Tag Archives: vaccination

COVID cases and hospitalizations are increasing dramatically in Washington

[OLYMPIA, Wash] – (MTN) The number of patients in Washington ICUs has surged to the highest levels since April, while the 7-day moving average of new cases is now at the highest level since May and rising rapidly. Just 36 days after King County ended the masked mandate, cases fueled by the highly contagious Delta variant are exploding.

On June 27, there were only 167 new COVID cases statewide. That number has climbed 748% in a month, with the 7-day moving average up to 1,251 cases on July 28, per the Washington Department of Health. In the most recently available data, 173 patients are in the ICU with COVID – which represents 14.3% of all available ICU beds in the state and is well above the 10% threshold.

Statewide, Washington is no longer achieving any metric that would indicate the spread of COVID remains under control.

According to the Washington State Department of Health data through July 26, 2021, COVID positivity has climbed to 6.5% statewide. The target is to be below 5%, and over 7% is an indication of growing community spread and under testing. Only the sparsely populated counties of San Juan, Garfield, and Columbia were under 5%. Asotin, Lincoln, Franklin, Walla Walla, Benton, Klickitat, Pacific, Cowlitz, and Skamania were over 15% positive – Benton county was over 25%. King County was at 4.3%.

Statewide acute care hospital beds continue to exceed guidelines. Statewide 82.2% of beds are supporting patients, while in King County, it is 84.6% of available beds. Of the 7,517 patients in the hospital, 647 have COVID. For ICUs, the numbers are more concerning. Statewide, 81.7% of all ICU beds are occupied, and in King County, it is 83.9%. Some area hospitals already have full ICUs, just as the state appears to be heading towards its biggest surge since the spring of 2021.

Although there is no specific cure for COVID, the medical community has a much better understanding of supportive therapies than they did at the pandemic’s beginning. Due to low positive outcomes, moving a patient to a ventilator is now considered a last line of defense.

Some of the strain on the state medical system in Washington is caused by out-of-state patients from Idaho, Montana, Oregon, and Alaska. Hospitals in eastern Washington support trauma and the sickest COVID patients from Idaho and western Montana, while hospitals in Portland and Seattle take patients from Oregon. Trauma patients in Alaska are flown to Seattle once they are stabilized. This spring and summer have seen a dramatic increase in general trauma unrelated to COVID, accounting for the current high occupancy rate.

Locally, Evergreen Hospital was reporting 12 COVID patients in Kirkland and 5 in Monroe.

Hospitals are normally staffed to support 60% to 80% capacity, with the remainder aside to support short-term surges. An increasing number of specialists, doctors, and nurses are leaving the medical field as the stress of the last 18 months has taken an emotional and physical toll.

To a layperson, 80% to 85% occupancy may not seem like a challenge, but the primary issue is a lack of medical staff when rates get this high.

COVID deaths remain low in Washington but are a trailing indicator and don’t spike until 4 to 6 weeks after hospitalizations increase. The IHME current forecast indicates COVID hospitalizations will peak next month, and deaths will grow an additional 70,000 to 130,000 nationally by October 31. The same forecast models indicate that masks would dramatically lower that number.

The Delta variant is now the dominant strain in the United States. Last week, the CDC reported that the COVID variant that emerged in India is as transmissible as chickenpox]. A super spreader event in Massachusetts over the 4th of July holiday sickened more than 880 with 74% vaccinated. Five were hospitalized, including 4 vaccinated people. The data from that incident resulted in a renewed recommendation to wear masks.

The NIH reported that in June 2021, the most recent data available, over 99% of people who died of COVID in the United States were unvaccinated. A vast majority of vaccinated people who test positive for the Delta variant are asymptomatic or mildly sick. However, unlike previous variants, the vaccinated carry a high virus load and can spread the disease. In states hit harder by Delta, such as Tennessee, vaccination rates have significantly increased as the impact of COVID becomes more real.

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

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

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

Nine counties recommend masks again as COVID surges

[SEATTLE, Wash] – (MTN) Skagit County joined eight Western Washington counties today in recommending indoor use of masks for all people, even if they are vaccinated. Eight counties, including Grays Harbor, Callam, Pierce, King, San Juan, Jefferson, Kitsap, and Snohomish released a joint statement on Monday with the recommendation.

