[OLYMPIA, Wash.] – (MTN) Washington hospitals added 92 more COVID patients between Monday and Wednesday, eliminating two weeks of improvement in 48 hours as new COVID cases rose to early November levels.
According to the Washington State Department of Health (WSDoH), there were 610 hospitalized COVID patients on Dec 20. That number rose to 702 on Wednesday. The number of patients on ventilators had dropped as low as 79 on Dec, 16, and had increased to 95 on Wednesday. Statewide 91% of staffed acute care, and 88% of staffed ICU beds were filled.
The Washington State Department of Health (WSDoH) also reported a sharp increase in new COVID cases. In a week the 7 day moving average increased 86% from 84.1 to 156.3 per 100K residents. Nine of the ten counties with the highest case rates are west of the Cascades, fueled in part by multiple super spreader events at schools in Pierce and Thurston Counties in early December.
Percent of Total Population Fully Vaccinated
Percentage of Vaccinated People with Booster Dose
Total Population in Group
Average 7-Day New Case Rate
70.00% or above
39.15%
2,343,250
210.7
60.00% to 69.99%
35.36%
1,669,300
162.6
50.00% to 59.99%
32.23%
3,339,300
124.5
40.00% to 49.99%
29.41%
268,975
77.9
32.70% to 39.99%
35.38%
151,850
80.6
7 Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County, Booster percentage is based on totally fully vaccinated, not eligible, Average 7-day New Case Rate <25 normal, =>25 to 99.9 moderate to significant, => 100, high transmission
The Puget Sound region had some of the highest new case rates in the state. Pierce County was in second place with 225.6 per 100K, King County was in fourth place with 213.6 per 100K, and Snohomish County was in eighth place reporting 144.6 cases per 100K residents. Twenty-four Washington counties have substantial or high transmission.
The University of Washington Virology Lab and Trevor Bedford, Ph.D. of Fred Hutch, estimate the Rt in King County is 4.4. Rt, or “r naught,” is a measurement for how quickly a disease is spreading within a population. The figure is an estimation of how many people an infected person will pass a disease to. In King County, a person infected with the Omicron variant is passing it to 4.4 people. In comparison, the highest rate experienced after March 2020 was 2.1 during the Delta wave.
In a series of tweets today, Bedford estimated that the time it takes to become symptomatic is shorter than the original strain and Delta, about three days, which may be contributing to the meteoric rise in cases and what may be a near equally fast decline.
Understanding how much Omicron can spread and how sick it is making people remains somewhat of a mystery. When COVID first struck in December 2019, it was moving through a population with no prior exposure, without vaccines, and no understanding of what an effective treatment plan looks like. Two years later hundreds of millions globally who have had prior infections, 25 different vaccinations, different boosters shot protocols, and varying treatments have clouded the impact of the new variant.
Several studies out of South Africa and the UK indicated people have a 30% to 90% lower chance of being hospitalized due to Omicron versus Delta. However, data out of both nations have shown once a patient is hospitalized, the progression of an Omicron infection is the same as the Delta variant. Researchers aren’t sure if the lower rate is caused by Omicron being milder or if prior infections and vaccinations are blunting the severity among those who get sick.
Researchers in the UK are watching the United States closely to better understand the severity of Omicron. Due to the strength of the antivaccination movement fueled by COVID disinformation, the United States has a statistically significant population that is not only unvaccinated but who will not seek out hospital treatment until they are critically ill.
In Gauteng Province in South Africa, Omicron has peaked in alignment with a forecast prepared by the South Africa Department of Health at the start of the month. South African officials have reported almost 400 deaths in the last week, and Gauteng is still caring for over 3,500 COVID patients.
Another factor that will make tracking the progress harder is the holiday break between Dec 24. and Jan 3. There are fewer tests that happen over weekends and many testing centers will be closed on Christmas and New Year’s Day. The WSDoH won’t report data from Dec. 24 through Dec. 26, and it will take a couple of days for test results to catch up. The same phenomenon will occur from Dec. 31 through Jan. 2. Some may misinterpret the lower number of tests as proof that Omicron won’t have a major impact.
Doctors lost a critical tool in reducing hospitalizations during the Delta wave today, as the FDA paused the distribution of monoclonal antibodies from Regeneron and Lilly. The cocktail that was administered intravenously, was up to 70% effective in preventing hospitalizations but has been rendered useless by the Omicron variant. Sotromivab is the remaining effective monoclonal antibody but is not manufactured in the United States so supplies are tight. The U.S. Department of Health and Human Services distributed 55,000 doses this week nationally, with Washington getting 552. Another 300,000 doses will be ready in January.
On Wednesday the U.S. Food and Drug Administration (FDA) granted Emergency Use Authorization (EUA) to the antiviral drug Paxlovid, made by Pfizer. Paxlovid was shown to reduce hospitalizations and death by as much as 89% in phase three testing. The medical is a pill that can be taken at home, eliminating the need for injection clinics and putting high-risk COVID patients together for treatment. The first 265,000 doses will be distributed nationally in January. HHS has not released information on state allocations. With national COVID cases forecasted to be as high as 2.8 million per day by the end of next month, it will be a drop in a bucket filled with COVID.
The FDA also granted EUA for the Merck antiviral, molnupiravir. Developed to treat diseases a range of viruses such as influenza and Ebola, Merck reported phase three testing found the oral medical was 50% effective at preventing COVID hospitalizations. Millions of doses of the drug have already been staged across the United States in anticipation of its approval.
In November the FDA reluctantly voted to approve the drug in a 13-10 vote. After reviewing the data provided by Merck, effectiveness was projected to be 30%. Ultimately, despite the lower success rate, the advisory committee decided that the benefits outweighed the risks.
All three medications are meant to be administered to people who are at high risk for severe disease due to comorbidities such as having a compromised immune system. Some states such as Florida have stated they will ignore FDA guidelines despite the short supplies and will distribute the medications on a first-come, first-served basis.
The UK and France reported a record number of new cases today while in the United States, new COVID case counts exceed the peak set during the Delta wave. The IHME in Seattle predicts that between Jan. 1 and Mar. 1 there will be 140 million COVID cases in the United States. The same forecast estimates that Washington could experience 28,000 to 40,000 new cases a day toward the end of January.
On Dec. 22, Dr. Anthony Fauci said that large gatherings over the holiday would not be safe, even with booster shots and masks.
“There are many of these parties that have 30, 40, 50 people in which you do not know the vaccination status of individuals. Those are the kind of functions in the context of Omicron that you do not want to go to,” Fauci said during a White House briefing.
On the same day Fauci recommended skipping large gatherings, the TSA screened 2.1 million airline passengers. That was almost double the number of people from 2020 and 150,000 more people than 2019 B.C. – Before COVID.
[KIRKLAND, Wash.] – (MTN) A record 93,000 new COVID cases were reported in the United Kingdom by the National Health Service just hours after Trevor Bedford, Ph.D., an Associate Professor, Biostatistics, Bioinformatics and Epidemiology Program Vaccine and Infectious Disease Division, at Fred Hutchinson Cancer Research indicated that where London goes, Seattle will follow five days later.
France closed its borders to the UK on Friday evening and on Saturday, London Mayor Sadiq Khan declared a “major incident” as Covid-19 hospital admissions rose 30% in a week. The National Health Service reported seven people have died from the Omicron variant and believe that “hundreds of thousands” of cases are going unreported. Cases are expected to grow at a dizzying rate well into January.
On Friday, Bedford told reporters that 50 percent of new Covid-19 cases in King County, were likely Omicron and doubling every 2.4 days. The next day, Pavitra Roychoudhury, MSc, Ph.D., of the University of Washington Virology Division tweeted that Omicron was 50 percent of all cases in Washington.
In an interview published on Saturday in the New York Intelligencer, Bedford shared his prediction on what is to come. “I can expect caseloads that are huge. I can easily expect a 50 percent attack rate from Omicron. I can easily expect that.”
“Attack rate,” is how much of the population will be infected – and Bedford predicts that half of the United States population will catch the Omicron variant. Because the United States does not take a national approach to genomic sequencing, and not all hospitals test patients for COVID at admission, the number of people already hospitalized is murky. From the earliest reports, the hospitalization rate was between 2% to 5%.
There was little good news to be found over the weekend on the impact the new wave is going to have on the United States. In the Northeast, Mid-Atlantic, and Great Lakes Region hospitals are already at or over capacity and receiving additional aid from FEMA. Many states are struggling with dwindling testing funds and a lack of data because tracking systems were dismantled over the summer.
A cascade of drug makers indicated late in the week that the current version of monoclonal antibodies in distribution aren’t effective against the Omicron variant. Unlike vaccines, which target all antibodies, monoclonal antibodies only target one. The antibody that was “cloned” in the process was effective against previous variants but doesn’t produce a significant immune response with Omicron.
In a series of studies, only Sotrovimab, produced by GlaxoSmithKline, showed promise against the fast-spreading variant. The monoclonal antibody received Emergency Use Authorization ( EUA) from the U.S. Food and Drug Administration (FDA) on May 26. Health and Human Services (HHS) reported they would be distributing 55,000 doses across the United States this week, with Washington receiving 552.
Back in the UK, the National Health Service reported that on any given day, about one percent of the national health force would be absent from work due to illness. In London, the number of workers calling out sick surged 40 percent. In the United States, healthcare workers have been fleeing the profession for years, while nurses have complained about short staffing for over a decade. Area hospitals will be impacted dramatically if Omicron starts to infect their workforces.
HHS reported over 68,000 people were hospitalized with COVID across the United States. Statewide on Friday, only eight percent of acute care and 12 percent of ICU beds were available. In King County many hospitals are already at or above capacity, but not due to COVID patients. A shortage of staffed skilled nursing and rehabilitation beds has left patients ready for discharge nowhere to go.
Over the summer when patient loads were lower, the Delta wave brought Oregon and Washington hospitals to the brink of crisis standards of care while collapsing the healthcare systems in Idaho and Alaska. Hospitalization rates for COVID and non-COVID patients are already much higher as the region prepares to face the biggest challenge yet.
According to HHS, EvergreenHealth Kirkland had 19 acute care beds available while Overlake had 17. Both hospitals were reporting ICUs near capacity with 3 beds at Evergreen and 4 at Overlake.
During the Delta surge, states learned that activating the National Guard for nurses and doctors was a poor option. Trained hospital staff who are “weekend warriors” were frequently already supporting surging hospital admissions. The activation in some cases made staffing situations worse.
King County residents vented their frustration on social media about the inability to get a booster shot, find home COVID antigen tests, and PCR test results being delayed. In other circles, Seahawks fans raged against the scheduling change against the Rams due to coronavirus.
Officials in the UK pleaded with government officials to implement further public health restrictions to stem the tide of new cases, as models indicate that by January, the island nation could see 3,000 to 4,000 new hospitalizations a day. Londoners were already starting to deal with closed shops and restaurants, and delays in services because so many people have been sickened.
It is unlikely any additional restrictions will be implemented across the United States, where COVID has been turned into a political weapon. The U.S. Department of Homeland Security (DHS) indicated in a Nov. 10 memo, “If a new COVID-19 variant emerges and new public health restrictions are imposed as a result, anti-government violent extremists could potentially use the new restrictions as a rationale to target government or public health officials or facilities.“
Numerous studies and growing real-world data from Africa and Europe indicate that immunity from prior COVID infections or vaccination without a booster provides enough protection to prevent severe COVID symptoms that result in hospitalization and death. Booster shots ideally received within the previous 12 weeks, boost immunity for more.
For people relying on viral vector vaccines such as Johnson & Johnson, AstraZeneca, or Russia’s GNCEM, there appears to be even less protection without a booster. On Thursday, The Centers for Disease Control (CDC) endorsed the recommendation from the Advisory Committee on Immunization Practices (ACIP) to recommend the mRNA Pfizer and Moderna vaccines over Johnson and Johnson. The decision was made due to the waning effectiveness of the J&J vax and nine confirmed fatalities, seven women including one from Seattle, and two men, from vaccine-induced immune thrombotic thrombocytopenia (VITT).
