[SEATTLE, Wash.] – (MTN) During a Facebook Live with Congresswoman Anna Eshoo (CA-D) on Tuesday, Dr. Anthony Fauci M.D., Director of the National Institute of Allergy and Infectious Diseases, recommended Americans who are eligible to get a Covid-19 booster shot to get one as soon as possible due to waning immunity.
With concern growing about a sixth wave in states that finished beating back the Delta surge and states such as Colorado, Michigan, Minnesota, and Vermont having a late fifth wave, questions about eligibility for boosters are growing.
Some states aren’t waiting for direction from the federal government. California Governor Gavin Newsom and California Health Secretary Dr. Mark Ghaly told state residents 18 and older they should “absolutely” sign up to get a COVID booster. On Thursday, Colorado Governor Jared Polis issued a directive that defies current federal guidance on Covid-19 booster shots, permitting all state residents 18 and older to get them.
During a White House briefing on Wednesday, Dr. Rochelle Walensky, director of the U.S. Centers for Disease Control and Prevention (CDC), said there continued to be a need to prioritize those who are currently eligible for a Covid-19 booster but added, “as you likely know, FDA is currently looking at the data for expanding boosters to all populations.”
Who is currently eligible for a Covid-19 booster
Eligibility depends on which vaccine you received and several other factors.
Janssen/Johnson & Johnson
If your initial vaccine was Janssen/Johnson & Johnson and you’re 18 or older, you are eligible for a booster 60 days after receiving your first dose. There are no limitations for age, comorbidities, living arrangements, or vocation.
The FDA has approved a mix-and-match approach, and you can receive a booster using the Pfizer or Moderna vaccine or a second Johnson & Johnson dose.
The Johnson & Johnson vaccine has a 1:500,000 chance of causing a rare condition called VITT. In the United States, there have been 47 reported cases and four deaths. If you were assigned female at birth and have a family history of blood clots or low platelets, or you are of childbearing age and using a hormone-based form of birth control, and you’re concerned about VITT, talk to your healthcare provider, OB/GYN, or fertility specialist.
If you’ve had a confirmed case of Covid-19 in the last 90 days and you were symptomatic, talk to your doctor or healthcare provider on whether you should wait to receive a booster.
BioNTech/Pfizer and Moderna
Anyone 65 or older and received the Pfizer or Moderna vaccine is eligible for a booster 180 days after their second dose. People 18 to 64 can qualify for a third dose if they have certain medical conditions, work in a high-risk environment, or live in an area where social distancing isn’t feasible.
Medical conditions that put you at risk for severe Covid-19
Chronic lung disease such as moderate to severe asthma, bronchiectasis, COPD including obstructive sleep apnea, fibrosis or prior lung damage due to scarring, injury, or prior disease, cystic fibrosis, pulmonary embolism or history of, or pulmonary hypertension or history of
Dementia or Alzheimer’s
Diabetes – Type 1 or Type 2
Down Syndrome
Heart disease such as heart failure, coronary artery disease, high blood pressure, cardiomyopathies
HIV
Immunocompromised, auto-immune disease, taking immunosuppressants, or using drugs that suppress the immune system such as steroids both oral and topical
Mental health conditions including mood disorders, depression, and schizophrenia
Body Mass Index (BMI) over 25
Pregnant, trying to get pregnant, or sexually active and could get pregnant and would carry pregnancy to term
Sickle cell disease or Thalassemia
Smoking or vaping currently or in the past
Solid-organ or blood stem cell transplant
Stroke or cerebrovascular disease
Substance abuse past or present including alcohol, opiods, or cocaine
Tuberculosis
Living conditions
If you have any of these living arrangements, you qualify for a booster.
Long-term care facility
Homeless shelter – short or long term
Jail or prison inmate
Community living arrangements such as dormatories, halfway houses, group homes, or hostels
Live with a high-risk individual with a medical condtion listed above, or live in a multi-generational household, and you are the primary care provider
First responders such as healthcare workers, firefighters, police, or congregate care providers
Educational staff such as teachers, support staff, athletics staff, transportation, and daycare workers
Food and agriculture workers
Manufacturing workers
Correctional officers and employees who work in jails or prisons including healthcare, educators, and mental health providers
U.S. Postal Service workers
Public transit workers
Grocery store workers and other retail and service employees that have high contact with the public
There have been less than 1,000 mild to moderate myocarditis cases in the United States connected with receiving the mRNA Pfizer or Moderna vaccines. Most of these cases involved adolescents or young men. If you were assigned male at birth and have a history of heart disease, or are worried about myocarditis, talk to your healthcare provider to see if the Jassen/Johnson & Johnson vaccine is a better option.
Just like the J&J vaccine, If you’ve had a confirmed case of Covid-19 in the last 90 days and you were symptomatic, talk to your healthcare provider to determine if you should wait to receive a booster.
I thought the COVID vaccine was forever
The idea that the Covid-19 vaccine would be one and done is a creation of misinformation, misunderstanding, and poor reporting by some news outlets.
