, sickening 74, resulting in five deaths. The incident at Pinewood Terrace Nursing Center was reported by the Tri-County Health District. Four of the five people that died were unvaccinated.

Governor Inslee extends eviction moratorium

Governor Jay Inslee extended the statewide eviction moratorium until October 31, 2021. Federal, state, and local officials have struggled to distribute federal funds from the American Rescue Plan and additional funds from the CARES Act.

The extension was made to give Washington counties more time to distribute funds to renters, qualified mortgage holders, and landlords.

More plaintiffs join the lawsuit challenging Washington’s vaccine mandate for state employees and healthcare workers

Up to 500 more people joined a lawsuit filed on September 5 in Walla Walla, seeking to stop the Washington state vaccine mandate. The workers joining the case come from a cross-section of Washington, representing government employees at the state and local level, healthcare workers, and teachers.

The initial filing had 89 plaintiffs, and news reports indicate that count has swelled to around 600. KING 5 in Seattle reported on September 14, close to 4,800 employees were seeking exemptions, most on religious grounds. September 13 was the last day someone could file a request and not risk being fired if a decision was not made by the October 18 deadline.

Up to 120,000 workers are impacted by the state vaccine mandate between the requirement for certain state government organizations, educators, and healthcare workers. An exact number can only be estimated because some workers fall into multiple categories, such as healthcare workers in academia or school nurses.

William Cleary and his wife Sherra Rae have become the public face of the lawsuit. Mr. Cleary works for a very large King County fire department and is seeking a religious exemption. Ms. Cleary hasn’t disclosed where she works and is seeking a medical exemption because she is pregnant. Mr. Cleary claims 100 to 150 of his coworkers are ready to walk off the force in a department with more than 1,000 employees.

Other mandates for state workers, colleges, and healthcare providers have yet to show a dramatic number of people quitting. Yesterday, United Airlines reported more than 97% of its employees got vaccinated. Last month, Hawaii reported almost 99% of all state employees followed its vaccine mandate. In Texas, Methodist Health which employees 36,000 people, saw less than 200 quit their jobs.

Travel Advisories

We recommend avoiding all travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

Thank you

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

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

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

Vaccination

CDC advisory panel disagrees with FDA, votes to recommend boosters for more narrow group

An independent Centers for Disease Control and Prevention advisory panel voted to recommend seniors and other medically vulnerable Americans get a booster dose of Pfizer’s COVID vaccine six months after their second dose.

The vote now awaits final signoff from the CDC director. If that happens, booster shots would quickly become available at pharmacies, doctors’ offices, and other sites that provide the Pfizer vaccine.

The FDA and CDC rebuked the Biden Administration in separate votes, rejecting the broad booster shots President Joe Biden wanted. The CDC panel recommendation is more narrow than the FDA, which voted on September 17 to include people over 65, the immunocompromised, and employees such as healthcare workers who have high exposure to COVID.

In a unanimous vote, the CDC recommended boosters for people over 65 and the immunocompromised.

The booster shots are only available for people who received the Pfizer vaccine.

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

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 22.4% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 89.6% of capacity statewide, with 34.6% of ICU patients fighting COVID.

The 7-day rolling average hospital admission rate for new COVID patients is 157 a day. The Department of Health reported 1,605 COVID patients statewide on September 22 and 279 on ventilators. The data for the last two days was adjusted again.

  • Tuesday: 1,579 patients and 278 on ventilators
  • Wednesday: 1,604 patients and 290 on ventilators, a new record

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Bellevue (1)
– Eastgate (9)
– Enatai (32)
– Interlake (2)
– Lake Hills (13)
– Puesta del Sol (2)
– Wilburton (3)
None
Lake WashingtonYELLOW– Alcott Elementary (2*)
– Ella Baker Elementary (3*)
– Community School Elementary (7)
– Dickinson Elementary (2*)
– Eastlake High (1*)
– Einstein Elementary (1*)
– Evergreen Middle School (1*)
– Finn Hill Middle School (1*)
– Benjamin Franklin Elementary (2*)
– Robert Frost Elementary (9)
– Inglewood Middle School (3*)
– Juanita Elementary (2*)
– Juanita High School (1*)
– Kamiakin Middle School (4* – see below)
– Helen Keller Elementary (1*)
– Peter Kirk Elementary (2*)
– Kirkland Middle School (1*)
– Lake Washington High (1*)
– Lakeview Elementary (1*)
– Muir Elementary (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Redmond High School (1*)
– Rose Hill Elementary (1*)
– Rose Hill/Stella Schola Middle School (2*)
– Thoreau Elementary (4)
– Mark Twain Elementary (3*)

NorthshoreRED– Arrowhead Elementary (15)
– Canyon Creek Elementary (24)
– Canyon Park Middle School (8)
– Cottage Lake Elementary (16)
– Crystal Springs Elementary (56**)
– East Ridge Elementary (27)
– Fernwood Elementary (12**)
– Frank Love Elementary (27)
– Hollywood Hills Elementary (12)
– Inglemoor High School (7)
– Innovation Lab High School (9)
– Kenmore Elementary (16)
– Kenmore Middle School (41**)
– Kokanee Elementary (49)
– Leota Middle School (5)
– Lockwood Elementary (7)
– Maywood Hills Elementary (12**)
– North Creek High School (21**)
– Northshore Middle School (9**)
– Ruby Bridges Elementary (7)
– Secondary Academy for Success (9)
– Shelton View Elementary (19**)
– Skyview Middle School (73**)
– Sunrise Elementary (25)
– Timbercrest Middle School (27)
– Wellington Elementary (62)
– Westhill Elementary (6)
– Woodin Elementary (9)
– Woodinville High School (21)
– Woodmoor Elementary (21**)
– Bothell High School (11*/95)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

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

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

There was no significant change in status in the three school districts we track.

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

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 132,903 new cases and 2,785 deaths nationwide.

Alaska

Hospitals in Alaska continue to operate under crisis standards of care protocols, with the state reporting a record 1,330 new cases today. To put that in perspective, Alaska has less than half of the population of Idaho and reported an almost identical number of new cases today. Hospitalizations increased to 209, and the number of available ICU beds in the largest hospital in Anchorage had dwindled to seven.

Officials are planning to implement telework for most state employees

Idaho

Idaho also remains in crisis standards, with 1,345 new cases reported and just 15 ICU beds remaining statewide. ICU bed availability has improved since September 10, when the Gem State had 6 beds available.

With a peak in new cases forecasted to be more than a month away, morgues and funeral homes in Idaho are already struggling to deal with the number of corpses.

As a result, morticians are forced to find new ways to store bodies in — and sometimes outside — their facilities. At Bell Tower, owner Lance Cox said they’d converted a train car into an external refrigeration unit. The train car, which smells of diesel fuel and constantly produces considerable noise, can hold up to 56 bodies.

Ada County Chief Deputy Coroner Brett Harding said that in his 34-year career, he could only compare the number of deaths to two major events, from when he lived in Florida: the 2016 Pulse Nightclub shooting in Orlando and a 1996 ValuJet plane crash in the Everglades.

Some funeral homes are choosing to embalm bodies they wouldn’t normally embalm because embalmed bodies don’t need to be refrigerated.

Montana

Hospitals in Montana continue to struggle as multiple healthcare facilities teeter on moving to crisis standards of care. Officials reported 1,144 new COVID cases, with 407 hospitalized. There was scant information reported out of the state today.

Misinformation

Taking the day off

New COVID cases and hospitalizations plummet – local and national update for September 22, 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) Hospitalizations and new COVID cases in Washington declined sharply today. Hospitals remain very stressed, particularly in rural areas and Eastern and Southwest Washington. We have lifted a travel advisory today based on the new data.

Our neighbors to our north and east are watching things go from bad to worse as Alaska declares crisis standards of care statewide. In Montana, more hospital systems are warning they are running out of the capability to provide adequate hospital care to all.

In Clallam and Jefferson County, COVID is hitting nursing homes hard, and county leaders blame the unvaccinated.

Trevor Bedford, Ph.D., and an Associate Professor of Vaccine and Infectious Disease forecasted that COVID is here to stay in a seminar conducted last week. Secretary of Health Dr. Umair Shah sent a second request for federal assistance, escalating to the Secretary of Health and Human Services.

For those waiting until the last minute to get vaccinated before the October 18 deadline, the Johnson and Johnson vaccine is challenging to find, but that will improve shortly. On the subject of hard to find, it appears we’re moving to toilet paper shortage version 2.0. There’s an ivermectin joke there, but we will take a pass.

Snohomish County officials hint that a vaccine mandate will be coming for county workers. City officials in Kirkland announce residential rent, mortgage, and utility aid is available.

Nationally, the FDA has authorized the Pfizer booster shots for people over 65, with health issues, and who have significant exposure to COVID as part of their jobs. On the subject of vaccines, breakthrough cases represent less than 1% of all confirmed COVID cases in Washington state.

We’ve updated our green, yellow, red status for schools to reflect better the data we can and can’t get. Schools in all three districts we track reported new COVID cases or quarantines. The Northshore School District moves into the red, as Bothell High School now has 11 confirmed cases. Cincinnati Children’s Hospital releases a study on the impact of universal masking has in schools.

Nationally, Americans are drinking – a lot. Former National Security Advisor Michael Flynn advises his followers not to touch the salad dressing.

The narrative that the anti-vaccination movement is vast takes another blow today with reports from United Airlines, Duke Health, and Novant Health report that 97% to 99% of all employees are now vaccinated.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 22, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 22, 2021

Washington state COVID update

Data for new cases provided the best news Washington state has received in months. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, the 14 day moving average for new cases is 797.0 per 100K, a significant decrease. This is the first time the number has dropped under 800 since Yakima Valley Memorial Hospital warned they were on the brink of crisis standards of care. The Central Hospital Region, which represents King County, dropped to 267.5.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
50.00% or above (13 counties)484.0 (down)
40.00% to 49.99% (17 counties)700.7 (down)
28.10% to 39.99% (9 counties)757.7 (down)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 21, Washington’s statewide 14-day rolling average dropped to 457.7 COVID cases per 100K. Counties in the 1,000.0 to 1,399.9 range include Lincoln (1,339.4), Franklin (1,079.0) and Stevens (1,069.3). Counties in the 800.0 to 999.9 per 100K range include Adams, Asotin, Benton, Chelan, Douglas, Garfield, Grant, Grays Harbor, Lincoln, Lewis, and Okanogan.

King, Jefferson, and San Juan Counties continue to have the lowest number of new cases per 100K people.

There is one concern in the data. Washington state has paused reporting information on how many tests are coming back positive. A message was added to the Dashboard Data Notes.

“On September 15, 2021, DOH stopped updating all metrics on the Testing tab and the testing data displayed on the Demographics tab. This pause will remain in effect through October 31, 2021. During this time, DOH will work to increase its capacity to process the increased testing data volume received in the last few months.”

Declining total cases indicates that the percentages of positive tests are coming down. However, not having visibility into this data makes it impossible to predict long-term trends better.

The rate of new cases was down across every age group. Hospitalizations were down or flat for every age group except children birth to 11 years old. The increase in pediatric hospitalizations has leveled out.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11188.2 (down)1.6
Ages 12-19200.1 (down)1.2 (down)
Ages 20-34184.9 (down)4.6 (down)
Ages 35-49180.1 (down)10.7
Ages 50-64133.1 (down)17.5
Ages 65-7998.3 (down)23.0 (down)
Ages 80+98.2 (down)36.2 (up)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 44 deaths on Tuesday.

Professor at Fred Hutchinson Cancer Research Center predicts COVID is here to stay

In a virtual seminar, Associate Professor of Vaccine and Infectious Disease Division at Fred Hutchinson Cancer Research Center Trevor Bedford, Ph.D., predicted that COVID was here to stay. The seminar was held on September 14, and a video was made public on Monday. Dr. Bedford called his future perspectives “necessarily depressing.”

Associate professor Bedford’s research predicts that COVID will be a seasonal disease, much like the flu is today. The study showed that COVID is currently fivefold more adaptive than the common flu virus (H3N2). New variants of COVID would continue to evolve, but researchers believed this will slow down over time and become less potent.

Currently, COVID is tenfold more deadly than the flu. Based on current data and models, Mr. Bedford sees a future where 20% to 30% of Americans would be sickened with COVID-19 annually. Using the available information, the number of COVID-19 deaths could be reduced to 50,000 to 100,000 a year, using the same tools we use today to fight the flu.

Currently, the United States healthcare system is incapable of supporting the number of hospitalizations that would occur if the general expectations in the seminar become a reality.

Although Fred Hutchinson Cancer Research Center is world-renowned for leading-edge cancer treatment, the research center has released almost 20 papers on infectious disease since 2018. Many cancer treatments suppress the immune system, making patients more vulnerable to common diseases such as the flu.

VIDD Seminar at Fred Hutch on “SARS-CoV-2 evolutionary dynamics” recorded Sep 14, 2021

Governor Inslee and Secretary of Health Shah send second request for federal aid

After sending a request to Jeffrey Zients, the COVID-19 Response Coordinator, formally requesting “the deployment of Department of Defense medical personnel to assist with the current hospital crisis,” Governor Jay Inslee and Secretary of Health Dr. Umair Shah sent a second request to HHS Secretary Xavier Becerra.