A study published on Dec. 14 found that Moderna with a booster provided the best protection from Omicron, followed by Pfizer with a booster, and then Johnson & Johnson with a Moderna booster. The study also evaluated individuals who had a previous COVID infection and then got vaccinated. They found that immunity was better than vaccination without a booster, but not as robust.
Real-world data from Europe and Africa indicate that relying on immunity from a previous COVID infection is offering little protection from becoming symptomatic. Epidemiologists have stated it is possible to be infected with the Delta and Omicron variants at the same time. It also appears that natural immunity from Omicron won’t protect a person from a later Delta infection.
“The study finds no evidence of Omicron having lower severity than Delta, judged by either the proportion of people testing positive who report symptoms or by the proportion of cases seeking hospital care after infection. However, hospitalisation data remains very limited at this time.”
The challenge for the public and health experts is comparing the current global wave to previous spikes in COVID cases. During the original wave in the spring of 2020, no one had any type of immunity. When the Alpha and Beta waves came in the winter of 2020, vaccines were just rolling out. When Delta arrived the variant was more transmissible and more severe than prior strains. It also was capable of nibbling around the edges of vaccine protection due to its mutations.
Omicron has arrived in a population that has received a variety of mRNA and viral-vector vaccines with different doses as well as disease acquired immunity from different strains. The timing of receiving a vaccine, prior infection, or a combination also impacts how much immunity a person has.
Many people are more mobile and have returned to work and school while simultaneously taking fewer precautions. An additional challenge is the rate of vaccination is not homogenous, with highly vaccinated communities adjacent to vaccine-resistant populations.
All of these factors are obscuring the true nature of Omicron and because the United States does a poor job of genomic sequencing in some states, little is known about the current hospitalized population and which variant patients have.
Although data out of South Africa has been more encouraging, experts had warned that the recent end of the Delta wave, a higher than understood vaccination rate, and the youthful nature of the South Africa population would favor better outcomes. Although only 26% of South Africa’s total population is vaccinated, over 34% of the county was ineligible due to age. On Oct. 20, the nation expanded vaccination to 12 to 17-year-olds and introduced booster shots to adults on Dec. 9. In reality, 44% of South African adults are fully vaccinated, including 61 percent of people over 50. Additionally, only 5.7% of South African residents are 60 or older.
Researchers are watching King County closely for several reasons. The region is a leader in genomic sequencing and research. As Omicron moves through the region it will provide critical data to build a better understanding of transmissibility, the impact on public health measures, prevention and treatment, and how severe Omicron is. King County is highly vaccinated, but has pockets of low vaccine acceptance, providing a more realistic cross-section. Finally, New York City is almost unique compared to other US cities due to its size, reliance on public transit, and the number of people who live in buildings with communal areas.
Dr. Cameron Webb, the senior policy advisor for equity for the White House COVID Response Team shared early symptoms to look for if you start feeling ill.
Sore throat, espeically if it is more than mild
Headache
Fatigue – severe fatigue appears more common in children
Runny nose
Sneezing
Dry cough
County health officials continue to appeal for people to get vaccinated and get a booster shot if they are eligible. They recommend frequent hand washing and wearing an N-95, KN-94, or KN95 mask whenever you’re out of your home, and to stop using cloth masks. When it comes to Christmas and New Year’s celebrations and travel plans, it is recommended to test the day off and celebrate outside or in well-ventilated indoor areas.
Because of the systems put in place by King County Public Health and supported by County Executive Dow Constantine, the region is better prepared to provide vital data to the rest of the nation. It is very likely that by Christmas, Seattle will feel a lot more like March 2020 than December 2021.
[SEATTLE, Wash.] – (MTN) A forecast created by Trevor Bedford, Ph.D., an Associate Professor, Biostatistics, Bioinformatics and Epidemiology Program Vaccine and Infectious Disease Division, at Fred Hutchinson Cancer Research Center, projects that King County will reach record levels by Dec. 22.
In a press conference on Friday, Dr. Jeffrey Duchin, Health Officer, Public Health Seattle & King County said, “The Omicron outbreak we’ve been talking about is no longer theoretical. It is real and it’s here.”
Dr. Duchin shared the current situation in King County, adding that UW Medicine is finding 40% of tests are positive for Omicron and new COVID cases are up 50% since Thanksgiving.
Dr. Santiago Neme, MD, MPH of UW Medicine expressed concern over the number of patients already in Washington hospitals. “Our numbers for COVID infected patients have decreased,” Dr. Neme, said, “but we have been operating at a full or over full capacity for several months in many areas of the state.”
“Any increase in hospital rates or utilization will be pretty challenging for us and very concerning.”
Dr. Duchin added that In King County, hospitals are already caring for twice as many patients as before the start of the Delta wave in August.
Bedford told reporters that the Seattle-Bellevue area would be one of the first cities in the United States to experience widespread Omicron infections and the area was only “a few days” behind London. “New York City is ahead of Seattle and Rhode Island is as well,” he said. But he added this may be due to Seattle having “great S gene drop out data.” S Gene Target Failure (SGTF) is a faster way to identify a likely Omicron variant infection from a positive COVID test. Genomic sequencing is required to make an absolute determination.
Dr. Alexander L. Greninger M.D., Ph.D., M.S., M.Phil., assistant director of the UW Medicine Clinical Virology Laboratory told reporters that sequencing has a 5 to 7 day lag time.
“The number of samples coming into the labs are as high as we’ve seen during the pandemic, yesterday and the day before,” Dr. Greninger added. The UW Medicine Virology Lab has sequenced about 100 samples, and “98 or 99” were positive for Omicron.
The model was created using genomic sequencing data of positive COVID tests, and information on transmission rates from other countries such as the United Kingdom and South Africa. Bedford estimated Omicron cases were doubling in King County every 2.2 days, which is supported by reports from the University of Washington Department of Virology. If the forecast is accurate there could be 2,100 Omicron cases on top of 500 Delta cases in King County by Wednesday. That would far exceed the record number of daily new cases during the fifth wave, and the doubling would continue every one to three days into January.
“Omicron is an airborne disease like Delta and spreads easier indoors, and is a lot more contagious,” Dr. Duchin said, adding, “We do not yet have a clear picture on severity.”
To prepare for the coming wave the message was clear, “The single most important thing you can do is to get vaccinated and boosted even if you’ve had a prior infection,” said Dr. Duchin, “but vaccination alone won’t stop the spread of Omicron.”
King County Health said we need to take advantage of as many layers of protection as we can. That includes wearing tight-fitting N-95, KN-95, or KN-94 masks indoors. The public should avoid crowded indoor spaces, especially if people are unmasked and there is poor air circulation. If anyone feels sick, they should get tested for COVID and stay home to help blunt the spread.
“If you do gather please do safely as possible,” Dr. Duchin appealed. “Limit the number and size of gatherings. Avoid crowded indoor spaces. Do a rapid test on the day of the gathering. Gatherings will be better in large outdoor places or indoor with open windows and doors.”
Dr. Duchin also recommends avoiding travel, especially to areas with high COVID transmission rates. He added that King County has not closed the door on further public health safety measures, but does not plan to add additional measures beyond the guidelines already in place.
The panel stressed that the severity of illness caused by Omicron is still not known. “My read on severity is still difficult – a large portion of infections are both breakthrough and reinfections,” Bedford told reporters. “It may well be the case that Omicron is intrinsically less severe than Delta, but we don’t know. What matters is how many cases do we get and what fraction of those cases require hospitalizations. That is going to be a very large number of cases, severity is not clear enough to know if it will be very bad, bad, or not so bad.”
When asked about breakthrough cases among the vaccinated, Dr. Greninger said, “Moderna and Pfizer are significantly better than Johnson & Johnson.”
“Serious infection is the most important,” added Dr. Duchin. “Meaningful protection against serious infection, hospitalization, and death will protect many of us in vaccinated communities.”
In King County, 160,000 people 12 and older remain unvaccinated and 250,000 have only had a single dose. According to the Washington State Department of Health, about one-third of fully vaccinated King County residents have received a booster dose.
Public and private employers were urged to start contingency planning now to prepare for staffing shortages. “We need to prepare for a large wave of people becoming ill quickly together,” added Dr. Duchin. “We will try to get guidance so we can get people back to work as soon as possible but plan for ‘large scale’ absenteeism.
Public testing sites for COVID will remain open through the holiday season except on Christmas and New Year’s Day. When asked what to do if you need a test on Christmas or New Year’s, Dr. Duchin recommended using a home test versus going to a hospital emergency department.
When asked about the rest of the United States, Bedford didn’t provide an optimistic picture. “Expect things to light up across the United States shortly – first in the cities and then rural areas.”
Looking ahead to the future, Bedford shared that the models he created in the fall have changed significantly due to the Omicron variant.
“Omicron makes things ‘significantly worse.’ I’m quite worried in nine months we will have both Omicron and Delta circulating,” adding, “Omicron will not get us out of this.”
[OLYMPIA, Wash.] – (MTN) The Washington State Department of Health (WSDoH), in partnership with the UW Medicine Virology Laboratory, has confirmed a total of three cases of omicron variant in Thurston County, Pierce County, and King County. The patients range in age from 20 to 39, two men, one woman.
The patients are:
a man in his thirties from Thurston County,
a man in his twenties from Pierce County, and
a woman in her twenties from King County.
Confirmation came in midday Saturday, and officials were still in the process of notifying the patients.
The WSDoH did not have information on their condition, travel history, or vaccination status. The samples were collected using PCR tests between Nov. 29 and Dec. 1 and were submitted for genomic sequencing.
Sequencing has been prioritized for anyone with travel history or close contact with a confirmed case.
“We knew that it was a matter of time before omicron was sequenced in our state and so we were anticipating this very news,” said Umair A. Shah, MD, MPH, Secretary of Health. “We strongly urge people to get vaccinated and get their boosters as soon as possible to maximize their level of protection from any variant.”
“Even with a highly mutated virus-like omicron, we are not going back to square one of the pandemic,” said Dr. Jeff Duchin, Health Officer, Public Health – Seattle & King County. “Omicron may pose new challenges that we will need to respond to, but compared to the early days of the pandemic, we know much more about COVID-19, and we’re better prepared for it. We know layered protections work together to maximally reduce risk, and that will continue to be the case for delta and for omicron if that becomes a dominant strain circulating in our community.”
“We suspected that the omicron variant was circulating in our region, and now our laboratory has confirmed the first three cases in Washington state by viral genome sequencing in the last 24 hours. Throughout the pandemic, it’s been a huge team effort by the UW Medicine Virology Laboratory, requiring development and implementation of several diagnostic and sequencing assays to detect and confirm the variety of COVID-19 variants that have surfaced in Washington state,” said Dr. Geoffrey Baird, chair of Laboratory Medicine and Pathology at UW School of Medicine. To date, the laboratory has tested approximately 3.8 million COVID-19 samples.
A study about the transmissibility of the omicron variant was released from a multinational group of researchers on Friday. The study, which has not been peer-reviewed, indicated that omicron is two times to three times more transmissible than the prevalent delta variant. Researchers estimate that the Rt, called, “r-naught,” is R12 to R17, which is equivalent to measles. The Rt for delta is R6.0 and for the AY.4.2 delta variant is R6.6.
Another study released on Thursday indicated that people relying on disease acquired immunity are up to 240% more likely to be infected from the omicron variant versus the beta or delta variants.
The CEOs of Pfizer and Moderna stated their vaccines would remain highly effective at preventing severe COVID and hospitalizations. Researchers are still one to two weeks away from preliminary information on if there will be significant vaccine escape with the omicron variant.
Public health officials are recommended for the unvaccinated to get vaccinated and for the 2.2 million Washingtonians eligible for a booster to get one. Washington state continues to have an indoor mask mandate.
