Tag Archives: vaccine

Polio detected in New York, London, and Jerusalem wastewater – King Co not Testing

[SEATTLE, Wash.] -MTN The poliomyelitis virus has been detected in the wastewater of the international travel hubs of New York, London, and Jerusalem, indicating that the disease is spreading through the community. King County tests wastewater for several diseases but polio, long eradicated in Washington state, isn’t one of them.

“At this time, we are not testing King County wastewater for poliovirus,” Kate Cole, communications representative for Public Health of Seattle and King County, said.

Polio once struck fear into the hearts of parents until the 1950s, when the first polio vaccine brought the disease, which has no cure, into check. Thanks to widespread vaccination campaigns, the disease, which can cause paralysis and death, was declared vanquished from the United States. By 2016, the complete eradication of polio appeared to be within grasp, with cases numbering in the hundreds appearing in two nations – Pakistan and Afghanistan.

The virus spreading in New York and London is a revertant Sabin type 2 virus, which originates from the Sabin orally administrated polio vaccine. The oral polio vaccine was discontinued in the United States in 2000 but is still used in other nations, mainly to contain polio outbreaks. When a person is vaccinated with the oral vaccine, which uses a weakened version of poliomyelitis, they can shed the virus in their feces for up to a month. If an unvaccinated person comes in contact with a contaminated surface, they can become infected. Eventually, if the weakened virus sickens enough people, it can revert to a more virulent version.

On July 21, the New York State Department of Health reported the first case of community transmission of polio in the United States since 1981. The infected Rockland County resident suffered from paralytic polio, which state officials identified as a “revertant polio Sabin type 2 virus.” In a fully vaccinated population with strong herd immunity, the story would have stopped there. But due to declining vaccination rates, it didn’t. In the following weeks, polio was detected in the wastewater of three New York regions, including New York City.

While polio appearing in the wastewater of two of the largest cities in the world and three travel hubs is alarming, most of the infected have no idea they are a carrier. Up to 75% of people who get infected are asymptomatic – they never experience a single symptom. While many will never know they had polio, they are contagious and quietly spread the disease for up to a month.

For those who get sick, symptomatic polio resembles the flu or a mild case of the Omicron variant of COVID-19. Fatigue, body and joint aches, weakness, stomach distress, and fever. That makes it even harder to spot because many physicians haven’t seen a case of polio in their lives, and mild symptoms mirror more common diseases that are active in the community.

In less than 2% of cases, polio crosses from the digestive tract to the nervous system. One out of two hundred who catch polio will develop paralytic polio, which can be fatal. The chances of experiencing paralysis increase the older a person is. Polio thrives in areas with warm water and populations with poor hygiene, especially children.

According to the National Library of Medicine, in 1981, over 90% of Americans were vaccinated for polio, creating so-called herd immunity. Vaccination rates peaked in 2008. The journal Nature published a study in 2019, reporting the rate had dropped to 80%. Preliminary data indicates that vaccine disinformation has dropped the rate even lower. In some conservative and religious counties, the rate is below 70%.

Travelers who took the oral vaccine, or in rarer cases, are infected with a vaccine acquired case of polio unwittingly spread the disease to the unvaccinated. In closed communities, the disease can spread quickly and silently.

Some epidemiologists believe because polio is spreading in New York City, it has likely spread to other major travel hubs in the United States. Americans have taken to the skies in near-record numbers after two years of COVID-related travel declines. Orlando. Atlanta, Houston, Dallas, Chicago, Minneapolis, Denver, Los Angeles, San Francisco, and Seattle could have cases silently spreading without carriers even knowing.

Nick Rolovich, Former WSU Coach, Files Wrongful Termination Suit

Five Fast Facts

  • Rolocich applied for a religious exemption, but it was denied; WSU said at the time that they could not make appropriate accommodations for the head coach because the job required in-person interaction with hundreds of people a week
  • The former coach appealed his firing, first to the athletic director and then to the University President; both appeals failed to convince the school to reverse the firing.
  • For all state employees, even if a religious exemption was approved, the final decision rests with the supervisor and revolves around the ability to make appropriate accommodations for the employee’s unvaccinated status—accomodations that would require limited in-person interactions with other people
  • Rolovich has not publicly shared what his exact religious opposition to vaccination is and has publicly announced that he is not against vaccination in general or the choices others make to receive the vaccine

PULLMAN, WA—The former Washington State University (WSU) head football coach has followed up on his plans to sue the state of Washington by filing a tort suit against the state.

Rolovich was fired from WSU in October 2021 after he said he would not receive the COVID-19 vaccine. Rolovich applied for a religious exemption from Gov. Jay Inslee’s mandate requiring all state employees to get vaccinated for COVID-19. His religious exemption was denied by WSU. They said that they could not make appropriate accommodations for Rolovich if he was unvaccinated.

For further reading, visit King 5.

COVID Variant BA.5 is Becoming the New Dominate Strain in Washington

[KIRKLAND, Wash.] – (MTN) Health officials and epidemiologists are sounding the alarm about the latest COVID variants, BA.4 and BA.5, spreading across the United States and quietly driving up hospitalizations at an alarming rate.

COVID BA.5, and its close cousin BA.4, not only share mutations with the highly infectious original Omicron strain but has some of the mutations that caused the Delta variant to attack the deep lung tissues and additional adaptations that escape an immune response, including memory T cells. Data out of South Africa for BA.4 showed the R0, a measure of how easily a contagious disease can spread, was 18.6, with a real-world R0 of 10.0 to 12.0.

Previous variants including the original Omicron strains required 15 to 60 minutes of close contact to build up a viral load to cause an infection. The new strains, which represent 40% of new cases in Washington state according to the University of Washington Virology Lab, can be passed along through casual contact. Although masks are not required by regulations anywhere in the United States, healthcare professionals are urging people to mask up again. Including those who had previous infections and the vaccinated.

The current vaccinations are based on the original strain of COVID, which has since mutated tens of thousands of times, producing five major waves that swept the planet. Alpha, Delta, Omicron, Omicron BA 2.12.1, which caused a spike of new cases in Washington in late May and June, and now Omicron BA.5. Each mutation has adapted to bypass our immune systems and therapeutics. COVID variant-specific boosters are expected to be available in the fall.

It is a common belief that viruses always get weaker when they evolve, but that isn’t true. COVID, SARS, and MERS are all part of the coronavirus family which includes the common cold. SARS has a mortality rate of 1% to 2% while MERS, which evolved from SARS, has a mortality rate as high as 40%. While a common cold could be equated to a lazy housecat, COVID is closer to a male lion and MERS would be akin to a pack of starving lions. Cats and lions are felines – a scratch from a cat hurts while a scratch from a lion can kill. COVID lies between SARS and MERS.

The ability to spread easily isn’t the only evolution in BA.5 that has the medical community so worried, pre-print studies show it can evade all forms of previous immunity. Many people who had never caught COVID fell ill in May and early June, with a spike in BA.2.12.1 cases. Before BA.5 became the new dominant strain, a recent infection offered on average five months of enhanced immunity, but BA.5 is infecting people who had COVID just weeks earlier. Although other strains could evade front-line defenses, memory T cells weren’t fooled. Many who had previous infections or are vaccinated had mild symptoms that didn’t require seeing a doctor or hospitalizations. Data indicates that isn’t the case for BA.5, which can slip past the secondary immune response.

In Washington, new case rates are similar to the end of December, when the Omicron surge brought regional hospitals to their knees a few weeks later. Experts believe the case rate is much higher due to widely available home tests which go unreported, the end of COVID testing for international travel, and most employers dropping frequent COVID testing requirements. Fewer mild and asymptomatic cases are being captured. In San Francisco, wastewater data shows that COVID-19 has quietly spread at a faster rate than earlier spikes.

According to the Washington State Department of Health, area hospitals are already strained, in a situation eerily similar to December 2021. Statewide only 8% of acute care beds and 10% of ICU beds are available. Twelve percent of acute care patients have COVID, while ICU occupancy remains at a manageable 7%. A common question is if someone is hospitalized “with” COVID or “due” to COVID, but the point doesn’t matter. A patient that has COVID has to be treated differently and requires more attention, which saps already thin medical resources.

So far, the number of patients on ventilators remains far lower than in previous waves. While immunity to prevent symptomatic infection has declined significantly, protection from severe COVID symptoms appears to be holding.

As with previous waves, people 18 to 34 have the highest case rate while those 65 and older have the highest hospitalization rate. Officially, only three counties in Washington don’t have a “high transmission rate” for COVID.

Where London goes with Omicron Seattle will follow, with the rest of the US close behind

[KIRKLAND, Wash.] – (MTN) A record 93,000 new COVID cases were reported in the United Kingdom by the National Health Service just hours after Trevor Bedford, Ph.D., an Associate Professor, Biostatistics, Bioinformatics and Epidemiology Program Vaccine and Infectious Disease Division, at Fred Hutchinson Cancer Research indicated that where London goes, Seattle will follow five days later.

France closed its borders to the UK on Friday evening and on Saturday, London Mayor Sadiq Khan declared a “major incident” as Covid-19 hospital admissions rose 30% in a week. The National Health Service reported seven people have died from the Omicron variant and believe that “hundreds of thousands” of cases are going unreported. Cases are expected to grow at a dizzying rate well into January.

On Friday, Bedford told reporters that 50 percent of new Covid-19 cases in King County, were likely Omicron and doubling every 2.4 days. The next day, Pavitra Roychoudhury, MSc, Ph.D., of the University of Washington Virology Division tweeted that Omicron was 50 percent of all cases in Washington.

In an interview published on Saturday in the New York Intelligencer, Bedford shared his prediction on what is to come. “I can expect caseloads that are huge. I can easily expect a 50 percent attack rate from Omicron. I can easily expect that.”

“Attack rate,” is how much of the population will be infected – and Bedford predicts that half of the United States population will catch the Omicron variant. Because the United States does not take a national approach to genomic sequencing, and not all hospitals test patients for COVID at admission, the number of people already hospitalized is murky. From the earliest reports, the hospitalization rate was between 2% to 5%.

There was little good news to be found over the weekend on the impact the new wave is going to have on the United States. In the Northeast, Mid-Atlantic, and Great Lakes Region hospitals are already at or over capacity and receiving additional aid from FEMA. Many states are struggling with dwindling testing funds and a lack of data because tracking systems were dismantled over the summer.

A cascade of drug makers indicated late in the week that the current version of monoclonal antibodies in distribution aren’t effective against the Omicron variant. Unlike vaccines, which target all antibodies, monoclonal antibodies only target one. The antibody that was “cloned” in the process was effective against previous variants but doesn’t produce a significant immune response with Omicron.

