[KIRKLAND, Wash.] – (MTN) Washington state has set new records for COVID cases and hospitalizations, straining every aspect of life and leaving many to wonder, what is next?
Malcontent News has been tracking the Omicron wave in South Africa and the United Kingdom and using the data from these nations to build models for Washington. The path the current surge is taking aligns closely with the progression in South Africa.
New Cases
It took 28 days for the first SGTFs to show up in PCR tests in South Africa at a significant number, to the peak in cases. If Washington follows the same path, new cases in the state should peak on Jan. 17. The last update from the Washington State Department of Health (WSDOH) was supportive of an approaching statewide peak. An analysis of new case data indicated that the Olympic Peninsula, Central Puget Sound, the South Sound counties out to the Pacific Coast have already peaked. In Eastern Washington, many areas are still seven to ten days away.
In South Africa and Europe, cases declined rapidly. If Washington follows the same pattern, new daily cases will be 50 percent of peak by Feb. 2, and then drift to a plateau of 30 to 35 percent of the peak. The plateau will hold until Feb. 14, before starting to decline again.
Washington moved to test only symptomatic and close contacts on Jan. 4. Over the weekend Seattle Children’s Hospital reported they were incapable of testing most pediatric cases for COVID at urgent care clinics, reserving the dwindling supply to only the sickest of patients. The University Washington Medicine is struggling to test staff and immediate family, in compliance with the United States Centers for Disease Control CDC) guidelines.
Clark County residents have appealed to the state for additional testing resources and more access to booster shots. Among the eight locations receiving National Guard support by Jan. 24 for additional testing resources, Vancouver, Washington was not among the locations.
The University of Washington Virology lab is struggling to provide test results to Washington, and some Oregon healthcare providers, processing 12,000 to 14,000 a test a day. On Sunday, 31.9 percent were positive, creating some doubt that a peak in cases has arrived.
Hospitalizations
Hospitalizations are a trailing indicator. We predicted on Dec. 26. that Washington hospitals would run out of available resources by Jan 15. Governor Jay Inslee deployed the national guard and suspended all non-emergency surgeries on Jan. 13, to support overwhelmed hospitals.
In South Africa, seven percent of new Omicron cases resulted in hospitalizations. The unvaccinated made up 82 percent of all COVID hospitalizations. That rate was between 22 and 31 percent of the earlier Delta wave. The exact difference is hard to track after South Africa changed its testing criteria on Dec. 24, testing only people who were symptomatic or had close contacts. Adjusting for South Africa’s higher hospitalization rate versus the United States, and accounting for the lower hospitalization rate among Omicron patients, we initially estimated Washington would experience a 1.14 to 1.34 percent hospitalization rate. Currently, it is between 1.8 and 2.4 percent depending on the hospital region.
The single biggest factor that impacts the outcome of a COVID infection is age. In South Africa, only 5.7 percent of the population is over 60, while 34.1% is under 19. Although it is true that only 26% of the population is fully vaccinated, in Gauteng Province, which bore the brunt of the Omicron wave, 44 percent of the population is fully vaccinated.
In Washington, Stevens, Pend Oreille, Skamania, Asotin, Ferry, Whitman, Klickitat, and Columbia Counties have lower vaccination rates. According to the WSDOH on Thursday, 80 percent of all COVID hospitalizations statewide were unvaccinated – which mirrors the data released from South Africa on Sunday.
In South Africa, the surge of new hospitalizations peaked 10 to 14 days after the new cases reached a peak. If Washington follows that path, new hospitalizations will peak at the end of January.
Despite reports that many cases resulted in short hospitalizations, this was among vaccinated individuals. South Africa found that among unvaccinated individuals, the progress of illness was no different than prior strains of COVID.
The number of hospitalized COVID patients peaked in South Africa on Dec. 31 and remained almost unchanged through Jan. 6. Currently hospitalized coronavirus patients in the African nation are still at 83 percent of peak. The decline has been slow.
For Washington hospitals, this will be an insurmountable challenge. Although the governor announced a pause in elective surgeries statewide on Thursday, many hospitals had already voluntarily taken that step to expand resources. MultiCare reported ten days ago they were forced to implement CDC crisis staffing standards, having COVID positive workers who are experiencing mild to moderate symptoms continue to work.
An analysis of available hospital resources indicated that additional emergency staffing and converting PACUs to COVID wards added 60 to 75 acute care and 10 to 15 ICU beds statewide. With over 250 new COVID patient admissions a day, that added capacity was likely wiped out over the weekend.
If Washington follows the same hospitalization trend, by Jan. 26 the worst of the surge will be hitting our facilities. The number of COVID patients will peak on Feb. 4, and hold until Feb. 10. Although a decline will be accelerating by Feb. 20, a load of 83% of the peak would be unsustainable.
On Friday the WSDOH reported there were 2,135 COVID patients in Washington hospitals, an all-time record. Hospitalizations are increasing 50 percent every week. The IHME model projects almost 4,000 hospitalized coronavirus patients on Feb. 4, either in acute care or the ICU. If Washington follows South Africa, the number would reach 5,038 and then sustain at that level for two weeks before dropping to 4,000.
Last Monday patients were being transferred out of King County to Moses Lake, Richland, and Missoula, Montana. King County hospitals, University of Washington Medicine, and Harborview Medical Center are caring for a record number of COVID patients. In Spokane, Providence and MultiCare hospitals can’t take transfers. Doctors reported angry and desperate phone calls from rural hospitals trying to move patients to larger facilities.
MultiCare and Providence hospitals on both sides of the mountains have deployed tents again. In Everett, Providence Hospital was treating patients in the emergency department waiting room and the halls are lined with patients waiting for beds.
Deaths
Looking to South Africa, the number of deaths from Omicron was significantly lower compared to Delta. The age of the population, a 66% vaccination rate for those over 50, a historically lower COVID death rate compared to Europe and North America, and more available resources contributed to the better outcomes. Additionally, it is summer in South Africa.
COVID-related deaths started to increase on Dec. 11. It is unknown if deaths have reached a peak yet, but on Jan. 16, the 7-day moving average was 105 deaths a day. All signs in South Africa indicate the Omicron surge is reaching its finality.
In Washington, the population is older and in poorer health. Vaccination rates are higher, but almost one-third of the entire population is not only unvaccinated but politically indoctrinated into the status being part of their identity. They not only dismiss vaccination but all proven public health measures such as indoor mask wear.
Unlike prior waves in Washington, Omicron overwhelmed the larger and better equipped Puget Sound region facilities first. Idaho is starting to surge with new cases and Oregon is straining under its own tidal wave of cases. COVID patients in Eastern Washington will have fewer options than ever before.
If Washington follows the same as South Africa, COVID-related deaths will start to peak in mid-February.
Services and Infrastructure
It is estimated eight to ten percent of all American workers are sick, caring for a sick family member, or quarantining. The United States was already dealing with a worker shortage in 2021, which has been made worse by Omicron. By early February, up to 25 percent of all Washington workers could be sidelined with COVID.
Some of the impacts have already rippled through the region. Empty store shelves, recently restocked after the mountain passes reopened, will struggle to stay full. Pharmacists are warning people to refill their medications now, unsure of their ability to serve the community and have an adequate supply of pills.
Postal workers are driving routes for 12 to 16 hours to fulfill deliveries, and school districts are looking for parent volunteers or moving to virtual learning. In some cities such as Seattle, students have staged walkouts due to high infection rates. In Lakewood, the Walmart Super Center was forced to close for three days for a deep cleaning after 63 workers became sick with COVID.
The day-to-day impact for everyone will include school and daycare closures, spotty store shelves, delayed deliveries, and businesses forced into short-term closures due to a lack of staff. The economic fallout could last for much longer.
Without a dramatic increase in support, state healthcare workers and Washington residents will face a brutal five to six weeks where only the absolute sickest individuals will be able to get medical services, and basic goods and services will require patience to find.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
Editor’s Note, October 20, 2021, 12:02 p.m.:The daily summary for the Covid-19 update included a typographical error reporting nine confirmed COVID cases at Bellevue High School in the Northshore School District. The nine confirmed cases are at Bothell High School in the Northshore School District. The detailed school report does accurately reflected this information. We have corrected the daily summary and apologize for any confusion this may have caused.
