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Health and Lifestyle, Local, National

COVID cases and hospitalizations are increasing dramatically in Washington

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Health and Lifestyle, Local, National

Nine counties recommend masks again as COVID surges

[SEATTLE, Wash] – (MTN) Skagit County joined eight Western Washington counties today in recommending indoor use of masks for all people, even if they are vaccinated. Eight counties, including Grays Harbor, Callam, Pierce, King, San Juan, Jefferson, Kitsap, and Snohomish released a joint statement on Monday with the recommendation.

The CDC is widely expected to recommend wearing masks in regions with high infection rates today as COVID cases fueled by the Delta and Gamma variants, surges in all 50 states. In a report from Dr. Katelyn Jetelina, MD, and epidemiologist, COVID cases have grown 170% in the last 14 days across the United States as tracked by Johns Hopkins University.

The COVID-19 Scenario Modeling Hub, a consortium of researchers and medical professionals projects that the so-called Fourth Wave will peak in October, with daily deaths growing to 850 in the United States as the best case, and as high as 4,000 a day in the worst case. The IHME out of the Univesity of Washington projects a peak in September and the United States entering a new normal for fatalities.

On July 14, Washington state achieved its goal of 70% of eligible residents over 16 years old vaccinated. King County is over 80% vaccinated, but there remains significant gaps in South King County in communities such as Federal Way. The number of new cases per 100K has grown to 107 in Washington state, well above the target of 25.

Acute care and ICU beds remain in short supply throughout Washington due to a number of contributing factors, including COVID. KING 5 reported that emergency rooms across Western Washington are overwhelmed including Harborview Medical Center, the state’s only Level 1 trauma center, where patients are waiting as long as 90 minutes to be unloaded from ambulances.

Health and Lifestyle, Local, National

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

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

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

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

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

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

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

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

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

Growing concern over Delta, Lambda, and Gamma variants

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

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

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

Skeptic Republican leaders appeal to get vaccinated

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

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

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

Local

King County Eviction Prevention and Rent Assistance program still has aid available for renters

[SEATTLE, Wash] – The situation for landlords and renters have become cloudy again as COVID cases start to grow. Another crisis is looming that we wrote about in December as multiple federal aid programs are coming to an end in the next 45 to 90 days. The economic downturn brought on by the lingering pandemic has left tens of thousands of individuals and families unable to pay rent or cover mortgages and taxes on rental property and are living on the brink of homelessness.

To meet as much of this need as possible, King County is administering a 2021 Eviction Prevention and Rent Assistance Program (EPRAP) to pay back rent and keep thousands of households safe and stable in their homes.

A total of $145 million is available to assist households in need and on July 16, King County announced that $4.3 million had been distributed. To be eligible, a renter must:

  • Be a resident of King County
  • Have a lease or proof of regular rental payments
  • Have a household income at or below 50 percent of the Average Median Income
  • Have experienced financial hardship due to COVID-19.

The program also had funds allocated to support landlords. Applicants have exhausted those funds. The program was designed to pay not only all rent unpaid as far back as January, but additionally, pay up to three months in advance with a maximum of 12 months of back and front rent paid.

The program was built on the foundations of the 2020 EPRAP response, which assisted 9,073 households and distributed $47.6 million. A smaller program has continued operating this year and since February 2021 has spent $16.5 million to keep 1,500 households stable as the larger 2021 program comes online.

A lesson learned from 2020, was to create a hub and spoke model to make funds more readily accessible. Designed with input from the community, the new Hub and Spoke program will offer another path into rental assistance by empowering community-based agencies to enroll individuals and families they already serve in their community into EPRAP. Organizations such as 4 Tomorrow are supporting the community in English and Spanish by phone and through its website.

King County residents who need rent assistance can contact the King County Eviction Prevention and Rental Assistance Program by going to the Tenant Portal. Assistance in 29 languages is also available from the main page.

Health and Lifestyle, Local

Washington COVID vaccination rate flatlines

[OLYMPIA] – (MTN) Hopes that Washington state could go to full reopening before June 30 crumbled today after the Washington Department of Health Updated the COVID Dashboard. According to the Department of Health, 68.0% of Washingtonians 16-years old and older have had at least one dose of the COVID vaccine. Governor Jay Inslee has previously announced the state would end almost all COVID business and health restrictions on June 30 or if the state achieved a 70% vaccination rate earlier.

