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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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


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Washington State Update for November 16, 2021

Washington state Covid-19 update

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Over 800 Kaiser Peramente patients received expired Moderna vaccine doses

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

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

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

Eastern Washington children have the highest case rate in Washington

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Travel Advisories

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

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

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

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

Thank you

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

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

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

Vaccination

Fauci calls for boosters for all

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

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

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

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

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

Get Your Booster

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

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

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

King County, Washington is reporting over 83.5% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines. The Pfizer vaccine has EUA approval for children 5 to 15 years old.

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

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

Malcontent News

Hospital Status

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

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

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

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

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

School Readiness

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

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

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

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

We continued to encourage parents to request daily updates from the Lake Washington School District. We would also encourage parents to request the Bellevue School District include data on close contacts and quarantines. These two changes would bring the three school districts we track into alignment.

Kirkland-Bellevue-Woodinville

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

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

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

National Round-Up

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

State Updates

Connecticut

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

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

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

Georgia

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

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

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

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

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

Idaho

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

Illinois

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

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

Maine

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

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

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

Maryland

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

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

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

Michigan

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

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

Minnesota

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

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

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

You can read more at the Star Tribune.

Pennsylvania

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

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

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

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

Texas

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

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

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

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

Disinformation

Taking the night off

Over 89% of eligible King County has at least one Covid vax dose – local, state, and national update for November 8, 2021

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

[KING COUNTY, Wash.] – (MTN) Three weeks after the vaccination mandate deadline passed for state, healthcare and education workers, the vaccination rate increased dramatically statewide and in King County. New cases continue to drift downward, with Eastern Washington showing the most improvement. Over 7 million Washingtonians now live in counties where at least 50% of all residents are fully vaccinated.

Within our coverage area, the northern half of Kirkland continues to have the third-lowest vaccination rate along the I-405 corridor.

Big Bird got “vaccinated” in front of the public for the second time since 1972, and it’s made some people very mad.

The land border between Canada and the United States reopened for the first time in 20 months. The happiest people in North America about the reopening live in Point Roberts who have ended more than 500 days of exile.

Vaccinations are available for children 5 to 11, and demand is far exceeding the supply. In Seattle, Seattle Public Schools have opened clinics at 54 locations.

Delta VUI-21 growth has slowed down in the U.K., but the variant under investigation continues to spread. Europe is now the epicenter for Covid-19 on the planet, with several Eastern European nations setting new records.

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


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Washington State Update for November 8, 2021

Washington state Covid-19 update

The Washington State Department of Health has updated the Covid-19 vaccination data, and there were significant increases statewide. Twenty-three of 39 counties have at least 50% of the total population vaccinated for COVID, representing 7.04 million people.

New case rates continue to drop in Eastern Washington three weeks after the vaccine mandate deadline for state employees, healthcare workers, and school employees.

Currently, the vaccination data does not include 5 to 11 years, which became vaccine eligible last week. We expect the reporting data to be updated in the coming weeks. There continues to be a significant drop in new case rates in counties where more than 70% of the eligible population are vaccinated.

Percent of Total Population Fully VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70.00% or above (3 counties)2,343,250203.7
60.00% to 69.99% (4 counties)1,242,200323.1
50.00% to 59.99% (16 counties)3,454,700351.1
40.00% to 49.99% (10 counties)584,875346.4
31.50% to 39.99% (6 counties)151,850342.2
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County

Through November 8, Washington’s statewide 14-day rolling average is 301.9 Covid-19 cases per 100K. Health officials would prefer to see these numbers drop lower as we move closer to the holidays.

Only Skagit County has a case rate between 600.0 to 799.9. Over the weekend, the case rate increased to 657.0. Klickitat was just under 600.

Asotin, Chelan, Douglas, Ferry, Garfield, Grant, Grays Harbor, Klickitat, Lewis, Lincoln, Okanagan, Pend Orielle, and Spokane counties have new case rates between 400.0 and 599.9. Cowlitz, Mason, Pend Oreille, and Stevens counties were just under 400.

Eleven counties have a 7 day moving average case rate under 100, and San Juan and Wahikakum counties were under 25.

The 7 day new case rate was up among adolescents and young adults, ages 50 to 64, and people 80 and above. Hospitalization rates drifted downward except for geriatric patients over 79 years old.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11147.10.8
Ages 12-19150.4 (up)1.1
Ages 20-34142.4 (up)3.1
Ages 35-49144.76.8
Ages 50-64115.7 (up)11.6
Ages 65-7979.716.6
Ages 80+81.2 (up)26.5 (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 was not updated for Monday.

10 million doses of Covid-19 vaccine administered across Washington

The Washington State Department of Health (DOH) is pleased to announce another significant milestone has been reached in the state’s COVID-19 vaccine rollout. As of November 6, more than 10 million doses of vaccine have been given out across Washington since distribution began in mid-December 2020.

“Giving out 10 million doses of life-saving vaccine is something we should all be proud of here in Washington,” said Umair A. Shah, MD, MPH, Secretary of Health. “Knowing that younger kids can now be protected from the worst outcomes of this virus is an incredible relief, not just for parents and families, but for everyone. The more people vaccinated, the more community protection we have, and that’s good for us all.”

The achievement was reached thanks to the hard work of providers, local and private sector partners, DOH staff, community members, and countless others whose commitment to community health and safety has been vital to our state’s continued success.

Border between British Columbia and Washington reopens after 20 months

Cars lined up at the Peace Arch border crossing to enter Blaine, Washington, as the land border between Canada and the United States opened for the first time in 20 months. Traffic this evening was light after a flood of cars heading south entered Washington state.

No place on Earth was more relieved about the border reopening than the residents of Point Roberts.

Point Roberts is a small Washington town located on the tip of Canada’s Tsawwassen peninsula. It is surrounded by water on three sides and attached to land through Canada only. 

When the U.S.-Canadian border closed in 2020, many Canadians were separated from loved ones, friends, and their homes in towns like Point Roberts. American residents were separated from the rest of the United States, having to endure financial and emotional hardship.

“We’re going to be thrilled to get our Canadians back because, like I said before, [they own] 75% of our properties and [contribute] 90% of our economy. We just hope that the Canadians will relax that unnecessary testing,” said Brian Calder, president of the Point Roberts Chamber of Commerce told KING 5 News.

On Monday, some Canadian families returned to the Washington town to winterize their homes.

Seattle Public Schools starts vaccination clinics for children ages 5 to 11

Seattle Public Schools (SPS) started running vaccine clinics today that will offer first doses of the Pfizer vaccine to children 5 to 11 at 40 schools during the day and 14 regional clinics on the weekend and evenings through November 23. Second dose clinics will be offered from November 29 to December 14.

 SPS vaccine clinics are organized to prioritize families who face more barriers to vaccination while regional clinics are open to all SPS students who are 5 years and older.

Students do not have to be enrolled in that specific school. SPS vaccine clinics are organized to prioritize families who face more barriers to vaccination. Please attend the clinic in the area that is convenient to where you live.

There may be scarcity in vaccine supply in the first few weeks after approval but should stabilize after a few weeks and eventually, everyone will be able to get vaccinated. If a clinic needs to be postponed due to vaccine supply, we will re-schedule the clinic as soon as possible.

At the regional clinics, students under 18 years of age must be accompanied by a parent or guardian.

The Pfizer vaccination requires two shots. Students should plan to be available for both school clinic dates to receive both doses of the vaccine.

Travel Advisories

With new cases starting to decline statewide, we continue to hope the East Hospital Region travel advisory can end in the next 3 to 10 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. Last 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

Pfizer may seek clearance of Covid-19 booster for ages 18 and up

Pfizer and German partner BioNTech are expected to seek authorization for their COVID-19 vaccine booster shot for people aged 18 and above as soon as this week, according to a report in the Washington Post.

There were multiple reports three weeks ago the FDA and CDC were having talks about lowering the age for booster shots to 40 years old for people who got the Pfizer or Moderna vaccine. Data out of the U.K. and Israel have indicated that boosters had a significant impact in reducing hospitalizations and deaths during their most recent surges.

King County, Washington is reporting over 89.2% 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. The Pfizer vaccine has EUA approval for children 5 to 15 years old.

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

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

Malcontent News

Hospital Status

A significant amount of data from the East Hospital Region was missing in the Monday report. We are not providing updated hospitalization data in today’s report.

On Sunday, the Washington State Department of Health reported 1,007 Covid-19 patients statewide with 159 on ventilators. Hospitalizations are drifting downward after increasing 7% from October 22 to October 29.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Ardmore (1*)
– Bennett (1*)
– Big Picture (1*)
– Clyde Hill (1*)
– Enatai (1*)
– Highland (5**)
– Lake Hills (1*)
– Sammamish (1*)
– Stevenson (2*)
– Tyee (1*)
– Woodridge (1*)
None
Lake WashingtonYELLOW– Alcott (19)
– Bell (24)
– Blackwell (5)
– Carson Elementary (10)
– Clara Barton (23)
– Eastlake High (66)
– Ella Baker (6)
– Evergreen Middle School (1)
– Finn Hill Middle School (5)
– Frost (5)
– Inglewood Middle School (13)
– Juanita Elementary (1)
– Juanita High (30)
– Kamiakin Middle School (5)
– Keller (6)
– Kirk Elementary (20)
– Lakeview Elementary (7)
– Lake Washington High School (7)
– McAuliffe (1)
– Northstar Middle School (12)
– Redmond High School (37)
– Renaissance Middle School (1)
– Rush Elementary (1)
– Sandburg/Discovery (9)
– Thoreau (5)
– Timberline Middle School (14)
– Twain Elementary (2)
None
NorthshoreYELLOW– Arrowhead Elementary (7)
– Bothell High School (10**)
– Canyon Creek Elementary (5)
– Canyon Park Middle School (1)
– Crystal Springs Elementary (4)
– East Ridge Elementary (1)
– Fernwood Elementary (8)
– Frank Love Elementary (9)
– Hollywood Hills Elementary (6)
– Inglemoor High School (16**)
– Kenmore Elementary (20)
– Kenmore Middle School (24)
– Kokanee Elementary (5)
– Leota Middle School (1)
– Maywood Hills Elementary (3)
– Moorlands Elementary (1)
– North Creek High School (6)
– Northshore Middle School (42)
– Ruby Bridge Elementary (5)
– Shelton View Elementary (3)
– Skyview Middle School (12**)
– Sunrise Elementary (1)
– Timbercrest Middle School (3)
– Wellington Elementary (6)
– Westhill Elementary (14)
– Woodin Elementary (1)
– Woodinville High School (5)
– Woodmoor Elementary (14)
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.

Highland Middle School in the Bellevue School District has five confirmed Covid-19 cases between faculty and students, which is the biggest change in the area schools.

The Northshore School District had a small surge of cases over the last two weeks that has run its course. The number of schools dealing with 5 or more cases dropped to three over the weekend.

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.

Percentage of King County Residents 12 and older who have received at least one dose of COVID vaccine, November 8, 2021

Vaccination rates for adolescents ages 12 and 19 in North King County continue to lag far behind the rest of the eastside.

Kirkland-Bellevue-Woodinville

King County Public Health updated the vaccination rates by zip code, with the numbers improving throughout the region. The northern half of Kirkland continues to lag behind the rest of the eastside. Bothell and the Juanita-Finn Hill-Kingsgate regions of Kirkland remain below 90% vaccinated and below the King County average.

Percentage of King County Residents 12 and older who have received at least one dose of COVID vaccine, November 8, 2021
Zip CodePercent vaccinated, at least one dose, 12 and older
98155>95.0%
9802891.7%
9801188.5%
9803487.0%
98033>95.0%
98072>95.0%
98052>95.0%
98004>95.0%
98039>95.0%
98005>95.0%
9800792.1%
Vaccination rates for those 12 and older by zip code – at least one dose

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 21,968 new cases and 119 deaths nationwide on Monday. Most states discontinued reporting Covid-19 related data over the weekend. The Monday report is missing large amounts of data.