In a series of studies, only Sotrovimab, produced by GlaxoSmithKline, showed promise against the fast-spreading variant. The monoclonal antibody received Emergency Use Authorization ( EUA) from the U.S. Food and Drug Administration (FDA) on May 26. Health and Human Services (HHS) reported they would be distributing 55,000 doses across the United States this week, with Washington receiving 552.

Back in the UK, the National Health Service reported that on any given day, about one percent of the national health force would be absent from work due to illness. In London, the number of workers calling out sick surged 40 percent. In the United States, healthcare workers have been fleeing the profession for years, while nurses have complained about short staffing for over a decade. Area hospitals will be impacted dramatically if Omicron starts to infect their workforces.

HHS reported over 68,000 people were hospitalized with COVID across the United States. Statewide on Friday, only eight percent of acute care and 12 percent of ICU beds were available. In King County many hospitals are already at or above capacity, but not due to COVID patients. A shortage of staffed skilled nursing and rehabilitation beds has left patients ready for discharge nowhere to go.

Over the summer when patient loads were lower, the Delta wave brought Oregon and Washington hospitals to the brink of crisis standards of care while collapsing the healthcare systems in Idaho and Alaska. Hospitalization rates for COVID and non-COVID patients are already much higher as the region prepares to face the biggest challenge yet.

According to HHS, EvergreenHealth Kirkland had 19 acute care beds available while Overlake had 17. Both hospitals were reporting ICUs near capacity with 3 beds at Evergreen and 4 at Overlake.

During the Delta surge, states learned that activating the National Guard for nurses and doctors was a poor option. Trained hospital staff who are “weekend warriors” were frequently already supporting surging hospital admissions. The activation in some cases made staffing situations worse.

King County residents vented their frustration on social media about the inability to get a booster shot, find home COVID antigen tests, and PCR test results being delayed. In other circles, Seahawks fans raged against the scheduling change against the Rams due to coronavirus.

Officials in the UK pleaded with government officials to implement further public health restrictions to stem the tide of new cases, as models indicate that by January, the island nation could see 3,000 to 4,000 new hospitalizations a day. Londoners were already starting to deal with closed shops and restaurants, and delays in services because so many people have been sickened.

It is unlikely any additional restrictions will be implemented across the United States, where COVID has been turned into a political weapon. The U.S. Department of Homeland Security (DHS) indicated in a Nov. 10 memo, “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.

Numerous studies and growing real-world data from Africa and Europe indicate that immunity from prior COVID infections or vaccination without a booster provides enough protection to prevent severe COVID symptoms that result in hospitalization and death. Booster shots ideally received within the previous 12 weeks, boost immunity for more.

For people relying on viral vector vaccines such as Johnson & Johnson, AstraZeneca, or Russia’s GNCEM, there appears to be even less protection without a booster. On Thursday, The Centers for Disease Control (CDC) endorsed the recommendation from the Advisory Committee on Immunization Practices (ACIP) to recommend the mRNA Pfizer and Moderna vaccines over Johnson and Johnson. The decision was made due to the waning effectiveness of the J&J vax and nine confirmed fatalities, seven women including one from Seattle, and two men, from vaccine-induced immune thrombotic thrombocytopenia (VITT).

A study published on Dec. 14 found that Moderna with a booster provided the best protection from Omicron, followed by Pfizer with a booster, and then Johnson & Johnson with a Moderna booster. The study also evaluated individuals who had a previous COVID infection and then got vaccinated. They found that immunity was better than vaccination without a booster, but not as robust.

Real-world data from Europe and Africa indicate that relying on immunity from a previous COVID infection is offering little protection from becoming symptomatic. Epidemiologists have stated it is possible to be infected with the Delta and Omicron variants at the same time. It also appears that natural immunity from Omicron won’t protect a person from a later Delta infection.

There is mounting evidence that Omicron is no more severe than Delta, but little evidence it is less so. On Friday the Imperial College of London released a report that found no evidence that Omicron is “mild.”

“The study finds no evidence of Omicron having lower severity than Delta, judged by either the proportion of people testing positive who report symptoms or by the proportion of cases seeking hospital care after infection. However, hospitalisation data remains very limited at this time.”

The challenge for the public and health experts is comparing the current global wave to previous spikes in COVID cases. During the original wave in the spring of 2020, no one had any type of immunity. When the Alpha and Beta waves came in the winter of 2020, vaccines were just rolling out. When Delta arrived the variant was more transmissible and more severe than prior strains. It also was capable of nibbling around the edges of vaccine protection due to its mutations.

Omicron has arrived in a population that has received a variety of mRNA and viral-vector vaccines with different doses as well as disease acquired immunity from different strains. The timing of receiving a vaccine, prior infection, or a combination also impacts how much immunity a person has.

Many people are more mobile and have returned to work and school while simultaneously taking fewer precautions. An additional challenge is the rate of vaccination is not homogenous, with highly vaccinated communities adjacent to vaccine-resistant populations.

All of these factors are obscuring the true nature of Omicron and because the United States does a poor job of genomic sequencing in some states, little is known about the current hospitalized population and which variant patients have.

Although data out of South Africa has been more encouraging, experts had warned that the recent end of the Delta wave, a higher than understood vaccination rate, and the youthful nature of the South Africa population would favor better outcomes. Although only 26% of South Africa’s total population is vaccinated, over 34% of the county was ineligible due to age. On Oct. 20, the nation expanded vaccination to 12 to 17-year-olds and introduced booster shots to adults on Dec. 9. In reality, 44% of South African adults are fully vaccinated, including 61 percent of people over 50. Additionally, only 5.7% of South African residents are 60 or older.

Researchers are watching King County closely for several reasons. The region is a leader in genomic sequencing and research. As Omicron moves through the region it will provide critical data to build a better understanding of transmissibility, the impact on public health measures, prevention and treatment, and how severe Omicron is. King County is highly vaccinated, but has pockets of low vaccine acceptance, providing a more realistic cross-section. Finally, New York City is almost unique compared to other US cities due to its size, reliance on public transit, and the number of people who live in buildings with communal areas.

Dr. Cameron Webb, the senior policy advisor for equity for the White House COVID Response Team shared early symptoms to look for if you start feeling ill.

  • Sore throat, espeically if it is more than mild
  • Headache
  • Fatigue – severe fatigue appears more common in children
  • Runny nose
  • Sneezing
  • Dry cough

County health officials continue to appeal for people to get vaccinated and get a booster shot if they are eligible. They recommend frequent hand washing and wearing an N-95, KN-94, or KN95 mask whenever you’re out of your home, and to stop using cloth masks. When it comes to Christmas and New Year’s celebrations and travel plans, it is recommended to test the day off and celebrate outside or in well-ventilated indoor areas.

Because of the systems put in place by King County Public Health and supported by County Executive Dow Constantine, the region is better prepared to provide vital data to the rest of the nation. It is very likely that by Christmas, Seattle will feel a lot more like March 2020 than December 2021.

Omicron variant identified in 13% of recent Washington COVID tests

Editor’s Note: As a policy, Malcontent News does not quote or publish data from pre-print studies. The transmission rate of the Omicron SARS-CoV2 variant is so high it is spreading at a rate faster than the scientific review process. It is for this reason, we are using pre-print studies in our reporting and analysis for the Omicron variant. We will continue to backlink to all quoted sources to support transparency in reporting.

[SEATTLE, Wash.] – (MTN) Pavitra Roychoudhury, MSc, Ph.D., of the University of Washington Virology Division, reported 13% of tests samples submitted for genomic sequencing on Dec. 8 were positive for the Omicron variant. Tentative confirmation was made using an S Gene Target Failure (SGTF) test, with Dr. Roychoudhury indicating in a tweet that it will take a few days for genomic sequencing confirmation.

Using the data provided by the University of Washington, Omicron variant cases in Washington doubled every 24 hours from Dec. 6 to Dec. 8. The total number of new COVID cases being detected indicates that the Omicron variant is rapidly replacing Delta, not adding to confirmed cases at this time.

Nathan Grubaugh, Ph.D., Associate Professor of Epidemiology at the Yale School of Public Health, tweeted researchers were seeing a similar trend among samples collected in Connecticut.

If the rate of new case growth for Omicron continues at the current rate in Washington, it would be the fastest case growth rate observed to date. In South Africa and across the United States, Omicron cases have been doubling every three days. In the United Kingdom, cases have been doubling every two-and-a-half days and in Denmark, every two days.

Sikhulile Moyo, director at the Botswana Harvard AIDS Institute Partnership (BHP) lab in Gaborone and a research associate in immunology and infectious diseases at Harvard T.H. Chan School of Public Health was the first person to sequence the Omicron variant on Nov. 8. He shared his findings on GISAID on Nov 11, which caught the attention of virologists around the world.

Lancet Labs in South Africa started seeing an alarming number of PCR tests from the Gauteng Province missing the target S gene in mid-November. Lancet shared the findings with the Network for Genomics Surveillance in South Africa (NGS-SA), which called an urgent meeting on 23 November. “We were shocked by the number of mutations,” says Tulio de Oliveira in a report in Science, a virologist at the University of KwaZulu-Natal and NGS-SA’s principal investigator.

On Nov. 24, Dr. Alex Sigal of the Africa Health Institute received three test swabs with the Omicron variant and started growing the virus to test it against sera from vaccinated and recovered individuals.

On the same day, Lancet sequenced another 100 samples with the missing S gene, and all were positive for the newly discovered variant. The South Africa Department of Health sent their findings to the World Health Organization (WHO) on Nov. 24, and Omicron was labeled a Variant of Concern (VOC) on Nov. 26.

Despite the first three cases appearing in Botswana, Omicron was likely circulating undetected on several continents by late October. The Centers for Disease Control (CDC) reported last week that the first symptomatic Omicron case in the United States was on Nov. 15. The implementation of international travel restrictions likely had no impact on slowing the spread of the highly infectious variant.

Nevada became the most recent state to report an Omicron variant COVID case on December 14

Preliminary data has emerged over the last week on transmissibility, treatment efficacy, and vaccine effectiveness for Omicron.

A study out of South Africa published on Dec. 2, found that Omicron was 2.5 to 3.5 times more transmissible than Delta. The study, which has not been peer-reviewed, indicated the Rt, a measure of how quickly a communicable disease can spread, is between R12 and R17, which is comparative to measles. On Dec. 8, Hiroshi Nishiura, professor at Kyoto University released a study that found Omicron is 4.2 times more transmissible than Delta with an Rt of R20. If additional research were to find this true, the Omicron COVID variant would be the most transmissible disease observed in the modern medicine era.

