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Mark Twain Elementary closes classroom – local and national COVID update for September 7, 2021

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

[KING COUNTY, Wash.] – (MTN) The number of students in quarantine at Kamiakin Middle School almost tripled today, and a second-grade classroom at Mark Twain Elementary was closed due to “multiple confirmed COVID cases.” All three school districts we are following are reporting students and faculty in quarantine.

If you want to watch live professional sports in Washington, you’re going to need a COVID vaccination or a PCR test, with every team along with the Huskies and Cougars announcing requirements today.

Washington state COVID numbers are incomplete due to the long holiday weekend, but they aren’t good as hospitalizations, and ICU patients set new records. In a press conference today with the Washington State Hospital Association, the alarm was sounded about the impact COVID is having on pregnant women and shrinking available medical resources.

Vaccination rates at a local, county, state, and national level grew as fewer people are vaccine-hesitant. It was reported up to 200 Seattle Police Officers will resist or quit over the City of Seattle vaccine mandate, and someone has set up a website calling for officers to resist.

There was a lot of irresponsible hype about the Mu variant this weekend after several news sources ran with a story about the variant being identified in 49 states. No, you don’t need to lose sleep over Mu. A pre-print report that was recently released and is well researched indicates the number of COVID mutations is declining at a country and global level as more people get vaccinated.

Nationally, Idaho had to move to “crisis standards of care” today in two districts, imperiling the health of Idahodians that require medical resources. Hawaii got an emergency shipment of oxygen from the mainland over the weekend, averting a crisis. Remember the ivermectin story out of Oklahoma last week? We go over what went sideways with that and what is truth and reality as more information has come out. The short version – almost everyone got it wrong except the doctor interviewed in the first place.

Finally, my day started at 7 AM, and I haven’t had lunch or dinner. There are probably a lot of typos – your patience is appreciated. (OK, just did a ton of edits)

This update uses the latest data from the Washington State Department of Health released on September 7, 2021.


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Washington State Update for September 7, 2021

Washington state COVID update

Today is the first update from Washington state since Friday. Data isn’t complete from all agencies, making the fidelity of data cloudy for the next couple of days. Through September 6, Washington’s statewide 14-day rolling average was 517.7 COVID cases per 100K, which is statistically unchanged from the last update. Clallam (1,042.1 per 100K), Columbia (1,147.0 per 100K) Franklin (1,217.4 per 100K), and Okanogan (1,015.5 per 100K) reported an extreme number of new cases. Counties in the 800.0 to 999.9 per 100K range include Asotin, which dropped below 1,000.0 over the weekend, and Benton, Chelan, Cowlitz, Douglas, Garfield, Grant, Lewis, Pend Oreille, Stevens, and Yakima. Lincoln county fell off the list, dropping to 760.2

King County is at 311.8 cases per 100K, a slight decline.

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 13.29%, and over the previous 7 days, 15.31%. Hospitalizations were down for the 20 to 34 and the 50 to 64 age groups. The data released today should be considered incomplete due to the 3-day holiday weekend.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1127.4 (down)0.2
Ages 12-1922.40.2
Ages 20-3458.5 (down)1.3 (down)
Ages 35-4947.3 (down)2.8
Ages 50-6433.2 (down)3.7 (down)
Ages 65-7917.8 (down)3.8
Ages 80+4.91.5
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker did not report the number of COVID-related deaths today.

Huskies, Cougars, Mariners, Seahawks, Storm and Kraken requiring vaccinations for home games

In an avalanche of announcements today, almost every major college and professional sports franchise announced that proof of vaccination would be required to attend home games in Washington state.

The Seattle Seahawks announced that the team and Lumen Field will require proof of COVID-19 vaccination. All guests age 12 and older will be required to provide proof of COVID-19 vaccination or a negative COVID-19 test result taken within 72 hours before kickoff to attend Seahawks games at Lumen Field. The Seahawks will begin enforcing the new policy starting with the team’s home opener on September 19 vs. the Tennessee Titans. In accordance with current Washington state and King County mask mandates, fans and staff will also be required to wear masks at all times except while actively eating or drinking, regardless of vaccination status.

The Seattle Kraken and Climate Pledge Arena made an identical announcement almost at the same time. In compliance with the mandate from Washington state, Climate Pledge Arena and the Seattle Kraken have announced that all guests, ages 12 and over, attending Kraken games, concerts, and events at Climate Pledge Arena will be required to provide proof of vaccination upon entry. In the near term, all guests will also be required to wear a mask while attending events until further guidance from Washington state.

The Kraken and Climate Pledge Arena will introduce a seamless and convenient process to allow guests to show proof of full vaccination via their smartphones. Additionally, Climate Pledge Arena will require proof of vaccination for all events.

A few hours later, the University of Washington Huskies and the Washington State Cougars made their announcements. The Huskies will implement a vaccine verification system for all Husky Athletics tickets events beginning on Sept. 25, starting with the Huskies’ football game against California at Husky Stadium.

Husky fans over the age of 12 will need to provide proof of vaccination or proof of a negative COVID-19 test within 72 hours of the event.

The Washington State Cougars will require proof of vaccination for fans age 12 and older, beginning with home games at Gesa Field in October.

Cougar fans that are not vaccinated will need to show proof of a negative COVID-19 within 72 hours of the event.

Shortly after the college announcements, the Seattle Storm and the Angel of the Winds Arena in Everett made their announcement. According to a team spokesperson, the team will require proof of vaccination or a negative COVID-19 test within 72 hours of game time during playoffs, which begins on Sept. 23.

Until then, the team plans to provide vaccinated and unvaccinated sections for its remaining two home games on Tuesday, Sept. 7, and Friday, Sept. 17.

An hour later, the Mariners and T-Mobile park made a similar statement. However, any proof of vaccination requirement won’t happen unless the Mariners make the postseason. For now, the Public Health order for masks applies to fans ages 5 and older in all locations of T-Mobile Park, including seats and concourses, but masks are not required while fans are actively eating and drinking. The proof of vaccination policy won’t be installed until potential postseason games at the earliest.

4 ejected and 6 arrested on Seattle to Anchorage Alaska Airlines flight forced to make an emergency landing over mask wear

Four passengers were ejected from Alaska Airlines flight 109 before it even departed Seattle for Anchorage, Alaska, and another 6 were arrested when the flight had to divert to Juneau. Officials in Seattle had to escort 4 people off the aircraft on Saturday before it even left the gate for being disruptive and refusing to wear masks.

After the plane took off, 6 additional passengers from the same group became combative. They refused to follow directions, and things escalated to threats directed at passengers and the flight crew, with one stating, “we are locked and loaded.” The cabin crew became so nervous about the threats they approached several passengers, asking if they could assist if the group got more violent.

The pilot announced the aircraft had a mechanical problem and needed to make an emergency landing in Juneau. When the plane landed, local and state police were waiting, boarded the aircraft, and escorted the six men off the plane in handcuffs.

Alaska Airlines stated the six men removed did not continue to Anchorage on Alaska Airlines flight. There was no information at press time on whether any of the six men were booked or are facing criminal charges.

Seattle Police Officers Guild “unofficially” sets up anti-vaccination website

Someone within the Seattle Police Department has set up a website encouraging officers not to report their vaccination status to the City of Seattle, with the vaccination looming. The introduction of the website reads, “Welcome fellow SPD family members who have made it here. As you are aware by now, the city is demanding that all SPD officers provide the City with proof of vaccination or submit a request for vaccination exemption by September 22, 2021. This mission is one of human rights, constitutional rights, civil liberties, and freedom of choice. We all must band together in our stance for freewill, personal choice, medical freedoms and consent without coercion, retaliation, harassment, disciplinary action, or termination.”

The legality of local and state government-mandated vaccinations was addressed by the Supreme Court in 1905, in the case Jacobson vs. Massachusetts. As reported on Saturday, the WFSE reached an agreement with the State of Washington on modifications to the vaccination mandate that provides more equity. This agreement doesn’t impact SPOG or the Seattle Police Department. It is also clear the union, for that matter, any union would have pursued a Constitutional legal avenue if a valid one existed.

The site states it is not affiliated with the Seattle Police Officer’s Guild but uses the SPOG rallying cry of “hold the line.” Interestingly, the site does not state if it is affiliated with the Seattle Police Department.

The about section states, “My name does not matter. I took an oath, just the same as so many of you. I am someone who refuses to sit back and watch the futures of so many great men and women be placed at risk of being ripped away by a government entity who has no right forcing us all to to [sic] submit to a vaccine and disclose private medical information regarding the same.”

Jason Rantz reported that up to 200 Seattle Police Officers refuse to get vaccinated or hand over their information for verification. This would represent about 19% of the current force but does not align with other municipalities, states, schools, and private businesses that have had vaccine mandate deadlines pass. The state of Hawaii mandated 14,000 workers to get vaccinated, and so far, 92.6% have gotten at least the first dose. Vaccine mandates at hospital systems and colleges have yielded 95% to 99.6% compliance.

Reports King County and Seattle are working on a vaccine verification program to access non-essential businesses

KOMO reports that Seattle and King County are working on starting a vaccine verification program similar to those implemented in Honolulu, New York City, San Francisco, and Clallam and Jefferson counties. No details were announced, but similar programs in other cities and counties have required proof of vaccination to enter bars and restaurants.

The program would not be implemented until at least October, and according to Constantine, would have at least a five-week lead time to give people time to get vaccinated.

First deadline to get first vaccination to meet October 18 state work vaccination requirement has come and gone

For employees planning to get vaccinated by the October 18 stated deadline, the date for the first dose of the Moderna vaccine was yesterday. The interval between the first and second shot is 4 weeks, followed by two weeks to reach maximum effectiveness. Guidelines still under consideration by the federal government would call for a booster shot 8 months after the second dose.

The Pfizer vaccine, which is fully FDA approved for people 16 years old and over, has a deadline of September 13. The first vaccine to reach full approval has a 21 day period between the first and second shot.

The Johnson & Johnson shot is a one-and-done shot, requiring 14 days to reach maximum effectiveness. On paper, state employees could wait until October 4. However, federal distribution of the vaccine has ground to a halt, making doses difficult to find.

King and Pierce counties outdoor mask mandate begins

Washington’s two most populous counties, including the cities of Bellevue, Seattle, and Tacoma, had their outdoor mask mandates go into effect today. People who attend outdoor events with 500 or more people will be required to wear masks regardless of vaccination status. Mask wear is highly recommended in crowded outdoor areas where social distancing is impossible, and movement is restricted. Mask wear is required outdoors if you’re unvaccinated in almost all situations.

Did you go to the Ellensburg Rodeo or Dave Matthews Band shows at The Gorge?

County officials in Kittitas County are appealing to anyone who went to the Ellensburg Rodeo or Dave Matthews at the Gorge to get a COVID test over the next few days. Officials in Kittitas County are going to be adding testing capacity. The public health community is concerned that the combination of these two events and public schools starting this week will break the back of the local hospital.

Kittitas Valley Hospital is a small acute care facility with 25 beds. They are currently full, and 24% of their patients have COVID. According to a spokesperson with the facility. Officials warned in a Washington State Hospital Association press conference today that the ability to move patients between Washington hospitals is starting to gridlock.

Pediatric death

The Washington State Hospital Association reported a pediatric COVID patient died in Spokane at Sacred Heart last week. No additional information on age, hospital or city of residence was given. This is the 13th COVID-related death of a juvenile patient in Washington state.

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

King County Health reports 84.4% of all eligible residents age 12 and older have received at least one dose of the COVID vaccine. Additionally, every eligible age group from 12 to 80+ years old is over 70% for at least a first dose. Twenty to 29 years old are the furthest behind at 71.5%, with adolescents from 12 to 19 years old at 72.5%.

Washington state reports that 73.9% of all residents age 12 and up have received at least one dose of the COVID vaccine.

Nationally the United States reached a milestone with 75% of all adults 18 and over, with at least one dose of the COVID vaccine.

United Kingdom vaccine advisory board does not recommend vaccination for 12 to 15 year olds

The United Kingdom vaccine advisory board determined that children age 12 to 15 were at such a low risk from COVID that vaccination would provide only a “marginal benefit.”

The UK’s four chief medical officers have now been asked to have the final say and consider the wider impact on schools and society.

Health Secretary Sajid Javid said a decision would be made shortly.

The Joint Committee on Vaccination and Immunisation did advise widening the existing vaccine program to include an extra 200,000 teenagers with specific underlying conditions such as children with chronic heart, lung, and liver conditions.

A CDC study released last week, Hospitalizations Associated with COVID-19 Among Children and Adolescents — COVID-NET, 14 States, March 1, 2020–August 14, 2021, found that children 5 to 11 years old were at a significantly lower risk than children from birth to 4 and 12 to 17. The CDC study found that the hospitalization rate among unvaccinated adolescents from 12 to 17 was 10 times higher than among the vaccinated.

University of Washington Medicine appeals for pregnant women to get vaccinated

A spokesperson from UWMC outlined data on the increasing number of pregnant women hospitalized in Washington state today in a press conference with the Washington State Hospital Association. In a recent study evaluating 800,000 pregnant women at more than 500 medical facilities, researchers found that being unvaccinated increased the risk of early delivery (before 37 weeks) 22 fold. Unvaccinated pregnant women had a 14 times greater risk of needing a ventilator and a 15 times greater risk of death.

When the blood oxygen level in a pregnant woman drops to a dangerous level, early delivery may happen spontaneously. In other cases, it may need to be induced to try and save the mother and child. UWMC reported turning away patient transfer requests for pregnant women who needed ICU-level care and not just due to COVID. The hospital has no capacity for interstate transfers.

King County, Washington is reporting over 84% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over.

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 22.2% of all acute care patients hospitalized in Washington have COVID, another new record. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 88.8% of capacity statewide, with 34.9% of ICU patients fighting COVID, virtually unchanged from last week.

The new hospital admission rate for COVID patients is 173 per day, down significantly from last week – however, the Washington State Hospital Association note in a press conference this morning that hospital occupancy information was incomplete due to the holiday weekend. On September 6, there were 1,585 patients hospitalized with COVID and 246 on ventilators, according to the Department of Health. This was a new record.

