Tag Archives: long COVID

Dr. Fauci warns vaccine immunity waning, calls for boosters – local, state, and national COVID update for November 10, 2021

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

[KING COUNTY, Wash.] – (MTN) 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.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on November 10, 2021.


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Washington State Update for November 10, 2021

Washington state Covid-19 update

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 VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70.00% or above (3 counties)2,343,250184.7
60.00% to 69.99% (4 counties)1,242,200305.3
50.00% to 59.99% (16 counties)3,454,700321.8
40.00% to 49.99% (10 counties)584,875317.5
31.60% to 39.99% (6 counties)151,850290.8
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 Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11125.80.8
Ages 12-19127.21.2
Ages 20-34127.8 (down)2.2 (down)
Ages 35-49130.25.5 (down)
Ages 50-64130.3 (up)9.8 (down)
Ages 65-7970.614.8 (down)
Ages 80+78.625.0 (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

The USA Today COVID Tracker reported 31 deaths on Wednesday.

Washington State reports 94.7% of state workers in compliance with the vaccine mandate

Almost 95% of state employees are in compliance with the state employee vaccine mandate according to the latest data available by the Washington State Office of Financial Management.

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

Seattle Public Schools (SPS) announced it will be closed on Friday, November 12 due to staffing issues. The district stated on its website “a larger than normal number of SPS staff taking leave on Friday, and [we] do not believe we have adequate personnel to open schools.”

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!

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

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

Vaccination

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.

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 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.

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

Malcontent News

Hospital Status

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 RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman84.0%27.1%87.7%14.2%
NorthIsland, San Juan, Skagit, Whatcom69.8%34.2%82.1%15.1%
North CentralChelan, Douglas, Grant, Okanogan94.0%46.8%77.3%21.0%
NorthwestClallam, Jefferson, Kitsap, Mason88.0%25.2%94.6%14.9%
Puget SoundKing, Pierce, Snohomish92.0%19.4%95.1%11.9%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima90.7%23.6%84.2%17.3%
SouthwestClark, Cowlitz, Klickitat, Skamania71.3%20.1%87.0%14.2%
WestGrays Harbor, Lewis, Pacific, Thurston95.0%25.6%91.0%14.6%
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%

School Readiness

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueGREEN– Bellevue (1*)
– Bennett (1*)
– Clyde Hill (1*)
– Highland (2*)
– Lake Hills (2*)
– Newport Hills (1*)
None
Lake WashingtonYELLOW– Alcott (19)
– Bell (24)
– Blackwell (5)
– Carson Elementary (10)
– Clara Barton (23)
– Eastlake High (66)
– Ella Baker (6)
– Evergreen Middle School (1)
– Finn Hill Middle School (5)
– Frost (5)
– Inglewood Middle School (13)
– Juanita Elementary (1)
– Juanita High (30)
– Kamiakin Middle School (5)
– Keller (6)
– Kirk Elementary (20)
– Lakeview Elementary (7)
– Lake Washington High School (7)
– McAuliffe (1)
– Northstar Middle School (12)
– Redmond High School (37)
– Renaissance Middle School (1)
– Rush Elementary (1)
– Sandburg/Discovery (9)
– Thoreau (5)
– Timberline Middle School (14)
– Twain Elementary (2)
None
NorthshoreYELLOW– Arrowhead Elementary (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.

The Associated Press reported the Kaiser Family Foundation study released this week found the clear ties between news outlets that people trusted and the amount of misinformation they believe, it took no stand on whether those attitudes specifically came from what they saw there.

“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.

State Updates

Alaska

State officials reported 130 people hospitalized with COVID-19 on Wednesday.

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.

In Anchorage, an attempt by anti-vaccination advocates to recall Assemblywoman Meg Zaletel for supporting a mask mandate fell flat.

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.

Kathleen Combs has been in some of the most uncomfortable places of our times. She has now spent 19 months working in UCHealth Hospital’s COVID ICU in Aurora, Colorado.

“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.”

Florida

“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.

Idaho

Idaho is six days away from entering the third month under crisis standards of care. The Idaho Department of Health announced an infant has become the first child in the state to die from Covid-19.

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.”

Iowa

The Iowa Department of Public Health on Wednesday released new virus data showing 97 additional virus deaths, bringing the total to 7,166 deaths since the start of the pandemic. The state’s 14-day positivity rate for Covid-19 tests increased from 8.7% to 8.9%.

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.

Minnesota

A player on the Minnesota Vikings was reportedly hospitalized due to COVID-19 symptoms. Vikings coach Mike Zimmer confirmed a player went to the emergency room Tuesday night due to shortness of breath. 

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.

Disinformation

Taking the night off

Idahoans are overwhelming Eastern Washington hospitals – local and national update for October 6, 2021

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

[KING COUNTY, Wash.] – (MTN) Hospitals in Eastern Washington are starting to feel the crush of transfer patients and Idahoans seeking medical treatment in Washington state. As new cases decline statewide, hospitalizations have plateaued, with Eastern Washington taking on the brunt of new cases.

More Seattle Police Officers provided proof of vaccination while city officials forged a plan for October 18. In contrast, over 93% of Washington State Patrol employees are vaccinated, including more than 90% of commissioned officers. A King County Sheriff Office Sergeant did a reply-all e-mail about the vaccine mandate that was full of conspiracy theories – it’s a sad story.

In Eastern Washington, 19 municipal and state employees filed a federal civil rights lawsuit against the looming vaccine mandate.

There were new Covid-19 cases reported in all three school districts we track.

Nationally, a Maryland man killed his pharmacist brother and two other people due to his alleged belief in Covid-19 vaccine conspiracies.

Scientists learn the secrets of Covid Toe and how to treat it. In another study, researchers find increasing proof that Covid-19 can damage the pancreas, leading to a sudden onset of diabetes.

Alaska, Idaho, Montana, and Wyoming continue to have hospitals operating under crisis standards of care protocols. In Coeur d’Alene, Kootenai Health has been using those protocols for almost a month.

A 51-year-old man whose wife sued to treat him with ivermectin in an Ohio hospital died in late September.

A common objection to receiving the Covid-19 vaccine is the belief that the government assumes no liability. Is it true? We tackle that issue in misinformation.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on October 6, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for October 6, 2021

Washington state Covid-19 update

New cases in Washington state continue to decline slowly. We’re adding some new metrics. A combination of increasing vaccination rates, mask wear, and the Delta variant running out of new hosts contributes to the slowdown.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
60.00% or above (4)212.0 (down)
50.00% to 59.99% (13 counties)515.1 (down)
40.00% to 49.99% (14 counties)624.1 (down)
29.30% to 39.99% (8 counties)713.3 (up)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through October 5, Washington’s statewide 14-day rolling average is 403.8 Covid-19 cases per 100K.

Ferry County reported 1,011.4 new cases per 100K residents.

Counties in the 800.0 to 999.9 per 100K range include Grant, Klickitat, Lincoln Pend Oreille, and Stevens.

Counties in the 600.0 to 799.9 per 100K range include Asotin, Benton, Chelan, Columbia, Cowlitz, Franklin, Garfield, Grays Harbor, Mason, Okanogan, and Walla Walla. Franklin County remained just under 800 while Adams, Douglas, Lewis, and Spokane counties were just under 600.0.

New cases were down from birth to 34 years old and statistically unchanged for 35 and above. Pediatric and adolescent hospitalizations were up, along with ages 50 to 64 and over 80.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11170.3 (down)1.1 (up)
Ages 12-19202.1 (down)0.8 (up)
Ages 20-34166.1 (down)5.0
Ages 35-49173.98.4
Ages 50-64120.115.1 (up)
Ages 65-7997.617.4
Ages 80+109.835.2 (up)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 53 deaths yesterday. The state of Washington is not reporting the percentage of positive cases.

Idahoans seeking medical care pushing Eastern Washington hospitals to the brink

Dr. Dan Getz, the chief medical officer of Providence Medical Center in Spokane, Washington, said patients from Idaho are pushing Providence Medical toward capacity limits, leaving hospitals scrambling for options. KATC reported hospitals have had to pause some surgeries to create space.

“Idaho is currently in crisis standards of care where they basically said, ‘We can’t deliver normal care for people in our state,’ and they’re looking at rationalizing things,” Getz said. “We are not in that crisis in Washington state — however if we continue to see increasing cases and we are not able to care for our community, that’s always a potential.”

At Multicare Deaconess Hospital in Spokane, the staff says they are spread thin.

Luke Eckoff, a Covid-19 ICU nurse at Multicare Deaconess Hospital, said, “Flight teams are bringing patients from outlying hospitals — and that’s putting more strain on us. These rural hospitals don’t have the capacity we do to take care of these patients. What that’s doing is putting further pressure on our hospital and resources. It’s hard at the end of the day when you have to put that patient in the body bag. And that’s happening more and more.”

More SPD officers present proof of vaccination

The number of Seattle Police Department officers who haven’t confirmed being fully vaccinated dropped to 292 today. Brandi Kruse of KCPQ tweeted that an additional 101 SPD officers have requested vaccination exemptions.

Nationally, law enforcement officers are one of the lowest vaccinated professions. Mike Solan, president of the Seattle Police Officer Guild (SPOG), spoke with KING 5.

“The problem is they’re using bully tactics to force their employees to get this, and that’s what’s led to this disconnect,” Solan said. “Right now, more than ever, our community’s begging for police officers to stop the rise in crime. And we need politicians who are willing to understand the public safety staffing crisis that they created. They’re in charge, they can change this.”

It’s hard to benchmark where the final numbers will land on October 18. The San Francisco Police Department has 2,140 officers. With a Covid-19 vaccine deadline looming on October 23, 267 remained unvaccinated.

According to the national police union, the Fraternal Order of Police, 716 law enforcement officers have died in the line of duty from Covid-19 since March 2020.

Over 93% of Washington State Patrol workers provided proof of vaccination

The Washington State Patrol reported Wednesday that more of its workers are providing proof they are vaccinated, according to a report by KXLY.

Only seven percent of its employees hadn’t been vaccinated or turned in proof they got the shot. That means 152 of its 2,184 employees could face getting fired if they do not meet the vaccine mandate deadline of October 18. Of those, only 91 are commissioned troopers.

