Tag Archives: sixth wave

Special Report: Who is eligible for a COVID-19 booster and why should get one now

[SEATTLE, Wash.] – (MTN) During a Facebook Live with Congresswoman Anna Eshoo (CA-D) on Tuesday, Dr. Anthony Fauci M.D., Director of the National Institute of Allergy and Infectious Diseases, recommended Americans who are eligible to get a Covid-19 booster shot to get one as soon as possible due to waning immunity.

With concern growing about a sixth wave in states that finished beating back the Delta surge and states such as Colorado, Michigan, Minnesota, and Vermont having a late fifth wave, questions about eligibility for boosters are growing.

Some states aren’t waiting for direction from the federal government. California Governor Gavin Newsom and California Health Secretary Dr. Mark Ghaly told state residents 18 and older they should “absolutely” sign up to get a COVID booster. On Thursday, Colorado Governor Jared Polis issued a directive that defies current federal guidance on Covid-19 booster shots, permitting all state residents 18 and older to get them.

During a White House briefing on Wednesday, Dr. Rochelle Walensky, director of the U.S. Centers for Disease Control and Prevention (CDC), said there continued to be a need to prioritize those who are currently eligible for a Covid-19 booster but added, “as you likely know, FDA is currently looking at the data for expanding boosters to all populations.”

Who is currently eligible for a Covid-19 booster

Eligibility depends on which vaccine you received and several other factors.

Janssen/Johnson & Johnson

If your initial vaccine was Janssen/Johnson & Johnson and you’re 18 or older, you are eligible for a booster 60 days after receiving your first dose. There are no limitations for age, comorbidities, living arrangements, or vocation.

The FDA has approved a mix-and-match approach, and you can receive a booster using the Pfizer or Moderna vaccine or a second Johnson & Johnson dose.

The Johnson & Johnson vaccine has a 1:500,000 chance of causing a rare condition called VITT. In the United States, there have been 47 reported cases and four deaths. If you were assigned female at birth and have a family history of blood clots or low platelets, or you are of childbearing age and using a hormone-based form of birth control, and you’re concerned about VITT, talk to your healthcare provider, OB/GYN, or fertility specialist.

If you’ve had a confirmed case of Covid-19 in the last 90 days and you were symptomatic, talk to your doctor or healthcare provider on whether you should wait to receive a booster.

BioNTech/Pfizer and Moderna

Anyone 65 or older and received the Pfizer or Moderna vaccine is eligible for a booster 180 days after their second dose. People 18 to 64 can qualify for a third dose if they have certain medical conditions, work in a high-risk environment, or live in an area where social distancing isn’t feasible.

Medical conditions that put you at risk for severe Covid-19

If you are 18 to 64 and have any of these conditions, you qualify for a booster.

  • Cancer or a prior history of cancer
  • Chronic kidney disease
  • Chronic liver disease
  • Chronic lung disease such as moderate to severe asthma, bronchiectasis, COPD including obstructive sleep apnea, fibrosis or prior lung damage due to scarring, injury, or prior disease, cystic fibrosis, pulmonary embolism or history of, or pulmonary hypertension or history of
  • Dementia or Alzheimer’s
  • Diabetes – Type 1 or Type 2
  • Down Syndrome
  • Heart disease such as heart failure, coronary artery disease, high blood pressure, cardiomyopathies
  • HIV
  • Immunocompromised, auto-immune disease, taking immunosuppressants, or using drugs that suppress the immune system such as steroids both oral and topical
  • Mental health conditions including mood disorders, depression, and schizophrenia
  • Body Mass Index (BMI) over 25
  • Pregnant, trying to get pregnant, or sexually active and could get pregnant and would carry pregnancy to term
  • Sickle cell disease or Thalassemia
  • Smoking or vaping currently or in the past
  • Solid-organ or blood stem cell transplant
  • Stroke or cerebrovascular disease
  • Substance abuse past or present including alcohol, opiods, or cocaine
  • Tuberculosis
Living conditions

If you have any of these living arrangements, you qualify for a booster.

  • Long-term care facility
  • Homeless shelter – short or long term
  • Jail or prison inmate
  • Community living arrangements such as dormatories, halfway houses, group homes, or hostels
  • Live with a high-risk individual with a medical condtion listed above, or live in a multi-generational household, and you are the primary care provider
Work exposure

If you work in an environment where you interact with Covid-19 positive people or have significant contact with the public, you are eligible for a booster.

  • First responders such as healthcare workers, firefighters, police, or congregate care providers
  • Educational staff such as teachers, support staff, athletics staff, transportation, and daycare workers
  • Food and agriculture workers
  • Manufacturing workers
  • Correctional officers and employees who work in jails or prisons including healthcare, educators, and mental health providers
  • U.S. Postal Service workers
  • Public transit workers
  • Grocery store workers and other retail and service employees that have high contact with the public

There have been less than 1,000 mild to moderate myocarditis cases in the United States connected with receiving the mRNA Pfizer or Moderna vaccines. Most of these cases involved adolescents or young men. If you were assigned male at birth and have a history of heart disease, or are worried about myocarditis, talk to your healthcare provider to see if the Jassen/Johnson & Johnson vaccine is a better option.

Just like the J&J vaccine, If you’ve had a confirmed case of Covid-19 in the last 90 days and you were symptomatic, talk to your healthcare provider to determine if you should wait to receive a booster.

I thought the COVID vaccine was forever

The idea that the Covid-19 vaccine would be one and done is a creation of misinformation, misunderstanding, and poor reporting by some news outlets.

As the first COVID wave was winding down in the United States in May 2020, there were discussions about having “immunity passports.” People who had a confirmed Covid-19 case could be permitted to return to work and other activities based on the assumption they possessed natural immunity. Shortly after the discussions started, early evidence began to pile up that natural immunity was short-lived. The journal Nature Medicine shared a report on June 18 showing natural immunity started to fade after three months.

The closest claim that immunity from natural exposure or vaccination would last a lifetime came from former President Donald Trump in October 2020. Still, even then, he never made a complete claim of lifetime protection. On October 11, 2020 during an interview with Maria Bartiromo, Trump discussed his personal battle with Covid-19.

“It looks like I’m immune for, I don’t know, maybe a long time, maybe a short time,” he said. “It could be a lifetime. Nobody really knows, but I’m immune. So the President is in very good shape to fight the battles.”

As Trump was recovering from COVID and considering if he had “long time” immunity, there was more evidence that natural immunity started to fade after three months and a growing number of reinfection cases. For public health officials, an even bigger concern was many people who got reinfected suffered from more severe cases.

In December, when the first Covid-19 vaccines were about to become publicly available in the United States, the medical community was already cautioning the public it was unknown how long immunity would last.

In January 2021, Dr. Kristen Marks M.D., an infectious disease specialist at New York-Presbyterian, said, “We really don’t know whether you’re still immune a year after vaccination. Some of the clinical trials will study adding a booster in a year and comparing whether that’s better or if the immunity is just as good for two years with the two shots. That remains to be determined.”

Data from the United Kingdom and Israel have shown that all immunity wanes. Although cases grew dramatically in both countries, hospitalizations and fatalities did not match the winter 2020 surges. A vast majority of the hospitalized, critically ill, and deaths were among the unvaccinated. In Israel, an aggressive booster program ended their wave where new cases have drifted downward to early July levels.

How long does natural and vaccine based immunity last

Two different studies were released in October 2021, providing insight into how long natural and vaccine immunity last. Neither offer lifetime protection.

On October 1, a study on the durability of immunity against reinfection by SARS-CoV-2 was published in The Lancet. Researchers predicted that natural immunity had a half-life of 142 to 185 days. Half-life means how long does it take for half of the antibodies for a disease to disappear from a person’s blood serum. The study estimated that after 16 months, the average person would no longer have any natural immunity to Covid-19. However, the study also stated that this would vary widely depending on age, overall health, genetics, and risk factors. The half-life could be as short as 45 days or as long as 31 months.

Three days later, the Lancet published a study on vaccine-based immunity titled Effectiveness of mRNA BNT162b2 COVID-19 vaccine up to 6 months in a large integrated health system in the USA. That study indicated that immunity waned from 30% to 50% after five months depending on the mRNA vaccine administered, age, and Covid-19 variants. Simply put, vaccine immunity and natural immunity, when accounting for a range of factors, have similar half-lives.

The viral-vector vaccine from Johnson & Johnson has received less research and has been administered to approximately 15 million Americans. A third study indicated the J&J vaccine was the least effective of the three available options in the United States, particularly with the Delta variant.

Why aren’t the vaccines 100% effective

It is a common misconception that vaccines are 100% effective, especially in industrialized nations. Due to a combination of high vaccination rates for diseases such as measles, mumps, and polio, and enough immunized people to provide community immunity, it is easy to believe that vaccines are perfect and forever.

For example, polio still exists in several countries, and the U.S. Department of Defense and the CDC recommend a poliovirus booster for anyone traveling to those regions. Certain members of Generation X have been advised to get an updated MMR vaccination because data shows that protection from measles doesn’t last a lifetime. Even Ben Shapiro complained on Twitter in 2015 that his 13-month old son was exposed to pertussis and became severely ill.

When it comes to the COVID vaccines, no one in the medical community said any vaccines were 100% effective, and the data has always been publicly available.

In Phase 3 studies, the Pfizer-BioNTech and Moderna vaccines were 95% effective in the first few months after vaccination. Put simply, “If there were 100 people who would have gotten COVID, it prevented 95 of them from getting it, but it didn’t prevent all 100,” says Dr. Marks. “It definitely provides some protection, but it’s not perfect.”

