[KIRKLAND, Wash.] – (MTN) Washington state has set new records for COVID cases and hospitalizations, straining every aspect of life and leaving many to wonder, what is next?
Malcontent News has been tracking the Omicron wave in South Africa and the United Kingdom and using the data from these nations to build models for Washington. The path the current surge is taking aligns closely with the progression in South Africa.
New Cases
It took 28 days for the first SGTFs to show up in PCR tests in South Africa at a significant number, to the peak in cases. If Washington follows the same path, new cases in the state should peak on Jan. 17. The last update from the Washington State Department of Health (WSDOH) was supportive of an approaching statewide peak. An analysis of new case data indicated that the Olympic Peninsula, Central Puget Sound, the South Sound counties out to the Pacific Coast have already peaked. In Eastern Washington, many areas are still seven to ten days away.
In South Africa and Europe, cases declined rapidly. If Washington follows the same pattern, new daily cases will be 50 percent of peak by Feb. 2, and then drift to a plateau of 30 to 35 percent of the peak. The plateau will hold until Feb. 14, before starting to decline again.
Washington moved to test only symptomatic and close contacts on Jan. 4. Over the weekend Seattle Children’s Hospital reported they were incapable of testing most pediatric cases for COVID at urgent care clinics, reserving the dwindling supply to only the sickest of patients. The University Washington Medicine is struggling to test staff and immediate family, in compliance with the United States Centers for Disease Control CDC) guidelines.
Clark County residents have appealed to the state for additional testing resources and more access to booster shots. Among the eight locations receiving National Guard support by Jan. 24 for additional testing resources, Vancouver, Washington was not among the locations.
The University of Washington Virology lab is struggling to provide test results to Washington, and some Oregon healthcare providers, processing 12,000 to 14,000 a test a day. On Sunday, 31.9 percent were positive, creating some doubt that a peak in cases has arrived.
Hospitalizations
Hospitalizations are a trailing indicator. We predicted on Dec. 26. that Washington hospitals would run out of available resources by Jan 15. Governor Jay Inslee deployed the national guard and suspended all non-emergency surgeries on Jan. 13, to support overwhelmed hospitals.
In South Africa, seven percent of new Omicron cases resulted in hospitalizations. The unvaccinated made up 82 percent of all COVID hospitalizations. That rate was between 22 and 31 percent of the earlier Delta wave. The exact difference is hard to track after South Africa changed its testing criteria on Dec. 24, testing only people who were symptomatic or had close contacts. Adjusting for South Africa’s higher hospitalization rate versus the United States, and accounting for the lower hospitalization rate among Omicron patients, we initially estimated Washington would experience a 1.14 to 1.34 percent hospitalization rate. Currently, it is between 1.8 and 2.4 percent depending on the hospital region.
The single biggest factor that impacts the outcome of a COVID infection is age. In South Africa, only 5.7 percent of the population is over 60, while 34.1% is under 19. Although it is true that only 26% of the population is fully vaccinated, in Gauteng Province, which bore the brunt of the Omicron wave, 44 percent of the population is fully vaccinated.
In Washington, Stevens, Pend Oreille, Skamania, Asotin, Ferry, Whitman, Klickitat, and Columbia Counties have lower vaccination rates. According to the WSDOH on Thursday, 80 percent of all COVID hospitalizations statewide were unvaccinated – which mirrors the data released from South Africa on Sunday.
In South Africa, the surge of new hospitalizations peaked 10 to 14 days after the new cases reached a peak. If Washington follows that path, new hospitalizations will peak at the end of January.
Despite reports that many cases resulted in short hospitalizations, this was among vaccinated individuals. South Africa found that among unvaccinated individuals, the progress of illness was no different than prior strains of COVID.
The number of hospitalized COVID patients peaked in South Africa on Dec. 31 and remained almost unchanged through Jan. 6. Currently hospitalized coronavirus patients in the African nation are still at 83 percent of peak. The decline has been slow.
For Washington hospitals, this will be an insurmountable challenge. Although the governor announced a pause in elective surgeries statewide on Thursday, many hospitals had already voluntarily taken that step to expand resources. MultiCare reported ten days ago they were forced to implement CDC crisis staffing standards, having COVID positive workers who are experiencing mild to moderate symptoms continue to work.
An analysis of available hospital resources indicated that additional emergency staffing and converting PACUs to COVID wards added 60 to 75 acute care and 10 to 15 ICU beds statewide. With over 250 new COVID patient admissions a day, that added capacity was likely wiped out over the weekend.
If Washington follows the same hospitalization trend, by Jan. 26 the worst of the surge will be hitting our facilities. The number of COVID patients will peak on Feb. 4, and hold until Feb. 10. Although a decline will be accelerating by Feb. 20, a load of 83% of the peak would be unsustainable.
On Friday the WSDOH reported there were 2,135 COVID patients in Washington hospitals, an all-time record. Hospitalizations are increasing 50 percent every week. The IHME model projects almost 4,000 hospitalized coronavirus patients on Feb. 4, either in acute care or the ICU. If Washington follows South Africa, the number would reach 5,038 and then sustain at that level for two weeks before dropping to 4,000.
Last Monday patients were being transferred out of King County to Moses Lake, Richland, and Missoula, Montana. King County hospitals, University of Washington Medicine, and Harborview Medical Center are caring for a record number of COVID patients. In Spokane, Providence and MultiCare hospitals can’t take transfers. Doctors reported angry and desperate phone calls from rural hospitals trying to move patients to larger facilities.
MultiCare and Providence hospitals on both sides of the mountains have deployed tents again. In Everett, Providence Hospital was treating patients in the emergency department waiting room and the halls are lined with patients waiting for beds.
Deaths
Looking to South Africa, the number of deaths from Omicron was significantly lower compared to Delta. The age of the population, a 66% vaccination rate for those over 50, a historically lower COVID death rate compared to Europe and North America, and more available resources contributed to the better outcomes. Additionally, it is summer in South Africa.
COVID-related deaths started to increase on Dec. 11. It is unknown if deaths have reached a peak yet, but on Jan. 16, the 7-day moving average was 105 deaths a day. All signs in South Africa indicate the Omicron surge is reaching its finality.
In Washington, the population is older and in poorer health. Vaccination rates are higher, but almost one-third of the entire population is not only unvaccinated but politically indoctrinated into the status being part of their identity. They not only dismiss vaccination but all proven public health measures such as indoor mask wear.
Unlike prior waves in Washington, Omicron overwhelmed the larger and better equipped Puget Sound region facilities first. Idaho is starting to surge with new cases and Oregon is straining under its own tidal wave of cases. COVID patients in Eastern Washington will have fewer options than ever before.
If Washington follows the same as South Africa, COVID-related deaths will start to peak in mid-February.
Services and Infrastructure
It is estimated eight to ten percent of all American workers are sick, caring for a sick family member, or quarantining. The United States was already dealing with a worker shortage in 2021, which has been made worse by Omicron. By early February, up to 25 percent of all Washington workers could be sidelined with COVID.
Some of the impacts have already rippled through the region. Empty store shelves, recently restocked after the mountain passes reopened, will struggle to stay full. Pharmacists are warning people to refill their medications now, unsure of their ability to serve the community and have an adequate supply of pills.
Postal workers are driving routes for 12 to 16 hours to fulfill deliveries, and school districts are looking for parent volunteers or moving to virtual learning. In some cities such as Seattle, students have staged walkouts due to high infection rates. In Lakewood, the Walmart Super Center was forced to close for three days for a deep cleaning after 63 workers became sick with COVID.
The day-to-day impact for everyone will include school and daycare closures, spotty store shelves, delayed deliveries, and businesses forced into short-term closures due to a lack of staff. The economic fallout could last for much longer.
Without a dramatic increase in support, state healthcare workers and Washington residents will face a brutal five to six weeks where only the absolute sickest individuals will be able to get medical services, and basic goods and services will require patience to find.
Editor’s Note:An early version of this story reported that the first Omicron case detected in the United States has been changed from Dec. 15 to Nov. 15.
[OLYMPIA, Wash.] – (MTN) The Washington State Department of Health (WSDOH) reported the 7 day moving average for new COVID cases had jumped to 1,047.9 over the weekend, obliterating previous records. There were 1,773 people hospitalized with COVID across Washington on Sunday, just shy of the previous record set on Sep. 6, 2021.
With an estimated 242 new COVID-related hospitalizations a day, hospitals in the Evergreen State are on the brink of running out of beds and staff. The I-5 corridor from the Canada border to the Columbia River has the highest case rates in Washington, sparked by several super spreader events in Thurston and Pierce Counties on Dec. 4.
COVID cases have exploded in Eastern Washington, including Spokane, Yakima, and Moses Lake. New cases are forecasted to peak in King County by the end of this week but are expected to continue to surge in Eastern Washington.
The updated IHME forecast model is catastrophic for Washington, projecting 3,189 acute care and 804 ICU patients hospitalized with COVID by Feb. 4. Malcontent News estimates there are 375 staffed acute care and 95 ICU beds available in Washington state, with a coming surge of 2,000 more patients in less than a month.
The Washington State Hospital Association made dire predictions last week. Dr. Francis Riedo, medical director for infection control and prevention at EvergreenHealth in Kirkland, told reporters that the state has “never been closer” to moving to crisis standards of care.
In the same briefing, Dr. John Lynch, medical director of Harborview Medical Center’s infection control program, said that UW Medicine and Harborview Medical Center had more COVID patients under care than at any previous point in the epidemic.
The situation is already dire for Puget Sound hospitals, will more than 97 percent of acute care beds occupied. King County Public Health reported 255 new COVID hospitalizations from Friday to Sunday – a rate of a new hospitalization once every 28 minutes. Hospitalizations in King County have surged 110 percent in a week as new cases skyrocket.
Earlier projections based on case data from South Africa and the United Kingdom estimated that King County hospitalization rates would be by 20% to 30% from the previous Delta wave. Projections reduced the percentage of COVID cases that resulted in hospitalization from 4.7% to 1.14%. Based on data from the first week of January, the rate is almost double – 2.13% – driving hospitalizations to a higher level than previously forecasted.
EvergreenHealth in Kirkland reported 44 hospitalized COVID patients, including one pediatric patient and another four in Monroe. A majority, 70 percent, were hospitalized due to COVID. The remainder is hospitalized for other reasons and co-infected with coronavirus. Five patients are fully vaccinated with boosters, including one in intensive care.
On Monday night, Seattle Children’s Hospital advised parents that its four walk-in urgent care clinics would not accept patients without an appointment due to the unprecedented patient load.
The Washington State Medical Association appealed to Gov. Jay Inslee to declare a crisis and deploy the national guard to support area hospitals. Previous options, including stopping elective surgeries, limiting day procedures, and “boarding” patients in emergency departments, are already being done.
“The time has come to admit that stopping electives and non-urgent care is not enough. We must declare the crisis that our health system is in,” the Jan. 6 letter stated. Cassie Sauer, the Washington State Hospital Association CEO, also signed the letter.
Unlike Idaho, Montana, and Alaska, which had to use crisis standards of care last fall, Washington state will not allow a single facility to move to the emergency protocols. The declaration would come from the state and only occur after all possible options to extend services were exhausted. Under crisis standards of care, patients could be denied care based on need, survival chances, and available resources. Washington developed computer software with Massachusetts and Wisconsin to determine who would receive care. Last week, Oregon announced it was adopting the same computer program.
The physical, mental, and emotional toll of two years of a COVID crisis has decimated the ranks of hospital workers across the country. Omicron is highly contagious and has significant vaccine escape, resulting in hospital workers being sickened. As hospitalizations have surged in the first ten days of January, the number of staffed beds available has slowly declined.
On Thursday, leadership at MultiCare, which runs 11 hospitals across Washington state, reported they had moved to crisis staffing standards in Western Washington. The standard, announced by the United States Centers for Disease Control (CDC) on Dec. 23, can require workers who are sick with COVID to continue to work if necessary to continue to provide patient care.
The Omicron variant arrived in the United States on Nov. 15 and has shattered all previous records for new cases, daily new hospital admissions, and total hospitalizations. One model projects that nation will face another 300,000 hospitalized with COVID by the middle of February, an impossible task for all existing hospital resources.
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) Although new cases statewide were almost unchanged, they are plummeting in the rural counties of Washington. Hospitalization data for Covid-19 patients receiving acute care also is looking promising. If the state can maintain these trends past Thanksgiving and COVID VUI-21 doesn’t get a foothold in the United States – let’s not get too far ahead of ourselves.
The number of new Covid-19 cases in Washington was steady but a couple of really interesting trends are happening this week.
We had predicted that the return of cold rainy weather would have a split impact in Washington. For densely populated areas infection rates would creep upward with more people moving back indoors. In rural areas, we predicted the rates would decline as people become more isolated and the peak of farming activity winds down. We also predicted this wouldn’t be a one size fits all situation because vaccination rates, age, race, and income levels would also have some impact.
This is exactly what we’re seeing. Washington has 12 counties with fewer than 25,000 residents. Only one, Klickitat, has not seen a sharp decline in Covid-19 cases in the last two weeks. Although case rates in Ferry County are still high (568.9) it is 60% below its peak from two weeks ago.
Five Washington counties have more than 500,000 residents, and case rates are declining much slower in those areas. Vaccination rates are just part of the equation and this sudden drop in Eastern Washington started 14 days after the October 18 vaccine mandate deadline. Cause is not correlation, but the mandate is certainly one of several factors driving new cases down east of the Cascades.
We will likely see a shift in infection patterns seven to 14 days after Thanksgiving weekend.
For the first time, new case rates are essentially the same in all but the most vaccinated counties, which continue to remain significantly lower.
Percent of Total Population Fully Vaccinated
Total Population in Group
Average 14-Day New Case Rate
70% or above (3 counties)
2,343,250
202.3
60.00% to 69.99% (4 counties)
1,242,200
335.0
50.00% to 59.99% (15 counties)
3,433,900
350.4
40.00% to 49.99% (9 counties)
599,225
352.5
31.20% to 39.99% (8 counties)
158,300
346.0
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County
Through November 3, Washington’s statewide 14-day rolling average is 303.6 Covid-19 cases per 100K. If this trend can continue hospitalizations should start to decline faster in two to three weeks.
Only Skagit County has a case rate between 600.0 to 799.9 – and after peaking at 669 has dropped to 616.3.
Asotin, Chelan, Douglas, Ferry, Grant, Klickitat, Lewis, Okanagan, and Spokane counties have a new case rate between 400.0 and 599.9. Cowlitz, Mason, Pend Oreille, and Stevens were just under 400.
Eleven counties have a 7 day moving average case rate under 100 and Columbia, Garfield, and San Juan are under 25.
The 7 day case rate was unchanged for most age groups and slightly down for people 80 and older. Hospitalization rates were mixed but didn’t indicate a significant trend.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
133.8
0.7
Ages 12-19
125.7
1.3 (up)
Ages 20-34
124.6
3.9
Ages 35-49
139.0
7.3
Ages 50-64
105.1
10.8 (down)
Ages 65-79
78.2
17.2
Ages 80+
74.6 (down)
20.3
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
With new cases starting to decline statewide, we continue to hope the East Hospital Region travel advisory can end in the next six to 13 days. For now, we’re maintaining our recreational travel advisory to the region, including Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties. Acute care and ICU capacity remain limited.
Additionally, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.
We are adding Colorado to our list of states to avoid all nonessential travel. On Sunday, Governor Jared Polis signed an executive order implementing crisis standards of care. We continue to strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Alaska and the Idaho Panhandle are experiencing an extreme number of Covid-19 hospitalizations. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a serious medical emergency.
We are downgrading our travel advisory for Wyoming and recommend avoiding recreational travel at this time. The situation has improved significantly in the last two weeks.