As the first COVID wave was winding down in the United States in May 2020, there were discussions about having “immunity passports.” People who had a confirmed Covid-19 case could be permitted to return to work and other activities based on the assumption they possessed natural immunity. Shortly after the discussions started, early evidence began to pile up that natural immunity was short-lived. The journal Nature Medicine shared a report on June 18 showing natural immunity started to fade after three months.
The closest claim that immunity from natural exposure or vaccination would last a lifetime came from former President Donald Trump in October 2020. Still, even then, he never made a complete claim of lifetime protection. On October 11, 2020 during an interview with Maria Bartiromo, Trump discussed his personal battle with Covid-19.
“It looks like I’m immune for, I don’t know, maybe a long time, maybe a short time,” he said. “It could be a lifetime. Nobody really knows, but I’m immune. So the President is in very good shape to fight the battles.”
As Trump was recovering from COVID and considering if he had “long time” immunity, there was more evidence that natural immunity started to fade after three months and a growing number of reinfection cases. For public health officials, an even bigger concern was many people who got reinfected suffered from more severe cases.
In December, when the first Covid-19 vaccines were about to become publicly available in the United States, the medical community was already cautioning the public it was unknown how long immunity would last.
In January 2021, Dr. Kristen Marks M.D., an infectious disease specialist at New York-Presbyterian, said, “We really don’t know whether you’re still immune a year after vaccination. Some of the clinical trials will study adding a booster in a year and comparing whether that’s better or if the immunity is just as good for two years with the two shots. That remains to be determined.”
Data from the United Kingdom and Israel have shown that all immunity wanes. Although cases grew dramatically in both countries, hospitalizations and fatalities did not match the winter 2020 surges. A vast majority of the hospitalized, critically ill, and deaths were among the unvaccinated. In Israel, an aggressive booster program ended their wave where new cases have drifted downward to early July levels.
How long does natural and vaccine based immunity last
Two different studies were released in October 2021, providing insight into how long natural and vaccine immunity last. Neither offer lifetime protection.
On October 1, a study on the durability of immunity against reinfection by SARS-CoV-2 was published in The Lancet. Researchers predicted that natural immunity had a half-life of 142 to 185 days. Half-life means how long does it take for half of the antibodies for a disease to disappear from a person’s blood serum. The study estimated that after 16 months, the average person would no longer have any natural immunity to Covid-19. However, the study also stated that this would vary widely depending on age, overall health, genetics, and risk factors. The half-life could be as short as 45 days or as long as 31 months.
Three days later, the Lancet published a study on vaccine-based immunity titled Effectiveness of mRNA BNT162b2 COVID-19 vaccine up to 6 months in a large integrated health system in the USA. That study indicated that immunity waned from 30% to 50% after five months depending on the mRNA vaccine administered, age, and Covid-19 variants. Simply put, vaccine immunity and natural immunity, when accounting for a range of factors, have similar half-lives.
The viral-vector vaccine from Johnson & Johnson has received less research and has been administered to approximately 15 million Americans. A third study indicated the J&J vaccine was the least effective of the three available options in the United States, particularly with the Delta variant.
Why aren’t the vaccines 100% effective
It is a common misconception that vaccines are 100% effective, especially in industrialized nations. Due to a combination of high vaccination rates for diseases such as measles, mumps, and polio, and enough immunized people to provide community immunity, it is easy to believe that vaccines are perfect and forever.
For example, polio still exists in several countries, and the U.S. Department of Defense and the CDC recommend a poliovirus booster for anyone traveling to those regions. Certain members of Generation X have been advised to get an updated MMR vaccination because data shows that protection from measles doesn’t last a lifetime. Even Ben Shapiro complained on Twitter in 2015 that his 13-month old son was exposed to pertussis and became severely ill.
When it comes to the COVID vaccines, no one in the medical community said any vaccines were 100% effective, and the data has always been publicly available.
In Phase 3 studies, the Pfizer-BioNTech and Moderna vaccines were 95% effective in the first few months after vaccination. Put simply, “If there were 100 people who would have gotten COVID, it prevented 95 of them from getting it, but it didn’t prevent all 100,” says Dr. Marks. “It definitely provides some protection, but it’s not perfect.”
The Johnson & Johnson vaccine reported a 72% efficacy rate in preventing moderate to severe disease from COVID-19 in the U.S. and was 85% effective in preventing severe disease.
The good news is that early data found that those who did contract COVID-19 after receiving the vaccine did not develop a severe form of the disease. “So even if it doesn’t completely prevent illness, the study data shows that it does reduce the severity,” Dr. Marks said. Ten months later, the early projections have largely come true.
In King County, Washington, 22% of all confirmed Covid-19 infections since January 17 have been breakthrough cases. Eleven percent of people hospitalized were vaccinated, and 15% died of Covid-19 related illness. When the total number of vaccinated versus unvaccinated residents is considered, the effectiveness of vaccines, even as the need for boosters is increasing, is evident.
Population
Confirmed Cases
Hospitalized
Deaths
Fully vaccinated
1.633M
20,252
433
115
Partial or unvaccinated
319K
71,857
3,373
667
349,000 King County residents are under 12 years old and were not vaccine eligible from January 7 to November 10
Unvaccinated King County residents were 12 times more likely to be hospitalized and 13 times more likely to die of Covid-19 from January 17 to November 3.
