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.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) New Covid-19 cases are stuck on a plateau while hospitalizations increased 7% over the last week. An analysis of available data provides strong evidence the pandemic of the unvaccinated continues.
The FDA has authorized the Pfizer Covid-19 vaccine for emergency use in children 5 to 11 today. The Centers for Disease Control Advisory Committee on Immunization Practices is meeting on November 2 and 3. It is widely expected the panel will support the authorization. UW Medicine has announced a waitlist for parents who want to get their children immunized.
Washington Governor Jay Inslee expressed growing concern over the case rates and said the state is at a “fork in a road.” In what is likely the last broad challenge for the state vaccine mandate, a U.S. District Judge denied a last-ditch effort to block the public health rules on the grounds it was a violation of civil rights.
Data from August to September is supportive of following the Centers for Disease Control’s back-to-school guidelines, with Washington schools reporting 189 outbreaks statewide, with only a handful resulting in school closures.
A former naturopathic doctor on the Olympic Peninsula was convicted for misbranding drugs, reselling them, and making false claims of offering a COVID cure. Richard Marschall, 68, has been convicted for the third time since 2011. Washougal Physician Assistant Scott Miller will face the medical board on November 3, for allegedly spreading Covid-19 disinformation. Miller had his license suspended earlier this month after an investigation into his activities that started in August 2021.
Washington State University tried to counter the COVID misinformation former football coach Nick Rolovich believed as early as April 2021 to no avail.
Last week, Snohomish barber Bob Martin had two court hearings after a judge rejected his promissory note to cover $90,000 in fines he accumulated last year. Martin is tight-lipped about the hearings, and the court has yet to release the transcripts.
The Washington Medical Coordinator Center at Harborview, Virginia Mason Franciscan Health, and Swedish Health Services each received the Community Health Leadership Award from the Washington State Hospital Association for their 2021 Covid-19 related efforts.
Proud Boy Tusitala “Tiny” Toese is reported to be hospitalized and in “poor” condition. Toese was shot on September 4 in Olympia after the Proud Boys group he was with left an anti-mandate protest to go “hunting.”
COVID hospitalizations have increased 7% since October 22, reversing weeks of improvement. Unvaccinated people continue to hold up relief for the stressed medical system.
Malcontent News moved the Northshore School District to status red due to Bothell High School, and Lockwood Elementary reporting ten confirmed Covid-19 cases each on Friday.
Twelve states are suing the Biden Administration in an attempt to block a looming vaccination mandate.
The U.S. Supreme Court, in a 6-3 decision, refused to block Maine’s vaccination mandate for healthcare workers. The decision may have further strengthened Jacobson versus Massachusetts.
The Pentagon reported that 96.4% of active-duty U.S. Air Force personnel and 98% of special forces are vaccinated. For the Air Force it still leaves up to 12,000 members facing disciplinary action.
In disinformation, we take a critical look at a September 30 article entitled, Increase in COVID-19 are unrelated to levels of vaccination across 68 countries and 2947 counties in the United States. Daniel Horowitz has held this up as proof that vaccinations don’t work. Is it true?
The New case rate was almost unchanged from yesterday. The least vaccinated counties have 228% more new cases per 100,000 residents than the most vaccinated. San Juan County reported a 7 day moving average of 11.5, which is considered “normal.” Three of the five counties with the lowest new case rate have more than 70% of their total population fully vaccinated.
Percent of Total Population Fully Vaccinated
Total Population in Group
Average 14-Day New Case Rate
70% or above (3 counties)
2,343,250
214.3
60.00% to 69.99% (4 counties)
1,242,200
335.9 (down)
50.00% to 59.99% (14 counties)
3,172,600
389.7
40.00% to 49.99% (10 counties)
860,525
406.7
30.80% to 39.99% (8 counties)
158,300
467.8
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County
Through October 28, Washington’s statewide 14-day rolling average is 335.5 Covid-19 cases per 100K – statistically unchanged from yesterday. Although new case rates are dropping in the eastern half of the state, they remain stubbornly high.
One county, Ferry, is between 800.0 and 999.9 with 859.7 new cases per 100K residents.
Four counties, Grant, Klickitat, Lincoln, and Skagit, have a new case rate between 600.0 to 799.9.
New cases by age were unchanged while the hospitalization rate declined for geriatric patients over 79 years old.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
150.8
0.5
Ages 12-19
146.4
0.8
Ages 20-34
146.4 (not a typo)
3.5
Ages 35-49
161.8
8.9
Ages 50-64
129.2
13.7
Ages 65-79
96.4
19.8
Ages 80+
90.2
35.9 (down)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
The USA Today COVID Tracker reported 31 Covid-19 related deaths in Washington state on Thursday. The Washington State Department of Health is reporting 8,628 Washingtonians have died since February 29, 2020. That is equal to every man, woman, and child in Hoquiam, Washington dying.
Governor Inslee express concern as Washington reaches a “fork in the road” with Covid-19
During a press briefing yesterday, Governor Jay Inslee (WA-D) expressed growing concern over plateauing cases and the potential for Washington state to move into a “sixth wave.”
“We still have an extremely dangerous pandemic on our hands,” Inslee told reporters, adding that the state is still seeing more than 2,000 new Covid-19 cases a day.
The plateau is concerning to public health officials because case rates and COVID hospitalization rates are still similar to last winter’s wave. Hospitals in Washington have limited capacity to care for a surge in patients over the winter if new case rates and hospitalizations don’t start to decrease again.
Inslee said the state has reached “a fork in the road.” Residents can either accept Covid-19 or continue to fight it, and the only way out is by getting vaccinated.
“Every day, I believe we should fight it,” he said.
New Covid-19 cases were declining from mid-September to mid-October, but are now stubbornly sitting at new normal that is well above what experts consider acceptable. Over the last week, COVID-related hospitalizations have increased 7%.
On October 20, Malcontent News predicted that another wave of Covid-19 will sweep across the United States starting in mid to late December and peak in February 2022.
Federal judge tosses civil rights based lawsuit attempting to block Washington state Covid-19 mandate
A federal judge in Eastern Washington on Monday denied a bid by firefighters, state troopers, and others to halt Washington’s Covid-19 vaccine mandate for state workers and emergency responders. The Associated Press reported U.S. District Court Judge Thomas Rice denied the motion.
Dozens of municipal, county, and state workers sued Governor Jay Inslee, Spokane Fire Chief Brian Schaeffer, Washington State Patrol Chief John Batiste, and others. The case was filed just days before the October 18 mandate deadline. The plaintiffs claimed their civil rights were being violated by the requirement they get vaccinated to continue in their jobs.
In his ruling, Rice wrote: “The Supreme Court has long endorsed state and local government authority to impose compulsory vaccines… Federal courts have routinely analyzed such cases using rational basis and regularly reject cases similar to this one that challenge vaccine mandates based on free exercise of religion.”
Rice was referring to the 1905 U.S. Supreme Court decision of Jacobson versus Massachusetts that decided the Tenth Amendment gave municipalities, counties, and states the power to make public health decisions that aim to protect the larger population. The decision has been challenged dozens of times in the last 116 years.
Judge Rice’s decision ended the last large-scale lawsuit attempting to block or pause the vaccine mandate. As of October 25, 94% of Washington state employees, 99.7% of Washington educators, and an estimated 97% of Washington healthcare workers, including firefighters, were fully vaccinated, completing vaccination, have an exemption review pending, or received an approved exemption with accommodation.
Following back to school guidelines by the CDC has had a positive impact in Washington
From August 1 to September 30, there have been 189 Covid-19 outbreaks in Washington schools involving 1,284 confirmed infections according to the Washington Department of Health.
State Epidemiologist Dr. Scott Lindquist, Deputy Secretary of Covid-19 Response Lacy Fehrenbach, and Acting Assistant Secretary for the DOH Michele Roberts shared the information on Wednesday during a press briefing.
Almost 88% of the confirmed Covid-19 cases involved students. Unlike other states such as in the southeast, where dozens of children were sickened in superspreader events that closed entire school districts, the average number of cases per event was five.
“That relatively small number of cases in each outbreak is an indication that schools are continuing to do a really good job on layered prevention measures and responding when they have cases and outbreaks,” Fehrenbach said.
A few districts were forced to move single schools to remote learning to manage outbreaks including in Medical Lake, Edmonds, and Eatonville.
Former naturopathic doctor convicted of selling fake Covid-19 cures
A former Port Angeles naturopathic physician who falsely claimed that two substances containing garlic extract and larch tree starch could treat and prevent Covid-19 has been found guilty of introducing misbranded drugs into interstate commerce. The conviction of Richard Marschall, 68, was first reported by the Peninsula Daily News.
The federal jury last week found that Richard Marschall, 68, misbranded the drugs and fraudulently marketed them, according to a press release from the U.S. Attorney’s Office in Seattle.
This is the third conviction for Marschall since 2011 for making false claims. On his Facebook page, he made claims that two supplements, allicin a garlic extract, and IAG a larch tree starch had antiviral properties that would cure Covid-19.
Both supplements are made in the United States and neither maker makes any claims that their products are antiviral. Marschall was charging $140 for the supplements plus shipping and handling. He added his own labels making false claims about the abilities of the combination.
A 60 count bottle of allicin is $21.95 and a 3.6 ounce bottle of IAG is $39.48 on Amazon with free Prime shipping. A 400 pack of ink jet-ready bottle labels is $9.99.
Washington physician assistant has November 3 medical board hearing after allegedly peddled Covid-19 disinformation
Washougal Physician Assistant Scott Miller is facing a medical board hearing on November 3 after state officials suspended his license on October 16 for allegedly creating and spreading Covid-19 disinformation.
Accusations against Miller included:
Starting a public camaign promoting ivermectin as a Covid-19 cure
Prescribing ivermectin to at least one patient without providing an adequate examination
Interfering with the care of hospitalized patients
Engaging in a hostile and threatening campaign against both hospitals and individual physicians regarding Covid-19 treatment
Lying on his licensing application and denying he was already under investigation by the state of California
Miller spoke at a Camas School Board Meeting in May of 2021 against mask mandates and promoted ivermectin as a “cure.”
“I don’t know anybody that’s died (from COVID-19),” Miller said. “I’ve treated 350 COVID patients. Do you know there’s treatment? … I treat people every day. I had 90 COVID patients come into my clinic last month.” Miller then went on to call the school board “pure evil.”
Miller runs Miller Family Pediatrics in Washougal, Washington. A GoFundMe for Miller was suspended on October 19. Organizers moved to the crowdfunding platform GiveSendGo. On October 29, $11,477 had been raised to support his defense, which is far short of the $50,000 goal set by organizers.
Washington State University infectious disease professor attempted to explain Covid-19 vaccines to Nick Rolovich
In April 2021 when officials at Washington State University learned that former football coach Nick Rolovich was falling down a disinformation hole, they arranged a meeting between Rolovich and Dr. Guy Palmer, a world-renowned WSU regents professor of pathology and infectious diseases.
According to a report by ESPN, Rolovich drove a conversation that focused on topics that were consistent with what Palmer said has been shared by the “anti-vax crowd on social media” over the past several years.
Questions included if Bill Gates was behind the vaccine or if SV40 was in the Covid-19 vaccines.
“I just tried to address those kind of more specific questions that have come up and I think many of those concerns were widely shared on social media, by individuals, and I just addressed them with the best data that I could and tried to give him clear answers,” Palmer said.
Palmer says that Rolovich’s primary concern was around side effects and he never brought up religious beliefs or questioned if fetal cells were used in the testing, development, or manufacturing of the vaccines.
Rolovich, through his lawyer, announced his plans to sue WSU after his religious exemption was declined and he was terminated on October 18. Rolovich served as head coach of the Cougars for less than two seasons with a 5 and 6 record. During his time as head coach of the UH Rainbow Warriors, they achieved a record of 28 and 27. At the time of his termination, Rolovich was the highest-paid public employee in Washington state.
Snohomish barber goes before two judges to answer questions about his anti-lockdown actions
Bob Martin because a cause celebre when he refused to close his Snohomish, Washington barbershop in 2020 when the state was under lockdown. Over the months that followed, the retired Marine Corps veteran racked up over $90,000 in fines for his continued refusal to close.
The barbershop became a rallying point for people against lockdowns and to a lesser extent, people desperate for a haircut.
“I’m not going to let the parasites in Olympia tell me that I cannot work,” Martin told KOMO News. “It’s my right to work.”
Martin insists the $90,000 in fines has been paid to the state of Washington through a promissory note. Last week a Snohomish County judge told Martin that the note does not satisfy his debt. Martin had two court hearings last week but the results of those hearings and transcripts have not been released.
Three Puget Sound area hospitals lauded by the Washington State Hospital Association for Covid-19 related efforts
Three Western Washington hospitals are receiving the Community Health Leadership Award for taking an innovative approach to addressing the pandemic in 2021 according to a report by Patch.
The Washington Medical Coordination Center at Harborview Medical Center was recognized for helping triage and placing Covid-19 patients across the state, and from across the region.
Virginia Mason Franciscan Health was lauded for its vaccination program that spanned across three counties. At its peak, the hospital system was vaccinated 3,100 people a day.
Swedish Health Services was commended for setting up 21 mobile vaccination clinics in under-served areas reaching out to rural, poor, and BIPOC communities. The hospital network partnered with the Ethiopian Community Center, and Pacific Islander Community Association.
Proud Boy shot after providing “security” at Olympia anti-vaccine mandate rally reportedly back in the hospital
Social media reports indicated Tusitala “Tiny” Toese, who was shot in the leg on September 4 shortly after providing “security” at an End the Mandate protest in Olympia, was back in the hospital and in “poor” condition.
On September 4 a group of 50 to 75 heavily armed Proud Boys roamed the streets of Olympia after leaving the End the Mandate protest to go “hunting,” as reported by independent journalists. The group assaulted several people who were not associated with any protest or counterprotest and attacked reporter Alissa Azar. Approximately 20 minutes after leaving the protest, they identified a small group of counterprotesters who were attempting to flee from the group.
Security camera video shows a man stopping, pulling out a handgun, and firing five shots. Toese was shot in the leg and required a short hospital stay in Olympia. A 36-year-old Olympia man was arrested on September 23 for the shooting and charged with first-degree assault.
Toese, who held more of an enforcer role, has been an acting regional leader for the Proud Boys since the January 6 Insurrection. Ethan Nordean of Washington is alleged to be the Proud Boy leader on January 6 after Enrique Tarrio was arrested on January 4. Nordean is currently in federal custody awaiting trial. Alan Swinney was arrested after multiple incidents in Portland, Oregon in August 2020 and was recently convicted on 11 of 12 charges, including one count of first-degree assault. Rufio Panman was also arrested for his involvement in the January 6 Insurrection and remains in federal custody.
Toese was seen at several anti-vaccination, anti-mask, and anti-mandate protests shortly after his shooting including an anti-mask protest on September 10.
No specific information on Toese’s condition was available beyond he is allegedly hospitalized and in “poor condition.” There was no information on if the hospitalization is related to the shooting or a different medical condition.
Travel Advisories
We are very encouraged by the hospital readiness data for the East Hospital Region and believe we can end the travel advisory in the next five to 12 days. For now, we’re maintaining our recreational travel advisory to the East Hospital Region, including Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties. Acute care and ICU capacity remain limited.
Additionally, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.
We continue to strongly advise against all nonessential travel to Alaska, Idaho, Montana, and Wyoming. Alaska and the Idaho Panhandle are experiencing an extreme number of Covid-19 hospitalizations. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a serious medical emergency. Data out of Wyoming is encourage and we may drop our travel advisory in the next 14 to 21 days.
Thank you
Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!
The immune responses of children 5 through 11 were comparable to adolescents and young adults. In addition, the vaccine was found to be 90.7% effective in preventing COVID-19 in children 5 through 11. The vaccine’s safety was studied in approximately 3,100 children who received the vaccine and no serious side effects.
The Centers for Disease Control and Prevention’s (CDC) Advisory Committee on Immunization Practices will meet next week on November 2 and 3 to discuss further clinical recommendations.
“As a mother and a physician, I know that parents, caregivers, school staff, and children have been waiting for today’s authorization. Vaccinating younger children against COVID-19 will bring us closer to returning to a sense of normalcy,” said Acting FDA Commissioner Janet Woodcock, M.D. “Our comprehensive and rigorous evaluation of the data pertaining to the vaccine’s safety and effectiveness should help assure parents and guardians that this vaccine meets our high standards.”
The Pfizer-BioNTech Covid-19 Vaccine for children 5 through 11 is administered as a two-dose series, three weeks apart, as a 10 microgram dose. Individuals 12 years of age and older receive a 30 microgram dose. Full efficacy is reached two weeks after the final dose is administered.
Health and Human Services have purchased 28 million doses with regional distribution beginning next week.
King County, Washington is reporting over 88.1% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.
COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 15.3% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 607 additional acute care patients.
ICUs are at 88.3% of capacity statewide, with 25.0% of ICU patients fighting Covid-19 – an estimated 296 patients with 49.0% on ventilators. The state has the staff to support approximately 140 additional ICU patients.
On Thursday, the 7-day rolling average hospital admission rate for new COVID patients is 102. The Department of Health reported 1,096 Covid-19 patients statewide on October 28, with 144 requiring ventilators.
After declining for weeks Covid-19 hospitalizations increased 7% over the last 7 days. We analyzed the latest Covid-19 Cases, Hospitalizations, and Deaths by Vaccination Status report by the DOH to determine if the growing hospitalization numbers are being driven by breakthrough cases.
From September 15 to October 12, unvaccinated individuals from 12 to 34 were 16 times more likely to be hospitalized, 35 to 64 were 18 times more likely, and 65 and over were 9 times more likely. The total number of vaccinated individuals. Statewide since vaccines have become available, 12.1% of hospitalizations have been breakthrough cases.
According to King County Health over the last 30 days, 3,248 unvaccinated people have been hospitalized with Covid-19, compared to 378 fully vaccinated individuals. The 10% rate aligns closely with the broader state average. No vaccine is 100% effective. Even if we make the bad assumption, statewide hospitalizations would still be close to 1,000. The growing hospitalization numbers continue to be fueled by the unvaccinated.
Hospital readiness gave back some improvements from earlier this week with the East Hospital Region going status red across all four metrics again.
Hospital 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%
– Blackwell Elementary (4) – Carson Elementary (6) – Clara Barton (4) – Einstein (3) – Eastlake High (11) – Ella Baker (8) – Finn Hill Middle School (6 + 1 see notes) – ICS (4) – Juanita Elementary (3) – Kamiakin Middle School (20) – Kirk Elementary (2) – Lakeview Elementary (3) – Lake Washington High School (27) – Muir Elementary (1) – Redmond Elementary (9) – Redmond Middle School (64) – Redmond High School (46) – Timberline Middle School (45**) – Twain Elementary (27)
None
Northshore
RED
– Arrowhead Elementary (5) – Canyon Creek Elementary (5) – Canyon Park Middle School (2) – Crystal Springs Elementary (5) – East Ridge Elementary (7) – Fernwood Elementary (3) – Frank Love Elementary (24) – Hollywood Hills Elementary (2) – Inglemoor High School (13) – Kenmore Elementary (6) – Kenmore Middle School (17) – Kokanee Elementary (6) – Leota Middle School (1) – Maywood Hills Elementary (3) – Morelands Elementary (2) – North Creek High School (9**) – Northshore Middle School (16) – Ruby Bridge Elementary (68) – Shelton View Elementary (4) – Skyview Middle School (9) – Timbercrest Middle School (9) – Wellington Elementary (14**) – Westhill Elementary (11) – Woodin Elementary (50**) – Woodinville High School (7) – Woodmoor Elementary (5)
– Bothell High School (25**) – Lockwood Elementary (20**)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
The Northshore School District moved to red status with two facilities reporting ten confirmed Covid-19 cases each today. Bothell High School and Lockwood Elementary doubled the number of cases this week. There are four additional schools that have five to nine confirmed COVID cases.
We received a parent confirmed report of an additional Covid-19 case at Finn Hill Middle School. The Lake Washington School District only updates data. We rely on confirmed parental reports to provide additional details.
We continued to encourage parents to request daily updates from the Lake Washington School District. We would also encourage parents to request the Bellevue School District include data on close contacts. These two changes would bring the three school districts we track into alignment.
Kirkland-Bellevue-Woodinville
UW Medicine opens up Covid-19 vaccine waitlist for children 5 to 11 years old
With the Food and Drug Administration (FDA) granting emergency use authorization to the Pfizer vaccine for children 5 to 11 years old, UW Medicine has opened up a waitlist. Although the use of the vaccine has been authorized, federal supply rules require the Centers for Disease Control (CDC) to formally recommend the protocol.
To join the vaccine waitlist, parents or guardians can call 844-520-8700. Individuals who register will receive a text or phone call when it is time to schedule an appointment. Scheduling is done online through a single-use registration link. UW Medicine is not accepting walk-in appointments for vaccination.
A CDC panel is meeting on November 2 and 3. A formal recommendation to vaccinate children from 5 to 11 is widely expected next week and the Seattle Times reported Central Puget Sound is receiving an initial shipment of 316,000 doses.
Kirkland Health Fair and Community Vaccination Event on November 6
The Kirkland Health Fair and Community Vaccination Event will be held on Saturday, November 6, from 10 a.m. to 2 p.m at Juanita High School. Hosted by the City of Kirkland in partnership with Public Health – Seattle and King County, the event will provide Covid-19 vaccination, information, education, and more.
At this time we do not know if vaccination for 5 to 11-year-olds will be available.
Save the date! The Kirkland Health Fair and Community Vaccination Event takes place 10 am – 2 pm, Sat 11/6 at Juanita High School. We are partnering with @KCPubHealth to provide COVID-19 vaccinations, vaccine info & education, & much more! More information to come. pic.twitter.com/JJcFnqggrJ
Johns Hopkins University Cumulative Case Tracker reports 76,957 new cases and 2,141 deaths nationwide on Thursday.
12 states sue Biden administration over Covid-19 vaccine rule
Eleven states filed lawsuits Friday to stop President Joe Biden’s COVID-19 vaccine mandate for federal contractors, arguing that the requirement violates federal law.
Attorneys general from Alaska, Arkansas, Iowa, Missouri, Montana, Nebraska, New Hampshire, North Dakota, South Dakota, and Wyoming signed on to the lawsuit, which was filed in a federal district court in Missouri.
The states asked a federal judge to block Biden’s requirement that all employees of federal contractors be vaccinated against the coronavirus, arguing that the mandate violates federal procurement law and is an overreach of federal power.
“If the federal government attempts to unconstitutionally exert its will and force federal contractors to mandate vaccinations, the workforce and businesses could be decimated, further exacerbating the supply chain and workforce crises,” Missouri Attorney General Eric Schmitt, a Republican, said in a statement. “The federal government should not be mandating vaccinations, and that’s why we filed suit today – to halt this illegal, unconstitutional action.”
That lawsuit, along with one filed Friday by Texas and Thursday by Florida, brings to 12 the number of states challenging the Biden administration mandate in three federal courts.
Alaska, Montana, and Wyoming currently have hospitals operating at crisis standards of care due to a surge in COVID cases.
Supreme Court refuses to block Maine’s Covid-19 vaccine mandate
The U.S. Supreme Court has rejected an emergency appeal from Maine health care workers to halt a COVID-19 vaccine mandate that took effect Friday.
Health care workers at hospitals and nursing homes throughout the state risk losing their jobs if they are not vaccinated and religious exemptions are not being offered.
According to Fox News, three justices – Neil Gorsuch, Clarence Thomas, and Samuel Alito – signed on to a dissent written by Gorsuch, who suggested they would have adhered to the request from Maine health care workers.
“This case presents an important constitutional question, a serious error, and an irreparable injury,” Gorsuch wrote. “Where many other States have adopted religious exemptions, Maine has charted a different course. There, healthcare workers who have served on the front line of a pandemic for the last 18 months are now being fired and their practices shuttered. All for adhering to their constitutionally protected religious beliefs.”
The case could be significant for future challenges to municipal, county, state, and private employer public health-related mandate challenges. In 2021, no case brought before the Supreme Court has given relief to plaintiffs looking to modify or block vaccine mandates. The 6 to 3 decision could have closed the door for those seeking public health exemptions based on religious grounds.
96.4% of active duty US Air Force personnel are vaccinated
The U.S. Air Force is reporting up to 12,000 personnel could be facing disciplinary action for refusing to get vaccinated for Covid-19. The Air Force is the first military branch to approach a vaccine mandate deadline.
Air Force officials would not provide any information on the status of the estimated 12,000 hold-outs. When compared to other mandates across the United States, a 96.4% vaccination rate is high before factoring in medical or religious exemption requests and previously planned retirements.
According to the Pentagon, only one active-duty service member has received an exemption.
Different military branches have different vaccination deadlines ranging from the U.S. Air Force November 1 deadline to a June 30, 2022 deadline for the National Guard.
So far In 2021, 71 military personnel have died from Covid-19 – none were fully vaccinated.
SOCOM’s commander, Army Gen. Richard D. Clarke, shared the statistic during the annual Military Reporters and Editors Conference here and said that percentage includes special operators like SEALS and Green Berets, but also administrative and other troops that make up the joint force of roughly 70,000.
State Updates
Alaska
Multiple hospitals operate under crisis standards of care across Alaska with 232 Covid-19 patients hospitalized and a sky-high new case rate. Health officials are reporting 629 new COVID cases per 100,000 residents and a test positivity rate of 9.2%. Over 60% of new cases are among people under 40 years old. Although the transmission rate has plateaued, it has remained unchanged for more than six weeks as COVID rages through unvaccinated communities.