The WSHA reported 1,674 COVID patients hospitalized, up 7% from last week, a new record. The number of ICU patients on ventilators was up 34% from last week.

The Washington Department of Health has not responded to our request to explain the difference between the state and WSHA numbers.

EvergreenHealth reported 39 COVID patients at Kirkland and zero at Monroe on Monday. This is lower than the 44 reported last week but higher than the 35 reported on Friday.

EvergreenHealth Kirkland hospitalized COVID patients for September 7, 2021

During the WSHA press conference today, red flags were raised on several issues within Washington state, as hospitalized patient numbers and ICU use continues to grow. It was explained that staff and equipment for kidney dialysis are in critically short supply in Washington, impacting more than COVID patients.

When the Delta variant exploded in India, officials saw numerous patients with kidney and pancreas damage developing type 1 diabetes as a long-hauler syndrome. A recent study by the Washington University of Medicine and US Veterans Affairs sees a similar trend in the United States.

Additionally, the organization reported that Washington state is already “triaging care.” Currently, the Washington Medical Coordination Center, operated out of Harborview Medical Center, assists hospitals in Washington state to “find beds for patients where beds can’t be found…beyond the normal system.”

Routinely, hospitals work within their networks and with agreed partnerships to move patients. A year ago, the state agreed to share resources so that if moving patients within networks wasn’t possible, coordination could happen across the state. Larger hospitals are on a “guaranteed acceptance” if a patient has nowhere to go, but that is not a long-term commitment, and the WMCC has no commitment to coordinate with or accept out-of-state patients.

“If you come in with a stroke or a cardiac event, there is no bed for you,” said Dr. Linda Eckert of Kittitas Valley Hospital. “This isn’t just a COVID emergency. This is an emergency for rural residents.”

When questioned about what going to “crisis standards of care” would look like, WSHA president Cassie Sauer explained that Washington has an agreement not to let a single hospital going into crisis care. If resources were to become exhausted, a hospital region or the entire state would move to crisis care standards.

“Healthcare is not an unlimited resource,” Dr. Sauer concluded.

Data for pediatric patients receiving acute care or in a PICU due to COVID is not available.

Back to School

School DistrictStatusQuarantinesClosures
BellevueGREEN– Bellevue (4)
– Chinook (4)
– Newport (1)
– Sammamish (1)
– Somerset (1)
– Tyee (1)
– Woodridge (6)
None
Lake WashingtonRED– Kamiakin Middle School (81))
– Juanita Elementary (1)
– Juanita High School (8)
– Mark Twain Elementary – 2nd-grade class (multiple confirmed cases)
NorthshoreYELLOW– Bothell High School (12)
– Canyon Park Middle School (1)
– Crystal Springs Elementary (5)
– Fernwood Elementary (3)
– Frank Love Elementary (1)
– Hollywood Hill Elementary (1)
– Inglemoor High School (1)
– Hollywood Hills Elementary (1)
– Kokanee Elementary (1)
– Maywood Hills Elementary (3)
– North Creek High School (1)
– Northshore Middle School (2)
– Ruby Bridges Elementary (15)
– Shelton View Elementary (5)
– Skyview Middle School (2)
– Timbercrest Middle School (2)
– Westhill Elementary (1)
– Woodin Elementary (3)
– Woodmoor Elementary (6)
None
Local Districts Scorecard

All three area school districts are now reporting COVID cases and quarantines. The Lake Washington School District moved into red status less than one week after school started.

Bellevue School District is reporting exposures and confirmed cases at 7 different schools. However, they currently have less than 10 confirmed cases.

The Lake Washington School District has hit growing quarantines and exposures at two schools, while infections spread to four facilities. Kamiakin Middle School now has 81 students, with 53 more exposed to a COVID positive student.

Additionally, in a message sent to parents this morning, school officials indicated an entire classroom at Mark Twain Elementary was put into quarantine.

“We are writing to inform you that there have been positive cases of COVID-19 reported that involves our school. The individuals and the families who tested positive, along with close contacts, have already been notified by the school.  This letter is intended to keep our community informed to what is happening at Mark Twain.  Currently, we are following the direction of the Department of Health and shutting down a classroom in an abundance of caution because of multiple positive cases.”

There was an additional single case at Juanita Elementary reported over the weekend.

The Northshore School District is reporting 19 facilities with students or faculty in quarantine. Currently, none of the 19 schools impacted have reported widespread exposure.

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 73,331 new cases and 530 COVID-related deaths on Tuesday. These numbers are missing many reports nationally due to the Labor Day holiday.

About the Mu variant

An article over the holiday weekend about the Mu variant got a lot of attention in the press. Catchy headlines announce that Mu has been found in 49 states (including Washington) and now represents 4% of all cases in Alaska.

Mu, also known as B.1.621, is considered a “variant of interest” by the World Health Organization, had blaring headlines that the variant represents 39% of all COVID cases sequenced in Columbia, is worse than Delta, and breaks through vaccines more effectively. The variant gained the “variant of interest” distinction because of the number of genetic mutations, its increased resistance to current COVID vaccines and people infected do become sicker.

Scary headline-grabbing stuff!

Mu only represents 0.2% of cases globally, and that 39% number of Columbia is under 1,000 total cases. Additionally, there are signs that the number of Mu cases globally is in decline.

When a virus mutates, it becomes concerning if it is more transmissible, more deadly, and can escape vaccine immunity. Data from Belgium indicates that Mu is more deadly, and data from multiple countries shows that it is better at causing breakthrough cases than Delta. An official R0 is not available for Mu, but nothing indicates it is equally or more transmissible than Delta. Because Mu can’t outspread Delta, it can only establish itself in small pockets of unvaccinated communities.

For another variant to become the next globally dominant strain, it will have not only to be more vaccine-resistant than Delta, but it is going to have to out replicate it. That’s a tall task for the next mutation.

The end of the pandemic and moving to an endemic is in sight

Are you ready for some good news? A report published as a pre-print in medRxiv called COVID-19 vaccines dampen genomic diversity of SARS-CoV-2: Unvaccinated patients exhibit more antigenic mutational variance and provided insight into how increasing vaccination rates are impacting the formation of new COVID mutations.

A critical disclaimer, the article has not been peer-reviewed, and several of the researchers have connections to various firms and agencies. However, the researchers include doctors from the Mayo Clinic and Harvard and analyzed genomic sequencing information globally. In a discussion, Dr. Katelyn Jetelina referenced the study today, along with a couple of our researchers.

The study examined 1.8 million genomes from 183 countries and territories between December 2019 and May 2021 and identified 1,296 unique lineages for COVID mutations. The study reached three critical conclusions:

  • The diversity of COVID mutations is declining globally
  • The diversity of COVID mutations is declining at a country level
  • Areas with more vaccinated people are seeing less total mutations
Study indicating that the number of COVID mutations is declining as vaccinations become more widespread globally

The study also indicated that vaccinated patients with breakthrough cases produce significantly fewer mutations than unvaccinated patients.

The good news is as more people get vaccinated, the number of variants is in decline, and as of early this summer, globally, we are starting to win the war. The Delta variant waves in India and the United Kingdom ran for 40 to 60 days before sharply declining. This happened because Delta is so infectious, it spreads easily among the unvaccinated and runs out of uninfected hosts.

There are signs that the United States is reaching a national peak, but there will be hotspots for weeks to come. The more vaccinated people, the harder it will be for COVID to produce a variant that can out replicate Delta and can breakthrough vaccinated and natural immunity.

We will never eliminate COVID, but if we can slow down the mutation of the existing strains, it becomes increasingly unlikely we will get something worse than Delta, that can also out replicate it.

Biden Administration to announce a new national COVID strategy on Thursday

President Joe Biden will deliver remarks on Thursday laying out a six-pronged strategy involving both the public and private sectors in his administration’s latest efforts to stop the spread of the coronavirus and boost vaccination rates.

The announcement from White House press secretary Jen Psaki comes as the U.S. reached more than 40 million recorded cases of COVID-19 since the pandemic began and as health officials race to contain the highly contagious delta variant.

We can tell you this much. It will not include a national mask or vaccine mandate.

Today, the United States reached a grim milestone of 650,000 COVID deaths and is currently adding more than one million COVID cases a week.

Alabama

Alabama continued to struggle with COVID and reported having negative 92 ICU beds over the weekend, meaning 92 more patients needed ICU bed care than the state’s hospitals had formal ICU beds. While some hospitals had available ICU beds to care for the critically ill, others had patients awaiting that care. More than half of the state’s 1,618 ICU patients on Sunday had COVID-19. In plain language, Alabama is in “crisis care management” even without the declaration.

Of the 2,713 people hospitalized with COVID-19 statewide on Sunday, 84 percent were unvaccinated, according to the Alabama Hospital Association. 

This evening, a group of night-shift nurses and hospital workers gathered outside UAB Hospital, briefly refusing to clock in for work in protest of long hours driven by the ongoing coronavirus pandemic and what they say is unfair pay.

“The COVID pandemic and recent Delta variant surge have stressed the healthcare system and put tremendous pressure on our staff – including nurses on the front lines,” UAB Hospital Chief Nursing Officer Terri Poe said in a statement.

Lindsey Harris, president of the Alabama State Nurses Association, spoke to reporters after the workers entered the hospital. Although she had not spoken to the specific nurses who gathered at UAB tonight, Harris said Alabama nurses are paid 8% less on average than their counterparts in neighboring states.

Many hospitals are losing thousands of nurses and skilled professionals moving to contract work and traveling nursing due to significantly higher pay.

The state held a moment of silence today for the 12,000 Alabamians who have died from COVID.

Arizona

Tucson cannot force its employees to get a COVID-19 vaccine, and the city puts millions of dollars of state revenue at risk if it continues to enforce a mandate handed down by the City Council last month, Attorney General Mark Brnovich said Tuesday.

Tucson’s vaccine mandate is illegal, and the city could be held liable for attempting to force government employees to take it against their beliefs,” Brnovich said in a released statement. “COVID-19 vaccinations should be a choice, not a government mandate.”

If the city does not rescind or amend the policy within 30 days, it could lose state revenue dollars, Brnovich’s office said.

In other news, the Cyber Ninjas are still sick with COVID and have not released their election report to the Arizona state Senate.

Florida

A Florida doctor said she would no longer treat primary care patients in person who has not received the COVID-19 vaccine. 

Linda Marraccini, a family medicine doctor in South Miami, sent a letter to patients informing them that because the Pfizer vaccine has been approved for general use by the Food and Drug Administration, unvaccinated individuals will no longer be allowed to attend in-person appointments at her practice.

“This is a public health emergency — the health of the public takes priority over the rights of any given individual in this situation,” Marraccini wrote in the letter obtained by NBC Miami. “It appears that there is a lack of selflessness and concern for the burden on the health and well-being of our society from our encounters.”

Dr. Marraccini is not the first physician to make this announcement, and doctors can fire patients if they follow a procedure that does not medically abandon their patients.

There is a lot of evidence that the surge in Florida has reached its peak. Sewage samples from the Space Coast paint a different picture, with the amount of COVID in the waste system doubled from what was tested a month ago.

Georgia

Georgia set a new hospitalization record with 6,032 COVID patients statewide. In another tragic tale, a 4-year-old girl in a pediatric hospital recovering from abdominal surgery became infected with COVID and died one day later.

“It’s an empty hole in our heart, and she was amazing,” Chris Wishart told WRDW. “I couldn’t have had a better daughter. She was everything I’d want in a daughter.”

Hawaii

Maui County will require vaccination cards to access indoor restaurants, nearly identical to a vaccination ID mandate in Honolulu. The program will go into effect on September 15.

Hawaii got an emergency shipment of medical-grade oxygen on Sunday, preventing disaster at state hospitals that were critically low of the important resource. Another shipment is expected later this week.

Idaho

The sum of all fears became a reality today as multiple hospitals in Northern Idaho went to “crisis standards of care,” including the Panhandle and the North Central Health District. The Idaho Department of Health and Welfare announced the decision Tuesday morning. It applies to North Idaho, based on a recommendation from a large health care committee and patient-advocacy stakeholders from around the state.

Kootenai Health in Coeur d’Alene and surrounding area hospitals have run out of resources to care for the influx of patients.

According to the Idaho Department of Health and Welfare, hospitals and healthcare systems potentially affected are:

Panhandle Health District — Benewah Community Hospital, Bonner General Hospital, Boundary Community Hospital, Kootenai Health, Shoshone Medical Center.

North Central Health District — Gritman Medical Center, Clearwater Valley Hospital and Clinics, St. Joseph Regional Medical Center, St. Mary’s Hospitals & Clinics, Syringa Hospital & Clinics.

The move allows hospitals to allot scarce resources like intensive care unit rooms to patients most likely to survive.

Other patients will still receive care, but they may be placed in hospital classrooms or conference rooms rather than traditional hospital rooms or go without some life-saving medical equipment.

“Crisis standards of care is a last resort. It means we have exhausted our resources to the point that our healthcare systems are unable to provide the treatment and care we expect,” Idaho Department of Health and Welfare Director Dave Jeppesen said in a statement.

This standard of care isn’t just for COVID patients but any other medical care. Travel and activity in this area should be avoided because a medical emergency or car accident could result in not receiving adequate care due to a lack of resources.

Ohio

A judge ruled Monday that an Ohio hospital cannot be forced to give a patient ivermectin for Covid-19, reversing an earlier decision that ordered it to administer a parasite medication that has not been approved to treat the disease.

In an 11-page decision, Hamilton County Common Pleas Judge Michael Oster Jr. wrote that there “was no doubt that the medical and scientific communities do not support the use of ivermectin as a treatment for Covid-19.”

Jeffrey Smith has been at West Chester Hospital since July and has been intubated since August 1. The original order has run its course. Julie Smith, the patient’s wife, claims that her husband’s condition has improved, but he is still on a ventilator.