The new letter has a more urgent tone than the one sent on Friday and indicates a growing concern in Olympia on the state’s ability to deliver medical care to its residents. Secretary Shah outlined the state’s existing efforts to date, adding, “the unprecedented increase in hospital admissions and occupancy rates has created extreme stress on hospitals, long term care facilities, and health case workers.”

“Fortunately, our hospitals in Washington have made a commitment to leverage all acute care hospital capacity in the state so that no one hospital alone must face implementing crisis standards of care.”

“Despite these efforts, we are very concerned this will simply not be enough to alleviate the stress on health care capacity and ensure health care is available for those who need it most in our state. Staff shortages in our healthcare system continue to make this a dire situation.”

Dr. Shah echoed Governor Inslee’s request for assistance from the federal government, including “Department of Defense resources.” This would be in addition to the 1,200 clinical and non-clinical workers previously requested to aid the state in an earlier request made to FEMA.

Johnson & Johnson vaccine supply is thin, but more doses are coming

For state employees, healthcare workers, and educators who are vaccine-hesitant or have decided to get the single dose Johnson & Johnson vaccine, some may have trouble getting the shot. In June, due to manufacturing problems, the federal government halted the distribution of the adenovector vector vaccine. Distribution restarted on September 10.

Currently, there are 84,082 doses available in Washington state, with another 59,700 on order. The extra doses are expected to be here before the October 4 deadline for workers to initiate getting vaccinated.

State officials believe there will be enough doses to cover the need. On September 10, the Washington Federation of State Employees ratified modifications to the state vaccine mandate. Over 80% of the nearly 47,000 state workers the union represents approved the measure.

Here we go again – where is the toilet paper

Issaquah, Washington-based Costco, warned customers that some essential household items such as toilet paper are in short supply. The company didn’t specify which products were experiencing a tight supply, but on August 16, it indicated that toilet paper was an issue. There have been anecdotal reports on social media of bare paper product shelves in Costco and Walmart stores.

Last month, Proctor and Gamble announced they were ramping up paper product production due to growing demand.

Editor’s Note: We know there is an ivermectin joke here, but we’ll take a pass.

Snohomish County leaders hint a vaccine mandate for county workers is coming

During the health briefing on Tuesday, Snohomish County Executive Dave Somers said, “Very soon we will be under a vaccination mandate for our organization.

“There’s a significant number of people who are saying they will not get vaccinated and would rather lose their jobs. So we are expecting to see some of that resistance,” said Executive Somers.

The latest data shows COVID cases have declined in Snohomish County, but the transmission rate is as high as ever.

According to the Health Officer, more than 2-thousand students in Kindergarten to 12th grade were quarantined the first two weeks of September.

Residential rent, mortgage, and utility relief available to Kirkland residents

The City of Kirkland is partnering with community-based agencies to provide immediate financial assistance to Kirkland residents struggling to pay for their rent, mortgage, and utilities due to the COVID-19 pandemic. Please review the following information to determine if you qualify and learn how to apply for assistance. 

Language and cultural navigators are available to help access the city’s relief programs. These programs are made possible with funds through the American Rescue Plan Act.

To be eligible, the applicant must have a home mailing address in the city of Kirkland, have experienced a COVID hardship since March 2020, and have a household income no higher than 100% of the King County median income in the last 60 days. Additional information can be found on the city of Kirkland website.

COVID cases in Clallam and Jefferson County nursing homes spread by the unvaccinated

Last week, Clallam and Jefferson Counties health officer Dr. Allison Berry said seven outbreaks had been reported at long-term care facilities, with the largest outbreak occurring at Sequim Health & Rehabilitation Center.

As of Friday, the 17th, there were over 60 cases there, and on Tuesday, a sign was posted on one of their doors indicating there were active COVID-19 cases inside.

“The primary driver of these long-term care facility outbreaks is unvaccinated staff and a shocking amount of COVID in the community,” Berry said, adding that the facilities were already stretched thin for staffing, and the delta variant has exacerbated the problem. She said most of the facilities have 50 percent or less of their staff fully inoculated. “When it runs through these facilities, all the unvaccinated folks get COVID. So now an already understaffed facility becomes a critically understaffed facility.”

Travel Advisories

We recommend avoiding all travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

We have lifted our travel advisory to Lincoln County.

Thank you

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

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

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

Vaccination

FDA panel authorizes COVID boosters for people over 65, immunocompromised, and healthcare workers

Today, the U.S. Food and Drug Administration amended the emergency use authorization (EUA) for the Pfizer-BioNTech COVID-19 Vaccine to allow for use of a single booster dose, to be administered at least six months after completion of the primary series.

Comirnaty was approved by the FDA on August 23 to prevent COVID-19 in individuals 16 years of age and older. On August 25, the FDA received a supplement from Pfizer Inc. seeking approval of a single booster dose for individuals 16 years of age and older. Last week, an FDA panel rejected the Biden Administration’s plan to provide boosters for all. Instead, they approved a more narrow scope that protects groups that are experiencing the most breakthrough cases.

Eligible individuals include people over 65 years old, individuals at high risk of severe COVID, and people who frequently work in places where exposure to COVID puts them at high risk.

“Today’s action demonstrates that science and the currently available data continue to guide the FDA’s decision-making for COVID-19 vaccines during this pandemic. After considering the totality of the available scientific evidence and the deliberations of our advisory committee of independent, external experts, the FDA amended the EUA for the Pfizer-BioNTech COVID-19 Vaccine to allow for a booster dose in certain populations such as health care workers, teachers, and daycare staff, grocery workers and those in homeless shelters or prisons, among others,” said Acting FDA Commissioner Janet Woodcock, M.D. “This pandemic is dynamic and evolving, with new data about vaccine safety and effectiveness becoming available every day. As we learn more about the safety and effectiveness of COVID-19 vaccines, including the use of a booster dose, we will continue to evaluate the rapidly changing science and keep the public informed.”

The booster shots are only available for people who received the Pfizer vaccine.

Breakthrough COVID cases represent less than 1% of all Washington state infections

According to a new report from the Washington State Department of Health, fewer than 1% of fully vaccinated people have experienced a breakthrough case of COVID.

Since the first Washingtonian became vaccinated on January 17 through September 11, there have been 36,919 breakthrough cases. Although only 12% of cases were asymptomatic, just 9% were hospitalized, and less than 1% died.

Over three-quarters of the breakthrough cases were among people ages 20 to 64.

The 331 people who died ranged in age from 34 to 103, with a median age of 79.5. Over a third, 117 people, were in long–term care facilities.

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

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 22.8% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 89.6% of capacity statewide, with 35.2% of ICU patients fighting COVID.

The 7-day rolling average hospital admission rate for new COVID patients is 166 a day. The Department of Health reported there were 1,540 COVID patients statewide on September 21 and 245 on ventilators. The data for yesterday was updated to 1,561 patients on Monday and 257 on ventilators. After a week of numbers hovering on what looked like a new plateau, all data indicates we are in a new decrease.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Bellevue (1)
– Eastgate (9)
– Enatai (32)
– Interlake (2)
– Lake Hills (13)
– Puesta del Sol (2)
– Wilburton (3)
None
Lake WashingtonYELLOW– Alcott Elementary (2*)
– Ella Baker Elementary (3*)
– Community School Elementary (7)
– Dickinson Elementary (2*)
– Eastlake High (1*)
– Einstein Elementary (1*)
– Evergreen Middle School (1*)
– Finn Hill Middle School (1*)
– Benjamin Franklin Elementary (2*)
– Robert Frost Elementary (9)
– Inglewood Middle School (3*)
– Juanita Elementary (2*)
– Juanita High School (1*)
– Kamiakin Middle School (4* – see below)
– Helen Keller Elementary (1*)
– Peter Kirk Elementary (2*)
– Kirkland Middle School (1*)
– Lake Washington High (1*)
– Lakeview Elementary (1*)
– Kirkland Middle School (37)
– Muir Elementary (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Redmond High School (1*)
– Rose Hill Elementary (1*)
– Rose Hill/Stella Schola Middle School (2*)
– Thoreau Elementary (4)
– Mark Twain Elementary (3*)

NorthshoreRED– Arrowhead Elementary (16)
– Canyon Creek Elementary (23)
– Canyon Park Middle School (6)
– Cottage Lake Elementary (14)
– Crystal Springs Elementary (58**)
– East Ridge Elementary (28)
– Fernwood Elementary (12**)
– Frank Love Elementary (24)
– Hollywood Hills Elementary (10)
– Inglemoor High School (7)
– Innovation Lab High School (9)
– Kenmore Elementary (17)
– Kenmore Middle School (42**)
– Kokanee Elementary (44)
– Leota Middle School (4)
– Lockwood Elementary (7)
– Maywood Hills Elementary (14**)
– North Creek High School (19**)
– Northshore Middle School (9**)
– Ruby Bridges Elementary (7)
– Secondary Academy for Success (9)
– Shelton View Elementary (18**)
– Skyview Middle School (76**)
– Sunrise Elementary (26)
– Timbercrest Middle School (28)
– Wellington Elementary (61)
– Westhill Elementary (6)
– Woodin Elementary (10)
– Woodinville High School (21)
– Woodmoor Elementary (19**)
– Bothell High School (11*/89)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

Today we are defining status red for a school district. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting a metric of any school with more than 10 active COVID cases reported, and we will move that school into the right column.

We have a parent-reported Lake Washington School District confirmed COVID case at Finn Hill Middle School. The Bellevue School District reported 9 students in quarantine at Eastgate. The district did not report a confirmed COVID case in the school, suggesting the exposure happened off school grounds.

Northshore School District now has 9 schools with 5 to 9 confirmed cases, while Bothell High School reported 11 today. The district started weekly student-wide testing on Monday.

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

Cincinnati Children’s Hospital releases study showing mask mandates lower COVID cases and quarantines

Dr. Katherine Auger, a pediatrician who cares for hospitalized children and associate chair of outcomes in the Cincinnati Children’s pediatrics department, recently examined COVID-19 caseloads in seven Cincinnati-area schools to learn whether universal masking makes a difference.

Auger’s study used data from seven school districts with a total of 64,500 students. Three districts require universal masking (including one that switched to full masking after a week of school), four require masking for kids in kindergarten through sixth grade but not for kids in grades seven through 12. Five of the districts also provided the data on quarantines.

After the 21 days of in-person learning, the data revealed:

  • COVID cases were 78% higher in schools without universal masking
  • The number of students being quarantined was 60% higher in schools without universal masking

Kirkland-Bellevue-Woodinville

No update

National Round-Up

In another sign that the national surge of Delta variant COVID cases is slowing down, the 7 day rolling average of COVID-related deaths increased to over 2,000 a day. This is the highest rate since March 1. Hospitalizations decreased to 91,500 after peaking at 103,000 at the beginning of September.

Americans are hitting the bottle

A new survey suggests that more than 18 months into the COVID-19 outbreak in the U.S., nearly 1 in 5 Americans is consuming an unhealthy amount of alcohol.

About 17% of respondents reported “heavy drinking” in the past 30 days, according to the survey conducted by analytics firm The Harris Poll and commissioned by Alkermes, an Ireland-based biopharmaceutical company.

The survey was conducted online from March 30 to April 7 among 6,006 U.S. adults ages 21 and older. Of those, 1,003 adults reported “heavy drinking.”

Former National Security Advisor Michael Flynn has a new conspiracy theory

Michael Flynn, the former National Security Adviser to the Trump administration, reported a new plot by the so-called “Deep State.” The vaccine is going to be put in American’s salad dressings.

“Somebody sent me a thing this morning where they’re talking about putting the vaccine in salad dressing,” said Flynn. “Have you seen this? I mean, it’s — and I’m thinking to myself, this is the Bizarro World, right? This is definitely the Bizarro World … these people are seriously thinking about how to impose their will on us in our society, and it has to stop.”

Yes, we know this seems like fake news, but we have receipts.

MICHAEL FLYNN REPORTING THAT THE COIVD VACCINE IS GOING TO BE ADDED TO SALAD DRESSINGS

Jesse Jackson released from residential care after breakthrough infection

The Rev. Jesse Jackson, 79, was released Wednesday from a Chicago facility a month after being hospitalized for a breakthrough COVID-19 infection. His wife Jacqueline, 77, was also infected but was not vaccinated. She required oxygen and a brief intensive care unit stay and was released this month.

The civil rights icon has severe Parkinson’s disease and other comorbidities.

United Airlines reports over 97% of employees got vaccinated

In what is becoming a common trend, United Airlines joined a growing list of businesses, hospitals, and colleges that mandated vaccinations and reached a high level of acceptance. With over 97% already vaccinated, employees still have another week left before they will face termination. The airline reported there was a small number of exception requests being evaluated.

The airline has more than 67,000 employees.

Mormon Church to require masks in temples

The Church of Jesus Christ of Latter-day Saints announced Wednesday that masks will be required inside temples to limit the spread of COVID-19.

