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

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

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

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

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

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

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

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

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

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

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

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


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for October 6, 2021

Washington state Covid-19 update

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

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

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

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

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

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

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

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

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

Idahoans seeking medical care pushing Eastern Washington hospitals to the brink

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

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

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

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

More SPD officers present proof of vaccination

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

19 state and municipal workers file lawsuit over vaccine mandate

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

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

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

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

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

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

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

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

Travel Advisories

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

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

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

Thank you

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

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

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

Vaccination

Pfizer vaccine booster shots are now available

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

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

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

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

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

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

Malcontent News

Hospital Status

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

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

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman92.6%45.5%88.7%27.0%
NorthIsland, San Juan, Skagit, Whatcom74.8%33.4%86.0%13.2%
North CentralChelan, Douglas, Grant, Okanogan85.1%50.2%75.6%22.2%
NorthwestClallam, Jefferson, Kitsap, Mason92.2%42.8%96.0%27.0%
Puget SoundKing, Pierce, Snohomish91.3%24.6%94.5%13.6%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima87.9%33.8%84.1%21.7%
SouthwestClark, Cowlitz, Klickitat, Skamania 72.6%32.9%86.4%22.2%
WestGrays Harbor, Lewis, Pacific, Thurston81.6%23.1%85.5%17.0%
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%

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

Back to School

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

see notes below
None
NorthshoreYELLOW– Arrowhead Elementary (4)
– Bothell High School (42**)
– Canyon Creek Elementary (23)
– Canyon Park Middle School (6)
– Cottage Lake Elementary (3)
– Crystal Springs Elementary (26)
– East Ridge Elementary (12)
– Fernwood Elementary (1)
– Frank Love Elementary (17)
– Hollywood Hills Elementary (27)
– Inglemoor High School (1)
– Innovation Lab High School (1)
– Kenmore Elementary (3)
– Kenmore Middle School (25)
– Leota Middle School (4)
– Lockwood Elementary (40**)
– Maywood Hills Elementary (29)
– Moorlands Elementary (1)
– North Creek High School (5)
– Northshore Family Partnership (30)
– Northshore Middle School (2)
– Secondary Academy for Success (5)
– Shelton View Elementary (5)
– Skyview Middle School (12)
– Sunrise Elementary (9)
– Timbercrest Middle School (5)
– Wellington Elementary (26)
– Westhill Elementary (50)
– Woodin Elementary (16**)
– Woodinville High School (11)
– Woodmoor Elementary (12)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

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

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

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

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

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

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

Kirkland-Bellevue-Woodinville

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

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

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

National Round-Up

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

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

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

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

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

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

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

Covid long haulers are developing diabetes

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

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

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

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

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

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

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

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

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

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

Alaska

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

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

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

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

California

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

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

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

Florida

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

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

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

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

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

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

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

Idaho

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

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

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

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

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

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

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

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

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

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

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

You can read the transcript here.

May the odds ever be in your favor.

Montana

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

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

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

Ohio

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

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

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

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

Wyoming

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

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

Misinformation

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

The short answer, no.

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

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

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

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

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

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

UPDATE: Pediatric patient dies at Seattle Children’s – local and national COVID update for August 31, 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) There is stronger evidence that cases are plateauing at a very high level in Washington state, while hospitalizations, the number of people in the ICU, and patients on respirators increase. School started from a number of districts across Washington today, and most districts start tomorrow in Western Washington.

On the national front, hospitalizations are approaching January 2021 levels, while the recent FDA approval of the Pfizer vaccine for people 16 and older is moving the needle on vaccine hesitancy. The quest to find home remedies for COVID has taken a dark turn, with some people turning to a herbicide as a preventive. The state of New Jersey cracked down on an Instagram influencer who was selling fake vaccination cards, as well as some of her customers with a litany of felony charges.

This update uses the latest data from the Washington State Department of Health released on August 31, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for August 31, 2021

Washington state COVID update

We cannot provide insight into the epidemiological curve for new cases compared to last week because the data today is through August 19, 2021. Starting tomorrow, we can go back to discussing the daily trend.

Through August 19, the statewide 14 day rolling average for Washington declined to 500.7 COVID cases per 100K. Columbia (1,170.8 per 100K) and Franklin (1,079.0 per 100K) are reporting an extreme number of new cases. Asotin, Benton, Chelan, Cowlitz, Douglas, Grant, and Lincoln are not far behind. Among the counties with the highest new case rates, almost all were flat or declined for the first time in at least three weeks.

The Washington State Department of Health reports a data backlog for test positivity, with the published number 14 days old. According to Johns Hopkins University Medicine, the positivity rate for the last 30 days is 13.52%, and over the previous 7 days, 13.22%. These numbers indicate continued widespread community transmission driven by the unvaccinated and under testing of the population. The fastest-growing age group for positive remains 20 to 34-year-olds.

The 7-day Case Rate for children ages birth to 11 is 24.7 per 100K and for children, 12 to 19 it is 20.8 per 100K.

The USA Today COVID Tracker reported 27 COVID-related deaths in Washington on Monday.

BREAKING: Seattle Children’s Hospital reports first patient death due to COVID

Hospital officials reported the first death of a pediatric patient due to COVID, which occurred last week. No other information, citing privacy laws, was issued on the age and gender of the child.

“The people we are seeing in the hospital are typically people who are unvaccinated, either teens who are not vaccinated or younger people who are not eligible to be vaccinated,” said Dr. John McGuire. “We are clearly in a fifth wave here in Washington. And commensurate with that, we are seeing an increase in the number of kids needing hospitalization and needing intensive care.”

Washington State Fair announces COVID safety protocols day after state hospital officals call for its cancelation

Public health officials in Pierce County announced a series of safety protocols for the Washington State Fair scheduled to run from September 3 to 26, in Puyallup.