UC Health, which operates West Chester Hospital, did not immediately respond to a request for comment. A spokeswoman told The Cincinnati Enquirer that the decision was “positive.”

“We implore all members of the community to do what we know works: wear a mask, become fully vaccinated and use social distancing whenever possible,” Martin told the newspaper. “At UC Health, we respect the expertise of our clinicians and appreciate the scientific rigor used to develop treatments, medications, and other therapies.

“We do not believe that hospitals or clinicians should be ordered to administer medications and/or therapies, especially unproven medications and/or therapies, against medical advice.”

Oklahoma

Last week we shared a local news report from Oklahoma from Dr. Jason McElyea about ivermectin overdoses overwhelming hospitals in the rural southeast portion of the state. In his report, he indicated that patients, including gunshot victims, had to wait in ambulances for available resources.

Rolling Stone and several other publications picked up the story. Over the weekend, one of the hospitals denied the claims made by Dr. McElya. Fox News then jumped on that claim, roasting Rolling Stone for publishing false information.

Having shared the KFOR story ourselves, we monitored this over the weekend and were prepared to do a retraction. Today, INTEGRIS Gover Hospital made a statement, “what we can confirm is that we have seen a handful of ivermectin patients in our emergency rooms.” The hospital added: “And while our hospitals are not filled with people who have taken ivermectin, such patients are adding to the congestion already caused by COVID-19 and other emergencies.” In a follow-up message Monday night, hospital spokesperson Kristi Wallace said they had no beds available that night.

So what went wrong here? The original story we linked to provided quotes from Dr. McElya but didn’t fully explain what he said. In another article done by Tulsa World, more context from the same interview was provided. He told a story about being unable for hours to find space at a big-city hospital for a gunshot victim he was treating in a small-town emergency room — but this article did not attribute the scarcity of appropriate beds to ivermectin. In fact, the article did not mention ivermectin at all.

When Northeastern Health System Sequoyah issued a statement saying he hadn’t worked there in more than two months, that the hospital hadn’t seen any patients with complications from taking ivermectin and that it “has not had to turn away any patients seeking emergency care,” ring wing media pounced on the story as badly as KFOR did.

One thing that jumped out at us was the word “northeast,” as the original KFOR story referenced “Southeast Oklahoma.” At the time the statement was made over the weekend, several other hospitals had not released statements.

In reaching the finish line, it appears KFOR didn’t provide proper context, aggregators (including us) were too quick to grab the story, the right-wing media was too quick to jump on a single denial, and Dr. McEyea statement as presented by KFOR was taken out of context.

Everyone screwed up – including us – we aren’t going to retract the story now there is more context, but we do apologize and will not use KFOR as an aggregate source in the future.

Texas

A 74-year-old man whose family sought a court order against Memorial Hermann over his COVID-19 treatment has died.

Pete Lopez of Richmond had been at Memorial Hermann Sugar Land for almost a month battling COVID-19. According to his family, he was put on a ventilator on Aug. 19.

His family, who has been appealing with Memorial Hermann to administer the controversial drug, won a court order for the hospital to treat him with the controversial drug.

Despite the family’s court order win, they claimed the hospital refused to administer the drug.

According to Snider, Lopez was previously prescribed ivermectin by VA Medical Center, but he was admitted to the hospital before he was able to take it.

“He had the prescription with him at the hospital, and the doctors knew that,” Snider told Eyewitness News on Sunday. “We have been asking them to administer it since day one.”

A judge signed a court order in favor of the family on Sept. 3, according to documents.

Vermont

Three Vermont State Police troopers out of the Shaftsbury barracks have resigned, and a criminal probe is underway into allegations that they may have violated federal law by making fake Covid-19 vaccination cards.

The matter has been referred to the U.S. Attorney Office in Vermont and FBI, which is investigating, according to a statement released by the Vermont State Police Tuesday afternoon in response to questions raised by VTDigger.

Michael Schirling, the commissioner of the Vermont Department of Public Safety, told VTDigger he couldn’t comment beyond the statement. 

“Because there’s an ongoing federal investigation, I can’t get into in any more detail than what’s in the release,” he said.

Two of the troopers, Shawn Sommers and Raymond Witkowski, submitted their resignations on Aug. 10, according to the state police statement. That’s a day after another trooper brought the matter to a supervisor.

As a result of further investigation by the state Department of Public Safety, the third trooper, David Pfindel, resigned effective Sept. 3, according to the statement. 

According to the statement, the troopers “are suspected of having varying roles in the creation of fraudulent COVID-19 vaccination cards,” a possible violation of federal law.

Misinformation

Taking the day off

COVID cases confirmed in LWSD – local and national COVID update for September 3, 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) Two Lake Washington School District schools reported COVID cases today, as the CDC released a study on the impact the Delta variant is having among pediatric patients. New COVID cases continue at a very elevated rate, and data continues to hint the plateau in new cases is crumbling.

Pierce County joins King County in an outdoor mask mandate for large events, and members of Patriot Prayer and the Proud Boys forced three Vancouver, Washington schools into lockdown due to an antimask protest. Someone is running around Pullman pretending to be a mask enforcer, including taking pictures of driver’s licenses. For big breakfast and cholesterol fans, sad news from Seattle with Beth’s Cafe announcing they are closing again.

Nationally, this felt like awful humans doing awful things day. A high school principal in Tuscon was threatened by a group of anti-maskers leading to one arrest. We learned that a doctor in Arkansas did not get medical consent to give prisoners Ivermectin.

In good news, Florida has hit peak COVID, but hospitalizations and deaths are trailing indicators. Some models indicate that Oregon will hit its peak next week as the state teeters on running out of resources.

Finally, if you have tickets to Dave Matthews, two band members have been exposed to COVID, but the show will go on.

This update uses the latest data from the Washington State Department of Health released on September 3, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for September 3, 2021

Washington state COVID update

Through August 22, Washington’s statewide 14-day rolling average increased again to 521.7 COVID cases per 100K. Asotin (1,033.6 per 100K), Columbia (1,290.3 per 100K) Franklin (1,218.5 per 100K), and Okanogan (1,082.8 per 100K) reported an extreme number of new cases. Benton, Chelan, Clallam, Cowlitz, Douglas, Garfield, Grant, Lewis, Lincoln, Stevens, and Yakima counties are not far behind, with rates between 800.0 and 999.9 per 100K.

King County is at 324.9 cases per 100K.

The Washington Department of Health will not be updating data Saturday through Monday due to the Labor Day holiday. We do not expect to have a clear view of the situation for COVID cases until the middle of next week.

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 14.34%, and over the previous 7 days, 12.90%. Hospitalizations were up in all age groups except 12 to 19 years old. New cases for people over 80 years old were down slightly in the latest data.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1128.2 (up)0.2 (up)
Ages 12-1923.0 (up)0.2
Ages 20-3466.41.6 (up)
Ages 35-4953.1 (up)2.8 (up)
Ages 50-6437.1 (up)4.4 (up significantly)
Ages 65-7918.5 (up)3.8 (up significantly)
Ages 80+4.8 (down)1.5 (up)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 32 COVID-related deaths on Thursday. Another concerning trend, the data from USA Today, indicates that the plateau has broken, with Washington reporting over 4,300 new cases on Thursday, the second day in a row over 4,000.

Pierce County enacts outdoor mask mandate for large events

One day after King County enacted an outdoor mask mandate for large events, Dr. Anthony L-T Chen, Director of Health for Tacoma-Pierce County Health Department, issued a countywide health order requiring the same. Everyone 5 years and older in Pierce County must wear a face covering at any outdoor event with 500 or more people in attendance regardless of vaccination status beginning Tuesday, Sept. 7, 2021.

The county also recommends wearing a mask in any crowded outdoor setting where physical distancing is not possible. This order, along with the statewide mask order, requires masks to be worn in indoor public settings like grocery stores, malls, and community centers.

“We are taking this step to ensure the most vulnerable people in our community do not become infected or spread COVID-19,” Dr. Chen said. “The highly contagious Delta variant is causing a rapid increase of positive COVID-19 cases and leading to increased hospitalizations and deaths.

“Wearing masks in crowds of 500 or more will reduce community transmission and protect children under the age of 12, people who are immunocompromised and unvaccinated adults.”

Yesterday, Pierce County Health released a video featuring Zac Duris, an ICU Nurse at St. Joseph Medical Center in Tacoma.

ICU Nurse Zac duris from st. joseph medical center talks about his experiences treating covid patients

Duris tells heartbreaking stories. From young, seemingly healthy people dying to families who can’t see their loved ones. 

“What sticks with me is the really ill patients who have families at home who are really concerned about them,” Duris said. “I can take care of critically ill patients with or without COVID. But what COVID has done has made families have to suffer more because they can’t be at their bedsides with their loved ones.” 

Right Wing extremists force three Vancouver schools into lockdown, harass students and staff

Patriot Prayer, headed by Joey Gibson, spread misinformation on the Internet that a student at Skyview High School was refusing to wear a mask and would be arrested on school grounds on Friday. Members of Patriot Prayer, the Proud Boys, and other anti-mask and anti-vaccination protesters gathered at the school chanting “USA.”

Three schools, Skyview High School, Alki Middle School, and Chinook Elementary School, went into lockdown. Students reported that teachers guarded classroom doors, and people trying to enter Skyview High School were met by security.

“All the learning gets disrupted. We have to sit down quietly, not make noise, and we were hunkered down in our classrooms for around an hour to an hour-and-a-half,” said Lucas, a 16-year-old high school student at Skyview. OPB is withholding Lucas’ last name to protect his identity.

He compared the lockdown to similar drills performed to prepare students for school shooters. Lucas said some students were harassed by the anti-mask demonstrators outside the school building.

“They’ve gotten pretty wild out here recently. It’s kind of crazy,” Lucas said.

Equal opportunity reporting – someone is trying to enforce mask wear at Washington State University – Pullman

Washington State University in Pullman sent out an alert to students warning them about a person claiming to be part of “mask enforcement.” The university, university police, and the city of Pullman all stated they were not doing any enforcement activity, and the person doing this is not an employee.

More alarming, the person took pictures of driver’s licenses and claimed that students would get a ticket in the mail. The person is described as a male driving a 2000s Toyota (which we realize doesn’t say much).

Northwest Washington Fair linked to 108 COVID cases

The Whatcom County Health Department is aware of 108 COVID-19 cases associated with the 10-day 2021 Northwest Washington Fair in Lynden.

“This includes both people who were contagious while they were at the fair and people who may have been exposed while they were at the fair,” health department spokesperson Jennifer Moon told The Bellingham Herald in an emailed statement Friday, Sept. 2. “We don’t have a more specific breakdown. This number may continue to increase as we continue to investigate cases.”

Officials refused to release attendance numbers for the fair.

Fake COVID vaccination cards intercepted in Seattle

Homeland Security Investigations in Seattle, which is a part of the U.S. Immigration and Customs Enforcement, said agents recently intercepted some fake COVID vaccination cards that were shipped to the United States through Seattle, with a final destination of Idaho.

No arrests have been made, and no information was shared on who the intended recipient in Idaho was.

Seattle icon Beth’s Cafe closing again due to COVID

During the height of the winter peak, Beth’s Cafe closed its doors because delivery only wasn’t fitting their business model. The cafe was sold to new owners, who reopened operating under limited hours. A combination of construction on Aurora Avenue eliminating parking, COVID, and a reduction in the nightlife, which fueled their business, is forcing Beth’s to close again.

The webpage indicates the closure will be for 3 to 6 months, or until things with COVID get under control. The 24-hour restaurant opened in 1954 and is famous for its 12-egg omelets, quirky clientele, and amazing milkshakes.

Expect long ferry waits this weekend

Washington State Ferries are expected to have significant delays this weekend due to many staffers out with COVID. Ironically, there were rumors of a “sick out” this weekend over looming vaccine mandates. Officials report that a sickout hasn’t materialized beyond the employees they already knew were sick so far.

“We just don’t have enough people to help run the boats,” said Ian Sterling with the Washington State Ferries. “Add COVID onto that, and unfortunately, we just lose out on the ferry fleet.”

According to Sterling, they’re dealing with major staffing shortages because of the pandemic, and there were rumors of a potential “sick out” this weekend because of the state vaccine mandate for state workers.

“Thankfully,” Sterling said, “we’re not seeing any evidence of that at this point in time.”

Dave Matthews Band changing weekend shows at The Gorge to an “alternate format”

The bassist and drummer of the Dave Matthew’s Band have had a COVID exposure and won’t be available for a planned show at The Gorge in George, Washington this weekend (yes, national readers, there is a George, Washington). The site says they are moving to an “alternate format” and that things will sound different from previous shows.

Organizers require proof of vaccination or a negative COVID test in the last 48 hours. We request you wear a mask.

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

King County Health released a new dashboard showing the effectiveness of vaccines in preventing new cases, hospitalizations, and death.

King County Health COVID-19 Outcomes by Vaccination Status Dashboard

Looking at data from the last 30 days, a person who is not fully vaccinated is 7 times more likely to test positive for COVID, 49 times more likely to be hospitalized, and 32 times more likely to die of COVID related illness. The data is age-adjusted to account for factors such as older people being more likely to have comorbidities while younger people are less likely to be vaccinated.

When looking at the data, be mindful that each statistic should be seen as a gate. You are 7 times more like to test positive for COVID if you’re unvaccinated. Among the people who tested positive, you’re 49 times more likely to end up in the hospital. If you’re unvaccinated and in the hospital, you’re 32 times more likely to die. So each number is a slice of a smaller and smaller group of people.

To booster shot, or not to booster shot, that is the question

Yesterday we wrote a lengthy piece about natural immunity versus immunity from vaccination and data out of Israel on the impact of booster shots. Our stressed-out editorial team (seriously, we need more copy editors desperately) struck the closing line of, “Confused? To some degree, we are too, but the evidence available supports that natural immunity wanes faster than vaccination-based immunity and booster shots are effective.”

Ehem – we should have left in.