King County Sheriff Deputy sends department-wide reply all e-mail against vaccine mandate

Sergeant Cameron Lefler of the King County Sheriff Department sent a department-wide e-mail on Monday, responding to an e-mail sent by three KCSO leaders, blasting the vaccine mandate and sharing conspiracy theories. The South Seattle Emerald received a copy of the original e-mail and Lefler’s response.

The original e-mail sent on Monday reminded KCSO employees they needed to submit their vaccination status so the department could make a staffing plan.

“Our planning process is hampered by lack of complete information because some have not yet provided evidence of vaccination,” the chiefs’ e-mail reads. “Again, we are hopeful that you have the required information but have not yet shared it with HR. One of our goals is to plan for possible separation in a way that is least likely to disrupt your city or precinct, and it is hard to do that without all the information.”

In his reply, Lefler indicated he had requested an exemption but had not gotten a response from King County, adding, “What [is[ King County is going to do about the thousands of us who have requested medical and/or religious exemptions.”

He then stated that being a sheriff deputy was equal to being under constant siege in war, called out King County Executive Dow Constantine, and called for the entire department to quit. Lefler then suggested that the vaccine mandate would lead to gun control and remove “CPO” (conceal carry permits).

“Anything goes once the precedent is set. I will fight for what is right, and you reading this know in your gut that I am right,” Lefler continues. “It’s not just about a jab in the arm. It’s about our very freedoms. This is about our right to self-determination and choice. God gave us these rights, but only if we are willing to fight for them.”

The term “jab” is common in Europe and widely used in Covid-19 misinformation, particularly Russian-backed sources. Multiple articles starting in January 2021 outlined the Kremlin-backed disinformation campaigns designed to sow mistrust in European and North American-created vaccines.

According to the website Together We Served, Lafer was in Marine Corps from 2001 to 2005 and served in Iraq. The unit he was with deployed to Fallujah and Ramadi during his tour at the height of the Iraqi insurrection. It is worth noting that Lefler would have been required to take the Emergency Use Authorized Anthrax vaccine as part of his military service and could have used Nerve Agent antidotes as part of his military tour.

All US service members are required to be vaccinated against Covid-19 by December.

Sgt. Tim Meyer e-mailed the South Seattle Emerald after the original story was published.

“KCSO appreciates Sgt. Lefler’s years of service and the difficult decision he is trying to make for himself and his family,” Meyer’s e-mail to the Emerald reads. “We do not have ‘thousands’ of deputies, rather we employ roughly 750. We hope we don’t lose any of them. As our members struggle with the decision to comply with the Executive’s mandate, we know some would like to believe that the Sheriff and her command staff have the power to get the mandate rescinded. That is not possible.”

Approximately 100 KCSO employees have applied for Covid-19 vaccine exemptions.

19 state and municipal workers file lawsuit over vaccine mandate

A new lawsuit was filed on October 5 by 19 employees claiming their civil rights are being violated by the looming vaccination mandate, in a story reported by KXLY.

The suit lists as defendants Governor Inslee, Spokane Fire Chief Brian Schaeffer, Washington State Patrol  Chief John Batiste, and other leaders of state agencies.

The suit claims “the plaintiffs are on the brink of having adverse employment action against them. It claims that in each case, “a form of disability or sincere religious belief requires them to decline vaccination.”

The group of workers comprises Washington State Patrol troopers, Spokane firefighters, and employees of other state agencies, including the Department of Social and Health Services.

Virtually none of the lawsuits filed at a federal level have been successful at blocking a vaccine mandate. The 1905 United States Supreme Court ruling of Jacobson versus Massachusetts cemented the rights of municipalities, counties, and states to mandate vaccines and other public health measures.

Federal medical team of 8 nurses and 10 certified nursing assistants deployed in Spokane

A medical team available through the federal government arrived at a Spokane care facility to help with Covid-19-related care on Wednesday, KREM reported.

The team of eight nurses and 10 certified nursing assistants (CNA), and eight nurses will be deployed to the Avalon Care Center in North Spokane. The medical staff is from ACI Federal, according to the Washington Department of Health (DOH). According to the DOH, these are not federal resources but are available through a federal contract. Avalon Care Center will pay for the nurses. 

Travel Advisories

Today, we are lifting our travel advisory to Yakima, Klickitat, Benton, Franklin, and Walla Walla Counties. We continue to recommend when visiting those counties, you use reasonable caution and don’t engage in dangerous activities.

We continue to recommend avoiding recreational travel to Spokane County. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

We continue to monitor the situation in the East Hospital Region and may expand our travel advisory beyond Spokane County.

Thank you

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

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

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

Vaccination

Pfizer vaccine booster shots are now available

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

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

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

King County, Washington is reporting over 86.7% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 17.4% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 665 additional acute care patients. ICUs are at 88.1% of capacity statewide, with 30.0% of ICU patients fighting Covid-19 – an estimated 353 patients with 57% on ventilators. The state has the staff to support approximately 142 additional ICU patients.

The 7-day rolling average hospital admission rate for new COVID patients was 123. The Department of Health reported 1,199 Covid-19 patients statewide on October 5, with 200 on ventilators.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman92.6%45.5%88.7%27.0%
NorthIsland, San Juan, Skagit, Whatcom74.8%33.4%86.0%13.2%
North CentralChelan, Douglas, Grant, Okanogan85.1%50.2%75.6%22.2%
NorthwestClallam, Jefferson, Kitsap, Mason92.2%42.8%96.0%27.0%
Puget SoundKing, Pierce, Snohomish91.3%24.6%94.5%13.6%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima87.9%33.8%84.1%21.7%
SouthwestClark, Cowlitz, Klickitat, Skamania 72.6%32.9%86.4%22.2%
WestGrays Harbor, Lewis, Pacific, Thurston81.6%23.1%85.5%17.0%
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%

There was very little change in the status of Hospital Regions overnight, with the East and Northwest Hospital Regions below the threshold of issuing a travel advisory.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Ardmore (1*)
– Bellevue (7**)
– Big Picture (1*)
– Chinook (3*)
– Eastgate (1*)
– Enatai (3*)
– Highland (8**)
– Interlake (3*)
– Lake Hills (4*)
– Newport (4*)
– Newport Heights (1*)
– Puesta del Sol (1*)
– Sammamish (4*)
– Sherwood Forest (2*)
– Spiritridge (1*)
– Stevenson (1*)
– Tillicum (1*)
– Wilburton (3*)
– Woodridge (3*)
None
Lake WashingtonYELLOW– Bell Elementary (1*)
– Barton Elementary (1*)
– Dickinson/Explorer Elementary (1*)
– Ella Baker Elementary (1*)
– Eastlake High (2*)
– Finn Hill Middle School (3*)
– Franklin Elementary (2*)
– Frost Elementary (2*)
– ICS (1*)
– Inglewood Middle School (1*)
– Juanita Elementary (1*)
– Kamiakin Middle School (4*)
– Keller Elementary (2*)
– Kirkland Middle School (1* see notes)
– Lakeview Elementary (4*)
– McAuliffe Elementary (1*)
– Muir Elementary (1*)
– Northstar Middle (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Redmond High School (2*)
– Renaissance Middle School (1*)
– Rosa Parks Elementary (1*)
– Rush Elementary (1*)

see notes below
None
NorthshoreYELLOW– Arrowhead Elementary (4)
– Bothell High School (42**)
– Canyon Creek Elementary (23)
– Canyon Park Middle School (6)
– Cottage Lake Elementary (3)
– Crystal Springs Elementary (26)
– East Ridge Elementary (12)
– Fernwood Elementary (1)
– Frank Love Elementary (17)
– Hollywood Hills Elementary (27)
– Inglemoor High School (1)
– Innovation Lab High School (1)
– Kenmore Elementary (3)
– Kenmore Middle School (25)
– Leota Middle School (4)
– Lockwood Elementary (40**)
– Maywood Hills Elementary (29)
– Moorlands Elementary (1)
– North Creek High School (5)
– Northshore Family Partnership (30)
– Northshore Middle School (2)
– Secondary Academy for Success (5)
– Shelton View Elementary (5)
– Skyview Middle School (12)
– Sunrise Elementary (9)
– Timbercrest Middle School (5)
– Wellington Elementary (26)
– Westhill Elementary (50)
– Woodin Elementary (16**)
– Woodinville High School (11)
– Woodmoor Elementary (12)
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 10 active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.

Bellevue School District added two more confirmed Covid-19 cases at Highland Middle School, for a total of eight. Additionally, a confirmed case was reported at Ardmore Elementary School.

The Northshore School District added multiple schools to their report. Lockwood Elementary reported three more confirmed cases this morning, bringing the count to nine. Bothell High School and Woodin Elementary each have six confirmed cases.

We have a parent confirmed report of a single Covid-19 case at Kirkland Middle School, with an additional 17 students quarantined.

We multiple parents e-mailed us about two confirmed Covid-19 cases at Juanita High School. However, because the district sent the e-mail on Monday, we cannot confirm if these are new or included in the last dashboard update.

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

Kirkland-Bellevue-Woodinville

The City of Kirkland has rolled out additional phases of its COVID-19 relief program to provide immediate financial assistance for small businesses, thanks to funding available through the American Rescue Plan Act. A limited number of $1,000 to $10,000 grants are now available for small Kirkland-based businesses behind on rent for the commercial properties they lease. To start the application process, businesses should go to www.kirklandwa.gov/business-help to complete and submit the intake form between October 5 – October 19, 2021. Program funds may only be used as a payment against a small business tenant’s past-due rent due to COVID-19 economic hardship experienced between March 1, 2020, to September 30, 2021. Note that the application process requires the cooperation of tenants and landlords, and payments will be made to the landlord.

“The pandemic has had a profound impact on many of our businesses, making it difficult for some to keep up with rent and stay in their current locations,” said Deputy Mayor Jay Arnold. “Our hope is that by passing federal relief funding directly to businesses and landlords that these businesses can get the foothold they need to thrive in our Kirkland community.”

For questions about the small business rent relief grant program, contact businesssupport@kirklandwa.gov  (425) 587-3266 or the City’s Business Response Team at (206) 686-3424.

