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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.

Antivax protests ramp up as cases go down – local and national update for September 29, 2021

Photo credit – University of Washington Medicine

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 most vaccinated county in Washington, San Juan, became the first county to see the number of new COVID cases drop into an acceptable range today. Across Washington, the number of new COVID cases and hospitalizations continues to decline.

The percentage of acute care patients treated for COVID dropped below 20% for the first time in weeks, adding more evidence that the fifth wave peaked.

Protesters plan to try and enter Swedish and Harborview Medical Center tomorrow as part of a protest against vaccine mandates for healthcare workers. A large anti-mandate protest is scheduled for Sunday in Olympia and includes speakers from The Post Millenial, Turning Point USA, and failed gubernatorial candidate Loren Culp.

Washington state will start disciplining doctors and nurses who spread COVID misinformation.

The CDC urges pregnant women to get vaccinated, reporting 97% of pregnant people hospitalized are unvaxxed. The deadline to get vaccinated to meet the Washington state employee mandate arrives on Sunday.

A new study out of the U.K. indicates 36% of people who have symptomatic cases of COVID become long haulers, in the most extensive study to date.

Alaska has two more hospitals move to crisis standards of care, Idaho continues the Hunger Games while Montana takes a bold new approach to its COVID problem – stop reporting data.

If Alaska were a country, it would have the highest COVID infection rate on the planet, and if Idaho were a country, it would have the highest COVID death rate on the planet.

In misinformation, we do a rerun to the questions, “what about Israel?”

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 29, 2021.

Editor’s Note: A security upgrade took our site offline for a few hours last night. We apologize for any inconvenience. This was not related to any malicious activity but was required to fix a critical security flaw.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 29, 2021

Washington state COVID update

The first wave has ended in San Juan County, where 73.2% of the eligible population was vaccinated. The 7 day moving average for new cases dropped to 23.1 today, showing the archipelago has COVID under control.

New cases continued to drop statewide. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, the 14 day moving average for new cases decreased to 742.9 per 100K. The Central Hospital Region, which represents King County, declined to 245.1.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
60.00% or above (3)172.2 (down)
50.00% to 59.99% (12 counties)509.3 (down)
40.00% to 49.99% (15 counties)660.3 (down)
28.40% to 39.99% (9 counties)724.7 (down)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 28, Washington’s statewide 14-day rolling average is 429.8 COVID cases per 100K, the lowest number since August 18. Counties in the 1,000.0 to 1,399.9 range include Lincoln (1,049.8) and Stevens (1,069.3), the least vaccinated county in Washington. Counties in the 800.0 to 999.9 per 100K range include Franklin, Garfield, Grant, Grays Harbor, and Okanogan.

New cases were down for all ages except 50 to 64 years old, which was statistically unchanged. Pediatric patients increased while geriatric patients decreased.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11194,8 (down)0.7 (up)
Ages 12-19213.0 (down)1.7
Ages 20-34200.7 (down)5.6
Ages 35-49201.5 (down)9.9
Ages 50-64142.815.0
Ages 65-79102.5 (down)18.5 (down)
Ages 80+106.5 (down)31.5 (down)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 63 deaths on Tuesday, with data from the weekend included in the number. The state of Washington is not reporting the percentage of positive cases.

“We’re seeing some hopeful signs, and disease is still very, very high. Hospitalizations are still very, very high. Hospital admissions are still significantly higher than they were at the peak of the 3rd wave. And those are new admissions every day, and so that means occupancy is still very high. It continues to be high. And so, hospitals continue to they’re having to delay care for non-urgent procedures,” said Lacy Fehrenbach, Deputy Secretary for COVID-19 Response at the Washington State Department of Health.

Antivax protesters plan to enter Swedish and Harborview Medical Center tomorrow

At least one promoter of the Waking up Washington “Seattle March for Healthcare Workers Against COVID Mandates” is calling for marchers to enter Swedish and Harborview Medical Center to force people to “hear inconvenient truths.”

The march will start at 11:30 a.m. tomorrow, with protesters against vaccine mandates told to gather at Swedish before marching through Seattle to Harborview Medical Center.

On September 21, organizer Palmer Davis shared with her followers, “If our goal is to demand action from those inside the building, standing outside [emphasis hers] of it is kind of a waste of time.”

“What works is to get inside.” [emphasis hers]

“Face-to-face discussion forces people to hear inconvenient truths and answer inconvenient questions.”

Ms. Davis provided no additional specifics on what action could happen when they enter the hospitals, but she didn’t indicate they plan to disrupt patient care.

Available data doesn’t support large-scale resistance among the medical community over receiving the COVID vaccination. New York was the first to reach the deadline for a statewide mandate for healthcare workers. Over 92% of the state’s 692,326 impacted healthcare workers had received at least a first dose by Monday. More than 15,000 additional workers have told officials they will start their vaccination series.

Vaccination rates among patient-facing staff are even higher. The vaccination rate for nurses is estimated to exceed 97% and for doctors was almost 100%,

Large anti-vaccination protest planned in Olympia on Sunday

Local activists are planning a large anti-vaccination mandate rally at the Washington State Capitol on Sunday. Listed speakers include Ari Hoffman, writer at the Post Millenial, Katie Daviscourt of Turning Point USA, serial lawsuit filer Glen Morgan, Loren Culp, the former police chief of Republic, Washington State Representative Jim Walsh, and Winlock mayor Brandon Svenson.

“October 4s the deadline to receive the 2nd dose of the MRNA injection in order to be considered “fully vaccinated” by October 18 [sic] OctoOctober [sic] 3 thousands of State Workers and others from 1–4 p.m. as we stand united against this unreasonable and un-American mandate. Only by standing together do we have any hope of pressuring this Governor to reverse course. If he will not, then we must demand that our Representatives in the Legislature hold a special session to end this lawless and harmful action.”

The United States Supreme Court ruled in 1905 vaccination mandates at the municipal, county, and state levels are Constitutional. The court’s finding has been litigated dozens of times in the 116 years since, including August of this year. Several students at the University of Indiana filed a case with the Supreme Court over the university’s vaccine mandate. Justice Amy Coney-Barrett issued a ruling in favor of the school after determining it didn’t warrant an emergency hearing with the entire court.

About 1,700 state employees have had exemptions approved but could still lose their jobs if a non-public facing position can’t be found for them.

Washington doctors face discipline for spreading COVID misinformation

The Washington Medical Commission says practitioners who misrepresent prevention measures, including vaccines and mask-wearing or prescribe non-approved medications such as Ivermectin, will be subject to disciplinary action.

Patients concerned about a provider’s conduct can file a complaint with the commission.

Washington nurses will face the same action.

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 5 to 12 days. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

Thank you

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

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

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

Vaccination

CDC urges pregnant women to get vaccinated as deaths, premature births, and stillbirths rise among the unvaccinated

The CDC strongly recommends COVID-19 vaccination either before or during pregnancy. As of SeptemSeptember 27, more than 125,000 laboratory-confirmed COVID-19 cases have been reported in pregnant people, including more than 22,000 hospitalized cases and 161 deaths. The highest number of COVID-19-related deaths in pregnant people in a single month was reported in August 2021. Data from the COVID-19-Associated Hospitalization Surveillance Network (COVID-NET) indicate almost 97% of pregnant people hospitalized (either for illness or for labor and delivery) with confirmed SARS-CoV-2 infection were unvaccinated.

In addition to the risks of severe illness and death for pregnant and recently pregnant people, there is an increased risk for adverse pregnancy and neonatal outcomes, including preterm birth and admission of their babies to an ICU. Other negative consequences, such as stillbirth, have been reported. Despite the known risks of COVID-19, as of SeptemSeptember 18, 31.0% of pregnant people were fully vaccinated before or during their pregnancy.

Although the absolute risk is low, compared with non-pregnant symptomatic people, symptomatic pregnant people have more than a two-fold increased risk of requiring ICU admission, invasive ventilation, ECMO, and a 70% increased risk of death.

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 have reported they are fully vaccinated, and data from companies, schools, and other states such as Hawaii and New York, indicated that final acceptance would 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, 19.5% of all acute care patients hospitalized in Washington have COVID. This is the first time the Washington state hospital system is not under “severe stress” in weeks. ICUs are at 89.3% of capacity statewide, with 30.5% of ICU patients fighting COVID. Although these numbers are very encouraging, thousands of vital surgeries and other medical procedures have been delayed for months. Some hospitals are starting to do elective procedures again, which will continue to keep ICU beds full.

The 7-day rolling average hospital admission rate for new COVID patients dropped to 137. The Department of Health reported 1,267 COVID patients statewide on SeptemSeptember 2897 on ventilators.

Hospitals in Eastern and Southwest Washington remain very strained due to low vaccination rates and, to a far lesser extent, out-of-state transfer patients.

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*)
– 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 (13)
– Crystal Springs Elementary (52**)
– East Ridge Elementary (21)
– Fernwood Elementary (13**)
– Frank Love Elementary (25)
– Hollywood Hills Elementary (26)
– Inglemoor High School (8)
– Innovation Lab High School (11)
– Kenmore Elementary (12)
– Kenmore Middle School (50**)
– Kokanee Elementary (62)
– Leota Middle School (5)
– Lockwood Elementary (31)
– Maywood Hills Elementary (21**)
– Moorlands Elementary (51)
– North Creek High School (26**)
– Northshore Middle School (13**)
– Ruby Bridges Elementary (9)
– Secondary Academy for Success (12)
– Shelton View Elementary (18**)
– Skyview Middle School (75**)
– Sunrise Elementary (21)
– Timbercrest Middle School (46)
– Wellington Elementary (77)
– Westhill Elementary (30)
– Woodin Elementary (17**)
– Woodinville High School (19)
– Woodmoor Elementary (21**)
– Bothell High School (13*/121)
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 went back to status yellow, with 10 confirmed COVID cases between students and staff in the district.

We received a confirmed parent report of one new COVID case at Finn Hill Middle School with 52 students moved to quarantine. Because Lake Washington doesn’t update its dashboard daily, we are adding this as a footnote.

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 111,162 new cases and 2,543 deaths nationwide. COVID-related hospitalizations have declined to 79,000. The Pacific Northwest and Appalachia have become the new COVID hotspots, while Alabama leads the nation in per capita COVID deaths.

Dwindling COVID data is hampering efforts to track and report the real situation

The Johns Hopkins COVID Dashboard is struggling to get meaningful data, as more states purposely stop reporting.

“The fact that they created it, the infrastructure sits there, they put resources towards it, and then they decided not to make it sustainable is really concerning and just disheartening,” says Lauren Gardner, an associate professor of engineering at Johns Hopkins University. “It’s like they started going down the right path and then pulled back.”

By the first week of June, 24 U.S. states reported cases and deaths less than seven times a week, and four states reported only one to three times a week, according to JHU. More states followed suit, even as cases began to rise again due to the Delta variant. Currently, 36 states have pulled back from daily reporting, and seven of them are reporting only three times a week or less, including hard-hit Florida, which is reporting weekly.

New study finds 36% of people who had COVID are long haulers

In a study published Tuesday in the journal PLOS Medicine, researchers found that about 36% of those studied still reported COVID-like symptoms three and six months after diagnosis. Most previous studies have estimated lingering post-COVID symptoms in 10% to 30% of patients.

The study, led by University of Oxford scientists in the United Kingdom, searched anonymized data from millions of electronic health records, primarily in the United States, to identify a study group of 273,618 patients with COVID-19 and 114,449 patients with influenza as a control.

Alaska

If Alaska were a country, it would have the highest new COVID case rate on the planet, and the 1,172 new cases per 100,000 people is an improvement from yesterday. Two more hospitals, Yukon-Kuskokwim Health Corp. in Bethel and the 11-bed Providence Valdez Medical Center, announced they were implementing crisis standards of care. In Valdez, crisis standards of care only apply to patients requiring oxygen due to a shortage.

Yukon-Kuskokwim Health Corp. made the crisis care decision as many of the hospitals that typically take patient transfers in Anchorage and elsewhere continue to operate at capacity, officials said Wednesday. Hospitals in outlying areas already say they have to treat more challenging patients in-house because they can’t move them out for higher levels of care.

Dr. John Cullen described the likelihood of a much higher mortality rate “similar to a battlefield scenario” until COVID-19 cases start to drop to the Valdez City Council.

Alaska has 207 COVID patients hospitalized and 22 ICU beds available statewide – both numbers are an improvement from yesterday. Of the 106 patients in the ICU, a staggering 84 are on ventilators.

Twenty-seven-bed Fairbanks Memorial Hospital reported an infant was hospitalized with COVID, and 3 deaths overnight ranging in age from 40 to 55 years old.

More than 300 Alaska doctors and other medical professionals, who are frustrated about inaction and incivility around COVID-19, signed an open letter this week asking people to think of what’s best for their fellow Alaskans and consider getting vaccinated.

The letter signers also say they stand in solidarity with their colleagues who spoke at an Anchorage Assembly meeting earlier this month after their impassioned testimony was met with jeers and denials.

Robin Ninefeldt told Alaska Public Media, “I personally know a young gentleman who lost his life because the health aide clinic ran out of a supply of oxygen. That’s a reality. And when I talk with my colleagues who are in the ICU, you’re dealing with the people doing your very best to keep them alive through supportive therapies, watching them pass away, watching families literally erupt into screams in tears because it is tragic to have someone taken from you so quickly.”

Idaho

Boise State University has provided insight into how much impact “crisis standards of care” are having in Idaho. At the start of the surge tearing through the state, 4.04% of residents who became infected with COVID died. This is well above the region and national average and exacerbated by distrust in the medical community, uninsured residents, and significant comorbidities in the state. Today, the rate is over 9% – if Idaho were a country, it would rival Peru.

The state reported another 1,684 confirmed cases, 90 new hospitalizations, and 24 deaths today. The average age of a person with COVID has dropped to 39.7 years old, with most new cases among 18 to 29-year-olds. The situation may be worse, with the Idaho Division of Public Health needing to process 11,500 outstanding positive cases.

That backlog not only limits the accuracy of reported COVID-19 cases in real-time but also limits local public health districts in their ability to contact trace properly. According to local health districts, this backlog of cases has developed due to a lack of necessary staffing to process cases in real-time. However, hiring more staff hasn’t been easy.

“There is a stigma against public health across much of Idaho, including our district, which makes it so people don’t want to work for public health simply because they don’t want to face the harassment public health workers are facing right now,” said Brianna Bodily, public information officer for South Central Public Health District.

Idaho Governor Brad Little toured the monoclonal treatment site at the Kootenai County Fair Grounds.

“I want to remind everybody the monoclonal antibody treatment is a second to people getting vaccinated. We’ve got to get our numbers down.”

“Compared to the vaccines we’ve had before, there’s been more follow up on this vaccine than anything in history,” Gov. Little said.

Hospital officials describe border communities, like Spokane and Coeur d’Alene, as the ‘stopgap’ for ineffective Covid practices in Idaho, which Gov. Inslee mentioned during his trip to Spokane.

As nurses and doctors fought to keep a critically ill woman alive at St. Luke’s McCall Medical Center, which has just 15 beds, someone was busy painting swastikas outside. The staff is now demoralized and fearful.

“It was heartbreaking,” said Paddy Kinney, a physician and the on-duty hospitalist that night. “The timing of it was tough. Anytime you leave the hospital after you’ve worked all night trying to save somebody and you go home to your family, it’s hard to leave the hospital. You’re wondering if you could have done more or if that person is going to ultimately survive the night.

“But then to leave and be faced with that on your way out the door was really heartbreaking for people.”

“It’s disheartening to hear that our healthcare workers went from feeling like heroes to feeling at risk,” Idaho Department of Health and Welfare (DHW) Director Dave Jeppesen told reporters Tuesday.

Kootenai Health, in northern Idaho, increased security after people got into disputes with staff over masking requirements and staged protests outside the hospital. “I mean, we had a protest outside the hospital against masks and vaccines a couple of weeks ago that the patients that were dying of COVID inside could see,” Kootenai Health chief of staff Dr. Robert Scoggins said. “I think that was awful.”

Dr. Ryan Cole, who heads the public health efforts in Ada County, was blasted for making false claims that the COVID vaccine caused a twentyfold increase in cancer rates.

Cole claimed that he saw an uptick in cancers in vaccinated people, such as a “20 times increase in endometrial cancer”. However, he offered nothing in the way of data to support his claim, meaning that viewers only have his word for it.

Public health authorities haven’t reported a sudden cancer surge since the COVID-19 vaccination campaign began in the U.S. in December 2020. Furthermore, the spike that Cole alleged to be occurring would also have been observed worldwide if it were true. Yet, no reports have been corroborating Cole’s claim that people are now developing cancer at record rates.

The number of children and teens in Idaho hospitals for COVID-19 at the end of this summer was five times higher than what hospitals were seeing in June, according to data presented Wednesday afternoon in a briefing with doctors representing Saint Alphonsus, St. Luke’s, and Primary Health.

The number of hospitalized infants and children younger than five years old was ten times higher during the last week of August compared to June.

“That’s a scary figure,” said Dr. David Peterman, CEO of Primary Health Medical Group, who’s also a pediatrician.

Kentucky

Wednesday marks the highest day of COVID-19 deaths in Kentucky with 82. The second highest was on JanuarJanuary 28, with 69 deaths.

Michigan

Two Michigan residents, including a registered nurse, were arrested on Wednesday and charged with selling fraudulent COVID-19 vaccine cards.

Bethann Kierczak, 37, faces charges of theft or embezzlement related to a healthcare benefit program and theft of government property.

The complaint alleges that starting as early as May, the registered nurse distributed and sold real COVID-19 cards that had either been stolen or embezzled from a Veterans Affairs hospital. For the cards to look even more authentic, Kierczak used stolen or embezzled vaccine lot numbers for the cards, prosecutors say. Kierczak is accused of using Facebook’s Messenger feature to connect with potential buyers and sell the cards for between $150 and $200 each.

Montana

It continues to be very challenging to get meaningful information out of the state of Montana, beyond multiple hospitals operating at crisis standards of care or right to the line. The state reported more than 1,300 new cases but provided no information on total hospitalizations, ICU capacity, or the number of people on ventilators.

New Hampshire

Governor Chris Sununu condemned the actions of protesters that caused the postponement of Wednesday’s Executive Council. The protesters, part of an escalating COVID protest movement, were opposed to a state contract to expand vaccination efforts. The protesters’ yelling and threats led several state health department employees to leave the meeting under police escort.

“We will not allow our state employees to be put in harm’s way for simply doing their jobs,” Sununu said, echoing a statement he released earlier in the day. “That is not what New Hampshire is about.”

New York

Disney’s Aladdin on Broadway canceled tonight’s performance – the show’s first since reopening last night – after breakthrough COVID cases were detected within the musical’s company.

In a tweet posted shortly before 7 p.m. E.T., the production stated, “Through our rigorous testing protocols, breakthrough COVID-19 cases have been detected with the company of Aladdin at The New Amsterdam Theatre. Because the wellness and safety of our guests, casts, and crew are our top priority, tonight’s performance, Wednesday, September 29 has been canceled.”

