Texas officials report the first Omicron related fatality in the United States
Editor’s Note: As a policy, Malcontent News does not quote or publish data from pre-print studies. The transmission rate of the Omicron SARS-CoV2 variant is so high it is spreading at a rate faster than the scientific review process. For this reason, we are using pre-print studies in our reporting and analysis for the Omicron variant. We will continue to backlink to all quoted sources to support transparency in reporting.
Updated: Story edited to report first Omicron death in the United States
[KIRKLAND, Wash.] – (MTN) Washington state moved back to high transmission risk for COVID as new cases fueled by the Omicron variant grew 32 percent over the weekend. The highly contagious variant was discovered in South Africa, spreading to over 90 countries in six weeks.
The United States was reminded how serious Covid-19 is this evening, with Texas reporting the first Omicron-related death in the nation. Judge Lina Hidalgo of Harris County, Texas, tweeted that a man in his 50s had died of Omicron. He was unvaccinated and had health issues. It is reported he was treated with monoclonal antibodies, which have been rendered ineffective against the Omicron variant.
The U.S. Centers for Disease Control (CDC) reported 73% of new COVID cases across the United States are the Omicron variant, swamping Delta cases. The World Health Organization estimated cases are doubling every 1.5 to three days.
The CDC estimates that Omicron is 90% of new COVID cases in the New York City area, the Southeast, the Ohio River Valley and Great Lakes states, and the Pacific Northwest. Omicron cases have been detected in 48 of 50 states, with Montana, Indiana, and Vermont confirming cases this afternoon.
On December 20, North Dakota, Montana, Indiana, and Vermont reported their first confirmed Omicron cases and Texas reported an Omicron-related death – Oklahoma and South Dakota lag the rest of the country in genomic sequencing of test samples
In Miami, lines of cars waited for hours to get COVID tests. Governor Ron DeSantis had boasted Florida had conquered coronavirus on Oct. 27, using data from the New York Times. On Monday evening, Florida reported more than 7,000 new cases a day, an increase of almost 300% in two weeks – second only to Hawaii.
The Washington State Department of Health (WSDoH) reported a sharp increase in COVID cases. The counties with the highest rates were distributed across Washington from the Olympic Pennisula to the Palouse. Only Wahikakum County reported low community spread on Monday.
Percent of Total Population Fully Vaccinated
Percentage of Vaccinated People with Booster Dose
Total Population in Group
Average 7-Day New Case Rate
70.00% or above
39.15%
2,343,250
170.1
60.00% to 69.99%
35.36%
1,669,300
136.0
50.00% to 59.99%
32.23%
3,339,300
111.6
40.00% to 49.99%
29.41%
268,975
77.6
32.70% to 39.99%
35.38%
151,850
85.5
7 Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County, Booster percentage is based on totally fully vaccinated, not eligible, Average 7-day New Case Rate <25 normal, =>25 to 99.9 moderate, => 100, high transmission
Federal officials believe the actual case count is much higher due to asymptomatic carriers and home testing, which isn’t reported to county and state health departments.
According to the University of Washington Virology Lab, the genomic sequencing of SGTF COVID test samples was 70% positive for Omicron on Dec. 16. Data provided by Pavitra Roychoudhury, MSc, Ph.D., of the University of Washington Virology Division, showed Omicron cases had been lab-confirmed in Benton, Franklin, King, Pierce, Snohomish, Thurston, Walla Walla, Whatcom, and Yakima Counties.
Researchers had looked at test samples as far back as Nov. 7 from Idaho, Oregon, and Washington.
Frustration was building on social media as Western Washington residents tried to find rapid COVID antigen tests, booster shots, and appointments for children 5 to 11 to get vaccinated. People waited for hours in long lines to get lab tested for Covid-19 and worried about travel plans as the time to get test results back grew past 72 hours.
Seattle Mayor Jenny Durkan announced that the Rainier Beach and West Seattle vaccination clinics will remain open for boosters and vaccinations into January 2022. Tests sites across the city run in cooperation with the University of Washington are expanding hours to try and meet growing demand. There are fixed test sites at Aurora, SODO, Rainier Beach, and West Seattle, as well as seven Curative kiosks placed throughout the City. In partnership with the City of Seattle, UW Medicine has also opened a site at City Hall, which is available to the public. Appointments are encouraged at all locations, and sites will be closed on Christmas Day.
Area hospitals are at capacity even though COVID hospitalizations are low
The number of hospitalized COVID patients in Washington has slowly dropped through December. The WSDoH reported there were 640 hospitalized Covid-19 patients on Sunday, and 81 were on ventilators. The numbers are significantly higher than the end of the Fifth Wave in late May, and area hospitals are already filled with non-COVID patients.
Data from the U.S. Health and Human Services (HHS) found regional hospitals have scant resources to manage another surge. Almost half of the regional hospital beds available are at Swedish on Broadway in Seattle and St. Joseph’s Medical Center in Tacoma. The report indicated there were 730 beds available, but that includes resources for pediatric patients and neonatal incubators. Available ICU beds include NICU incubators, PICU beds, and critical care resources for post-surgical, transplant, trauma, and burn patients.
Hospital
City
Acute Care Total
Acute Care Available
ICU Total
ICU Available
Overlake
Bellevue
264
17
34
4
Swedish – Cherry Hill
Seattle
170
2
42
16
Seattle Children’s
Seattle
308
29
96
12
U.W. Medical Center
Seattle
641
58
139
98
Swedish – Broadway
Seattle
568
90
79
55
Harborview
Seattle
400
9
97
10
Virginia Mason
Seattle
238
20
33
13
EvergreenHealth
Kirkland
251
8
37
2
Swedish – Issaquah
Issaquah
100
8
30
26
Valley Medical
Renton
292
36
50
27
St. Anne’s
Burien
161
44
31
23
Swedish – Edmonds
Edmonds
173
14
9
5
Harrison Memorial
Bremerton
281
36
49
6
MultiCare
Auburn
138
31
16
1
St. Francis
Federal Way
155
45
15
1
St. Anthony’s
Gig Harbor
108
0
16
3
Providence
Everett
611
47
77
8
Tacoma General
Tacoma
310
-9
46
2
Mary Bridge Children’s
Tacoma
83
34
11
4
St. Joseph’s
Tacoma
573
234
76
14
Data is through December 9, 2021, as reported to the U.S. Health and Human Services for all hospitals with more than 50 beds and ICU resources within 30 miles of downtown Bellevue – acute care beds include adult, pediatric, and neonatal, ICU beds include NICU, PICU, and specialized critical care units for post-surgical, trauma, and burns
In a worrying sign from New York, officials reported on Monday night that while many people are experiencing breakthrough cases and having mild symptoms, unvaccinated individuals were 11 times more likely to be hospitalized.
More data released on vaccine and monoclonal antibody effectiveness against Omicron
In an announcement early Monday, Moderna said preliminary data from lab testing found that a booster of the currently available vaccine increased antibody levels to an effective level. The drugmaker said its currently FDA-approved 50 microgram booster increased neutralizing antibody levels 37-fold against Omicron and 83-fold with a 100 microgram “full dose” booster.
An independent study released last week that evaluated the effectiveness of the Pfizer, Moderna, and Johnson & Johnson vaccines had similar results. Vaccine effectiveness appears to be significantly impacted by how long ago someone received their final dose or booster. Multiple studies have found the Johnson & Johnson vaccine is significantly less effective.
Results from a study that reviewed the effectiveness of the Moderna, Pfizer, and Johnson & Johnson vaccines after three months, more than six months, with the previous infection, and with a booster. The Johnson & Johnson vaccine was evaluated using a Modern 50 microgram dose as a booster
A study from the U.K. found that relying on immunity from a previous COVID infection was only 19 percent effective against preventing symptomatic reinfection and 20 percent when relying on vaccination without a booster. The same study found that a booster dose increased protection by 50 to 85 percent. Overall the risk for reinfection was 5.4 times greater than Delta. The study done by the Imperial College of London used PCR test data from Nov. 29 to Dec. 11.
In New York, hospitalists at Mount Sinai Hospital were advised to stop administering monoclonal antibodies because they were ineffective against Omicron. The memo reported that most people seeking treatment had breakthrough infections with mild symptoms that didn’t warrant hospitalization.
Washington state is waiting for the first 552 doses of the monoclonal antibody sotrovimab. Granted Emergency Use Authorization (EUA) by the U.S. Food and Drug Administration (FDA) in May, it is the only remaining effective early treatment for Omicron in the United States.
Concern grows as the hopes of Omicron being “only a cold” fade away
South Africa officials reported 105 COVID-related deaths across the nation on Monday. The number of ICU patients has increased 144 percent since Nov. 25. Omicron appears to have peaked in Gauteng Province but continues to spread rapidly across the nation of almost 60 million.