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 95,756 new cases and 1,916 deaths nationwide on Wednesday. As of October 4, the CDC reported 65,162 hospitalized Covid-19 patients in the United States, down 13.6% from the week before. The number of Covid-19 related deaths decreased 3.3%, indicating that the Delta variant surge is ending.

Maryland man accused of killing 3 due to alleged belief of Covid-19 vaccine conspiracies

Three people are dead across two counties in Maryland and Jeffrey Allen Burnham, 46, is in jail after he confronted his brother for administering Covid-19 vaccines, according to a report by WTTG.

According to arrest documents, Burnham’s mother told investigators that he wanted to confront his brother – a pharmacist – because he purportedly helped administer vaccines.

Burnham had told their mother he believed the government was poisoning people with vaccines, and he “repeatedly stated, “Brian knows something!” – police say.

Investigators say a tipster alerted Maryland State Police that Burnham had arrived at his home in a red Corvette, and said that “his brother had been ‘killing people with the COVID shot.'”

Burnham has been charged with two counts of first-degree murder and two counts of second-degree murder and the use of a handgun in the commission of a crime.

Covid long haulers are developing diabetes

As early as June 2020, scientists were alarmed to discover that Covid-19 was damaging the pancreases of some patients and triggering Type I insulin-dependent diabetes. When the Delta variant exploded in India, doctors saw a dramatic increase in sudden onset diabetes among Covid-19 patients. New research indicates that after recovery from Covid-19, a growing number of people are suffering from damage to their pancreas, according to a report in Yahoo!News.

“Clearly there’s a link, there’s some sort of mechanism that makes the diseases fuel one another,” Francesco Rubino chair of metabolic surgery at King’s College London, told Insider. “The question is whether new-onset diabetes could be caused by this virus.”

One theory was that the body could be confusing pancreas cells for the coronavirus, and trying to destroy them. This would disrupt insulin supply and cause diabetes, the scientists thought.

Remember “Covid Toe?” Doctors may have figured out what causes it

A small study published in the British Journal of Dermatology reported that researchers had identified the cause of Covid Toe and how to treat it.

Based on blood and skin tests, these latest study findings suggest two parts of the immune system may be at play.

According to a report by the BBC, both causes involve how the body fights Covid-19.

One is an antiviral protein called type 1 interferon, and the other is an antibody that mistakenly attacks the person’s own cells and tissues, not just the invading virus.

Cells lining small blood vessels supplying the affected areas are also involved, say the investigators from the University of Paris, France.

The researchers studied 50 people with suspected Covid toe in the spring of 2020 and 13 others with similar lesions not linked to Covid infections because they occurred long before the pandemic began.

Alaska

New cases in Alaska still lead the nation but have declined significantly from last week. The state is still operating under “crisis standards of care” with 184 Covid-19 patients statewide. Alaska has 126 staffed ICU beds statewide, with 28 available. There were 867 new cases reported today, about equal to Tuesday. Over 10% of Covid-19 tests are coming back positive, indicating under testing is accelerating.

Before the current surge hit Alaska, it had the third-lowest death per capita in the United States. Six weeks later, the state is ranked 25th. More than 25% of all Covid-19 deaths reported in Alaska happened after August 1, 2021, despite the widespread availability of vaccines.

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

Officials are also concerned by a rising test positivity rate, which is just below 10%.

California

Los Angeles leaders on Wednesday approved one of the nation’s strictest vaccine mandates — a sweeping measure that would require the shots for everyone entering bars, restaurants, nail salons, gyms, or even a Lakers game.

According to a report by NBC News, the City Council voted 11-2 in favor of the ordinance that will require proof of full vaccination by Nov. 4.

The move came after the council postponed a vote last week to deal with concerns ranging from who could be fined for violations to whether employees could end up in fist-fights when they have to serve as vaccine door monitors.

Florida

According to The Palm Beach Post, six weeks after Tamara Drock was admitted to Palm Beach Gardens Medical Center, the 47-year-old Loxahatchee woman is in a medically induced coma and tethered to a ventilator.

It was an outcome that her husband, Ryan, tried to prevent.

“No ventilators,” he said of his orders to the hospital staff.

With his hope and his wife’s options running out, Drock on Friday filed suit in Palm Beach County Circuit Court to force the hospital to give his wife the drug that he believes helped him and others recover from the highly contagious respiratory disease.

“I think it’s worth a shot,” Drock said. “I don’t have anything to lose.”

The second-largest study to date for the effectiveness of ivermectin against COVID, which has received multiple peer reviews, indicated that ivermectin had no meaningful impact and for sicker patients created worse outcomes. The study done in Argentina was randomized, double-blind, and placebo-controlled – the gold standard. The report concluded the only statistical difference was subjects taking ivermectin who became moderately to severely ill required mechanical ventilation much sooner than the placebo group.

Only one court case in Ohio successfully forced a hospital to administer ivermectin, and two weeks later, the judge reversed his decision.

Idaho

Governor Brad Little reversed Lt. Governor Janice McGeachin’s executive orders banning vaccine passports or mandatory Covid-19 testing at K-12 schools and universities in Idaho, eight minutes after he landed in Boise.

McGeachin also tried to activate the National Guard to deploy Idaho troops, already assisting with the Covid-19 surge, to the Mexico border. According to The Independent, the commanding general of the Idaho National Guard told McGeachin she can’t activate troops to send to the U.S.-Mexico border.

While Idaho tries to out-Florida, Florida, the state crossed the grim milestone of 3,000 Covid-19 related deaths, reporting another 47 fatalities today. Compared to Washington, Idaho’s mortality rate is almost double with no end in sight to the current surge.

Idaho has reported more than 1,000 new Covid-19 cases per day for the last 27 days. The 7 day moving average has reached 1,320.6 cases per day and is likely higher due to a backlog of more than 8,200 tests.

Idaho now has 715 Covid-19 patients, down from a peak of almost 800 at the end of September. The state has 170 staffed ICU beds and reported 184 ICU patients. At St. Luke’s, the mortality rate for people in the ICU has reached 40%, and 98% of ICU patients are unvaccinated.

Almost a month after Kootenai Health declared it was moving to crisis standards of care, the number of Covid-19 patients they are treating has increased, according to a report by KTVB.

“150 COVID patients is about 75 percent of our normal pre-COVID bed capacity for med surge admissions,” said Jeremy Evans, Kootenai Health’s Chief Regional Operations Officer. “Today, we have got 44 critical care patients and 17 on ventilators. It continues to amaze me how our medical staff, our clinical staff, and our leaders, are able to accommodate this surge.”

Evans added that around 10 to 20 patients are admitted to the hospital for COVID-19 treatments each day.

“We have seen a lot of deaths, we are averaging about one a day in the COVID population, I spent the last week in the ICU and it’s a very hard place to work right now it’s just a constant struggle to take care of these patients on a daily basis,” said Robert Scoggins, the Medical Director of the ICU.

According to Boise Public Radio, unvaccinated Idahoans continue to be hospitalized at five and a half times the rate of vaccinated people, straining the hospital systems and overwhelming health care workers. Yet, misinformation and anger continue to spread throughout the state — with hateful acts targeted at the doctors and nurses working to treat those infected.

Boise Public Radio’s program Idaho Matters was joined by Dr. David Pate, former CEO of St. Luke’s Health System and a current member of the Idaho Coronavirus Task Force, and Dr. Frank Johnson, Chief Medical Officer for St. Luke’s Boise, Elmore and McCall.

You can read the transcript here.

May the odds ever be in your favor.

Montana

While Alaska appears to have peaked and Idaho is on a plateau, Montana continues to deteriorate. According to KPAX, the state has 11,550 active cases and added 30 more hospitalized patients overnight, raising the number to 444 – a new record. Over 5% of Montanans who have tested positive for Covid-19 have ended up hospitalized.

St. Peter’s Health in Helena, which has been operating under crisis standards of care for weeks, reported 31 patients hospitalized with Covid-19, and the ICU was at full capacity, with 87% of all ICU patients infected with Covid-19. On Sunday, 14 out of the 18 rooms in the emergency department had seriously ill Covid-19 patients in them.

National Guard troops have been deployed to Great Falls and Livingston to aid with expanding surge of cases.

Ohio

Jeffrey Smith, 51, who was at the center of a lawsuit forcing a Cinncinati hospital to treat him with ivermectin, died on September 25 of Covid-19, according to KXAN.

Jeffrey Smith’s wife, Julie Smith, claimed she offered to sign documents releasing all other parties, doctors, and the hospital from all liability related to the Ivermectin treatment and dosage. But the hospital declined. Smith said her husband, who was on a ventilator, had a very slim chance of survival, and she was willing to try anything to keep him alive.

Judge Gregory Howard ordered West Chester Hospital to give Smith 30 milligrams of ivermectin every day for three weeks, even though there is no supporting evidence that it treats Covid-19.

Another Butler County judge reversed Howard’s decision in September, saying ivermectin didn’t show “convincing evidence” in treating COVID-19. Butler County Judge Michael Oster said in his ruling, “judges are not doctors or nurses… public policy should not and does not support allowing a physician to try ‘any’ type of treatment on human beings.”

Wyoming

Officials reported another 483 confirmed cases, and hospitalizations grew to 201. Over 40% of patients are in two hospitals – Casper’s Wyoming Medical Center and Cheyenne Regional Medical Center.

Like Alaska, Montana, and Idaho, hospitals are tipping over into “crisis standards of care.” Cody Regional Health and Memorial Hospital of Sweetwater County reported they continue to move from “contingency care” to “crisis standards of care” as the situation changes.

Misinformation

A common reason for refusing to get vaccinated is the belief that the government is mandating vaccination but does not accept any liability for vaccine injuries. Is that true?

The short answer, no.

The Health Resources and Services Administration is a federal program that provides compensation to people who have suffered a serious vaccine injury or surviving family members. The program has existed for years and is known as the Countermeasures Injury Compensation Program (CICP).

Federal declarations issued by the Secretary of the U.S. Department of Health and Human Services specify the countermeasures covered by the Program. Declarations have been issued for medical countermeasures against the following vaccinations.

  • COVID-19
  • Marburg
  • Ebola
  • Nerve Agents and Certain Insecticides (Organophophorus and/or Carbamate)
  • Zika
  • Pandemic Influenza
  • Anthrax
  • Acute Radiation Syndrome
  • Botulinum Toxin
  • Smallpox

People who have a documented vaccine injury can start the claim process online at the HRSA Injury Compensation Programs page.