“As a condition of opening, Dr. Anthony L-T Chen, Director of Health at Tacoma-Pierce County Health Department, will issue a health order that requires masks be worn at all times at the Fair, indoors and outdoors, regardless of vaccination status,” a news release said. “With COVID-19 cases and hospitalizations at an all-time high in Pierce County, this will help prevent and limit the spread of the virus.”

The fair will have masks available and will not be checking vaccination cards or doing screenings. State Fair CEO Kent Hojem made it clear that mask wear will not be optional. As additional precautions, officials will:

  • Employees will be tested for COVID prior and during events
  • The number of rides has been cut by 10% to provide more space for social distancing
  • The number of vendors has been cut by 25%
  • Extra handwashing and sanitizing stations will be available

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

Increasing vaccination numbers locally, statewide, and nationally indicate that the number of people who are hesitant to get vaccinated continues to decline. The latest Axios-Ipsos Coronavius Index showed only 14% of Americans now say they will never get a COVID vaccination, the lowest level since the data has been tracked. Just 1 in 5 Americans expressing they won’t or are not likely to get the vaccine.

The number of parents who now say they will vaccinate their children has grown to 68%, and 70% of Americans support mask mandates in school.

Vaccination rates in the United States have almost doubled since July, to 900,000 vaccinations given a day, including 14 million residents nationwide who got their first shot in August.

Full FDA approval, significant problems with school reopening, and the grim toll that the Delta variant is taking on the nation is attributed with driving the shifting opinions.

King County, Washington is reporting over 83% 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, 17.7% of all acute care patients hospitalized in Washington have COVID. This beats the old record of 17% set yesterday. ICUs are at 88.4% of capacity statewide with 33.5% of ICU patients with COVID.

The new hospital admission rate for COVID patients is 177 per day, also a new record. On August 30, there were 1,465 patients hospitalized with COVID and 241 on ventilators. This is a significant increase from yesterday when the state reported 182 patients on ventilators.

Data for pediatric patients for acute care and PICU is not available.

Several hospitals reported they were adding tents as triage space for patients to provide better social distancing and isolation as emergency departments burst at the seams. Virginia Mason Franciscan Health, which operates St. Joseph Medical Center in Tacoma, St. Anthony Hospital in Gig Harbor, St. Clare Hospital in Lakewood and St. Elizabeth Hospital in Enumclaw have or will be adding tents outside of their entrances. This is in addition to MultiCare facilities in Tacoma and Puyallup.

Back to School

School DistrictStatusQuarantinesClosures
BellevueGREENNoneNone
Lake WashingtonGREENNoneNone
NorthshoreGREENNoneNone
Local School Districts Scorecard

First day of school for area districts:

  • Lake Washington School District – September 1
  • Bellevue School District – September 1, 1st through 12th, September 3, kindergarten
  • Northshore School District – September 1, 1st through 12th, September 1 or September 2 for kindergarten on a staggered start

The Lake Washington School District is reporting 1,500 students have moved to remote learning after opening up registration again in mid-August. The Bellevue School District is accepting applications for remote learning through midnight tonight as demand surges across the Puget Sound region.

The next board meeting for the Lake Washington School District is September 13, 2021, at 7:00 PM and will be remote only.

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulitaive Case Tracker had not been updated at press time. The United States held steady with 101,000 hospitalized with COVID, equal to last week.

Mask usage is increasing in the United States with 69% of residents reporting they are wearing a mask at some or all of the time outside of the home. Fifty-four percent of American businesses are requiring masks, and almost 20% have some form of vaccination or testing mandate in place.

The Biden Administration is working with oxygen suppliers, home health agencies, trade groups, and hospital systems as facilities in Florida, South Carolina, Texas, and Louisiana are reporting oxygen shortages.

Under normal conditions, a hospital would have a 3 to 5 days supply of oxygen onsite, and the tanks would be refilled once or twice a week. In the hardest-hit areas, hospitals are dropping to a 12 to 24 hour supply, and only getting enough to last 2 or 3 days at each refill.

During the January 2021 peak, the industrial use of oxygen in restaurants, welding, and manufacturing was curtailed due to national shutdowns. Suppliers are being hit with a perfect storm of record medical grade and industrial demand, a trucking shortage, and state officials refusing to make emergency declarations.

After the story broke and started to spread, Amazon added a notice to searches for “ivermectin for humans” and “ivermectin covid.”

Big tech is pushing Ivermectin unchecked across their platforms

CNBC reported today that Amazon is directing users to the anti-parasitic drug Ivermectin for animals. The Amazon search algorithm was displaying results for ivermectin after typing just “iv” into the search box, including ivermectin for horses, ivermectin paste, ivermectin pills, and ivermectin injectable.

User reviews made references to dosing information for “horse families” and false claims of being a cure for COVID (there is no cure, for COVID, only therapeutics).

Amazon isn’t alone. Yesterday there were reports that MSN, the 37th most visited web property in the United States with almost 900M monthly visitors, was running ads and paid content for “horse dewormer” on its homepage.

MSN displaying paid content for horse wormers on its homepage on August 30, 2021

A search for “COVID” on Google News has highlighted a debunked editorial in the Wall Street Journal for a month under the “For Context” section called, Why is the FDA Attacking a Safe, Effective Drug? We featured that editorial in our misinformation section earlier this month.

Searches on Twitter, Tik Tok, Instagram, and Facebook for “ivermectin” easily bring users to groups and creators information on alleged dosing information, where to buy, and how to treat. Calls in Florida to poison control have increased 700%, and people are reporting in online groups finding what they describe as “rope worms” in their feces. Intestinal parasites are exceptionally rare in the United States, and health officials are reporting that people are destroying their intestinal linings. You can do some Google image searches, but we wouldn’t recommend it if you’re stomach is weak.