Thank you
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Vaccination
Vaccinate Washington web portal now includes Pfizer-BioNTech pediatric ages 5 to 11 vaccine locator
Despite up to 316,000 doses of the Pfizer vaccine for children ages 5 to 11 expected to arrive in Washington this week, officials are asking for patience and kindness as parents scramble to make appointments. The Washington State Vaccine Locator provided by the Washington State Department of Health has added Pfizer-BioNTech pediatric ages 5 to 11 as a filter for searching for appointments and locations.
To find a location for your child, or a booster for yourself, you only need to provide your zip code at the Vaccinate WA website. On the results page, you can click on the down arrow to add filters, and select Pfizer-BioNTech Pediatric age 5 – 11.
A search this afternoon provided four locations in Seattle including Docere Center for Natural Medicine, UW Medicine at two locations, and Harborview Medical Center.
King County, Washington is reporting over 88.6% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.
COVID vaccines and boosters are free for anyone 5 and older. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 14.7% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 657 additional acute care patients. The ratio of acute care Covid-19 patients is down in every hospital region. We should start to see a faster decline in ICU utilization in the next 10 to 20 days. Regrettably, some of that decrease will be driven by fatalities.
ICUs are at 88.5% of capacity statewide, with 25.0% of ICU patients fighting Covid-19 – an estimated 294 patients with 58.0% on ventilators. The state has the staff to support approximately 138 additional ICU patients.
On Wednesday, the 7-day rolling average hospital admission rate for new COVID patients was 94. The Department of Health reported 1,004 Covid-19 patients statewide on November 3, with 172 requiring ventilators.
Hospital Region readiness was largely unchanged from yesterday. The East Hospital Region is showing signs of improvement and if the trend continues, the travel advisory will likely be downgraded or lifted next week.
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%
– Alcott (5) – Bell (24) – Blackwell (5 – see notes) – Carson Elementary (6) – Clara Barton (3) – Eastlake High (48) – Ella Baker (6) – Finn Hill Middle School (6) – Frost (5) – ICS (4) – Juanita Elementary (1) – Juanita High (17) – Kamiakin Middle School (25) – Keller (6) – Kirk Elementary (10) – Lakeview Elementary (7) – Lake Washington High School (7) – McAuliffe (1) – Muir Elementary (1) – Redmond Middle School (1) – Redmond High School (52) – Rockwell (2) – Sandburg/Discovery (4) – Timberline Middle School (28) – Twain Elementary (15)
None
Northshore
YELLOW
– Arrowhead Elementary (7) – Bothell High School (15**) – Canyon Creek Elementary (4) – Canyon Park Middle School (2) – Crystal Springs Elementary (19) – East Ridge Elementary (3) – Fernwood Elementary (5) – Frank Love Elementary (11) – Hollywood Hills Elementary (7) – Inglemoor High School (16**) – Kenmore Elementary (22) – Kenmore Middle School (18) – Kokanee Elementary (8) – Lockwood Elementary (7**) – Maywood Hills Elementary (3) – Moorlands Elementary (1) – North Creek High School (19**) – Northshore Middle School (12) – Ruby Bridge Elementary (9**) – Shelton View Elementary (6) – Skyview Middle School (18**) – Sunrise Elementary (4) – Timbercrest Middle School (5) – Wellington Elementary (9**) – Westhill Elementary (19) – Woodin Elementary (10**) – Woodinville High School (6**) – Woodmoor Elementary (6)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
There was a parent confirmed Covid-19 case reported at Blackwell Elementary in the Lake Washington School District on Monday and an additional parent confirmed COVID case on Tuesday, including three in quarantine. Because LWSD updates data weekly, we add a footnote for parent-reported cases during the week.
Woodinville High School in the Northshore School District now has five confirmed Covid-19 cases, adding two more this morning.
We continued to encourage parents to request daily updates from the Lake Washington School District. We would also encourage parents to request the Bellevue School District include data on close contacts. These two changes would bring the three school districts we track into alignment.
Kirkland-Bellevue-Woodinville
Kirkland Health Fair and Community Vaccination Event on November 6
The Kirkland Health Fair and Community Vaccination Event will be held on Saturday, November 6, from 10 a.m. to 2 p.m at Juanita High School. Hosted by the City of Kirkland in partnership with Public Health – Seattle and King County, the event will provide Covid-19 vaccination, information, education, and more.
The City of Kirkland has confirmed that vaccinations for 5 to 11-year-olds will not be available.
Save the date! The Kirkland Health Fair and Community Vaccination Event takes place 10 am – 2 pm, Sat 11/6 at Juanita High School. We are partnering with @KCPubHealth to provide COVID-19 vaccinations, vaccine info & education, & much more! More information to come. pic.twitter.com/JJcFnqggrJ
Johns Hopkins University Cumulative Case Tracker reports 83,501 new cases and 1,904 deaths nationwide on Wednesday.
Brief summary for the nation today. There are five states with at least one hospital operating under crisis standards of care – Alaska, Colorado, Idaho, Montana, and Wyoming. The states are first, fifth, tenth, second, and fourth for new Covid-19 cases respectively.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) New COVID cases are down 10% this week providing the strongest signal yet the fifth wave is winding down in Washington. Hospitalizations remain on a plateau but if new cases continue to decline, the number of Covid-19 patients should start to drop in another 10 to 14 days.
Washingtonian children between 5 to 11 got the first doses of the Pfizer COVID vaccine, with thousands more expected in the coming days. The Western States Safety Review Workgroup recommended the vaccine today. Healthcare providers and pharmacies are asking for patience as supply catches up with demand. Children vaccinated by November 15 will be fully immunized by Christmas. For three Tri-Cities children, the vaccine didn’t come soon enough.
A Benton County sheriff deputy who is a school resource officer for multiple districts is unvaccinated, creating a conundrum for officials due to a loophole. Malcontent News received more information about the Eatonville School District, where three employees remain on unpaid leave, and school district attorneys believe they are not at risk of losing state funding. Kenton Gartrell, who was a candidate for the Yakima School District was warned he had to wear a mask or face a trespass order.
Palmer Davis, one of the key people for spreading COVID disinformation and arranging protests in Oregon and Washington announced on her blog she is selling her house, and implied will leave Washington state. A report in The Guardian called out Sinclair Broadcast Group and Clark County Today for spreading COVID disinformation.
The U.S. Air Force announced 800 active duty service members refused to get vaccinated and could face disciplinary action or discharge. Another 5,000 are awaiting a decision on their exemption requests.
A pilot with American Airlines and seller of online supplements has set up a website to support Southwest Airline employees in the name of medical freedom and donations.
Green Bay Packers Quarterback Aaron Rodgers said he was vaccinated. Turns out he isn’t and he has COVID. If he is asymptomatic he can return to the field on November 13.
Colorado joined Alaska, Idaho, and Montana declaring crisis standards of care due to a significant number of COVID patients, and we have updated our travel advisory list.
For the first time since we have tracked data by total population vaccinated, all groups have a 14 day new case rate below 400.0. Twelve Washington counties are reporting 7 day moving average case rates below 100 and three counties, Columbia, Garfield, and San Juan are below 25. A new case rate under 25 indicates Covid-19 is endemic in those counties.
The statewide vaccine mandate deadline for hundreds of thousands of workers was 16 days ago. For the holdouts that waited until the last minute, peak protection against Covid-19 was reached this week. The sharp drop in new cases is happening concurrently with peak protection being reached by tens of thousands across the state.
The inversion of new cases rates between counties 40% to 49.99% vaccinated and 50% to 59.99% vaccinated is statistically insignificant.
Percent of Total Population Fully Vaccinated
Total Population in Group
Average 14-Day New Case Rate
70% or above (3 counties)
2,343,250
200.4
60.00% to 69.99% (4 counties)
1,242,200
335.0 (down)
50.00% to 59.99% (15 counties)
3,433,900
354.3 (down)
40.00% to 49.99% (9 counties)
599,225
347.8
31.20% to 39.99% (8 counties)
158,300
367.0 (down)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County
Through November 2, Washington’s statewide 14-day rolling average is 304.8 Covid-19 cases per 100K – a significant drop from yesterday. If this trend can continue hospitalizations should start to decline faster in two to three weeks.
Lincoln and Skagit counties have new case rates between 600.0 to 799.9 – both are in the low 600s.
Asotin, Chelan, Douglas, Grant, Ferry, Klickitat, Lewis, Okanagan, Skamania, Spokane, and Stevens counties have a new case rate between 400.0 and 599.9. Cowlitz, Mason, and Pend Oreille were just under 400.
The 7 day case rate was down across all groups. Hospitalization rates were mostly unchanged except for people 65 to 79, which saw a decrease, and those 80 and above which saw a slight increase.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
132.8
0.5
Ages 12-19
117.8
0.9
Ages 20-34
124.3 (down)
3.9
Ages 35-49
137.9 (down)
7.5
Ages 50-64
105.3
11.7
Ages 65-79
79.6 (down)
17.4 (down)
Ages 80+
78.3
22.1 (up)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
Western States Scientific Safety Review Workgroup recommends Covid-19 vax for children 5 to 11
The governors of California, Nevada, Oregon, and Washington approved the use of the Pfizer vaccine for children 5 to 11 after the information provided by Pfizer, the FDA, and CDC was reviewed by the Western States Scientific Safety Review Workgroup. Dr. Arthur Reingold, MD, and Chair of the group released a letter today in support of vaccinating children 5 to 11 to protect them from Covid-19.
The Western States Scientific Safety Review Workgroup thoroughly reviewed the evidence from the clinical trial in children ages 5-11 years of the 10 µg PfizerBioNTech COVID-19 vaccine presented to the U.S. Federal Drug Administration’s Vaccine Related Biological Products Advisory Committee (VRBPAC) on October 26, 2021 and the U.S. Centers for Disease Control and Prevention’s Advisory Committee on Immunizations Practices (ACIP) on November 2, 2021 and considered the committees’ discussions.
The Workgroup carefully assessed the safety data for the vaccine, including the absence of any severe adverse events among vaccine recipients in the clinical trial. Reactions were mild, self-limited, similar to those seen in adolescents and adults and with other vaccines routinely recommended for children and were less common in those ages 5-11 years than in those 16-25 years. Based on the substantial experience in older children and adolescents, the Workgroup concluded that the risk of myocarditis following receipt of the lower dose vaccine in children 5-11 years of age is likely to be low.
The Workgroup noted the vaccine’s efficacy of more than 90% against symptomatic COVID-19 disease in this age group. Expanding COVID-19 vaccination in this age group will protect children 5-11 years of age who are vaccinated and allow them to more safely engage in educational and other activities important to their health and development; give parents a means of further protecting their children; and contribute to control of the COVID-19 pandemic in our states. The Workgroup strongly urges that states make every effort to reduce or eliminate disparities in the availability and uptake of COVID-19 vaccines in children 5-11 years of age, as well as in older children, adolescents, and adults.
Based on this review, the Workgroup concluded the vaccine is safe and effective in this age group. Because substantial numbers of children of this age remain at risk of COVID-19 illness and its complications, including hospitalization and death, the Workgroup is confident that the benefits of this vaccine for children ages 5-11 years substantially outweigh any known or likely risks. Therefore, the Workgroup supports its use under Emergency Use Authorization (EUA) as a two-dose series of 10 µg per dose given three weeks apart.
Benton County Sheriff deputy is unvaccinated school resource officer
Brad Klippert, who has been a Benton County sheriff school resource officer for the Kiona-Benton City school district for more than 20 years, told the Tri-City Herald he has not gotten a COVID-19 vaccination nor been asked for a medical or religious exemption from the requirement.
He also fills in as the school resource officer for the Finley School District.
That flies in the face of a new state requirement that began Oct. 18 that any employee or contractor working with children in Washington schools needs to have either the vaccine or an exemption, according to the Office of the Superintendent of Public Instruction.
“In this case, the Kiona Benton School District contracts with the Benton County Sheriff’s Department for school resource officer (SRO) services,” Katy Payne, the office’s director of communications, told the Herald. “The sheriff’s department is required to verify the vaccination status and process requests for exemptions of any SROs they send to school districts.”
The Washington state vaccine mandate did not require sheriff deputies to get vaccinated, so deputy Klippert is in compliance with the department. However, the mandate did require anyone working within public or private schools to provide proof of vaccination or receive an exemption.
King County sheriff deputies were required to get vaccinated by October 18 by a mandate established by the County Council and King County Executive Dow Constantine.
Three Tri-Cities students ages 10 to 19 have died of Covid-19 in 2021
Whatcom County has had 9 Covid-19 related deaths in the last 10 days
Whatcom and Skagit counties have become Covid-19 hot spots in the last couple of weeks, with the virus tearing through pockets of unvaccinated people.
The death reported Tuesday was for a resident who first tested positive for COVID-19 on Oct. 11, The Bellingham Herald’s analysis of the state’s epidemiological data showed. It represents the ninth epidemiological death the county has seen in October and increased the county’s total number of deaths since August 1 to 52, the Bellingham Herald found.
Eatonville School District teacher termination tempest in a teacup
There have been multiple stories about the Eatonville School District and the School Board defying the Superintendent of Public Instruction Chris Reykdal, Eatonville over the removal of unvaccinated staff in the district.
On October 25, Jeff Lucas, Chairman of the Eatonville School District Board of Directors reported in an e-mail only three staffers are unvaccinated and don’t have an approved accommodation. Additionally, the letter indicates school district attorneys do not believe district funding from the state is at risk.
“First, despite what the whole world is saying, the mandate does not specify people be terminated. They are “prohibited from engaging in work”. OSPI and our attorneys have told us that means these folks are not working and therefore not being paid.”
“Second, that is exactly what’s happening. We haven’t opened the door for a COVID free for all. All the masking and distancing requirements remain. We have 3 people, not 15 as most think, that are refusing vaccine and any accommodation. They haven’t been to work for 2 weeks and will not return until they get the vaccine or agree to accommodations.”
“Third, there is not a funding threat as we are not violating the mandate. It’s certainly a bit of semantics but if they were determined to terminate these employees, they could have very easily used that exact language, and should have.”
Yesterday, Superintendent Reykdal indicated the district was at risk of losing funding and said Eatonville was the only district that has not started the termination process for unvaccinated staff.
Leader of Covid-19 disinformation group Waking Up Washington calling it quits
Palmer Davis has been a principal organizer of Covid-19 anti-mask, anti-vaccine, and anti-mask rallies. She has aligned herself with America’s Frontline Doctors, Scott Miller, Joey Gibson, and Patriot Prayer, the Proud Boys, and runs websites that sell fake COVID cures.
In a blog on one of the websites she manages, Davis announced she was calling it quits and likely leaving Washington.
“A sign wave in the snow. Waking Up WA was just a way to give back to the freedom community. It was never a brand I wanted to build, it was never about me… I never even wanted WA to be a state that needed such a huge ecosystem of activists to try to save it.“
“Many protests and rallies later, I am proud of the work we’ve done. Never perfect, never finished – just … better. A sign wave outside Costco is always better than shopping at Costco.“
“I don’t want to leave, but I also have to be honest. I have to sell my house, my folks have gone to Idaho, and I have… no skin… in this game.”
“My name is Palmer, and I started Waking Up WA in early 2021 to do sign waves in Vancouver. I am not the biggest, I am not the boldest, and I am not the bravest activist in this state.”
Earlier in the summer, Davis was able to draw hundreds at events across the state, sometimes charging admission fees of $20 per person. The last event the group promoted was on October 30 in Winlock for “Freedomween.” A planned protest at Harborview Medical Center on September 25 drew no interest, and the Free to Choose protest on October 18 outside of Seattle City Hall drew about 100 people from across the state. A protest in Olympia on October 22 drew a scant group.