Individuals who are experiencing COVID-like symptoms or have a known close contact should get tested. If you have traveled or know you had close contact with a traveler and get a positive test result from a home test, you should follow up with a PCR test to aid in tracking the spread of the omicron COVID variant.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) Officials in five states have reported Omicron cases from Hawaii to New York, as the world races to better understand the danger the new variant presents.
In Washington, the first set of local COVID data was made available in a week, indicating that hospitalizations are plateaued again and new cases are down. Twenty-six counties no longer have high rates of transmission. There was an increase in new cases among 20 to 49-year-olds compared to last week.
Governor Jay Inslee reported that FEMA was sending two mobile vaccination clinics to King County, with the first one opening on December 20 in Federal Way.
One-third of the 3.3 million booster eligible residents of Washington have leveled up, while in some areas people are searching for appointments to get a third dose.
Almost 75% of residents age 12 and over are now fully vaccinated, and 17% of all Washington children ages 5 to 11 have received at least one dose of the Pfizer vaccine.
Locally, new COVID cases in the Bellevue, Lake Washington, and Northshore School Districts were down from last week. Vaccination rates for children 5 to 11 that live in the three districts are remarkable with some zip codes reporting almost 60% of all kids already receiving their first dose.
In national news, the United States has confirmed ten Omicron variant cases in California, Colorado, Hawaii, Minnesota, and New York. The infections in Hawaii, Minnesota, and several in New York were caused by community transmission.
President Joe Biden announced new programs to try and combat the spread of COVID in the United States, but Republicans in the Senate threatened to have the United States default on the national debt if he implemented meaningful strict measures.
In South Africa officials are becoming increasingly alarmed as new cases and hospitalizations increase exponentially. The Gauteng Province, home to 15.7 million is the hardest hit, but cases were increasing across the nation. Officials there reported COVID hospitalizations increased more than 23% overnight, and ICU admissions jumped almost 40%.
A study published tonight from South Africa reported that people relying on natural immunity had a 240% higher chance of reinfection with the Omicron variant, compared to the Beta or Delta variants.
In disinformation, we explore the claim that the Omicron variant is no worse than a cold or flu.
No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks
Washington State Update for December 2, 2021
Washington state Covid-19 update
After a six-day break from updated and accurate data from the Washington State Department of Health, we’re back. A week ago the question was how much would Thanksgiving travel impact new case rates. The Omicron variant has changed the plot.
Vaccination data for the state was updated. A couple of counties had numbers drop from last week. This has happened before as data gets validated but this update dropped Grant County below 50% – so the brackets changed.
Skagit and Whatcom Counties new cases rates are down about 40% from three weeks ago. The surge of cases among mostly unvaccinated residents is winding down. New
New cases have decreased a smidge compared to last week but do not reveal any significant trends.
Percent of Total Population Fully Vaccinated
Total Population in Group
Average 14-Day New Case Rate
70.00% or above (3 counties)
2,343,250
127.7
60.00% to 69.99% (5 counties)
1,374,000
261.0
50.00% to 59.99% (15 counties)
3,420,400
227.8
40.00% to 49.99% (9 counties)
487,375
234.7
32.30% to 39.99% (6 counties)
151,850
176.7
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County
Through December 2, Washington’s statewide 14-day rolling average is 203.2 Covid-19 cases per 100K, and the 7 day rolling average is 82.7.
No counties have a case rate over 400.0. per 100,000 residents. Twenty-six counties representing 5.65 million Washingtonians have a 7 day moving average case rate under 100.
New cases by age declined for every age group except 20 to 49-year-olds, which increased. Hospitalizations for ages 20 to 34 also increased.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
91.5
0.1
Ages 12-19
83.3
0.5
Ages 20-34
100.1
9.1
Ages 35-49
100.1 (not a typo)
5.5
Ages 50-64
73.8
8.8
Ages 65-79
44.1
10.2
Ages 80+
40.6
17.0
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
The USA Today COVID Tracker has not been updated since November 30 but reports 9,303 Washingtonians have died from Covid-19 related illness.
FEMA sending mobile vaccination clinics to Washington
Governor Jay Inslee announced that FEMA would be sending two mobile vaccination clinics to Washington. The first site will open on December 20 in Federal Way and is slated to operate for a month. A second location is planned but a date and location were not announced.
“This is great news in the ongoing fight against COVID. I am grateful for our strong partnership with the federal government, and these FEMA Family Mobilization Clinics coming to King County is a great result of that partnership,” said Inslee. “This is an innovative model that will help increase equitable access to vaccination for all Washingtonians.”
A constellation of partners is working with FEMA including the Washington State Department of Health, the King County Executive’s Office, and Seattle & King County Public Health.
Some people in Western Washington have reported problems in securing vaccination appointments for boosters due to high demand.
One-third of booster eligible Washingtonians have leveled up
The Washington State Department of Health reported 1.08 million of the 3.3 million eligible for boosters have rolled up their sleeves. There is significant evidence that vaccine and disease acquired immunity declines after five to seven months, but a number of factors such as age and other health issues can affect the duration.
There is some evidence within the genetic sequencing of the Omicron variant that disease-acquired immunity from previous mutations won’t be as strong as vaccine-based immunity.
Over 17% of Washington kids age 5 to 11 have received their first dose of the COVID vax
The Washington State Department of Health reported 116,121 children from 5 to 11 have received their first dose of the Pfizer COVID vaccine, about 17% of all eligible kids in Washington.
The Pfizer vaccine Emergency Use Authorization (EUA) was amended to include 5 to 11-year-olds. They receive two smaller doses and reach fully vaccinated after five weeks. Initial data indicates that due to the stronger immune response of children and adolescents, a booster or third dose is not needed. That could change with time or if another variant emerges that is vaccine-resistant.
Washington state approaching 75% of population 12 and older fully vaccinated
The Washington State Department of Health reported 80.8% of all Washingtonians 12 and older have received at least one dose of the COVID vaccine and 74.6% are fully vaccinated.
Although this is good news, Washington is starting to fall behind other states. The Mayo Clinic reported that Washington was in 10th place for 12 to 17-year-olds fully vaccinated, 9th place for 18 to 64-year-olds, and tied with 32 other states for first place for 65 and older.
Travel Advisories
Due to the confirmation of community transmission of the Omicron variant in the United States, we are advising our readers to reconsider air travel and recreational travel plans. Especially if those plans include going to places with large crowds or major events at enclosed buildings.
Thank you
Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!
King County, Washington is reporting over 85.0% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines. The Pfizer vaccine has EUA approval for children 5 to 15 years old.
COVID vaccines and boosters are free for anyone 5 and older. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
It has been a week since the last report and hospital status has improved significantly while the number of COVID patients receiving care remains elevated. The Washington State Department of Health reported 89.4% of staffed acute care beds were occupied with 10.2% of patients infected with Covid-19. There are 706 COVID patients statewide with an estimated 212 in the ICU – 114 requiring ventilators.
Statewide, there are an estimated 753 acute care and 151ICU beds available.
On Wednesday, the 7 day rolling average hospital admission rate for new COVID patients was statistically the same as last week – 65.
Hospital 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%
– Blackwell (1*/4) – Dickinson/Explorer (2*/7) – Eastlake High (1*/3) – Ella Baker (1*/0) – Evergreen Middle School (1*/0) – Finn Hill Middle School (2*/18) – Inglewood Middle School (1*/0) – Juanita High (2*/39) – Kamiakin Middle School (2*/12) – Keller (2*/7) – Kirkland Middle School (1*/8) – Lakeview Elementary (2*/2) – Lake Washington High School (1*/7) – Mead (2*/7) – Northstar Middle School (12) – Redmond High School (1*/10) – Redmond Middle School (1*/19) – Rush (2*/8) – Thoreau (2*/6)
None
Northshore
YELLOW
– Bothell High School (3*/12) – Canyon Creek Elementary (5**/11) – Canyon Park Middle School (1*/4) – Crystal Springs Elementary (1*/17) – Fernwood Elementary (1*/0) – Frank Love Elementary (1*/10) – Kenmore Elementary (1*/6) – Kenmore Middle School (4*/32) – Kokanee Elementary (0/1) – Leota Middle School (1*/2) – Maywood Hills Elementary (3*/4) – Moorlands Elementary (1*/2) – Northshore Middle School (1*/13) – Ruby Bridges Elementary (0/1) – Shelton View Elementary (0/2) – Skyview Middle School (1*/4) – Sunrise Elementary (2*/2) – Timbercrest Middle School (2*/0) – Wellington Elementary (1*/1) – Woodin Elementary (0/2) Woodmore Elementary (0/4)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases – (x*/y) x is positive cases and 7 quarantined, quarantined does not include positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
Based on reader feedback, and improvement in the data we are receiving, we have adjusted how we are reporting data. The Lake Washington and Northshore School Districts are now reported as (X*/Y) or (X**/Y). X represents the number of positive cases while Y represents how many are in quarantine. The number in quarantine does not include positive cases. If there are two asterisks, that indicates five or more confirmed cases within the last 14 days at that school.
Confirmed COVID cases were down in the three school districts we track. The Bellevue School District did not have updated data for quarantined students today.
The Lake Washington School District updates data once a week, and we’ve had no parent confirmed reports on new COVID cases this week.
We continued to encourage parents to request daily updates from the Lake Washington School District. This change would bring the three school districts we track into alignment.
Bellevue-Bothell-Kirkland-Woodinville local COVID news
King County Public Health updated the vaccination rates by zip code and now reports the data from ages 5 and up. Vaccination rates for children between 5 to 11 remain remarkable for the region.
Percentage of King County Residents 5 and older who have received at least one dose of COVID vaccine, December 2, 2021
Zip Code
Percent vaccinated, at least one dose, 5 to 11 years old
Percent vaccinated, at least one dose, 5 and older
98155
46.8%
92.5%
98028
42.7%
88.5%
98011
37.2%
85.2%
98034
38.8%
84.3%
98033
59.5%
93.5%
98072
39.2%
88.2%
98077
35.7%
80.2%
98052
55.0%
94.6%
98004
51.3%
>95.0%
98039
44.6%
90.7%
98005
53.4%
94.8%
98007
32.3%
88.0%
98008
44.5%
91.2%
98053
46.0%
92.9%
98074
50.5%
>95.0%
98075
43.0%
>95.0%
Vaccination rates with at least one dose
National Round-Up
Johns Hopkins University Cumulative Case Tracker reports 137,602 new cases and 1,960 deaths nationwide on Thursday. New cases continue to grow at a significant rate in the United States. There is no way to know if Omicron is driving the increase, but current data indicates that over 99% of new cases are Delta or one of its sublineages.
At least 10 Omicron COVID variant cases confirmed in the United States
Health officials in California, Colorado, Hawaii, Minnesota, and New York confirmed at least one case of the Omicron variant in their states.
Yesterday, the Centers for Disease Control confirmed the first Omicron variant case in the United States. The travel-related case was an 18 to 49-year-old male tested in the San Francisco area. They were fully vaccinated with an mRNA vaccine but not eligible for a booster because six months hadn’t passed since their second shot. They returned from South Africa on November 22 and tested on November 29. They have mild symptoms and are quarantined at home.
Late tonight, California officials reported a second travel-related case in Los Angeles county. That person traveled from South Africa to Los Angeles via London and returned on November 22. They are fully vaccinated but did not receive a booster. They are experiencing mild symptoms and are quarantined at home. Health officials reported they have already contacted and tested all close contacts, and didn’t find any new cases.
This morning Minnesota officials reported a community transmission case. The person identified as male, traveled to New York City to attend an anime convention at the Javits Center from November 19 to 21. The event had 53,000 attendees. They were fully vaccinated with an mRNA vaccine and had received a booster in early November.
Around lunchtime, Colorado officials reported a travel-related case. The woman was fully vaccinated but had not received a booster. She told authorities she had worn a mask during all her travels and developed symptoms after returning home from southern Africa last week. She has mild symptoms and is quarantined at home.
In the late afternoon, New York Governor Kathy Hochul reported five cases in the metro New York City area. There wasn’t little information available on each case, which is a combination of community transmission and travel-related. Two were in Queens, two in Brooklyn, one in Suffolk County, and one was not identified. The condition and vaccination status weren’t readily available.