Sixth wave watch Delta VUI-21

There is mixed news out of the U.K. and Europe about Delta VUI-21, the AY.4.2 variant of Covid-19. After new cases increased 60% a week for four weeks in a row, growth slowed down. Delta VUI-21 makes up 12% of cases in the U.K. and has been detected in 42 countries.

The variant was first identified in July and is slightly more transmissible than the Delta and Delta Plus variants (Delta AY.4.2 is commonly misnamed Delta Plus). The variant does not appear to be more vaccine-resistant or make people sicker. It may carry a higher viral load when someone is contagious, which is problematic for the unvaccinated, partially vaccinated, and immunocompromised.

The World Health Organization now says that Europe is the new global epicenter for Covid-19, and issued a warning to North American nations to not their guard down too soon. Russia is reporting almost 40,000 cases a day with a record number of deaths. Several oblasts have indicated they may impose even stricter restrictions, including shuttering businesses to try and slow the spread.

Greece, Croatia, Iceland, Slovakia, Slovenia, Austria, Germany, and Russia are at or have tied their peaks this week with Finland and Ukraine not far behind.

In contrast, Spain, which is 80% vaccinated, and Portugal, which is 88% vaccinated, have some of the lowest case rates on the planet.

The new surge in Europe is peaking in many countries during the same week airplanes full of international tourist travelers landed at U.S. airports for the first time in 18 months.

A Single dose of REGEN-COV monoclonal antibodies over 81% effective in preventing Covid-19 infections for up to 8 months

Regeneron Pharmaceuticals said Monday that a single dose of its antibody treatment reduced the risk of contracting COVID-19 by 81.6% for up to eight months, according to its late-stage trial. The company said the results could potentially pave the way for broader use in helping to protect certain people with weakened immune systems.

The monoclonal antibody treatment, called REGEN-COV, is currently available under an emergency use authorization by the U.S. Food and Drug Administration to treat patients with mild to moderate COVID-19 and are at risk of developing severe symptoms. It has also received FDA emergency approval as a post-exposure preventive treatment for some people at high risk for developing severe COVID-19, are not fully vaccinated or are immunocompromised, and have known exposure to the virus.

Four subcutaneous injections of the monoclonal antibody treatment protected uninfected people from contracting COVID-19 by 81.6% during the follow-up period of two to eight months, up from 81.4% after one month. Four injections of the treatment are considered one dose.

Big Bird getting vaccinated makes Senator big mad

Big Bird ruffled some conservatives’ feathers this weekend by announcing that he had been vaccinated against COVID-19.

The beloved Muppet tweeted on Saturday (ha ha – tweeted) that he had gotten the shot, which is newly available for Americans between the ages of 5 and 11.

“My wing is feeling a little sore, but it’ll give my body an extra protective boost that keeps me and others healthy,” he wrote.

Sen. Ted Cruz, R-Texas, decried Big Bird’s tweet as “government propaganda.”

Sesame Workshop, the production company behind the show which first aired in 1969 and helped launch the career of Jim Henson and beloved Muppets such as Kermit the Frog, moved from PBS to HBO in 2015. In 2020 the show moved again from HBO to the HBO Max streaming service.

It’s not the first time Big Bird was vaccinated as part of an educational campaign. In 1972, the fictional character was vaccinated for Measles on the show Sesame Street.

COVID misinformation is rampant in the United States

More than three-quarters (78%) of U.S. adults either believe or aren’t sure about at least one of eight false statements about the COVID-19 pandemic or COVID-19 vaccines, with unvaccinated adults and Republicans among those most likely to hold misconceptions, a new KFF COVID-19 Vaccine Monitor report shows.

Nearly two-thirds (64%) of unvaccinated adults believe or are unsure about at least half of the eight false statements – more than three times the share of vaccinated adults (19%). Nearly half (46%) of Republicans believe or are unsure about at least half the statements, three times the share of Democrats (14%).

The findings highlight a major challenge for efforts to accurately communicate the rapidly evolving science about the pandemic when false and ambiguous information can spread quickly, whether inadvertently or deliberately, through social media, polarized news sources, and other outlets.

State Updates

Alaska

Alaska on Monday reported 53 more COVID-19 deaths, most of which happened in September, as well as 1,387 new infections logged over the weekend and a continued drop in hospitalizations, according to a report by Anchorage Daily News.

The new COVID-19 cases reported over the weekend follow a trend of decreasing case counts that Alaska has seen recently after several weeks of plateauing daily COVID-19 numbers, a state health official said.

In an emailed statement Monday, Dr. Michael Savitt, chief medical officer at the Anchorage Health Department, wrote that the department is “cautiously optimistic,” about recent decreasing COVID-19 trends for the city, but that Anchorage continues to be in a “high-risk environment.”

“Hospitals remain at near capacity levels,” Savitt wrote. “We hope to see those numbers start to decrease soon as well.”

There were 128 people hospitalized with COVID-19 by Monday, state dashboard data showed, with about 13.6% of the state’s hospitalized patients considered to have active cases of the virus. That’s a decrease from recent weeks when often one in five patients had a case of the virus.

Florida

The first hospital in the state of Florida to treat a coronavirus patient is now celebrating another first: No COVID patients in its care since the pandemic began, Fox News reported.

“There’s been a lot of progress done in a very short period of time. So it’s a great thing for everybody,” chief nursing officer of Doctor’s Hospital in Sarasota, Todd Haner, said at a press conference on Friday. “I can tell you that the morale is much better.”

Doctor’s Hospital had the first COVID-19 patient in the state back in February 2020 and has been treating virus patients since. But last week, that all changed when the hospital reported not having a single COVID patient.

Idaho

Idaho’s seven-day moving average of new COVID-19 cases fell below 700 per day for the first time since August, Idaho Department of Health and Welfare data showed Monday. The decline comes a month after caseloads hit a peak across the state, though health officials still reported more than 1,100 new cases and 34 deaths since Friday, according to the Idaho Statesman.

The moving average, which indicates how many cases have been reported each day on average over the past week, was 689 on Monday, the lowest it’s been since Aug. 26. That metric is nearly half of the moving average of 1,365 set one month ago, during the height of Idaho’s most recent surge.

Though recent data shows caseloads trending downward in Idaho, the state still reported 1,192 new COVID-19 cases since Friday. About 29% of those cases — 351 — were reported in Ada County. But the state’s most populous county saw its seven-day moving average for new cases fall to 196 per day on Monday, the first time it has been less than 200 since mid-September.

To date, Idaho has reported 297,140 cases and 3,678 COVID-related deaths. More than 500 of those deaths, or about 15% of the state’s total, were reported in the past 30 days.

Montana

There were 908 new COVID-19 cases reported Monday, Nov. 8 in Montana, with 7,815 total active cases in the state, in a report by KTVQ.

The number of people actively hospitalized due to COVID is 351, an increase from the 343 hospitalizations reported on Friday. The cumulative number of hospitalizations in Montana due to the virus is 9,154, with the state reporting 31 new hospitalizations since their last report. To date, roughly 1 in 20 (5.05%) reported COVID-19 cases in the state have resulted in hospitalization.

New Hampshire

The number of active COVID-19 cases in New Hampshire is now at its highest level since January, before vaccines were widely available, according to WMUR.

According to the state Department of Health and Human Services, there are now 5,164 current COVID-19 cases, the highest total since January 29.

More than 26% of the newly announced cases are in children under the age of 18.

The state’s seven-day total test positivity rate has risen to 7.2%, which is the highest that rate has been since Jan. 7.

The number of current hospitalizations has moved up again and is at 212 as of Monday.

North Dakota

A North Dakota lawmaker and an organizer of a rally Monday to oppose COVID-19 vaccine mandates is infected with the coronavirus and won’t attend the event, KSTP Channel 5 reported.

Republican Rep. Jeff Hoverson posted on Facebook Sunday that he was “quarantining and each day is getting better.” The Minot lawmaker said he is taking the deworming drug ivermectin as a COVID-19 treatment and has not checked into a hospital.

“Covid is real and like a really bad flu,” Hoverson wrote.

Hoverson, a pastor, told The Associated Press that was diagnosed last week.

“I’m feeling rough,” he said Monday. “But this ivermectin is keeping me out of the hospital.”

Ivermectin is designed to fight parasitic infections but conservative commentators have promoted it as a treatment for COVID-19, despite a lack of conclusive evidence that it helps.

Texas

Unvaccinated Texans died from COVID-19 at 40 times the rate of vaccinated Texans and were 45 times more likely to test positive for the disease in 2021, according to a new study from the Texas Department of State Health Services.

DSHS reviewed vaccination, death, and tests records from Jan. 15 to Oct. 1 to come up with the figures, according to WFAA.

“We have millions and millions of records that we had to go through for this analysis,” said Dr. Jennifer Shuford, DSHS’s chief epidemiologist.

According to the review, 7.7% of deaths and 3% of positive cases in the January – October time frame were in fully-vaccinated Texans.

“We know that there’s all these bad outcomes for actually getting COVID-19, but the complications from the vaccine are very few and impact very few people,” Shuford said. “What we hope is that people across Texas will understand the threat of COVID-19.”

Disinformation

Taking the night off

Say hello to Covid-19 VUI-OCT21-01 – local and state COVID update for October 26, 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) Delta AY.4.2 has been declared a “variant under investigation” by the World Health Organization and was given a new name – VUI-21OCT-01. Epidemiologists are admonishing the press for calling the variant Delta Plus so for now we refer to the new variant as Covid-19 VUI-21 (“view” 21). Maybe it will stick? Only a handful of cases have been detected with Washington in seventh place.

Closer to home, vaccination rates increased across Washington, King County, and Kirkland as new cases and hospitalizations slowly drift downward. Washington is now the tenth most vaccinated state and the most vaccinated state west of the Mississippi River.

A report from the American Academy of Pediatrics calculated 1,428 Washington children became orphans between April 2020 to June 2021 due to the Covid-19 related death of one or both primary caretakers

The Washington State Office of Financial Management reported 94% of state employees complied with the vaccine mandate and lowered the number of terminated workers.

Seattle City Light got its first seasonal windstorm test just days after a handful of workers were released for refusing to get vaccinated or seek exemptions. The public utility passed the test.

Three people were accidentally administered the Pfizer Covid-19 vaccine at Joint Base Lewis-McChord.

An FDA advisory panel recommended the agency approve emergency use authorization for the Pfizer vaccine in children ages 5 to 11 years old. The CDC is meeting on November 2 and 3 to consider the new protocol. Through June 2021, Covid-19 was the tenth leading cause of death for children 5 to 14 years old.

The situation at Washington hospitals has improved, especially in Eastern Washington where the worst appears to be over. The number of staffed acute care beds increased from last week, providing additional evidence the vaccine mandate did not drive a significant reduction in hospitalists.

There were small changes in the number of Covid-19 cases and impacted schools in the Bellevue, Lake Washington, and Northshore School Districts. The Lake Washington School District is now reporting the number of “close contacts” at each school but continues to share data only once a week.

Kirkland is holding a Health Fair and Community Vaccination Event on November 6 from 10 a.m. to 2 p.m.

The United States State Department reported that international travel restrictions will be loosened on November 8. Unvaccinated adults will find it challenging to enter the United States.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on October 26, 2021.


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Washington State Update for October 26, 2021

Washington state Covid-19 update

The Washington State Department of Health released updated vaccination data. Twenty-one counties representing 6.75 million people have more than 50% of their total population fully vaccinated. Jefferson, King, and San Juan counties are over 70% vaccinated, adding a new row to the table.

Data continues to show that counties with higher vaccination rates have fewer new Covid-19 cases.