Last week the state reported 67.8% had already received their first dose, and approximately 134,000 more residents over 16 needed to get the COVID vaccine. Based on existing vaccination rates, in theory, the state could have moved to reopen on June 25. Instead, it appears Washington will fall short of the 70% goal as residents who got their first dose have slowed to a snail’s pace.

It isn’t all bad news. According to the Biden Administration, over 70% of all residents in Washington over 18 have had at least once COVID dose, joining 12 other states in reaching the milestone. King County was the largest county in the United States to have over 70% of residents vaccinated, achieving King County Health’s goal on June 15.

The slowdown is happening nationally as the Delta variant of COVID is quickly becoming the dominant strain. Many people testing positive for COVID are unvaccinated, and hospitals report 95% to 99% of COVID patients are unvaccinated. Over 34 million Americans have had COVID, and up to 10 million suffer from long-term effects of the illness, known as COVID long haulers. Over 602,000 have died.

A number of false rumors have circulated over the last six months about the COVID vaccine. Disproven claims have included the vaccine includes microchips from Microsoft, trackers that connect to 5G, metal flakes that turn you magnetic, and programming that is somehow activated by 5G or the government.

Another challenge is outreach to low income, rural, minority, and English as a second language communities. Some areas are vaccine deserts, where residents do not have easy access to medical providers. In minority populations such as Black, Indigenous, Hispanic, and Pacific Islander, there is significant distrust in medical care in the United States due to historic mistreatment by the government. For non-English speakers, language barriers have existed in understanding how to get a vaccine or make an appointment.

Washington state has shifted its vaccination strategy to focus less on large scale vaccination centers to focus on mobile and pop-up clinics, and community outreach. King County is offering free transportation and childcare to get a vaccination. Childcare is also available for those who experience moderate side effects, which many have reported after their second dose.

In King County, you can visit the Department of Health website to find a vaccination clinic, and almost all locations support walk-up appointments. You can also visit the Facebook Group, Find a COVID Shot WA if you need language or technology assistance in making an appointment.

Health and Lifestyle, Local

Ready to throw away your mask on June 29? Not so fast

[KIRKLAND] – (MTN) Yesterday, King County Health announced that the county had achieved 70% of those 16 and over completely vaccinated, and the indoor mask mandate would be ending on June 29. If you’re ready to throw your mask away, you might need to reconsider because even though the mask mandate itself is being lifted in King County, there remains plenty of exceptions.

Community living areas

Community living areas where people congregate without being able to socially distance such as homeless shelters, jails, and prisons will still require masks. That will include people who are visiting or work in these facilities.

Hospitals

Hospitals, medical art buildings, and surgical centers are required to continue the mask mandate for visitors, employees, and patients when they are waiting or involved in procedures where they don’t need to remove their face covering.

Public transportation

The mandate to wear masks on public transit such as commercial aircraft, ships, trains, light rail, and buses, is a federal mandate, not a state or county one. People will still need to wear a mask when using these forms of transportation. All of these services could decide to maintain mask requirements even if the federal requirements are lifted.

Federal buildings and property

The federal mask mandate is still in effect, however, pieces of it are being lifted. Until it is announced masks are still required inside federal buildings including offices, courthouses, and facilities at National Parks, National Forests, and Bureau of Land Management grounds.

Private businesses that still require masks

Private businesses such as restaurants, hotels, retailers, and venues, can still require masks for entry even after the county mandate ends. The request does not violate the Americans with Disabilities Act (ADA) or HIPAA. Private companies can also request to see proof of vaccination as a condition of employment or entry. Private businesses that require masks do need to provide some alternative to shop such as personal shopping or curbside pick up.

Gray areas

We checked with the Washington State Department of Health on whether Uber, Lyft, taxi, or limousine services count as public transportation. We were told these services are not considered public transportation and do not fall under federal mandates. Until June 29, masks are still required but after that date, it will be up to the policy of the companies and their drivers.

According to the websites of Uber and Lyft, both have a no mask, no ride policy in place nationally regardless of local regulations. Yellow Cab and STITA Taxi did not have mask policies on their website.

One other thing to consider before you throw away your masks, especially if you have N-95 or KN-95 masks. Models still indicate we will have a significant fire season from California to British Columbia, and from Alberta to Texas. If we have our orange skies and chewy air, only N-95 and KN-95 masks are effective at blocking the soot and other small particulates in wildfire smoke.