Close to press time, officials in Hawaii reported their first case of an unvaccinated individual. The person had not traveled so officials believe it was caused by community transmission. The person is unvaccinated and was previously infected with COVID. They were tested on November 29, and currently are experiencing moderate symptoms. The press release from the State of Hawaii Department of Health did not indicate if they were hospitalized.
President Joe Biden announces winter battle plan to fight COVID
Under the threat of letting the United States default on its national debt, President Joe Biden conceded he would not push further vaccine mandates and announced other measures to combat COVID and the Omicron variant.
Requiring travelers entering the country by air to test negative for Covid-19 within a day of departure, regardless of vaccination status or nationality
Extending the requirement that masks be worn on airplanes, trains and public transportation to March 18
Requiring private health insurance companies to cover 100% of the cost of at-home tests for COVID
Public education to encourage 100 million eligible adults to get boosters shots
Editor’s Note: Consider us very underwhelmed.
Global update
New Omicron variant cases and hospitalizations skyrocket in South Africa
The number of new COVID cases and hospitalizations in South Africa is increasing at an alarming rate, with officials concerned that a record peak in infections is only 14 to 21 days away.
The South Africa Department of Health (SADOH) reported 74% of all detected COVID cases in November and 90% of new cases in the last week of the month were the Omicron variant. New cases have increased exponentially since November 24, the same day South African officials alerted the World Health Organization of the new variant.
Officials haven’t provided specifics on how much more transmissible Omicron is to previous variants, only saying that is higher.
New COVID cases in South Africa November 11 to December 2, 2021
SADOH reported 11,535 new cases today, an increase of 468% from a week ago. The 7 day rolling average for new cases jumped to 5,093. South Africa is testing about 52,000 people a day as the positivity rate increase at a significant rate. Officials reported 22.4% of the tests performed on Wednesday as positive for COVID infection.
In Gauteng Province, home to 15.7 million people, the number of hospitalized patients increased 23.4% overnight, jumping from 1,035 to 1,351 total patients. ICU patients increased by 38.5% while people needing oxygen held steady at 15% and ventilator use increased from 27 to 30.
Study from South Africa indicates COVID reinfection risk is very high
Researchers look at data from 2.8 million individuals who had lab-confirmed COVID positive tests at least 90 days before November 27, 2021. Among that group, they identified 35,670 lab-confirmed reinfections. The study found that reinfection with the Beta or Delta variant was infrequent, with disease acquired immunity providing protection. The research did not take the severity of illness into consideration for the initial or subsequent infections.
Reinfection rates from November 1 to November 27 increased by 240%, indicating that natural immunity may not provide much benefit. The results of the study could have implications on the effectiveness of monoclonal antibodies, but more data is required.
The study was done by a number of respected individuals but has not been peer-reviewed.
Disinformation
Although some officials have stated that Omicron cases appear to be mild, disinformation campaigns have latched on to these statements and are claiming an infection is no worse than a cold or flu.
On November 26 and again on November 28, Dr. Angleique Coetzee said that the infections she saw in her private practice were ‘very mild.’ On November 28 she expanded her statement to say that the observation was ‘not anecdotally’ and other clinicians were echoing her findings. She also stated that hospitalizations were not increasing. Her comments were addressed in a World Health Organization Omicron update on the same day.
“There is currently no information to suggest that symptoms associated with Omicron are different from those from other variants. Initial reported infections were among university students—younger individuals who tend to have more mild disease—but understanding the level of severity of the Omicron variant will take days to several weeks.”
We do not believe that Dr. Coetzee is actively spreading disinformation and is speaking from her direct experience as a clinician. We also believe that people are misunderstanding what a ‘mild’ case of COVID means. A mild case is a case that doesn’t require clinical intervention or hospitalizations. With Covid-19 that’s more than a cold or the flu.
Dr. Rudo Mathivha is the head of critical care at Baragwanath Hospital in Soweto, a level 1 trauma center and the largest hospital in the Southern Hemisphere with 3,400 beds. Dr. Mathivha did a series of interviews in South Africa yesterday and reported she was seeing an increase in hospital admissions in children under 5 years old accompanied by a dramatic increase in patients needing high care and admission to the ICU.
“The number of ill patients presenting to hospitals has increased exponentially,” she said.
“We are seeing definitely a change in the demographic profile of patients. We are seeing toddlers under five presenting with symptoms and they are sick enough to require admission and to require supplemental oxygen.”
Researchers don’t know how severe Omicron infections will be at this time, and anyone making claims on the severity, either way, is not presenting informed information. Anyone claiming that Omicron is just a cold is spreading disinformation.
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.
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 Vaccinated
Total Population in Group
Average 14-Day New Case Rate
70.00% or above (3 counties)
2,343,250
166.6
60.00% to 69.99% (4 counties)
1,242,200
323.2
50.00% to 59.99% (17 counties)
3,664,000
302.3
40.00% to 49.99% (9 counties)
375,575
362.5
31.80% to 39.99% (6 counties)
151,850
300.3 (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 Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
118.9
0.9
Ages 12-19
113.8
0.7
Ages 20-34
120.1
2.7
Ages 35-49
126.6
5.4
Ages 50-64
90.8
9.4
Ages 65-79
62.6
14.1
Ages 80+
70.3
22.5
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
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!
“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.
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.
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 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 District
Status
Less than 10 Active Cases
10 or More Active Cases
Bellevue
GREEN
– Bennett (1*) – Bellevue (1*) – Clyde Hill (1*) – International (1*) – Lake Hills (2*) – Newport Heights (1*) – Puesta del Sol (1*)
None
Lake Washington
YELLOW
– 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
Northshore
YELLOW
– 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 Code
Percent vaccinated, at least one dose, 5 to 11 years old
Percent vaccinated, at least one dose, 5 and older
98155
20.5%
89.5%
98028
22.5%
85.9%
98011
18.0%
82.7%
98034
22.6%
81.7%
98033
35.5%
90.0%
98072
19.9%
85.2%
98077
18.5%
76.7%
98052
30.5%
91.7%
98004
25.0%
95.0%
98039
26.5%
87.5%
98005
26.7%
91.7%
98007
14.0%
86.0%
98008
19.1%
88.0%
98053
31.9%
90.2%
98074
28.1%
93.5%
98075
22.5%
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
“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.
Good to see the license for new #COVID19 antiviral from @pfizer will be available through @MedsPatentPool for LMICs. This drug can prevent severe illness in high risk individuals if given in 1st 5 days. @WHO guidelines group will review data when available & make recommendations https://t.co/SZgQ2bS8Z0
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.
I am Blessed and I am Thankful. I just got my Booster Vaccination shot. My arm is a little sore but no pain. I Pity Pain! Thanks again to all the Doctors and Nurses…
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.
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
“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.
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.
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.
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.”
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.
[SEATTLE, Wash.] – (MTN) During a Facebook Live with Congresswoman Anna Eshoo (CA-D) on Tuesday, Dr. Anthony Fauci M.D., Director of the National Institute of Allergy and Infectious Diseases, recommended Americans who are eligible to get a Covid-19 booster shot to get one as soon as possible due to waning immunity.
With concern growing about a sixth wave in states that finished beating back the Delta surge and states such as Colorado, Michigan, Minnesota, and Vermont having a late fifth wave, questions about eligibility for boosters are growing.
Some states aren’t waiting for direction from the federal government. California Governor Gavin Newsom and California Health Secretary Dr. Mark Ghaly told state residents 18 and older they should “absolutely” sign up to get a COVID booster. On Thursday, Colorado Governor Jared Polis issued a directive that defies current federal guidance on Covid-19 booster shots, permitting all state residents 18 and older to get them.
During a White House briefing on Wednesday, Dr. Rochelle Walensky, director of the U.S. Centers for Disease Control and Prevention (CDC), said there continued to be a need to prioritize those who are currently eligible for a Covid-19 booster but added, “as you likely know, FDA is currently looking at the data for expanding boosters to all populations.”
Who is currently eligible for a Covid-19 booster
Eligibility depends on which vaccine you received and several other factors.
Janssen/Johnson & Johnson
If your initial vaccine was Janssen/Johnson & Johnson and you’re 18 or older, you are eligible for a booster 60 days after receiving your first dose. There are no limitations for age, comorbidities, living arrangements, or vocation.
The FDA has approved a mix-and-match approach, and you can receive a booster using the Pfizer or Moderna vaccine or a second Johnson & Johnson dose.
The Johnson & Johnson vaccine has a 1:500,000 chance of causing a rare condition called VITT. In the United States, there have been 47 reported cases and four deaths. If you were assigned female at birth and have a family history of blood clots or low platelets, or you are of childbearing age and using a hormone-based form of birth control, and you’re concerned about VITT, talk to your healthcare provider, OB/GYN, or fertility specialist.
If you’ve had a confirmed case of Covid-19 in the last 90 days and you were symptomatic, talk to your doctor or healthcare provider on whether you should wait to receive a booster.
BioNTech/Pfizer and Moderna
Anyone 65 or older and received the Pfizer or Moderna vaccine is eligible for a booster 180 days after their second dose. People 18 to 64 can qualify for a third dose if they have certain medical conditions, work in a high-risk environment, or live in an area where social distancing isn’t feasible.
Medical conditions that put you at risk for severe Covid-19
Chronic lung disease such as moderate to severe asthma, bronchiectasis, COPD including obstructive sleep apnea, fibrosis or prior lung damage due to scarring, injury, or prior disease, cystic fibrosis, pulmonary embolism or history of, or pulmonary hypertension or history of
Dementia or Alzheimer’s
Diabetes – Type 1 or Type 2
Down Syndrome
Heart disease such as heart failure, coronary artery disease, high blood pressure, cardiomyopathies
HIV
Immunocompromised, auto-immune disease, taking immunosuppressants, or using drugs that suppress the immune system such as steroids both oral and topical
Mental health conditions including mood disorders, depression, and schizophrenia
Body Mass Index (BMI) over 25
Pregnant, trying to get pregnant, or sexually active and could get pregnant and would carry pregnancy to term
Sickle cell disease or Thalassemia
Smoking or vaping currently or in the past
Solid-organ or blood stem cell transplant
Stroke or cerebrovascular disease
Substance abuse past or present including alcohol, opiods, or cocaine
Tuberculosis
Living conditions
If you have any of these living arrangements, you qualify for a booster.
Long-term care facility
Homeless shelter – short or long term
Jail or prison inmate
Community living arrangements such as dormatories, halfway houses, group homes, or hostels
Live with a high-risk individual with a medical condtion listed above, or live in a multi-generational household, and you are the primary care provider
First responders such as healthcare workers, firefighters, police, or congregate care providers
Educational staff such as teachers, support staff, athletics staff, transportation, and daycare workers
Food and agriculture workers
Manufacturing workers
Correctional officers and employees who work in jails or prisons including healthcare, educators, and mental health providers
U.S. Postal Service workers
Public transit workers
Grocery store workers and other retail and service employees that have high contact with the public
There have been less than 1,000 mild to moderate myocarditis cases in the United States connected with receiving the mRNA Pfizer or Moderna vaccines. Most of these cases involved adolescents or young men. If you were assigned male at birth and have a history of heart disease, or are worried about myocarditis, talk to your healthcare provider to see if the Jassen/Johnson & Johnson vaccine is a better option.
Just like the J&J vaccine, If you’ve had a confirmed case of Covid-19 in the last 90 days and you were symptomatic, talk to your healthcare provider to determine if you should wait to receive a booster.
I thought the COVID vaccine was forever
The idea that the Covid-19 vaccine would be one and done is a creation of misinformation, misunderstanding, and poor reporting by some news outlets.
As the first COVID wave was winding down in the United States in May 2020, there were discussions about having “immunity passports.” People who had a confirmed Covid-19 case could be permitted to return to work and other activities based on the assumption they possessed natural immunity. Shortly after the discussions started, early evidence began to pile up that natural immunity was short-lived. The journal Nature Medicine shared a report on June 18 showing natural immunity started to fade after three months.