United Kingdom officials reported another five Omicron COVID-related deaths, bringing the total to 12. Hospitalizations of children under 5 increased 39% week over week, and thousands of healthcare workers have been stricken with Covid-19 infections, causing staffing issues.
A study by the University of Texas Austin for the CDC was made public on Dec. 16. It looked at 18 different scenarios for the spread of Omicron. In ten of those scenarios, the healthcare system in the United States is overrun by patients.
President Joe Biden will address the nation on Tuesday to outline the administration’s new steps to aid states and communities while trying to curb the spread of COVID.
Yesterday, former President Donald Trump addressing a crowd of admirers in Dallas told the audience he had received his booster. A smattering of jeers and boos rippled across American Airlines Center.
“Don’t, don’t, don’t, don’t …” he said.
“There’s a very tiny group over there,” the former President added.
Editor’s Note: As a policy, Malcontent News does not quote or publish data from pre-print studies. The transmission rate of the Omicron SARS-CoV2 variant is so high it is spreading at a rate faster than the scientific review process. It is for this reason, we are using pre-print studies in our reporting and analysis for the Omicron variant. We will continue to backlink to all quoted sources to support transparency in reporting.
[SEATTLE, Wash.] – (MTN) Pavitra Roychoudhury, MSc, Ph.D., of the University of Washington Virology Division, reported 13% of tests samples submitted for genomic sequencing on Dec. 8 were positive for the Omicron variant. Tentative confirmation was made using an S Gene Target Failure (SGTF) test, with Dr. Roychoudhury indicating in a tweet that it will take a few days for genomic sequencing confirmation.
Using the data provided by the University of Washington, Omicron variant cases in Washington doubled every 24 hours from Dec. 6 to Dec. 8. The total number of new COVID cases being detected indicates that the Omicron variant is rapidly replacing Delta, not adding to confirmed cases at this time.
At @UWVirology, we continue to screen positive specimens using SGTF. Confirmation by sequencing usually lags by a few days, but we expect the majority of these SGTFs to be Omicron. If so, definitely seeing a rapid rise similar to reports from South Africa, UK, Denmark, etc. https://t.co/Qb1LrEdT6tpic.twitter.com/1d7Rheqoe6
If the rate of new case growth for Omicron continues at the current rate in Washington, it would be the fastest case growth rate observed to date. In South Africa and across the United States, Omicron cases have been doubling every three days. In the United Kingdom, cases have been doubling every two-and-a-half days and in Denmark, every two days.
Lancet Labs in South Africa started seeing an alarming number of PCR tests from the Gauteng Province missing the target S gene in mid-November. Lancet shared the findings with the Network for Genomics Surveillance in South Africa (NGS-SA), which called an urgent meeting on 23 November. “We were shocked by the number of mutations,” says Tulio de Oliveira in a report in Science, a virologist at the University of KwaZulu-Natal and NGS-SA’s principal investigator.
On Nov. 24, Dr. Alex Sigal of the Africa Health Institute received three test swabs with the Omicron variant and started growing the virus to test it against sera from vaccinated and recovered individuals.
On the same day, Lancet sequenced another 100 samples with the missing S gene, and all were positive for the newly discovered variant. The South Africa Department of Health sent their findings to the World Health Organization (WHO) on Nov. 24, and Omicron was labeled a Variant of Concern (VOC) on Nov. 26.
Nevada became the most recent state to report an Omicron variant COVID case on December 14
Preliminary data has emerged over the last week on transmissibility, treatment efficacy, and vaccine effectiveness for Omicron.
A study out of South Africa published on Dec. 2, found that Omicron was 2.5 to 3.5 times more transmissible than Delta. The study, which has not been peer-reviewed, indicated the Rt, a measure of how quickly a communicable disease can spread, is between R12 and R17, which is comparative to measles. On Dec. 8, Hiroshi Nishiura, professor at Kyoto University released a study that found Omicron is 4.2 times more transmissible than Delta with an Rt of R20. If additional research were to find this true, the Omicron COVID variant would be the most transmissible disease observed in the modern medicine era.
Eleven studies and reports, none of which have been peer-reviewed, have been published on vaccine effectiveness in the last 10 days. Studies have evaluated the Pfizer, Moderna, Johnson and Johnson, and AstraZeneca vaccines.
Studies that reviewed the effectiveness of the Pfizer vaccine found that the effectiveness of preventing symptomatic illness dropped from 80% to zero to 35%, depending on the study. Very limited real-world data out of South Africa from Discovery Health released today showed that the Pfizer vaccine was only 33% effective at preventing infection.
The same study found that the Pfizer vaccine was 70% effective at preventing “severe complications of Covid-19,” down from 93% with the Delta variant.
Dr. Peter English, Retired Consultant in Communicable Disease Control, Former Editor of Vaccines in Practice, past Chair of the BMA Public Health Medicine Committee had this to say about the findings.
“Two doses of vaccine are 70% effective at preventing hospitalization. They are not ineffective, but they are much less effective than the 90-95% protection that two doses provided against hospitalization. With a highly infectious variant, this still risks a catastrophic number of hospitalizations.”
Researchers evaluated the sera from 239 vaccinated healthcare workers in the Boston area. The study found that for the Moderna and Pfizer vaccine, more than 50% of individuals had no neutralizing antibodies three months after vaccination. The Moderna vaccine showed a 43-fold decrease in antibodies while the Pfizer vaccine had a 122-fold decrease. The Johnson and Johnson vaccine performed better against the Omicron variant versus Delta but had significantly reduced effectiveness versus the original COVID strain.
For individuals who had a prior Covid-19 infection and then got vaccinated more than six months ago, the Moderna vaccine had a 9-fold decrease in neutralizing antibodies, the Pfizer vaccine had a 12-fold decrease, and the Johnson & Johnson vaccine had a 17-fold decrease.
The study also found an mRNA booster within the last three months provided a significant increase in neutralizing antibodies but did not provide the same level of protection versus the Delta variant. The samples from the Johnson and Johnson test subjects were all boosted with a half-dose of the Moderna vaccine.
Two studies on disease acquired immunity found that protection declined significantly compared to previous variants. A study published on Dec. 2 out of South Africa, which has not been peer-reviewed, found that protection against Omicron dropped 240% for individuals who were previously infected by the original strain, Beta, or Delta, and had never been vaccinated. Another study released on Dec. 9 reached a similar conclusion, and in an alarming find, reported up to 40% of individuals who had a previous Delta infection were experiencing reinfection with Omicron. The Delta wave ended on Sep. 19 in South Africa, suggesting it took less than three months for protection to wane.
Scientists, public health officials, and policymakers have been attempting to determine if Omicron is less severe than the Delta variant. The study released from Discovery Health today reported that Omicron was 29% less severe than the original COVID strain.
“Without seeing a preprint or the report on which this press release is based it is difficult to get a clear understanding of the validity of these conclusions,” said Prof. Paul Hunter, Professor in Medicine at the University of East Anglia and a member of the National Institute of Health Research in the U.K. “If these are valid conclusions then there are both reassuring and worrying findings. The report that reinfections are more common with Omicron has already been published and the evidence is strong that Omicron can increase the risk of infection in people who have already had a COVID infection.”
Other experts warned against reading too much into the Discovery Health report.
Dr. Simon Clarke, Associate Professor in Cellular Microbiology, University of Reading, said, “This press release outlines preliminary observations of Covid-19 in South Africa during the first three weeks of the wave of infections caused by the Omicron. It shouldn’t be forgotten that in the UK, during the initial epidemic there was a 5-week gap between the first diagnosis and the first death. A situation report taken in those first few weeks would not have given us an accurate picture of what was about to happen, so we shouldn’t expect these preliminary indications to be a portent of how the Omicron epidemic will play out here.”
The Centers for Disease Control (CDC) provided detailed information on Dec. 10 about the first 43 Omicron variant cases detected in the United States. The report found that one person required hospitalization and was released after two days. Almost 60% were 39 years old or younger and 33% had recently traveled internationally. Forty of the 43 cases were vaccinated or had a previous COVID infection. Among the 34 who were vaccinated, 14 had received a booster.
Officials believe the high infection rate for vaccinated individuals has created a data fallacy. International travelers are more likely to be vaccinated, younger, and healthier and many were not eligible for a booster.
The Washington State Department of Health (WSDoH) reported 75.3% of all Washingtonians 12 and older are fully vaccinated and almost one in four children five to eleven have received their first dose of the Pfizer COVID vaccine. An estimated 3.5 million residents are eligible for boosters, but only 1.35 million have received one to date.