Report in The Guardian calls out Sinclair Broadcast Group and Clark County Today for platforming Covid-19 misinformation
Clark County Today has published content from prominent anti-vaccine groups or advocates for unproven Covid-19 treatments. Although they have innocuous names that mimic traditional local news outlets, their content often promotes anti-vaccine views or furthers Covid-19 conspiracy theories. Researchers have come to call these types of organizations “pink slime” outlets and they have become a growing part of the media landscape in recent years.
“The problem that occurs with this is that they don’t have the same journalistic standards – many of them have a decided political agenda to them,” Abernathy said.
In one post from early October, Clark County Today, which was founded by David Madore, a wealthy Republican donor who has bankrolled local candidates in Washington state, republished an article from the anti-vaccine Children’s Health Defense in full. Another article on the site covers local support for Scott Miller, a physician’s assistant whom the state medical commission suspended in October for advocating ivermectin, but does not mention allegations that he attempted to bully local hospital staff into prescribing the drug and spread medical misinformation that resulted in the suspension.
The publication responded to The Guardian stating in part “the site’s coverage of the pandemic was informed by the “one-sided” approach from “mainstream news media, social media and even Big Tech.”
Yakima School District warned school board candidate to wear a mask or get a no trespass order
According to the letter sent by Yakima School District’s director of safety and security, Sara Cordova, Kenton Gartrell was in violation of a Yakima School District Operational Procedure – Disruption of School Operations and RCW 28A.28A.635.20 willfully disobeyed school administrative personnel while at his daughter’s open house at Nob Hill Elementary at the beginning of the school year.
In a report provided by KOMO News, Gartrell said the confrontation between him and two school administrators began after he claims he was told he needed to leave because he refused to put a mask on.
The letter obtained from the district says as Gartrell and his family were leaving, two administrators met them outside to reiterate the expectation that all people inside the building must wear a mask. The letter says Gartrell began recording the interaction, where he argues with the principal that the mask requirement is not law, and that he expects accommodations for him and his child regarding masks and vaccines, then calls her a “bureaucratic bully.”
In early results, Gartrell was losing in his election bid.
Travel Advisories
With new cases starting to decline statewide, we continue to hope the East Hospital Region travel advisory can end in the next seven to 14 days. For now, we’re maintaining our recreational travel advisory to the region, including Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties. Acute care and ICU capacity remain limited.
Additionally, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.
We are adding Colorado to our list of states to avoid all nonessential travel. On Sunday, Governor Jared Polis signed an executive order implementing crisis standards of care. We continue to strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Alaska and the Idaho Panhandle are experiencing an extreme number of Covid-19 hospitalizations. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a serious medical emergency.
We are downgrading our travel advisory for Wyoming and recommend avoiding recreational travel at this time. The situation has improved significantly in the last two weeks.
Thank you
Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!
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Vaccination
Vaccinate Washington web portal now includes Pfizer-BioNTech pediatric ages 5 to 11 vaccine locator
Despite up to 316,000 doses of the Pfizer vaccine for children ages 5 to 11 expected to arrive in Washington this week, officials are asking for patience and kindness as parents scramble to make appointments. The Washington State Vaccine Locator provided by the Washington State Department of Health has added Pfizer-BioNTech pediatric ages 5 to 11 as a filter for searching for appointments and locations.
To find a location for your child, or a booster for yourself, you only need to provide your zip code at the Vaccinate WA website. On the results page, you can click on the down arrow to add filters, and select Pfizer-BioNTech Pediatric age 5 – 11.
A search this afternoon provided four locations in Seattle including Docere Center for Natural Medicine, UW Medicine at two locations, and Harborview Medical Center.
King County, Washington is reporting over 88.6% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.
COVID vaccines and boosters are free for anyone 5 and older. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 15.0% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 648 additional acute care patients.
ICUs are at 88.5% of capacity statewide, with 25.0% of ICU patients fighting Covid-19 – an estimated 295 patients with 58.0% on ventilators. The state has the staff to support approximately 138 additional ICU patients.
On Tuesday, the 7-day rolling average hospital admission rate for new COVID patients was 94. The Department of Health reported 1,045 Covid-19 patients statewide on November 2, with 170 requiring ventilators.
Hospital Region readiness was largely unchanged from yesterday.
Hospital 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%
– Alcott (5) – Bell (24) – Blackwell (5 – see notes) – Carson Elementary (6) – Clara Barton (3) – Eastlake High (48) – Ella Baker (6) – Finn Hill Middle School (6) – Frost (5) – ICS (4) – Juanita Elementary (1) – Juanita High (17) – Kamiakin Middle School (25) – Keller (6) – Kirk Elementary (10) – Lakeview Elementary (7) – Lake Washington High School (7) – McAuliffe (1) – Muir Elementary (1) – Redmond Middle School (1) – Redmond High School (52) – Rockwell (2) – Sandburg/Discovery (4) – Timberline Middle School (28) – Twain Elementary (15)
None
Northshore
YELLOW
– Arrowhead Elementary (2) – Bothell High School (20**) – Canyon Creek Elementary (3) – Canyon Park Middle School (2) – Crystal Springs Elementary (17) – East Ridge Elementary (3) – Fernwood Elementary (5) – Frank Love Elementary (10) – Hollywood Hills Elementary (7) – Inglemoor High School (23**) – Kenmore Elementary (22) – Kenmore Middle School (5) – Kokanee Elementary (7) – Lockwood Elementary (12**) – Maywood Hills Elementary (2) – Morelands Elementary (1) – North Creek High School (20**) – Northshore Middle School (13) – Ruby Bridge Elementary (10**) – Shelton View Elementary (8) – Skyview Middle School (17**) – Timbercrest Middle School (4) – Wellington Elementary (8**) – Westhill Elementary (19) – Woodin Elementary (8**) – Woodinville High School (4) – Woodmoor Elementary (11)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
There was a parent confirmed Covid-19 case reported at Blackwell Elementary in the Lake Washington School District on Monday and an additional parent confirmed COVID case on Tuesday, including three in quarantine. Because LWSD updates data weekly, we add a footnote for parent-reported cases during the week.
We continued to encourage parents to request daily updates from the Lake Washington School District. We would also encourage parents to request the Bellevue School District include data on close contacts. These two changes would bring the three school districts we track into alignment.
Kirkland-Bellevue-Woodinville
Kirkland Health Fair and Community Vaccination Event on November 6
The Kirkland Health Fair and Community Vaccination Event will be held on Saturday, November 6, from 10 a.m. to 2 p.m at Juanita High School. Hosted by the City of Kirkland in partnership with Public Health – Seattle and King County, the event will provide Covid-19 vaccination, information, education, and more.
At this time, organizers are not planning to provide vaccinations for children 5 to 11 years old, according to David Wolbrecht, Senior Neighborhood Services Coordinator with the City of Kirkland. We do have an inquiry in with the City to learn if this will change now that the vaccination is approved and doses are available.
Save the date! The Kirkland Health Fair and Community Vaccination Event takes place 10 am – 2 pm, Sat 11/6 at Juanita High School. We are partnering with @KCPubHealth to provide COVID-19 vaccinations, vaccine info & education, & much more! More information to come. pic.twitter.com/JJcFnqggrJ
Johns Hopkins University Cumulative Case Tracker reports 72,754 new cases and 1,461 deaths nationwide on Tuesday. The United States broke 750,000 confirmed Covid-19 related deaths since February 29, 2020 today. That is close to every man, woman, and child in the state of North Dakota dying in 21 months.
800 U.S. Air Force personnel refuse to get vaccinated by deadline
The United States Air Force (USAF) and Space Force reported that 800 active duty service members among a force of 326,000 have refused to get vaccinated or seek an accommodation. The number is well below the 12,000 figure shared last week.
Just under 5,000 USAF personnel have a questionable future, among almost 8,500 who remain unvaccinated. Almost 5,000 have requested a religious exemption and are awaiting a decision. Another 2,700 will retire before April 1, 2022, and under Pentagon rules, do not have to get vaccinated.
The remaining 800 could face disciplinary action or discharge, although USAF leaders have not announced what the next course of action will be. The Military Times reported that local commanders would make final decisions. Airmen and officers who receive a less than honorable discharge will be ineligible for veterans’ benefits, according to the same report.
The Pentagon reported 315,500 were fully vaccinated or completing their final doses and just under 2,000 had been granted accommodations on medical grounds.
Different branches have different deadlines, with the Air Force having the earliest requirement. The United States Navy reported almost 99% of their active duty force was at least partially vaccinated, the highest of the military branches. The last group required to get vaccinated is reservists and the National Guard, with a deadline of June 30, 2022.
CDC issues Level 4 travel advisories to four nations due to Covid-19 risk
The CDC added Belgium, Burkina Faso, Russia, and Slovakia to its list of Level 4 countries representing a very high risk of Covid-19 exposure.
Level 4 is the highest rating and advises people to avoid all travel if possible. COVID cases have been surging in Europe and the Covid VUI-21, also known as Delta Plus, continues to grow in the United Kingdom, Russia, and Denmark, where the variant has been identified.
Other European nations with a Level 4 travel advisory include Albania, Austria, Belarus, Bosnia and Herzegovina, Bulgaria, Estonia, Georgia, Greece, Kosovo, Latvia, Lithuania, Moldova, Norway, Romania, Serbia, Switzerland, Turkey, Ukraine, and the United Kingdom.
Denmark is under a Level 3 travel advisory.
The travel advisories come as the United States will allow vaccinated international tourist and business travelers to return to the United States starting on November 8.
Southwest Airlines Covid-19 disinformation website and Telegram group run by person selling supplements on Tik Tok
The disruption to flights happened just hours after Southwest announced they would require the Covid-19 vaccine for its employees. The airline blamed air traffic control issues and weather for the disruption. The pilot union blamed a 28% staff reduction in 2020 and insisted that aircrews were not staging a sick out.
Despite the claims no organized action was taken, there was only a single, short-lived disruption of air traffic control in Florida and some weather delays in Texas. A bipartisan group of congressional leaders is calling for Southwest and other airlines to be investigated after they received billions in aid to protect payroll and retain employees and now blame poor service on staffing reductions.
Now a new public-facing website called Southwest Freedom Fliers has created the illusion of a broader vaccination revolt behind the scenes.
“Southwest Freedom Flyers is a grassroots collection of Southwest Airlines Employees fighting in opposition to vaccine mandates” the website states.
“We are an independent group but coordinating with an industry wide effort to preserve our religious and medical freedoms.”
The website does have a disclaimer, “We do not speak for or represent Southwest Airlines or any unions. We are not affiliated with Southwest Airlines or any unions.“
According to Yahoo News, the person behind the website is Shawn Alexander Walker. Walker, in a video that has gone viral in the anti-vaccination community and was amplified by Candace Owens, explains part of the reason why he formed the movement.
“I have to choose between putting food on the table for my family, and freedom of choice,” Walker says before opining about the nature of America on top of footage of a Civil War reenactment. He then warns that “shifting baseline syndrome” will destroy the nation’s conception of freedom entirely, complete with pseudoscientific graphics of brain activity to bolster this point. The video ends with Walker directing viewers to a website for a group of pilots, dubbed the U.S. Freedom Flyers, who oppose the vaccine mandate.
Walker doesn’t even appear to work for Southwest Airlines, appearing in Tik Tok videos wearing an American Airlines lanyard. He is also a rep for the supplement Cell Sauce, which he promotes heavily on his channel.
Medical freedom is coded language for the antivaccination movement and the site has the option to donate to Walker’s group, which he claims is listed as a 501(c)(4) charitable organization.
Aaron Rodgers claimed he was vaccinated, turns out he isn’t and is now COVID positive
Green Bay Packers quarterback Aaron Rodgers has tested positive for COVID-19 and will not play against the Kansas City Chiefs on Sunday, a source confirmed to ESPN.
The NFL has considered Rodgers as unvaccinated since the start of the season, despite his statement that he was vaccinated during a press conference earlier this year..
Rodgers was placed on the league’s reserve/COVID-19 list along with cornerback Isaac Yiadom on Wednesday, and the NFL said it would look into how the Packers have handled the league’s Covid-19 protocols.
State Updates
Alaska
Alaska reported 195 Covid-19 patients in hospitals across the state and hospitalized and 688 new cases on Wednesday. Test positivity dropped to 8.2% while the 7 day moving average for new cases held steady at 589 per 100,000 residents. The state had 27 ICU beds available. Reluctantly accepted emergency measures in Anchorage combined with colder weather creating more isolation are starting to drive numbers down.
It isn’t all good news. This past week’s 7 day case total for the Yukon-Kuskokwim region was the 14th highest since the beginning of the pandemic and the sixth highest in 2021 according to KYUK Public Media. The hospital in Bethel has been operating under crisis standards of care for weeks.
The Yukon-Kuskokwim Health Corporation reported 254 new COVID-19 cases in the region from Oct. 25 to Oct. 31. YKHC also reported two new hospitalizations in-region, two medevacs, and the deaths of three residents due to the virus during this one week period.
On Tuesday, Governor Mike Dunleavy signed an executive order that prohibits all state agencies from participating in or assisting with federal vaccine mandates for employers. The order also tasks the state’s attorney general with reviewing all federal vaccine mandates and looking for ways to challenge them in court.
Colorado
Hospitals in Colorado are being allowed to turn away patients as the state experiences its worst COVID surge in a year, according to a report by NBC News.
An order signed Sunday by Gov. Jared Polis gives health care professionals the authority to prioritize crisis care under the direction of the state health department.
While the state has a nearly 80 percent partial vaccination rate, unvaccinated people with severe Covid-19 are overwhelming hospitals, many of which reported being over 90 percent capacity, according to Scott Bookman, Covid-19 incident commander for the Colorado Department of Public Health and Environment.
Colorado has the fifth-highest number of COVID patients in the nation, and 80% to 90% are unvaccinated.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) The CDC has approved the Pfizer low dose Covid-19 vaccine for children 5 to 11 years old and the first 5,700 doses were available today at Harborview Medical Center. New cases remain stubbornly high in Washington while the gap between the best and worst counties narrowed.
America’s Frontline Doctors aligned Dr. Ryan Cole is under investigation by the Washington State Medical Commission for undisclosed violations. A Covid-19 survivor returned to Harborview Medical Center to apologize and give thanks to the people who saved his life.
The Washington State Department of Health reported 73.1% of eligible Washingtonians are fully vaccinated as the state approaches 80% with at least one dose. Superintendent of Public Instruction Chris Reykdal reported that the Eatonville School District has still not fired its unvaccinated staff, and is the only district in the state defying the October 18 vaccine mandate.
Dallas County, Texas reported its 5,000 COVID related death. 627 days have passed since the first confirmed Covid-19 case in King County, Washington. How do the two counties with similar populations compare almost two-years later?
Spokane Regional Health opened up new Covid-19 isolation services for people who need to isolate but don’t have the resources. Point Roberts, Washington is getting ready for the land border to open between Canada and the United States, bringing more than 600 days of isolation to an end.
New case rates dipped to the lowest level in months, raising the question if the plateau is finally cracking or if this is an anomaly. Ten Washington counties are reporting 7 day moving average case rates below 100 and two counties, Columbia and San Juan are below 25. A new case rate under 25 indicates Covid-19 is endemic in those counties.
Columbia County is one of the least vaccinated in the state while San Juan County is the highest. Although both counties are remote, the population density in San Juan county is 13 times higher.
The inversion of new cases rates between counties 40% to 49.99% vaccinated and 50% to 59.99% vaccinated continued for the second day in a row. Okanogan, Skagit, and Spokane counties are driving this trend.
Increasing vaccination rates statewide are causing hotspots to form among unvaccinated groups. For example, counties 50% to 59.99% vaccinated contain some of the highest (Skagit) and lowest (Pacific) new case rates.