The Johnson & Johnson vaccine reported a 72% efficacy rate in preventing moderate to severe disease from COVID-19 in the U.S. and was 85% effective in preventing severe disease.

The good news is that early data found that those who did contract COVID-19 after receiving the vaccine did not develop a severe form of the disease. “So even if it doesn’t completely prevent illness, the study data shows that it does reduce the severity,” Dr. Marks said. Ten months later, the early projections have largely come true.

In King County, Washington, 22% of all confirmed Covid-19 infections since January 17 have been breakthrough cases. Eleven percent of people hospitalized were vaccinated, and 15% died of Covid-19 related illness. When the total number of vaccinated versus unvaccinated residents is considered, the effectiveness of vaccines, even as the need for boosters is increasing, is evident.

PopulationConfirmed CasesHospitalizedDeaths
Fully vaccinated1.633M20,252433115
Partial or unvaccinated319K71,8573,373667
349,000 King County residents are under 12 years old and were not vaccine eligible from January 7 to November 10

Unvaccinated King County residents were 12 times more likely to be hospitalized and 13 times more likely to die of Covid-19 from January 17 to November 3.

Additionally, a comparison of King County, Washington, and Dallas County, Texas, provides additional data on vaccination and public health programs’ impact. King County experienced the first superspreader event in February 2020, the first Covid-19 death, and had the first mass casualty situation at a hospital in the United States. A month later, Texas suffered its first Covid-19 death. Over the next 627 days, King County implemented some of the strictest COVID rules in the nation while Dallas County took a more open approach.

On November 1, Dallas County reported its 5,000 COVID-related death while King County reported 2,022. Simply put, 1 in every 530 residents of Dallas County has died of COVID since March 2020 versus 1 in every 1,137 residents in King County since February 2020.

Will we need to get boosters forever

To answer that question, we need to move away from facts and science and step into the arena of opinion. The short answer is, “maybe,” but it depends on the advancement of medical science, improvements in available vaccines, and our own behavior.

In the short term, the data is clear – peak immunity against current Covid-19 variants lasts 142 to 185 whether it is natural or vaccine-based. A regimen of booster shots will likely be needed every 6 to 12 months over the next few years.

Two antiviral drugs are currently being evaluated in the United States. Molnupiravir by Merck is reported to reduce hospitalizations and deaths by 50%, while Pfizer released a study on a medication they are developing that was 88% effective in early testing. Both drugs are oral and would be game-changers in the treatment of Covid-19.

Another way to get off the booster shot treadmill would be to reach 90% to 95% immunity, reducing the number of available hosts for Covid-19 to a level that the disease can’t widely spread in the population – so-called ‘herd immunity.” Given the resistance of 62 million Americans to get vaccinated, and almost half the world doesn’t have access to the COVID vaccine, that seems unlikely.

A third game-changer would be a new variant that emerges and is far more transmissible than the current dominant Delta strains but with significantly less severe symptoms. A version of Covid-19 that is closer to moderate Influenza in symptoms and lethality and is as contagious as measles would quickly infect the population, run out of hosts, and burn itself out while not overwhelming hospitals. This could also lead to “herd immunity.”

The final possibility is the vaccines themselves get better. The original Salk polio vaccine, authorized in 1955, was 50% effective at preventing infections but 90% effective at preventing hospitalizations. It wasn’t until 1962 when the Sabin oral vaccine replaced the Salk vaccine, that infections dropped 90% after a first dose and 99% after four doses.

If the Covid-19 vaccines follow a similar development path as other vaccines, a more effective version will likely be discovered in the future.

Why didn’t the United States approve boosters for all after the Biden Administration announced its intent

Over the summer, the Biden Administration and the World Health Organization (WHO), FDA, and CDC had a very public disagreement on who should get booster shots. President Biden wanted every adult to be eligible for a booster. The WHO objected, pointing out how some nations had no access to COVID vaccines while the United States was throwing out expired doses. The FDA and CDC also pushed back, arguing there wasn’t enough real-world data to support boosters for all.

While the debate raged, experts had a real-world case study unfolding on the other side of the world. Israeli officials started boosters for anyone over 60 on July 13 and three weeks later dropped the age to 40. On September 25, they dropped the age again to 12 and older. The program was highly effective at controlling deaths and hospitalizations, and when Israel is compared to the United Kingdom, the booster program implemented was an evident success.

On September 22, the FDA approved booster shots for recipients of the Pfizer vaccine, and on October 20 added the vaccine by Moderna. Eligibility was limited to people who were 65 or older or were 18 to 64 and worked or lived in places with a high risk of exposure or had a serious underlying medical condition that increased their chances of severe COVID. The FDA recommended a booster six months after receiving the second dose.

Also, on October 20, the FDA authorized boosters for anyone who received the Johnson & Johnson vaccine. As the Delta variant raged in the southeastern United States during the summer of 2021, it became evident the J&J vaccine offered less protection against hospitalization. Additionally, the viral-vector vaccines created by Astra Zeneca and developed in Russia and China were also low-performing. Anyone who received the Johnson & Johnson vaccine was advised to get a booster 60 days after the first dose.

Unfortunately, the ethical and trust concerns that tainted the debate in the United States have resulted in new COVID cases stuck on a high plateau for the last three weeks. New cases are rising in most states, and the pattern of Covid-19 infections looks eerily similar to the United Kingdom. A vast majority of hospitalized COVID patients continue to be unvaccinated.

The world needs to learn to live with Covid-19 and everyone will eventually have a date with the illness. The question is, will you be effectively vaccinated or not when it happens.

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

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

[KING COUNTY, Wash.] – (MTN) Dr. Anthony Fauci discussed the need to get booster shots and waning immunity in a discussion yesterday with Congresswoman Anna Eshoo (CA-D) when he was asked if a sixth wave was coming to the United States.

The surge that tore through the Pacific Northwest is coming to an end from Barrow, Alaska to Brookings, Oregon, and out to Boise, Idaho, while new hotspots are emerging in northern states plateauing the national decline in new cases and hospitalizations. Seventy-nine million Americans age five and up remain unvaccinated and millions more need boosters or wrongly believe they have lifetime natural immunity.

A study published in JAMA found a correlation between sleep apnea and a higher risk of hospitalization and having severe Covid-19 symptoms. The study did not indicate if CPAP therapy decreased the risk.

Johns Hopkins University data shows that new case rates in the United States have plateaued at a high level for the last three weeks and continue to be driven by the unvaccinated.

In Washington state, new cases continue to decline with almost half the population living in counties on the other side of the fifth wave. Hospitalizations also declined and we have lifted the avoid all unnecessary travel advisory for the East Hospital Region.

The Washington State Office of Financial Management reported 94.7% of all state employees are in compliance with the October 18 vaccine mandate and another 2% are either completing their vaccinations, waiting for accommodation, in the process of retiring, or facing termination.

The Kent School District joined Seattle Public Schools and the Bellevue School District (BSD) and canceled all classes on Friday due to staffing issues. In better news BSD moved to status green, with only 9 active Covid-19 cases reported between staff and students.

Nationally, the Department of Homeland Security updated the National Threat Advisory through February 8, 2022. DHS reported that domestic violent extremists remain their primary concern, and the agency had prevented “several” attacks. The bulletin indicated that there were no specific threats.

A survey by the Kaiser Family Foundation found that consumers of Fox News were more likely to believe Covid-19 disinformation. In related news, doctors are seeing a growing connection between prior COVID infections and erectile dysfunction in young men around the world.

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


vaccinationhospitalsschoolslocalnationaldisinformation

Washington State Update for November 10, 2021

Washington state Covid-19 update

New cases continued to decline statewide. The end of farming season, colder weather, and helping drive new case rates down in several sparsely populated counties in Eastern Washington. There remains a significant difference between lower-vaccinated counties and counties where at least 70% of the total population is fully inoculated.

Percent of Total Population Fully VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70.00% or above (3 counties)2,343,250184.7
60.00% to 69.99% (4 counties)1,242,200305.3
50.00% to 59.99% (16 counties)3,454,700321.8
40.00% to 49.99% (10 counties)584,875317.5
31.60% to 39.99% (6 counties)151,850290.8
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County

Through November 10, Washington’s statewide 14-day rolling average is 277.0 Covid-19 cases per 100K.

Skagit County remains above 600, with a new case rate of 620.2 per 100K residents.

Chelan, Douglas, Grant, Klickitat, Lewis, Lincoln, Okanagan, Pend Orielle, and Spokane counties have new case rates between 400.0 and 599.9. Asotin County is just under 400.

Fourteen counties representing 3.13 million Washingtonians have a 7 day moving average case rate under 100. This includes some former hotspots such as Benton, Garfield, and Kittitas Counties.

The 7 day new case rate was mixed, slight down to unchanged except for ages 20 to 34, which saw a larger decline, and up significantly for ages 50 to 64. Hospitalizations were down significantly for adults and declined slightly for children and adolescents.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11125.80.8
Ages 12-19127.21.2
Ages 20-34127.8 (down)2.2 (down)
Ages 35-49130.25.5 (down)
Ages 50-64130.3 (up)9.8 (down)
Ages 65-7970.614.8 (down)
Ages 80+78.625.0 (down)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 31 deaths on Wednesday.

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

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

Over 57,000 of the 62,145 impacted employees have verified they are vaccinated. Another 1,945 workers requested and received accommodation based on medical or religious grounds. Combined, almost 95% of all employees have met the state requirement. The number of employees who were terminated or quit increased slightly to 1,857.

The state reported another 1,259 workers are pending a final outcome. Some are finishing their vaccination series while others are waiting for accommodation decisions. There are also employees who are still pending termination.