Percent of Total Population Fully VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70% or above (3 counties)2,343,250212.6
60.00% to 69.99% (4 counties)1,242,200339.8
50.00% to 59.99% (14 counties)3,172,600391.8
40.00% to 49.99% (10 counties)860,525421.4
30.30% to 39.99% (8 counties)158,300495.8
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Adjusted for Population

Through October 25, Washington’s statewide 14-day rolling average is 335.2 Covid-19 cases per 100K indicating the state is stuck on a plateau that started last week.

Ferry County is the last area to report more than 1,000 new COVID cases per 100K residents – 1,062.0 and has declined from last week.

No counties are reporting a new case rate between 800 and 999.99.

Only three counties, Grant, Klickitat, and Skagit, have a new case rate between 600.0 to 799.9. Skagit is new to this list and has seen a steadily increasing number of new cases over the last 7 to 10 days.

No particular age group appears to be driving the new case plateau. It is possible that new mass testing sites in Yakima and Spokane counties have added more data. Washington won’t report new case positivity until next week at the earliest, which would reveal if the community is being under-tested.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11150.20.7
Ages 12-19157.30.8
Ages 20-34152.73.5
Ages 35-49159.78.1
Ages 50-64125.111.6
Ages 65-79101.420.2
Ages 80+101.834.8
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 29 Covid-19 related deaths in Washington state on Monday.

94% of state employees complied with vaccine mandate

The Washington State Office of Financial Management reported 91% of all impacted state employees were fully vaccinated by October 18 as leaders continue to review the data. Approved accommodations grew slightly to 3.2% -1,999 employees. Another 1,941 workers are pending action such as completing their vaccinations, retirement, awaiting status on an accommodation request, or facing termination.

Last week the state reported 1,887 employees had quit or been terminated, that number declined to 1,785. The number of potential separations due to resignation, retirement, or termination grew to 444 for the Washington State Department of Transportation and 159 for the Washington State Patrol. The data for the WSP did not have a separate number for commissioned officers and civilian employees.

The state agencies with the lowest vaccination rates are the Department of Veterans Affairs and Employment Security.

The OFM will provide another, and likely final update on November 8.

Seattle City Light passes first post-mandate test

At the height of the weekend windstorm on Sunday afternoon, almost 80,000 Seattle City Light customers were in the dark. Some had speculated that staffing loss due to the vaccine mandate would cripple the ability to restore power in the Emerald City, but that didn’t happen

On Monday afternoon power had been restored to 98% of impacted customers and on Tuesday morning only 27 customers were still in the dark for weather-related reasons. Of those, only one had been without power since Sunday.

1,428 Washington children were orphaned due to Covid-19 from April 2020 to June 2021

The American Academy of Pediatrics reported 1,428 Washington state children were orphaned (page 39) because one or both primary caregivers died as a result of Covid-19 from April 1, 2020, to June 30, 2021.

The study defined orphanhood as losing at least one parent because children who lose at least one parent have increased risks of mental health problems, abuse, unstable housing, and household poverty.

Over 140,000 children in the U.S. experienced the death of a parent or grandparent caregiver. The risk of such loss was 1.1 to 4.5 times higher among children of racial and ethnic minorities, compared to Non-Hispanic White children. The highest burden of COVID-19-associated death of parents and caregivers occurred in Southern border states for Hispanic children, Southeastern states for Black children, and in states with tribal areas for American Indian/Alaska Native populations.

3 people inadvertently administered Covid-19 vaccine at Joint Base Lewis-McChord

The Army Times reported three people were accidentally given the Covid-19 vaccine at the Lewis Main Exchange in Tacoma, Washington.

“Joint Base Lewis-McChord is aware three people were inadvertently administered the Pfizer Covid-19 vaccine instead of another vaccine at the Lewis Main Exchange,” Col. Joey Sullinger with I Corps Public Affairs said in an email to Military Times.

The incident happened on or about October 26. Col. Sullinger did not share if the people who received the wrong vaccine were civilian dependents, retirees, government contractors, National Guard, or active duty military.

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 seven to 14 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. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a serious medical emergency.

Thank you

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

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

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

Vaccination

Number of fully vaccinated climbs in Washington, King County, and Kirkland

The number of Washington residents 12 and older fully vaccinated grew to 72.5%, the tenth highest in the United States and the highest rate west of the Mississippi River. Despite the increasing rate for fully vaccinated, the number for full and partial vaccination is 78.6%, barely changed from last week. In late April, Washington was one of the last states to make the Covid-19 vaccine eligible to all residents, further highlighting the accomplishment of health officials.

King County Health reported 88.1% of residents 12 and older have received at least one dose and 82.7% are fully vaccinated. In Kirkland, 84.3% of eligible residents are fully vaccinated, and 89.6% have received at least one dose.

The vaccination rates in Kirkland remain lower than in Bellevue, Redmond, and Woodinville.

FDA advisory panel recommends Pfizer vaccine for children ages 5 to 11 in 17-0-1 vote

A panel of independent advisers to the Food and Drug Administration is recommending that the agency issue an emergency use authorization for the Pfizer-BioNTech vaccine in children ages 5 to 11 years old. The vote was 17 in favor and one abstention.

NPR reported the FDA panel accepted Pfizer’s data indicating the vaccine is safe and 90.7% effective in preventing COVID-19 infections in this age group.

The agency typically goes along with the advice of its expert panels, though it isn’t bound to do so. It will issue a decision within the next several days. If the FDA authorizes the vaccine for these younger children, as seems likely, another panel of experts advising the Centers for Disease Control and Prevention would make its own recommendations and offer guidelines next week on its use among this age group.

Due to federal supply agreements, vaccination can’t begin until the Center for Disease Control (CDC) formally recommends the Pfizer vaccine and FDA protocols. The CDC panel is meeting on November 2 and 3, paving the way for approval by the end of next week.

Covid-19 became the tenth leading cause of death for children 5 to 14 years old in the United States before the recent Delta variant surge.

King County, Washington is reporting over 88.1% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 90% of all staffed acute care beds are occupied, and 14.5% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 697 additional acute care patients. This is the highest number available since September and indicates that staff cuts attributed to the vaccine mandate have not had a significant impact on hospital readiness.

ICUs are at 87.0% of capacity statewide, with 24.0% of ICU patients fighting Covid-19 – an estimated 286 patients with 69.5% on ventilators. The state has the staff to support approximately 155 additional ICU patients.

On Tuesday, the 7-day rolling average hospital admission rate for new COVID patients decreased to 86. The Department of Health reported 1,082 Covid-19 patients statewide on October 25, with 199 requiring ventilators. Hospitalizations continue to decline slowly in stair steps. Over the last ten days, the number of hospitalized COVID patients has ranged from 1,044 to 1,119.

Hospital readiness has improved across most regions, especially the East Region which is benefiting from increased vaccination rates, more tests sites enabling early detection, monoclonal antibodies, and new cases slowing down in neighboring Idaho.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman85.0%32.3%89.5%20.2%
NorthIsland, San Juan, Skagit, Whatcom62.8%27.4%70.4%9.0%
North CentralChelan, Douglas, Grant, Okanogan95.8%55.2%79.2%26.6%
NorthwestClallam, Jefferson, Kitsap, Mason88.3%37.1%95.6%19.0%
Puget SoundKing, Pierce, Snohomish91.0%20.0%94.4%12.5%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima89.1%22.2%84.0%18.1%
SouthwestClark, Cowlitz, Klickitat, Skamania 70.6%21.7%87.9%15.5%
WestGrays Harbor, Lewis, Pacific, Thurston87.5%27.7%91.3%17.7%
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– ESC East (1*)
– Ardmore (3*)
– Bellevue (1*)
– Bennett (1*)
– Cherry Crest (1*)
– Interlake (1*)
– Lake Hills (1*)
– Newport (1*)
– Newport Heights (1*)
– Puesta del Sol (1*)
– Sammamish (2*)
– Sherwood Forest (1*)
– Spiritridge (2*)
– Stevenson (3*)
None
Lake WashingtonYELLOW– Blackwell Elementary (4)
– Carson Elementary (6)
– Clara Barton (4)
– Einstein (3)
– Eastlake High (11)
– Ella Baker (8)
– Finn Hill Middle School (6)
– ICS (4)
– Juanita Elementary (3)
– Kamiakin Middle School (20)
– Kirk Elementary (2)
– Lakeview Elementary (3)
– Lake Washington High School (27)
– Muir Elementary (1)
– Redmond Elementary (9)
– Redmond Middle School (64)
– Redmond High School (46)
– Timberline Middle School (45**)
– Twain Elementary (27)
None
NorthshoreYELLOW– Arrowhead Elementary (1)
– Bothell High School (21**)
– Canyon Creek Elementary (10)
– Canyon Park Middle School (7)
– Crystal Springs Elementary (13)
– East Ridge Elementary (3)
– Fernwood Elementary (1)
– Frank Love Elementary (38)
– Hollywood Hills Elementary (2)
– Inglemoor High School (14)
– Kenmore Elementary (7**)
– Kenmore Middle School (25**)
– Kokanee Elementary (13)
– Lockwood Elementary (10**)
– Maywood Hills Elementary (3)
– North Creek High School (10**)
– Northshore Middle School (15)
– Ruby Bridge Elementary (55)
– Shelton View Elementary (1)
– Skyview Middle School (17)
– Timbercrest Middle School (11)
– Wellington Elementary (19**)
– Westhill Elementary (6)
– Woodin Elementary (38**)
– Woodinville High School (2)
– Woodmoor Elementary (1)

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.

New cases have increased in the Bellevue School District but remain distributed across multiple buildings with no hot spots.

The Lake Washington School District is now tracking Covid-19 cases and “close contacts,” providing additional insight. However, the district continues to publicly update the data on a weekly basis. Timberline Middle School has five confirmed bases between students and staff and another 40 in quarantine.

The Northshore School District has fewer buildings with cases but has seven schools reporting five to nine confirmed COVID cases.

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.

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 102,898 new cases and 1,041 deaths nationwide on Tuesday. New Covid-19 cases have dropped 57% since September 1.

Delta AY.4.2 gets a new name – VUI-21OCT-01 and declared “variant under investigation”

The World Health Organization (WHO) designated Delta AY.4.2, incorrectly called Delta Plus as a “variant under investigation” and designated the mutation VUI-21OCT-01. The designation is below a variant of interest and variant of concern. The designation was made due to growing evidence the new variant is more transmissible than Delta.

Officials in the U.K. reported 10% of new Covid-19 cases are COVID VUI-21, a 60% increase from last week. The U.K. is wrestling with a surge of new cases that now exceeds the prior spike at the end of summer. While new cases are at record levels, hospitalizations remain below the levels of last year and deaths are 80% to 90% lower than last winter.

On the continent, Belgium has instituted fresh restrictions due to a sharp increase in Covid-19 cases while Turkey, Russian, and Ukraine set new records. Identifying which variants are creating the rise in new cases requires genomic sequencing, which is handled differently by each country. Additionally, there are doubts about the veracity of data provided by Russia and Ukraine.

New cases are surging in Eastern Europe including Romania, the Czech Republic, Slovakia, Bulgaria, and Poland. Even China is dealing with a surge of Delta cases in Beijing.

The latest IHME forecast for Washington predicts hospitalizations will bounce back to late September levels by February 1, 2022. This aligns with our point of view, that the United States will see a series of hot spots creating a mini-surge in early 2022.

Isolated cases of COVID VUI-21 have been detected in 32 states. Iowa is leading the nation while Washington is in seventh place.

International travel restrictions will be eased begining November 8

Yesterday, the Biden Administration announced that fully vaccinated non-immigrant air travelers will be allowed into the United States beginning November 8. Travelers will need to provide proof of Covid-19 vaccination prior to boarding an airplane to fly to the U.S., with only limited exceptions.