Earlier in the month, a series of contentious meetings at Anchorage City Hall debating a mask mandate for Alaska’s large city turned into a super spreader event. Several members of Mayor Dave Bronson’s administration became sick with Covid-19, including some breakthrough cases. William Topel, a well-known anti-vaccination activist was among the hundreds of mostly unmasked people in the packed room.
Topel, 68, had multiple health issues became ill with Covid-19 shortly after the meeting, and quickly declined in health. He was hospitalized in Anchorage and died of COVID-related illness on October 13. His supporters remained defiant at his funeral on October 25, according to Alaska Public Media.
“God’s going to use this as a fulcrum to propel us into victory,” friend and fellow activist Dustin Darden told the crowd after Topel’s burial. “We’re going to take every square inch of Anchorage, everything that Bill stood for every time he was out there, it’s just been amplified 1,000 times.”
After more than a week of theatrics that included Mayor Bronson supporting the use of Nazi symbols, and seven meetings that frequently devolved into screaming matches, the Anchorage Assembly voted to issue an emergency mask mandate. On October 13, the same day Topel died, Bronson vetoed the decision. A day later, the Assembly overrode the veto by vote, requiring masks on October 14.
On October 27, the Anchorage Assembly meeting scheduled to discuss routine city business devolved into an anti-mask debate again.
On Saturday, anti-vaccination activists are holding the “Alaska Early Treatment Summit” that includes Robert W. Malone, Ophthalmologist Richard Urso MD, and Ryan Cole, MD, head of Ada County Health in Idaho and currently under investigation by the state medical board.
Malone claims he had Covid-19 in February 2020 and suffers from long hauler syndrome. He states he got the Moderna vaccine in hopes it would “cure” his symptoms, but believes the vaccination made it worse.
Malone is also the originator of the disinformation claim that people who receive the Covid-19 vaccine will die within six months to three years. The first Phase 1 trials started in April 2020 and in the United States, four vaccine-related deaths have been reported due to an extremely rare but dangerous condition called VITT.
Idaho
Idaho is facing good news, bad news situations as new case rates and hospitalizations plateau and fall respectively, while Covid-19 continues to rage in Northern Idaho and the Panhandle. The apocalyptic forecasts of 30,000 new cases a week (that Malcontent News reported was likely too grim) have not materialized, however, new cases are still running between 8,000 and 10,000 a week. Test positivity dropped to 11.5% but remains well above the optimal rate of 3% to 5% which would indicate adequate testing.
The Panhandle District accounts for 22% of Idaho’s new cases and Kootenai Health in Coeur d’Alene has been operating in crisis standards of care for almost two months. State officials don’t see the hospital situation improving much with concerns over the approaching flu season and continued spread in the unvaccinated population.
Since Covid-19 first arrived in the Gem State, there have been 290,872 confirmed cases – 4.5% vaccination breakthroughs. The state has recorded 3,543 Covid-19 related deaths.
Dr. Kathryn Turner, the deputy state epidemiologist, said North Idahoans are also not very helpful when it comes to contact tracing for the coronavirus.
“People are not as cooperative as in other parts of the state,” Turner said.
Idaho does not provide daily hospitalization data. The most recent report stated 570 were hospitalized with Covid-19, 163 in the ICU, with more than half on ventilators. Under normal conditions, Idaho has 170 staffed ICU beds.
Only two “large” hospitals, Community Medical Center and Northern Montana Hospital had normal occupancy rates. The largest hospital, Billings Clinic, was caring for 277 patients, including 76 people infected with Covid-19.
To date, 5% of confirmed COVID cases require hospitalization. Currently, 1% of the entire Montana population is infected with Covid-19 every 14 days.
“It has been an exceptionally challenging week for us here, with record numbers of hospitalizations and very, very sick and very, very acutely ill patients hospitalized due to COVID,” said Katie Gallagher, Covid-19 public information officer for St. Peter’s Hospital.
St. Peter’s reports that, in October, 26 patients died due to complications from COVID – including five on a single day, the highest one-day total they’ve recorded. Gallagher said that was compared to nine COVID-related deaths in September.
More patients are also being hospitalized with COVID-related illnesses according to a report by KTVH. Gallagher says they have been averaging more than 30 over recent weeks, with the highest number being 44 – almost half of the available inpatient beds.
On Friday the Montana Nurses Association filed a motion to join a lawsuit by a coalition of medical providers and patients that seeks to invalidate Montana law that bars medical organizations from requiring employees to be vaccinated, saying it violates federal law and the U.S. and Montana constitution.
According to KTVQ, the original suit was filed in September in U.S. District Court in Missoula with the Montana Medical Association as the lead plaintiff. It challenges parts of HB 702 – passed by Republican majorities at the 2021 Legislature – saying it illegally prevents physicians, their offices, and hospitals from providing a safe environment for patients.
The nurses’ suit comes as Montana faces the worst rates for hospitalizations and death from COVID-19 in the United States, according to data from the Mayo Clinic.
New York
Six FDNY members of Ladder 113 have been suspended for allegedly driving their truck to a state senator’s New York City office and threatening his staff over the vaccine mandate for city workers according to a report by New York NBC 4.
The on-duty firefighters drove an in-service ladder truck to state Senator Zellnor Myrie’s office in Brooklyn on Friday and questioned staff as to where the politician lives, a department spokesperson confirmed. The crew is accused of telling his staffers they would have “blood on their hands” Monday when unvaccinated workers must go on unpaid leave.
The group of firefighters also allegedly told the staff that if a fire was reported at Myrie’s home they would not respond.
Commissioner Daniel Nigro says, “this is a highly inappropriate act by on duty members of this Department who should only be concerned with responding to emergencies and helping New Yorkers and not harassing an elected official and his staff."
New York City’s vaccine mandate deadline for municipal workers which includes fire, police, is November 1. Compared to other cities such as Seattle and San Francisco as well as the state of Hawaii, vaccination rates are alarming low.
As of 8 p.m. Thursday, 33,400 city workers remained unvaccinated. The city said it would provide updated vaccine rates on Saturday.
The fire department said it was prepared to close up to 20% of its fire companies and have 20% fewer ambulances in service while changing schedules, canceling vacations, and turning to outside EMS providers to make up for expected staffing shortages.
Wyoming
Data from Wyoming is more encouraging as new cases continue to drop while hospitalizations remain very high. Officials reported 193 hospitalized statewide while the number of new cases is averaging 557 per day. Wyoming has lost 178 residents to Covid-19 in October and crossed the 1,000 death threshold this month. Over 15% of COVID-related deaths occurred in the last 28 days. On October 21, Wyoming set a new hospitalization record peaking at 249 patients.
Elective surgeries have been delayed for weeks, creating additional health problems, according to a story by Wyoming Public Media. Jeffrey Chapman is the chief medical officer at Cheyenne Regional Medical Center – one of the many Wyoming hospitals that have had to limit what procedures they can perform.
“For almost five weeks we’ve only been doing urgent and emergent cases,” he said.
From Sheridan to Casper to Rock Springs, hospitals are monitoring their capacity on a day-to-day basis. In Campbell County, the hospital system canceled all elective surgeries earlier this week. And at Cheyenne Regional, Chapman said they have to make decisions about which surgeries can wait and which cannot.
The anti-vaccination community has seized upon the Harvard study as proof that vaccines are ineffective, and the momentum has been further fueled by Daniel Horowitz of The Blaze. So who is right?
First, we should look to the main author of the paper S.V. Subramanian, a Harvard professor of population health and geography who is saying the anti-vaccination community has it all wrong.
“That conclusion is misleading and inaccurate,” Subramanian wrote in an email to Ali Breland, a journalist. “This paper supports vaccination as an important strategy for reducing infection and transmission, along with hand-washing, mask-wearing, and physical distancing.”
Second and more important, there are serious data issues, inaccuracies, assumptions, and questions about the co-author of the paper.
The data analysis starts at January 1, before anyone was fully vaccinated. Additionally vaccination programs targeted the elderly and those most likely to get severe Covid-19, and the analysis did not take into account the base rate. The data only considered hospitalization data through May 2021, just weeks after multiple states permitted vaccination to all age groups over 16.
The second author of the study is a high school student in Canada
Errors within the paper aside, Subramanian has stated the paper is supportive of vaccination as part of a holistic approach to defeating the pandemic.
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.These words have never been more important for today’s update.
[KING COUNTY, Wash.] – (MTN) The big story today is not local or even in the United States. It is the U.K. where a new variant of Delta is starting to establish itself and on the European continent where new Covid-19 cases are climbing again. With the holiday travel season just weeks away the timing of this new European surge is very troubling. Our view is a new surge is coming this winter, and if you want to skip ahead you can move to the National Update to read more.
Closer to home, new cases drifted downward in Washington especially east of the Cascades while hospitalizations remain plateaued.
State officials said some people who were fired or quit because of the vaccine mandate will probably qualify for unemployment benefits.
We have additional information on the Kirkland Fire Department and the status of 16 employees who were not fully vaccinated by October 18.
New Covid-19 cases were reported at Lake Hills Elementary in the Bellevue School District and Kamiakin Middle School in Lake Washington.
King County Sheriff employees were told to keep working “until further notice” even if they have not submitted their vaccination information. The number of Seattle Police Department officers seeking exemptions dropped further today. Seattle Public Schools reported over 99% of teachers and 100% of school principals are fully vaccinated or were granted exemptions. A small group of protesters gathered outside of Seattle City Light but for now, no one has been fired.
Former Washington State University Nick Rolovich has hired an attorney who announced on Twitter he is planning to sue for wrongful termination.
While some TV and radio personalities wrung their hands over police cuts that mostly didn’t materialize, none of them are addressing the 350 employees released by the Department of Corrections. They did however focus on a Washington State Patrol sergeant who issued a farewell in a viral video.
Access to parts of the capitol complex in Olympia is restricted to vaccinated people only through January 10, and some legislatures are very mad. On the subject of legislatures, Senator Doug Ericksen who in October 2020 demanded a special session to cut the state budget by $4 billion and furlough thousands of employees, called for Jay Inslee to resign due to state employee job cuts.
Nationally, the FDA authorized booster shots for Moderna and Johnson and Johnson and approved a mix-and-match approach to boosters. Approval of the Pfizer vaccine is expected in the next couple of weeks, and the Biden Administration has already purchased 28 million doses. Finally, multiple news agencies reported tonight the FDA is seriously considering booster shots for people 40 and over.
We are now adjusting the 14 day moving average new Covid-19 case rate to account for population. This update provides a better view of how vaccination rates are impacting community spread. The new case rate is 230% higher in the least vaccinated counties versus the most vaccinated.
Percent of Total Population Fully Vaccinated
Total Population in Group
Average 14-Day New Case Rate
60.00% or above (5 counties)
2,659,450
216.4
50.00% to 59.99% (16 counties)
4,098,600
362.5
40.00% to 49.99% (10 counties)
860,525
441.7
30.30% to 39.99% (8 counties)
158,300
497.2
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Adjusted for Population
Through October 19, Washington’s statewide 14-day rolling average dropped slightly to 325.7 Covid-19 cases per 100K.
Ferry County (1,314.8) and Garfield County (1,303.4) continue to be hot spots, otherwise, cases in Eastern Washington are declining rapidly.
Only two counties, Chelan and Grant, have a new case rate between 600.0 to 799.9 per 100K residents, and both are in the low 600s.
Counties between 400.0 and 599.9 include Asotin, Columbia, Cowlitz, Douglas, Franklin, Grays Harbor, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pend Oreille, Skagit, Spokane, Stevens, Walla Walla, and Yakima.
New cases by age group were statistically unchanged, while hospitalizations increased for people 65 to 79 years old.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
146.1
1.0
Ages 12-19
160.5
1.9
Ages 20-34
144.6
3.7
Ages 35-49
161.6
9.3
Ages 50-64
119.0
12.6
Ages 65-79
94.1
17.1 (up)
Ages 80+
92.0
30.4
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 88 deaths on Tuesday. However, that number includes the weekend and Monday.
Some people who quit or were fired over vaccine mandate may qualify for state unemployment benefits
“The laws surrounding when someone is qualified to receive benefits are going to be intricate and complex,” said Scott Michael, legal services coordination manager at the Employment Security Department, during a meeting of the Unemployment Insurance Advisory Committee last month. “Each case always has to be decided on its own merits. Small differences in facts, in timing, in what was said, what was intended can lead to very different outcomes.”
Workers who requested a medical or religious exemption, had it granted, and were refused accommodation, will likely qualify for state unemployment benefits. The lack of accommodation despite recognizing their need for exemption creates a “good cause” for them to quit their position. However, a person filing for unemployment would need to show that they tried to negotiate with their employer in good faith and had their request rejected.
The minimum unemployment benefit in Washington is $285 a week, and the maximum is $929. The amount of weekly benefit is based on prior income. Individuals who made $10,000 a month or more for the six months before claiming unemployment would qualify for the state maximum. With the end of federal benefits on September 6, a person could claim unemployment for 26 weeks.
Individuals fired or who quit over principle, medical freedom, or refusing to get vaccinated likely have no recourse.
Unvaccinated King County Sheriff Office employees told to work “until further notice”
The King County Sheriff Office (KCSO) has not provided data on how many deputies are vaccinated because of a previous agreement made with the county to extend the vaccination deadline to December 2.
In an October 4 memo sent to the 1,100 KCSO employees were advised if they had not shown proof of vaccination by October 18, they should keep reporting to work “until further notice.”
The same memo also said that employees who had not provided proof of vaccination or requested accommodation would get a letter of pending separation around October 20.
402, 292, 200, 103, 93 SPD officers seeking exemptions
Yesterday the Seattle Police Department reported 103 employees sought medical or religious exemptions, and another six were facing termination after not getting vaccinated by October 18. The Seattle Times reported 93 commissioned officers are seeking exemptions.
The department has the budget to support almost 300 or more commissioned officers. Factoring the pending Loudermill hearings for the six who decided not to get vaccinated, the City has 1,037 available cops. If all 93 exemption requests are rejected, the department will lose 9% of the current force.
KOMO reported there “could be impacts to service” per SPD. The dire predictions of moving the department to emergency staffing conditions did not come to pass.
Former WSU coach Nick Rolovich to sue for wrongful termination
Nick Rolovich is going to sue Washington State University for “unjust and unlawful” termination, according to a statement released by the attorney representing the former WSU football coach.
In the statement posted on Twitter, the unnamed attorney claims that WSU Athletic Director Pat Chun had planned to fire Rolovich “since at least April.”
Just received this from an attorney representing Nick Rolovich, who plans to sue #WashingtonState for illegal termination. Accuses AD Pat Chun of “discriminatory and vindictive behavior.” pic.twitter.com/KTOnIchKXD
The letter claims that Rolovich has “sincerely held religious beliefs” and Chun was dishonest, discriminatory, and vindictive.
Rolovich was the subject of rampant speculation for months as he played a public relations cat and mouse game over his vaccination status. Rolovich told USA Today he was filing an exemption request based on religious grounds with little more than a week left before the state-mandated deadline.
Editor’s Note: We continue to believe this is just public relations theater. Our prediction is Rolovich will receive an out-of-court settlement for an undisclosed sum with a gag order for all parties. In the end, this will be a loss for Washington state taxpayers.
Access to state capitol House and Senate buildings restricted to vaccinated only through January 10
Under a new rule adopted by a House committee last month, legislatures and employees needed to provide proof of vaccination by October 18 to access the House facilities through January 10.
Robinson clarified that the figure applies only to full-time staff with SPS, including teachers, principals, and management staff. Full-time employees with SPS account for 7,283 of its more than 12,000 total employees. The rest are hourly and seasonal personnel.
Robinson indicated 205 employees were granted religious or medical exemptions. Teachers were “over 99% compliance” along with 100% of school principals. Malcontent News estimates 30 to 35 full-time teachers are facing termination based on the data provided by Robinson and the staffing numbers in SPS before the October 18 deadline.
A small group protests outside of Seattle City Light over vaccine mandate
“They are not saying I am fired, to be clear, but what they are saying is to no longer have contact with anybody here,” said Jeremy Rowan, a City Light employee for nearly 20 years.
Seattle City Light has approximately 1,690 employees. City officials reported 1,573 workers were fully vaccinated, and another 84 have requested religious or medical exceptions that are under consideration. Based on the data provided, Malcontent News estimates 30 to 35 people are facing termination.
Despite fearmongering from Turning Point USA, the City indicates they do not expect any service-related issues.
What happens when a grid loses power and there’s not enough workers to get it running?
DOC Secretary Cheryl Strange did not provide data on how many correctional officers or supervisors were released but stated the terminations included medical staff, cooks, maintenance workers, and officers.
Strange said the prisons are safe as they were during and before the pandemic.
“We have not seen a significant impact to staff, or those in our care and custody, any uptick in injury or fights,” said Strange.
Editor’s Note: The DOC has been underfunded and short-staffed for years, partially due to Washington voters refusing to pass measures that would offer badly needed prison reform and provide adequate funding. Issues of improper staffing levels, low morale, assaults on inmates and employees, and poorly trained staff are well documented. Even if the vaccine-related terminations have not created “a significant impact to staff, or those in our care and custody,” this statement ignores the continuing issues in Washington state prisons.
Editor’s Note 2: We find it disingenuous that news personalities such as Brandi Kruse, Jason Rantz, and Dori Monson have amplified unrealized fears of a law and order disaster due to the vaccine mandate while not once mentioning corrections officers. The United States prison system is steeped in racism, inequity, and ineffectiveness. Almost 60% of Washington state inmates have a serious mental illness when they are incarcerated, setting up DOC staff and inmates for repeated failure. The United States has the largest prison population both per capita and in total numbers on the planet.
In final radio message farewell, former WSP Sergeant Kirk Schnider contradicts the number of job cuts
In a radio transmission on October 18, Washington State Patrol Sergeant Kirk Schnider stated, “due to my personal choices to take a moral stand for medical freedom and personal choice. I will be signing out for the last time today after nearly 17 years in service to the state of Washington.”
In his broadcast, Schnider accused the media and WSP officials of downplaying their role and the impact on the department due to vaccination-related separations.
“We all know in this district on the 19th there will be 51 of the 75 troopers available and only 7 of the 11 sergeants.”
Taking a "moral stance for medical freedom & personal choice," this 17-year veteran of the WA State Patrol tearfully says goodbye, forced out by @GovInslee's vaccine mandate. His wife is the dispatch operator (15-year veteran) & is also out.
The WSP reported in a press release that a total of 67 commissioned officers, six sergeants, and one captain were terminated for choosing to refuse vaccination. Schnider is one of the six sergeants to leave WSP.
Fiscal conservatives from the Senate Freedom Caucus call for resignation of Governor Jay Inslee due to vaccine mandate
Yesterday, members of the Washington State Freedom Caucus called for Governor Jay Inslee to resign due to vaccine-mandate-related staff cuts, according to a report in Clark County Today.
“This mass-termination event is the straw that breaks the camel’s back,” said state Senator Doug Ericksen (Ferndale-R). “Never have we witnessed a failure of leadership in this state as we have seen under Gov. Jay Inslee. For nearly 600 days, he has used COVID emergency powers to establish autocratic rule, refusing to call the Legislature into special session, and shutting the people out.”
“Inslee has done significant damage to the credibility of state government and has eroded the public’s trust. Now he is firing thousands of public employees without regard to the harm it will cause. This effort to punish can only be seen as the willful act of a failed governor. Inslee has failed miserably. We don’t take this lightly. But the only thing that can allow our state to heal and move forward is for Jay Inslee to resign.”
A total of 1,887 employees were terminated statewide on October 18, with the only apparent significant disruption impacting Washington State Ferries.
The state Freedom Caucus includes Ericksen, Phil Fortunato (Auburn-R), Jim McCune (Graham-R), and Mike Padden (Spokane Valley-R). The group proposed a “stimulus plan” during the same month that would take federal COVID relief tax dollars to eliminate day use fees at state parks, cut state camping fees, cut hunting and fishing license fees, and create a “school choice” voucher program.
Travel Advisories
Due to increased acute care hospitalizations, we’re maintaining our recreational travel advisory to the East Hospital Region, including Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties. Acute care and ICU capacity remain limited, and the ratio of Covid-19 patients to other hospital patients is exceptionally high. Please reconsider nonessential travel plans to these counties.
We are walking back that our travel advisory for the East Hospital Region will likely last through the remainder of 2021. Current data is somewhat encouraging, and we believe the situation could improve significantly in the next four weeks.
We strongly advise against all nonessential travel to Alaska, Idaho, Montana, and Wyoming. Hospital resources in these regions are constrained, and you may receive inadequate care in Alaska, Idaho, and Montana if you experience a serious medical emergency.
We are not adding a travel advisory for the Northwest Hospital Region, which includes Clallam, Jefferson, Kitsap, and Mason counties but don’t recommend engaging in risky recreational behavior on the Olympic Peninsula. Although hospitals are very constrained, the region is adjacent to the Puget Sound and West Hospital Regions, which have adequate resources.
Thank you
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!
The FDA has limited the Moderna booster to persons over 64-years old, 18 to 64 years old and immunocompromised, and persons who work in occupations where they are frequently exposed to Covid-19.
Data from Moderna indicated that a low dose provided the same immunity as a regular dose, so the FDA guidelines specify a half dose for booster injections.
Booster shots for Jassen/Johnson & Johnson vaccine approved by the FDA
“Earlier analyses from the FDA and CDC safety surveillance systems suggest an increased risk of a serious and rare type of blood clot in combination with low blood platelets following administration of the Janssen COVID-19 vaccine. This serious condition is called thrombocytopenia syndrome (TTS). People who developed TTS after receiving the vaccine had symptoms that began about one to two weeks after vaccination. Reporting of TTS has been highest in females ages 18 through 49 years. In addition, safety surveillance suggests an increased risk of a specific serious neurological disorder called Guillain Barré syndrome, within 42 days following receipt of the Janssen COVID-19 Vaccine.“
Mix and Match of Covid-19 booster shots approved by the FDA
In a third decision, the FDA approved mix and match Covid-19 booster shots. A clinical trial data from the National Institute of Allergy and Infectious Diseases involving more than 1,500 people showed that mixing and matching provided a positive immune response. Additionally, data indicated that millions of Americans were already combining vaccination boosters on their own.
The mix and match authorization will help innoculate vulnerable communities such as nursing home residents faster while enabling individual choice.
As an example, a woman who received the Johnson & Johnson vaccine and is currently taking birth control could get a Pfizer or Moderna booster as an alternative.
“Today’s actions demonstrate our commitment to public health in proactively fighting against the COVID-19 pandemic,” said Acting FDA Commissioner Janet Woodcock, M.D. “As the pandemic continues to impact the country, science has shown that vaccination continues to be the safest and most effective way to prevent COVID-19, including the most serious consequences of the disease, such as hospitalization and death. The available data suggest waning immunity in some populations who are fully vaccinated. The availability of these authorized boosters is important for continued protection against COVID-19 disease.”
Reports the FDA is considering expanding Pfizer and Moderna booster shots to people 40 and older
Multiple news outlets are reporting that the FDA may recommend expanding Covid-19 booster shots for people who received the mRNA vaccines from Pfizer or Moderna more than six months ago and are over 39-years old.
“I believe it will happen,” the source familiar with the plan told CNN’s Elizabeth Cohen. There is “growing concern within the FDA” that US data is beginning to show more hospitalizations among people under age 65 who have been fully vaccinated, the source said.
Multiple outlets citing the same source indicated that government officials are becoming concerned about growing breakthrough cases among middle-aged Americans.
Editor’s Note:Malcontent News usually does not share or report on stories from “undisclosed sources.” We believe there is veracity to these reports due to global events and growing concern over the Delta Plus AY.4.2 variant that includes additional spike mutations A222V and Y145H.
Approval of Pfizer vaccine for 5 to 11 year olds expected to be approved “in a couple of weeks”
The White House said on Wednesday that it is ready to quickly roll out COVID-19 vaccines for kids ages 5 to 11 if the Pfizer-BioNTech vaccine for that age group is authorized by the Food and Drug Administration and recommended by the Centers for Disease Control and Prevention.
“Should the FDA and CDC authorize the vaccine, we will be ready to get shots in arms,” said White House coronavirus response coordinator Jeff Zients during a news briefing Wednesday morning.
The FDA independent advisory committee is scheduled to discuss and likely vote on October 26, while the CDC independent advisory committee meets on November 2 and 3.
The recommendation the FDA and CDC will consider is two doses that are one-third of the volume of an adult dose, spaced three weeks apart. It would take an additional two weeks for the vaccine to reach peak effectiveness.
King County, Washington is reporting over 87.6% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.
COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 15.6% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 610 additional acute care patients.
ICUs are at 85.6% of capacity statewide, with 25.0% of ICU patients fighting Covid-19 – an estimated 299 patients with 52% on ventilators. The state has the staff to support approximately 170 additional ICU patients.
On Monday, the 7-day rolling average hospital admission rate for new COVID patients was 108. The Department of Health reported 1,106 Covid-19 patients statewide on October 19, with 155 requiring ventilators. The patient count is between 1,080 and 1,160 for the 10th day in a row.
Hospital readiness is slowly improving, including in the East Hospital Region. The declining number of acute care patients with Covid-19 is a leading indicator that ICU capacity will begin to improve by early November.