[KING COUNTY, Wash.] – (MTN) One day after the state vaccine mandate took hold, it was largely business as usual across Washington as new cases continued to drop and hospitalizations hit a plateau.
Vaccination rates unsurprisingly skyrocketed across the state, with some counties experiencing a near 2% increase. On Monday, 6.75 million Washingtonians lived where at least 50% of the total population is vaccinated.
In King County, 82.2.% of residents 12 and older are fully vaccinated, and in Kirkland, 83.7%.
The Washington State Office of Financial Management reported 1,887 state employees were fired for refusing to provide proof of vaccination. Terminations include 358 Washington State Department of Transportation employees and 127 civilian and commissioned officers with the Washington State Patrol.
The Seattle Police Department reported six officers refused to get vaccinated, while the Seattle Fire Department said 11 firefighters were terminated. A small group of protesters marched to Seattle City Hall and left the boots and shoes of fired police and firefighters in the lobby.
In Redmond, where people protested in support of approximately 20 firefighters, five people were fired for not getting vaccinated and two more retired.
The number of new Covid-19 cases dropped in the Bellevue School District while growing in Lake Washington. Juanita Elementary and Lakeview Elementary both reported five confirmed active cases on Monday. In the Northshore School District, Bothell High School remains a hot spot with nine confirmed COVID cases.
Officials in the Edmonds School District decided to close Madrona K – 8 after dozens of confirmed Covid-19 cases swept through the school over the last ten days. The school is planning to reopen on November 1.
City officials in Kirkland reported 86% of Kirkland firefighters are fully vaccinated, with the status of 16 employees unknown tonight. The vaccination rate is one of the lowest for a fire department in the region.
The Lake Washington School District reported 97.5% of the staff was fully vaccinated on October 18, and just over 100 had requested exemptions.
Among all of this good news is some concerning data out of the U.K. A variant discovered in July 2021 that is unofficially called Delta Plus is starting to take hold as the island nation deals with a surge that won’t go away. The version of Delta Plus has mutated further since July. The World Health Organization has not labeled this as a virus of interest, and the new case growth is only incremental at this time.
Neal Cavuto of Fox News and Homeland Security Secretary Alejandro Mayorkas tested positive for Covid-19. Both are vaccinated and reported they were only mildly sick.
Union Pacific and GE announced they are implementing vaccine mandU.S. for U.S. employees, impacting approximately 91,000 workers.
The Washington State Department of Health released updated vaccination data. Twenty-one counties representing 6.75 million people have more than 50% of their total population fully vaccinated. Steven County continues to have the lowest vaccination rate but broke over the 30% mark in the most recent data.
There is a significant decline in new and active Covid-19 infections when a county is 60% fully vaccinated and a further decline above 70%. There remains a considerable gap in the number of new cases between the least and most vaccinated counties, but the gap is closing as overall vaccination rates increase.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
60.00% or above (5 counties))
230.9
50.00% to 59.99% (16 counties)
401.7
40.00% to 49.99% (10 counties)
455.7
30.30% to 39.99% (8 counties)
706.2
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Not Adjusted for Population
Through October 18, Washington’s statewide 14-day rolling average dropped to 330.8 Covid-19 cases per 100K. The 7 day rolling average has declined to 136.3 per 100K, providing the strongest indicator yet Washington state is on the other side of the Delta variant surge.
Ferry County (1,365.4) and Garfield County (1,303.4) remain above 1,000 and are hot spots that do not represent the situation in most of the state. The county with the third-highest rate, Grant, is seeing 600 fewer cases per 100K residents!
No counties are reporting a new case rate between 800 and 999.99.
Counties in the 600.0 to 799.9 per 100K range include Chelan, Columbia, Grant, Klickitat, Pend Oreille, and Stevens.
New cases were statistically unchanged, while hospitalizations were up for adolescents between 12 and 19 and down for geriatric patients over 64.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
149.4
0.8
Ages 12-19
164.4
2.1 (up)
Ages 20-34
147.1
3.6
Ages 35-49
157.7
8.8
Ages 50-64
116.5
12.0
Ages 65-79
92.7
15.9 (down)
Ages 80+
91.7
30.4 (down)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
The USA Today COVID Tracker has not updated the number of deaths in Washington state since Friday.
1,887 Washington state employees fired, quit, or retired due to the vaccine mandate
The remaining 2,887 employees are either completing their vaccinations, awaiting a decision on an exemption request, planning to retire by December 31, or are facing termination. For employees who have an exemption request rejected, a majority have the option to move forward with getting vaccinated after a negotiated deal with multiple unions.
The OFM will provide another update on October 25.
Washington State Patrol reports 127 employees terminated
On Monday evening, the Washington State Patrol issued a statement that 127 individuals had “separated employment due to the mandate.” Of the 127 employees, 74 are commissioned officers, including six sergeants and one captain.
The WSP reported that the cuts among the 2,200 member force with 1,000 commissioned officers were across the state and not concentrated in one area.
The 1,887 statewide employee terminations include the 127 WSP separations.
Please find attached and below a press release on the personnel impacts associated with the vaccine mandate. pic.twitter.com/RKchILNU3F
Washington State Department of Transportation terminates 358 employees
In a report by Chris Sullivan of MyNorthwest, a total of 402 Washington State Department (WSDOT) of Transportation ended their employment yesterday – about 6%. Among the 402 who left WSDOT, 358 were fired for not requesting an exemption or refusing to provide proof of vaccination. Among the 358 fired, 121 worked for Washington State Ferries (WSF), and 157 worked in maintenance.
WSDOT employs over 6,400 employees even after the cuts, about 10% of the total state workforce.
The other 44 employees who left WSDOT retired or have taken the option to retire by December 31. The 1,887 statewide employee terminations include the 358 WSDOT separations.
Seattle Police Department reports 6 officers facing termination and 103 request exemptions
The Seattle Police Department reported as of midnight, all but six Seattle Police Department employees have submitted their COVID-19 vaccination forms or are involved in an accommodation process, per city mandate.
For those six employees, the separation process has begun. That legal process includes a mandatory Loudermill hearing which will be scheduled in the next few weeks.
Additionally, 103 sworn and civilian SPD employees submitted requests for either a medical or religious exemption. Those employees are currently suspended without pay but can use their accrued time balances. According to a statement on the Seattle Police Blotter, when and whether they will be allowed to return to work will be determined in the coming weeks.
Over the weekend, SPD made plans to go on a modified stage 4 plan, their highest level reserved for major natural disasters or civil unrest. The last time the department moved to a stage 4 deployment was July 1, when CHOP was swept on Capitol Hill.
Officials now say they are considering staffing levels and making adjustments, including moving officers from the “Community Response Group” to patrol duty. It remains possible that detectives or other non-sworn officers could be activated for patrol duty. For now, that seems unlikely.
7 Redmond Firefighters leave over vaccine mandate
According to a report by Patch, Redmond’s Fire Department lost seven members after Washington’s deadline arrived to meet the Covid-19 vaccine mandate.
A spokesperson for the city told Patch 89 percent of the fire department’s 150 uniformed employees were fully vaccinated by the deadline. Six people have been placed on leave until they reach full vaccination status on Nov. 1. Separations were underway Tuesday for five firefighters who chose not to comply and two more who opted to retire, the city said.
Terminated Seattle firefighters leave boots and shoes at City Hall
A small and somber group of firefighters and their supporters went to Seattle City Hall to leave their boots and shoes behind. On Monday night, only 11 firefighters had not provided their vaccination information or asked for accommodation.
The unmasked group quietly entered City Hall, where they stayed in the lobby, and arranged their boots on a set of risers adjacent to a water feature. One person in a dress uniform placed a copy of the separation letter between the boots.
Providence Health Care reports 97% of employees vaccinated in Spokane Stevens counties
Providence Health Care reported 97% of its staff at hospitals and clinics in Spokane and Stevens Counties have complied with Governor Jay Inslee’s vaccine mandate. This means a large majority of Providence caregivers have either been vaccinated or received a medical or religious exemption.
Of their care facilities, Providence St. Joseph Care Center reported a 100% compliance rate alongside Providence Emilie Court Assisted Living Center’s 97% rate.