Claims filed under CICP for lost income are capped at $50,000 per year and won’t provide compensation for pain, suffering, emotional distress, or similar damages. According to the Washington Post, there have been 686 claims filed in CICP.

A little brown pill could be a giant game changer – local and national update for October 1, 2021

Photo credit: Emory University

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

[KING COUNTY, Wash.] – (MTN) The big news today is about a little brown capsule called molnupiravir. The Phase 3 trial of the oral medication cut COVID hospitalizations and deaths by 50%, and Merck has applied for Emergency Use Authorization with the FDA. The impact of this new medication could go far beyond COVID with researchers at Emory University claiming it could be useful against other viral diseases.

New COVID cases and hospitalizations held steady statewide. A report in the Seattle Times indicated more than half of rural Washington transfer patients ended up in King County hospitals.

The Bellevue School District updated its COVID dashboard and revealed there are 37 confirmed COVID cases. In the Northshore School District, cases continued to grow at Bothell High School and Crystal Springs Elementary School reported 11 confirmed cases.

There are an estimated 604 adult acute care and 132 ICU beds available statewide, and approximately 56% of COVID patients in the ICU are on a ventilator.

The Nisqually Nation was forced to evacuate a COVID quarantine site in Roy, Washington after multiple threats were made. A post on Facebook falsely claimed it was a newly built government quarantine site for rounding up the unvaccinated.

Amazon continues to promote dangerous COVID treatments on its website.

Alaska Air Group announced they will require all employees to get vaccinated, but a hard deadline was not set.

Alaska, Idaho, and Montana continue to struggle with surging COVID cases.

Supreme Court Associate Justice Sonia Sotomayor denied an emergency request by New York educators to block the state’s vaccine mandate. That’s a bigger deal than you think, and it wasn’t unexpected.

In the misinformation section, we tackle “it’s just the flu” very graphically.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on October 1, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for October 1, 2021

Washington state COVID update

New cases held steady statewide with no statistical difference from yesterday. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, the 14 day moving average for new cases increased to 727.9 per 100K. The Puget Sound (Central) Hospital Region, which represents King County, was statistically unchanged at 244.5.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
60.00% or above (3)171.9
50.00% to 59.99% (12 counties)506.9
40.00% to 49.99% (15 counties)653.9
28.40% to 39.99% (9 counties)734.4
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 30, Washington’s statewide 14-day rolling average is 426.6 COVID cases per 100K, statistically unchanged from yesterday.

For the first time in over a month, no counties reported a new case rate over 1,000 per 100K residents. Based on this change we are updating how we report county performance.

Counties in the 800.0 to 999.9 per 100K range include Ferry, Frankin, Grant, Grays Harbor, Lincoln, Okanogan, Pend Oreille, and Stevens. Ferry County is a new hot spot, while cases in southeast Washington are on the decline. Stevens County is just under 1,000.

Counties in the 600.0 to 799.9 per 100K range include Adams, Asotin, Columbia, Klickitat, Cowlitz, Benton, Walla Walla, Garfield, Douglas, Lewis, Chelan, and Spokane. Adams County is just under 800 and Yakima County is just under 600.0.

We will keep descending these brackets until most counties fall below 450 per 100K residents. Currently, 28 counties still have widespread transmission of COVID.

New cases were up for 12 to 19-year-olds while hospitalizations were down for the same age group.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11195.00.6
Ages 12-19220.6 (up)1.3 (down)
Ages 20-34191.75.2
Ages 35-49189.88.8
Ages 50-64137.615.2
Ages 65-79104.320.0
Ages 80+108.332.6
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 72 deaths on Thursday. The state of Washington is not reporting the percentage of positive cases.

Nisqually Nation forced to evacuate COVID quarantine site after threats

Because three or four generations can be living under the same roof, a COVID-positive person can have a significant impact on the entire household. The Nisqually Nation started using a 26-acre property in Roy, Washington last year enabling tribal members to quarantine away from family members. The tribe was forced to evacuate the site after an online misinformation campaign labeled the location a concentration camp.

The Facebook group Americans Against 2nd Class Treatment posted on September 28, 2021, about the site, claiming it was a “new COVID quarantine site” and they were “just getting to work on it.” In reality, the site has existed for more than a decade, and the Nisqually Nation bought the 26-acre parcel in 2014. Earlier this month, they cleared some timber between the buildings and Highway 702, making the location more visible from the road.

Comments quickly developed with people calling it a “concentration camp” and a “gulag.” The group went on to post that the Nisqually Nation was forced to hire security and block the access road with boulders due to ongoing threats at the property.

According to KING 5, tribal officials were forced to evacuate the site on Thursday.

“Who does that,” said Nisqually Tribal Councilmember Hanford McCloud, “It’s beyond ridiculous.”

McCloud said about 30 people have stayed on the property in the last 18 months, giving them a safe place to recover and prevent the spread of COVID-19.

A caretaker and his family, along with two COVID-19 patients, were placed in a hotel, said Tribal Health Officer Mary Szafranski.

Amazon continues to recommend dangerous COVID treatments on its website

A surge of social media videos in the last two weeks on YouTube and Tik Tok has advocated nebulizing hydrogen peroxide as a preventative and home treatment for COVID. Content creators have danced around guidance medical guidance to spread the misinformation.

For the third time in 60 days, Amazon is at the center of controversy with the AI designed to drive more sales, recommending medical saline and hydrogen peroxide with nebulizer purchases.

Amazon recommendation for hydrogen peroxide and medical saline when purchasing a nebulizer – October 1, 2021

This is not new territory for Amazon. In 2017 the “Frequently Bought Together” recommendation included ingredients to make homemade bombs. The Seattle-based company adjusted the recommendations made by the feature and said they would police recommendations in the future to prevent the recommendation of dangerous combinations.

In August the online behemoth was called out for promoting Ivermectin, and publishing reviews with veiled dosing instructions for humans. A couple of weeks later, Amazon was dinged again for recommending books that spread COVID misinformation.

Multiple medical groups have appealed for people not to drink or nebulize hydrogen peroxide. The human body does not have a finite capacity to process hydrogen peroxide and the solution hasn’t been recommended for wound care in years.

The Asthma and Allergy Foundation of America wrote, “A concerning and dangerous trend is circulating on social media channels like Facebook, Twitter, and TikTok. People are breathing in hydrogen peroxide through nebulizers to try to prevent or treat COVID-19.”

“DO NOT put hydrogen peroxide into your nebulizer and breathe it in. This is dangerous!”

Alaska Air Group mandates vaccination for all employees

Alaska Air Group joined Delta and Hawaiian Airlines, mandating all employees of Alaska Airlines, Horizon Air, and McGee get vaccinated against COVID. The airline stopped short of setting a hard deadline, but employees who prove they are fully vaccinated by December 1 will receive a $200 bonus. The mandate impacts certain vendors and contractors also.

“Since our company does significant work for the federal government, we have determined that Alaska Airlines, Horizon Air, and McGee employees – all part of Alaska Air Group – do fall under this federal vaccine mandate, along with other major U.S.airlines,” Alaska Air Group said in a statement.

The airline reported on September 1, that 75% of its workforce was already fully vaccinated.

United Airlines reported yesterday that 320 of 67,000 employees decided to quit over the vaccine mandate they implemented earlier this year. Nationally compliance for vaccine mandates has ranged from 89% to virtually 100% across cities, counties, states, schools, hospitals, and private employers.

More than half of rural Washington COVID transfer patients ended up in King County

A Seattle Times analysis found that from July 1 to September 23, 229 of 414 COVID transfer patients in Washington state ended up in King County hospitals. The Seattle Times story is behind a paywall and The Slog written by The Stranger is more politically charged on this topic for our COVID coverage specifically. You can see this summary by the author Joseph O’Sullivan on Twitter.

Travel Advisories

We recommend avoiding recreational travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties. If the number of new cases in the South Central Hospital Region continues to decline, we will likely lift our advisory for this region in the next 3 to 10 days. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

We may implement a travel advisory for Eastern Washington, based upon renewed hospitalization data now available from the Department of Health.

Thank you

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

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

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

Vaccination

Deadline for single dose Johnson & Johnson vaccine and second dose for Pfizer and Moderna vaccine looms for state workers

Thousands of state workers have until Sunday to receive their second Pfizer or Moderna dose or the single-dose Johnson & Johnson vaccine. Over 68% of state workers reported last week they were fully vaccinated. Data from companies, schools, and other states such as Hawaii and New York, indicates final acceptance would likely exceed 95%.

Multiple unions have reached agreements at a municipal, county, or state level, to extend the deadline past October 18 for individuals who received at least their first dose. Additionally, workers with denied exemptions requests will be given extra time.

Pfizer vaccine booster shots are now available

Booster shots for eligible individuals are now available statewide. Individuals who received both doses of the Pfizer vaccine more than 6 months ago, are 65 or older, or are immunocompromised can receive their third dose immediately.

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

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

King County, Washington is reporting over 86.2% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 18.7% of all acute care patients hospitalized in Washington have COVID. Currently, 91% of all staffed acute care beds are occupied statewide with approximately 604 available. ICUs are at 89.0% of capacity statewide, with 30.0% of ICU patients fighting COVID – an estimated 354 patients with 56% on ventilators. The state has approximately 132 ICU beds available.

The 7-day rolling average hospital admission rate for new COVID patients dropped to 105 – finally below the January 7, 2021 peak of 113. The Department of Health reported 1,274 COVID patients statewide on September 30 with 197 on ventilators. Hospitalizations dropped slightly while the number of patients on ventilators is unchanged.