The CDC is widely expected to recommend wearing masks in regions with high infection rates today as COVID cases fueled by the Delta and Gamma variants, surges in all 50 states. In a report from Dr. Katelyn Jetelina, MD, and epidemiologist, COVID cases have grown 170% in the last 14 days across the United States as tracked by Johns Hopkins University.

The COVID-19 Scenario Modeling Hub, a consortium of researchers and medical professionals projects that the so-called Fourth Wave will peak in October, with daily deaths growing to 850 in the United States as the best case, and as high as 4,000 a day in the worst case. The IHME out of the Univesity of Washington projects a peak in September and the United States entering a new normal for fatalities.

On July 14, Washington state achieved its goal of 70% of eligible residents over 16 years old vaccinated. King County is over 80% vaccinated, but there remains significant gaps in South King County in communities such as Federal Way. The number of new cases per 100K has grown to 107 in Washington state, well above the target of 25.

Acute care and ICU beds remain in short supply throughout Washington due to a number of contributing factors, including COVID. KING 5 reported that emergency rooms across Western Washington are overwhelmed including Harborview Medical Center, the state’s only Level 1 trauma center, where patients are waiting as long as 90 minutes to be unloaded from ambulances.

24 days later, King County is asking you to mask up – again

[SEATTLE, Wash] – (MTN) With COVID cases climbing in King County and 90% of detected COVID cases are “variants of concern,” King County health officer Dr. Jeff Duchin is recommending to mask up once again.

“I know this is frustrating and disappointing to many,” said Duchin. “It certainly is to me. I didn’t want to be in this position. And I acknowledge that the changing communication on masking has been a real problem nationally.”

King County is one of the most vaccinated counties in the country, where 80.3% of residents 12 and over have at least one dose of a COVID vaccine. Despite those numbers, 700,000 residents of King County remain unvaccinated including the young and the immunocompromised.

On June 28, the county was logging 56 new COVID cases a day. The count has climbed to 171, a 294% increase. Test positivity had dropped to as low as 1.2% but is now up to 4.1%. That is still within an acceptable range and indicates adequate testing, but the sharp increase in just 3 weeks is concerning to health officials.

Statewide, 9.4% of all ICU patients have COVID, moving closer to the 10% red light metric.

Hospitals in King County are near capacity – but not due to COVID

The Washington State Department of Health is reporting that 90.8% of all acute care beds and 88.7% of ICU beds are occupied in King County. Normally during this time of the year utilization would be 60% to 80%. As of July 22, only 2.6% of acute care beds and 5.4% of ICU beds have COVID patients. The problem? Area hospitals are overflowing with accident and trauma patients and patients that had elective surgeries delayed last year are moving through the system.

To the south in Thurston County, there are so many traumas and accidents 911 and ambulances are overwhelmed creating service delays.

Growing concern over Delta, Lambda, and Gamma variants

The Delta variant, B1671.2 from India, now makes up 83% of all cases in the United States. Two different studies found that Delta produces 1000% to 1200% more virus load than the original COVID strain. Neither study has been peer reviewed, however, both independent reports reached similar conclusions. The variant is 200% to 225% more transmissible than the original variant and has an R0 estimated to be 3.5 to 4.0 among unvaccinated populations according to Yale University.

Lambda has been identified in approximately 700 patients in the United States in the last 14 days. The South American variant appears to be less transmissible than Delta, so it likely won’t get established within the population. In South America, Lambda is over 9% fatal, but researchers believe this may be to lower quality healthcare, and only the sickest patients getting tested.

In Illinois, Gamma is the dominant variant with cases detected in Texas and Washington. According to a CDC study released this week, Gamma is showing a “strikingly high attack rate among persons vaccinated.” The report added, “Such a low vaccine efficiency against infection by the Gamma variant was not expected.”

Skeptic Republican leaders appeal to get vaccinated

In the last week, Steve Scalise (LA-R), House Minority Leader Mitch McConnell (KY-R), and Alabama Governor Kay Ivey (AL-R) have appealed for constituents to get vaccinated. Alabama has the lowest vaccination rate in the county while in Louisiana, hospitals are becoming overwhelmed.

Delta, Lambda, and Gamma all appear to break through the currently available vaccinations to varying degrees. However, data indicates that almost all breakthrough cases is asymptomatic or mild. In June, the National Institute of Health reported over 99% of all COVID-related deaths were among unvaccinated patients.