The closest claim that immunity from natural exposure or vaccination would last a lifetime came from former President Donald Trump in October 2020. Still, even then, he never made a complete claim of lifetime protection. On October 11, 2020 during an interview with Maria Bartiromo, Trump discussed his personal battle with Covid-19.
“It looks like I’m immune for, I don’t know, maybe a long time, maybe a short time,” he said. “It could be a lifetime. Nobody really knows, but I’m immune. So the President is in very good shape to fight the battles.”
As Trump was recovering from COVID and considering if he had “long time” immunity, there was more evidence that natural immunity started to fade after three months and a growing number of reinfection cases. For public health officials, an even bigger concern was many people who got reinfected suffered from more severe cases.
In December, when the first Covid-19 vaccines were about to become publicly available in the United States, the medical community was already cautioning the public it was unknown how long immunity would last.
In January 2021, Dr. Kristen Marks M.D., an infectious disease specialist at New York-Presbyterian, said, “We really don’t know whether you’re still immune a year after vaccination. Some of the clinical trials will study adding a booster in a year and comparing whether that’s better or if the immunity is just as good for two years with the two shots. That remains to be determined.”
Data from the United Kingdom and Israel have shown that all immunity wanes. Although cases grew dramatically in both countries, hospitalizations and fatalities did not match the winter 2020 surges. A vast majority of the hospitalized, critically ill, and deaths were among the unvaccinated. In Israel, an aggressive booster program ended their wave where new cases have drifted downward to early July levels.
How long does natural and vaccine based immunity last
Two different studies were released in October 2021, providing insight into how long natural and vaccine immunity last. Neither offer lifetime protection.
On October 1, a study on the durability of immunity against reinfection by SARS-CoV-2 was published in The Lancet. Researchers predicted that natural immunity had a half-life of 142 to 185 days. Half-life means how long does it take for half of the antibodies for a disease to disappear from a person’s blood serum. The study estimated that after 16 months, the average person would no longer have any natural immunity to Covid-19. However, the study also stated that this would vary widely depending on age, overall health, genetics, and risk factors. The half-life could be as short as 45 days or as long as 31 months.
Three days later, the Lancet published a study on vaccine-based immunity titled Effectiveness of mRNA BNT162b2 COVID-19 vaccine up to 6 months in a large integrated health system in the USA. That study indicated that immunity waned from 30% to 50% after five months depending on the mRNA vaccine administered, age, and Covid-19 variants. Simply put, vaccine immunity and natural immunity, when accounting for a range of factors, have similar half-lives.
The viral-vector vaccine from Johnson & Johnson has received less research and has been administered to approximately 15 million Americans. A third study indicated the J&J vaccine was the least effective of the three available options in the United States, particularly with the Delta variant.
Why aren’t the vaccines 100% effective
It is a common misconception that vaccines are 100% effective, especially in industrialized nations. Due to a combination of high vaccination rates for diseases such as measles, mumps, and polio, and enough immunized people to provide community immunity, it is easy to believe that vaccines are perfect and forever.
For example, polio still exists in several countries, and the U.S. Department of Defense and the CDC recommend a poliovirus booster for anyone traveling to those regions. Certain members of Generation X have been advised to get an updated MMR vaccination because data shows that protection from measles doesn’t last a lifetime. Even Ben Shapiro complained on Twitter in 2015 that his 13-month old son was exposed to pertussis and became severely ill.
When it comes to the COVID vaccines, no one in the medical community said any vaccines were 100% effective, and the data has always been publicly available.
In Phase 3 studies, the Pfizer-BioNTech and Moderna vaccines were 95% effective in the first few months after vaccination. Put simply, “If there were 100 people who would have gotten COVID, it prevented 95 of them from getting it, but it didn’t prevent all 100,” says Dr. Marks. “It definitely provides some protection, but it’s not perfect.”
The Johnson & Johnson vaccine reported a 72% efficacy rate in preventing moderate to severe disease from COVID-19 in the U.S. and was 85% effective in preventing severe disease.
The good news is that early data found that those who did contract COVID-19 after receiving the vaccine did not develop a severe form of the disease. “So even if it doesn’t completely prevent illness, the study data shows that it does reduce the severity,” Dr. Marks said. Ten months later, the early projections have largely come true.
In King County, Washington, 22% of all confirmed Covid-19 infections since January 17 have been breakthrough cases. Eleven percent of people hospitalized were vaccinated, and 15% died of Covid-19 related illness. When the total number of vaccinated versus unvaccinated residents is considered, the effectiveness of vaccines, even as the need for boosters is increasing, is evident.
Population
Confirmed Cases
Hospitalized
Deaths
Fully vaccinated
1.633M
20,252
433
115
Partial or unvaccinated
319K
71,857
3,373
667
349,000 King County residents are under 12 years old and were not vaccine eligible from January 7 to November 10
Unvaccinated King County residents were 12 times more likely to be hospitalized and 13 times more likely to die of Covid-19 from January 17 to November 3.
Additionally, a comparison of King County, Washington, and Dallas County, Texas, provides additional data on vaccination and public health programs’ impact. King County experienced the first superspreader event in February 2020, the first Covid-19 death, and had the first mass casualty situation at a hospital in the United States. A month later, Texas suffered its first Covid-19 death. Over the next 627 days, King County implemented some of the strictest COVID rules in the nation while Dallas County took a more open approach.
On November 1, Dallas County reported its 5,000 COVID-related death while King County reported 2,022. Simply put, 1 in every 530 residents of Dallas County has died of COVID since March 2020 versus 1 in every 1,137 residents in King County since February 2020.
Will we need to get boosters forever
To answer that question, we need to move away from facts and science and step into the arena of opinion. The short answer is, “maybe,” but it depends on the advancement of medical science, improvements in available vaccines, and our own behavior.
In the short term, the data is clear – peak immunity against current Covid-19 variants lasts 142 to 185 whether it is natural or vaccine-based. A regimen of booster shots will likely be needed every 6 to 12 months over the next few years.
Two antiviral drugs are currently being evaluated in the United States. Molnupiravir by Merck is reported to reduce hospitalizations and deaths by 50%, while Pfizer released a study on a medication they are developing that was 88% effective in early testing. Both drugs are oral and would be game-changers in the treatment of Covid-19.
Another way to get off the booster shot treadmill would be to reach 90% to 95% immunity, reducing the number of available hosts for Covid-19 to a level that the disease can’t widely spread in the population – so-called ‘herd immunity.” Given the resistance of 62 million Americans to get vaccinated, and almost half the world doesn’t have access to the COVID vaccine, that seems unlikely.
A third game-changer would be a new variant that emerges and is far more transmissible than the current dominant Delta strains but with significantly less severe symptoms. A version of Covid-19 that is closer to moderate Influenza in symptoms and lethality and is as contagious as measles would quickly infect the population, run out of hosts, and burn itself out while not overwhelming hospitals. This could also lead to “herd immunity.”
The final possibility is the vaccines themselves get better. The original Salk polio vaccine, authorized in 1955, was 50% effective at preventing infections but 90% effective at preventing hospitalizations. It wasn’t until 1962 when the Sabin oral vaccine replaced the Salk vaccine, that infections dropped 90% after a first dose and 99% after four doses.
If the Covid-19 vaccines follow a similar development path as other vaccines, a more effective version will likely be discovered in the future.
Why didn’t the United States approve boosters for all after the Biden Administration announced its intent
Over the summer, the Biden Administration and the World Health Organization (WHO), FDA, and CDC had a very public disagreement on who should get booster shots. President Biden wanted every adult to be eligible for a booster. The WHO objected, pointing out how some nations had no access to COVID vaccines while the United States was throwing out expired doses. The FDA and CDC also pushed back, arguing there wasn’t enough real-world data to support boosters for all.
While the debate raged, experts had a real-world case study unfolding on the other side of the world. Israeli officials started boosters for anyone over 60 on July 13 and three weeks later dropped the age to 40. On September 25, they dropped the age again to 12 and older. The program was highly effective at controlling deaths and hospitalizations, and when Israel is compared to the United Kingdom, the booster program implemented was an evident success.
On September 22, the FDA approved booster shots for recipients of the Pfizer vaccine, and on October 20 added the vaccine by Moderna. Eligibility was limited to people who were 65 or older or were 18 to 64 and worked or lived in places with a high risk of exposure or had a serious underlying medical condition that increased their chances of severe COVID. The FDA recommended a booster six months after receiving the second dose.
Also, on October 20, the FDA authorized boosters for anyone who received the Johnson & Johnson vaccine. As the Delta variant raged in the southeastern United States during the summer of 2021, it became evident the J&J vaccine offered less protection against hospitalization. Additionally, the viral-vector vaccines created by Astra Zeneca and developed in Russia and China were also low-performing. Anyone who received the Johnson & Johnson vaccine was advised to get a booster 60 days after the first dose.
Unfortunately, the ethical and trust concerns that tainted the debate in the United States have resulted in new COVID cases stuck on a high plateau for the last three weeks. New cases are rising in most states, and the pattern of Covid-19 infections looks eerily similar to the United Kingdom. A vast majority of hospitalized COVID patients continue to be unvaccinated.
The world needs to learn to live with Covid-19 and everyone will eventually have a date with the illness. The question is, will you be effectively vaccinated or not when it happens.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) Dr. Anthony Fauci discussed the need to get booster shots and waning immunity in a discussion yesterday with Congresswoman Anna Eshoo (CA-D) when he was asked if a sixth wave was coming to the United States.
The surge that tore through the Pacific Northwest is coming to an end from Barrow, Alaska to Brookings, Oregon, and out to Boise, Idaho, while new hotspots are emerging in northern states plateauing the national decline in new cases and hospitalizations. Seventy-nine million Americans age five and up remain unvaccinated and millions more need boosters or wrongly believe they have lifetime natural immunity.
A study published in JAMA found a correlation between sleep apnea and a higher risk of hospitalization and having severe Covid-19 symptoms. The study did not indicate if CPAP therapy decreased the risk.
Johns Hopkins University data shows that new case rates in the United States have plateaued at a high level for the last three weeks and continue to be driven by the unvaccinated.
In Washington state, new cases continue to decline with almost half the population living in counties on the other side of the fifth wave. Hospitalizations also declined and we have lifted the avoid all unnecessary travel advisory for the East Hospital Region.
The Washington State Office of Financial Management reported 94.7% of all state employees are in compliance with the October 18 vaccine mandate and another 2% are either completing their vaccinations, waiting for accommodation, in the process of retiring, or facing termination.
The Kent School District joined Seattle Public Schools and the Bellevue School District (BSD) and canceled all classes on Friday due to staffing issues. In better news BSD moved to status green, with only 9 active Covid-19 cases reported between staff and students.
Nationally, the Department of Homeland Security updated the National Threat Advisory through February 8, 2022. DHS reported that domestic violent extremists remain their primary concern, and the agency had prevented “several” attacks. The bulletin indicated that there were no specific threats.
A survey by the Kaiser Family Foundation found that consumers of Fox News were more likely to believe Covid-19 disinformation. In related news, doctors are seeing a growing connection between prior COVID infections and erectile dysfunction in young men around the world.
New cases continued to decline statewide. The end of farming season, colder weather, and helping drive new case rates down in several sparsely populated counties in Eastern Washington. 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 Vaccinated
Total Population in Group
Average 14-Day New Case Rate
70.00% or above (3 counties)
2,343,250
184.7
60.00% to 69.99% (4 counties)
1,242,200
305.3
50.00% to 59.99% (16 counties)
3,454,700
321.8
40.00% to 49.99% (10 counties)
584,875
317.5
31.60% to 39.99% (6 counties)
151,850
290.8
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County
Through November 10, Washington’s statewide 14-day rolling average is 277.0 Covid-19 cases per 100K.
Skagit County remains above 600, with a new case rate of 620.2 per 100K residents.