Hospital RegionICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
East88.6%44.6%89.6%26.7%
North80.8%28.5%88.0%13.1%
North Central96.4%58.9%75.7%26.3%
Northwest92.3%38.3%95.4%24.6%
Puget Sound91.8%23.4%94.6%14.4%
South Central85.7%34.9%83.2%25.4%
Southwest74.3%37.3%88.3%24.9%
West89.1%31.4%87.6%21.8%
Hospital status by region – September 30, 2021 – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%

There was very little change in the status of Hospital Regions.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Bellevue (6**)
– Big Picture (1*)
– Chinook (1*)
– Eastgate (1*)
– Enatai (3*)
– Highland (3*)
– Interlake (3*)
– Lake Hills (3*)
– Newport (4*)
– Newport Heights (1*)
– Puesta del Sol (1*)
– Sammamish (1*)
– Sherwood Forest (2*)
– Spiritridge (1*)
– Stevenson (1*)
– Tillicum (1*)
– Wilburton (2*)
– Woodridge (3*)
None
Lake WashingtonYELLOW– Alcott Elementary (1*)
– Barton Elementary (1*)
– Dickinson/Explorer Elementary (2*)
– Ella Baker Elementary (3*)
– Eastlake High (1*)
– Evergreen Middle School (1*)
– Franklin Elementary (2*)
– Finn Hill Middle School (1* – see below)
– ICS (1*)
– Inglewood Middle School (2*)
– Juanita Elementary (1*)
– Kamiakin Middle School (3* – see notes below)
– Keller Elementary (2*)
– Kirkland Middle School (1*)
– Lake Washington High (1*)
– Lakeview Elementary (3*)
– Muir Elementary (1*)
– Redmond Middle School (1*)
– Redmond High School (1*)
– Renaissance Middle School (1*)
– Rush Elementary (2*)

See notes below
None
NorthshoreRED– Arrowhead Elementary (14)
– Canyon Creek Elementary (31**)
– Canyon Park Middle School (12**)
– Cottage Lake Elementary (17)
– East Ridge Elementary (16)
– Fernwood Elementary (13**)
– Frank Love Elementary (30)
– Hollywood Hills Elementary (29)
– Inglemoor High School (8)
– Innovation Lab High School (11)
– Kenmore Elementary (13)
– Kenmore Middle School (49**)
– Kokanee Elementary (60)
– Leota Middle School (6)
– Lockwood Elementary (32)
– Maywood Hills Elementary (21**)
– Moorlands Elementary (48)
– North Creek High School (27)
– Northshore Middle School (17**)
– Ruby Bridges Elementary (9)
– Secondary Academy for Success (16)
– Shelton View Elementary (20**)
– Skyview Middle School (63**)
– Sunrise Elementary (23)
– Timbercrest Middle School (44)
– Wellington Elementary (74)
– Westhill Elementary (38)
– Woodin Elementary (17**)
– Woodinville High School (23)
– Woodmoor Elementary (23**)
– Bothell High School (14*/137)
– Crystal Springs Elementary 11*/45)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than 10 active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.

in the Northshore School District, Bothell High School currently has 14 confirmed COVID cases between students and faculty and Crystal Springs Elementary has 11. The number of quarantined students at Bothell High school swelled to 137.

The Bellevue School District updated its COVID dashboard overnight. The district will be providing updated data daily, but no longer reports on the number of students and faculty quarantining.

We received a confirmed parent report on Wednesday of one new COVID case at Finn Hill Middle School with 52 students moved to quarantine.

We received a confirmed parent report on Thursday of two new COVID cases at Kamiakin Middle School with 27 additional close contacts.

We received a parent report on Thursday of one new COVID case at Old Redmond Schoolhouse (preschool) with an unknown number of close contacts.

Because Lake Washington doesn’t update its dashboard daily, we are adding these as footnotes. We have not added the Old Redmond Schoolhouse to the scorecard above because it is not officially listed on the Lake Washington School District dashboard.

A 4th-grade teacher in the Kelso School District has died, district officials said, later adding that her classroom of 21 students is quarantining over positive COVID-19 cases through October 11.

Karen James, who taught 4th Grade at Barnes Elementary, died on Monday, September 27, according to the Kelso School District.

A district spokesperson said they could not comment on the cause of death, however, they later said, “Late yesterday [Thursday, Sept. 30] afternoon we learned of one additional positive COVID-19 case in Miss James’ classroom.”

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

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 110,010 new cases, 2,718 deaths nationwide, and 699,000 COVID-related deaths since February 29, 2020. Based on the Johns Hopkins University data, the United States will reach 700,000 confirmed COVID-related deaths tomorrow morning (other dashboards reported 700,000 deaths last night and earlier today).

Merck seeking FDA Emergency Use Authorization for pill that treats mild and moderate COVID

Merck and Ridgeback Biotherapeutics have been studying an oral antiviral medicine called molnupiravir which, during Phase 3 testing, reduced the risk of hospitalization and death by 50%. Phase 3 testing has been so successful Merck is submitting an application for Emergency Use Authorization in the United States and plans to submit marketing applications to other regulatory agencies worldwide.

The test program was a randomized, placebo-controlled, double-blind, multi-site study done in 23 countries across 5 continents. There were 1,550 patients enrolled and to date, they have data from 775 people. Molnupiravir reduced the risk of hospitalization or death by almost 50% compared to the placebo group. Through Day 29, no deaths were reported in patients who received molnupiravir, as compared to 8 deaths in patients who received a placebo.

“More tools and treatments are urgently needed to fight the COVID-19 pandemic, which has become a leading cause of death and continues to profoundly affect patients, families, and societies and strain health care systems all around the world. With these compelling results, we are optimistic that molnupiravir can become an important medicine as part of the global effort to fight the pandemic,” said Robert M. Davis, chief executive officer and president, Merck.

Unlike monoclonal antibodies which must be administered in a clinical setting by injection or IV, molnupiravir is a pill that can be prescribed by a doctor and taken at home.

“With the virus continuing to circulate widely, and because therapeutic options currently available are infused and/or require access to a healthcare facility, antiviral treatments that can be taken at home to keep people with COVID-19 out of the hospital are critically needed,” said Wendy Holman, chief executive officer of Ridgeback Biotherapeutics. “We are very encouraged by the results from the interim analysis and hope molnupiravir, if authorized for use, can make a profound impact in controlling the pandemic.”

An Axios report this evening states that in the fall of 2019, an Emory University professor presented the drug to the Trump Administration. The professor reported the school had developed a new powerful antiviral medication that could treat influenza, Ebola, and many other viruses. In February 2020, as COVID arrived in the United States, the professor came forward again, asking for funding for Phase 2 and Phase 3 testing to evaluate the effectiveness of the medication against COVID. The Trump administration declined to fund the research.

Merck, in collaboration with Ridgeback Bio, acquired the drug in July of 2020.

The drug could be a game-changer in the battle against COVID worldwide. Pills are easier to transport and store, don’t need preparation, and don’t need to be administered at a hospital or clinic. The medication is also being tested as an emergency preventative for individuals exposed to COVID but who have not tested COVID positive. The impact for the immunocompromised and elderly could be dramatic.

Approval by the FDA and ramping up distribution is likely months away. If molnupiravir can deliver these results globally, it has the potential to end the ongoing public health crisis. If Emory University has successfully created a broad-spectrum oral antiviral, this discovery has the potential to rival penicillin.

JetBlue requiring employees to get COVID vaccination

JetBlue Airways Corp. told workers that two provisions in a recent federal mandate mean they must get fully vaccinated against COVID-19, possibly as soon as December 8. The east coast-centric airline joins United, Hawaiian Airlines, and Alaska Air Group in mandating vaccination for its employees.

Supreme Court Justice Brett Kavanaugh tests positive for COVID

Supreme Court Justice Brett Kavanaugh has tested positive for COVID-19, according to a story on CNN. This is the first publicly known case of coronavirus among the high court’s justices.

Kavanaugh, who is fully vaccinated, tested positive on Thursday night, the court said in a statement. The justice’s immediate family tested negative and he has no symptoms.

His positive diagnosis for coronavirus means he won’t be on the bench Monday, the start of the new term, and what would be the first in-person session with all nine justices.

Alaska

Alaska reported 1,044 new COVID cases today and a new case rate of 1,066 per 100,000 residents, indicating that the state may have hit a peak. The remote state continues to have the highest new case rate on the planet. Hospitals in Anchorage Bethel, and Valdez continue to operate under crisis standards of care protocols.

The 202 hospitalized COVID patients are essentially unchanged from yesterday. The number of available ICU beds jumped to 23 and the number of ICU patients dropped to 107. There are 83 ICU patients on ventilators, 35 with COVID.

Amanda Frey, a nurse at Fairbanks Memorial Hospital, sat down after a long day at work recently and made a brief video describing what it’s like to die with COVID-19: gasping for breath, terrified and beyond comfort.

In a story reported by the Anchorage Daily News, she painted a grim and immediate picture of deaths occurring almost daily at the hospital, largely among unvaccinated people.

“COVID-19 patients that die transition from being OK to actively dying very suddenly, and often without warning. They start to experience a state of panic and air hunger that is very difficult to manage and causes severe anxiety,” Frey says. “The medications that we usually use for patients at the end of life don’t help as much with COVID-19 patients when they’re dying. So what we’re seeing are deaths that are not only isolated but they’re also very traumatic.”

California

California will require students attending school in-person to get vaccinated for Covid-19 after the Food and Drug Administration grants full approval for their age group, Gov. Gavin Newsom announced Friday.

Newsom’s latest order, the first of its kind nationwide, will roll out in two phases for students learning in person. The mandate will first take effect for students ages 12 and over after the FDA grants full approval to that entire age group.

California is the first in the nation with a statewide vaccination mandate for primary school students. Implementation depends upon fully FDA approval of at least one of the COVID vaccines for children 12 to 15. Although no date has been set, full approval is expected during the first half of 2022.

Colorado

At least 92% of Denver’s municipal employees were vaccinated against COVID-19 as of Friday, a day after the city’s vaccine mandate took effect in a bid to slow the spread of the virus during the fall and winter, according to a review of city compliance data.

The AP reported that almost 99% of the city’s 10,869 full-time employees were fully vaccinated or had an exemption accepted.

Idaho

Idaho reported 1,778 new cases yesterday and 24 deaths as the state continue to operate under “crisis standards of care” without a load management agreement between hospitals.

Earlier this week, we blasted Jordan Herget, the CEO of Portneuf Medical Center, for reporting that the hospital in Pocatello was operating normally and they didn’t expect to have to move to crisis standards of care. From ambulance bays to emergency departments, any medical professional can tell you the worst thing you can say aloud is, “gee, it sure is quiet tonight.”