Additionally, a comparison of King County, Washington, and Dallas County, Texas, provides additional data on vaccination and public health programs’ impact. King County experienced the first superspreader event in February 2020, the first Covid-19 death, and had the first mass casualty situation at a hospital in the United States. A month later, Texas suffered its first Covid-19 death. Over the next 627 days, King County implemented some of the strictest COVID rules in the nation while Dallas County took a more open approach.
On November 1, Dallas County reported its 5,000 COVID-related death while King County reported 2,022. Simply put, 1 in every 530 residents of Dallas County has died of COVID since March 2020 versus 1 in every 1,137 residents in King County since February 2020.
Will we need to get boosters forever
To answer that question, we need to move away from facts and science and step into the arena of opinion. The short answer is, “maybe,” but it depends on the advancement of medical science, improvements in available vaccines, and our own behavior.
In the short term, the data is clear – peak immunity against current Covid-19 variants lasts 142 to 185 whether it is natural or vaccine-based. A regimen of booster shots will likely be needed every 6 to 12 months over the next few years.
Two antiviral drugs are currently being evaluated in the United States. Molnupiravir by Merck is reported to reduce hospitalizations and deaths by 50%, while Pfizer released a study on a medication they are developing that was 88% effective in early testing. Both drugs are oral and would be game-changers in the treatment of Covid-19.
Another way to get off the booster shot treadmill would be to reach 90% to 95% immunity, reducing the number of available hosts for Covid-19 to a level that the disease can’t widely spread in the population – so-called ‘herd immunity.” Given the resistance of 62 million Americans to get vaccinated, and almost half the world doesn’t have access to the COVID vaccine, that seems unlikely.
A third game-changer would be a new variant that emerges and is far more transmissible than the current dominant Delta strains but with significantly less severe symptoms. A version of Covid-19 that is closer to moderate Influenza in symptoms and lethality and is as contagious as measles would quickly infect the population, run out of hosts, and burn itself out while not overwhelming hospitals. This could also lead to “herd immunity.”
The final possibility is the vaccines themselves get better. The original Salk polio vaccine, authorized in 1955, was 50% effective at preventing infections but 90% effective at preventing hospitalizations. It wasn’t until 1962 when the Sabin oral vaccine replaced the Salk vaccine, that infections dropped 90% after a first dose and 99% after four doses.
If the Covid-19 vaccines follow a similar development path as other vaccines, a more effective version will likely be discovered in the future.
Why didn’t the United States approve boosters for all after the Biden Administration announced its intent
Over the summer, the Biden Administration and the World Health Organization (WHO), FDA, and CDC had a very public disagreement on who should get booster shots. President Biden wanted every adult to be eligible for a booster. The WHO objected, pointing out how some nations had no access to COVID vaccines while the United States was throwing out expired doses. The FDA and CDC also pushed back, arguing there wasn’t enough real-world data to support boosters for all.
While the debate raged, experts had a real-world case study unfolding on the other side of the world. Israeli officials started boosters for anyone over 60 on July 13 and three weeks later dropped the age to 40. On September 25, they dropped the age again to 12 and older. The program was highly effective at controlling deaths and hospitalizations, and when Israel is compared to the United Kingdom, the booster program implemented was an evident success.
On September 22, the FDA approved booster shots for recipients of the Pfizer vaccine, and on October 20 added the vaccine by Moderna. Eligibility was limited to people who were 65 or older or were 18 to 64 and worked or lived in places with a high risk of exposure or had a serious underlying medical condition that increased their chances of severe COVID. The FDA recommended a booster six months after receiving the second dose.
Also, on October 20, the FDA authorized boosters for anyone who received the Johnson & Johnson vaccine. As the Delta variant raged in the southeastern United States during the summer of 2021, it became evident the J&J vaccine offered less protection against hospitalization. Additionally, the viral-vector vaccines created by Astra Zeneca and developed in Russia and China were also low-performing. Anyone who received the Johnson & Johnson vaccine was advised to get a booster 60 days after the first dose.
Unfortunately, the ethical and trust concerns that tainted the debate in the United States have resulted in new COVID cases stuck on a high plateau for the last three weeks. New cases are rising in most states, and the pattern of Covid-19 infections looks eerily similar to the United Kingdom. A vast majority of hospitalized COVID patients continue to be unvaccinated.
The world needs to learn to live with Covid-19 and everyone will eventually have a date with the illness. The question is, will you be effectively vaccinated or not when it happens.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) Dr. Umair A. Shah, Washington State Secretary of Health, confirmed the death of a Seattle woman who suffered serious complications after receiving the Johnson & Johnson vaccine. Jessica Berg-Wilson received the single-dose vaccination on August 26 and died of complications on September 7.
New COVID cases continue to decline statewide, while the gap between the least and most vaccinated counties is starting to narrow.
Seattle Police Officer Eric Whitehead, who refused to wear a mask at a Seattle hospital on January 15, was disciplined after the OPA determined he had acted unprofessionally. SPD also announced that more than 350 officers had not submitted proof of vaccination to city officials.