To further strengthen protections, all unvaccinated travelers will need to test negative for COVID within one day of departure. Rapid tests and home tests are not accepted.

Passengers on international flights will need to show their vaccination status to their airline prior to boarding. The vaccination information must match the name and date of birth of the traveler’s identification and ticket record. Additionally, the documentation must come from an official source from a health or government agency from the same country the vaccine was administered.

Vaccines must be emergency use authorization or fully authorized by the United States Food and Drug Administration or authorized by the World Health Organization emergency use list. A person is not considered fully vaccinated until two weeks after receiving the final dose of their vaccine of choice.

Fully vaccinated travelers are still required to show a negative Covid-19 test, but the current regulation to produce a negative test result within three days of travel will remain unchanged.

There are a very limited set of exceptions from the vaccination requirement for foreign nationals. These include exceptions for children under 18, certain Covid-19 vaccine clinical trial participants, those with medical contraindications to the vaccines, those who need to travel for emergency or humanitarian reasons (with a US government-issued letter affirming the urgent need to travel), and those who are traveling on non-tourist visas from countries with low-vaccine availability as determined by the CDC.

CDC Director Dr. Rochelle Walensky was asked on Meet the Press if a travel ban on flights from Britain or Europe was being considered given the rise of Delta VUI-21.

We’re not anticipating that now,” Walensky said in an interview on NBC’s “Meet the Press.” “We’re absolutely following the science very, very carefully, but we are not anticipating or looking into that right now.”

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

Taking the day off

BREAKING: QR Code vax proof provider goes lights out 3 days before King Co vaccination verification begins

[SEATTLE, Wash.] – (MTN) The QR Code-based Covid-19 vaccination verification app that King County adopted was suspended on October 22, forcing area businesses and venues to visually review vaccination proof starting tomorrow. STChealth had to shut down its QR Code verification solution after the Common Trust Network refused to recognize the company as a valid issuer of vaccination proof.

STChealth is the maker of MyIRMobile, which has been adopted by Arizona, Louisiana, Maryland, Mississippi, North Dakota, West Virginia, the District of Columbia, and Washington state. King County Health has been recommending the technology to residents. Earlier this month Seattle Mayor Jenny Durkan and King County Executive Dow Constantine demonstrated the technology as a simple solution for businesses and residents.

A letter dated October 22, 2021 on the MyIRMobile website addressed the ongoing issue.

“As many of you are aware, STChealth developed an accurate, well-formed, VCI standard SMART Health Card within MyIR Mobile on behalf of the states we represent. Despite this, and being listed as an issuer on their website, The CommonTrust Network is still not recognizing MyIR as a valid issuer. We are continuing to work with the CommonTrust Network to resolve this discrepancy as quickly as possible. Unfortunately, until we are re-established, we will have to deactivate QR Code functionality as a feature in MyIR Mobile. Through MyIR Mobile, users can still access a copy of their FULL official vaccination records, including proof of COVID-19 vaccines. In some states, an official COVID-19 certificate and/or school certificate will also be available through MyIR Mobile. In order to utilize these certificates, MyIR Mobile users will need to show them as either digital PDFs or printed documents to prove immunization status. At this time, immunization records through MyIR Mobile cannot be translated into a valid QR code to be read by a SMART health verifier.”

The MyIRMobile website shows that the QR Code proving COVID Vaccination Status app is unavailable leaving King County without a technology solution

At midnight tonight, people age 12 or older will be required to verify their Covid-19 vaccination status or provide a negative COVID test result to enter certain businesses and venues in King County. While the ongoing dispute between STChealth and the Common Trust Network won’t seriously impact smaller venues, attendees at large venues should be prepared to provide an alternative source of verification and pack some patience.

Where is vaccine verification required

Restaurants and bars that include indoor dining will be required to check vaccination status or see a negative Covid-19 test completed within the last 72 hours. The requirement does not apply to outdoor dining areas or take-out. Additionally, businesses that sell ready-to-eat food but aren’t primarily dining establishments, such as grocery stores, are not impacted. Restaurants that have a seating area for 12 or fewer people do not have to start checking vaccination status until December 6.

Indoor recreation, entertainment, events, and physical fitness locations are required to check status regardless of capacity. This includes school, amateur, collegiate, or professional indoor sports venues, performing art centers, live music venues, comedy clubs, movie theaters, gyms, yoga studios, conference centers, and conventions.

Additionally, any outdoor event with 500 or more attendees will be required to check vaccination status.

People who already registered for MyIRMobile can still show a PDF certificate that verifies vaccination status and can download the document to their device. iOS and Android devices allow users to create a home screen shortcut to an image or a PDF, making it easier to access the necessary documentation.

According to a September 24 article in PC Magazine, Washington state does not utilize other applications that can provide a QR Code.

How do I provide vaccination status

If you’re fully vaccinated you have several options to provide proof of your status.

  • Your Center for Disease Control vaccine card or a photo of your vaccine card on your mobile device.
  • Documented proof of vaccination from your medical provider or the facility that vaccinated you or your impacted dependents.
  • For tourists and foreign travelers, valid proof of vaccination from your home country. This would be the same credentials you would have used upon entry into the United States.
  • A digital record from STChealth through the MyIRMobile.com website or other iOS and Android apps that provide proof of vaccination verification.

Individuals do not have to show identification with their proof of vaccination or negative unless identification is required for other reasons such as age verification to enter a bar.

What if I am unvaccinated or can’t prove I am fully vaccinated

As an alternative, an individual can show proof of a negative Covid-19 test from a testing provider in the last 72 hours. At-home tests will not be an acceptable form of validation. Outside of Lumen Field, several vendors are offering rapid COVID tests at a premium price. Many pharmacies offer free testing with results provided in one to two hours.

What if I need an accomodation due to disability, medical condition or religious belief

King County businesses are required to provide reasonable accommodation and cannot discriminate based on an individual’s race, national origin, religion, or age. Reasonable accommodation for bars and restaurants would include outdoor dining, take-out, and curbside delivery.

The program does not require a person to be vaccinated. It does require those who choose to remain unvaccinated to provide proof they are not currently infected with Covid-19, which can be accomplished by getting a free rapid or PCR COVID test.

San Francisco County and New York City started so-called vaccine passports in August and September respectively while Los Angeles County announced on October 6 it would be implementing a similar program.

Earlier implementations haven’t been trouble-free. In New York City there were several high-profile incidents and confrontations including some workers being assaulted. Some restaurants opted to close their dining rooms and return to takeout and delivery. San Francisco officials are in dispute with the only In- N-Out Burger located in the City. The popular West Coast burger chain is refusing to verify vaccination status of customers and was issued a cease and desist letter by San Francisco officials.

Currently, 82.4% of all eligible King County residents are fully vaccinated and another 5.5% are just weeks away.

8,000 Washingtonians lost and counting – local and national update for October 11, 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) More than 8,000 Washingtonians have died from Covid-19 since February 29, 2020, as new cases and hospitalizations continue to slowly decline.

Vaccination rates increased across the state, although the gap between the most vaccinated and least vaccinated counties barely narrowed. Pediatric and adolescent hospitalizations increased over the weekend and we learned that Washington state is taking in 110 hospital patients from Idaho a week.

Almost 92% of Washington state employees are fully vaccinated or have an approved exemption and the Washington State Hospital Association reported over 88% of all medical workers are inoculated.

After multiple threats of a sickout, Washington State Ferry workers crippled operations over the weekend. Up to 170 WSF employees remain unvaccinated and years of system neglect amplified the staffing issues over the holiday.

Washington State University football coach Nick Rolovich announced he was opting for a special play when it comes to getting vaccinated and filed for a religious exemption. The day before the Seattle Kraken make their NHL debut, five players are under Covid-19 protocols.

Unvaccinated King County residents are 16 times more likely to die from Covid-19, and while vaccination rates in the Bellevue-Kirkland-Woodinville area continue to increase, Bothell and the northern half of Kirkland continue to lag behind the rest of the local area.

The Northshore School District moves to red status, with 12 confirmed Covid-19 cases at Lockwood Elementary. New cases were also reported in the Bellevue and Lake Washington school districts.

In local news, Amazon has announced it is indefinitely delaying the return of 50,000 officer workers due to the ongoing Covid-19 situation.

Merck and Ridgeback Biotherapeutics formally applied for emergency use authorization for the anti-viral medication molnupiravir, which has shown promising results in helping minimize Covid-19 symptoms.

Alaska, Idaho, Montana, and Wyoming remain Covid-19 hot spots we are watching closely due to the impact transfer patients have on our hospitals.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on October 11, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for October 11, 2021

Washington state Covid-19 update

New cases were flat over the weekend which is significant. Historically, the data has shown an artificial bump on Mondays because it includes some data from the weekend. This is the first time since mid-August the data has shown a spike at the start of the week, providing a strong indicator that cases continue to decline.

Monday also provides updated countywide vaccination numbers. In Clallam County, 60.2% of all residents are fully vaccinated. The number of new cases in the least vaccinated counties is threefold higher than the most vaccinated.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
60.00% or above (5)249.1
50.00% to 59.99% (14 counties)482.9
40.00% to 49.99% (12 counties)608.9
29.90% to 39.99% (8 counties)749.1
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through October 10, Washington’s statewide 14-day rolling average is 388.2. Covid-19 cases per 100K.

Ferry County continues to be the Washington state hot spot with 1,175.7 new cases per 100K residents.

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

Counties in the 600.0 to 799.9 per 100K range include Chelan, Douglas, Franklin, Grays Harbor, Lincoln, Mason, Okanogan, and Pend Oreille.

New cases were unchanged or drifted upward with one exception – adolescent cases and hospitalizations for 12 to 19-year-olds increased significantly over the weekend. Pediatric hospitalizations also increased from birth to 11, while all other age groups were flat or drifted downward.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11168.61.1 (up)
Ages 12-19208.8 (up)1.6 (up)
Ages 20-34174.1 (up)3.6
Ages 35-49180.47.8 (down)
Ages 50-64128.1 (up)13.9 (down)
Ages 65-7994.3 (up)15.5
Ages 80+96.735.2 (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 50 deaths on Friday. The state of Washington is not reporting the percentage of positive cases. More than 8,000 Washingtonians have died from Covid-19 since February 29, 2020. The state crossed the sad milestone over the weekend.

Washington state hospitals accepting an average of 110 Idaho patients a week in 2021

An analysis of RHINO data from the Washington State Department of Health indicated that hospitals have been admitting approximately 110 patients from Idaho a week during 2021. The number represents a fraction of total average hospital admissions, which hovers around 500,000 patients in a normal year.

The data does not provide information on how many hospital admissions were Covid-19 patients and the report did not provide a weekly analysis. Eastern Washington hospitals reported last week they were feeling increased strain due to Idahoans crossing the border looking for medical care.

With 7 days to go, almost 92% of all Washington state employees are fully vaccinated or have been granted an exemption

Data released by the Washington State Office of Financial Management provided the clearest picture yet on how many state employees are vaccinated. On October 4, 89.5% of all state employees had provided proof they are fully vaccinated. Another 2.4% had medical or religious exemptions approved.

The same report indicated the Washington State Patrol was 89.9% fully vaccinated on October 4. Last week, the Seattle Times reported the WSP was 93% vaccinated on October 7. Using that data point as a barometer, it is estimated 94% to 95% of Washington state employees are fully vaccinated or have an approved exemption, with 7 days ago.

Only two organizations with more than 500 workers have vaccination rates below 85% – Washington National Guard at 79.1% and DSHS – Rainier at 83%. It is worth noting the Pentagon has given Army National Guard servicemembers until June 30, 2022 to be fully vaccinated.