WSDoH reported the 7 day moving average for new cases is 1,333, and the statewide 7 day moving average new case rate is 83.5 per 100K residents – moderate transmission. The state has been averaging 650 to 700 hospitalized COVID patients a day, with roughly 100 requiring ventilators.
Statewide new admissions for COVID-related illness started increasing on Nov. 27, and through Dec 7. was averaging 92 new admissions a day. On Tuesday there were approximately 642 available staffed acute care and 144 staffed ICU beds throughout Washington.
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[KIRKLAND, Wash.] – (MTN) Health officials and researchers are in a race against time to unlock the secrets of the Omicron COVID variant and its potential impact on public health as more nations report discovered cases.
Washington state is one of the leaders in genomic sequencing of COVID tests samples in the United States, led by the University of Washington Medicine. Standard PCR tests can detect a marker for a potential Omicron variant. Omicron shares a mutation with the Alpha variant that the current PCR tests look for, enabling researchers to see if a specific spike protein has a deletion. That would become a probable case that would be tagged for confirmational sequencing.
President Joe Biden addressed the nation on Monday saying, “there are three messages about the new variant that I want the American people to hear. First, this variant is a cause for concern, not a cause for panic.”
The President went on to praise South African officials and their scientific community for, “the kind of transparency that should be encouraged and applauded.”
Currently, in Washington, 99.6% of new COVID cases are the Delta variant, and 0.4% are Mu. The last cases of the Beta, Epsilon, Eta, and Kappa variants were detected in June and the last cases of Gamma and Iota were in August.
“Omicron has an unprecedented number of spike mutations, some of which are concerning for their potential impact on the trajectory of the pandemic,” the WHO said in a statement today.
“The overall global risk related to the new variant …is assessed as very high.”
On Sunday, Dr. Angelique Coetzee told South Africa Today, “Most of these cases are mild whether they are vaccinated or not. There is no increase in our hospital admissions currently.”
Hospital admission for COVID-19 by week, South Africa Gauteng Province, Public and Private Hopsital, through November 28, 2021
Less than 12 hours later, the hospital admission data from the South Africa Department of Health painted a very different picture. In the previous week, COVID hospitalizations had increased 66% nationwide and 210% in Gauteng Province, the epicenter for Omicron cases. Two weeks ago 135 Covid-19 patients were hospitalized in and around Johannesburg jumping to 580 on Monday morning. Hospitalizations at public and private hospitals increased almost equally and officials at Baragwanath Hospital reported moderate to severe symptoms with almost all patients unvaccinated or partially vaccinated with the Pfizer vaccine.
Dr. Coetzee in her interview on Sunday went on to take a more cautionary position, “Two weeks from now we might say something different, but we urge…people out there please get vaccinated, listen, do the right thing, and stop going to big gatherings.”
She also added the unvaccinated should be worried, saying, “especially if you are above the age of 50, we have seen this many times.”
“There is a saying. You’re not safe until everyone is vaccinated.”
The 7 day rolling average for new COVID cases in South Africa grew to 2,275 on Monday, 90% of new cases are Omicron, and 10.8% of tests are coming back positive
The WHO appeared to address the reports from Dr. Coutzee and her reports on the severity of the new variant in a statement last night. “There is currently no information to suggest that symptoms associated with Omicron are different from those from other variants.”
The statement added, “Initial reported infections were among university students—younger individuals who tend to have more mild disease—but understanding the level of severity of the Omicron variant will take days to several weeks.”
Dr. Coetzee saw her first suspected Omicron variant patient on November 18 and has based her statement of symptoms being mild on two-dozen patients who are mostly university students and younger, and about 50% vaccinated. In an interview with the BBC on Thursday, she stated all were in good health with no comorbidities.
Although she is credited and has self-proclaimed to have “discovered” Omicron, the first detection of the B.1.1.529 variant was collected on November 9 in Botswana and confirmed by South African scientists on November 11. South African officials notified WHO on November 24, a day before Dr. Coutzee stated she contacted South African authorities on her observations.
Despite a lot of unanswered questions, a clearer picture is slowly starting to emerge. The three riddles scientists need to solve are how contagious Omicron is compared to the Delta variant, can it escape public health measures, preventions, and treatments, and if the symptoms are the same, worse, or milder than previous variants.
Here is what is currently known about the Omicron COVID variant.
Symptoms
For children, adolescents, and young adults there is conflicting information. One doctor is reporting mostly mild symptoms that can be treated at home while hospital officials are reporting cases are similar to Delta.
The WHO stated on Sunday, “There is currently no information to suggest that symptoms associated with Omicron are different from those from other variants.”
Transmissiblity
Concern is growing among the CDC, WHO, and a constellation of health officials that Omicron is highly transmissible. At least equal to Delta and possibly higher.
In less than two weeks, Omicron went from almost non-existent to 90% of new cases in South Africa. It appears it can effectively outcompete the Delta variant. However, this introduces bias in the data because the Delta wave had just ended in South Africa. Did Omicron become the dominant strain by outcompeting Delta or due to the absence of Delta? More research needs to be done to answer that question.
There are other variables that could explain the sharp increase in cases that go beyond the simple reproductive number, known as R0. Omicron has so many more mutations than previous strains, it could be benefiting from immune escape. Although the R0 is lower than Delta, its uniqueness compared to previous mutations enables it to reinfect people relying on natural immunity. So overall transmissibility may be lower than Delta, but its ability to escape immunity results in more infections.
Is it in the United States
Cassie Sauer, CEO of the Washington State Hospital Association said on Monday, “I think that there is almost no chance that it’s not [here.]”
The United States does not have a national standard or requirement to genetically sequence some or all COVID tests that come back positive. Those decisions are left up to individual states. It is likely that states with aggressive public health programs such as California, Washington, Colorado, New York, or Massachusetts will identify the first cases.
How long do researchers think Omicron has been circulating
Dr. Trevor Bedford from Fred Hutchinson in Houston, Texas successfully estimated the arrival of the original COVID strain in 2020, using data from the Washington State Department of Health. Using the same methodology, Dr. Bedford’s model indicates that Omicron likely started circulating between September 19 and October 21. There is no evidence to support that the variant originated in South Africa.
Credit – Dr. Trevor Bedford, Fred Hutchinson, Houston, Texas – probability of origin date for Omicron variant
Why are so many travelers testing positive
In total numbers, there aren’t many travelers testing positive. When you consider that in all but two cases the testing of 200 to 250 people on an aircraft has yielded one or two positives, the percentage of breakthrough cases is small. Headlines are blaring two positive cases detected, which is critical to know – they aren’t blaring 248 negative tests on 777 that landed tonight.
Because the people tested are 95% to 100% vaccinated, this creates a false data fallacy. You have an almost exclusive sample of vaccinated people.
In South Africa, the Department of Health has reported almost everyone hospitalized in the last two weeks is unvaccinated or only partially vaccinated. Dr. Coetzee reported 12 of 24 patients she cared for were unvaccinated.
Based on this early data, it appears the current vaccines remain at least moderately effective at preventing infection and remain very effective at stopping moderate to severe COVID.
Are the current vaccines ineffective
There isn’t enough data, and almost every public company making a vaccine announced over the weekend they were testing their current versions against Omicron. Pfizer, Moderna, and Johnson & Johnson announced over the holiday weekend they were testing to see if the current vaccines remained effective.
There is some data out of South Africa that is indicating that vaccines are helping prevent moderate to severe illness and the cases being detected among vaccinated travelers appear to be asymptomatic to mild. However, many of those cases were detected in the last 72 hours and more time is needed to see how these new cases will progress.
In Israel, the first three travel-related cases were fully vaccinated with boosters. One was Pfizer, one was J&J, and one was AstraZeneca. We know that the viral-vector vaccines haven’t performed as well against the Delta variant as the mRNA vaccines.
The evidence suggests that there is more vaccine escape with Omicron, but not outright vaccine ineffectiveness. It still appears to be preventing hospitalizations, which would indicate it would prevent deaths.
Pfizer said they could make a new version if required in 100 days and Moderna said it would take 60 to 90 days. Johnson & Johnson did not provide a timeline but made a statement today they could create an updated version if it was required.
There are some new COVID vaccines in development called subunit vaccinations. There has been no information about the impact Omicron will have on the research.
Is disease acquired immunity still effective
There is growing evidence that immunity gained from a previous COVID infection that isn’t supported by vaccination, is experiencing significant breakthrough numbers.
Researchers are working to determine if the sharp increase in the number of cases and the high positivity rate of tests is due to Omicron being equally or more transmissible than Delta, or if part of the increase is being driven by other factors.
The pattern of mutations found in Omicron is very distant from all previous strains.