Travel Advisories
Due to increased acute care hospitalizations, we’re maintaining our recreational travel advisory to the East Hospital Region, including Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties. Acute care and ICU capacity remain limited, and the ratio of Covid-19 patients to other hospital patients is exceptionally high. Please reconsider nonessential travel plans to these counties.
With the announcement that Spokane officials have requested additional federal resources to support local hospitals, the travel advisory will likely continue through the 2021 holiday season.
We strongly advise against all nonessential travel to Alaska, Idaho, Montana, and Wyoming. Hospital resources in these regions are constrained, and you may receive inadequate care in Alaska, Idaho, and Montana if you experience a serious medical emergency.
We are not adding a travel advisory for the Northwest Hospital Region, which includes Clallam, Jefferson, Kitsap, and Mason counties but don’t recommend engaging in risky recreational behavior on the Olympic Peninsula. Although hospitals are very constrained, the region is adjacent to the Puget Sound and West Hospital Regions, which have adequate resources.
Thank you
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Vaccination
Number of fully vaccinated climbs in Washington, King County, and Kirkland
On Tuesday, the Washington State Department of Health reported that 72% of Washingtonians 12 and older are now fully vaccinated, and 78.1% have received at least one dose. The increasing vaccination rate has had a positive impact compared to the case and hospitalization rates in Alaska and Idaho.
King County Health reported 82.2% of residents 12 and older are fully vaccinated, and 87.6% have received at least one dose. In Kirkland, 83.7% of eligible residents are fully vaccinated, and 89.0% have received at least one dose.
The vaccination rates in Kirkland are lower than Bellevue, Redmond, and Woodinville but higher than Bothell and Kenmore.
King County, Washington is reporting over 87.6% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.
COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
According to the DoH COVID Dashboard, 92% of all staffed acute care beds are occupied, and 15.6% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 602 additional acute care patients.
ICUs are at 85.5% of capacity statewide, with 25.0% of ICU patients fighting Covid-19 – an estimated 298 patients with 57% on ventilators. The state has the staff to support approximately 143 additional ICU patients.
On Monday, the 7-day rolling average hospital admission rate for new COVID patients increased to 110. The Department of Health reported 1,110 Covid-19 patients statewide on October 18, with 170 requiring ventilators. The number continues to trend downward but bounced between 1,086 and 1,159 over the last nine days, indicating a new plateau may be forming.
Hospital readiness by region was mixed. The East Region improved while the West and North Central regions added more overall patients.
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
– Bell Elementary (3*) – Blackwell Elementary (2*) – Carson Elementary (3*) – Einstein (1*) – Eastlake High (3*) – Finn Hill Middle School (3*) – Inglewood Middle School (1*) – Juanita Elementary (5*) – Juanita High School (4*) – Kirk Elementary (1*) – Kirkland Middle School (1*) – Lakeview Elementary (5*) – Lake Washington High School (4*) – Mead Elementary (2*) – Northstar Middle (1*) – Redmond Elementary (1*) – Redmond Middle School (2*) – Redmond High School (2*) – Rosa Parks Elementary (2*) – Rose Hill Middle School (1*) – Timberline Middle School (6*) – Twain Elementary (2*)
None
Northshore
YELLOW
– Arrowhead Elementary (1) – Bothell High School (32**) – Canyon Creek Elementary (11) – Canyon Park Middle School (30) – Cottage Lake Elementary (5) – Crystal Springs Elementary (20) – East Ridge Elementary (3) – Frank Love Elementary (22) – Hollywood Hills Elementary (58) – Inglemoor High School (7) – Kenmore Elementary (12) – Kenmore Middle School (41**) – Kokanee Elementary (3) – Leota Middle School (4) – Lockwood Elementary (28) – Maywood Hills Elementary (4) – Moorlands Elementary (5) – North Creek High School (9) – Northshore Middle School (20) – Ruby Bridge Elementary (7) – Secondary Academy for Success (6) – Shelton View Elementary (4) – Skyview Middle School (16) – Sunrise Elementary (1) – Timbercrest Middle School (18) – Wellington Elementary (16) – Westhill Elementary (10) – Woodin Elementary (22) – Woodinville High School (12) – Woodmoor Elementary (12)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
The Bellevue School District had improved over the weekend, with fewer schools reporting cases.
In the Lake Washington School District, Juanita Elementary and Lakeview Elementary reported five confirmed Covid-19 cases between students and faculty, and Timberline Middle School reported six. This is the first time since school started that Kamiakin Middle School is not on the report.
The Northshore School District also improved over the weekend. Bothell High School reports nine confirmed COVID cases between students and staff, and Kenmore Middle reported six.
We continued to encourage parents to request improved daily data reporting from the Lake Washington School District.
Madrona K – 8 in Edmond School District moves to virtual learning with dozens COVID positive
“In the last ten days, there were 26 COVID-19 cases at Madrona K-8. Of the 591 enrolled students, 236 are at home because of classroom closures,” Dr. Gustavo Beladeras, Superintendent of the Edmonds School District, reported.” Of those students, 135 are quarantined as they were direct close contacts of confirmed COVID-19 cases.”
This is the largest reported Covid-19 outbreak in a Puget Sound region public school.
Kirkland-Bellevue-Woodinville
86% of Kirkland Firefighters Fully Vaccinated
As of 10:30 a.m. on Monday, 100 City of Kirkland firefighters had provided proof of vaccination, according to Joy Johnston, Interim Communications Program Manager with the City of Seattle. The city has 116 firefighters.
Employees would have had until the end of the day on Monday to provide their documentation. City officials did not have information on the status of the remaining 16 firefighters and if they had applied for a medical or religious exemption, were planning to resign, or facing termination.
The Kirkland Fire Department was the first in the nation to deal with a Covid-19 outbreak when a superspreader event tore through Lifecare Center. The employees at Station 25 wrote the book on interacting with COVID patients and took it upon themselves to wear PPE before any national guidance was issued. The crew became concerned at the high volume of calls from Lifecare Center and observing patients with symptoms that did not mirror the flu or pneumonia.
At one point, 30 Kirkland firefighters were quarantined due to Covid-19 exposure.
The Kirkland Police Department and City of Kirkland employees were not required to get vaccinated by September 18.
Lake Washington School District reports 97.5% of staff are fully vaccinated
The district reported they terminated employment with a “small number” of people who did not provide proof of vaccination or request an exemption.
National Round-Up
Johns Hopkins University Cumulative Case Tracker reports 116,553 new cases and 1,879 deaths nationwide on Tuesday.
New COVID variant in the UK is fueling a new surge and is causing growing concern
You may remember over the summer hearing about the Delta Plus variant that faded into obscurity along with Gamma and Mu. A surge of new Covid-19 cases due to misstepU.K. the U.K. public response may be driven by a new mutation of Delta Plus that has made it more transmissible.
The new variant called AY.4.2 appears to have mutations that have increased its survivability while looking for a new host. Early data indicates it is more transmissible than Delta, which bluntly put is bad news. However, the difference is not like between the Alpha variant and Delta, but incremental.
According to a report by the BBC, Professor Francois Balloux, director of University College London’s Genetics Institute, said: “It is potentially a marginally more infectious strain.
“It’s nothing compared with what we saw with Alpha and Delta, which were something like 50 to 60 percent more transmissible. So we are talking about something quite subtle here, and that is currently under investigation.
“It is likely to be up to 10 percent more transmissible.
CuU.K.tly, U.K. officials are seeing more incidents of Delta Plus, but not enough to raise alarms. For now, the World Health Organization has not labeled the mutation a variant of interest. There is also no indication that this new version of Delta Plus is more vaccine-resistant than the current Delta strain.
Fox News host Neal Cavuto tests positive for Covid-19
According to a report by the Associated Press, Fox News Channel anchor Neil Cavuto tested positive for COVID-19, which he said was surprising but made him grateful that he was vaccinated.
Cavuto, who learned of the test results after Monday’s episode of “Your World with Neil Cavuto,” wasn’t on the air Tuesday.
“While I’m somewhat stunned by this news, doctors tell me I’m lucky as well. Had I not been vaccinated, and with all my medical issues, this would be a far more dire situation,” Cavuto said in a statement released by Fox News.