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
– Bell Elementary (3*) – Blackwell Elementary (2*) – Carson Elementary (3*) – Einstein (1*) – Eastlake High (3*) – Finn Hill Middle School (3*) – Inglewood Middle School (1*) – Juanita Elementary (5*) – Juanita High School (4*) – Kamiakin Middle School (3*) – Kirk Elementary (1*) – Kirkland Middle School (1*) – Lakeview Elementary (5*) – Lake Washington High School (4*) – Mead Elementary (2*) – Northstar Middle (1*) – Redmond Elementary (1*) – Redmond Middle School (2*) – Redmond High School (2*) – Rosa Parks Elementary (2*) – Rose Hill Middle School (1*) – Timberline Middle School (6*) – Twain Elementary (2*)
None
Northshore
YELLOW
– Arrowhead Elementary (1) – Bothell High School (36**) – Canyon Creek Elementary (9) – Canyon Park Middle School (21) – Cottage Lake Elementary (4) – Crystal Springs Elementary (21) – East Ridge Elementary (1) – Frank Love Elementary (34) – Hollywood Hills Elementary (34) – Inglemoor High School (6) – Kenmore Elementary (8) – Kenmore Middle School (41**) – Kokanee Elementary (10) – Leota Middle School (1) – Lockwood Elementary (17) – Maywood Hills Elementary (1) – Moorlands Elementary (2) – North Creek High School (8) – Northshore Middle School (22) – Ruby Bridge Elementary (7) – Secondary Academy for Success (3) – Shelton View Elementary (3) – Skyview Middle School (3) – Sunrise Elementary (1) – Timbercrest Middle School (18) – Wellington Elementary (16) – Westhill Elementary (5) – Woodin Elementary (15) – Woodinville High School (3) – Woodmoor Elementary (3)
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
The Bellevue School District reported one confirmed Covid-19 case at Lake Hills Elementary.
We received a parent confirmed report of three new Covid-19 cases at Kamiakin Middle School with 14 additional quarantines.
We continued to encourage parents to request improved daily data reporting from the Lake Washington School District.
Correction:On Tuesday, October 19, the daily summary for the Covid-19 update included a typographical error reporting nine confirmed COVID cases at Bellevue High School in the Northshore School District. The nine confirmed cases are at Bothell High School in the Northshore School District. We have corrected the daily summary and apologize for any confusion this may have caused.
Kirkland-Bellevue-Woodinville
Upated Kirkland Fire Department vaccination numbers
As of 11:15 a.m. on Tuesday, 100 of 116 City of Kirkland firefighters had provided proof of vaccination, according to Joy Johnston, Interim Communications Program Manager with the City of Seattle. To date, no firefighters have quit, retired, or been terminated due to the vaccine mandate.
Ms. Johnston reported that one firefighter is completing their vaccinations, and the remaining 15 have requested exemptions on either medical or religious grounds. Eight exceptions have been approved, and the remaining seven are under consideration.
The City reported that there is no reduction in service levels for the community.
National Round-Up
Johns Hopkins University Cumulative Case Tracker reports 81,238 new cases and 2,357 deaths nationwide on Wednesday.
Our view – anyone unvaccinated has a future date with the next Covid-19 surge
On March 12, 2020 I wrote an essay that went viral on the situation in Kirkland, Washington, and made predictions on what would happen in the coming weeks across the United States. Unfortunately, those predictions became true.
I became deeply concerned about the Delta variant during the early days of July 2021 and just days after a collective declaration of victory over Covid-19. A combination of a nation that returned to normal too fast, low national vaccination rates, and air travel created a surge in new cases that rivaled January 2021. I noticed that outspoken critics of Covid-19 mitigation efforts were suddenly appealing for their constituents to get vaccinated, including Sean Hannity of Fox News, Senator Minority Leader Mitch McConnell, and House Minority Whip Steve Scalise, among others. The change of tone was jarring to me. Privately I told those close to me, “they know something.”
By mid-July, I was wearing a mask again. Two weeks later, I sounded the alarm a new surge had arrived in the United States. I wanted to be wrong. Delta AY.1 raged across the United States and continues to in Alaska, Idaho. Montana, North Dakota, and Wyoming. As the temperatures dropped with the arrival of fall, Delta cases are predictably spiking in Minnesota and Vermont.
Regrettably, I am predicting the next surge, and I now believe another wave is coming in January or February 2022. I am not the only person that is expressing concern over the Delta AY.4.2 variant. Katelyn Jetelina M.D. expressed worry about Delta A.4 on October 17 and warned that the United States could follow the same path as the U.K.
My concern over Delta Plus AY.4.2 has increased significantly
In the United Kingdom, Delta Plus AY.4.2 with additional spike mutations A222V and Y145H has grown to represent 6% of new infections at the end of September, and the number of cases with the mutated Delta variant is continuing to increase, according to British health officials.
Researchers are still studying the significance of Delta Plus, but early data indicates it is more transmissible than the Delta AY.1 and AY.2 variants, which currently make up most of the Covid-19 cases on the planet. Delta has an R0 of 6.0 among a completely unvaccinated population – equal to smallpox. Delta Plus has an estimated R0 of 6.6. That’s just enough of a difference to help it spread.
Delta Plus is not more deadly than Delta, but it does appear to make people sicker. Additionally, it does not appear to be anymore vaccine-resistant than Delta, but data out of the UK is showing us that both natural and vaccine immunity waves after six to eight months.
While new cases and hospitalizations are surging, the death rate in the U.K. has remained low, especially among the fully vaccinated. We have seen similar data out of Israel and right here in the United States. Most of the available vaccines remain highly effective at mitigating hospitalizations and severe COVID.
We don’t know if the worst surge for Covid-19 in Russia is Delta Plus, but for the first time since experiencing the first COVID case, 1,000 Russians are dying a day.
Earlier this week, the Russian government ordered anyone over 60 to stay home for four months. Today, Dictator President Vladimir Putin told the Cabinet backed the Cabinet’s proposal to declare a non-working week and keep Russian workers away from their offices.
Only 32% of Russians are vaccinated because of their deep devotion and love distrust of the Russian government. Ironically, in trying to sow global discord about the safety of vaccines from Western Europe and North American pharmaceutical companies to drive sales of the Russian Sputnik V vaccine, the disinformation campaign spread into Russia. Worse, the Sputnik V vaccine has performed poorly, only reinforcing distrust among the Russian people.
Several regions, or Oblasts, have implemented vaccine mandates, and many have already restricted large events, restaurants, and bars.
The same week we wrote about our concern that Covid-19 cases were rising again in the U.K. Putin went into quarantine after several people within his inner circle tested positive for COVID. Putin claims he was vaccinated with the Sputnik V vaccine in March. When he went into quarantine, a Kremlin spokesperson claimed that the people infected and Putin had recently received boosters.
Across Europe, new Covid-19 cases have increased for three weeks in a row. We don’t know if the Delta or the Delta Plus variant is driving the increase outside the U.K.
Holiday travel season is almost here and the borders between Canada and Mexico are opening at the same time
A new, more transmissible variant in the U.K., growing cases across Europe, and the land borders between the United States and Mexico reopening on November 8. Travel restrictions are ending just in time for the holidays. With the Delta surge winding down in the United States, a new sense of “we won” is spreading again. Over the next 2-1/2 months, travelers will hit the road and go on vacation.
November 25, Thanksgiving
November 29 – December 6, Hanukkah
December 24, Christmas Eve
December 25, Christmas Day
December 26, Kwanzaa
December 31, New Years Eve
January 1, New Years Day
January 4, 5, 6 and 7, Orthodox Christmas
Two years away from family, recreational travel to Canada and Mexico is available again, and holiday travelers will create an environment ripe for spreading a new variant, especially among the unvaccinated.
Assessment
I believe many issues are coming together to create a perfect storm at the end of the year. The United States is weary of Covid-19 everything. Former President Donald Trump oversold Operation Warp Speed and the vaccine program as a one-and-done shot that would provide protection forever. Coronaviruses include MERS, SARS, SAR-CoV-2, and the common cold. Coronaviruses are “slippery” by nature. That is, they mutate rather quickly compared to other viral diseases such as poliovirus. Many people feel there has been a bait and switch on what the vaccines would deliver.
Last year, we told our readers and viewers that it was very likely the Covid-19 vaccines would be similar to flu vaccines requiring a yearly dose to fight new mutations. We also told our readers that the vaccination cycle would not mirror the flu vaccine but would be more closely aligned to when people congregated indoors. In the warmer latitudes, vaccination programs would occur in the spring as people get ready to move to air conditioning. In the colder latitudes, vaccinations would come in the fall before people moved back to indoor activity.
Delta Plus has a beachhead in the U.K. and is almost certainly spreading across Europe – at a slow pace – but spreading. A combination of holiday travel, continued vaccine hesitancy, and more indoor activity due to cold weather will drive another surge that will start as the 2021 holiday season is winding down.
The impact will be tempered in the Southwestern United States and the Gulf Coast because moderate temperatures drive more outdoor activity. We have a tremendous amount of evidence that Covid-19 spreads indoors at a much higher rate than outdoors.
In the Northeast, the Great Lake states, the Midwest, the Rocky Mountain states, and low vaccinated areas of the Pacific Northwest, Delta Plus will find new hosts among the unvaccinated, the elderly, and immunocompromised. There will be no will among the government or the populous for any meaningful countermeasures.
How Bad
If all things remain as they are today, I believe we will see significant hot spots versus a national wave like we just witnessed. States like Idaho, Montana, and Wyoming may not get much reprieve from their current Delta-fueled surge. The isolation that winter brings to Alaska will probably benefit the state.
The upcoming surge will genuinely be a pandemic of the unvaccinated. In Washington state, counties such as Stevens, Whitman, Franklin, Lewis, Benton, Yakima, and Grant will be ripe for another significant event. Spokane County will likely feel pressure from neighboring Idaho again.
Wildcards
Five wildcards could soften the next surge. The first is vaccination among children from 5 to 11 years old. Regrettably, we will likely see another urban versus rural divide. This fall, we gathered reliable data showing children remain largely asymptomatic carriers who brought Covid-19 into their households. Over 140,000 American children have become orphans due to COVID, and the number is growing. The more young children fully vaccinated, the more we can stamp down the surge.
The next wildcard is the anti-viral drug molnupiravir. If the FDA approves the Merck/Ridgeback Biotherapeutics drug before the end of the year, if production and distribution can ramp up, if it is effective as it has been in Phase 3 testing, and if the current disinformation campaign against molnupiravir doesn’t create widespread mistrust, it could change the game.
The third wildcard is how many people get booster shots and if the FDA approves boosters for people as young as 40. If the FDA decides to expand booster shots before Veterans Day, consider that your “they know something.”
The next wildcard is severe weather. If the United States has widespread severe weather over the holidays that cripples air travel for an extended period, it could help slow the spread. Airlines are already stretched thin after laying off and forcing 25% to 30% of pilots into early retirement during 2020.
The final wildcard is Influenza. Flu was stopped in its tracks in 2020 because masks are highly effective at slowing the transmission, many schools systems were virtual, most people skipped the holidays, and mask wear was high. Flu can cut both ways this coming winter. A significant surge of flu could unintentionally cause isolation slowing down the spread of Covid-19.
It also could have the opposite effect. People sick with COVID could dismiss it as a cold or flu, take a handful of DayQuil and forge ahead with their day.
10 things you can do to help
If you’re not vaccinated, get vaccinated. Everyone has a future dance with Covid-19. There is overwhelming evidence that vaccination reduces your chance of getting infected and dramatically lowers your chance of hospitalization and death.
If you are eligible for a booster shot, get a booster and do it as quickly as possible.
if you have children from 12 to 15, get them vaccinated if they aren’t already.
If vaccination for 5 to 11 year olds is approved, get them vaccinated as quickly as possible. If the Pfizer vaccine becomes available on November 8 and your child is vaccinated on the same day, they won’t have full immunity until December 13.
If you travel over the holidays, consider not travel by air, and avoid crowded indoor spaces. If you will be with family members and you don’t know their vaccination status wear a mask. If you have family members who are at high risk of severe COVID, wear a mask.
If you travel to areas with low vaccination rates wear a mask, confrontations be damned.
Learn and memorize the different symtoms between Influenza and Covid-19.
Consider buying two at home rapid tests for each family member now to have on hand.
If you or someone in your household becomes sick with COVID like symptoms, stay home.
Get your influenza vaccine.
Final thought
I will close with the same final thought I had in July 2021. I have never wanted this badly to be wrong, and I hope I am.
State Updates
Due to the overwhelming amount of local news, we will not do a state update today. The situation in Alaska, Idaho, Montana, and Wyoming can best be described as lousy, terrible, dire, and getting worse, in that order.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) Washington won’t know how many state employees, firefighters, law enforcement officers, health care providers, and teachers got vaccinated until November, but the predictions of a vaccine mandate caused employment apocalypse appears to be untrue.
Multiple local, county, and state agencies, police and fire, and universities reported 91% to 99% vaccination rates across the state. Approved exemption rates ranged from 1% to 7%, although an approved exemption may not ultimately lead to approved accommodations.
The last available data from the City of Kirkland indicated 70% of firefighters were vaccinated on October 5, a similar vaccination number statewide for all employees and closely mirrored the public vaccination rate at that time.
Thurston County Superior Court rejected a last-ditch attempt by dozens of state workers to block the state vaccine mandate. At the same time, Spokane firefighters filed a fresh lawsuit against the City, Mayor Nadine Woodward, and Fire Chief Brian Schaeffer for wrongful termination.
Seattle Mayor Jenny Durkan reported between providing proof of vaccination and approved exemption requests, more than 99% of city employees, including the fire and police departments, met today’s deadline. Only 16 firefighters and 24 police officers provided no documentation. Another 99 police officers have approved exemptions but have been denied accommodations. Those officers will not be automatically terminated. Up to 123 officers could face a “Loudermill Hearing” in the coming weeks, where their ultimate employment status will be decided.
Over the weekend, it was announced SPD would operate on a modified phase 4 emergency schedule of six 12 hour shifts for all officers. That was walked back today, with city officials indicating the department might operate on a modified phase 3 emergency schedule if it is required.
Multiple hospital systems reported vaccination rates from 95% to 99% across the state. One rural hospital in Moses Lake reported being walloped by an “exodus” of non-clinical facing employees today.
About 100 anti-vaccination mandate protesters with Waking Up Washington gathered outside Seattle City Hall for two hours of speeches and then marching through downtown. Some held Nazi-themed signs, and at least one speaker called for civil war.
The Seattle Police Department tweeted that the Seattle Office of Police Accountability had been notified about on-duty SPD officers waving a Gadsden flag from a cruiser and others honking and giving thumbs up in a show of support to anti-vaccination mandate protesters.
Washington State University football coach Nick Rolovich had his last-minute religious exemption rejected by a WSU review board and was fired with cause, along with four assistant coaches.
Seattle Public Schools expects 25% of student bus routes to remain cut for the foreseeable future due to existing staffing shortages made worse by vaccination mandate. The Washington State Department of Transportation also expects ferry service to operate on revised schedules but doesn’t foresee additional cuts to service.
We maintain our recreational travel advisories for Eastern Washington and our nonessential travel advisories for Alaska, Idaho, Montana, and Wyoming.
Washington State Update for October 18, 2021
Washington state Covid-19 update
As of 5:30 p.m. today, the state of Washington has not updated the COVID-19 dashboard. To support an 8 p.m. press time, we will publish today without updating cases and hospital status.
Thurston County judge denies last ditch attempt to block statewide vaccine mandate
In Thurston County Superior Court, a prosecutor argued that the vaccine mandate implemented by Washington overstepped the bounds of law and should be blocked. Superior Court Judge Carol Murphy disagreed with that point of view. However, she did not rule on the merits of the mandate.
“Even if the individual plaintiffs show that individual instances in which the proclamation and the resulting actions may be unjust, the plaintiffs have not met their burden to show that is unjust in all applications,” Judge Murphy said.
25 Spokane firefighters file wrongful termination lawsuit over vaccine mandate
Court documents show 25 firefighters filed a lawsuit against the city of Spokane, Mayor Nadine Woodward, and city Fire Chief Brian Schaeffer, according to a report by KREM.
According to documents, the firefighters sued for wrongful termination for failing to get vaccinated before the October 18 mandate. This is the second lawsuit filed by Spokane firefighters related to the mandate.
The COVID-19 vaccine mandate proclamation was issued by Washington Governor Jay Inslee on September 27, 2021. The declaration stated that all healthcare, education, and state employees must be fully vaccinated by Oct. 18, or they could be terminated.
Less that 200 City of Seattle employees ignore deadline to comply with vaccination mandate
For the City of Seattle, 94% of all employees provided proof of vaccination, 5% formally requested an exemption, and approximately 150 had not responded. For exemption seekers, if the city denies a request, many unions negotiated to provide the option to get vaccinated after October 18. Final numbers won’t be available until early November.
Among the fire department, 93% are fully vaccinated, 6% have requested exemptions, and 16 employees have not submitted any information. The Seattle Fire Department union also negotiated for employees to get vaccinated after October 18 if an exemption request is rejected.
The Seattle Police Department reported 91% of all employees were vaccinated, with 7% requesting exemptions and 24 refusing to submit any data. The Seattle Police Officer Guild and union president Mike Solan declined to negotiate with six other unions, potentially leaving officers with little recourse if their exemption requests are rejected.
An “unofficial” website claiming not to be associated with the Seattle Police Officer Guild, while using common language from union president Mike Solan, advised officers not to provide their vaccination status information before October 18. On Sunday, 130 officers had not provided any information. Jason Rantz and Mike Solan were accusing the Mayor’s office of “spin” this afternoon.
According to Rantz, 99 officers have approved exemption, but the city is unwilling to make accommodations. However, the talk radio entertainer indicated that the Seattle Police Officer Guild could continue negotiating with the city in good faith.
If you will forgive us for our spin, Rantz’s attempt to portray 24 officers being terminated as making “this city even more unsafe…with escalating violent crime and sky-high 911 response times“ reads like spin to us.
The City of Seattle has indicated that SPD could be on a modified Phase 3 plan tomorrow if required.
University of Washington Medicine Reports 99.2% vaccinated as deadline arrives
“This last week, we lost almost our entire materials management department … specifically to the mandate,” said Dr. Andrea Carter, chief medical officer for 50-bed Samaritan Healthcare in Moses Lake.
Materials management handles ordering supply, such as personal protective equipment, for staff. Before that, Carter added, the hospital lost seven workers to the mandate. “We rely fairly heavily on staffing agencies where we’re at. We don’t have a huge pool of staff, otherwise. And with the cost of those staffing agency contracts, that is hurting us a little bit,” Carter said.
Washington State Hospital Association anticipates 95% to 98% of all medical workers to provide proof of vaccination by today
Ms. Sauer also indicated she expects 95% to 98% of all impacted hospital workers to be vaccinated by today’s deadline and thinks the number could be even higher. Management at the various facilities across Washington doesn’t expect the numbers to be even, with rural hospitals in Eastern Washington expected to see more impact from today’s mandate.
Final numbers aren’t expected until early November. If results from other hospital systems are an indication, likely, at least some people refusing to get vaccinated will ultimately decide to take action that preserves their job.
About 100 protesters gather at Seattle City Hall and march against the vaccine mandate
Approximately 100 protesters gathered outside of Seattle City Hall at noon today to protest against the state vaccine mandate. About a dozen children were among the adults taking part in a “stay out of school” initiative.
The protest was peaceful, while speakers shared disinformation and conspiracy theories. At least one speaker who claimed to be a US Army veteran called for civil war. Several protesters held signs comparing the vaccine mandate to Nazi atrocities.
An anti-vaccine mandate protester with Waking Up Washington speaking at Seattle City Hall holding a sign making Nazi comparisons – photo credit Christina Val
Around 2:30 p.m., the group took the streets of Seattle, while Turning Point USA firebrand Katie Daviscourt attempted to lead the group to march in the street against traffic, telling people, “we have the numbers.”
Most in the group were disinterested in blocking traffic, although marchers briefly blocked an ambulance downtown.
There was not an active counterprotester presence, but the marchers were jeered for their Nazi-themed signs, including several people who claimed to be Jewish and expressing outrage at the comparison.
Seattle Police Department refers reports of officers supporting anti-vaccine mandate protest and waving Gadsden flags to OPA
During today’s anti-vaccine mandate protest, at least two marked and one unmarked City of Seattle Police vehicles with uniformed officers circled City Hall, honking and giving thumbs up. Another vehicle with uniformed officers was witnessed waving a “don’t tread on me” Gadsden flag associated with anti-government movements.
Multiple citizens complained to the Seattle Police Department and on social media, resulting in a surprisingly swift response from the department over Twitter.
“The official position of SPD is vaccines save lives. If you believe you’ve witnessed inappropriate behavior by officers and have add’l info, please contact @SeattleOPA. We’ve forwarded this, and another incident involving the use of the Gadsden flag on police vehicles, to OPA.”
Seattle Police tweet about multiple incidents involving uniformed SPD officers engaging in anti-vaccine mandate protest on duty
Nick Rolovich and four assistant coaches fired by Washington State University
Washington State football coach Nick Rolovich has been fired for cause after refusing to take the COVID-19 vaccine and being noncompliant with both state and university policies, the university announced Monday evening, according to CBS Sports. Rolovich sought, and appears to have been denied, a religious exemption from those mandates, which required employees be vaccinated against COVID-19 by Oct. 18 if they wished to continue working.
Additionally, four Washington State assistant coaches were terminated: Ricky Logo (defensive tackles), John Richardson (assistant head coach, cornerbacks), Craig Stutzmann (co-offensive coordinator, quarterbacks), and Mark Weber (offensive line).
Defensive coordinator Jake Dickert will serve as the team’s interim coach.
“This is a disheartening day for our football program. Our priority has been and will continue to be the health and well-being of the young men on our team,” said athletic director Pat Chun in a statement. “The leadership on our football team is filled with young men of character, selflessness, and resiliency, and we are confident these same attributes will help guide this program as we move forward.”
Rolovich was the highest-paid public employee in Washington state, making approximately $3.3 million a year as the head coach of the Washington State University Cougars. Rolovich was the coach for barely a season, despite serving for two years, including the Covid-19 shortened 2020 season, and for seven games in 2021.
It has not been reported if Rolovich will continue to draw part or all of his 2021 salary despite the termination with cause.
142 City of Seattle school bus routes cut – 25% of all transportation
With a combination of existing recruiting issues before the start of the 2021 school season, pay well below the low-income level in Seattle, and loss of drivers due to the vaccine mandate, parents, were left scrambling to fund school transportation for 6,700 students.
KING 5 reported students who will continue to receive uninterrupted bus service include those receiving special education services including transportation, students experiencing homelessness and foster students, students with a 504 plan that includes transportation services, schools that serve historically underserved students, and schools at interim sites.
KIRO 97.3 FM Geen and Ursula reported the starting salary with the company that the city contracts with to transport pupils, First Student, offers starting pay of $24 an hour – about $31,000 a year. A family of four living in Seattle that earns less than $72,000 a year was considered low income in 2017. That number has only gotten worse in the last four years.
Seattle Public Schools and First Student indicated the route cuts would be indefinite until more drivers could be hired. According to Gee and Ursula this morning, the city is considering options with King County Metro.
Travel Advisories
Due to increased acute care hospitalizations, we’re maintaining our recreational travel advisory to the East Hospital Region, including Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties. Acute care and ICU capacity remain limited, and the ratio of Covid-19 patients to other hospital patients is exceptionally high. Please reconsider nonessential travel plans to these counties.
With the announcement that Spokane officials have requested additional federal resources to support local hospitals, the travel advisory will likely continue through the 2021 holiday season.
We strongly advise against all nonessential travel to Alaska, Idaho, Montana, and Wyoming. Hospital resources in these regions are constrained, and you may receive inadequate care in Alaska, Idaho, and Montana if you experience a serious medical emergency.
We are not adding a travel advisory for the Northwest Hospital Region, which includes Clallam, Jefferson, Kitsap, and Mason counties but don’t recommend engaging in risky recreational behavior on the Olympic Peninsula. Although hospitals are very constrained, the region is adjacent to the Puget Sound and West Hospital Regions, with adequate resources.
Thank you
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Vaccination
No update
King County, Washington is reporting over 87.3% 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.
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) It should come as no surprise with the Washington vaccine mandate impacting state employees, teachers, and health care workers on Monday, there is an incredible amount of local news.
New Covid-19 cases in Washington continued to decline while Eastern Washington continues to hold back progress for the rest of the state. In Spokane, officials requested a 20 person Department of Defense strike team to support overwhelmed hospitals. In an ironic twist, 11 Republican State Senators signed a letter urging Governor Jay Inslee to deploy National Guard troops to rural Washington hospitals battered by Covid-19 patients. Several of the signatories have actively worked against mask and vaccination mandates.
The Seattle Police Department will be operating at blackwatch plaid modified phase 4 rules on Monday, with 130 officers still not sharing their vaccination status with the department. In related news, a federal judge tossed a lawsuit against Governor Jay Inslee and the vaccine mandate on Friday.
University Washington Medicine (UMC) announced that hospitals will be open to visitors again starting October 19, but you’ll need to prove you are vaccinated or have a negative COVID test to go into Harborview Medical Center.
Locally up to 20 Redmond firefighters are facing termination and 12 learned their previously accepted religious exemptions were rejected. On Friday up to 200 Boeing employees and their supporters protested in Everett after the defense contractor announced they were implementing a vaccine mandate.
If you have Covid-19 and you’re seeking monoclonal antibody treatment you’re in luck with two facilities in Kirkland offering the therapeutic.
There was a single COVID case reported at Bennett Elementary School in the Bellevue School District on Friday.
The State Trooper that died of Covid-19 wasn’t vaccinated according to his family, and they are appealing to everyone to stop politicizing his death.
Out in Pullman, Cougar fans are wondering if Nick Rolovich has coached his last game.
On the Kitsap Peninsula, Vice Admiral Bill Galanis told more than 15,000 civilian naval workers to get vaccinated or they’ll no longer work for the U.S. Navy. A Clark County physician assistant had his license revoked after spreading Covid-19 misinformation for more than a year. Another nurse in Washington is under investigation after she appeared on the Stew Peters show and made wild accusations on air.
Yakima and Spokane are getting new mass Covid-19 testing sites starting Monday and Yakima Valley Memorial Hospital is now offering monoclonal antibody treatments.