Are monoclonal antibodies still effective
There is evidence that Omicron has a significant ability to resist monoclonal antibodies. Specific mutations may have the capability to not only bypass B cells but resist T cells (which isn’t the same as HIV which destroys your T cells).
UW Medicine is evaluating the performance of currently available antiviral treatments and we will know more information in the coming weeks.
Will the new antivirals that are pending approval still be effective
There was a report from Pfizer on Monday morning that Paxlovid is effective against the Omicron variant, which is very good news. This is easy to administer than monoclonal antibodies, easier to distribute, and cheaper.
Nothing has been stated about Monulpiravir from Merck. The FDA will be considering the EUA request this week but there are hints they will label Monulpiravir a Class C drug if the EUA is granted. A Class C drug can’t be used by pregnant women, women actively trying to get pregnant, and nursing mothers because the drug has not been tested to determine if it causes birth defects or pregnancy complications. The FDA has already requested data for Merck to understand the impact better.
What should I do
Health officials recommend you continue to do the same things you are doing now. Get vaccinated if you’re not already. Get a booster shot if you’re eligible, and over 2.4 million Washingtonians are currently eligible. Wear a mask, wash your hands, avoid crowded indoor spaces, and reconsider your short term travel plans if you were planning to fly.
[KIRKLAND, Wash.] – (MTN) World health officials are alarmed due to a new fast-spreading Covid-19 variant in South Africa causing the World Health Organization to hold an emergency meeting as Asian stock markets plunged and the Dow Jones futures dropped 735 points.
The new variant, so far identified as B.1.1.529 has not been named, but the WHO is expected to assign it a name today, likely the Nu variant.
The variant was first detected in Botswana but has quickly spread in South Africa and two travel-related cases have been confirmed in Hong Kong. Botswana officials stated the four detected cases are among fully vaccinated individuals. in South Africa, cases are increasing rapidly in Gauteng Province, home to Johannesburg and one of the largest air travel hubs on the continent. In the span of a week, new cases went from a cluster to growing so fast scientists believe it has achieved community spread.
Officials in the U.K. are taking no chances. Health Secretary Sajid Javid announced that six African nations – South Africa, Namibia, Zimbabwe, Botswana, Lesotho, and Eswatini – have been placed on the red list, placing strict rules on air travel.
Starting on Friday, any non-UK and Irish residents will be banned from entering England if they have been in the red list countries in the last ten days. Beginning Sunday, British nationals who have been in those countries will be required to quarantine upon entry. Additionally, health officials in the UK are asking anyone who has traveled to the impacted regions to get a PCR test as soon as possible.
South Africa’s Foreign Minister Naledi Pandor said the travel restrictions “seems to have been rushed,” in a statement where he expressed concern over the impact on tourism and business.
Israel and Singapore joined the U.K. early on Friday and added Mozambique to their travel restriction lists.
New case rate growth is much faster than Delta, which indicates the potential for a very high R0, or “r-naught,” which is the measure of how transmissible a communicable disease is. In little more than two weeks, B.1.1.529 has grown to almost 90% of all detected cases in South Africa.
According to Johns Hopkins University, only 24.11% of South Africans are fully vaccinated which would aid a new variant to spread unchecked. Health officials in South Africa and with the WHO are concerned that the new variant is circulating more widely than current data suggests.
The B.1.1.529 has more than 50 mutations, which is significantly higher than any other viable variant previously seen. More than 30 of those alternations are changes to the spike protein, which is the mechanism that enables the SARS-CoV-2 virus to identify hosts cell and is the primary target of the body’s immune response.
B.1.1.529 has more than twice the number of mutations as the Delta variant
In a report published by the Journal Nature, Penny Moore, a virologist at the University of Witwatersrand in Johannesburg, indicated that computer models suggest not only does B.1.1.529 have mutations that are already known to aid in evading an immune response from B cells but could fool the body’s T cells.
B cells do the yeoman’s work of fighting virus infections, but have a shorter memory and can be tricked by a smaller set of mutations. T cells are the second line of immune defense with better memory and capabilities to spot mutations. When T cells identify a threat that was initially missed, they summon B cells to aid in the response. This is how disease acquired and vaccine immune response works. If the new variant is capable of evading T cells then the benefits of vaccine immunity would be reduced and disease acquired immunity could be rendered ineffective.
Disease acquired and vaccine immunity works the same. Antibodies bind to the spike proteins preventing the virus from entering cells so it can replicate. If the antibodies can’t bind to spike mutations and the mutations still enable the SARS-CoV-2 virus to identify host cells, the virus can spread inside the body unchecked causing a Covid-19 infection.
Another challenge is if these findings are accurate – the new variant may be capable of outmaneuvering monoclonal antibodies – blunting a critical early treatment.
One mutation is helping scientists track the spread of the new variant. A specific mutation to the spike protein enables researchers to identify the variant through a standard PCR test instead of waiting for genomic sequencing.
Currently, there are more questions than answers. Researchers know the new variant is spreading rapidly in South Africa and causing a new surge. What is not known is if the rapid spread is being driven by a mostly unvaccinated population or because it is more transmissible. It also is not known if the new variant causes equal, more severe, or mild illness. There is no data about the capability the new antivirals Molnupiravir and Paxlovid could have in fighting B.1.1.529.
It is important to note that Beta, Gamma, and Mu were previous variants found to have high resistance to vaccine and disease acquired immunity but weren’t very transmissible. All three variants faded out because Delta was more contagious. In the simplest terms, Delta outbred the other variants. A key requirement for a new variant to spread rapidly would be the capability to outrun Delta.
Most important of all, there is no concrete scientific evidence that B1.1.529 is evading viral vector or mRNA-based vaccines. Previous variants have taken months to identify while this one was found, sequenced, and placed under investigation in a matter of days.
No cases have been detected in North America or any United States territories.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) New cases and hospitalizations are down and vaccination rates are up across the Evergreen state but for 9,028 Washingtonians progress came too late as the state crossed another grim milestone.
New cases continue to drop statewide and the Washington State Department of Health (DOH) reported 80% of all residents 12 or older have received at least one dose of the Covid-19 vaccine. Despite the success, Washington ranks about 14th nationally for the most vaccinated population. The DOH also reported that hospitalizations are down significantly from last week.
A report from the DOH indicated that children and adolescents in Eastern Washington have the highest incidents of Covid-19 infections in the state during the last two weeks of October.
Kaiser Peramente reported 828 Washington residents received an expired dose of the Moderna vaccine between October 25 and 27 and they are reaching out to impacted patients. If you have concerns you can call (206) 630-2080.
State Senator Doug Ericksen (Ferndale-R) reported he had COVID and was stuck in the Latin American nation of El Salvador. Ericksen, who has tried to block vaccination programs is reported to have flown out of the country by air ambulance tonight.
Locally, King County has updated how they report vaccination rates to include children 5 to 11 and the initial data is very encouraging. In the Bellevue-Kirkland-Woodinville region along with the supporting school districts, first dose vaccination rates ranged from 81.7% to 95.0% for all residents. In little more than a week, 18.5% to 35.5% of children 5 to 11 got their first dose of the COVID vaccine, depending on the zip code they live in.
Covid-19 cases in the Bellevue, Lake Washington, and Northshore School Districts remain under control.
Nationally, Dr. Anthony Fauci has called for boosters for all and the states of Arkansas, California, Colorado, New Mexico, West Virginia, along with New York City decided not to wait for FDA authorization. The DOH reported they will continue to follow existing federal guidelines.
When it comes to boosters, Mr. T. (yes, that Mr. T.) pity the fool who doesn’t get their booster shot. The 69-year old actor and former wrestler got his booster shot on November 13.
Pfizer has formally requested for Emergency Use Authorization from the FDA for the antiviral drug Paxlovid. In Phase 2 and 3 testing and when combined with another HIV drug, Paxlovid reduced hospitalizations by 89% for people infected with COVID, if taken within the first five days of early symptoms.
The Centers for Medicare and Medicaid Services announced new guidelines for residents of nursing homes. The sweeping changes essentially eliminates all visitation restrictions at any facility that receives federal funding.
In other national news, a Connecticut nursing home is reporting an outbreak of Covid-19 sickened 89 and killed eight. A grieving Georgia husband is accusing a school district of working his COVID positive wife to death because she didn’t have any sick time left. Brad Little, governor of Idaho got his Covid-19 booster and shared it on Twitter as the Gem State enters the third month under crisis standards of care. COVID cases are exploding in Maine, Minnesota, and Pennsylvania while hospitals in Alaska, Colorado, and Montana continue to struggle with resources.
A Texas doctor has had their privledges suspended for sharing COVID disinformation, while a doctor turned legislature in Maryland is facing disciplinary action for prescribing invemectin. In Michigan, a third lawmaker is facing criminal charges for groping a nurse practioner while seeking a prescription for his COVID infection.