Percent of Total Population Fully Vaccinated
Total Population in Group
Average 14-Day New Case Rate
70% or above (3 counties)
2,343,250
206.4 (down)
60.00% to 69.99% (4 counties)
1,242,200
346.7
50.00% to 59.99% (15 counties)
3,433,900
371.9 (down)
40.00% to 49.99% (9 counties)
599,225
355.2 (down)
31.20% to 39.99% (8 counties)
158,300
400.5 (down)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County
Through November 1, Washington’s statewide 14-day rolling average is 317.6 Covid-19 cases per 100K – a significant drop from yesterday and the lowest rate since mid-August.
Four counties, Ferry, Klickitat, Lincoln, and Skagit, have a new case rate between 600.0 to 799.9.
Asotin, Chelan, Douglas, Grant, Lewis, Mason, Okanagan, Skamania, Spokane, and Stevens counties have a new case rate between 400.0 and 599.9. Pend Oreille, Cowlitz, and Yakima counties were just under 400.
The 7 day case rate was down across all groups, although the decrease for people 80 and older was statistically insignificant. Hospitalization rates were mostly unchanged except for those over 80, with the rate falling to the lowest level since we began tracking the data by age.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
141.3 (down)
0.5
Ages 12-19
123.5 (down)
0.9
Ages 20-34
136.4 (down)
3.8
Ages 35-49
148.8 (down)
7.7
Ages 50-64
112.7 (down)
11.9
Ages 65-79
85.5 (down)
18.3
Ages 80+
76.8
20.3 (down)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
The USA Today COVID Tracker reported 31 deaths on Monday. We reported that on October 20, the Eatonville school board voted to take no action against unvaccinated staffers. The state indicated that the school was risking losing funding if it did not comply with the October 18 vaccine mandate.
Dr. Ryan Cole under investigation by the Washington Medical Commission
Dr. Ryan Cole, a derma-pathologist in Garden City, is under investigation by the Washington Medical Commission according to a report by KTVB. Cole received a physician license in Washington in 2007, and is licensed in several other western states.
He has drawn criticism from medical doctors and health officials for spreading misinformation about the COVID-19 pandemic, including touting the use of the anti-parasite drug Ivermectin as a treatment for the virus, despite both the Food and Drug Administration and the Centers for Disease Control warning that it has not been proven effective against COVID-19. Cole has also opposed the COVID-19 vaccine, referring to it as “needle rape and a “clot shot.”
On September 25, Dr. Ryan Cole joined up to 4,000 protesters from Eastern Washington and Idaho. He was joined by extremists Matt Shea and spoke at the event hosted in part by Turning Point Faith.
On October 30, he spoke at the Alaska Early Treatment Medical Summit in Anchorage, Alaska. On America’s Frontline Doctors new Tik Tok channel, he has appeared with other AFL representatives.
Another big day.
Today, hundreds have already shown up to a ‘Rally for Medical Freedom’ in Spokane’s Riverfront Park.
Notable speakers include Matt Shea, former SV republican rep. who was accused of domestic terrorism and expelled from the WA Republican Caucus in 2020. @KREM2pic.twitter.com/Ugi5eeAA7r
Unvaccinated Covid-19 survivor returns to Harborview Medical Center to apologize and give thanks
Richard Soliz spent 28 days at Harborview Medical Center fighting for his life from COVID. The graphic designer told KOMO he had fallen down a social media hole, “after reading about side effects, claims of microchipping during the vaccination process and questions about government approval of the vaccines.”
“It’s emotional for us to see someone do well,” Dr. James Town, a pulmonologist and director of the medical ICU at Harborview Medical Center said. “Particularly when things are so dark.”
When Soliz made the rounds to thank the staff who saved his life, they were touched.
“Oh wow, you look great,” nurse Kimmy Siebens told him. “To see you alive is just amazing. You look so great.”
While it’s not unusual for trauma patients to return and thank the medical personnel who helped them, very few COVID-19 patients have done the same, according to hospital workers.
“We do put so much of our own heart into the care and worry,” Siebens said. “We never really get to see people get that much better. And so it’s amazing. It makes it feel like it’s definitely all worth it, you know?”
73.1% of eligible Washingtonians are fully vaccinated
The Washington State Department of Health reported 79.1% of all residents 12 and older have received at least one dose of the Covid-19 vaccine and 73.1% are fully vaccinated.
Rates climbed statewide driven in part by a number of local, county, state, federal, and private employer mandates.
Eatonville School District fails to fire unvaccinated employees as deadline passes
KING 5 is reporting the school district still has not removed unvaccinated staff. According to Superintendent of Public Instruction Chris Reykdal, Eatonville is the only district in the state challenging the mandate. The district has not released any information on how many employees could be impacted, but statewide the impact among teachers and administrators was negligible.
Eatonville is one of the only school districts in the state that was forced to move to remote learning when a spike of cases popped up at Eatonville Middle School.
The Eatonville School District appears to be headed toward a showdown with the state.
Dallas County, Texas versus King County, Washington two different approaches, two results
King County, Washington experienced the first Covid superspreader event in February 2020, the first death, and had the first mass casualty event at a hospital in the United States. A month later, Texas suffered its first Covid-19 death. Over the next 627 days King County implemented some of the strictest COVID rules in the nation while Dallas County took a more open approach.
So was there a major difference between approaches? King County has 2.30 million residents compared to 2.65 million residents. On November 1, Dallas County reported its 5,000 COVID-related death while King County reported 2,022. Simply put, 1 in every 530 residents of Dallas County has died of COVID since March 2020 versus 1 in every 1,137 residents in King County since February 2020.
Both counties have multiple regional hospitals, a major children’s hospital, and a Level 1 trauma center. In Dallas County, 88% of hospitalizations and 98% of fatalities were unvaccinated compared to 90% and 88% in King County. The number of vaccinated deaths in King County are higher due to the false data fallacy. In Dallas County only 60.7% of all eligible residents have received at least one dose of Covid-19 vaccine compared to 88.6% in King County.
King County has maintained maks mandates, instituted vaccine mandates, followed the CDC back to school protocols, and was one of the last places in the country to fully reopen in spring 2021. Many large employers have maintained work from home rules for their employees. Additionally large scale testing centers were readily available through most of the pandemic and the county had specific outreach programs to BIPOC, LGBTQIA+, and poor communities to increase vaccination rates.
The protocols, mandates, and rules have been hard on King County residents and businesses, but is there a price tag on 2,318 lives? To provide some contrast, 2,744 people died in the collapse of the World Trade Center towers on September 11, 2001.
Spokane Regional Health opens Covid-19 isolation services in cooperation with the Salvation Army
Spokane Regional Health District (SRHD) has partnered with Salvation Army to provide isolation services for individuals in the community who test positive for COVID-19 and do not have the resources to isolate themselves at home.
Isolation is a crucial component in the fight against COVID-19. Throughout the pandemic response, isolation has been provided for members of the community whose living situation makes it difficult to isolate safely from others. This could be due to many reasons such as living in a multigenerational household or within a congregate setting.
Contracted through Spokane County, Salvation Army will provide isolation services within six of their studio apartments for the next 12 months. Two of the apartments are adjoining rooms to help assist larger families. Transition from the United Gospel Mission (UGM) facility took place yesterday.
Dr. Francisco Velázquez, SRHD health officer, explained UGM’s support was instrumental to ensuring isolation was provided at a time it was most needed when cases were rising. It gave SRHD time to find a long-term solution that meets the needs of Spokane County.
“Having Salvation Army as a long-term isolation partner is essential to our recovery efforts,” Velázquez said. “Salvation Army’s commitment to serve the community and support public health is invaluable.”
Washington state to provide no cost Covid-19 testing for Canadian citizens who own property in Point Roberts
A geographical anomaly isolated from the rest of the United States, Point Roberts has endured over 600 days of isolation from the rest of the world due to the land border closure of the U.S. – Canada border. On November 8, land travel will be permitted again for vaccinated individuals but for Point Roberts, there is a unique challenge.
Canadian citizens who own homes in Point Roberts will be able to check on their property for the first time in 18 months. Not only do they need to provide proof of vaccination, but to cross the border they also need a negative Covid-19 test in the last three days. That requirement goes both ways, mandating a second test to return to Canada.
Normally, foreign nationals in the United States would be required to pay for that test, which creates a significant barrier for those who need to move across the border. To add complexity, Canada won’t accept a rapid test, and PCR testing is only available in Port Roberts on Wednesdays and Sundays.
To support Canadians that own property in the U.S. enclaveve, Point Roberts has arranged for the state of Washington to pay for testing for Canadians who own property there but cannot afford the test or do not have private U.S. health insurance to cover the cost.
“The majority of people coming in will be property owners and they already pay property taxes to the State of Washington,” he said. “Therefore to provide an international traveler that owns property in Point Roberts a test to go back home after coming into the community and seeing their home for the first time in 18 months, I think is the right thing to do.”
Travel Advisories
We are very encouraged by the hospital readiness data for the East Hospital Region and believe we can end the travel advisory in the next five to 12 days. For now, we’re maintaining our recreational travel advisory to the East Hospital Region, including Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties. Acute care and ICU capacity remain limited.
Additionally, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.
We continue to strongly advise against all nonessential travel to Alaska, Idaho, Montana, and Wyoming. Alaska and the Idaho Panhandle are experiencing an extreme number of Covid-19 hospitalizations. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a serious medical emergency. Data out of Wyoming is encouraged and we may drop our travel advisory in the next 14 to 21 days.
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Vaccination
CDC Director authorizes Pfizer Covid-19 vaccine for emergency use in children 5 to 11 – vaccine is immediately available
CDC Director Dr. Rochelle Walensky gave the final approval required to make the Pfizer Covid-19 vaccine available to children 5 to 11 years old in the United States.
The Food and Drug Administration (FDA) authorized the low dose version of the Pfizer vaccine in a 17-0-1 vote last week. Due to federal rules on distribution, the CDC is required to clear the FDA recommendation. The CDC Advisory Panel granted unanimous approval in a 14-0 vote, with Dr. Walensky granting final approval a few hours later.
The immune responses of children 5 through 11 were comparable to adolescents and young adults. In addition, the vaccine was found to be 90.7% effective in preventing COVID-19 in children 5 through 11. The vaccine’s safety was studied in approximately 3,100 children who received the vaccine and no serious side effects.
King County, Washington is reporting over 88.6% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.
COVID vaccines and boosters are free for anyone 5 and older. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 15.0% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 654 additional acute care patients.
ICUs are at 88.3% of capacity statewide, with 25.0% of ICU patients fighting Covid-19 – an estimated 295 patients with 60.0% on ventilators. The state has the staff to support approximately 140 additional ICU patients.
On Monday, the 7-day rolling average hospital admission rate for new COVID patients was 107. The Department of Health reported 1,046 Covid-19 patients statewide on November 1, with 176 requiring ventilators.
The vast majority of hospitalized Covid-19 patients are unvaccinated and the number of patients won’t decline significantly until the number of new cases moves lower.
Hospital 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%
– Alcott (5) – Bell (24) – Blackwell (1* – see notes) – Carson Elementary (6) – Clara Barton (3) – Eastlake High (48) – Ella Baker (6) – Finn Hill Middle School (6) – Frost (5) – ICS (4) – Juanita Elementary (1) – Juanita High (17) – Kamiakin Middle School (25) – Keller (6) – Kirk Elementary (10) – Lakeview Elementary (7) – Lake Washington High School (7) – McAuliffe (1) – Muir Elementary (1) – Redmond Middle School (1) – Redmond High School (52) – Rockwell (2) – Sandburg/Discovery (4) – Timberline Middle School (28) – Twain Elementary (15)
None
Northshore
YELLOW
– Arrowhead Elementary (3) – Bothell High School (15**) – Canyon Creek Elementary (3) – Canyon Park Middle School (1) – Crystal Springs Elementary (11) – East Ridge Elementary (3) – Fernwood Elementary (5) – Frank Love Elementary (13) – Hollywood Hills Elementary (3) – Inglemoor High School (23**) – Kenmore Elementary (21) – Kenmore Middle School (5) – Kokanee Elementary (7) – Lockwood Elementary (7**) – Maywood Hills Elementary (2) – Morelands Elementary (1) – North Creek High School (9**) – Northshore Middle School (12) – Ruby Bridge Elementary (10**) – Shelton View Elementary (8) – Skyview Middle School (18**) – Timbercrest Middle School (1) – Wellington Elementary (7**) – Westhill Elementary (18) – Woodin Elementary (8**) – Woodinville High School (4) – Woodmoor Elementary (11)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
There was a parent confirmed Covid-19 case reported at Blackwell Elementary in the Lake Washington School District. Because LWSD updates data weekly, we add a footnote for parent-reported cases during the week.
We continued to encourage parents to request daily updates from the Lake Washington School District. We would also encourage parents to request the Bellevue School District include data on close contacts. These two changes would bring the three school districts we track into alignment.
Kirkland-Bellevue-Woodinville
Kirkland Health Fair and Community Vaccination Event on November 6
The Kirkland Health Fair and Community Vaccination Event will be held on Saturday, November 6, from 10 a.m. to 2 p.m at Juanita High School. Hosted by the City of Kirkland in partnership with Public Health – Seattle and King County, the event will provide Covid-19 vaccination, information, education, and more.
At this time, organizers are not planning to provide vaccinations for children 5 to 11 years old, according to David Wolbrecht, Senior Neighborhood Services Coordinator with the City of Kirkland.
Save the date! The Kirkland Health Fair and Community Vaccination Event takes place 10 am – 2 pm, Sat 11/6 at Juanita High School. We are partnering with @KCPubHealth to provide COVID-19 vaccinations, vaccine info & education, & much more! More information to come. pic.twitter.com/JJcFnqggrJ
Johns Hopkins University Cumulative Case Tracker reports 121,139 new cases and 1,201 deaths nationwide on Tuesday. The United States will break 750,000 COVID-related deaths since February 29, 2020 tomorrow or Thursday.
“Without acting on this vaccine requirement, we could lose substantial federal contracts, and with them jobs that support more than 750 employees and their families,” said Pitney. “In addition, the ripple effect of the loss of these contracts would be widely felt as UAF’s research enterprise works with local contractors and suppliers across the state.”
The decision is in response to President Biden’s executive order (EO) 14042, Ensuring Adequate COVID Safety Protocols for Federal Contractors, which requires all employees paid by or supporting new or modified federal contracts to be vaccinated by early December. The order requires not only people directly paid by federal contracts but also anyone who works to support them or works in the same facility to get a COVID vaccine.
According to a report in the Daily Beast (a publication we reluctantly share, other sources are behind a paywall), roughly 1,200 attendees flocked to the Alaska Early Treatment Medical Summit on Saturday, the Anchorage Daily News reported. Organizers told the outlet that attendees paid $20 for tickets to hear from doctors who have been shunned from mainstream medical circles for pushing unproven drugs touted as miracle treatments to fight COVID-19 infection.
“I’m just here to tell you after a long dinner and meeting with these folks, this is the best science available,” Dave Bronson proclaimed during a nine-minute speech on Saturday at Anchorage’s ChangePoint Church.
According to a video of the event, posted by organizers from the Alaska Covid Alliance, Richard Urso, a Houston ophthalmologist who helped launch America’s Frontline Doctors and has defended using hydroxychloroquine as a treatment for the virus, told the crowd that Bronson had “helped organize a lot of what’s happening behind the scenes.”
Mayor spokesperson Corey Allen Young backpedaled on Monday, suggesting Bronson was not involved in any planning for the event. He also stated that Bronson nor any other city employee was compensated.
Idaho
State officials reported that hospitals are still operating at crisis standards of care today and 11.5% of Covid-19 tests are coming back at positive. The weekly update by Idaho officials had audio problems so hospitalization was not shared.
While the Panhandle has had no relief since early September, officials reported that 6 of the 7 counties with the highest case rates are now in Eastern Idaho.