A Food and Drug Administration (FDA) panel unanimously recommended booster shots for all recipients of the Johson & Johnson vaccine, and further recommend that the viral-vector vaccine require two-doses. The FDA also announced that a panel won’t review the antiviral molnupiravir until November 30, indicating the drug likely won’t be approved in 2021.
A worker at CVS accidentally gave a 17-year old six-times the recommended dose of the Pfizer vaccine while another worker at Walgreens accidentally gave an adult dose of the Pfizer vaccine to a 4 and 5-year-old.
The CDC released travel guidelines for the 2021 holiday season and visiting grandma is a go, as long as everyone is vaccinated or wears a mask. On the topic of masks, if you’re still using a cloth one, it’s time to throw it away and use disposable surgical or N95 masks instead.
Cam Newton’s agent let everyone know that he is now vaccinated and call me crazy, but I’m just not a big Geno Smith fan.
The number of people vaccinated in Clallam County was adjusted downward, pushing the county just under 60%. This change is reflected in our daily chart, and we expect Clallam County to be back over 60% on Tuesday when the vaccination data is updated.
The lowest vaccinated counties have 387% more new cases of Covid-19 than the most vaccinated. Only one of the least vaccinated counties is in the western half of the state.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
60.00% or above (4)
194.4 (down)
50.00% to 59.99% (13 counties)
431.4
40.00% to 49.99% (12 counties)
478.0 (down)
29.90% to 39.99% (8 counties)
753.1
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Not Adjusted for Population
Through October 14, Washington’s statewide 14-day rolling average dropped slightly to 349.4 Covid-19 cases per 100K – statistically unchanged from Thursday.
Ferry County (1,393.3) and Garfield County (1,390.6) still have new case rates above 1,000. They are now significant outliers compared to the rest of the state.
For the first time since August 17, not a single county is reporting new case rates between 800 and 999.9. In Eastern Washington, a combination of rising vaccination rates in many counties and the Delta variant running out of new hosts is driving case numbers downward.
Counties in the 600.0 to 799.9 per 100K range include Chelan, Columbia, Klickitat, Lincoln, Pend Oreille, and Stevens.
New cases were statistically unchanged, while hospitalizations were up for ages 35 to 49.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
150.7
1.2
Ages 12-19
169.2
1.3
Ages 20-34
153.7
4.0
Ages 35-49
157.2
8.5 (up)
Ages 50-64
118.7
12.1
Ages 65-79
86.7
19.3
Ages 80+
85.5
35.9
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
Seattle Police Department will operate on modified phase 4 rules starting Monday
Seattle officials announced that SPD officers would be operating on 12-hour shifts six days a week starting Monday as they try to determine how many officers are vaccinated. On Thursday, officials reported 84% of SPD employees had provided proof of vaccination status. The number dropped to 82% on Friday with no explanation.
An “unofficial” website claiming not to be associated with the Seattle Police Officer Guild, while using common language from union president Mike Solan, advised officers not to provide their vaccination status information before October 18. In early September, it was implied approximately 200 officers would not provide their vaccination status until the deadline.
“For some reason, this mayor is refusing that, which I think is unreasonable and is void of common sense,” said Solan.
The mayor’s office responded to Solan’s request in a statement to KING 5, saying, “COVID-19 is currently the number one cause of death for our first responders. Throughout the pandemic, we have seen dozens of firefighters and officers exposed, with some hospitalized even with testing and PPE. This deadly disease puts our families, children, co-workers, and the community at risk, so Mayor Durkan sincerely hopes that anyone at risk of leaving the City or at departments statewide will make the decision to stay by getting vaccinated.”
The department has 1,043 commissioned officers. If the current number holds, 187 will be suspended after Monday. Earlier this week, on the Dori Monson Show, Solan hinted the number of officers refusing to get vaccinated was around 50. Officers were informed they will not be automatically fired but will need to appear at a “Loudermill hearing.”
The Seattle Times and Forbes reported during the summer of 2020, the average SPD officer made $153,000 a year in salary. The figure did not include benefits, pension, or government employee discount benefits. The pay in Seattle is more than double what the average officer makes nationwide.
Solan is not alone in defying vaccination orders among the police officers represented by a union. Chicago Police Union president John Catanzara took a similar position in a video earlier this week and communicated the same early numbers, claiming 50% of the force will walk off the job. According to the best available data provided by Chicago officials, over 70% of the CPD is already fully vaccinated.
Federal judge tosses lawsuit attempting to block Washington state vaccine mandate
In a widely expected decision by federal court watchers, Judge Barbara J. Rothstein, a Carter Administration nominee, rejected a lawsuit by more than 100 municipal, county, and state employees attempting to block the Washington state employee vaccine mandate.
#BREAKING We successfully defended Governor Inslee’s vaccine policy that ensures a safe and health work environment for all state employees. Federal Judge Barbara J. Rothstein denied an attempt to halt Gov. Inslee’s vaccine mandate.
Nationally, federal lawsuits have been filed in 39 different states, with two resulting in temporary stays. The first was specific to New York employees seeking religious exemptions, and the second was among a handful of United Airlines employees who were suspended without pay. The legality of vaccine mandates at a state level has been litigated for 119 years in federal court. The United States Supreme Court ruled in 1905 in the case Jacobson vs. Massachusetts that municipalities, counties, and states had the right to make and mandate public health decisions.
Up to 20 City of Redmond firefighters face termination
Anywhere from 12 to 20 Redmond firefighters face termination on Monday as they continue to battle the looming vaccination mandate. Several employees who previously received religious exemptions had them rejected by the city upon further review.
Many people seeking a religious exemption have cited their anti-abortion beliefs as their foundation of “deeply held religious beliefs.” The mRNA vaccines from Pfizer and Moderna were tested using clonal human fetal kidney cells (HEK293), and the Johnson & Johnson vaccine is produced using the same cells.
While committees accepted many exemption requests initially, the position has become problematic among medical providers. In Washington state, firefighters, some police officers, and all patient-facing healthcare workers are required to have the MMR, Hepatitis B, Varicella, and if over 50 years old, Zoster vaccines. All of these vaccines use HEK293 in their development, testing, or production. Workers who had no previous religious belief against these vaccines are having their exemption requests rejected.
Waking Up Washington plans an anti-vaccine mandate protest (again) in Seattle for Monday
Palmer Davis of Waking Up Washington is calling for another Seattle area protest against the vaccination mandate on Monday at noon in front of Seattle City Hall. The organization previously called for a protest at Swedish Hospital and Harborview Medical Center, where Ms. Davis advocated online for trying to enter Harborview. That protest never materialized and the organization never made a statement or released photos of the event.
Given the vaccine mandate starts on the 18th and a number of state workers have already accepted they are losing their jobs, it is more likely someone will show up.
In ironic twist, state GOP urges Governor Jay Inslee to deploy National Guard to fight Covid-19
On October 8, 11 Washington state Senators signed a letter requesting Governor Jay Inslee deploy the National Guard to aid overwhelmed rural county hospitals. The letter was signed by Senate Minority Leader John Braun (R-Centralia), Senator Jeff Wilson (R-Longview), and retiring Senator Ann Rivers (R-La Center).
For several months, the state seemed content to focus on providing access to the vaccine. But in mid-May, we saw a change in the federal guidance on wearing masks and distancing, and the state followed suit. Suddenly, Washington employers had more control over their own safety standards than they’d had in over a year. It didn’t last long. Barely a week later, on May 21, the Department of Labor and Industries (L&I) issued new guidance that puts employers in the position of becoming the “vaccine police.”
During the 2021 legislative session, Republicans introduced legislation to prevent discrimination based on vaccination status in places of public accommodation. Although leaders of the Democrat majority didn’t support our proposal, they at least recognized it would be a mistake to go the other direction and pursue a vaccine-passport policy.
When Braun penned the op-ed in June, the Alpha variant of Covid-19 was in statewide decline, and almost all Covid-19 related restrictions ended on June 30. By early September, hospitals in Yakima, Walla Walla, and Richland were on the edge of moving to crisis standards of care due to an overwhelming number of Covid-19 cases.
In May of this year, he joined Senator Braun against Washington L&I mask requirements. The Reflector reported Braun and Wilson reminded constituents that private businesses have the right to make their own rules for customers. It mirrors State Health Secretary Umair Shah’s plea for Washingtonians to “respect the rules of the room.”
The statewide mask mandate was lifted in late June 2021.
The question about deploying the National Guard came up repeatedly since August when the Delta surge started in Washington. Other states that deployed the National Guard found it had a devastating impact, removing medical personnel already working at hospitals and causing worse staffing issues. Additionally, the Washington State National Guard is already deployed to other states assisting in their failed Covid-19 response and dealing with hurricane and disaster response.
Washington state opening mass Covid-19 testing sites in Yakima and Spokane
Weeks after being announced, two new mass Covid-19 testing sites will be opening in Yakima and Spokane.
The site will be open five days a week, Sunday through Thursday. Officials report it will take two to three days to receive test results. People are encouraged to preregister for testing. A drive-up option is available.
According to local officials, a second Spokane location will be opening soon, but no details were provided.
Yakima Valley Memorial Hospital offering monoclonal antibody treatments
Yakima Valley Memorial now has access to monoclonal antibody treatments for eligible Covid-19 patients, according to NBC KNDO and KNDU. Monoclonal antibodies are an experimental treatment with emergency approval from the FDA.
Chief Medical Officer at YVM, Dr. Marty Brueggemann, said while the treatment is new, it shows a lot of promise.
“Its not the end all, be all, but it is an important tool and it does show promise and certainly once you get covid if we can save a few admissions and people having to go through that then hey that’s the goal here,” Dr. Brueggemann said.
Monoclonal antibodies are meant for people with mild to moderate covid-19 symptoms and are most effective when used before the seventh day of symptoms. Individuals can contact the hospital for more information, and the therapy is free for qualified patients.
Approximately 200 Boeing workers and supporters protest looming vaccine mandate
Waving signs like “coercion is not consent” and “stop the mandate,” some 200 Boeing employees and others protested on Friday over the defense contractor and planemaker vaccine requirement for employees.
“It’s an experimental drug given under a pseudo-emergency,” he added.
Another worker, an assembly mechanic, said: “This is America. We don’t just do what we’re told because one person says to.”
In March of 2020, workers protested against the company demanding the Everett plant be closed after an employee died of Covid-19 and citing unsafe work conditions. Boeing suspended operations for 14 days after union pressure.
The Pfizer vaccine is fully approved by the FDA for individuals 16 years and older in the United States and other nations. The Moderna vaccine is under review for full FDA approval, and the Johnson & Johnson vaccine is expected to be submitted by the end of the year.
Shipyards’ commander to workers – get vaccinated or you’ll no longer work for the U.S. Navy
Vice Admiral Bill Galanis sent an “all-hands” email, including more than 15,000 naval shipyard workers in Washington state to get vaccinated or face termination. Workers have until November 8 to submit an exemption request on religious or medical grounds.
The Kitsap Sun reported Vice Admiral Galanis wrote, “We are moving quickly toward a workforce where vaccinations are a condition of employment,” said Vice Adm. Bill Galinis. “Frankly, if you are not vaccinated, you will not work for the U.S. Navy.”
The all-hands email, shared by employees of Naval Sea Systems Command to the Kitsap Sun, marks the Navy’s position, in following the executive order issued by President Joe Biden, for the 15,000-member workforce at the Puget Sound Naval Shipyard, as well as those at shipyards in Hawaii, Maine, and Virginia. Galinis cast Covid-19 as not just a health risk but one that “directly impacts the readiness of our Fleet and our workforce.”
Union officials were disappointed in the email, hoping to bargain with the U.S. Navy for additional accommodations. Shipyard leaders indicated up to 35% of the staff could resign, but so far, nationally, none of these dire predictions have come true.
The U.S. Navy is the largest employer in Kitsap County, including 20,000 civilians and 11,000 U.S. navy personnel.
Clark County anti-vaccination and anti-mask physician assistant license suspended
On August 19, the state of Washington announced they would be cracking down on medical professionals who promote Covid-19 disinformation, and a Clark County physician assistant is the first to be censured.
An investigation into the practice of Scott Miller began in August 2021 and ended with his license revoked by the Washington Medical Commission (WMC). The commission found accusations against Miller had merit and suspended his license to practice medicine due to treatment for patients falling below the standard of care. Accusations against Miller included:
Starting a public camaign promoting ivermectin as a Covid-19 cure
Prescribing ivermectin to at least one patient without providing an adequate examination
Interfering with the care of hospitalized patients
Engaging in a hostile and threatening campaign against both hospitals and individual physicians regarding Covid-19 treatment
Lying on his licensing application and denying he was already under investigation by the state of California
Miller is aligned with the group Waking Up Washington, led and organized by Palmer Davis, one of the principal creators of Covid-19 misinformation in the Pacific Northwest. In 2020, he was promoting hydroxychloroquine as a cure. He was one of the leaders claiming Covid-19 was circulating in the United States in 2019 and promoting Vitamin D and C along with melatonin as capable of stopping viral replication in human cells.
Miller, who runs Miller Family Pediatrics in Washougal, Washington, spoke at a Camas School Board Meeting in May of 2021 against mask mandates and promoted ivermectin as a “cure.”
“I don’t know anybody that’s died (from COVID-19),” Miller said. “I’ve treated 350 COVID patients. Do you know there’s treatment? … I treat people every day. I had 90 COVID patients come into my clinic last month.” Miller then went on to call the school board “pure evil.”
The Camas-Washougal Post Record reported Miller falsely claimed ivermectin, a drug used to treat parasites in animals, as well as vitamin D and vitamin C were cures for the novel coronavirus that has killed nearly 720,000 Americans since March 2020. The European Medicines Agency and the United States Food and Drug Administration have both said the available data “does not support the drug’s use for Covid-19 outside of well-designed clinical trials.” Likewise, the World Health Organization has warned against using ivermectin for COVID-19. In February, the drug’s manufacturer, Merck & Co., Inc., stated it has found ivermectin has “no scientific basis for a potential therapeutic effect against Covid-19” as well as “a concerning lack of safety data in the majority of studies.”
Washington state nurse under ethics investigation after her appearance on the Stew Peters Show
State officials are investigating nurse Corrine Lund after her appearance on the Stew Peters Show, part of Mojo 5.0, a “Libertarian Talk Radio” network, claiming she is a hospital supervisor who has witnessed misconduct where she worked.
State trooper who died of Covid-19 was unvaccinated according to family
The family of fallen Washington state Trooper Eric Gunderson released a statement that Gunderson was not anti-vaccination but didn’t believe he needed to get vaccinated.
“Eric was a young man. At 38, he was in the peak physical condition necessary to perform his duties as a member of the Washington State Patrol S.W.A.T. team,” the statement said, in part. “He thought — we all thought — that Covid was something that happened to someone else. He was not in a high risk group.”
According to the family and the Washington State Patrol, Gunderson contracted Covid-19 during a business trip to Orlando, Florida, during the height of the Delta variant surge in the Sunshine state.
“He contracted the virus while traveling for work this summer, a trip planned before the dangers of the Delta variant were fully understood, when many travel restrictions had been reduced, and there was a sense that Covid was in decline,” the statement said. “After he returned from his trip, he became very sick, very quickly. He was hospitalized and died some six weeks later.
To say that the comments on social media attached to this story are awful would be an understatement. Regardless of your views on vaccination, a husband and father of two died unnecessarily.
His family wrote, “His death is a tragedy. It is not a symbol.”
The most up-to-date numbers available indicated 91.5% of all commissioned Washington State Patrol officers and 93% of WSP employees are fully vaccinated.
Speculation about Nick Rolovich future employment status is rampant
The highest-paid state employee in Washington, Nick Rolovich, has been playing peek-a-boo with state officials and the press over his vaccination status. Last week Rolovich, who has a record of 4-6 leading the Cougars at press time (each win has cost Washington taxpayers $1.65 million), stated to USA Today he was seeking a religious exemption.
Over 95% of staff and 98% of students at WSU Pullman are fully vaccinated or have an approved exemption.
Harborview Medical Center will require all visitors to show proof of vaccination or negative Covid-19 test for entry
Harborview Medical Center will allow visitors into the hospital beginning October 19, with new protocols in place. Starting Tuesday, all inpatient visitors over the age of 12 and individuals over the age of 18 accompanying an adult outpatient must show proof of being fully vaccinated against COVID-19 or provide evidence of a negative COVID-19 test collected within the past three days.
Visitors will be allowed at all four UW Medicine facilities starting Tuesday but will be limited to one or two people depending on the hospital, patient, and what department is treating the patient.
UW Medicine indicated the proof of vaccination or negative test policy would be rolled out at the remaining facilities in the coming weeks.
Travel Advisories
Due to increased acute care hospitalizations, we’re maintaining our recreational travel advisory to the East Hospital Region, including Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties. Acute care and ICU capacity remain limited, and the ratio of Covid-19 patients to other hospital patients is exceptionally high. Please reconsider nonessential travel plans to these counties.
With the announcement that Spokane officials have requested additional federal resources to support local hospitals, the travel advisory will likely continue through the 2021 holiday season.
We strongly advise against all nonessential travel to Alaska, Idaho, Montana, and Wyoming. Hospital resources in these regions are constrained, and you may receive inadequate care in Alaska, Idaho, and Montana if you experience a serious medical emergency.
We are not adding a travel advisory for the Northwest Hospital Region, which includes Clallam, Jefferson, Kitsap, and Mason counties but don’t recommend engaging in risky recreational behavior on the Olympic Peninsula. Although hospitals are very constrained, the region is adjacent to the Puget Sound and West Hospital Regions, which have adequate resources.
Thank you
Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!
No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks
Vaccination
FDA panel recommended booster for all Johnson & Johnson vaccine recipients and changing to a two-dose regime
On Friday, an influential Food and Drug Administration advisory committee said the agency should authorize boosters of Johnson & Johnson’s single-shot Covid-19 vaccine to the more than 15 million Americans who have already received the initial dose.
CNBC reported a unanimous vote – by the agency’s Vaccines and Related Biological Products Advisory Committee – is a critical step before the U.S. can begin giving second shots to J&J recipients. Some of them have said they are anxious to get the additional protection. Studies have shown one dose of J&J’s vaccine to be comparatively less effective than the two-dose messenger RNA vaccines made by Pfizer–BioNTech and Moderna.
The panel recommended the boosters to everyone 18 and over who’s already received J&J’s first shot at least two months after the initial dose. Many committee members said it should be considered a two-dose vaccine, much like Moderna and Pfizer’s.
King County, Washington is reporting over 87.3% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.
COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 16.3% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 616 additional acute care patients. ICUs are at 86.7% of capacity statewide, with 26.0% of ICU patients fighting Covid-19 – an estimated 311 patients with 51% on ventilators. The state has the staff to support approximately 157 additional ICU patients.
On Friday, the 7-day rolling average hospital admission rate for new COVID patients increased slightly to 94. The Department of Health reported 1,115 Covid-19 patients statewide on October 14, with 159 requiring ventilators.
Every hospital region showed improvement this week. The East and Northwest Hospital Regions remain highly stressed. Earlier this week, 19% of all hospitalized Covid-19 patients in Washington were in Spokane County medical facilities.
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%
Sacred Heart Medical Center received a Department of Defense “strike team” of 20 healthcare workers to provide additional support. For months, the hospital has been overwhelmed with Covid-19 patients and recently started seeing more patients from Idaho seeking medical treatment.
– Bell Elementary (4*) – Blackwell Elementary (1*) – Carson Elementary (2*) – Dickinson/Explorer Elementary (1*) – Eastlake High (3*) – Finn Hill Middle School (4*) – Franklin Elementary (1*) – Frost Elementary (2*) – ICS (1*) – Inglewood Middle School (2*) – Juanita Elementary (3*) – Juanita High School (4*) – Kamiakin Middle School (2*) – Keller Elementary (1*) – Kirkland Middle School (1*) – Lakeview Elementary (4*) – Lake Washington High School (2*) – Mead Elementary (2*) – Muir Elementary (1*) – Northstar Middle (1*) – Redmond Elementary (2*) – Redmond Middle School (1*) – Redmond High School (2*) – Rosa Parks Elementary (3*) – Rose Hill Middle School (1*) – Timberline Middle School (2*) – Twain Elementary (1* – see notes)
None
Northshore
YELLOW
– Arrowhead Elementary (3) – Bothell High School (29**) – Canyon Creek Elementary (10) – Canyon Park Middle School (14) – Cottage Lake Elementary (1) – Crystal Springs Elementary (29) – East Ridge Elementary (2) – Frank Love Elementary (16) – Hollywood Hills Elementary (69) – Inglemoor High School (2) – Innovation Lab High School (2) – Kenmore Elementary (8) – Kenmore Middle School (31) – Kokanee Elementary (13) – Leota Middle School (4) – Lockwood Elementary (27**) – Maywood Hills Elementary (6) – Moorlands Elementary (3) – North Creek High School (8) – Northshore Middle School (7) – Ruby Bridge Elementary (4) – Secondary Academy for Success (6) – Shelton View Elementary (7) – Skyview Middle School (11) – Sunrise Elementary (7) – Timbercrest Middle School (9) – Wellington Elementary (30) – Westhill Elementary (12) – Woodin Elementary (24) – Woodinville High School (13) – Woodmoor Elementary (15)
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.
Bennett Elementary School in the Bellevue School District reported a single confirmed Covid-19 case on Friday.
We have a parent confirmed report of a single Covid-19 case at Mark Twain Elementary School in the Lake Washington School District.
We continued to encourage parents to request improved daily data reporting from the Lake Washington School District.
Kirkland-Bellevue-Woodinville
Monoclonal antibody treatment available in Kirkland
EvergreenHealth in Kirkland offers monoclonal antibody treatment to qualified people who have tested positive for Covid-19 and are experiencing mild or moderate symptoms that don’t require hospitalization or oxygen therapy.
Covid-19 vaccination clinic at Microsoft campus in Redmond to close October 29
Although not exactly in the local coverage area, the Covid-19 vaccination clinic run by EvergreenHealth at the Microsoft Campus will close on October 29.
EvergreenHealth sees increase in Covid-19 patients at Kirkland hospital
EvergreenHealth reported on October 11, 39 Covid-19 patients were being treated at the Kirkland hospital, up significantly from last week and a jump of 4 patients overnight.
On October 10, the hospital reported caring for 35 COVID patients, and 75% were unvaccinated. Seven patients were in the ICU, with one requiring a ventilator.
EvergreenHealth was the epicenter for the first Covid-19 superspreader event in the United States when dozens of patients at Life Care Center in Kirkland were sickened with the virus in February and March 2020. The facility was fined $611,000 in April 2020 due to management inaction and a failed attempt to cover up the outbreak.
National Round-Up
Johns Hopkins University Cumulative Case Tracker reports 116,962 new cases and 2,191 deaths nationwide on Saturday, October 16. The CDC reported that new cases and hospitalizations were down last weeks while the number of people getting vaccinated increased. The number of people testing positive for Covid-19 dropped to 5.7%. Although still elevated, test positivity below 5% indicates adequate community testing and a lack of community spread.
CDC issues new Covid-19 guidelines for 2021 American holiday season
The guidelines recommend wearing a well-fitting mask over your mouth and nose if you’re not fully vaccinated or when indoors in a public setting. The organization also recommends avoiding crowded indoor spaces with poor ventilation and if you start to feel sick before or during your travels, stay home.
It is also recommended to reconsider visiting people who have a weakened immune system regardless of vaccination status and getting tested for Covid-19 before going to large gatherings to assure you’re not an asymptomatic carrier.
On the subject of masks and Covid-19
If you’re using a cloth mask to protect others from Covid-19, experts recommend you stop using them, according to a report in CNBC and backed by a study out of Yale and Stanford University.
In an August study currently under peer review, a group of researchers from universities including Yale and Stanford found that surgical masks are 95% effective at filtering out virus particles — compared to just 37% for cloth masks.
That held true even after the surgical masks were washed with soap and water ten times, though the CDC and the FDA both say you shouldn’t reuse disposable surgical masks under any circumstances.
Public health officials in European countries like France, Germany, and Austria are currently urging people to wear medical or surgical masks instead of homemade cloth masks — but it’s not quite as simple as tossing out your cloth masks and buying a replacement stockpile of disposables.
Cloth masks were recommended during the beginning of the pandemic as “better than nothing” because surgical and N-95 masks were scarce. Now that the supply chain has stabilized for the medical community and residents alike, the available masks offer a better solution when properly used.
Emergency Use Authorization approval of molnupiravir in 2021 is unlikely
The Food and Drug Administration said Thursday it would ask its outside experts to meet on November 30 to scrutinize Merck’s antiviral pill that showed strong promise in its ability to treat Covid-19.
The meeting means U.S. regulators almost certainly won’t issue a decision on the drug until December, signaling that the agency will conduct a detailed review of the experimental treatment’s safety and effectiveness. The panelists are likely to vote on whether Merck’s drug should be approved, though the FDA is not required to follow their advice.
“We believe that, in this instance, a public discussion of these data with the agency’s advisory committee will help ensure a clear understanding of the scientific data and information that the FDA is evaluating,” said Dr. Patrizia Cavazzoni, director of FDA’s drug center.
The oral therapeutic was under development by Emory University before the Covid-19 outbreak as an antiviral treatment for Influenza and Ebola. Researchers from Emory University reached out to the Trump Administration in 2019 seeking additional funding to move the drug into human testing and received no response. They approached the administration again in February 2020 as a potential treatment for Covid-19, but officials declined to fund additional research. Emory university sold the drug to Merck and Ridgeback Biotherapeutics in the summer of 2020.
In Phase 3 testing, the drug reduced hospitalizations and deaths among Covid-19 patients by 48%. The drug companies did not report the observed side effects in applying for the Emergency Use Authorization (EUA). However, they did indicate that more patients in the placebo group reported side effects. Phase 3 testing of molnupiravir is still ongoing.