Almost 93% of the 6,608 Washington State Department of Transportation employees are vaccinated or have received an exemption. Almost a third of DOT employees work for Washington State Ferries. Three weeks ago there were 450 WSF workers who had not confirmed their vaccination status. The number dropped to 250 on Thursday and 170 on Friday. Despite a full vaccination rate approaching 93%, unvaccinated ferry workers made their presence known this weekend.

As of October 4, 1,228 state workers had requested medical exemptions, with 866 approved. Officials are still evaluating 75 requests and 258 exemption requests were withdrawn. Another 315 employees had requested some degree of accommodation, with 255 approvals.

The state also received 4,849 religious exemption requests and so far has approved 4,219 with 42 still under evaluation. Only 184 religious exemptions have been denied, while 404 requests were withdrawn.

Approximately one percent of all state employees have joined a lawsuit attempting to block the state mandate. It is unlikely the plaintiffs will get relief. Both federal courts and the Supreme Court have sided with municipalities, counties, states, businesses, and schools in a number of similar court cases filed across the country.

88% of all Washington hospital workers are fully vaccinated

From janitorial services, cooks, and med techs to nurses, surgeons, and administrators, 88% of Washington state’s hospital staff will be fully vaccinated by October 18, according to a survey by the Washington State Hospital Association.

Cassie Sauer, CEO reported in a briefing today the remaining 12% include people who don’t plan on getting vaccinated, are partially vaccinated, have an approved exemption, have an exemption under review, or are waiting to learn if an existing exemption has been approved.

“The 2-5%, I want to emphasize, is a statewide number. There are some places that are going to have less and some places that are going to have more. And the place that seems to have the likeliest, biggest impact is rural eastern Washington,” Sauer said.

In New York, the state saw similar numbers among hospital workers days before its mandate went into effect. Final vaccination rates ranged from 85% to 100% depending on the role, type of facility, and location. Vaccination rates among nursing homes and long-term care facilities lagged behind hospitals.

Officials believe 95% to 98% will be fully vaccinated, on a path to vaccination, or have an approved exemption by October 18. Hospitals and facilities in Eastern Washington, particularly in rural areas, are expected to see more workers quit or face termination.

In Western Washington, 97% of EvergreenHealth and 98% of University Washington Medicine employees are fully vaccinated.

More than 200 Washington State Ferry sailings canceled due to years of neglect and a weekend sickout

Passengers and businesses were frustrated when Washington State Ferries canceled over 150 sailings on Friday, 120 on Saturday, and 50 on Sunday. A sickout by WSF employees in protest of a looming vaccination mandate was the final blow, that contributed to the chaos this weekend. However, the sailing issues have been two decades in the making.

In 2000, a Tim Eyman led initiative slashed Washington state car tab fees, and with it, a significant portion of the Washington state ferry budget. Two decades later the state lacks the funds to replace several ferries that are far past their useful life. The outdated equipment suffers more frequent breakdowns, forcing route cancelations and smaller vessels into temporary service.

A lack of vessels, a graying staff, and unpredictable work schedules was already straining the system. Disruptions due to equipment and crew failures were becoming more common before Covid-19 arrived in the Evergreen state in January 2020.

The number of ferry workers has also declined for two decades, and the Department of Transportation has problems recruiting people who are interested in doing maritime work.

WSF workers have attempted several other sickouts with little to no impact, but this past weekend was different. Officials have indicated that even 170 employees leaving could have a devastating impact on operations – and required Coast Guard certifications will make hiring new staff challenging.

Washington State Ferries is the largest ferry system in the United States and second-largest in the world. The state operates 23 vessels that sail 10 routes to 20 destinations. The oldest ferry is the MV Tillikum built in 1959 and rebuilt in 1994. Over 70% of all funding comes from fares. In 2020 due to Covid-19 ridership was only a fraction of normal. By the end of summer in 2021, ridership was 80% of normal.

The ferry system is converting three Jumbo Mark-II class ferries to electrical propulsion between 2022 and 2024. The Puyallup, Tacoma, and Wenatchee are slated for update with the Wenatchee was supposed to already be back in service but had an engine room fire in April 2021.

Washington State University football coach Nick Rolovich applies for religious exemption

As many have suspected for quite some time, Washington State coach Nick Rolovich finally confirmed that he remains unvaccinated and is in fact seeking a religious exemption to the state’s Covid vaccination mandate, he said after the Cougars’ 31-24 victory over Oregon State on Saturday.

A report in Coug Center explained Rolovich was responding to questions prompted by a report from USA Today published on Saturday morning.

“I’ll confirm that,” he said. “I’m not terribly happy with the way it happened. I hope there’s no player that I coach that has to wake up and feel the way I felt today. I don’t share it (to be) malicious, but that wasn’t a great thing to wake up to, to be honest with you.”

Rolovich is the highest-paid state employee in Washington, making almost $3.3 million per year.

Several Seattle Kraken players under Covid protocols day before NHL debut

The Seattle Kraken are expected to be without five players for the season opener at Vegas due to COVID-19 protocols, coach Dave Hakstol said Monday, according to the Associated Press.

Forwards Jared McCann, Joonas Donskoi and Marcus Johansson, and defenseman Jamie Oleksiak were placed on the league’s COVID-19 protocol list on Monday. Forward Calle Jarnkrok has been in the protocol since late last week. McCann, Oleksiak, Donskoi and Johansson were all missing from Monday’s final practice before the team departed for Las Vegas.

Travel Advisories

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

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

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

Thank you

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

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

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

Vaccination

Unvaccinated King County residents are 16 times more likely to die from Covid-19

The first doses of the Covid-19 vaccine became available in Washington state on January 17. Since that time 82% of all Covid-19 cases were among the unvaccinated, 90% of hospitalizations, and 90% of deaths.

Unvaccinated individuals are three times more likely to get Covid-19, 12 times more likely to end up in the hospital, and 16 times more likely to die.

Pfizer vaccine booster shots are now available

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

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

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

King County, Washington is reporting over 87.1% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 16.9% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 649 additional acute care patients. ICUs are at 86.7% of capacity statewide, with 28.0% of ICU patients fighting Covid-19 – an estimated 335 patients with 50% on ventilators. The state has the staff to support approximately 144 additional ICU patients.

The 7-day rolling average hospital admission rate for new COVID patients dipped to 103. The Department of Health reported 1,193 Covid-19 patients statewide on October 7, with 166 requiring ventilators.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman92.0%42.3%91.1%26.9%
NorthIsland, San Juan, Skagit, Whatcom66.5%26.9%75.3%20.1%
North CentralChelan, Douglas, Grant, Okanogan89.1%47.3%75.3%20.1%
NorthwestClallam, Jefferson, Kitsap, Mason91.5%42.1%95.7%25.2%
Puget SoundKing, Pierce, Snohomish90.5%24.2%94.6%13.9%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima88.0%31.5%83.9%22.2%
SouthwestClark, Cowlitz, Klickitat, Skamania 66.8%29.3%85.1%17.9%
WestGrays Harbor, Lewis, Pacific, Thurston78.0%19.8%86.5%15.2%
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%

The East and Northwest Hospital Regions remain highly stressed.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Ardmore (2*)
– Bellevue (7**)
– Big Picture (1*)
– Cherry Crest (1*)
– Clyde Hill (1*)
– Chinook (4*)
– Eastgate (2*)
– Enatai (3*)
– Highland (9**)
– Interlake (3*)
– Lake Hills (6**)
– Newport (6**)
– Newport Heights (1*)
– Puesta del Sol (1*)
– Sammamish (4*)
– Sherwood Forest (2*)
– Spiritridge (1*)
– Stevenson (2*)
– Tillicum (1*)
– Wilburton (3*)
– Woodridge (3*)
None
Lake WashingtonYELLOW– Bell Elementary (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*)
None
NorthshoreRED– Arrowhead Elementary (4)
– Bothell High School (30**)
– Canyon Creek Elementary (15)
– Canyon Park Middle School (11)
– Cottage Lake Elementary (3)
– Crystal Springs Elementary (17)
– East Ridge Elementary (2)
– Fernwood Elementary (1)
– Frank Love Elementary (19)
– Hollywood Hills Elementary (35)
– Inglemoor High School (1)
– Innovation Lab High School (2)
– Kenmore Elementary (4)
– Kenmore Middle School (21)
– Kokanee Elementary (14)
– Leota Middle School (3)
– Maywood Hills Elementary (7**)
– Moorlands Elementary (1)
– North Creek High School (13**)
– Northshore Middle School (1)
– Secondary Academy for Success (4)
– Shelton View Elementary (5)
– Skyview Middle School (12)
– Sunrise Elementary (8)
– Timbercrest Middle School (4)
– Wellington Elementary (26**)
– Westhill Elementary (58)
– Woodin Elementary (15)
– Woodinville High School (10)
– Woodmoor Elementary (19**)
– Lockwood Elementary (12**/22)
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.

Monday provides the best snapshot of the three school districts we track. The Northshore School District moved to status red again with 12 confirmed Covid-19 cases at Lockwood Elementary. Five other schools have 5 to 9 confirmed cases.

Highland Middle School in the Bellevue School District has 9 confirmed cases between students and faculty, and several other schools with more than 5 cases.

The Lake Washington School District updated its dashboard adding six schools with confirmed cases.

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

Kirkland-Bellevue-Woodinville

Amazon delays return to office indefinitely – leaves final decision to business directors

Amazon announced that it was indefinitely delaying the return of 50,000 office workers in a public memo released on Monday from Andy Jassy, CEO. The announcement impacts downtown Seattle and the South Lake Union area, as well as downtown Bellevue.

“For our corporate roles, instead of specifying that people work a baseline of three days a week in the office, we’re going to leave this decision up to individual teams,” Jassey wrote in his memo.

“This decision will be made team by team at the Director level. We expect that there will be teams that continue working mostly remotely, others that will work some combination of remotely and in the office, and still others that will decide customers are best served having the teamwork mostly in the office. We’re intentionally not prescribing how many days or which days—this is for Directors to determine with their senior leaders and teams. The decisions should be guided by what will be most effective for our customers; and not surprisingly, we will all continue to be evaluated by how we deliver for customers, regardless of where the work is performed.”

Microsoft and Facebook previously announced delaying their return to office and have mandated their employees, contractors, and vendors to get vaccinated.

King County releases updated vaccination data

King County Public Health updated the vaccination rates by zip code, with the numbers improving throughout the region. The northern half of Kirkland and parts of Bothell continue to lag behind the rest of the eastside.

King County residents age 12+ who have received at least one dose of the Covid-19 vaccine through October 11, 2021
Zip CodePercent vaccinated, at least one dose, 12 and older
9815593.7%
9802890.2%
9801186.7%
9803485.3%
9803393.1%
9807291.2%
98052>95.0%
98004>95.0%
9803994.0%
98005>95.0%
9800790.0%
Vaccination rates for those 12 and older by zip code – at least one dose

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 22,194 new cases and 255 deaths nationwide on Monday. Most states do not report data over the weekend, and Monday is a bank holiday so the numbers do not indicate the current national trend.

Merck and Ridgeback Biotheraputics official apply for emergency use authorization for molnupiravir

Pharmaceutical companies Merck & Co. and Ridgeback Biotherapeutics announced Monday they requested emergency use authorization to the Food and Drug Administration for molnupiravir, an antiviral drug that offers the promise that COVID-19 could soon be treated by a pill. USA Today reported the two drugmakers have officially applied for the authorization.

Molnupiravir, an orally ingested antiviral pill, is used to treat mild to moderate adult cases of COVID-19 that are at risk of worsening to severe COVID-19 or hospitalization, according to the companies. It was created by researchers at Emory University in Atlanta and is given as four pills taken twice a day for five days.

An interim analysis from a clinical trial found the antiviral medicine reduced the risk of hospitalization or death by approximately 50%.