The Washington State Department of Health has updated the vaccination rate data, shifting the brackets again. With 31.8% of the total population vaccinated, Stevens County remains the least vaccinated county in Washington while San Juan County at 74.5% is at the top of the pile.
Several counties with higher case rates moved into new brackets on Monday. We start to see a decline in these numbers at 55% vaccinated so some of the anomalies in the data will shift in the next 7 to 10 days. The least vaccinated counties are rural and largely agricultural. With the end of farming and harvest season and poor weather, people are congregating less often.
There remains a significant difference between lower-vaccinated counties and counties where at least 70% of the total population is fully inoculated.
Percent of Total Population Fully Vaccinated
Total Population in Group
Average 14-Day New Case Rate
70.00% or above (3 counties)
2,343,250
166.6
60.00% to 69.99% (4 counties)
1,242,200
323.2
50.00% to 59.99% (17 counties)
3,664,000
302.3
40.00% to 49.99% (9 counties)
375,575
362.5
31.80% to 39.99% (6 counties)
151,850
300.3 (down)
14-Day New Covid-19 Cases per 100K average by Vaccination Rate for Total Population, Adjusted for Population by County
Through November 15, Washington’s statewide 14-day rolling average is 267.0 Covid-19 cases per 100K.
Chelan, Douglas, Grant, Klickitat, Lewis, Lincoln, Skagit, and Spokane counties have new case rates between 400.0 and 599.9. Cowlitz, Mason, Pend Oreille, and Stevens counties were just under 400.
Fourteen counties representing 3.14 million Washingtonians have a 7 day moving average case rate under 100.
The 7 day new case rate and hospitalization rate has decreased from last week.
Age Group
7-Day Case Rate
7-Day Hospitalization Rate
Ages 0-11
118.9
0.9
Ages 12-19
113.8
0.7
Ages 20-34
120.1
2.7
Ages 35-49
126.6
5.4
Ages 50-64
90.8
9.4
Ages 65-79
62.6
14.1
Ages 80+
70.3
22.5
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 56 deaths on Monday. As of Monday, 9,028 Washingtonians have died from Covid-19 related illness.
IHME forecast points to a sixth wave and 13,530 Washingtonians dead by March 1
The updated IHME forecast points to a sixth wave for Washington with hospitalizations peaking on February 3, 2022. Although the forecast model shows a significant increase in confirmed cases, hospitalizations would not exceed the fifth wave that is currently winding down, and mortality is projected to be much lower due to the high vaccination rate.
If everyone in Washington were to wear a mask, the IHME model predicts we could save 1,500 lives.
Many hospitalists have reported they would not be capable of handling the stress and trauma of another wave, and feel unsupported by the community.
80% of Washingtonians 12 and above have received at least one dose of Covid-19 vaccine
The Washington State Department of Health reported 80.0% of Washingtonians 12 and older have received at least one dose of the Covid-19 vaccine, and 73.9% of the state is fully vaccinated.
According to the Mayo Clinic and through November 7, Washington state ranks eleventh in the United States for children ages 12 to 17 fully vaccinated, ninth for adults 18 to 64, and eight for seniors 65 and older.
When you consider at least a single dose, Washington drops to 14th place for children ages 12 to 17, 14th for adults 18 to 65, and in a 32-way first-place tie for seniors 65 and older.
The red-blue political divide is also strong in the data. Among children 12 to 17 and adults 18 to 64 the first red state is Utah in 19th place. For seniors over 65, Washington is tied with 31 other states that have achieved >99% vaccinated.
Vermont leads for the most vaccinated adolescents while Massachusetts leads with the most vaccinated adults and seniors.
Over 800 Kaiser Peramente patients received expired Moderna vaccine doses
Kaiser Permanente is contacting 828 patients across Washington state that were inadvertently given expired doses of the Moderna vaccine between October 25 and October 27. Both Kaiser Permanente and Moderna have stated that there is no impact on patient safety or efficacy.
“After consultation with Kaiser Permanente clinical experts, there is no evidence that the vaccine administered is ineffective or unsafe,” according to a statement from Kaiser Permanente. “Our clinical experts do not recommend a repeat vaccine dose for patients who were administered these doses.”
Patients with questions about their vaccines can call (206) 630-2080.
Eastern Washington children have the highest case rate in Washington
Education Service District (ESD) 101 encompasses Adams, Ferry, Lincoln, Pend Oreille, Spokane, Stevens, and Whitman Counties and had a 14 day new case rate of 569.5 per 100,000 children and adolescents.
King and Pierce Counties comprise ESD 121 and had a new case rate of 303.1 per 100,000. The lowest rate in the state was on the Olympic Peninsula, known as ESD 114 with a new case rate of 290.0.
Although severe COVID is uncommon in children and adolescents, Mary Bridge Hospital in Tacoma reported that 40% of their hospitalized Covid-19 patients in September developed MIS-C, which can be fatal.
There is little Information about long COVID among children and adolescents and most studies available currently are highly flawed. Among the limited studies that are credible, there isn’t significant evidence that long COVID symptoms last more than 12 weeks among pediatric patients.
State senator Doug Ericksen who fought against vaccine mandates infected with Covid-19 in El Salvador
Washington State Ultra-Conservative Freedom Caucus creator state senator Doug Ericksen (Ferndale-R) reached out to his Washington legislature allies requesting assistance after becoming Covid-19 positive in El Salvador. Ericksen was in the Latin American country as an election observer when he tested positive for COVID.
“I took a trip to El Salvador and tested positive for COVID shortly after I arrived. I cannot get back home, and it’s to the point that I feel it would be beneficial for me to receive iv monoclonal antibodies (Regeneron).”
Over 60% of the residents of El Salvador are fully vaccinated, however, hospitalized treatment for Covid-19 is mostly limited to comfort care and oxygen therapy. Ericksen has not shared if he is vaccinated, nor did he share if he was attempting unproven therapies such as Ivermectin, zinc, Vitamin C or Vitamin D, which would be available.
On October 19, Ericksen called for the resignation of Governor Jay Inslee (WA-D) due to the statewide vaccine mandate.
“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.”
On November 1, Ericksen indicated he would try to reintroduce Senate Bill 5144, which would “prohibit discrimination against those who are not vaccinated.”
“Washington state is number one in government coercion, but I don’t think that is an honor the people of Washington want,” Ericksen stated. “This is a natural result of a system that allows the governor to declare an emergency and then keep his sweeping emergency powers as long as he wants.”
There is an unconfirmed report that Ericksen was flown out of El Salvador on an air ambulance today.
Travel Advisories
We are lifting the travel advisory to Eastern Washington. Hospital resources and new case rates have dropped to a level where there are adequate medical resources to support a health emergency.
Due to severe flooding and strained hospital resources, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.
We continue to advise to avoid all nonessential travel to Alaska, Colorado, Idaho, and Montana. Hospital resources in these states remain constrained, and you may receive inadequate care if you experience a serious medical emergency.
Finally, we continue to recommend to avoid recreational travel to Wyoming. The situation continues to improve but hospital resources remain constrained. Wyoming transfers critical patients to Colorado and Utah, and both states have limited to no capacity to take transfer patients.
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!
“To me, if you want to get to endemic, you have got to get the level of infection so low that it does not have an impact on society, on your life, on your economy,” Fauci said. “People will still get infected. People might still get hospitalized, but the level would be so low that we don’t think about it all the time and it doesn’t influence what we do.”
To get there, he said, would take a lot more people rolling up their sleeves for initial COVID-19 shots and boosters.
If the United States makes boosters available for everyone, it is possible the country can get control of the virus by spring of 2022, Fauci added.
Editor’s Note: Although we agree with Dr. Fauci, we believe it will be near impossible to convince the remaining 62 million American adults who are unvaccinated, to get vaccinated.
Get Your Booster
If you are eligible for a Covid-19 booster shot Malcontent News strongly encourages you to not delay getting your second or third dose. It is fast, free, and easy. There is growing evidence that the half-life of Covid-19 vaccines is six to ten months, and the half-life for so-called natural immunity is 5 to 7 months.
According to the Washington State Department of Health, through November 7, 675,000 residents have received their Covid-19 booster. Over 1.8 million adults in Washington have a BMI of 25 or higher or are older than 65.
King County, Washington is reporting over 83.5% of age eligible residents are vaccinated with at least one dose. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA has provided full approval of the Pfizer vaccine for anyone 16 and over and EUA approval for the Moderna and Johnson & Johnson vaccines. The Pfizer vaccine has EUA approval for children 5 to 15 years old.