Arkansas

New cases continue to decline as hospitalizations and ventilator use grows. Arkansas set a new record with 388 residents on ventilators out of 531 in the ICU – that’s a staggering 73% of all ICU patients. Outcomes for patients who go on ventilators improved dramatically in the second half of 2020, as doctors learned more about COVID. The ground gained has been lost due to patients showing up sicker than before, and the Delta variant being more virulent.

Arizona

School started in Arizona a month ago, and pediatric cases are exploding. Children under 15 years old now represent 25% of all new COVID cases, and parents are becoming increasingly frustrated with only 30% of the state’s 215 school districts providing some form of daily update.

Dr. Chris Beyrer, an epidemiologist at the Johns Hopkins Bloomberg School of Public Health, said having a “more systematic,” more transparent strategy for preventing and tracking school-based cases would go a long way toward curbing the spread of the virus. 

“What we have is a patchwork — a great deal of variability in policies and practices,” Beyrer said. “While local nuances are important, there’s nothing like rational statewide and national planning to get this right. And we’re just not there.”

Parents have turned to crowd-sourcing information on social media to paint a picture on what is going on within their home districts.

California

Governor Gavin Newsome reported that 80% of all age-eligible residents in the state have received at least one dose of the COVID vaccine. This is a major milestone for the state of almost 40 million residents, with a number of rural counties with continued low uptake of the vaccine. It is worth noting for the states west of the Rockies, California, Arizona, Nevada, Utah, Idaho, Oregon, and Washington, California is the only state that isn’t at or near crisis mode.

Nurse Davy Macias (she/her) was hospitalized with COVID in early August while 7 months pregnant with her fifth child. The hospital did an emergency delivery as her conditioned worried, and Marcias passed on August 26. She was unvaccinated and was holding off until after her pregnancy was complete. Other officials are reporting that the Delta variant is hitting pregnant women particularly hard across the United States. The FDA gave full approval to the Pfizer vaccine to people over 16, including pregnant women.

Georgia

Officials in Georgia are sounding the alarm as some hospitals are now rationing care and growing concern over looming hospital system collapse at a regional level. The state’s official count of COVID-19 patients in Georgia’s hospitals on Tuesday was just below the January peak number, but at times it has swelled past it. And every hospital across Georgia is now full to the point of overflowing. Georgia reported that hospitals had 5,656 COVID patients, about50 patients below the January peak of 5,709. But at some hours in recent days, according to the Georgia Hospital Association, the number has topped 5,900. The drop from the peak hasn’t been driven by discharges, but fatalities from COVID and those waiting for non-COVID-related treatment.

“I don’t mean to sound super doomsday-ish, but I think that if this growth continues, that we’re going to be risking regional hospital system collapse,” said Amber Schmidtke, a health care data researcher, who tracks Georgia’s COVID-19 trends.

“I know that that will scare people,” Schmidtke said. “But I think that that is what we’re risking. I’ve had M.D.s that are on the ground tell me the same thing: ‘This is unsustainable. We’re already at a point where we’re having to sort of triage care and decide who gets what based on limited resources and personnel.”

Anecdotal data on ICU nurse burnout continues across the country. Nurse Amber Rampy walked away from The Northeast Georgia Medical Center after 20 months on the front lines.

“I just left on Friday because I can’t do it anymore. I just can’t,” Rampy said.

“Although I’m used to people dying, I’m just not used to this many,” Rampy said.

75 have died at the North Georgia hospital where she worked during the first 30 days in August, and the hospital has 248 patients with COVID in the ICU.

Deaths in the state included a 13-year-old who was found dead of COVID by his parents Monday morning. The child was reported to have no medical conditions, and no information was provided on why the parents hadn’t sought medical treatment.

“A number of young people are being hospitalized, particularly between the ages of 5 and 17. There is a doubling of that in Georgia,” said Dr. Gary Voccio, northwest district director for the Georgia Department of Public Health.

Floyd Medical Center, like many across the state, is struggling to cope with a tidal wave of COVID patients — at least 90% of whom are unvaccinated.

“(There are) No beds at any of the hospitals,” Voccio said. “The physicians are exhausted, the nurses are exhausted and it’s just time to get the vaccine. We are imploring, begging people to get vaccinated It could save your life.”

Governor Brian Kemp issued an executive order to allot more weight in transportation, allowing for more equipment to get to hospitals and fuel to get to gas stations across the state. 

Kemp said the decision comes after receiving reports that healthcare systems have had trouble accessing necessary supplies, including reports of some rural acute care hospitals running out of oxygen.

Gov. Kemp also touched on his previous executive order, which deployed 105 medically trained National Guard members to 10 hospitals across the state. Over the weekend, he said an additional 75 guard members were deployed, bringing the total number up to 180.

Kemp said that while many hospital systems have requested guardsmen, they are limited in the number of those who are medically trained. However, his new executive order would also allow for the deployment of up to 2,500 National Guard members, should they be needed.

Police Capitan Joe Manning of the Wayne County Sheriff Department, who was a vocal critic of vaccinations and posted frequently on social media about ivermectin, died of COVID on August 25. On his Facebook post, Captain Manning complained about Facebook “disciplining him” and how we was taking ivermectin daily as a COVID preventative.

Florida

Governor Ron DeSantis stayed true to his promise and cut the funding to Alachua and Broward counties over their implementation of school mask mandates. This is despite a Florida court ruling against the government over the ban. The United States Department of Education has already reached out to both districts and had previously promised to cover any gaps in funding. The counties of Orange, Duval, Miami-Dade, Hillsborough, Sarasota, Palm Beach, Indian River, and Leon also have mask mandates in place, but the governor has not taken further action at this time.

While the debate over masks and schools rages, Florida set a record for the number of pediatric patients with COVID in the hospital on Tuesday with 72 new admissions and 230 total patients. With the debate raging, parents chose violence in Lee County where tempers boiled over outside a school board meeting on Sunday.