Health and Lifestyle, Local

70% of King County is fully vaccinated for COVID – mask mandate ends on June 29

[SEATTLE] – (MTN) King County Health announced that the county is the largest in the nation to achieve 70% of the population 16 years and older fully vaccinated today, and will drop the indoor mask mandate on June 29. Currently, 77.8% of King County residents have received at least one dose of the COVID vaccine, and 70% of those 16 and over have received both doses. The 14 day lag from the immunization milestone is to let the second dose for those who received the Pfizer or Moderna vaccination reach full efficacy.

Washington Governor Jay Inslee had previously announced that Washington state would move to full reopening on June 30 or earlier if the state could achieve 70% of residents with at least one dose. It appears the state will get close to the goal but not achieve it.

Despite the victory, the vaccination rate for Latinx, Black, Indigenous, and Pacific Islander populations lag behind their white counterparts. King County is still experiencing 2 COVID deaths a day on average. Black/African American and Latinx residents have the lowest vaccination rates among racial/ethnic groups in King County, with about 52% have completed their vaccination series compared to 66% for Whites, 74% for Native Hawaiian/Pacific Islanders, 76% for American Indian/Alaskan Natives and 79% for Asian Americans.

New cases are down 90%, and the COVID Alpha variant first identified in the United Kingdom was responsible for a fourth wave of cases. Currently about 10% of those tested are testing positive for the Delta variant out of India. That variant is between 40% to 80% more contagious and is making people much sicker.

There have been signs of vaccination success, including closing the mass vaccination site at Lumen Field over the weekend. The county is offering free transportation to get vaccinated and is even offering free childcare for vaccination appointments and the recuperation period. Although side effects are mild, many have reported feeling fatigued, experiencing headaches, and having brain fog 24 to 48 hours after the second dose for a day or two. The one-dose Johnson and Johnson vaccine has been reported to have lesser side effects, but that evidence is anecdotal.

Vaccine hesitancy still is holding along political lines. Twenty-eight percent of Republicans and 20% of Independents have stated they will not get vaccinated. However, in that same survey 50% also reported they were taking a wait and see approach, and were somewhat likely or likely to get vaccinated in the future.

If you or a family member needs to get vaccinated in King County, you can visit the Getting Vaccinated King County page on the Public Health website.

Health and Lifestyle, Local

Puget Sound COVID numbers indicate SnoCo improving, King plateaued, and Pierce getting worse

[KIRKLAND] – (MTN) On May 4 Governor Jay Inslee announced a pause in Safe Washington reopening phases for all counties for 14 days as new cases for COVID plateaued, and while new cases have flatlined in some counties, the data hasn’t gotten much better. A new deadline is looming on May 16 for another evaluation and for Pierce County that could mean going back to Phase 1 without a change in the phase requirements.

In King County, new case numbers for COVID infections and acute care patients have drifted slightly lower to 242.9 per 100,000 and 6.0% of all acute care beds occupied caring for COVID patients. Both numbers are well above the requirements to remain in Phase 3 and ICU utilization, which isn’t a factor for the Safe Washington reopening, remains troubling high at 83.8%. King County would drop to Phase 2 based on today’s numbers.

Snohomish County is in better territory than a week ago. Although new cases have decreased slightly from a high of 238 per 100,000 to 225.0, the total number of acute care patients being treated for COVID has dropped to 4.1%. If Snohomish County can hold the line, they would stay in Phase 3.

Pierce County is the worst shape of the metropolitan area. Over 12% of acute care beds have COVID patients, and the rate of 364.1 new cases per 100,000 is almost unchanged from a week ago. Of greater concern, positivity continues to increase and is up to 13.3%. Positive test results this high indicate widespread community transmission and significant under testing. Additionally, ICU utilization has increased to 88% and 18.9% of all ICU patients are battling COVID.

It isn’t all bad news in Pierce County, where the number of people fully vaccinated has increased significantly to over 42%, essentially tied with Snohomish County.

But no Washington County can match Ferry County and the dramatic rise in vaccinations in the last 10 days. On April 30, when Ferry County voluntarily moved back to Phase 2 after a super spreader event tore through the county and the town of Republic, the rural county had the third-lowest vaccination rate in the state – less than 25%. Today, 47% of Ferry County residents are fully vaccinated. Although new COVID cases remain one of the highest in the country at 847 per 100,000, the positivity rate and ICU utilization numbers continue to improve.

No official announcement has been on the next Safe Washington evaluation, but it will likely be early next week.

