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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Special Report: Who is eligible for a COVID-19 booster and why should get one now

[SEATTLE, Wash.] – (MTN) During a Facebook Live with Congresswoman Anna Eshoo (CA-D) on Tuesday, Dr. Anthony Fauci M.D., Director of the National Institute of Allergy and Infectious Diseases, recommended Americans who are eligible to get a Covid-19 booster shot to get one as soon as possible due to waning immunity.

With concern growing about a sixth wave in states that finished beating back the Delta surge and states such as Colorado, Michigan, Minnesota, and Vermont having a late fifth wave, questions about eligibility for boosters are growing.

Some states aren’t waiting for direction from the federal government. California Governor Gavin Newsom and California Health Secretary Dr. Mark Ghaly told state residents 18 and older they should “absolutely” sign up to get a COVID booster. On Thursday, Colorado Governor Jared Polis issued a directive that defies current federal guidance on Covid-19 booster shots, permitting all state residents 18 and older to get them.

During a White House briefing on Wednesday, Dr. Rochelle Walensky, director of the U.S. Centers for Disease Control and Prevention (CDC), said there continued to be a need to prioritize those who are currently eligible for a Covid-19 booster but added, “as you likely know, FDA is currently looking at the data for expanding boosters to all populations.”

Who is currently eligible for a Covid-19 booster

Eligibility depends on which vaccine you received and several other factors.

Janssen/Johnson & Johnson

If your initial vaccine was Janssen/Johnson & Johnson and you’re 18 or older, you are eligible for a booster 60 days after receiving your first dose. There are no limitations for age, comorbidities, living arrangements, or vocation.

The FDA has approved a mix-and-match approach, and you can receive a booster using the Pfizer or Moderna vaccine or a second Johnson & Johnson dose.

The Johnson & Johnson vaccine has a 1:500,000 chance of causing a rare condition called VITT. In the United States, there have been 47 reported cases and four deaths. If you were assigned female at birth and have a family history of blood clots or low platelets, or you are of childbearing age and using a hormone-based form of birth control, and you’re concerned about VITT, talk to your healthcare provider, OB/GYN, or fertility specialist.

If you’ve had a confirmed case of Covid-19 in the last 90 days and you were symptomatic, talk to your doctor or healthcare provider on whether you should wait to receive a booster.

BioNTech/Pfizer and Moderna

Anyone 65 or older and received the Pfizer or Moderna vaccine is eligible for a booster 180 days after their second dose. People 18 to 64 can qualify for a third dose if they have certain medical conditions, work in a high-risk environment, or live in an area where social distancing isn’t feasible.

Medical conditions that put you at risk for severe Covid-19

If you are 18 to 64 and have any of these conditions, you qualify for a booster.

  • Cancer or a prior history of cancer
  • Chronic kidney disease
  • Chronic liver disease
  • Chronic lung disease such as moderate to severe asthma, bronchiectasis, COPD including obstructive sleep apnea, fibrosis or prior lung damage due to scarring, injury, or prior disease, cystic fibrosis, pulmonary embolism or history of, or pulmonary hypertension or history of
  • Dementia or Alzheimer’s
  • Diabetes – Type 1 or Type 2
  • Down Syndrome
  • Heart disease such as heart failure, coronary artery disease, high blood pressure, cardiomyopathies
  • HIV
  • Immunocompromised, auto-immune disease, taking immunosuppressants, or using drugs that suppress the immune system such as steroids both oral and topical
  • Mental health conditions including mood disorders, depression, and schizophrenia
  • Body Mass Index (BMI) over 25
  • Pregnant, trying to get pregnant, or sexually active and could get pregnant and would carry pregnancy to term
  • Sickle cell disease or Thalassemia
  • Smoking or vaping currently or in the past
  • Solid-organ or blood stem cell transplant
  • Stroke or cerebrovascular disease
  • Substance abuse past or present including alcohol, opiods, or cocaine
  • Tuberculosis
Living conditions

If you have any of these living arrangements, you qualify for a booster.

  • Long-term care facility
  • Homeless shelter – short or long term
  • Jail or prison inmate
  • Community living arrangements such as dormatories, halfway houses, group homes, or hostels
  • Live with a high-risk individual with a medical condtion listed above, or live in a multi-generational household, and you are the primary care provider
Work exposure

If you work in an environment where you interact with Covid-19 positive people or have significant contact with the public, you are eligible for a booster.