The governor is under fire from multiple directions with allegations of trying to artificially lower the number of COVID deaths in how data is reported, and a lawsuit over public information on COVID within the state. Representative Carlos Guillermo Smith, D-Orlando, and the Florida Center for Government Accountability filed the lawsuit late Monday in Leon County circuit court after the department rebuffed requests for information.

The state until early June posted on its website daily reports that provided extensive data about issues such as cases and deaths, with information also broken down by county. But Gov. Ron DeSantis’ administration halted the daily reports in June and shifted to posting weekly information that is far less detailed.

The lawsuit alleges that the Department of Health and Surgeon General Scott Rivkees, the department’s secretary, have violated public-records laws at a time when the delta variant of the coronavirus has caused cases, hospitalizations, and deaths to surge in Florida.

“Due to the highly contagious nature of COVID-19 and its ‘continuing threat’ to Floridians, records revealing information about its impact, prevalence, and fatality is of obvious public importance,” the lawsuit said.

The Maimi Herald reported that Florida created an “artificial decline” in COVID deaths by altering the way they reported fatalities beginning on August 10.

Until three weeks ago, according to the Herald, data collected by Florida and then posted by the Centers for Disease Control and Prevention (CDC) tallied deaths by the date they were recorded, which is reportedly common practice for showing daily statistics in many states.

On Aug. 10, however, the state changed its methodology and started counting daily new deaths by the date the person died instead of the day the death was registered. A handful of other states have also reportedly switched to such a process.

When recording COVID-19 deaths with the new method, which focuses on date of death, the numbers will generally appear to be on a recent downward slope, even during the current surge, the Herald reported, because it takes a certain amount of time to evaluate deaths and process death certificates.

The Herald laid out an example of the discrepancy between the two methods: the state’s death data would have exhibited an average of 262 deaths reported to the CDC in the previous week if the health department used the original reporting system, according to the newspaper’s analysis.

Instead, however, the new reporting system only tracked 46 new daily deaths over the last seven days. The change came one day after the state was criticized for showing inaccurate information on its COVID dashboard. Weesam Khoury, a spokesperson for the Florida state Department of Health, said they were working with the CDC to adjust the discrepancies.

Hospitalizations have declined in Florida, while the numbers in ICU continue to grow. Some are crediting the 10% reduction in hospitalizations to the opening of monoclonal antibody treatment centers in the state. The state has reported treating over 30,000 people since the centers were opened earlier in the month.

Hawaii

Hawaii is another state sounding the alarm over an oxygen shortage. Hawaii Pacific Health President and CEO Ray Vara recently directed staff in an internal memo to conserve the oxygen supply and “avoid using oxygen for anything that is elective.”

“We will therefore need to cancel all elective procedures in operating rooms and elsewhere, including outpatient settings, where oxygen may be needed. Any cases that can be deferred safely should be deferred until the oxygen supply solutions are clearer,” he wrote. “At each HPH facility, surgical and facility leaders will be activating review processes to help with these decisions.”

Lt. Gov. Josh Green said the situation is all the more concerning given that cases continue to soar. The remote location of the island and the dependency on ships to supplement the supply creates additional challenges. State officials say they are working with the federal government.

Idaho

Kootenai Health in Coeur de Alene is getting additional support from a 20 person Department of Defense team, delaying a potential move to “crisis standards of care.” In a press conference today Idaho Governor Brad Little activated the national guard, deploying up to 150 servicemembers to provide support for medical facilities, performing screenings, lab work, and other logistical duties that can help lift the burden on nurses and doctors. An additional 200 medical and administrative personnel will be made available to Idaho through a contract with the U.S. General Services Administration.

The governor described the activation of the National Guard as a last-ditch effort to avoid hospitals reaching crisis standards of care, where ventilators, hospital beds, and other resources will be allocated to those most likely to survive. 

“On a daily call with hospitals this morning, we heard there are only four standard adult ICU beds available in the entire state. Where hospitals have converted other spaces to be used as contingency ICU beds, those are filling up too,” Governor Little said. “We are dangerously close to activating statewide crisis standards of care – a historic step that means Idahoans in need of healthcare could receive a lesser standard of care or may be turned away altogether. In essence, someone would have to decide who can be treated and who cannot. This affects all of us, not just patients with COVID-19.”

“Idaho hospitals are beyond constrained. Our healthcare system is designed to deal with the everyday realities of life. Our healthcare system is not designed to withstand the prolonged strain caused by a global pandemic. It is simply not sustainable. Please choose to receive the vaccine now to support your fellow Idahoans who need you,” Governor Little said.

Hospital officials asked to move to crisis care standards over the weekend, and the Idaho Department of Health and Welfare has a briefing scheduled for tomorrow at 1:30 PM Seattle time.

Louisiana

There isn’t much news coming out of Louisiana specific to COVID as the Gulf state reels from the sucker punch Hurricane Ida delivered. Officials were able to relocate patients from damaged hospitals and nursing homes, and there were no fatalities reported related to that activity.

Thousands are in shelters without electricity or air conditioning and a limited water supply. In some good news officials now believe that power can be restored to 90% of people within three weeks, and some power should come back on in New Orleans tomorrow. So far, reports are favorable of people remaining patient, respecting curfews, limited crime, and good mask wear within shelters.

Ohio

Ohio University has joined more than 800 colleges and universities across the United States mandating vaccination for faculty and staff.

Ohio University President Hugh Sherman wrote, “All Ohio students, faculty, and staff at all locations are required to be vaccinated against COVID-19 by November 15, 2021. For vaccines that require two doses, both doses must be completed by this date. This applies to all employees, including those working remotely and all students except those enrolled exclusively in fully online programs and coursework who will not access University facilities on any campus in person.”

“It’s important to note, there will be an opportunity to apply for an exemption of the vaccine requirement for medical reasons or for reasons of conscience, including ethical and moral beliefs or sincerely held religious beliefs.”

Like other states seeing a spike in cases, hospitals in Ohio are starting to cancel elective procedures. On Tuesday, Ohio reported the largest number of new cases in a single day since January 2021.