According to the White House, vaccination rates are starting to increase in some of the states hardest hit by the fourth wave.

CDC moves Washington state up to “substantial transmission” as COVID cases skyrocket nationwide

[SEATTLE, Wash] – (MTN) COVID cases are increasing in all 50 states and the District of Columbia, as the Delta variant of COVID rapidly spreads through the unvaccinated population. The South and Central Midwest show the most significant increases, with hospitals in Missouri, Arkansas, and Louisiana strained by caseloads.

COVID cases are up 140% nationally in the last seven days and are showing exponential growth. Only Vermont, one of the highest vaccinated states in the country and predominantly rural, is the only state with a low transmission rate. Tennessee has seen cases increase 340%, Massachusetts 261%, and Alabama 257%. Florida is trending 6,500 new cases a day, 21% of all new infections in the United States.

Hospitalizations, which is a lagging indicator of infections, are up 34% nationally. Arkansas, Missouri, Florida, and Nevada have more hospitalized COVID patients than the third wave over the winter and early spring of 2021.

Clark County, Nevada, which includes Las Vegas, joined Los Angeles County in California, mandating masks for all residents and visitors. Governor Jay Inslee of Washington has said the state would not be moving forward with a renewed mask mandate. The CDC recently moved Washington state to “substantial transmission of COVID” in its latest weekly update.

The Delta variant of COVID originated in India. It brought the medical infrastructure of the nation of one billion to the brink of collapse. Officials wrestled with shortages of Oxygen, ventilators, and fuel to cremate the victims. 

In a non-peer-reviewed study of 167 patients infected with the Delta variant, viral load was 1000% higher than previous variants. Another study found the viral load to be 1200% higher, adding more weight to the first study. The increased viral load indicates that Delta is 225% more transmissible. In the United States, Delta now accounts for 58% of infections.

Another challenge facing health officials is some states moved away from reporting daily COVID data. Many believe infections numbers are worse. In Texas, for example, most COVID tests are happening at hospitals when patients are arriving much sicker than with previous strains. Many states, including Washington, converted testing sites to vaccination sites, making it more challenging to get tested.

Wall Street reacted negatively to the news of the “fourth wave.” The Dow Jones was down over 900 points, and the price of West Texas Intermediate (WTI) crude oil dropped almost 6% to $67.28 a barrel. Concerns over the economy slowing down again while most social safety nets related to COVID are ending were causing the retreat.

King County is offering free transportation to get vaccinated and is even offering free childcare for vaccination appointments and the recuperation period for those still unvaccinated.

Although side effects are mild, many have reported feeling fatigued, experiencing headaches, and having brain fog 24 to 48 hours after the second dose for a day or two. The one-dose Johnson and Johnson vaccine has been reported to have lesser side effects, but that evidence is anecdotal.

Vaccine hesitancy still is holding along political lines. Twenty-eight percent of Republicans and 20% of Independents have stated they will not get vaccinated. The survey also indicated 50% reporting they who would not get vaccinated were taking a wait and see approach and were somewhat likely or likely to get vaccinated in the future.

If you or a family member needs to get vaccinated in King County, you can visit the Getting Vaccinated King County page on the Public Health website.

COVID cases on the rise as Delta variant becomes the dominant strain

[KIRKLAND, Wash.] – (MTN) Health officials are increasingly concerned as the COVID Delta variant takes advantage of low vaccination rates in rural areas and communities with vaccine hesitancy. In Washington state, Benton, Franklin, and Walla Walla counties have some of the highest COVID positivity rates in the country. Only three Washington counties, San Juan, Island, and Wahkiakum, have fewer than 25 cases per 100,000 people. In King County, new cases are creeping up.

The Delta variant emerged in Indian and has quickly spread through Europe and North America as the new dominant strain. Delta is more transmissible than the B.1.1.7 variant, or “UK” variant, and initial symptoms closely resemble RSV, a common virus. People infected with Delta are not reporting a loss of taste and smell, a red flag that is common with other COVID strains.

An area of particular concern is people who have opted not to receive their second dose of the Pfizer or Moderna vaccine. In Washington state, up to 125,000 people have had their initial dose, but not their second. Not everyone in that group has decided not to get the second injection. Incomplete vaccinations provide less protection, but even more so with Delta.