North Carolina

3 Doors Down have begun canceling concerts on their ongoing The Better Life 20th anniversary U.S. tour that will require all artists, crew, and attendees to show proof of vaccination against COVID-19 or a recent negative COVID test. Two shows have been canceled so far.

Those concerts were originally scheduled for October 7 at the Red Hat Amphitheater in Raleigh, N.C., and October 9 at Cadence Bank Amphitheatre in Atlanta.

Virginia

A 10-year-old girl in Suffolk died Monday from COVID-19 after being tasked to walk sick children in her class to the clinic, her mother wrote on Facebook. She is the 12th youth under the age of 20 in the state to die of the virus.

Teresa Makenzie Sperry, a student at Hillpoint Elementary School, was admitted to Children’s Hospital of Kings Daughters in Norfolk and died after her heart failed, her mother, Nicole Sperry, wrote.

Misinformation

“Look at Israel.” This is a common refrain from people who claim that vaccinations don’t work. They cite Israel’s high vaccination rate and the hospitalization rate among the vaccinated population. We wrote about the data fallacy when looking at percentages for new cases, hospitalizations, and deaths when evaluating vaccination performance. Let’s pull these claims apart.

Israel is highly vaccinated. In April 2021, that statement is correct. Israel was the global leader in vaccination. By the time Delta surged in Israel, the nation had dropped to 32nd place. Today Israel is tied with Saudia Arabia and Germany in 21st place, with 67% of the population with at least one dose, narrowly ahead of the United States and behind Sweden. Globally, there are 17 nations with a vaccination rate of 70% or higher.

The United Arab Emirates, where 84% of the population is fully vaccinated, has a population similar to Michigan. The Middle East nation is reporting under 300 new COVID cases a day. The country never had a significant Delta surge.

For our analysis, we went straight to the source – The Israel Ministry of Health COVID website and its COVID Control Panel.

Israel vaccination rate from JuJune 30o September 232021

The first graphic shows the vaccination rate in Israel stalled out and barely changed over three months. The booster shot program started on JuJuly 302021, and about half of the previously vaccinated residents had received the first dose by the end of September.

Severely ill patients over 60 years old by immunization status previous 90 days

The next chart shows the impact of the Delta wave as it rolled through Israel. The number of severely ill patients, defined differently than the United States, rises quickly among the unvaccinated, representing only 33% to 36% of the population, depending on the time within the surge.

The number of severely ill patients also increases at just 25% of the peak level among the unvaccinated, despite representing 64% to 67% of the population. Finally, the number of severely ill patients over the last 3 months is negligible among residents who received a booster shot.

We know that most breakthrough cases are among people over 65 years old. Israeli doctors found the same situation.

Around half of the country’s 600 patients presently hospitalized with severe illness (AuAugust 202021) have received two doses of the Pfizer Inc shot, a rare occurrence out of 5.4 million fully vaccinated people.

The majority of these patients received two vaccine doses at least five months ago, are over the age of 60, and have chronic illnesses known to exacerbate a coronavirus infection. They range from diabetes to heart disease and lung ailments, as well as cancers and inflammatory diseases that are treated with immune-system suppressing drugs, according to Reuters interviews with 11 doctors, health specialists, and officials.

Deaths by immunization status in Israel, last 90 days, under 60 years old

What about those under 60 years old? The overall rate of death among those under 60 is almost negligible. Unvaccinated residents have a slightly higher occurrence versus those who receive two doses. Once again, the unvaccinated group represents a much smaller number of people, about 3.3 million, versus the vaccinated group of 6.5 million. There is one more thing in this graph, in the last 90 days, the total number of deaths among residents under 60 who received a booster shot is 3.

Current hospitalizations “seriously” ill patients in Israel by age and vaccination status

The last chart shows the current situation among “seriously ill” patients in Israel. The majority of the 660 hospitalized patients are under 70 years old, and a vast majority are unvaccinated. It isn’t until you get to 80 and above that, the number of breakthrough cases comes close to the number of unvaccinated patients.

Of the 660 seriously ill patients, 285 are in the ICU, and 227 are on respirators, and the chart above shows, a vast majority are unvaccinated.

The argument that the vaccine didn’t work in Israel is a data fallacy. The vaccine is highly effective at preventing severe COVID and death, even when facing the Delta variant and an aged population. In the last 90 days, based on data from Israel, only 3 people who received booster shots died from COVID.

Washington is on the other side of the fifth wave – local and national update for September 28, 2021

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

[KING COUNTY, Wash.] – (MTN) New cases, hospitalizations, and deaths all declined, providing the clearest evidence yet that Washington state is coming out of the fifth wave. Even the beleaguered South Central Hospital Region reported significant improvement.

Pfizer submitted its data from the Phase 3 vaccination trial of 5 to 11-year-olds to the FDA. Experts are hopeful that with approval, vaccination could begin in November.

Alaska and Idaho continue to operate under crisis standards of care. The situation in District 1 Idaho has deteriorated to the point the Gem State has more ICU patients than Washington.

In misinformation, we tackle the questions, “what about Israel?”

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 28, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 28, 2021

Washington state COVID update

Data points to another plateau, following the pattern of the last three weeks. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, the 14 day moving average for new cases is 764.3 per 100K, the lowest it has been in three weeks. The Central Hospital Region, which represents King County, is 254.1.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
60.00% or above (3)177.6
50.00% to 59.99% (12 counties)523.8 (down)
40.00% to 49.99% (15 counties)689.9 (down)
28.40% to 39.99% (9 counties)736.3 (down)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 27, Washington’s statewide 14-day rolling average is 441.7 COVID cases per 100K, the first time the rate has been below 450 since late August. Counties in the 1,000.0 to 1,399.9 range include Lincoln (1,104.1) and Stevens (1,036.6). Counties in the 800.0 to 999.9 per 100K range include Adams, Franklin, Garfield, Grant, Grays Harbor, Okanogan, and Pend Oreille. Franklin reported 982.8, just under the 1,000 threshold.

New cases were down for individuals under 65 years old. Hospitalizations for pediatric patients from birth to 11 dropped significantly while increasing for geriatric patients over 79.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11210.4 (down)0.4 (down)
Ages 12-19224.2 (down)1.6
Ages 20-34220.1 (down)5.8
Ages 35-49214.3 (down)10.1
Ages 50-64150.3 (down)14.6
Ages 65-79109.619.3
Ages 80+114.135.5 (up)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 34 deaths on Monday. The state of Washington is not reporting the percentage of positive cases.

Spokane Fire Fighters go door-to-door to bring vaccination to rural areas

It’s almost hard to imagine now, but there was once an intense demand for the COVID-19 vaccine.

In northeast Washington, the desire for doses exceeded the capacity of the local health care system.

Thus, the Northeast Tri-County Health District needed a boost to its efforts to vaccinate people against COVID-19 earlier this year.

“We realized that as much as we were trying to do, it was not going to keep up with the demand within our communities for vaccine availability,” said Matt Schanz, administrator of the Northeast Tri-County Health District.

It found help in local fire departments. The Spokane Fire Department delivered almost 16,000 doses through the federally backed program.

Western Washington University vaccination rates are high as October 18 deadline looms

Western Washington University reported in its Monday newsletter that 96% of registered students are fully vaccinated. Also, 92% of WWU’s employees report they are fully vaccinated. Western’s permanent employees, who make up more than 75% of the staff, have reached a verified 95% vaccination rate.

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 6 to 13 days. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

Thank you

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

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

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

Vaccination

Pfizer submits Phase 3 5 to 11 year old vaccination trial findings to the FDA

Pfizer has submitted research to the U.S. Food and Drug Administration on the effectiveness of its COVID-19 vaccine in children, but the shots may not be available until November.

The company said Tuesday it provided health regulators with data from a recent study of its vaccine in children 5 to 11 years old. Officials had previously stated they would apply with the FDA to authorize use in the coming weeks.

Once the company files its application, U.S. regulators and public health officials will review the evidence and consult with their advisory committees in public meetings to determine if the shots are safe and effective enough to recommend use.

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, 20.1% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 89.1% of capacity statewide, with 31.1% of ICU patients fighting COVID. Hospitalizations continue to trend downward.

The 7-day rolling average hospital admission rate for new COVID patients was down to 149, which is statistically unchanged from yesterday. The Department of Health reported 1,308 COVID patients statewide on September 27 and 218 on ventilators. Total hospitalizations are down 13.5% in the last 7 days.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueGREEN– Bellevue (1)
– Eastgate (1)
– Enatai (4)
– 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*)
– ICS (1*)
– Inglewood Middle School (2*)
– Juanita Elementary (1*)
– Kamiakin Middle School (3*)
– Keller Elementary (2*)
– Kirkland Middle School (1*)
– Lake Washington High (1*)
– Lakeview Elementary (3*)
– Muir Elementary (1*)
– Redmond Middle School (1*)
– Redmond High School (1*)
– Renaissance Middle School (1*)
– Rush Elementary (2*)

NorthshoreRED– Arrowhead Elementary (21)
– Canyon Creek Elementary (23)
– Canyon Park Middle School (11**)
– Cottage Lake Elementary (15)
– Crystal Springs Elementary (55**)
– East Ridge Elementary (26)
– Fernwood Elementary (13**)
– Frank Love Elementary (32)
– Hollywood Hills Elementary (20)
– Inglemoor High School (8)
– Innovation Lab High School (11)
– Kenmore Elementary (11)
– Kenmore Middle School (45**)
– Kokanee Elementary (61)
– Leota Middle School (5)
– Lockwood Elementary (21)
– Maywood Hills Elementary (19**)
– Moorlands Elementary (38)
– North Creek High School (26**)
– Northshore Middle School (13**)
– Ruby Bridges Elementary (9)
– Secondary Academy for Success (11)
– Shelton View Elementary (18**)
– Skyview Middle School (75**)
– Sunrise Elementary (25)
– Timbercrest Middle School (45**)
– Wellington Elementary (76)
– Westhill Elementary (26)
– Woodin Elementary (19**)
– Woodinville High School (19)
– Woodmoor Elementary (21**)
– Bothell High School (13*/120)
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.

Little has changed from yesterday in the area schools. Northshore School District has 127 students with confirmed COVID cases and another 782 in quarantine.

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

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 185,088 new cases and 2,394 deaths nationwide. These numbers would include weekend data.

Alaska

Anchorage’s public health division manager has resigned, leaving the post temporarily empty as an ongoing COVID-19 surge triggers record-level infections and strains the city’s short-staffed hospitals.

According to an Anchorage Health Department spokesperson, Christy Lawton resigned Monday from the position she’d held since February 2019. Municipal officials declined to provide any additional details, citing confidentiality concerns.

“I’m proud of the work that myself and the team at AHD accomplished and have deep admiration for all the public health professionals in our community who have worked tirelessly throughout this pandemic,” Lawton wrote. “I strongly encourage our city’s residents to set aside politics and focus on what it’s going to take to truly get back to ‘normal.’ That means more of us getting vaccinated and continuing diligent mitigation measures in the meantime. We are not safe until the majority of us are protected.”

Maybe she was motivated to quit after Anchorage Mayor Dave Bronson attacked some of the city’s hospitals for requiring vaccines. Following the state’s announcement last week that Alaska is activating crisis standards of care for hospitals statewide, Bronson thanked the governor for “taking practical action to get our hospitals the help they need.”

The mayor has long opposed COVID-19 restrictions and mask mandates and earlier this month said he “will not comply” with President Joe Biden’s vaccine mandate.

Last weekend, the mayor and members of his administration attended an hours-long, invitation-only meeting in the Assembly chambers where a group of health care workers and other residents spoke in opposition to vaccine requirements.

Hospitals in Alaska are treating 215 COVID patients as the 7 day moving average for new cases climbed to the stratosphere – 1,225 cases per 100,000K people. Put another way, 1 in 86 Alaskan residents were confirmed to have COVID in the last 7 days. Almost 3 out of 4 new cases are among people under 50 years old.

There are 18 ICU beds available statewide, unchanged from yesterday. Of the 112 patients in the ICU (COVID and non-COVID combined), a staggering 71% are on ventilators.

Idaho

As people die at home and in hospital waiting areas and bodies are placed in railroad cars, Idaho Governor Brad Little and Lt. Governor Janice McGeachin run their own version of the Hunger Games while ruling over District 1.

Lt. Governor McGeachin is running against Governor Little, forcing the conservative governor to take distasteful actions to placate an ultra-conservative base. Governor Little said he was “exploring legal action to protect the rights of business owners and their employees” from “President Joe Biden’s plan to fine private employers with 100 or more employees that do not mandate the COVID-19 vaccine or routine testing.”

Voters from all sides are unhappy. Today a woman named “Gloria” spoke with the governor and blasted him along with the unvaccinated.

The surge in COVID-19 infections and hospitalizations forced the expansion of crisis standards of care statewide. Overburdened by too many sick people and too few staffed beds, several Idaho medical facilities have moved to cancel or postpone all non-emergency surgeries, like the one Gloria needs for her damaged hip.

“I am laying here in pain, and I can’t get an operation to get it fixed because you’re holding these hospitals open for all of these unvaccinated,  selfish, ignorant people who wouldn’t get a shot,” she said. 

Is that fair? she demanded to know. 

No, Little told her. It’s not.

“It’s not fair at all, and I feel sorry for you,” he said.

The number of ICU patients in Idaho surged to 252 – in a state with 170 ICU beds.

New models indicate that a peak in hospitalizations may not come until late November. If the model of 1,900 COVID patients in Idaho becomes a reality, it would almost equal the number of COVID patients in Washington and Idaho combined. The 40 COVID-related deaths reported today are more than in Washington state.

May the odds ever be in your favor.

Montana

The hospital in Helena continues to operate in crisis standards of care, while hospitals in Bozeman, Missoula, and Billings are running right to the very edge of contingency care. Unlike Idaho, where hospitals are being forced to stand on their own, Montana is working to load level, as the rural state struggles to care for 427 COVID patients.

St. James Healthcare in Butte has come to help. The hospital has accepted several COVID patients from outside the county, in addition to their Butte-Silver Bow County patients.

“As the regional referral center in southwest Montana, St. James has always supported our surrounding communities,” wrote a spokesperson from St. James. “At this time, we can help our neighboring hospitals throughout the state by accepting patient transfers, if requested.”

The numbers are beginning to add up. Less than two weeks ago, the COVID hospitalizations at St. James totaled nine. As of Tuesday, that number has more than doubled to 19.

St. James will continue to make its best efforts to house patients.

The hospital in Butte isn’t as strained due to the 64% vaccination rate in the Butte-Silver Bow County area.

Oregon

The number of hospitalized patients with COVID-19 across Oregon is 822, which is 44 fewer than Monday. There are 237 COVID-19 patients in intensive care unit (ICU) beds, six fewer than Monday.

There are 53 available adult ICU beds out of 645 total (8% availability) and 341 available adult non-ICU beds out of 4,238 (8% availability). The state reported 41 deaths.

There have been at least 49 newly confirmed cases of COVID-19 tied to the annual rodeo, which attracted thousands of people to a rural corner of Oregon. Most of the cases were reported in Umatilla County, Wallowa County, and southeastern Washington.

Brown had said she would not attend the event, which she enjoys, due to her concerns about community spread.

Joe Fiumara, Umatilla County’s public health director, said some people who attended the rodeo were sick but chose to go anyway.

Misinformation

“Look at Israel.” This is a common refrain from people who claim that vaccinations don’t work. They cite Israel’s high vaccination rate and the hospitalization rate among the vaccinated population. We wrote about the data fallacy that happens when looking at percentages for new cases, hospitalizations, and deaths when evaluating vaccination performance. Let’s pull these claims apart.

Israel is highly vaccinated. In April 2021, that statement is correct. Israel was the global leader in vaccination. By the time Delta surged in Israel, the nation had dropped to 32nd place. Today Israel is tied with Saudia Arabia and Germany in 21st place, with 67% of the population with at least one dose, narrowly ahead of the United States and behind Sweden. Globally, there are 17 nations with a vaccination rate of 70% or higher.

The United Arab Emirates, where 84% of the population is fully vaccinated, has a population similar to Michigan. The Middle East nation is reporting under 300 new COVID cases a day. The country never had a significant Delta surge.

For our analysis, we went straight to the source – The Israel Ministry of Health COVID website and its COVID Control Panel.

Israel vaccination rate from June 30 to September 23, 2021

The first graphic shows the vaccination rate in Israel stalled out and barely changed over three months. The booster shot program started on July 30, 2021, and about half of the previously vaccinated residents had received the first dose by the end of September.

Severely ill patients over 60 years old by immunization status previous 90 days

The next chart shows the impact of the Delta wave as it rolled through Israel. The number of severely ill patients, defined differently than the United States, rises quickly among the unvaccinated, representing only 33% to 36% of the population, depending on the time within the surge.

The number of severely ill patients also increases at just 25% of the peak level among the unvaccinated, despite representing 64% to 67% of the population. Finally, the number of severely ill patients over the last 3 months is negligible among residents who received a booster shot.

We know that most breakthrough cases are among people over 65 years old. Israeli doctors found the same situation.

Around half of the country’s 600 patients presently hospitalized with severe illness (August 20, 2021) have received two doses of the Pfizer Inc shot, a rare occurrence out of 5.4 million fully vaccinated people.

The majority of these patients received two vaccine doses at least five months ago, are over the age of 60, and also have chronic illnesses known to exacerbate a coronavirus infection. They range from diabetes to heart disease and lung ailments, as well as cancers and inflammatory diseases that are treated with immune-system suppressing drugs, according to Reuters interviews with 11 doctors, health specialists, and officials.

Deaths by immunization status in Israel, last 90 days, under 60 years old

What about those under 60 years old? The overall rate of death among those under 60 is almost negligible. Unvaccinated residents have a slightly higher occurrence versus those who receive two doses. Once again, the unvaccinated group represents a much smaller number of people, about 3.3 million, versus the vaccinated group of 6.5 million. There is one more thing in this graph, in the last 90 days, the total number of deaths among residents under 60 who received a booster shot is 3.

Current hospitalizations “seriously” ill patients in Israel by age and vaccination status

The last chart shows the current situation among “seriously ill” patients in Israel. The majority of the 660 hospitalized patients are under 70 years old, and a vast majority are unvaccinated. It isn’t until you get to 80 and above that, the number of breakthrough cases comes close to the number of unvaccinated patients.

Of the 660 seriously ill patients, 285 are in the ICU, and 227 are on respirators, and the chart above shows, a vast majority are unvaccinated.

The argument that the vaccine didn’t work in Israel is a data fallacy. The vaccine is highly effective at preventing severe COVID and death, even when facing the Delta variant and an aged population. In the last 90 days, based on data from Israel, only 3 people who received booster shots died from COVID.

Nurses threatened at Harborview – local and national update for September 27, 2021

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

[KING COUNTY, Wash.] – (MTN) Cases moved upward while hospitalizations declined in Washington state. The number of COVID positive students in the Bellevue School District dropped significantly, while cases and quarantines expanded in Northshore, particularly at Bothell High School.