Church leaders said in a statement that masks will be required temporarily to keep temples open. The message was the latest in a series of statements from church leaders encouraging masking and vaccination efforts against COVID-19.

Alaska

Today in Alaska, the sum of all fears was realized with Governor Mike Dunleavy announcing that all hospitals will be operating under crisis standards of care. Alaska joins Idaho as the only two states since the pandemic started to make a statewide emergency declaration.

A combination of short staffing and high numbers of COVID-19 patients is overwhelming medical facilities in Anchorage, Mat-Su, and Fairbanks. Rural hospitals say they struggle to transfer patients to urban centers for higher care. At least one patient died recently when a bed in Anchorage wasn’t available.

Officials announced that the Alaska Department of Health and Social Services enabled crisis standards of care Wednesday through a new addendum to the state’s existing COVID-19 public health order.

FEMA is sending 300 registered nurses and 100 certified nursing assistants to support struggling Alaska hospitals.

Alaska hospital administrations warned of a “catastrophe” back in July, which went ignored by government leaders.

The 7-day moving average for new cases set another record, 823 per 100,000 people – the highest in the United States.

Florida

Following Idaho’s lead, Governor Ron DeSantis appointed Dr. Joseph Ladapo as Florida’s next surgeon general.

Ladapo is a critic of mask-wearing, lockdowns, and vaccines, and his appointment comes as public health experts urge the state to take a more serious approach to the pandemic.

Hawaii

We have reported on the Aloha Freedom Coalition, an anti-vaccination group that has led protests in the Aloha State. Chris Wikoff, one of the founders, was hospitalized with COVID, and now he wants to end his association with the group.

“We were told the COVID virus was not that deadly. It was nothing more than a little flu. I can tell you it’s more than a little flu,” he said.

Wikoff and his wife both caught COVID. Her case was mild, but his required hospitalization at the peak of Hawaii’s surge. He was initially taken to Queen’s Medical Center West but had to be moved to another facility due to a lack of staffed beds.

“I was in a bed. I can’t move, I can’t breathe,” he recalled, about the experience. “I was afraid I was going to die.”

He was treated with Remdesivir and is now considering getting vaccinated because his doctor and family members ― some of whom are physicians ― are recommending it.

Wikoff said he asked the Aloha Freedom Coalition to remove his name as a member on its state business registration.

“I no longer want to participate. I want to mind my own business and isolate,” he said.

Idaho

Idaho remains in crisis standards as the number of hospitalized COVID patients surged 10% overnight, to 760, with 202 in intensive care. St Luke’s Hospitals reported almost 88% of all hospitalized COVID patients and 98% in the ICU are unvaccinated.

In Coeur d’Alene, pediatric doctors from across the panhandle talked about the growing number of hospitalized children.

“We recognize that children greatly benefit from in-person learning for so many reasons, but it needs to be done safely,” Dr. Vanessa Carroll, Pediatric Medical Director at Kootenai Health, said. 

They gave a resounding recommendation that schools begin universal masking, social distancing, and for anyone eligible to get vaccinated. 

Due to the delta variant, the children they are seeing come in with COVID-19 are sicker than in previous waves and, with children under the age of 12 unable to get vaccinated yet, they are more at risk to come in seriously ill.

Tanya Heidenreich, a psychiatric nurse practitioner at Kootenai Health, said that COVID-19 goes beyond physical illness. 

“These children are experiencing symptoms that are similar to trauma,” she said. “They get made fun of if they wear a mask, they get made fun of if they don’t wear a mask, They don’t know who to believe.”

Montana

In Big Sky Country, COVID hospitalizations also continue to grow, approaching 400 needing care. The hospital in the state capital of Helena continues to operate under crisis standards of care, with hospitals in Bozeman, Missoula, and Billings preparing to make the same decisions.

Today, officials at Barrett Hospital in Dillon warned that they were close to implementing crisis standards of care.

“When crisis standards of care are in effect, people who need medical care may get care that is different from what they expect. For example, patients admitted to the hospital may find that hospital beds are not available, or that needed equipment is not available. They may have to wait for a bed to open or be moved to another hospital in or out-of-state that has the resources they need.”

“Providers and health care facilities across Montana are currently experiencing limitations in their ability to provide the standard of care that we all wish to provide to our communities and normally expect to provide,” said Dr. Greg Moore, Chief Medical Officer. “This situation may persist for some time and is everchanging day-by-day, which has required Barrett Hospital & HealthCare to consider implementing crisis care standards to ensure the most equitable allocation of limited resources for patient care.”

“While the current increase in patient numbers is moving Barrett Hospital & HealthCare closer to having to implement crisis care standards, Barrett Hospital & HealthCare is diligently working to avoid having to do so.”

In Kalispell, Logan Health released data on the COVID patients under their care. The 288-bed facility has 42 COVID patients, with 9 in the ICU and 5 on ventilators. Of the 9 people in the ICU, only one is vaccinated.

Missouri

After multiple threats and incidents at Cox Medical Center in Springfield, hospital staff has been issued GPS-equipped panic buttons to summon security.

North Carolina

In another blow to the narrative that hospital personnel is leaving in large numbers due to vaccination mandates, Novant Health reported 99% of their employees followed the hospital system’s mandate.

All of Novant’s roughly 35,000 workers across North Carolina, South Carolina, and Georgia were required to receive at least one dose of a COVID-19 vaccine or obtain an approved medical or religious exemption by September 15. Across the three southern states, 375 have not been vaccinated or submitted an exemption request and face termination in five days. 

Duke Health, which employs more than 23,000 people in North Carolina, also had their deadline to get vaccinated pass. Officials reported over 98% of staff got vaccinated, increasing from 77% in July, and they are still compiling data.

Oregon

A school employee in Roseburg is on leave after showing up to work on Friday in Blackface protesting COVID restrictions.

Superintendent Joe Mack wrote in a statement, “I am horrified, angry and ashamed that this happened, as is nearly every other staff member. The students of color in Newberg deserve so much more. This goes against everything I and the vast majority of NSD staff believe and is unfathomably offensive. 

If we had the power to entirely eliminate deep-seated racism, we would in a heartbeat. But the painful truth is that clearly, racist behavior exists in our town, in our state, and our world—not just in the major and overt ways we’ve seen recently, but in subtle ways that affect people of color every single day. We must interrupt and respond; we must do better.

It is important to remember the terrible historical context of Blackface: how it has been used to misrepresent and demean Black communities and how much harm and pain it continues to cause. This behavior represents violence and evokes trauma; it is beyond unacceptable. 

It is also important to acknowledge that references to our nation’s horrific history of the slave trade, which were made in the recent social media incident, have devastating consequences to our students whom we love and serve. It, too, is beyond unacceptable.”

Misinformation

Taking the day off

Local and national COVID update for September 21, 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) Today’s data is mixed but supports the story that Washington state is in a pandemic of the unvaccinated. The gap between hospital districts widened again, and Lincoln County is now averaging more than 1,600 new cases per 100,000 people.

New cases are down for all age groups, while hospitalizations increased and the number of patients on ventilators set a new record.

Seattle Mayor Jenny Durkan extended the eviction moratorium to January 15, 2022. Supporters of 20 Redmond firefighters were planning to “swarm” the city council meeting tonight. A Mill Creek coffee shop is being harassed after requiring proof of vaccination for entry. Governor Jay Inslee calls out Idaho Governor Brad Little for “clogging up my hospitals.”

Johnson and Johnson issues a statement that the Phase 3 trial for booster shots was favorable, but we’re still months away from additional guidance.

Things improved dramatically in the Bellevue School District, while Kamiakin Middle School in the Lake Washington School District can’t catch a break. The Northshore School District adds an eighth school with more than 5 active COVID cases, however, the number of new cases detected has dropped dramatically.

Someone thought it would be amusing to paint swastikas at St Luke’s Hospital in McCall, Idaho. In Montana, the health officer of Sanders County was forced to resign for writing letters to the editor of local papers encouraging vaccination. Alaska has the highest rate of growth for new COVID cases in the United States.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 21, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 21, 2021

Washington state COVID update

Today is the first day the 14-day moving average for new cases does not include data from Labor Day weekend. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, new cases are 862.5 per 100K, and the Central Hospital Region, which represents King County, the rate is 295.7.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
50.00% or above (13 counties)518.0
40.00% to 49.99% (17 counties)774.2 (up)
28.10% to 39.99% (9 counties)836.1 (up)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

The biggest change now that Labor Day Weekend is out of the data was among the 40% to 49.99% vaccinated counties. Although the least vaccinated counties also increased, the jump was smaller. Overall, we would label this as good news.

Through September 20, Washington’s statewide 14-day rolling average was 493.6 COVID cases per 100K, which is statistically unchanged from Monday. Lincoln County reported 1,601.8 new cases per 100K – we’re out of words in the thesaurus. Counties in the 1,000.0 to 1,399.9 range include Grays Harbor (1,023.8) Franklin (1,161.6) and Stevens (1,183.8). Counties in the 800.0 to 999.9 per 100K range include Adams, Asotin, Benton, Chelan, Clallam, Douglas, Garfield, Grant, Lewis, Okanogan, Pend Oreille, and Yakima. It is worth noting that Adams, Grant, and Okanogan Counties are at 975.0 or above, just under the 1,000 threshold. Additionally, Walla Walla County is at 783.0, just under the 800 threshold.

King, Jefferson, and San Juan Counties had the lowest number of new cases per 100K people.

The Johns Hopkins Washington State Overview is not reporting accurate data. If 83% of COVID tests are coming back positive in Washington state, it’s been great knowing you (hint – they’re not). Without clear insight into how many tests are coming back positive, it is harder to understand ongoing trends.

The rate of new cases was down across every age group. Hospitalizations were down or flat for every age group except children birth to 11 years old. The increase in pediatric hospitalizations is slowing down, which is good news. As a footnote, the 103.6 per 100K new cases for ages 65 to 79 and ages 80 and over is not a typographical error.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11208.3 (down)1.5 (up)
Ages 12-19227.4 (down)2.0
Ages 20-34210.3 (down)5.1 (down)
Ages 35-49196.3 (down)10.5 (down)
Ages 50-64146.2 (down)18.1 (down)
Ages 65-79103.6 (down)24.0
Ages 80+103.6 (down)33.3 (down)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 70 deaths on Monday. The Monday report includes the weekend, so this should not be viewed as a single-day total.

Seattle Mayor Jenny Durkan extends eviction moratorium until next year

Embattled Seattle Mayor Jenny Durkan announced the city is extending the eviction and utility shutoff moratorium to January 15, 2022. The extension applies to residential and commercial evictions. The American Rescue Plan Act, signed by former President Donald Trump, and the CARES Act signed by President Joe Biden in March, earmarked billions in funds for individuals, businesses, and landlords nationwide.

As reported by the Seattle Times, 60,000 Seattle area renters are behind on rent. Since June, the City has distributed more than $15 million of the first allocation of the American Rescue Plan rent relief to tenants and landlords.

The executive order continues tenant protections prohibiting landlords from issuing notices of termination or otherwise initiating eviction actions with the courts unless there is an imminent threat to the health and safety of the community. Late fees, interest, or other charges due to late payment of rent during the moratorium are not allowed. However, tenants are still legally obligated to pay rent during the moratorium, and landlords are encouraged to offer flexible payment plans.

The moratorium on eviction of nonprofit and small business commercial tenant applies to independently-owned businesses with 50 employees or fewer per establishment, state nonprofits, and 501(c)3) nonprofits. The extension also prevents eligible small businesses and nonprofits from incurring late fees, interest, or other charges due to late payment during the moratorium.

Redmond firefighters and supporters plan to “swarm” city council meeting tonight

Tension is building in Redmond, where the supporters of up to 20 firefighters who have requested religious exemptions plan to “swarm” the city council meeting tonight. Family members and firefighters who filed for exemptions now believe they won’t be granted.

“For us to even contemplate to fire any of these heroes, shame on us,” said firefighter mother Sknge Alsin. “We should keep every job intact.”

Alsin’s daughter Kayleight is married to a firefighter. Her husband joined the department after spending 10 years as a Redmond cop. 

Redmond has 164 full-time firefighters, according to the report by FOX Q13 in Seattle. The National Testing Network, Job Information page for the Redmond Fire Department indicates that all firefighters with the city must be trained as emergency medical technicians.

“The City of Redmond Fire Department has more than 165 dedicated employees providing fire and life safety services to the City of Redmond and King County Fire District 34.  Line personnel work a 48/96 schedule (two days on and four days off), and all Firefighters are trained as Emergency Medical Technicians (EMT).”

In Washington state, EMTs are considered healthcare providers and are required to have a variety of vaccinations. This includes Hepatitis B, Varicella (chickenpox), MMR, and the seasonal flu vaccine. For individuals challenging the COVID vaccine mandate for deeply held religious beliefs against abortion, acceptance of the existing vaccine requirements likely invalidates their exemption request.