Cavuto had cancer in the 1980s, was diagnosed with multiple sclerosis in 1997, and had open-heart surgery in 2016. Multiple sclerosis makes Cavuto immunocompromised.
Homeland Security Secretary Alejandro Mayorkas test positive for Covid-19
Homeland Security Secretary Alejandro Mayorkas has tested positive for COVID-19, a spokeswoman for the department announced Tuesday, as reported by Yahoo News.
Mayorkas, who is fully vaccinated, is said to be experiencing mild symptoms.
“Secretary Mayorkas tested positive this morning for the COVID-19 virus after taking a test as part of routine pre-travel protocols,” Marsha Espinosa, DHS assistant secretary for public affairs, said in a statement. “Secretary Mayorkas is experiencing only mild congestion.”
Espinosa said that contact tracing is underway.
Union Pacific railroad announced vaccine mandate for 31,000 employees resulting in multiple lawsuits
Three unions representing workers at Union Pacific Corp filed lawsuits agaU.S. the U.S. railroad operator’s move to make vaccines mandatory for its 31,000 employees under a deadline imposed by the Biden administration for federal contractors.
Union Pacific asked a judge to “have any dispute over the mandate resolved through the various dispute resolution procedures outlined in the Railway Labor Act.”
The lawsuits were U.S.d in U.S. District Court in Northern Illinois.
GE announces vaccine mandate impacting 60,000 employees
General Electric will require its nearlU.S.,000 U.S. employees to get vaccinated against Covid-19, according to a report by WFTS.
The move was reportedly made to comply with President Biden’s executive order, which requires federal contractors to be vaccinated.
Employees must show proof of vaccination or be cleared for a medical or religious exemption by December 8.
State Updates
Due to the overwhelming amount of local news, we will not do a state update today. The situation in Alaska, Idaho, Montana, and Wyoming can best be described as lousy, terrible, dire, and getting worse, in that order.
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) For the first time since August 17, the 14 days moving average for new Covid-19 cases in Washington state dropped below 400. Hospitalizations have only declined slightly. A combination of patients arriving sicker, non-Covid related hospitalizations, and transfer patients both inside and outside of Washington continue to push medical workers to the breaking point.
UW Medicine will no longer do solid organ transplants on patients who refuse the Covid-19 vaccine.
Pfizer applies for Covid-19 vaccine emergency use authorization for children 5 to 11 years old and the FDA will hold a hearing on October 26.
Hospitalizations in Eastern Washington are increasing, and the eastern half of the state continues to see many more new Covid-19 cases versus other regions with higher vaccination rates. Providence Regional Medical Center in Everett reported 30 patients in the emergency department waiting for beds.
Leaders in Alaska, Idaho, and Montana appear to be trying to find new levels of awful in their response, and non-response to the situation in their respective states. Wyoming had a record number of pediatric patients in September, and state officials are drafting a “crisis standards of care” plan.
For the first time since August 17, the new case rate is below 400. New cases were down slightly in all but the least vaccinated counties, where new Covid-19 cases increased.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
60.00% or above (4)
205.3
50.00% to 59.99% (13 counties)
513.4
40.00% to 49.99% (14 counties)
613.4
29.30% to 39.99% (8 counties)
739.7 (up)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Not Adjusted for Population
Through October 6, Washington’s statewide 14-day rolling average is 398.0 Covid-19 cases per 100K.
Ferry County continues to get worse, reporting 1,137.8 new cases per 100K residents. This is approaching the same level the county experience in April after a superspreader event in the town of Republic.
Counties in the 800.0 to 999.9 per 100K range include Columbia, Grant, Klickitat, Lincoln, Pend Oreille, and Stevens.
Counties in the 600.0 to 799.9 per 100K range include Adams, Asotin, Benton, Chelan, Columbia, Cowlitz, Franklin, Garfield, Grays Harbor, Mason, Okanogan, and Walla Walla. Douglas and Lewis counties are just under 600.0.
New cases by age group were statistically unchanged while hospitalizations were mixed.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
167.0
0.8 (down)
Ages 12-19
196.1
0.8
Ages 20-34
164.9
4.6 (down)
Ages 35-49
174.8
8.8
Ages 50-64
121.8
15.8 (up)
Ages 65-79
93.6
16.7 (down)
Ages 80+
106.9
36.6 (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 57 deaths yesterday. The state of Washington is not reporting the percentage of positive cases.
UW Medicine requires Covid-19 vaccine for all solid organ transplant patients
UW Medicine now requires all recipients of solid organ transplants to be vaccinated for Covid-19. The hospital system updated its Covid-19 FAQ yesterday, making a previously reported policy official. The site indicated the policy was put into place because, “After a transplant, your immune system is suppressed and in a prolonged weakened state. This makes you less able to develop an appropriate immune response to the vaccine. It also makes you more vulnerable to infections from viruses like COVID-19 that can lead to severe illness or death.”
Unvaccinated organ transplant patients experience 20% to 30% mortality if they catch Covid-19, which is about the same fatality rate of smallpox or the mild variant of Ebola. Patients who need an organ transplant typically require other vaccines such as an MMR booster, Hepatitis B, and Varicella or Zoster.
Patient compliance with medical instructions pre-transplant weighs into the authorization decision. People who exhibit low compliance pre-transplant typically don’t follow through on their care plan after a transplant. Alcoholics that need a liver transplant are required to be clean and sober for months while lung transplant recipients need to stop using tobacco products.
Additionally, some anti-vaccination followers believe they are part of a “pureblood” movement and are rejecting blood transfusions because the blood supply isn’t separated between vaccinated and unvaccinated. That begs the question if the blood of a vaccinated person isn’t acceptable, why would an organ from a vaccinated person be?
Central Washington University professor dies of Covid-19
In 1999 she accepted a proposal to become an exchange professor at Central Washington University where she began teaching music theory, music history, class piano, and world music. Over the 20 plus years of her stay at Central, Maria regularly accompanied students and faculty members, as well as performing her own piano recitals. In 2006 Central awarded her the Outstanding Non-Tenure Track Teaching Award in recognition of her work; this was followed by Maria’s reception in 2013 of the Distinguished Teaching Award to honor her outstanding contribution to CWU’s academic life.
A former student, who asked not to be identified out of respect for the family, told Malcontent News Roditeleva-Wibe didn’t trust the government and was unvaccinated.
She leaves behind her husband, Mark.
Travel Advisories
We continue to recommend avoiding recreational travel to Spokane County. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.
The East Hospital Region inched closer to receiving a recreational travel advisory. Hospitals in Eastern Washington are very stressed due to the unvaccinated population east of the Cascade and Idaho residents seeking treatment 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!
No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks
Vaccination
Pfizer applies for Covid-19 vaccine Emergency Use Authorization for children 5-11
Pfizer and BioNTech have asked federal regulators to authorize emergency use of their coronavirus vaccine for kids ages 5 to 11, the companies announced Thursday, according to a report in USA Today.
The Food and Drug Administration and the Centers for Disease Control and Prevention will need to sign off on the vaccine before it becomes available to children of those ages. An independent expert panel will review the data on October 26.
Booster shots for eligible individuals are now available statewide. Individuals who received both doses of the Pfizer vaccine more than six months ago, are 65 or older, or are immunocompromised can receive their third dose immediately.
In the Kirland-Bellevue-Woodinville area, Walgreens, Rite-Aid, Bartell’s, and QFC are offering booster shots. Additionally, the third dose is available at the CVS located within the Target store at 17,700 NE 76th Street in Redmond.
Most locations require an appointment, which can be scheduled online.
King County, Washington is reporting over 86.7% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.
COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 17.2% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 666 additional acute care patients. ICUs are at 88.1% of capacity statewide, with 30.0% of ICU patients fighting Covid-19 – an estimated 352 patients with 56% on ventilators. The state has the staff to support approximately 145 additional ICU patients.
The 7-day rolling average hospital admission rate for new COVID patients was 123. The Department of Health reported 1,193 Covid-19 patients statewide on October 6, with 197 requiring ventilators.
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
We’re seeing a tale of two Hospital Regions in the data. All four metrics for the West Hospital Region are approaching a level that would trigger a recreational travel advisory. In contrast, The West Hospital Region continues to inch closer to normal. Eastern Washington and the Olympic Peninsula are the two regions holding the rest of the state back. It is important to note that the Puget Sound Region and East Region have a significant number of transfer patients, both from within Washington and out of state.