In areas with low overall vaccination rates, Delta is dramatically increasing case numbers and hospitalizations. In southern Missouri, hospitals are overwhelmed with more patients than during the coronavirus peak over the winter, and officials searched for ventilators.

Depending on the state, 96% to 99% of people hospitalized for COVID are unvaccinated. According to the National Institute of Health, more than 99 percent of people who died from COVID-19 in June were not vaccinated.

Within Washington state, data is mixed. The positivity rate for COVID testing is 2.8%, indicating an appropriate level of testing. According to the most recent data, ICUs remain over 80% occupied. The number of COVID patients is low, with 370 in acute care and 80 in ICU.

A 2.8% positivity rate is a significant accomplishment from the spring; however, it has increased almost 50% in the past two weeks.

Governor Jay Inslee set a goal of 70% of Washington state residents 16 years and older vaccinated. The state is just under that goal at 69.8%. A lottery that included hundreds of prizes concludes today. The winner of the one-million-dollar grand prize is notified. Pundits consider the lottery a flop as it did little to move vaccination rates higher.

King County Health is continuing COVID vaccine outreach and providing transportation and childcare. You can visit the King County website to learn how to get vaccinated.

Washington COVID vaccination rate flatlines

[OLYMPIA] – (MTN) Hopes that Washington state could go to full reopening before June 30 crumbled today after the Washington Department of Health Updated the COVID Dashboard. According to the Department of Health, 68.0% of Washingtonians 16-years old and older have had at least one dose of the COVID vaccine. Governor Jay Inslee has previously announced the state would end almost all COVID business and health restrictions on June 30 or if the state achieved a 70% vaccination rate earlier.

Last week the state reported 67.8% had already received their first dose, and approximately 134,000 more residents over 16 needed to get the COVID vaccine. Based on existing vaccination rates, in theory, the state could have moved to reopen on June 25. Instead, it appears Washington will fall short of the 70% goal as residents who got their first dose have slowed to a snail’s pace.

It isn’t all bad news. According to the Biden Administration, over 70% of all residents in Washington over 18 have had at least once COVID dose, joining 12 other states in reaching the milestone. King County was the largest county in the United States to have over 70% of residents vaccinated, achieving King County Health’s goal on June 15.

The slowdown is happening nationally as the Delta variant of COVID is quickly becoming the dominant strain. Many people testing positive for COVID are unvaccinated, and hospitals report 95% to 99% of COVID patients are unvaccinated. Over 34 million Americans have had COVID, and up to 10 million suffer from long-term effects of the illness, known as COVID long haulers. Over 602,000 have died.

A number of false rumors have circulated over the last six months about the COVID vaccine. Disproven claims have included the vaccine includes microchips from Microsoft, trackers that connect to 5G, metal flakes that turn you magnetic, and programming that is somehow activated by 5G or the government.

Another challenge is outreach to low income, rural, minority, and English as a second language communities. Some areas are vaccine deserts, where residents do not have easy access to medical providers. In minority populations such as Black, Indigenous, Hispanic, and Pacific Islander, there is significant distrust in medical care in the United States due to historic mistreatment by the government. For non-English speakers, language barriers have existed in understanding how to get a vaccine or make an appointment.

Washington state has shifted its vaccination strategy to focus less on large scale vaccination centers to focus on mobile and pop-up clinics, and community outreach. King County is offering free transportation and childcare to get a vaccination. Childcare is also available for those who experience moderate side effects, which many have reported after their second dose.

In King County, you can visit the Department of Health website to find a vaccination clinic, and almost all locations support walk-up appointments. You can also visit the Facebook Group, Find a COVID Shot WA if you need language or technology assistance in making an appointment.

67.8% of Washingtonians have received at least one dose of the COVID vaccine

[OLYMPIA] – (MTN) According to the Washington State Department of Health, the state is just 2.2% away from its goal of 70% of residents 16 years old and above, with at least one dose of the COVID vaccine. By the numbers, roughly 134,000 more Washingtonians will need to get their first dose (or one dose Johnson & Johnson) to reach the goal of 70% inoculated. Currently, the state is administering 15,000 first doses a day, indicating on paper, we could be back to full reopening on June 25.