The drug has already come under withering fire from conspiracy theorists and at least one U.S. senator claiming the antiviral is just rebranded ivermectin.
The chemical composition of ivermectin and molnupiravir and how they work in the human body is documented and publicly available. The molecular structure and how the drugs work within the human body are entirely different. Organizations like America’s Frontline Doctors and the FLCCC have enriched themselves by pushing ivermectin and overcharging for telemedicine appointments.
On Covid-19 disinformation promoter Tucker Carlson’s show run on Fox News, Senator Ron Johnson (R-WI) said, “Now they are all hopping on board this Merck molnupiravir peer review,” Johnson said of the establishment experts. “The doctor groups I’m dealing with, they call it money-piravir. [Merck] patented ivermectin. They’ve been trash–talking ivermectin in favor now of this drug that will be like $700 a dose versus ivermectin cost about $0.06 or $0.07 a pill,” he said.
The lowest price Malcontent News could find for ivermectin was at QFC through GoodRx, at $1.50 per pill. The list price is $7.10 per pill, with a 20 pill dose costing $142.
A four-pill regime of molnupiravir is estimated to cost around $710, significantly cheaper than a four-injection course of monoclonal antibodies, which costs $2,100. All of this math ignores the average hospital stay for Covid-19 costs $17,064 in the United States, and the cost of the Johnson & Johnson vaccine is $10 a dose, and the mRNA Pfizer and Moderna vaccines are $15 a dose.
In contrast, monoclonal antibodies are credited with reducing hospitalizations in Florida by 10% to 25%. This isn’t to diminish the impact of the therapy. However, medical professionals can only administer monoclonal antibodies requiring either intravenous therapy or four injections over 30 minutes.
CVS worker accidentally injects woman with 6X the proper dose of the Pfizer vaccine
Walgreens worker accidentally vaccinates 4 and 5 year old for Covid-19 instead of Influenza
CNN reported a Walgreens in Evansville, Indiana, accidentally vaccinated Alexandra and Joshua Price’s 4 and 5-year-old children with the COVID-19 vaccine instead of a vaccine for Influenza on October 5. The Pfizer vaccine isn’t approved by the Food and Drug Administration for children under 12.
“Walgreens called me to say there was a mix-up, we did not receive the flu shot,” Alexandra Price told the local news outlet. “And I’m like well what did we get? And he was like we got the Covid-19 shot … And instantly I was like, ‘Well what does this mean for my kids?’”
Mr. and Ms. Price reported they are fully vaccinated. After the initial accident, they requested Walgreens provide vaccination cards for their children to indicate they had already received their first dose, but Walgreens balked.
Walgreens officials confirmed the children received a full adult dose of the Pfizer Covid-19 vaccine, three times the amount that the Food and Drug Administration is currently considering approving.
“The children have experienced a number of adverse effects since receiving the Pfizer COVID-19 vaccine. Fever, body aches, cough, headaches, and nausea are among the symptoms the children are experiencing,” according to a statement released by the Prices’ attorney, Dan Tuley. “The 4- and 5-year-old are also under treatment of a pediatric cardiologist for tachycardia and elevated blood pressure, respectively.”
After a follow-up appointment Tuesday, Alexandra said that Lucas has improved, but Sophia has worsened. “Her blood pressure is in the 98th percentile, and she continues to have no energy.”
Cam Newton reportedly gets vaccinated for 14 million reasons
According to the team, former New England Patriots quarterback Cam Newton was released before the start of the 2021 regular season due to not adapting to the Patriots’ system or refusing to get vaccinated, according to his supporters. the NFL Network reported today that Newton has had a change of heart and is now vaccinated and looking to play again.
Whether Newton’s vaccination status was an issue in August is moot, but it likely would be a point of concern for any NFL team that is considering adding him to the roster. The three-time Pro Bowler, Super Bowl Champion, and one-time MVP had a significant shoulder injury in 2016 that reduced his on-field capabilities.
Maybe the Seahawks would consider him instead of Geno Smith?
State Updates
Due to the overwhelming amount of local news, we will not do a state update today. The situation in Alaska, Idaho, Montana, and Wyoming can best be described as lousy, terrible, dire, and getting worse, in that order.
Misinformation
Can President Joe Biden, or any President for that matter, order the dishonorable discharge of U.S. servicemembers?
No.
That fact hasn’t stopped the spread of a meme claiming President Biden has ordered the dishonorable discharge of 46% of the U.S. armed forces. First, as far back as August 2021, almost 90% of the 1.4 million active duty troops in the U.S. military were fully vaccinated, had the first dose of vaccine, or were scheduled to get vaccinated, according to the Pentagon. That shoots down the 46% number out of the gate.
Reservists and National Guard troops have until June 2022 to get vaccinated, further shredding the claim.
The disinformation was started by blogger Sandra Rose, who told USA TODAY she is “not a trained journalist” and that readers view her blog for “entertainment and gossip,” not news. She declined to comment further.
A review of her blog indicates she has dipped her toe into Covid-19 misinformation, but it does not appear that she actively spreads disinformation.
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) More than 8,000 Washingtonians have died from Covid-19 since February 29, 2020, as new cases and hospitalizations continue to slowly decline.
Vaccination rates increased across the state, although the gap between the most vaccinated and least vaccinated counties barely narrowed. Pediatric and adolescent hospitalizations increased over the weekend and we learned that Washington state is taking in 110 hospital patients from Idaho a week.
Almost 92% of Washington state employees are fully vaccinated or have an approved exemption and the Washington State Hospital Association reported over 88% of all medical workers are inoculated.
After multiple threats of a sickout, Washington State Ferry workers crippled operations over the weekend. Up to 170 WSF employees remain unvaccinated and years of system neglect amplified the staffing issues over the holiday.
Washington State University football coach Nick Rolovich announced he was opting for a special play when it comes to getting vaccinated and filed for a religious exemption. The day before the Seattle Kraken make their NHL debut, five players are under Covid-19 protocols.
Unvaccinated King County residents are 16 times more likely to die from Covid-19, and while vaccination rates in the Bellevue-Kirkland-Woodinville area continue to increase, Bothell and the northern half of Kirkland continue to lag behind the rest of the local area.
The Northshore School District moves to red status, with 12 confirmed Covid-19 cases at Lockwood Elementary. New cases were also reported in the Bellevue and Lake Washington school districts.
In local news, Amazon has announced it is indefinitely delaying the return of 50,000 officer workers due to the ongoing Covid-19 situation.
Merck and Ridgeback Biotherapeutics formally applied for emergency use authorization for the anti-viral medication molnupiravir, which has shown promising results in helping minimize Covid-19 symptoms.
Alaska, Idaho, Montana, and Wyoming remain Covid-19 hot spots we are watching closely due to the impact transfer patients have on our hospitals.
New cases were flat over the weekend which is significant. Historically, the data has shown an artificial bump on Mondays because it includes some data from the weekend. This is the first time since mid-August the data has shown a spike at the start of the week, providing a strong indicator that cases continue to decline.
Monday also provides updated countywide vaccination numbers. In Clallam County, 60.2% of all residents are fully vaccinated. The number of new cases in the least vaccinated counties is threefold higher than the most vaccinated.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
60.00% or above (5)
249.1
50.00% to 59.99% (14 counties)
482.9
40.00% to 49.99% (12 counties)
608.9
29.90% to 39.99% (8 counties)
749.1
14-Day New Covid-19 Cases per 100K average by Vaccination Rate, Not Adjusted for Population
Through October 10, Washington’s statewide 14-day rolling average is 388.2. Covid-19 cases per 100K.
Ferry County continues to be the Washington state hot spot with 1,175.7 new cases per 100K residents.
Counties in the 800.0 to 999.9 per 100K range include Columbia, Garfield, Grant, Klickitat, and Stevens.
Counties in the 600.0 to 799.9 per 100K range include Chelan, Douglas, Franklin, Grays Harbor, Lincoln, Mason, Okanogan, and Pend Oreille.
New cases were unchanged or drifted upward with one exception – adolescent cases and hospitalizations for 12 to 19-year-olds increased significantly over the weekend. Pediatric hospitalizations also increased from birth to 11, while all other age groups were flat or drifted downward.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
168.6
1.1 (up)
Ages 12-19
208.8 (up)
1.6 (up)
Ages 20-34
174.1 (up)
3.6
Ages 35-49
180.4
7.8 (down)
Ages 50-64
128.1 (up)
13.9 (down)
Ages 65-79
94.3 (up)
15.5
Ages 80+
96.7
35.2 (down)
7-day case rate and 7-day hospitalization rate is per 100K within the age group – the target for 7-day case rate is <25.0, but there are other factors such as vaccination rates within the age groups, how many total tests within the 7-day period, and the positivity rate within each age group
The USA Today COVID Tracker reported 50 deaths on Friday. The state of Washington is not reporting the percentage of positive cases. More than 8,000 Washingtonians have died from Covid-19 since February 29, 2020. The state crossed the sad milestone over the weekend.
Washington state hospitals accepting an average of 110 Idaho patients a week in 2021
An analysis of RHINO data from the Washington State Department of Health indicated that hospitals have been admitting approximately 110 patients from Idaho a week during 2021. The number represents a fraction of total average hospital admissions, which hovers around 500,000 patients in a normal year.
The data does not provide information on how many hospital admissions were Covid-19 patients and the report did not provide a weekly analysis. Eastern Washington hospitals reported last week they were feeling increased strain due to Idahoans crossing the border looking for medical care.
With 7 days to go, almost 92% of all Washington state employees are fully vaccinated or have been granted an exemption
Data released by the Washington State Office of Financial Management provided the clearest picture yet on how many state employees are vaccinated. On October 4, 89.5% of all state employees had provided proof they are fully vaccinated. Another 2.4% had medical or religious exemptions approved.
The same report indicated the Washington State Patrol was 89.9% fully vaccinated on October 4. Last week, the Seattle Times reported the WSP was 93% vaccinated on October 7. Using that data point as a barometer, it is estimated 94% to 95% of Washington state employees are fully vaccinated or have an approved exemption, with 7 days ago.
Only two organizations with more than 500 workers have vaccination rates below 85% – Washington National Guard at 79.1% and DSHS – Rainier at 83%. It is worth noting the Pentagon has given Army National Guard servicemembers until June 30, 2022 to be fully vaccinated.
Almost 93% of the 6,608 Washington State Department of Transportation employees are vaccinated or have received an exemption. Almost a third of DOT employees work for Washington State Ferries. Three weeks ago there were 450 WSF workers who had not confirmed their vaccination status. The number dropped to 250 on Thursday and 170 on Friday. Despite a full vaccination rate approaching 93%, unvaccinated ferry workers made their presence known this weekend.
As of October 4, 1,228 state workers had requested medical exemptions, with 866 approved. Officials are still evaluating 75 requests and 258 exemption requests were withdrawn. Another 315 employees had requested some degree of accommodation, with 255 approvals.
The state also received 4,849 religious exemption requests and so far has approved 4,219 with 42 still under evaluation. Only 184 religious exemptions have been denied, while 404 requests were withdrawn.
Approximately one percent of all state employees have joined a lawsuit attempting to block the state mandate. It is unlikely the plaintiffs will get relief. Both federal courts and the Supreme Court have sided with municipalities, counties, states, businesses, and schools in a number of similar court cases filed across the country.
88% of all Washington hospital workers are fully vaccinated
From janitorial services, cooks, and med techs to nurses, surgeons, and administrators, 88% of Washington state’s hospital staff will be fully vaccinated by October 18, according to a survey by the Washington State Hospital Association.
Cassie Sauer, CEO reported in a briefing today the remaining 12% include people who don’t plan on getting vaccinated, are partially vaccinated, have an approved exemption, have an exemption under review, or are waiting to learn if an existing exemption has been approved.
“The 2-5%, I want to emphasize, is a statewide number. There are some places that are going to have less and some places that are going to have more. And the place that seems to have the likeliest, biggest impact is rural eastern Washington,” Sauer said.
In New York, the state saw similar numbers among hospital workers days before its mandate went into effect. Final vaccination rates ranged from 85% to 100% depending on the role, type of facility, and location. Vaccination rates among nursing homes and long-term care facilities lagged behind hospitals.
Officials believe 95% to 98% will be fully vaccinated, on a path to vaccination, or have an approved exemption by October 18. Hospitals and facilities in Eastern Washington, particularly in rural areas, are expected to see more workers quit or face termination.
In Western Washington, 97% of EvergreenHealth and 98% of University Washington Medicine employees are fully vaccinated.
More than 200 Washington State Ferry sailings canceled due to years of neglect and a weekend sickout
Passengers and businesses were frustrated when Washington State Ferries canceled over 150 sailings on Friday, 120 on Saturday, and 50 on Sunday. A sickout by WSF employees in protest of a looming vaccination mandate was the final blow, that contributed to the chaos this weekend. However, the sailing issues have been two decades in the making.
In 2000, a Tim Eyman led initiative slashed Washington state car tab fees, and with it, a significant portion of the Washington state ferry budget. Two decades later the state lacks the funds to replace several ferries that are far past their useful life. The outdated equipment suffers more frequent breakdowns, forcing route cancelations and smaller vessels into temporary service.
A lack of vessels, a graying staff, and unpredictable work schedules was already straining the system. Disruptions due to equipment and crew failures were becoming more common before Covid-19 arrived in the Evergreen state in January 2020.
The number of ferry workers has also declined for two decades, and the Department of Transportation has problems recruiting people who are interested in doing maritime work.
WSF workers have attempted several other sickouts with little to no impact, but this past weekend was different. Officials have indicated that even 170 employees leaving could have a devastating impact on operations – and required Coast Guard certifications will make hiring new staff challenging.
Washington State Ferries is the largest ferry system in the United States and second-largest in the world. The state operates 23 vessels that sail 10 routes to 20 destinations. The oldest ferry is the MV Tillikum built in 1959 and rebuilt in 1994. Over 70% of all funding comes from fares. In 2020 due to Covid-19 ridership was only a fraction of normal. By the end of summer in 2021, ridership was 80% of normal.
The ferry system is converting three Jumbo Mark-II class ferries to electrical propulsion between 2022 and 2024. The Puyallup, Tacoma, and Wenatchee are slated for update with the Wenatchee was supposed to already be back in service but had an engine room fire in April 2021.
Washington State University football coach Nick Rolovich applies for religious exemption
As many have suspected for quite some time, Washington State coach Nick Rolovich finally confirmed that he remains unvaccinated and is in fact seeking a religious exemption to the state’s Covid vaccination mandate, he said after the Cougars’ 31-24 victory over Oregon State on Saturday.
“I’ll confirm that,” he said. “I’m not terribly happy with the way it happened. I hope there’s no player that I coach that has to wake up and feel the way I felt today. I don’t share it (to be) malicious, but that wasn’t a great thing to wake up to, to be honest with you.”
Rolovich is the highest-paid state employee in Washington, making almost $3.3 million per year.
Several Seattle Kraken players under Covid protocols day before NHL debut
The Seattle Kraken are expected to be without five players for the season opener at Vegas due to COVID-19 protocols, coach Dave Hakstol said Monday, according to the Associated Press.
Forwards Jared McCann, Joonas Donskoi and Marcus Johansson, and defenseman Jamie Oleksiak were placed on the league’s COVID-19 protocol list on Monday. Forward Calle Jarnkrok has been in the protocol since late last week. McCann, Oleksiak, Donskoi and Johansson were all missing from Monday’s final practice before the team departed for Las Vegas.
Travel Advisories
Due to an increase in acute care hospitalizations, we’re adding a recreational travel advisory to the East Hospital Region. This includes Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties. Acute care and ICU capacity have become limited, and the ratio of Covid-19 patients to other hospital patients is extremely high. Please reconsider non-essential travel plans to these counties.
We strongly advise against all nonessential travel to Alaska, Idaho, Montana, and Wyoming. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a serious medical emergency.
We are also not adding a travel advisory for the Northwest Hospital Region which includes Clallam, Jefferson, Kitsap, and Mason counties but don’t recommend engaging in risky recreational behavior on the Olympic Peninsula. Although hospitals are very constrained, the region is adjacent to the Puget Sound and West Hospital Regions, which have adequate resources.
Thank you
Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!
No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks
Vaccination
Unvaccinated King County residents are 16 times more likely to die from Covid-19
The first doses of the Covid-19 vaccine became available in Washington state on January 17. Since that time 82% of all Covid-19 cases were among the unvaccinated, 90% of hospitalizations, and 90% of deaths.
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 87.1% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines.
COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 16.9% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 649 additional acute care patients. ICUs are at 86.7% of capacity statewide, with 28.0% of ICU patients fighting Covid-19 – an estimated 335 patients with 50% on ventilators. The state has the staff to support approximately 144 additional ICU patients.
The 7-day rolling average hospital admission rate for new COVID patients dipped to 103. The Department of Health reported 1,193 Covid-19 patients statewide on October 7, with 166 requiring ventilators.
Hospital status by region – ICU Occupancy should be below 80%, ICU COVID Patients should be below 20%, Acute Care Occupancy should be below 80%, and Acute Care COVID Patients should be below 10%
The East and Northwest Hospital Regions remain highly stressed.
– Bell Elementary (4*) – Blackwell Elementary (1*) – Carson Elementary (2*) – Dickinson/Explorer Elementary (1*) – Eastlake High (3*) – Finn Hill Middle School (4*) – Franklin Elementary (1*) – Frost Elementary (2*) – ICS (1*) – Inglewood Middle School (2*) – Juanita Elementary (3*) – Juanita High School (4*) – Kamiakin Middle School (2*) – Keller Elementary (1*) – Kirkland Middle School (1*) – Lakeview Elementary (4*) – Lake Washington High School (2*) – Mead Elementary (2*) – Muir Elementary (1*) – Northstar Middle (1*) – Redmond Elementary (2*) – Redmond Middle School (1*) – Redmond High School (2*) – Rosa Parks Elementary (3*) – Rose Hill Middle School (1*) – Timberline Middle School (2*)
None
Northshore
RED
– Arrowhead Elementary (4) – Bothell High School (30**) – Canyon Creek Elementary (15) – Canyon Park Middle School (11) – Cottage Lake Elementary (3) – Crystal Springs Elementary (17) – East Ridge Elementary (2) – Fernwood Elementary (1) – Frank Love Elementary (19) – Hollywood Hills Elementary (35) – Inglemoor High School (1) – Innovation Lab High School (2) – Kenmore Elementary (4) – Kenmore Middle School (21) – Kokanee Elementary (14) – Leota Middle School (3) – Maywood Hills Elementary (7**) – Moorlands Elementary (1) – North Creek High School (13**) – Northshore Middle School (1) – Secondary Academy for Success (4) – Shelton View Elementary (5) – Skyview Middle School (12) – Sunrise Elementary (8) – Timbercrest Middle School (4) – Wellington Elementary (26**) – Westhill Elementary (58) – Woodin Elementary (15) – Woodinville High School (10) – Woodmoor Elementary (19**)
– Lockwood Elementary (12**/22)
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.
Monday provides the best snapshot of the three school districts we track. The Northshore School District moved to status red again with 12 confirmed Covid-19 cases at Lockwood Elementary. Five other schools have 5 to 9 confirmed cases.
Highland Middle School in the Bellevue School District has 9 confirmed cases between students and faculty, and several other schools with more than 5 cases.
The Lake Washington School District updated its dashboard adding six schools with confirmed cases.
We continued to encourage parents to request improved daily data reporting from the Lake Washington School District.
Kirkland-Bellevue-Woodinville
Amazon delays return to office indefinitely – leaves final decision to business directors
“For our corporate roles, instead of specifying that people work a baseline of three days a week in the office, we’re going to leave this decision up to individual teams,” Jassey wrote in his memo.
“This decision will be made team by team at the Director level. We expect that there will be teams that continue working mostly remotely, others that will work some combination of remotely and in the office, and still others that will decide customers are best served having the teamwork mostly in the office. We’re intentionally not prescribing how many days or which days—this is for Directors to determine with their senior leaders and teams. The decisions should be guided by what will be most effective for our customers; and not surprisingly, we will all continue to be evaluated by how we deliver for customers, regardless of where the work is performed.”
Microsoft and Facebook previously announced delaying their return to office and have mandated their employees, contractors, and vendors to get vaccinated.
King County releases updated vaccination data
King County Public Health updated the vaccination rates by zip code, with the numbers improving throughout the region. The northern half of Kirkland and parts of Bothell continue to lag behind the rest of the eastside.
King County residents age 12+ who have received at least one dose of the Covid-19 vaccine through October 11, 2021
Zip Code
Percent vaccinated, at least one dose, 12 and older
98155
93.7%
98028
90.2%
98011
86.7%
98034
85.3%
98033
93.1%
98072
91.2%
98052
>95.0%
98004
>95.0%
98039
94.0%
98005
>95.0%
98007
90.0%
Vaccination rates for those 12 and older by zip code – at least one dose
National Round-Up
Johns Hopkins University Cumulative Case Tracker is reporting 22,194 new cases and 255 deaths nationwide on Monday. Most states do not report data over the weekend, and Monday is a bank holiday so the numbers do not indicate the current national trend.
Merck and Ridgeback Biotheraputics official apply for emergency use authorization for molnupiravir
Pharmaceutical companies Merck & Co. and Ridgeback Biotherapeutics announced Monday they requested emergency use authorization to the Food and Drug Administration for molnupiravir, an antiviral drug that offers the promise that COVID-19 could soon be treated by a pill. USA Today reported the two drugmakers have officially applied for the authorization.
Molnupiravir, an orally ingested antiviral pill, is used to treat mild to moderate adult cases of COVID-19 that are at risk of worsening to severe COVID-19 or hospitalization, according to the companies. It was created by researchers at Emory University in Atlanta and is given as four pills taken twice a day for five days.
An interim analysis from a clinical trial found the antiviral medicine reduced the risk of hospitalization or death by approximately 50%.
Alaska
Alaska reported an increase in new cases and the number of Covid-19 tests with positive results this weekend. After progress last week, the new case rate increased to 836 per 100K people and test positivity jumped to 10.7%. Officials also reported more than 2,750 new cases, mostly among people under 50 years old.
Hospitals are treating 184 Covid-19 patients, down slightly from last week. Resources remain very constrained – there were 18 ICU beds available statewide Monday morning. New
Hospitals in Anchorage, Bethel, and Valdez continue to be the most impacted by the ongoing surge.
Idaho Medical Association CEO Susie Keller says while the association is disturbed by Cole’s spreading of misinformation, including dissuading people from getting the COVID-19 vaccine, the complaint is narrowly focused on the claim Cole prescribed an unproven drug.
“We believe that he has violated sections of the Idaho Medical Practice Act by providing care that fails to meet the community standard of care by promoting the sale of drugs that are not medically indicated and by engaging in conduct that constitutes an abuse or exploitation of a patient arising out of the trust and competence placed in a physician by a patient,” Keller said.
Cole as referred to the vaccination as “needle rape,” is opposed to mask mandates, and has spoken at right-wing anti-vaccination events that have included speakers calling for violence and making Nazi comparisons. He is one of the key policymakers in Ada County, which includes Boise, in managing the Covid-19 response in the Gem State.
Covid-19 test positivity increased to 19.42% – a negative trend.
Just days after Wyoming hospitals asked state officials to draft plans for statewide implementation of crisis standards of care, state Representative Chuck Gray has called for a special session to block vaccine mandates.
“I wanted to update everyone about the special session vote,” Gray said on Wednesday. “We have received notification that we have successfully received over 35% of the votes in the first round of balloting. Next week, we will now proceed to the second round, where we need a majority.”
Legislators are being asked to consider convening the special session from October 26-28 according to the report in Oil City News. Gray said he would like to see the special session move forward in order to have a bill banning vaccine mandates pass prior to Banner Health’s (which operates the Wyoming Medical Center) deadline requiring employees get fully vaccinated by November 1 takes effect.
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) Although Washington reached a grim milestone of 7,000 COVID-related deaths today, data on new cases indicated that the Evergreen State is reaching a peak. The divide between the most and least vaccinated counties continues to widen, and the number of patients in the ICU reached a critical level statewide.
The Lake Washington School District expands how much COVID data they are sharing and in the Northshore School District, a concerning trend has emerged at three schools.
Hospitals in Spokane are suspending all non-emergency surgeries as they struggle to support the lower vaccinated counties in Eastern Washington and the surge in Idaho. In Bellingham, officials report they are inching closer to crisis standards.
Edmonds canceled Oktoberfest for the second year in a row.
Almost 4,800 state employees have requested a vaccination exemption, about 8% of the 60,000 person workforce. Protesters are coming to Vancouver, Washington’s Skyview High School on Wednesday despite a court order, and they are bringing infamous Seattle street preacher Matthew with them.
The mayor of Puyallup is started a fundraiser to show appreciation to hospital workers.
We have expanded our travel advisory to include Spokane County and the state of Alaska, with the latter having the largest hospital move to “crisis standards of care.”
In the misinformation section, we discuss swollen testicles and Betadine.
Today’s data provided a strong indication that Washington state has hit a peak while demonstrating the effectiveness of vaccines. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, new cases are 883.3 per 100K people, essentially unchanged from yesterday. In comparison, the Central Hospital Region, which represents King County, had a rate of 295.4. In addition, for counties that are 50% fully vaccinated or higher, the 14-day rolling average of new cases dropped below 500 for the first time since we started tracking.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
50.00% or above (12 counties)
494.0 (down)
40.00% to 49.99% (18 counties)
747.0 (down)
27.30% to 39.99% (9 counties)
781.4 (down)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population
Through September 13, Washington’s statewide 14-day rolling average was 500.8 COVID cases per 100K, which is within the 500 to 535 range the state has bounced between. Lincoln (1,294.1 per 100K), Franklin (1,170.9 per 100K), and Stevens (1,121.5 per 100K) reported an extreme number of new cases. Counties in the 800.0 to 999.9 per 100K range include Adams, Asotin, Benton, Chelan, Clallam, Cowlitz, Douglas, Grant, Grays Harbor, Lewis, Okanagan, and Pend Oreille. Although Yakima County fell off of the report, its case rate is 799.4 per 100K.