Several unions negotiated that if a state worker planned to retire by December 31, they would be exempt from the mandate – and some of those employees fall into this group. According to the OFM, only 121 state employees opted to retire so far because of the mandate.

4,973 employees requested a religious exemption. 1,518 have been approved and 745 requests were withdrawn, another 1,306 people requested medical exemptions with 427 approved and 333 withdrawn.

The mandate’s impact on services statewide has been minimal. The Washington State Department of Transportation has cautioned that snow removal could be reduced during the upcoming winter season and Washington State Ferries are still managing service reductions on some routes.

Seattle and Kent School Districts join Bellevue in canceling school on Friday

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

The district said, “fatigue that educators and students are experiencing, locally and nationwide, 11 weeks into the return to in-class learning” was driving the staffing issue.

Kent School District (KSD) also announced they were canceling school on Friday.

Due to staff and substitute shortages, on “Friday, November 12, 2021, our schools will be closed and the central office will be open,” was posted on the KSD website.

SPS did not provide a make-up date while KSD reported the make-up day would be on March 25. We reported yesterday Bellevue Public Schools had canceled class for Friday.

A quirk in the holiday calendar has Veteran’s Day falling on a Thursday. Government offices and services will be closed nationwide, along with banks and there won’t be mail delivery. Because of the federal holiday, many are opting to take Friday off and have a four-day weekend.

“We recognize the late notice creates challenging circumstances for many families. Our hope is that the four-day weekend allows for some level of physical, mental, and emotional rest and recharging.”

A recent survey reported that 40% of school districts nationwide reported a critical shortage of staff and schools closing or moving to remote learning for November 12 has been reported in states such as Colorado and Louisiana.

Travel Advisories

Today, we are downgrading the avoid unnecessary travel advisory for the East Hospital Region to avoid recreational travel. Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties join Clallam, Jefferson, Kitsap, and Mason counties in the avoid recreational travel advisory. Hospital resources remain limited. It is likely in the next seven days we will end the travel advisory to both regions.

We are maintaining our avoid all nonessential travel advisories for Alaska, Colorado, Idaho, and Montana. The Idaho Panhandle continues to experience an extreme number of Covid-19 hospitalizations. Hospital resources in all of these states are constrained, and you may receive inadequate care if you experience a serious medical emergency.

We continue to maintain our travel advisory for Wyoming and recommend avoiding recreational travel at this time.

Thank you

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

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

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

Vaccination

Dr. Fauci does not believe a sixth wave is inevitable, if people take action

Yesterday, Congresswoman Anna Eshoo (CA-D) spoke with Dr. Anthony Fauci on Facebook Live. During the 31 minute discussion, Eshoo asked Fauci if the United States would experience a “sixth wave” like Europe is having now.

Dr. Fauci did not see a sixth wave as inevitable but set the bar high to prevent it. He stated that 62 million Americans who are eligible for vaccination remain unvaccinated, and getting them vaccinated was a critical priority. He also addressed vaccine and natural immunity fading, and the need for people who are eligible to get booster shots as soon as possible.

Get Your Booster

If you are eligible for a Covid-19 booster shoot Malcontent News strongly encourages you to not delay getting your second or third dose. It is fast, free, and easy. There is growing evidence that the half-life of Covid-19 vaccines is six to ten months, and the half-life for so-called natural immunity is five to seven months.

King County, Washington is reporting over 89.2% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines. The Pfizer vaccine has EUA approval for children 5 to 15 years old.

COVID vaccines and boosters are free for anyone 5 and older. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.

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

Malcontent News

Hospital Status

Our belief that there was an issue with the East Hospital Region data was correct. The Washington Department of Health updated the information in today’s report that accurately reflects the situation. However, there appears to be a different error in the data that we suspect will be corrected on Friday or next week.

According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 13.6% of patients have Covid-19. This is not a sudden jump from yesterday and reflects a full dataset being provided. Statewide, hospitals have the staff to support approximately 642 additional acute care patients.

ICUs are at 88.3% of capacity statewide, with 23.0% of ICU patients fighting Covid-19 – an estimated 273 patients with 33.4% on ventilators. The state has the staff to support approximately 140 additional ICU patients.

On Tuesday, the 7-day rolling average hospital admission rate for new COVID patients had climbed back up to 111. The Department of Health reported 737 Covid-19 patients statewide on November 8, with 91 requiring ventilators. We believe that data is missing from these numbers. It is highly unlikely more than 200 Covid-19 patients were released in the last 24 hours.

Based on what we believe is accurate data out of the East Hospital Region, we are ending our travel advisory.

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

School Readiness

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueGREEN– Bellevue (1*)
– Bennett (1*)
– Clyde Hill (1*)
– Highland (2*)
– Lake Hills (2*)
– Newport Hills (1*)
None
Lake WashingtonYELLOW– Alcott (19)
– Bell (24)
– Blackwell (5)
– Carson Elementary (10)
– Clara Barton (23)
– Eastlake High (66)
– Ella Baker (6)
– Evergreen Middle School (1)
– Finn Hill Middle School (5)
– Frost (5)
– Inglewood Middle School (13)
– Juanita Elementary (1)
– Juanita High (30)
– Kamiakin Middle School (5)
– Keller (6)
– Kirk Elementary (20)
– Lakeview Elementary (7)
– Lake Washington High School (7)
– McAuliffe (1)
– Northstar Middle School (12)
– Redmond High School (37)
– Renaissance Middle School (1)
– Rush Elementary (1)
– Sandburg/Discovery (9)
– Thoreau (5)
– Timberline Middle School (14)
– Twain Elementary (2)
None
NorthshoreYELLOW– Arrowhead Elementary (3)
– Bothell High School (12)
– Canyon Creek Elementary (13)
– Canyon Park Middle School (1)
– Crystal Springs Elementary (30)
– Fernwood Elementary (5)
– Frank Love Elementary (8)
– Hollywood Hills Elementary (9)
– Inglemoor High School (12**)
– Kenmore Elementary (16)
– Kenmore Middle School (11)
– Kokanee Elementary (7)
– Leota Middle School (2)
– Maywood Hills Elementary (3)
– Moorlands Elementary (1)
– North Creek High School (7)
– Northshore Middle School (34)
– Ruby Bridges Elementary (13)
– Shelton View Elementary (4)
– Skyview Middle School (2)
– Sunrise Elementary (5)
– Timbercrest Middle School (3)
– Wellington Elementary (5)
– Westhill Elementary (2)
– Woodin Elementary (1)
– Woodinville High School (5)
– Woodmoor Elementary (5)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases

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

A number (X) represents Covid-19 positive and quarantined students and faculty combined. A number with an asterisk (X*) represents Covid-19 positive students and faculty only. Bellevue School District does not report quarantine numbers by the facility. Finally a number with two asterisks (X**) indicates a school facility with five or more confirmed Covid-19 cases in the last 14 days between students and faculty.

The Bellevue School District moved to status green today, having eight confirmed cases in the last 14 days districtwide. The Northshore School District continues to improve with the number of confirmed cases declining at many schools.

We continued to encourage parents to request daily updates from the Lake Washington School District. We would also encourage parents to request the Bellevue School District include data on close contacts. These two changes would bring the three school districts we track into alignment.

Kirkland-Bellevue-Woodinville

No update

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 79,829 new cases and 1,662 deaths nationwide on Wednesday.

Department of Homeland Security remains concerned about domestic violence exteremists

The Secretary of Homeland Security has issued an updated National Terrorism Advisory System (NTAS) Bulletin regarding the current heightened threat environment across the United States effective through February 8, 2022. The Homeland continues to face a diverse and challenging threat environment as it approaches several religious holidays and associated mass gatherings that in the past have served as potential targets for acts of violence. These threats include those posed by individuals and small groups engaged in violence, including domestic violent extremists (DVEs) and those inspired or motivated by foreign terrorists and other malign foreign influences.

Through the remainder of 2021 and into 2022, racially or ethnically motivated violent extremists and anti-government/anti-authority violent extremists will continue to pose a threat to the United States. Pandemic-related stressors have contributed to increased societal strains and tensions, driving several plots by DVEs, and they may contribute to more violence this and next year. If a new Covid-19 variant emerges and new public health restrictions are imposed as a result, anti-government violent extremists could potentially use the new restrictions as a rationale to target government or public health officials or facilities.

Historically, DVEs and individuals inspired by foreign terrorist organizations have targeted crowded commercial facilities, houses of worship, and public gatherings, which have at times caused mass causalities. The continued reopening of commercial and government facilities and the potential for ongoing societal and economic disruptions due to the pandemic, as well as mass gatherings associated with several dates of religious significance over the next few months, could provide increased targets of opportunity for violence, though there are currently no credible or imminent threats tied to any dates or locations.

Fifth Wave in the United States starting to mirror the U.K. as new case numbers nationally plateau

After weeks of plunging U.S. Covid-19 cases, the decline in infections has stalled out according to a report in CNBC.

New infections have dropped to an average of more than 74,000 per day over the past week, a 57% fall from the delta wave’s peak level of 172,500 new cases per day on September 13.

While that surely is good news, the downward trajectory has leveled off in recent weeks, bouncing between 70,000 and 75,000 new cases a day for nearly three weeks, according to data compiled by Johns Hopkins University.

“We came from a very high spot, so we had our spike a little bit earlier,” Dr. Sonja Rasmussen, a professor in the departments of pediatrics and epidemiology at the University of Florida College of Medicine, said of her state’s declining cases. She noted that the cooler fall and winter temperatures in the typically tropic climate make it easier for Floridians to spend time outside, where the virus does not spread as easily as it does indoors.