However, vaccination rates in the state are plummeting – down over 70% from mid-May. Washington state has provided a number of incentives to push over the finish line including a vaccine lottery, a specific lottery for veterans and military members, and other incentives such as free college tuition.

Federal data indicates that Washington state has already reached the 70% mark but there are differences in methodology. The federal data is counting adults 18 and over and is using older census data. Washington state is counting people 16 and over and using the more up-to-date population estimates.

King County Health announced on June 15 that the county achieved its goal of 70% of residents vaccinated. The King County mask mandate will end on June 29, 2021. In a press conference on Thursday, Governor Jay Inslee made it clear that by June 30, the state will be fully reopened.

King County residents can visit the King County Health, Getting Vaccinated page to find a vaccination site, get transportation assistance, and find childcare assistance.

70% of King County is fully vaccinated for COVID – mask mandate ends on June 29

[SEATTLE] – (MTN) King County Health announced that the county is the largest in the nation to achieve 70% of the population 16 years and older fully vaccinated today, and will drop the indoor mask mandate on June 29. Currently, 77.8% of King County residents have received at least one dose of the COVID vaccine, and 70% of those 16 and over have received both doses. The 14 day lag from the immunization milestone is to let the second dose for those who received the Pfizer or Moderna vaccination reach full efficacy.

Washington Governor Jay Inslee had previously announced that Washington state would move to full reopening on June 30 or earlier if the state could achieve 70% of residents with at least one dose. It appears the state will get close to the goal but not achieve it.

Despite the victory, the vaccination rate for Latinx, Black, Indigenous, and Pacific Islander populations lag behind their white counterparts. King County is still experiencing 2 COVID deaths a day on average. Black/African American and Latinx residents have the lowest vaccination rates among racial/ethnic groups in King County, with about 52% have completed their vaccination series compared to 66% for Whites, 74% for Native Hawaiian/Pacific Islanders, 76% for American Indian/Alaskan Natives and 79% for Asian Americans.

New cases are down 90%, and the COVID Alpha variant first identified in the United Kingdom was responsible for a fourth wave of cases. Currently about 10% of those tested are testing positive for the Delta variant out of India. That variant is between 40% to 80% more contagious and is making people much sicker.

There have been signs of vaccination success, including closing the mass vaccination site at Lumen Field over the weekend. The county is offering free transportation to get vaccinated and is even offering free childcare for vaccination appointments and the recuperation period. Although side effects are mild, many have reported feeling fatigued, experiencing headaches, and having brain fog 24 to 48 hours after the second dose for a day or two. The one-dose Johnson and Johnson vaccine has been reported to have lesser side effects, but that evidence is anecdotal.

Vaccine hesitancy still is holding along political lines. Twenty-eight percent of Republicans and 20% of Independents have stated they will not get vaccinated. However, in that same survey 50% also reported they were taking a wait and see approach, and were somewhat likely or likely to get vaccinated in the future.

If you or a family member needs to get vaccinated in King County, you can visit the Getting Vaccinated King County page on the Public Health website.

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

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

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

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

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

Malcontentment Happy Hour: May 13, 2021

Our live webcast from the former Seattle Anarchist Jurisdiction

The show from May 13, 2021, featured David Obelcz and our co-host Jennifer Smith. Patrons at the $5 and above level get access to our show notes and research documents.

  • Georgia Man busted after drilling holes in a U-Haul truck gas tank
  • Does Seattle have the 7th best BBQ in the United States?!?!
  • Acting Seattle Police Chief Adrian Diaz dismisses OPA use of force findings on June 1
  • Malcontented Minutes
    • Kentucky Derby Scandal deepens
    • Two Texas police officers shot and killed, one city worker wounded
    • Police hold press conference on the body of missing Indigenous found on Turtle Mountain
    • Black man beaten and robbed in Pennsylvania bar in racist incident
    • Government issues warning not to put gasoline in plastic bags
    • Florida woman arrested for pretending to be a high school student chasing Instagram clout
    • Levi’s is championing pronoun use
    • Evangelical Lutheran Church elects first openly transgender bishop
    • A mare and foal find comfort in shared grief
    • Two new mothers, one a gorilla, one human, bond at a Boston Zoo
  • Juneteenth law signed by Jay Inslee
  • COVID Update