The Washington State Department of Health reports a data backlog for test positivity, with the published number 14 days old. According to Johns Hopkins University Medicine, the positivity rate for the last 30 days is 13.40%, and over the previous 7 days, 13.67%. These numbers indicate the state is under testing. Further, there has been little change in the positivity rate for almost a month.
The 7-day case rate was up for birth to 34 years old, and down for 80 and over. Hospitalizations were mostly flat, with a slight increase for adolescents from 12 to 19 years old.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
34.0 (up)
0.1
Ages 12-19
26.3 (up)
0.2 (up)
Ages 20-34
59.1 (up)
1.5
Ages 35-49
50.2
2.5
Ages 50-64
37.4
3.9
Ages 65-79
18.7
3.7
Ages 80+
5.0 (down)
1.8
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 63 deaths on Tuesday and Washington state crossed a grim milestone of 7,000 COVID-related deaths since February 29, 2020.
Edmonds Oktoberfest canceled due to concerns about COVID
This change was made as a safety precaution given the current COVID-19 environment. The rate of new COVID cases reached an all-time high last week at 464 per 100,000 people, according to data released Tuesday, Sept. 7, by the Snohomish Health District.
“This decision was not made lightly,” said Maggie Peterson, Edmonds Rotary President. “We very much want Edmonds Oktoberfest to be a family-friendly traditional event but the current rise in COVID-19 cases, combined with the start of the school year, creates a situation where there would be many vaccinated and unvaccinated individuals co-mingling. We are looking forward to bringing back Oktoberfest (or similar event) including the Kids Korner and all corresponding fun activities in 2022!”
Edmonds Oktoberfest Founder and Committee Co-Chair David Kaufer added, “We are dependent on volunteers to run this event, with more than 170 volunteer slots identified. We do not feel comfortable placing them, as well as attendees and other participants, in a situation where they may be at a higher risk of catching or transmitting this highly contagious variant.”
Those who have purchased tickets for Edmonds Oktoberfest may request a refund by emailing david@edmondsrotary.com.
Almost 4,800 state employees ask to be exempt from vaccine mandate
State employees not represented by the WFSE have until October 4 to receive the single dose Johnson & Johnson vaccine to be in compliance with the October 18 deadline if they have not received their first dose of the Moderna or Pfizer vaccines. Certain employees with the WFSE could go past that date if they meet certain requirements set in the compromise ratified last week.
Anti-vaccine protest planned at Skyview High School in Vancouver – again
The group Waking Up Washington is planning a protest at Skyview High School in Vancouver, Washington on Wednesday, and they are bringing infamous Seattle street preacher Matthew with them. If you have ever been to a protest, rally, concert, march, parade, or large sporting event in Seattle, you have likely heard Matthew.
This action is being driven by 14-year old Melanie Gabriel, a student at the school who was attempting to get a 504 exemption to not have to wear a mask. The anti-vaccination activity in Oregon and Washington is largely run by a handful of people. Michelle Morales-Walker is the most prominent voice and face of the movement. She is supported by Joey Gibson of Patriot Prayer, Ammon Bundy, Washougal Women, and Palmer Davis of La Center.
The group was withdrawn from a planned protest in Olympia on Saturday, due to a Proud Boys rally planned for the same day.
The Seattle Truth Network, in coordination with Wake Up Washington, is planning an anti-vaccination event on September 25 at Rooster’s Bakery and Cafe in Woodinville.
Puyallup Mayor organizing fund raiser for employees at MultiCare Good Samaritan Hospital
Door created the GoFundMe page on Sept. 2 and had $6,050 as of Sept. 10. She thought she could show support for the employees by raising funds to give each of them a $5 Starbucks gift card.
Editor’s Opinion: Not directed at Mayor Door, however, most medical workers would prefer for everyone to wear a mask and get vaccinated so they don’t show up in the emergency department sick due to COVID. It isn’t a lack of gratitude. They’re exhausted and see this current wave as preventable.
Travel Advisories
We recommend avoiding all travel to Spokane, Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with the states of Alaska and Idaho. Hospital resources in these regions are so constrained that you may receive inadequate care if you experience a medical emergency.
Thank you
Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!
No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks
Vaccination
No update beyond please get vaccinated.
King County, Washington is reporting over 85% 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.
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, 23.1% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 91.4% of capacity statewide, with 35.6% of ICU patients fighting COVID. This is the highest level of occupancy within Washington state ICUs and the highest percentage of COVID patients under care.
The hospital admission rate Epidemiologic Curve dashboard wasn’t working today. It appears the daily hospitalization rate is in the 160s, which would be close to yesterday. This is another encouraging sign that the state may be hitting a peak. The Department of Health reported there were 1,683 COVID patients statewide on September 13 and 269 on ventilators. Both numbers indicate a decline although we have no way of knowing if the decline was due to fatalities or releases.
We got a response from the Washington State Department of Health on getting data on NICU, PICU, and pediatric COVID cases. The state is working on tracking that data and providing it as either a report or a dashboard. The date of availability was not provided.
News that Washington was still taking transfer patients from out state has created outrage on social media. The Washington State Hospital Association indicated they were taking patients but emphasized it was far fewer than in the past. Additionally, there are some hospital networks that have facilities between Washington and Oregon or Washington and Idaho, and patient transfers within those systems would be normal. In the same press conference, the WHSA indicated that a patient from Spokane was transferred to Idaho.
Everett Providence reported today that they are accepting “two to three” transfer patients a day, mostly from the North Puget Sound region. However, they currently have patients from Alaska, Idaho, and Montana. Officials also pointed out that Snohomish County is sending patients to King County.
– Alcott Elementary (1*) – Carson Elementary (2*) – Dickinson Elementary (1*) – Eastlake High (1*) – Einstein Elementary (1*) – Ella Baker Elementary (1*) – Robert Frost Elementary (9) – Juanita Elementary (2*) – Juanita High School (37) – Peter Kirk Elementary (1*) – Redmond Elementary (2*) – Redmond Middle School (1*) – Rose Hill Elementary (1*) – Rose Hill/Stella Schola Middle School (1*) – Thoreau Elementary (4*)
– Kamiakin Middle School (140) – Mark Twain Elementary (3*)
Northshore
YELLOW
– Arrowhead Elementary (7) – Bothell High School (28**) – Canyon Creek Elementary (12) – Canyon Park Middle School (4) – Cottage Lake Elementary (13) – Crystal Springs Elementary (13) – East Ridge Elementary (3) – Fernwood Elementary (7) – Frank Love Elementary (12) – Hollywood Hills Elementary (3) – Inglemoor High School (3) – Innovation Lab High School (2) – Kenmore Elementary (3) – Kenmore Middle School (31) – Maywood Hills Elementary (6) – North Creek High School (15**) – Ruby Bridges Elementary (4) – Shelton View Elementary (14**) – Skyview Middle School (67) – Sunrise Elementary (18) – Timbercrest Middle School (21) – Westhill Elementary (6) – Woodin Elementary (4) – Woodinville High School (18)
Under Investigation
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases
The Lake Washington School District updated its tracking dashboard providing a better degree of insight on the number of confirmed COVID cases among students and faculty, mirroring the information provided by the Bellevue School District.
Although there are a significant number of impacted schools in the LWSD, there have not been any community transmission outbreaks within the district. The number of impacted schools in BSD declined overnight, and we were able to get more data on quarantines.
The more concerning trend is in the Northshore School District where 3 schools now have 5 or more reported confirmed COVID cases. Bothell High School has 7 confirmed cases between students and faculty, and another 21 in quarantine. Shelton View Elementary has 5 confirmed cases among students and another 9 in quarantine. North Creek High School has 7 confirmed cases among students, and 8 more in quarantine.
Three states have exited the CDC ‘high’ COVID transmission category – Vermont, the most vaccinated state, Connect, the second most vaccinated state, and California, the 16th most vaccinated state.
The Pentagon announced guidance on the vaccination mandate that was established in August for active-duty military. Service members have three months to become fully vaccinated for face discharge from the force. The Marines released a soldier last week for refusing to wear a mask, issuing a general discharge under honorable conditions.
In what could be called ironic, Russian President Vladamir Putin is self-isolating after he was exposed to COVID. Putin who is vaccinated has faced accusations from European and North American nations of backing the spread of COVID misinformation to undermine trust in democratic governments.
Alaska
Providence Alaska Medical Center in Anchorage Alaska, the largest hospital in the state, was forced to move to crisis standards of care on Tuesday. The hospital published a two-page letter explaining why they had to restrict care and start making black tag triage decisions.
“At this time, we feel we have an ethical obligation to be transparent with our community and share with the public the distressing reality of what is happening inside the walls of our hospital. The state’s COVID-19 Dashboard isn’t equipped or designed to demonstrate the intricacies of providing medical care during this unprecedented time. More than 30% of the adult patients hospitalized at Providence have tested positive for COVID-19.
Our caregivers are doing their best, just as they have been for the past 18 months of this pandemic. We believe that the Providence administration has acted in good faith throughout the pandemic, following the guidance of local and national experts to create policies and procedures that protect patients and caregivers.
While we are doing our utmost, we are no longer able to provide the standard of care to each and every patient who needs our help. The acuity and number of patients now exceeds our resources and our ability to staff beds with skilled caregivers, like nurses and respiratory therapists. We have been forced within our hospital to implement crisis standards of care.
What does this mean? In short, we are faced with a situation in which we must prioritize scarce resources and treatments to those patients who have the potential to benefit most. We have been required to develop and enact policies and procedures to ration medical care and treatments, including dialysis and specialized ventilatory support.”
Doctor Kristen Solana Walkinshaw, Chief of Staff indicated that this decision could have a dramatic impact on healthcare across Alaska.
“Nurses here are not leaving because of the vaccine mandates. They’re leaving because they’re overwhelmed by the emotional toll it’s taking,” Gonsette, the Providence hospitalist, said in an interview Tuesday. “Part of it, we all feel it, is because we are not heard. The public either wants to bury their head in the sand or maybe some of them really don’t know what’s going on. Those are the ones we’re trying to reach.”
Colorado
We have avoided reporting on right-wing radio or TV personalities who have become infected or have died from COVID, but Bob Enyart was a special kind of awful. Enyart, a provocateur who gleefully mocked the deaths of AIDS victims, had encouraged his listeners not to get any of the three available COVID-19 vaccines because he claimed they had been tested on “cells of aborted babies.” (Though coronavirus vaccines do not contain fetal cells, Johnson & Johnson used a historic fetal cell line to produce and manufacture its vaccine; Pfizer and Moderna used a fetal cell line in a very early phase to confirm efficacy prior to production.) He also successfully sued the state of Colorado over COVID-related restrictions on church attendance.
Enyart’s wife is still hospitalized with COVID.
Editor’s Note: It is ironic that Mr. Enyart would die after exaggerating the danger AIDS presented to the general population while minimizing the impact of the second pandemic in his lifetime.
Idaho
The situation in Idaho is going from worse to catastrophic. In a media briefing today Idaho Health and Welfare Director Dave Jeppesen reported “Hospitalizations in Southwest, Central and South Central health districts, which includes the Treasure Valley and the Magic Valley, are reaching a critical point,” Jeppesen said. “Without a change in direction, crisis standards of care are imminent for all three of those health districts.”
Any permitted event or activity held in a city-owned building must require masks indoors, require masks outdoors if six feet of physical distance can not be maintained, and submit a plan to the city for approval, and requiring “COVID-19 Protocol Ambassadors” on-site. In addition, the mayor said, all events over 250 people must require proof of vaccination or a recent negative COVID test.
Event organizers will be tasked with supplying masks to those who do not have them.
“We do believe that here in Fargo, we’re probably about two to three weeks away from peaking in terms of COVID cases. But we’re already at capacity and have been for a few weeks now due to our overall non-COVID census being very high,” said Dr. Doug Griffin, vice president and chief medical officer at Sanford Health in Fargo.
Griffin said most of their COVID patients are local or coming from western North Dakota, where vaccination rates remain low. Griffin said the hospital is turning away patients who need critical care, some from as far away as southern Minnesota.
“If I could put on a statewide mandate, if the health department could do it, we’d do it,” he said during a Tuesday press conference. “The legislature has made it very clear that if we put a mandate on for kids in schools to wear a mask, they would take it off.”
DeWine’s comments were a shift from the Republican governor’s previous position, which had been that there isn’t an “appetite” for such mandates. DeWine has instead emphasized personal responsibility and sharing information with Ohioans.
“The good news is that we did peak,” said Peter Graven with Oregon Health and Science University. “The bad news is, the model is showing that it could take until the end of October or even November until we really get down to the levels that we had prior to the surge.”
With recent testing difficulties and delays in contact tracing, parents around Utah are saying they aren’t getting notified of their kids’ classroom exposures until it’s almost too late to do anything about it. Quarantine periods generally are backdated to begin 10 days after the exposure or a student began having symptoms, but families may not know to start quarantine until days later.
Misinformation
We have a two for one tonight for misinformation. Part one – Nicki Minaj.
My cousin in Trinidad won’t get the vaccine cuz his friend got it & became impotent. His testicles became swollen. His friend was weeks away from getting married, now the girl called off the wedding. So just pray on it & make sure you’re comfortable with ur decision, not bullied
There is no scientific evidence, nor one single VAERS entry prior to September 13, 2021, stating that the COVID vaccine causes swelling in a man’s testicles. There is no scientific evidence to back up the claim that the COVID vaccine causes infertility in men or women (there is evidence that COVID infections cause stillbirths and premature births).
However, there is a condition that can cause swelling of the testicles, infertility, and a mate wanting to call off a wedding. That’s called gonorrhea. This type of misinformation is called a false causality fallacy where the “link between premises and conclusion depends on some imagined causal connection that probably does not exist.”
That would be correct.
First, it was hydroxychloroquine, and more than a year after former President Donald Trump stopped advocating it as a possible treatment, people are still taking it.
Then it was Chlorine dioxide, a chemical bleach that has been previously advertised as a junk science cure for autism.
Next came ivermectin – and we’ve beat that dead horse into the ground.
Then it was glyphosate, a herbicide.
Now it’s Betadine, the iodine-based antibacterial antiseptic. Yes, Betadine, and apparently people are drinking it and gargling with it, despite it being toxic when ingested. Additionally, long-term consumption of excess iodine can damage the thyroid.
“Betadine® Antiseptic First Aid products have not been approved to treat coronavirus. Betadine® Antiseptic First Aid products should only be used to help prevent infection in minor cuts, scrapes and burns.”
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) The number of hospitalized COVID patients dropped slightly over the weekend, while the number of critically ill patients on ventilators increased. New King County and statewide vaccination data show the gap between the most vaccinated and least vaccinated counties grew wider. A new IHME forecast indicates Washington may have hit the peak but forecasts a long fall ahead.
Two more schools in the Lake Washington School District reported COVID cases, while the number of quarantined students at Kamiakin Middle School rose to 140.
The Washington State Hospital Association stated hospitals were operating in “contingency care” as staffing, transportation, and some critical equipment remain in tight supply. 911 dispatchers in Seattle were diverting ambulance calls for part of the day on Saturday, as local emergency departments were flooded with a surge of patients.
A ferry was delayed by a man who refused to wear a mask, and on Friday, ferries heading to the San Juan Islands were canceled due to a sick out.
Complaints have emerged at the Spokane County Fair and the Washington State Fair due to people not wearing masks indoors and lax enforcement.
Almost 90 Washington state employees have filed a lawsuit in Walla Walla trying to block the governor’s vaccination mandate. A woman was cited for trespass in Vancouver for refusing to wear a mask and refusing to leave a private business.
The gap between the highest vaccinated counties versus the least widened more over the weekend. In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, new cases are 886.1 per 100K people. In comparison, the Central Hospital Region, which represents King County, had a rate of 318.6.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
50.00% or above (12 counties)
530.8 (up)
40.00% to 49.99% (18 counties)
764.5 (up)
27.30% to 39.99% (19 counties)
848.6 (up)
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population
Through September 12, Washington’s statewide 14-day rolling average was 526.1 COVID cases per 100K, which is slightly up from Friday but still within the 500 to 535 range the state has bounced between for weeks. Asotin (1,007.1 per 100K), Clallam (1,057.7 per 100K), Douglas (1,024.0 per 100K), Franklin (1,182.0 per 100K), Grant (1,036.7 per 100K) Lincoln (1194.6 per 100K), Okanogan (1,013.2 per 100K), and Stevens (1,191.2 per 100K) reported an extreme number of new cases. Counties in the 800.0 to 999.9 per 100K range include Adams, Benton, Chelan, Columbia, Cowlitz, Grays Harbor, Lewis, Pend Oreille, and Yakima. Garfield County dropped to 764.0
The Washington State Department of Health reports a data backlog for test positivity, with the published number 14 days old. According to Johns Hopkins University Medicine, the positivity rate for the last 30 days is 13.40%, and over the previous 7 days, 13.81%. These numbers indicate the state is under testing. Further, there has been little change in the positivity rate for almost a month.
The 7-day case rate by age was up in every age group except 35 to 49-year-olds. Hospitalizations were flat or slightly down over the weekend, and that decrease is mirrored in the patient reports from the Washington State Hospital Association.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
31.8 (up)
0.1
Ages 12-19
25.0 (up)
0.1 (down)
Ages 20-34
57.4 (up)
1.3
Ages 35-49
49.5 (down)
2.6
Ages 50-64
37.0 (up)
3.7
Ages 65-79
18.1 (up)
3.5 (down)
Ages 80+
5.4 (up)
1.7
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 68 deaths on Friday. Numbers from over the weekend typically include multiple days of data and should not be used to read a trend.
Seattle Fire Department diverted 911 calls for ambulances on Saturday
For part of the day on Saturday, calls to Seattle 911 for ambulances were being diverted, with only the most serious calls being responded to. Critical calls were still covered, while others, which would normally get an EMS response, were told they would need to transport themselves.
Hospitals may decide to divert ambulances from going to their emergency room when they get overwhelmed with patients or are expecting a surge from incidents such as a mass casualty event. On Saturday, multiple emergency departments were beyond capacity in Seattle, which created a ripple effect impacting emergency departments both east and north of the city. On Saturday evening, one area hospital had over 80 patients in the emergency department and another 22 waiting for hospital beds.
The number of people coming into emergency departments wasn’t just due to COVID. There was an influx of medical emergencies such as cardiac arrests and several significant auto accidents. Additionally, the Washington State Hospital Association reported this morning there is a shortage of ambulances for ground transit.
Calls to 911 for EMS and fire services were above average on Saturday but nowhere near the record set on June 28, when the department responded to 555 calls for aid.
Latest IHME forecast projects Washington state has hit the peak
On Friday, the IHME updated its forecast models, which projected that Washington state has hit the peak for the current wave. The projected number of fatalities through December 1 declined slightly also, to 8,784. Part of the decline is due to the Washington vaccination mandate for state employees and the statewide order for mask wear. The model projects that if mask wear compliance was 100%, we could save 600 lives.
The model also projects that the state will only see a gradual decline in cases and will settle to half of the current volume of new cases, patients, and fatalities. The Washington State Hospital Association expressed today that slashing the number of hospitalized COVID patients from 22% to 11% as a new normal would be unsustainable for the healthcare system.
Vancouver police cite woman for trespass over refusal to wear mask
The incident apparently happened on September 8 but blew up on social media over the weekend after a story was run in the Post Millenial. A woman with her children at Chuck’s Produce and Street Market on Southeast Mill Plain Blvd. refused to wear or mask or leave the store when directed by staff. She continued to shop and was told police would be called.
When Vancouver police arrived, she continued to refuse the leave the store and went to checkout. While she continued to defy store management and the police, she was cited for trespassing.
Not 2 miles from my home in Vancouver, WA you find: Police writing tickets to citizens for grocery shopping at Chuck's on Millplain without a face mask. Someone tell me what's brought us to this (Hat tip to retired cop who sent it to me) pic.twitter.com/sS14i5Otts
Woman issued a trespass citation for refusing to leave a store in Vancouver, Washington, on September 8
Kitsap ferry delayed by man who refused to wear a mask
On Saturday, the 7:40 PM sailing of the Kitsap ferry from Fauntleroy was delayed for over an hour by a man who refused to wear a mask. According to Washington State Ferry employees, the man was asked to put a mask on during the crossing and refused. He then became “aggressive” toward the crew and appeared to be inebriated. He was issued a 60-day no-trespass order from the Washington State Ferries property. We also hope he didn’t drive off in a vehicle.
Weekend sick-out impacts ferry service to the San Juan Islands
After weeks of threats, a sickout impacted ferry service to the San Juan Islands on Friday evening. Two ferry runs out of Anacortes to Friday Harbor, the 4:45 PM and the 8:20 PM, along with the additional stops at Lopez, Shaw, and Orcas, were canceled due to a lack of Coast Guard certified personnel. Additionally, the #3 Samish was running behind schedule for the afternoon and early evening.
The Washington Federation of State Employees, which includes Washington State Ferries employees, ratified their agreement over mandated COVID vaccination with the state of Washington on Thursday. Over 80% of members voting in favor of the compromise agreement.
Spokane County Fair organizers respond after photos emerge of maskless guests and vendors
Photos emerged over the weekend of non-existent mask wear at the Spokane County Fair. According to KREM, Kevin Humphrey, a regular guest at the fair, talked to officials about the lack of masks and was told that masks were only checked at the entrance but were not being enforced.
In response to the photos, Spokane Interstate Fair Director Erin Gurtel wrote, “The Spokane Fair and Expo Center staff is communicating with all vendors in writing daily, along with verbal announcements over the Fairgrounds sound system multiple times a day. All of the vendors have been made aware of the requirement to wear masks indoors and starting tomorrow, September 13th, we will require this indoors and outdoors.”
The fair has also created numerous signs to post all over the grounds to communicate the new requirement of outdoor masks, Gurtel said. The fair’s team is also doing its best to communicate the requirement and make sure it is “being adhered to,” she added.
People complaining about lack of masks at the Washington State Fair
In Puyallup, where up to one million people are expected to visit the Washington State Fair through September 26, complaints are growing about maskless vendors and guests. Numerous pictures and videos emerged of groups of people both indoors and out.
89 state employees sue over Washington state employee vaccine mandate
A group of state employees from the Washington State Patrol, Washington State Ferries, and Washington State Department of Corrections filed a lawsuit in Walla Walla against the looming vaccine requirement.
According to a report in Northwest News, Nathan Arnold, the lawyer who filed the lawsuit, wrote, “The penalties for not taking affirmative action to comply with the Governor’s Mandate are overly severe, punitive, and unconscionable.” He also called the penalty of termination “arbitrary and capricious,” especially for employees who can work from home or have natural immunity from having previously contracted COVID-19.
The lead plaintiffs are William and Sherra Cleary. Mr. Cleary was listed as a King County firefighter and Ms. Cleary as a healthcare worker who is also pregnant. The plaintiffs are looking for the court to declare the vaccine mandate unconstitutional.
The Tri-Cities Herald reported Troopers Travis Brawdy and Brittany Crosby with the Washington State Patrol and Michele Vasquez, an employee of the Washington state Department of Revenue, were also listed as plaintiffs.
The Biden Administrator’s order for federal employees and contractors to get vaccinated also impacts 11,000 workers at Hanford.
Travel Advisories
We recommend avoiding all travel to Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with the state of Idaho. Hospital resources in these regions are so constrained that you may receive inadequate care if you experience a medical emergency.
Thank you
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The report, in which two senior Food and Drug Administration officials were contributors along with the World Health Organization, came as another study indicated the FDA approved Pfizer vaccine and the emergency authorized Moderna and Johnson & Johnson vaccines remain highly effective against hospitalization and death.
“The ability of vaccines that present the antigens of earlier phases of the pandemic (rather than variant-specific antigens) to elicit humoral immune responses against currently circulating variants6,7 indicates that these variants have not yet evolved to the point at which they are likely to escape the memory immune responses induced by those vaccines.”
King County, Washington is reporting over 85% 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.
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, 23.2% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 90.9% of capacity statewide, with 35.0% of ICU patients fighting COVID. All of these numbers are up from over the weekend.
The new hospital admission rate for COVID patients was 162 per day on September 11. This is a decrease from last week and is an indicator that the state may be at its peak. The Department of Health reported there were 1,742 COVID patients statewide on September 12 and 275 on ventilators. That is down from the 283 reported on Saturday. Weekend numbers typically get adjusted upward on Tuesday as additional data is processed.
EvergreenHealth reported there are 39 COVID patients in Kirkland and none in Monroe.
The Washington State Hospital Association held its weekly press conference, telling reporters that hospitals are operating under “contingency care” statewide. From walk-in clinics to trauma centers, medical facilities continue to struggle with the crush of regular and COVID patients.
We are in a crisis, but we are not in crisis standards of care,” said Washington State Hospital Association (WSHA) Executive Vice President Taya Briley.
Briley also reported that 95% of hospitalized COVID patients statewide are unvaccinated, saying, “We are far, far above our peak from last year.”
Dr. Christopher Baliga with Virginia Mason Franciscan Health in Seattle added, “The hospitals are struggling.”
“Everyone who works in healthcare, it does feel like everybody has gone back to normal. It is scary, frustrating, and disheartening for people not to understand what is going on. We have stretched almost as far as we can go.”