Malcontent News had predicted this seasonality impact. Cases are surging in areas where colder weather has moved people to indoor activities. In 2020 a similar pattern of severe cases in the south during the summer as residents moved to air-conditioned comfort shifting to the north as people moved indoors to keep warm.

Although some are calling the growing number of cases in cooler areas a “sixth wave,” states like Idaho, Alaska, Montana, Wyoming, and Colorado didn’t have the same spike that the Southeastern United States experienced.

Fox News viewers more likely to believe Covid disinformation

People who trust Fox News Channel and other media outlets that appeal to conservatives are more likely to believe falsehoods about COVID-19 and vaccines than those who primarily go elsewhere for news, a study has found.

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

“It may be because the people who are self-selecting these organizations believe (the misinformation) going in,” said Liz Hamel, vice president and director of public opinion and survey research at Kaiser.

Doctors link being nervous in the service and a failure to stand at attention with prior Covid-19 infection

The number of men in their twenties and thirties seeking help for erectile dysfunction is skyrocketing, and doctors are linking it to the after-effects of being infected with COVID-19.

Doctors around the world are seeing more younger men, both vaccinated and unvaccinated, report they can no longer perform in the bedroom or even be stimulated after they’ve recovered from COVID-19.

“We started to see our first patients with this issue post-COVID as early as last winter,” Greg Girard, manager of the Tulsa Men’s Clinic, told FOX23. “We’ve easily seen recently a more than 35 percent increase in the number of patients coming to us for help.”

“These are men mostly in their mid to late twenties and early thirties. We usually don’t see men seeking help or care until their forties and fifties.”

Girard said it appears the virus lingers in and is damaging the tiny blood vessels in the penis, and even after someone has recovered, the damage remains.

“There is no way to tell the difference between erectile dysfunction caused by COVID and E.D. caused by other factors, but we have ways of scanning and seeing what’s actually going on,” he said.

Sleep apnea severity linked to Covid-19 outcomes

The risk of severe illness from COVID-19 is higher in people with obstructive sleep apnea and other breathing problems that cause oxygen levels to drop during sleep, researchers say. They tracked 5,402 adults with these problems and found that roughly a third of them eventually tested posted for the coronavirus. While the chance of being infected did not increase with the severity of their problems, people with higher scores on the “apnea-hypopnia index” – a measure of the severity of their sleep-related breathing problems – had higher odds of needing to be hospitalized or dying from COVID-19, Drs. Cinthya Pena Orbea and Reena Mehra of the Cleveland Clinic and colleagues reported on Wednesday in JAMA Network Open. It is not clear if treatments that improve sleep apnea, such as CPAP machines that push air into patients’ airways during sleep, would also reduce the risk of severe COVID-19, said Pene Orbea and Mehra.

State Updates

Alaska

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

While crisis standards of care are still officially enabled at approximately 20 of Alaska’s hospitals, hospital officials have said that declining COVID-positive patient counts meant that facilities have not had to act on those standards in the last few weeks.

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

Nearly 11,000 votes were cast in the Oct. 26 special election, with the Assembly unanimously certifying the results during its Tuesday meeting.

The official reason for the recall attempt stemmed from Zaletel’s attendance at a public meeting in which recall backers say attracted more people than was allowed under COVID-19 protocols at the time.

Colorado

Although the current surge in Colorado is part of the “fifth wave,” it could be an unnerving omen about what awaits other states in the coming months.

Gov. Jared Polis said Wednesday that the state will take new steps such as increasing the number of hospital beds and making indoor events safer as Colorado’s hospital bed capacity has hit an all-time low.

This update came at a meeting of the Governor’s Expert Emergency Epidemic Response Committee (GEEERC), at which state epidemiologist Dr. Rachel Herlihy said that COVID-19 cases have increased rapidly over the past few days.

There are 759 hospital beds available in Colorado, and 1,426 COVID-19 patients are currently hospitalized.

Of those who are currently hospitalized, 79% of them are unvaccinated, she said, adding that unvaccinated patients are 8.9 times more likely to be hospitalized for COVID-19.

The maximum number of COVID-19 patients that Colorado hospitals can accommodate is about 2,000, and current models show that the state will exceed that number by late next month.

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

“My world is still fully COVID,” said Combs. She has worked in ICUs for 18 years and has been a nurse for more than 20.

Combs says a great percentage of critical COVID patients now are not merely in disbelief, as she’s witnessed with cancer patients over the years, but disbelievers.

“It’s hard though when you know that you’re doing good for the patients, but they’re yelling at you,” she said. “They’re telling you it’s not real. They’re telling you that you’re a murderer.”

Some believe the hospital is making them sick.

“’I can’t breathe,’” she hears them say. “Exactly. That’s because you have COVID. ‘Well no I don’t have COVID, that’s not real.’ I’ve had these conversations with people.”

Florida

“We didn’t lose one, two, three — we lost nine,” the sheriff said, noting that the first death from the virus came in April 2020.

The South Florida SunSentinel reported that black and white photos of the victims were on stage at the church in Sunrise: Deputy Shannon Bennett, 39; Nikima Thompson, 41; Wiley Huff, 73; Lt. Aldemar Rengifo Jr., 54; Pamela Ford, 54; Stephen Adams, 42; Sgt. Shane Owens, 48; Edwin Sanchez, 61; and Tasha Blackwood, 54.

Covid-19 has been the largest killer of law enforcement in 2020 and 2021.

Idaho

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

The baby died in October in the Southwest health district, which includes Adams, Canyon, Gem, Owyhee, Payette, and Washington counties. To protect the privacy of the family, additional information about the infant will not be released, according to IDHW.

“Our hearts go out to the family of this child,” said Elke Shaw-Tulloch, administrator for the Idaho Division of Public Health. “Infection with the virus can have devastating impacts on families, and this situation highlights the seriousness of COVID-19.” 

While Idaho has made transferring COVID patients to other states a leading economic export, the state legislature is poised to vote on blocking vaccine mandates.

Idaho Association of Commerce & Industry President Alex LaBeau told lawmakers that such a law would put “tyrannical practices on the free market.”

The Legislature is scheduled to reconvene Monday, mainly to pass a law or laws to thwart President Joe Biden’s vaccine mandates. But potential laws aimed at preventing Idaho employers from requiring employees to get the coronavirus vaccine is also likely to be introduced by far-right Republican lawmakers.

Most mainstream Republicans are wary of government getting between employers and employees, including Republican House Speaker Scott Bedke and Republican Senate President Pro Tem Chuck Winder. Both have said lawmakers will look at legislation that would allow the state to initiate legal action over federal vaccine mandates on private employers. The legislation would include $2 million for a potential legal battle.

About a dozen potential laws are expected to be brought forward next week. Those proposed laws are likely to include some from far-right lawmakers that would prevent Idaho employers from requiring employees to get the COVID-19 vaccine. It’s not clear how they will do in the House and Senate if brought forward.

“As we hear about possible legislation from self-proclaimed ‘champions of liberty and limited government’ in support of guaranteed salaries and stripping the rights of entrepreneurs, we couldn’t stand by quietly as this thinly cloaked socialism gets wrapped up in a facade of freedom,” LaBeau wrote.

Editor’s Note: Yes, you read that right, conservative business-owning Republicans are calling far-right Republicans “socialists.”

Iowa

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

There are currently 525 patients hospitalized with COVID-19, up from 481 on Monday. Of those hospitalized with COVID-19, 71.6% are unvaccinated and 85% of those listed in intensive care with COVID-19 are unvaccinated.

The number of long-term care facilities reporting a virus outbreak increased from 28 to 29 since Monday.

Iowa is also seeing a late-stage “fifth wave” as the weather has turned cooler and people moved indoors.

Montana

Dr. Justin Buls, the Kalispell site director of the Family Medicine Residency of Western Montana, is also a school trustee on the West Valley School District in the Flathead, and that board last month voted to distance itself from the comments he posted to his Facebook account, which also included updating his profile picture to show a swastika made with syringe needles.

KPAX reported University of Montana spokesman Dave Kuntz said that while Bulls remains affiliated with the university’s physician training program, which includes supervising medical doctors in training, the institution is aware of the comments and the controversy.

“The UM Family Medicine program doesn’t endorse these personal views,” Kuntz said. “We don’t support hate-speech and anti-Semitism, and we expect that of our community members, especially those in critical teaching roles, and expect physicians to act in a way that meets those. Dr. Buls hasn’t lived up to them.”

Repeated messages to Buls by the Daily Montanan via his social media account and through a university spokesperson went unanswered.

However, archived posts from his Facebook account show that he was suspended at least twice from Facebook and independent fact-checkers also flagged several of his posts. In his comments, he also claims the COVID-19 virus was created in a lab and “released on purpose to kill millions of people,” a narrative that is popular in some social media circles but without a factual basis.

Minnesota

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

That player was still in the hospital Wednesday, though Zimmer said the player is “stable now.” Zimmer added the situation “was scary.”

The Vikings are dealing with a COVID-19 outbreak. The team placed three players — center Garrett Bradbury, guard Dakota Dozier, and safety Harrison Smith — on the Reserve/COVID-19 list Thursday. The team placed two additional players — linebacker Ryan Connelly and practice squad tackle Timon Parris — on that list Monday.

Kirk Cousins, the starting quarterback for the Vikings, is one of the league’s most outspoken critics of the Covid-19 vaccine.

In life, Dr. Christopher Foley was a beloved husband, father, and grandfather. He cycled regularly, played handball, and had a passion for Irish music. 

As a physician who trained in internal medicine at the University of Minnesota and became a natural medicine doctor, Foley’s “passion lay truly in taking care of other people,” said his son, Logan. 