On the afternoon of September 24, PMC had about 10 patients with COVID on ventilators. The number of patients needing mechanical ventilation almost doubled during the ensuing hours. In response, PMC requested seven more ventilators from its parent company, Ardent Health Services, said Dr. Dan Snell, PMC’s chief medical officer.

“Our situation hasn’t improved. A week later we’re very much in an emergency just like we were a week ago and our staff are being pushed to our limits,” Hergett said.

KTVB reported across the St. Luke’s Health System 264 of their 607 patients admitted to the hospital are COVID positive. 66 of the 78 patients in the ICU are COVID patients and 97% of the COVID patients in the ICU are unvaccinated.

“In our adult ICUs, our youngest patient today is 22 years old,” St. Luke’s Chief Medical Officer Dr. Jim Souza said. “About 70% of our patients are 55 years or younger in the intensive care unit. And in the intensive care unit, 25% are younger than 40. They’re sicker. They’re staying longer. The average length of stay in the ICU is up by two whole days, and their mortality rate is significantly higher than it was in the December surge.”

The VA Hospital in Boise requested a mobile morgue to support the hospital facility which is at capacity. Idaho has struggled with the influx of corpses in the last two weeks. Officials have been forced to stack bodies, store them in railroad cars, and store embalmed bodies in non-refrigerated areas.

Maine

Tom Edge, a retail pharmacy manager for Pen Bay Medical Center in Rockport, Maine, said he’s refused to fill six prescriptions for ivermectin in the last month, according to the Portland Press Herald.

Typically, ivermectin is rarely used on humans, Edge said, and he filled only three legitimate prescriptions for the drug in the past year. The most recent prescriptions he’s received came from out-of-state doctors, he said, “which is always a little bit of a red flag anyway.”

When he looked up one prescriber online, Edge found a list of doctors that people can call and, for a fee, get a consultation over the phone and then a prescription for ivermectin.

Montana

While the hallways of the Billings Clinic are lined with COVID patients and the hospital in Helena has operated under crisis standards of care for two weeks, Elsie Arntzen, the Republican state superintendent at the Montana Office of Public Instruction spoke at a “medical freedom” rally.

Asked later if she felt that speaking at an event where the tone seemed overwhelmingly against school boards that have voted to install mask mandates, Arntzen said, “I don’t believe this disrespects anyone in the educational community.”

“My role is here,” she continued. “My role is, number one, in the healing process in the discord we have between the school board room, where they might be in Montana, and to parents, whoever they might be, and putting the emphasis on children.”

Montana reported 962 new cases and 8 more deaths today, but not much else in the form of data.

New York

The Supreme Court on Friday declined to block New York City’s requirement that public school teachers receive COVID-19 vaccinations, marking the second time the nation’s high court has declined to wade into the issue. 

A group of teachers in New York had asked the Supreme Court for an emergency injunction to block implementation of the mandate, which required them to receive a shot by 5 p.m. Friday or face suspension without pay when schools open Monday.

Associate Justice Sonia Sotomayor denied the emergency request without comment. A federal appeals court earlier in the week permitted New York’s mandate.

The Supreme Court ruled in 1905 in Jacobson vs Massachusetts, that municipalities, counties, and states had the power to mandate vaccines as part of public health efforts. The decision has been litigated dozens of times over the last 116 years, as recently as August.

When an emergency filing is made with the court, the Justice that is assigned to that region can render a decision or request that the entire court to hear the case. In August, Associate Justice May Comey-Barrett ruled independently on a challenge filed by students at the University of Indiana. Justice Comey-Barrett also denied the appeal without comment.

In the landmark 1905 case, the Supreme Court ruled that the 10th Amendment gave states the power to make public health decisions.

Wyoming

Wyoming hospitals are reporting 210 COVID patients hospitalized, 50 on ventilators, and 35 ICU beds available statewide. Wyoming has 37 hospitals including Veteran’s Administration facilities and 15 have available ICU beds.

Misinformation

It’s just a cold. It’s just the flu. Content warning, some viewers may find this disturbing.

Tik Tok user Mae Mae documented her hospital journey in August and September after she caught COVID. She was partially vaccinated when she became ill and ended up hospitalized. In her videos, her condition continued to deteriorate, and the cannula she is wearing indicates she was on high flow oxygen.

You read stories from respiratory therapists, nurses, and doctors of COVID patients who become exhausted as they struggle to breathe – but we don’t see it. Mae Mae went to the line of needing to go on a ventilator before she bounced back.

This is COVID – this is what it looks like. It is not a cold, it is not the flu. Mae Mae survived and is still dealing with lingering symptoms.

DOH reporting hospitalization data again – local and national update for September 30, 2021

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

[KING COUNTY, Wash.] – (MTN) Six days after our story about data missing since August on the COVID dashboard from the Washington Department of Health, a significant amount of information was returned. The appearance of granular hospitalization data has enabled us to better understand the situation in Washington state.

New cases dropped statewide except in the least vaccinated counties. The three most vaccinated counties have new case numbers below 100 (7 day moving average) while the least vaccinated county has the highest new case rate in the state.

There are an estimated 615 acute care and 132 ICU beds available statewide, and approximately 55% of COVID patients in the ICU are on a ventilator.

Organizers of an anti-mandate rally failed to gather a crowd for the planned march, and the day was uneventful on First Hill and at Harborview Medical Center. It’s possible the high vaccination rate among healthcare professionals was a factor.

We received information on new COVID cases in the Lake Washington School District from parents.

In regional news, there is a good news story out of Idaho tonight, although the Hunger Games continue. The surge in Alaska is relentless, while Montana remains on the edge of a knife.

In national news, in-home rapid COVID tests aren’t as accurate as you think, rural America is being decimated by COVID, Health and Human Services clarifies that your employer is not violating HIPAA when it asks to confirm your vaccination status, and another study out about long COVID indicates this will be a problem for years to come.

In misinformation, we examine a Zero Hedge blog that claims that a Pfizer therapeutic in testing for COVID symptoms is essentially the same drug as Ivermectin.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 30, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 30, 2021

Washington state COVID update

Jefferson and King County reported under 100 new COVID cases per 100K residents using the 7 day moving average, joining San Juan County in dropping to double digits. Simply put, the three most vaccinated counties in Washington have the lowest number of new cases.

New cases dropped statewide except in the least vaccinated counties. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, the 14 day moving average for new cases plunged to 707.1 per 100K. The Puget Sound (Central) Hospital Region, which represents King County, held steady at 245.1.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
60.00% or above (3)175.5
50.00% to 59.99% (12 counties)505.4
40.00% to 49.99% (15 counties)645.4 (down)
28.40% to 39.99% (9 counties)735.4 (up)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 29, Washington’s statewide 14-day rolling average is 422.8 COVID cases per 100K, statistically unchanged from yesterday. New case rates were flat or down for all but the least vaccinated counties.

The only county in the 1,000.0 to 1,399.9 range is Stevens (1,014.8), which is also the least vaccinated. The county’s new case rate is more than 17 times higher than San Juan, the highest vaccinated county in the state.

Counties in the 800.0 to 999.9 per 100K range include Franklin, Garfield, Grant, Grays Harbor, Lincoln, and Okanogan. Adams and Pend Oreille are just under the 800 threshold.

New cases were statistically unchanged in every age group. Hospitalizations were down slightly for ages 20 to 49, and up slightly for ages 65 to 79.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11189.80.7
Ages 12-19206.71.7
Ages 20-34191.25.1 (down)
Ages 35-49192.89.2 (down)
Ages 50-64140.715.1
Ages 65-79100.019.5 (up)
Ages 80+106.931.2
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 63 deaths on Wednesday. The state of Washington is not reporting the percentage of positive cases.

Antivax protest at Swedish and Harborview Medical Center doesn’t materialize

Despite the promotion on multiple websites, coordination by several organizations, and plans shared on Facebook, Telegram, and some dark corners of the web, the anti-vaccination community took a loss today. After a large rally in Spokane and a “Town Hall” in Woodinville over the weekend, organizers could not rally groups to protest at the only Level 1 trauma center in the state.

Lewis County Commissioner Gary Stamper dies of COVID

Q13 Fox is reporting Lewis County Commissioner Gary Stamper died from COVID after a three-week battle at PeaceHealth hospital in Vancouver, he was 67 and vaccinated.

Travel Advisories

We recommend avoiding recreational travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties. If the number of new cases in the South Central Hospital Region continues to decline, we will likely lift our advisory for this region in the next 4 to 11 days. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

We may implement a travel advisory for Eastern Washington, based upon renewed hospitalization data now available from the Department of Health.

Thank you

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

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

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

Vaccination

Deadline for single dose Johnson & Johnson vaccine and second dose for Pfizer and Moderna vaccine looms for state workers

Thousands of state workers have until Sunday to receive their second Pfizer or Moderna dose or the single-dose Johnson & Johnson vaccine. Over 68% of state workers reported last week they were fully vaccinated. Data from companies, schools, and other states such as Hawaii and New York, indicates final acceptance would likely exceed 95%.

Multiple unions have reached agreements at a municipal, county, or state level, to extend the deadline past October 18 for individuals who received at least their first dose. Additionally, workers with denied exemptions requests will be given extra time.

Pfizer vaccine booster shots are now available

Booster shots for eligible individuals are now available statewide. Individuals who received both doses of the Pfizer vaccine more than 6 months ago, are 65 or older, or are immunocompromised can receive their third dose immediately.

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

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

King County, Washington is reporting over 86.2% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.

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

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

Malcontent News

Hospital Status

The Department of Health is reporting numbers on statewide hospital resources and providing information by Hospital Regions again. We have deep insight into the situation at a state and regional level.

According to the DoH COVID Dashboard, 19.0% of all acute care patients hospitalized in Washington have COVID. Currently, 91% of all staffed acute care beds are occupied with approximately 615 available.

ICUs are at 89.0% of capacity statewide, with 30.0% of ICU patients fighting COVID – an estimated 358 patients with 55% on ventilators. The state has an estimated 132 staffed ICU beds available. On a per-capita basis, staffed ICU bed availability in Washington is only slightly better than in Alaska, so the system remains very stressed.