“With the last surge in the fall, our hospitals were empty. That’s not true anymore. All of those patients are there…and they are sicker. This is non-COVID. YOu now have a hospital that is essentially full having to manage an influx of COVID patients.”
When asked about what additional resources would be available to improve the situation, Briley reported there were few options left. The state was already enlisting the help of unpaid volunteers. The WSHA had already reached out for National Guard resources, but the critical staff and equipment have already been deployed to other states to support their COVID surges, along with aiding in hurricane, flooding, and climate disasters. Federal resources are also stretched thin.
The press conference closed with an appeal to get vaccinated, wear a mask, and avoid risky behavior that could cause a general injury.
– Benjamin Franklin Elementary (?) – Juanita Elementary (1) – Juanita High School (37) – Peter Kirk Elementary (2) – Robert Frost Elementary (9) – Thoreau Elementary (4)
– Kamiakin Middle School (140) – Mark Twain Elementary
Northshore
YELLOW
– Arrowhead Elementary (1) – Bothell High School (19) – Canyon Creek Elementary (9) – Canyon Park Middle School (4) – Cottage Lake Elementary (4) – Crystal Springs Elementary (4) – East Ridge Elementary (2) – Fernwood Elementary (2) – Frank Love Elementary (11) – Hollywood Hills Elementary (1) – Inglemoor High School (2) – Kenmore Elementary (1) – Kenmore Middle School (7) – Maywood Hills Elementary (2) – North Creek High School (6) – Ruby Bridges Elementary (1) – Secondary Academy for Success (1) – Shelton View Elementary (7) – Skyview Middle School (10) – Sunrise Elementary (4) – Timbercrest Middle School (9) – Westhill Elementary (5) – Woodin Elementary (1) – Woodinville High School (7) – Woodmore Elementary (9)
None
Local Districts Scorecard
In the Lake Washington School District, new quarantines were announced at Ben Franklin and Robert Frost, while the number of quarantined students at Kamiakin Middle School grew to 140, 24% of the student body. Several classrooms are now fully virtual, moving the school over into the closure column.
It is important to note that quarantined does not indicate widespread infection. To date, none of the area schools we are following have reported a significant outbreak of COVID cases that has been transmitted in school or at school activities.
Kirkland-Bellevue-Woodinville
King County Public Health updated the vaccination rates by zip code, with the numbers improving throughout the region. The northern half of Kirkland continues to lag behind the rest of the local area.
King County COVID vaccination rates – at least one dose – by zip code as of September 13, 2021
Zip Code
Percent vaccinated, at least one dose, 12 and older
98155
92.7%
98028
89.2%
98011
88.7%
98034
86.0%
98033
92.6%
98072
91.6%
98052
>95.0%
98004
>95.0%
98039
94.3%
98005
>95.0%
98007
89.9%
Vaccination rates for those 12 and older by zip code – at least one dose
National Round-Up
Johns Hopkins University Cumulitaive Case Tracker does not reflect nationwide data on Monday due to the way states report their information.
Irresponsible headline of the day – 57% of hospitalized COVID patients are asymptomatic or have mild symptoms
The Atlantic is grabbing headlines with a story out this afternoon, Our Most Reliable Pandemic Number is Losing Meaning. There is a lot that is problematic with this story and the interpretation of a study released today. The study, The COVID-19 Hospitalization Metric in the Pre- and Post-vaccination Eras as a Measure of Pandemic Severity: A Retrospective, Nationwide Cohort Study, is a pre-print non-reviewed study. The study includes a list of prestigious and respected doctors from the Veteran’s Administration and Tufts University.
For those who only read headlines (and the coming misinformation memes), there are many things to consider that the story in The Atlantic did not.
COVID patients, even when asymptomatic or mildly sick, require additional safety protocols for hospital staff. This takes up time, equipment, and personal protection equipment. This would be the same protocols for patients with other infectious diseases such as a measles outbreak. The critical difference is the scale of the number of COVID positive patients coming into hospitals.
The report only analyzed patients in the Veteran’s Administration, which is heavily male, and does not include pediatric patients. The VA demographics are not representative of the United States population.
The report study period ended in June, before the surge in Delta cases.
The study did not control for patients who required oxygen therapy before being admitted to a VA hospital, a condtion that is more common among veterans than the general population.
The VA has a policy of testing all patients for COVID regardless of what they come into the hospital for. That is not reflective of all hospitals in the United States.
Not all severe cases of COVID are admitted to a VA hospital, and those cases aren’t included in the data.
The report concludes, “Consideration should be given to updating the definition of COVID-19 hospitalizations to improve differentiation between hospitalization caused by COVID-19 and those associated with detection of SARS-CoV-2 through the addition of straightforward and objective measures of disease severity.”
After reaching a peak of 2,890 COVID-19 inpatients on Sept. 1, the state’s hospitals are starting to see a steady fall in the number of coronavirus patients.
As of Monday, hospitals were down to 2,474 patients being treated for the virus, according to the latest data from the Alabama Department of Public Health. It’s not clear to what extent the drop in hospitalizations is due to deaths or discharges.
By Monday, the state health department reported 210 COVID-19 patients in Alaska hospitals — the most ever. Thirty-three of them were on ventilators.
Health care officials have also cautioned that the true number of hospitalizations is likely even higher because the state’s data doesn’t include some long-term coronavirus patients, reported the Anchorage Daily News.
Hospitals in Anchorage had no remaining ICU beds on Monday.
Police have confirmed they are investigating a report of a hate crime and battery that occurred in the city last week, but they declined to disclose further details.
The Wells Fargo employee asked the man to wear a mask, and he responded aggressively. When he offered a mask to the customer, he started rummaging through the file cabinets and drawers of the bank, forcing employees to threaten to call the police.
The man then threatened the employee, calling him a racial slur and finishing with, “I better not catch you outside.”
When the bank closed at 5:30, the man was waiting for the banker and assaulted him in the parking lot. The employee fought back, and as a coworker called the police, the attacker fled. He was chased for a block, and as police arrived, scrambled over a fence.
“It’s crazy,” he added. “The guy went home, he plotted, he laid in wait, he ambushed me. And he called me a ‘sp–.’ I’m thinking, ‘Gosh, you know, he completely escalated on his own. He didn’t like the idea of having to wear a mask.’”
Speaking in Alachua County, DeSantis said government agencies in violation could potentially face millions of dollars in penalties.
“We are gonna stand for the men and women who are serving us. We are gonna protect Florida jobs,” DeSantis said. “We are not gonna let people be fired because of a vaccine mandate.”
Cases started climbing in late June and finally topped out toward the end of August. At that point, the state averaged more than 9,200 new cases a day. The average dropped by almost a thousand a week later.
Georgia never surpassed January’s surge that topped out at an average of nearly 11,000 new cases a day, but the state did almost double the peak from July 2020 of less than 4,700.
Health experts questioned whether traveling and get-togethers over the Labor Day weekend would keep cases climbing. The holiday still falls well within the two-week preliminary data window, so the state is still counting tests from that time.
Idaho’s 2,713 new cases, which included the weekend, brought the state’s seven-day moving average for new daily cases to 1,400. Hospitalizations hit a record high on Friday, with 626 patients hospitalized with COVID-19 statewide.
The Panhandle and North Central Health Districts in Idaho continue to operate using “crisis standards of care.” We strongly recommend not to travel to Idaho during this time of medical crisis. Any health emergency requiring hospitalization could result in you receiving inadequate care.
Illinois
We reported last week about Veronica Wolski. A well-known figure in the Chicago area for her sign waves over an expressway, last week it was widely reported that she was in the hospital with COVID.
Veronica Wolski in a Chicago area Staples refusing to wear a face mask, and on BIPAP therapy at a Chicago area hospital
Wolski died on Sunday night to the outrage of the QAnon community, disgraced lawyer Lin Wood, and former national security advisory Michael Flynn. According to her supporters, she had requested to be treated with ivermectin, and the hospital has refused.
A harassment campaign led by Wood and Flynn flooded the hospital with phone calls and e-mails.
Disgraced lawyer Lin Wood’s statement on the death of Veronica Wolski
Wolski was a passionate supporter of Bernie Sanders starting in 2014, campaigning vigorously for the Vermont Senator. When Sanders failed to get the nomination from the Democratic Party, she became despondent and starting following the QAnon conspiracy.
North Carolina
The Union County Public School Board voted Monday morning to end COVID-19 contact tracing and quarantining for non-positive students and staff.
That means students can go to school even if they have come in close contact with someone who is COVID-positive. The only people who have to stay home are those who have tested positive or have symptoms.
The School Board released a statement after the decision was made.
“At the Sept. 13 Special Called meeting, the Union County Board of Education voted effective immediately, to halt all staff responsibilities regarding contact tracing and quarantining for students and staff, except as required by law. The statutory authority of managing contact tracing and quarantining is that of Union County Public Health.
“As required by law, school nurses, administrators and school staff will continue to address positive, presumptive or confirmed cases of COVID-19. All students and staff who do not have a positive COVID-19 test or symptoms, should return to school or work immediately.
“If students or employees have the following symptoms: fever or chills, sore throat, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, new loss of taste or smell, sore throat, congestion or runny nose, nausea, diarrhea and vomiting, headache, they should stay home, stay away from others and call their health care provider.
“Students and employees who have been isolated due to a positive case or COVID-19 symptoms, should not report to school or work until they have completed 10 days of isolation, symptoms have improved and fever free for 24 hours without fever-reducing medication.
“Face coverings are still optional for students and staff in Union County Public Schools.”
“The hospital is full,” said Rex Director of Emergency Services Kim Boyder. “We are like 90% or greater capacity in the hospital. So that means we also get backed up in the ER. So that means we need additional space for not only the volume but some of the boarding.”
Although COVID-19 related hospitalizations have declined since Friday, 93% of Oregon’s hospital beds for adults are full, and there are just 62 adult intensive care unit beds available in the state.
Between Friday and Sunday, health officials say there were 32 deaths due to COVID-19. To date, the state’s death toll since the start of the pandemic is 3,446.
Oregon is in the midst of its worst COVID-19 surge since the start of the pandemic — which health officials say is fueled by unvaccinated people and the highly transmissible delta variant.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) Hospitals in Eastern Washington continue to struggle with more officials warning they are running out of staff and resources. Counties with higher vaccination rates have fewer new COVID cases, while counties with low vaccination rates run out of options.
There were more COVID cases in all three school districts we are monitoring, including Peter Kirk Elementary and an expansion of quarantined students at Juanita High School and Kamiakin Middle School.
The Washington Federation of State Employees overwhelmingly approved a compromise agreement with Washington in support of the Governor’s vaccine mandate.
The Proud Boys and Patriot Prayer ignored a court order barring protests within one mile of Vancouver, Washington schools. The same organizers of the ongoing Vancouver protests have an event scheduled in Woodinville on September 25.
New data from the CDC shows that Moderna is the vaccine winner against the Delta variant and provides a hint on why the Johnson and Johnson vaccine has all but disappeared.
Reactions to announcements made by the Biden Administration yesterday are following partisan lines to the surprise of no one.
Finally, you probably heard about a study that indicated that 85% of men who take ivermectin become infertile. A study that we haven’t mentioned until right now. We cover that one in our misinformation section.
Although COVID cases remain on a plateau statewide, counties with lower vaccination rates have more new cases per capita.
Percent of Total Population Fully Vaccinated
Average 14-Day New Case Rate (unadjusted)
50.00% or above (12 counties)
517.8
40.00% to 49.99% (17 counties)
697.2
27.30% to 39.99% (10 counties)
828.5
14-Day New COVID Cases per 100K average by Vaccination Rate, Not Adjusted for Population
In the South Central Hospital Region, which includes Benton, Franklin, Klickitat, Walla Walla, and Yakima counties, new cases are 844.9 per 100K people.
Through September 9, Washington’s statewide 14-day rolling average was 508.0 COVID cases per 100K. Clallam (1,008.2 per 100K), Columbia (1,075.3 per 100K), Franklin (1297.0.0 per 100K), Lincoln (1049.5 per 100K, Okanogan (1,001.6 per 100K), and Stevens (1,060.5 per 100K) reported an extreme number of new cases. Counties in the 800.0 to 999.9 per 100K range include Asotin, Benton, Chelan, Cowlitz, Douglas, Grant, Lewis, Pend Oreille, and Yakima. Garfield County dropped to 764.0
King County is at 301.1 cases per 100K, statistically unchanged from yesterday.
The Washington State Department of Health reports a data backlog for test positivity, with the published number 14 days old. According to Johns Hopkins University Medicine, the positivity rate for the last 30 days is 13.73%, and over the previous 7 days, 13.84%. These numbers indicate the state is under testing, and testing locations are becoming overwhelmed in the hardest-hit counties. The rate of hospitalization was flat to down across all age groups.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
28.3 (up)
0.1
Ages 12-19
22.0
0.2
Ages 20-34
50.4 (down)
1.2 (down)
Ages 35-49
45.2
2.8
Ages 50-64
33.2
3.8 (down)
Ages 65-79
16.6
3.8 (down)
Ages 80+
5.1 (down)
1.6
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 agreement provides an additional leave day, a retirement option, vaccine access and education on work time, and a fair, equitable, and consistent process for employees seeking a medical or religious exemption.
“Our union was able to achieve what we set out for—a victory for public health and due process,” said WFSE President and Psychiatric Social Worker Mike Yestramski.
State employees have until this Sunday to get their first dose and comply with the October 18 deadline to be totally vaccinated. Although the Johnson & Johnson vaccine could be received as late as October 4 to meet the deadline, the supply of the single-dose vaccine is low.
Patriot Prayer, Proud Boys, and activists ignore protest injuction in Vancouver
Multiple groups protested at Skyview High School in Vancouver in defiance of a court order restricting protests within one mile of any school in the city. Skyview High School parents received an e-mail informing them of the multiple protests planned. The school district added security and was “coordinating with the Clark County Sheriff’s Office.”
E-mail message sent to Skyview High School parents warning of new protests by anti-vaccination and anti-government groups
Members of Patriot Front, the Proud Boys – including Tusitala “Tiny” Toese, and the Washougal Moms protested on school grounds and across the street. Police did not intervene to enforce the court order. The group then left to protest at the home of Clark County district judge Suzan Clark’s home. Social media posts and a website listed the judge’s address publicly, and on Telegram, there were calls to come armed to her home. Protesters arrived at the published address this afternoon to find that it wasn’t the residence of Judge Clark.
The Group Wake Up Washington calling for a protest at a District Judge’s home to protest a court order
The group that organized the planned protest at the judge’s home also organizes anti-vaccination protests across Washington state, including upcoming area protests in Seattle, Marysville, and Woodinville. The Seattle Truth Network, in coordination with Wake Up Washington, is planning an anti-vaccination event on September 25 at Rooster’s Bakery and Cafe in Woodinville.
Palmer Davis of La Center is behind the announcement to protest at the judge’s house yesterday. Davis ran for a city council seat in La Center last month, receiving 4.68% of the vote in a 4 candidate field.
The anti-vaccination and the anti-government movements are intersectional, with Open Schools USA, Wake Up Washington, and Washougal Mom’s have embraced support from right-wing organizations. In a study released on August 27, the Proud Boys were among the top three factions in the country that brandished firearms at protests, and Patriot Prayer was among the top ten. The same study found that 25% of the events that the Proud Boys showed up at descended into violence.
Travel Advisories
We recommend avoiding all travel to Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with the state of Idaho. Hospital resources in these regions are so constrained that you may receive inadequate care if you experience a medical emergency.
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!
The research data was collected from 187 hospitals and 221 emergency departments and urgent care clinics. The nine states utilized were selected because the Delta variant accounted for at least 50% of the laboratory-confirmed COVID cases at the start of the study period. Researchers examined confirmed COVID cases among 32,867 adults 18 and over, and vaccination status was confirmed using electronic records and immunization registries. For the study, a person was considered fully vaccinated 14 days after they received their final dose.
The median age of an infected person was 43 years old, and the median age for an individual hospitalized was 65. The study did not take into account factors such as weight, race, community COVID restrictions or mandates, or comorbidities.
The study found that the Moderna vaccine was the most effective against the Delta variant, followed by Pfizer and Johnson & Johnson. For the Johnson & Johnson vaccine, some of the data is concerning.
Vaccine
Effectiveness Against Delta Variant
Effectiveness Against Hospitalization
Johnson & Johnson
65%
60%
Moderna
92%
95%
Pfizer
77%
80%
All Vaccinated Individuals
82%
86%
CDC Study on vaccination effectiveness against the Delta variant – September 10, 2021
The study does have several limitations. Overall vaccine effectiveness and how much immunity declines over time have not been fully evaluated, and the time between being completely vaccinated before testing positive was not considered. The study did not account for partial vaccinations, with data included in the unvaccinated group. Lastly, although the study uses a significant population sample, the findings are likely too narrow to apply to the entire United States.
The federal government stopped the distribution of the Johnson & Johnson vaccine in June of this year, and doses are very hard to find. This report provides some insight into why the one-dose vaccine has fallen out of favor.
King County, Washington is reporting over 84% 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.
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, 22.4% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 89.6% of capacity statewide, with 34.1% of ICU patients fighting COVID, a small increase compared to yesterday.
The new hospital admission rate for COVID patients is 176 per day on September 7. The Department of Health reported there were 1,755 COVID patients statewide and 261 on ventilators.
Yesterday, we reported that at least one hospital in Yakima was having to ration care and warned they were close to crisis standards of care. In Colville, Mount Carmel Hospital is full, and more than half of the patients have COVID.
“Stevens County today has 14. When you think about only having 25 beds or less in critical access,” Peg Currie, the chief operating officer at Providence Healthcare, explained. “Imagine what the emergency rooms are like, the waiting lists are like, to try to get into a higher level of acute care.”
Officials in Spokane County held a press conference today, reporting a record number of COVID and total patients in the hospital.
As of Friday morning, 150 patients with COVID-19 are hospitalized at Sacred Heart and Holy Family Hospital in Spokane, and 95% are unvaccinated, Providence COO Peg Currie said during the press conference.
“It’s not a record that we wanted to break, but we have broken that,” Currie said. “Many of these [patients] are in our ICUs, and everybody that is in the Sacred Heart and Holy Family ICU now on a ventilator is not vaccinated.”
The age group that Providence is seeing the most in its hospitals is 40 to 50 years old, Currie said, which is much younger than previously hospitalized patients.
– Kamiakin Middle School (94) – Juanita Elementary (1) – Juanita High School (37) – Peter Kirk Elementary (2) – Thoreau Elementary (4)
– Mark Twain Elementary – 2nd-grade class (multiple confirmed cases)
Northshore
YELLOW
– Arrowhead Elementary (1) – Bothell High School (18) – Canyon Creek Elementary (10) – Canyon Park Middle School (4) – Crystal Springs Elementary (5) – East Ridge Elementary (2) – Fernwood Elementary (2) – Frank Love Elementary (9) – Hollywood Hills Elementary (1) – Inglemoor High School (1) – Kenmore Elementary (1) – Kenmore Middle School (10) – Maywood Hills Elementary (2) – North Creek High School (11) – Ruby Bridges Elementary (2) – Shelton View Elementary (6) – Skyview Middle School (11) – Sunrise Elementary (1) – Timbercrest Middle School (6) – Westhill Elementary (5) – Woodin Elementary (1) – Woodinville High School (6) – Woodmore Elementary (9)
None
Local Districts Scorecard
The number of students moving to quarantine expanded at Juanita High School and Kamiakin Middle School in the Lake Washington School District. Parents were notified that 29 at Juanita High and 13 at Kamiakin had close contact with a positive COVID case. Additionally, parents at Peter Kirk Elementary were notified that 2 students had been put into quarantine due to a COVID exposure.
Multiple school districts throughout Western Washington are reporting COVID cases, including Shoreline and Edmonds.
Yesterday’s announcement by the Biden Administration’s mandating the COVID vaccine for most federal employees and contractors, and requesting OSHA to implement a program that mandates vaccination or weekly COVID screening at companies with 100 or more employees, is being met with fierce resistance along partisan lines.
The governors of Arizona, Indiana, Georgia, Montana, South Carolina, Tennessee, and Texas vowed to fight the looming OSHA rules in court. During a visit with first lady Jill Biden to a middle school in Washington D.C., the president was asked his message to Republicans who decry the vaccine mandates as federal overreach and plan to challenge them in court.
“Have at it,” Biden said. “We’re playing for real here. This isn’t a game.”
Nome’s hospital doesn’t even have any COVID-19 patients, but it still faces “a COVID problem,” as Dr. Tim Lemaire, a family practitioner and member of the Norton Sound Health Corp. incident command team, put it. “We don’t have COVID here, but we can’t get our regular patients … care because of COVID everywhere else.”
Trying to move patients with heart attacks, strokes, or injuries from four-wheeler accidents, Norton Sound Regional Hospital sometimes has to call three or four facilities to find an open bed, at least once moving a patient all the way to Seattle to get them into an ICU.
State officials say rural hospitals throughout the state are suddenly facing unheard-of medical situations because they’re holding patients they’ve never had to before.
Brian Ritchie, the state’s health emergency response operations manager, helped a rural hospital find oxygen supplies after COVID-positive patients on high-flow therapy ran through existing cylinders faster than expected.
The district hasn’t experienced a single outbreak during the first month of instruction. Officials define an outbreak as “three or more cases in non-related households in which the source of infection occurred at the school, and not another setting.”
The San Francisco health department also emphasized that vaccinations “are our best defense to protect children,” noting most pediatric cases of COVID-19 in the city came from unvaccinated adults in a household getting the virus and spreading it to unvaccinated children.
“The difference between this wave and all past waves is that Coloradans have returned to their normal lives,” Bookman said. “Those who have been vaccinated have been given the opportunity to go out and live their lives. What comes with that is additional cases of trauma, additional heart attacks, additional strokes – we have seen people who have delayed receiving care over the course of the pandemic because they were afraid to go to their doctor. And this is all coming together with the increase in COVID hospitalizations at this point to really stress our health care system.”
Colorado’s hospitals report that 81% of those hospitalized in the state are unvaccinated, and 85% of recent COVID deaths were unvaccinated, said Herlihy.
DeSantis’ press secretary Christina Pushaw tweeted: “(First) District Court of Appeals just granted the State of Florida’s request to reinstate the stay — meaning, the rule requiring ALL Florida school districts to protect parents’ rights to make choices about masking kids is BACK in effect!”
Yesterday, a Brevard County School Board meeting was far more subdued than the August 30 meeting that made national headlines. While things were quieter outside, a crowd of over 20 people gathered to burn masks. A counter-protestor with a megaphone, a Firehouse Subs helmet, and a fire extinguisher lectured them about fire safety and threatened to put out any fire they lit.
Megan Alexandra Blankebhiller of Jacksonville, Florida, arrived in a hospital emergency room on August 13. As she waited to be seen, she shot a short Tik Tok video, where the screams of another person could be heard in the background. The screams were coming from a person who had lost a loved one in another area of the emergency department.
Blankenbiller, who was 31 and unvaccinated, was admitted to the hospital with COVID. She made a series of videos appealing for her followers to get vaccinated from her bed as her condition declined.
“I shouldn’t have waited,” she said in the video, which has been viewed nearly 900,000 times. “If you are even 70% sure that you want the vaccine, go get it. Don’t wait. Go get it because hopefully, if you get it, you won’t end up in the hospital like me.”
By August 20, Blankenbiller was in critical condition and on a ventilator, and she died shortly thereafter. Blankenbiller’s sister, Cristina Blankenbiller, told WebMD in an interview that their family had agreed to get vaccinated, including Alexandra, shortly before she became ill.
Idaho
The Panhandle and North Central Health Districts in Idaho continue to operate using “crisis standards of care.” We strongly recommend not to travel to Idaho during this time of medical crisis. Any health emergency requiring hospitalization could result in you receiving inadequate care.
Illinois
Veronica Wolski was well known in the Chicago area for producing videos and harassing retail employees and people wearing masks. In one video, she walked through a Staples, wearing a “Lone Ranger” style mask, telling the manager who asked her to wear a mask that she has one on and has a medical condition that exempts her.
Veronica Wolski in a Chicago area Staples refusing to wear a face mask, and on BIPAP therapy at a Chicago area hospital
Wolski is hospitalized with COVID at Ressurection Medical Center in Norwood Park, Illinois. According to her supporters, she has requested to be treated with ivermectin, and the hospital has refused. Wolski was known in QAnon circles. Her situation has drawn the attention of disgraced attorney Lin Wood and former National Security Advisor Michael Flynn (have we mentioned lately how the anti-vaccination and the anti-government movements are intersectional).
“At AMITA Health, our first priority is the health and safety of our patients. Our physicians and clinicians follow the full guidance of the FDA and the CDC in the treatment of COVID-19. And while AMITA Health Resurrection Medical Center has received hundreds of phone calls and emails associated with one patient’s care, we have simply and respectfully noted the concerns shared.”
The largest peer-reviewed study on the effectiveness of ivermectin in treating COVID so far indicated that the anti-parasitic provided no benefit compared to a placebo. For hospitalized patients, it made them sicker.
Hospitalizations peaked at 1,178 COVID-19 cases on Sept. 1, and critical care resources remain under extreme strain, with roughly half of all intensive care units in the state filled with COVID-19 patients who are largely unvaccinated.
“It looks like we are seeing the flattening of cases that we had hoped for,” said Peter Graven, Ph.D., lead data scientist in OHSU’s Business Intelligence unit. “However, we are still projecting it will be a very long time before hospitalization levels return to more manageable levels.
Tennessee
Tennessee High schooler Grady Knox’s passionate plea for the health of himself and others was mocked earlier this week at a Rutherford County Board of Education meeting, a scene that has drawn national attention.
Knox was ridiculed, even laughed at, Tuesday evening by some in the school board meeting audience when he said his grandmother died of COVID-19 after being exposed to a person without a mask.