But through his Vadnais Heights-based practice, Foley also spread falsehoods about the COVID pandemic and vaccines. Foley died in October of complications from Covid-19. He was 71. At his funeral, Foley’s son Logan confirmed his father’s death from COVID and that he was unvaccinated.

Wisconsin

For a second day in a row, testing identified more than 3,000 new coronavirus cases in Wisconsin, as the state saw the highest one-day increase in its death toll in two weeks. At the same time, the Wisconsin Department of Health Services, which has dealt with a number of issues with vaccination reporting the past couple of weeks, revised the total number of doses back to Friday’s figure while it solves the latest problems.

The latest DHS report says there are 3,370 more confirmed cases in the past day. This caused the 7-day average to jump again, from 2,295 to 2,453 cases per day, the highest 7-day average in a month.

It comes as no surprise with the rising case numbers this past week that more counties saw their virus activity labels upgraded — or downgraded, depending on your perspective. The DHS says 8 counties have “critically high” virus activity, which is twice as many counties as the last two weeks; 62 counties have “very high” activity, down from 65 counties last week; 2 counties have “high” activity, down from 3 counties. No counties have “moderate” or “low” virus activity.

Disinformation

Taking the night off

WA COVID hospitalizations up 7% – local and state update for October 29, 2021

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

[KING COUNTY, Wash.] – (MTN) New Covid-19 cases are stuck on a plateau while hospitalizations increased 7% over the last week. An analysis of available data provides strong evidence the pandemic of the unvaccinated continues.

The FDA has authorized the Pfizer Covid-19 vaccine for emergency use in children 5 to 11 today. The Centers for Disease Control Advisory Committee on Immunization Practices is meeting on November 2 and 3. It is widely expected the panel will support the authorization. UW Medicine has announced a waitlist for parents who want to get their children immunized.

Washington Governor Jay Inslee expressed growing concern over the case rates and said the state is at a “fork in a road.” In what is likely the last broad challenge for the state vaccine mandate, a U.S. District Judge denied a last-ditch effort to block the public health rules on the grounds it was a violation of civil rights.

Data from August to September is supportive of following the Centers for Disease Control’s back-to-school guidelines, with Washington schools reporting 189 outbreaks statewide, with only a handful resulting in school closures.

A former naturopathic doctor on the Olympic Peninsula was convicted for misbranding drugs, reselling them, and making false claims of offering a COVID cure. Richard Marschall, 68, has been convicted for the third time since 2011. Washougal Physician Assistant Scott Miller will face the medical board on November 3, for allegedly spreading Covid-19 disinformation. Miller had his license suspended earlier this month after an investigation into his activities that started in August 2021.

Washington State University tried to counter the COVID misinformation former football coach Nick Rolovich believed as early as April 2021 to no avail.

Last week, Snohomish barber Bob Martin had two court hearings after a judge rejected his promissory note to cover $90,000 in fines he accumulated last year. Martin is tight-lipped about the hearings, and the court has yet to release the transcripts.

The Washington Medical Coordinator Center at Harborview, Virginia Mason Franciscan Health, and Swedish Health Services each received the Community Health Leadership Award from the Washington State Hospital Association for their 2021 Covid-19 related efforts.

Proud Boy Tusitala “Tiny” Toese is reported to be hospitalized and in “poor” condition. Toese was shot on September 4 in Olympia after the Proud Boys group he was with left an anti-mandate protest to go “hunting.”

COVID hospitalizations have increased 7% since October 22, reversing weeks of improvement. Unvaccinated people continue to hold up relief for the stressed medical system.

Malcontent News moved the Northshore School District to status red due to Bothell High School, and Lockwood Elementary reporting ten confirmed Covid-19 cases each on Friday.

Twelve states are suing the Biden Administration in an attempt to block a looming vaccination mandate.

The U.S. Supreme Court, in a 6-3 decision, refused to block Maine’s vaccination mandate for healthcare workers. The decision may have further strengthened Jacobson versus Massachusetts.

The Pentagon reported that 96.4% of active-duty U.S. Air Force personnel and 98% of special forces are vaccinated. For the Air Force it still leaves up to 12,000 members facing disciplinary action.

In disinformation, we take a critical look at a September 30 article entitled, Increase in COVID-19 are unrelated to levels of vaccination across 68 countries and 2947 counties in the United States. Daniel Horowitz has held this up as proof that vaccinations don’t work. Is it true?

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


vaccinationhospitalsschoolslocalnationaldisinformation

Washington State Update for October 29, 2021

Washington state Covid-19 update

The New case rate was almost unchanged from yesterday. The least vaccinated counties have 228% more new cases per 100,000 residents than the most vaccinated. San Juan County reported a 7 day moving average of 11.5, which is considered “normal.” Three of the five counties with the lowest new case rate have more than 70% of their total population fully vaccinated.

Percent of Total Population Fully VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70% or above (3 counties)2,343,250214.3
60.00% to 69.99% (4 counties)1,242,200335.9 (down)
50.00% to 59.99% (14 counties)3,172,600389.7
40.00% to 49.99% (10 counties)860,525406.7
30.80% to 39.99% (8 counties)158,300467.8
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County

Through October 28, Washington’s statewide 14-day rolling average is 335.5 Covid-19 cases per 100K – statistically unchanged from yesterday. Although new case rates are dropping in the eastern half of the state, they remain stubbornly high.

One county, Ferry, is between 800.0 and 999.9 with 859.7 new cases per 100K residents.

Four counties, Grant, Klickitat, Lincoln, and Skagit, have a new case rate between 600.0 to 799.9.

New cases by age were unchanged while the hospitalization rate declined for geriatric patients over 79 years old.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11150.80.5
Ages 12-19146.40.8
Ages 20-34146.4 (not a typo)3.5
Ages 35-49161.88.9
Ages 50-64129.213.7
Ages 65-7996.419.8
Ages 80+90.235.9 (down)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 31 Covid-19 related deaths in Washington state on Thursday. The Washington State Department of Health is reporting 8,628 Washingtonians have died since February 29, 2020. That is equal to every man, woman, and child in Hoquiam, Washington dying.

Governor Inslee express concern as Washington reaches a “fork in the road” with Covid-19

During a press briefing yesterday, Governor Jay Inslee (WA-D) expressed growing concern over plateauing cases and the potential for Washington state to move into a “sixth wave.”

“We still have an extremely dangerous pandemic on our hands,” Inslee told reporters, adding that the state is still seeing more than 2,000 new Covid-19 cases a day.

The plateau is concerning to public health officials because case rates and COVID hospitalization rates are still similar to last winter’s wave. Hospitals in Washington have limited capacity to care for a surge in patients over the winter if new case rates and hospitalizations don’t start to decrease again.

Inslee said the state has reached “a fork in the road.” Residents can either accept Covid-19 or continue to fight it, and the only way out is by getting vaccinated.

“Every day, I believe we should fight it,” he said.

New Covid-19 cases were declining from mid-September to mid-October, but are now stubbornly sitting at new normal that is well above what experts consider acceptable. Over the last week, COVID-related hospitalizations have increased 7%.

On October 20, Malcontent News predicted that another wave of Covid-19 will sweep across the United States starting in mid to late December and peak in February 2022.

Federal judge tosses civil rights based lawsuit attempting to block Washington state Covid-19 mandate

A federal judge in Eastern Washington on Monday denied a bid by firefighters, state troopers, and others to halt Washington’s Covid-19 vaccine mandate for state workers and emergency responders. The Associated Press reported U.S. District Court Judge Thomas Rice denied the motion.

Dozens of municipal, county, and state workers sued Governor Jay Inslee, Spokane Fire Chief Brian Schaeffer, Washington State Patrol Chief John Batiste, and others. The case was filed just days before the October 18 mandate deadline. The plaintiffs claimed their civil rights were being violated by the requirement they get vaccinated to continue in their jobs.

In his ruling, Rice wrote: “The Supreme Court has long endorsed state and local government authority to impose compulsory vaccines… Federal courts have routinely analyzed such cases using rational basis and regularly reject cases similar to this one that challenge vaccine mandates based on free exercise of religion.”

Rice was referring to the 1905 U.S. Supreme Court decision of Jacobson versus Massachusetts that decided the Tenth Amendment gave municipalities, counties, and states the power to make public health decisions that aim to protect the larger population. The decision has been challenged dozens of times in the last 116 years.

Judge Rice’s decision ended the last large-scale lawsuit attempting to block or pause the vaccine mandate. As of October 25, 94% of Washington state employees, 99.7% of Washington educators, and an estimated 97% of Washington healthcare workers, including firefighters, were fully vaccinated, completing vaccination, have an exemption review pending, or received an approved exemption with accommodation.

Following back to school guidelines by the CDC has had a positive impact in Washington

From August 1 to September 30, there have been 189 Covid-19 outbreaks in Washington schools involving 1,284 confirmed infections according to the Washington Department of Health.

State Epidemiologist Dr. Scott Lindquist, Deputy Secretary of Covid-19 Response Lacy Fehrenbach, and Acting Assistant Secretary for the DOH Michele Roberts shared the information on Wednesday during a press briefing.

Almost 88% of the confirmed Covid-19 cases involved students. Unlike other states such as in the southeast, where dozens of children were sickened in superspreader events that closed entire school districts, the average number of cases per event was five.

“That relatively small number of cases in each outbreak is an indication that schools are continuing to do a really good job on layered prevention measures and responding when they have cases and outbreaks,” Fehrenbach said.

A few districts were forced to move single schools to remote learning to manage outbreaks including in Medical Lake, Edmonds, and Eatonville.

Former naturopathic doctor convicted of selling fake Covid-19 cures

A former Port Angeles naturopathic physician who falsely claimed that two substances containing garlic extract and larch tree starch could treat and prevent Covid-19 has been found guilty of introducing misbranded drugs into interstate commerce. The conviction of Richard Marschall, 68, was first reported by the Peninsula Daily News.