A common objection among those seeking a religious exemption is the use of cloned human embryonic kidney cells (HEK-293) in the research, testing, development, or production of the COVID vaccines. The mRNA vaccines used HEK-293 in the testing and development, and the inert adenovirus vaccination by Johnson & Johnson uses the cells in production. The challenge those seeking an exemption face is the vaccines for Hepatitis B, Varicella, and Rubella (part of the MMR) also used HEK-293 cells.

Additionally, only a handful of religions reject vaccination as a tenet of faith. The leadership of Islam, Judaism, as well as the Pope and the President of the Mormon Church, have advised their adherents to get vaccinated. In the United States, some local bishops have bucked the Vatican.

Mill Creek coffee shop harassed by anti-vaccination activists

Savvanah Jackson created Mixed Coffee in Mill Creek to create a space with the BIPOC community while sharing Black and Ecuadorian culture with her customers. The business announced they would require proof of vaccination to dine inside the business. After announcing the requirement, her staff has suffered harassment from people defying the policy.

In a video posted on Instagram, Ms. Jackson pleaded for people to be rational and civil.

“I’m tired of seeing my employees stand at the register and watch them get screamed at. It’s not okay, and it’s not okay to just be so hateful towards other people.”

“Please don’t come in here and disrupt and scream at my employees for doing their job.”

At the beginning of the COVID pandemic, Ms. Jackson’s grandmother became ill with COVID. After a 93 day battle, she ended her fight.

Full disclosure – malcontent news covered the grand opening of mixed coffee on June 19. 2021 – no promotional consideration was made or given for our June coverage or this story – we will say, “get the guava and cheese turnovers”

Governor Jay Inslee calls on Idaho to ‘take some commonsense measures’

Governor Inslee called out Idaho leadership about not doing enough to control the ongoing surge of COVID cases in the Gem State. On an appearance on MSNBC, the governor claimed that the patients from Idaho are “clogging up my hospitals.”

“Today in my state, Washington citizens in many cases cannot get heart surgery, cannot get cancer surgery that they need, because we are having to take too many people of unvaccinated nature and unmasked, many of whom come from Idaho, and that’s just maddening frankly,” Inslee said. “So we are calling for Idaho and the leaders there to lead and take some commonsense measures. I’m disappointed the governor of Idaho has spent more time trying to reduce protection by reducing vaccine usage instead of concentrating on this, and then clogging up my hospitals.”

Travel Advisories

We recommend avoiding all travel to Spokane, Lincoln, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with Alaska, Idaho, and Montana. Hospital resources in these regions, except Lincoln County, are so constrained that you may receive inadequate care if you experience a medical emergency.

We recommend avoiding travel to Lincoln County because the number of new cases per 100K residents exceeds 1,500.

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

Johnson & Johnson reports on booster shot effectiveness

Johnson & Johnson reported that a booster shot of the Johnson & Johnson COVID vaccine provides 94% protection against getting coronavirus in the United States. This would rival the effectiveness of the Moderna vaccine, according to the CDC MMWR study released on September 10.

“Our large real-world evidence and Phase 3 studies confirm that the single-shot Johnson & Johnson vaccine provides strong and long-lasting protection against COVID-19-related hospitalizations. Additionally, our Phase 3 trial data further confirm protection against COVID-19-related death,” said Mathai Mammen, M.D., Ph.D., Global Head, Janssen Research & Development, Johnson & Johnson. “Our single-shot vaccine generates strong immune responses and long-lasting immune memory. And, when a booster of the Johnson & Johnson COVID-19 vaccine is given, the strength of protection against COVID-19 further increases.”

Johnson & Johnson reported that Phase 3 testing of its booster shots was a randomized, double-blind, placebo-controlled clinical trial designed to evaluate the safety and efficacy of a two-dose vaccine regimen, given at a 56-day interval, versus placebo in adults 18 years old and older with and without comorbidities associated with an increased risk for severe COVID-19.

The press release did not provide insight into how large the study was or if testing was done in other countries. It also did not indicate if the study was done before, during the rise of, or after the Delta variant became the dominant strain.

The company indicated that full data would be submitted for publication “in the coming months.”

If you’re among the 15 million Americans with the Johnson & Johnson vaccine wondering what’s next, you’re going to have to wait longer.

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

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 21.2% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 90.4% of capacity statewide, with 35.0% of ICU patients fighting COVID.

The 7-day rolling average hospital admission rate for new COVID patients is 165 a day, a significant drop in recent hospitalizations. The Department of Health reported there were 1,604 COVID patients statewide on September 20 and 290 on ventilators. That is an increase of 25 patients and a new record for Washingtonians requiring ventilators.

MultiCare Deaconess Hospital in Spokane reported on the psychological toll the constant cases and death is having on staff.

On Friday, one nurse was caring for three patients. ICU charge nurse Kimberly Davisson is trying to give these nurses support in the form of an on-call “extender” staff member, who can run to get supplies, administer medicine or help flip a patient over.

“I went to a rapid response on the COVID floor, and the nurse was really struggling with what was happening with her patient, and she said, ‘This is my last week, I can’t do it anymore,'” Davisson recalled.

Back to School

School DistrictStatusQuarantinesClosures
BellevueYELLOW– Bellevue (1)
– Enatai (32)
– Interlake (2)
– Lake Hills (13)
– Puesta del Sol (2)
– Wilburton (3)
None
Lake WashingtonYELLOW– Alcott Elementary (2*)
– Ella Baker Elementary (3*)
– Community School Elementary (7)
– Dickinson Elementary (2*)
– Eastlake High (1*)
– Einstein Elementary (1*)
– Evergreen Middle School (1*)
– Benjamin Franklin Elementary (2*)
– Robert Frost Elementary (9)
– Inglewood Middle School (3*)
– Juanita Elementary (2*)
– Juanita High School (1*)
– Kamiakin Middle School (4* – see below)
– Helen Keller Elementary (1*)
– Peter Kirk Elementary (2*)
– Kirkland Middle School (1*)
– Lake Washington High (1*)
– Lakeview Elementary (1*)
– Kirkland Middle School (37)
– Muir Elementary (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Redmond High School (1*)
– Rose Hill Elementary (1*)
– Rose Hill/Stella Schola Middle School (2*)
– Thoreau Elementary (4)
– Mark Twain Elementary (3*)

NorthshoreYELLOW– Arrowhead Elementary (16)
– Bothell High School (72**)
– Canyon Creek Elementary (25)
– Canyon Park Middle School (5)
– Cottage Lake Elementary (14)
– Crystal Springs Elementary 38)
– East Ridge Elementary (29)
– Fernwood Elementary (12**)
– Frank Love Elementary (24)
– Hollywood Hills Elementary (10)
– Inglemoor High School (5)
– Innovation Lab High School (8)
– Kenmore Elementary (17)
– Kenmore Middle School (37**)
– Kokanee Elementary (39)
– Leota Middle School (3)
– Lockwood Elementary (7)
– Maywood Hills Elementary (12)
– North Creek High School (18**)
– Northshore Middle School (8**)
– Ruby Bridges Elementary (7)
– Secondary Academy for Success (9)
– Shelton View Elementary (17**)
– Skyview Middle School (79**)
– Sunrise Elementary (29)
– Timbercrest Middle School (28)
– Wellington Elementary (58)
– Westhill Elementary (6)
– Woodin Elementary (9)
– Woodinville High School (21)
– Woodmoor Elementary (20**)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

We have a new Lake Washington School District confirmed COVID case at Kamiakin Middle School, resulting in 5 students quarantining. On Monday, the district reported there were 3 confirmed cases, so we have increased the number to 4. The district has not shared how many students are in quarantine, so we have removed the number.

The Bellevue School District reported that COVID cases and quarantines at multiple schools cleared. The district currently has 6 schools with confirmed COVID cases and or students in quarantine.

Northshore School District added another school reporting 5 or more confirmed COVID cases, bringing the total to 8. The district has 323 students and faculty in quarantine and 14 new positive cases in the last week, which is a significant decrease in new cases. There are 9 confirmed cases at Bothell High School, 7 among staff members.

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

Kirkland-Bellevue-Woodinville

No update

National Round-Up

In a sad sign that the national surge of the Delta variant may be coming to an end, the daily average of COVID-related deaths increased to over 1,900 a day. The last time the rate was this high was in March 2021, as the Alpha variant reached its conclusion.

“There is a very real risk you’ll end up in the hospital or even in the obituary pages,” Dr. Bruce Vanderhoff, chief medical officer for the Ohio Department of Health, said to the unvaccinated. “Don’t become a statistic when there is a simple, safe, and effective alternative to go out today and get vaccinated.”

Many low-vaccination communities also have high rates of conditions like obesity and diabetes, said Dr. William Moss of Johns Hopkins. And that combination — along with the more contagious delta variant — has proved lethal.

Johns Hopkins University Cumulative Case Tracker is reporting 201,648 new cases and 2,302 deaths nationwide. This number would include data from over the weekend.

The United States government cut a deal to buy over $1 billion worth of rapid test kits from Abbott Laboratories and Cellitrion, Inc. The Biden Administration also agreed to a smaller deal with Quidel Corp, OraSure Technologies, and Intrivo.

Demand for rapid tests exploded after the reopenings of K-12 schools and an earlier mandate by the White House that will require most U.S. federal employees to either get vaccinated or receive weekly tests.

Alaska

The situation in Alaska remains dire, with the state seeing the highest growth rate for new cases in the United States. Statewide, 16 ICU beds were available Tuesday morning, 12 in Anchorage. The 7-day rolling average for new COVID cases statewide grew to 801 per 100K on Tuesday, with 2,054 new confirmed cases over the weekend. The number of hospitalized COVID patients did drop to 196, with 74 on ventilators.

Idaho

Idaho remains in crisis standards of care statewide and added 1,829 new confirmed COVID cases over the weekend with 36 deaths. The state was caring for 686 COVID patients with 180 in intensive care. During the wave that struck in early 2021, Idaho set a record of 496 COVID patients and 122 in intensive care. Since the first case arrived in Idaho, 11,800 healthcare workers in the state have been infected with COVID.

Governor Brad Little released $10 million in funding to address the growing needs in Idaho hospitals, primary and urgent care clinics and skilled nursing facilities due to the recent surge in COVID-19 patients needing care. The governor wants to expand the number of monoclonal antibody clinics in the state. Still, Idaho is experiencing a shortage of the drug, as are many other states in the country.

After being criticized by Washington Governor Jay Inslee, Governor Little fired back.

“Governor Inslee blames Idaho, yet Spokane County and the surrounding area on his side of the border continue to be hot spots for virus activity with the lowest vaccination rates in the entire State of Washington, despite Governor Inslee issuing vaccine mandates and mask mandates,” Little said.

The Idaho Department of Health and Welfare continues to predict that Idaho will be seeing 30,000 new COVID cases a week by mid-October. If that is true, the hospitalization peak won’t come until early November, with deaths peaking around Thanksgiving.

Idaho Health and Welfare Director Dave Jeppsen shared that his mother had a stroke on the same day statewide crisis standards of care were implemented.

“Things were different in the E.R.,” Jeppesen said. “There were other patients receiving care in the waiting room. My mom fell when she had her stroke and there was a concern that she had broken bones. The X-rays were done in a non-traditional X-ray area with a longer wait than usual. Fortunately, she did not break any bones. Normally a person in her condition would be held overnight for observation. Because of crisis standards of care, after she was stable, she was discharged later the same day from the E.R.”

The St. Maries School District in Idaho had to move to virtual instruction with 20% to 30% of its staff out sick and 30% of the students. The district hopes to return to in-person instruction in mid-October.

According to her brother, Daryl Rise, Natalie Rise had worked as a registered nurse and home healthcare worker who advocated against vaccination died of COVID.

Daryl Rise told the news outlet that his sister didn’t think there had been studies conducted on the vaccines. He said she told her family not to get vaccinated, even as her mother was lying in a coma.

“I think it was from misinformation. I think it was falling into negative social media and bloggers, YouTubers,” Rise told CNN. Rise’s mother is hospitalized with COVID and in a coma.

Rise got vaccinated the day after his sister died.

“It was the hardest decision of my life, you know, am I doing right by God? Am I doing right by Natalie?” he told CNN. “And I got it out of fear.”

Finally, city officials in McCall, Idaho, expressed outrage after someone spray-painted swastikas on several signs and monuments at St. Luke’s Hospital. The rural acute care hospital has 15 beds usually but has added 13 more to support the ongoing COVID surge.

“Our community and its families are touched daily by the good deeds and care from our friends and colleagues at St. Luke’s McCall,” the city’s statement said. “Now more than ever, they need our support and respect. This hateful act is unacceptable, and our McCall Police Department is actively pursuing it.”

Primary Health CEO Dr. David Peterman also issued a statement on the incident.

“St. Luke’s has been on the forefront of providing care for thousands of patients during this crucial time, and their dedication to our community has been unparalleled,” Peterman said. “That anyone would vandalize their facility with a symbol as shameful and repugnant as a swastika is awful. We need to reject and we need to loudly say it’s wrong. There’s no place for such hate in our society.”