New Jersey

Jasmine Clifford, better known by her Instagram handled of “AntiVaxMomma” was arrested for selling 250 fake vaccination cards. Clifford, from Lyndhurst, New Jersey, was charged with multiple felonies on Tuesday with offering a false instrument, criminal possession of a forged instrument, and conspiracy. 

Nadayza Barkley, of Bellport, Long Island was also charged with falsifying information in the COVID database. Clifford sold fake vaccination cards through her Instagram account for $200, and for another $250 Barkley would enter bogus data into the New York state vaccination database.

Prosecutors say Barkley entered more than 10 names into the state’s vaccine database while working at a Patchogue medical clinic and received payments for her work from Clifford through the services Zelle and CashApp.

Additional charges were also filed Monday against 15 people involved in the fake vaccination card scheme, including 13 frontline healthcare workers. The workers employed at hospitals and nursing homes are facing one count each of criminal possession of a forged instrument in the second degree, a felony. A conviction would be career-ending for the 13 offenders.

Facebook, which owns Instagram defended its apparent lack of oversight, stating they removed the Instagram account in August.

South Dakota

Governor Kristi Noem has activated the national guard and not for border duty in Mexico, but to support straining hospitals in the Black Hills.

The governor’s office confirmed Tuesday morning soldiers are in the Black Hills conducting COVID-19 testing, and Gov. Noem later in the day said in a statement she authorized the deployment at the request of Rapid City-based Monument Health.

“This past week, I had conversations with all three South Dakota hospital systems and asked them what they needed as cases start to rise again,” the governor said. “Monument asked for the National Guard to assist them in their testing efforts, and we are happy to help.”

New cases in the state have exploded in the three weeks after Sturgis, reaching levels last seen in January 2021. The state positivity rate has jumped to 30%, which indicates major under testing and unchecked spread of COVID. Just four counties, Pennington, the home of the Sturgis Motorcycle Rally, Meade, Lawrence and Custer are responsible for half of all reported COVID cases in the state.

Monument Health reported at the start of August they had less than 10 COVID patients system-wide – they now have 110.

Misinformation

Glyphosate. If you read that and think to yourself, “isn’t that part of the herbicides in RoundUp,” you would be correct. You will also likely be stunned that in some of the darker corners of the Internet, people are advocating drinking Glyphosate as a preventative for COVID.

Pure Glyphosate is a herbicide invented in 1974, and in its pure form has a reputation of being relatively safe and not readily absorbed through the skin when used properly, However, if intentionally ingested, it can cause increased saliva, burns in the mouth and throat, nausea, vomiting, and diarrhea.

Most commercial products contain other ingredients beyond Glyphosate (such as RoundUp) and can make people extremely sick, or cause death if consumed. No, Glyphosate does not cure or prevent COVID, nor is it indicated to treat any illness in humans or animals.

Washington is in crisis – local and national COVID update for August 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) Washington State Hospital Association CEO Cassie Sauer along with several state healthcare leaders sounded the alarm today, describing the situation in Washington’s hospitals as, “untenable.” The Washington Department of Health has retired the Washington Ready/Risk Assessment Dashboard today, reducing visibility into granular county and Health Region data.

Misinformation about Ivermectin is spinning out of control as the drug flies off of farm store shelves and calls into poison control centers skyrocket. The CDC releases a new report that indicates that breakthrough cases for Delta are growing at a significant number among people who are over 75 years old and the European Union is restricting travel for U.S. citizens again.

The situation to our east and our south is worse with Idaho hospitals formally applying for permission to go to “crisis standards of care” and Oregon requesting mobile morgues.

The only good news tonight is the statewide vaccination rate increased significantly from last week and we are seeing the strongest indication yet that new cases in Washington state are reaching a plateau.

This update uses the latest data from the Washington State Department of Health released on August 30, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for August 30, 2021

Washington state COVID update

The state of Washington has retired the Governor’s Risk Assessment Dashboard, which was providing visuals for county and Hospital Region level data. Losing the ability to see acute care and ICU use at a regional level is a disservice to the residents of the state of Washington. We urge the Department of Health to make some of the previous dashboards available to provide better transparency.

We cannot provide insight into the epidemiological curve for new cases compared to last week because the data today is through August 18, 2021. Our report on Friday was from data through August 19, 2021.

Through August 18, the statewide 14 day rolling average for Washington was 514.0 COVID cases per 100K. Columbia (1,147.0 per 100K), Douglas (1,101.1 per 100K), Franklin (1,066.6 per 100K), and Grant (1,002.7) are reporting an extreme number of new cases. Asotin, Benton, Chelan, Cowlitz, Lewis, Lincoln, and Yakima counties are not far behind. Benton and Cowlitz county have shown improvement over the weekend (possibly) and may have hit peaks.

The Washington State Department of Health reports a data backlog for test positivity, with the published number 14 days old. According to Johns Hopkins University Medicine, the positivity rate for the last 30 days is 13.53%, and over the previous 7 days, 13.07%. These numbers indicate continued widespread community transmission driven by the unvaccinated and under testing of the population. The fastest-growing age group for positive tests is now 20 to 34-year-olds.

The USA Today COVID Tracker reported 36 COVID-related deaths in Washington on Friday.

Hundreds protest vaccine mandates in Olympia

On Saturday, hundreds of people gathered at the Washington state Capitol Campus to protest vaccine mandates for a variety of employees. Liberty, at All Hazards, organized the event to demand vaccine mandates issued by state officials be revoked.

“From prisons, to hospitals, to First Responders of all types, from firefighters, to police, to EMS personnel, to ferry workers, to teachers, coaches, and school volunteers, bus drivers, sanitation workers, and so on — the Governor is unnecessarily threatening the genuine safety and well-being of the citizens of Washington if he forces his mandate to stand,” the group said in a press release.