Alaska

Alaska reported an increase in new cases and the number of Covid-19 tests with positive results this weekend. After progress last week, the new case rate increased to 836 per 100K people and test positivity jumped to 10.7%. Officials also reported more than 2,750 new cases, mostly among people under 50 years old.

Hospitals are treating 184 Covid-19 patients, down slightly from last week. Resources remain very constrained – there were 18 ICU beds available statewide Monday morning. New

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

Idaho

Idaho officials did not update data on Monday due to the Columbus Indigenous Peoples Day. The 7 day moving average for new cases has exploded to 1,366 per 100K residents. Parts of the state has been operating under crisis standards of care for a month now with no end in sight.

Boise Public Radio reported the Idaho Medical Association filed a complaint against Dr. Ryan Cole over his claim that he prescribed ivermectin for COVID-19 patients. Ivermectin has not been proven to effectively treat COVID-19 and doctors say it could be harmful.

Idaho Medical Association CEO Susie Keller says while the association is disturbed by Cole’s spreading of misinformation, including dissuading people from getting the COVID-19 vaccine, the complaint is narrowly focused on the claim Cole prescribed an unproven drug.

“We believe that he has violated sections of the Idaho Medical Practice Act by providing care that fails to meet the community standard of care by promoting the sale of drugs that are not medically indicated and by engaging in conduct that constitutes an abuse or exploitation of a patient arising out of the trust and competence placed in a physician by a patient,” Keller said.

Cole as referred to the vaccination as “needle rape,” is opposed to mask mandates, and has spoken at right-wing anti-vaccination events that have included speakers calling for violence and making Nazi comparisons. He is one of the key policymakers in Ada County, which includes Boise, in managing the Covid-19 response in the Gem State.

Montana

Officials did not update data on Monday due to the Columbus Indigenous Peoples Day. Hospitals reported caring for 463 patients, which is nearly unchanged from Friday.

According to Montana Public Radio, 191 people died of Covid-19 in September, the most fatalities in a single month.

Texas

Governor Greg Abbott and 2024 Presidential hopeful signed an executive order prohibiting vaccine mandates by any entity in the state of Texas.

He has called for a third special session to pass legislation to turn his executive order into law.

Wyoming

Officials reported 834 confirmed cases, and hospitalizations increasing to 223. Fifteen of 36 hospitals have ICU capacity – with nine having one or two beds remaining each. Additionally, Cheyenne Veterans Affairs Medical Center has three ICU beds remaining.

Covid-19 test positivity increased to 19.42% – a negative trend.

Just days after Wyoming hospitals asked state officials to draft plans for statewide implementation of crisis standards of care, state Representative Chuck Gray has called for a special session to block vaccine mandates.

“I wanted to update everyone about the special session vote,” Gray said on Wednesday. “We have received notification that we have successfully received over 35% of the votes in the first round of balloting. Next week, we will now proceed to the second round, where we need a majority.”

Legislators are being asked to consider convening the special session from October 26-28 according to the report in Oil City News. Gray said he would like to see the special session move forward in order to have a bill banning vaccine mandates pass prior to Banner Health’s (which operates the Wyoming Medical Center) deadline requiring employees get fully vaccinated by November 1 takes effect.

Misinformation

Taking the day off

Nurses threatened at Harborview – local and national update for September 27, 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) Cases moved upward while hospitalizations declined in Washington state. The number of COVID positive students in the Bellevue School District dropped significantly, while cases and quarantines expanded in Northshore, particularly at Bothell High School.

The rollout of additional monoclonal antibody clinics in Washington remains hobbled due to a tight supply and ongoing negotiations with potential locations.

Over 4,000 people joined Turning Point USA and former Washington state representative Matt Shea for a “medical freedom” rally in Spokane. An anti-vaccination rally is planned for September 30 at Swedish Hospital and Harborview Medical Center. At Harborview, staff spoke out over the weekend about getting threats from family members of COVID patients.

A 38-year old Washington State Trooper died of COVID over the weekend, leaving behind a wife and two children.

Vaccination rates in Washington climbed again but appeared to be slowing in many counties. The number of vaccinated adolescents in the Kirkland-Bellevue-Woodinville area increased dramatically last week.

Alaska and Idaho continue to operate under crisis standards of care. Help came to Montana in the form of the Veteran’s Administration opening its doors to non-veteran patients. We’ve added Wyoming to a state we’re tracking and consider it at risk of expanding crisis standards of care.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 27, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 27, 2021

Washington state COVID update

Data points to another plateau, following the pattern of the last three weeks. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, the 14 day moving average for new cases is 797.4 per 100K, statistically unchanged from Friday. The Central Hospital Region, which represents King County, is 275.3, a slight increase. We have broken out the counties that have 60% or more of their residents vaccinated. The new case rate is 416% higher in counties that are under 40% vaccinated.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
60.00% or above (3)182.6
50.00% to 59.99% (12 counties)560.7
40.00% to 49.99% (15 counties)730.6 (up)
28.40% to 39.99% (9 counties)760.5
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 26, Washington’s statewide 14-day rolling average is 463.9 COVID cases per 100K, indicating newly detected cases jumped over the weekend. Counties in the 1,000.0 to 1,399.9 range include Lincoln (1,257.9), Franklin (1.056,5), Okanogan (1,066.5), and Stevens (1,104.1). Counties in the 800.0 to 999.9 per 100K range include Adams, Asotin, Garfield, Grant, and Pend Oreille. Adams reported 978.0, and Grant reported 976.7 per 100K, putting the two counties just under the 1,000 threshold.

New cases were up in every age group, while hospitalizations were down for pediatric and geriatric patients.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11231.9 (up)0.7 (down)
Ages 12-19245.8 (up)1.7
Ages 20-34234.3 (up)5.4
Ages 35-49231.7 (up)10.1
Ages 50-64160.8 (up)14.4
Ages 65-79115.6 (up)19.5 (down)
Ages 80+118.1 (up)31.5 (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 did not provide a number for reported deaths in Washington state. The state of Washington is not reporting the percentage of positive cases.

Expansion of monoclonal antibody treatment clinics in Washington remains stalled out

We reported last week that Washington state was dealing with a restricted supply of monoclonal antibodies, and the situation hasn’t improved in the previous week. Cassie Sauer, CEO of the Washington State Hospital Association (WSHA), fielded a question during today’s briefing.

She said that the state was still working to identify partners that could provide the early stage COVID treatment outside of a hospital or urgent care setting.

Monoclonal antibodies are lab-engineered immune system proteins developed using similar processes as the FDA-approved mRNA Pfizer vaccine. For COVID-positive patients with mild symptoms and who don’t require supplemental oxygen, the therapy has shown to be highly effective in triggering a strong immune response. However, the treatment is not recommended for symptomatic cases that have lasted more than a week with worsening symptoms.

They are not an effective treatment for people who have been symptomatic for more than a week, have moderate or severe symptoms, or require oxygen therapy. Ms. Sauer said that some people were using the treatment as a “get out of jail free card” versus getting vaccinated.

Anti-vaccination protests planned at Swedish Hospital and Harborview Medical Center

Waking up Washington plans a “Seattle March for Healthcare Workers Against COVID Mandates” for September 30. The group announced they would march through Seattle from Swedish Hospital to Harborview Medical Center during the lunch hour.

Vaccination rates for doctors and nurses are high nationwide, with 97% doctors and 88% of nurses fully vaccinated. So far, hospital systems that have mandated vaccinations have seen very little attrition among the highest skilled workers.

Staff threatened at Harborview Medical Center over COVID treatment and mask wear

KING 5 reported over the weekend that family members of COVID patients were verbally and physically assaulting nurses at Harborview Medical Center.

“At first, there was a feeling of camaraderie and people really applauding health care workers,” said Sam Conley, a neuroscience acute care nurse at Harborview Medical Center in Seattle. 

But nearly two years after the pandemic began, amid a new period of vaccine requirements, mask enforcement, and staff shortages, Conley said the strains of the job have been as difficult as ever.

“It’s the verbal and physical abuse from visitors and family members that’s been some of the most challenging aspects of providing care,” Conley said. “I’ll have to ask visitors several times, ‘Hey, I need you to put that mask back on.'”

38-year old Washington State Trooper dies of COVID

On Sunday morning, the Washington State Patrol reported that Detective Eric Gunderson, a 16-year veteran of the WSP, died of COVID. The department indicated that Detective Gunderson contracted COVID “in service to the state of Washington.”

The WSP would not comment on how long he was sick, or if he worked while COVID positive, or his vaccination status. COVID has been the leading killer of law enforcement since 2020.

According to KOIN, Gunderson became ill on a business trip. Gunderson was assigned to District 1, which serves Pierce and Thurston Counties. He left behind a wife and two sons.

The Seattle Times reported that 68% of all Washington state workers impacted by the October 18 vaccination deadline are fully inoculated and have submitted their documentation.

Turning Point USA and former state rep Matt Shea lead anti-government/anti-vaccination rally in Spokane

Turning Point USA, founded by Charlie Kirk in 2021, created an offshoot organization called Turning Point Faith, collaborated with On Fire Ministries for an anti-vaccination rally in Spokane. An estimated 4,000 people gathered at Riverfront Park to hear Dr. Ryan Cole, Ada County, Idaho health officer, Leslie Monookian of Health Freedom Defense Fund, and former state representative Matt Shea. Washington state representative Jenny Graham (R-Spokane) was expected to speak but was a no-show at the rally.

Matt Shea’s speech was about freedom. He says getting fired from your job is good because you are standing up for your “rights.” 

Ms. Monookian advocated for ceasing all doctor visits, told the crowd that they and their children would be raped and murdered soon if this continues, and shared many comparisons to Nazis.

Matt Shea recently formed his own church, On Fire Ministries, after a schism with Ken Peters and the so-called Church at Planned Parenthood (TCAPP). TCAPP, along with Covenant Church, was ordered by a judge last week to stop protests outside of the Planned Parenthood Clinic after a year-long legal battle.

Matt Shea has been a subject of controversy for over a decade. While serving in Iraq, his commander had to disarm him due to “anger management issues.” In 2018 he distributed a manifesto titled Biblical Basis for War. The Spokane County Sheriff reported Shea to the FBI and said the manifesto was racist, anti-Semitic, and based on the white supremacist ideology of Christian Identity. The group wants to create a white-ethnostate based on Christian dogma in the Pacific Northwest.

Dr. Ryan Cole is antimask, called the COVID vaccine, “needle rape,” and leads the public health efforts in Ada County, Idaho, where Boise is located.

On the same day, Turning Point USA hosted a “medical freedom” rally in Enumclaw.

The anti-vaccination movement has increasingly aligned with anti-government and white nationalist groups. Organizations like Christian Identity and the Proud Boys using the messages of government overreach and defending freedom as recruiting tools.

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 7 to 14 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.

Thank you

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

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

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

Vaccination

Number of vaccinated Washington state residents continues to rise

The Washington State Department of Health released updated vaccination numbers for the state and its 39 counties. On Monday, 76.4% of all residents 12 and over have received at least one dose, and 69.7% were fully vaccinated.

The number of people fully vaccinated slowed down last week. All but one county, Skamania, reported at least a modest increase. With 73.2% of residents fully vaccinated, San Juan County continues to lead the state. At 28.4%, Stevens County was in last and is the only county with less than 30% of residents fully vaccinated.

The two counties have a stark difference in the number of new COVID cases. On Monday, San Juan County was down to 51.9 cases per 100K people, while Stevens County was 1,104.1.

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 that can be set up online.

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

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 20.6% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 89.4% of capacity statewide, with 31.7% of ICU patients fighting COVID. The number of ICU patients dropped significantly from last week.