“It’s disappointing we’re still in this position,” said Darren Redick, CEO of Providence Northwest Service Area.
“As of yesterday, we’ve opened up a six-bed satellite ICU to care for additional ICU patients, because we’re out of bed capacity in our normal ICU,” Redick explained. The hospital has been forced to cancel elective surgeries due to the surge of patients coming through the doors.
– Bell Elementary (1*) – Barton Elementary (1*) – Dickinson/Explorer Elementary (1*) – Ella Baker Elementary (1*) – Eastlake High (2*) – Finn Hill Middle School (3*) – Franklin Elementary (2*) – Frost Elementary (2*) – ICS (1*) – Inglewood Middle School (1*) – Juanita Elementary (1*) – Kamiakin Middle School (4*) – Keller Elementary (2*) – Kirkland Middle School (1* see notes) – Lakeview Elementary (4*) – McAuliffe Elementary (1*) – Muir Elementary (1*) – Northstar Middle (1*) – Redmond Elementary (2*) – Redmond Middle School (1*) – Redmond High School (2*) – Renaissance Middle School (1*) – Rosa Parks Elementary (1*) – Rush Elementary (1*)
see notes below
None
Northshore
YELLOW
– Arrowhead Elementary (5) – Bothell High School (42**) – Canyon Creek Elementary (19) – Canyon Park Middle School (4) – Cottage Lake Elementary (3) – Crystal Springs Elementary (23) – East Ridge Elementary (9) – Fernwood Elementary (1) – Frank Love Elementary (22) – Hollywood Hills Elementary (34) – Inglemoor High School (1) – Innovation Lab High School (1) – Kenmore Elementary (2) – Kenmore Middle School (19) – Leota Middle School (3) – Lockwood Elementary (25**) – Maywood Hills Elementary (11**) – Moorlands Elementary (2) – North Creek High School (7) – Northshore Middle School (2) – Secondary Academy for Success (4) – Shelton View Elementary (6) – Skyview Middle School (11) – Sunrise Elementary (7) – Timbercrest Middle School (5) – Wellington Elementary (31**) – Westhill Elementary (52) – Woodin Elementary (5**) – Woodinville High School (11) – Woodmoor Elementary (12)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than 10 active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
Maywood Elementary in the Northshore School District reported six confirmed Covid-19 cases.
We have a parent confirmed report of a single Covid-19 case at Kirkland Middle School, with an additional 17 students quarantined.
We multiple parents e-mailed us about two confirmed Covid-19 cases at Juanita High School. However, because the district sent the e-mail on Monday, we cannot confirm if these are new or included in the last dashboard update.
We continued to encourage parents to request improved daily data reporting from the Lake Washington School District.
Kirkland-Bellevue-Woodinville
No update
National Round-Up
Johns Hopkins University Cumulative Case Tracker is reporting 111,503 new cases and 2,556 deaths nationwide on Wednesday. The United States has now lost 704,000 residents to Covid-19 since February 29, 2020. In 2020, when no vaccine was available, 352,000 people died – so far in 2021, with a vaccine, the same number have passed on.
A study out of the U.K., where they keep more detailed records of unvaccinated versus vaccinated fatalities, indicated just 1.2% of deaths since January 1 were among unvaccinated people. Covid-19 data in the United States are recorded at a state level, and some states such as Florida, Idaho, Texas, and Wyoming, don’t track statistics for vaccinated versus unvaccinated.
Alaska
Editor’s Note: I must remain objective. I must remain objective. I must remain objective.
As Alaska experiences the highest Covid-19 new case rate on the planet, Anchorage has been forced to ration Covid-19 testing because of a surprise budget shortfall.
Alaska Public Radio reported a spokesman for Mayor Dave Bronson said the administration plans to ask the city Assembly for additional cash “in the near future.” But for now, it’s scaling back its testing contractor’s hours at multiple sites around the city, with reductions totaling 108 hours a week, the contractor said.
Technically, Anchorage’s purchase order with its testing provider, California-based Visit Healthcare, runs through the end of October. But the city is paying a flat rate of $98 a test, and amid Alaska’s delta variant-driven surge, demand has been so high that without the reduced hours, Bronson’s administration would have exhausted its appropriation from the Assembly by Oct. 18, according to Acting Health Director Joe Gerace.
New cases in Alaska still lead the nation but have declined significantly from last week – but a lack of testing resources helps keep that number down. The state is still operating under “crisis standards of care” with 180 Covid-19 patients statewide. Alaska has 125 staffed ICU beds statewide, with 26 available. There were 842 new cases reported today. At the current rate of new cases detected, 1% of Alaska residents are catching Covid-19 every 8 days, and the state is under testing.
“We had one patient that was intubated, and we had one that required continuous BiPAP (a type of ventilator), and these are ICU-level … patients,” she said.
But Weber said they weren’t placed in the intensive care unit — even though there were rooms available in the ICU that she said were equipped to handle COVID-19 patients.
Instead, she said, they were placed with the rest of the hospital’s COVID-19 patients in a section of the medical-surgical unit. And that was a problem, she said, because it meant critically ill patients couldn’t be monitored effectively from outside their rooms.
Pete Coulson, 67, was a member of the task force and told people he was “vaccinated by Christ.” After a three-week battle, he died of Covid-19.
“I am deeply saddened at the loss of Pete Coulson, as I’m sure everyone in (the) Treasure Valley is,” McGeachin wrote in a prepared statement Thursday. “He was loved by everyone who knew him, and he will be greatly missed. I’m praying for his family.”
Prominent mainstream Republicans, worried the state’s hard-right drift could scuttle their efforts to grow Idaho’s economy, are asking Democrats and Independents to register as Republicans to vote in the party’s May primary. “Everybody and their dog ought to get out to the primary and have their say so,” said Jim Jones, a former chief justice of the Idaho Supreme Court and former Republican Idaho attorney general. “That’s where your vote counts.”
“We have definitely seen more pregnant hospitalization in the ICU,” said Robert Scoggins, Kootenai Health’s ICU medical director. “You are really taking care of two people and I think that’s a really difficult situation, makes us all very nervous but so far we have been lucky.”
But not all of Idaho’s hospitals are so lucky. St. Luke’s Magic Valley in Twin Falls is reporting more stillbirths.
“We are seeing more stillbirths, unexplained stillbirths and towards the end of the pregnancy,” said Dr. Stacy Seyb, who specializes in Maternal-Fetal Medicine.
Dr. Seyb said in April there were 18 confirmed cases of COVID cases in pregnant women across all St. Luke’s locations. September saw 150 confirmed cases. and 97% of hospitalized pregnant women are unvaccinated.
“If you are pregnant, you are three to five times more likely to be hospitalized and twice as likely to succumb to the process and die,” Dr. Seyb said. “The thing about COVID is it causes issues with blood clotting and placentas are very vulnerable to blood clots and I think we can see smaller babies that aren’t growing well as well and so those are the types of things we see overall.”
May the odds ever be in your favor.
Montana
Montana’s situation continues to worsen with KTVQ reporting 1,301 new Covid-19 cases and 21 more hospitalizations, increasing the number to 465. At the current rate of new confirmed cases, 1% of all Montanans are infected with Covid-19 every eight days. With a hospitalization rate of 5%, Montana does not have the staffing or facility resources to meet the current surge.
Hospitalizations have increased 40% in the last month and Billings Clinic is having to pay traveling staff as much as $200 an hour to work in the struggling hospital.
ICU nurse Laurie Sutphin had this to say. “The worst thing is that we had so much hope when the vaccine came out. We thought we’d never be here again.”
Ten Wyoming facilities reported a critical staffing shortage Thursday. Eleven reported anticipating such a shortage within the week.
According to Oil City News, seven hospitals had zero available ICU beds available and four had only one ICU bed available. While ICU beds are not exclusively used to treat COVID-19 patients, when hospitals deal with surges in these patients, that can put a strain on their ability to care for other types of critical-needs patients.