A story in the New York Times reported Dr. Janet Woodcock, acting commissioner of the FDA, and Dr. Rochelle Walensky, head of the CDC, urged caution and advised that their agencies needed more time before approving any further action regarding booster shots. The issue isn’t around the existing recommendation for immunocompromised and the elderly to get booster shots. There is significant data to support they are needed and effective.

Yesterday, we reported a growing number of voices joining the World Health Organization, recommending putting the brakes on booster shots. The two critical issues are large swaths of the world population is currently unvaccinated and don’t have access to a first dose, let alone a third. Secondly, although the data is supportive of booster shots, the data also shows that a vast majority of people who get breakthrough cases only have mild symptoms, especially those under 65.

The whole question of booster or not might be moot, as Moderna is reporting that they will not meet a September 20, 2021 deadline for booster shot approval. The Biden Administration is faced with the choice of offering a booster shot for Pfizer only or delaying the program.

Widespread data isn’t available yet for the Johnson & Johnson vaccine and the need for a booster shot, but early tests show a significant boost in the immune response. Unlike Pfizer and Moderna, which are mRNA vaccines, Johnson & Johnson uses a neutralized adenovirus as a messenger to the immune system.

Misleading headlines on the number of Americans with COVID anitbodies in their blood

Some digital ink has been spilled today after a study was published in JAMA declared 83% of blood donations have detectable COVID antibodies in them. This has led to a series of misleading headlines leaping to the conclusion that between natural exposure and immunization efforts, 83% of Americans now have some form of immunity against COVID.

No. Because the study includes this critical text.

“Based on a sample of blood donations in the US from July 2020 through May 2021, vaccine- and infection-induced SARS-CoV-2 seroprevalence increased over time and varied by age, race and ethnicity, and geographic region. Despite weighting to adjust for demographic differences, these findings from a national sample of blood donors may not be representative of the entire US population.”

Here is the problem of leaping to conclude that 83% of Americans have some form of immunity. The data only represents people who donate blood, which is roughly 6.8 million Americans. People under 17 (16 in some states), who are under 110 pounds, have high or low blood pressure, diabetes, certain cancer and cancer history, HIV/AIDs, a history of Hepatitis or potential exposure, persons who are pregnant, or recently had a tattoo or STD can’t donate blood.

Because the pool (no pun intended) of people who can donate blood is already limited, there is no way to adjust this data to account for all the exceptions. It is a safer assumption that people who donate blood are more likely than the national average to have been vaccinated as a group.

When it comes to accepting donated blood, there is a movement among hardcore anti-vaccination adherents to refuse blood transfusions and blood-based agents because it can’t be proven the source is from an unvaccinated individual. We don’t recommend going too deep down that rabbit hole. The language used aligns with white nationalist ideals and the concept of “purity of blood.”

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, 21.6% of all acute care patients hospitalized in Washington have COVID, another new record. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 88.5% of capacity statewide, with 34.2% of ICU patients fighting COVID, virtually unchanged from yesterday.

The new hospital admission rate for COVID patients is 189 per day, an increase from yesterday. On September 2, there were 1,533 patients hospitalized with COVID and 233 on ventilators. This is the first day since August 20, when a new record was not set. There were 31 fewer patients in acute care and 8 fewer patients on ventilators.

Data for pediatric patients receiving acute care or in a PICU due to COVID is not available.

EvergreenHealth released information on the number of patients currently under care in Kirkland and their vaccination status. On Monday, they reported 44 patients being treated for COVID. On Thursday, the number had dropped to 35. 72% of all COVID patients and 91% of ICU patients are unvaccinated. These numbers align with data released from King County today.

EvergreenHealth patient information at the Kirkland hospital for September 2, 2021

Back to School

School DistrictStatusQuarantinesClosures
BellevueGREENNoneNone
Lake WashingtonYELLOW– Kamiakin Middle School (28)
– Juanita High School (8)
None
NorthshoreGREENNoneNone
Local School Districts Scorecard

The first day of school brought COVID exposures to two Lake Washington School District schools. Parents at Kamiakin Middle School were notified about a confirmed COVID-positive case involving 28 people in close contact with the infected person.

Close contact is defined as anyone who has been within 6 feet of a person with COVID for a combined total of 15 minutes or more within a 24-hour period, or a person who lives in the same household as a person with a positive e COVID test, including caregivers. The standard does not mention any difference between licensed caregivers such as daycares or after-school programs or non-licensed caregivers such as a neighbor providing babysitting.

Unvaccinated close contacts are advised to quarantine for 14 days. Vaccinated contacts are advised to get a PCR COVID test (not a rapid test) 3 to 5 days after exposure.

Juanita High School also notified parents about a COVID-positive confirmed case involving 8 people in close contact. In both incidents, the district indicated they are deep cleaning the impacted areas. The Lake Washington School District COVID Safety Plan was last updated on August 18 and is available online.

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

Bellevue-based Peter Pan Seafoods, with locations in Washington and Alaska, is mandating vaccination for all employees. The company is rolling out the mandate in phases, with office personnel part of the first wave.

National Round-Up

Johns Hopkins University Cumulitaive Case Tracker 153,143 new cases and 1,588 COVID-related deaths on Thursday. With the holiday weekend upon us, we don’t expect to have another set of accurate numbers until the end of next week.

CDC release long awaited study on hospitalizations associated with COVID among children

Dr. Katelyn Jetelina provided an excellent analysis of an early release study from the CDC, Hospitalizations Associated with COVID-19 Among Children and Adolescents — COVID-NET, 14 States, March 1, 2020–August 14, 2021.

  • Infection rates were highest among children birth to 4-years old at 69.2 cases per 100K
  • This was closely followed by adolescents age 12 to 17 years old at 63.7 cases per 100K
  • Rates were lowest among children ages 5 to 11 years old at 24.0 cases per 100K
  • Among all age groups, 26.5% of children admitted to the hospital required PICU care, 6.1% went on ventilators, and the mortality rate was 0.7%
  • Pediatric hospitalizations rates increased fivefold in August compared to June
  • Hospitalization rates among infants and toddlers from birth to 4 years old increased tenfold
  • The hospitalization rate among unvaccinated adolescents from 12 to 17 years old was 10 times higher than among the vaccinated

We will deviate from one point Dr. Jetelina made in her analysis. We agree that there wasn’t a significant change in ICU admissions, children requiring ventilators, and fatalities when comparing Delta to the original strain and Alpha variants circulating in June. It is important to note that fewer children required ICU care, but the number of children who required ventilators increased, and the mortality rate went from 0.7% to 1.8%.

The challenge parents are facing isn’t that the Delta variant is more aggressive with children. The problem is there is widespread community transmission, particularly among the unvaccinated.

“Pediatric hospitalizations have dramatically increased in the past month,” Dr. Jetelina said. “Yes, the media is accurately portraying the situation on the ground. And, hospitalizations have increased the most for 0-4-year-olds. Importantly, this isn’t because Delta is more severe, it’s because we are transmitting Delta in the community, and our kids aren’t protected. Your decision not to get a vaccine or implement public health measures in schools or the community is directly impacting the health of kids.”

Etcetera

Boxer Oscar De La Hoya has tested positive for COVID and is hospitalized. De La Hoya, 48, who had a planned return to boxing this weekend after a 13-year break, is on hold. He tweeted from a hospital bed that is he is fully vaccinated. In the video, he isn’t on oxygen but appears exhausted and talks in a raspy voice.

We try to steer away from partisan sources and paywalls. We had a hard time finding a piece of local news or neutral source for this. Former President Donald Trump told the Wall Street Journal that he likely wouldn’t get a COVID booster shot, sort of.

“I feel like I’m in good shape from that standpoint—I probably won’t,” Trump said in an interview with the publication. “I’ll look at stuff later on. I’m not against it, but it’s probably not for me.”

We only toss in the “sort of” because in two sentences, he said probably twice, and given the last six years, OK, we’ll stop.

Alabama

Governor Kay Ivey on Friday reallocated $12.3 million of the Coronavirus Relief Fund to secure qualified, out-of-state travel nurses to work in Alabama hospitals in a temporary capacity.

“I’m pleased to see more folks getting vaccinated, but we are still in the thick of COVID-19, and our hospitals are overwhelmed,” Governor Ivey said. “In consideration of the current surge of the virus and the strain on our dedicated healthcare professionals, I have directed the $12.3 million of CARES Act funding be reallocated to recruit more trained staff to our nursing corps. Until our vaccination rates rise and our COVID-19 hospitalization rates fall, we will need the extra support these nurses provide.”

COVID cases in Alabama continue to surge, setting a new record of 4,705 new cases per day this week. Total hospitalizations declined—however, the number of patients in the ICU and on ventilators both set records.

The number of new COVID cases among school students more than doubled, with over 9,100 new cases reported in the last week, impacting 51 school districts.

Arizona

Kelly Walker, the owner of Viva Coffee House in Tuscon, Arizona, is no stranger to controversy. Rishi Rambaran is a 40-year-old parent of a student who attends Mesquite Elementary School in Tuscon. His child was told they would have to quarantine because of a COVID exposure and would not attend a school field trip.

Walker posted on his business’s Facebook page, “Apparently, Mesquite Elementary thinks they can break the law and act like the covid Gestapo. We will be headed over there shortly to disagree. Come join us because we won’t have this in OUR community!

Facebook post from Kelly Walker’s business Viva Coffee, highlighting another post from Rishi Rambaran

Walker, Rambaran, his child, and a third unidentified adult entered the school, confronted principal Diane Vargo in her office, and threatened her with a citizen’s arrest. Walker was allegedly equipped with black “military-style” zip-tie handcuffs and streamed the whole incident on his Instagram account. Vargo asked them to leave, and when they refused, called the police.

Vargo was forced to leave the school grounds for her own safety, and the men left before police arrived. Officials credit Vargo for using her active shooter training to deescalate the situation. Rambaran has been arrested and is facing a criminal charge of trespass. School officials and the Pinal County Sheriff say they are working on charges for the other men. There was no indication if Child Protective Services have become involved because a juvenile witnessed the interaction.

Vargo did nothing illegal and followed the guidelines established by the Republican-run Arizona state legislature and quarantining the child.

Editorial Opinion: Individuals such as Kelly Walker are a danger to the United States. He represents a small subset of very vocal individuals who actively foment the idea of violent action against the government and anyone that opposes his worldview. People like him, who have never served in a war zone, never been shot at, never watched their comrade’s in arms die, have a dangerous lust for the violence they’ve never experienced. His words and actions have motivated others into dangerous actions. We fully support the rights of the First Amendment to speak of your grievances and seek redress from the government. Continued calls for violence at a local, state, or federal level that lead people to action, are akin to screaming fire in a crowded movie theater. To quote the late Supreme Court Justice Potter Stewart, “I shall not today attempt further to define the kinds of material I understand to be embraced within that shorthand description, and perhaps I could never succeed in intelligibly doing so. But I know it when I see it.”

(yes, Justice Stewart was addressing hardcore pornography, it’s an analogy)

We would also be remiss if we did not point out, the only person arrested to date is a member of the BIPOC community. The events that happened yesterday directly result from disinformation campaigns and the radicalization of a subset of Americans with continued calls for violence.

Arkansas

We reported last week about Dr. Rob Karas, who was prescribing Ivermectin to inmates at the Washington County Jail with the approval of Sheriff Tim Helder. A couple of days later, we reported that Dr. Karas was under investigation by the state of Arkansas Medical Board.

According to a report in the Associated Press, multiple prisoners have come forward stating they were never told they were receiving Ivermectin. Some were told they were receiving vitamins or steroids.

Edrick Floreal-Wooten, an inmate, said he was given ivermectin at the jail after testing positive on Aug. 21.

“I asked what are they, and they’d just tell me vitamins,” Floreal-Wooten said. “With me being sick and all of us being sick, we thought that they were there to help us. I never thought they would do something shady.”

After seeing a news article about ivermectin being prescribed to inmates, Floreal-Wooten said he refused to take the drug last week.

Asked whether he would have taken the drug had they told him at the outset it was ivermectin, he responded: “Never. I’m not livestock. I’m a human.”

The ACLU said it has also heard from several inmates who say they were told the drug was vitamins or steroids.

Anti-vaccination disinformation recently latched on to the Nuremberg Code, and in some cases, has threatened people with citizens arrest, violence, and execution.

In 2017, JAMA had this to say. “The story of the Nuremberg Code is not one of the ethical norms taking on the force of law. Rather, its legacy shows the fundamental importance of a robust, organized medical profession that protects its independence from political interests and its ability to chart its own moral course, yet is at the same time open to the essential role of nations and government agencies that respect broadly defined and agreed-upon rules to protect the rights and well-being of human research participants.”

California

Like Missouri and maybe Florida (read further), California appears to be moving past a peak in COVID cases. That doesn’t mean the 3rd largest state geographically and with the largest population isn’t seeing hot spots in rural areas. The Central Valley, northern California along the I-5 corridor, and hospitals in Sacramento are still dealing with a massive surge of patients as Delta tears through the unvaccinated.

The high caseload is impacting schools, with several districts being forced to close their doors. The situation is further complicated by regional wildfires creating dangerous conditions at times.

Colorado

If you see a pattern of COVID plus schools equal problems in schools, you would be correct. The number of COVID cases in Colorado schools tripled this past week, impacting 43 learning institutions. Positive infections among students grew to 410 this week, which indirectly impacts exposed students and educations who then must quarantine.

A doctor in Denver found a seller of fake vaccination cards on a gun-selling website, and the state attorney general’s office is now investigating.

Florida

Yesterday’s spike in COVID cases was likely an outlier, as the trend of falling new cases and hospitalizations continue in Florida. We feel confident in saying Florida has hit its peak. “While the total number of hospitalizations remain high and workforce challenges remain, it is encouraging that fewer hospitals are expecting critical staffing and oxygen shortages. As Floridians continue to get vaccinated and with expanded availability of monoclonal antibody treatments for those who test positive, it looks like the worst of this surge may finally be behind us.”

Over 40,000 Floridians have received monoclonal antibody treatments, reducing hospitalizations by 10%.