The 7-day rolling average hospital admission rate for new COVID patients was down to 147, which is still higher than the January 2021 peak. The Department of Health reported 1,329 COVID patients statewide on September 26 and 220 on ventilators. Monday data is typically incomplete, so expect to see those numbers change tomorrow. If that number holds, hospitalizations have dropped 15%.

The number of patients at EvergreenHealth in Kirkland dropped 26% from last week. Currently, the hospital is treating 29 patients, 78% fully vaccinated (one patient, under 12, is not eligible). The ICU is caring for 9 patients, 78% fully vaccinated, with five on ventilators – none vaccinated. Only one vaccinated patient is under 60 years old. There was no additional information on the pediatric patient.

Cassie Sauer, CEO of the Washington State Hospital Association (WSHA), indicated she was “cautiously optimistic” about the declining number of hospitalizations. However, she cautioned that the future is uncertain with the arrival of cooler weather and, eventually, flu season.

At the same briefing, Dr. Radha Agrawal with Overlake Medical Center in Bellevue said the patients she is treating are younger, sicker, and not responding to treatment. 

“Once they get on a ventilator, the rate of success has been really, really low,” she said, adding, “We’re seeing so many younger people this year. It’s tragic, and it’s tragic for the patients, and it’s tragic for the families, and it’s tragic for the people taking care of them.”

KING also spoke with Dr. Todd Freudenberger, who works at Overlake Medical Center, about the stress and burnout staff are experiencing.

“I’ve never seen anything like it,” said Dr. Freudenberger. “It’s particularly bad among our nursing staff.”

He said the start of every day involves assessing how short of staff they will be and how they will staff a constant influx of new COVID-19 positive patients. 

Unlike Idaho, Washington state has not declared what’s called ‘crisis standards of care,’ which is a decision that would force health care providers to systematically ration care because of a lack of space and resources.

“We are on a razor’s edge of that,” Dr. Freudenberger. “That would get at the very core of what we do as health care providers.”

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueGREEN– Bellevue (1)
– Eastgate (1)
– Enatai (4)
None
Lake WashingtonYELLOW– 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*)
– ICS (1*)
– Inglewood Middle School (2*)
– Juanita Elementary (1*)
– Kamiakin Middle School (3*)
– 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*)

NorthshoreRED– Arrowhead Elementary (19)
– Canyon Creek Elementary (24)
– Canyon Park Middle School (8**)
– Cottage Lake Elementary (15)
– Crystal Springs Elementary (47**)
– East Ridge Elementary (22)
– Fernwood Elementary (13**)
– Frank Love Elementary (31)
– Hollywood Hills Elementary (19)
– Inglemoor High School (7)
– Innovation Lab High School (10)
– Kenmore Elementary (16)
– Kenmore Middle School (41**)
– Kokanee Elementary (51)
– Leota Middle School (5)
– Lockwood Elementary (20)
– Maywood Hills Elementary (20**)
– North Creek High School (21**)
– Northshore Middle School (12**)
– Ruby Bridges Elementary (9)
– Secondary Academy for Success (10)
– Shelton View Elementary (18**)
– Skyview Middle School (77**)
– Sunrise Elementary (20)
– Timbercrest Middle School (32**)
– Wellington Elementary (67)
– Westhill Elementary (19)
– Woodin Elementary (16**)
– Woodinville High School (20)
– Woodmoor Elementary (20**)
– Bothell High School (13*/102)
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 Bellevue School District moved back to green status while new confirmed COVID cases were reported in four Lake Washington schools.

The number of positive cases between staff and students grew to 13 at Bothell High School over the weekend, with another 102 students are quarantined. The NECS reports the school has 1,607 students, and the Northshore School District website reports 236 faculty. Although the numbers in the district may appear to be bad, it is the only school district we are monitoring that is performing weekly universal COVID testing.

King County COVID vaccination rates – at least one dose ages 12 to 19 – by zip code as of September 27, 2021

Vaccination rates among adolescents 12 to 19 jumped significantly throughout the Kirkland-Bellevue-Woodinville area, although the sharp divide between the northern and southern half remains. Every zip code below 80% vaccinated for the age group saw an increase of at least 5% in a week.

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

Kirkland-Bellevue-Woodinville

King County Public Health updated the vaccination rates by zip code, with the numbers improving throughout the region. The northern half of Kirkland, Bothell, and Kenmore, continue to lag behind the rest of the local area.

King County, Washington, at least one dose of COVID vaccine, all eligible ages, as of September 27, 2021
Zip CodePercent vaccinated, at least one dose, 12 and older
9815592.7%
9802889.5%
9801185.9%
9803484.7%
9803392.3%
9807290.4%
9805294.8%
98004>95.0%
9803993.7%
9800594.6%
9800789.2%

Vaccination rates for those 12 and older by zip code – at least one dose

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 30,952 new cases and 286 deaths nationwide. Most states do not provide reporting over the weekend, so a significant amount of data is missing.

President Joe Biden got his Pfizer vaccine booster shot today in a live broadcast.

“Boosters are important, but the most important thing we need to do is get more people vaccinated,” Biden said before receiving his injection.

“The vast majority of Americans are doing the right thing. Over 77% of adults have gotten at least one shot,” he said. “About 23% haven’t gotten any shots. And that distinct minority is causing an awful lot of damage for the rest of the country. This is a pandemic of the unvaccinated. That’s why I’m moving forward with vaccination requirements wherever I can.”

Life expectancy in the United States declined 1.5 years in 2020, the most significant drop since World War II. COVID deaths drove the decrease, with the life expectancy of men dropping 2.2 years.

Alaska

COVID is spinning out of control in Alaska, with the state reporting 21 COVID deaths on Monday and almost 4,000 new cases from Friday to Sunday. The state is leading the United States for new COVID cases with a staggering 7 day moving average of 1,225 new cases per 100K residents. Once the top state for vaccination, since April, it has slid to 32nd place.

Hospitals are currently treating 215 COVID patients, which is more than half of the state’s largest hospital capacity. Statewide there are only 18 ICU beds available.

The first 100 hospital workers from FEMA arrived in the state today.

Arizona

 On Monday, a Maricopa County judge struck down Arizona’s ban on face-mask mandates by school districts as unconstitutional, just two days before the ban was to have become law. 

Superior Court Judge Katherine Cooper ruled the ban on certain COVID-19 mitigation measures violated the so-called “single-subject rule” for legislation by being inserted into a state budget bill. 

“The bill is classic logrolling – a medley of special interests cobbled together to force a vote for all or none,” Cooper said in her 17-page ruling. 

Ninety minutes after the decision was released, Gov. Doug Ducey’s spokesman said the ruling by a “rogue judge” would be challenged:

Idaho

While Dr. Ryan Cole was exporting COVID misinformation in Spokane on Sunday, the Gem State set new records. The state is now treating 774 COVID patients, a new record. Among the 774, 207 in the ICU – Idaho only has 170 ICU beds.

St Luke’s Health was treating 303 COVID patients statewide and reported every ICU patient was unvaccinated.

Idaho is seventh in the nation for new COVID cases, and models don’t expect peak hospitalizations to come until late October.

Federal taxpayers have had to shell out $1.9 million in FEMA assistance to 331 families looking for aid with funeral expenses with almost 300 more applications in the pipeline.

For the week ending Sunday, the state reported another 1,516 cases involving 5- to 17-year-olds. That’s a 10% increase from the previous week, as K-12-aged children continue to account for a growing share of Idaho’s coronavirus caseload. Nine children were hospitalized with COVID-19 in the past week. 

Montana

Montana hospitals have more patients in the ICU than they did during the previous record peak over the winter. Hospitals averaged 109.3 COVID patients in the ICU per day last week, almost 15 a day higher than the previous record. Nearly half of all ICU patients are fighting COVID, and nearly none of them are vaccinated.

In Yellowstone County, 129 people are hospitalized with COVID-19. Of those, 111 are unvaccinated. Between the two hospitals, 30 patients are in the ICU, and 20 are on ventilators. Of those, all are unvaccinated.

FEMA approved the use of the Fort Harrison Veterans Affairs Medical Center for non-veteran patients.

“With more hospital beds available, hospitals now have another tool in their toolbox to treat Montanans in need of care as their systems are strained,” Gov. Greg Gianforte said Friday in a statement.

Montana has the fifth-highest rate of new COVID cases in the country, with 15% to 19% of all tests coming back positive.

New York

The deadline for 450,000 healthcare workers to get vaccinated has arrived in New York with a wide range of reports from hospital systems across the state. Statewide, over 95% of nurses and almost all doctors got vaccinated or had an exemption approved. Hospital systems are reporting a wide range of results from “total compliance” to 15% attrition. The number of clinicians that left has been reported to be low statewide.

The hardest-hit system appears to be Erie County Medical Center in Buffalo. The hospital announced it has suspended elective inpatient surgeries and stopped accepting intensive-care patients as it prepares to fire “hundreds of unvaccinated employees,” a spokesman Peter Cutler said.

In New York City, up to 11% of the 43,000 public health system employees refused to get vaccinated.

Ohio

The world-renowned Cleveland Clinic is now seeing its highest volume of COVID-19 patients since last winter, causing long wait times in Clinic emergency departments and fewer nonessential surgeries.

About 460 patients — including 135 in intensive care units — are in the Clinic’s Ohio hospitals. This is more than double the number of patients that were hospitalized with COVID-19 at the Clinic one month ago. The majority of these patients are unvaccinated, the hospital system said.

Statewide, unvaccinated people account for close to 94% of recent coronavirus hospitalizations, according to data from the Ohio Department of Health.

Oregon

To our south, Oregon has 886 COVID patients hospitalized, which is an increase of 11 from over the weekend. Almost a quarter of all COVID patients are in the ICU, and although that number declined by 25 over the weekend, most of that was due to patients succumbing to COVID.

Oregon hospitals will continue to remain under severe strain from the current surge of COVID-19 cases well into the fall, according to an updated forecast released today from Oregon Health & Science University.

The current surge, fueled by the highly contagious delta variant, is slowly beginning to abate as the virus finds fewer people who aren’t immune either through vaccination or recent infection. However, the new forecast indicates that hospitalizations will remain at extremely high levels until October 5 and will stay high well into December.

Wyoming

The Wyoming Department of Health reported an additional 854 confirmed COVID-19 cases. The number of COVID-19 patients in Wyoming hospitals fell below 200 on Sunday to 198 and dropped further to 192 on Monday, according to the WDH. The most recent peak in COVID-19 hospitalizations occurred on September 8, when there were 233 COVID-19 patients in Wyoming hospitals.

Five hospitals had zero available intensive care unit beds. Four had only one available ICU bed. While ICU beds are not exclusively used to treat COVID-19 patients, when hospitals deal with surges in these patients, that can put a strain on their ability to care for other types of critical-needs patients.

Misinformation

Taking the day off

COVID cases surge 48% in King County as officials ask summer travelers to use caution

[SEATTLE, Wash] – (MTN) King County Health Officer Dr. Jeff Duchin announced that King County COVID cases have increased 48% in the last week as he asked for residents to apply caution during summer travel and mask up when indoors.

The Delta variant has grown to represent 86% of cases in King County with 83 cases per 100,000. Most cases are among the unvaccinated according to Dr. Duchin with residents 18 to 49 years old now the largest age group infected. Officials expect King County to move to high transmission per the CDC, in the next update.

In the last seven days, 62 people have been admitted into King County hospitals with COVID representing a three-fold increase. Currently, one King County resident is being admitted to a hospital with COVID every 2-1/2 hours and the average age of someone hospitalized with COVID has dropped 10 years since January 1.

“Regional hospitals are full and are concerned about being overwhelmed if there are more cases,” said Dr. Duchin, adding that hospitals are “very busy,” The challenge facing hospitals presently isn’t COVID. “One of the major challenges hospitals are facing is the inability to discharge patients who don’t need further hospitalization but can’t find a bed in a long-term care facility.” Dr. Duchin indicated that this was a statewide problem.