Montana

Governor Greg Gianforte authorized the deployment of 70 more National Guard troops to assist flailing hospitals in Montana. According to the governor’s office, the Guard members will support staffing with non-medical ICU assistance, environmental services, patient data entry, and COVID testing.

The situation at Billings Clinic continues to deteriorate with the ICU at 160% capacity. To handle the overflow, nurses elsewhere provide care beyond their training as COVID patients fill other parts of the hospital. In the lobby of the emergency department, rooms roughly 6 feet by 6 feet have been fashioned with makeshift plastic walls. The hospital announced on Friday that if the situation did not improve, they would need to move to crisis standards of care.

Missoula Mayor John Engle advocated for the residents of the city to get vaccinated.

“A vaccine in your arm will do a great deal to protect you and family friends and community. Our hopes of normalcy all rely on individuals taking responsibility for their actions,” Engen said.

Multiple city council members expressed support for Engen’s statement.

Students attending Montana State University in Bozeman expressed outrage at the college implementing a mask mandate.

“The university, the president asked students to participate in wearing masks voluntarily as a matter of personal responsibility,” said MSU Vice President of Communications, Tracy Ellig. “Two days after the start of the semester, we saw complete disregard for that request to voluntarily participate, and so we have gone to a mask requirement.”

Health Officer Nick Lawyer was forced to resign in rural Sanders County after the County Commissioners asked for his resignation. Commissioner Carol Brooker said Monday that one issue with Lawyer was that he used his title as county health officer to submit a letter to the editor to several regional newspapers urging people to get the COVID-19 vaccine and explain why the vaccine is safe and effective. However, he did not clear the letter with the county Board of Health first, Brooker said.

His resignation came two days after Gerald “Frenchy” Cuvillier called Lawyer a “petty tyrant” and said Lawyer’s “rules of protocol just cost my wife her life.”

Cuvillier complained his wife was not given ivermectin, hydroxychloroquine, or monoclonal antibodies. If she had, “she would be alive and well today,” Cuvillier said.

Montana reported 1,181 new COVID cases today.

Oregon

Close to half of Oregon’s state employees remain unvaccinated and were given a six-week extension to get vaccinated. This was after an agreement was negotiated by the SEIU 503, which represents about 24,000 state employees. The deal is very similar to the one union employees negotiated in Washington state.

Justin McWhirter did an excellent analysis on Oregon’s hospitalization and fatality data for the current surge to illustrate how this is a pandemic of the unvaccinated. We recommend giving it a read.

Misinformation

Taking the day off

Exclusive: Tight monoclonal antibody supply hobbles state rollout – Local and national COVID update

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.

Editor’s Note: An earlier version of this story reported Medical Lake School District had 290 positive COVID cases, based on a news report from KREM Channel 2 Spokane/Coeur d’Alene, owned by Tenga, Inc. KREM updated and corrected the story on the evening of September 20. We have updated our story to reflect the change.

[KING COUNTY, Wash.] – (MTN) A lot of data was released today that provided a mixed bag of news. In an exclusive story, plans to expand access to monoclonal antibodies in Washington have been hobbled due to tight national supply. The drugs are effective for some people as an early intervention to lessen the severity of COVID symptoms.

The number of new cases was unchanged over the weekend, while hospitalizations decreased about 7% in a week. ICUs remain more than 90% occupied statewide and the number of COVID-related deaths is part of the reason for the decline in total patients.

There were new COVID cases reported in all three school districts, with Bothell High School dealing with 9 confirmed cases between students and staff. The Northshore School District started COVID testing of all students, using a technique called “pool batch testing.”

If you think those numbers are concerning, Medical Lake School District in Eastern Washington with 1,979 students and staff, reported 60 confirmed COVID cases since school started 3 weeks ago. In contrast, the Bellevue School District with more than 20,000 students has reported 37 confirmed cases since August 27.

Governor Inslee formally requested military assistance from the federal government to prop up exhausted staff at Washington hospitals.

At Lumen Field, 68,500 Seahawks fans gathered to watch the Hawks lose their home opener in overtime. It also appeared that most fans decided that they didn’t need masks. We’ll see how that plays out in a couple of weeks.

New vaccination numbers show a positive trend statewide. We also unlock what demographic is keeping the vaccination rate so low in the northern half of Kirkland. Pfizer has formally applied for emergency use authorization of its vaccine for 5 to 11-year-olds after completing Phase 2 and 3 testing in multiple countries.

Alaska, Idaho, and Montana continue to struggle while the latest data out of Oregon indicates the worst is over. In another part of America, one of the last places on Earth where COVID had never been detected ran out of luck.

In misinformation, we address a dangerous rumor that Idaho is operating under a universal DNR rule. (hint – it’s not)

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 20, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 20, 2021

Washington state COVID update

The number of new cases has settled at a lower level from two weeks ago but remains unsustainably high. but. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, new cases are 833.4 per 100K, a decrease from Friday. In the Central Hospital Region, which represents King County, the rate is 295.1, statistically unchanged from Friday.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
50.00% or above (13 counties)521.1 (up)
40.00% to 49.99% (17 counties)753.6
28.10% to 39.99% (9 counties)806.4 (up)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 19, Washington’s statewide 14-day rolling average was 489.8 COVID cases per 100K, which is statistically unchanged from Friday. Lincoln County reported an eye-popping 1,502.3 new cases per 100K. Counties in the 1,000.0 to 1,399.9 range include Franklin (1,135.8) and Stevens (1,197.7). Counties in the 800.0 to 999.9 per 100K range include Adams, Asotin, Benton, Chelan, Clallam, Douglas, Garfield, Grant, Grays Harbor, Lewis, Okanogan, Pend Oreille, and Yakima. It is worth noting that Okanogan County is at 994.7, just under the 1,000 threshold. We will see the impact that Labor Day had on the 14-day average, as many test sites were closed on the holiday Monday.

The Johns Hopkins Washington State Overview is reporting alarming positivity rates. Positivity for the last 30-day rolling average is reported at 15.09% and the 7-day rolling average 24.16%. We do not believe these numbers accurately represent the test positivity rate and are a statistical anomaly.

Pediatric and adolescent cases increased again, with all school districts across the state back to in-person classes. Hospitalizations are up again for children birth to 11 while dropping for adolescents 12 to 19 years old. The highest rate of new cases is among people under 50 years old.

Hospitalizations were mixed with ages birth to 11 increasing, 12 to 19 years old increasing, and 20 years old indicating slight decreases for people 35 to 64 years old and a significant decrease among people over 80. There is a dark reality hidden in what looks like good news, which we cover in the hospital status section.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11230.0 (up)1.2 (up)
Ages 12-19267.0 (up)2.1 (down)
Ages 20-34240.4 (up)6.5
Ages 35-49220.510.5 (down)
Ages 50-64167.218.1 (down)
Ages 65-79114.924.0
Ages 80+118.5 (down)33.3 (down)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker had not been updated when we went to press.

Governor Inslee formally requests federal assistance to support Washington hospitals

Governor Jay Inslee (WA-D) sent a letter on Friday to Jeffrey Zients, the COVID-19 Response Coordinator, formally requesting “the deployment of Department of Defense medical personnel to assist with the current hospital crisis.” Oregon and Idaho made similar requests, with federal teams arriving in Oregon during the August peak, and arriving in the Idaho Panhandle two weeks ago.

“Once the Delta variant hit Washington state, COVID-19 hospitalizations skyrocketed. From mid-July to late August, we saw hospitalizations double about every two weeks. The hospitals have surged to increase staffed beds and stretch staff and have canceled most non-urgent procedures, but are still overcapacity across the state.

“For these reasons, I have directed state agencies to request assistance from the federal government to provide Washington State with medical staff resources to help meet staffing needs in hospitals and in long-term care facilities. To date, the Washington State Department of Health has requested 1,200 clinical and non-clinical staff through the General Services Administration contracting process offered through FEMA.

“I am further requesting the deployment of Department of Defense medical personnel to assist with the current hospital crisis. In announcing the COVID-19 Action Plan, the President indicated that more clinical teams would be available. That assistance will be of significant value in Washington state.

“While there are hopeful signs that the current wave of infection is peaking, and some states are beginning to see declines, we have not yet seen that effect here. Washington State has historically lagged the country in previous COVID-19 waves, and the same pattern is playing out with the enormous impact we are seeing from the Delta variant.”

Last week, the state asked for 1,200 clinical and non-clinical staffers from FEMA to support hospitals and long-term care facilities. Last week in a press conference with the Washington State Hospital Association, hospitals leaders indicated they had already requested National Guard resources. According to the state officials, Washington National Guard members are already deployed supporting COVID response, flood, and climate-related disasters in the other part of the country.

EXCLUSIVE: Washington state won’t open public monoclonal antibody pop-up clinic

The Washington State Department of Health won’t be opening public clinics for appointment-based or walk-up monoclonal antibody treatments. WSDoH spokesperson Charlie Boisner told Malcontent News, “Washington is not looking to establish pop-up clinics, like other states have adopted, as a method to administer mAb treatments.”

Monoclonal antibodies are lab-engineered immune system proteins developed using similar processes as the FDA-approved mRNA Pfizer vaccine. For COVID-positive patients with mild symptoms and who don’t require supplemental oxygen, the therapy has shown to be highly effective in triggering a strong immune response. However, for those who have been symptomatic for more than a week with worsening symptoms, the therapy is not recommended.

In several southern states, pop-up clinics were opened in libraries, schools, and other government buildings. In early September, Washington State Secretary of Health Dr. Umair Shah stated the state was looking to expand access to the early intervention treatment. Mr. Boisner indicated the state was continuing on that course. “We are focused on engaging with partners at the local level, with either the appropriate infrastructure in place or interest in establishing this infrastructure, to facilitate these treatments.”

In Florida, over 40,000 people were given monoclonal antibodies, and it is credited with preventing 10,000 hospitalizations. The success of the program came at a heavy price for emerging hotspots in the Mid-Atlantic, Appalachia, Montana, and the Pacific Northwest. In six weeks from mid-July to the end of August, seven Southern states went through over 70% of the national supply.

On Monday, Health and Human Services Assistant Secretary for Preparedness and Response announced the federal government would no longer allow hospitals and other health clinics to directly order the medication.

“The rapid increase in demand for monoclonal antibodies has significantly constrained supply. To assure an equitable distribution of what has now become a limited resource, the federal government has reverted to the method it used from November 2020 through February 2021 for allocating monoclonal antibodies,” the undersecretary said.

To provide a more equitable allocation, distribution will be based on the number of COVID-positive patients and hospital capacity. National requests for September and early October currently outstrip the remaining supply. On Thursday Regeneron, the maker of Regen-COV, announced the Biden Administration contracted the company to produce 1.4 million new doses, more than doubling the existing order.

“Given this reality, we must work to ensure our supply of these life-saving therapies remains available for all states and territories, not just some,” a Health and Human Services spokesperson said.

We asked Mr. Boisner about the supply issue and how this would impact Washington. “While we are anticipated to experience an impact to our supply of mAb products, we are not able to increase our allocation requests at this time. While this change has presented a challenge to navigate, we will work through the process and develop a system that allows for effective and equitable distribution of mAb treatments.”

Washington State Department of Health considering adding new tests sites in Spokane

The Spokane Regional Health District requested two new COVID tests sites and the Washington State Department of Health is considered two locations. Officials recommended locating the new centers at Spokane Community College and Spokane Falls Community College.

Staffing is the biggest challenge to opening the sites.

“When we get to this level all of our systems get stretched,” said Lacy Fehrenbach, Deputy secretary of COVID-19 response. “We’re all facing staff shortages and the people that administer tests are similar people and types of health care professionals that administer vaccines and they’re the same folks that work in our hospitals and clinics across the state.”

Washington children who lost father to COVID say Fox News host Tucker Carlson ‘played a roll’ in his death

The daughter of an unvaccinated man who died of COVID-19 told CNN’s “New Day” on Monday she believes Fox News host Tucker Carlson and misinformation “played a role” in her father’s vaccine hesitancy.

“He wasn’t by any means far-right. He was right in the middle, and he consumed media from both sides, and just some of the misinformation on one of those sides made him hesitant,” Katie Lane said. “He was going to wait for FDA approval, but by the time that Pfizer had been approved, it was already too late.”

Katie said that her father said he “wished he was vaccinated” during his final call with his wife.

“His final words to my step-mom on a Facetime call was that he wished that he was vaccinated,” she said.

Carlson, a right-wing commentator and the country’s most-watched cable news host, has for months spread false and misleading information about the COVID-19 vaccines and has refused to reveal whether he’s been vaccinated.

60 students, staff and family members test positive for COVID in Medical Lake School District

KREM in Spokane initially reported that almost 300 students, staff, and family members in the Medical Lake School District had tested positive for COVID over a 3 week period.

KREM Correction and updated story on September 20, 2021

Medical Lake School District serves located on the outskirts of Spokane, has 1,749 students and 230 staff. Over the weekend the district posted a message from School Superintendent Tim Ames, revealing 60 students, staff, and family members had tested positive for COVID since the start of school, 3 weeks earlier. Ames wrote that most of the cases were in the district’s high school.