Health and Lifestyle, Local

Pierce County COVID cases worsen while King and Snohomish County plateau

[TACOMA] – (MTN) COVID numbers in Pierce County continue to worsen with metrics for cases per 100,000 and hospitalizations indicating the county should move to Phase 1 under the Healthy Washington plan implemented on March 11. On May 4, to the surprise of the business community and health leaders, Washington Governor Jay Inslee suspended the Healthy Washington plan for 2 weeks, based on data from the Washington State Department of Health (DoH) that cases were reaching a plateau. The next evaluation will be on May 17.

In the latest data from the DoH, Pierce County has 367 cases per 100,000 and 12.1% of acute care beds occupied by COVID-19 patients. Although the case number has improved, the positivity rate has jumped to 12.3%, which indicates significant under testing and widespread community transmission. Only 35% of the population of Pierce County is vaccinated against coronavirus, the lowest among the most populated counties in the state.

Pierce County COVID Scorecard for May 8, 2021

Snohomish County has also seen cases per 100,000 drop slightly to 225.4 while the positivity rate has increased to 7.5%, which indicates under testing within the community. ICU utilization has increased significantly in the last week to 73%, and 19.1% of all ICU patients have COVID.

King County has seen cases per 100,000 drop to 249.1, which is still well over the number required to stay in Phase 2. The positivity rate has crept upward to 5.5%, which ICU utilization has fallen to 84.2%, which is considered high.

King County COVID Scorecard for May 8, 2021

Incentives are growing to increase vaccination numbers

COVID vaccine demand is declining significantly across the United States, leading many health officials to believe that the country will never achieve herd immunity. Locally, businesses and other organizations are working on promotions to encourage vaccination.

The Seattle Mariners announced that from May 6 to June 2, 5,000 additional seats will be made available for home games with discounted tickets priced at $10 or $20. Tickets are available in the outfield bleachers, the 300 section, and the 100 section.

Additional benefits include exclusive access to the T-Mobile Pen and Trident Deck, which has remained closed due to social distancing rules, a 20% discount on in-park food, a 20% discount at the team store, and special entrances to the park. Through May 19, vaccinated fans and their children can also receive a SEA Us Rise Mariners T-Shirt.

Social distancing is not required in the section, but mask wear is. Individuals over 16 years old must present a valid, signed CDC vaccination card and had their final dose 14 days or more before entry. Children from 2 to 15 don’t need to be vaccinated but are required to show proof of a negative COVID test no more than 72 hours before game time, and must be masked at all times. Tickets for the vaccinated section cannot be resold or gifted.

Additionally, private suites for 14 to 26 vaccinated fans are available. The Mariners indicated that any ticket holder for the designated vaccination sections who cannot provide proof of vaccination or a child who cannot provide a required negative COVID test will not be allowed entry into the park.

Numerous vaccination sites are also offering gift cards and certificates and other incentives to vaccination holdouts.

For those thinking they’ll print their own vaccination card or buy a fake one, be warned it comes with a stiff penalty. Because a valid vaccination card comes with a government seal on it, the production of a fake one is a federal felony. Penalties, if convicted, include fines up to $5,000 and up to 5 years in prison for each offense.

Health and Lifestyle, Local

Governor to announce which counties move back to Phase 2 Tuesday

[SEATTLE] – (MTN) Governor Jay Inslee is expected to announce which Washington counties will move back to Phase 2 as COVID cases and hospitalizations continue to increase. The latest data from King County Health indicated new cases may have hit a plateau, while hospitalizations increased significantly over the weekend.

The health department reported 242.3 cases per 100,000 and hospitalizations increasing to 6.5 per 100,000. These numbers are significantly above requirements to stay in Phase 3 and a rollback is widely expected.

King County Health Key Indicator Dashboard for May 3, 2021

According to the website COVID Act Now, King County ICU utilization improved slightly over the weekend to 72%. Yakima, Benton, Thurston, Pierce, Clark, and Kitsap counties are reporting total ICU utilization of over 85% with Yakima county at a troubling 96%.

Hospital systems across Washington are universally reporting seeing younger patients who are coming into emergency departments much sicker than during previous surges. The latest data from the Washington Department of Health indicates that people 20 to 29 are overwhelming the largest group testing positive for COVID. Seventy-two percent of those testing positive for COVID are from birth to 49 years old.

Currently, four counties are in Phase 2. Cowlitz, Pierce, and Whitman counties went to Phase 2 on April 16, and Ferry county went to Phase 2 on an emergency basis on April 30. Skamania and Ferry counties have some of the highest positive test rates in the United States and the Seattle, Spokane, and Mount Vernon metro areas are in the top 100 metros for daily new COVID cases.