As tens of thousands of students are now in quarantine due to COVID exposure, more school districts are considering mask mandates in open rebellion of governor Ron DeSantis. Since DeSantis’ order, more than a dozen Florida counties have rebelled and voted to require masks to protect students and teachers as the Delta variant sweeps across the state.

Earlier this week, populous Brevard County along Florida’s east coast, which went for Trump over President Joe Biden by more than 16 percentage points in November, narrowly voted to approve a 30-day school mask mandate.

A day later, Hernando County, which supported Trump over Biden by almost 30 points, also passed a mandate, but one that allows parents to opt-out.

Georgia

Georgia hit a grim milestone, logging its 20,000 confirmed COVID death since February 2020. After setting a record for hospitalizations yesterday, the numbers declined slightly on Friday. However, the state reported 106 deaths yesterday, which could account for the drop in hospitalizations.

Hawaii

A city council meeting in Honolulu led by Mayor Rick Blagiardi devolved into a shouting match and a platform for misinformation as more than 250 people spoke virtually.

Many of those who spoke repeated misinformation about the shots that are circulating on the internet.

Outside Honolulu Hale, demonstrators stood in protest. Inside the city building, they listened to the virtual council hearing without wearing masks.

The mayor addressed the overwhelming takeaway of the testimony, telling councilmembers, “The kinds of things you’re hearing today, ‘It’s my right to get sick, and when I get sick, you have to take care of me’ has a breaking point.”

The issue of out-of-state travelers came up, but Dr. Julius Pham of Queen’s Medical Center pushed back.

“Mostly, it’s travel among our own residents who have gone out of state and have come back.”

The medical experts also underscored the gravity of the situation, saying that hospitals are overflowing with COVID patients and quickly running low on supplies.

Councilmember Tommy Waters called the testimony “sobering.”

Iowa

New data out of Iowa echoes data across the United States – most patients in the ICU with COVID are unvaccinated. The state moved from reporting data once a week to three times a week and rolled out new dashboards today.

As of Friday, the Iowa Department of Public Health reports that 88.7% of COVID-19 patients in intensive care are not fully vaccinated.

Individuals not fully vaccinated make up for 82% of patients hospitalized because of COVID-19.

The Iowa DPH reports 527 COVID-19 patients in Iowa hospitals, with 100 admitted in the past 24-hours. One hundred and forty-two patients are in intensive care.

Kentucky

The situation in Kentucky has gone from bad to very bad in the last 24 hours. Kentucky Children’s Hospital in Lexington has reached full capacity, with COVID patients and children infected with RSV. The hospital has 199 total beds, including 16 PICU and PCICU beds, 12 progressive care unit beds, and 43 acute care beds. The hospital is also a Level 1 pediatric trauma hospital. State officials reported 5,111 new cases today, 30% of them among children 18-years old and younger.

Almost 90% of all ICU beds in Kentucky are occupied, with 661 people fighting COVID. A stunning 69% of people in ICU are on ventilators. The mortality rate for people infected with the Delta variant and on a ventilator for 7 or more days is close to 70%.

Like Idaho, FEMA strike teams have been deployed to the state to shore up exhausted and demoralized medical staff.

Gov. Beshear said three FEMA Emergency Medical Services (EMS) strike teams are on site in Kentucky tasked with transfers and transporting COVID-19 patients. The EMS strike teams are being managed by the Kentucky Board of Emergency Management Services (KBEMS) through American Medical Response.

Each team is comprised of five advanced life support ambulances, and each ambulance is staffed with one paramedic and one emergency medical technician (EMT). Each strike team is positioned regionally in Somerset, Prestonsburg, and Louisville. They are centrally dispatched and can respond to any area in the state.

Nevada

The Clark County School Board of Trustees authorized mandating the COVID-19 vaccine for employees during a marathon meeting that stretched into early Thursday morning, but the plan itself remains subject to negotiations with employee bargaining groups.

The 5-1 vote came after five hours of public testimony — the overwhelming majority of which was in opposition — and more than two hours of discussion. Trustee Danielle Ford cast the lone dissident vote, outlining a myriad of concerns ranging from operational challenges to medical accommodations being upheld. 

Trustee Katie Williams, who has unabashedly argued for personal choice regarding vaccines, participated at the beginning of the meeting by phone but was not present for the vote. Last week, she included a hashtag known to be affiliated with the QAnon conspiracy theory in a tweet about the potential vaccine mandate. The tweet was later deleted.

Before the public weighed in, Clark County Superintendent Jesus Jara laid out his pitch for approving the resolution, which merely gives staff the green light to develop a plan for mandating the vaccine. 

“The best medically available mitigation strategy we currently have is the vaccine,” he said. “The authority that I am requesting is to allow me as the superintendent to develop a plan and processes necessary to implement the full vaccination of our staff. I am not — let me be clear — I am not asking for authority for student vaccinations. Planning takes time. Development of the processes takes time. COVID-19 is not waiting.”

Clark County includes the city of Las Vegas, where a significant majority of all Nevada residents live.

Oklahoma

An Oklahoma judge blocked a state law banning public school mask mandates but added a requirement that parents and students could opt out if they wanted to.

Judge Natalie Mai said she would issue a temporary injunction that will go into effect next week when she issues a written order detailing her ruling. Mai said she is blocking the law because it applies only to public, not private, schools and that schools adopting a mask mandate must provide an option for parents or students to opt-out of the requirement.

The ruling drew praise from Gov. Kevin Stitt, who signed the law and opposes mask mandates without exemptions, and Dr. Mary Clarke, president of the Oklahoma State Medical Association, which joined the lawsuit brought by four parents who oppose the law.

Oregon

More hospitals in Oregon have requested mobile morgues as fatalities continue to rise. Providence Portland and Providence St. Vincent hospitals are bringing in temporary morgues, and Salem Health has signed a contract for a temporary morgue if needed.

“We’ve never seen anything like this,” said Salem Health CEO Cheryl Nester Wolf in testimony to the Salem Chamber of Commerce on Thursday. “We didn’t see this at the beginning of the pandemic. The delta variant is a horse of a different color than where we started.”

Models predict that Oregon will hit its peak next week.

An Oregon State Trooper from Bend is on paid leave after post a video on social media in uniform from his issued vehicle. However, he does not directly identify himself as a member of the Oregon State Patrol.

“I have personal and religious reasons as to why I will not take the vaccine, but also the freedom not to,” said the trooper, which Portland attorney Dan Thenell confirmed to NewsChannel 21 is Zachary Kowing, 29, an eight-year OSP trooper assigned to the Bend office.

Kowing posted the 2-minute, 35-second video about a week ago on his Instagram account, thinblueline_patriot, where he refers to himself as “pro-choice-life” and “pro-freedom,” with a ‘SAVE OREGON!’ logo over the U.S. flag.

He calls mask requirements illegal (they mostly aren’t depending on the language) while saying he didn’t oppose vaccination in general but would rather rely “on his body’s ability to fight the virus.”

South Carolina

Pediatric cases are exploding in South Carolina, which now has the highest infection rate in the United States for all ages. Dr. Jonathan Knoche, DHEC medical consultant, said that, since Aug. 21, the 11 to 20 age group had recorded the highest number of new cases in the state. The second highest group are those 0 to 10 age group.

South Dakota

Hospitalizations in South Dakota are now at the highest level since January, as new COVID cases have increased 685% since the first day of the Sturgis Motorcycle Rally on August 6. The surge in new cases, total cases, and hospitalizations far exceed the surge in cases the state saw in 2020 after the famous motorcycle rally.

Texas

Small town Texas is reeling from the closure of 45 school districts, impacting 42,000 students. From August 23 to 29, 27,353 students tested positive for COVID in the Lonestar state.

“By far, this is worse in terms of planning than last year,” said Tim Savoy, spokesperson for Hays Consolidated Independent School District, which closed some classrooms. “There’s no question about it. Last year we had a lot of tools at our disposal: We could require masks, and we could provide a virtual option that was funded. The delta variant really kind of appeared and just exploded on us.”

State data about the number of coronavirus cases in districts that have closed at least once during the school year thus far is incomplete — 19 have not reported any cases in students or staff to the state, while the state has suppressed case totals in 22 districts due to privacy policies. The list of public school closures in Texas is also incomplete, according to TEA. The agency is tracking closures informally based on media and district reports since districts are not required to report closures to TEA, said Frank Ward, an agency spokesperson.

The closures have been particularly hard in Deep East Texas, with districts closed in Brackett, Groveton, Hemphill, Livingston, Lumberton, Onalaska, and Trinity.

While Governor Greg Abbott was on CNBC tonight saying things were going well in Texas, the Texas Department of State Health Services removed an FAQ page on the practice referring to it as “the oldest, most utilized, and most important tool public health uses to manage infectious diseases.”

The new state budget, which took effect September 1, prohibits the use of state funds “for the purpose of contact tracing of COVID-19.”

Misinformation

Taking the day off

Local and national COVID update for August 24, 2021

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

[KING COUNTY, Wash.] – (MTN) King County becomes the most populous area in the United States to have 70% of eligible people vaccinated as the Delta variant continues its relentless march through the Pacific Northwest. More information is becoming available about breakthrough cases and the protection vaccinated individuals receive, and school board meetings in Western Washington were derailed by antimask and anti-vaccine advocates.

This update uses the latest data from the Washington State Department of Health released on August 24, 2021.


vaccinationhospitalsschoolslocalnationalmisinformation

Washington State Update for August 24, 2021

Washington state COVID update

If there was any good news in the most recent report, the data is indicating a continued slowdown in the rate of growth for new cases. Through August 16, the 14 day rolling average Washington grew again to 501.3 COVID cases per 100K, which is another record. Benton (1,106.5 per 100K), Cowlitz (1,010.9 per 100K), and Franklin (1,218.5 per 100K) continue to have an extreme number of new cases. Lewis and Grant County are not far behind. Cases continue to grow even in sparsely populated Garfield County with 11 active cases, a new record for the Plumbus shaped rural Southeast Washington county. The USA Today COVID Tracker indicated that on Friday, Washington reported 8,361 new COVID cases on Monday. That would include cases documented over the weekend, and should not be used as an indicator of a sudden surge in new cases.

Washington State Newly Diagnosed COVID Cases per 100K During the Prior Two Weeks Through August 16, 2021

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 11.98%, and over the previous 7 days, 12.49%. This is an improvement from yesterday. These numbers indicate continued widespread community transmission, driven by the unvaccinated.

The 7-day moving average for COVID-related deaths has increased again to 10 per day and the USA Today COVID tracker is showing increasing deaths as COVID runs its course. The number of deaths being reported in Washington hospitals is starting to rise and is at both April and February 2021 levels. It is important to note that fatalities are a trailing indicator that usually increases two to four weeks after hospitalizations begin growing. We are at least four weeks away from peak mortality with cases continuing to grow.

Land Commissioner Hilary Franz requiring firefighters to be vaccinated by October 18

Hilary Franz, Commissioner of Public Lands, issued a directive requiring all Washington State Department of Natural Resources employees, including firefighters, to be vaccinated by October 18. The call comes as crews working wildfires outside of Yakima and Winthrop have become sickened by the virus. This has included grounding aircraft and removing fire trucks from the battle lines.

King County first large county to reach 70 percent with one vaccine dose across all age and racial groups

King County Executive Dow Constantine today announced more than 70 percent of all eligible King County residents across all age and racial/ethnic groups have received at least one dose of a COVID-19 vaccine based on data tracked by Public Health – Seattle & King County. King County is the first large county to achieve this milestone. More than 1.6 million residents have received at least one dose, and more than 3 million doses have been administered to King County residents.

“As I’ve said all along, this pandemic will end one shot at a time, and no community would be left behind. Our community outreach, school clinics, and partnerships across King County have helped save lives and keep more people safe from the Delta variant,” said Executive Constantine. “From young people to community organizations that reach communities of color, everyone in King County is stepping up to do their part and keep one another safe from this dangerous virus.”

More than 71 percent of all residents in King County have received at least one dose – one of the highest rates of any large county in the nation. And now reaching 70 percent in every eligible demographic and age group, and with the full approval of the Food and Drug Administration of the Pfizer Biotech vaccine, that number is expected to continue to grow in the weeks ahead.

“This is an important milestone and remarkable achievement, but as the current Delta surge shows, we still have too many eligible and unprotected,” said Dr. Jeff Duchin, Health Officer for Public Health – Seattle & King County. “The full approval of the Pfizer mRNA vaccine by FDA should reassure anyone who has been reluctant to be vaccinated with the emergency use authorization. This vaccine now officially meets the same safety and effectiveness standard as all other routinely available vaccines.”

Among Washington’s five largest counties, King has the lowest rate of new COVID cases during this ongoing surge. Every age and racial group is now over the 70% threshold, but progress still needs to be made among Black and Hispanic/Latinx groups.

10 corrections deputies in Whatcom County sickened with COVID

A COVID outbreak in the Whatcom County Jail has sickened 10 deputies after an “uncooperative” detainee refused to be tested during booking. The individual was placed into quarantine following protocol on August 14 and required several deputies who were in close proximity. A few days later one of the deputies became ill, and that number has climbed to 10. The inmate agreed to be tested, and also came back positive.

Children now make up 18% of new COVID cases

Children ages birth to 19 now make up 18% of all COVID cases in Washington state, and 2% of all hospitalizations, less than two weeks before school is scheduled to start. Seattle Children’s Hospital is reporting there are seeing the same number of PICU patients as they had during the January 2021 spike. A majority of the PICU patients are old enough to be vaccinated but are not.

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Last month, 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

The CDC Morbidity and Mortality Report included the study, Effectiveness of COVID-19 Vaccines in Preventing SARS-CoV-2 Infection Among Frontline Workers Before and During B.1.617.2 (Delta) Variant Predominance on Tuesday. The study involved 4,217 healthcare workers from December 14, 2020, to August 14, 2021. There were 3,483 vaccinated participants, most with mRNA vaccines from Pfizer or Moderna.