Omicron is forecasted to become the dominant strain in the United Kingdom and Denmark this week and was already 44% of detected COVID cases in the UK on Tuesday. The CDC reported tonight Omicron represents 3% of all detected COVID cases in the United States.

Eleven studies and reports, none of which have been peer-reviewed, have been published on vaccine effectiveness in the last 10 days. Studies have evaluated the Pfizer, Moderna, Johnson and Johnson, and AstraZeneca vaccines.

Studies that reviewed the effectiveness of the Pfizer vaccine found that the effectiveness of preventing symptomatic illness dropped from 80% to zero to 35%, depending on the study. Very limited real-world data out of South Africa from Discovery Health released today showed that the Pfizer vaccine was only 33% effective at preventing infection.

The same study found that the Pfizer vaccine was 70% effective at preventing “severe complications of Covid-19,” down from 93% with the Delta variant.

Dr. Peter English, Retired Consultant in Communicable Disease Control, Former Editor of Vaccines in Practice, past Chair of the BMA Public Health Medicine Committee had this to say about the findings.

“Two doses of vaccine are 70% effective at preventing hospitalization. They are not ineffective, but they are much less effective than the 90-95% protection that two doses provided against hospitalization. With a highly infectious variant, this still risks a catastrophic number of hospitalizations.”

A non-peer-reviewed study published on Tuesday evening provided the first data on the effectiveness of the Moderna vaccine, and more data for the Johnson & Johnson/Jassen vaccine.

Researchers evaluated the sera from 239 vaccinated healthcare workers in the Boston area. The study found that for the Moderna and Pfizer vaccine, more than 50% of individuals had no neutralizing antibodies three months after vaccination. The Moderna vaccine showed a 43-fold decrease in antibodies while the Pfizer vaccine had a 122-fold decrease. The Johnson and Johnson vaccine performed better against the Omicron variant versus Delta but had significantly reduced effectiveness versus the original COVID strain.

For individuals who had a prior Covid-19 infection and then got vaccinated more than six months ago, the Moderna vaccine had a 9-fold decrease in neutralizing antibodies, the Pfizer vaccine had a 12-fold decrease, and the Johnson & Johnson vaccine had a 17-fold decrease.

The study also found an mRNA booster within the last three months provided a significant increase in neutralizing antibodies but did not provide the same level of protection versus the Delta variant. The samples from the Johnson and Johnson test subjects were all boosted with a half-dose of the Moderna vaccine.

Two studies on disease acquired immunity found that protection declined significantly compared to previous variants. A study published on Dec. 2 out of South Africa, which has not been peer-reviewed, found that protection against Omicron dropped 240% for individuals who were previously infected by the original strain, Beta, or Delta, and had never been vaccinated. Another study released on Dec. 9 reached a similar conclusion, and in an alarming find, reported up to 40% of individuals who had a previous Delta infection were experiencing reinfection with Omicron. The Delta wave ended on Sep. 19 in South Africa, suggesting it took less than three months for protection to wane.

Scientists, public health officials, and policymakers have been attempting to determine if Omicron is less severe than the Delta variant. The study released from Discovery Health today reported that Omicron was 29% less severe than the original COVID strain.

“Without seeing a preprint or the report on which this press release is based it is difficult to get a clear understanding of the validity of these conclusions,” said Prof. Paul Hunter, Professor in Medicine at the University of East Anglia and a member of the National Institute of Health Research in the U.K. “If these are valid conclusions then there are both reassuring and worrying findings.  The report that reinfections are more common with Omicron has already been published and the evidence is strong that Omicron can increase the risk of infection in people who have already had a COVID infection.”

Other experts warned against reading too much into the Discovery Health report.

Dr. Simon Clarke, Associate Professor in Cellular Microbiology, University of Reading, said, “This press release outlines preliminary observations of Covid-19 in South Africa during the first three weeks of the wave of infections caused by the Omicron.  It shouldn’t be forgotten that in the UK, during the initial epidemic there was a 5-week gap between the first diagnosis and the first death.  A situation report taken in those first few weeks would not have given us an accurate picture of what was about to happen, so we shouldn’t expect these preliminary indications to be a portent of how the Omicron epidemic will play out here.”

The Centers for Disease Control (CDC) provided detailed information on Dec. 10 about the first 43 Omicron variant cases detected in the United States. The report found that one person required hospitalization and was released after two days. Almost 60% were 39 years old or younger and 33% had recently traveled internationally. Forty of the 43 cases were vaccinated or had a previous COVID infection. Among the 34 who were vaccinated, 14 had received a booster.

Officials believe the high infection rate for vaccinated individuals has created a data fallacy. International travelers are more likely to be vaccinated, younger, and healthier and many were not eligible for a booster.

The Washington State Department of Health (WSDoH) reported 75.3% of all Washingtonians 12 and older are fully vaccinated and almost one in four children five to eleven have received their first dose of the Pfizer COVID vaccine. An estimated 3.5 million residents are eligible for boosters, but only 1.35 million have received one to date.

WSDoH reported the 7 day moving average for new cases is 1,333, and the statewide 7 day moving average new case rate is 83.5 per 100K residents – moderate transmission. The state has been averaging 650 to 700 hospitalized COVID patients a day, with roughly 100 requiring ventilators.

Statewide new admissions for COVID-related illness started increasing on Nov. 27, and through Dec 7. was averaging 92 new admissions a day. On Tuesday there were approximately 642 available staffed acute care and 144 staffed ICU beds throughout Washington.

10 Omicron cases in 5 states – local, state, national, and global COVID update for December 2, 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) Officials in five states have reported Omicron cases from Hawaii to New York, as the world races to better understand the danger the new variant presents.

In Washington, the first set of local COVID data was made available in a week, indicating that hospitalizations are plateaued again and new cases are down. Twenty-six counties no longer have high rates of transmission. There was an increase in new cases among 20 to 49-year-olds compared to last week.

Governor Jay Inslee reported that FEMA was sending two mobile vaccination clinics to King County, with the first one opening on December 20 in Federal Way.

One-third of the 3.3 million booster eligible residents of Washington have leveled up, while in some areas people are searching for appointments to get a third dose.

Almost 75% of residents age 12 and over are now fully vaccinated, and 17% of all Washington children ages 5 to 11 have received at least one dose of the Pfizer vaccine.

Locally, new COVID cases in the Bellevue, Lake Washington, and Northshore School Districts were down from last week. Vaccination rates for children 5 to 11 that live in the three districts are remarkable with some zip codes reporting almost 60% of all kids already receiving their first dose.

In national news, the United States has confirmed ten Omicron variant cases in California, Colorado, Hawaii, Minnesota, and New York. The infections in Hawaii, Minnesota, and several in New York were caused by community transmission.

President Joe Biden announced new programs to try and combat the spread of COVID in the United States, but Republicans in the Senate threatened to have the United States default on the national debt if he implemented meaningful strict measures.

In South Africa officials are becoming increasingly alarmed as new cases and hospitalizations increase exponentially. The Gauteng Province, home to 15.7 million is the hardest hit, but cases were increasing across the nation. Officials there reported COVID hospitalizations increased more than 23% overnight, and ICU admissions jumped almost 40%.

A study published tonight from South Africa reported that people relying on natural immunity had a 240% higher chance of reinfection with the Omicron variant, compared to the Beta or Delta variants.

In disinformation, we explore the claim that the Omicron variant is no worse than a cold or flu.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on December 02, 2021.


hospitalsschoolslocalnationalglobal updatesdisinformation

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 N95 masks are available for $40.00, and a package of 10 count children sized KN95 masks are available for $10.50. We recommend wearing N95 or KN95 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

Washington State Update for December 2, 2021

Washington state Covid-19 update

After a six-day break from updated and accurate data from the Washington State Department of Health, we’re back. A week ago the question was how much would Thanksgiving travel impact new case rates. The Omicron variant has changed the plot.

Vaccination data for the state was updated. A couple of counties had numbers drop from last week. This has happened before as data gets validated but this update dropped Grant County below 50% – so the brackets changed.

Skagit and Whatcom Counties new cases rates are down about 40% from three weeks ago. The surge of cases among mostly unvaccinated residents is winding down. New

New cases have decreased a smidge compared to last week but do not reveal any significant trends.

Percent of Total Population Fully VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70.00% or above (3 counties)2,343,250127.7
60.00% to 69.99% (5 counties)1,374,000261.0
50.00% to 59.99% (15 counties)3,420,400227.8
40.00% to 49.99% (9 counties)487,375234.7
32.30% to 39.99% (6 counties)151,850176.7
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County

Through December 2, Washington’s statewide 14-day rolling average is 203.2 Covid-19 cases per 100K, and the 7 day rolling average is 82.7.

No counties have a case rate over 400.0. per 100,000 residents. Twenty-six counties representing 5.65 million Washingtonians have a 7 day moving average case rate under 100.

New cases by age declined for every age group except 20 to 49-year-olds, which increased. Hospitalizations for ages 20 to 34 also increased.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1191.50.1
Ages 12-1983.30.5
Ages 20-34100.19.1
Ages 35-49100.1 (not a typo)5.5
Ages 50-6473.88.8
Ages 65-7944.110.2
Ages 80+40.617.0
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker has not been updated since November 30 but reports 9,303 Washingtonians have died from Covid-19 related illness.

FEMA sending mobile vaccination clinics to Washington

Governor Jay Inslee announced that FEMA would be sending two mobile vaccination clinics to Washington. The first site will open on December 20 in Federal Way and is slated to operate for a month. A second location is planned but a date and location were not announced.

“This is great news in the ongoing fight against COVID. I am grateful for our strong partnership with the federal government, and these FEMA Family Mobilization Clinics coming to King County is a great result of that partnership,” said Inslee. “This is an innovative model that will help increase equitable access to vaccination for all Washingtonians.”

A constellation of partners is working with FEMA including the Washington State Department of Health, the King County Executive’s Office, and Seattle & King County Public Health.

Some people in Western Washington have reported problems in securing vaccination appointments for boosters due to high demand.

One-third of booster eligible Washingtonians have leveled up

The Washington State Department of Health reported 1.08 million of the 3.3 million eligible for boosters have rolled up their sleeves. There is significant evidence that vaccine and disease acquired immunity declines after five to seven months, but a number of factors such as age and other health issues can affect the duration.

There is some evidence within the genetic sequencing of the Omicron variant that disease-acquired immunity from previous mutations won’t be as strong as vaccine-based immunity.

Over 17% of Washington kids age 5 to 11 have received their first dose of the COVID vax

The Washington State Department of Health reported 116,121 children from 5 to 11 have received their first dose of the Pfizer COVID vaccine, about 17% of all eligible kids in Washington.