COVID vaccines and boosters are free for anyone 5 and older. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
There has been significant improvement for Hospital Readiness across Washington state except on the Olympic Peninsula. Many hospitals have restarted elective procedures and seasonal illness has returned to Washington state, adding to the overall patient load.
According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 12.8% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 621 additional acute care patients.
ICUs are at 88.4% of capacity statewide, with 20.0% of ICU patients fighting Covid-19 – an estimated 236 patients with 44.9% on ventilators. The state has the staff to support approximately 153 additional ICU patients.
On Tuesday, the 7-day rolling average hospital admission rate for new COVID patients was 84. The Department of Health reported 830 Covid-19 patients statewide with 106 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%
School Readiness
School District
Status
Less than 10 Active Cases
10 or More Active Cases
Bellevue
GREEN
– Bennett (1*) – Bellevue (1*) – Clyde Hill (1*) – International (1*) – Lake Hills (2*) – Newport Heights (1*) – Puesta del Sol (1*)
None
Lake Washington
YELLOW
– Alcott (3*/11) – Audubon (1*/7) – Blackwell (2*/3) – Carson (1*/3) – Clara Barton (4*/24) – Eastlake High (1*/17) – Ella Baker (2*/4) – Evergreen Middle School (1*/0) – Finn Hill Middle School (5) – Inglewood Middle School (5**/34) – Juanita High (1*/12) – Kamiakin Middle School (2*/27) – Kirk Elementary (3*/13) – Kirkland Middle School (1*/10) – Lakeview Elementary (1*/1) – Lake Washington High School (3*/7) – McAuliffe (2*/6) – Northstar Middle School (12) – Redmond High School (1*/12) – Renaissance Middle School (1*/6) – Rose Hill Middle (1*/7) – Rush Elementary (3*/0) – Sandburg/Discovery (1*/4) – Smith Elementary (1*/9)
None
Northshore
YELLOW
– Arrowhead Elementary (1*1) – Bothell High School (3*/13) – Canyon Creek Elementary (5**/18) – Canyon Park Middle School (1*/1) – Crystal Springs Elementary (3*/13) – Eastridge Elementary (0/3) – Fernwood Elementary (2*/3) – Frank Love Elementary (0/10) – Hollywood Hills Elementary (3*/0) – Inglemoor High School (5**/2) – Kenmore Middle School (2*/3) – Kokanee Elementary (1*/1) – Leota Middle School (2*/1) – Maywood Hills Elementary (3*/5) – Moorlands Elementary (0/5) – North Creek High School (2*/10) – Northshore Middle School (1*/22) – Ruby Bridges Elementary (2*/6) – Shelton View Elementary (0/2) – Skyview Middle School (0/1) – Sunrise Elementary (1*/4) – Timbercrest Middle School (0/5) – Wellington Elementary (0/3) – Westhill Elementary (3*/3) – Woodin Elementary (3*/7) – Woodinville High School (4*/2) – Woodmoor Elementary (3*/3)
None
Local Districts Scorecard – * indicates positive cases only ** indicates 5 or more confirmed positive cases – (x*/y) x is positive cases and 7 quarantined, quarantined does not include positive cases
We redefined the school district statuses. Information for classroom and building closures has been a challenge to obtain, both for closures and reopening. We are adopting moving any school with more than ten active COVID cases reported into the red, and we’ve adjusted the third column to reflect this change.
Based on reader feedback, and improvement in the data we are receiving, we have adjusted how we are reporting data. The Lake Washington and Northshore School Districts are now reported as (X*/Y) or (X**/Y). X represents the number of positive cases while Y represents how many are in quarantine. The number in quarantine does not include positive cases. If there are two asterisks, that indicates five ore more confirmed cases within the last 14 days at that school.
The Bellevue School District moves back to status green with eight confirmed cases in the last 14 days districtwide. In the Lake Washington School District, Inglewood Middle School reported five confirmed cases on Monday, moving the school to status yellow.
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 and quarantines. These two changes would bring the three school districts we track into alignment.
Kirkland-Bellevue-Woodinville
King County Public Health updated the vaccination rates by zip code and now reports the data from ages 5 and up. This resets vaccination status through the region. Based on reader feedback, we have added zip codes 98008, 98053, 98074, 98075, and 98077 to fully ecompass the Lake Washington School District and the King County portions of the Northshore School District.
Vaccination rates for children between 5 to 11 are in a word, remarkable.
Percentage of King County Residents 5 and older who have received at least one dose of COVID vaccine, November 16, 2021
Zip Code
Percent vaccinated, at least one dose, 5 to 11 years old
Percent vaccinated, at least one dose, 5 and older
98155
20.5%
89.5%
98028
22.5%
85.9%
98011
18.0%
82.7%
98034
22.6%
81.7%
98033
35.5%
90.0%
98072
19.9%
85.2%
98077
18.5%
76.7%
98052
30.5%
91.7%
98004
25.0%
95.0%
98039
26.5%
87.5%
98005
26.7%
91.7%
98007
14.0%
86.0%
98008
19.1%
88.0%
98053
31.9%
90.2%
98074
28.1%
93.5%
98075
22.5%
91.4%
Vaccination rates with at least one dose
National Round-Up
Johns Hopkins University Cumulative Case Tracker reports 143,685 new cases and 1,241 deaths nationwide on Tuesday.
Pfizer formally requests Emergency Use Authorization for the antiviral Paxlovid and agrees to license the drug to 95 countries
“With more than 5 million deaths and countless lives impacted by this devastating disease globally, there is an urgent need for life-saving treatment options. The overwhelming efficacy achieved in our recent clinical study of Paxlovid, and its potential to help save lives and keep people out of the hospital if authorized, underscores the critical role that oral antiviral therapies could play in the battle against COVID-19,” said Albert Bourla, Chairman and Chief Executive Officer, Pfizer. “We are moving as quickly as possible in our effort to get this potential treatment into the hands of patients, and we look forward to working with the U.S. FDA on its review of our application, along with other regulatory agencies around the world.”
In Phase 2 and Phase 3 testing, Paxlovid provided an 89% reduction in risk of COVID-19-related hospitalization or death from any cause in patients treated with PAXLOVID compared to placebo within three days of symptom onset, with no deaths in the treatment group. Similar results were seen within five days of symptom onset.
Additionally, Pfizer announced it has signed a voluntary licensing agreement to expand production of Paxlovid, to 95 low- and middle-income countries, covering 53% of the world’s population.
Dr. Soumya Swaminathan, Chief Scientist for the World Health Organization welcomed the news in a tweet.
Good to see the license for new #COVID19 antiviral from @pfizer will be available through @MedsPatentPool for LMICs. This drug can prevent severe illness in high risk individuals if given in 1st 5 days. @WHO guidelines group will review data when available & make recommendations https://t.co/SZgQ2bS8Z0
The 69-year old actor and retired professional wrestler Mr. T tweeted over the weekend that he received his Covid-19 booster shot, declaring, “I pity pain!”
He thanked his doctor and nurses and told TMZ he wanted to play it safe.
I am Blessed and I am Thankful. I just got my Booster Vaccination shot. My arm is a little sore but no pain. I Pity Pain! Thanks again to all the Doctors and Nurses…
More states break with the FDA/CDC and approve boosters for all
The list of states that are recommended for anyone 18 or older to get a booster continues to grow. Last week Colorado and California broke ranks with the FDA and recommended all residents over 18 who got their first dose of the Johnson & Johnson vaccine more than 60 days ago, or the mRNA Pfizer or Moderna second dose more than 180 days ago to get their COVID booster.
For some states, “the reason they’ve gone ahead and done this is they are really concerned about experiencing another wave in their state of transmissions and we have seen in some states an uptick in Covid-19 cases. Unfortunately, a lot of those are driven by those who are not vaccinated, but there are some breakthrough infections among those who are vaccinated,” Hemi Tewarson, executive director of the National Academy for State Health Policy, told CNN on Tuesday.
Washington, Oregon, California, Nevada, and Colorado created the Western States Pact to align their Covid-19 response, share research, and public education. The Washington State Department of Health stated last week that Washington has no plans to deviate from current federal guidelines.
Editor’s Note: It is our opinion that DOH’s stance is a mistake given the strong evidence that a sixth wave is coming. It is our recommendation to get a booster if you’re eligible, and a lot of people are eligible.
Centers for Medicare and Medicaid Services eases rules for nursing home visits
“Early in the pandemic, visitation restrictions were implemented to mitigate the risk of visitors introducing COVID-19 to the nursing home. Today’s guidance update reflects that, while visitors, residents, or their representatives should be made aware of the risks associated with visiting loved ones, visitation should now be allowed for all residents at all times.”