Less than 9% of Washingtonians say they will never get the Covid-19 vaccine, down by almost half from six weeks ago. According to the Washington Department of Health, over 70% of all Washingtonians over 11 years old are fully vaccinated.
The Lancet released a study on natural immunity to Covid-19 and how long it lasts. Researchers came up with a wide range, but the average is just 16 months.
Highland Middle School in the Bellevue School District and Lockwood Elementary in the Northshore School District reported six active Covid-19 cases in both facilities.
The City of Kirkland has funds available from the American Rescue Plan Act to aid small businesses behind on commercial property rent.
Nationally, the CDC pulled the holiday travel guidance they published on Friday, saying it was outdated information posted by mistake. The Department of Justice will start investigating the most egregious threats, and violent acts at school board meetings after multiple states pleaded for aid.
If you’ve got a home rapid Covid-19 test from the company Ellume, it might be under recall due to a high rate of false positives.
New York City Department of Education, Kaiser Permanente, and Northwell Health, representing more than 475,000 employees across the United States, reported vaccination rates from 95% to 99%. For the 8,000 New York DoE workers who so far are refusing to get vaccinated, some took to direct action in Union Square.
Alaska, Idaho, Montana, and Wyoming continue to demonstrate the impact of laisse faire public health strategies. Again, in Idaho, Janice McGeachin goes full awful, while Wyoming state senator Anthony Bouchard pushes Covid-19 misinformation and argues with a Tik Tok influencer on Twitter.
We lift our travel advisory to the South Central Hospital Region but continue to keep a close eye on the east.
New cases in Washington state continue to decline slowly. We’re adding some new metrics. A combination of increasing vaccination rates, mask wear, and the Delta variant running out of new hosts contributes to the slowdown.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
60.00% or above (4)
212.0 (down)
50.00% to 59.99% (13 counties)
533.1 (down)
40.00% to 49.99% (14 counties)
650.1 (down)
29.30% to 39.99% (8 counties)
679.0 (down)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Not Adjusted for Population
Through October 4, Washington’s statewide 14-day rolling average is 417.1 Covid-19 cases per 100K, the lowest number since August 18.
For the second time in three days, no counties reported more than 1000 new cases per 100K residents.
Counties in the 800.0 to 999.9 per 100K range include Ferry, Grant, Grays Harbor, Klickitat, Lincoln Pend Oreille, and Stevens.
Counties in the 600.0 to 799.9 per 100K range include Adams, Asotin, Benton, Chelan, Columbia, Cowlitz, Franklin, Mason, Okanogan, and Walla Walla. Franklin County remained just under 800 while Spokane, Lewis, Douglas, Garfield, and Chelan counties were just under 600.0.
New cases were up for all people under 80 years old were down, and unchanged for those 80 and above. Hospitalizations were mixed. Down for children and adolescents, up for age 35 to 49, and down for ages 65 to 79.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
185.2 (down)
0.7 (down)
Ages 12-19
220.8 (down)
0.4 (down)
Ages 20-34
183.5 (down)
5.4
Ages 35-49
183.2 (down)
8.4 (up)
Ages 50-64
127.9 (down)
14.3
Ages 65-79
98.9 (down)
17.7 (down)
Ages 80+
111.2
33.3
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 42 deaths yesterday. The state of Washington is not reporting the percentage of positive cases.
Washington Department of Health confirms Johnson & Johnson vaccine related death
Washington Secretary of Health Dr. Umair A. Shah confirmed today that a Seattle resident became the fourth person to die in the United States from a vaccine-related injury. Jessica Berg Wilson, 37, received the Johnson & Johnson vaccine on August 26. On September 7, she died after a Vaccine-Induced Thrombotic Thrombocytopenia (VITT) formed.
During a five-week pause, researchers determined the incident rate was less than 3 per million people. In contrast, the risk for serious blood clots due to a Covid-19 infection is 207 per one million. Additionally, doctors determined that common emergency room strategies for treating blood clots, such as using the anti-clotting drug heparin, were contraindicated. The CDC created updated guidelines on identifying and properly treating VITT in patients and reauthorized the single-dose vaccine.
As of June 30, the CDC has confirmed 35 incidents of VITT and three fatalities after 12. 5 million doses were administered. Berg-Wlson is the fourth Covid-19 vaccine-related death in the United States, where 185 million people are fully vaccinated, and approximately 15.4 million have received the Johnson & Johnson vaccine. The Seattle Times reported 47 incidents of VITT through the end of September in a separate article.
Yesterday we reported that the VAERS database indicated a 30 to 39-year-old female from Washington state who received the Janssen/Johnson & Johnson vaccine had died. Twitter created a firestorm on Sunday night and Monday morning when the social media platform labeled her death as misinformation.
VITT has only been documented with the Johnson & Johnson vaccine in the United States. The condition is very rare, with similar odds to dying from snakebite in the United States. It is more prevalent among women from 30 to 50 years old. Hormone-based contraceptives can slightly increase risk, along with a personal or family history of blood clotting disorders. The condition will typically appear two to three weeks after inoculation but can occur as far as seven weeks out.