The federal jury last week found that Richard Marschall, 68, misbranded the drugs and fraudulently marketed them, according to a press release from the U.S. Attorney’s Office in Seattle.

This is the third conviction for Marschall since 2011 for making false claims. On his Facebook page, he made claims that two supplements, allicin a garlic extract, and IAG a larch tree starch had antiviral properties that would cure Covid-19.

Both supplements are made in the United States and neither maker makes any claims that their products are antiviral. Marschall was charging $140 for the supplements plus shipping and handling. He added his own labels making false claims about the abilities of the combination.

A 60 count bottle of allicin is $21.95 and a 3.6 ounce bottle of IAG is $39.48 on Amazon with free Prime shipping. A 400 pack of ink jet-ready bottle labels is $9.99.

Washington physician assistant has November 3 medical board hearing after allegedly peddled Covid-19 disinformation

Washougal Physician Assistant Scott Miller is facing a medical board hearing on November 3 after state officials suspended his license on October 16 for allegedly creating and spreading Covid-19 disinformation.

Accusations against Miller included:

  • Starting a public camaign promoting ivermectin as a Covid-19 cure
  • Prescribing ivermectin to at least one patient without providing an adequate examination
  • Interfering with the care of hospitalized patients
  • Engaging in a hostile and threatening campaign against both hospitals and individual physicians regarding Covid-19 treatment
  • Lying on his licensing application and denying he was already under investigation by the state of California

Miller’s alleged disinformation campaign started in 2020 when he became one of the leading creators claiming Covid-19 was circulating in the United States in 2019 and promoting Vitamin D and C along with melatonin as capable of stopping viral replication in human cells.

Miller spoke at a Camas School Board Meeting in May of 2021 against mask mandates and promoted ivermectin as a “cure.”

“I don’t know anybody that’s died (from COVID-19),” Miller said. “I’ve treated 350 COVID patients. Do you know there’s treatment? … I treat people every day. I had 90 COVID patients come into my clinic last month.” Miller then went on to call the school board “pure evil.”

Miller runs Miller Family Pediatrics in Washougal, Washington. A GoFundMe for Miller was suspended on October 19. Organizers moved to the crowdfunding platform GiveSendGo. On October 29, $11,477 had been raised to support his defense, which is far short of the $50,000 goal set by organizers.

Washington State University infectious disease professor attempted to explain Covid-19 vaccines to Nick Rolovich

In April 2021 when officials at Washington State University learned that former football coach Nick Rolovich was falling down a disinformation hole, they arranged a meeting between Rolovich and Dr. Guy Palmer, a world-renowned WSU regents professor of pathology and infectious diseases.

According to a report by ESPN, Rolovich drove a conversation that focused on topics that were consistent with what Palmer said has been shared by the “anti-vax crowd on social media” over the past several years.

Questions included if Bill Gates was behind the vaccine or if SV40 was in the Covid-19 vaccines.

“I just tried to address those kind of more specific questions that have come up and I think many of those concerns were widely shared on social media, by individuals, and I just addressed them with the best data that I could and tried to give him clear answers,” Palmer said.

Palmer says that Rolovich’s primary concern was around side effects and he never brought up religious beliefs or questioned if fetal cells were used in the testing, development, or manufacturing of the vaccines.

Rolovich, through his lawyer, announced his plans to sue WSU after his religious exemption was declined and he was terminated on October 18. Rolovich served as head coach of the Cougars for less than two seasons with a 5 and 6 record. During his time as head coach of the UH Rainbow Warriors, they achieved a record of 28 and 27. At the time of his termination, Rolovich was the highest-paid public employee in Washington state.

Snohomish barber goes before two judges to answer questions about his anti-lockdown actions

Bob Martin because a cause celebre when he refused to close his Snohomish, Washington barbershop in 2020 when the state was under lockdown. Over the months that followed, the retired Marine Corps veteran racked up over $90,000 in fines for his continued refusal to close.

The barbershop became a rallying point for people against lockdowns and to a lesser extent, people desperate for a haircut.

“I’m not going to let the parasites in Olympia tell me that I cannot work,” Martin told KOMO News. “It’s my right to work.”

Martin insists the $90,000 in fines has been paid to the state of Washington through a promissory note. Last week a Snohomish County judge told Martin that the note does not satisfy his debt. Martin had two court hearings last week but the results of those hearings and transcripts have not been released.

Three Puget Sound area hospitals lauded by the Washington State Hospital Association for Covid-19 related efforts

Three Western Washington hospitals are receiving the Community Health Leadership Award for taking an innovative approach to addressing the pandemic in 2021 according to a report by Patch.

The Washington Medical Coordination Center at Harborview Medical Center was recognized for helping triage and placing Covid-19 patients across the state, and from across the region.

Virginia Mason Franciscan Health was lauded for its vaccination program that spanned across three counties. At its peak, the hospital system was vaccinated 3,100 people a day.

Swedish Health Services was commended for setting up 21 mobile vaccination clinics in under-served areas reaching out to rural, poor, and BIPOC communities. The hospital network partnered with the Ethiopian Community Center, and Pacific Islander Community Association.

Proud Boy shot after providing “security” at Olympia anti-vaccine mandate rally reportedly back in the hospital

Social media reports indicated Tusitala “Tiny” Toese, who was shot in the leg on September 4 shortly after providing “security” at an End the Mandate protest in Olympia, was back in the hospital and in “poor” condition.

On September 4 a group of 50 to 75 heavily armed Proud Boys roamed the streets of Olympia after leaving the End the Mandate protest to go “hunting,” as reported by independent journalists. The group assaulted several people who were not associated with any protest or counterprotest and attacked reporter Alissa Azar. Approximately 20 minutes after leaving the protest, they identified a small group of counterprotesters who were attempting to flee from the group.

Security camera video shows a man stopping, pulling out a handgun, and firing five shots. Toese was shot in the leg and required a short hospital stay in Olympia. A 36-year-old Olympia man was arrested on September 23 for the shooting and charged with first-degree assault.

Toese, who held more of an enforcer role, has been an acting regional leader for the Proud Boys since the January 6 Insurrection. Ethan Nordean of Washington is alleged to be the Proud Boy leader on January 6 after Enrique Tarrio was arrested on January 4. Nordean is currently in federal custody awaiting trial. Alan Swinney was arrested after multiple incidents in Portland, Oregon in August 2020 and was recently convicted on 11 of 12 charges, including one count of first-degree assault. Rufio Panman was also arrested for his involvement in the January 6 Insurrection and remains in federal custody.

Toese was seen at several anti-vaccination, anti-mask, and anti-mandate protests shortly after his shooting including an anti-mask protest on September 10.

No specific information on Toese’s condition was available beyond he is allegedly hospitalized and in “poor condition.” There was no information on if the hospitalization is related to the shooting or a different medical condition.

Travel Advisories

We are very encouraged by the hospital readiness data for the East Hospital Region and believe we can end the travel advisory in the next five to 12 days. For now, 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.

Additionally, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.

We continue to strongly advise against all nonessential travel to Alaska, Idaho, Montana, and Wyoming. Alaska and the Idaho Panhandle are experiencing an extreme number of Covid-19 hospitalizations. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a serious medical emergency. Data out of Wyoming is encourage and we may drop our travel advisory in the next 14 to 21 days.

Thank you

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

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

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

Vaccination

FDA Authorizes Pfizer Covid-19 vaccine for emergency use in children 5 to 11

The Food and Drug Administration (FDA) authorized the emergency use of the Pfizer-BioNTech Covid-19 vaccine to include children 5 through 11 years of age. The authorization was based on the FDA’s evaluation of the data that included input from independent advisory committee experts who voted 17-0-1 in favor of making the vaccine available to children in this age group.

The immune responses of children 5 through 11 were comparable to adolescents and young adults. In addition, the vaccine was found to be 90.7% effective in preventing COVID-19 in children 5 through 11. The vaccine’s safety was studied in approximately 3,100 children who received the vaccine and no serious side effects.

The Centers for Disease Control and Prevention’s (CDC) Advisory Committee on Immunization Practices will meet next week on November 2 and 3 to discuss further clinical recommendations.

“As a mother and a physician, I know that parents, caregivers, school staff, and children have been waiting for today’s authorization. Vaccinating younger children against COVID-19 will bring us closer to returning to a sense of normalcy,” said Acting FDA Commissioner Janet Woodcock, M.D. “Our comprehensive and rigorous evaluation of the data pertaining to the vaccine’s safety and effectiveness should help assure parents and guardians that this vaccine meets our high standards.”

The Pfizer-BioNTech Covid-19 Vaccine for children 5 through 11 is administered as a two-dose series, three weeks apart, as a 10 microgram dose. Individuals 12 years of age and older receive a 30 microgram dose. Full efficacy is reached two weeks after the final dose is administered.

Health and Human Services have purchased 28 million doses with regional distribution beginning next week. 

King County, Washington is reporting over 88.1% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.

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

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

Malcontent News

Hospital Status

According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 15.3% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 607 additional acute care patients.

ICUs are at 88.3% of capacity statewide, with 25.0% of ICU patients fighting Covid-19 – an estimated 296 patients with 49.0% on ventilators. The state has the staff to support approximately 140 additional ICU patients.

On Thursday, the 7-day rolling average hospital admission rate for new COVID patients is 102. The Department of Health reported 1,096 Covid-19 patients statewide on October 28, with 144 requiring ventilators.