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

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

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

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

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

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


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 27, 2021

Washington state COVID update

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

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

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

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

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11231.9 (up)0.7 (down)
Ages 12-19245.8 (up)1.7
Ages 20-34234.3 (up)5.4
Ages 35-49231.7 (up)10.1
Ages 50-64160.8 (up)14.4
Ages 65-79115.6 (up)19.5 (down)
Ages 80+118.1 (up)31.5 (down)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker did not provide a number for reported deaths in Washington state. The state of Washington is not reporting the percentage of positive cases.

Expansion of monoclonal antibody treatment clinics in Washington remains stalled out

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

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

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

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

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

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

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

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

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

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

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

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

38-year old Washington State Trooper dies of COVID

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

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

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

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

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

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

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

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

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

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

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

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

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

Travel Advisories

We recommend avoiding recreational travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties. If the number of new cases in the South Central Hospital Region continues to decline, we will likely lift our advisory for this region in the next 7 to 14 days. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

Thank you

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

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

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

Vaccination

Number of vaccinated Washington state residents continues to rise

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

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

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

Pfizer vaccine booster shots are now available

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

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

Most locations require an appointment that can be set up online.

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

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

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

Malcontent News

Hospital Status

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

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

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

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

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

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

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

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

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

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

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

Back to School

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

NorthshoreRED– Arrowhead Elementary (19)
– Canyon Creek Elementary (24)
– Canyon Park Middle School (8**)
– Cottage Lake Elementary (15)
– Crystal Springs Elementary (47**)
– East Ridge Elementary (22)
– Fernwood Elementary (13**)
– Frank Love Elementary (31)
– Hollywood Hills Elementary (19)
– Inglemoor High School (7)
– Innovation Lab High School (10)
– Kenmore Elementary (16)
– Kenmore Middle School (41**)
– Kokanee Elementary (51)
– Leota Middle School (5)
– Lockwood Elementary (20)
– Maywood Hills Elementary (20**)
– North Creek High School (21**)
– Northshore Middle School (12**)
– Ruby Bridges Elementary (9)
– Secondary Academy for Success (10)
– Shelton View Elementary (18**)
– Skyview Middle School (77**)
– Sunrise Elementary (20)
– Timbercrest Middle School (32**)
– Wellington Elementary (67)
– Westhill Elementary (19)
– Woodin Elementary (16**)
– Woodinville High School (20)
– Woodmoor Elementary (20**)
– Bothell High School (13*/102)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

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

The Bellevue School District moved back to green status while new confirmed COVID cases were reported in four Lake Washington schools.

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

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

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

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

Kirkland-Bellevue-Woodinville

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

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

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

National Round-Up

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

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

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

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

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

Alaska

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

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

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

Arizona

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

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

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

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

Idaho

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

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

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

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

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

Montana

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

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

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

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

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

New York

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

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

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

Ohio

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

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

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

Oregon

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

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

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

Wyoming

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

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

Misinformation

Taking the day off

DoH COVID data has been broken since August – local and national update for September 24, 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) Worsening problems with data from the Washington State Department of Health is hobbling efforts to understand the current situation and forecast the future. In counties where 40% or more of the total population is vaccinated, the number of cases per 100,000 people is down. Hospitalizations are up among people under 35 and have declined for individuals over 49. There is very little else that can be said with certainty.

Confirmed COVID cases between students and faculty at Bothell High School in the Northshore School District have grown to 12, with 100 more in quarantine. School officials in Eatonville moved its middle school to remote learning at least until mid-October due to an unspecified number of cases.

If you qualify for a Pfizer booster shot, we checked area pharmacies and grocery stores – they’re available now.

The Washington Department of Health data and reporting problems, which started in August and has only gotten worse, have become problematic. The new Modeling and Surveillance Situation Report, released by the DoH today, expressed uncertainty in the ongoing COVID situation because critical data is missing. Choose your path wisely over the next two months based on what is in the report. The first option makes for a harsh winter while the second path forecasts a sixth wave.

The City of Seattle has reached an agreement with three more unions today over modifications to the vaccine mandate. The Seattle Fire Department agreed to the compromise plan and incentives. The Seattle Police Officer Guild was absent from the negotiations.

Anti-vaccination advocates are becoming more desperate and violent. Hospital workers were threatened and attacked in multiple states this week, and the anti-vaccination group Waking Up Washington has resorted to telling their followers not to go to hospitals. The same group is planning an anti-vaccination “town hall meeting” at a Woodinville restaurant tomorrow. If you’re planning to attend, be sure to bring $20 cash and be ready to pay at the door.

Idaho and Alaska are still operating under “crisis standards of care,” and Alaska, in particular, is getting much worse. If you want to feel your blood pressure rise and have veins bulging out of your neck, please, read the Idaho section. We recommend not having anything breakable nearby. In Helena, Montana, where the city’s hospital is operating under crisis standards of care, state legislatures debated whether things are really that bad.

The situation in the Pacific Northwest is so deranged reporting Oregon has 60 available ICU beds statewide is now considered good news.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 24, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 24, 2021

Washington state COVID update

Data continues to show improvement across Washington, particularly in most of the highly 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 is 803.4 per 100K, statistically unchanged from yesterday. The Central Hospital Region, which represents King County, is 258.7, a slight drop from yesterday.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
50.00% or above (13 counties)464.5 (down)
40.00% to 49.99% (17 counties)683.3 (down)
28.10% to 39.99% (9 counties)755.8
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 23, Washington’s statewide 14-day rolling average is 446.4 COVID cases per 100K – the change is “statistically insignificant,” but it’s worth noting the margin was 0.4 cases!. Counties in the 1,000.0 to 1,399.9 range include Lincoln (1,257.9), Franklin (1.127.5) and Stevens (1,115.0). Counties in the 800.0 to 999.9 per 100K range include Adams, Benton, Garfield, Grant, Grays Harbor, Okanogan, and Pend Oreille.

New cases by age group are statistically unchanged. Hospitalizations were up for people under 35 years old and down for individuals over 49 years old.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11193.41.3
Ages 12-19201.41.5 (up)
Ages 20-34193.45.0 (up)
Ages 35-49196.89.9
Ages 50-64135.414.7 (down)
Ages 65-7997.621.7 (down)
Ages 80+94.933.3 (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 has not been updated since yesterday. The state of Washington is not reporting the percentage of positive cases.

COVID reports from the Washington Department of Health providing fewer details

As Washington state entered what local officials called the fifth wave, the state provided fewer details on the Washington State Department of Health COVID-19 Data Dashboard. Between August 30 and September 24, the state removed or has delayed granular information, including:

  • Total number of staffed adult acute care beds available
  • Total number of adult acute care beds occupied
  • Total number of staffed adult ICU care beds available
  • Total number of adult ICU beds occupied
  • Staffed acute care and ICU beds available by Hospital Region
  • Number of COVID patients in acute care and the ICU by Hospital Region
  • Percentage of positive COVID cases detected by daily testing by county and state – accurate data hasn’t been available since August 27, and all data stopped updating last week – there will be no reporting until November 1

Some metrics, particularly hospital occupancy, number of people in the ICU, and number of people on ventilators, have gone through multiple revisions. When these issues have occurred in other states, they became the subject of national attention.

Suppose you compare the quality and quantity of data from the DoH to other states such as South Carolina. In that case, it exposes a breakdown in the region’s ability to gather and analyze COVID information.

South Carolina reported 2,602 confirmed new cases and another 889 probable cases today. The state had 111 confirmed COVID-related deaths and another 11 probable fatalities under investigation. The state processed 36,766 PCR tests, and 9.4% were positive. Currently, 8,511 acute care beds are being utilized, 86.4% of staffed beds in the state. Of those patients, 2,196 have COVID, with 533 in the ICU and 369 on ventilators. There was 223 hospital admission for COVID patients, and 28 hospitals in the South Carolina are experiencing staffing shortages.

We were able to write that in five minutes. The analysis in the first section of the state update took over half an hour and required processing raw data in Excel.

Last year, Washington state moved quickly to create detailed reports during the start of the pandemic. The state was the first to have a confirmed COVID case, a confirmed COVID death, and the first super spreader event. EvergreenHealth in Kirkland and the Kirkland Fire Department literally wrote the books for hospital COVID response, initial case management, and EMS response to potential COVID cases.

The lack of data, while Washington is in the worst COVID surge to date, is glaring, considering these tools were once available. We once led the nation in the capacity to process PCR tests and report the data. It erodes public trust when the number of skeptics is declining, and the remaining are increasingly radicalized. Doctors and nurses in the United States are being assaulted, stalked, and getting death threats. Anti-vaccination organizations are now advocating for people not to go to hospitals and, in a few cases, have attempted to remove people, including ICU patients, on BIPAP and ventilators.

Finally, current reporting does not track pediatric hospitalizations or pediatric acute care, NICU, or PICU resources despite weeks of promises that information would be shared.

We are disappointed that other larger media organizations are not highlighting these issues, especially when you consider the number of headlines generated by the actions of Florida, Georgia, Iowa, and Nebraska.

Department of Health issues updated modeling and surveillance situation report

The latest SitRep report from the Washington Department of Health highlights data fidelity problems, a shortage of testing capability statewide and provides one pessimistic outlook for the coming months.

Testing shortages create uncertainty in how many active cases are missed as hospital admissions spiked to a level 60% higher than the peak in January 2021. At the end of August, the statewide R0, the rate of transmission, dropped below 1.0. It has since increased to 1.3 and was showing an exponential growth curve. The report estimates that 1 in 106 Washingtonians are experiencing an active COVID case, the highest rate recorded since August 2020.

Statewide immunity to COVID is estimated at just over 60%, with 1 in 5 having some degree of natural immunity. With 40% of the entire population exposed, the Delta variant has a significant number of new hosts it can infect. Unvaccinated residents are ninefold more likely to be hospitalized than unvaccinated.

The state has two forecasted models. The first is based on the R0 at 0.9, which would support a declining number of new cases. Under that model, daily hospital admissions for COVID would return to levels seen outside of surges, less than 40 people a day statewide.

The second model assumes R0 doubles to 1.8 due to the Thanksgiving holiday and the state population becoming fatigued with mask wear. If this scenario becomes a reality, December daily hospital admissions will increase to 141 to 240 per day by the end of the year.

Neither scenario predicts that hospital occupancy will drop below the spring 2021 surge. The current IHME forecast model paints a similar picture, with the current projection supporting the first, more optimistic scenario.

Eatonville Middle School moves to virtual learning due to COVID outbreak

Officials in Eatonville announced that Eatonville Middle School was moving to remote learning through October 11 at the minimum. The district didn’t release any specific information on the number of infected students, staff, or if there is significant transmission within the school.

Located between Olympia and Mount Rainier in Pierce County, the town had 3,000 residents. According to the DoH, only 47.9% of county residents are fully vaccinated.

Letter to parents announcing Eatonville Middle School is moving to remote learning

Seattle reaches agreement with major public employee unions over vaccination mandates

Mayor Jenny Durkan announced the City of Seattle had reached a tentative agreement with the Coalition of City Unions, Fire Fighters Union Local 27, and IBEW Local 77 regarding vaccination requirements for City employees.

“Since the pandemic touched down in Seattle, our officers, firefighters, and frontline workers have worked day in and day out to provide nation-leading testing, vaccination, and relief programs for our residents. Those efforts are a key reason we have one of the highest vaccination rates and lowest cases and hospitalizations of every major American city,” said Mayor Durkan.

The agreement is expected to be ratified, provides 8 hours of paid time off for any employee who submits a vaccination form by October 5 and is fully vaccinated by October 18. Employees can begin the vaccination process by October 18 and not face termination. They will have to use their available accrued time off while going through the vaccination process, which can last from two to six weeks. Finally, each employee will receive 40 hours of supplementary paid leave for COVID-related reasons. Employees who are fully vaccinated by October 18 will receive an additional 40 hours of supplemental leave for a total of 80 hours.

“Worker safety and certainty are of paramount importance, and the unions involved with these negotiations centered those concerns throughout a complex and time-sensitive process,” said Shaun Van Eyk, PROTEC17 Union Representative and Coalition of City Unions Co-Chair. “We believe that these two tentative agreements honor the essential, public-sector workers whose work could not be performed remotely and create clear, transparent, and equitable pathways for all City workers with respect to the vaccine mandate. While both agreements took a great deal of time and effort to reach, the outcome is unquestionably worth it for the health and safety of our union members, their families, and our communities.”

The city has now reached vaccination agreements with six labor unions. The Seattle Police Officer Guild, SPOG, was not part of the agreement. The city indicated they were still negotiating with police union leaders.

Almost 90 local, county, and state employees sued Washington state to try and block vaccine mandates earlier this month. One of the plaintiffs claimed up to 150 City of Seattle firefighters were ready to resign. In August, SPOG Union President Mike Solan said up to 200 officers were prepared to quit.

Anti-vaccination activist groups calling for the sick to “avoid hospitals”

As part of a national trend, the activist group Waking Up Washington is telling its followers to “avoid hospitals” because “they’ve fired many of their free thinkers.”

In a video posted today by Palmer Davis of La Center, Washington, she suggests that up to 15% of the medical workforce has been terminated or will be terminated by October 18. Nationally, no single medical system has come close to those numbers, with 97% to 99.5% of all employees choosing to get vaccinated.

Ms. Davis is a central figure in the Washington state anti-vaccination movement, which has seen its numbers dwindle since the summer months. She told her followers to go to another website for medical treatment plans. The site includes access to an online doctor for prescriptions of medications, with a $149 fee for a consultation for Ivermectin. According to WebMDRx, 10 pills cost between $23 and $56.

The site also links to the discredit organization America’s Frontline Doctors and the FLCCC. We have elected not to link to that website as it provides dangerous medical advice.

Suggested treatments include hydrogen peroxide nebulization and taking dandelion, pine needle, and eucalyptus supplements. Neublizing hydrogen peroxide can be fatal, and none of these supplements have any therapeutic value. The website DNS is provided by Google, according to a whois search.

This trend isn’t unique in Washington, with other groups recommending “vigilante treatments” in unchecked Facebook groups and shared through Tik Tok videos. Hospital workers have been assaulted in Alaska, Massachusetts, Texas, Georgia, Idaho, Washington, and Canada in the last month.

Anti-vaccination “town hall meeting” in Woodinville tomorrow at local restaurant

Tomorrow, the same group is holding a “town hall meeting” at Rooster’s Bakery and Cafe in Woodinville. The event touts legal resources to fight vaccine mandates and “expert testimony” about “rigged statistics.”

To attend, you are required to pay a $20 fee in cash at the door.

Editor’s comment: Nothing suspicious about that.

Anti-vaccination event flyer for Woodinville tomorrow

Rooster’s Bakery and Cafe has multiple complaints on Yelp for not following COVID guidelines. The cafe’s Facebook page hasn’t been updated since the fall of 2020.

Travel Advisories

We recommend avoiding all travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

Thank you

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

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

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

Vaccination

No update

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

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 22.0% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 89.5% of capacity statewide, with 33.9% of ICU patients fighting COVID. There has been a slow decline for all data points over the last week.

The 7-day rolling average hospital admission rate for new COVID patients was unavailable today. The Department of Health reported 1,436 COVID patients statewide on September 23 and 233 on ventilators. We aren’t confident that these numbers are accurate. Hospital occupancy rates don’t support this much of a decline, and the state dashboard noted, “The “hospital admission rate” metric on the Healthcare System Readiness tab was not updated today due to an interruption in our data systems.”

Harborview Medical Center is only at 113% capacity, which is an improvement from last week when the Level I trauma center was at 117% capacity.

KCPQ in Seattle reported that almost half of nurses in Washington are ready to leave the profession. The issue isn’t vaccine mandates. Nurses are burned out from the trauma of 19 months of death, harassment, and vanished community support.

Chelsey Roos, a registered nurse who works at St. Joseph’s Hospital in Tacoma, spoke with KCPQ.

“You get into your car after work, and you just want to cry.”

“Not only do we have roughly 50% more cases than we had during the December surge, but we’re caring for all of those patients with fewer staff, because it’s been so challenging for particularly our nurses, that people are choosing to leave healthcare because of how stressful it’s been,” says Dr. Steven Mitchell, the medical director of Harborview Medical Center’s Emergency Room.

It’s a perfect storm, the stress of the job causing many to leave-which then leaves the remaining nurses with an even heavier workload.

“It burns people out, its burning people out so easily, we can’t seem to keep enough nurses working or wanting to work in acute care or a hospital, it’s just becoming too much, and I think people are wanting to reprioritize things in their lives,” says Roos.

Providence Hospital in Spokane reported an increase in the number of pediatric patients in a press briefing today. Station KXLY quoted Providence Sacred Heart Medical Center Chief Medical Officer Dr. Daniel Getz.

“I don’t know what my daily census is today, but this is really the first time in the COVID surge this last week where we’ve seen an increase in children that have been admitted for the care of COVID.”

KREM reported the number could be as high as 10, but we have trust issues with their reporting after the Medical Lake report.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Bellevue (1)
– Big Picture (1)
– Chinook (1)
– Eastgate (1)
– Enatai (36)
– Interlake (2)
– Lake Hills (13)
– Puesta del Sol (2)
– Wilburton (3)
None
Lake WashingtonYELLOW– Alcott Elementary (2*)
– Ella Baker Elementary (3*)
– Community School Elementary (7)
– Dickinson Elementary (2*)
– Eastlake High (1*)
– Einstein Elementary (1*)
– Evergreen Middle School (1*)
– Finn Hill Middle School (1*)
– Benjamin Franklin Elementary (2*)
– Robert Frost Elementary (9)
– Inglewood Middle School (3*)
– Juanita Elementary (2*)
– Juanita High School (1*)
– Kamiakin Middle School (4* – see below)
– Helen Keller Elementary (1*)
– Peter Kirk Elementary (2*)
– Kirkland Middle School (1*)
– Lake Washington High (1*)
– Lakeview Elementary (1*)
– Muir Elementary (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Redmond High School (1*)
– Rose Hill Elementary (1*)
– Rose Hill/Stella Schola Middle School (2*)
– Thoreau Elementary (4)
– Mark Twain Elementary (3*)

NorthshoreRED– Arrowhead Elementary (13)
– Canyon Creek Elementary (24)
– Canyon Park Middle School (8)
– Cottage Lake Elementary (16)
– Crystal Springs Elementary (47**)
– East Ridge Elementary (24)
– Fernwood Elementary (13**)
– Frank Love Elementary (28)
– Hollywood Hills Elementary (17)
– Inglemoor High School (7)
– Innovation Lab High School (9)
– Kenmore Elementary (15)
– Kenmore Middle School (39**)
– Kokanee Elementary (50)
– Leota Middle School (5)
– Lockwood Elementary (8)
– Maywood Hills Elementary (14**)
– North Creek High School (21**)
– Northshore Middle School (10**)
– Ruby Bridges Elementary (7)
– Secondary Academy for Success (10)
– Shelton View Elementary (18**)
– Skyview Middle School (82**)
– Sunrise Elementary (21)
– Timbercrest Middle School (28)
– Wellington Elementary (64)
– Westhill Elementary (10)
– Woodin Elementary (9)
– Woodinville High School (21)
– Woodmoor Elementary (21**)
– Bothell High School (12*/100)
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.