  • First responders such as healthcare workers, firefighters, police, or congregate care providers
  • Educational staff such as teachers, support staff, athletics staff, transportation, and daycare workers
  • Food and agriculture workers
  • Manufacturing workers
  • Correctional officers and employees who work in jails or prisons including healthcare, educators, and mental health providers
  • U.S. Postal Service workers
  • Public transit workers
  • Grocery store workers and other retail and service employees that have high contact with the public

There have been less than 1,000 mild to moderate myocarditis cases in the United States connected with receiving the mRNA Pfizer or Moderna vaccines. Most of these cases involved adolescents or young men. If you were assigned male at birth and have a history of heart disease, or are worried about myocarditis, talk to your healthcare provider to see if the Jassen/Johnson & Johnson vaccine is a better option.

Just like the J&J vaccine, If you’ve had a confirmed case of Covid-19 in the last 90 days and you were symptomatic, talk to your healthcare provider to determine if you should wait to receive a booster.

I thought the COVID vaccine was forever

The idea that the Covid-19 vaccine would be one and done is a creation of misinformation, misunderstanding, and poor reporting by some news outlets.

As the first COVID wave was winding down in the United States in May 2020, there were discussions about having “immunity passports.” People who had a confirmed Covid-19 case could be permitted to return to work and other activities based on the assumption they possessed natural immunity. Shortly after the discussions started, early evidence began to pile up that natural immunity was short-lived. The journal Nature Medicine shared a report on June 18 showing natural immunity started to fade after three months.

The closest claim that immunity from natural exposure or vaccination would last a lifetime came from former President Donald Trump in October 2020. Still, even then, he never made a complete claim of lifetime protection. On October 11, 2020 during an interview with Maria Bartiromo, Trump discussed his personal battle with Covid-19.

“It looks like I’m immune for, I don’t know, maybe a long time, maybe a short time,” he said. “It could be a lifetime. Nobody really knows, but I’m immune. So the President is in very good shape to fight the battles.”

As Trump was recovering from COVID and considering if he had “long time” immunity, there was more evidence that natural immunity started to fade after three months and a growing number of reinfection cases. For public health officials, an even bigger concern was many people who got reinfected suffered from more severe cases.

In December, when the first Covid-19 vaccines were about to become publicly available in the United States, the medical community was already cautioning the public it was unknown how long immunity would last.

In January 2021, Dr. Kristen Marks M.D., an infectious disease specialist at New York-Presbyterian, said, “We really don’t know whether you’re still immune a year after vaccination. Some of the clinical trials will study adding a booster in a year and comparing whether that’s better or if the immunity is just as good for two years with the two shots. That remains to be determined.”

Data from the United Kingdom and Israel have shown that all immunity wanes. Although cases grew dramatically in both countries, hospitalizations and fatalities did not match the winter 2020 surges. A vast majority of the hospitalized, critically ill, and deaths were among the unvaccinated. In Israel, an aggressive booster program ended their wave where new cases have drifted downward to early July levels.

How long does natural and vaccine based immunity last

Two different studies were released in October 2021, providing insight into how long natural and vaccine immunity last. Neither offer lifetime protection.

On October 1, a study on the durability of immunity against reinfection by SARS-CoV-2 was published in The Lancet. Researchers predicted that natural immunity had a half-life of 142 to 185 days. Half-life means how long does it take for half of the antibodies for a disease to disappear from a person’s blood serum. The study estimated that after 16 months, the average person would no longer have any natural immunity to Covid-19. However, the study also stated that this would vary widely depending on age, overall health, genetics, and risk factors. The half-life could be as short as 45 days or as long as 31 months.

Three days later, the Lancet published a study on vaccine-based immunity titled Effectiveness of mRNA BNT162b2 COVID-19 vaccine up to 6 months in a large integrated health system in the USA. That study indicated that immunity waned from 30% to 50% after five months depending on the mRNA vaccine administered, age, and Covid-19 variants. Simply put, vaccine immunity and natural immunity, when accounting for a range of factors, have similar half-lives.

The viral-vector vaccine from Johnson & Johnson has received less research and has been administered to approximately 15 million Americans. A third study indicated the J&J vaccine was the least effective of the three available options in the United States, particularly with the Delta variant.

Why aren’t the vaccines 100% effective

It is a common misconception that vaccines are 100% effective, especially in industrialized nations. Due to a combination of high vaccination rates for diseases such as measles, mumps, and polio, and enough immunized people to provide community immunity, it is easy to believe that vaccines are perfect and forever.