If you are still choosing to get vaccinated, talk to your healthcare professional about which vaccine is best for you. Additionally, if you have recently received the Johnson & Johnson vaccine, learn the symptoms to watch for. Be sure that your medical provider is aware you were recently vaccinated if you got to an emergency room.
SPD Officer who refused to wear a mask at hospital emergency department suspended one day
A five-month investigation determined that Whitehead violated only one rule, Standards and Duties 5.001.10, to be professional. The investigation also recommended administrative changes in how SPD Human Resources documents medical waivers issued to officers and communicates acceptance of the request.
On January 15, Whitehead was called to an unnamed area hospital to assist with a disruptive suspect in the Emergency Department. Four other SPD officers were present, and all were wearing masks. Whitehead was given a mask by a nurse but refused to wear it. He told the nurse, “I hear that. I’m here doing a job. I’m talking to my squadmate about what we got going on. You want me to wear a mask or whatever. We can entertain that idea later on, okay. I just wanna do my job right now, just like you.”
The nurse contacted the charge nurse, who reported the issue to a nursing security supervisor. The supervisor again asked Whitehead to wear a mask, who responded with, “Is she all in a tizzy about it?”
Whitehead expressed concern that the surgical mask could be used as a weapon against him. Whitehead ultimately put on the mask when talking with the detainee, and after some other action, left the hospital.
The entire incident was filmed on security cameras and Whitehead’s body camera. The OPA found that Whitehead was not honest with investigators. He told the OPA he maintained social distance from other people and said the hospital staff he was medically exempt from wearing a mask. The videos and testimony from the hospital staff and other officers indicated he did neither.
When asked why he never told the hospital about his exemption and the discrepancy in his testimony, he changed his story, indicating the “interaction had become contentious.” Whitehead told investigators he had a medical exemption from SPD, allowing him not to wear a mask.
According to the OPA report, “A copy of a memorandum that Named Employee 1 submitted to the HR Lieutenant on June 28, 2020. In that memorandum, he stated that he had a medical condition that prevented him from wearing facemasks and asserted that he was entitled to not do so by the Americans with Disabilities Act (ADA). He noted in the memorandum that wearing the facemask caused him mental and physical strain, as well as increased respiratory distress. He wrote that he tried using a variety of different facemasks but stopped doing so as they continued to cause him problems.“
Whitehead did receive an e-mail saying that state and city could grant an exemption, but it never stated he had been given one. Whitehead presented the OPA with letters from two doctors. One letter claims he has a dermatological condition that is exacerbated by mask wear.
Despite his claims that any mask caused “mental and physical” strain, Whitehead was on duty for multiple protests during the summer of 2020. During his service, he was exposed to pepper spray, OC, and blast balls, while wearing a full-face respirator, ballistic vest, and riot gear as part of his duties without issue.
OPA Director Andrew Myerberg has come under fire for failing to enforce existing SPD department rules and working too closely with SPOG in an Office of Inspector General complaint. Director Myerberg is currently interviewing for a different job in Arizona and planning to leave the OPA.
SPOG estimates as many as 200 SPD officers will voluntarily separate from the department after the October 18 vaccine mandate deadline. The Seattle Police Department reported tonight that 354 sworn officers had not submitted proof of vaccination. While vaccination rates for hospital staff, educators, and skilled workers such as pilots, bankers, flight attendants, and computer programmers, have ranged from 95% to 99.5%, law enforcement officers remain one of the lowest vaccinated groups.
Seattle Mayor Jenny Durkan has refused to indicate if she will fire the unvaccinated officers after October 18 or leave the issue for the next mayor.
Editor’s Note:Our Chief Content Officer is listed as a party in an ongoing OPA investigation into the conduct of SPOG President Mike Solan. One of our Senior Staff was listed as a part of a closed OPA investigation for the excessive use of force.
Less than 9% of Washingtonians say they will never get the Covid-19 vaccine
Today, we are lifting our travel advisory to Yakima, Klickitat, Benton, Franklin, and Walla Walla Counties. We continue to recommend when visiting those counties, you use reasonable caution and don’t engage in dangerous activities.
We continue to recommend avoiding recreational travel to Spokane County. We strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a medical emergency.
We continue to monitor the situation in the East Hospital Region and may expand our travel advisory beyond Spokane County.
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The report found, “Reinfection by SARS-CoV-2 under endemic conditions would likely occur between 3 and 63 months after peak antibody response, with a median of 16 months. This protection is of less than half the duration revealed for the endemic coronaviruses circulating among humans.”
Three to 63 months is a very wide range, and a serology test that detects the presence of Covid-19 antibodies can’t determine how robust a response the body would make if reinfected. The researchers added, “Relying on herd immunity without widespread vaccination jeopardises millions of lives, entailing high rates of reinfection, morbidity, and death. In areas with low vaccination, our data-driven analysis reinforces the need for continued safety practices such as social distancing, proper indoor ventilation, and mask wearing to avoid reinfection as pandemic conditions continue.”