The Idaho State Board of Education on Tuesday approved a decision joining a federal lawsuit to block contractor requirements in President Joe Biden’s executive orders that include COVID-19 vaccine mandates, but colleges and universities will meanwhile abide by the order.
It’s not clear how many workers in Idaho would be affected by the order.
Montana
Montana reported 371 people were hospitalized, down significantly from two weeks ago, however with 1,100 new cases being added a day, 1% of Montanans are catching COVID every 10 days.
The state’s positivity rate of new cases is still more than double the 5% goal set by the U.S. Centers of Disease Control and Prevention, Shaw-Tulloch said. More than 1,000 new cases were reported to the state on Monday, according to the Idaho Department of Health and Welfare. More than 3,570 Idaho residents have died of COVID-19 since the pandemic began.
New York
In 24 hours, 2,000 of the 9,000 vaccination mandate holdouts among New York City’s municipal employees got their first dose administered. City officials belief between completed vaccination and approved exemptions, less than 3% of all municipal employees will leave their jobs.
Much like in Washington state, dire predictions of massive staff losses have not come to pass.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) It should come as no surprise with the Washington vaccine mandate impacting state employees, teachers, and health care workers on Monday, there is an incredible amount of local news.
New Covid-19 cases in Washington continued to decline while Eastern Washington continues to hold back progress for the rest of the state. In Spokane, officials requested a 20 person Department of Defense strike team to support overwhelmed hospitals. In an ironic twist, 11 Republican State Senators signed a letter urging Governor Jay Inslee to deploy National Guard troops to rural Washington hospitals battered by Covid-19 patients. Several of the signatories have actively worked against mask and vaccination mandates.
The Seattle Police Department will be operating at blackwatch plaid modified phase 4 rules on Monday, with 130 officers still not sharing their vaccination status with the department. In related news, a federal judge tossed a lawsuit against Governor Jay Inslee and the vaccine mandate on Friday.
University Washington Medicine (UMC) announced that hospitals will be open to visitors again starting October 19, but you’ll need to prove you are vaccinated or have a negative COVID test to go into Harborview Medical Center.
Locally up to 20 Redmond firefighters are facing termination and 12 learned their previously accepted religious exemptions were rejected. On Friday up to 200 Boeing employees and their supporters protested in Everett after the defense contractor announced they were implementing a vaccine mandate.
If you have Covid-19 and you’re seeking monoclonal antibody treatment you’re in luck with two facilities in Kirkland offering the therapeutic.
There was a single COVID case reported at Bennett Elementary School in the Bellevue School District on Friday.
The State Trooper that died of Covid-19 wasn’t vaccinated according to his family, and they are appealing to everyone to stop politicizing his death.
Out in Pullman, Cougar fans are wondering if Nick Rolovich has coached his last game.
On the Kitsap Peninsula, Vice Admiral Bill Galanis told more than 15,000 civilian naval workers to get vaccinated or they’ll no longer work for the U.S. Navy. A Clark County physician assistant had his license revoked after spreading Covid-19 misinformation for more than a year. Another nurse in Washington is under investigation after she appeared on the Stew Peters show and made wild accusations on air.
Yakima and Spokane are getting new mass Covid-19 testing sites starting Monday and Yakima Valley Memorial Hospital is now offering monoclonal antibody treatments.
A Food and Drug Administration (FDA) panel unanimously recommended booster shots for all recipients of the Johson & Johnson vaccine, and further recommend that the viral-vector vaccine require two-doses. The FDA also announced that a panel won’t review the antiviral molnupiravir until November 30, indicating the drug likely won’t be approved in 2021.
A worker at CVS accidentally gave a 17-year old six-times the recommended dose of the Pfizer vaccine while another worker at Walgreens accidentally gave an adult dose of the Pfizer vaccine to a 4 and 5-year-old.
The CDC released travel guidelines for the 2021 holiday season and visiting grandma is a go, as long as everyone is vaccinated or wears a mask. On the topic of masks, if you’re still using a cloth one, it’s time to throw it away and use disposable surgical or N95 masks instead.
Cam Newton’s agent let everyone know that he is now vaccinated and call me crazy, but I’m just not a big Geno Smith fan.
The number of people vaccinated in Clallam County was adjusted downward, pushing the county just under 60%. This change is reflected in our daily chart, and we expect Clallam County to be back over 60% on Tuesday when the vaccination data is updated.
The lowest vaccinated counties have 387% more new cases of Covid-19 than the most vaccinated. Only one of the least vaccinated counties is in the western half of the state.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
60.00% or above (4)
194.4 (down)
50.00% to 59.99% (13 counties)
431.4
40.00% to 49.99% (12 counties)
478.0 (down)
29.90% to 39.99% (8 counties)
753.1
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Not Adjusted for Population
Through October 14, Washington’s statewide 14-day rolling average dropped slightly to 349.4 Covid-19 cases per 100K – statistically unchanged from Thursday.
Ferry County (1,393.3) and Garfield County (1,390.6) still have new case rates above 1,000. They are now significant outliers compared to the rest of the state.
For the first time since August 17, not a single county is reporting new case rates between 800 and 999.9. In Eastern Washington, a combination of rising vaccination rates in many counties and the Delta variant running out of new hosts is driving case numbers downward.
Counties in the 600.0 to 799.9 per 100K range include Chelan, Columbia, Klickitat, Lincoln, Pend Oreille, and Stevens.
New cases were statistically unchanged, while hospitalizations were up for ages 35 to 49.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
150.7
1.2
Ages 12-19
169.2
1.3
Ages 20-34
153.7
4.0
Ages 35-49
157.2
8.5 (up)
Ages 50-64
118.7
12.1
Ages 65-79
86.7
19.3
Ages 80+
85.5
35.9
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
Seattle Police Department will operate on modified phase 4 rules starting Monday
Seattle officials announced that SPD officers would be operating on 12-hour shifts six days a week starting Monday as they try to determine how many officers are vaccinated. On Thursday, officials reported 84% of SPD employees had provided proof of vaccination status. The number dropped to 82% on Friday with no explanation.
An “unofficial” website claiming not to be associated with the Seattle Police Officer Guild, while using common language from union president Mike Solan, advised officers not to provide their vaccination status information before October 18. In early September, it was implied approximately 200 officers would not provide their vaccination status until the deadline.
“For some reason, this mayor is refusing that, which I think is unreasonable and is void of common sense,” said Solan.
The mayor’s office responded to Solan’s request in a statement to KING 5, saying, “COVID-19 is currently the number one cause of death for our first responders. Throughout the pandemic, we have seen dozens of firefighters and officers exposed, with some hospitalized even with testing and PPE. This deadly disease puts our families, children, co-workers, and the community at risk, so Mayor Durkan sincerely hopes that anyone at risk of leaving the City or at departments statewide will make the decision to stay by getting vaccinated.”
The department has 1,043 commissioned officers. If the current number holds, 187 will be suspended after Monday. Earlier this week, on the Dori Monson Show, Solan hinted the number of officers refusing to get vaccinated was around 50. Officers were informed they will not be automatically fired but will need to appear at a “Loudermill hearing.”
The Seattle Times and Forbes reported during the summer of 2020, the average SPD officer made $153,000 a year in salary. The figure did not include benefits, pension, or government employee discount benefits. The pay in Seattle is more than double what the average officer makes nationwide.
Solan is not alone in defying vaccination orders among the police officers represented by a union. Chicago Police Union president John Catanzara took a similar position in a video earlier this week and communicated the same early numbers, claiming 50% of the force will walk off the job. According to the best available data provided by Chicago officials, over 70% of the CPD is already fully vaccinated.
Federal judge tosses lawsuit attempting to block Washington state vaccine mandate
In a widely expected decision by federal court watchers, Judge Barbara J. Rothstein, a Carter Administration nominee, rejected a lawsuit by more than 100 municipal, county, and state employees attempting to block the Washington state employee vaccine mandate.
#BREAKING We successfully defended Governor Inslee’s vaccine policy that ensures a safe and health work environment for all state employees. Federal Judge Barbara J. Rothstein denied an attempt to halt Gov. Inslee’s vaccine mandate.
Nationally, federal lawsuits have been filed in 39 different states, with two resulting in temporary stays. The first was specific to New York employees seeking religious exemptions, and the second was among a handful of United Airlines employees who were suspended without pay. The legality of vaccine mandates at a state level has been litigated for 119 years in federal court. The United States Supreme Court ruled in 1905 in the case Jacobson vs. Massachusetts that municipalities, counties, and states had the right to make and mandate public health decisions.
Up to 20 City of Redmond firefighters face termination
Anywhere from 12 to 20 Redmond firefighters face termination on Monday as they continue to battle the looming vaccination mandate. Several employees who previously received religious exemptions had them rejected by the city upon further review.
Many people seeking a religious exemption have cited their anti-abortion beliefs as their foundation of “deeply held religious beliefs.” The mRNA vaccines from Pfizer and Moderna were tested using clonal human fetal kidney cells (HEK293), and the Johnson & Johnson vaccine is produced using the same cells.
While committees accepted many exemption requests initially, the position has become problematic among medical providers. In Washington state, firefighters, some police officers, and all patient-facing healthcare workers are required to have the MMR, Hepatitis B, Varicella, and if over 50 years old, Zoster vaccines. All of these vaccines use HEK293 in their development, testing, or production. Workers who had no previous religious belief against these vaccines are having their exemption requests rejected.
Waking Up Washington plans an anti-vaccine mandate protest (again) in Seattle for Monday
Palmer Davis of Waking Up Washington is calling for another Seattle area protest against the vaccination mandate on Monday at noon in front of Seattle City Hall. The organization previously called for a protest at Swedish Hospital and Harborview Medical Center, where Ms. Davis advocated online for trying to enter Harborview. That protest never materialized and the organization never made a statement or released photos of the event.
Given the vaccine mandate starts on the 18th and a number of state workers have already accepted they are losing their jobs, it is more likely someone will show up.
In ironic twist, state GOP urges Governor Jay Inslee to deploy National Guard to fight Covid-19
On October 8, 11 Washington state Senators signed a letter requesting Governor Jay Inslee deploy the National Guard to aid overwhelmed rural county hospitals. The letter was signed by Senate Minority Leader John Braun (R-Centralia), Senator Jeff Wilson (R-Longview), and retiring Senator Ann Rivers (R-La Center).
For several months, the state seemed content to focus on providing access to the vaccine. But in mid-May, we saw a change in the federal guidance on wearing masks and distancing, and the state followed suit. Suddenly, Washington employers had more control over their own safety standards than they’d had in over a year. It didn’t last long. Barely a week later, on May 21, the Department of Labor and Industries (L&I) issued new guidance that puts employers in the position of becoming the “vaccine police.”
During the 2021 legislative session, Republicans introduced legislation to prevent discrimination based on vaccination status in places of public accommodation. Although leaders of the Democrat majority didn’t support our proposal, they at least recognized it would be a mistake to go the other direction and pursue a vaccine-passport policy.
When Braun penned the op-ed in June, the Alpha variant of Covid-19 was in statewide decline, and almost all Covid-19 related restrictions ended on June 30. By early September, hospitals in Yakima, Walla Walla, and Richland were on the edge of moving to crisis standards of care due to an overwhelming number of Covid-19 cases.
In May of this year, he joined Senator Braun against Washington L&I mask requirements. The Reflector reported Braun and Wilson reminded constituents that private businesses have the right to make their own rules for customers. It mirrors State Health Secretary Umair Shah’s plea for Washingtonians to “respect the rules of the room.”
The statewide mask mandate was lifted in late June 2021.
The question about deploying the National Guard came up repeatedly since August when the Delta surge started in Washington. Other states that deployed the National Guard found it had a devastating impact, removing medical personnel already working at hospitals and causing worse staffing issues. Additionally, the Washington State National Guard is already deployed to other states assisting in their failed Covid-19 response and dealing with hurricane and disaster response.
Washington state opening mass Covid-19 testing sites in Yakima and Spokane
Weeks after being announced, two new mass Covid-19 testing sites will be opening in Yakima and Spokane.
The site will be open five days a week, Sunday through Thursday. Officials report it will take two to three days to receive test results. People are encouraged to preregister for testing. A drive-up option is available.
According to local officials, a second Spokane location will be opening soon, but no details were provided.
Yakima Valley Memorial Hospital offering monoclonal antibody treatments
Yakima Valley Memorial now has access to monoclonal antibody treatments for eligible Covid-19 patients, according to NBC KNDO and KNDU. Monoclonal antibodies are an experimental treatment with emergency approval from the FDA.
Chief Medical Officer at YVM, Dr. Marty Brueggemann, said while the treatment is new, it shows a lot of promise.
“Its not the end all, be all, but it is an important tool and it does show promise and certainly once you get covid if we can save a few admissions and people having to go through that then hey that’s the goal here,” Dr. Brueggemann said.
Monoclonal antibodies are meant for people with mild to moderate covid-19 symptoms and are most effective when used before the seventh day of symptoms. Individuals can contact the hospital for more information, and the therapy is free for qualified patients.
Approximately 200 Boeing workers and supporters protest looming vaccine mandate
Waving signs like “coercion is not consent” and “stop the mandate,” some 200 Boeing employees and others protested on Friday over the defense contractor and planemaker vaccine requirement for employees.
“It’s an experimental drug given under a pseudo-emergency,” he added.
Another worker, an assembly mechanic, said: “This is America. We don’t just do what we’re told because one person says to.”
In March of 2020, workers protested against the company demanding the Everett plant be closed after an employee died of Covid-19 and citing unsafe work conditions. Boeing suspended operations for 14 days after union pressure.
The Pfizer vaccine is fully approved by the FDA for individuals 16 years and older in the United States and other nations. The Moderna vaccine is under review for full FDA approval, and the Johnson & Johnson vaccine is expected to be submitted by the end of the year.
Shipyards’ commander to workers – get vaccinated or you’ll no longer work for the U.S. Navy
Vice Admiral Bill Galanis sent an “all-hands” email, including more than 15,000 naval shipyard workers in Washington state to get vaccinated or face termination. Workers have until November 8 to submit an exemption request on religious or medical grounds.
The Kitsap Sun reported Vice Admiral Galanis wrote, “We are moving quickly toward a workforce where vaccinations are a condition of employment,” said Vice Adm. Bill Galinis. “Frankly, if you are not vaccinated, you will not work for the U.S. Navy.”
The all-hands email, shared by employees of Naval Sea Systems Command to the Kitsap Sun, marks the Navy’s position, in following the executive order issued by President Joe Biden, for the 15,000-member workforce at the Puget Sound Naval Shipyard, as well as those at shipyards in Hawaii, Maine, and Virginia. Galinis cast Covid-19 as not just a health risk but one that “directly impacts the readiness of our Fleet and our workforce.”
Union officials were disappointed in the email, hoping to bargain with the U.S. Navy for additional accommodations. Shipyard leaders indicated up to 35% of the staff could resign, but so far, nationally, none of these dire predictions have come true.
The U.S. Navy is the largest employer in Kitsap County, including 20,000 civilians and 11,000 U.S. navy personnel.
Clark County anti-vaccination and anti-mask physician assistant license suspended
On August 19, the state of Washington announced they would be cracking down on medical professionals who promote Covid-19 disinformation, and a Clark County physician assistant is the first to be censured.