The Pfizer vaccine Emergency Use Authorization (EUA) was amended to include 5 to 11-year-olds. They receive two smaller doses and reach fully vaccinated after five weeks. Initial data indicates that due to the stronger immune response of children and adolescents, a booster or third dose is not needed. That could change with time or if another variant emerges that is vaccine-resistant.

Washington state approaching 75% of population 12 and older fully vaccinated

The Washington State Department of Health reported 80.8% of all Washingtonians 12 and older have received at least one dose of the COVID vaccine and 74.6% are fully vaccinated.

Although this is good news, Washington is starting to fall behind other states. The Mayo Clinic reported that Washington was in 10th place for 12 to 17-year-olds fully vaccinated, 9th place for 18 to 64-year-olds, and tied with 32 other states for first place for 65 and older.

Travel Advisories

Due to the confirmation of community transmission of the Omicron variant in the United States, we are advising our readers to reconsider air travel and recreational travel plans. Especially if those plans include going to places with large crowds or major events at enclosed buildings.

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!

King County, Washington is reporting over 85.0% 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

It has been a week since the last report and hospital status has improved significantly while the number of COVID patients receiving care remains elevated. The Washington State Department of Health reported 89.4% of staffed acute care beds were occupied with 10.2% of patients infected with Covid-19. There are 706 COVID patients statewide with an estimated 212 in the ICU – 114 requiring ventilators.

Statewide, there are an estimated 753 acute care and 151ICU beds available.

On Wednesday, the 7 day rolling average hospital admission rate for new COVID patients was statistically the same as last week – 65.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman88.3%19.9%86.7%10.0%
NorthIsland, San Juan, Skagit, Whatcom69.5%28.2%80.0%12.3%
North CentralChelan, Douglas, Grant, Okanogan91.1%34.1%70.4%12.9%
NorthwestClallam, Jefferson, Kitsap, Mason92.2%20.0%95.8%8.7%
Puget SoundKing, Pierce, Snohomish90.5%16.9%94.3%9.7%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima89.0%16.8%82.7%10.3%
SouthwestClark, Cowlitz, Klickitat, Skamania64.9%14.2%79.6%10.0%
WestGrays Harbor, Lewis, Pacific, Thurston88.6%18.3%92.3%13.1%
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 (2*)
– Interlake (2*)
– Odle (1*)
– Highland (1*)
– Newport (1*)
– Tyee (1*)
None
Lake WashingtonYELLOW– Blackwell (1*/4)
– Dickinson/Explorer (2*/7)
– Eastlake High (1*/3)
– Ella Baker (1*/0)
– Evergreen Middle School (1*/0)
– Finn Hill Middle School (2*/18)
– Inglewood Middle School (1*/0)
– Juanita High (2*/39)
– Kamiakin Middle School (2*/12)
– Keller (2*/7)
– Kirkland Middle School (1*/8)
– Lakeview Elementary (2*/2)
– Lake Washington High School (1*/7)
– Mead (2*/7)
– Northstar Middle School (12)
– Redmond High School (1*/10)
– Redmond Middle School (1*/19)
– Rush (2*/8)
– Thoreau (2*/6)
None
NorthshoreYELLOW– Bothell High School (3*/12)
– Canyon Creek Elementary (5**/11)

– Canyon Park Middle School (1*/4)
– Crystal Springs Elementary (1*/17)
– Fernwood Elementary (1*/0)
– Frank Love Elementary (1*/10)
– Kenmore Elementary (1*/6)
– Kenmore Middle School (4*/32)
– Kokanee Elementary (0/1)
– Leota Middle School (1*/2)
– Maywood Hills Elementary (3*/4)
– Moorlands Elementary (1*/2)
– Northshore Middle School (1*/13)
– Ruby Bridges Elementary (0/1)
– Shelton View Elementary (0/2)
– Skyview Middle School (1*/4)
– Sunrise Elementary (2*/2)
– Timbercrest Middle School (2*/0)
– Wellington Elementary (1*/1)
– Woodin Elementary (0/2)
Woodmore Elementary (0/4)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases – (x*/y) x is positive cases and 7 quarantined, quarantined does not include 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.

Based on reader feedback, and improvement in the data we are receiving, we have adjusted how we are reporting data. The Lake Washington and Northshore School Districts are now reported as (X*/Y) or (X**/Y). X represents the number of positive cases while Y represents how many are in quarantine. The number in quarantine does not include positive cases. If there are two asterisks, that indicates five or more confirmed cases within the last 14 days at that school.

Confirmed COVID cases were down in the three school districts we track. The Bellevue School District did not have updated data for quarantined students today.

The Lake Washington School District updates data once a week, and we’ve had no parent confirmed reports on new COVID cases this week.

We continued to encourage parents to request daily updates from the Lake Washington School District. This change would bring the three school districts we track into alignment.

Bellevue-Bothell-Kirkland-Woodinville local COVID news

King County Public Health updated the vaccination rates by zip code and now reports the data from ages 5 and up. Vaccination rates for children between 5 to 11 remain remarkable for the region.

Percentage of King County Residents 5 and older who have received at least one dose of COVID vaccine, December 2, 2021
Zip CodePercent vaccinated, at least one dose, 5 to 11 years oldPercent vaccinated, at least one dose, 5 and older
9815546.8%92.5%
9802842.7%88.5%
9801137.2%85.2%
9803438.8%84.3%
9803359.5%93.5%
9807239.2%88.2%
9807735.7%80.2%
9805255.0%94.6%
9800451.3%>95.0%
9803944.6%90.7%
9800553.4%94.8%
9800732.3%88.0%
9800844.5%91.2%
9805346.0%92.9%
9807450.5%>95.0%
9807543.0%>95.0%
Vaccination rates with at least one dose

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 137,602 new cases and 1,960 deaths nationwide on Thursday. New cases continue to grow at a significant rate in the United States. There is no way to know if Omicron is driving the increase, but current data indicates that over 99% of new cases are Delta or one of its sublineages.

At least 10 Omicron COVID variant cases confirmed in the United States

Health officials in California, Colorado, Hawaii, Minnesota, and New York confirmed at least one case of the Omicron variant in their states.

Yesterday, the Centers for Disease Control confirmed the first Omicron variant case in the United States. The travel-related case was an 18 to 49-year-old male tested in the San Francisco area. They were fully vaccinated with an mRNA vaccine but not eligible for a booster because six months hadn’t passed since their second shot. They returned from South Africa on November 22 and tested on November 29. They have mild symptoms and are quarantined at home.

Late tonight, California officials reported a second travel-related case in Los Angeles county. That person traveled from South Africa to Los Angeles via London and returned on November 22. They are fully vaccinated but did not receive a booster. They are experiencing mild symptoms and are quarantined at home. Health officials reported they have already contacted and tested all close contacts, and didn’t find any new cases.

This morning Minnesota officials reported a community transmission case. The person identified as male, traveled to New York City to attend an anime convention at the Javits Center from November 19 to 21. The event had 53,000 attendees. They were fully vaccinated with an mRNA vaccine and had received a booster in early November.

Around lunchtime, Colorado officials reported a travel-related case. The woman was fully vaccinated but had not received a booster. She told authorities she had worn a mask during all her travels and developed symptoms after returning home from southern Africa last week. She has mild symptoms and is quarantined at home.

In the late afternoon, New York Governor Kathy Hochul reported five cases in the metro New York City area. There wasn’t little information available on each case, which is a combination of community transmission and travel-related. Two were in Queens, two in Brooklyn, one in Suffolk County, and one was not identified. The condition and vaccination status weren’t readily available.

Close to press time, officials in Hawaii reported their first case of an unvaccinated individual. The person had not traveled so officials believe it was caused by community transmission. The person is unvaccinated and was previously infected with COVID. They were tested on November 29, and currently are experiencing moderate symptoms. The press release from the State of Hawaii Department of Health did not indicate if they were hospitalized.

President Joe Biden announces winter battle plan to fight COVID

Under the threat of letting the United States default on its national debt, President Joe Biden conceded he would not push further vaccine mandates and announced other measures to combat COVID and the Omicron variant.

  • Requiring travelers entering the country by air to test negative for Covid-19 within a day of departure, regardless of vaccination status or nationality
  • Extending the requirement that masks be worn on airplanes, trains and public transportation to March 18
  • Requiring private health insurance companies to cover 100% of the cost of at-home tests for COVID
  • Public education to encourage 100 million eligible adults to get boosters shots

Editor’s Note: Consider us very underwhelmed.

Global update

New Omicron variant cases and hospitalizations skyrocket in South Africa

The number of new COVID cases and hospitalizations in South Africa is increasing at an alarming rate, with officials concerned that a record peak in infections is only 14 to 21 days away.

The South Africa Department of Health (SADOH) reported 74% of all detected COVID cases in November and 90% of new cases in the last week of the month were the Omicron variant. New cases have increased exponentially since November 24, the same day South African officials alerted the World Health Organization of the new variant.

Officials haven’t provided specifics on how much more transmissible Omicron is to previous variants, only saying that is higher.

New COVID cases in South Africa November 11 to December 2, 2021

SADOH reported 11,535 new cases today, an increase of 468% from a week ago. The 7 day rolling average for new cases jumped to 5,093. South Africa is testing about 52,000 people a day as the positivity rate increase at a significant rate. Officials reported 22.4% of the tests performed on Wednesday as positive for COVID infection.

In Gauteng Province, home to 15.7 million people, the number of hospitalized patients increased 23.4% overnight, jumping from 1,035 to 1,351 total patients. ICU patients increased by 38.5% while people needing oxygen held steady at 15% and ventilator use increased from 27 to 30.

Study from South Africa indicates COVID reinfection risk is very high

Researchers in South Africa and Canada reported data from South Africa suggests that, in contrast to the Beta and Delta, the Omicron variant of COVID demonstrates substantial population-level evidence for evasion of immunity from prior infection.

Researchers look at data from 2.8 million individuals who had lab-confirmed COVID positive tests at least 90 days before November 27, 2021. Among that group, they identified 35,670 lab-confirmed reinfections. The study found that reinfection with the Beta or Delta variant was infrequent, with disease acquired immunity providing protection. The research did not take the severity of illness into consideration for the initial or subsequent infections.

Reinfection rates from November 1 to November 27 increased by 240%, indicating that natural immunity may not provide much benefit. The results of the study could have implications on the effectiveness of monoclonal antibodies, but more data is required.

The study was done by a number of respected individuals but has not been peer-reviewed.

Disinformation

Although some officials have stated that Omicron cases appear to be mild, disinformation campaigns have latched on to these statements and are claiming an infection is no worse than a cold or flu.