Visits must also be allowed to take place indoors for all residents, whether they’re vaccinated or not, even when a facility is experiencing a COVID-19 outbreak investigation or when a resident is on transmission-based precautions or quarantine. While visits under such conditions are “not recommended” by the CMS, they must be allowed if that’s what a resident chooses.
State Updates
Connecticut
A Connecticut nursing home has moved into recovery mode after suffering an outbreak of COVID-19. Geer Village said that the outbreak, which started in September, left eight residents dead and 89 residents and staff members infected according to a report by CBS News.
The North Canaan-based facility, which includes independent and assisted living among other services, said it conducts bi-weekly testing on residents and staff. In a statement, Director of Nursing Cady Bloodgood and Chief Executive Officer Kevin O’Connell said they are continuing to “monitor the situation closely.”
“Sadly, we have lost 8 residents with serious underlying health issues to COVID,” the facility said on Friday. “We are encouraged to see 69 staff and residents already recovered and coming off isolation. While we must continue with COVID-19 prevention protocols, we want to assure everyone we are doing our best to keep residents and staff safe.”
Georgia
A husband is accusing school officials of making his wife continue to work at a Georgia school despite being COVID positive, ultimately causing her to die according to a report by WSB.
Sara Anderson, was a cafeteria worker at Conyers Middle School who died from COVID on October 5.
“She was a hard worker, and if a manager asked her to do anything, she did it,” Robert Anderson said. He said Sara started feeling sick on September 15 and felt worse the next day. He says her manager told her she was out of sick days and that she had to go into work.
“She was pressured into going to work again, and that was on the 17th. On the 18th, she passed out,” Robert Anderson said.
Doctors diagnosed Sara Anderson with COVID, and then COVID pneumonia. A few days later, she was in the ICU and passed on October 5.
Idaho
Idaho governor Brad Little received his Covid-19 booster shot publicly in an attempt to urge others in his state to get vaccinated. Idaho entered its third month operating at crisis standards of care on November 16, with COVID cases still raging through the Panhandle region.
State health officials Tuesday reported 1,627 COVID-19 patients were being treated in hospitals throughout Illinois, according to the Daily Herald. Of those hospitalized, 325 were in intensive care, according to the Illinois Department of Public Health.
Hospitalizations have increased by 16.8% from a week ago, IDPH figures show. Current the state test positivity rate is 2.8%, which points to over-testing, but increased from 2.2% a week ago.
Maine
More and more signs are emerging that COVID-19 is spreading rapidly through Maine, especially among unvaccinated populations, contributing to troubling spikes in hospitalizations and deaths as a holiday week approaches.
The state set yet another pandemic high with 275 hospitalizations on Tuesday and also set a record for the rate of tests that are coming back positive, 8.5 percent on average over the last seven days. Thirteen additional deaths were reported Tuesday as well.
Representative Andy Harris (R-Md.) said a complaint was filed against him with a medical board for prescribing ivermectin to COVID-19 patients.
Harris alluded to the complaint during the House Freedom Caucus meeting about vaccine mandates on Monday, The Baltimore Sun reported.
“An action is currently being attempted against my medical license for prescribing ivermectin, which I find fascinating, because as an anesthesiologist, I know I use a lot of drugs off-label that are much more dangerous,” Harris said at the meeting.
Michigan
Michigan state Senator John Bizon faces misdemeanor assault charges after a nurse practitioner with Oaklawn Medical Group accused him of inappropriately touching her while seeking medication to treat his Covid-19 infection.
The incident in question occurred on August 14, at Oaklawn After Hours Express in Marshall, according to a report filed with the Marshall Police Department on August 17. Two health practictioners filed complaints about Bizon groping them and making inappropriate comments.
Minnesota
Minnesota is preparing to expand COVID-19 vaccine booster access to all adults this week, with or without federal backing, and encouraged renewed protections in communities and schools against a worsening pandemic wave.
The positivity rate of COVID-19 diagnostic testing rose above a 10% high-risk threshold in Minnesota, which is reporting high viral transmission levels in 86 of 87 counties but particularly severe levels in central and northern counties with lower vaccination rates.
“I don’t think we can say that any place in Minnesota is in particularly great shape right now,” state Health Commissioner Jan Malcolm said.
Republican Rep. Scott Perry of Pennsylvania has tested positive for Covid-19, his office announced Tuesday, a day after he was elected chair of the conservative House Freedom Caucus.
Perry’s office said in a statement announcing his diagnosis that the congressman, who has not publicly indicated whether he has been vaccinated against the virus, is experiencing “quite mild” symptoms and he “will continue working while quarantining at home.”
Houston Methodist Hospital in Texas has suspended privileges for an ear, nose, and throat doctor after she tweeted several opinions on COVID-19 vaccines, including advising patients from getting it according to a report by XKAN.
A hospital representative confirmed the suspension of Dr. Mary Talley Bowden to The Washington Post. Houston Methodist said Bowden, who only recently joined staff and says she is vaccinated, is “spreading dangerous misinformation which is not based in science.”
Bowden tweeted earlier this month that she was “shifting focus to treating the unvaccinated” due to the “current climate and writing on the wall,” in addition to the promotion of experimental treatments over the FDA-approved coronavirus vaccines.
[SEATTLE, Wash.] – (MTN) During a Facebook Live with Congresswoman Anna Eshoo (CA-D) on Tuesday, Dr. Anthony Fauci M.D., Director of the National Institute of Allergy and Infectious Diseases, recommended Americans who are eligible to get a Covid-19 booster shot to get one as soon as possible due to waning immunity.
With concern growing about a sixth wave in states that finished beating back the Delta surge and states such as Colorado, Michigan, Minnesota, and Vermont having a late fifth wave, questions about eligibility for boosters are growing.
Some states aren’t waiting for direction from the federal government. California Governor Gavin Newsom and California Health Secretary Dr. Mark Ghaly told state residents 18 and older they should “absolutely” sign up to get a COVID booster. On Thursday, Colorado Governor Jared Polis issued a directive that defies current federal guidance on Covid-19 booster shots, permitting all state residents 18 and older to get them.
During a White House briefing on Wednesday, Dr. Rochelle Walensky, director of the U.S. Centers for Disease Control and Prevention (CDC), said there continued to be a need to prioritize those who are currently eligible for a Covid-19 booster but added, “as you likely know, FDA is currently looking at the data for expanding boosters to all populations.”
Who is currently eligible for a Covid-19 booster
Eligibility depends on which vaccine you received and several other factors.
Janssen/Johnson & Johnson
If your initial vaccine was Janssen/Johnson & Johnson and you’re 18 or older, you are eligible for a booster 60 days after receiving your first dose. There are no limitations for age, comorbidities, living arrangements, or vocation.
The FDA has approved a mix-and-match approach, and you can receive a booster using the Pfizer or Moderna vaccine or a second Johnson & Johnson dose.
The Johnson & Johnson vaccine has a 1:500,000 chance of causing a rare condition called VITT. In the United States, there have been 47 reported cases and four deaths. If you were assigned female at birth and have a family history of blood clots or low platelets, or you are of childbearing age and using a hormone-based form of birth control, and you’re concerned about VITT, talk to your healthcare provider, OB/GYN, or fertility specialist.
If you’ve had a confirmed case of Covid-19 in the last 90 days and you were symptomatic, talk to your doctor or healthcare provider on whether you should wait to receive a booster.
BioNTech/Pfizer and Moderna
Anyone 65 or older and received the Pfizer or Moderna vaccine is eligible for a booster 180 days after their second dose. People 18 to 64 can qualify for a third dose if they have certain medical conditions, work in a high-risk environment, or live in an area where social distancing isn’t feasible.
Medical conditions that put you at risk for severe Covid-19
Chronic lung disease such as moderate to severe asthma, bronchiectasis, COPD including obstructive sleep apnea, fibrosis or prior lung damage due to scarring, injury, or prior disease, cystic fibrosis, pulmonary embolism or history of, or pulmonary hypertension or history of
Dementia or Alzheimer’s
Diabetes – Type 1 or Type 2
Down Syndrome
Heart disease such as heart failure, coronary artery disease, high blood pressure, cardiomyopathies
HIV
Immunocompromised, auto-immune disease, taking immunosuppressants, or using drugs that suppress the immune system such as steroids both oral and topical
Mental health conditions including mood disorders, depression, and schizophrenia
Body Mass Index (BMI) over 25
Pregnant, trying to get pregnant, or sexually active and could get pregnant and would carry pregnancy to term
Sickle cell disease or Thalassemia
Smoking or vaping currently or in the past
Solid-organ or blood stem cell transplant
Stroke or cerebrovascular disease
Substance abuse past or present including alcohol, opiods, or cocaine
Tuberculosis
Living conditions
If you have any of these living arrangements, you qualify for a booster.