An investigation into the practice of Scott Miller began in August 2021 and ended with his license revoked by the Washington Medical Commission (WMC). The commission found accusations against Miller had merit and suspended his license to practice medicine due to treatment for patients falling below the standard of care. Accusations against Miller included:
Starting a public camaign promoting ivermectin as a Covid-19 cure
Prescribing ivermectin to at least one patient without providing an adequate examination
Interfering with the care of hospitalized patients
Engaging in a hostile and threatening campaign against both hospitals and individual physicians regarding Covid-19 treatment
Lying on his licensing application and denying he was already under investigation by the state of California
Miller is aligned with the group Waking Up Washington, led and organized by Palmer Davis, one of the principal creators of Covid-19 misinformation in the Pacific Northwest. In 2020, he was promoting hydroxychloroquine as a cure. He was one of the leaders claiming Covid-19 was circulating in the United States in 2019 and promoting Vitamin D and C along with melatonin as capable of stopping viral replication in human cells.
Miller, who runs Miller Family Pediatrics in Washougal, Washington, spoke at a Camas School Board Meeting in May of 2021 against mask mandates and promoted ivermectin as a “cure.”
“I don’t know anybody that’s died (from COVID-19),” Miller said. “I’ve treated 350 COVID patients. Do you know there’s treatment? … I treat people every day. I had 90 COVID patients come into my clinic last month.” Miller then went on to call the school board “pure evil.”
The Camas-Washougal Post Record reported Miller falsely claimed ivermectin, a drug used to treat parasites in animals, as well as vitamin D and vitamin C were cures for the novel coronavirus that has killed nearly 720,000 Americans since March 2020. The European Medicines Agency and the United States Food and Drug Administration have both said the available data “does not support the drug’s use for Covid-19 outside of well-designed clinical trials.” Likewise, the World Health Organization has warned against using ivermectin for COVID-19. In February, the drug’s manufacturer, Merck & Co., Inc., stated it has found ivermectin has “no scientific basis for a potential therapeutic effect against Covid-19” as well as “a concerning lack of safety data in the majority of studies.”
Washington state nurse under ethics investigation after her appearance on the Stew Peters Show
State officials are investigating nurse Corrine Lund after her appearance on the Stew Peters Show, part of Mojo 5.0, a “Libertarian Talk Radio” network, claiming she is a hospital supervisor who has witnessed misconduct where she worked.
State trooper who died of Covid-19 was unvaccinated according to family
The family of fallen Washington state Trooper Eric Gunderson released a statement that Gunderson was not anti-vaccination but didn’t believe he needed to get vaccinated.
“Eric was a young man. At 38, he was in the peak physical condition necessary to perform his duties as a member of the Washington State Patrol S.W.A.T. team,” the statement said, in part. “He thought — we all thought — that Covid was something that happened to someone else. He was not in a high risk group.”
According to the family and the Washington State Patrol, Gunderson contracted Covid-19 during a business trip to Orlando, Florida, during the height of the Delta variant surge in the Sunshine state.
“He contracted the virus while traveling for work this summer, a trip planned before the dangers of the Delta variant were fully understood, when many travel restrictions had been reduced, and there was a sense that Covid was in decline,” the statement said. “After he returned from his trip, he became very sick, very quickly. He was hospitalized and died some six weeks later.
To say that the comments on social media attached to this story are awful would be an understatement. Regardless of your views on vaccination, a husband and father of two died unnecessarily.
His family wrote, “His death is a tragedy. It is not a symbol.”
The most up-to-date numbers available indicated 91.5% of all commissioned Washington State Patrol officers and 93% of WSP employees are fully vaccinated.
Speculation about Nick Rolovich future employment status is rampant
The highest-paid state employee in Washington, Nick Rolovich, has been playing peek-a-boo with state officials and the press over his vaccination status. Last week Rolovich, who has a record of 4-6 leading the Cougars at press time (each win has cost Washington taxpayers $1.65 million), stated to USA Today he was seeking a religious exemption.
Over 95% of staff and 98% of students at WSU Pullman are fully vaccinated or have an approved exemption.
Harborview Medical Center will require all visitors to show proof of vaccination or negative Covid-19 test for entry
Harborview Medical Center will allow visitors into the hospital beginning October 19, with new protocols in place. Starting Tuesday, all inpatient visitors over the age of 12 and individuals over the age of 18 accompanying an adult outpatient must show proof of being fully vaccinated against COVID-19 or provide evidence of a negative COVID-19 test collected within the past three days.
Visitors will be allowed at all four UW Medicine facilities starting Tuesday but will be limited to one or two people depending on the hospital, patient, and what department is treating the patient.
UW Medicine indicated the proof of vaccination or negative test policy would be rolled out at the remaining facilities in the coming weeks.
Travel Advisories
Due to increased acute care hospitalizations, we’re maintaining our recreational travel advisory to the East Hospital Region, including Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties. Acute care and ICU capacity remain limited, and the ratio of Covid-19 patients to other hospital patients is exceptionally high. Please reconsider nonessential travel plans to these counties.
With the announcement that Spokane officials have requested additional federal resources to support local hospitals, the travel advisory will likely continue through the 2021 holiday season.
We strongly advise against all nonessential travel to Alaska, Idaho, Montana, and Wyoming. Hospital resources in these regions are constrained, and you may receive inadequate care in Alaska, Idaho, and Montana if you experience a serious medical emergency.
We are not adding a travel advisory for the Northwest Hospital Region, which includes Clallam, Jefferson, Kitsap, and Mason counties but don’t recommend engaging in risky recreational behavior on the Olympic Peninsula. Although hospitals are very constrained, the region is adjacent to the Puget Sound and West Hospital Regions, which have adequate resources.
Thank you
Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!
No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks
Vaccination
FDA panel recommended booster for all Johnson & Johnson vaccine recipients and changing to a two-dose regime
On Friday, an influential Food and Drug Administration advisory committee said the agency should authorize boosters of Johnson & Johnson’s single-shot Covid-19 vaccine to the more than 15 million Americans who have already received the initial dose.
CNBC reported a unanimous vote – by the agency’s Vaccines and Related Biological Products Advisory Committee – is a critical step before the U.S. can begin giving second shots to J&J recipients. Some of them have said they are anxious to get the additional protection. Studies have shown one dose of J&J’s vaccine to be comparatively less effective than the two-dose messenger RNA vaccines made by Pfizer–BioNTech and Moderna.
The panel recommended the boosters to everyone 18 and over who’s already received J&J’s first shot at least two months after the initial dose. Many committee members said it should be considered a two-dose vaccine, much like Moderna and Pfizer’s.
King County, Washington is reporting over 87.3% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.
COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 16.3% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 616 additional acute care patients. ICUs are at 86.7% of capacity statewide, with 26.0% of ICU patients fighting Covid-19 – an estimated 311 patients with 51% on ventilators. The state has the staff to support approximately 157 additional ICU patients.
On Friday, the 7-day rolling average hospital admission rate for new COVID patients increased slightly to 94. The Department of Health reported 1,115 Covid-19 patients statewide on October 14, with 159 requiring ventilators.
Every hospital region showed improvement this week. The East and Northwest Hospital Regions remain highly stressed. Earlier this week, 19% of all hospitalized Covid-19 patients in Washington were in Spokane County medical facilities.
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
Sacred Heart Medical Center received a Department of Defense “strike team” of 20 healthcare workers to provide additional support. For months, the hospital has been overwhelmed with Covid-19 patients and recently started seeing more patients from Idaho seeking medical treatment.
– Bell Elementary (4*) – Blackwell Elementary (1*) – Carson Elementary (2*) – Dickinson/Explorer Elementary (1*) – Eastlake High (3*) – Finn Hill Middle School (4*) – Franklin Elementary (1*) – Frost Elementary (2*) – ICS (1*) – Inglewood Middle School (2*) – Juanita Elementary (3*) – Juanita High School (4*) – Kamiakin Middle School (2*) – Keller Elementary (1*) – Kirkland Middle School (1*) – Lakeview Elementary (4*) – Lake Washington High School (2*) – Mead Elementary (2*) – Muir Elementary (1*) – Northstar Middle (1*) – Redmond Elementary (2*) – Redmond Middle School (1*) – Redmond High School (2*) – Rosa Parks Elementary (3*) – Rose Hill Middle School (1*) – Timberline Middle School (2*) – Twain Elementary (1* – see notes)
None
Northshore
YELLOW
– Arrowhead Elementary (3) – Bothell High School (29**) – Canyon Creek Elementary (10) – Canyon Park Middle School (14) – Cottage Lake Elementary (1) – Crystal Springs Elementary (29) – East Ridge Elementary (2) – Frank Love Elementary (16) – Hollywood Hills Elementary (69) – Inglemoor High School (2) – Innovation Lab High School (2) – Kenmore Elementary (8) – Kenmore Middle School (31) – Kokanee Elementary (13) – Leota Middle School (4) – Lockwood Elementary (27**) – Maywood Hills Elementary (6) – Moorlands Elementary (3) – North Creek High School (8) – Northshore Middle School (7) – Ruby Bridge Elementary (4) – Secondary Academy for Success (6) – Shelton View Elementary (7) – Skyview Middle School (11) – Sunrise Elementary (7) – Timbercrest Middle School (9) – Wellington Elementary (30) – Westhill Elementary (12) – Woodin Elementary (24) – Woodinville High School (13) – Woodmoor Elementary (15)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than 10 active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
Bennett Elementary School in the Bellevue School District reported a single confirmed Covid-19 case on Friday.
We have a parent confirmed report of a single Covid-19 case at Mark Twain Elementary School in the Lake Washington School District.
We continued to encourage parents to request improved daily data reporting from the Lake Washington School District.
Kirkland-Bellevue-Woodinville
Monoclonal antibody treatment available in Kirkland
EvergreenHealth in Kirkland offers monoclonal antibody treatment to qualified people who have tested positive for Covid-19 and are experiencing mild or moderate symptoms that don’t require hospitalization or oxygen therapy.
Covid-19 vaccination clinic at Microsoft campus in Redmond to close October 29
Although not exactly in the local coverage area, the Covid-19 vaccination clinic run by EvergreenHealth at the Microsoft Campus will close on October 29.
EvergreenHealth sees increase in Covid-19 patients at Kirkland hospital
EvergreenHealth reported on October 11, 39 Covid-19 patients were being treated at the Kirkland hospital, up significantly from last week and a jump of 4 patients overnight.
On October 10, the hospital reported caring for 35 COVID patients, and 75% were unvaccinated. Seven patients were in the ICU, with one requiring a ventilator.
EvergreenHealth was the epicenter for the first Covid-19 superspreader event in the United States when dozens of patients at Life Care Center in Kirkland were sickened with the virus in February and March 2020. The facility was fined $611,000 in April 2020 due to management inaction and a failed attempt to cover up the outbreak.
National Round-Up
Johns Hopkins University Cumulative Case Tracker reports 116,962 new cases and 2,191 deaths nationwide on Saturday, October 16. The CDC reported that new cases and hospitalizations were down last weeks while the number of people getting vaccinated increased. The number of people testing positive for Covid-19 dropped to 5.7%. Although still elevated, test positivity below 5% indicates adequate community testing and a lack of community spread.
CDC issues new Covid-19 guidelines for 2021 American holiday season
The guidelines recommend wearing a well-fitting mask over your mouth and nose if you’re not fully vaccinated or when indoors in a public setting. The organization also recommends avoiding crowded indoor spaces with poor ventilation and if you start to feel sick before or during your travels, stay home.
It is also recommended to reconsider visiting people who have a weakened immune system regardless of vaccination status and getting tested for Covid-19 before going to large gatherings to assure you’re not an asymptomatic carrier.
On the subject of masks and Covid-19
If you’re using a cloth mask to protect others from Covid-19, experts recommend you stop using them, according to a report in CNBC and backed by a study out of Yale and Stanford University.
In an August study currently under peer review, a group of researchers from universities including Yale and Stanford found that surgical masks are 95% effective at filtering out virus particles — compared to just 37% for cloth masks.
That held true even after the surgical masks were washed with soap and water ten times, though the CDC and the FDA both say you shouldn’t reuse disposable surgical masks under any circumstances.
Public health officials in European countries like France, Germany, and Austria are currently urging people to wear medical or surgical masks instead of homemade cloth masks — but it’s not quite as simple as tossing out your cloth masks and buying a replacement stockpile of disposables.
Cloth masks were recommended during the beginning of the pandemic as “better than nothing” because surgical and N-95 masks were scarce. Now that the supply chain has stabilized for the medical community and residents alike, the available masks offer a better solution when properly used.
Emergency Use Authorization approval of molnupiravir in 2021 is unlikely
The Food and Drug Administration said Thursday it would ask its outside experts to meet on November 30 to scrutinize Merck’s antiviral pill that showed strong promise in its ability to treat Covid-19.
The meeting means U.S. regulators almost certainly won’t issue a decision on the drug until December, signaling that the agency will conduct a detailed review of the experimental treatment’s safety and effectiveness. The panelists are likely to vote on whether Merck’s drug should be approved, though the FDA is not required to follow their advice.
“We believe that, in this instance, a public discussion of these data with the agency’s advisory committee will help ensure a clear understanding of the scientific data and information that the FDA is evaluating,” said Dr. Patrizia Cavazzoni, director of FDA’s drug center.
The oral therapeutic was under development by Emory University before the Covid-19 outbreak as an antiviral treatment for Influenza and Ebola. Researchers from Emory University reached out to the Trump Administration in 2019 seeking additional funding to move the drug into human testing and received no response. They approached the administration again in February 2020 as a potential treatment for Covid-19, but officials declined to fund additional research. Emory university sold the drug to Merck and Ridgeback Biotherapeutics in the summer of 2020.
In Phase 3 testing, the drug reduced hospitalizations and deaths among Covid-19 patients by 48%. The drug companies did not report the observed side effects in applying for the Emergency Use Authorization (EUA). However, they did indicate that more patients in the placebo group reported side effects. Phase 3 testing of molnupiravir is still ongoing.
The drug has already come under withering fire from conspiracy theorists and at least one U.S. senator claiming the antiviral is just rebranded ivermectin.
The chemical composition of ivermectin and molnupiravir and how they work in the human body is documented and publicly available. The molecular structure and how the drugs work within the human body are entirely different. Organizations like America’s Frontline Doctors and the FLCCC have enriched themselves by pushing ivermectin and overcharging for telemedicine appointments.
On Covid-19 disinformation promoter Tucker Carlson’s show run on Fox News, Senator Ron Johnson (R-WI) said, “Now they are all hopping on board this Merck molnupiravir peer review,” Johnson said of the establishment experts. “The doctor groups I’m dealing with, they call it money-piravir. [Merck] patented ivermectin. They’ve been trash–talking ivermectin in favor now of this drug that will be like $700 a dose versus ivermectin cost about $0.06 or $0.07 a pill,” he said.
The lowest price Malcontent News could find for ivermectin was at QFC through GoodRx, at $1.50 per pill. The list price is $7.10 per pill, with a 20 pill dose costing $142.
A four-pill regime of molnupiravir is estimated to cost around $710, significantly cheaper than a four-injection course of monoclonal antibodies, which costs $2,100. All of this math ignores the average hospital stay for Covid-19 costs $17,064 in the United States, and the cost of the Johnson & Johnson vaccine is $10 a dose, and the mRNA Pfizer and Moderna vaccines are $15 a dose.
In contrast, monoclonal antibodies are credited with reducing hospitalizations in Florida by 10% to 25%. This isn’t to diminish the impact of the therapy. However, medical professionals can only administer monoclonal antibodies requiring either intravenous therapy or four injections over 30 minutes.
CVS worker accidentally injects woman with 6X the proper dose of the Pfizer vaccine
Walgreens worker accidentally vaccinates 4 and 5 year old for Covid-19 instead of Influenza
CNN reported a Walgreens in Evansville, Indiana, accidentally vaccinated Alexandra and Joshua Price’s 4 and 5-year-old children with the COVID-19 vaccine instead of a vaccine for Influenza on October 5. The Pfizer vaccine isn’t approved by the Food and Drug Administration for children under 12.