We had a parent-reported confirmed COVID case at Kamiakin Middle School on Tuesday. Because the Lake Washington School District updates its dashboard weekly, we don’t know if this is in addition to the 3 cases reported on Monday or if any of those earlier cases have returned to class. We have set the number to 4.

The number of positive cases between staff and students has swelled to 12 at Bothell High School, with another 100 students quarantined. The NECS reports the school has 1,607 students, and the Northshore School District website reports 236 faculty. Although the numbers in the district may appear to be bad, they are the only school district of the three we are following that is performing weekly universal COVID testing.

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

Kirkland-Bellevue-Woodinville

Booster shots for eligible individuals are now available in the Kirland-Bellevue-Woodinville area. 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.

We canvased area drug and grocery stores to check for availability. Walgreens, Rite-Aid, Bartell’s, and CV are all offering booster shots immediately. Booster shots are also available at the CVS located within the Target store at 17,700 NE 76th Street in Redmond. Additionally, the QFC at Kirkland Urban is providing booster shots.

Most locations require an appointment that can be set up online. The Kirkland Urban QFC was already completely booked through the weekend.

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 128,731 new cases and 3,157 deaths nationwide.

Alaska

Alaska continues to operate in crisis standards of care as the situation in the vast and remote state continues to deteriorate. Officials reported 1,793 new cases and a staggering 41 deaths (yes, we know the headline says 1800 cases and 44 deaths – if you read the story, it says 1793 cases and 41 deaths, talk amongst yourselves – we’re over it) in the state of just over one million people. The numbers included hundreds of older cases due to a data entry backlog.

The state had a record of 217 COVID patients hospitalized. The statewide 7 day moving average for new COVID cases is a staggering 976 per 100K people, and currently, 9.2% of all COVID tests are coming back positive.

The state now has 20 ICU beds available, an improvement from yesterday, and 74 residents on ventilators.

The Guardian reported Soldotna’s Central Peninsula Hospital spokesperson Bruce Richards discussed worker burnout and frustration with the crisis, particularly because it was preventable. “The evidence speaks for itself,” Richards said. “It’s very clear that a vaccine will help keep you out of the hospital.”

Soldotna’s Central Peninsula hospital, about 150 miles from Anchorage, is operating at 133% capacity. Richards is worried about what will come next. “We all know that hospitalizations lag following these high-case days, so I don’t know what’s in store for us.”

The situation has become so desperate that medevac aircraft that would typically fly patients to Anchorage or Seattle are moving patients from Anchorage to rural hospitals.

The goal is to make more room at the busy Anchorage hospitals, which offer more intensive care and other services, especially sick patients that rural hospitals can’t support.

This practice is known as “load leveling,” and it’s done more regularly between hospitals in urban areas, where patients can be moved by ambulance. It’s far rarer in rural Alaska, though, since most hospitals in those areas aren’t connected by road and can be hundreds of miles apart.

“Once you start involving learjets and medevac companies, it gets infinitely more complicated,” Brunner said in an interview Thursday.

Patients that don’t need critical care are flown to acute care hospitals in rural areas. For many rural hospitals, the patients they receive are sicker than they usually see, straining staff. Worse, patients are separated from family and friends and face potential air ambulance bills in the tens of thousands of dollars.

In the 6,000 resident town of Bethel, Alaska, half the police force is threatening to resign over a recent vaccination mandate. The remote city is only accessible by boat or airplane during the warmer months, and ice road in the winter. The city is experiencing one of the highest COVID case rates in the state and country and doesn’t have the resources to deal with the surge. City officials decided to mandate vaccinations.

“The city had no choice,” James Harris, Human Resource Manager, told The Daily Beast. “We had to react.”

Resistance to the vaccine from police in Bethel is endemic of opposition the vaccine has seen from police departments across the country. Many officers have refused vaccine mandates, filed unsuccessful lawsuits, and decried the measures as unconstitutional.

But in Bethel, some say police have gone a step further, dangling the possibility of increased violence over remote residents’ heads if the city were to push half of the police force out of a job.

Among other highlights, Police Chief Richard Simmons baldly told KYUK earlier this week that the small city was “one of the most violent communities in the nation” and needed every one of its officers.

Available data shows that Bethell has a high crime rate but not one of the highest in the nation.

Alaskans have been abusive to health care workers who ask them about COVID-19 or discuss the disease in public, according to health officials. 

Alaska Chief Medical Officer Dr. Anne Zink, who also works in a hospital emergency department, said many retail pharmacists have stopped asking customers if they’d like the vaccine because of the fury it triggers.

“We see many triage nurses in the emergency department also afraid to ask that question,” Zink said, “because patients have been violent towards them in the emergency department when asking the question if they’re vaccinated or if they have COVID-19.”

Idaho

Idaho reported 1,646 new COVID cases and 34 new deaths on Friday. The state continues to operate under crisis standards of care. Unlike states such as Alaska, Oregon, and Washington, which use “load leveling” to maximize resources, Idaho hospitals can go it alone.

While people are dying in hospital waiting areas in the Panhandle, hospitals in the eastern part of the state are operating under “contingency care.” Both Oregon and Washington are running on “contingency care protocols,” which give medical providers options to defer certain treatments and take other steps to maximize resources.

Editor’s Note: It is unconscionable that parts of Idaho are stacking bodies in morgues, storing corpses in unrefrigerated areas, and placing them in railroad cars while people are dying in waiting rooms, that any hospital could have the audacity to speak about available resources publicly. If Idaho has unused resources, maybe Washington state should be less generous in its support.

The Idaho State Journal reported  Portneuf Medical Center has been operating near capacity amid a surge in COVID-19 cases, but CEO Jordan Herget is confident the hospital has ample resources to avoid crisis standards of care.

While hospitals in the Magic and Treasure valleys and Northern Idaho have added beds in conference rooms, cafeterias, and other available spaces, Herget believes PMC should have adequate traditional bed capacity heading forward.

On Monday, Herget said PMC would open a special care unit with nine rooms equipped with negative pressure technology to treat patients with contagious upper respiratory diseases, such as the coronavirus.

“Older adults are facing serious risk of discrimination, resulting in death,” because of Idaho’s crisis standards, Justice for Aging attorneys wrote in their complaint letter. Symptomatic breakthrough cases are overwhelming among people over 70 years old.

Boise State University opted to tell the doctors and nurses trying to save lives to get bent, halting its plan to require fans to show proof of vaccination for COVID-19 or test negative for the coronavirus before attending a football game at Albertsons Stadium.

The school wrote in a statement on Friday, “In light of our declining campus positivity rates and high vaccination rates, the university will shift from testing all ticket holders in the student section to random sample testing of that population before next week’s football game.”

According to the Idaho Department of Health and Welfare, the percentage of Idaho’s eligible population (12 and older) fully vaccinated is just 51.5%.

We’re sure that Dr. Ashley Carvalho, completing her residency training in Boise, appreciates this decision. A family member of a COVID patient under her treatment threatened to shoot her last week, and police had to be called to the hospital.

Photo credit – Dr. Ashley Carvalho – photo after being a family member of a patient threatened to shoot her

“I received a slew of verbal abuse from a patient’s family members who called me an incompetent doctor, threatened me with physical violence, and demanded I give them my name and medical license number so they could sue. This was because I refused to prescribe Ivermectin, which is not proven to treat COVID-19 and is recommended only in clinical trials at this point, and hydroxychloroquine, which current research suggests is not effective or safe in treating COVID-19. My patient was struggling to breathe, but the family refused to allow me to provide care. A call to the police was the only solution.”

But wait, there’s more. In Coeur d’Alene, police had to fend off anti-mask and anti-vaccination protesters who attempted to storm the school district’s board of trustees special meeting on Friday. Yes, the story is from KREM, and yes, we were roasted, but KREM has receipts in the form of videos of the incident (feel free to talk amongst yourselves).

Several physicians from Kootenai Health were slated to speak during the meeting as the hospital hit two milestones this week: its highest number of COVID-19 inpatients and the highest number of COVID-19 ICU patients at 43. The hospital in Coeur d’Alene typically only has 26 ICU beds.

The group was described as a “mob” of 200 people who were “extremely hostile.”

Editor’s Note: We remind you again, our state is supporting Idaho’s bad choices. In the coming weeks, it is likely at least a couple of the people in this “mob” will be begging the doctors who had planned to speak today to save their lives.

Wait – there’s more. Andy Grover, the executive director of the Idaho School Administrators Association, told the Idaho Board of Education that workers are leaving Idaho schools “for hiring bonuses and higher wages in fast food.”

“When there’s that kind of things to compete against, we don’t have a chance,” he said. “We just don’t have employees. We’ve seen from 2 or 3 classified staff, all the way to 60 classified staff, that districts are missing across the state.”

He said three school districts were closed Friday, two due to staffing shortages and one because of COVID-19 cases among students. He said open schools are also struggling with lower than normal attendance.

Montana

Montana reported 1,326 new COVID cases across the state where officials aren’t reporting unvaccinated versus vaccinated cases. The state has 395 people hospitalized with COVID and didn’t share how many are on ventilators.

In Billings, the city’s largest hospital reported running out of “hallway space” to put patients while the ICU is operating at 160% capacity.

According to KHN, Billings Clinic said it might soon implement “crisis standards of care” that would force staff to save provisions for patients they can most likely save.

Yellowstone County is seeing the worst of the surge. The Montana Department of Health and Human Services reported 2,461 current active cases there, as much as the next two counties combined.

Another county health officer resigned in Montana. Blaine County public health nurse Jana McPherson-Hauser said her resignation would take effect October 15 because of the “constant negativity, pushback, disregard and lack of support” that health officials have faced throughout the coronavirus pandemic.

And in Helena, where a hospital is operating at crisis standards of care, state lawmakers questioned health officials on the severity of the situation.

During Wednesday’s meeting, Rep. Jane Gillette, a Republican from Bozeman, disputed concern over the jump in new cases.

“I’m not sure I would feel really dismayed about the rate increase when you just think of it really mathematically,” Gillette said. “… Just put in simple terms, if you had two (cases) at one point and you increased to four, you’d increase by 50%, so you just kind of have to put it in … more broad terms and not … lose the other data. So, for instance, when we look at the number of COVID cases per 100,000, we’re pretty much just middle of the pack normal.”

If being the sixth-worst in the United States is “middle of the pack,” Montana is competing with its neighbor to the west in a race to the political bottom.

Oregon

Another 2,113 new confirmed and presumptive cases were added, bringing the state total to 320,990.

There were 855 COVID-19 hospitalizations, 30 fewer than the previous day, and 268 patients in ICU beds, which was an increase of five. There were 60 available adult ICU beds across the state of Oregon, which is an improvement from two weeks ago.

The OHA’s latest COVID-19 forecast shows a slowing in the decline of daily cases and hospitalizations through mid-October. The report estimates 495 cases per 100,000 people, or an average of 1,480 daily cases and 81 hospitalizations for the two weeks between September 29 and October 12.

In our neighbor to the south, new COVID cases among children now outnumber those among the elderly.

In another sign that the anti-vaccination movement isn’t as big as it presents itself, a little more than 5% of Oregon’s 42,000 state employees have applied for vaccination exemptions. About 90% of the 2,284 requests come from people seeking religious exemptions. So far, almost half of state employees have provided proof of vaccination.

Misinformation

Taking the day off

Growing optimism – local and national update for September 23, 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) The latest numbers for Washington state were positive while our neighbors to the north and east continue to struggle. The number of new cases and hospitalizations remained stable, with little change from yesterday.

Governor Jay Inslee extended the eviction moratorium until October 23, as state, county, and local officials struggle to distribute funds.

More plaintiffs joined a lawsuit against Washington state, attempting to block the vaccine mandate for state employees, teachers, and healthcare workers.

Very little changed in area school districts, with minor adjustments for the number of quarantined students.

The CDC votes on booster shots for recipients of the Pfizer vaccine and recommends jabs for a narrow group of people.

Idaho and Alaska continue to operate under crisis standards of care, while Montana struggles to support overrun hospitals.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 23, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 23, 2021

Washington state COVID update

Data for new cases provided the best news Washington state has received in months. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, the 14 day moving average for new cases is 806.6 per 100K, statistically unchanged from yesterday. The Central Hospital Region, which represents King County, is 270.6, also statistically unchanged.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
50.00% or above (13 counties)479.2
40.00% to 49.99% (17 counties)694.2
28.10% to 39.99% (9 counties)761.6
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 22, Washington’s statewide 14-day rolling average is 456.0 COVID cases per 100K. Counties in the 1,000.0 to 1,399.9 range include Lincoln (1,285.1), Franklin (1,154.2) and Stevens (1,135.8). Counties in the 800.0 to 999.9 per 100K range include Adams, Asotin, Benton, Garfield, Grant, Grays Harbor, and Okanogan. Three counties, Chelan, Lewis, and Pend Oreille, are just under 800.0.

These numbers are a significant improvement from last week.

The rate of new cases and hospitalizations by age group was essentially unchanged.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1119791.4 (down)
Ages 12-19206.41.2
Ages 20-34192.34.6
Ages 35-49197.9 (up)10.2
Ages 50-64138.617.2
Ages 65-79102.423.8
Ages 80+102.236.2
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 58 deaths on Wednesday.

COVID outbreak at Colville skilled nursing and rehabilitation center

An outbreak of COVID that started on August 25 spread through a COVID skilled nursing facility, sickening 74, resulting in five deaths. The incident at Pinewood Terrace Nursing Center was reported by the Tri-County Health District. Four of the five people that died were unvaccinated.

Governor Inslee extends eviction moratorium

Governor Jay Inslee extended the statewide eviction moratorium until October 31, 2021. Federal, state, and local officials have struggled to distribute federal funds from the American Rescue Plan and additional funds from the CARES Act.

The extension was made to give Washington counties more time to distribute funds to renters, qualified mortgage holders, and landlords.

More plaintiffs join the lawsuit challenging Washington’s vaccine mandate for state employees and healthcare workers

Up to 500 more people joined a lawsuit filed on September 5 in Walla Walla, seeking to stop the Washington state vaccine mandate. The workers joining the case come from a cross-section of Washington, representing government employees at the state and local level, healthcare workers, and teachers.

The initial filing had 89 plaintiffs, and news reports indicate that count has swelled to around 600. KING 5 in Seattle reported on September 14, close to 4,800 employees were seeking exemptions, most on religious grounds. September 13 was the last day someone could file a request and not risk being fired if a decision was not made by the October 18 deadline.

Up to 120,000 workers are impacted by the state vaccine mandate between the requirement for certain state government organizations, educators, and healthcare workers. An exact number can only be estimated because some workers fall into multiple categories, such as healthcare workers in academia or school nurses.

William Cleary and his wife Sherra Rae have become the public face of the lawsuit. Mr. Cleary works for a very large King County fire department and is seeking a religious exemption. Ms. Cleary hasn’t disclosed where she works and is seeking a medical exemption because she is pregnant. Mr. Cleary claims 100 to 150 of his coworkers are ready to walk off the force in a department with more than 1,000 employees.

Other mandates for state workers, colleges, and healthcare providers have yet to show a dramatic number of people quitting. Yesterday, United Airlines reported more than 97% of its employees got vaccinated. Last month, Hawaii reported almost 99% of all state employees followed its vaccine mandate. In Texas, Methodist Health which employees 36,000 people, saw less than 200 quit their jobs.

Travel Advisories

We recommend avoiding all travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

Thank you

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

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

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

Vaccination

CDC advisory panel disagrees with FDA, votes to recommend boosters for more narrow group

An independent Centers for Disease Control and Prevention advisory panel voted to recommend seniors and other medically vulnerable Americans get a booster dose of Pfizer’s COVID vaccine six months after their second dose.

The vote now awaits final signoff from the CDC director. If that happens, booster shots would quickly become available at pharmacies, doctors’ offices, and other sites that provide the Pfizer vaccine.

The FDA and CDC rebuked the Biden Administration in separate votes, rejecting the broad booster shots President Joe Biden wanted. The CDC panel recommendation is more narrow than the FDA, which voted on September 17 to include people over 65, the immunocompromised, and employees such as healthcare workers who have high exposure to COVID.

In a unanimous vote, the CDC recommended boosters for people over 65 and the immunocompromised.

The booster shots are only available for people who received the Pfizer vaccine.

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

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 22.4% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 89.6% of capacity statewide, with 34.6% of ICU patients fighting COVID.

The 7-day rolling average hospital admission rate for new COVID patients is 157 a day. The Department of Health reported 1,605 COVID patients statewide on September 22 and 279 on ventilators. The data for the last two days was adjusted again.

  • Tuesday: 1,579 patients and 278 on ventilators
  • Wednesday: 1,604 patients and 290 on ventilators, a new record

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Bellevue (1)
– Eastgate (9)
– Enatai (32)
– Interlake (2)
– Lake Hills (13)
– Puesta del Sol (2)
– Wilburton (3)
None
Lake WashingtonYELLOW– Alcott Elementary (2*)
– Ella Baker Elementary (3*)
– Community School Elementary (7)
– Dickinson Elementary (2*)
– Eastlake High (1*)
– Einstein Elementary (1*)
– Evergreen Middle School (1*)
– Finn Hill Middle School (1*)
– Benjamin Franklin Elementary (2*)
– Robert Frost Elementary (9)
– Inglewood Middle School (3*)
– Juanita Elementary (2*)
– Juanita High School (1*)
– Kamiakin Middle School (4* – see below)
– Helen Keller Elementary (1*)
– Peter Kirk Elementary (2*)
– Kirkland Middle School (1*)
– Lake Washington High (1*)
– Lakeview Elementary (1*)
– Muir Elementary (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Redmond High School (1*)
– Rose Hill Elementary (1*)
– Rose Hill/Stella Schola Middle School (2*)
– Thoreau Elementary (4)
– Mark Twain Elementary (3*)

NorthshoreRED– Arrowhead Elementary (15)
– Canyon Creek Elementary (24)
– Canyon Park Middle School (8)
– Cottage Lake Elementary (16)
– Crystal Springs Elementary (56**)
– East Ridge Elementary (27)
– Fernwood Elementary (12**)
– Frank Love Elementary (27)
– Hollywood Hills Elementary (12)
– Inglemoor High School (7)
– Innovation Lab High School (9)
– Kenmore Elementary (16)
– Kenmore Middle School (41**)
– Kokanee Elementary (49)
– Leota Middle School (5)
– Lockwood Elementary (7)
– Maywood Hills Elementary (12**)
– North Creek High School (21**)
– Northshore Middle School (9**)
– Ruby Bridges Elementary (7)
– Secondary Academy for Success (9)
– Shelton View Elementary (19**)
– Skyview Middle School (73**)
– Sunrise Elementary (25)
– Timbercrest Middle School (27)
– Wellington Elementary (62)
– Westhill Elementary (6)
– Woodin Elementary (9)
– Woodinville High School (21)
– Woodmoor Elementary (21**)
– Bothell High School (11*/95)
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.