Knox’s grandmother lived at Adams Place retirement community in Murfreesboro before she died of COVID-19.
One of the persons who heckled Knox was quickly identified as Erika Casher, a nurse who had spoken at other school board meetings. It was reported today that Casher was terminated from her position with Cigna.
Texas
Karra Harwood of Baycliff, Texas, is mourning the death of her 4-year old daughter, Kali Cook, who died of COVID. Harwood, who is unvaccinated, had become sick and was confirmed to have on Monday. After her diagnosis, she isolated herself from her family.
Later that evening, Kali’s grandmother noticed she was sick, and at 2 a.m. found that she had a fever. At 7 a.m., she was found dead in her bed. An autopsy confirmed that Kali also had COVID.
“She was so funny and sassy,” said Karra Harwood, Kali’s mother. “She wasn’t your average little girl. She’d rather play with worms and frogs than wear bows. She was just so pretty and full of life.”
Harwood said she didn’t want people to think of her daughter as an anonymous statistic through sobs Thursday. She wanted people to know who her daughter was.
“I would rather her be a name than just a little girl,” she said. “She was beautiful.”
“I was one of the people that was anti. I was against it,” she said. “Now, I wish I never was.”
Misinformation
A lot of schadenfreude has been spilled in the news on social media after a 2011 study on the Effects of Ivermectin therapy on the sperm functions of Nigerian onchocerciasis patients reemerged. The study found that 85% of men who took ivermectin to treat onchocerciasis (river blindness) suffered from low sperm count and poor sperm quality, rendering them infertile.
The story was widely published, and tonight, many media outlets are retracting the story. We never highlighted this piece of news, and we’re labeling the claim as misinformation.
The problems with the study are numerous. First, it only involved 37 men, which is a very small sample size. Researchers wanted to include more people in the study, but many were disqualified because they already had low sperm count and/or low sperm quality.
The men took ivermectin for 11 months to treat active river blindness, which is longer than almost anyone taking human or animal formulations of ivermectin as a preventative or treatment for COVID (no, it doesn’t do either).
The study found that 85% of the men they observed over the 11 months had poor sperm quality and/or count, rendering them infertile. The study didn’t account for other potential factors, which may have been very likely given so many test subjects were rejected before the study was done because they were already functionally infertile.
Misinformation cuts both ways, and you should always consider your own personal biases when consuming information and deciding what is fact and fiction.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) Hospitals in Eastern Washington are in a state of collapse with oxygen running low and open discussion of having to move to crisis standards of care. Our Pacific Northwest neighbors in Idaho and Alaska continue to see cases and hospitalizations rise, while Oregon is seeing numbers decline. The updated IHME forecast also paints a bleaker picture for the Evergreen State.
Northshore School District was stable for new cases, while Bellevue moved into status yellow and Thoreau Elementary in Lake Washington reported a new case, and 4 quarantined. Microsoft decides to pause the reopening of U.S. offices indefinitely as Delta continues to surge.
Governor Inslee announced a statewide mask mandate for outdoor large events and fielded questions on why the state isn’t moving to restrict capacity at restaurants, bars, and other venues.
The Clallam County health officer is receiving threats after requiring vaccination verification in restaurants in bars. School officials in Vancouver, Washington had to get an emergency court order against the Proud Boys, Patriot Front, and Open Schools USA. This wasn’t the only COVID-related violence in the United States in the last couple of days.
The Biden Administration announced a long list of measures that will require as many as 100 million to get vaccinated and enable additional safety protocols.
We explain religious exemptions and dive into misinformation about the COVID vaccine and convicted felon Robert O. Young who pretends to be a doctor.
We have good news in Mississippi in Texas tonight – so it isn’t all gloom and doom.
Through September 8, Washington’s statewide 14-day rolling average was 511.6 COVID cases per 100K. Clallam (1,029.0 per 100K), Columbia (1,123.1 per 100K), Franklin (1,328.0 per 100K), and Okanogan (1,027.1 per 100K) reported an extreme number of new cases. Clallam and Okanogan counties broke 1,000 per 100K again, and Franklin County’s 1,328.0 per 100K is one of the highest infection rates we have ever seen. Counties in the 800.0 to 999.9 per 100K range include Asotin, Benton, Chelan, Cowlitz, Douglas, Garfield, Grant, Lewis, Lincoln, Pend Oreille, Stevens, and Yakima.
King County is at 302.2 cases per 100K, nearly unchanged from yesterday.
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 48 deaths yesterday. There may be delayed reporting in that number from the holiday weekend. Still, the dramatic increase of Washingtonians on ventilators that started last week is probably running its course.
Governor Inslee mandates masks at large outdoor events
In a press conference today, Governor Jay Inslee announced that Washington was expanding its existing mask mandate to include large outdoor events. The new rule, which will go into effect on September 13, requires anyone 5 or older to wear a mask, regardless of vaccination status, at outdoor events with more than 500 people.
The new mandate mirrors existing rules already implemented in King and Pierce counties. Additionally, everyone is encouraged to wear a mask outdoors if they are in an area where social distancing and free movement are challenging or impossible.
The governor stated, “We have no plans to do that. We are not considering doing that,” after being asked why the state was not implementing capacity restrictions for bars, restaurants, and other venues.
Dr. Umair Shah, the Washington State Secretary of Health, added, “we have that tool today. Vaccines and that is the tool we are using today.”
When asked if Washington was considering a statewide vaccine passport, Governor Inslee said, “It is not something that is going to happen in the next couple of days, but we are looking at it.”
Clallam County Health Officer receiving threats after restaurant and bar vaccination requirement
Dr. Allison Berry, the Clallam County Health Officer, expressed fear for her safety and refused to go into her office due to threats and harassment after implementing a so-called vaccine passport requirement at bars and restaurants last week.
“It’s been really scary,” said Berry. “It’s certainly affected my life, the way I take care of my child, the way I try to guarantee both of our safety, and the way I do my job,” Berry told KING5 news.
The Clallam County Sheriff’s Office is investigating a few of the comments made toward Berry but said, at this time, none are in criminal violation of the law.
While people are trying to instill fear, Berry said she stands by her decision.
“I think for me, it’s important not to let people who would threaten public officials win,” said Berry.
After the failure of the January 6 insurrection, right-wing and white nationalist groups have been aligning themselves with the anti-vaccination movement. Matt Braynard, who is leading the Justice for J6 rally in Washington D.C. on September 18, is aligned with Del Bigtree of ICAN. Bigtree produced the movie Vaxxed and was a speaker at the Stop the Steal rally on January 6.
Violent incidents were reported in Texas, Michigan, and Missouri in the last 24 hours.
Judge issues emergency order in Vancouver, Washington to protect students
Last Friday, the Proud Boys joined other protesters in Vancouver, Washington, forcing three schools into lockdown while harassing students and faculty and attempting to enter the school building. The protest was caused by misinformation spread by an anti-vaccination and antimask advocate, who claimed a student would be arrested at Skyview High School for refusing to wear a mask. Many of the same people who protested on Friday were in Olympia Saturday at an event that devolved into multiple people being attacked and a shooting.
The same person who organized the protest last week in Vancouver posted on social media on Tuesday, calling for another protest at Skyview High School. This morning, Clark County District Judge Suzan Clark granted an injunction prohibiting protests, rallies, or other gatherings.
The injunction requires that “protests, rallies, gatherings on or near school premises that disrupt educational services, immediately cease and desist and not be allowed to convene on or within a one-mile radius of any Vancouver School District building or grounds.” The injunction is effective as long as state-issued mask mandates are in effect.
“Our district understands and supports free speech and the right for people to be involved in peaceful protests,” said Superintendent Jeff Snell. “However, our first priority is to ensure student and staff safety and an educational environment free of disruption. This responsibility prompted us to present our concerns to the court.”
Former prosecutor and criminal defense attorney Angus Lee penned a warning letter to Clark County Sheriff Chuck Atkins and Chief James McElvain advising them not to make an”invalid arrest.” Lee’s letter is inflammatory and includes transphobic rhetoric while accusing the Clark County Sheriff of providing carte blanche to Black Live Matters protesters last year.
Gabriel made news last year as an 8th grader in Oregon, where she was involved in protests demanding the return of in-person instruction, and she is listed as a co-founder of Open Schools USA, along with Michelle Morales-Walker. The group attended an anti-vaccination mandate in McMinnville, Oregon, on September 6.
IHME forecast for Washington state gets bleaker
The IHME updated the forecast for Washington state through December 1, and the situation has gotten bleaker. The model now forecasts 8,864 COVID deaths total by December 1 if the state continues on its current trajectory. Fatalities are forecasted to peak on November 2.
Hospital resources are projected to peak next week but stay at that high state until October. More concerning, the model predicts the state may be at a peak for new cases now but shows cases increasing again in November to even higher levels than the current peak.
If everyone wore a mask, we could save 1,000 lives, according to the model.
Travel Advisories
We recommend avoiding all travel to Yakima, Klickitat, Benton, Franklin, and Walla Walla counties, along with the state of Idaho. Hospital resources in these regions are so constrained that you may receive inadequate care if you experience a medical emergency.
Thank you
Thank you to our new subscribers and those of you who have made one-time contributions. On behalf of the entire team, thank you for helping us keep the lights on!
No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks
Vaccination
With vaccination mandates growing nationwide, and the anti-vaccination movement shrinking in numbers, some people are applying for a religion-based vaccine exemption. This raises the question, Which religions shun vaccination as part of their tenets.
The short answer is none of the major religions, nor their branches have an anti-vaccination doctrine. There are a few sects, mostly aligned with Christianity, that have an established theological objection. That includes Dutch Reformed, Faith Tabernacle, Chuch of the First Born, Faith Assembly, and End Time Ministrie.
In Islam and Judaism, only the strictest adherents are against vaccines that specifically use porcine gelatine – an ingredient not found in any version of the COVID vaccine.
Additionally, the Church of Christ, Scientist, which strongly encourages members to rely on faith and prayer for healing, does not have an official doctrine against western medicine or vaccinations.
Anyone who has already applied for an exemption claiming to be a member of the Jehovah’s Witnesses should expect it to be denied. It is a common misconception the religious group is against vaccination, but that hasn’t been a tenet since 1952. In an article published in 2011, the group provided a list of health recommendations, including encouraging vaccination.
King County, Washington is reporting over 84% 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.
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, 22.3% of all acute care patients hospitalized in Washington have COVID. A hospital system caring for this many COVID-positive patients in acute care is considered to be under “severe stress.” ICUs are at 88.8% of capacity statewide, with 34.3% of ICU patients fighting COVID, unchanged from yesterday.
The new hospital admission rate for COVID patients is 188 per day, indicating that the state has caught up on reporting over the weekend. The Department of Health adjusted the number of total COVID patients reported on September 7 slightly down to 1,740 but increased the number of people on ventilators to 268. On September 8, there were 1,767 patients and 260 on ventilators.
In today’s press briefing, Dr. Shah said that balance loading at hospitals was “challenging,” and they were asking healthcare partners “to defer elective procedures.”
“We can’t do this alone. This isn’t about me. This is about the we,” he pleaded.
The University of Washington Medicine was only performing day surgeries unless they were trauma or critical care related. In some cases, patients were waiting in the operating room for an hour before being moved to the PACU or ICU at some hospitals.
“You see these lists of people who want care from your (hospital), and you have to make them wait – that’s heartbreaking,” Currie said.
Providence has formed patient placement committees to triage patients at most risk for a higher level of care and decide what smaller hospitals can handle.
In Yakima, the situation is worse with Yakima Memorial Valley Hospital rationing care, low on oxygen, and patients leaving the waiting room without being seen. Recently the internal demand for oxygen rose so high an entire unit was push beyond capacity. The lines that deliver oxygen can freeze if the flow exceeds design, cutting off the supply to all patients.
Dr. Marty Brueggman said the hospital was moving closer to “crisis standards of care” and gave a stern warning.
“They may decide that we don’t have the resources to care for you and your chance of survival is low, so we’re not gonna ask if you want to resuscitate or not. We’re just not gonna be able to do it.”
Yesterday we shared a statement from the Washington Department of Health and information from the Washington State Hospital Association. The official plan in Washington state is not to let an individual hospital go to crisis standards of care. If all resources are exhausted statewide, either the worst impacted region or the entire state would move to so-called black tag triage.
– Kamiakin Middle School (81)) – Juanita Elementary (1) – Juanita High School (8) – Thoreau Elementary (4)
– Mark Twain Elementary – 2nd-grade class (multiple confirmed cases)
Northshore
YELLOW
– Arrowhead Elementary (1) – Bothell High School (12) – Canyon Creek Elementary (4) – Canyon Park Middle School (4) – Crystal Springs Elementary (5) – East Ridge Elementary (2) – Fernwood Elementary (2) – Frank Love Elementary (2) – Hollywood Hills Elementary (1) – Kenmore Elementary (1) – Kenmore Middle School (19) – Maywood Hills Elementary (2) – North Creek High School (8) – Ruby Bridges Elementary (1) – Shelton View Elementary (6) – Skyview Middle School (12) – Sunrise Elementary (1) – Timbercrest Middle School (6) – Westhill Elementary (4) – Woodin Elementary (3) – Woodinville High School (4) – Woodmore Elementary (9)
None
Local Districts Scorecard
With Bellevue School District reporting 10 confirmed COVID cases, it moves to Yellow on the scorecard. Lake Washington reported a confirmed COVID case at Thoreau Elementary, while Northshore adds to the list of schools with quarantined students. The number of quarantined people at Skyview Middle School dropped by more than half today, in a positive sign.
Microsoft notified employees and vendors today it has indefinitely delayed their return to U.S. offices until the uncertainty around the trajectory of COVID is clearer.
“Given the uncertainty of COVID-19, we’ve decided against attempting to forecast a new date for a full reopening of our U.S. work sites, [sic]” Jared Spataro, a corporate vice president, wrote in a blog post.
Microsoft had planned to have workers return in October. Other area tech companies that have delayed a return to the office include Google and Amazon. Amazon and Microsoft have a large presence in Bellevue, and Google has a 54-acre campus in Kirkland.
National Round-Up
Johns Hopkins University Cumulitaive Case Tracker 176,710 new cases and 2,146 COVID-related deaths on Thursday.
“In light of the public health guidance regarding the most effective and necessary defenses against COVID-19, I have determined that to promote the health and safety of the Federal workforce and the efficiency of the civil service, it is necessary to require COVID-19 vaccination for all Federal employees, subject to such exceptions as required by law.”
The mandate would extend the existing order to the US military and healthcare workers who provide services at facilities that accept Medicare and Medicaid to include 300,000 Head Start early childhood education and other federal education program employees.
The second executive order calls for Ensuring Adequate COVID Safety Protocols for Federal Contractors. The order does not specifically mandate vaccination for government contractors or their subcontractors but instead calls for the development of guidelines to assure that government contractors can fulfill their obligations.
“This order promotes economy and efficiency in Federal procurement by ensuring that the parties that contract with the Federal Government provide adequate COVID-19 safeguards to their workers performing on or in connection with a Federal Government contract or contract-like instrument.”
“These safeguards will decrease the spread of COVID-19, which will decrease worker absence, reduce labor costs, and improve the efficiency of contractors and subcontractors at sites where they are performing work for the Federal Government. Accordingly, ensuring that Federal contractors and subcontractors are adequately protected from COVID-19 will bolster economy and efficiency in Federal procurement.”
“Once again, President Biden has missed the mark. His outrageous, overreaching mandates will no doubt be challenged in the courts. Placing more burdens on both employers and employees during a pandemic with the rising inflation rates and lingering labor shortages is totally unacceptable.
“Alabamians have stepped up by rolling up their sleeves to get the covid-19 vaccine, increasing our doses administered significantly in recent weeks. We have done so without mandates from Washington D.C. or Montgomery. I’ve made it abundantly clear: I support the science and encourage folks taking the vaccine. However, I am absolutely against a government mandate on the vaccine, which is why I signed the vaccine passport ban into law here in Alabama. This is not the role of the government.
“I continue encouraging any Alabamian who can to get the covid-19 vaccine. We have a safe and effective tool at our fingertips, so let’s roll up our sleeves and get this thing beat.”
By Thursday, hospitals and ICUs around the state continued to report being at or near capacity as a surge driven by the highly contagious delta variant continues in Alaska. Facilities have reported that staffing shortages and limited bed capacity are their top concern and say they’re not sure how much longer they can continue operating under such high levels of stress.
“Emergency departments remain open for emergency, life-sustaining treatments, but they are very tight,” said Dr. Anne Zink, Alaska’s chief medical officer, during a call with reporters.
Critical cardiac, orthopedic, burn, and infectious disease patients normally would be transferred to Seattle once they are stable enough to travel. Yesterday, the Washington State Hospital Association told reporters that transferring patients was a major challenge within Washington and were “under no obligation” to accept out-of-state patients.
The mandate requires “COVID-19 vaccinations for all students who access in-person instructional programs operated on district facilities, who are 12 years of age and older.”
The plan requires students age 12 and older who participate in in-person extracurricular programs to have a first vaccine dose by Oct. 3 and their second no later than Oct. 31.
All other students aged 12 and up would be required to receive their first dose by Nov. 21 and their second by Dec. 19. Other students would have to receive their first dose no later than 30 days after their 12th birthday and their second dose no later than eight weeks after turning 12.
The outbreaks represent a total of 886 cases, 86% of which have been students. The number of K-12 outbreaks nearly doubled from the previous week when 42 were reported.
Georgia
Atlanta’s public safety-net hospital is the latest to temporarily cancel elective surgeries, saying it’s overrun with COVID-19 patients.
More than 5,900 people sickened by the respiratory illness are in Georgia hospitals. COVID-19 patient numbers have been hovering around a record 6,000 for more than a week.
While hospitals in Georgia teeter on crisis standards of care, Governor Brian Kemp tweeted he would fight the Biden Administration’s executive order.
“Let’s keep our fingers crossed because it looks like we are on the backend of this doggone delta wave,” said Dr. Thomas Unnasch, an infectious disease researcher at the University of South Florida who has been forecasting COVID-19 trends in our region since the beginning of the pandemic.
The seven-day rolling average of new COVID-19 infections in Florida peaked in mid-August at just under 21,800 and has been slowly declining ever since, according to Dr. Unnasch’s forecast models.
Idaho
The Panhandle and North Central Health Districts in Idaho continue to operate using “crisis standards of care.” We strongly recommend not to travel to Idaho during this time of medical crisis. Any health emergency requiring hospitalization could result in you receiving inadequate care.
While the 193 total hospitalizations in Maine is still shy of last winter’s peak numbers, the 74 patients in intensive care unit beds is the most to date. Additionally, 38 of those individuals – or roughly 20 percent of all hospitalizations – required ventilators to assist breathing.
New cases in Maine are now equal to the January 2021 peak and are continuing to climb.
Michigan
On Tuesday, a crowd of unmasked high school students backed by parents forced their way into Manchester High School.
Students at a school in Manchester, MI, instigated by parents, refuse to comply with the mask mandate and enter school. This is the next phase – school boards can enact policies, but someone also has to enforce them. pic.twitter.com/KLhqgUP8or
When questioned about how the mask mandate would be enforced, a sheriff’s deputy who was overseeing the situation said: “I’m not going to force anybody. I’m not putting masks on anybody. That’s not my job. This is a county health department order.”
Similar incidents happened at other schools in the district. These incidents do have consequences.
Like other states, Michigan is facing a staffing crisis in hospitals. Vaccine mandates aren’t a large factor at this time. Burn out, poor working conditions, and better pay as traveling nurses or on contract have skilled staff abandoning hospitals. As noted in the Vaccination Section, 88% of nurses and 96% of doctors are already vaccinated nationally.
“I am fatigued, and I am heartsick, and I’m tired of watching people suffer needlessly and die of a disease that could have been prevented by a simple and safe and effective vaccine,” Dr. Nicole Linder said. “I don’t want to watch my patients’ families suffer with the grief of this, and also the guilt if they played some role in their family member’s decision not to be vaccinated.
“The issues that we’re dealing with in caring for these hospitalized COVID patients that weren’t present during the earlier waves, I think, do create a new dimension of stress and sadness and fatigue for those of us on the front lines. You’re taking care of people who are dying that didn’t need to die.”
Jim Craig, senior deputy for the Mississippi Department of Health and Director of Health Protection, said the state is seeing a small improvement in hospital bed availability, but ICU capacity continues to be “very scarce.”
“The bed capacity for ICU space is effectively zero still in the state of Mississippi,” Craig said. Craig said the Department of Health has applied to extend the support of federal partners working at the Jackson and Biloxi Veterans Affairs hospitals, the 23-person Department of Defense military team at the University of Mississippi Medical center, and a group working on monoclonal antibody administration at the university.
A total of 1,660 people were hospitalized with coronavirus in Mississippi on Aug. 18, compared with 1,285 on Tuesday. A Johns Hopkins COVID-19 tracker showed that, as of Tuesday, Mississippi had the ninth-highest COVID-19 rate in the U.S. The state had 79.5 new cases and 1.3 deaths per 100,000 residents.
One man was handcuffed by a sheriff’s deputy after confronting a woman who used her cell phone to video record a group of parents who had gathered outside the Pleasant Hill High School auditorium, said Maj. Kevin Tieman, a spokesman for the sheriff’s office.
“There was an altercation between a couple of people out front of the school with a lady saying that she’d been harassed or assaulted by somebody else,” Tieman said. “She said they took her cell phone away from her.”
In June, Missouri Delta Medical Center in Sikeston posted on Facebook that it had just six people hospitalized with COVID-19. That number rose to 21 in July and 79 in August. The first six days of September saw 20 patients already, including six in intensive care and two on ventilators. None of the 20 patients were vaccinated, the hospital says.
The town of 16,000 residents about 145 miles sits in Scott and New Madrid counties. State tracking on Thursday showed those counties had the worst rates of new COVID-19 cases over the past seven days. Eight of the nine hardest-hit counties over the past week are in the southeastern corner of the state.
“The Delta variant seems to be causing more symptoms in children than the initial COVID variant,” said Dr. Michael Bigham, a pediatric ICU physician, and chief quality officer with Akron Children’s Hospital.
COVID-19 is not the only virus resulting in filled beds in children’s hospitals. Doctors said RSV is nearing a peak about two to three months earlier than usual.
“As soon as the masks went away, boom, there was RSV, even being in the middle of summer where RSV has no business being,” UH Rainbow Pediatric Infectious Disease Specialist Dr. Amy Edwards said.
She said the reduction in masking and the return to school are clear factors in the increasing spread of respiratory viruses.
“For the past several days, OHA has reported sharp increases in the daily deaths associated with COVID-19,” OHA Director Patrick Allen said in a statement. “This grim trend follows several weeks of record, or near-record, daily cases and hospitalizations. Oregonians should be prepared to see this tragic toll escalate dramatically in coming days and weeks.”
More than 1,000 people have died of COVID-19 in South Carolina over the last month. The statewide death toll is now 11,051.
DHEC also reported Thursday that 3,466 new cases came in from testing completed two days ago. That brings the state’s COVID-19 case count to nearly 780,000 since the beginning of the pandemic, according to DHEC.
As she trails behind Wolff, a masked H-E-B employee comes up to speak with her. “You’re a traitor, too,” she tells him, before turning her attention back to the judge.
“You’re going to go to jail. They’re going to hang you. Treason, crimes against humanity, Nuremberg trial. You’re going down,” the woman said. “You better enjoy your freedom while it lasts, buddy, and you got to answer to God.”
In better news, Flavia Souza, the Houston’s Museum District Child Care Center director, worked diligently and patiently to fight misinformation and vaccine hesitancy to convince the entire staff to get vaccinated. Instead of using incentives or mandates, she applied logic, education, and open dialog among her staff as more and more got vaccinated.
Today, the Fort Worth Independent School District was handed a legal victory when a judge with the Second Appellate District of Texas in Fort Worth sided with the school district – opening the door for Fort Worth ISD to bring back a mask mandate.
“At this time, there are no court orders or executive orders that are prohibiting the District from implementing a mask requirement,” Fort Worth ISD officials said.
Four hospitals in the rural and sparsely populated state have no ICU capacity left, while Ivinson Memorial Hospital in Laramie had only one bed.
Misinformation
There appears to be a fresh take in the misinformation department about the COVID vaccine containing graphene oxide. This is a super sciency document about the characteristics of the compound. The Reader’s Digest version is as a powder, graphene oxide is brown, and when suspended in a fluid, it is yellow. The COVID vaccines are clear, so there is an immediate problem with this conspiracy theory.
The second issue is the viscosity of graphene oxide. The accusation is the vaccination is made up of 99% of the stuff, but if that were the case, the injection would be in a solid-state. Even at just an 8% solution, the fluid would have the same density of axle grease or peanut butter.
The biggest issue with this conspiracy theory is its origin. The disinformation campaign comes from Dr. Robert O. Young, who double-downed on his claims as recently as August 27. There is a major problem. Dr. Robert O. Young isn’t a doctor. He doesn’t hold a master’s degree, an undergraduate, an associate, or even a vocational certificate. He has never had any education beyond graduating high school.
In 2018, as part of a settlement in a $105 million lawsuit, he agreed never to use the title of doctor again or make any claims of having any medical expertise. As a matter of fact, Mr. Young has been charged 21 times for practicing medicine without a license in Arizona, Utah, and California from 1995 to 2014.
In 2014 when he pleaded guilty, he had to state that he has no post-high school educational degrees from any accredited schools as part of the deal. Additionally, He stated he was none of the following: a microbiologist, a medical doctor, a hematologist, a naturopathic doctor, or a trained scientist.
Mr. Young offered a “pH Miracle Retreat” before he was shut down, which cost attendees $1,295 to $2,495 per night.
Journalists, activists, and researchers defending the First Amendment
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