On November 26 and again on November 28, Dr. Angleique Coetzee said that the infections she saw in her private practice were ‘very mild.’ On November 28 she expanded her statement to say that the observation was ‘not anecdotally’ and other clinicians were echoing her findings. She also stated that hospitalizations were not increasing. Her comments were addressed in a World Health Organization Omicron update on the same day.

“There is currently no information to suggest that symptoms associated with Omicron are different from those from other variants.  Initial reported infections were among university students—younger individuals who tend to have more mild disease—but understanding the level of severity of the Omicron variant will take days to several weeks.”

We do not believe that Dr. Coetzee is actively spreading disinformation and is speaking from her direct experience as a clinician. We also believe that people are misunderstanding what a ‘mild’ case of COVID means. A mild case is a case that doesn’t require clinical intervention or hospitalizations. With Covid-19 that’s more than a cold or the flu.

Dr. Rudo Mathivha is the head of critical care at Baragwanath Hospital in Soweto, a level 1 trauma center and the largest hospital in the Southern Hemisphere with 3,400 beds. Dr. Mathivha did a series of interviews in South Africa yesterday and reported she was seeing an increase in hospital admissions in children under 5 years old accompanied by a dramatic increase in patients needing high care and admission to the ICU.

“The number of ill patients presenting to hospitals has increased exponentially,” she said.

“We are seeing definitely a change in the demographic profile of patients. We are seeing toddlers under five presenting with symptoms and they are sick enough to require admission and to require supplemental oxygen.”

Researchers don’t know how severe Omicron infections will be at this time, and anyone making claims on the severity, either way, is not presenting informed information. Anyone claiming that Omicron is just a cold is spreading disinformation.

WHO holds emergency meeting as multiple nations implement Africa travel restrictions over new COVID variant concerns

[KIRKLAND, Wash.] – (MTN) World health officials are alarmed due to a new fast-spreading Covid-19 variant in South Africa causing the World Health Organization to hold an emergency meeting as Asian stock markets plunged and the Dow Jones futures dropped 735 points.

The new variant, so far identified as B.1.1.529 has not been named, but the WHO is expected to assign it a name today, likely the Nu variant.

The variant was first detected in Botswana but has quickly spread in South Africa and two travel-related cases have been confirmed in Hong Kong. Botswana officials stated the four detected cases are among fully vaccinated individuals. in South Africa, cases are increasing rapidly in Gauteng Province, home to Johannesburg and one of the largest air travel hubs on the continent. In the span of a week, new cases went from a cluster to growing so fast scientists believe it has achieved community spread.

Officials in the U.K. are taking no chances. Health Secretary Sajid Javid announced that six African nations – South Africa, Namibia, Zimbabwe, Botswana, Lesotho, and Eswatini – have been placed on the red list, placing strict rules on air travel.

Starting on Friday, any non-UK and Irish residents will be banned from entering England if they have been in the red list countries in the last ten days. Beginning Sunday, British nationals who have been in those countries will be required to quarantine upon entry. Additionally, health officials in the UK are asking anyone who has traveled to the impacted regions to get a PCR test as soon as possible.

South Africa’s Foreign Minister Naledi Pandor said the travel restrictions “seems to have been rushed,” in a statement where he expressed concern over the impact on tourism and business.

Israel and Singapore joined the U.K. early on Friday and added Mozambique to their travel restriction lists.

New case rate growth is much faster than Delta, which indicates the potential for a very high R0, or “r-naught,” which is the measure of how transmissible a communicable disease is. In little more than two weeks, B.1.1.529 has grown to almost 90% of all detected cases in South Africa.

According to Johns Hopkins University, only 24.11% of South Africans are fully vaccinated which would aid a new variant to spread unchecked. Health officials in South Africa and with the WHO are concerned that the new variant is circulating more widely than current data suggests.

The B.1.1.529 has more than 50 mutations, which is significantly higher than any other viable variant previously seen. More than 30 of those alternations are changes to the spike protein, which is the mechanism that enables the SARS-CoV-2 virus to identify hosts cell and is the primary target of the body’s immune response.

B.1.1.529 has more than twice the number of mutations as the Delta variant

In a report published by the Journal Nature, Penny Moore, a virologist at the University of Witwatersrand in Johannesburg, indicated that computer models suggest not only does B.1.1.529 have mutations that are already known to aid in evading an immune response from B cells but could fool the body’s T cells.

B cells do the yeoman’s work of fighting virus infections, but have a shorter memory and can be tricked by a smaller set of mutations. T cells are the second line of immune defense with better memory and capabilities to spot mutations. When T cells identify a threat that was initially missed, they summon B cells to aid in the response. This is how disease acquired and vaccine immune response works. If the new variant is capable of evading T cells then the benefits of vaccine immunity would be reduced and disease acquired immunity could be rendered ineffective.

Disease acquired and vaccine immunity works the same. Antibodies bind to the spike proteins preventing the virus from entering cells so it can replicate. If the antibodies can’t bind to spike mutations and the mutations still enable the SARS-CoV-2 virus to identify host cells, the virus can spread inside the body unchecked causing a Covid-19 infection.

Another challenge is if these findings are accurate – the new variant may be capable of outmaneuvering monoclonal antibodies – blunting a critical early treatment.

One mutation is helping scientists track the spread of the new variant. A specific mutation to the spike protein enables researchers to identify the variant through a standard PCR test instead of waiting for genomic sequencing.

Currently, there are more questions than answers. Researchers know the new variant is spreading rapidly in South Africa and causing a new surge. What is not known is if the rapid spread is being driven by a mostly unvaccinated population or because it is more transmissible. It also is not known if the new variant causes equal, more severe, or mild illness. There is no data about the capability the new antivirals Molnupiravir and Paxlovid could have in fighting B.1.1.529.

It is important to note that Beta, Gamma, and Mu were previous variants found to have high resistance to vaccine and disease acquired immunity but weren’t very transmissible. All three variants faded out because Delta was more contagious. In the simplest terms, Delta outbred the other variants. A key requirement for a new variant to spread rapidly would be the capability to outrun Delta.

Most important of all, there is no concrete scientific evidence that B1.1.529 is evading viral vector or mRNA-based vaccines. Previous variants have taken months to identify while this one was found, sequenced, and placed under investigation in a matter of days.

No cases have been detected in North America or any United States territories.

Healthcare experts watch Thanksgiving with worry – local and state COVID update for November 25, 2021

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

[KING COUNTY, Wash.] – (MTN) On November 24 the fifth wave came to an end with Washington state falling below high transmission for COVID. Despite the good news and 26 counties with moderate to low transmission rates, the number of new Covid-19 cases mostly among the unvaccinated is well above spring 2021 levels. Across the United States, epidemiologists are open about their worry of normal travel, family gatherings, and surging cases where the weather has turned cold.

In Washington, new case rates among every age group fell below high transmission for the first time since Malcontent News started tracking the data. Rates among the most vaccinated population, those 65 and older are the lowest while infection rates for children birth to 19 are the highest.

Six GOP state senators, five that are unvaccinated, are suing over announced COVID protocols in Olympia for the upcoming legislative session.

Officials in two counties are reporting significant Covid-19 outbreaks in their jails, and the Department of Corrections has had 94 cases at Cedar Creek Correction Center in the last 30 days. Staff at county jails outside of King County are not required to be vaccinated.

Almost 1 in 6 children 5 to 11 in Washington state have received their first dose of the Pfizer COVID vaccine in under two weeks.

A Washington paper mill has been fined almost $140,000 after an investigation into a Covid-19 outbreak at the facility that left one worker dead.

KING 5 did an investigation into a medical clinic in Ellensburg which revealed Dr. Anna Elperin allegedly running a COVID vaccine medical exemption mill. Dr. Elperin was charging patients $150 to $200 cash for exemptions.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on November 24, 2021.


hospitalsschoolslocalnationalstate updatesdisinformation

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 N95 masks are available for $40.00, and a package of 10 count children sized KN95 masks are available for $10.50. We recommend wearing N95 or KN95 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

Washington State Update for November 24, 2021

Washington state Covid-19 update

Over 11.75 million people have traveled by air since Friday with Thanksgiving kicking off the holiday season tomorrow. AAA predicts another 48.3 million will travel by car, only slightly below the 49.9 million who took to the road in 2019 before COVID. All eyes will be on new case rate numbers late next week.

New cases in Washington are at the lowest level since late July, but higher than where experts had hoped they would be at this point. The data continues to support that 70% or more of the total population has a significant impact on reducing the transmission of COVID.

Percent of Total Population Fully VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70.00% or above (3 counties)2,343,250143.8
60.00% to 69.99% (5 counties)1,374,000302.7
50.00% to 59.99% (16 counties)3,532,200252.9
40.00% to 49.99% (9 counties)375,575259.8
32.00% to 39.99% (6 counties)151,850224.5
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County

Through November 23, Washington’s statewide 14-day rolling average is 228.7 Covid-19 cases per 100K, and the 7 day rolling average is 83.7. You can mark November 23, 2021 on you calendar as the day the fifth wave ended in Washington state.

Only Chelan (452.6) and Douglas (446.9) Counties have new case rates over 400.0.

Twenty-six counties representing 5.35 million Washingtonians have a 7 day moving average case rate under 100. Also in good news, every age group is now below “high transmission” rates. New case rates remain higher among people under 50 years old.

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-1197.80.5
Ages 12-1992.30.5
Ages 20-3494.72.2
Ages 35-4996.24.6
Ages 50-6472.77.4
Ages 65-7948.810.2
Ages 80+57.321.0
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 29 deaths on Tuesday and 38 deaths on Wednesday.

Six GOP state senators suing over Washington House’s Covid-19 protocols

Six GOP state representatives including anti-vaccination event favorite Bob Walsh are suing Democratic leaders over COVID protocols outlined for the upcoming legislative session. Five of the six plaintiffs are unvaccinated according to their lawsuit.

The plan allows a limited number of vaccinated members to be on the floor, but the exact number will be “maximized based on needs for social distancing.” Unvaccinated members who wish to be in their on-campus offices during the session must receive a negative test three days a week. Members will not need access to the floor to vote on bills.

The measure was approved last Thursday by the Executive Rules Committee. House Speaker Laurie Jinkins has said the lawsuit is “without merit” and her focus will be on 2022.

Multiple COVID outbreaks among Washington State prisons and county jails

Outbreaks of Covid-19 among inmates have been reported at three different correctional institutions in Washington state.

Clark County Jail in Vancouver, Washington reported there are approximately 30 inmates who are COVID positive.

In Yakima, the Yakima County Jail reported 47 inmates and 4 staffers had Covid-19.