We had a parent-reported confirmed COVID case at Kamiakin Middle School on Tuesday. Because the Lake Washington School District updates its dashboard weekly, we don’t know if this is in addition to the 3 cases reported on Monday or if any of those earlier cases have returned to class. We have set the number to 4.

There was no significant change in status in the three school districts we track.

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

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulative Case Tracker is reporting 132,903 new cases and 2,785 deaths nationwide.

Alaska

Hospitals in Alaska continue to operate under crisis standards of care protocols, with the state reporting a record 1,330 new cases today. To put that in perspective, Alaska has less than half of the population of Idaho and reported an almost identical number of new cases today. Hospitalizations increased to 209, and the number of available ICU beds in the largest hospital in Anchorage had dwindled to seven.

Officials are planning to implement telework for most state employees

Idaho

Idaho also remains in crisis standards, with 1,345 new cases reported and just 15 ICU beds remaining statewide. ICU bed availability has improved since September 10, when the Gem State had 6 beds available.

With a peak in new cases forecasted to be more than a month away, morgues and funeral homes in Idaho are already struggling to deal with the number of corpses.

As a result, morticians are forced to find new ways to store bodies in — and sometimes outside — their facilities. At Bell Tower, owner Lance Cox said they’d converted a train car into an external refrigeration unit. The train car, which smells of diesel fuel and constantly produces considerable noise, can hold up to 56 bodies.

Ada County Chief Deputy Coroner Brett Harding said that in his 34-year career, he could only compare the number of deaths to two major events, from when he lived in Florida: the 2016 Pulse Nightclub shooting in Orlando and a 1996 ValuJet plane crash in the Everglades.

Some funeral homes are choosing to embalm bodies they wouldn’t normally embalm because embalmed bodies don’t need to be refrigerated.

Montana

Hospitals in Montana continue to struggle as multiple healthcare facilities teeter on moving to crisis standards of care. Officials reported 1,144 new COVID cases, with 407 hospitalized. There was scant information reported out of the state today.

Misinformation

Taking the day off

New COVID cases and hospitalizations plummet – local and national update for September 22, 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) Hospitalizations and new COVID cases in Washington declined sharply today. Hospitals remain very stressed, particularly in rural areas and Eastern and Southwest Washington. We have lifted a travel advisory today based on the new data.

Our neighbors to our north and east are watching things go from bad to worse as Alaska declares crisis standards of care statewide. In Montana, more hospital systems are warning they are running out of the capability to provide adequate hospital care to all.

In Clallam and Jefferson County, COVID is hitting nursing homes hard, and county leaders blame the unvaccinated.

Trevor Bedford, Ph.D., and an Associate Professor of Vaccine and Infectious Disease forecasted that COVID is here to stay in a seminar conducted last week. Secretary of Health Dr. Umair Shah sent a second request for federal assistance, escalating to the Secretary of Health and Human Services.

For those waiting until the last minute to get vaccinated before the October 18 deadline, the Johnson and Johnson vaccine is challenging to find, but that will improve shortly. On the subject of hard to find, it appears we’re moving to toilet paper shortage version 2.0. There’s an ivermectin joke there, but we will take a pass.

Snohomish County officials hint that a vaccine mandate will be coming for county workers. City officials in Kirkland announce residential rent, mortgage, and utility aid is available.

Nationally, the FDA has authorized the Pfizer booster shots for people over 65, with health issues, and who have significant exposure to COVID as part of their jobs. On the subject of vaccines, breakthrough cases represent less than 1% of all confirmed COVID cases in Washington state.

We’ve updated our green, yellow, red status for schools to reflect better the data we can and can’t get. Schools in all three districts we track reported new COVID cases or quarantines. The Northshore School District moves into the red, as Bothell High School now has 11 confirmed cases. Cincinnati Children’s Hospital releases a study on the impact of universal masking has in schools.

Nationally, Americans are drinking – a lot. Former National Security Advisor Michael Flynn advises his followers not to touch the salad dressing.

The narrative that the anti-vaccination movement is vast takes another blow today with reports from United Airlines, Duke Health, and Novant Health report that 97% to 99% of all employees are now vaccinated.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 22, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 22, 2021

Washington state COVID update

Data for new cases provided the best news Washington state has received in months. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, the 14 day moving average for new cases is 797.0 per 100K, a significant decrease. This is the first time the number has dropped under 800 since Yakima Valley Memorial Hospital warned they were on the brink of crisis standards of care. The Central Hospital Region, which represents King County, dropped to 267.5.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
50.00% or above (13 counties)484.0 (down)
40.00% to 49.99% (17 counties)700.7 (down)
28.10% to 39.99% (9 counties)757.7 (down)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 21, Washington’s statewide 14-day rolling average dropped to 457.7 COVID cases per 100K. Counties in the 1,000.0 to 1,399.9 range include Lincoln (1,339.4), Franklin (1,079.0) and Stevens (1,069.3). Counties in the 800.0 to 999.9 per 100K range include Adams, Asotin, Benton, Chelan, Douglas, Garfield, Grant, Grays Harbor, Lincoln, Lewis, and Okanogan.

King, Jefferson, and San Juan Counties continue to have the lowest number of new cases per 100K people.

There is one concern in the data. Washington state has paused reporting information on how many tests are coming back positive. A message was added to the Dashboard Data Notes.

“On September 15, 2021, DOH stopped updating all metrics on the Testing tab and the testing data displayed on the Demographics tab. This pause will remain in effect through October 31, 2021. During this time, DOH will work to increase its capacity to process the increased testing data volume received in the last few months.”

Declining total cases indicates that the percentages of positive tests are coming down. However, not having visibility into this data makes it impossible to predict long-term trends better.

The rate of new cases was down across every age group. Hospitalizations were down or flat for every age group except children birth to 11 years old. The increase in pediatric hospitalizations has leveled out.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11188.2 (down)1.6
Ages 12-19200.1 (down)1.2 (down)
Ages 20-34184.9 (down)4.6 (down)
Ages 35-49180.1 (down)10.7
Ages 50-64133.1 (down)17.5
Ages 65-7998.3 (down)23.0 (down)
Ages 80+98.2 (down)36.2 (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 44 deaths on Tuesday.

Professor at Fred Hutchinson Cancer Research Center predicts COVID is here to stay

In a virtual seminar, Associate Professor of Vaccine and Infectious Disease Division at Fred Hutchinson Cancer Research Center Trevor Bedford, Ph.D., predicted that COVID was here to stay. The seminar was held on September 14, and a video was made public on Monday. Dr. Bedford called his future perspectives “necessarily depressing.”

Associate professor Bedford’s research predicts that COVID will be a seasonal disease, much like the flu is today. The study showed that COVID is currently fivefold more adaptive than the common flu virus (H3N2). New variants of COVID would continue to evolve, but researchers believed this will slow down over time and become less potent.

Currently, COVID is tenfold more deadly than the flu. Based on current data and models, Mr. Bedford sees a future where 20% to 30% of Americans would be sickened with COVID-19 annually. Using the available information, the number of COVID-19 deaths could be reduced to 50,000 to 100,000 a year, using the same tools we use today to fight the flu.

Currently, the United States healthcare system is incapable of supporting the number of hospitalizations that would occur if the general expectations in the seminar become a reality.

Although Fred Hutchinson Cancer Research Center is world-renowned for leading-edge cancer treatment, the research center has released almost 20 papers on infectious disease since 2018. Many cancer treatments suppress the immune system, making patients more vulnerable to common diseases such as the flu.

VIDD Seminar at Fred Hutch on “SARS-CoV-2 evolutionary dynamics” recorded Sep 14, 2021

Governor Inslee and Secretary of Health Shah send second request for federal aid

After sending a request to Jeffrey Zients, the COVID-19 Response Coordinator, formally requesting “the deployment of Department of Defense medical personnel to assist with the current hospital crisis,” Governor Jay Inslee and Secretary of Health Dr. Umair Shah sent a second request to HHS Secretary Xavier Becerra.

The new letter has a more urgent tone than the one sent on Friday and indicates a growing concern in Olympia on the state’s ability to deliver medical care to its residents. Secretary Shah outlined the state’s existing efforts to date, adding, “the unprecedented increase in hospital admissions and occupancy rates has created extreme stress on hospitals, long term care facilities, and health case workers.”

“Fortunately, our hospitals in Washington have made a commitment to leverage all acute care hospital capacity in the state so that no one hospital alone must face implementing crisis standards of care.”

“Despite these efforts, we are very concerned this will simply not be enough to alleviate the stress on health care capacity and ensure health care is available for those who need it most in our state. Staff shortages in our healthcare system continue to make this a dire situation.”

Dr. Shah echoed Governor Inslee’s request for assistance from the federal government, including “Department of Defense resources.” This would be in addition to the 1,200 clinical and non-clinical workers previously requested to aid the state in an earlier request made to FEMA.

Johnson & Johnson vaccine supply is thin, but more doses are coming

For state employees, healthcare workers, and educators who are vaccine-hesitant or have decided to get the single dose Johnson & Johnson vaccine, some may have trouble getting the shot. In June, due to manufacturing problems, the federal government halted the distribution of the adenovector vector vaccine. Distribution restarted on September 10.

Currently, there are 84,082 doses available in Washington state, with another 59,700 on order. The extra doses are expected to be here before the October 4 deadline for workers to initiate getting vaccinated.

State officials believe there will be enough doses to cover the need. On September 10, the Washington Federation of State Employees ratified modifications to the state vaccine mandate. Over 80% of the nearly 47,000 state workers the union represents approved the measure.

Here we go again – where is the toilet paper

Issaquah, Washington-based Costco, warned customers that some essential household items such as toilet paper are in short supply. The company didn’t specify which products were experiencing a tight supply, but on August 16, it indicated that toilet paper was an issue. There have been anecdotal reports on social media of bare paper product shelves in Costco and Walmart stores.

Last month, Proctor and Gamble announced they were ramping up paper product production due to growing demand.

Editor’s Note: We know there is an ivermectin joke here, but we’ll take a pass.

Snohomish County leaders hint a vaccine mandate for county workers is coming

During the health briefing on Tuesday, Snohomish County Executive Dave Somers said, “Very soon we will be under a vaccination mandate for our organization.

“There’s a significant number of people who are saying they will not get vaccinated and would rather lose their jobs. So we are expecting to see some of that resistance,” said Executive Somers.

The latest data shows COVID cases have declined in Snohomish County, but the transmission rate is as high as ever.

According to the Health Officer, more than 2-thousand students in Kindergarten to 12th grade were quarantined the first two weeks of September.

Residential rent, mortgage, and utility relief available to Kirkland residents

The City of Kirkland is partnering with community-based agencies to provide immediate financial assistance to Kirkland residents struggling to pay for their rent, mortgage, and utilities due to the COVID-19 pandemic. Please review the following information to determine if you qualify and learn how to apply for assistance. 

Language and cultural navigators are available to help access the city’s relief programs. These programs are made possible with funds through the American Rescue Plan Act.

To be eligible, the applicant must have a home mailing address in the city of Kirkland, have experienced a COVID hardship since March 2020, and have a household income no higher than 100% of the King County median income in the last 60 days. Additional information can be found on the city of Kirkland website.

COVID cases in Clallam and Jefferson County nursing homes spread by the unvaccinated

Last week, Clallam and Jefferson Counties health officer Dr. Allison Berry said seven outbreaks had been reported at long-term care facilities, with the largest outbreak occurring at Sequim Health & Rehabilitation Center.

As of Friday, the 17th, there were over 60 cases there, and on Tuesday, a sign was posted on one of their doors indicating there were active COVID-19 cases inside.

“The primary driver of these long-term care facility outbreaks is unvaccinated staff and a shocking amount of COVID in the community,” Berry said, adding that the facilities were already stretched thin for staffing, and the delta variant has exacerbated the problem. She said most of the facilities have 50 percent or less of their staff fully inoculated. “When it runs through these facilities, all the unvaccinated folks get COVID. So now an already understaffed facility becomes a critically understaffed facility.”

Travel Advisories

We recommend avoiding all travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.

We have lifted our travel advisory to Lincoln 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

FDA panel authorizes COVID boosters for people over 65, immunocompromised, and healthcare workers

Today, the U.S. Food and Drug Administration amended the emergency use authorization (EUA) for the Pfizer-BioNTech COVID-19 Vaccine to allow for use of a single booster dose, to be administered at least six months after completion of the primary series.

Comirnaty was approved by the FDA on August 23 to prevent COVID-19 in individuals 16 years of age and older. On August 25, the FDA received a supplement from Pfizer Inc. seeking approval of a single booster dose for individuals 16 years of age and older. Last week, an FDA panel rejected the Biden Administration’s plan to provide boosters for all. Instead, they approved a more narrow scope that protects groups that are experiencing the most breakthrough cases.

Eligible individuals include people over 65 years old, individuals at high risk of severe COVID, and people who frequently work in places where exposure to COVID puts them at high risk.

“Today’s action demonstrates that science and the currently available data continue to guide the FDA’s decision-making for COVID-19 vaccines during this pandemic. After considering the totality of the available scientific evidence and the deliberations of our advisory committee of independent, external experts, the FDA amended the EUA for the Pfizer-BioNTech COVID-19 Vaccine to allow for a booster dose in certain populations such as health care workers, teachers, and daycare staff, grocery workers and those in homeless shelters or prisons, among others,” said Acting FDA Commissioner Janet Woodcock, M.D. “This pandemic is dynamic and evolving, with new data about vaccine safety and effectiveness becoming available every day. As we learn more about the safety and effectiveness of COVID-19 vaccines, including the use of a booster dose, we will continue to evaluate the rapidly changing science and keep the public informed.”

The booster shots are only available for people who received the Pfizer vaccine.

Breakthrough COVID cases represent less than 1% of all Washington state infections

According to a new report from the Washington State Department of Health, fewer than 1% of fully vaccinated people have experienced a breakthrough case of COVID.

Since the first Washingtonian became vaccinated on January 17 through September 11, there have been 36,919 breakthrough cases. Although only 12% of cases were asymptomatic, just 9% were hospitalized, and less than 1% died.

Over three-quarters of the breakthrough cases were among people ages 20 to 64.

The 331 people who died ranged in age from 34 to 103, with a median age of 79.5. Over a third, 117 people, were in long–term care facilities.

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

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 22.8% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 89.6% of capacity statewide, with 35.2% of ICU patients fighting COVID.

The 7-day rolling average hospital admission rate for new COVID patients is 166 a day. The Department of Health reported there were 1,540 COVID patients statewide on September 21 and 245 on ventilators. The data for yesterday was updated to 1,561 patients on Monday and 257 on ventilators. After a week of numbers hovering on what looked like a new plateau, all data indicates we are in a new decrease.

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Bellevue (1)
– Eastgate (9)
– Enatai (32)
– Interlake (2)
– Lake Hills (13)
– Puesta del Sol (2)
– Wilburton (3)
None
Lake WashingtonYELLOW– Alcott Elementary (2*)
– Ella Baker Elementary (3*)
– Community School Elementary (7)
– Dickinson Elementary (2*)
– Eastlake High (1*)
– Einstein Elementary (1*)
– Evergreen Middle School (1*)
– Finn Hill Middle School (1*)
– Benjamin Franklin Elementary (2*)
– Robert Frost Elementary (9)
– Inglewood Middle School (3*)
– Juanita Elementary (2*)
– Juanita High School (1*)
– Kamiakin Middle School (4* – see below)
– Helen Keller Elementary (1*)
– Peter Kirk Elementary (2*)
– Kirkland Middle School (1*)
– Lake Washington High (1*)
– Lakeview Elementary (1*)
– Kirkland Middle School (37)
– Muir Elementary (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Redmond High School (1*)
– Rose Hill Elementary (1*)
– Rose Hill/Stella Schola Middle School (2*)
– Thoreau Elementary (4)
– Mark Twain Elementary (3*)

NorthshoreRED– Arrowhead Elementary (16)
– Canyon Creek Elementary (23)
– Canyon Park Middle School (6)
– Cottage Lake Elementary (14)
– Crystal Springs Elementary (58**)
– East Ridge Elementary (28)
– Fernwood Elementary (12**)
– Frank Love Elementary (24)
– Hollywood Hills Elementary (10)
– Inglemoor High School (7)
– Innovation Lab High School (9)
– Kenmore Elementary (17)
– Kenmore Middle School (42**)
– Kokanee Elementary (44)
– Leota Middle School (4)
– Lockwood Elementary (7)
– Maywood Hills Elementary (14**)
– North Creek High School (19**)
– Northshore Middle School (9**)
– Ruby Bridges Elementary (7)
– Secondary Academy for Success (9)
– Shelton View Elementary (18**)
– Skyview Middle School (76**)
– Sunrise Elementary (26)
– Timbercrest Middle School (28)
– Wellington Elementary (61)
– Westhill Elementary (6)
– Woodin Elementary (10)
– Woodinville High School (21)
– Woodmoor Elementary (19**)
– Bothell High School (11*/89)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

Today we are defining status red for a school district. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting a metric of any school with more than 10 active COVID cases reported, and we will move that school into the right column.

We have a parent-reported Lake Washington School District confirmed COVID case at Finn Hill Middle School. The Bellevue School District reported 9 students in quarantine at Eastgate. The district did not report a confirmed COVID case in the school, suggesting the exposure happened off school grounds.

Northshore School District now has 9 schools with 5 to 9 confirmed cases, while Bothell High School reported 11 today. The district started weekly student-wide testing on Monday.

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

Cincinnati Children’s Hospital releases study showing mask mandates lower COVID cases and quarantines

Dr. Katherine Auger, a pediatrician who cares for hospitalized children and associate chair of outcomes in the Cincinnati Children’s pediatrics department, recently examined COVID-19 caseloads in seven Cincinnati-area schools to learn whether universal masking makes a difference.

Auger’s study used data from seven school districts with a total of 64,500 students. Three districts require universal masking (including one that switched to full masking after a week of school), four require masking for kids in kindergarten through sixth grade but not for kids in grades seven through 12. Five of the districts also provided the data on quarantines.

After the 21 days of in-person learning, the data revealed:

  • COVID cases were 78% higher in schools without universal masking
  • The number of students being quarantined was 60% higher in schools without universal masking

Kirkland-Bellevue-Woodinville

No update

National Round-Up

In another sign that the national surge of Delta variant COVID cases is slowing down, the 7 day rolling average of COVID-related deaths increased to over 2,000 a day. This is the highest rate since March 1. Hospitalizations decreased to 91,500 after peaking at 103,000 at the beginning of September.

Americans are hitting the bottle

A new survey suggests that more than 18 months into the COVID-19 outbreak in the U.S., nearly 1 in 5 Americans is consuming an unhealthy amount of alcohol.