The Constitutionality of vaccine mandates at a state level was reviewed by the Supreme Court of the United States in the case Jacobson vs. Massachusetts in 1905. In that case, it was determined that citizens did not a fundamental First Amendment right against vaccination when weighed against the public good. The case has been challenged multiple times in the last 116 years.

Washington State Hospital Association calls for canceling of the Washington State Fair

In a press conference today, Washington State Hospital Association CEO Cassie Sauer and Chief Physician Officer with MultiCare Health System Dr. Dave Carlson called for the cancelation of the Washington State Fair. “I think it is a very bad idea,” Carlson stated as he expressed deep concern about dwindling hospital resources across the state. Dr. Carlson added, “our state has no capacity to deal with a mass casualty event.”

“The hospital’s full, and we are over the course of the next three weeks likely going to bring in an additional million people to that community. And I am very, very concerned about the stress that that will put on our emergency room and about the stress that will put on our systems.”

Area Doctor pleas for youth to get the COVID vaccine before starting school

Dr. Susanna Block, a pediatric hospitalist at Kaiser Permanente in Seattle appealed for parents to get their age-eligible children vaccinated before the start of school. She reported that over the last few weeks, 20% of all new COVID cases have been children. In other states where classes have already started, tens of thousands of students and faculty have become infected or landed in quarantine, disrupting school and in some cases forcing an emergency transition back to remote learning.

Skagit County reopens testing and vaccination site as COVID cases soar

Starting Monday, Aug. 30, you can get COVID-19 testing and vaccinations at the Skagit County Fairgrounds. Tests and vaccinations will be free at the site, which is now opening Monday through Friday from 5 p.m. to 8:30 p.m.

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

Reflecting the increase in vaccination rates, the Washington state Department of Health is reporting that 73.3% of state residents 12 and up have received at least one dose of COVID vaccine. That is up almost a full percentage point from last week. Almost 4.8 million age-eligible Washingtonians have received at least one dose, but 1.75 million remain unvaccinated.

Vaccination effectiveness for preventing hospitalizations drops for oldest residents

New data presented on Monday indicates that the effectiveness of COVID vaccines against hospitalizations drops over time among adults over 75. This mirrors other studies indicating that effectiveness has dropped from 97%, based on data from the original and Alpha strains, to about 81% for the Delta strain. Officials admitted that it’s hard to read the data and determine cause and correlation.

“It actually may be very difficult for us to disentangle time, since vaccination and the impact of the Delta variant, especially in some populations that we know were vaccinated earlier in the time course. So if we see waning in the last couple of months, it could be really difficult,” Dr. Sara Oliver, a key CDC vaccine official, told the panel.

CDC breaks with the Biden Administration on COVID booster shots

A Centers for Disease Control and Prevention (CDC) advisory panel on Monday indicated it could take a substantially different approach to booster doses of COVID-19 vaccines than the one proposed by the Biden administration.

Members of the CDC’s Advisory Committee on Immunization Practices (ACIP) said the evidence on boosters is not clear and indicated it would likely consider a risk-based approach that would prioritize residents of long-term care facilities and health workers rather than all eligible Americans at once. 

The panel is recommending prioritizing healthcare workers, people over 65 or 75 years old, and those who are immunocompromised and in other high-risk groups.

Washington doctor says vaccination rates statewide need to reach 85% to 90% to stop COVID

Dr. Mark D. Johnson of Confluence-Health, an infectious disease specialty, said the state vaccination rate will have to get much higher to beat COVID.

“Delta has changed the game,” Johnson said. “Unfortunately, the math keeps changing. And that’s because this virus does what RNA respiratory viruses do: it mutates. It just wants to infect us.”

King County, Washington is reporting over 83% 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

The Washington state Department of Health is no longer providing data on total acute care and ICU beds within Washington state. According to the DoH COVID Dashboard, 17% of all acute care patients hospitalized in Washington have COVID, the highest level ever recorded. ICUs are at 88.5% of capacity statewide with 33.4% of ICU patients with COVID.

The new hospital admission rate for COVID patients is 164 per day, also a record and far exceeding the January 2021 peak. On August 29, there were 1,440 patients hospitalized with COVID and 182 on ventilators. In contrast, the Washington Hospital Association reported a total of 1,570 COVID patients statewide and 188 on ventilators. We have a request into the Department of Health to explain the variance and are awaiting a response.

Data for pediatric patients for acute care and PICU is not available.

Hospital administrators painted a grim picture for medical resources, reporting shortages of life support equipment, exhausted and demoralized staff, and packed hospitals. Dr. Mark D. Johnson of Confluence-Health reported that none of the ICU patients at their Wenatchee facility are vaccinated, and 40% of their hospitalized patients are under 40 years old.

Chief Physician Officer with MultiCare Health System Dr. Dave Carlson said, “I have not ever in my career been concerned like I am now about the very real possibility that we are on the edge of not being able to care for people in our community.” He reported there were 275 COVID patients across the MultiCare Health System, 80 in Spokane alone. He echoed other leaders indicating that 96% of all hospitalized patients are unvaccinated.

“We have canceled almost all inpatient surgery. If you need a joint replaced, that is canceled. We are canceling everything we can,” Dr. Carlson continued. “This is frankly the most severe restrictions we have had to put in place.” He went on to explain that their hospital in Puyallup is full and currently treating 100 COVID patients.

The Washington Hospital Association also reported a serious shortage of BIPAP machines. The equipment is the last line of defense before going on a ventilator. Patients on ventilators have exceptionally poor outcomes with the Delta variant and require additional support. At one point this weekend, there was only one available BIPAP machine in the state.

Patients that move out of ICU are brought into step-down units, but the leaders expressed that these essentially require ICU levels of care. MultiCare Health System reported they had COVID patients in their Post-Anesthesia Care Units (PACU), which exacerbates the ability to provide surgical care to non-COVID patients.