Wyoming officials are drafting a plan for statewide implementation of crisis standards of care.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) Hospitals in Eastern Washington are starting to feel the crush of transfer patients and Idahoans seeking medical treatment in Washington state. As new cases decline statewide, hospitalizations have plateaued, with Eastern Washington taking on the brunt of new cases.
More Seattle Police Officers provided proof of vaccination while city officials forged a plan for October 18. In contrast, over 93% of Washington State Patrol employees are vaccinated, including more than 90% of commissioned officers. A King County Sheriff Office Sergeant did a reply-all e-mail about the vaccine mandate that was full of conspiracy theories – it’s a sad story.
In Eastern Washington, 19 municipal and state employees filed a federal civil rights lawsuit against the looming vaccine mandate.
There were new Covid-19 cases reported in all three school districts we track.
Nationally, a Maryland man killed his pharmacist brother and two other people due to his alleged belief in Covid-19 vaccine conspiracies.
Scientists learn the secrets of Covid Toe and how to treat it. In another study, researchers find increasing proof that Covid-19 can damage the pancreas, leading to a sudden onset of diabetes.
Alaska, Idaho, Montana, and Wyoming continue to have hospitals operating under crisis standards of care protocols. In Coeur d’Alene, Kootenai Health has been using those protocols for almost a month.
A 51-year-old man whose wife sued to treat him with ivermectin in an Ohio hospital died in late September.
A common objection to receiving the Covid-19 vaccine is the belief that the government assumes no liability. Is it true? We tackle that issue in misinformation.
New cases in Washington state continue to decline slowly. We’re adding some new metrics. A combination of increasing vaccination rates, mask wear, and the Delta variant running out of new hosts contributes to the slowdown.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
60.00% or above (4)
212.0 (down)
50.00% to 59.99% (13 counties)
515.1 (down)
40.00% to 49.99% (14 counties)
624.1 (down)
29.30% to 39.99% (8 counties)
713.3 (up)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Not Adjusted for Population
Through October 5, Washington’s statewide 14-day rolling average is 403.8 Covid-19 cases per 100K.
Ferry County reported 1,011.4 new cases per 100K residents.
Counties in the 800.0 to 999.9 per 100K range include Grant, Klickitat, Lincoln Pend Oreille, and Stevens.
Counties in the 600.0 to 799.9 per 100K range include Asotin, Benton, Chelan, Columbia, Cowlitz, Franklin, Garfield, Grays Harbor, Mason, Okanogan, and Walla Walla. Franklin County remained just under 800 while Adams, Douglas, Lewis, and Spokane counties were just under 600.0.
New cases were down from birth to 34 years old and statistically unchanged for 35 and above. Pediatric and adolescent hospitalizations were up, along with ages 50 to 64 and over 80.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
170.3 (down)
1.1 (up)
Ages 12-19
202.1 (down)
0.8 (up)
Ages 20-34
166.1 (down)
5.0
Ages 35-49
173.9
8.4
Ages 50-64
120.1
15.1 (up)
Ages 65-79
97.6
17.4
Ages 80+
109.8
35.2 (up)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
The USA Today COVID Tracker reported 53 deaths yesterday. The state of Washington is not reporting the percentage of positive cases.
Idahoans seeking medical care pushing Eastern Washington hospitals to the brink
Dr. Dan Getz, the chief medical officer of Providence Medical Center in Spokane, Washington, said patients from Idaho are pushing Providence Medical toward capacity limits, leaving hospitals scrambling for options. KATC reported hospitals have had to pause some surgeries to create space.
“Idaho is currently in crisis standards of care where they basically said, ‘We can’t deliver normal care for people in our state,’ and they’re looking at rationalizing things,” Getz said. “We are not in that crisis in Washington state — however if we continue to see increasing cases and we are not able to care for our community, that’s always a potential.”
At Multicare Deaconess Hospital in Spokane, the staff says they are spread thin.
Luke Eckoff, a Covid-19 ICU nurse at Multicare Deaconess Hospital, said, “Flight teams are bringing patients from outlying hospitals — and that’s putting more strain on us. These rural hospitals don’t have the capacity we do to take care of these patients. What that’s doing is putting further pressure on our hospital and resources. It’s hard at the end of the day when you have to put that patient in the body bag. And that’s happening more and more.”
More SPD officers present proof of vaccination
The number of Seattle Police Department officers who haven’t confirmed being fully vaccinated dropped to 292 today. Brandi Kruse of KCPQ tweeted that an additional 101 SPD officers have requested vaccination exemptions.
“The problem is they’re using bully tactics to force their employees to get this, and that’s what’s led to this disconnect,” Solan said. “Right now, more than ever, our community’s begging for police officers to stop the rise in crime. And we need politicians who are willing to understand the public safety staffing crisis that they created. They’re in charge, they can change this.”
Over 93% of Washington State Patrol workers provided proof of vaccination
The Washington State Patrol reported Wednesday that more of its workers are providing proof they are vaccinated, according to a report by KXLY.
Only seven percent of its employees hadn’t been vaccinated or turned in proof they got the shot. That means 152 of its 2,184 employees could face getting fired if they do not meet the vaccine mandate deadline of October 18. Of those, only 91 are commissioned troopers.
King County Sheriff Deputy sends department-wide reply all e-mail against vaccine mandate
The original e-mail sent on Monday reminded KCSO employees they needed to submit their vaccination status so the department could make a staffing plan.
“Our planning process is hampered by lack of complete information because some have not yet provided evidence of vaccination,” the chiefs’ e-mail reads. “Again, we are hopeful that you have the required information but have not yet shared it with HR. One of our goals is to plan for possible separation in a way that is least likely to disrupt your city or precinct, and it is hard to do that without all the information.”
In his reply, Lefler indicated he had requested an exemption but had not gotten a response from King County, adding, “What [is[ King County is going to do about the thousands of us who have requested medical and/or religious exemptions.”
He then stated that being a sheriff deputy was equal to being under constant siege in war, called out King County Executive Dow Constantine, and called for the entire department to quit. Lefler then suggested that the vaccine mandate would lead to gun control and remove “CPO” (conceal carry permits).
“Anything goes once the precedent is set. I will fight for what is right, and you reading this know in your gut that I am right,” Lefler continues. “It’s not just about a jab in the arm. It’s about our very freedoms. This is about our right to self-determination and choice. God gave us these rights, but only if we are willing to fight for them.”
According to the website Together We Served, Lafer was in Marine Corps from 2001 to 2005 and served in Iraq. The unit he was with deployed to Fallujah and Ramadi during his tour at the height of the Iraqi insurrection. It is worth noting that Lefler would have been required to take the Emergency Use Authorized Anthrax vaccine as part of his military service and could have used Nerve Agent antidotes as part of his military tour.
All US service members are required to be vaccinated against Covid-19 by December.
Sgt. Tim Meyer e-mailed the South Seattle Emerald after the original story was published.
“KCSO appreciates Sgt. Lefler’s years of service and the difficult decision he is trying to make for himself and his family,” Meyer’s e-mail to the Emerald reads. “We do not have ‘thousands’ of deputies, rather we employ roughly 750. We hope we don’t lose any of them. As our members struggle with the decision to comply with the Executive’s mandate, we know some would like to believe that the Sheriff and her command staff have the power to get the mandate rescinded. That is not possible.”
Approximately 100 KCSO employees have applied for Covid-19 vaccine exemptions.
19 state and municipal workers file lawsuit over vaccine mandate
The suit lists as defendants Governor Inslee, Spokane Fire Chief Brian Schaeffer, Washington State Patrol Chief John Batiste, and other leaders of state agencies.
The suit claims “the plaintiffs are on the brink of having adverse employment action against them. It claims that in each case, “a form of disability or sincere religious belief requires them to decline vaccination.”
The group of workers comprises Washington State Patrol troopers, Spokane firefighters, and employees of other state agencies, including the Department of Social and Health Services.
Virtually none of the lawsuits filed at a federal level have been successful at blocking a vaccine mandate. The 1905 United States Supreme Court ruling of Jacobson versus Massachusetts cemented the rights of municipalities, counties, and states to mandate vaccines and other public health measures.
Federal medical team of 8 nurses and 10 certified nursing assistants deployed in Spokane
The team of eight nurses and 10 certified nursing assistants (CNA), and eight nurses will be deployed to the Avalon Care Center in North Spokane. The medical staff is from ACI Federal, according to the Washington Department of Health (DOH). According to the DOH, these are not federal resources but are available through a federal contract. Avalon Care Center will pay for the nurses.