Other studies have indicated that the combination of vaccination and natural immunity creates a supercharged response to the Covid-19 virus.
Pfizer vaccine booster shots are now available
Booster shots for eligible individuals are now available statewide. Individuals who received both doses of the Pfizer vaccine more than six months ago, are 65 or older, or are immunocompromised can receive their third dose immediately.
In the Kirland-Bellevue-Woodinville area, Walgreens, Rite-Aid, Bartell’s, and QFC are offering booster shots. Additionally, the third dose is available at the CVS located within the Target store at 17,700 NE 76th Street in Redmond.
Most locations require an appointment, which can be scheduled online.
King County, Washington is reporting over 86.7% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.
COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
According to the DoH COVID Dashboard, 17.5% of all acute care patients hospitalized in Washington have Covid-19. Currently, 91% of all staffed acute care beds are occupied statewide, with approximately 654 available. ICUs are at 88.4% of capacity statewide, with 30.0% of ICU patients fighting Covid-19 – an estimated 352 patients with 55% on ventilators. The state has approximately 138 ICU beds available.
The 7-day rolling average hospital admission rate for new COVID patients was 124. The Department of Health reported 1,192 Covid-19 patients statewide on October 4, with 192 on ventilators. The total number of patients for October 3 was adjusted downward slightly, to 1,197.
Hospital status by region – September 30, 2021 – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
There was very little change in the status of Hospital Regions over the weekend.
– Bell Elementary (1*) – Barton Elementary (1*) – Dickinson/Explorer Elementary (1*) – Ella Baker Elementary (1*) – Eastlake High (2*) – Finn Hill Middle School (3*) – Franklin Elementary (2*) – Frost Elementary (2*) – ICS (1*) – Inglewood Middle School (1*) – Juanita Elementary (1*) – Kamiakin Middle School (4*) – Keller Elementary (2*) – Lakeview Elementary (4*) – McAuliffe Elementary (1*) – Muir Elementary (1*) – Northstar Middle (1*) – Redmond Elementary (2*) – Redmond Middle School (1*) – Redmond High School (2*) – Renaissance Middle School (1*) – Rosa Parks Elementary (1*) – Rush Elementary (1*)
None
Northshore
YELLOW
– Arrowhead Elementary (3) – Bothell High School (31) – Canyon Creek Elementary (26) – Canyon Park Middle School (6) – Cottage Lake Elementary (3) – Crystal Springs Elementary (28) – East Ridge Elementary (14) – Fernwood Elementary (1) – Frank Love Elementary (9) – Hollywood Hills Elementary (27) – Inglemoor High School (1) – Innovation Lab High School (1) – Kenmore Elementary (3) – Kenmore Middle School (23) – Leota Middle School (4) – Lockwood Elementary (37**) – Maywood Hills Elementary (28) – North Creek High School (4) – Northshore Family Partnership (30) – Northshore Middle School (2) – Secondary Academy for Success (4) – Shelton View Elementary (5) – Skyview Middle School (12) – Sunrise Elementary (9) – Timbercrest Middle School (8) – Wellington Elementary (21) – Westhill Elementary (41) – Woodin Elementary (16**) – Woodinville High School (11) – Woodmoor Elementary (11)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than 10 active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
Bellevue School District added a 7th confirmed Covid-19 case at Bellevue High School and reported six confirmed cases at Highland Middle School.
The Northshore School District added multiple schools to their report. Lockwood Elementary reported six confirmed cases overnight, putting another 31 students and faculty into quarantine.
The Lake Washington School District updates its Covid-19 dashboard once a week. We received multiple parents confirmed Covid-19 e-mails yesterday. However, Lake Washington updates its dashboards on Monday, and we can’t ensure if the parental reports add to the dashboard numbers or are included in the Monday report.
We continued to encourage parents to request improved daily data reporting from the Lake Washington School District.
Kirkland-Bellevue-Woodinville
The City of Kirkland has rolled out additional phases of its COVID-19 relief program to provide immediate financial assistance for small businesses, thanks to funding available through the American Rescue Plan Act. A limited number of $1,000 to $10,000 grants are now available for small Kirkland-based businesses behind on rent for the commercial properties they lease. To start the application process, businesses should go to www.kirklandwa.gov/business-help to complete and submit the intake form between October 5 – October 19, 2021. Program funds may only be used as a payment against a small business tenant’s past-due rent due to COVID-19 economic hardship experienced between March 1, 2020, to September 30, 2021. Note that the application process requires the cooperation of tenants and landlords, and payments will be made to the landlord.
“The pandemic has had a profound impact on many of our businesses, making it difficult for some to keep up with rent and stay in their current locations,” said Deputy Mayor Jay Arnold. “Our hope is that by passing federal relief funding directly to businesses and landlords that these businesses can get the foothold they need to thrive in our Kirkland community.”
For questions about the small business rent relief grant program, contact businesssupport@kirklandwa.gov (425) 587-3266 or the City’s Business Response Team at (206) 686-3424.
National Round-Up
Johns Hopkins University Cumulative Case Tracker is reporting 167,209 new cases and 2,106 deaths nationwide. Tuesday’s update will include numbers from over the weekend.