The 7-day rolling average hospital admission rate for new COVID patients dropped slightly to 133. The Department of Health reported 1,288 COVID patients statewide on September 29 with 197 on ventilators. Both numbers increased slightly from yesterday.

Hospital RegionICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
East89.3%45.5%90.1%27.3%
North80.9%27.0%88.4%13.1%
North Central96.9%59.0%75.8%27.2%
Northwest92.5%38.9%95.4%25.0%
Puget Sound91.6%23.4%94.5%14.7%
South Central86.1%36.5%84.3%26.4%
Southwest73.1%38.3%88.1%25.0%
West88.8%32.4%87.7%22.6%
Hospital status by region – September 30, 2021 – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%

With the return of this critical information, we can better assess region by region status. We will hold our travel advisories and watch for trends in the East, North Central, and South Central Regions. It is very likely we will drop the travel advisory to South Central counties next week, but may add an advisory to the East Region counties.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Bellevue (1)
– Eastgate (1)
– Enatai (4)
– Lake Hills (3)
– Sherwood Forest (7)
None
Lake WashingtonYELLOW– Alcott Elementary (1*)
– Barton Elementary (1*)
– Dickinson/Explorer Elementary (2*)
– Ella Baker Elementary (3*)
– Eastlake High (1*)
– Evergreen Middle School (1*)
– Franklin Elementary (2*)
– Finn Hill Middle School (1* – see below)
– ICS (1*)
– Inglewood Middle School (2*)
– Juanita Elementary (1*)
– Kamiakin Middle School (3* – see notes below)
– Keller Elementary (2*)
– Kirkland Middle School (1*)
– Lake Washington High (1*)
– Lakeview Elementary (3*)
– Muir Elementary (1*)
– Redmond Middle School (1*)
– Redmond High School (1*)
– Renaissance Middle School (1*)
– Rush Elementary (2*)

See notes below

NorthshoreRED– Arrowhead Elementary (16)
– Canyon Creek Elementary (25**)
– Canyon Park Middle School (11**)
– Cottage Lake Elementary (15)
– Crystal Springs Elementary (54**)
– East Ridge Elementary (23)
– Fernwood Elementary (13**)
– Frank Love Elementary (29)
– Hollywood Hills Elementary (27)
– Inglemoor High School (8)
– Innovation Lab High School (11)
– Kenmore Elementary (12)
– Kenmore Middle School (49**)
– Kokanee Elementary (61)
– Leota Middle School (5)
– Lockwood Elementary (32)
– Maywood Hills Elementary (21**)
– Moorlands Elementary (49)
– North Creek High School (26**)
– Northshore Middle School (14**)
– Ruby Bridges Elementary (9)
– Secondary Academy for Success (15)
– Shelton View Elementary (20**)
– Skyview Middle School (68**)
– Sunrise Elementary (23)
– Timbercrest Middle School (46)
– Wellington Elementary (74)
– Westhill Elementary (33)
– Woodin Elementary (18**)
– Woodinville High School (20)
– Woodmoor Elementary (22**)
– Bothell High School (13*/124)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than 10 active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.

The Northshore School District numbers only wiggled across a number of schools while the Bellevue School District is unchanged from yesterday.

We received a confirmed parent report on Wednesday of one new COVID case at Finn Hill Middle School with 52 students moved to quarantine.

We received a confirmed parent report on Thursday of two new COVID cases at Kamiakin Middle School with 27 additional close contacts.

We received a parent report of one new COVID case at Old Redmond Schoolhouse (preschool) with an unknown number of close contacts.

Because Lake Washington doesn’t update its dashboard daily, we are adding these as footnotes. We have not added the Old Redmond Schoolhouse to the scorecard above because it is not officially listed on the Lake Washington School District dashboard.

We continued to encourage parents to request the Bellevue and Lake Washington School Districts to improve their COVID data reporting.

The Kent Reporter stated the Kent School District closed a classroom at Panther Lake Elementary School due to COVID.

“As of (Wednesday) September 29 one classroom is closed,” according to the district’s COVID-19 dashboard and school status map. “Otherwise, the building is open and offering in-person instruction to students in the remaining classrooms. The school contacted all impacted families of the closed classroom on September 29.”

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 123,269 new cases and 2,531 deaths nationwide. The United States will reach a tragic milestone of 700,000 confirmed COVID-related deaths since February 29, 2020, this weekend.

At-home rapid tests aren’t as accurate as PCR tests

The at-home antigen tests that produce results in minutes — and are more comfortable because you don’t have to swab your nose deeply — detect certain proteins in the virus. However, the tests can provide false negatives according to a report by the Kansas City Star.

Dr. Rachel Liesman, director of clinical microbiology, said there haven’t been a lot of false positives reported with the rapid tests.

“If you’re symptomatic it will give you a really quick result and that can be helpful,” she said. “But I think given … the potential ramifications of missing a case, I would recommend that if you get a negative (and you have COVID symptoms), you go and get a PCR test because those have much better sensitivity.

Center for Infectious Disease Research and Policy report indicates COVID is decimating rural America

Rural Americans are currently twice as likely to die from COVID-19 infections compared with their urban peers, according to Kaiser Health News and data from the Rural Policy Research Institute (RPRI) at the University of Iowa.

Since March 2020, 1 in 434 rural Americans has died from COVID-19, compared with roughly 1 in 513 urban Americans. And unlike deaths in urban areas, the vaccine rollout has not slowed COVID-19 fatalities in rural parts of the country due to low uptake. Short-staffed hospitals and limited access to healthcare are also contributing factors, the researchers say.

Virus incidence rates in September were roughly 54% higher in rural areas than elsewhere, and in 39 states, rural counties had higher rates of COVID than urban counties.

In related news, health officials in Idaho, a predominately rural state with some of the lowest vaccination rates in the country, said more kids and babies are being hospitalized with COVID-related complications. As of this week, 1,700 new COVID-19 cases were reported in children in Idaho, according to the Associated Press.

Health and Human Services Releases Guidance on employer verification of vaccination status and HIPAA

The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) issued guidance to help the public understand when the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule applies to disclosures and requests for information about whether a person has received a COVID-19 vaccine.

The guidance reminds the public that the HIPAA Privacy Rule does not apply to employers or employment records. This is because the HIPAA Privacy Rule only applies to HIPAA-covered entities (health plans, health care clearinghouses, and health care providers that conduct standard electronic transactions), and, in some cases, to their business associates.

Today’s guidance addresses common workplace scenarios and answers questions about whether and how the HIPAA Privacy Rule applies. This information will be helpful to the public as we continue to navigate the COVID-19 pandemic.

China study on long COVID mirrors results of similar studies in the United States and U.K.

Among thousands of the earliest survivors of COVID-19 in Wuhan, China, nearly half had at least one persistent symptom a full year after being released from the hospital, according to a new study published in JAMA Network Open.

The study followed up with 2,433 adult patients who had been hospitalized in one of two hospitals in Wuhan early on in the pandemic. Most had nonsevere cases, but a small number had severe COVID-19 and required intensive care. All of the patients were discharged between February 12 and April 10, 2020, and the study follow-up took place in March of 2021.

Alaska

Alaska reported 1,270 new COVID cases today and a new case rate of 1,165 per 100,000 residents. The remote state continues to have the highest new case rate on the planet. Hospitals in Anchorage, Bethel, and Valdez are operating under crisis standards of care protocols.

“It’s been Hell,” said Heidi DeCaro, a respiratory therapist at Providence Alaska Medical Center, whose job includes assisting COVID-19 who are struggling to breathe.

In a Thursday interview, DeCaro and a few of her co-workers described generally untenable work conditions. The team has been caring for up to twice their normal patient loads, their shifts have stretched as long as 15 hours, and they’ve lost “about a third” of their co-workers due mainly to burnout, exhaustion, and a demoralizing work environment, they said.

The 203 hospitalized COVID patients are essentially unchanged from yesterday. The number of available ICU beds dropped to 16. Of the 113 ICU patients statewide, 87 are on ventilators, 36 with COVID. The majority of new cases are among people under 40 years old and unvaccinated.

Linda Gaines talked to KTOO about the situation in Haines, Alaska, after her husband was airlifted to Anchorage. Some models are now predicting hospitalizations won’t peak until November, and oxygen supplier Norco, Inc. is already struggling to keep up with demand.

“As I went up into the lobby area, there was probably 50 more people standing to get into the emergency room,” she said. “And then going outside, there was more people in the parking lot, waiting to get up to the main entry to go to the emergency room.”

Doug Williams of Guardian Flight described a similar situation ground ambulances face in urban hotspots. Aircraft that would normally arrive, load, and fly off are forced to wait on the tarmac while doctors try to find a bed for a sick patient. This takes the aircraft offline while it waits, slowing down the entire system.

California

The deadline for healthcare workers to get vaccinated has almost arrived, and in Sacramento, hospitals are preparing to discipline and terminate employees.

Kaiser Permanente said 90% of employees have reported they are vaccinated, including 97% of doctors, in a report by KCRA. Employees still have until December 1 before they risk termination.

Dignity Health also reported about 90% of employees are vaccinated and employees suspensions will start tomorrow. Sutter Health said 98% of employees are vaccinated in a system with more than 55,000 employees. Sutter Health will terminate “out of compliance” employees on October 15.

UC Davis Health told KCRA that 94% of more than 15,000 employees are vaccinated. Between exemption requests and partially vaccinated employees, a spokesperson said about 50 employees have not gotten vaccinated in defiance of the requirement.

Idaho

Idaho reported 1,905 new cases yesterday and 53 deaths. Hospitalizations have dropped to around 750, and the number of patients in the ICU has dropped to just below 200. It is unclear if this improvement is due to deferring patient procedures such as elective surgery, due to crisis standards of care rules, people following misinformation to not go to hospitals or a plateauing of cases.

“While there is not an immediate shortage of oxygen, there is a tremendous amount of growing stress to the supply chain network,” Elias Margonis, President of Norco, Inc. wrote in a letter. “Many hospitals have already pushed their bulk storage systems to limits of requiring emergency upgrades.”

In an interview with the Idaho Statesman, Margonis said Norco’s storage systems are generally designed to require shipments of new oxygen every three weeks or, in some cases, every six weeks. These days, many hospitals that Norco supplies are needing new shipments every three or four days, and some have had to use their reserve tanks.

