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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

10 Omicron cases in 5 states – local, state, national, and global COVID update for December 2, 2021

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

[KING COUNTY, Wash.] – (MTN) Officials in five states have reported Omicron cases from Hawaii to New York, as the world races to better understand the danger the new variant presents.

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

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

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

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

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

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

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

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

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

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

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


hospitalsschoolslocalnationalglobal updatesdisinformation

In August, King County Health Officer Dr. Jeff Duchin mentioned the N95 Project as a trusted source for N95 masks. A check on the website showed that a 50 count box of N95 masks are available for $40.00, and a package of 10 count children sized KN95 masks are available for $10.50. We recommend wearing N95 or KN95 masks indoors as they provide the best protection against COVID when properly fitted.

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

Washington State Update for December 2, 2021

Washington state Covid-19 update

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

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

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

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

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

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

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

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

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1191.50.1
Ages 12-1983.30.5
Ages 20-34100.19.1
Ages 35-49100.1 (not a typo)5.5
Ages 50-6473.88.8
Ages 65-7944.110.2
Ages 80+40.617.0
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker has not been updated since November 30 but reports 9,303 Washingtonians have died from Covid-19 related illness.

FEMA sending mobile vaccination clinics to Washington

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

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

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

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

One-third of booster eligible Washingtonians have leveled up

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

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

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

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

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

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

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

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

Travel Advisories

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

Thank you

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

King County, Washington is reporting over 85.0% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines. The Pfizer vaccine has EUA approval for children 5 to 15 years old.

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

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

Malcontent News

Hospital Status

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

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

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

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman88.3%19.9%86.7%10.0%
NorthIsland, San Juan, Skagit, Whatcom69.5%28.2%80.0%12.3%
North CentralChelan, Douglas, Grant, Okanogan91.1%34.1%70.4%12.9%
NorthwestClallam, Jefferson, Kitsap, Mason92.2%20.0%95.8%8.7%
Puget SoundKing, Pierce, Snohomish90.5%16.9%94.3%9.7%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima89.0%16.8%82.7%10.3%
SouthwestClark, Cowlitz, Klickitat, Skamania64.9%14.2%79.6%10.0%
WestGrays Harbor, Lewis, Pacific, Thurston88.6%18.3%92.3%13.1%
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%

School Readiness

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

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

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

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

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

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

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

Bellevue-Bothell-Kirkland-Woodinville local COVID news

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

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

National Round-Up

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

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

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

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

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

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

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

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

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

President Joe Biden announces winter battle plan to fight COVID

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

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

Editor’s Note: Consider us very underwhelmed.

Global update

New Omicron variant cases and hospitalizations skyrocket in South Africa

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

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

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

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

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

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

Study from South Africa indicates COVID reinfection risk is very high

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

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

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

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

Disinformation

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

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

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

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

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

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

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

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