In Littlerock, the Cedar Creek Corrections Center has reported 94 confirmed COVID cases over the last 30 days.

Almost 1 in 6 Washington kids age 5 to 11 have received their first dose of the COVID vax

Two weeks after vaccinations for 5 to 11-year-olds were authorized by the FDA, the DOH is reporting 101,103 eligible children have received their first dose, about 15% of all eligible kids in Washington.

The Pfizer vaccine Emergency Use Authorization (EUA) was amended to include 5 to 11-year-olds. They receive two smaller doses and reach fully vaccinated after five weeks. Initial data indicates that due to the stronger immune response of children and adolescents, a booster or third dose is not needed. That could change with time or if another variant emerges that is vaccine-resistant.

Washington paper mill fined $140,000 after L&I investigation into COVID deaths

A Cowlitz County, Washington, papermaking plant is facing nearly $140,000 in fines after one worker died and more than a dozen machine operators got sick with COVID-19.

An inspection by the Department of Labor & Industries reportedly revealed that during March and April, 15 workers who worked at the same machine at WestRock Services LLC tested positive for COVID-19. Of the 15, one worker reportedly died and two others were hospitalized from complications of the virus. Neither the death nor the hospitalizations were allegedly reported to L&I as required.

The inspection also reportedly revealed that in one instance, a machine operator recovering from coronavirus told WestRock’s onsite nurse he was having difficulty walking, was in pain, and was having shortness of breath, while another worker at the same machine had already been sent home after testing positive for COVID-19 the same morning.

L&I fined WestRock $139,832.00 for not following COVID-19 protocols and failing to report a death and hospitalizations to L&I. A formal complaint was filed with the Nursing Care Quality Assurance Commission under the Washington State Department of Health due to concerns about the nurse’s actions.

Investigation into Ellensburg clinic reveals alleged medical exemption mill

A months-long investigation by KING 5 of Dr. Anna Elperin, owner of Awake Health in Ellensburg, revealed a disturbing pattern of charging patients $150 to $200 cash only for medical exemptions without examination.

Over the fall, four different undercover investigators visited the clinic seeking medical exemptions. They had to pay $150 cash upfront, and found the staff not wearing masks, few questions asked, and in one case, the exemption is just written with no exam.

Dr. Elperin has attended numerous protests about masks, vaccines, and mandates, and told employees and patients that she believes it is a hoax

KING 5 reported that 20% of all medical exemption requests at Central Washington University were signed off by Dr. Elperin. The investigation also revealed that most wasted their money, having their exemption requests rejected.

Labor and Industries have had 12 complaints about Awake Health and took no action on ten. On Wednesday KING 5 reported that L&I had opened up an investigation and did a surprise inspection.

You can read the whole story on KING 5.

Second mass COVID testing site opens up in Spokane

A second mass COVID-19 testing will open in Spokane Valley on Friday at the Spokane County Fair and Expo Center on Havana Street according to a report by KXLY.

It will be open Mondays, Tuesdays, Thursdays and Fridays from 8 a.m. to 5:30 p.m. Online registration for an appointment time is encouraged, but not required.

The site will be operated by Discovery Health MD and will offer lab-based PCR tests for anyone who has symptoms or has been exposed to COVID-19. Test results are usually available within 48-72 hours and are provided through a secure online portal.

Travel Advisories

Due to the impact of severe flooding, a forecast indicating more flooding, and strained hospital resources, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.

We continue to advise to avoid all nonessential travel to Alaska, Colorado, Idaho, and Montana. Hospital resources in these states remain constrained, and you may receive inadequate care if you experience a serious medical emergency.

Finally, we continue to recommend avoiding recreational travel to Wyoming. The situation continues to improve but hospital resources remain constrained.

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!

King County, Washington is reporting over 85.0% 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

Overall hospital status continues to improve with the Olympic Peninsula remaining highly stressed. The DOH reported 90.8% of staffed acute care beds were occupied with 11.6% of patients infected with Covid-19. There are 740 COVID patients statewide with an estimated 238 in the ICU – 123 requiring ventilators.

Statewide, there are an estimated 627 acute care and 134 ICU beds available.

On Wednesday, the 7 day rolling average hospital admission rate for new COVID patients had dropped to 63.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman87.1%37.5%86.2%15.5%
NorthIsland, San Juan, Skagit, Whatcom64.0%23.1%81.5%13.5%
North CentralChelan, Douglas, Grant, Okanogan97.2%46.5%71.2%14.1%
NorthwestClallam, Jefferson, Kitsap, Mason95.2%22.1%96.4%11.2%
Puget SoundKing, Pierce, Snohomish92.2%17.9%95.8%10.7%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima88.1%14.5%81.9%11.1%
SouthwestClark, Cowlitz, Klickitat, Skamania69.9%16.5%82.2%11.4%
WestGrays Harbor, Lewis, Pacific, Thurston90.1%14.7%93.0%12.5%
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*)
– Interlake (1*)
– Odle (1*)
– Puesta del Sol (1*)
– Stevenson (1*)
– Somerset (1*)
– Tillicum (1*)
– Tyee (1*)
None
Lake WashingtonYELLOW– Alcott (3*/11)
– Audubon (1*/7)
– Blackwell (2*/3)
– Carson (1*/3)
– Clara Barton (4*/24)
– Eastlake High (1*/17)
– Ella Baker (2*/4)
– Evergreen Middle School (1*/0)
– Finn Hill Middle School (5)
– Inglewood Middle School (5**/34)
– Juanita High (1*/12)
– Kamiakin Middle School (2*/27)
– Kirk Elementary (3*/13)
– Kirkland Middle School (1*/10)
– Lakeview Elementary (1*/1)
– Lake Washington High School (3*/7)
– McAuliffe (2*/6)
– Northstar Middle School (12)
– Redmond High School (1*/12)
– Renaissance Middle School (1*/6)
– Rose Hill Middle (1*/7)
– Rush Elementary (3*/0)
– Sandburg/Discovery (1*/4)
– Smith Elementary (1*/9)
None
NorthshoreYELLOW– Bothell High School (4*/11)
– Canyon Creek Elementary (4*/14)
– Canyon Park Middle School (1*/4)
– Crystal Springs Elementary (4*/8)
– Eastridge Elementary (1*/2)
– Fernwood Elementary (1*/3)
– Frank Love Elementary (2*/18)
– Inglemoor High School (1*/0)
– Kenmore Middle School (0/2)
– Kokanee Elementary (1*/2)
– Leota Middle School (0/3)
– Maywood Hills Elementary (8**/7)
– Moorlands Elementary (0/3)
– North Creek High School (1*/1)
– Northshore Middle School (1*/8)
– Ruby Bridges Elementary (2*/2)
– Skyview Middle School (0/2)
– Sunrise Elementary (1*/2)
– Timbercrest Middle School (2*/5)
– Wellington Elementary (3*/5)
– Westhill Elementary (3*/0)
– Woodin Elementary (1*/1)
– Woodinville High School (2*/1)
– Woodmoor Elementary (1*/6)

Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases – (x*/y) x is positive cases and 7 quarantined, quarantined does not include 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.

Based on reader feedback, and improvement in the data we are receiving, we have adjusted how we are reporting data. The Lake Washington and Northshore School Districts are now reported as (X*/Y) or (X**/Y). X represents the number of positive cases while Y represents how many are in quarantine. The number in quarantine does not include positive cases. If there are two asterisks, that indicates five or more confirmed cases within the last 14 days at that school.

The Northshore School District moved back to status yellow, with the outbreak at Maywood Hills Elementary under control. The Bellevue School District finishes out the week status green with eight confirmed cases districtwide.

The Lake Washington School District updates data once a week, and we’ve had no parent confirmed reports on new COVID cases this week.

We continued to encourage parents to request daily updates from the Lake Washington School District. This change would bring the three school districts we track into alignment.

Bellevue-Bothell-Kirkland-Woodinville local COVID news

No update

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 111,112 new cases and 1,633 deaths nationwide on Wednesday. The Delta variant continues to target the unvaccinated and a very small, but growing number of people vaccinated more than six months ago. New cases are up 14% since last week.

State Updates

The team is taking the day off

Disinformation

The team is taking the day off

Updated: FDA and CDC approve COVID vaccination boosters for all adults

Update: CDC Director Rochelle Walensky granted final approval to the FDA amendments of the Pfizer and Moderna EUAs.

[WASHINGTON, D.C.] – (MTN) The U.S. Food and Drug Administration amended the emergency use authorizations (EUA) for the Moderna and Pfizer-BioNTech Covid-19 vaccines authorizing a single booster dose for all individuals 18 and older six months after receiving their second dose. Shortly after, the Centers for Disease Control panel of vaccine scientists unanimously endorsed the FDA’s authorization. CDC Director Rochelle Walensky needs to provide final approval, but that is expected to happen on Friday.

Pfizer requested the Emergency Use Authorization (EUA) for its Covid-19 vaccine to be amended to include booster doses for all adults on November 9 and Moderna made an identical request on November 17. Previously, only adults 65 and over, and people 18 to 64 with certain medical conditions, work in specific jobs, or live in communal areas were authorized to get a booster if they had received an mRNA vaccine from either company.

3.3 million Washington state residents 16 and older were fully vaccinated on May 30, according to the Washington State Department of Health (DOH). By the end of November, almost every person in that group will be eligible for a booster after Walensky gives her approval.

Almost all of these people would be eligible for a booster shot. Despite the mounting evidence that immunity wanes after five to seven months, only 675,000 residents have received boosters through November 7.

Data out of Israel, the United Kingdom, and Germany indicate that the United States is woefully unprepared for a sixth wave. Israel authorized boosters for older residents in July at the beginning of its fifth wave and expanded the program to include everyone 12 and older in September. That program was instrumental in ending the fifth wave.

For 9.2 million Israelis, COVID is now endemic. The government took a unified approach, enabling local councils within individual communities to determine if their city was green, yellow, or red. Almost all of Isreal is in a “green life category.” Masks aren’t required and life, travel, business, and entertainment are normal. Israel has a similar vaccination rate to the United States but a much larger number of people who received boosters.

Multiple studies have shown that infection acquired immunity and vaccine immunity are strong for five to seven months and then start to wane. In December 2020 health officials set expectations that it was unknown how long immunity would last, and many indicated that future booster shots would be likely. Anti-vaccination advocates and disinformation campaigns have used waning immunity as a talking point to sow distrust in vaccination programs.

Last month, the FDA and CDC approved booster shots for anyone 18 and older that received the viral-vector Johnson & Johnson vaccine.