“In the first three weeks of school, we have tested approximately 290 people including staff and students. This has put a constraint on our supply of testing kits and we are waiting for more to arrive within a few days.  However, this has unfortunately limited our ability to test all who request it.  If you have the opportunity to test your symptomatic student through an outside provider that would be greatly appreciated and beneficial to you getting the results sooner than later.”

The message from Mr. Ames didn’t indicate how many students were in quarantine. Last week the district moved to virtual education for a day. No explanation was provided on why the decision was made. According to the KREM article, the cases started among members of the high school football team.

When compared to the Bellevue School District, the 60 confirmed cases in a district with less than 1,750 students is alarming. Since August 27, the district in Bellevue has reported 37 confirmed cases, while supporting more than 20,000 students.

Seahawks overtime loss at Lumen Field witnessed by 68,500 mostly maskless fans

Social media and the rights and freedom community erupted on the airways and on social media, during the Seahawks home opener loss to the Tennessee Titans. For some, the discussion was over a blown 15 point lead but for others, it was the spectacle of mostly maskless fans despite the state mandate.

There has been no comment on the situation by the Seahawks, the NFL, Mayor Jenny Durkan, King County Executive Dow Constantine, or state officials. Fans 12 and older were required to show proof of vaccination or a negative PCR test to attend the game. Prior to game time, long lines formed to enter the park.

Editor’s Comment: Let’s hope that the percentage of fake vaccinations cards and tests results were low.

Travel Advisories

We recommend avoiding all travel to Spokane, Lincoln, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with Alaska, Idaho, and Montana. Hospital resources in these regions, except Lincoln County, are so constrained that you may receive inadequate care if you experience a medical emergency.

We recommend avoiding travel to Lincoln County because the number of new cases per 100K residents exceeds 1,500.

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

Number of vaccinated Washington state residents increases

The Washington State Department of Health released updated vaccination numbers for the state and its 39 counties. On Monday, 75.8% of all residents 12 and over have received at least one dose, and 68.9% were fully vaccinated.

Every county showed an increase in vaccination rates, with several Eastern and Southwest Washington counties making significant gains. In San Juan County, 72.9% of residents are fully vaccinated, the highest in the state. Stevens County was in last place with 28.1% fully vaccinated.

The two counties have a stark difference in the number of new COVID cases. San Juan County was 57.7 cases per 100K people on Monday, the lowest state. Stevens County was 1,197.7 the second highest in the state.

Pfizer to apply for EUA FDA approval of vaccine for 5 to 11 year olds

Pfizer Inc. announced the results from a Phase 2/3 trial of the Pfizer-BioNTech COVID-19 vaccine indicating it was safe and effective in children 5 to 11 years of age. The company has applied for Emergency Use Authorization (EUA) with the Food and Drug Administration.

“Over the past nine months, hundreds of millions of people ages 12 and older from around the world have received our COVID-19 vaccine. We are eager to extend the protection afforded by the vaccine to this younger population, subject to regulatory authorization, especially as we track the spread of the Delta variant and the substantial threat it poses to children,” said Albert Bourla, Chairman and Chief Executive Officer, Pfizer. “Since July, pediatric cases of COVID-19 have risen by about 240 percent in the U.S. – underscoring the public health need for vaccination. These trial results provide a strong foundation for seeking authorization of our vaccine for children 5 to 11 years old, and we plan to submit them to the FDA and other regulators with urgency.”

The Phase 1/2/3 trial initially enrolled up to 4,500 children ages 6 months to 11 years of age in the United States, Finland, Poland, and Spain from more than 90 clinical trial sites. Children in the study were given two low doses 21 days apart. The dose

The Pfizer site states, “emergency use of the product has not been approved or licensed by FDA, but has been authorized by FDA under an Emergency Use Authorization (EUA) to prevent Coronavirus Disease 2019 (COVID-19) for use in individuals 12 years of age and older.”

It seems likely this will be used to spread a fresh round of vaccine misinformation. The FDA-approved Pfizer vaccine, called Comirnaty, is FDA authorized for individuals 16 years of age and older. The Pfizer-BioNTech COVID-19 vaccine and Comimaty are the same formulations and currently is EUA approved for use in 12 to 15-year-olds.

There is speculation that the FDA could authorization the EUA by the end of October, but no timetable has been provided.

Does vaccination make a difference?

The Washington State Hospital Association Coronavirus Tracker provides some insight on the effectiveness of vaccines among all patients in Washington Hospitals. Currently, King County is the third most vaccinated county, and on average, 1 of every 772,000 residents is dying due to COVID. Benton County is 44.6% vaccinated, and 1 of every 11,632 are dying due to COVID daily.

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

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 21.3% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 90.8% of capacity statewide, with 36.0% of ICU patients fighting COVID. The total number of hospital patients declined over the weekend.

The 7-day rolling average hospital admission rate for new COVID patients is 174 a day. The Department of Health reported there were 1,578 COVID patients statewide on September 19 and 277 on ventilators. That is a 6% drop in the last 7 days but it isn’t all good news.

During a COVID wave, new cases rise first, followed by hospitalizations, and finally deaths. The Washington Hospital Association reported that on Sunday, 30 patients died due to COVID-related illness. Between most hospitals suspending almost all elective surgeries and the increased number of deaths, hospital capacity is improving.

EvergreenHealth released its weekly update today, reporting 38 COVID patients under care in Kirkland, one less than a week ago. The hospital reported 76% of all patients and 75% of ICU patients were unvaccinated with 5 on ventilators. Of the 8 vaccinated patients, 75% were more than 60 years old. Data has shown that a vast majority of breakthrough cases are among people over 70 who have multiple health issues.

EvergeeenHealth Kirkland patient update for Monday, September 20, 2021

All eyes are on Eastern Washington hospitals with neighboring Idaho still operating under crisis standards of care.

Providence Chief Medical Officer Dr. Dan Getz said things are continuing to worsen inside Eastern Washington hospitals as they continue to care for a surge in patients that have halted non-emergency surgeries and stretched their staff to a breaking point.

“Although we’re not practicing crisis standards of care on this side of the state, we still feel like we’re in crisis,” Dr. Getz said.

Hospitals in Spokane are caring for 221 COVID patients, almost unchanged from last week.

Back to School

School DistrictStatusQuarantinesClosures
BellevueYELLOW– Bellevue (4)
– Chinook (1)
– Enatai (32)
– Highland (3)
– Interlake (2)
– Newport (3)
– Newport Heights (19)
– Puesta del Sol (2)
– Sherwood Forest (11)
– Spiritridge Elementary (23)
– Stevenson Elementary (2)
– Tillicum (8)
– Willburton (3)
None
Lake WashingtonYELLOW– Alcott Elementary (2*)
– Ella Baker Elementary (3*)
– Community School Elementary (7)
– Dickinson Elementary (2*)
– Eastlake High (1*)
– Einstein Elementary (1*)
– Evergreen Middle School (1*)
– Benjamin Franklin Elementary (2*)
– Robert Frost Elementary (9)
– Inglewood Middle School (3*)
– Juanita Elementary (2*)
– Juanita High School (1*)
– Kamiakin Middle School (3*)
– Helen Keller Elementary (1*)
– Peter Kirk Elementary (2*)
– Kirkland Middle School (1*)
– Lake Washington High (1*)
– Lakeview Elementary (1*)
– Kirkland Middle School (37)
– Muir Elementary (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Redmond High School (1*)
– Rose Hill Elementary (1*)
– Rose Hill/Stella Schola Middle School (2*)
– Thoreau Elementary (4)
– Mark Twain Elementary (3*)

NorthshoreYELLOW– Arrowhead Elementary (12)
– Bothell High School (62**)
– Canyon Creek Elementary (19)
– Canyon Park Middle School (5)
– Cottage Lake Elementary (12)
– Crystal Springs Elementary 31)
– East Ridge Elementary (25)
– Fernwood Elementary (10**)
– Frank Love Elementary (24)
– Hollywood Hills Elementary (10)
– Inglemoor High School (5)
– Innovation Lab High School (6)
– Kenmore Elementary (17)
– Kenmore Middle School (38**)
– Kokanee Elementary (29)
– Leota Middle School (3)
– Maywood Hills Elementary (13)
– North Creek High School (16**)
– Northshore Middle School (9**)
– Ruby Bridges Elementary (6)
– Secondary Academy for Success (9)
– Shelton View Elementary (17**)
– Skyview Middle School (78)
– Sunrise Elementary (27)
– Timbercrest Middle School (23)
– Westhill Elementary (6)
– Westhill Elementary (6)
– Wellington Elementary (52)
– Woodin Elementary (10)
– Woodinville High School (21)
– Woodmoor Elementary (20**)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

Seven more schools in the Lake Washington School District reported active-COVID cases over the weekend. Parents were notified this morning that 7 students at Community School Elementary had a COVID exposure, which happened outside of the school district.

One school in the Bellevue School District reported 3 new confirmed cases among students and faculty. The district does not report the number of quarantines.

Northshore School District now has 7 schools reporting 5 or more confirmed COVID cases. The district has 333 students and faculty in quarantine and 30 new positive cases in the last week – 18 students and 15 staff members. There are 9 confirmed cases at Bothell High School, 7 among staff members.

The Northshore School District started doing “pool batch testing” among all students on Monday. Testing will be conducted weekly at each of our school buildings over the course of three days. Students in grades K-12 will be tested.

The tests are self-administered by each student and adult in the classroom, while a trained teacher or a school-based COVID supervisor observes. Instead of the “long swab” that goes in the back of the nose, this test is a short, small swab. This type of testing provides privacy for each individual. If further confirmatory testing is required, every individual’s privacy will be protected throughout the process, including during contact tracing.

Families can opt out of the process by completing an online form.

King County COVID vaccination rates – at least one dose ages 12 to 19 – by zip code as of September 20, 2021

Vaccination rates among adolescents 12 to 19 years old decrease significantly in an east-west line that intersects Juanita Bay of Lake Washington. In Kirkland, the vaccination rate among the age group who have received at least one dose is 90.7%, compared to 98034, with a rate of only 65.7%.

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

Kirkland-Bellevue-Woodinville

King County Public Health updated the vaccination rates by zip code, with the numbers improving throughout the region. The northern half of Kirkland continues to lag behind the rest of the local area. Vaccination rates dropped from the last update because the county is now using the population and demographic data from 2020. Previous reports used the 2019 census estimate.

King County COVID vaccination rates – at least one dose all ages – by zip code as of September 20, 2021
Zip CodePercent vaccinated, at least one dose, 12 and older
9815592.3%
9802889.0%
9801185.5%
9803484.2%
9803391.9%
9807291.6%
9805294.5%
98004>95.0%
9803993.3%
9800594.0%
9800788.5%
Vaccination rates for those 12 and older by zip code – at least one dose

National Round-Up

The United States reached another grim milestone as the number of total COVID deaths broke the record set by the 1918 Flu tonight. While hospitalizations nationwide dropped below 100,000 with the surges ending in Florida and Texas, the number of people dying continues to climb. The CDC reported on Friday the 7-day moving average rose to 1,448 people dying of COVID a day, a 17.4% increase from last week. Total hospitalizations dropped 5.7% to just over 97,000.

Johns Hopkins University Cumulative Case Tracker is reporting 36,794 new cases and 291 deaths nationwide. Very few states provide data 7 days a week. Monday numbers are always artificially low. Tracking the moving average is a better way to understand national trends.

The Biden Administration announced the United States will accept vaccinated air travelers from 33 countries, including China, beginning in November. The decision, announced by White House coronavirus response coordinator Jeff Zients, marked an abrupt shift for President Joe Biden’s administration, which said last week it was not the right time to lift any restrictions amid rising COVID-19 cases.

Vaccinated travelers will be accepted from most European countries including France, Germany, Italy, Spain, and Greece. Additionally travelers from Britain, Ireland, South Africa, China, India, Brazil, and Iran. Officials also announced that non-essential travel to Canada and Mexico will remain blocked at least until October 21.

Alaska

The situation in Alaska remains dire, with the state seeing the third-highest rate of growth for new cases in the United States. Statewide 16 ICU beds were available Monday morning, a slight improvement from last week. The results aren’t from a reduction in patients, but due to crisis standards of care deferring all but emergency surgeries. The 7-day rolling average for new COVID cases grew to 780 per 100K on Monday, with 2,054 new confirmed cases over the weekend.

America Samoa

The small United States territory in the middle of the Pacific Ocean was one of the only places on Earth that had not been touched by COVID. Over the weekend, that changed. Commercial air travel was suspended to the island in March 2020 and wasn’t restored until last week. On Saturday, the first commercial flight flew out of Honolulu with 260 onboard. When the plane landed, a vaccinated passenger, who started to become symptomatic during the flight, tested positive for COVID.

The person, who has not been identified, had been visiting the U.S. mainland, before traveling to Hawaii. Everyone was required to have a COVID test before the flight, with all passengers and crew testing negative.

The COVID-positive person was moved to quarantine at a facility in Pago Pago and for now, doesn’t require hospitalization. The other 259 people on the plane were moved to a quarantine location where they will need to stay for 10 days to be tested and monitored.