For example, polio still exists in several countries, and the U.S. Department of Defense and the CDC recommend a poliovirus booster for anyone traveling to those regions. Certain members of Generation X have been advised to get an updated MMR vaccination because data shows that protection from measles doesn’t last a lifetime. Even Ben Shapiro complained on Twitter in 2015 that his 13-month old son was exposed to pertussis and became severely ill.

When it comes to the COVID vaccines, no one in the medical community said any vaccines were 100% effective, and the data has always been publicly available.

In Phase 3 studies, the Pfizer-BioNTech and Moderna vaccines were 95% effective in the first few months after vaccination. Put simply, “If there were 100 people who would have gotten COVID, it prevented 95 of them from getting it, but it didn’t prevent all 100,” says Dr. Marks. “It definitely provides some protection, but it’s not perfect.”

The Johnson & Johnson vaccine reported a 72% efficacy rate in preventing moderate to severe disease from COVID-19 in the U.S. and was 85% effective in preventing severe disease.

The good news is that early data found that those who did contract COVID-19 after receiving the vaccine did not develop a severe form of the disease. “So even if it doesn’t completely prevent illness, the study data shows that it does reduce the severity,” Dr. Marks said. Ten months later, the early projections have largely come true.

In King County, Washington, 22% of all confirmed Covid-19 infections since January 17 have been breakthrough cases. Eleven percent of people hospitalized were vaccinated, and 15% died of Covid-19 related illness. When the total number of vaccinated versus unvaccinated residents is considered, the effectiveness of vaccines, even as the need for boosters is increasing, is evident.

PopulationConfirmed CasesHospitalizedDeaths
Fully vaccinated1.633M20,252433115
Partial or unvaccinated319K71,8573,373667
349,000 King County residents are under 12 years old and were not vaccine eligible from January 7 to November 10

Unvaccinated King County residents were 12 times more likely to be hospitalized and 13 times more likely to die of Covid-19 from January 17 to November 3.

Additionally, a comparison of King County, Washington, and Dallas County, Texas, provides additional data on vaccination and public health programs’ impact. King County experienced the first superspreader event in February 2020, the first Covid-19 death, and had the first mass casualty situation 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.

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.

Will we need to get boosters forever

To answer that question, we need to move away from facts and science and step into the arena of opinion. The short answer is, “maybe,” but it depends on the advancement of medical science, improvements in available vaccines, and our own behavior.

In the short term, the data is clear – peak immunity against current Covid-19 variants lasts 142 to 185 whether it is natural or vaccine-based. A regimen of booster shots will likely be needed every 6 to 12 months over the next few years.

Two antiviral drugs are currently being evaluated in the United States. Molnupiravir by Merck is reported to reduce hospitalizations and deaths by 50%, while Pfizer released a study on a medication they are developing that was 88% effective in early testing. Both drugs are oral and would be game-changers in the treatment of Covid-19.

Another way to get off the booster shot treadmill would be to reach 90% to 95% immunity, reducing the number of available hosts for Covid-19 to a level that the disease can’t widely spread in the population – so-called ‘herd immunity.” Given the resistance of 62 million Americans to get vaccinated, and almost half the world doesn’t have access to the COVID vaccine, that seems unlikely.

A third game-changer would be a new variant that emerges and is far more transmissible than the current dominant Delta strains but with significantly less severe symptoms. A version of Covid-19 that is closer to moderate Influenza in symptoms and lethality and is as contagious as measles would quickly infect the population, run out of hosts, and burn itself out while not overwhelming hospitals. This could also lead to “herd immunity.”

The final possibility is the vaccines themselves get better. The original Salk polio vaccine, authorized in 1955, was 50% effective at preventing infections but 90% effective at preventing hospitalizations. It wasn’t until 1962 when the Sabin oral vaccine replaced the Salk vaccine, that infections dropped 90% after a first dose and 99% after four doses.

If the Covid-19 vaccines follow a similar development path as other vaccines, a more effective version will likely be discovered in the future.

Why didn’t the United States approve boosters for all after the Biden Administration announced its intent

Over the summer, the Biden Administration and the World Health Organization (WHO), FDA, and CDC had a very public disagreement on who should get booster shots. President Biden wanted every adult to be eligible for a booster. The WHO objected, pointing out how some nations had no access to COVID vaccines while the United States was throwing out expired doses. The FDA and CDC also pushed back, arguing there wasn’t enough real-world data to support boosters for all.

While the debate raged, experts had a real-world case study unfolding on the other side of the world. Israeli officials started boosters for anyone over 60 on July 13 and three weeks later dropped the age to 40. On September 25, they dropped the age again to 12 and older. The program was highly effective at controlling deaths and hospitalizations, and when Israel is compared to the United Kingdom, the booster program implemented was an evident success.