CDC pulls holiday travel guidance from website
The Centers for Disease Control and Prevention (CDC) on Monday took down a page with holiday COVID-19 guidance, saying it was old information posted in error and that updated guidance would be coming soon, according to a report in The Hill.
The page, updated on Friday, gave a range of guidance on holiday gatherings, including that opening windows for indoor gatherings would improve ventilation and noting that virtual or outdoor gatherings are the safest option.
An agency spokesperson said the page “doesn’t reflect the CDC’s guidance ahead of this upcoming holiday season” and added that the agency “will share additional guidance soon.”
At home Covid-19 rapid test recalled due to excessive false positives
The Australian company, Ellume, recalled over 400,000 rapid test kits sold in the United States for an unacceptable level of false positives. The test kits were shipped from April to August, and currently, 200,000 kits remain unused.
In a statement on Ellume’s website, the company wrote, “we noted an increased chance that Ellume COVID-19 Home Tests from specific lots may provide an incorrect positive result. Following a thorough investigation, we isolated the cause and confirmed that this incidence of false positives is limited to specific lots.”
“We worked with the Food and Drug Administration (FDA) to voluntarily remove affected Ellume tests from the market. Importantly, the reliability of negative results is unaffected by this issue and are not included within this recall.”
In parallel, the FDA released a “Safety Communication” outlining the recall. People who have used one of the Ellume tests and believe they had a false reading are asked to report the incident to MedWatch.
Almost 99% of all Kaiser Permanente employees get vaccinated
Kaiser Permanente has placed more than 2,200 of its employees nationwide, who have refused to get vaccinated against COVID-19, on unpaid administrative leave.
The health care company announced its vaccine mandate on August 2, with a deadline of Sept. 30. It has more than 220,000 employees across the country, with suspensions impacting about 1% of its entire workforce.
Over 98% of Northwell Health employees get vaccinated
New York State’s largest private hospital system laid off 1,400 workers who wouldn’t get vaccinated against Covid-19, a spokesperson for the health care network confirmed Monday afternoon.
Hospital and nursing home workers were required to get at least one dose of the Covid-19 vaccine by September 27th, under a state mandate first announced in mid-August. Last week, Northwell said it started warning employees and planned layoffs, starting with the highest-paid workers who refused the shots.
The hospital system employed over 76,000 workers, with 98.2% getting vaccinated.
8,000 New York City Department of Education employees on unpaid leave
Approximately 500 cafeteria workers have been put on unpaid leave. Employees on leave who get vaccinated after the deadline can return to work. Additionally, employees that volunteer to quit will be provided healthcare coverage by the city for a year.
Department of Justice addresses violent threats against school officials and teachers
“Threats against public servants are not only illegal, they run counter to our nation’s core values,” wrote Attorney General Garland. “Those who dedicate their time and energy to ensuring that our children receive a proper education in a safe environment deserve to be able to do their work without fear for their safety.”
According to the Attorney General’s memorandum, the Justice Department will launch a series of additional efforts in the coming days designed to address the rise in criminal conduct directed toward school personnel. Those efforts are expected to include the creation of a task force, consisting of representatives from the department’s Criminal Division, National Security Division, Civil Rights Division, the Executive Office for U.S. Attorneys, the FBI, the Community Relations Service, and the Office of Justice Programs, to determine how federal enforcement tools can be used to prosecute these crimes and ways to assist state, Tribal, territorial and local law enforcement where threats of violence may not constitute federal crimes.
The Justice Department will also create specialized training and guidance for local school boards and school administrators. This training will help school board members and other potential victims understand the type of behavior that constitutes threats, how to report threatening conduct to the appropriate law enforcement agencies, and how to capture and preserve evidence of threatening conduct to aid in the investigation and prosecution of these crimes.
As the anti-vaccination and medical freedom movement has gotten smaller, some elements within the movements have become increasingly radicalized. School board meetings have been disrupted nationwide, including the Lake Washington School District. In other communities, fights have broken out in meetings, board members have received death threats, stalked, doxxed, and had their homes vandalized.
Alaska
The mayor of Alaska’s largest city apologized Thursday for his comments supporting some residents’ use of Holocaust imagery to liken a proposed citywide mask mandate to the oppression of Jewish people in Nazi Germany, the Associated Press reported.
Anchorage Mayor Dave Bronson has said he staunchly opposes the proposal and initially defended the use of yellow Stars of David worn by other critics this week at heated public hearings. Such imagery has been used by opponents of mask and vaccine mandates across the U.S., drawing condemnation from the Anti-Defamation League and other Jewish organizations.
Hospitals in Anchorage, Bethel, and Valdez continue to be the most impacted by the ongoing surge.
Officials are also concerned by a rising test positivity rate, which is just below 10%.
Idaho
Editor’s Note: I must maintain objectivity. I must maintain objectivity. I must maintain objectivity. I must maintain objectivity.
While his state struggles to deliver medical services and deal with the mounting number of corpses, Idaho governor Brad Little departed the state to visit the U.S.-Mexico border. According to a report by KTVB, less than 24 hours after he left, Lt. Governor Janice McGeachin signed an executive order as acting governor banning vaccine passports or mandatory Covid-19 testing at K-12 schools and universities in Idaho.