The study indicated that vaccine effectiveness in preventing a COVID infection declined from 91% to 66% among the participants. Vaccinated individuals were 5X less likely to get COVID but more critically, were 29X less likely to require hospitalization. The decline in overall effectiveness may have been driven partially due to declining overall protection from the vaccine and was another point of data that led to the decision to start booster shots in September.

Data out of Israel is showing very encouraging news about the effectiveness of COVID booster shots. On July 30, the nation started providing a third dose to anyone over 60 years old. By August 13 the R0, the number of people infected by someone who becomes infected with COVID had dropped to below one among the age group. Officials believe the booster shots, and people with vaccine hesitancy getting their first shot have helped control the numbers. Israel has expanded booster shots to people 40 and older.

Washington state is providing COVID vaccine booster shots for moderately and severely immunocompromised residents. People who received an mRNA vaccine are eligible for the booster. People who received the Johnson & Johnson vaccine do not require a booster at this time.

Almost two million Washingtonians who are vaccine eligible remain unvaccinated. The group Find a COVID Shot WA can assist anyone who needs help making an appointment. The group of 75 volunteers has been operating since the beginning of 2021 and offers support in 20 languages.

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King County, Washington is over 80% vaccinated (18+), and Washington state is over 70%. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA is expected to provide full approval to the Pfizer vaccine next month.

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

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

Malcontent News

Hospital Status

On August 23, 84.8% of available adult staffed acute care beds in Washington state have patients. The data indicated there were 1,258 acute care beds available statewide and 292 in King County. The state lost 52 staffed beds total yesterday due to healthcare workers with COVID no longer being able to provide patients care. The Northwest, Central, and South Central Regions were over 80% utilization, and the West and East Regions are now over 90%. According to the Washington State Department of Health, there are 1,345 adult COVID patients in acute care, an increase of 61 from yesterday, which is 15.2% of all acute care patients.

Washington State Hospital Acute Care Beds Occupied by Patients – August 23, 2021

Statewide ICUs were 85.0% occupied with 181 staffed beds available, 68 located in King County. The number of COVID patients statewide in the ICU climbed to 364 and the state lost 10 staffed ICU beds due to COVID infected healthcare workers. A combined 1,648 adult patients are hospitalized in Washington state, another new record.

Washington State ICU Patients with COVID – August 23, 2021

A hospital is considered to be under “extreme stress” when more than 20% of their total patients have COVID, according to the Institute for Health Metrics and Evaluation at the University of Washington. Another factor is how many ICU patients a hospital has. If COVID is impacting more than 30% of patients in intensive care, a hospital is considered to be under “high stress,” and at 60% it is considered to be under “extreme stress.”

Apply this measurement to Washington State Hospital Regions, the West, North Central, and South Central regions are under extreme stress with acute care patients and the remainder of Washington state is under high stress due to ICU patients.

Washington state continues to have a critical shortage of blood, with a less than 24 hour supply for five out of eight blood types. The situation has deteriorated since August 3. There will be a blood drive in Kirkland on August 30 and 31. We will publish additional details when they become available.

The West Region, which includes Tacoma, and the East Region, which includes Spokane, remains critically low on ICU capacity. Each region has 11 ICU beds available as of Monday morning, which is little changed from Friday.

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Back to School

School Board meetings from Oroville to Monore to Redmond descended into chaos as antimask and anti-vaccination activists used public comment time to spread misinformation and conspiracy theories. In the Lake Washington School District, a group of activists refused to wear masks, forcing the school board to delay the meeting by 30 minutes to move to a virtual setting.

Several people on Twitter and Tik Tok have been working to identify people who show up at school protests and events across the country and have identified a core of approximately 20 to 25 actors. They criss-cross the country and appear at different meetings. One of the presenters at the San Diego County Board of Supervisors last week was identified as an actress who has been at numerous protests and school board meetings across the United States.

The BBC ran a report on a group of YouTube influencers that were approached to spread COVID misinformation via a marketing firm. The company offered to compensate creators as much as 2,000 Euros to spread misinformation and link to dubious articles about vaccine safety.

Washington Governor Jay Inslee and the state schools chief, Chris Reykdal, appealed to state residents to take up their grievances on the student mask mandate with their offices and not at the local level.

In Franklin County, holder of the worst positivity rate in the state, a County Commissioner refused to wear a mask, derailing the meeting. “In defiance of the Governor’s mask mandate, one of the Commissioners showed up without a mask, causing the meeting to not happen. What happened, instead was several campaign speeches from local candidates as well as public comments from several Franklin County residents.”

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Kirkland-Bellevue-Woodinville

As noted above in the Back to School section, the Lake Washington School District board meeting was disrupted last night by antimask and anti-vaccination protesters. A video on the School District’s website shows the board asking the audience to wear masks, and individuals off-camera refusing. The board calls a 30-minute recess to move to a different location, per Washington state law.

Most people left but several refused, and argued with a female police officer that she could be fined $250,000 for making them leave. Outside in the parking lot, several parents reported they were intimidated and threatened, with people taking pictures of license plates.

Classes are scheduled to start in the Lake Washington School District on September 1, 2021.

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National Round-Up

Johns Hopkins University reported over 229,831 new cases and 908 deaths yesterday, but it is important to note that would include a weekend’s worth of data from a number of states. Nationwide, 11.29% of COVID tests are coming back positive.

With the Pfizer vaccine receiving full FDA approval, a tidal wave of vaccination mandates roll in

A growing list of companies and colleges have mandated their employees receive the COVID vaccination as part of their terms of employment unless they can provide a medical or deeply held religious belief.

Most notable is Disney World, which has a unique regulatory relationship with the state of Florida. Governor Ron DeSantis has banned vaccine and mask mandates in his state and is battling a number of cruise lines, including Disney, on requiring proof of vaccination before sailing.

The Service Trade Council Union and Disney reached an agreement to require vaccines for all employees with the union by October 22.

CVS Health is requiring all employees to be vaccinated by October 31 and new hires to have received their first vaccine dose before beginning employment, effective September 15. These are the most recent major additions that already included:

  • Amtrak
  • Anthem
  • Ascension Health
  • AT&T
  • Bank of America
  • BlackRock
  • Capital One
  • Cardinal Health
  • Centene Corporation
  • Chevron
  • Cisco Systems
  • Citigroup
  • CNN
  • Delta Airlines
  • Deloitte
  • Facebook
  • Ford Motor
  • Frontier Airlines
  • Google
  • Hawaii Airlines
  • Hess
  • Jefferies Financial Group
  • Johnson & Johnson
  • Lyft (office employees)
  • McDonald’s (office employees)
  • Microsoft
  • Morgan Stanley
  • Netflix
  • Northwestern Mutual
  • Pfizer
  • Saks Fifth Avenue
  • Tyson Foods
  • Uber Technologies (office employees)
  • Union Square Hospitality Group
  • United Airlines
  • UPS
  • Walgreens (office employees)
  • Walmart (office employees and employees who travel)

Over 750 colleges and universities are now requiring vaccinations for faculty and/or students. New mandates were announced by the University of Minnesota, Ohio State University, Louisiana State University, and the University of Louisiana.

Alabama

Labor and Delivery nurse Haley Richardson, 32, lost her unborn child and died of COVID on August 20, in a report from her family. Richardson was unvaccinated and became ill at the end of July. She made a final Facebook post on August 9 and lost her unborn child on August 18. Doctors initially had her as a candidate for ECMO, but her condition continued to deteriorate and there was no available equipment. Richardson’s surviving more, and first child, have since been vaccinated. Dr. Akila Subramaniam reported there were ten pregnant women in the ICU at UAB hospital, and 7 on ventilators.

Arkansas

In a press conference on Tuesday, Arkansas Governor Asa Hutchinson reported the state had run out of ICU beds. He states that hospitals are trying to put more ICU beds online. He also appealed for residents to stop taking Ivermectin stating the Arkansas Poison Control Center is taking an increasing number of people asking for assistance after taking the livestock medication.

California

Los Angeles County officials are reporting that COVID hospitalizations appear to be leveling off, with only two new patients admitted yesterday. The county, which has a population larger than most states, has 1,724 COVID patients in the hospital.

Florida

Doctors and nurses in South Florida are reporting multiple facilities only have a 6 to 12-hour oxygen supply to support patients. Shippers are struggling to supply liquid oxygen to hospitals throughout the state. Trucking companies are blaming Governor Ron DeSantis, who has refused to declare a state of emergency. A limited state of emergency declaration would enable trucking companies to bypass some motor transport rules, allowing them to increase shipments.

Hawaii

Hawaii is reeling from the worst surge in COVID cases since the first case came to the state. The governor is now asking tourists to stay away, is limiting the number of available rental cars, and curbing the number of people who can go into restaurants.

It’s “a risky time to be traveling right now,” David Ige warned on Monday, asking visitors and residents to limit their travel to essential businesses only. “I encourage everyone to restrict and curtail travel to Hawaii. It’s not a good time to travel to the islands,” he said.

Idaho

Idaho hospitals are in danger of being run as officials openly talk about having to move to “crisis standards of care” which could result in some people not receiving medical treatment. In less than a month, the number of people in Idaho hospitals with COVID went from 8% to 20%. The state has sent a request to FEMA for emergency staffing.

“Idaho is experiencing a surge in COVID-19 cases and hospitals are at, or quickly nearing, capacity in ICU and Critical Care Units across the state and hospitals are reporting significant staffing challenges,” said a request sent Friday from the Idaho Office of Emergency Management to the Federal Emergency Management Agency.

“Multiple Idaho hospitals are asking for help…they don’t have enough nurses, nursing assistants, or respiratory therapists,” it said.

Today the state issued a second request for 235 full-time health care workers. Historically, Idaho has transferred their sickest patients to hospitals in Washington, Oregon, and Utah, but all three states are dealing with their own surges.

Louisiana

LSU will require proof of vaccination or negative COVID-19 PCR tests for anyone 12 and older to attend a game at Tiger Stadium. Children 5 to 11 years old will have to show a negative COVID-19 PCR test, and LSU is the first school in the SEC to create this policy.

Louisiana set a grim record on Tuesday, joining Florida in setting a new all-time daily record for deaths.

Nebraska

The Lincoln-Lancaster County Health Department is reinstating an indoor mask mandate as cases surge in the heartland. The mandate will go into effect on August 26 and is set to expire on September 30. the mandate includes Nebraska’s second-largest city, Lincoln, Lincoln Public Schools, and the University of Nebraska – Lincoln.

“It’s sobering to think about two months ago I was celebrating with our hospital teams that we were finally pulling out of this pandemic,” said Derek Vance, President of CHI Health St. Elizabeth and Nebraska Heart. “After more than a year of intense strain and stress on our healthcare system, our hospitals were beginning to feel back to normal. And today, we find ourselves right back in the middle of the pandemic. The number of COVID patients at St. Elizabeth’s has risen exponentially in recent weeks, to the point that we have reopened and filled a dedicated COVID unit.”

Oregon

Governor Kate Brown issued the strictest mask mandate in the nation. The state already required masks indoors but will now require masks outdoors starting August 27, regardless of vaccination status. This includes large outdoor events where physical distancing is not possible but does not include casual encounters like two people passing on a sidewalk. Children under 5, people eating, drinking, sleeping, camping, the houseless, people practicing competitive sports, providing a speech or entertainment in an outdoor public setting, are exempt which doing these activities.

Another 63 people are hospitalized for COVID in Oregon, with 1,000 patients now under care in hospitals. The state reported 30 deaths including a 31-year-old, and 283 individuals in the ICU.

South Carolina

Chief Medical Officer Dr. Crhis Lombardozzi of the Spartanburg Regional Health Care System, told WYFF Channel 4 that over 90% of their COVID patients are unvaccinated, and “we are struggling.”

“Like a lot of hospitals, particularly in the southeast, we are seeing a mega surge in COVID-19 cases.”

At the beginning of July, the hospital system was treating three COVID patients, they are now treating 210. The hospital is at 96% capacity and the average age for COVID patients is 53 years old.

South Dakota

The Sturgis Motorcycle Rally ended eight days ago and COVID cases have started to increase dramatically. COVID cases are now up 352% and Meade County is seeing a test positivity rate of 36.1%, the highest in the state. State officials are working on contract tracing now and plan to issue a report.

Texas

The small Texas town of Iraan, has essentially been shutdown as almost half of COVID tests are coming back positive. The school district shut down after five days because 25% of the staff and 16% of the students were sick with COVID. School won’t restart until August 30, and the town doesn’t have enough healthy teachers to do virtual education.

Hermann-Memorial Hospital, the largest public hospital system in Texas, had to close three emergency rooms in suburban areas of the sprawling city.

“Earlier [Monday] afternoon, Memorial Hermann made the difficult decision to temporarily close three of its off-site 24-hour Emergency Rooms at its Convenient Care Centers in Kingwood, Spring, and Sienna. As COVID-19 continues to rapidly surge in the Greater Houston area, and with hospitalizations exceeding prior surge volumes, our workforce is being pushed to the limit. We are actively pursuing all solutions to help ease the burden on our hardworking frontline staff and ensure that we continue providing safe, high-quality care to all those who need it.

Closing these locations allows us to reassign the staff to other Memorial Hermann locations where their help is critically needed. It also eliminates the need to transfer these patients to the main hospital for admission, if necessary.

Wisconsin

University of Wisconsin interim president Tommy Thompson says he will ignore Republican lawmakers who say he needs statehouse approval to enact COVID regulations on campuses across the state.

“We believe under (state law), we have complete authority to regulate, to control, supervise and maintain the structures on our campuses, but also at the same time, provide for the safety and the welfare of all of our faculty, our employees and of course, our great students,” Thompson told reporters.

Thompson, a four-term Republican former governor of Wisconsin and former U.S. Department of Health and Human Services secretary, said he doesn’t want to “pick a fight” with the Republican-led Legislature, but will stand his ground if his actions are challenged.

We reported last week about Wisconsin state senator Andre Jacque, who has been an outspoken critic of masks and COVID vaccines, who is hospitalized with COVID. No further update has been given since last week, but state Rep. Shae Sortwell asked his Facebook followers to pray for Jacque.