About 17% of respondents reported “heavy drinking” in the past 30 days, according to the survey conducted by analytics firm The Harris Poll and commissioned by Alkermes, an Ireland-based biopharmaceutical company.

The survey was conducted online from March 30 to April 7 among 6,006 U.S. adults ages 21 and older. Of those, 1,003 adults reported “heavy drinking.”

Former National Security Advisor Michael Flynn has a new conspiracy theory

Michael Flynn, the former National Security Adviser to the Trump administration, reported a new plot by the so-called “Deep State.” The vaccine is going to be put in American’s salad dressings.

“Somebody sent me a thing this morning where they’re talking about putting the vaccine in salad dressing,” said Flynn. “Have you seen this? I mean, it’s — and I’m thinking to myself, this is the Bizarro World, right? This is definitely the Bizarro World … these people are seriously thinking about how to impose their will on us in our society, and it has to stop.”

Yes, we know this seems like fake news, but we have receipts.

MICHAEL FLYNN REPORTING THAT THE COIVD VACCINE IS GOING TO BE ADDED TO SALAD DRESSINGS

Jesse Jackson released from residential care after breakthrough infection

The Rev. Jesse Jackson, 79, was released Wednesday from a Chicago facility a month after being hospitalized for a breakthrough COVID-19 infection. His wife Jacqueline, 77, was also infected but was not vaccinated. She required oxygen and a brief intensive care unit stay and was released this month.

The civil rights icon has severe Parkinson’s disease and other comorbidities.

United Airlines reports over 97% of employees got vaccinated

In what is becoming a common trend, United Airlines joined a growing list of businesses, hospitals, and colleges that mandated vaccinations and reached a high level of acceptance. With over 97% already vaccinated, employees still have another week left before they will face termination. The airline reported there was a small number of exception requests being evaluated.

The airline has more than 67,000 employees.

Mormon Church to require masks in temples

The Church of Jesus Christ of Latter-day Saints announced Wednesday that masks will be required inside temples to limit the spread of COVID-19.

Church leaders said in a statement that masks will be required temporarily to keep temples open. The message was the latest in a series of statements from church leaders encouraging masking and vaccination efforts against COVID-19.

Alaska

Today in Alaska, the sum of all fears was realized with Governor Mike Dunleavy announcing that all hospitals will be operating under crisis standards of care. Alaska joins Idaho as the only two states since the pandemic started to make a statewide emergency declaration.

A combination of short staffing and high numbers of COVID-19 patients is overwhelming medical facilities in Anchorage, Mat-Su, and Fairbanks. Rural hospitals say they struggle to transfer patients to urban centers for higher care. At least one patient died recently when a bed in Anchorage wasn’t available.

Officials announced that the Alaska Department of Health and Social Services enabled crisis standards of care Wednesday through a new addendum to the state’s existing COVID-19 public health order.

FEMA is sending 300 registered nurses and 100 certified nursing assistants to support struggling Alaska hospitals.

Alaska hospital administrations warned of a “catastrophe” back in July, which went ignored by government leaders.

The 7-day moving average for new cases set another record, 823 per 100,000 people – the highest in the United States.

Florida

Following Idaho’s lead, Governor Ron DeSantis appointed Dr. Joseph Ladapo as Florida’s next surgeon general.

Ladapo is a critic of mask-wearing, lockdowns, and vaccines, and his appointment comes as public health experts urge the state to take a more serious approach to the pandemic.

Hawaii

We have reported on the Aloha Freedom Coalition, an anti-vaccination group that has led protests in the Aloha State. Chris Wikoff, one of the founders, was hospitalized with COVID, and now he wants to end his association with the group.

“We were told the COVID virus was not that deadly. It was nothing more than a little flu. I can tell you it’s more than a little flu,” he said.

Wikoff and his wife both caught COVID. Her case was mild, but his required hospitalization at the peak of Hawaii’s surge. He was initially taken to Queen’s Medical Center West but had to be moved to another facility due to a lack of staffed beds.

“I was in a bed. I can’t move, I can’t breathe,” he recalled, about the experience. “I was afraid I was going to die.”

He was treated with Remdesivir and is now considering getting vaccinated because his doctor and family members ― some of whom are physicians ― are recommending it.

Wikoff said he asked the Aloha Freedom Coalition to remove his name as a member on its state business registration.

“I no longer want to participate. I want to mind my own business and isolate,” he said.

Idaho

Idaho remains in crisis standards as the number of hospitalized COVID patients surged 10% overnight, to 760, with 202 in intensive care. St Luke’s Hospitals reported almost 88% of all hospitalized COVID patients and 98% in the ICU are unvaccinated.

In Coeur d’Alene, pediatric doctors from across the panhandle talked about the growing number of hospitalized children.

“We recognize that children greatly benefit from in-person learning for so many reasons, but it needs to be done safely,” Dr. Vanessa Carroll, Pediatric Medical Director at Kootenai Health, said. 

They gave a resounding recommendation that schools begin universal masking, social distancing, and for anyone eligible to get vaccinated. 

Due to the delta variant, the children they are seeing come in with COVID-19 are sicker than in previous waves and, with children under the age of 12 unable to get vaccinated yet, they are more at risk to come in seriously ill.

Tanya Heidenreich, a psychiatric nurse practitioner at Kootenai Health, said that COVID-19 goes beyond physical illness. 

“These children are experiencing symptoms that are similar to trauma,” she said. “They get made fun of if they wear a mask, they get made fun of if they don’t wear a mask, They don’t know who to believe.”

Montana

In Big Sky Country, COVID hospitalizations also continue to grow, approaching 400 needing care. The hospital in the state capital of Helena continues to operate under crisis standards of care, with hospitals in Bozeman, Missoula, and Billings preparing to make the same decisions.

Today, officials at Barrett Hospital in Dillon warned that they were close to implementing crisis standards of care.

“When crisis standards of care are in effect, people who need medical care may get care that is different from what they expect. For example, patients admitted to the hospital may find that hospital beds are not available, or that needed equipment is not available. They may have to wait for a bed to open or be moved to another hospital in or out-of-state that has the resources they need.”

“Providers and health care facilities across Montana are currently experiencing limitations in their ability to provide the standard of care that we all wish to provide to our communities and normally expect to provide,” said Dr. Greg Moore, Chief Medical Officer. “This situation may persist for some time and is everchanging day-by-day, which has required Barrett Hospital & HealthCare to consider implementing crisis care standards to ensure the most equitable allocation of limited resources for patient care.”

“While the current increase in patient numbers is moving Barrett Hospital & HealthCare closer to having to implement crisis care standards, Barrett Hospital & HealthCare is diligently working to avoid having to do so.”

In Kalispell, Logan Health released data on the COVID patients under their care. The 288-bed facility has 42 COVID patients, with 9 in the ICU and 5 on ventilators. Of the 9 people in the ICU, only one is vaccinated.

Missouri

After multiple threats and incidents at Cox Medical Center in Springfield, hospital staff has been issued GPS-equipped panic buttons to summon security.

North Carolina

In another blow to the narrative that hospital personnel is leaving in large numbers due to vaccination mandates, Novant Health reported 99% of their employees followed the hospital system’s mandate.

All of Novant’s roughly 35,000 workers across North Carolina, South Carolina, and Georgia were required to receive at least one dose of a COVID-19 vaccine or obtain an approved medical or religious exemption by September 15. Across the three southern states, 375 have not been vaccinated or submitted an exemption request and face termination in five days. 

Duke Health, which employs more than 23,000 people in North Carolina, also had their deadline to get vaccinated pass. Officials reported over 98% of staff got vaccinated, increasing from 77% in July, and they are still compiling data.

Oregon

A school employee in Roseburg is on leave after showing up to work on Friday in Blackface protesting COVID restrictions.

Superintendent Joe Mack wrote in a statement, “I am horrified, angry and ashamed that this happened, as is nearly every other staff member. The students of color in Newberg deserve so much more. This goes against everything I and the vast majority of NSD staff believe and is unfathomably offensive. 

If we had the power to entirely eliminate deep-seated racism, we would in a heartbeat. But the painful truth is that clearly, racist behavior exists in our town, in our state, and our world—not just in the major and overt ways we’ve seen recently, but in subtle ways that affect people of color every single day. We must interrupt and respond; we must do better.

It is important to remember the terrible historical context of Blackface: how it has been used to misrepresent and demean Black communities and how much harm and pain it continues to cause. This behavior represents violence and evokes trauma; it is beyond unacceptable. 

It is also important to acknowledge that references to our nation’s horrific history of the slave trade, which were made in the recent social media incident, have devastating consequences to our students whom we love and serve. It, too, is beyond unacceptable.”

Misinformation

Taking the day off

Local and national COVID update for September 21, 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) Today’s data is mixed but supports the story that Washington state is in a pandemic of the unvaccinated. The gap between hospital districts widened again, and Lincoln County is now averaging more than 1,600 new cases per 100,000 people.

New cases are down for all age groups, while hospitalizations increased and the number of patients on ventilators set a new record.

Seattle Mayor Jenny Durkan extended the eviction moratorium to January 15, 2022. Supporters of 20 Redmond firefighters were planning to “swarm” the city council meeting tonight. A Mill Creek coffee shop is being harassed after requiring proof of vaccination for entry. Governor Jay Inslee calls out Idaho Governor Brad Little for “clogging up my hospitals.”

Johnson and Johnson issues a statement that the Phase 3 trial for booster shots was favorable, but we’re still months away from additional guidance.

Things improved dramatically in the Bellevue School District, while Kamiakin Middle School in the Lake Washington School District can’t catch a break. The Northshore School District adds an eighth school with more than 5 active COVID cases, however, the number of new cases detected has dropped dramatically.

Someone thought it would be amusing to paint swastikas at St Luke’s Hospital in McCall, Idaho. In Montana, the health officer of Sanders County was forced to resign for writing letters to the editor of local papers encouraging vaccination. Alaska has the highest rate of growth for new COVID cases in the United States.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 21, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 21, 2021

Washington state COVID update

Today is the first day the 14-day moving average for new cases does not include data from Labor Day weekend. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, new cases are 862.5 per 100K, and the Central Hospital Region, which represents King County, the rate is 295.7.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
50.00% or above (13 counties)518.0
40.00% to 49.99% (17 counties)774.2 (up)
28.10% to 39.99% (9 counties)836.1 (up)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

The biggest change now that Labor Day Weekend is out of the data was among the 40% to 49.99% vaccinated counties. Although the least vaccinated counties also increased, the jump was smaller. Overall, we would label this as good news.

Through September 20, Washington’s statewide 14-day rolling average was 493.6 COVID cases per 100K, which is statistically unchanged from Monday. Lincoln County reported 1,601.8 new cases per 100K – we’re out of words in the thesaurus. Counties in the 1,000.0 to 1,399.9 range include Grays Harbor (1,023.8) Franklin (1,161.6) and Stevens (1,183.8). Counties in the 800.0 to 999.9 per 100K range include Adams, Asotin, Benton, Chelan, Clallam, Douglas, Garfield, Grant, Lewis, Okanogan, Pend Oreille, and Yakima. It is worth noting that Adams, Grant, and Okanogan Counties are at 975.0 or above, just under the 1,000 threshold. Additionally, Walla Walla County is at 783.0, just under the 800 threshold.

King, Jefferson, and San Juan Counties had the lowest number of new cases per 100K people.

The Johns Hopkins Washington State Overview is not reporting accurate data. If 83% of COVID tests are coming back positive in Washington state, it’s been great knowing you (hint – they’re not). Without clear insight into how many tests are coming back positive, it is harder to understand ongoing trends.

The rate of new cases was down across every age group. Hospitalizations were down or flat for every age group except children birth to 11 years old. The increase in pediatric hospitalizations is slowing down, which is good news. As a footnote, the 103.6 per 100K new cases for ages 65 to 79 and ages 80 and over is not a typographical error.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11208.3 (down)1.5 (up)
Ages 12-19227.4 (down)2.0
Ages 20-34210.3 (down)5.1 (down)
Ages 35-49196.3 (down)10.5 (down)
Ages 50-64146.2 (down)18.1 (down)
Ages 65-79103.6 (down)24.0
Ages 80+103.6 (down)33.3 (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 70 deaths on Monday. The Monday report includes the weekend, so this should not be viewed as a single-day total.

Seattle Mayor Jenny Durkan extends eviction moratorium until next year

Embattled Seattle Mayor Jenny Durkan announced the city is extending the eviction and utility shutoff moratorium to January 15, 2022. The extension applies to residential and commercial evictions. The American Rescue Plan Act, signed by former President Donald Trump, and the CARES Act signed by President Joe Biden in March, earmarked billions in funds for individuals, businesses, and landlords nationwide.

As reported by the Seattle Times, 60,000 Seattle area renters are behind on rent. Since June, the City has distributed more than $15 million of the first allocation of the American Rescue Plan rent relief to tenants and landlords.

The executive order continues tenant protections prohibiting landlords from issuing notices of termination or otherwise initiating eviction actions with the courts unless there is an imminent threat to the health and safety of the community. Late fees, interest, or other charges due to late payment of rent during the moratorium are not allowed. However, tenants are still legally obligated to pay rent during the moratorium, and landlords are encouraged to offer flexible payment plans.

The moratorium on eviction of nonprofit and small business commercial tenant applies to independently-owned businesses with 50 employees or fewer per establishment, state nonprofits, and 501(c)3) nonprofits. The extension also prevents eligible small businesses and nonprofits from incurring late fees, interest, or other charges due to late payment during the moratorium.

Redmond firefighters and supporters plan to “swarm” city council meeting tonight

Tension is building in Redmond, where the supporters of up to 20 firefighters who have requested religious exemptions plan to “swarm” the city council meeting tonight. Family members and firefighters who filed for exemptions now believe they won’t be granted.

“For us to even contemplate to fire any of these heroes, shame on us,” said firefighter mother Sknge Alsin. “We should keep every job intact.”

Alsin’s daughter Kayleight is married to a firefighter. Her husband joined the department after spending 10 years as a Redmond cop. 

Redmond has 164 full-time firefighters, according to the report by FOX Q13 in Seattle. The National Testing Network, Job Information page for the Redmond Fire Department indicates that all firefighters with the city must be trained as emergency medical technicians.

“The City of Redmond Fire Department has more than 165 dedicated employees providing fire and life safety services to the City of Redmond and King County Fire District 34.  Line personnel work a 48/96 schedule (two days on and four days off), and all Firefighters are trained as Emergency Medical Technicians (EMT).”

In Washington state, EMTs are considered healthcare providers and are required to have a variety of vaccinations. This includes Hepatitis B, Varicella (chickenpox), MMR, and the seasonal flu vaccine. For individuals challenging the COVID vaccine mandate for deeply held religious beliefs against abortion, acceptance of the existing vaccine requirements likely invalidates their exemption request.

A common objection among those seeking a religious exemption is the use of cloned human embryonic kidney cells (HEK-293) in the research, testing, development, or production of the COVID vaccines. The mRNA vaccines used HEK-293 in the testing and development, and the inert adenovirus vaccination by Johnson & Johnson uses the cells in production. The challenge those seeking an exemption face is the vaccines for Hepatitis B, Varicella, and Rubella (part of the MMR) also used HEK-293 cells.

Additionally, only a handful of religions reject vaccination as a tenet of faith. The leadership of Islam, Judaism, as well as the Pope and the President of the Mormon Church, have advised their adherents to get vaccinated. In the United States, some local bishops have bucked the Vatican.

Mill Creek coffee shop harassed by anti-vaccination activists

Savvanah Jackson created Mixed Coffee in Mill Creek to create a space with the BIPOC community while sharing Black and Ecuadorian culture with her customers. The business announced they would require proof of vaccination to dine inside the business. After announcing the requirement, her staff has suffered harassment from people defying the policy.

In a video posted on Instagram, Ms. Jackson pleaded for people to be rational and civil.

“I’m tired of seeing my employees stand at the register and watch them get screamed at. It’s not okay, and it’s not okay to just be so hateful towards other people.”

“Please don’t come in here and disrupt and scream at my employees for doing their job.”

At the beginning of the COVID pandemic, Ms. Jackson’s grandmother became ill with COVID. After a 93 day battle, she ended her fight.

Full disclosure – malcontent news covered the grand opening of mixed coffee on June 19. 2021 – no promotional consideration was made or given for our June coverage or this story – we will say, “get the guava and cheese turnovers”

Governor Jay Inslee calls on Idaho to ‘take some commonsense measures’

Governor Inslee called out Idaho leadership about not doing enough to control the ongoing surge of COVID cases in the Gem State. On an appearance on MSNBC, the governor claimed that the patients from Idaho are “clogging up my hospitals.”

“Today in my state, Washington citizens in many cases cannot get heart surgery, cannot get cancer surgery that they need, because we are having to take too many people of unvaccinated nature and unmasked, many of whom come from Idaho, and that’s just maddening frankly,” Inslee said. “So we are calling for Idaho and the leaders there to lead and take some commonsense measures. I’m disappointed the governor of Idaho has spent more time trying to reduce protection by reducing vaccine usage instead of concentrating on this, and then clogging up my hospitals.”

Travel Advisories

We recommend avoiding all travel to Spokane, Lincoln, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with Alaska, Idaho, and Montana. Hospital resources in these regions, except Lincoln County, are so constrained that you may receive inadequate care if you experience a medical emergency.

We recommend avoiding travel to Lincoln County because the number of new cases per 100K residents exceeds 1,500.

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

Johnson & Johnson reports on booster shot effectiveness

Johnson & Johnson reported that a booster shot of the Johnson & Johnson COVID vaccine provides 94% protection against getting coronavirus in the United States. This would rival the effectiveness of the Moderna vaccine, according to the CDC MMWR study released on September 10.

“Our large real-world evidence and Phase 3 studies confirm that the single-shot Johnson & Johnson vaccine provides strong and long-lasting protection against COVID-19-related hospitalizations. Additionally, our Phase 3 trial data further confirm protection against COVID-19-related death,” said Mathai Mammen, M.D., Ph.D., Global Head, Janssen Research & Development, Johnson & Johnson. “Our single-shot vaccine generates strong immune responses and long-lasting immune memory. And, when a booster of the Johnson & Johnson COVID-19 vaccine is given, the strength of protection against COVID-19 further increases.”

Johnson & Johnson reported that Phase 3 testing of its booster shots was a randomized, double-blind, placebo-controlled clinical trial designed to evaluate the safety and efficacy of a two-dose vaccine regimen, given at a 56-day interval, versus placebo in adults 18 years old and older with and without comorbidities associated with an increased risk for severe COVID-19.

The press release did not provide insight into how large the study was or if testing was done in other countries. It also did not indicate if the study was done before, during the rise of, or after the Delta variant became the dominant strain.

The company indicated that full data would be submitted for publication “in the coming months.”

If you’re among the 15 million Americans with the Johnson & Johnson vaccine wondering what’s next, you’re going to have to wait longer.

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

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 21.2% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 90.4% of capacity statewide, with 35.0% of ICU patients fighting COVID.