In a tweet, McGeachin wrote that she “fixed” Little’s executive order on vaccine passports, which was initially issued in April, to include K-12 schools and universities.
Less than ten minutes after McGeachin announced her executive order, Little responded on Twitter, stating he did not authorize McGeachin to act on his behalf and “I will be rescinding and reversing any actions taken by the Lt. Governor when I return.”
McGeachin also tried to activate the National Guard to deploy Idaho troops, already assisting with the Covid-19 surge, to the Mexico border. According to The Independent, the commanding general of the Idaho National Guard told McGeachin she can’t activate troops to send to the U.S.-Mexico border.
Governor Little issues a terse statement late on Tuesday.
“Attempting to deploy our National Guard for political grandstanding is an affront to the Idaho constitution [sic] and insults the men and women who have dedicated their life to serving our state and the country.”
This isn’t the first time McGeachin has pulled this type of political stunt, as she postures herself as the candidate that Idaho deserves in the upcoming 2022 election.
Idaho added 1,835 new cases on Tuesday and reported 11 deaths. The number of hospital beds within the state has improved slightly, Health and Welfare Director Dave Jeppesen said on Tuesday. He added improving bed availability could be, in part, attributed to the high number of deaths recently.
In a briefing on Tuesday, Jeppesen reported 89.1% of all Covid-19 cases are among the unvaccinated, 90.3% of hospitalizations, and 88% of deaths. Officials said that despite the intervention of volunteers, the National Guard, federal resources, and FEMA strike teams, staffing levels remain at crisis standards of care levels.
“Due to COVID patient volume added to non-COVID urgent patient care, we have been forced to care for patients in repurposed clinical areas and a non-clinical space (a hospital gym),” Dr. Steven Nemerson of St. Luke’s Hospital told the Idaho Statesman in an e-mail. The system has been “using ratios of patients to health care team members exceeding contingency standards of care despite staffing resources received through the state of Idaho and FEMA (the Federal Emergency Management Agency).”
May the odds ever be in your favor.
Montana
While Alaska appears to have peaked and Idaho is on a plateau, Montana continues to deteriorate. According to the Billings Gazette, the state has 11,498 active cases, with 419 people hospitalized.
Despite activating the National Guard, asking for FEMA strike teams, and the Veteran’s Administration opening up a hospital to civilians, eight out of 10 large hospitals in the state reported having limited bed availability or nearing capacity. Likewise, eight out of 10 large hospitals reported having limited intensive care unit availability or nearing ICU capacity.
New York
A video caught the men in Union Square flipping over a table next to a mobile coronavirus testing van, tearing down the tent erected next to it and tossing a chair, before police intervened to stop them permanently destroying any property, according to a report in The Independent.
Protesters at the rally shouted “boo” and “shame on you” at the staff member working at the Covid-19 testing site as they went past, followed by chants of “no vaccine mandate.”
Hundreds of Department of Education staffers were involved in the protest, following the coronavirus vaccine mandate that went into place on Monday.
Two of the marchers just flipped over a Covid-19 mobile testing site tent, knocking down a table and chairs set up in Union Square in New York #NYC#NewYorkpic.twitter.com/RkEKwSMzzi
On September 16, Republican lightning rod, state senator, Ivermectin enthusiast, and 2022 Congressional candidate Anthony Bouchard assembled a panel to discuss Covid-19 vaccine mandates at hospitals. The esteemed group of top experts included Ryne Paulson, D.D.S., Melissa Hieb D.O., Andrew McAfee M.D., and Dena L’Heureux M.D. All four spouted conspiracy theories and anti-vaccination rhetoric and claimed they would medicine if the state passed a vaccine mandate. All of this was political theater if any providers accept or work for an organization that receives federal dollars.
How well is that going?
The Wyoming Medical Center in Casper reported they admitted 17 Covid-19 patients – in 24 hours from Saturday to Sunday. Only one of the recently admitted patients is vaccinated. Wyoming added 627 new Covid-19 cases on Monday, in a state with 578,000 residents. If that pace holds, almost 1% of all Wyomingians will catch Covid-19 this week. Test positivity on Monday was over 18%, which is down from last week.
The state reported 45 new Covid-19 related deaths and breaching 1,000 total deaths since the pandemic started in 2020. Put another way, 1.7% of the entire population of Wyoming has died from Covid-19.
Like Alaska, Montana, and Idaho, hospitals are tipping over into “crisis standards of care.” Cody Regional Health and Memorial Hospital of Sweetwater County reported they continue to move from “contingency care” to “crisis standards of care” as the situation changes.
Rural hospitals in Wyoming, Montana, Idaho, and Alaska are dependent on larger hospitals in Washington, Oregon, Colorado, and Utah to take more challenging patients. Oregon and Washington barely avoided moving to crisis standards of care last month, while Colorado and Utah are dealing with their surges. With interstate transfers gridlocked, states like Wyoming, which only has 37 hospitals, have been forced to make do with their resources.
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