On Sunday, 3 more people tested positive.

Idaho

Idaho remains in crisis standards of care statewide and added 2,302 new confirmed COVID cases over the weekend with 36 deaths. To put this in perspective, Washington has 427% more people than Idaho and reported a similar number of deaths. The fatality numbers do not include non-COVID patients that died from deferred treatment or people who died in their homes.

A message left on an Eastern Idaho hospital’s whiteboard by Dr. Kenneth Krell, Director of the hospital’s ICU, went viral over the weekend.

Montana

State officials in Montana are scrambling to prevent falling into the same trap that Idaho is in. Three large hospitals in Bozeman, Billings, and Helena are operating under crisis standards of care or are preparing to. Hospitals in Missoula remained very stressed as new COVID cases exploded across the vast state.

Governor Greg Gianforte’s office is in discussions to ask the Department of Veterans Affairs to accept otherwise ineligible patients at its facilities.

Gianforte, along with the state Department of Public Health and Human Services and Disaster and Emergency Services, “initiated discussions” with the VA and the federal Assistant Secretary for Preparedness and Response over the weekend, DPHHS spokesperson Jon Ebelt said in an email Monday.

States can request to send patients to a VA hospital by submitting a formal request to the Federal Emergency Management Agency.

Oregon

The worst appears to be over in Oregon, as new cases, hospitalizations, and deaths all declined last week.

“During Monday, Sept. 6, through Sunday, Sept. 12, 2021, OHA recorded 12,997 new cases of COVID-19 infection – an 11% decrease from the previous week,” the Oregon Health Authority said in a news release.

The state recorded 281 new infections per 100,000 people during that week. Baker County, in eastern Oregon, experienced the highest rate of infections at 686 new infections per 100,000 people; the county population is little more than 16,000 people.

OHA noted 79% of statewide cases were classified as “sporadic,” meaning it could not trace them back easily to an event that’s likely to blame for the COVID-19 exposure. This contrasts with what OHA calls “clusters” or “outbreaks” that would be considered vectors for other infections. The high number of untraceable cases has been the norm throughout 2021 in Oregon, but the percentage has increased steadily since January.

Misinformation

There is rampant misinformation that Idaho is operating under a universal do not resuscitate order. This is not true. The false claims are coming from a section within the state’s crisis standards of care plan. In situations where a hospital can no longer support mechanical ventilation of ICU patients, the guidance recommends that no attempt at resuscitation be made if the patient goes into cardiac arrest.

“Adult patients hospitalized during a public health emergency, when crisis standards of care have been declared (and a hospital is using the mechanical ventilation allocation framework due to demand for ventilators exceeding supply), should receive aggressive interventions; however, they should receive NO attempts at resuscitation (compressions, shocks or intubation if not yet intubated) in the event of cardiac arrest. The likelihood of survival after a cardiac arrest is extremely low for adult patients. As well, resuscitation poses significant risk to healthcare workers due to aerosolization of body fluids and uses large quantities of scarce resources such as staff time, personal protective equipment, and lifesaving medications, with minimal opportunity for benefit. This universal DNR order does not apply to pediatric patients; however, pediatric patients requiring a ventilator after resuscitation would enter the ventilator triage protocol after resuscitation, just like other patients needing ventilator access.”

UPDATE: Pediatric patient dies at Seattle Children’s – local and national COVID update for August 31, 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) There is stronger evidence that cases are plateauing at a very high level in Washington state, while hospitalizations, the number of people in the ICU, and patients on respirators increase. School started from a number of districts across Washington today, and most districts start tomorrow in Western Washington.

On the national front, hospitalizations are approaching January 2021 levels, while the recent FDA approval of the Pfizer vaccine for people 16 and older is moving the needle on vaccine hesitancy. The quest to find home remedies for COVID has taken a dark turn, with some people turning to a herbicide as a preventive. The state of New Jersey cracked down on an Instagram influencer who was selling fake vaccination cards, as well as some of her customers with a litany of felony charges.

This update uses the latest data from the Washington State Department of Health released on August 31, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for August 31, 2021

Washington state COVID update

We cannot provide insight into the epidemiological curve for new cases compared to last week because the data today is through August 19, 2021. Starting tomorrow, we can go back to discussing the daily trend.

Through August 19, the statewide 14 day rolling average for Washington declined to 500.7 COVID cases per 100K. Columbia (1,170.8 per 100K) and Franklin (1,079.0 per 100K) are reporting an extreme number of new cases. Asotin, Benton, Chelan, Cowlitz, Douglas, Grant, and Lincoln are not far behind. Among the counties with the highest new case rates, almost all were flat or declined for the first time in at least three weeks.

The Washington State Department of Health reports a data backlog for test positivity, with the published number 14 days old. According to Johns Hopkins University Medicine, the positivity rate for the last 30 days is 13.52%, and over the previous 7 days, 13.22%. These numbers indicate continued widespread community transmission driven by the unvaccinated and under testing of the population. The fastest-growing age group for positive remains 20 to 34-year-olds.

The 7-day Case Rate for children ages birth to 11 is 24.7 per 100K and for children, 12 to 19 it is 20.8 per 100K.

The USA Today COVID Tracker reported 27 COVID-related deaths in Washington on Monday.

BREAKING: Seattle Children’s Hospital reports first patient death due to COVID

Hospital officials reported the first death of a pediatric patient due to COVID, which occurred last week. No other information, citing privacy laws, was issued on the age and gender of the child.

“The people we are seeing in the hospital are typically people who are unvaccinated, either teens who are not vaccinated or younger people who are not eligible to be vaccinated,” said Dr. John McGuire. “We are clearly in a fifth wave here in Washington. And commensurate with that, we are seeing an increase in the number of kids needing hospitalization and needing intensive care.”

Washington State Fair announces COVID safety protocols day after state hospital officals call for its cancelation

Public health officials in Pierce County announced a series of safety protocols for the Washington State Fair scheduled to run from September 3 to 26, in Puyallup.

“As a condition of opening, Dr. Anthony L-T Chen, Director of Health at Tacoma-Pierce County Health Department, will issue a health order that requires masks be worn at all times at the Fair, indoors and outdoors, regardless of vaccination status,” a news release said. “With COVID-19 cases and hospitalizations at an all-time high in Pierce County, this will help prevent and limit the spread of the virus.”

The fair will have masks available and will not be checking vaccination cards or doing screenings. State Fair CEO Kent Hojem made it clear that mask wear will not be optional. As additional precautions, officials will:

  • Employees will be tested for COVID prior and during events
  • The number of rides has been cut by 10% to provide more space for social distancing
  • The number of vendors has been cut by 25%
  • Extra handwashing and sanitizing stations will be available

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

Increasing vaccination numbers locally, statewide, and nationally indicate that the number of people who are hesitant to get vaccinated continues to decline. The latest Axios-Ipsos Coronavius Index showed only 14% of Americans now say they will never get a COVID vaccination, the lowest level since the data has been tracked. Just 1 in 5 Americans expressing they won’t or are not likely to get the vaccine.

The number of parents who now say they will vaccinate their children has grown to 68%, and 70% of Americans support mask mandates in school.

Vaccination rates in the United States have almost doubled since July, to 900,000 vaccinations given a day, including 14 million residents nationwide who got their first shot in August.

Full FDA approval, significant problems with school reopening, and the grim toll that the Delta variant is taking on the nation is attributed with driving the shifting opinions.

King County, Washington is reporting over 83% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over.

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 17.7% of all acute care patients hospitalized in Washington have COVID. This beats the old record of 17% set yesterday. ICUs are at 88.4% of capacity statewide with 33.5% of ICU patients with COVID.

The new hospital admission rate for COVID patients is 177 per day, also a new record. On August 30, there were 1,465 patients hospitalized with COVID and 241 on ventilators. This is a significant increase from yesterday when the state reported 182 patients on ventilators.

Data for pediatric patients for acute care and PICU is not available.

Several hospitals reported they were adding tents as triage space for patients to provide better social distancing and isolation as emergency departments burst at the seams. Virginia Mason Franciscan Health, which operates St. Joseph Medical Center in Tacoma, St. Anthony Hospital in Gig Harbor, St. Clare Hospital in Lakewood and St. Elizabeth Hospital in Enumclaw have or will be adding tents outside of their entrances. This is in addition to MultiCare facilities in Tacoma and Puyallup.

Back to School

School DistrictStatusQuarantinesClosures
BellevueGREENNoneNone
Lake WashingtonGREENNoneNone
NorthshoreGREENNoneNone
Local School Districts Scorecard

First day of school for area districts:

  • Lake Washington School District – September 1
  • Bellevue School District – September 1, 1st through 12th, September 3, kindergarten
  • Northshore School District – September 1, 1st through 12th, September 1 or September 2 for kindergarten on a staggered start

The Lake Washington School District is reporting 1,500 students have moved to remote learning after opening up registration again in mid-August. The Bellevue School District is accepting applications for remote learning through midnight tonight as demand surges across the Puget Sound region.

The next board meeting for the Lake Washington School District is September 13, 2021, at 7:00 PM and will be remote only.

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulitaive Case Tracker had not been updated at press time. The United States held steady with 101,000 hospitalized with COVID, equal to last week.

Mask usage is increasing in the United States with 69% of residents reporting they are wearing a mask at some or all of the time outside of the home. Fifty-four percent of American businesses are requiring masks, and almost 20% have some form of vaccination or testing mandate in place.

The Biden Administration is working with oxygen suppliers, home health agencies, trade groups, and hospital systems as facilities in Florida, South Carolina, Texas, and Louisiana are reporting oxygen shortages.

Under normal conditions, a hospital would have a 3 to 5 days supply of oxygen onsite, and the tanks would be refilled once or twice a week. In the hardest-hit areas, hospitals are dropping to a 12 to 24 hour supply, and only getting enough to last 2 or 3 days at each refill.

During the January 2021 peak, the industrial use of oxygen in restaurants, welding, and manufacturing was curtailed due to national shutdowns. Suppliers are being hit with a perfect storm of record medical grade and industrial demand, a trucking shortage, and state officials refusing to make emergency declarations.

After the story broke and started to spread, Amazon added a notice to searches for “ivermectin for humans” and “ivermectin covid.”

Big tech is pushing Ivermectin unchecked across their platforms

CNBC reported today that Amazon is directing users to the anti-parasitic drug Ivermectin for animals. The Amazon search algorithm was displaying results for ivermectin after typing just “iv” into the search box, including ivermectin for horses, ivermectin paste, ivermectin pills, and ivermectin injectable.

User reviews made references to dosing information for “horse families” and false claims of being a cure for COVID (there is no cure, for COVID, only therapeutics).

Amazon isn’t alone. Yesterday there were reports that MSN, the 37th most visited web property in the United States with almost 900M monthly visitors, was running ads and paid content for “horse dewormer” on its homepage.

MSN displaying paid content for horse wormers on its homepage on August 30, 2021

A search for “COVID” on Google News has highlighted a debunked editorial in the Wall Street Journal for a month under the “For Context” section called, Why is the FDA Attacking a Safe, Effective Drug? We featured that editorial in our misinformation section earlier this month.

Searches on Twitter, Tik Tok, Instagram, and Facebook for “ivermectin” easily bring users to groups and creators information on alleged dosing information, where to buy, and how to treat. Calls in Florida to poison control have increased 700%, and people are reporting in online groups finding what they describe as “rope worms” in their feces. Intestinal parasites are exceptionally rare in the United States, and health officials are reporting that people are destroying their intestinal linings. You can do some Google image searches, but we wouldn’t recommend it if you’re stomach is weak.

Arkansas

New cases continue to decline as hospitalizations and ventilator use grows. Arkansas set a new record with 388 residents on ventilators out of 531 in the ICU – that’s a staggering 73% of all ICU patients. Outcomes for patients who go on ventilators improved dramatically in the second half of 2020, as doctors learned more about COVID. The ground gained has been lost due to patients showing up sicker than before, and the Delta variant being more virulent.

Arizona

School started in Arizona a month ago, and pediatric cases are exploding. Children under 15 years old now represent 25% of all new COVID cases, and parents are becoming increasingly frustrated with only 30% of the state’s 215 school districts providing some form of daily update.

Dr. Chris Beyrer, an epidemiologist at the Johns Hopkins Bloomberg School of Public Health, said having a “more systematic,” more transparent strategy for preventing and tracking school-based cases would go a long way toward curbing the spread of the virus. 

“What we have is a patchwork — a great deal of variability in policies and practices,” Beyrer said. “While local nuances are important, there’s nothing like rational statewide and national planning to get this right. And we’re just not there.”

Parents have turned to crowd-sourcing information on social media to paint a picture on what is going on within their home districts.

California

Governor Gavin Newsome reported that 80% of all age-eligible residents in the state have received at least one dose of the COVID vaccine. This is a major milestone for the state of almost 40 million residents, with a number of rural counties with continued low uptake of the vaccine. It is worth noting for the states west of the Rockies, California, Arizona, Nevada, Utah, Idaho, Oregon, and Washington, California is the only state that isn’t at or near crisis mode.