EvergreenHealth provided their patient update on Monday reporting 44 COVID patients at the Kirkland facility and none in Monroe. This is an increase of 4 patients between the two facilities from last week.

Back to School

It is reported that since the Lake Washington School District reopened enrollment into virtual learning, over 800 students will be starting school on Wednesday doing remote learning.

First day of school for area districts:

  • Lake Washington School District – September 1
  • Bellevue School District – September 1, 1st through 12th, September 3, kindergarten
  • Northshore School District – September 1, 1st through 12th, September 1 or September 2 for kindergarten on a staggered start

The next board meeting for the Lake Washington School District is September 13, 2021, at 7:00 PM and will be remote only.

Kirkland-Bellevue-Woodinville

The number of people seeking COVID tests in the area is exploding, with reports of two-hour waits past scheduled appointment times in Bellevue, Washington. Dozens of cars snaked through a parking lot with occupants awaiting their turn to get a COVID test.

National Round-Up

Johns Hopkins University reported over 36,383 new cases and 277 deaths today. Most states do not report data over the weekend, so the number does not indicate a sudden improvement in new cases in the United States.

The European Union has dropped U.S. travelers from the EU safe list as COVID surges amid the unvaccinated. The 27 member states recommended that Americans should be banned from nonessential travel, including the nations of France, Italy, and Germany. The same guidance also applies to Israel, Lebanon, Kosovo, Montenegro, and the Republic of North Macedonia. The decision is non-binding and for EU member states, leaving each country to decide what is in their best interests.

Also today, the CDC added seven destinations to the “very high” COVID travel risk list. The seven destinations were moved up from the Level 3 – COVID high risk to level 4; Azerbaijan, Estonia, Guam, North Macedonia, Puerto Rico, Saint Lucia, and Switzerland.

Ten other destinations were moved from to Level 3; Bermuda, Canada, Germany, Moldova, Bahrain, Indonesia, Namibia, Oman, Rwanda, and Zimbabwe. The CDC continues to recommend avoiding international travel if you are unvaccinated.

Robert David Steele, a former CIA agent and one of the first adherents of the QAnon conspiracy died of COVID over the weekend. Steele was one of the first people to declare on programs such as Infowars that COVID was a “hoax.” Steele continued to publish conspiracy theories and misinformation from his hospital bed before being placed on a ventilator.

On August 17, we wrote his final blog post declaring, “I will not take the vaccination, though I did test positive for whatever they’re calling ‘COVID’ today, but the bottom line is that my lungs are not functioning.”

Despite stating he was lucky to have gotten into a “trusted” hospital in Florida, a friend who reported his death, Mark Tassi, stated that Steele had been forced onto a ventilator against his will because “they” wanted to make Florida and Governor Ron DeSantis look bad.

Arkansas

Total hospitalizations continue to decline in Arkansas but the number of patients requiring the ICU and ventilators continues to climb. Data indicates that Arkansas has hit a peak for cases, but the 361 patients on ventilators is a new record, along with 533 in the ICU.

Arizona

Arizona became the 13th state to have more than one million COVID cases as hospitalizations surged 400% in the last eight weeks. Hospitalizations, ICU utilization, and new cases have reached February 2020 levels and almost all of the critically ill are unvaccinated.

The plateau may be at risk. After the first four days of classes at the University of Arkansas, Fayetteville, 105 active COVID cases have been reported. This exceeds the prior record set in January 2021.

California

Much like Arkansas, new cases have plateaued but hospitalizations continue to hover at near-record levels. There are 8,679 Californians in the hospital on Monday, just 30 short of the old record.

Rural areas in Northern California continue to deal with a huge surge of cases. In Crescent City, the mortuary is filled beyond capacity and officials have asked for a mobile morgue.

Florida

Florida officials have reported 4,900 COVID-related deaths in the last four weeks as Delta continues to tear through the state. After dipping for four days straight, hospitalizations increased again, with officials telling residents not to read into daily fluctuations. The state has 15,788 COVID patients in the hospital, 3,526 in the ICU, representing 53% of all ICU patients statewide.

Tampa Bay radio host Marc Bernier, who dubbed himself “Mr. Anti-Vax,” died of COVID over the weekend in a Florida hospital. He became sick three weeks ago and passed at the age of 65.

Hawaii

Honolulu Mayor Rick Blangiardi announced the new Safe Access Oahu program on Monday. Starting on September 13, patrons entering restaurants, bars, gyms, and other establishments will need to show proof of vaccination or a negative COVID test taken within the last 48 hours. The program is scheduled to last 60 days. Children under 12 will be exempt from the program.

State officials are also pushing back on rumors of pending lockdown, but are also requesting residents cancel their Labor Day Weekend plans.

“The reality is [the pandemic] is still here, and we right now in Hawaii, are going through the most severe part of the pandemic in almost this two-year period,” said Hilton Raethel, Healthcare Association of Hawaii president and CEO.  

Idaho

Kootenai Health in Coeur de Alene formally requested permission to go to “crisis standards of care” on Sunday night. The hospital has been hinting since Wednesday it would make the request, and on Thursday evening, Idaho narrowly missed making a statewide declaration. Under “crisis standards of care,” resources are rationed to the people with the highest chance of survival, and so-called “black tag triage” could be employed. Patients who are not expected to survive would be moved into a category called, “expectant,” and would be given comfort care. If more resources became available they would be moved into a priority group for treatment.

In a worrying sign, Idaho Governor Brad Little has scheduled a press conference for Tuesday at 12:30 p.m. New cases remain below the January 2021 records, but Idaho can’t send COVID patients to neighboring states with Washington and Oregon in crisis.

Louisiana

On Friday I wrote about my concern that Hurricane Ida could be pulverizing blow to an overtaxed Louisiana healthcare system. By Sunday night it was apparent the sum of all fears had come true.