Chelan, Douglas, Grant, Klickitat, Lewis, Lincoln, Okanagan, Pend Orielle, and Spokane counties have new case rates between 400.0 and 599.9. Asotin County is just under 400.
Fourteen counties representing 3.13 million Washingtonians have a 7 day moving average case rate under 100. This includes some former hotspots such as Benton, Garfield, and Kittitas Counties.
The 7 day new case rate was mixed, slight down to unchanged except for ages 20 to 34, which saw a larger decline, and up significantly for ages 50 to 64. Hospitalizations were down significantly for adults and declined slightly for children and adolescents.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
125.8
0.8
Ages 12-19
127.2
1.2
Ages 20-34
127.8 (down)
2.2 (down)
Ages 35-49
130.2
5.5 (down)
Ages 50-64
130.3 (up)
9.8 (down)
Ages 65-79
70.6
14.8 (down)
Ages 80+
78.6
25.0 (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
Over 57,000 of the 62,145 impacted employees have verified they are vaccinated. Another 1,945 workers requested and received accommodation based on medical or religious grounds. Combined, almost 95% of all employees have met the state requirement. The number of employees who were terminated or quit increased slightly to 1,857.
The state reported another 1,259 workers are pending a final outcome. Some are finishing their vaccination series while others are waiting for accommodation decisions. There are also employees who are still pending termination.
Several unions negotiated that if a state worker planned to retire by December 31, they would be exempt from the mandate – and some of those employees fall into this group. According to the OFM, only 121 state employees opted to retire so far because of the mandate.
4,973 employees requested a religious exemption. 1,518 have been approved and 745 requests were withdrawn, another 1,306 people requested medical exemptions with 427 approved and 333 withdrawn.
The mandate’s impact on services statewide has been minimal. The Washington State Department of Transportation has cautioned that snow removal could be reduced during the upcoming winter season and Washington State Ferries are still managing service reductions on some routes.
Seattle and Kent School Districts join Bellevue in canceling school on Friday
The district said, “fatigue that educators and students are experiencing, locally and nationwide, 11 weeks into the return to in-class learning” was driving the staffing issue.
Kent School District (KSD) also announced they were canceling school on Friday.
Due to staff and substitute shortages, on “Friday, November 12, 2021, our schools will be closed and the central office will be open,” was posted on the KSD website.
SPS did not provide a make-up date while KSD reported the make-up day would be on March 25. We reported yesterday Bellevue Public Schools had canceled class for Friday.
A quirk in the holiday calendar has Veteran’s Day falling on a Thursday. Government offices and services will be closed nationwide, along with banks and there won’t be mail delivery. Because of the federal holiday, many are opting to take Friday off and have a four-day weekend.
“We recognize the late notice creates challenging circumstances for many families. Our hope is that the four-day weekend allows for some level of physical, mental, and emotional rest and recharging.”
A recent survey reported that 40% of school districts nationwide reported a critical shortage of staff and schools closing or moving to remote learning for November 12 has been reported in states such as Colorado and Louisiana.
Travel Advisories
Today, we are downgrading the avoid unnecessary travel advisory for the East Hospital Region to avoid recreational travel. Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties join Clallam, Jefferson, Kitsap, and Mason counties in the avoid recreational travel advisory. Hospital resources remain limited. It is likely in the next seven days we will end the travel advisory to both regions.
We are maintaining our avoid all nonessential travel advisories for Alaska, Colorado, Idaho, and Montana. The Idaho Panhandle continues to experience an extreme number of Covid-19 hospitalizations. Hospital resources in all of these states are constrained, and you may receive inadequate care if you experience a serious medical emergency.
We continue to maintain our travel advisory for Wyoming and recommend avoiding recreational travel at this time.
Thank you
Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!
No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks
Vaccination
Dr. Fauci does not believe a sixth wave is inevitable, if people take action
Yesterday, Congresswoman Anna Eshoo (CA-D) spoke with Dr. Anthony Fauci on Facebook Live. During the 31 minute discussion, Eshoo asked Fauci if the United States would experience a “sixth wave” like Europe is having now.
Dr. Fauci did not see a sixth wave as inevitable but set the bar high to prevent it. He stated that 62 million Americans who are eligible for vaccination remain unvaccinated, and getting them vaccinated was a critical priority. He also addressed vaccine and natural immunity fading, and the need for people who are eligible to get booster shots as soon as possible.
If you are eligible for a Covid-19 booster shoot 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 five to seven months.
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.
Our belief that there was an issue with the East Hospital Region data was correct. The Washington Department of Health updated the information in today’s report that accurately reflects the situation. However, there appears to be a different error in the data that we suspect will be corrected on Friday or next week.
According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 13.6% of patients have Covid-19. This is not a sudden jump from yesterday and reflects a full dataset being provided. Statewide, hospitals have the staff to support approximately 642 additional acute care patients.
ICUs are at 88.3% of capacity statewide, with 23.0% of ICU patients fighting Covid-19 – an estimated 273 patients with 33.4% on ventilators. The state has the staff to support approximately 140 additional ICU patients.
On Tuesday, the 7-day rolling average hospital admission rate for new COVID patients had climbed back up to 111. The Department of Health reported 737 Covid-19 patients statewide on November 8, with 91 requiring ventilators. We believe that data is missing from these numbers. It is highly unlikely more than 200 Covid-19 patients were released in the last 24 hours.
Based on what we believe is accurate data out of the East Hospital Region, we are ending our travel advisory.
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
– Alcott (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
Northshore
YELLOW
– Arrowhead Elementary (3) – Bothell High School (12) – Canyon Creek Elementary (13) – Canyon Park Middle School (1) – Crystal Springs Elementary (30) – Fernwood Elementary (5) – Frank Love Elementary (8) – Hollywood Hills Elementary (9) – Inglemoor High School (12**) – Kenmore Elementary (16) – Kenmore Middle School (11) – Kokanee Elementary (7) – Leota Middle School (2) – Maywood Hills Elementary (3) – Moorlands Elementary (1) – North Creek High School (7) – Northshore Middle School (34) – Ruby Bridges Elementary (13) – Shelton View Elementary (4) – Skyview Middle School (2) – Sunrise Elementary (5) – Timbercrest Middle School (3) – Wellington Elementary (5) – Westhill Elementary (2) – Woodin Elementary (1) – Woodinville High School (5) – Woodmoor Elementary (5)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
Malcontent News redefined the school district statuses in early October. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We adopted 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.
A number (X) represents Covid-19 positive and quarantined students and faculty combined. A number with an asterisk (X*) represents Covid-19 positive students and faculty only. Bellevue School District does not report quarantine numbers by the facility. Finally a number with two asterisks (X**) indicates a school facility with five or more confirmed Covid-19 cases in the last 14 days between students and faculty.
The Bellevue School District moved to status green today, having eight confirmed cases in the last 14 days districtwide. The Northshore School District continues to improve with the number of confirmed cases declining at many schools.
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
No update
National Round-Up
Johns Hopkins University Cumulative Case Tracker reports 79,829 new cases and 1,662 deaths nationwide on Wednesday.
Department of Homeland Security remains concerned about domestic violence exteremists
The Secretary of Homeland Security has issued an updated National Terrorism Advisory System (NTAS) Bulletin regarding the current heightened threat environment across the United States effective through February 8, 2022. The Homeland continues to face a diverse and challenging threat environment as it approaches several religious holidays and associated mass gatherings that in the past have served as potential targets for acts of violence. These threats include those posed by individuals and small groups engaged in violence, including domestic violent extremists (DVEs) and those inspired or motivated by foreign terrorists and other malign foreign influences.
Through the remainder of 2021 and into 2022, racially or ethnically motivated violent extremists and anti-government/anti-authority violent extremists will continue to pose a threat to the United States. Pandemic-related stressors have contributed to increased societal strains and tensions, driving several plots by DVEs, and they may contribute to more violence this and next year. If a new Covid-19 variant emerges and new public health restrictions are imposed as a result, anti-government violent extremists could potentially use the new restrictions as a rationale to target government or public health officials or facilities.
Historically, DVEs and individuals inspired by foreign terrorist organizations have targeted crowded commercial facilities, houses of worship, and public gatherings, which have at times caused mass causalities. The continued reopening of commercial and government facilities and the potential for ongoing societal and economic disruptions due to the pandemic, as well as mass gatherings associated with several dates of religious significance over the next few months, could provide increased targets of opportunity for violence, though there are currently no credible or imminent threats tied to any dates or locations.
Fifth Wave in the United States starting to mirror the U.K. as new case numbers nationally plateau
After weeks of plunging U.S. Covid-19 cases, the decline in infections has stalled out according to a report in CNBC.
New infections have dropped to an average of more than 74,000 per day over the past week, a 57% fall from the delta wave’s peak level of 172,500 new cases per day on September 13.
While that surely is good news, the downward trajectory has leveled off in recent weeks, bouncing between 70,000 and 75,000 new cases a day for nearly three weeks, according to data compiled by Johns Hopkins University.
“We came from a very high spot, so we had our spike a little bit earlier,” Dr. Sonja Rasmussen, a professor in the departments of pediatrics and epidemiology at the University of Florida College of Medicine, said of her state’s declining cases. She noted that the cooler fall and winter temperatures in the typically tropic climate make it easier for Floridians to spend time outside, where the virus does not spread as easily as it does indoors.
Malcontent News had predicted this seasonality impact. Cases are surging in areas where colder weather has moved people to indoor activities. In 2020 a similar pattern of severe cases in the south during the summer as residents moved to air-conditioned comfort shifting to the north as people moved indoors to keep warm.
Although some are calling the growing number of cases in cooler areas a “sixth wave,” states like Idaho, Alaska, Montana, Wyoming, and Colorado didn’t have the same spike that the Southeastern United States experienced.
Fox News viewers more likely to believe Covid disinformation
People who trust Fox News Channel and other media outlets that appeal to conservatives are more likely to believe falsehoods about COVID-19 and vaccines than those who primarily go elsewhere for news, a study has found.
“It may be because the people who are self-selecting these organizations believe (the misinformation) going in,” said Liz Hamel, vice president and director of public opinion and survey research at Kaiser.
Doctors link being nervous in the service and a failure to stand at attention with prior Covid-19 infection
The number of men in their twenties and thirties seeking help for erectile dysfunction is skyrocketing, and doctors are linking it to the after-effects of being infected with COVID-19.
Doctors around the world are seeing more younger men, both vaccinated and unvaccinated, report they can no longer perform in the bedroom or even be stimulated after they’ve recovered from COVID-19.
“We started to see our first patients with this issue post-COVID as early as last winter,” Greg Girard, manager of the Tulsa Men’s Clinic, told FOX23. “We’ve easily seen recently a more than 35 percent increase in the number of patients coming to us for help.”
“These are men mostly in their mid to late twenties and early thirties. We usually don’t see men seeking help or care until their forties and fifties.”
Girard said it appears the virus lingers in and is damaging the tiny blood vessels in the penis, and even after someone has recovered, the damage remains.
“There is no way to tell the difference between erectile dysfunction caused by COVID and E.D. caused by other factors, but we have ways of scanning and seeing what’s actually going on,” he said.
Sleep apnea severity linked to Covid-19 outcomes
The risk of severe illness from COVID-19 is higher in people with obstructive sleep apnea and other breathing problems that cause oxygen levels to drop during sleep, researchers say. They tracked 5,402 adults with these problems and found that roughly a third of them eventually tested posted for the coronavirus. While the chance of being infected did not increase with the severity of their problems, people with higher scores on the “apnea-hypopnia index” – a measure of the severity of their sleep-related breathing problems – had higher odds of needing to be hospitalized or dying from COVID-19, Drs. Cinthya Pena Orbea and Reena Mehra of the Cleveland Clinic and colleagues reported on Wednesday in JAMA Network Open. It is not clear if treatments that improve sleep apnea, such as CPAP machines that push air into patients’ airways during sleep, would also reduce the risk of severe COVID-19, said Pene Orbea and Mehra.