All eyes on FDA and CDC for booster ruling tomorrow – local, state, and national update for November 18, 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 cases declined slightly while hospitalizations now rest on a seven-day-old plateau as Washington approaches the end of the 21st month fighting Covid-19. Sixteen counties no longer have “high transmission” rates.

In state news, British Columbia and Washington have eased border crossing rules, waiving COVID test requirements at some crossings. Drivers who need to bypass road closures due to flooding and mudslides can cross the border without the required PCR test, but only if they agree they are transiting between border crossing.

Governor Inslee backed down from plans to use stricter measures for Washington employers with 100 or more workers, as the nation waits to see what happens to the Biden Administration’s OSHA Covid-19 vaccination requirements.

The Washington State Department of Health announced that free in-home COVID test kits will be made available in nine counties.

Locally, the Bellevue School District is down to five confirmed COVID cases districtwide between students and staff. In the Northshore School District, Maywood Elementary is dealing with a surge of new Covid-19 cases, with 11 cases, eight confirmed this week.

Nationally the number of new cases is up 14% and more governors provided guidance or directives to make booster shots available to all adults. The vaccination deadline is ten days away from the U.S. Navy and Marine Corps. The Pentagon reported 99% of sailors are vaccinated versus 93% of marines.

The NFL is dealing with another potential COVID scandal, with Tampa Bay Buccaneers wide receiver Antonio Brown accused of buying a fake vaccination card.

This update uses the latest data from the Washington State Department of Health (WSDOH), released on November 18, 2021.


vaccinationhospitalsschoolslocalnationaldisinformation

Washington State Update for November 18, 2021

Washington state Covid-19 update

New Covid-19 case rates are showing a pattern of county hotspots instead of widespread transmission. As an example, Chelan County just rolled over 60% of all residents vaccinated this week but is dealing with a bump in new cases.

There remains a significant difference between lower-vaccinated counties and counties where at least 70% of the total population is fully inoculated.

If Washington state wants to ever get to a place of endemic spread, the data indicates the bare minimum vaccination rate would be 70% of the entire population.

Percent of Total Population Fully VaccinatedTotal Population in GroupAverage 14-Day New Case Rate
70.00% or above (3 counties)2,343,250167.4
60.00% to 69.99% (4 counties)1,242,200328.5
50.00% to 59.99% (17 counties)3,664,000306.1
40.00% to 49.99% (9 counties)375,575285.1
31.80% to 39.99% (6 counties)151,850241.3
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County

Through November 17, Washington’s statewide 14-day rolling average is 264.5 Covid-19 cases per 100K. There are signs that a new plateau is forming with transmission rates too high coming into the start of the holiday travel season.

Chelan, Douglas, Klickitat, Lewis, Lincoln, Skagit, and Spokane counties have new case rates between 400.0 and 599.9. Okanogan and Grays Harbor Counties were just under 400.

Sixteen counties representing 3.52 million Washingtonians have a 7 day moving average case rate under 100.

The 7 day new case rate was unchanged and the hospitalization rate increased for elderly patients 80 and older..

Age Group7-Day Case Rate7-Day Hospitalization Rate
Ages 0-11119.80.7
Ages 12-19111.10.9
Ages 20-34116.72.8
Ages 35-49125.35.9
Ages 50-6494.99.6
Ages 65-7964.016.0
Ages 80+66.025.7 (up)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group

The USA Today COVID Tracker reported 27 deaths on Wednesday and 39 on Tuesday.

British Columbia and Washington agree to ease border rules due to severe flooding and road closures

Canadian border agents will be waiving COVID-19 test requirements for people choosing to drive through Washington State to bypass highway closures between the Lower Mainland and the Okanagan due to flooding and landslides.

“Given the current situation in B.C., travelers who must transit through the United States to get to their residence in Canada are exempt from the COVID-19 pre-arrival test, the test in Canada, and quarantine requirements,” stated a Canada Border Services Agency (CBSA) spokesperson by email.

CBSA expects to be using pre-existing exemptions within federal government orders to apply to travelers who are simply transiting Washington State highways, such as between the Osoyoos border crossing and checkpoints entering Surrey.

Individuals will still need to present a valid passport to cross the international border.

Governor Inslee backs down on expansion of OSHA vaccine and test requirements

During media availability today, Governor Jay Inslee indicated the state was backing down on expanding pending Biden Administration rules that would require companies with more than 100 employees to have vaccinated staff or rest weekly. Earlier the governor had said the state was considering removing the testing requirement and applying the same standard to medium and large private employers that are required for state employees.

The new OSHA rules that were supposed to go into effect on January 5, 2022 are in limbo. The 5th Circuit Court of Appeals upheld a stay of the mandate, calling it “staggeringly overbroad,” saying it failed to account for the different levels of risk faced by workers in different workplace settings. The court ruled OSHA may not implement the mandate unless another court overturns the ruling.

The 6th Circuit Court was selected using a ping pong ball to hear the broader case, which will likely head to the Supreme Court.

Nine Washington counties offering free at-home Covid-19 test kits

Nine counties in the northeastern, south central, and southwestern parts of Washington will offer free at-home COVID tests to residents.

Kira Lewis, a public health nurse at the Spokane Regional Health District, says at-home tests take about 10 minutes, and could be taken Thanksgiving or Christmas morning before going over to a family member’s house.

“More testing in the community that’s accessible to all members of the public helps people make good decisions about their social lives and interacting with others,” she said. “That is important for the individual and it’s important for our community as a whole moving forward, continuing to have high rates of transmission in our area. We need to meet that with high rates of available testing.”

The nine counties are Adams, Benton, Cowlitz, Ferry, Franklin, Okanogan, Pend Oreille, Spokane, and Stevens.

Travel Advisories

Due to severe flooding and strained hospital resources, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.

We continue to advise to avoid all nonessential travel to Alaska, Colorado, Idaho, and Montana. Hospital resources in these states remain constrained, and you may receive inadequate care if you experience a serious medical emergency.

Finally, we continue to recommend avoiding recreational travel to Wyoming. The situation continues to improve but hospital resources remain constrained.

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

More states open up booster shots to all adults

Kentucky, Louisiana, Maine, Massachusetts, Vermont, and Utah joined eight other states already opening up booster shots to all adults, as more governors try to get ahead of the start of a sixth wave.

New York and Rhode Island haven’t made boosters available to all adults statewide, but are asking healthcare providers not to turn anyone away in counties with high transmission rates.

Arkansas and West Virginia reported encouraging news that many were taking advantage of the new guidelines.

Get Your Booster

If you are eligible for a Covid-19 booster shot 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 5 to 7 months.

According to the Washington State Department of Health, through November 7, 675,000 residents have received their Covid-19 booster. Over 1.8 million adults in Washington have a BMI of 25 or higher or are older than 65.

There is significant data that shows natural and vaccine-based immunity starts to fade after four to seven months and countries that implemented aggressive Covid-19 booster shot programs significantly reduced new cases and hospitalizations.

King County, Washington is reporting over 83.5% 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

Hospital readiness continues to slowly improve except on the Olympic Peninsula. Although the number of COVID patients under care is in decline, the total number of hospitalized patients is unchanged due to deferred elective surgeries, increased movement among the population creating more injuries, and other wintertime diseases.

According to the DoH COVID Dashboard, 91.2% of all staffed acute care beds are occupied, and 12.3% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 633 additional acute care patients.

ICUs are at 87.6% of capacity statewide, with 20.2% of ICU patients fighting Covid-19 – an estimated 238 patients with 49.1% on ventilators. The state has the staff to support approximately 147 additional ICU patients.

On Wednesday, the 7 day rolling average hospital admission rate for new COVID patients was 89. The Department of Health reported 882 Covid-19 patients statewide with 117 requiring ventilators. The number of hospitalized Covid-19 patients has been in the mid-800s to low-900s for seven days in a row.

Hospital RegionCountiesICU OccupancyICU COVID PatientsAcute Care OccupancyAcute Care COVID Patients
EastAdams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, Whitman86.1%24.1%89.0%13.8%
NorthIsland, San Juan, Skagit, Whatcom67.3%26.6%81.5%12.5%
North CentralChelan, Douglas, Grant, Okanogan94.7%43.1%75.2%17.0%
NorthwestClallam, Jefferson, Kitsap, Mason92.8%26.1%96.8%12.9%
Puget SoundKing, Pierce, Snohomish91.5%18.6%95.4%11.4%
South CentralBenton, Columbia, Franklin, Kittitas, Walla Walla, Yakima87.1%18.7%84.3%15.3%
SouthwestClark, Cowlitz, Klickitat, Skamania70.0%13.5%85.7%9.0%
WestGrays Harbor, Lewis, Pacific, Thurston87.8%18.7%91.7%14.2%
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– Bennett (1*)
– Bellevue (1*)
– International (1*)
– Puesta del Sol (1*)
– Somerset (1*)
None
Lake WashingtonYELLOW– Alcott (3*/11)
– Audubon (1*/7)
– Blackwell (2*/3)
– Carson (1*/3)
– Clara Barton (4*/24)
– Eastlake High (1*/17)
– Ella Baker (2*/4)
– Evergreen Middle School (1*/0)
– Finn Hill Middle School (5)
– Inglewood Middle School (5**/34)
– Juanita High (1*/12)
– Kamiakin Middle School (2*/27)
– Kirk Elementary (3*/13)
– Kirkland Middle School (1*/10)
– Lakeview Elementary (1*/1)
– Lake Washington High School (3*/7)
– McAuliffe (2*/6)
– Northstar Middle School (12)
– Redmond High School (1*/12)
– Renaissance Middle School (1*/6)
– Rose Hill Middle (1*/7)
– Rush Elementary (3*/0)
– Sandburg/Discovery (1*/4)
– Smith Elementary (1*/9)
None
NorthshoreRED– Arrowhead Elementary (0/1)
– Bothell High School (5**/9)
– Canyon Creek Elementary (4*/24)
– Canyon Park Middle School (1*/12)
– Crystal Springs Elementary (3*/34)
– Eastridge Elementary (1*/3)
– Fernwood Elementary (1*/2)
– Frank Love Elementary (0/6)
– Hollywood Hills Elementary (2*/0)
– Inglemoor High School (4*/1)
– Kenmore Middle School (1*/2)
– Kokanee Elementary (1*/1)
– Leota Middle School (2*/1)
– Moorlands Elementary (0/5)
– North Creek High School (2*/8)
– Northshore Middle School (1*/9)
– Ruby Bridges Elementary (1*/4)
– Shelton View Elementary (0/1)
– Skyview Middle School (0/1)
– Sunrise Elementary (1*/4)
– Timbercrest Middle School (2*/8)
– Wellington Elementary (1*/5)
– Westhill Elementary (2*/3)
– Woodin Elementary (3*/5)
– Woodinville High School (2*/2)
– Woodmoor Elementary (2*/3)
– Maywood Hills Elementary (11**/5)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases – (x*/y) x is positive cases and 7 quarantined, quarantined does not include 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.