Nurse Davy Macias (she/her) was hospitalized with COVID in early August while 7 months pregnant with her fifth child. The hospital did an emergency delivery as her conditioned worried, and Marcias passed on August 26. She was unvaccinated and was holding off until after her pregnancy was complete. Other officials are reporting that the Delta variant is hitting pregnant women particularly hard across the United States. The FDA gave full approval to the Pfizer vaccine to people over 16, including pregnant women.

Georgia

Officials in Georgia are sounding the alarm as some hospitals are now rationing care and growing concern over looming hospital system collapse at a regional level. The state’s official count of COVID-19 patients in Georgia’s hospitals on Tuesday was just below the January peak number, but at times it has swelled past it. And every hospital across Georgia is now full to the point of overflowing. Georgia reported that hospitals had 5,656 COVID patients, about50 patients below the January peak of 5,709. But at some hours in recent days, according to the Georgia Hospital Association, the number has topped 5,900. The drop from the peak hasn’t been driven by discharges, but fatalities from COVID and those waiting for non-COVID-related treatment.

“I don’t mean to sound super doomsday-ish, but I think that if this growth continues, that we’re going to be risking regional hospital system collapse,” said Amber Schmidtke, a health care data researcher, who tracks Georgia’s COVID-19 trends.

“I know that that will scare people,” Schmidtke said. “But I think that that is what we’re risking. I’ve had M.D.s that are on the ground tell me the same thing: ‘This is unsustainable. We’re already at a point where we’re having to sort of triage care and decide who gets what based on limited resources and personnel.”

Anecdotal data on ICU nurse burnout continues across the country. Nurse Amber Rampy walked away from The Northeast Georgia Medical Center after 20 months on the front lines.

“I just left on Friday because I can’t do it anymore. I just can’t,” Rampy said.

“Although I’m used to people dying, I’m just not used to this many,” Rampy said.

75 have died at the North Georgia hospital where she worked during the first 30 days in August, and the hospital has 248 patients with COVID in the ICU.

Deaths in the state included a 13-year-old who was found dead of COVID by his parents Monday morning. The child was reported to have no medical conditions, and no information was provided on why the parents hadn’t sought medical treatment.

“A number of young people are being hospitalized, particularly between the ages of 5 and 17. There is a doubling of that in Georgia,” said Dr. Gary Voccio, northwest district director for the Georgia Department of Public Health.

Floyd Medical Center, like many across the state, is struggling to cope with a tidal wave of COVID patients — at least 90% of whom are unvaccinated.

“(There are) No beds at any of the hospitals,” Voccio said. “The physicians are exhausted, the nurses are exhausted and it’s just time to get the vaccine. We are imploring, begging people to get vaccinated It could save your life.”

Governor Brian Kemp issued an executive order to allot more weight in transportation, allowing for more equipment to get to hospitals and fuel to get to gas stations across the state. 

Kemp said the decision comes after receiving reports that healthcare systems have had trouble accessing necessary supplies, including reports of some rural acute care hospitals running out of oxygen.

Gov. Kemp also touched on his previous executive order, which deployed 105 medically trained National Guard members to 10 hospitals across the state. Over the weekend, he said an additional 75 guard members were deployed, bringing the total number up to 180.

Kemp said that while many hospital systems have requested guardsmen, they are limited in the number of those who are medically trained. However, his new executive order would also allow for the deployment of up to 2,500 National Guard members, should they be needed.

Police Capitan Joe Manning of the Wayne County Sheriff Department, who was a vocal critic of vaccinations and posted frequently on social media about ivermectin, died of COVID on August 25. On his Facebook post, Captain Manning complained about Facebook “disciplining him” and how we was taking ivermectin daily as a COVID preventative.

Florida

Governor Ron DeSantis stayed true to his promise and cut the funding to Alachua and Broward counties over their implementation of school mask mandates. This is despite a Florida court ruling against the government over the ban. The United States Department of Education has already reached out to both districts and had previously promised to cover any gaps in funding. The counties of Orange, Duval, Miami-Dade, Hillsborough, Sarasota, Palm Beach, Indian River, and Leon also have mask mandates in place, but the governor has not taken further action at this time.

While the debate over masks and schools rages, Florida set a record for the number of pediatric patients with COVID in the hospital on Tuesday with 72 new admissions and 230 total patients. With the debate raging, parents chose violence in Lee County where tempers boiled over outside a school board meeting on Sunday.

The governor is under fire from multiple directions with allegations of trying to artificially lower the number of COVID deaths in how data is reported, and a lawsuit over public information on COVID within the state. Representative Carlos Guillermo Smith, D-Orlando, and the Florida Center for Government Accountability filed the lawsuit late Monday in Leon County circuit court after the department rebuffed requests for information.

The state until early June posted on its website daily reports that provided extensive data about issues such as cases and deaths, with information also broken down by county. But Gov. Ron DeSantis’ administration halted the daily reports in June and shifted to posting weekly information that is far less detailed.

The lawsuit alleges that the Department of Health and Surgeon General Scott Rivkees, the department’s secretary, have violated public-records laws at a time when the delta variant of the coronavirus has caused cases, hospitalizations, and deaths to surge in Florida.

“Due to the highly contagious nature of COVID-19 and its ‘continuing threat’ to Floridians, records revealing information about its impact, prevalence, and fatality is of obvious public importance,” the lawsuit said.

The Maimi Herald reported that Florida created an “artificial decline” in COVID deaths by altering the way they reported fatalities beginning on August 10.

Until three weeks ago, according to the Herald, data collected by Florida and then posted by the Centers for Disease Control and Prevention (CDC) tallied deaths by the date they were recorded, which is reportedly common practice for showing daily statistics in many states.

On Aug. 10, however, the state changed its methodology and started counting daily new deaths by the date the person died instead of the day the death was registered. A handful of other states have also reportedly switched to such a process.

When recording COVID-19 deaths with the new method, which focuses on date of death, the numbers will generally appear to be on a recent downward slope, even during the current surge, the Herald reported, because it takes a certain amount of time to evaluate deaths and process death certificates.

The Herald laid out an example of the discrepancy between the two methods: the state’s death data would have exhibited an average of 262 deaths reported to the CDC in the previous week if the health department used the original reporting system, according to the newspaper’s analysis.

Instead, however, the new reporting system only tracked 46 new daily deaths over the last seven days. The change came one day after the state was criticized for showing inaccurate information on its COVID dashboard. Weesam Khoury, a spokesperson for the Florida state Department of Health, said they were working with the CDC to adjust the discrepancies.

Hospitalizations have declined in Florida, while the numbers in ICU continue to grow. Some are crediting the 10% reduction in hospitalizations to the opening of monoclonal antibody treatment centers in the state. The state has reported treating over 30,000 people since the centers were opened earlier in the month.

Hawaii

Hawaii is another state sounding the alarm over an oxygen shortage. Hawaii Pacific Health President and CEO Ray Vara recently directed staff in an internal memo to conserve the oxygen supply and “avoid using oxygen for anything that is elective.”

“We will therefore need to cancel all elective procedures in operating rooms and elsewhere, including outpatient settings, where oxygen may be needed. Any cases that can be deferred safely should be deferred until the oxygen supply solutions are clearer,” he wrote. “At each HPH facility, surgical and facility leaders will be activating review processes to help with these decisions.”

Lt. Gov. Josh Green said the situation is all the more concerning given that cases continue to soar. The remote location of the island and the dependency on ships to supplement the supply creates additional challenges. State officials say they are working with the federal government.

Idaho

Kootenai Health in Coeur de Alene is getting additional support from a 20 person Department of Defense team, delaying a potential move to “crisis standards of care.” In a press conference today Idaho Governor Brad Little activated the national guard, deploying up to 150 servicemembers to provide support for medical facilities, performing screenings, lab work, and other logistical duties that can help lift the burden on nurses and doctors. An additional 200 medical and administrative personnel will be made available to Idaho through a contract with the U.S. General Services Administration.

The governor described the activation of the National Guard as a last-ditch effort to avoid hospitals reaching crisis standards of care, where ventilators, hospital beds, and other resources will be allocated to those most likely to survive. 

“On a daily call with hospitals this morning, we heard there are only four standard adult ICU beds available in the entire state. Where hospitals have converted other spaces to be used as contingency ICU beds, those are filling up too,” Governor Little said. “We are dangerously close to activating statewide crisis standards of care – a historic step that means Idahoans in need of healthcare could receive a lesser standard of care or may be turned away altogether. In essence, someone would have to decide who can be treated and who cannot. This affects all of us, not just patients with COVID-19.”

“Idaho hospitals are beyond constrained. Our healthcare system is designed to deal with the everyday realities of life. Our healthcare system is not designed to withstand the prolonged strain caused by a global pandemic. It is simply not sustainable. Please choose to receive the vaccine now to support your fellow Idahoans who need you,” Governor Little said.

Hospital officials asked to move to crisis care standards over the weekend, and the Idaho Department of Health and Welfare has a briefing scheduled for tomorrow at 1:30 PM Seattle time.

Louisiana

There isn’t much news coming out of Louisiana specific to COVID as the Gulf state reels from the sucker punch Hurricane Ida delivered. Officials were able to relocate patients from damaged hospitals and nursing homes, and there were no fatalities reported related to that activity.

Thousands are in shelters without electricity or air conditioning and a limited water supply. In some good news officials now believe that power can be restored to 90% of people within three weeks, and some power should come back on in New Orleans tomorrow. So far, reports are favorable of people remaining patient, respecting curfews, limited crime, and good mask wear within shelters.

Ohio

Ohio University has joined more than 800 colleges and universities across the United States mandating vaccination for faculty and staff.

Ohio University President Hugh Sherman wrote, “All Ohio students, faculty, and staff at all locations are required to be vaccinated against COVID-19 by November 15, 2021. For vaccines that require two doses, both doses must be completed by this date. This applies to all employees, including those working remotely and all students except those enrolled exclusively in fully online programs and coursework who will not access University facilities on any campus in person.”

“It’s important to note, there will be an opportunity to apply for an exemption of the vaccine requirement for medical reasons or for reasons of conscience, including ethical and moral beliefs or sincerely held religious beliefs.”

Like other states seeing a spike in cases, hospitals in Ohio are starting to cancel elective procedures. On Tuesday, Ohio reported the largest number of new cases in a single day since January 2021.

New Jersey

Jasmine Clifford, better known by her Instagram handled of “AntiVaxMomma” was arrested for selling 250 fake vaccination cards. Clifford, from Lyndhurst, New Jersey, was charged with multiple felonies on Tuesday with offering a false instrument, criminal possession of a forged instrument, and conspiracy. 

Nadayza Barkley, of Bellport, Long Island was also charged with falsifying information in the COVID database. Clifford sold fake vaccination cards through her Instagram account for $200, and for another $250 Barkley would enter bogus data into the New York state vaccination database.

Prosecutors say Barkley entered more than 10 names into the state’s vaccine database while working at a Patchogue medical clinic and received payments for her work from Clifford through the services Zelle and CashApp.

Additional charges were also filed Monday against 15 people involved in the fake vaccination card scheme, including 13 frontline healthcare workers. The workers employed at hospitals and nursing homes are facing one count each of criminal possession of a forged instrument in the second degree, a felony. A conviction would be career-ending for the 13 offenders.

Facebook, which owns Instagram defended its apparent lack of oversight, stating they removed the Instagram account in August.

South Dakota

Governor Kristi Noem has activated the national guard and not for border duty in Mexico, but to support straining hospitals in the Black Hills.

The governor’s office confirmed Tuesday morning soldiers are in the Black Hills conducting COVID-19 testing, and Gov. Noem later in the day said in a statement she authorized the deployment at the request of Rapid City-based Monument Health.

“This past week, I had conversations with all three South Dakota hospital systems and asked them what they needed as cases start to rise again,” the governor said. “Monument asked for the National Guard to assist them in their testing efforts, and we are happy to help.”

New cases in the state have exploded in the three weeks after Sturgis, reaching levels last seen in January 2021. The state positivity rate has jumped to 30%, which indicates major under testing and unchecked spread of COVID. Just four counties, Pennington, the home of the Sturgis Motorcycle Rally, Meade, Lawrence and Custer are responsible for half of all reported COVID cases in the state.

Monument Health reported at the start of August they had less than 10 COVID patients system-wide – they now have 110.

Misinformation

Glyphosate. If you read that and think to yourself, “isn’t that part of the herbicides in RoundUp,” you would be correct. You will also likely be stunned that in some of the darker corners of the Internet, people are advocating drinking Glyphosate as a preventative for COVID.

Pure Glyphosate is a herbicide invented in 1974, and in its pure form has a reputation of being relatively safe and not readily absorbed through the skin when used properly, However, if intentionally ingested, it can cause increased saliva, burns in the mouth and throat, nausea, vomiting, and diarrhea.

Most commercial products contain other ingredients beyond Glyphosate (such as RoundUp) and can make people extremely sick, or cause death if consumed. No, Glyphosate does not cure or prevent COVID, nor is it indicated to treat any illness in humans or animals.