“He is in serious need of your prayers tonight,” Sortwell said. “He is in the hospital with Covid induced pneumonia.”

As we were writing this update, it was reported that Jacque is on a ventilator.

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Misinformation

A meme making the rounds on social media falsely claims the drug Thalidomide was approved by the FDA, as an argument against the COVID vaccine

The drug Thalidomide rose in popularity in post-World War II Europe and was marketed as a non-barbiturate sleep aid. In 1957 the drug was sold over-the-counter in Germany, based on the drug makers’ safety claims.

Three years later, the drug was being sold in 46 countries, mostly as a prescription, and was almost as popular as aspirin. Australian OBG/YN Doctor William McBride observed that the drug alleviated the symptoms of morning sickness among pregnant women. He started making “off-label” prescriptions.

Off-label is when a drug is prescribed to be used as a treatment not outlined by the drugmaker. The success in Australia sent demand for the medication through the roof.

Just a year later, Dr. McBride started observing horrible birth defects among children born by the women who took the drug. The drug interfered with the babies’ normal development, causing many of them to be born with phocomelia, resulting in shortened, absent, or flipper-like limbs. A German newspaper soon reported 161 babies were adversely affected by thalidomide, leading the makers of the drug—who had ignored reports of the birth defects associated with it—to finally stop distribution within Germany.

In the United States, FDA Inspector Frances Kelsey was under tremendous pressure to approve the drug, and she steadfastly refused. She refused to provide authorizations specifically because there were no U.S. clinical trials or safety data provided by the manufacturer.

Thalidomide was never approved by the FDA for any use in the United States. We rate this meme completely false.

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Local and national COVID update for August 23, 2021

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

[KING COUNTY, Wash.] – (MTN) On Monday, Washington state’s renewed mask directive went into effect, the FDA gave full approval to the Pfizer COVID vaccine for people 16 and over, and Washington hospitals remain extremely busy. Shortly after the Pfizer vaccine was approved, the Pentagon announced that military personnel will be required to get the jab.

Over the weekend former President Donald Trump was booed after encouraging rally-goers in Alabama to get vaccinated and Mississippi issued an emergency order instituting the harshest laws in the country for people who break quarantine.

This update uses the latest data from the Washington State Department of Health released on August 23, 2021.


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Washington State Update for August 23, 2021

Washington state COVID update

If there was any good news in the most recent report, the data is indicating a continued slowdown in the rate of growth for new cases. Through August 15, the 14 day rolling average Washington grew again to 482.1 COVID cases per 100K. This breaks the record high that was set on Friday. Benton, Cowlitz, and Franklin continue to have an extreme number of new cases. Tiny and sparsely populated Garfield County had 9 active COVID cases through the period, the most ever reported. The USA Today COVID Tracker indicated that on Friday, Washington reported 3,780 new COVID cases.

Washington State Newly Diagnosed COVID Cases per 100K During the Prior Two Weeks Through August 15, 2021

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 12.28%, and over the previous 7 days, 13.25%. This is a significant jump from last week and could indicate that the flattening of the curve was an aberration. Other states such as Arkansas and Louisiana saw the same trend. These numbers indicate continued widespread community transmission, driven by the unvaccinated.

The 7-day moving average for COVID-related deaths has increased again to 8 per day and the USA Today COVID tracker reported 33 deaths in Washington state Thursday. It is important to note that fatalities are a trailing indicator that usually increases two to four weeks after hospitalizations begin growing. The growing number of fatalities would align with the spike in hospitalizations that started two weeks ago.

Seattle Mariners announce new mask requirements

In compliance with the new mask mandate, the Seattle Mariners are requiring all person over 5, regardless of vaccination status to mask up in the indoor areas of T-Mobile Park.

“Masks are required for all fans and employees regardless of vaccine status while in indoor areas at T-Mobile Park such as elevators, bathrooms, indoor clubs or restaurants, and the Team Store. Those who are not fully vaccinated are required to wear a mask at all times. Masks must cover both nose and mouth. You are welcome to remove your mask when actively eating or drinking, or when seated in your seat.”

Proof of vaccination is no longer required to enter Mariners’ games at T-Mobile Park. The next home game for the M’s is on August 26, 2021, at 7:10 PM.

COVID outbreak hits Pierce County Jail, and Benton County offers commisary for vaccinations

The Pierce County Jail is dealing with a COVID outbreak that has sickened 30 inmates and put hundreds more in isolation. The outbreak is hampering operations at the jail, preventing the release of some quarantined prisoners, and forcing officials to book only individuals arrested for suspicion of violent crimes. That includes crimes such as murder, manslaughter, first-degree assault (equivalent to attempted murder under RCW), rape, child molestation, kidnapping, child assault, domestic violence, and possessing explosive devices.

COVID ravaged Benton County has come up with a novel, albeit controversial way to encourage inmates to get vaccinated. Officials are offering packages of ramen, a popular commissary item for inmates nationwide, in exchange for getting vaccinated. Officials explained that anyone who is held at the jail for any period of time is eligible, as long as they were not previously vaccinated. The program has proven to be successful, with 90 inmates getting their vaccination.

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Last month, 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

The Food and Drug Administration (FDA) provided full approval for the Pfizer-BioNTech COVID vaccine on Monday. The Pfizer vaccine will be marketed under the brand name Comirnaty, and the generic version will be distributed under the name tozinameran.

The vaccine was given full approval for individuals 16 years of age and older, according to the FDA, and will continue to be distributed under an emergency authorization to individuals 12 to 15 years old. Additionally, the FDA has given full approval of a third dose to people with certain immunocompromised individuals.

“The FDA’s approval of this vaccine is a milestone as we continue to battle the COVID-19 pandemic. While this and other vaccines have met the FDA’s rigorous, scientific standards for emergency use authorization, as the first FDA-approved COVID-19 vaccine, the public can be very confident that this vaccine meets the high standards for safety, effectiveness, and manufacturing quality the FDA requires of an approved product,” said Acting FDA Commissioner Janet Woodcock, M.D. “While millions of people have already safely received COVID-19 vaccines, we recognize that for some, the FDA approval of a vaccine may now instill additional confidence to get vaccinated. Today’s milestone puts us one step closer to altering the course of this pandemic in the U.S.” 

Phase I testing of the German developed Pfizer vaccine began in May of 2020, jumpstarted by prior research on SARS and MERS vaccines. The vaccine received formal emergency authorization approval on December 11, 2020, and distribution started in the United States on December 14, 2020.

Specifically, in the FDA’s review for approval, the agency analyzed effectiveness data from approximately 20,000 vaccine and 20,000 placebo recipients ages 16 and older who did not have evidence of the COVID-19 virus infection within a week of receiving the second dose. The safety of Comirnaty was evaluated in approximately 22,000 people who received the vaccine and 22,000 people who received a placebo 16 years of age and older.

For some of the Phase III trial members, the final authorization will close the door on the question of whether they received the vaccine or the placebo.

The agency reviewed over 340,000 pages of information and data as part of the authorization process. This included reviewing a small number of adverse events that included myocarditis and pericarditis following administration of the vaccine. People who were biologically assigned male gender at birth and under 40, had the most risk, with 12 to 17-year-olds having the highest observed number of incidents. There were a handful of hospitalizations and no reported deaths.

The Moderna vaccine remains under review for full approval, which is expected to come in October. The Johnson & Johnson vaccine has not been submitted for full approval at this time. Full approval of the Pfizer vaccine for children 12 to 15 is expected to come early next year, and emergency approval for children 5 to 11 should happen before the end of 2021.

Washington state is providing COVID vaccine booster shots for moderately and severely immunocompromised residents. People who received an mRNA vaccine are eligible for the booster. People who received the Johnson & Johnson vaccine do not require a booster at this time.

Almost two million Washingtonians who are vaccine eligible remain unvaccinated. The group Find a COVID Shot WA can assist anyone who needs help making an appointment. The group of 75 volunteers has been operating since the beginning of 2021 and offers support in 20 languages.

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

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

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

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Hospital Status

On August 23, 84.7% of available adult staffed acute care beds in Washington state have patients. The data indicated there were 1,368 acute care beds available statewide and 275 in King County. The Northwest and South Central Regions were over 80% utilization and the Central, West, and East Regions are now over 90%. According to the Washington State Department of Health, there are 1,284 COVID patients in acute care, an increase of 63 over the weekend, which is 14.4% of all acute care patients.

Washington State Hospital Acute Care Beds Occupied by Patients – August 22, 2021

Statewide ICUs were 85.7% occupied with 173 staffed beds available, 64 located in King County. The number of COVID patients statewide in the ICU climbed to 332. A combined 1,616 adult patients hospitalized is a new record.

The Washington Hospital Association is indicating a lower number, and we have requested the Washington State Department of Health to review the disparity between the two data sources.

Washington State ICU Patients with COVID – August 19, 2021

Washington state continues to have a critical shortage of blood, with a less than 24 hour supply for five out of eight blood types. The situation has deteriorated since August 3. There will be a blood drive in Kirkland on August 30 and 31. We will publish additional details when they become available.

The West Region, which includes Tacoma, and the East Region, which includes Spokane, remains critically low on ICU capacity. Each region has 11 ICU beds available as of Monday morning, which is little changed from Friday.

The state reported 26 new COVID deaths over the weekend.

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Back to School

No update

Kirkland-Bellevue-Woodinville

Locally, the number of COVID patients at EvergreenHealth facilites in Kirkland and Monroe increased from last week. Kirkland was reporting 36 patients hospitalized, up from 26 last week. Monroe reported 6 patients hospitalized, up from 5 last week. The 36 patients is nearly the peak set in January 2021, but well below March 2020 when the Kirkland hospital became the first facility in the United States to face a major outbreak.

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National Round-Up

Johns Hopkins University reported over 36,692 new cases and 200 deaths yesterday, but it is important to note that 70% of states no longer report data over the weekend (including Washington). Nationwide, 11.46% of COVID tests are coming back positive.

Pentagon to mandate COVID vaccines for all active duty troops

The Department of Defense intends to mandate the Pfizer vaccine for all active duty servicemembers, according to a Pentagon announcement.

“Now that the Pfizer vaccine has been approved, the department is prepared to issue updated guidance, requiring all service members to be vaccinated. A timeline for vaccination completion will be provided in the coming days, John F. Kirby said at a press briefing. 

Of the 1.4 million active-duty service members, Secretary of Defense Lloyd Austin stated that slightly more than one million are fully vaccinated, and another 237,000 were partially vaccinated at the start of August. Resistance to the vaccine is particularly strong for the estimated 160,000 servicemembers who have not started vaccination. Depending on their rank, servicemembers could face a variety of disciplinary actions, including court-martial.

The Pentagon also announced that COVID testing was being provided to any evacuee from Afghanistan who exhibits or reports COVID-like symptoms before boarding an evacuation aircraft. All persons are then screened upon their arrival at temporary safe havens in Qatar and Germany.

Former Presidents advocates for vaccination and gets booed in Alabama

On Saturday at a GOP-led political rally in Cullman, Alabama, former President Donald Trump was booed by the audience when he told them to get vaccinated.

“You know what? I believe totally in your freedoms. You got to do what you have to do, but I recommend: Take the vaccines. I did it – it’s good,” the former President said. The audience fell silent as a wave of boos emerged from the crowd.

“That’s alright. You got your freedoms. But I happen to take the vaccine. If it doesn’t work, you’ll be the first to know. I’ll call Alabama say, ‘Hey you know what?’ but it is working.”

The unvaccinated are costing American hospitals a lot

A report from the Kaiser Family Foundation indicated that 113,000 preventable COVID hospitalizations in June and July have cost United States hospitals $2.3 billion, and that is likely an underestimate. It is estimated that 98.3% of all COVID patients hospitalized in the two-month period were unvaccinated.

Alabama

Former President Donald Trump is holding a rally in Cullman, Alabama tomorrow, forcing the city to declare a COVID state of emergency. Alabama added 3,800 new COVID cases on Wednesday and the state ran out of ICU beds the day before. The declaration of the State of Emergency allowed the city to provide the additional personnel and equipment for this weekend’s political rally after it was requested by Cullman Regional Hospital, which is overwhelmed with patients.

Arizona

The election audit being conducted by Cyber Ninjas took another strange turn on Monday, with the Arizona Senate President Karen Fann reporting that two of the five members of the election audit team, including Cyber Ninjas CEO Doug Logan, are “quite sick” with COVID. The final report, which was supposed to be submitted today was not issued. No timeline has been given on when a final report will be submitted to the Arizona GOP.

Florida

Seventy-five doctors at a Palm Beach Gardens Hospital staged a symbolic walkout over working conditions and the number of unvaccinated patients flooding the facility. “We are exhausted. Our patience and resources are running low and we need your help,” said Dr. Rupesh Dharia from Palm Beach Internal Medicine.

Now, these doctors are sounding the alarm and pleading for the community to get vaccinated. They said it’s not a political move, but a call for help.

The number of pediatric patients continues to grow in Florida, with children from birth to 19 years old showing the highest rates of positivity for the first time. From August 13 to August 19, children 12 and under that were tested for COVID had a positivity rate of 23%. Those age 12 to 19 were nearly 25% positive. Florida Government Ron DeSantis has defunded school districts that instituted mask mandates. The United States Department of Education has stepped in to fill the funding gap.

Five police officers in South Florida have died of COVID in the last week, including 27 years old Jennifer Sepot of the Fort Lauderdale Police Department. In Sarasota County, officials are dealing with a critical staffing shortage with 94 staff members, almost 10% of the force, out of work with COVID symptoms.

Georgia

As many school systems in the Peachtree State enter their fourth week of school, COVID cases continue to surge. The Metro Atlanta area, with 14 school disticts, has reported 6,300 new cases among students during the previous week. Students five to 12 years old are the most impacted. Two faculty members also died last week. Both were sick before the start of the new school year.

WSB is reporting more than 2,000 children a day are testing positive for COVID.