After declining for weeks Covid-19 hospitalizations increased 7% over the last 7 days. We analyzed the latest Covid-19 Cases, Hospitalizations, and Deaths by Vaccination Status report by the DOH to determine if the growing hospitalization numbers are being driven by breakthrough cases.

From September 15 to October 12, unvaccinated individuals from 12 to 34 were 16 times more likely to be hospitalized, 35 to 64 were 18 times more likely, and 65 and over were 9 times more likely. The total number of vaccinated individuals. Statewide since vaccines have become available, 12.1% of hospitalizations have been breakthrough cases.

According to King County Health over the last 30 days, 3,248 unvaccinated people have been hospitalized with Covid-19, compared to 378 fully vaccinated individuals. The 10% rate aligns closely with the broader state average. No vaccine is 100% effective. Even if we make the bad assumption, statewide hospitalizations would still be close to 1,000. The growing hospitalization numbers continue to be fueled by the unvaccinated.

Hospital readiness gave back some improvements from earlier this week with the East Hospital Region going status red across all four metrics again.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman87.8%33.5%90.6%20.0%
NorthIsland, San Juan, Skagit, Whatcom65.2%30.5%75.8%12.6%
North CentralChelan, Douglas, Grant, Okanogan93.6%53.7%77.9%26.6%
NorthwestClallam, Jefferson, Kitsap, Mason89.4%37.9%94.8%20.9%
Puget SoundKing, Pierce, Snohomish92.0%20.1%95.4%12.6%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima91.3%23.8%85.0%18.0%
SouthwestClark, Cowlitz, Klickitat, Skamania 72.5%21.9%89.4%15.3%
WestGrays Harbor, Lewis, Pacific, Thurston89.8%30.3%91.4%17.7%
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%

Back to School

School DistrictStatusLess than 10 Active Cases10 or More Active Cases
BellevueYELLOW– Ardmore (2*)
– Cherry Crest (1*)
– Lake Hills (1*)
– Newport Heights (2*)
– Sammamish (2*)
– Spiritridge (2*)
– Stevenson (3*)
– Woodridge (1*)
None
Lake WashingtonYELLOW– Blackwell Elementary (4)
– Carson Elementary (6)
– Clara Barton (4)
– Einstein (3)
– Eastlake High (11)
– Ella Baker (8)
– Finn Hill Middle School (6 + 1 see notes)
– ICS (4)
– Juanita Elementary (3)
– Kamiakin Middle School (20)
– Kirk Elementary (2)
– Lakeview Elementary (3)
– Lake Washington High School (27)
– Muir Elementary (1)
– Redmond Elementary (9)
– Redmond Middle School (64)
– Redmond High School (46)
– Timberline Middle School (45**)
– Twain Elementary (27)
None
NorthshoreRED– Arrowhead Elementary (5)
– Canyon Creek Elementary (5)
– Canyon Park Middle School (2)
– Crystal Springs Elementary (5)
– East Ridge Elementary (7)
– Fernwood Elementary (3)
– Frank Love Elementary (24)
– Hollywood Hills Elementary (2)
– Inglemoor High School (13)
– Kenmore Elementary (6)
– Kenmore Middle School (17)
– Kokanee Elementary (6)
– Leota Middle School (1)
– Maywood Hills Elementary (3)
– Morelands Elementary (2)
– North Creek High School (9**)
– Northshore Middle School (16)
– Ruby Bridge Elementary (68)
– Shelton View Elementary (4)
– Skyview Middle School (9)
– Timbercrest Middle School (9)
– Wellington Elementary (14**)
– Westhill Elementary (11)
– Woodin Elementary (50**)
– Woodinville High School (7)
– Woodmoor Elementary (5)
– Bothell High School (25**)
– Lockwood Elementary (20**)

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 Northshore School District moved to red status with two facilities reporting ten confirmed Covid-19 cases each today. Bothell High School and Lockwood Elementary doubled the number of cases this week. There are four additional schools that have five to nine confirmed COVID cases.

We received a parent confirmed report of an additional Covid-19 case at Finn Hill Middle School. The Lake Washington School District only updates data. We rely on confirmed parental reports to provide additional details.

We continued to encourage parents to request daily updates from the Lake Washington School District. We would also encourage parents to request the Bellevue School District include data on close contacts. These two changes would bring the three school districts we track into alignment.

Kirkland-Bellevue-Woodinville

UW Medicine opens up Covid-19 vaccine waitlist for children 5 to 11 years old

With the Food and Drug Administration (FDA) granting emergency use authorization to the Pfizer vaccine for children 5 to 11 years old, UW Medicine has opened up a waitlist. Although the use of the vaccine has been authorized, federal supply rules require the Centers for Disease Control (CDC) to formally recommend the protocol.

To join the vaccine waitlist, parents or guardians can call 844-520-8700. Individuals who register will receive a text or phone call when it is time to schedule an appointment. Scheduling is done online through a single-use registration link. UW Medicine is not accepting walk-in appointments for vaccination.

A CDC panel is meeting on November 2 and 3. A formal recommendation to vaccinate children from 5 to 11 is widely expected next week and the Seattle Times reported Central Puget Sound is receiving an initial shipment of 316,000 doses.

Kirkland Health Fair and Community Vaccination Event on November 6

The Kirkland Health Fair and Community Vaccination Event will be held on Saturday, November 6, from 10 a.m. to 2 p.m at Juanita High School. Hosted by the City of Kirkland in partnership with Public Health – Seattle and King County, the event will provide Covid-19 vaccination, information, education, and more.

At this time we do not know if vaccination for 5 to 11-year-olds will be available.

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 76,957 new cases and 2,141 deaths nationwide on Thursday.

12 states sue Biden administration over Covid-19 vaccine rule

Eleven states filed lawsuits Friday to stop President Joe Biden’s COVID-19 vaccine mandate for federal contractors, arguing that the requirement violates federal law.

Attorneys general from Alaska, Arkansas, Iowa, Missouri, Montana, Nebraska, New Hampshire, North Dakota, South Dakota, and Wyoming signed on to the lawsuit, which was filed in a federal district court in Missouri.

The states asked a federal judge to block Biden’s requirement that all employees of federal contractors be vaccinated against the coronavirus, arguing that the mandate violates federal procurement law and is an overreach of federal power.

“If the federal government attempts to unconstitutionally exert its will and force federal contractors to mandate vaccinations, the workforce and businesses could be decimated, further exacerbating the supply chain and workforce crises,” Missouri Attorney General Eric Schmitt, a Republican, said in a statement. “The federal government should not be mandating vaccinations, and that’s why we filed suit today – to halt this illegal, unconstitutional action.”

That lawsuit, along with one filed Friday by Texas and Thursday by Florida, brings to 12 the number of states challenging the Biden administration mandate in three federal courts.

Alaska, Montana, and Wyoming currently have hospitals operating at crisis standards of care due to a surge in COVID cases.

Supreme Court refuses to block Maine’s Covid-19 vaccine mandate

The U.S. Supreme Court has rejected an emergency appeal from Maine health care workers to halt a COVID-19 vaccine mandate that took effect Friday.

Health care workers at hospitals and nursing homes throughout the state risk losing their jobs if they are not vaccinated and religious exemptions are not being offered.

According to Fox News, three justices  – Neil Gorsuch, Clarence Thomas, and Samuel Alito – signed on to a dissent written by Gorsuch, who suggested they would have adhered to the request from Maine health care workers.

“This case presents an important constitutional question, a serious error, and an irreparable injury,” Gorsuch wrote. “Where many other States have adopted religious exemptions, Maine has charted a different course. There, healthcare workers who have served on the front line of a pandemic for the last 18 months are now being fired and their practices shuttered. All for adhering to their constitutionally protected religious beliefs.”

The case could be significant for future challenges to municipal, county, state, and private employer public health-related mandate challenges. In 2021, no case brought before the Supreme Court has given relief to plaintiffs looking to modify or block vaccine mandates. The 6 to 3 decision could have closed the door for those seeking public health exemptions based on religious grounds.

96.4% of active duty US Air Force personnel are vaccinated

The U.S. Air Force is reporting up to 12,000 personnel could be facing disciplinary action for refusing to get vaccinated for Covid-19. The Air Force is the first military branch to approach a vaccine mandate deadline.

Air Force officials would not provide any information on the status of the estimated 12,000 hold-outs. When compared to other mandates across the United States, a 96.4% vaccination rate is high before factoring in medical or religious exemption requests and previously planned retirements.

According to the Pentagon, only one active-duty service member has received an exemption.

Stars and Stripes reported that servicemembers already planning to separate by April 1 did not have to comply with the mandate and would not face repercussions.

Different military branches have different vaccination deadlines ranging from the U.S. Air Force November 1 deadline to a June 30, 2022 deadline for the National Guard.

So far In 2021, 71 military personnel have died from Covid-19 – none were fully vaccinated.

98% of U.S. Special Forces are vaccinated

Roughly 98 percent of U.S. Special Operations Command troops have received the COVID vaccine, the head of SOCOM said Friday, according to a report in the Military Times.

SOCOM’s commander, Army Gen. Richard D. Clarke, shared the statistic during the annual Military Reporters and Editors Conference here and said that percentage includes special operators like SEALS and Green Berets, but also administrative and other troops that make up the joint force of roughly 70,000.

State Updates

Alaska

Multiple hospitals operate under crisis standards of care across Alaska with 232 Covid-19 patients hospitalized and a sky-high new case rate. Health officials are reporting 629 new COVID cases per 100,000 residents and a test positivity rate of 9.2%. Over 60% of new cases are among people under 40 years old. Although the transmission rate has plateaued, it has remained unchanged for more than six weeks as COVID rages through unvaccinated communities.