Based on reader feedback, and improvement in the data we are receiving, we have adjusted how we are reporting data. The Lake Washington and Northshore School Districts are now reported as (X*/Y) or (X**/Y). X represents the number of positive cases while Y represents how many are in quarantine. The number in quarantine does not include positive cases. If there are two asterisks, that indicates five or more confirmed cases within the last 14 days at that school.

The Northshore School District moves to status red with Maywood Hills Elementary reporting 11 confirmed COVID cases and eight this week. It is the largest Covid-19 outbreak in terms of new cases reported at the same time in the three school districts Malcontent News tracks since school started.

The Bellevue School District stays status green with five confirmed cases in the last 14 days districtwide. Additionally, we can process quarantine data by the day, and we will start tracking those numbers next week.

The Lake Washington School District updates data once a week, and we’ve had no parent confirmed reports on new COVID cases this week.

We continued to encourage parents to request daily updates from the Lake Washington School District. This change 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 111,106 new cases and 1,622 deaths nationwide on Wednesday. The Delta variant continues to target the unvaccinated and a very small, but growing number of people vaccinated more than six months ago. New cases are up 14% since last week.

Vaccination deadline looms for active duty U.S. Navy and Marine Corps personnel

The Pentagon reported that 99% of sailors and 93% of Marines were either fully or partially vaccinated, with the November 28 deadline ten days away. Among the five branches, the Navy has the highest vaccination rate while the Marines have the lowest.

Marines and sailors who choose not to get the Covid-19 vaccine by the end of November will be released from the service, in a general but honorable discharge, officials with those services have said, making them ineligible for some benefits from the GI Bill.

The Orange County Register reported a message sent to the troops said “Marines refusing to take the vaccine absent medical exemptions, religious accommodations or pending appeal,” will be processed for discharge and additional disciplinary action or even a court martial is not out of the question. The Navy has issued a similar message.

Army will push out soliders who refuse to get Covid-19 vaccine

Soldiers who refuse to get the COVID-19 vaccine and have not requested an exemption will no longer be allowed to re-enlist or be promoted, effectively ending their military careers, according to a report by Defense One. The new directive applies to active-duty troops as well as reservists and National Guardsmen, including those serving in states whose governors do not require the vaccine. 

The Nov. 16 memo, signed by Army Secretary Christine Wormuth, says troops’ service records will be flagged the day they make their final vaccine refusal, which follows a meeting with a medical professional and a second order to get vaccinated. This flag will bar them from being promoted, reenlisting, continuing to receive enlistment bonuses, attending service-related schools, or receiving tuition assistance.

“I authorize commanders to impose bars to continued service…for all soldiers who refuse the mandatory vaccine order without an approved exemption or pending exemption request,” Wormuth wrote in the memo. “The Soldier will remain flagged until they are fully vaccinated, receive an approved medical or administrative exemption, or are separated from the Army.” 

Tampa Bay Buccaneers wide receiver Antonio Brown accused of buying fake vaccine card

Days after brushing aside Green Bay Packers quarterback Aaron Rodgers less than truthful vaccination status, wide receiver Antonio Brown is accused by his former chef of buying a fake vaccination card, plunging the NFL into another public relations mess.

The Tampa Bay Times broke the story earlier today, with the chef claiming Brown bought the card to avoid NFL protocols. If true, Brown in theory could face massive fines from the NFL for repeated protocol violations. Aaron Rodgers broke as many as 16 Coivid-19 protocols but was ultimately fined $14,650 for attending an unsanctioned Halloween party.

Brown could be in additional trouble with the FBI. Buying a fake vaccination card is a federal crime. The Tampa Bay Buccaneers issued a brief statement via Twitter, indicating they had collected all vaccination records during the preseason and “no irregularities were observed.”

State Updates

Arizona

Phoenix will require all city employees to be vaccinated by January 22, 2022, or face termination. Phoenix joins other cities such as New York City, Los Angeles, San Francisco, and Seattle that already require government employees to be vaccinated against COVID.

Colorado

UCHealth in Colorado will be getting a helping hand from the Department of Defense in the battle against COVID-19 according to a report by KKTV Channel 11.

A news release from UCHealth issued on Thursday states a team of about 20 nurses, providers, respiratory therapists, and administrators will be deployed to UCHealth Poudre Valley Hospital (PVH) for about a month. The team is expected to ease capacity and staffing challenges. The request came from Gov. Jared Polis.

“We are so grateful that this team will assist us in providing exceptional care in northern Colorado,” said Kevin Unger, the president, and chief executive officer at PVH and UCHealth Medical Center of the Rockies in Loveland. “We anticipate this additional support and other plans we already have in the works will help make a significant difference.”

District of Columbia

Mayor Muriel Bowser of Washington said on Tuesday that an indoor mask mandate in the nation’s capital would be eased on November 22, reflecting a shift away from mask requirements as coronavirus vaccination rates continue to rise and infections fueled by the Delta variant subside in the city.

The New York Times reported about 88 percent of the District of Columbia’s adult residents have received at least one vaccine dose, according to city health officials.

Masks will still be required in certain circumstances, including on public transportation, inside school buildings, and in congregate living facilities like nursing homes, college dormitories, and jails.

Idaho

In what could be read as a victory for Governor Brad Little and a blow to Lt. Governor Janice McGeachin, the Idaho legislature ended its special session making almost no changes to state COVID policies.

The House of Representatives approved five bills and sent them to the Senate. But the Senate did little more than refer them to committee and adjourn.

The Senate did adopt a memorial piece of legislation that sends a message to the president and Congress “to make a very forceful statement about our position on the presidential mandates related to Covid-19,” said Senate Majority Leader Chuck Winder.

Kansas

An Olathe mother has filed a lawsuit against Walmart over the COVID-19 vaccine according to a report by FOX 4.

The lawsuit alleges that the woman’s 15-year-old girl was vaccinated by a Walmart employee at the store’s pharmacy without parental consent. The 15-year-old girl wanted the COVID-19 vaccine so she could hang out with her friends.

“The biggest problem I have with this situation is that Walmart vaccinated my daughter without my consent and knowledge,” said the girl’s mom Michelle Tonkinson.

In a statement, Walmart said, Walmart is committed to offering quality and compliant health care. We take allegations like this seriously. We will review the claims and respond with the court as appropriate once we are served.”

Massachusetts

Massachusetts health officials reported another 3,196 confirmed COVID-19 cases — the most in one day since February — and eight new deaths Thursday, according to a report by NBC 10.

The report pushed the state’s number of confirmed COVID-19 cases to 826,996 since the start of the pandemic and its death toll to 18,834.

The number of new confirmed cases in Wednesday’s report from the Department of Public Health had been the most in one day since September, according to archival data. But that report included “a backlog of testing results” from several prior days. The prior single-day high had been in February — and February 6 was the last time more than 3,196 cases were confirmed in one day.

Massachusetts Governor Charlie Baker announced the state was opening up booster shots to anyone over 18 years old, joining a growing list of states breaking with current FDA guidelines.

Minnesota

Hospitals across the state are delaying surgeries to free up bed space in the face of growing concerns over hospital capacity constraints, according to a report by KSTP.

“Things have been getting worse in the last couple of weeks,” said Rahul Koranne, president and CEO of the Minnesota Hospital Association. “We have emergency departments that are full of patients. We have patients in beds in hallways. Our units are full.”

Only 1.1% of ICU beds and 0.5% of non-ICU beds were available in the metro Thursday, according to response capacity data from the Minnesota Department of Health.

“Everybody’s delaying surgeries. We’re pulling this lever across the board. Our care teams, our leaders, our surgical teams are making this decision minute by minute,” Koranne said. “Shoulder surgeries, knee surgeries, but even the last couple of weeks, what we are having to do unfortunately is push back some heart surgeries. At the end of the day, we only have a limited amount of care capacity available.”

Missouri

On Thursday, the Missouri Department of Health and Senior Services once again reconfigured the state’s COVID data dashboard, adding thousands of previously unreported deaths and infections, according to a report by the St. Louis Dispatch.

Some date back to the spring of 2020, and many are instances of illness or death now attributed to Covid-19 but that weren’t publicly tallied by the state at the time.

As part of the update, the state also began reporting COVID cases that occurred after vaccination or prior infection. The numbers show that such cases have been remarkably rare, and are most common among those with underlying health conditions.

The department added 2,792 “probable” Covid-19 deaths, increasing the state total 22%

New Mexico

According to state health officials, around 25% of all COVID-19 cases in the last week were among children in a report by KOB.

School-age children are included in that group, so could this impact in-person learning? School districts around the state have new “enhanced” COVID procedures in place, in case the surge gets worse.

If a school has a certain percentage of COVID-positive cases, that facility would be required to start implementing those additional measures. The good news, so far, is that both Rio Rancho Public Schools and Albuquerque Public Schools said they have not reached that point, they hope to keep it that way.

Utah

For the third day in a row, 13 Utahns have been added to the death toll from COVID-19 — a number that now stands at 3,411 people, according to the Utah Department of Health in a story published by the Salt Lake Tribune.

The health department on Thursday also reported 1,789 new coronavirus cases in the past day. The rolling seven-day average for positive tests stands at 1,633 per day.

Intensive care units in the state remain near capacity, and over capacity in the state’s largest hospitals. According to the health department, 96.7% of all ICU beds and 101.8% of ICU beds in larger medical centers are occupied. (Hospitals consider anything over 85% to be functionally full.) Of all ICU patients, 44.2% are being treated for COVID-19.

Virginia

On Thursday, Sentara Healthcare faced off in court with one of their own doctors, Paul Marik, according to WTKR.

Marik, who is the director of the Critical Care Unit at Sentara Norfolk General Hospital, is suing the healthcare system because they won’t allow him to treat COVID-19 patients with the drug ivermectin, along with a host of other drugs that make up his developed MATH+ Protocol.

“Almost all of the treatments we use have been demonstrated to be safe and effective in randomized controlled trials,” Marik said.

Marik claims that Sentara’s policy may have led to the deaths of four of his patients who were never given the opportunity to learn of or be treated with potentially life-saving medicines. He said these actions are criminal.

There is not a single peer reviewed study that used accurate placebo controlled double blind study data that indicates Ivermectin is effective as a preventative or treatment. The largest validated study to date indicated that for the sickest patients, the antiparisitic drug was counterindicated.

Disinformation

Taking the night off