“Walgreens called me to say there was a mix-up, we did not receive the flu shot,” Alexandra Price told the local news outlet. “And I’m like well what did we get? And he was like we got the Covid-19 shot … And instantly I was like, ‘Well what does this mean for my kids?’”
Mr. and Ms. Price reported they are fully vaccinated. After the initial accident, they requested Walgreens provide vaccination cards for their children to indicate they had already received their first dose, but Walgreens balked.
Walgreens officials confirmed the children received a full adult dose of the Pfizer Covid-19 vaccine, three times the amount that the Food and Drug Administration is currently considering approving.
“The children have experienced a number of adverse effects since receiving the Pfizer COVID-19 vaccine. Fever, body aches, cough, headaches, and nausea are among the symptoms the children are experiencing,” according to a statement released by the Prices’ attorney, Dan Tuley. “The 4- and 5-year-old are also under treatment of a pediatric cardiologist for tachycardia and elevated blood pressure, respectively.”
After a follow-up appointment Tuesday, Alexandra said that Lucas has improved, but Sophia has worsened. “Her blood pressure is in the 98th percentile, and she continues to have no energy.”
Cam Newton reportedly gets vaccinated for 14 million reasons
According to the team, former New England Patriots quarterback Cam Newton was released before the start of the 2021 regular season due to not adapting to the Patriots’ system or refusing to get vaccinated, according to his supporters. the NFL Network reported today that Newton has had a change of heart and is now vaccinated and looking to play again.
Whether Newton’s vaccination status was an issue in August is moot, but it likely would be a point of concern for any NFL team that is considering adding him to the roster. The three-time Pro Bowler, Super Bowl Champion, and one-time MVP had a significant shoulder injury in 2016 that reduced his on-field capabilities.
Maybe the Seahawks would consider him instead of Geno Smith?
State Updates
Due to the overwhelming amount of local news, we will not do a state update today. The situation in Alaska, Idaho, Montana, and Wyoming can best be described as lousy, terrible, dire, and getting worse, in that order.
Misinformation
Can President Joe Biden, or any President for that matter, order the dishonorable discharge of U.S. servicemembers?
No.
That fact hasn’t stopped the spread of a meme claiming President Biden has ordered the dishonorable discharge of 46% of the U.S. armed forces. First, as far back as August 2021, almost 90% of the 1.4 million active duty troops in the U.S. military were fully vaccinated, had the first dose of vaccine, or were scheduled to get vaccinated, according to the Pentagon. That shoots down the 46% number out of the gate.
Reservists and National Guard troops have until June 2022 to get vaccinated, further shredding the claim.
The disinformation was started by blogger Sandra Rose, who told USA TODAY she is “not a trained journalist” and that readers view her blog for “entertainment and gossip,” not news. She declined to comment further.
A review of her blog indicates she has dipped her toe into Covid-19 misinformation, but it does not appear that she actively spreads disinformation.
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.
New cases dropped statewide except in the least vaccinated counties. The three most vaccinated counties have new case numbers below 100 (7 day moving average) while the least vaccinated county has the highest new case rate in the state.
There are an estimated 615 acute care and 132 ICU beds available statewide, and approximately 55% of COVID patients in the ICU are on a ventilator.
Organizers of an anti-mandate rally failed to gather a crowd for the planned march, and the day was uneventful on First Hill and at Harborview Medical Center. It’s possible the high vaccination rate among healthcare professionals was a factor.
We received information on new COVID cases in the Lake Washington School District from parents.
In regional news, there is a good news story out of Idaho tonight, although the Hunger Games continue. The surge in Alaska is relentless, while Montana remains on the edge of a knife.
In national news, in-home rapid COVID tests aren’t as accurate as you think, rural America is being decimated by COVID, Health and Human Services clarifies that your employer is not violating HIPAA when it asks to confirm your vaccination status, and another study out about long COVID indicates this will be a problem for years to come.
In misinformation, we examine a Zero Hedge blog that claims that a Pfizer therapeutic in testing for COVID symptoms is essentially the same drug as Ivermectin.
Jefferson and King County reported under 100 new COVID cases per 100K residents using the 7 day moving average, joining San Juan County in dropping to double digits. Simply put, the three most vaccinated counties in Washington have the lowest number of new cases.
New cases dropped statewide except in the least 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 plunged to 707.1 per 100K. The Puget Sound (Central) Hospital Region, which represents King County, held steady at 245.1.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
60.00% or above (3)
175.5
50.00% to 59.99% (12 counties)
505.4
40.00% to 49.99% (15 counties)
645.4 (down)
28.40% to 39.99% (9 counties)
735.4 (up)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population
Through September 29, Washington’s statewide 14-day rolling average is 422.8 COVID cases per 100K, statistically unchanged from yesterday. New case rates were flat or down for all but the least vaccinated counties.
The only county in the 1,000.0 to 1,399.9 range is Stevens (1,014.8), which is also the least vaccinated. The county’s new case rate is more than 17 times higher than San Juan, the highest vaccinated county in the state.
Counties in the 800.0 to 999.9 per 100K range include Franklin, Garfield, Grant, Grays Harbor, Lincoln, and Okanogan. Adams and Pend Oreille are just under the 800 threshold.
New cases were statistically unchanged in every age group. Hospitalizations were down slightly for ages 20 to 49, and up slightly for ages 65 to 79.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
189.8
0.7
Ages 12-19
206.7
1.7
Ages 20-34
191.2
5.1 (down)
Ages 35-49
192.8
9.2 (down)
Ages 50-64
140.7
15.1
Ages 65-79
100.0
19.5 (up)
Ages 80+
106.9
31.2
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 63 deaths on Wednesday. The state of Washington is not reporting the percentage of positive cases.
Antivax protest at Swedish and Harborview Medical Center doesn’t materialize
Despite the promotion on multiple websites, coordination by several organizations, and plans shared on Facebook, Telegram, and some dark corners of the web, the anti-vaccination community took a loss today. After a large rally in Spokane and a “Town Hall” in Woodinville over the weekend, organizers could not rally groups to protest at the only Level 1 trauma center in the state.
Lewis County Commissioner Gary Stamper dies of COVID
Q13 Fox is reporting Lewis County Commissioner Gary Stamper died from COVID after a three-week battle at PeaceHealth hospital in Vancouver, he was 67 and vaccinated.
Travel Advisories
We recommend avoiding recreational travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties. If the number of new cases in the South Central Hospital Region continues to decline, we will likely lift our advisory for this region in the next 4 to 11 days. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.
We may implement a travel advisory for Eastern Washington, based upon renewed hospitalization data now available from the Department of Health.
Thank you
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Vaccination
Deadline for single dose Johnson & Johnson vaccine and second dose for Pfizer and Moderna vaccine looms for state workers
Thousands of state workers have until Sunday to receive their second Pfizer or Moderna dose or the single-dose Johnson & Johnson vaccine. Over 68% of state workers reported last week they were fully vaccinated. Data from companies, schools, and other states such as Hawaii and New York, indicates final acceptance would likely exceed 95%.
Multiple unions have reached agreements at a municipal, county, or state level, to extend the deadline past October 18 for individuals who received at least their first dose. Additionally, workers with denied exemptions requests will be given extra time.
Pfizer vaccine booster shots are now available
Booster shots for eligible individuals are now available statewide. Individuals who received both doses of the Pfizer vaccine more than 6 months ago, are 65 or older, or are immunocompromised can receive their third dose immediately.
In the Kirland-Bellevue-Woodinville area, Walgreens, Rite-Aid, Bartell’s, and QFC are offering booster shots. Additionally, the third dose is available at the CVS located within the Target store at 17,700 NE 76th Street in Redmond.
Most locations require an appointment, which can be scheduled online.
King County, Washington is reporting over 86.2% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.
COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
The Department of Health is reporting numbers on statewide hospital resources and providing information by Hospital Regions again. We have deep insight into the situation at a state and regional level.
According to the DoH COVID Dashboard, 19.0% of all acute care patients hospitalized in Washington have COVID. Currently, 91% of all staffed acute care beds are occupied with approximately 615 available.
ICUs are at 89.0% of capacity statewide, with 30.0% of ICU patients fighting COVID – an estimated 358 patients with 55% on ventilators. The state has an estimated 132 staffed ICU beds available. On a per-capita basis, staffed ICU bed availability in Washington is only slightly better than in Alaska, so the system remains very stressed.
The 7-day rolling average hospital admission rate for new COVID patients dropped slightly to 133. The Department of Health reported 1,288 COVID patients statewide on September 29 with 197 on ventilators. Both numbers increased slightly from yesterday.
Hospital Region
ICU Occupancy
ICU COVID Patients
Acute Care Occupancy
Acute Care COVID Patients
East
89.3%
45.5%
90.1%
27.3%
North
80.9%
27.0%
88.4%
13.1%
North Central
96.9%
59.0%
75.8%
27.2%
Northwest
92.5%
38.9%
95.4%
25.0%
Puget Sound
91.6%
23.4%
94.5%
14.7%
South Central
86.1%
36.5%
84.3%
26.4%
Southwest
73.1%
38.3%
88.1%
25.0%
West
88.8%
32.4%
87.7%
22.6%
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%
With the return of this critical information, we can better assess region by region status. We will hold our travel advisories and watch for trends in the East, North Central, and South Central Regions. It is very likely we will drop the travel advisory to South Central counties next week, but may add an advisory to the East Region counties.
– Alcott Elementary (1*) – Barton Elementary (1*) – Dickinson/Explorer Elementary (2*) – Ella Baker Elementary (3*) – Eastlake High (1*) – Evergreen Middle School (1*) – Franklin Elementary (2*) – Finn Hill Middle School (1* – see below) – ICS (1*) – Inglewood Middle School (2*) – Juanita Elementary (1*) – Kamiakin Middle School (3* – see notes below) – Keller Elementary (2*) – Kirkland Middle School (1*) – Lake Washington High (1*) – Lakeview Elementary (3*) – Muir Elementary (1*) – Redmond Middle School (1*) – Redmond High School (1*) – Renaissance Middle School (1*) – Rush Elementary (2*)
See notes below
Northshore
RED
– Arrowhead Elementary (16) – Canyon Creek Elementary (25**) – Canyon Park Middle School (11**) – Cottage Lake Elementary (15) – Crystal Springs Elementary (54**) – East Ridge Elementary (23) – Fernwood Elementary (13**) – Frank Love Elementary (29) – Hollywood Hills Elementary (27) – Inglemoor High School (8) – Innovation Lab High School (11) – Kenmore Elementary (12) – Kenmore Middle School (49**) – Kokanee Elementary (61) – Leota Middle School (5) – Lockwood Elementary (32) – Maywood Hills Elementary (21**) – Moorlands Elementary (49) – North Creek High School (26**) – Northshore Middle School (14**) – Ruby Bridges Elementary (9) – Secondary Academy for Success (15) – Shelton View Elementary (20**) – Skyview Middle School (68**) – Sunrise Elementary (23) – Timbercrest Middle School (46) – Wellington Elementary (74) – Westhill Elementary (33) – Woodin Elementary (18**) – Woodinville High School (20) – Woodmoor Elementary (22**)
– Bothell High School (13*/124)
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.
The Northshore School District numbers only wiggled across a number of schools while the Bellevue School District is unchanged from yesterday.
We received a confirmed parent report on Wednesday of one new COVID case at Finn Hill Middle School with 52 students moved to quarantine.
We received a confirmed parent report on Thursday of two new COVID cases at Kamiakin Middle School with 27 additional close contacts.
We received a parent report of one new COVID case at Old Redmond Schoolhouse (preschool) with an unknown number of close contacts.
Because Lake Washington doesn’t update its dashboard daily, we are adding these as footnotes. We have not added the Old Redmond Schoolhouse to the scorecard above because it is not officially listed on the Lake Washington School District dashboard.
We continued to encourage parents to request the Bellevue and Lake Washington School Districts to improve their COVID data reporting.
“As of (Wednesday) September 29 one classroom is closed,” according to the district’s COVID-19 dashboard and school status map. “Otherwise, the building is open and offering in-person instruction to students in the remaining classrooms. The school contacted all impacted families of the closed classroom on September 29.”
Kirkland-Bellevue-Woodinville
No update
National Round-Up
Johns Hopkins University Cumulative Case Tracker is reporting 123,269 new cases and 2,531 deaths nationwide. The United States will reach a tragic milestone of 700,000 confirmed COVID-related deaths since February 29, 2020, this weekend.
At-home rapid tests aren’t as accurate as PCR tests
Dr. Rachel Liesman, director of clinical microbiology, said there haven’t been a lot of false positives reported with the rapid tests.
“If you’re symptomatic it will give you a really quick result and that can be helpful,” she said. “But I think given … the potential ramifications of missing a case, I would recommend that if you get a negative (and you have COVID symptoms), you go and get a PCR test because those have much better sensitivity.
Center for Infectious Disease Research and Policy report indicates COVID is decimating rural America
Rural Americans are currently twice as likely to die from COVID-19 infections compared with their urban peers, according to Kaiser Health News and data from the Rural Policy Research Institute (RPRI) at the University of Iowa.
Since March 2020, 1 in 434 rural Americans has died from COVID-19, compared with roughly 1 in 513 urban Americans. And unlike deaths in urban areas, the vaccine rollout has not slowed COVID-19 fatalities in rural parts of the country due to low uptake. Short-staffed hospitals and limited access to healthcare are also contributing factors, the researchers say.
Virus incidence rates in September were roughly 54% higher in rural areas than elsewhere, and in 39 states, rural counties had higher rates of COVID than urban counties.
In related news, health officials in Idaho, a predominately rural state with some of the lowest vaccination rates in the country, said more kids and babies are being hospitalized with COVID-related complications. As of this week, 1,700 new COVID-19 cases were reported in children in Idaho, according to the Associated Press.
Health and Human Services Releases Guidance on employer verification of vaccination status and HIPAA
The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) issued guidance to help the public understand when the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule applies to disclosures and requests for information about whether a person has received a COVID-19 vaccine.
The guidance reminds the public that the HIPAA Privacy Rule does not apply to employers or employment records. This is because the HIPAA Privacy Rule only applies to HIPAA-covered entities (health plans, health care clearinghouses, and health care providers that conduct standard electronic transactions), and, in some cases, to their business associates.
Today’s guidance addresses common workplace scenarios and answers questions about whether and how the HIPAA Privacy Rule applies. This information will be helpful to the public as we continue to navigate the COVID-19 pandemic.
China study on long COVID mirrors results of similar studies in the United States and U.K.
The study followed up with 2,433 adult patients who had been hospitalized in one of two hospitals in Wuhan early on in the pandemic. Most had nonsevere cases, but a small number had severe COVID-19 and required intensive care. All of the patients were discharged between February 12 and April 10, 2020, and the study follow-up took place in March of 2021.
Alaska
Alaska reported 1,270 new COVID cases today and a new case rate of 1,165 per 100,000 residents. The remote state continues to have the highest new case rate on the planet. Hospitals in Anchorage, Bethel, and Valdez are operating under crisis standards of care protocols.
“It’s been Hell,” said Heidi DeCaro, a respiratory therapist at Providence Alaska Medical Center, whose job includes assisting COVID-19 who are struggling to breathe.
In a Thursday interview, DeCaro and a few of her co-workers described generally untenable work conditions. The team has been caring for up to twice their normal patient loads, their shifts have stretched as long as 15 hours, and they’ve lost “about a third” of their co-workers due mainly to burnout, exhaustion, and a demoralizing work environment, they said.
The 203 hospitalized COVID patients are essentially unchanged from yesterday. The number of available ICU beds dropped to 16. Of the 113 ICU patients statewide, 87 are on ventilators, 36 with COVID. The majority of new cases are among people under 40 years old and unvaccinated.
Linda Gaines talked to KTOO about the situation in Haines, Alaska, after her husband was airlifted to Anchorage. Some models are now predicting hospitalizations won’t peak until November, and oxygen supplier Norco, Inc. is already struggling to keep up with demand.