In Marietta, Georgia, former surgical technician Jessica Renzi was fired over the weekend after posting a video on Tik Tok many deemed anti-Semitic. In the video which went viral and was shared across multiple social media platforms, Renzi suggested having her vaccination number tattoed to her arm, in an apparent mockery of Holocaust victims. Renzi, who deleted her social media accounts, also had created numerous videos sharing COVID misinformation while wearing her hospital scrubs.

Tik Tok creator Jessica Renzi’s video resulted in her firing on sunday

Hawaii

With hospitals in Hilo and Honolulu at or near collapse, the archipelago is considering a return to travel restrictions for domestic travelers. State officials are considering people showing their vaccination cards to get into gyms, restaurants, and other public spaces, as well as implementing curfews. The remote state has 392 people in the hospital, almost 100 more than the January 2021 peak.

Tutu Man Kawaikapu Hewett — a founding member of Hawaii Quarantine Kapu Breakers is calling for stricter measures, including stricter enforcement of Hawaii’s existing COVID restrictions.

“I’m a great-grandfather, a grandfather, a father. I want to make sure that everyone survives this. I’m going to support anything and everything that makes us safer,” Hewett said.

Kentucky

COVID is starting to sweep northward into Appalachia, including the Bluegrass State. Kentucky Governor Andy Beshear reported the state has a record number of patients in acute and ICU care, with more than 20 hospitals facing staffing shortages and converting space to build COVID ICUs.

State officials reported there are 1,890 people hospitalized with 529 in intensive care and 301 on ventilators. Despite the surge, the Kentucky legislature is working on limiting the power of the governor to remove safety protocols in place.

Maine

Although Maine has a relatively low number of COVID patients, the numbers in ICU and on ventilators are in a word, alarming. Officials reported on Monday there are 123 COVID patients hospitalized, with 61 in the ICU and 25 on ventilators.

“This is what’s happening right here, and it’s pretty stark,” Liechty said. “We’re still doing better as a state than most other places, but delta has highlighted the geographic disparities in uptake of the vaccine in our state.”

The statewide vaccination rate is about 62 percent, but there are wide differences between counties.

Massachusetts

Cases are starting to grow in the New England state where only 3.7% of residents report they will never get vaccinated. Massachusetts state officials reported 3,335 new cases with 550 people hospitalized, and 139 in the ICU. The positive test rate is elevated in the state, but nowhere near peak levels set in April 2020 or January 2021.

Mississippi

The Mississippi State Department of Health on Friday raised eyebrows nationally, issuing the strictest COVID quarantine laws in the United States.

All persons, including fully vaccinated individuals, infected with COVID-19 must remain in the
home or other appropriate residential location for 10 days from onset of illness (or 10 days from
the date of a positive test for those who are asymptomatic). A negative test for COVID-19 is not
required to end isolation at the end of 10 days, but you must be fever-free for at least 24 hours with
an improvement of other symptoms. Mississippi K-12 schools are required to exclude all students
and faculty diagnosed with COVID-19 from the school setting during the isolation period (as
above).

The failure or refusal to obey the lawful order of a health officer is, at a minimum, a misdemeanor
punishable by a fine of $500.00 (41-3-59) or imprisonment for six months or both. If a life-threatening disease is involved, failure or refusal to obey the lawful order of a health officer is a
felony, punishable by a fine of up to $5,000.00 or imprisonment for up to five years or both.

New Hampshire

New Hampshire COVID test positivity has reached the highest level since January with 82 people hospitalized.

Oregon

Oregon continues to grapple with rising cases with officials reporting there are only 47 ICU beds available statewide. The governor has activated 2000 National Guard members to supplement the medical system and has requested more than 500 medical professionals to help support the state. Rural counties are feeling the brunt of the epidemic due to political polarization, misinformation, and low vaccination rates.

South Carolina

Chief Medical Officer Dr. Crhis Lombardozzi of the Spartanburg Regional Health Care System, told WYFF Channel 4 that over 90% of their COVID patients are unvaccinated, and “we are struggling.”

“Like a lot of hospitals, particularly in the southeast, we are seeing a mega surge in COVID-19 cases.”

At the beginning of July, the hospital system was treating three COVID patients, they are now treating 210. The hospital is at 96% capacity and the average age for COVID patients is 53 years old.

Texas

A 77-year old Carnival Cruise Line passenger died last week after catching COVID on a ship sailing out of Galveston. According to her family, Marilyn Tackett, 77, started to feel unwell when the ship arrived for a port of call visit to Roatan, Belize. When her family returned from a shore excursion, Tackett was having difficulty breathing. The ship’s doctor notified the family that Tackett would need to be put on a ventilator immediately.

Belize hospital officials initially refused to treat Tackett without a $5,000 cash payment. Tackett was placed on a ventilator but her insurance would not cover her overseas medical treatment or an air ambulance to return her to the United States. A GoFundMe was set up to raise $30,000 and she was flown to Tulsa, Oklahoma, but Ms. Tackett died on August 14. Tackett was vaccinated.

Carnival reported a total of 27 cases on the ship during the sailing among 26 crew members and Ms. Tackett.

On our social media channels, we shared the story of David Cruz Meza, 38, of Corpus Christi, Texas. Meza tested positive for COVID on July 7 and was hospitalized on July 14. The father of three was unvaccinated and turned to social media to encourage others to get vaccinated.

His condition had deteriorated by July 22, and his family was reported he was placed on a ventilator on July 25. His wife made a public appeal for any hospital that would be willing to take him as an ECMO patient, and another appeal on August 11.

His family reported this morning that Meza passed away on August 16. In the final video he made, he appealed for people to get vaccinated.

David Cruz Meza on BIPAP appealing for people to get vaccinated on July 22, 2021, Meza died on August 16 from complications due to COVID

Utah

The state reported another 2,731 cases on Monday, with 20% of new cases among children from 5 to 18 years old.

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Misinformation

This isn’t misinformation as much as it is a misunderstanding. There have been nine major studies about how a person’s blood type may limit or increase their risks of catching COVID, and if certain blood types provide additional protection.

There is solid evidence that type O and Rh-negative blood groups might benefit some degree of extra protection from COVID infection and severe symptoms. Additionally, the same data supports that blood type A may increase the susceptibility to infection.

The misunderstanding comes from some people believing that type O blood instills a higher degree of natural immunity than it truly offers. In some darker corners on the Internet, there are some memes that try to convince people on social media that type O is a shield to symptomatic COVID – that isn’t true.

The National Institutes of Health published a study on July 19, 2021, explaining the Relationship between blood types and outcomes following COVID-19 infection. The report stated in the conclusion, “At this point in time, there does not appear to be any relationship between blood type and COVID-19–related severity of illness or mortality. Current literature does not support blood type as part of a predictive model of viral illness or mortality, and ABO/Rh screening should not be used as a triage mechanism. Future investigations can focus on the creation of a global COVID-19 database to account for population-based differences in blood types and testing protocols.”

This isn’t to say that people with type O blood gain no benefit, or that people with type A should take extra precautions. The evidence that exists today does not indicate type O provides a wall of substantial extra protection.

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All Washington state counties move to Phase 3 on Tuesday as full reopening inches closer

[OLYMPIA] – (MTN) All Washington counties will move to Phase 3 on Tuesday, May 18, under the updated plan announced by Governor Inslee on Tuesday. Under the new guidelines, individual counties can decide what Phase to move to independently of the Safe Washington guidelines unless ICU utilization statewide exceeds 90% and hospitals start to cancel elective procedures.

The state of Washington hasn’t updated the data on the COVID dashboard since May 13 as of this writing. The Tacoma-Pierce County COVID-19 dashboard indicated there are 369.5 cases per 100,000 residents, and acute care hospitalizations per the State of Washington Department of Health website is over 12%. Both metrics would have put the county in Phase 1 under the old directives. Pierce County officials indicated they would be moving to Phase 3 despite positivity, caseload, and lagging immunization numbers.

Ferry County, which suffered a major outbreak after a superspreader event in the town of Republic in early April will also be moving to Phase 3. According to the Northeast Tri County Health District, the outbreak sickened almost 15% of Republic and led to 4 deaths. Numbers in the rural county have stabilized and the immunization rate went from the third lowest in Washington to twelfth place in 3 weeks.

The state of Washington will move to full reopening on June 30, 2021, or when the statewide first dose immunization percentage of those 16 and over reaches 70%.

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

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

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

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

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

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

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

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

Pierce County COVID cases worsen while King and Snohomish County plateau

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

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

Pierce County COVID Scorecard for May 8, 2021

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

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

King County COVID Scorecard for May 8, 2021

Incentives are growing to increase vaccination numbers

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

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

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

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

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

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

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

Malcontentment Happy Hour: April 29, 2021

Our live webcast from the former Seattle Anarchist Jurisdiction

Content Warning

Editor’s Note: This show contains videos of events that some viewers may find disturbing. Viewer discretion is advised. Additionally, our remote connection had issues at a couple of points in the show – we apologize for the experience.

The show from April 29, 2021, featured David Obelcz and our co-host Jennifer Smith.

  • Mike Solan is unhappy with a police officer’s experience at Chocolati
  • King County is getting $62 million in federal funds to aid the unhomed
  • Joe Biden addresses a joint session of Congress
  • Follow-ups and corrections
    • Correction on the Bothell stabbing story
    • Pierce County Council has announced they are pausing the investigation of Sheriff Ed Troyer
    • Update on the arrest of 73-year old Karen Garner
  • Royal’lee Wallace murder investigation
  • Seattle’s Indian population mobilizes to support their homeland during COVID crisis
  • Kirkland postal carriers start a food drive
  • Native Americans petition for the return of wild Bison in Montana

King County on the brink of stepping back to Phase 2

[KIRKLAND] – (MTN) The latest data indicates that King County is on the bring of falling backward to Phase 2 when the state Department of Health does their next evaluation on May 2. New cases per 100,000 are up to 217.5 and hospitalizations are 4.8. To remain in Phase 3, new cases must be below 200 per 100,000 people and hospitalizations below 5.0. According to the Department of Health, 85.4% of all ICU beds are utilized in King County, 12.2% with COVID-19 patients.

Pierce County, which moved back to Phase 2 on April 16, has not made enough progress on reversing the trend in the county. Cases are at 217.3 per 100,000 and hospitalizations are 7.2. Snohomish County is also at risk of dropping to Phase 2 next week. Hospitalizations have more than doubled since last month and new cases are 205.0 per 100,000.

Moving to Phase 2 would drop occupancy of restaurants and other facilities to 25% and could potentially end spectators at sporting events at high school, college, and professional levels.

On Friday, Dr. Jeff Durchin of King County Health explained, “King County entered Phase 3 with the rest of Washington state on March 22, at a time when cases and hospitalizations were already on the rise. Since that time, our 7-day average case numbers have risen by 70 percent, and hospitalization rates have increased by 75 percent.”

King County dashboard for April 24, 2021, at 10:00 AM

State, county, and hospital officials all echoed the same observations. New cases are mostly COVID variants such as B.1.1.7 from the United Kingdom. A majority of hospitalized patients are in their 30s and 40s and are presenting with extreme illness. One area hospital is canceling elective surgeries due to its patient load.

Currently, 36% of all King County residents are fully immunized and 57% have received at least one dose. The National Institute of Health, CDC, and other federal officials have stopped talking about achieving herd immunity, taking a more muted position due to vaccination hesitancy. The number of people being vaccinated is slowing down, with hundreds of available appointments in South King County going unused late this week.

Among the Black population of Washington, only 47% have received at least one dose of a COVID vaccine. Distrust in vaccination programs born out of historical medical experiments conducted by the government on Black populations has created distrust and fear.

King County can move the numbers in the right direction before the May 2 evaluation. Wearing masks even if vaccinated, limiting exposure to people, and sticking with to-go options for restaurants and alcoholic beverages can help lower the positivity rate.

Breaking: Governor Inslee orders criminal investigation into Pierce County Sheriff Ed Troyer

[OLYMPIA] – (MTN) Washington Governor Jay Inslee on Friday ordered the state attorney general office to investigate Pierce County Sheriff Ed Troyer, and his actions on January 27, 2021, involving a Black newspaper carrier.

“The initial reports of these events were very concerning to me, and I had hoped to see some action taken to initiate a criminal investigation at the local level,” Inslee said in a written statement released Friday. “But, to my knowledge, that has not happened almost three months after the incident. So now the state is stepping in. I have spoken to Attorney General Ferguson and his office will conduct this investigation and make the decision whether to initiate prosecution.”

Due to the inaction of Tacoma Police and Pierce County, Gov. Inslee sent a letter to the Criminal Justice Division of Attorney General Bob Ferguson’s office.

On January 27, 2021, Ed Troyer called 911 to report that a man had threatened to kill him and was acting suspiciously driving slowly from house to house. That man was Sedrick Altheimer, who is a newspaper carrier and was delivering papers on his route. Troyer followed Altheimer in his personal vehicle, never identified himself as a law enforcement officer, and reported he had blocked Altheimer’s vehicle.

Troyer repeated multiple times in the 911 call that he was threatened by Altheimer, and reported that he might be attempting to break into garages. Forty-two units from across Pierce County initially responded to the call, with six units arriving.

Troyer walked back his accusations when Tacoma police arrived. Tacoma police did not turn on their recently issued bodycams while talking to Troyer but did activate them when talking to Altheimer. Altheimer was never charged with a crime. When the story broke Troyer expressed surprise that a police report was even created.

The Pierce County Council voted on April 6 to pay former U.S. attorney Brian Moran $50,000 to look into Troyer’s behavior from January 2020 to January 2021 and investigate the incident with Altheimer. However, the investigator has no subpoena power and cannot put people under oath.

The January 2021 incident brought attention to a November 11, 2020, 911 call that Troyer made claiming to have confronted two Black men trying to break into his car and steal his wallet. In that incident when Tacoma police arrive Troyer brushed off the incident, and officers ultimately did not take a report. In March 2021, after the second incident occurred, the officer-involved with the November 11 911 call took an official report into that incident.