The 7-day rolling average hospital admission rate for new COVID patients is 165 a day, a significant drop in recent hospitalizations. The Department of Health reported there were 1,604 COVID patients statewide on September 20 and 290 on ventilators. That is an increase of 25 patients and a new record for Washingtonians requiring ventilators.

MultiCare Deaconess Hospital in Spokane reported on the psychological toll the constant cases and death is having on staff.

On Friday, one nurse was caring for three patients. ICU charge nurse Kimberly Davisson is trying to give these nurses support in the form of an on-call “extender” staff member, who can run to get supplies, administer medicine or help flip a patient over.

“I went to a rapid response on the COVID floor, and the nurse was really struggling with what was happening with her patient, and she said, ‘This is my last week, I can’t do it anymore,'” Davisson recalled.

Back to School

School DistrictStatusQuarantinesClosures
BellevueYELLOW– Bellevue (1)
– Enatai (32)
– Interlake (2)
– Lake Hills (13)
– Puesta del Sol (2)
– Wilburton (3)
None
Lake WashingtonYELLOW– Alcott Elementary (2*)
– Ella Baker Elementary (3*)
– Community School Elementary (7)
– Dickinson Elementary (2*)
– Eastlake High (1*)
– Einstein Elementary (1*)
– Evergreen Middle School (1*)
– Benjamin Franklin Elementary (2*)
– Robert Frost Elementary (9)
– Inglewood Middle School (3*)
– Juanita Elementary (2*)
– Juanita High School (1*)
– Kamiakin Middle School (4* – see below)
– Helen Keller Elementary (1*)
– Peter Kirk Elementary (2*)
– Kirkland Middle School (1*)
– Lake Washington High (1*)
– Lakeview Elementary (1*)
– Kirkland Middle School (37)
– Muir Elementary (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Redmond High School (1*)
– Rose Hill Elementary (1*)
– Rose Hill/Stella Schola Middle School (2*)
– Thoreau Elementary (4)
– Mark Twain Elementary (3*)

NorthshoreYELLOW– Arrowhead Elementary (16)
– Bothell High School (72**)
– Canyon Creek Elementary (25)
– Canyon Park Middle School (5)
– Cottage Lake Elementary (14)
– Crystal Springs Elementary 38)
– East Ridge Elementary (29)
– Fernwood Elementary (12**)
– Frank Love Elementary (24)
– Hollywood Hills Elementary (10)
– Inglemoor High School (5)
– Innovation Lab High School (8)
– Kenmore Elementary (17)
– Kenmore Middle School (37**)
– Kokanee Elementary (39)
– Leota Middle School (3)
– Lockwood Elementary (7)
– Maywood Hills Elementary (12)
– North Creek High School (18**)
– Northshore Middle School (8**)
– Ruby Bridges Elementary (7)
– Secondary Academy for Success (9)
– Shelton View Elementary (17**)
– Skyview Middle School (79**)
– Sunrise Elementary (29)
– Timbercrest Middle School (28)
– Wellington Elementary (58)
– Westhill Elementary (6)
– Woodin Elementary (9)
– Woodinville High School (21)
– Woodmoor Elementary (20**)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

We have a new Lake Washington School District confirmed COVID case at Kamiakin Middle School, resulting in 5 students quarantining. On Monday, the district reported there were 3 confirmed cases, so we have increased the number to 4. The district has not shared how many students are in quarantine, so we have removed the number.

The Bellevue School District reported that COVID cases and quarantines at multiple schools cleared. The district currently has 6 schools with confirmed COVID cases and or students in quarantine.

Northshore School District added another school reporting 5 or more confirmed COVID cases, bringing the total to 8. The district has 323 students and faculty in quarantine and 14 new positive cases in the last week, which is a significant decrease in new cases. There are 9 confirmed cases at Bothell High School, 7 among staff members.

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

Kirkland-Bellevue-Woodinville

No update

National Round-Up

In a sad sign that the national surge of the Delta variant may be coming to an end, the daily average of COVID-related deaths increased to over 1,900 a day. The last time the rate was this high was in March 2021, as the Alpha variant reached its conclusion.

“There is a very real risk you’ll end up in the hospital or even in the obituary pages,” Dr. Bruce Vanderhoff, chief medical officer for the Ohio Department of Health, said to the unvaccinated. “Don’t become a statistic when there is a simple, safe, and effective alternative to go out today and get vaccinated.”

Many low-vaccination communities also have high rates of conditions like obesity and diabetes, said Dr. William Moss of Johns Hopkins. And that combination — along with the more contagious delta variant — has proved lethal.

Johns Hopkins University Cumulative Case Tracker is reporting 201,648 new cases and 2,302 deaths nationwide. This number would include data from over the weekend.

The United States government cut a deal to buy over $1 billion worth of rapid test kits from Abbott Laboratories and Cellitrion, Inc. The Biden Administration also agreed to a smaller deal with Quidel Corp, OraSure Technologies, and Intrivo.

Demand for rapid tests exploded after the reopenings of K-12 schools and an earlier mandate by the White House that will require most U.S. federal employees to either get vaccinated or receive weekly tests.

Alaska

The situation in Alaska remains dire, with the state seeing the highest growth rate for new cases in the United States. Statewide, 16 ICU beds were available Tuesday morning, 12 in Anchorage. The 7-day rolling average for new COVID cases statewide grew to 801 per 100K on Tuesday, with 2,054 new confirmed cases over the weekend. The number of hospitalized COVID patients did drop to 196, with 74 on ventilators.

Idaho

Idaho remains in crisis standards of care statewide and added 1,829 new confirmed COVID cases over the weekend with 36 deaths. The state was caring for 686 COVID patients with 180 in intensive care. During the wave that struck in early 2021, Idaho set a record of 496 COVID patients and 122 in intensive care. Since the first case arrived in Idaho, 11,800 healthcare workers in the state have been infected with COVID.

Governor Brad Little released $10 million in funding to address the growing needs in Idaho hospitals, primary and urgent care clinics and skilled nursing facilities due to the recent surge in COVID-19 patients needing care. The governor wants to expand the number of monoclonal antibody clinics in the state. Still, Idaho is experiencing a shortage of the drug, as are many other states in the country.

After being criticized by Washington Governor Jay Inslee, Governor Little fired back.

“Governor Inslee blames Idaho, yet Spokane County and the surrounding area on his side of the border continue to be hot spots for virus activity with the lowest vaccination rates in the entire State of Washington, despite Governor Inslee issuing vaccine mandates and mask mandates,” Little said.

The Idaho Department of Health and Welfare continues to predict that Idaho will be seeing 30,000 new COVID cases a week by mid-October. If that is true, the hospitalization peak won’t come until early November, with deaths peaking around Thanksgiving.

Idaho Health and Welfare Director Dave Jeppsen shared that his mother had a stroke on the same day statewide crisis standards of care were implemented.

“Things were different in the E.R.,” Jeppesen said. “There were other patients receiving care in the waiting room. My mom fell when she had her stroke and there was a concern that she had broken bones. The X-rays were done in a non-traditional X-ray area with a longer wait than usual. Fortunately, she did not break any bones. Normally a person in her condition would be held overnight for observation. Because of crisis standards of care, after she was stable, she was discharged later the same day from the E.R.”

The St. Maries School District in Idaho had to move to virtual instruction with 20% to 30% of its staff out sick and 30% of the students. The district hopes to return to in-person instruction in mid-October.

According to her brother, Daryl Rise, Natalie Rise had worked as a registered nurse and home healthcare worker who advocated against vaccination died of COVID.

Daryl Rise told the news outlet that his sister didn’t think there had been studies conducted on the vaccines. He said she told her family not to get vaccinated, even as her mother was lying in a coma.

“I think it was from misinformation. I think it was falling into negative social media and bloggers, YouTubers,” Rise told CNN. Rise’s mother is hospitalized with COVID and in a coma.

Rise got vaccinated the day after his sister died.

“It was the hardest decision of my life, you know, am I doing right by God? Am I doing right by Natalie?” he told CNN. “And I got it out of fear.”

Finally, city officials in McCall, Idaho, expressed outrage after someone spray-painted swastikas on several signs and monuments at St. Luke’s Hospital. The rural acute care hospital has 15 beds usually but has added 13 more to support the ongoing COVID surge.

“Our community and its families are touched daily by the good deeds and care from our friends and colleagues at St. Luke’s McCall,” the city’s statement said. “Now more than ever, they need our support and respect. This hateful act is unacceptable, and our McCall Police Department is actively pursuing it.”

Primary Health CEO Dr. David Peterman also issued a statement on the incident.

“St. Luke’s has been on the forefront of providing care for thousands of patients during this crucial time, and their dedication to our community has been unparalleled,” Peterman said. “That anyone would vandalize their facility with a symbol as shameful and repugnant as a swastika is awful. We need to reject and we need to loudly say it’s wrong. There’s no place for such hate in our society.”

Montana

Governor Greg Gianforte authorized the deployment of 70 more National Guard troops to assist flailing hospitals in Montana. According to the governor’s office, the Guard members will support staffing with non-medical ICU assistance, environmental services, patient data entry, and COVID testing.

The situation at Billings Clinic continues to deteriorate with the ICU at 160% capacity. To handle the overflow, nurses elsewhere provide care beyond their training as COVID patients fill other parts of the hospital. In the lobby of the emergency department, rooms roughly 6 feet by 6 feet have been fashioned with makeshift plastic walls. The hospital announced on Friday that if the situation did not improve, they would need to move to crisis standards of care.

Missoula Mayor John Engle advocated for the residents of the city to get vaccinated.

“A vaccine in your arm will do a great deal to protect you and family friends and community. Our hopes of normalcy all rely on individuals taking responsibility for their actions,” Engen said.

Multiple city council members expressed support for Engen’s statement.

Students attending Montana State University in Bozeman expressed outrage at the college implementing a mask mandate.

“The university, the president asked students to participate in wearing masks voluntarily as a matter of personal responsibility,” said MSU Vice President of Communications, Tracy Ellig. “Two days after the start of the semester, we saw complete disregard for that request to voluntarily participate, and so we have gone to a mask requirement.”

Health Officer Nick Lawyer was forced to resign in rural Sanders County after the County Commissioners asked for his resignation. Commissioner Carol Brooker said Monday that one issue with Lawyer was that he used his title as county health officer to submit a letter to the editor to several regional newspapers urging people to get the COVID-19 vaccine and explain why the vaccine is safe and effective. However, he did not clear the letter with the county Board of Health first, Brooker said.

His resignation came two days after Gerald “Frenchy” Cuvillier called Lawyer a “petty tyrant” and said Lawyer’s “rules of protocol just cost my wife her life.”

Cuvillier complained his wife was not given ivermectin, hydroxychloroquine, or monoclonal antibodies. If she had, “she would be alive and well today,” Cuvillier said.

Montana reported 1,181 new COVID cases today.

Oregon

Close to half of Oregon’s state employees remain unvaccinated and were given a six-week extension to get vaccinated. This was after an agreement was negotiated by the SEIU 503, which represents about 24,000 state employees. The deal is very similar to the one union employees negotiated in Washington state.

Justin McWhirter did an excellent analysis on Oregon’s hospitalization and fatality data for the current surge to illustrate how this is a pandemic of the unvaccinated. We recommend giving it a read.

Misinformation

Taking the day off

Exclusive: Tight monoclonal antibody supply hobbles state rollout – Local and national COVID update

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.

Editor’s Note: An earlier version of this story reported Medical Lake School District had 290 positive COVID cases, based on a news report from KREM Channel 2 Spokane/Coeur d’Alene, owned by Tenga, Inc. KREM updated and corrected the story on the evening of September 20. We have updated our story to reflect the change.

[KING COUNTY, Wash.] – (MTN) A lot of data was released today that provided a mixed bag of news. In an exclusive story, plans to expand access to monoclonal antibodies in Washington have been hobbled due to tight national supply. The drugs are effective for some people as an early intervention to lessen the severity of COVID symptoms.

The number of new cases was unchanged over the weekend, while hospitalizations decreased about 7% in a week. ICUs remain more than 90% occupied statewide and the number of COVID-related deaths is part of the reason for the decline in total patients.

There were new COVID cases reported in all three school districts, with Bothell High School dealing with 9 confirmed cases between students and staff. The Northshore School District started COVID testing of all students, using a technique called “pool batch testing.”

If you think those numbers are concerning, Medical Lake School District in Eastern Washington with 1,979 students and staff, reported 60 confirmed COVID cases since school started 3 weeks ago. In contrast, the Bellevue School District with more than 20,000 students has reported 37 confirmed cases since August 27.

Governor Inslee formally requested military assistance from the federal government to prop up exhausted staff at Washington hospitals.

At Lumen Field, 68,500 Seahawks fans gathered to watch the Hawks lose their home opener in overtime. It also appeared that most fans decided that they didn’t need masks. We’ll see how that plays out in a couple of weeks.

New vaccination numbers show a positive trend statewide. We also unlock what demographic is keeping the vaccination rate so low in the northern half of Kirkland. Pfizer has formally applied for emergency use authorization of its vaccine for 5 to 11-year-olds after completing Phase 2 and 3 testing in multiple countries.

Alaska, Idaho, and Montana continue to struggle while the latest data out of Oregon indicates the worst is over. In another part of America, one of the last places on Earth where COVID had never been detected ran out of luck.

In misinformation, we address a dangerous rumor that Idaho is operating under a universal DNR rule. (hint – it’s not)

This update uses the latest data from the Washington State Department of Health (WSDOH), released on September 20, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 20, 2021

Washington state COVID update

The number of new cases has settled at a lower level from two weeks ago but remains unsustainably high. but. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, new cases are 833.4 per 100K, a decrease from Friday. In the Central Hospital Region, which represents King County, the rate is 295.1, statistically unchanged from Friday.

Percent of Total Population Fully VaccinatedAverage 14-Day New Case Rate (unadjusted)
50.00% or above (13 counties)521.1 (up)
40.00% to 49.99% (17 counties)753.6
28.10% to 39.99% (9 counties)806.4 (up)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population

Through September 19, Washington’s statewide 14-day rolling average was 489.8 COVID cases per 100K, which is statistically unchanged from Friday. Lincoln County reported an eye-popping 1,502.3 new cases per 100K. Counties in the 1,000.0 to 1,399.9 range include Franklin (1,135.8) and Stevens (1,197.7). Counties in the 800.0 to 999.9 per 100K range include Adams, Asotin, Benton, Chelan, Clallam, Douglas, Garfield, Grant, Grays Harbor, Lewis, Okanogan, Pend Oreille, and Yakima. It is worth noting that Okanogan County is at 994.7, just under the 1,000 threshold. We will see the impact that Labor Day had on the 14-day average, as many test sites were closed on the holiday Monday.

The Johns Hopkins Washington State Overview is reporting alarming positivity rates. Positivity for the last 30-day rolling average is reported at 15.09% and the 7-day rolling average 24.16%. We do not believe these numbers accurately represent the test positivity rate and are a statistical anomaly.

Pediatric and adolescent cases increased again, with all school districts across the state back to in-person classes. Hospitalizations are up again for children birth to 11 while dropping for adolescents 12 to 19 years old. The highest rate of new cases is among people under 50 years old.

Hospitalizations were mixed with ages birth to 11 increasing, 12 to 19 years old increasing, and 20 years old indicating slight decreases for people 35 to 64 years old and a significant decrease among people over 80. There is a dark reality hidden in what looks like good news, which we cover in the hospital status section.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11230.0 (up)1.2 (up)
Ages 12-19267.0 (up)2.1 (down)
Ages 20-34240.4 (up)6.5
Ages 35-49220.510.5 (down)
Ages 50-64167.218.1 (down)
Ages 65-79114.924.0
Ages 80+118.5 (down)33.3 (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 had not been updated when we went to press.

Governor Inslee formally requests federal assistance to support Washington hospitals

Governor Jay Inslee (WA-D) sent a letter on Friday to Jeffrey Zients, the COVID-19 Response Coordinator, formally requesting “the deployment of Department of Defense medical personnel to assist with the current hospital crisis.” Oregon and Idaho made similar requests, with federal teams arriving in Oregon during the August peak, and arriving in the Idaho Panhandle two weeks ago.

“Once the Delta variant hit Washington state, COVID-19 hospitalizations skyrocketed. From mid-July to late August, we saw hospitalizations double about every two weeks. The hospitals have surged to increase staffed beds and stretch staff and have canceled most non-urgent procedures, but are still overcapacity across the state.

“For these reasons, I have directed state agencies to request assistance from the federal government to provide Washington State with medical staff resources to help meet staffing needs in hospitals and in long-term care facilities. To date, the Washington State Department of Health has requested 1,200 clinical and non-clinical staff through the General Services Administration contracting process offered through FEMA.

“I am further requesting the deployment of Department of Defense medical personnel to assist with the current hospital crisis. In announcing the COVID-19 Action Plan, the President indicated that more clinical teams would be available. That assistance will be of significant value in Washington state.

“While there are hopeful signs that the current wave of infection is peaking, and some states are beginning to see declines, we have not yet seen that effect here. Washington State has historically lagged the country in previous COVID-19 waves, and the same pattern is playing out with the enormous impact we are seeing from the Delta variant.”

Last week, the state asked for 1,200 clinical and non-clinical staffers from FEMA to support hospitals and long-term care facilities. Last week in a press conference with the Washington State Hospital Association, hospitals leaders indicated they had already requested National Guard resources. According to the state officials, Washington National Guard members are already deployed supporting COVID response, flood, and climate-related disasters in the other part of the country.

EXCLUSIVE: Washington state won’t open public monoclonal antibody pop-up clinic

The Washington State Department of Health won’t be opening public clinics for appointment-based or walk-up monoclonal antibody treatments. WSDoH spokesperson Charlie Boisner told Malcontent News, “Washington is not looking to establish pop-up clinics, like other states have adopted, as a method to administer mAb treatments.”

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

In several southern states, pop-up clinics were opened in libraries, schools, and other government buildings. In early September, Washington State Secretary of Health Dr. Umair Shah stated the state was looking to expand access to the early intervention treatment. Mr. Boisner indicated the state was continuing on that course. “We are focused on engaging with partners at the local level, with either the appropriate infrastructure in place or interest in establishing this infrastructure, to facilitate these treatments.”

In Florida, over 40,000 people were given monoclonal antibodies, and it is credited with preventing 10,000 hospitalizations. The success of the program came at a heavy price for emerging hotspots in the Mid-Atlantic, Appalachia, Montana, and the Pacific Northwest. In six weeks from mid-July to the end of August, seven Southern states went through over 70% of the national supply.

On Monday, Health and Human Services Assistant Secretary for Preparedness and Response announced the federal government would no longer allow hospitals and other health clinics to directly order the medication.

“The rapid increase in demand for monoclonal antibodies has significantly constrained supply. To assure an equitable distribution of what has now become a limited resource, the federal government has reverted to the method it used from November 2020 through February 2021 for allocating monoclonal antibodies,” the undersecretary said.