While crisis standards of care are still officially enabled at approximately 20 of Alaska’s hospitals, hospital officials have said that declining COVID-positive patient counts meant that facilities have not had to act on those standards in the last few weeks.
Nearly 11,000 votes were cast in the Oct. 26 special election, with the Assembly unanimously certifying the results during its Tuesday meeting.
The official reason for the recall attempt stemmed from Zaletel’s attendance at a public meeting in which recall backers say attracted more people than was allowed under COVID-19 protocols at the time.
Colorado
Although the current surge in Colorado is part of the “fifth wave,” it could be an unnerving omen about what awaits other states in the coming months.
Gov. Jared Polis said Wednesday that the state will take new steps such as increasing the number of hospital beds and making indoor events safer as Colorado’s hospital bed capacity has hit an all-time low.
This update came at a meeting of the Governor’s Expert Emergency Epidemic Response Committee (GEEERC), at which state epidemiologist Dr. Rachel Herlihy said that COVID-19 cases have increased rapidly over the past few days.
There are 759 hospital beds available in Colorado, and 1,426 COVID-19 patients are currently hospitalized.
Of those who are currently hospitalized, 79% of them are unvaccinated, she said, adding that unvaccinated patients are 8.9 times more likely to be hospitalized for COVID-19.
The maximum number of COVID-19 patients that Colorado hospitals can accommodate is about 2,000, and current models show that the state will exceed that number by late next month.
“My world is still fully COVID,” said Combs. She has worked in ICUs for 18 years and has been a nurse for more than 20.
Combs says a great percentage of critical COVID patients now are not merely in disbelief, as she’s witnessed with cancer patients over the years, but disbelievers.
“It’s hard though when you know that you’re doing good for the patients, but they’re yelling at you,” she said. “They’re telling you it’s not real. They’re telling you that you’re a murderer.”
Some believe the hospital is making them sick.
“’I can’t breathe,’” she hears them say. “Exactly. That’s because you have COVID. ‘Well no I don’t have COVID, that’s not real.’ I’ve had these conversations with people.”
“We didn’t lose one, two, three — we lost nine,” the sheriff said, noting that the first death from the virus came in April 2020.
The South Florida SunSentinel reported that black and white photos of the victims were on stage at the church in Sunrise: Deputy Shannon Bennett, 39; Nikima Thompson, 41; Wiley Huff, 73; Lt. Aldemar Rengifo Jr., 54; Pamela Ford, 54; Stephen Adams, 42; Sgt. Shane Owens, 48; Edwin Sanchez, 61; and Tasha Blackwood, 54.
Covid-19 has been the largest killer of law enforcement in 2020 and 2021.
The baby died in October in the Southwest health district, which includes Adams, Canyon, Gem, Owyhee, Payette, and Washington counties. To protect the privacy of the family, additional information about the infant will not be released, according to IDHW.
“Our hearts go out to the family of this child,” said Elke Shaw-Tulloch, administrator for the Idaho Division of Public Health. “Infection with the virus can have devastating impacts on families, and this situation highlights the seriousness of COVID-19.”
While Idaho has made transferring COVID patients to other states a leading economic export, the state legislature is poised to vote on blocking vaccine mandates.
Idaho Association of Commerce & Industry President Alex LaBeau told lawmakers that such a law would put “tyrannical practices on the free market.”
The Legislature is scheduled to reconvene Monday, mainly to pass a law or laws to thwart President Joe Biden’s vaccine mandates. But potential laws aimed at preventing Idaho employers from requiring employees to get the coronavirus vaccine is also likely to be introduced by far-right Republican lawmakers.
Most mainstream Republicans are wary of government getting between employers and employees, including Republican House Speaker Scott Bedke and Republican Senate President Pro Tem Chuck Winder. Both have said lawmakers will look at legislation that would allow the state to initiate legal action over federal vaccine mandates on private employers. The legislation would include $2 million for a potential legal battle.
About a dozen potential laws are expected to be brought forward next week. Those proposed laws are likely to include some from far-right lawmakers that would prevent Idaho employers from requiring employees to get the COVID-19 vaccine. It’s not clear how they will do in the House and Senate if brought forward.
“As we hear about possible legislation from self-proclaimed ‘champions of liberty and limited government’ in support of guaranteed salaries and stripping the rights of entrepreneurs, we couldn’t stand by quietly as this thinly cloaked socialism gets wrapped up in a facade of freedom,” LaBeau wrote.
Editor’s Note: Yes, you read that right, conservative business-owning Republicans are calling far-right Republicans “socialists.”
There are currently 525 patients hospitalized with COVID-19, up from 481 on Monday. Of those hospitalized with COVID-19, 71.6% are unvaccinated and 85% of those listed in intensive care with COVID-19 are unvaccinated.
The number of long-term care facilities reporting a virus outbreak increased from 28 to 29 since Monday.
Iowa is also seeing a late-stage “fifth wave” as the weather has turned cooler and people moved indoors.
Montana
Dr. Justin Buls, the Kalispell site director of the Family Medicine Residency of Western Montana, is also a school trustee on the West Valley School District in the Flathead, and that board last month voted to distance itself from the comments he posted to his Facebook account, which also included updating his profile picture to show a swastika made with syringe needles.
KPAX reported University of Montana spokesman Dave Kuntz said that while Bulls remains affiliated with the university’s physician training program, which includes supervising medical doctors in training, the institution is aware of the comments and the controversy.
“The UM Family Medicine program doesn’t endorse these personal views,” Kuntz said. “We don’t support hate-speech and anti-Semitism, and we expect that of our community members, especially those in critical teaching roles, and expect physicians to act in a way that meets those. Dr. Buls hasn’t lived up to them.”
Repeated messages to Buls by the Daily Montanan via his social media account and through a university spokesperson went unanswered.
However, archived posts from his Facebook account show that he was suspended at least twice from Facebook and independent fact-checkers also flagged several of his posts. In his comments, he also claims the COVID-19 virus was created in a lab and “released on purpose to kill millions of people,” a narrative that is popular in some social media circles but without a factual basis.
That player was still in the hospital Wednesday, though Zimmer said the player is “stable now.” Zimmer added the situation “was scary.”
The Vikings are dealing with a COVID-19 outbreak. The team placed three players — center Garrett Bradbury, guard Dakota Dozier, and safety Harrison Smith — on the Reserve/COVID-19 list Thursday. The team placed two additional players — linebacker Ryan Connelly and practice squad tackle Timon Parris — on that list Monday.
Kirk Cousins, the starting quarterback for the Vikings, is one of the league’s most outspoken critics of the Covid-19 vaccine.
In life, Dr. Christopher Foley was a beloved husband, father, and grandfather. He cycled regularly, played handball, and had a passion for Irish music.
As a physician who trained in internal medicine at the University of Minnesota and became a natural medicine doctor, Foley’s “passion lay truly in taking care of other people,” said his son, Logan.
But through his Vadnais Heights-based practice, Foley also spread falsehoods about the COVID pandemic and vaccines. Foley died in October of complications from Covid-19. He was 71. At his funeral, Foley’s son Logan confirmed his father’s death from COVID and that he was unvaccinated.
Wisconsin
For a second day in a row, testing identified more than 3,000 new coronavirus cases in Wisconsin, as the state saw the highest one-day increase in its death toll in two weeks. At the same time, the Wisconsin Department of Health Services, which has dealt with a number of issues with vaccination reporting the past couple of weeks, revised the total number of doses back to Friday’s figure while it solves the latest problems.
The latest DHS report says there are 3,370 more confirmed cases in the past day. This caused the 7-day average to jump again, from 2,295 to 2,453 cases per day, the highest 7-day average in a month.
It comes as no surprise with the rising case numbers this past week that more counties saw their virus activity labels upgraded — or downgraded, depending on your perspective. The DHS says 8 counties have “critically high” virus activity, which is twice as many counties as the last two weeks; 62 counties have “very high” activity, down from 65 counties last week; 2 counties have “high” activity, down from 3 counties. No counties have “moderate” or “low” virus activity.
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 October 18 vaccine mandate deadline, new cases rates are plummeting statewide while the number of vaccinated residents increases. Additionally, hospitalizations have broken through a weeks-long plateau. It is safe to say that Washington is on the other side of the fifth wave.
The Department of Health reported that almost 80% of Washington residents 12 and older have received at least one dose of the Covid-19 vaccine on Thursday. Remarkably, that’s only good enough to put the state in fourteenth place nationally.
There was a massive decline in the number of acute care patients in the East Hospital Region, and the state is reporting more than 1,000 acute care beds available for the first time since early August.
The Bellevue School District has announced that schools will be closed on Friday due to low staffing levels, pending inclement weather, and Covid-19 protocols.
Despite the good news locally and statewide, there are growing signs that health officials nationally are growing more concerned about a looming sixth wave. Pfizer has formally requested booster shot emergency use authorization of its Covid-19 vaccine for anyone over 18 years old. In Colorado, state health officials have told all residents over 18 years old who are eligible for a booster to seek one. New Mexico health officials partially blamed waning vaccine protection for driving a growing surge in the state.
Emerald Robinson, the White House reporter for Newsmax has been suspended by the agency and permanently banned by Twitter for spreading Covid-19 disinformation. In contrast, Aaron Rodgers is being fined $14,650 by the NFL for attending a Halloween party.
Alaska officials believe the worst is over, however, 20 hospitals are still operating using crisis standards of care.
Howard Breidenbach of Myrtle Beach, Oregon was an anti-vaxxer and conspiracy theorist who spent 102 days at UW Medical Center in Seattle fighting for his life. He has long COVID and lost everything five years before retirement, and he is now begging others regardless of their politics to get vaccinated.
Finally, a Utah elementary school teacher has been suspended for teaching a lesson about Covid-19 disinformation, racism, and insurrection.
New case rates dropped statewide indicating that the weeks-long plateau and the step down from last week are broken. After 82 days it is becoming increasingly clear the Delta surge in Washington state is coming to an end.
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 Vaccinated
Total Population in Group
Average 14-Day New Case Rate
70.00% or above (3 counties)
2,343,250
188.2 (down)
60.00% to 69.99% (4 counties)
1,242,200
308.3 (down)
50.00% to 59.99% (16 counties)
3,454,700
327.6 (down)
40.00% to 49.99% (10 counties)
584,875
322.4 (down)
31.50% to 39.99% (6 counties)
151,850
300.3 (down)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County
Through November 9, Washington’s statewide 14-day rolling average is 281.6 Covid-19 cases per 100K.
Skagit County remains above 600, with a new case rate of 627.8 per 100K residents.
Chelan, Douglas, Grant, 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.
Thirteen counties representing 3.1 million Washingtonians have a 7 day moving average case rate under 100.
The 7 day new case rate was down for all ages (just slightly for 80 and above) while hospitalizations were mostly unchanged.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
130.2 (down)
0.9
Ages 12-19
133.9 (down)
1.3
Ages 20-34
127.8 (down)
2.7
Ages 35-49
127.5 (down)
6.6
Ages 50-64
103.2 (down)
11.4
Ages 65-79
71.6 (down)
16.7
Ages 80+
76.1
28.6 (up)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
Almost 80% of Washingtonians 12 and above have received at least one dose of Covid-19 vaccine
The Washington State Department of Health reported 79.6% of Washingtonians 12 and older have received at least one dose of the Covid-19 vaccine, and 73.5% of the state is fully vaccinated.
According to the Mayo Clinic and through November 7, Washington state ranks tenth 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, 32 states have achieved >99% vaccinated.
New case rates in Washington started to plummet 16 days after the October 18 vaccine mandate deadline passed for state, educational, and healthcare workers.
Travel Advisories
With new cases starting to decline statewide, we continue to hope the East Hospital Region travel advisory can end in the next 2 to 9 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!
No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks
Vaccination
Pfizer formally requests Covid-19 boosters for adults approved
Pfizer and BioNTech announced they’re formally seeking emergency use authorization from the U.S. Food and Drug Administration (FDA) for Emergency Use Authorization for a Covid-19 vaccine booster for all individuals over 17 years old.