Earlier in the month, a series of contentious meetings at Anchorage City Hall debating a mask mandate for Alaska’s large city turned into a super spreader event. Several members of Mayor Dave Bronson’s administration became sick with Covid-19, including some breakthrough cases. William Topel, a well-known anti-vaccination activist was among the hundreds of mostly unmasked people in the packed room.

Topel, 68, had multiple health issues became ill with Covid-19 shortly after the meeting, and quickly declined in health. He was hospitalized in Anchorage and died of COVID-related illness on October 13. His supporters remained defiant at his funeral on October 25, according to Alaska Public Media.

“God’s going to use this as a fulcrum to propel us into victory,” friend and fellow activist Dustin Darden told the crowd after Topel’s burial. “We’re going to take every square inch of Anchorage, everything that Bill stood for every time he was out there, it’s just been amplified 1,000 times.”

After more than a week of theatrics that included Mayor Bronson supporting the use of Nazi symbols, and seven meetings that frequently devolved into screaming matches, the Anchorage Assembly voted to issue an emergency mask mandate. On October 13, the same day Topel died, Bronson vetoed the decision. A day later, the Assembly overrode the veto by vote, requiring masks on October 14.

On October 27, the Anchorage Assembly meeting scheduled to discuss routine city business devolved into an anti-mask debate again.

On Saturday, anti-vaccination activists are holding the “Alaska Early Treatment Summit” that includes Robert W. Malone, Ophthalmologist Richard Urso MD, and Ryan Cole, MD, head of Ada County Health in Idaho and currently under investigation by the state medical board.

Malone is known for his claims that he invented mRNA vaccines. Malone was involved in early research in the 1980s according to multiple reports but is not considered “the” inventor or to have provided significant contributions to the development of mRNA. He became infamous for his claim that he graduated from Oxford University, omitting that the Oxford University he graduated from is located in Ohio.

Malone claims he had Covid-19 in February 2020 and suffers from long hauler syndrome. He states he got the Moderna vaccine in hopes it would “cure” his symptoms, but believes the vaccination made it worse.

Malone is also the originator of the disinformation claim that people who receive the Covid-19 vaccine will die within six months to three years. The first Phase 1 trials started in April 2020 and in the United States, four vaccine-related deaths have been reported due to an extremely rare but dangerous condition called VITT.

Idaho

Idaho is facing good news, bad news situations as new case rates and hospitalizations plateau and fall respectively, while Covid-19 continues to rage in Northern Idaho and the Panhandle. The apocalyptic forecasts of 30,000 new cases a week (that Malcontent News reported was likely too grim) have not materialized, however, new cases are still running between 8,000 and 10,000 a week. Test positivity dropped to 11.5% but remains well above the optimal rate of 3% to 5% which would indicate adequate testing.

The Panhandle District accounts for 22% of Idaho’s new cases and Kootenai Health in Coeur d’Alene has been operating in crisis standards of care for almost two months. State officials don’t see the hospital situation improving much with concerns over the approaching flu season and continued spread in the unvaccinated population.

Since Covid-19 first arrived in the Gem State, there have been 290,872 confirmed cases – 4.5% vaccination breakthroughs. The state has recorded 3,543 Covid-19 related deaths.

Many North Idaho residents are skeptical about the effectiveness of masks in preventing the spread of the coronavirus and don’t wear them, health officials said.

Dr. Kathryn Turner, the deputy state epidemiologist, said North Idahoans are also not very helpful when it comes to contact tracing for the coronavirus.

“People are not as cooperative as in other parts of the state,” Turner said.

Idaho does not provide daily hospitalization data. The most recent report stated 570 were hospitalized with Covid-19, 163 in the ICU, with more than half on ventilators. Under normal conditions, Idaho has 170 staffed ICU beds.

Montana

State officials in Montana continue to update data just once a week despite the ongoing Covid-19 surge. On Monday, the Hospital Capacity Status Report indicated 458 people were hospitalized for COVID with 121 in the ICU, and 76 on ventilators. Hospitals have been operating at an unsustainable level since September 16 with no end in sight.

Only two “large” hospitals, Community Medical Center and Northern Montana Hospital had normal occupancy rates. The largest hospital, Billings Clinic, was caring for 277 patients, including 76 people infected with Covid-19.

To date, 5% of confirmed COVID cases require hospitalization. Currently, 1% of the entire Montana population is infected with Covid-19 every 14 days.

“It has been an exceptionally challenging week for us here, with record numbers of hospitalizations and very, very sick and very, very acutely ill patients hospitalized due to COVID,” said Katie Gallagher, Covid-19 public information officer for St. Peter’s Hospital.

St. Peter’s reports that, in October, 26 patients died due to complications from COVID – including five on a single day, the highest one-day total they’ve recorded. Gallagher said that was compared to nine COVID-related deaths in September.

More patients are also being hospitalized with COVID-related illnesses according to a report by KTVH. Gallagher says they have been averaging more than 30 over recent weeks, with the highest number being 44 – almost half of the available inpatient beds.

On Friday the Montana Nurses Association filed a motion to join a lawsuit by a coalition of medical providers and patients that seeks to invalidate Montana law that bars medical organizations from requiring employees to be vaccinated, saying it violates federal law and the U.S. and Montana constitution.

According to KTVQ, the original suit was filed in September in U.S. District Court in Missoula with the Montana Medical Association as the lead plaintiff. It challenges parts of HB 702 – passed by Republican majorities at the 2021 Legislature – saying it illegally prevents physicians, their offices, and hospitals from providing a safe environment for patients.

The nurses’ suit comes as Montana faces the worst rates for hospitalizations and death from COVID-19 in the United States, according to data from the Mayo Clinic.

New York

Six FDNY members of Ladder 113 have been suspended for allegedly driving their truck to a state senator’s New York City office and threatening his staff over the vaccine mandate for city workers according to a report by New York NBC 4.

The on-duty firefighters drove an in-service ladder truck to state Senator Zellnor Myrie’s office in Brooklyn on Friday and questioned staff as to where the politician lives, a department spokesperson confirmed. The crew is accused of telling his staffers they would have “blood on their hands” Monday when unvaccinated workers must go on unpaid leave.

The group of firefighters also allegedly told the staff that if a fire was reported at Myrie’s home they would not respond.

New York City’s vaccine mandate deadline for municipal workers which includes fire, police, is November 1. Compared to other cities such as Seattle and San Francisco as well as the state of Hawaii, vaccination rates are alarming low.

The Associated Press reported nearly one-fifth of city employees covered by the impending city mandate had yet to receive at least one vaccine dose as of Thursday, including 21% of police personnel, 29% of firefighters and EMS workers and 33% of sanitation workers, according to city data. City jail guards have another month to comply.

As of 8 p.m. Thursday, 33,400 city workers remained unvaccinated. The city said it would provide updated vaccine rates on Saturday.

The fire department said it was prepared to close up to 20% of its fire companies and have 20% fewer ambulances in service while changing schedules, canceling vacations, and turning to outside EMS providers to make up for expected staffing shortages.

Wyoming

Data from Wyoming is more encouraging as new cases continue to drop while hospitalizations remain very high. Officials reported 193 hospitalized statewide while the number of new cases is averaging 557 per day. Wyoming has lost 178 residents to Covid-19 in October and crossed the 1,000 death threshold this month. Over 15% of COVID-related deaths occurred in the last 28 days. On October 21, Wyoming set a new hospitalization record peaking at 249 patients.

Test positivity, which peaked at 24.42% in September, has dropped to 16.04% – which is still exceptionally high.

Elective surgeries have been delayed for weeks, creating additional health problems, according to a story by Wyoming Public Media. Jeffrey Chapman is the chief medical officer at Cheyenne Regional Medical Center – one of the many Wyoming hospitals that have had to limit what procedures they can perform.

“For almost five weeks we’ve only been doing urgent and emergent cases,” he said.

From Sheridan to Casper to Rock Springs, hospitals are monitoring their capacity on a day-to-day basis. In Campbell County, the hospital system canceled all elective surgeries earlier this week. And at Cheyenne Regional, Chapman said they have to make decisions about which surgeries can wait and which cannot.

Disinformation

On September 30, the National Institute of Health published an article titled Increased in COVID-19 are unrelated to levels of vaccination across 68 countries and 2947 counties in the United States. Is the paper based on accurate data and sound research done by university researchers and respected analysts?

The anti-vaccination community has seized upon the Harvard study as proof that vaccines are ineffective, and the momentum has been further fueled by Daniel Horowitz of The Blaze. So who is right?

First, we should look to the main author of the paper S.V. Subramanian, a Harvard professor of population health and geography who is saying the anti-vaccination community has it all wrong.

“That conclusion is misleading and inaccurate,” Subramanian wrote in an email to Ali Breland, a journalist. “This paper supports vaccination as an important strategy for reducing infection and transmission, along with hand-washing, mask-wearing, and physical distancing.”

Second and more important, there are serious data issues, inaccuracies, assumptions, and questions about the co-author of the paper.

Examples of serious errors include:

  • Mulitple U.S. counties attributed with innacurate vaccination data. As one example Chattahoochee County in Georgia was cited as over 90% vaccinated. As of October 29, according to data from the state of Georgia, the county is 15.52% vaccinated.
  • The data analysis starts at January 1, before anyone was fully vaccinated. Additionally vaccination programs targeted the elderly and those most likely to get severe Covid-19, and the analysis did not take into account the base rate. The data only considered hospitalization data through May 2021, just weeks after multiple states permitted vaccination to all age groups over 16.
  • The second author of the study is a high school student in Canada

Errors within the paper aside, Subramanian has stated the paper is supportive of vaccination as part of a holistic approach to defeating the pandemic.