“As I went up into the lobby area, there was probably 50 more people standing to get into the emergency room,” she said. “And then going outside, there was more people in the parking lot, waiting to get up to the main entry to go to the emergency room.”
Doug Williams of Guardian Flight described a similar situation ground ambulances face in urban hotspots. Aircraft that would normally arrive, load, and fly off are forced to wait on the tarmac while doctors try to find a bed for a sick patient. This takes the aircraft offline while it waits, slowing down the entire system.
California
The deadline for healthcare workers to get vaccinated has almost arrived, and in Sacramento, hospitals are preparing to discipline and terminate employees.
Dignity Health also reported about 90% of employees are vaccinated and employees suspensions will start tomorrow. Sutter Health said 98% of employees are vaccinated in a system with more than 55,000 employees. Sutter Health will terminate “out of compliance” employees on October 15.
UC Davis Health told KCRA that 94% of more than 15,000 employees are vaccinated. Between exemption requests and partially vaccinated employees, a spokesperson said about 50 employees have not gotten vaccinated in defiance of the requirement.
“While there is not an immediate shortage of oxygen, there is a tremendous amount of growing stress to the supply chain network,” Elias Margonis, President of Norco, Inc. wrote in a letter. “Many hospitals have already pushed their bulk storage systems to limits of requiring emergency upgrades.”
In an interview with the Idaho Statesman, Margonis said Norco’s storage systems are generally designed to require shipments of new oxygen every three weeks or, in some cases, every six weeks. These days, many hospitals that Norco supplies are needing new shipments every three or four days, and some have had to use their reserve tanks.
The gaps between the haves and have nots extend into the universe of COVID. People with means and resources cant get monoclonal antibody treatments through private clinics and send their children to private and charter schools, which ironically, support remotely learning, mask mandates, and vaccination requirements for staff.
Jenn Thompson, the Director of the Idaho Public Charter School Commission says population growth makes that seem like a big increase, but it’s only a roughly 1% increase from the previous academic year.
“About 60% of the growth we saw last year was very specifically parents enrolling in virtual schools and the data we can look at right now is about half of that is holding,” Thompson said.
Idaho state representative Greg Chaney is mourning the loss of his mother, who died of COVID less than a week after becoming symptomatic. Chaney said his mother, who was 74, was unvaccinated.
Rep. Chaney said he believes that his mom was misled by misinformation
“I think she was skeptical about whether it was really as bad as it was billed to be,” Rep. Chaney said. “I think she viewed it as ‘I’ve been through a lot of stuff in my time on this planet and this is just another thing in the stuffing box.'”
“I think there was enough out there that validated her skepticism.”
In an interview with KTVB, she discussed a change of heart after seeing the reality first hand and doing her own research. After Craig traveled out of town for surgery and returned, she saw firsthand how the pandemic was overwhelming Idaho’s hospitals.
“I didn’t believe them when they said it was 98% or 96% unvaccinated and through my own research, it truly is,” she said. “I looked in the ICU today and it’s 27-year-olds, it’s 33-year-olds, it’s 60-year-olds. I had another good friend and her brother-in-law died at 40.”
At this point, Craig decided she had seen enough and received the Johnson & Johnson COVID-19 vaccine.
“I have peace now. It’s funny, there are some like my parents. They never said anything to me but now that I am vaccinated they are like, ‘Phew’ you know? Because you worry about your kids.”
The emergency lawsuit asks a judge to intervene and order the Indianapolis hospital to respect a prescription for ivermectin issued to Eliot by a physician assistant named Maria Carson, according to the lawsuit.
Marion Superior Judge Kurt Eisgruber ordered Ascension St. Vincent to give Eliot the drug pending a response to the lawsuit by the hospital. After lawyers representing the hospital challenged the order in court Wednesday, Eisgruber backtracked with a new order saying Ascension St. Vincent did not have to give Eliot the drug.
The extension comes one day after state health officials offered cautious optimism with the state’s waning COVID-19 trends, including decreasing cases and hospitalizations. State Health Commissioner Dr. Kris Box emphasized, however, that they do not expect these declines to be “linear.”
“We may see cases bounce back up and bounce back down,” Box said. “If you look at other states, that’s what they see — kind of a ‘sawtooth’ pattern. That is the nature of this disease.”
Montana reported its 2,000 COVID death last night, with the official total at 2,009 this evening. Governor Greg Gianforte released a statement according to the Montana Free Press. High blood pressure and diabetes were each recorded as a factor in about 1 in 5 of the state’s 2020 COVID-19 deaths. Chronic lung disease was a factor in about 1 in 7. Dementia was a factor in about 1 in 9.
“The governor joins all Montanans whose hearts go out to the family, neighbors, and friends of those we have lost to the virus,” the statement read. “As the governor has said repeatedly, vaccination remains the best solution to protect ourselves and our loved ones from the virus, and we continue to make progress with the millionth dose of vaccine administered in the state yesterday.”
The emergency injunction request was filed Thursday, a day before Department of Education employees must receive at least their first COVID-19 shot to continue working.
“While a temporary interruption of work is not actionable, the mandate here would have a permanent effect: it is open-ended, where if a teacher never gets vaccinated, he or she will never be able to return to work,” the plaintiffs said in their petition.
The petitioners say an immediate injunction is necessary, arguing the “Court will lose the opportunity to provide meaningful relief” to public school employees if it does not issue an injunction before the Friday 5 p.m. deadline for DOE staff to get their first shot.
The Supreme Court has reviewed other emergency case requests from students and faculty and rebuked all challenges. The Supreme Court case of Jacobson vs. Massachusetts in 1905 found that municipalities, counties, and states can mandate vaccinations as a matter of public health, and the case law has been challenged multiple times.
Oregon also reported similar data to Washington state and national data from the CDC on breakthrough cases. Of all the breakthrough cases, only 4.6% of people were hospitalized and less than 1% died. The average age of vaccinated people who died was 80.5.
“Over the last 14 days, our positive tests are down about 20% in the state, and so there are good indicators that we have summited the peak of the delta variant,” Cox said during his monthly PBS news conference.
Meanwhile, on Thursday, the Utah Department of Health reported 1,704 new coronavirus cases and 12 deaths.
The rolling seven-day average for positive tests is now 1,355 per day, and the percent positivity rate of those tested is 14.2%.
“We support businesses in their decisions on whether or not to require vaccines, and I continue to do that,” the governor said during his monthly PBS Utah news conference.
“I know that position can be maddening to some, and that’s fine. But I’m a huge believer in free markets, and a mandate not to allow businesses to have mandates is a mandate in and of itself, and it’s government still telling businesses what they can and can’t do. And I’m opposed to that. I think that businesses should be able to have a mandate.”
Jacque, a Republican from De Pere who has been a vocal opponent of mask and vaccine mandates, tested positive for the virus last month.
“He and his family wish to thank everyone for the prayers and good wishes that are making his recovery possible,” a spokesperson for the senator said Tuesday. “Sen. Jacque is doing much better; he is in touch with his staff on legislative and district issues, and he is reaching out to his friends and colleagues.”
Jacque will continue respiratory and occupational therapy, but he’s feeling well mentally, the spokesperson said in a statement.
While he was hospitalized his wife, Renée Jacque, appealed for people to get vaccinated and to place “their trust in medical professionals.”
Wyoming
Wyoming hospitals are reporting 211 COVID patients hospitalized, 43 on ventilators, and only 33 ICU beds available statewide. Wyoming has 37 hospitals including Veteran’s Administration facilities. Only 13 have available ICU beds. More alarming, over 21% of COVID tests performed at hospitals are positive.
Misinformation
The latest one on social media is a drug that Pfizer is studying that is “suspiciously similar” to Ivermectin. The misinformation is coming from a blog on Zero Hedge that claims the Pfizer drug is essentially the same as Ivermectin.
The blog post is based on an article from the Reuters news agency about a Pfizer drug known as PF-07321332. The article said Pfizer has begun a study of the pill in up to 2,660 healthy adults who live in the same household as someone with a confirmed symptomatic COVID-19 infection.
Pfizer described the drug as a protease inhibitor, which is “designed to block the activity of the main protease enzyme that the coronavirus needs to replicate.” That would stop symptoms from worsening, a spokesperson said.
Zero Hedge seized on the protease inhibitor fact, claiming “that’s exactly what ivermectin” does.
Pfizer’s protease inhibitor is not similar to that of animal medicine and does not use the same mechanism, a Pfizer spokesperson told us.
Benjamin Neuman, the chief virologist at Texas A&M University’s Global Health Research Complex, said ivermectin’s main job is to block ion channels that parasites use to store up positively and negatively charged atoms. SARS-CoV-2 does not have any ion channels like the ones that ivermectin blocks, so there is not an obvious way for ivermectin to work in COVID-19, he said.
[FEDERAL WAY] – (MTN) Federal Way Police are seeking a person of interest in the shooting death of 8-year-old Royal’lee Wallace after her father, Cherith Wallace, was released from King County Jail and all charges against him were dropped.
On Sunday, Royal’lee Wallace was shot after a bullet traveled through three walls in the apartment that she lived in. Federal Way Police responded to a call at St. Francis Hospital where 8-year-old Royal’lee had been taken to the emergency department in a private vehicle. She was transferred to Harborview Medical Center in critical condition and placed on life support, before succumbing to her injuries.
Cherith Wallace, the father of Royal’lee was with her at the hospital and was arrested after investigators concluded the gunshot came from inside the apartment. Wallace attended a vigil for his daughter yesterday in West Seattle and stated he doesn’t own a gun, and no gun was in the apartment during the investigation.
Kurt Schwan, Commander in the Federal Way Police Department said in a statement, “Working closely with the King County Prosecutor’s Office, probable cause was developed to arrest the father on the afternoon of the shooting based on the initial statement he provided about being alone in his apartment with his child when she was shot.”
“Evidence revealed that a firearm was discharged from inside the apartment unit and the bullet struck the child after passing through three walls.”
According to Schwan, Wallace initially told investigators he was alone, but after his arrest and further questioning, Wallace revealed two other individuals were in the apartment at the time of the shooting.
In his statement, Schwan continued, “Detectives have discovered additional information that indicates two other individuals were in the apartment with the father when the shooting occurred.”
“After further interviews with the father and one of the other two subjects allegedly in the apartment when the shooting occurred, the father was released and the investigation shifted to locating the person who is now believed to have fired the fatal shot.”
Schwan says that it was Cherith Wallace’s initial statement that resulted in his arrest. Due to the ongoing investigation, no further information was provided on whether the elder Wallace was threatened by one of the two people in the apartment. We asked Schwan if a firearm was secured at the scene and if a firearm residue test was made on the elder Wallace during the initial investigation. Schwan declined to discuss specifics stating the ongoing activity in the case.
The Federal Way Police Department is asking anyone who has information into the murder of Royal’lee Wallace to contact the department at 253-835-2121.
North King County and Snohomish County hospitals are nearing maximum ICU capacity, and a few have already hit that point. In Kirkland, Washington, the first significant outbreak site in the United States, Evergreen Hospital is currently at 90% ICU usage. Further north in Everett, Washington, Providence Hospital ICU is at 100% capacity.
In contrast, Seattle and Bellevue are reporting more available beds, but a worsening situation. Seattle is at 70% utilization while Overlake Hospital in Bellevue is at 64%. The utilization number at Overlake doesn’t tell a complete picture. The facility has a staffing crisis due to a low number of available specialists and many nurses sick with COVID. Traveling nurses are making as much as $10,000 a week to work at hospitals in COVID hotspots. Nurses are offered such high pay due to the dire need, long hours, and overall risk of infection. In Seattle, Harborview Medical Center has more patients with COVID than at any time since the pandemic started.
Area capacity to treat patients is reaching a critical breaking point. Seattle only has 121 ICU beds available as of this writing, based on a seven-day rolling average. With almost 1,100 patients in Washington hospitals with COVID, the governor’s office predicted that a “better case” scenario would be 2,000 hospitalized by the end of the year.
The central issue isn’t available hospital beds, but the staff to support sick patients. A COVID patient in ICU requires an extensive care team of three to four people per patient. Hospitals are optimized from a staff and revenue standpoint to operate at 60% to 80% capacity. The excess capacity is available for short term surges due to accidents, natural or humanmade disasters. To sustain above 80%, hospitals need additional staffing, which isn’t widely available.
Earlier today, the United States reached another grim milestone. Officials reported 3,054 COVID deaths, the most single-day fatalities in the United States since the pandemic started.
The New York Times, US Department of Health and Human Services, and The COVID Tracking Project provided some of this article’s data.
Washington state continues to add to grim milestones in the battle against COVID, with 762 patients now in hospital, a state record. Despite only 1,440 new cases logged on November 21, 2020, the weekend typically produces lower numbers with delays in reporting and testing. The number is an improvement from the record-breaking 3,327 new cases identified on November 16.
Late last week, at Swedish First Hill, they admitted ten new COVID patients in five hours. In Kirkland, Evergreen Hospital, once ground zero in the United States for COVID, has held steady with 25 patients hospitalized through the week. UW Medicine has seen an expanding number of patients, including several on ECMO, a last line of defense where an infected person’s lungs have essentially failed.
In Auburn, MultiCare Auburn Medical Center is suffering a COVID outbreak on the fourth-floor unit that has sickened over two-dozen. A patient died on November 10, and another died on November 16. In October, Harborview Medical Center experienced an outbreak resulting in one patient death. Providence Hospital in Everett also reported an outbreak on November 11 but did not provide specific information on the number of infections.
In eastern Washington, the situation isn’t much better. Deaconess and Valley Hospitals, Sacred Heart and Holy Family Hospitals, and Pullman Regional Hospital did not comment on how many patients were under their care. All spokespersons made similar statements around expanding patient load but available capacity. In the Idaho panhandle, Kootenai Health reported 54 patients in their care on Thursday, up from 46, with 10 requiring critical care.
In southwest Washington, Clark County reports 75% ICU utilization as of mid-week, while overall COVID patient numbers are low. Legacy Salmon Creek and PeaceHealth Southwest have a combined 56 patients in the hospital.
As wait times for COVID tests in the Puget Sound region expanded to hours, doctors started advising people not to test unless they are displaying symptoms. A lack of available tests and lab capacity continues to plague the nation, and UW Medicine reports their testing systems are overwhelmed. Last week, the University of Washington started canceling booked tests due to a lack of capacity and resources.
In western Washington, UW Medicine and Swedish are reporting they are deferring surgeries to provide capacity for a growing caseload of COVID patients. In eastern Washington, Deaconess and Valley Hospitals are under similar conditions, and Pullman Regional Hospital implemented their surge plan.
The regional healthcare system is also straining due to a shortage of PPE, therapeutic drugs, and staffing shortages. Officials report the question isn’t hospital beds, but the staff to support critically ill patients, who can require three to four full-time caregivers to keep them stabilized. Additionally, states such as Idaho send their sickest patients to Seattle and Portland, Oregon, for advanced treatment.
By the numbers, COVID in Washington state continues to be brutal on the BIPOC community. Hispanic communities have seen the worst numbers, representing 36% of cases and 27% of hospitalizations while representing 13% of the total state population. In south King County, the Black and persons of color communities report over a 300% increase in detected infections over the more white communities north of Seattle.
There are some silver linings. The mortality rate in Washington is drifting downward, now at 1.9%. By age group, 83% of cases discovered are now people 59 and younger. The younger age groups tend to have lower mortality.
Detected cases are a leading indicator of hospitalizations and deaths. Peak hospitalization will likely come in the next two weeks if the number of new cases can stabilize and start to drop. Peak deaths would follow two to four weeks after peak hospitalizations.
Journalists, activists, and researchers defending the First Amendment
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