On September 22, the FDA approved booster shots for recipients of the Pfizer vaccine, and on October 20 added the vaccine by Moderna. Eligibility was limited to people who were 65 or older or were 18 to 64 and worked or lived in places with a high risk of exposure or had a serious underlying medical condition that increased their chances of severe COVID. The FDA recommended a booster six months after receiving the second dose.

Also, on October 20, the FDA authorized boosters for anyone who received the Johnson & Johnson vaccine. As the Delta variant raged in the southeastern United States during the summer of 2021, it became evident the J&J vaccine offered less protection against hospitalization. Additionally, the viral-vector vaccines created by Astra Zeneca and developed in Russia and China were also low-performing. Anyone who received the Johnson & Johnson vaccine was advised to get a booster 60 days after the first dose.

Unfortunately, the ethical and trust concerns that tainted the debate in the United States have resulted in new COVID cases stuck on a high plateau for the last three weeks. New cases are rising in most states, and the pattern of Covid-19 infections looks eerily similar to the United Kingdom. A vast majority of hospitalized COVID patients continue to be unvaccinated.

The world needs to learn to live with Covid-19 and everyone will eventually have a date with the illness. The question is, will you be effectively vaccinated or not when it happens.

New Covid cases decline and kids 5 to 11 get first vax doses – local, state and national update for November 3, 2021

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

[KING COUNTY, Wash.] – (MTN) New COVID 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.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on November 3, 2021.


vaccinationhospitalsschoolslocalnationaldisinformation

Washington State Update for November 3, 2021

Washington state Covid-19 update

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 VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70% or above (3 counties)2,343,250200.4
60.00% to 69.99% (4 counties)1,242,200335.0 (down)
50.00% to 59.99% (15 counties)3,433,900354.3 (down)
40.00% to 49.99% (9 counties)599,225347.8
31.20% to 39.99% (8 counties)158,300367.0 (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 Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11132.80.5
Ages 12-19117.80.9
Ages 20-34124.3 (down)3.9
Ages 35-49137.9 (down)7.5
Ages 50-64105.311.7
Ages 65-7979.6 (down)17.4 (down)
Ages 80+78.322.1 (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

The USA Today COVID Tracker reported 34 deaths on Tuesday.

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

Currently, in the Tri-Cities, the highest rate of new cases of COVID-19 is in ages 15 to 39 according to the Tri-City Herald. The newspaper also reported three Tri-Cities students between 10 and 19 have died from COVID complications.

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

The Guardian released an article today outlining how anti-vaccination and Covid-19 disinformation creators moved from national news outlets to local news, creating deeper distrust and confusion across the United States. One of the news outlets highlighted was Washington state’s Clark County Today.

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!

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

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

Vaccination

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.

CVS, Rite-Aid, Walgreens, and Walmart are also accepting appointments online.

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.

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 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 RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman88.3%33.8%90.4%20.0%
NorthIsland, San Juan, Skagit, Whatcom61.3%27.5%63.5%12.5%
North CentralChelan, Douglas, Grant, Okanogan89.0%56.1%78.4%23.9%
NorthwestClallam, Jefferson, Kitsap, Mason88.5%35.2%96.5%19.2%
Puget SoundKing, Pierce, Snohomish92.9%20.4%96.0%12.7%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima91.6%23.4%84.1%19.2%
SouthwestClark, Cowlitz, Klickitat, Skamania 73.1%22.0%88.7%13.5%
WestGrays Harbor, Lewis, Pacific, Thurston89.6%30.2%91.2%17.3%
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%

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Ardmore (1*)
– Bennett (1*)
– Highland (2*)
– Newport Heights (2*)
– Sammamish (2*)
– Stevenson (3*)
– Tyee (1*)
– Woodridge (1*)
None
Lake WashingtonYELLOW– 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
NorthshoreYELLOW– 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.

National Round-Up

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

Southwest Airlines has been the subject of a number of headlines after thousands of flight cancelations rocked the airlines, backtracking on COVID vaccination requirements after pressure from Texas governor Greg Abbott, and a pilot that announced the Joe Biden insult, “Let’s go, Brandon,” on a flight.

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.

Montana

Montana reported 356 people were hospitalized and 873 new cases. Big Sky Country currently has 9,052 residents that are COVID positive.

Hospitals remain in crisis standards of care.

Disinformation

Taking the night off