Travel Advisories
Today, we are lifting our travel advisory to Yakima, Klickitat, Benton, Franklin, and Walla Walla Counties. We continue to recommend when visiting those counties, you use reasonable caution and don’t engage in dangerous activities.
We continue to recommend avoiding recreational travel to Spokane County. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.
We continue to monitor the situation in the East Hospital Region and may expand our travel advisory beyond Spokane County.
Thank you
Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!
No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks
Vaccination
Pfizer vaccine booster shots are now available
Booster shots for eligible individuals are now available statewide. Individuals who received both doses of the Pfizer vaccine more than six months ago, are 65 or older, or are immunocompromised can receive their third dose immediately.
In the Kirland-Bellevue-Woodinville area, Walgreens, Rite-Aid, Bartell’s, and QFC are offering booster shots. Additionally, the third dose is available at the CVS located within the Target store at 17,700 NE 76th Street in Redmond.
Most locations require an appointment, which can be scheduled online.
King County, Washington is reporting over 86.7% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.
COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 17.4% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 665 additional acute care patients. ICUs are at 88.1% of capacity statewide, with 30.0% of ICU patients fighting Covid-19 – an estimated 353 patients with 57% on ventilators. The state has the staff to support approximately 142 additional ICU patients.
The 7-day rolling average hospital admission rate for new COVID patients was 123. The Department of Health reported 1,199 Covid-19 patients statewide on October 5, with 200 on ventilators.
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
There was very little change in the status of Hospital Regions overnight, with the East and Northwest Hospital Regions below the threshold of issuing a travel advisory.
– Bell Elementary (1*) – Barton Elementary (1*) – Dickinson/Explorer Elementary (1*) – Ella Baker Elementary (1*) – Eastlake High (2*) – Finn Hill Middle School (3*) – Franklin Elementary (2*) – Frost Elementary (2*) – ICS (1*) – Inglewood Middle School (1*) – Juanita Elementary (1*) – Kamiakin Middle School (4*) – Keller Elementary (2*) – Kirkland Middle School (1* see notes) – Lakeview Elementary (4*) – McAuliffe Elementary (1*) – Muir Elementary (1*) – Northstar Middle (1*) – Redmond Elementary (2*) – Redmond Middle School (1*) – Redmond High School (2*) – Renaissance Middle School (1*) – Rosa Parks Elementary (1*) – Rush Elementary (1*)
see notes below
None
Northshore
YELLOW
– Arrowhead Elementary (4) – Bothell High School (42**) – Canyon Creek Elementary (23) – Canyon Park Middle School (6) – Cottage Lake Elementary (3) – Crystal Springs Elementary (26) – East Ridge Elementary (12) – Fernwood Elementary (1) – Frank Love Elementary (17) – Hollywood Hills Elementary (27) – Inglemoor High School (1) – Innovation Lab High School (1) – Kenmore Elementary (3) – Kenmore Middle School (25) – Leota Middle School (4) – Lockwood Elementary (40**) – Maywood Hills Elementary (29) – Moorlands Elementary (1) – North Creek High School (5) – Northshore Family Partnership (30) – Northshore Middle School (2) – Secondary Academy for Success (5) – Shelton View Elementary (5) – Skyview Middle School (12) – Sunrise Elementary (9) – Timbercrest Middle School (5) – Wellington Elementary (26) – Westhill Elementary (50) – Woodin Elementary (16**) – Woodinville High School (11) – Woodmoor Elementary (12)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than 10 active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
Bellevue School District added two more confirmed Covid-19 cases at Highland Middle School, for a total of eight. Additionally, a confirmed case was reported at Ardmore Elementary School.
The Northshore School District added multiple schools to their report. Lockwood Elementary reported three more confirmed cases this morning, bringing the count to nine. Bothell High School and Woodin Elementary each have six confirmed cases.
We have a parent confirmed report of a single Covid-19 case at Kirkland Middle School, with an additional 17 students quarantined.
We multiple parents e-mailed us about two confirmed Covid-19 cases at Juanita High School. However, because the district sent the e-mail on Monday, we cannot confirm if these are new or included in the last dashboard update.
We continued to encourage parents to request improved daily data reporting from the Lake Washington School District.
Kirkland-Bellevue-Woodinville
The City of Kirkland has rolled out additional phases of its COVID-19 relief program to provide immediate financial assistance for small businesses, thanks to funding available through the American Rescue Plan Act. A limited number of $1,000 to $10,000 grants are now available for small Kirkland-based businesses behind on rent for the commercial properties they lease. To start the application process, businesses should go to www.kirklandwa.gov/business-help to complete and submit the intake form between October 5 – October 19, 2021. Program funds may only be used as a payment against a small business tenant’s past-due rent due to COVID-19 economic hardship experienced between March 1, 2020, to September 30, 2021. Note that the application process requires the cooperation of tenants and landlords, and payments will be made to the landlord.
“The pandemic has had a profound impact on many of our businesses, making it difficult for some to keep up with rent and stay in their current locations,” said Deputy Mayor Jay Arnold. “Our hope is that by passing federal relief funding directly to businesses and landlords that these businesses can get the foothold they need to thrive in our Kirkland community.”
For questions about the small business rent relief grant program, contact businesssupport@kirklandwa.gov (425) 587-3266 or the City’s Business Response Team at (206) 686-3424.
National Round-Up
Johns Hopkins University Cumulative Case Tracker is reporting 95,756 new cases and 1,916 deaths nationwide on Wednesday. As of October 4, the CDC reported 65,162 hospitalized Covid-19 patients in the United States, down 13.6% from the week before. The number of Covid-19 related deaths decreased 3.3%, indicating that the Delta variant surge is ending.
Maryland man accused of killing 3 due to alleged belief of Covid-19 vaccine conspiracies
According to arrest documents, Burnham’s mother told investigators that he wanted to confront his brother – a pharmacist – because he purportedly helped administer vaccines.
Burnham had told their mother he believed the government was poisoning people with vaccines, and he “repeatedly stated, “Brian knows something!” – police say.
Investigators say a tipster alerted Maryland State Police that Burnham had arrived at his home in a red Corvette, and said that “his brother had been ‘killing people with the COVID shot.'”
Burnham has been charged with two counts of first-degree murder and two counts of second-degree murder and the use of a handgun in the commission of a crime.
“Clearly there’s a link, there’s some sort of mechanism that makes the diseases fuel one another,” Francesco Rubino chair of metabolic surgery at King’s College London, told Insider. “The question is whether new-onset diabetes could be caused by this virus.”
One theory was that the body could be confusing pancreas cells for the coronavirus, and trying to destroy them. This would disrupt insulin supply and cause diabetes, the scientists thought.
Remember “Covid Toe?” Doctors may have figured out what causes it
A small study published in the British Journal of Dermatology reported that researchers had identified the cause of Covid Toe and how to treat it.
Based on blood and skin tests, these latest study findings suggest two parts of the immune system may be at play.
One is an antiviral protein called type 1 interferon, and the other is an antibody that mistakenly attacks the person’s own cells and tissues, not just the invading virus.
Cells lining small blood vessels supplying the affected areas are also involved, say the investigators from the University of Paris, France.
The researchers studied 50 people with suspected Covid toe in the spring of 2020 and 13 others with similar lesions not linked to Covid infections because they occurred long before the pandemic began.
Alaska
New cases in Alaska still lead the nation but have declined significantly from last week. The state is still operating under “crisis standards of care” with 184 Covid-19 patients statewide. Alaska has 126 staffed ICU beds statewide, with 28 available. There were 867 new cases reported today, about equal to Tuesday. Over 10% of Covid-19 tests are coming back positive, indicating under testing is accelerating.
Before the current surge hit Alaska, it had the third-lowest death per capita in the United States. Six weeks later, the state is ranked 25th. More than 25% of all Covid-19 deaths reported in Alaska happened after August 1, 2021, despite the widespread availability of vaccines.
Hospitals in Anchorage, Bethel, and Valdez continue to be the most impacted by the ongoing surge.
Officials are also concerned by a rising test positivity rate, which is just below 10%.