For the 30 day period from June 22 to July 21, 88% of COVID patients who were hospitalized and 87% of COVID-related deaths in King County were unvaccinated. COVID cases are, “half of the spring peak and one-quarter of the winter peak,” he added, and “vaccinate people are at much lower risk for hospitalization and death…compared to those unvaccinated.”

“Those unvaccinated are five times more likely to test positive for COVID, are 11 times more likely to be hospitalized,” Duchin added.

Concern over Delta appears to be moving some people with vaccine hesitancy to take action. There has been a 14% increase in people getting vaccinations from the low-point in mid-July. King County also has achieved 70% vaccination of residents 16 and older in all health districts, including South King County. Sixty-five percent of all residents, regardless of age are now vaccinated and 76% of residents 12 and old are fully vaccinated.

On the issue of breakthrough cases, Dr. Duchin said this. “Breakthrough cases do not meet mean vaccine failure and no vaccine is 100% protective. Vaccines prevent serious infections, hospitalizations, and deaths. Less than one-tenth-of-one-percent of King County residents who are vaccinated have tested positive for COVID.”

With the start of school around the corner, Dr. Duchin deferred to the Washington State Department of Health, and the guidelines they released yesterday.

Officials stressed the continued need to wear masks in, “indoor public spaces like restaurants grocery stores gyms entertainment venues.” Additional guidance is that masks should be of a good quality, tight-fitting, and properly worn. Dr. 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.

With the peak of the summer vacation season here, Dr. Duchin asked for residents to consider their travel plans and the amount of risk they are taking. “The most important message is vaccines are the most effective way but not the only way to protect yourself. The most important single factor to reduce your risk of getting COVID is reduce your exposure risk.” The recommendation was to consider the current situation in the location you’re visiting and the kind of activities you have planned. Nationally, health officials are concerned about the looming Sturgis Motorcycle rally, and the 700,000 visitors expected to visit the town.

Dr. Duchin provided new guidance on who should get tested for COVID and when.

  • All people who experience COVID symptoms, regardless of vaccination status, should get tested
  • If you’re exposed to COVID you should get tested 3 to 5 days after regardless of your vaccination statusI
  • If you test positive, even if you’re asymptomatic, you need to isolate for 10 days

King County and a number of medical facilities continue to provide COVID testing across King County.

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

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

COVID cases and hospitalizations are increasing dramatically in Washington

[OLYMPIA, Wash] – (MTN) The number of patients in Washington ICUs has surged to the highest levels since April, while the 7-day moving average of new cases is now at the highest level since May and rising rapidly. Just 36 days after King County ended the masked mandate, cases fueled by the highly contagious Delta variant are exploding.

On June 27, there were only 167 new COVID cases statewide. That number has climbed 748% in a month, with the 7-day moving average up to 1,251 cases on July 28, per the Washington Department of Health. In the most recently available data, 173 patients are in the ICU with COVID – which represents 14.3% of all available ICU beds in the state and is well above the 10% threshold.

Statewide, Washington is no longer achieving any metric that would indicate the spread of COVID remains under control.

According to the Washington State Department of Health data through July 26, 2021, COVID positivity has climbed to 6.5% statewide. The target is to be below 5%, and over 7% is an indication of growing community spread and under testing. Only the sparsely populated counties of San Juan, Garfield, and Columbia were under 5%. Asotin, Lincoln, Franklin, Walla Walla, Benton, Klickitat, Pacific, Cowlitz, and Skamania were over 15% positive – Benton county was over 25%. King County was at 4.3%.

Statewide acute care hospital beds continue to exceed guidelines. Statewide 82.2% of beds are supporting patients, while in King County, it is 84.6% of available beds. Of the 7,517 patients in the hospital, 647 have COVID. For ICUs, the numbers are more concerning. Statewide, 81.7% of all ICU beds are occupied, and in King County, it is 83.9%. Some area hospitals already have full ICUs, just as the state appears to be heading towards its biggest surge since the spring of 2021.

Although there is no specific cure for COVID, the medical community has a much better understanding of supportive therapies than they did at the pandemic’s beginning. Due to low positive outcomes, moving a patient to a ventilator is now considered a last line of defense.

Some of the strain on the state medical system in Washington is caused by out-of-state patients from Idaho, Montana, Oregon, and Alaska. Hospitals in eastern Washington support trauma and the sickest COVID patients from Idaho and western Montana, while hospitals in Portland and Seattle take patients from Oregon. Trauma patients in Alaska are flown to Seattle once they are stabilized. This spring and summer have seen a dramatic increase in general trauma unrelated to COVID, accounting for the current high occupancy rate.

Locally, Evergreen Hospital was reporting 12 COVID patients in Kirkland and 5 in Monroe.

Hospitals are normally staffed to support 60% to 80% capacity, with the remainder aside to support short-term surges. An increasing number of specialists, doctors, and nurses are leaving the medical field as the stress of the last 18 months has taken an emotional and physical toll.

To a layperson, 80% to 85% occupancy may not seem like a challenge, but the primary issue is a lack of medical staff when rates get this high.

COVID deaths remain low in Washington but are a trailing indicator and don’t spike until 4 to 6 weeks after hospitalizations increase. The IHME current forecast indicates COVID hospitalizations will peak next month, and deaths will grow an additional 70,000 to 130,000 nationally by October 31. The same forecast models indicate that masks would dramatically lower that number.

The Delta variant is now the dominant strain in the United States. Last week, the CDC reported that the COVID variant that emerged in India is as transmissible as chickenpox]. A super spreader event in Massachusetts over the 4th of July holiday sickened more than 880 with 74% vaccinated. Five were hospitalized, including 4 vaccinated people. The data from that incident resulted in a renewed recommendation to wear masks.

The NIH reported that in June 2021, the most recent data available, over 99% of people who died of COVID in the United States were unvaccinated. A vast majority of vaccinated people who test positive for the Delta variant are asymptomatic or mildly sick. However, unlike previous variants, the vaccinated carry a high virus load and can spread the disease. In states hit harder by Delta, such as Tennessee, vaccination rates have significantly increased as the impact of COVID becomes more real.

King County, Washington is over 80% vaccinated, and Washington state is over 70%. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA is expected to provide full approval to the Pfizer vaccine next month.

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

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

24 days later, King County is asking you to mask up – again

[SEATTLE, Wash] – (MTN) With COVID cases climbing in King County and 90% of detected COVID cases are “variants of concern,” King County health officer Dr. Jeff Duchin is recommending to mask up once again.

“I know this is frustrating and disappointing to many,” said Duchin. “It certainly is to me. I didn’t want to be in this position. And I acknowledge that the changing communication on masking has been a real problem nationally.”

King County is one of the most vaccinated counties in the country, where 80.3% of residents 12 and over have at least one dose of a COVID vaccine. Despite those numbers, 700,000 residents of King County remain unvaccinated including the young and the immunocompromised.

On June 28, the county was logging 56 new COVID cases a day. The count has climbed to 171, a 294% increase. Test positivity had dropped to as low as 1.2% but is now up to 4.1%. That is still within an acceptable range and indicates adequate testing, but the sharp increase in just 3 weeks is concerning to health officials.

Statewide, 9.4% of all ICU patients have COVID, moving closer to the 10% red light metric.

Hospitals in King County are near capacity – but not due to COVID

The Washington State Department of Health is reporting that 90.8% of all acute care beds and 88.7% of ICU beds are occupied in King County. Normally during this time of the year utilization would be 60% to 80%. As of July 22, only 2.6% of acute care beds and 5.4% of ICU beds have COVID patients. The problem? Area hospitals are overflowing with accident and trauma patients and patients that had elective surgeries delayed last year are moving through the system.

To the south in Thurston County, there are so many traumas and accidents 911 and ambulances are overwhelmed creating service delays.

Growing concern over Delta, Lambda, and Gamma variants

The Delta variant, B1671.2 from India, now makes up 83% of all cases in the United States. Two different studies found that Delta produces 1000% to 1200% more virus load than the original COVID strain. Neither study has been peer reviewed, however, both independent reports reached similar conclusions. The variant is 200% to 225% more transmissible than the original variant and has an R0 estimated to be 3.5 to 4.0 among unvaccinated populations according to Yale University.

Lambda has been identified in approximately 700 patients in the United States in the last 14 days. The South American variant appears to be less transmissible than Delta, so it likely won’t get established within the population. In South America, Lambda is over 9% fatal, but researchers believe this may be to lower quality healthcare, and only the sickest patients getting tested.

In Illinois, Gamma is the dominant variant with cases detected in Texas and Washington. According to a CDC study released this week, Gamma is showing a “strikingly high attack rate among persons vaccinated.” The report added, “Such a low vaccine efficiency against infection by the Gamma variant was not expected.”

Skeptic Republican leaders appeal to get vaccinated

In the last week, Steve Scalise (LA-R), House Minority Leader Mitch McConnell (KY-R), and Alabama Governor Kay Ivey (AL-R) have appealed for constituents to get vaccinated. Alabama has the lowest vaccination rate in the county while in Louisiana, hospitals are becoming overwhelmed.

Delta, Lambda, and Gamma all appear to break through the currently available vaccinations to varying degrees. However, data indicates that almost all breakthrough cases is asymptomatic or mild. In June, the National Institute of Health reported over 99% of all COVID-related deaths were among unvaccinated patients.

According to the White House, vaccination rates are starting to increase in some of the states hardest hit by the fourth wave.

King County mask mandate ends as COVID cases drop to almost zero among the vaccinated

[SEATTLE] – (MTN) With 70% of King County residents age 16 and older considered fully vaccinated against COVID-19 and the number continuing to increase, Public Health—Seattle & King County is announcing the end of the King County Mask Directive as of today, June 29. The end of the local mask directive marks a remarkable achievement for the residents of King County as high vaccination coverage has led to drops in COVID-19 cases.

King County has reached this milestone today, two weeks after 70% of residents age 16+ completed their vaccine series, as it takes two weeks after completing the vaccine series to be fully protected. Now that the local directive has lifted, the Washington state mask guidance is in effect in King County. Unvaccinated people will need to continue wearing masks in indoor public spaces and crowded outdoor spaces and continue to take other precautions including avoiding crowded indoor spaces and physical distancing.

The end of the local directive nearly coincides with an end to most COVID-19 pandemic restrictions statewide, including in King County. That happens tomorrow, June 30.

“Thanks to highly effective COVID-19 vaccines and decreasing rates of disease in our community at this time, vaccinated people are no longer directed to wear masks in most indoor public settings but may choose to do so at their discretion.” said Dr. Jeff Duchin, Health Officer, Public Health – Seattle & King County.

“We are in a much better place today, but the course of the COVID-19 outbreak remains unpredictable and we continue to depend on one another for community protection, including through vaccination as well as mask-wearing. People who are unvaccinated are at increased risk for COVID-19 along with people who do not respond to vaccines because they are immunocompromised due to underlying medical conditions. The best protection for both individuals and the community as a whole will be through more of us continuing to be vaccinated.”

Now that the local mask directive has ended in King County, it’s important to know that:

  • Vaccinated people no longer need to wear a mask in most public settings but may choose to do so based on personal considerations.
  • Everyone, vaccinated or not, should continue to keep a mask with them when they go out. Masks will be needed in some indoor spaces.
  • People who are unvaccinated or partially vaccinated must continue to wear face coverings when they enter indoor public spaces, according to state guidance. This helps protect not only adults who are unvaccinated, particularly as more contagious variants are spreading, but also children and those with medical conditions that prevent them from getting vaccinated or from being fully protected by vaccines.
  • Businesses are allowed to request or require their customers and employees to wear masks regardless of vaccination status.
  • If there is a surge in COVID-19 cases, masks have been an important tool to slow the spread, so keep a supply ready.