For the first time in modern history, the power went out for all of Orleans Parish, knocking out power, impacting water, sewer, and communications. At least six hospitals reported significant damage including a 174 bed Level II trauma center and a 194-bed acute care facility. At one hospital backup generators failed, forcing staff to scramble to hand bag ICU patients to keep them alive. After two hours power was partially restored, with COVID patients moved into hallways and the Post-Anesthesia Care Unit. One hospital reported losing oxygen when the delivery tank became damaged.

Almost 200 patients were transferred from hard-hit hospitals in southern and central Louisiana to facilities in Baton Rouge, Morgan City, and New Orleans. Officials are reporting there were no injuries among patients or staffers during the peak of hurricane Ida, and that hospitals on generator power can run for another nine days.

The collapse of a major steel truss tower into the Mississippi River plunged the city into darkness and could take 3 to 6 weeks to rebuild.

Officials are concerned about people huddled in shelters spreading COVID, but so far reports are indicating that people are wearing masks. It is likely that data on COVID and hospitalizations will be hard to process for the next couple of weeks.

Ohio

Judge Gregory Howard ordered a Cincinnati area hospital to allow Dr. Fred Wagshul to treat a 53-year old COVID patient on life support with Ivermectin. Dr. Wagushul is part of the Front Line COVID-19 Critical Care Alliance, a group that touts Ivermectin as both a treatment and preventative for COVID. The doctor originally prescribed the medication and the hospital refused to administer it, with the judge intervening on the behest of his wife. The man tested positive on July 9 and was admitted to the hospital on July 15 where he received monoclonal treatment, plasma, and steroids. He was placed on a ventilator on August 1 and his condition has deteriorated since.

Dr. Leanne Chrisman-Khawam, a physician and professor at the Ohio University Heritage College of Osteopathic Medicine, called the Front Line COVID-19 Critical Care Alliance  “snake oil salesmen.”

She reviewed the association’s research on the drug’s uses and said there are some serious problems with its cited studies: many of them don’t show positive results, and those that do bear design flaws like small control groups, unaccounted for variables, nonblinded studies, not accounting for mitigations like vaccines and masking practices, and others.

Oregon

Two Oregon counties, Tillamook and Josephine, requested mobile morgues over the weekend. In Tillamook County, the one mortuary in the county is past capacity and so many staffers are sick with COVID, they can’t transfer bodies. Tillamook County had more COVID deaths last week than the prior 18 months combined.

In Josephine County, the hospital system is completely overwhelmed by low vaccination rates and rampant misinformation through the rural county. You can read more about it in this story we published over the weekend.

The city of Portland announced that 6,800 city workers will need to be fully vaccinated by October 18 or obtain an exemption to maintain employment.

Misinformation

Taking the day off

Malcontentment Happy Hour: February 22, 2021

Our live webcast from the Seattle Anarchist Jurisdiction

The show from February 22, 2021, featured David Obelcz and our co-host Jennifer Smith.

  • Most Tacoma Police Department officers will have body cams by end of the week
  • UW students suspended from attending in-person classes after a snowstorm kegger
  • Rochester, New York Police release 86 more minutes of video of 9-years-old girl pepper sprayed
  • Justice for Elijah McClain inches closer
  • Malcontented Minutes
    • Ohio bomb squad is called on Sprinkles the cat
    • Mashpee-Wampanoag First Nation will keep their tribal lands
    • Mariners president resigns after telling the awful truth about baseball
    • Lake Travis residents in Texas help each other in face of winter disaster
    • Catholic League leaders say Joe Biden’s LGBT obsession is hurting Christians
    • LGBTQ virtual spaces help keep college students connected to combat isolation and depression
    • U.S. shelters for migrant children near-maximum capacity as Biden Administration struggles with “kids in cages’
    • A mariachi band from Houston serenades Ted Cruz outside his home to bring a bit of Mexico vacation to him
    • Mancin Music on TikTok video absolutely shreds Kashmir by Led Zeppelin
    • Kayne West and Kim Kardashian are calling it quits
  • Chad Wheeler arrest video and audio released by Kent Police
  • Walking while Black incident in Plano, Texas
  • Insurrection Update
  • The tale of three vehicular assaults and three different forms of justice in the United States

Malcontentment Happy Hour: February 18, 2021

Our live webcast from the Seattle Anarchist Jurisdiction

The show from February 18, 2021, featured David Obelcz and our co-host Jennifer Smith.

  • Remembering Anias Valencia – NAAM Memorial
  • Seattle police shoot and kill a suicidal man
  • Malcontented Minutes
    • Disney issues cultural advisories on certain movies but excludes Pocahontas
    • Two Florida men claim to be US Marshals to avoid wearing masks
    • Seattle’s Woodland Park Zoon greets a newborn baby gorilla
    • Puerto Rico declares an emergency due to ongoing gender-identification violence
    • Bachelor/Bachelorette host Chris Harrison stepping down amid southern plantation ball flap
    • Ohio man skips a job interview to rob a bank instead
    • Mattress Mack of Houston opens up his stores to freezing Houston residents
    • Los Angeles Schools defund the police to invest in Black student achievement
    • Ted Cruz says “let ’em eat snow” as he takes off for Cancun amid one of worst weather disasters in Texas history
    • US House is expected to pass sweeping LGBTQ reform bill next week
  • Joe Biden gets facts wrong on minimum wage, immigration, and what is going on with COVID stimulus
  • Insurrection upate

Malcontentment Happy Hour: December 10, 2020

Our live webcast from the Seattle Anarchist Jurisdiction

  • Red House protest in Portland is working, $198K raised and developer offering to sell house back
  • Mitch McConnell refuses to move any compromise stimulus package to provide national COVID relief
  • Political violence continues to grow in the United States over the election and wearing masks
  • Casey Goodson killed by police, feds are now investigating
  • Interview with Nikayla Rice, her work with BLM, and the importance of self-care
  • ICU capacity is reaching its limits across Washington and the United States