California
Los Angeles leaders on Wednesday approved one of the nation’s strictest vaccine mandates — a sweeping measure that would require the shots for everyone entering bars, restaurants, nail salons, gyms, or even a Lakers game.
According to a report by NBC News, the City Council voted 11-2 in favor of the ordinance that will require proof of full vaccination by Nov. 4.
The move came after the council postponed a vote last week to deal with concerns ranging from who could be fined for violations to whether employees could end up in fist-fights when they have to serve as vaccine door monitors.
Florida
According to The Palm Beach Post, six weeks after Tamara Drock was admitted to Palm Beach Gardens Medical Center, the 47-year-old Loxahatchee woman is in a medically induced coma and tethered to a ventilator.
It was an outcome that her husband, Ryan, tried to prevent.
“No ventilators,” he said of his orders to the hospital staff.
With his hope and his wife’s options running out, Drock on Friday filed suit in Palm Beach County Circuit Court to force the hospital to give his wife the drug that he believes helped him and others recover from the highly contagious respiratory disease.
“I think it’s worth a shot,” Drock said. “I don’t have anything to lose.”
The second-largest study to date for the effectiveness of ivermectin against COVID, which has received multiple peer reviews, indicated that ivermectin had no meaningful impact and for sicker patients created worse outcomes. The study done in Argentina was randomized, double-blind, and placebo-controlled – the gold standard. The report concluded the only statistical difference was subjects taking ivermectin who became moderately to severely ill required mechanical ventilation much sooner than the placebo group.
Only one court case in Ohio successfully forced a hospital to administer ivermectin, and two weeks later, the judge reversed his decision.
Idaho
Governor Brad Little reversed Lt. Governor Janice McGeachin’s executive orders banning vaccine passports or mandatory Covid-19 testing at K-12 schools and universities in Idaho, eight minutes after he landed in Boise.
McGeachin also tried to activate the National Guard to deploy Idaho troops, already assisting with the Covid-19 surge, to the Mexico border. According to The Independent, the commanding general of the Idaho National Guard told McGeachin she can’t activate troops to send to the U.S.-Mexico border.
Idaho has reported more than 1,000 new Covid-19 cases per day for the last 27 days. The 7 day moving average has reached 1,320.6 cases per day and is likely higher due to a backlog of more than 8,200 tests.
Idaho now has 715 Covid-19 patients, down from a peak of almost 800 at the end of September. The state has 170 staffed ICU beds and reported 184 ICU patients. At St. Luke’s, the mortality rate for people in the ICU has reached 40%, and 98% of ICU patients are unvaccinated.
Almost a month after Kootenai Health declared it was moving to crisis standards of care, the number of Covid-19 patients they are treating has increased, according to a report by KTVB.
“150 COVID patients is about 75 percent of our normal pre-COVID bed capacity for med surge admissions,” said Jeremy Evans, Kootenai Health’s Chief Regional Operations Officer. “Today, we have got 44 critical care patients and 17 on ventilators. It continues to amaze me how our medical staff, our clinical staff, and our leaders, are able to accommodate this surge.”
Evans added that around 10 to 20 patients are admitted to the hospital for COVID-19 treatments each day.
“We have seen a lot of deaths, we are averaging about one a day in the COVID population, I spent the last week in the ICU and it’s a very hard place to work right now it’s just a constant struggle to take care of these patients on a daily basis,” said Robert Scoggins, the Medical Director of the ICU.
According to Boise Public Radio, unvaccinated Idahoans continue to be hospitalized at five and a half times the rate of vaccinated people, straining the hospital systems and overwhelming health care workers. Yet, misinformation and anger continue to spread throughout the state — with hateful acts targeted at the doctors and nurses working to treat those infected.
Boise Public Radio’s program Idaho Matters was joined by Dr. David Pate, former CEO of St. Luke’s Health System and a current member of the Idaho Coronavirus Task Force, and Dr. Frank Johnson, Chief Medical Officer for St. Luke’s Boise, Elmore and McCall.
While Alaska appears to have peaked and Idaho is on a plateau, Montana continues to deteriorate. According to KPAX, the state has 11,550 active cases and added 30 more hospitalized patients overnight, raising the number to 444 – a new record. Over 5% of Montanans who have tested positive for Covid-19 have ended up hospitalized.
National Guard troops have been deployed to Great Falls and Livingston to aid with expanding surge of cases.
Ohio
Jeffrey Smith, 51, who was at the center of a lawsuit forcing a Cinncinati hospital to treat him with ivermectin, died on September 25 of Covid-19, according to KXAN.
Jeffrey Smith’s wife, Julie Smith, claimed she offered to sign documents releasing all other parties, doctors, and the hospital from all liability related to the Ivermectin treatment and dosage. But the hospital declined. Smith said her husband, who was on a ventilator, had a very slim chance of survival, and she was willing to try anything to keep him alive.
Judge Gregory Howard ordered West Chester Hospital to give Smith 30 milligrams of ivermectin every day for three weeks, even though there is no supporting evidence that it treats Covid-19.
Another Butler County judge reversed Howard’s decision in September, saying ivermectin didn’t show “convincing evidence” in treating COVID-19. Butler County Judge Michael Oster said in his ruling, “judges are not doctors or nurses… public policy should not and does not support allowing a physician to try ‘any’ type of treatment on human beings.”
Like Alaska, Montana, and Idaho, hospitals are tipping over into “crisis standards of care.” Cody Regional Health and Memorial Hospital of Sweetwater County reported they continue to move from “contingency care” to “crisis standards of care” as the situation changes.
Misinformation
A common reason for refusing to get vaccinated is the belief that the government is mandating vaccination but does not accept any liability for vaccine injuries. Is that true?
The short answer, no.
The Health Resources and Services Administration is a federal program that provides compensation to people who have suffered a serious vaccine injury or surviving family members. The program has existed for years and is known as the Countermeasures Injury Compensation Program (CICP).
Federal declarations issued by the Secretary of the U.S. Department of Health and Human Services specify the countermeasures covered by the Program. Declarations have been issued for medical countermeasures against the following vaccinations.
COVID-19
Marburg
Ebola
Nerve Agents and Certain Insecticides (Organophophorus and/or Carbamate)
Claims filed under CICP for lost income are capped at $50,000 per year and won’t provide compensation for pain, suffering, emotional distress, or similar damages. According to the Washington Post, there have been 686 claims filed in CICP.
North King County and Snohomish County hospitals are nearing maximum ICU capacity, and a few have already hit that point. In Kirkland, Washington, the first significant outbreak site in the United States, Evergreen Hospital is currently at 90% ICU usage. Further north in Everett, Washington, Providence Hospital ICU is at 100% capacity.
In contrast, Seattle and Bellevue are reporting more available beds, but a worsening situation. Seattle is at 70% utilization while Overlake Hospital in Bellevue is at 64%. The utilization number at Overlake doesn’t tell a complete picture. The facility has a staffing crisis due to a low number of available specialists and many nurses sick with COVID. Traveling nurses are making as much as $10,000 a week to work at hospitals in COVID hotspots. Nurses are offered such high pay due to the dire need, long hours, and overall risk of infection. In Seattle, Harborview Medical Center has more patients with COVID than at any time since the pandemic started.
Area capacity to treat patients is reaching a critical breaking point. Seattle only has 121 ICU beds available as of this writing, based on a seven-day rolling average. With almost 1,100 patients in Washington hospitals with COVID, the governor’s office predicted that a “better case” scenario would be 2,000 hospitalized by the end of the year.
The central issue isn’t available hospital beds, but the staff to support sick patients. A COVID patient in ICU requires an extensive care team of three to four people per patient. Hospitals are optimized from a staff and revenue standpoint to operate at 60% to 80% capacity. The excess capacity is available for short term surges due to accidents, natural or humanmade disasters. To sustain above 80%, hospitals need additional staffing, which isn’t widely available.
Earlier today, the United States reached another grim milestone. Officials reported 3,054 COVID deaths, the most single-day fatalities in the United States since the pandemic started.
The New York Times, US Department of Health and Human Services, and The COVID Tracking Project provided some of this article’s data.
Rebecca Herman-Kerwin contributed to this story.
Journalists, activists, and researchers defending the First Amendment
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