The gaps between the haves and have nots extend into the universe of COVID. People with means and resources cant get monoclonal antibody treatments through private clinics and send their children to private and charter schools, which ironically, support remotely learning, mask mandates, and vaccination requirements for staff.

Charter school enrollment increased by more than 6,000 students for the 2020/2021 school year–the first academic year fully consumed by the pandemic.

Jenn Thompson, the Director of the Idaho Public Charter School Commission says population growth makes that seem like a big increase, but it’s only a roughly 1% increase from the previous academic year.

“About 60% of the growth we saw last year was very specifically parents enrolling in virtual schools and the data we can look at right now is about half of that is holding,” Thompson said.

Idaho state representative Greg Chaney is mourning the loss of his mother, who died of COVID less than a week after becoming symptomatic. Chaney said his mother, who was 74, was unvaccinated.

“(My mom) wasn’t gullible, and I guess that’s one thing I’ve tried to make clear,” Chaney told KTVB. “She was the first in her family to graduate with a bachelor’s degree, she got a master’s degree, so she was an intelligent person who made her own decision.”

Rep. Chaney said he believes that his mom was misled by misinformation

“I think she was skeptical about whether it was really as bad as it was billed to be,” Rep. Chaney said. “I think she viewed it as ‘I’ve been through a lot of stuff in my time on this planet and this is just another thing in the stuffing box.'”

“I think there was enough out there that validated her skepticism.”

Kay Craig, a physical therapist who has worked for St. Luke’s for more than 28 years, applied for a religious exemption for the COVID vaccination and had it approved.

In an interview with KTVB, she discussed a change of heart after seeing the reality first hand and doing her own research. After Craig traveled out of town for surgery and returned, she saw firsthand how the pandemic was overwhelming Idaho’s hospitals. 

“I didn’t believe them when they said it was 98% or 96% unvaccinated and through my own research, it truly is,” she said. “I looked in the ICU today and it’s 27-year-olds, it’s 33-year-olds, it’s 60-year-olds. I had another good friend and her brother-in-law died at 40.” 

At this point, Craig decided she had seen enough and received the Johnson & Johnson COVID-19 vaccine.

“I have peace now. It’s funny, there are some like my parents. They never said anything to me but now that I am vaccinated they are like, ‘Phew’ you know? Because you worry about your kids.”

Indiana

The Indy Star is reporting Megan Bournique is suing Ascension St. Vincent hospital for refusing to administer Ivermectin to her critically ill mom.

The emergency lawsuit asks a judge to intervene and order the Indianapolis hospital to respect a prescription for ivermectin issued to Eliot by a physician assistant named Maria Carson, according to the lawsuit.

Marion Superior Judge Kurt Eisgruber ordered Ascension St. Vincent to give Eliot the drug pending a response to the lawsuit by the hospital. After lawyers representing the hospital challenged the order in court Wednesday, Eisgruber backtracked with a new order saying Ascension St. Vincent did not have to give Eliot the drug.

The largest study to date on the effectiveness of Ivermectin found it had no effect and was contraindicated for patients with moderate to severe COVID.

Also reported by the Indy Star, Governor Eric Holcomb renewed the state’s public health emergency order once again on Thursday.

The extension comes one day after state health officials offered cautious optimism with the state’s waning COVID-19 trends, including decreasing cases and hospitalizations. State Health Commissioner Dr. Kris Box emphasized, however, that they do not expect these declines to be “linear.”

“We may see cases bounce back up and bounce back down,” Box said. “If you look at other states, that’s what they see — kind of a ‘sawtooth’ pattern. That is the nature of this disease.”

Michigan

The Republican legislature put language in the 2022 budget signed by Governor Gretchen Whitmer, rescinding funding to any county or school system that independently declares a public health emergency. Multiple counties and school districts are ending quarantine rules and mask requirements out of fear of losing education dollars from the state.

May the odds ever be in your favor.

Montana

Montana reported its 2,000 COVID death last night, with the official total at 2,009 this evening. Governor Greg Gianforte released a statement according to the Montana Free Press. High blood pressure and diabetes were each recorded as a factor in about 1 in 5 of the state’s 2020 COVID-19 deaths. Chronic lung disease was a factor in about 1 in 7. Dementia was a factor in about 1 in 9.

“The governor joins all Montanans whose hearts go out to the family, neighbors, and friends of those we have lost to the virus,” the statement read. “As the governor has said repeatedly, vaccination remains the best solution to protect ourselves and our loved ones from the virus, and we continue to make progress with the millionth dose of vaccine administered in the state yesterday.”

It continues to be very challenging to get meaningful information out of the state of Montana. The state reported 1,217 new cases with 415 hospitalized. The Department of Health and Human Services did report that over 88% of the people hospitalized and 83.5% of confirmed COVID-related deaths were unvaccinated.

New York

Spectrum News reported a group of New York City teachers asked the U.S. Supreme Court for an injunction to stop the city from enforcing its COVID-19 vaccine mandate, court records show.

The emergency injunction request was filed Thursday, a day before Department of Education employees must receive at least their first COVID-19 shot to continue working.

“While a temporary interruption of work is not actionable, the mandate here would have a permanent effect: it is open-ended, where if a teacher never gets vaccinated, he or she will never be able to return to work,” the plaintiffs said in their petition.

The petitioners say an immediate injunction is necessary, arguing the “Court will lose the opportunity to provide meaningful relief” to public school employees if it does not issue an injunction before the Friday 5 p.m. deadline for DOE staff to get their first shot.

The Supreme Court has reviewed other emergency case requests from students and faculty and rebuked all challenges. The Supreme Court case of Jacobson vs. Massachusetts in 1905 found that municipalities, counties, and states can mandate vaccinations as a matter of public health, and the case law has been challenged multiple times.

Oregon

KOIN reported hospitals in Oregon continue to be nearly filled. There are 816 COVID patients hospitalized across the state, with 231 in the ICU. Only 10% of ICU beds are available, and only 8% of non-ICU beds.

The state recorded another 1,896 new cases and 20 deaths.

Oregon also reported similar data to Washington state and national data from the CDC on breakthrough cases. Of all the breakthrough cases, only 4.6% of people were hospitalized and less than 1% died. The average age of vaccinated people who died was 80.5.

Tennessee

Tennessee leads the nation in delicious Whiskey, country music, some of the friendliest people you can meet, Nissan Altimas, and COVID-related school closures. If you think we’re being flippant, the Tennessean shares our tone.

“Unsurprising to many students and parents, Tennessee has seen the most COVID-related school closures so far this school year according to a new Centers for Disease Control and Prevention study published.”

From August 2 to September 17, Tennessee saw more than 400 schools close for at least one day, according to the study released last week.

Utah

Utah Governor Spencer Cox said Thursday the state appears to be headed toward the “other side” after several weeks of a COVID-19 surge in a story by KSL.

“Over the last 14 days, our positive tests are down about 20% in the state, and so there are good indicators that we have summited the peak of the delta variant,” Cox said during his monthly PBS news conference.

Meanwhile, on Thursday, the Utah Department of Health reported 1,704 new coronavirus cases and 12 deaths.

The rolling seven-day average for positive tests is now 1,355 per day, and the percent positivity rate of those tested is 14.2%.

Governor Cox also warned Utah lawmakers if they approve a bill to ban businesses from requiring COVID vaccinations, it won’t make it past his desk. When a reporter asked if the bill landed on his desk if it would be, “dead on arrival,” the governor said, “yes.”

“We support businesses in their decisions on whether or not to require vaccines, and I continue to do that,” the governor said during his monthly PBS Utah news conference.

“I know that position can be maddening to some, and that’s fine. But I’m a huge believer in free markets, and a mandate not to allow businesses to have mandates is a mandate in and of itself, and it’s government still telling businesses what they can and can’t do. And I’m opposed to that. I think that businesses should be able to have a mandate.”

Wisconsin

Wisconsin Public Radio is reporting state senator André Jacque was released from the hospital more than three weeks after being placed on a ventilator because of a COVID-19 infection.

Jacque, a Republican from De Pere who has been a vocal opponent of mask and vaccine mandates, tested positive for the virus last month.

“He and his family wish to thank everyone for the prayers and good wishes that are making his recovery possible,” a spokesperson for the senator said Tuesday. “Sen. Jacque is doing much better; he is in touch with his staff on legislative and district issues, and he is reaching out to his friends and colleagues.”

Jacque will continue respiratory and occupational therapy, but he’s feeling well mentally, the spokesperson said in a statement.

While he was hospitalized his wife, Renée Jacque, appealed for people to get vaccinated and to place “their trust in medical professionals.”

Wyoming

Wyoming hospitals are reporting 211 COVID patients hospitalized, 43 on ventilators, and only 33 ICU beds available statewide. Wyoming has 37 hospitals including Veteran’s Administration facilities. Only 13 have available ICU beds. More alarming, over 21% of COVID tests performed at hospitals are positive.

Misinformation

The latest one on social media is a drug that Pfizer is studying that is “suspiciously similar” to Ivermectin. The misinformation is coming from a blog on Zero Hedge that claims the Pfizer drug is essentially the same as Ivermectin.

The blog post is based on an article from the Reuters news agency about a Pfizer drug known as PF-07321332. The article said Pfizer has begun a study of the pill in up to 2,660 healthy adults who live in the same household as someone with a confirmed symptomatic COVID-19 infection.

Pfizer described the drug as a protease inhibitor, which is “designed to block the activity of the main protease enzyme that the coronavirus needs to replicate.” That would stop symptoms from worsening, a spokesperson said.

Zero Hedge seized on the protease inhibitor fact, claiming “that’s exactly what ivermectin” does.

Pfizer’s protease inhibitor is not similar to that of animal medicine and does not use the same mechanism, a Pfizer spokesperson told us. 

Benjamin Neuman, the chief virologist at Texas A&M University’s Global Health Research Complex, said ivermectin’s main job is to block ion channels that parasites use to store up positively and negatively charged atoms. SARS-CoV-2 does not have any ion channels like the ones that ivermectin blocks, so there is not an obvious way for ivermectin to work in COVID-19, he said.

You can read more at Politifact, but the bottom line is, the claim is untrue.