To provide a more equitable allocation, distribution will be based on the number of COVID-positive patients and hospital capacity. National requests for September and early October currently outstrip the remaining supply. On Thursday Regeneron, the maker of Regen-COV, announced the Biden Administration contracted the company to produce 1.4 million new doses, more than doubling the existing order.

“Given this reality, we must work to ensure our supply of these life-saving therapies remains available for all states and territories, not just some,” a Health and Human Services spokesperson said.

We asked Mr. Boisner about the supply issue and how this would impact Washington. “While we are anticipated to experience an impact to our supply of mAb products, we are not able to increase our allocation requests at this time. While this change has presented a challenge to navigate, we will work through the process and develop a system that allows for effective and equitable distribution of mAb treatments.”

Washington State Department of Health considering adding new tests sites in Spokane

The Spokane Regional Health District requested two new COVID tests sites and the Washington State Department of Health is considered two locations. Officials recommended locating the new centers at Spokane Community College and Spokane Falls Community College.

Staffing is the biggest challenge to opening the sites.

“When we get to this level all of our systems get stretched,” said Lacy Fehrenbach, Deputy secretary of COVID-19 response. “We’re all facing staff shortages and the people that administer tests are similar people and types of health care professionals that administer vaccines and they’re the same folks that work in our hospitals and clinics across the state.”

Washington children who lost father to COVID say Fox News host Tucker Carlson ‘played a roll’ in his death

The daughter of an unvaccinated man who died of COVID-19 told CNN’s “New Day” on Monday she believes Fox News host Tucker Carlson and misinformation “played a role” in her father’s vaccine hesitancy.

“He wasn’t by any means far-right. He was right in the middle, and he consumed media from both sides, and just some of the misinformation on one of those sides made him hesitant,” Katie Lane said. “He was going to wait for FDA approval, but by the time that Pfizer had been approved, it was already too late.”

Katie said that her father said he “wished he was vaccinated” during his final call with his wife.

“His final words to my step-mom on a Facetime call was that he wished that he was vaccinated,” she said.

Carlson, a right-wing commentator and the country’s most-watched cable news host, has for months spread false and misleading information about the COVID-19 vaccines and has refused to reveal whether he’s been vaccinated.

60 students, staff and family members test positive for COVID in Medical Lake School District

KREM in Spokane initially reported that almost 300 students, staff, and family members in the Medical Lake School District had tested positive for COVID over a 3 week period.

KREM Correction and updated story on September 20, 2021

Medical Lake School District serves located on the outskirts of Spokane, has 1,749 students and 230 staff. Over the weekend the district posted a message from School Superintendent Tim Ames, revealing 60 students, staff, and family members had tested positive for COVID since the start of school, 3 weeks earlier. Ames wrote that most of the cases were in the district’s high school.

“In the first three weeks of school, we have tested approximately 290 people including staff and students. This has put a constraint on our supply of testing kits and we are waiting for more to arrive within a few days.  However, this has unfortunately limited our ability to test all who request it.  If you have the opportunity to test your symptomatic student through an outside provider that would be greatly appreciated and beneficial to you getting the results sooner than later.”

The message from Mr. Ames didn’t indicate how many students were in quarantine. Last week the district moved to virtual education for a day. No explanation was provided on why the decision was made. According to the KREM article, the cases started among members of the high school football team.

When compared to the Bellevue School District, the 60 confirmed cases in a district with less than 1,750 students is alarming. Since August 27, the district in Bellevue has reported 37 confirmed cases, while supporting more than 20,000 students.

Seahawks overtime loss at Lumen Field witnessed by 68,500 mostly maskless fans

Social media and the rights and freedom community erupted on the airways and on social media, during the Seahawks home opener loss to the Tennessee Titans. For some, the discussion was over a blown 15 point lead but for others, it was the spectacle of mostly maskless fans despite the state mandate.

There has been no comment on the situation by the Seahawks, the NFL, Mayor Jenny Durkan, King County Executive Dow Constantine, or state officials. Fans 12 and older were required to show proof of vaccination or a negative PCR test to attend the game. Prior to game time, long lines formed to enter the park.

Editor’s Comment: Let’s hope that the percentage of fake vaccinations cards and tests results were low.

Travel Advisories

We recommend avoiding all travel to Spokane, Lincoln, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with Alaska, Idaho, and Montana. Hospital resources in these regions, except Lincoln County, are so constrained that you may receive inadequate care if you experience a medical emergency.

We recommend avoiding travel to Lincoln County because the number of new cases per 100K residents exceeds 1,500.

Thank you

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

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

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

Vaccination

Number of vaccinated Washington state residents increases

The Washington State Department of Health released updated vaccination numbers for the state and its 39 counties. On Monday, 75.8% of all residents 12 and over have received at least one dose, and 68.9% were fully vaccinated.

Every county showed an increase in vaccination rates, with several Eastern and Southwest Washington counties making significant gains. In San Juan County, 72.9% of residents are fully vaccinated, the highest in the state. Stevens County was in last place with 28.1% fully vaccinated.

The two counties have a stark difference in the number of new COVID cases. San Juan County was 57.7 cases per 100K people on Monday, the lowest state. Stevens County was 1,197.7 the second highest in the state.

Pfizer to apply for EUA FDA approval of vaccine for 5 to 11 year olds

Pfizer Inc. announced the results from a Phase 2/3 trial of the Pfizer-BioNTech COVID-19 vaccine indicating it was safe and effective in children 5 to 11 years of age. The company has applied for Emergency Use Authorization (EUA) with the Food and Drug Administration.

“Over the past nine months, hundreds of millions of people ages 12 and older from around the world have received our COVID-19 vaccine. We are eager to extend the protection afforded by the vaccine to this younger population, subject to regulatory authorization, especially as we track the spread of the Delta variant and the substantial threat it poses to children,” said Albert Bourla, Chairman and Chief Executive Officer, Pfizer. “Since July, pediatric cases of COVID-19 have risen by about 240 percent in the U.S. – underscoring the public health need for vaccination. These trial results provide a strong foundation for seeking authorization of our vaccine for children 5 to 11 years old, and we plan to submit them to the FDA and other regulators with urgency.”

The Phase 1/2/3 trial initially enrolled up to 4,500 children ages 6 months to 11 years of age in the United States, Finland, Poland, and Spain from more than 90 clinical trial sites. Children in the study were given two low doses 21 days apart. The dose

The Pfizer site states, “emergency use of the product has not been approved or licensed by FDA, but has been authorized by FDA under an Emergency Use Authorization (EUA) to prevent Coronavirus Disease 2019 (COVID-19) for use in individuals 12 years of age and older.”

It seems likely this will be used to spread a fresh round of vaccine misinformation. The FDA-approved Pfizer vaccine, called Comirnaty, is FDA authorized for individuals 16 years of age and older. The Pfizer-BioNTech COVID-19 vaccine and Comimaty are the same formulations and currently is EUA approved for use in 12 to 15-year-olds.

There is speculation that the FDA could authorization the EUA by the end of October, but no timetable has been provided.

Does vaccination make a difference?

The Washington State Hospital Association Coronavirus Tracker provides some insight on the effectiveness of vaccines among all patients in Washington Hospitals. Currently, King County is the third most vaccinated county, and on average, 1 of every 772,000 residents is dying due to COVID. Benton County is 44.6% vaccinated, and 1 of every 11,632 are dying due to COVID daily.

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

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 21.3% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 90.8% of capacity statewide, with 36.0% of ICU patients fighting COVID. The total number of hospital patients declined over the weekend.

The 7-day rolling average hospital admission rate for new COVID patients is 174 a day. The Department of Health reported there were 1,578 COVID patients statewide on September 19 and 277 on ventilators. That is a 6% drop in the last 7 days but it isn’t all good news.

During a COVID wave, new cases rise first, followed by hospitalizations, and finally deaths. The Washington Hospital Association reported that on Sunday, 30 patients died due to COVID-related illness. Between most hospitals suspending almost all elective surgeries and the increased number of deaths, hospital capacity is improving.

EvergreenHealth released its weekly update today, reporting 38 COVID patients under care in Kirkland, one less than a week ago. The hospital reported 76% of all patients and 75% of ICU patients were unvaccinated with 5 on ventilators. Of the 8 vaccinated patients, 75% were more than 60 years old. Data has shown that a vast majority of breakthrough cases are among people over 70 who have multiple health issues.

EvergeeenHealth Kirkland patient update for Monday, September 20, 2021

All eyes are on Eastern Washington hospitals with neighboring Idaho still operating under crisis standards of care.

Providence Chief Medical Officer Dr. Dan Getz said things are continuing to worsen inside Eastern Washington hospitals as they continue to care for a surge in patients that have halted non-emergency surgeries and stretched their staff to a breaking point.

“Although we’re not practicing crisis standards of care on this side of the state, we still feel like we’re in crisis,” Dr. Getz said.

Hospitals in Spokane are caring for 221 COVID patients, almost unchanged from last week.

Back to School

School DistrictStatusQuarantinesClosures
BellevueYELLOW– Bellevue (4)
– Chinook (1)
– Enatai (32)
– Highland (3)
– Interlake (2)
– Newport (3)
– Newport Heights (19)
– Puesta del Sol (2)
– Sherwood Forest (11)
– Spiritridge Elementary (23)
– Stevenson Elementary (2)
– Tillicum (8)
– Willburton (3)
None
Lake WashingtonYELLOW– Alcott Elementary (2*)
– Ella Baker Elementary (3*)
– Community School Elementary (7)
– Dickinson Elementary (2*)
– Eastlake High (1*)
– Einstein Elementary (1*)
– Evergreen Middle School (1*)
– Benjamin Franklin Elementary (2*)
– Robert Frost Elementary (9)
– Inglewood Middle School (3*)
– Juanita Elementary (2*)
– Juanita High School (1*)
– Kamiakin Middle School (3*)
– Helen Keller Elementary (1*)
– Peter Kirk Elementary (2*)
– Kirkland Middle School (1*)
– Lake Washington High (1*)
– Lakeview Elementary (1*)
– Kirkland Middle School (37)
– Muir Elementary (1*)
– Redmond Elementary (2*)
– Redmond Middle School (1*)
– Redmond High School (1*)
– Rose Hill Elementary (1*)
– Rose Hill/Stella Schola Middle School (2*)
– Thoreau Elementary (4)
– Mark Twain Elementary (3*)

NorthshoreYELLOW– Arrowhead Elementary (12)
– Bothell High School (62**)
– Canyon Creek Elementary (19)
– Canyon Park Middle School (5)
– Cottage Lake Elementary (12)
– Crystal Springs Elementary 31)
– East Ridge Elementary (25)
– Fernwood Elementary (10**)
– Frank Love Elementary (24)
– Hollywood Hills Elementary (10)
– Inglemoor High School (5)
– Innovation Lab High School (6)
– Kenmore Elementary (17)
– Kenmore Middle School (38**)
– Kokanee Elementary (29)
– Leota Middle School (3)
– Maywood Hills Elementary (13)
– North Creek High School (16**)
– Northshore Middle School (9**)
– Ruby Bridges Elementary (6)
– Secondary Academy for Success (9)
– Shelton View Elementary (17**)
– Skyview Middle School (78)
– Sunrise Elementary (27)
– Timbercrest Middle School (23)
– Westhill Elementary (6)
– Westhill Elementary (6)
– Wellington Elementary (52)
– Woodin Elementary (10)
– Woodinville High School (21)
– Woodmoor Elementary (20**)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

Seven more schools in the Lake Washington School District reported active-COVID cases over the weekend. Parents were notified this morning that 7 students at Community School Elementary had a COVID exposure, which happened outside of the school district.

One school in the Bellevue School District reported 3 new confirmed cases among students and faculty. The district does not report the number of quarantines.

Northshore School District now has 7 schools reporting 5 or more confirmed COVID cases. The district has 333 students and faculty in quarantine and 30 new positive cases in the last week – 18 students and 15 staff members. There are 9 confirmed cases at Bothell High School, 7 among staff members.

The Northshore School District started doing “pool batch testing” among all students on Monday. Testing will be conducted weekly at each of our school buildings over the course of three days. Students in grades K-12 will be tested.

The tests are self-administered by each student and adult in the classroom, while a trained teacher or a school-based COVID supervisor observes. Instead of the “long swab” that goes in the back of the nose, this test is a short, small swab. This type of testing provides privacy for each individual. If further confirmatory testing is required, every individual’s privacy will be protected throughout the process, including during contact tracing.

Families can opt out of the process by completing an online form.

King County COVID vaccination rates – at least one dose ages 12 to 19 – by zip code as of September 20, 2021

Vaccination rates among adolescents 12 to 19 years old decrease significantly in an east-west line that intersects Juanita Bay of Lake Washington. In Kirkland, the vaccination rate among the age group who have received at least one dose is 90.7%, compared to 98034, with a rate of only 65.7%.

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

Kirkland-Bellevue-Woodinville

King County Public Health updated the vaccination rates by zip code, with the numbers improving throughout the region. The northern half of Kirkland continues to lag behind the rest of the local area. Vaccination rates dropped from the last update because the county is now using the population and demographic data from 2020. Previous reports used the 2019 census estimate.

King County COVID vaccination rates – at least one dose all ages – by zip code as of September 20, 2021
Zip CodePercent vaccinated, at least one dose, 12 and older
9815592.3%
9802889.0%
9801185.5%
9803484.2%
9803391.9%
9807291.6%
9805294.5%
98004>95.0%
9803993.3%
9800594.0%
9800788.5%
Vaccination rates for those 12 and older by zip code – at least one dose

National Round-Up

The United States reached another grim milestone as the number of total COVID deaths broke the record set by the 1918 Flu tonight. While hospitalizations nationwide dropped below 100,000 with the surges ending in Florida and Texas, the number of people dying continues to climb. The CDC reported on Friday the 7-day moving average rose to 1,448 people dying of COVID a day, a 17.4% increase from last week. Total hospitalizations dropped 5.7% to just over 97,000.

Johns Hopkins University Cumulative Case Tracker is reporting 36,794 new cases and 291 deaths nationwide. Very few states provide data 7 days a week. Monday numbers are always artificially low. Tracking the moving average is a better way to understand national trends.

The Biden Administration announced the United States will accept vaccinated air travelers from 33 countries, including China, beginning in November. The decision, announced by White House coronavirus response coordinator Jeff Zients, marked an abrupt shift for President Joe Biden’s administration, which said last week it was not the right time to lift any restrictions amid rising COVID-19 cases.

Vaccinated travelers will be accepted from most European countries including France, Germany, Italy, Spain, and Greece. Additionally travelers from Britain, Ireland, South Africa, China, India, Brazil, and Iran. Officials also announced that non-essential travel to Canada and Mexico will remain blocked at least until October 21.

Alaska

The situation in Alaska remains dire, with the state seeing the third-highest rate of growth for new cases in the United States. Statewide 16 ICU beds were available Monday morning, a slight improvement from last week. The results aren’t from a reduction in patients, but due to crisis standards of care deferring all but emergency surgeries. The 7-day rolling average for new COVID cases grew to 780 per 100K on Monday, with 2,054 new confirmed cases over the weekend.

America Samoa

The small United States territory in the middle of the Pacific Ocean was one of the only places on Earth that had not been touched by COVID. Over the weekend, that changed. Commercial air travel was suspended to the island in March 2020 and wasn’t restored until last week. On Saturday, the first commercial flight flew out of Honolulu with 260 onboard. When the plane landed, a vaccinated passenger, who started to become symptomatic during the flight, tested positive for COVID.

The person, who has not been identified, had been visiting the U.S. mainland, before traveling to Hawaii. Everyone was required to have a COVID test before the flight, with all passengers and crew testing negative.

The COVID-positive person was moved to quarantine at a facility in Pago Pago and for now, doesn’t require hospitalization. The other 259 people on the plane were moved to a quarantine location where they will need to stay for 10 days to be tested and monitored.

On Sunday, 3 more people tested positive.

Idaho

Idaho remains in crisis standards of care statewide and added 2,302 new confirmed COVID cases over the weekend with 36 deaths. To put this in perspective, Washington has 427% more people than Idaho and reported a similar number of deaths. The fatality numbers do not include non-COVID patients that died from deferred treatment or people who died in their homes.

A message left on an Eastern Idaho hospital’s whiteboard by Dr. Kenneth Krell, Director of the hospital’s ICU, went viral over the weekend.

Montana

State officials in Montana are scrambling to prevent falling into the same trap that Idaho is in. Three large hospitals in Bozeman, Billings, and Helena are operating under crisis standards of care or are preparing to. Hospitals in Missoula remained very stressed as new COVID cases exploded across the vast state.

Governor Greg Gianforte’s office is in discussions to ask the Department of Veterans Affairs to accept otherwise ineligible patients at its facilities.

Gianforte, along with the state Department of Public Health and Human Services and Disaster and Emergency Services, “initiated discussions” with the VA and the federal Assistant Secretary for Preparedness and Response over the weekend, DPHHS spokesperson Jon Ebelt said in an email Monday.

States can request to send patients to a VA hospital by submitting a formal request to the Federal Emergency Management Agency.

Oregon

The worst appears to be over in Oregon, as new cases, hospitalizations, and deaths all declined last week.

“During Monday, Sept. 6, through Sunday, Sept. 12, 2021, OHA recorded 12,997 new cases of COVID-19 infection – an 11% decrease from the previous week,” the Oregon Health Authority said in a news release.

The state recorded 281 new infections per 100,000 people during that week. Baker County, in eastern Oregon, experienced the highest rate of infections at 686 new infections per 100,000 people; the county population is little more than 16,000 people.

OHA noted 79% of statewide cases were classified as “sporadic,” meaning it could not trace them back easily to an event that’s likely to blame for the COVID-19 exposure. This contrasts with what OHA calls “clusters” or “outbreaks” that would be considered vectors for other infections. The high number of untraceable cases has been the norm throughout 2021 in Oregon, but the percentage has increased steadily since January.

Misinformation

There is rampant misinformation that Idaho is operating under a universal do not resuscitate order. This is not true. The false claims are coming from a section within the state’s crisis standards of care plan. In situations where a hospital can no longer support mechanical ventilation of ICU patients, the guidance recommends that no attempt at resuscitation be made if the patient goes into cardiac arrest.

“Adult patients hospitalized during a public health emergency, when crisis standards of care have been declared (and a hospital is using the mechanical ventilation allocation framework due to demand for ventilators exceeding supply), should receive aggressive interventions; however, they should receive NO attempts at resuscitation (compressions, shocks or intubation if not yet intubated) in the event of cardiac arrest. The likelihood of survival after a cardiac arrest is extremely low for adult patients. As well, resuscitation poses significant risk to healthcare workers due to aerosolization of body fluids and uses large quantities of scarce resources such as staff time, personal protective equipment, and lifesaving medications, with minimal opportunity for benefit. This universal DNR order does not apply to pediatric patients; however, pediatric patients requiring a ventilator after resuscitation would enter the ventilator triage protocol after resuscitation, just like other patients needing ventilator access.”