The submission is based on the results of a Phase 3 trial involving more than 10,000 participants. The trial found boosters were safe and had an efficacy of 95% against symptomatic Covid-19 against the more transmissible Delta variant, which was the dominant strain during the study.
Get Your Booster
If you are eligible for a Covid-19 booster shoot 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.
If you’re supportive of vaccination, the biggest step you can take to help stop a sixth wave is get your booster shot.
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.
We continue to believe there is a problem with the state hospitalization data and that information is missing from the East Hospital Region. A more than 30% decline in total acute care patients over a weekend or the addition of almost 350 staffed acute care beds seem unlikely.
According to the DoH COVID Dashboard, 86% of all staffed acute care beds are occupied, and 13.3% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 1,079 additional acute care patients.
ICUs are at 88.7% of capacity statewide, with 24.0% of ICU patients fighting Covid-19 – an estimated 287 patients with 46.4% on ventilators. The state has the staff to support approximately 133 additional ICU patients.
On Tuesday, the 7-day rolling average hospital admission rate for new COVID patients was 109. The Department of Health reported 950 Covid-19 patients statewide on November 8, with 133 requiring ventilators.
Hospital readiness in the East Region has improved dramatically. However, there is no information to indicate there was a surge in staffing or resources to add so many beds over the previous weekend. We have submitted a question to the Washington State Department of Health. If the data is accurate, the travel advisory for the East Region will be lifted immediately.
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
– Alcott (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
Northshore
YELLOW
– Arrowhead Elementary (4) – Bothell High School (11**) – Canyon Creek Elementary (5) – Canyon Park Middle School (1) – Crystal Springs Elementary (8) – Fernwood Elementary (5) – Frank Love Elementary (6) – Hollywood Hills Elementary (6) – Inglemoor High School (13**) – Kenmore Elementary (16) – Kenmore Middle School (12) – Kokanee Elementary (7) – Leota Middle School (2) – Maywood Hills Elementary (2) – Moorlands Elementary (1) – North Creek High School (7) – Northshore Middle School (57) – Ruby Bridges Elementary (14) – Shelton View Elementary (5) – Skyview Middle School (7**) – Sunrise Elementary (6) – Timbercrest Middle School (2) – Wellington Elementary (5) – Westhill Elementary (3) – Woodin Elementary (1) – Woodinville High School (4) – Woodmoor Elementary (6)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
There were no significant changes today.
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.
Bellevue School District to close on Friday due to staffing shortages
The Bellevue School District (BSD) announced there would be no classes on Friday, November 12, due to staffing shortages, anticipated inclement weather, and Covid-19 restrictions. Athletics programming for Friday will run as currently scheduled while regularly scheduled afterschool activities are canceled.
Some of the creative solutions we have provided in the past with staff shortages, will not work with the Covid-19 restrictions,” the statement from the District said. “For example, combining classes is not an option at this time.”
Although poor weather is forecasted for Friday, there is nothing in the weather models to indicate a significant wind event or freezing precipitation.
The District also addressed the issue of childcare.
“We recognize that this notice may result in the need for childcare for families. Right at School, our partner in providing childcare is on hand to assist those who wish to get quick access to their services.
Friday, January 28, 2022 will be the makeup day.
Schools were struggling with low staffing levels before the pandemic and in Washington over 97% of school staff got vaccinated or had an exemption approved.
Kirkland-Bellevue-Woodinville
No update
National Round-Up
Johns Hopkins University Cumulative Case Tracker reports 125,350 new cases and 1,207 deaths nationwide on Tuesday.
Pfizer CEO says people who spread COVID misinformation are “criminals”
People who spread misinformation on Covid-19 vaccines are “criminals” and have cost “millions of lives,” Pfizer CEO Albert Bourla said Tuesday, in a report by CNBC.
Speaking with Washington D.C.-based think tank Atlantic Council, Bourla said there is a “very small” group of people that purposefully circulate misinformation on the shots, misleading those who are already hesitant about getting vaccinated.
“Those people are criminals,” he told Atlantic Council CEO, Frederick Kempe. “They’re not bad people. They’re criminals because they have literally cost millions of lives.”
Bourla’s comments come as millions of eligible adults in the U.S. have yet to get vaccinated even though the shots have been available to most Americans most of this year. Public health experts say misinformation is likely playing a large role.
Editor’s Note:We agree.
NFL opts for field goal for Aaron Rodgers and Green Bay Packers punishment
The NFL has concluded its review into the Green Bay Packers’ COVID-19 protocols implementation and fined the franchise $300,000 and quarterback Aaron Rodgers and wide receiver Allen Lazard $14,650 each for violations of the league and NFL Players Association protocols, NFL Network’s Mike Garafolo reported Tuesday night.
Rodgers and Lazard’s fines are a result of attending a team-sanctioned Halloween party, Garafolo reported. As both are unvaccinated, they are prohibited from attending gatherings outside team facilities. Per the NFL/NFLPA protocol guidelines, gathering outside of the club facility in a group of more than three players is subject to a $14,650 fine.
The permanent suspension follows a temporary 7-day Twitter suspension Robinson received last week in the wake of false claims she made about the COVID-19 vaccine.
Last week, Robinson tweeted that the Covid-19 vaccines contained a bioluinescent marker called LUCIFERASE so you could be tracked, and claimed it was the mark of the Devil.
The tweet was deleted, and Newsmax suspended Robinson from her duties the same week. The Cheif Content Officer of the conservative news organization was forced to make a statement to minimize damage to the network.
Newsmax has been “a strong proponent that Covid 19 vaccines are overarchingly safe and effective,” said Elliot Jacobson, executive vice president and chief content officer for the network.
State Updates
Alaska
Hospital officials believe that the worst is over in Alaska while 20 hospitals continue to operate using crisis standards of care.
“It feels like we’re at a turning point,” said Jared Kosin, president and CEO of the Alaska State Hospital and Nursing Home Association, while speaking to the Anchorage Daily News.
“We’re feeling like the situation (in hospitals) is becoming manageable in a way that it hasn’t been in a long time,” he said.
There were 131 people hospitalized with COVID-19 by Tuesday, state dashboard data showed, with about 14.4% of the state’s hospitalized patients considered to have active cases. That’s a significant decrease from a high of more than 200 people hospitalized on average since September.
In Fairbanks, Memorial Hospital announced they were returning to contingency care.
Alaska’s new case rate, positivity, and ICU availability remain concerning, but the situation is clearly improving.
Colorado
If you’re 18 or older in Colorado, the state says you qualify for a COVID-19 vaccine booster shot.
The Colorado Department of Public Health and Environment says it continues to follow the Centers for Disease Control and Prevention’s recommendation: “You should get a booster dose if you are 18 to 64 years old and at high risk because of where you live or work.”
But CDPHE said that almost everyone 18 or older in the state is at risk in the workplace or where they live, as an estimated 1 in 48 Coloradans is infected with COVID-19. “Because disease spread is so significant across Colorado, all Coloradans (ages 18+) qualify for a booster,” CDPHE said.
The state has also issued a public health order preventing any vaccine provider from refusing a COVID-19 vaccine booster shot to anyone who says they meet the qualifications.
Minnesota
The latest data from the Minnesota Department of Health added 7,173 new cases to the state’s pandemic totals and continued a trend of rising daily cases over the past two weeks, according to a report by the Star Tribune.
Over the weekend, however, the high volume of new cases meant that staffing wasn’t sufficient to review all the data, the Health Department said. The tally reported Tuesday is about 2,500 cases shy of the true count for the 72-hour weekend reporting period.
“That’s pretty alarming that they couldn’t process all the incoming cases,” said Dr. David Boulware, an infectious disease specialist at the University of Minnesota. “I’m becoming more concerned as our hospitalized cases are this high already preinfluenza and, as the weather turns colder, our cases may likely increase just like last year, further straining the limited number of hospital beds in Minnesota.”
More unvaccinated people need to get immunized, Boulware said, “as the majority of hospitalizations and deaths are occurring among the unvaccinated group.”
Across the Allina Health System on Tuesday, 222 out of 297 patients hospitalized with COVID-19 were unvaccinated — about 75% of the total. Unvaccinated patients accounted for 56 of the 61 patients with COVID-19 in intensive care units, Allina reported, and 53 of the 58 patients on ventilators.
New Mexico
New Mexico ranks fifth in the country for new COVID-19 cases per capita, according to the CDC and a report by KOB News in Albequerque.
“Even if you’re vaccinated, if you are in a sea of people who are unvaccinated and have COVID, COVID is just two times more transmissible, or contagious, than the original COVID,” said Dr. Laura Parajon, the deputy secretary of the New Mexico Department of Health.
From February through November, more than 80% of COVID-19 cases in New Mexico are from unvaccinated people.
Oregon
An Oregon man is alive and back home after 102 days at UW Medical Center in Seattle due to Covid-19. Howard Breidenbach of Myrtle Creek in southern Oregon admits he did not take the virus seriously.
“This is a conspiracy, just a flu they’re overinflating,” he recalled of his feelings prior to getting sick.
“I thought I was dead,” Breidenbach said. “Couldn’t remember my birthday, couldn’t remember my name.”
“We were set to retire within five years,” he said. “I lost everything.”
During his Zoom interview with KGW Tuesday, Breidenbach was still connected to an oxygen tank and could not suppress his coughing. “The COVID cough never goes away,” he said.
He is now fully vaccinated against Covid-19 and urged people to separate pandemic issues from politics.
Utah
An elementary school teacher in the Alpine School District is under investigation for teaching students an anti-vaccine, pro-insurrection, and racist lesson about the United States.
“As in previous years, schools are holding special flag ceremonies and assemblies to honor parents and grandparents of students who are veterans and to offer thanks to those who continue protecting our freedoms. An isolated incident that occurred on Monday at an elementary school is unfortunate, concerning, and is being investigated by school and district administration. District policy prohibits political advocacy,” the statement reads.
A Dry Creek Elementary parent who asked not to be identified said Larry Law made several references to fighting bullies, including Covid-19 vaccine mandates, and showed images of dictators of predominantly Asian descent as an example of what a bully looks like. The parent called it a “pro-fighting platform.”
“It was just basically full of anti-Asian rhetoric talking about how people getting free handouts like food from the grocery store is anti-American and for lazy people,” the parent said.
The parent also claimed Law expressed his support for the January 6 Insurrection, and that the “government telling us we should get vaccinated is the government being a bully and we need to fight back against the bullies.”
Law helps run an alternative medicine blog called Angie’s Option Grass Roots Movement. The most recent post, dated Tuesday and penned by Law, rails against the FDA’s recent approval of the Covid-19 vaccine for children.
Editor’s Note: Normally, we would not quote the Deseret News. They are a publication known for sharing disinformation, but this story is important. The antivax and antigovernment movement are intertwined, and many vocal antivaccination advocates are embedded in MLM and the supplement trade.
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.
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 Vaccinated
Total Population in Group
Average 14-Day New Case Rate
70.00% or above (3 counties)
2,343,250
203.7
60.00% to 69.99% (4 counties)
1,242,200
323.1
50.00% to 59.99% (16 counties)
3,454,700
351.1
40.00% to 49.99% (10 counties)
584,875
346.4
31.50% to 39.99% (6 counties)
151,850
342.2
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 Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
147.1
0.8
Ages 12-19
150.4 (up)
1.1
Ages 20-34
142.4 (up)
3.1
Ages 35-49
144.7
6.8
Ages 50-64
115.7 (up)
11.6
Ages 65-79
79.7
16.6
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
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
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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.
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.
– 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
Northshore
YELLOW
– 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 Code
Percent vaccinated, at least one dose, 12 and older
98155
>95.0%
98028
91.7%
98011
88.5%
98034
87.0%
98033
>95.0%
98072
>95.0%
98052
>95.0%
98004
>95.0%
98039
>95.0%
98005
>95.0%
98007
92.1%
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
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
Journalists, activists, and researchers defending the First Amendment
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