Long-term care facility
Homeless shelter – short or long term
Jail or prison inmate
Community living arrangements such as dormatories, halfway houses, group homes, or hostels
Live with a high-risk individual with a medical condtion listed above, or live in a multi-generational household, and you are the primary care provider
First responders such as healthcare workers, firefighters, police, or congregate care providers
Educational staff such as teachers, support staff, athletics staff, transportation, and daycare workers
Food and agriculture workers
Manufacturing workers
Correctional officers and employees who work in jails or prisons including healthcare, educators, and mental health providers
U.S. Postal Service workers
Public transit workers
Grocery store workers and other retail and service employees that have high contact with the public
There have been less than 1,000 mild to moderate myocarditis cases in the United States connected with receiving the mRNA Pfizer or Moderna vaccines. Most of these cases involved adolescents or young men. If you were assigned male at birth and have a history of heart disease, or are worried about myocarditis, talk to your healthcare provider to see if the Jassen/Johnson & Johnson vaccine is a better option.
Just like the J&J vaccine, If you’ve had a confirmed case of Covid-19 in the last 90 days and you were symptomatic, talk to your healthcare provider to determine if you should wait to receive a booster.
I thought the COVID vaccine was forever
The idea that the Covid-19 vaccine would be one and done is a creation of misinformation, misunderstanding, and poor reporting by some news outlets.
As the first COVID wave was winding down in the United States in May 2020, there were discussions about having “immunity passports.” People who had a confirmed Covid-19 case could be permitted to return to work and other activities based on the assumption they possessed natural immunity. Shortly after the discussions started, early evidence began to pile up that natural immunity was short-lived. The journal Nature Medicine shared a report on June 18 showing natural immunity started to fade after three months.
The closest claim that immunity from natural exposure or vaccination would last a lifetime came from former President Donald Trump in October 2020. Still, even then, he never made a complete claim of lifetime protection. On October 11, 2020 during an interview with Maria Bartiromo, Trump discussed his personal battle with Covid-19.
“It looks like I’m immune for, I don’t know, maybe a long time, maybe a short time,” he said. “It could be a lifetime. Nobody really knows, but I’m immune. So the President is in very good shape to fight the battles.”
As Trump was recovering from COVID and considering if he had “long time” immunity, there was more evidence that natural immunity started to fade after three months and a growing number of reinfection cases. For public health officials, an even bigger concern was many people who got reinfected suffered from more severe cases.
In December, when the first Covid-19 vaccines were about to become publicly available in the United States, the medical community was already cautioning the public it was unknown how long immunity would last.
In January 2021, Dr. Kristen Marks M.D., an infectious disease specialist at New York-Presbyterian, said, “We really don’t know whether you’re still immune a year after vaccination. Some of the clinical trials will study adding a booster in a year and comparing whether that’s better or if the immunity is just as good for two years with the two shots. That remains to be determined.”
Data from the United Kingdom and Israel have shown that all immunity wanes. Although cases grew dramatically in both countries, hospitalizations and fatalities did not match the winter 2020 surges. A vast majority of the hospitalized, critically ill, and deaths were among the unvaccinated. In Israel, an aggressive booster program ended their wave where new cases have drifted downward to early July levels.
How long does natural and vaccine based immunity last
Two different studies were released in October 2021, providing insight into how long natural and vaccine immunity last. Neither offer lifetime protection.
On October 1, a study on the durability of immunity against reinfection by SARS-CoV-2 was published in The Lancet. Researchers predicted that natural immunity had a half-life of 142 to 185 days. Half-life means how long does it take for half of the antibodies for a disease to disappear from a person’s blood serum. The study estimated that after 16 months, the average person would no longer have any natural immunity to Covid-19. However, the study also stated that this would vary widely depending on age, overall health, genetics, and risk factors. The half-life could be as short as 45 days or as long as 31 months.
Three days later, the Lancet published a study on vaccine-based immunity titled Effectiveness of mRNA BNT162b2 COVID-19 vaccine up to 6 months in a large integrated health system in the USA. That study indicated that immunity waned from 30% to 50% after five months depending on the mRNA vaccine administered, age, and Covid-19 variants. Simply put, vaccine immunity and natural immunity, when accounting for a range of factors, have similar half-lives.
The viral-vector vaccine from Johnson & Johnson has received less research and has been administered to approximately 15 million Americans. A third study indicated the J&J vaccine was the least effective of the three available options in the United States, particularly with the Delta variant.
Why aren’t the vaccines 100% effective
It is a common misconception that vaccines are 100% effective, especially in industrialized nations. Due to a combination of high vaccination rates for diseases such as measles, mumps, and polio, and enough immunized people to provide community immunity, it is easy to believe that vaccines are perfect and forever.
For example, polio still exists in several countries, and the U.S. Department of Defense and the CDC recommend a poliovirus booster for anyone traveling to those regions. Certain members of Generation X have been advised to get an updated MMR vaccination because data shows that protection from measles doesn’t last a lifetime. Even Ben Shapiro complained on Twitter in 2015 that his 13-month old son was exposed to pertussis and became severely ill.
When it comes to the COVID vaccines, no one in the medical community said any vaccines were 100% effective, and the data has always been publicly available.
In Phase 3 studies, the Pfizer-BioNTech and Moderna vaccines were 95% effective in the first few months after vaccination. Put simply, “If there were 100 people who would have gotten COVID, it prevented 95 of them from getting it, but it didn’t prevent all 100,” says Dr. Marks. “It definitely provides some protection, but it’s not perfect.”
The Johnson & Johnson vaccine reported a 72% efficacy rate in preventing moderate to severe disease from COVID-19 in the U.S. and was 85% effective in preventing severe disease.
The good news is that early data found that those who did contract COVID-19 after receiving the vaccine did not develop a severe form of the disease. “So even if it doesn’t completely prevent illness, the study data shows that it does reduce the severity,” Dr. Marks said. Ten months later, the early projections have largely come true.
In King County, Washington, 22% of all confirmed Covid-19 infections since January 17 have been breakthrough cases. Eleven percent of people hospitalized were vaccinated, and 15% died of Covid-19 related illness. When the total number of vaccinated versus unvaccinated residents is considered, the effectiveness of vaccines, even as the need for boosters is increasing, is evident.
Population
Confirmed Cases
Hospitalized
Deaths
Fully vaccinated
1.633M
20,252
433
115
Partial or unvaccinated
319K
71,857
3,373
667
349,000 King County residents are under 12 years old and were not vaccine eligible from January 7 to November 10
Unvaccinated King County residents were 12 times more likely to be hospitalized and 13 times more likely to die of Covid-19 from January 17 to November 3.
Additionally, a comparison of King County, Washington, and Dallas County, Texas, provides additional data on vaccination and public health programs’ impact. King County experienced the first superspreader event in February 2020, the first Covid-19 death, and had the first mass casualty situation at a hospital in the United States. A month later, Texas suffered its first Covid-19 death. Over the next 627 days, King County implemented some of the strictest COVID rules in the nation while Dallas County took a more open approach.
On November 1, Dallas County reported its 5,000 COVID-related death while King County reported 2,022. Simply put, 1 in every 530 residents of Dallas County has died of COVID since March 2020 versus 1 in every 1,137 residents in King County since February 2020.
Will we need to get boosters forever
To answer that question, we need to move away from facts and science and step into the arena of opinion. The short answer is, “maybe,” but it depends on the advancement of medical science, improvements in available vaccines, and our own behavior.
In the short term, the data is clear – peak immunity against current Covid-19 variants lasts 142 to 185 whether it is natural or vaccine-based. A regimen of booster shots will likely be needed every 6 to 12 months over the next few years.
Two antiviral drugs are currently being evaluated in the United States. Molnupiravir by Merck is reported to reduce hospitalizations and deaths by 50%, while Pfizer released a study on a medication they are developing that was 88% effective in early testing. Both drugs are oral and would be game-changers in the treatment of Covid-19.
Another way to get off the booster shot treadmill would be to reach 90% to 95% immunity, reducing the number of available hosts for Covid-19 to a level that the disease can’t widely spread in the population – so-called ‘herd immunity.” Given the resistance of 62 million Americans to get vaccinated, and almost half the world doesn’t have access to the COVID vaccine, that seems unlikely.
A third game-changer would be a new variant that emerges and is far more transmissible than the current dominant Delta strains but with significantly less severe symptoms. A version of Covid-19 that is closer to moderate Influenza in symptoms and lethality and is as contagious as measles would quickly infect the population, run out of hosts, and burn itself out while not overwhelming hospitals. This could also lead to “herd immunity.”
The final possibility is the vaccines themselves get better. The original Salk polio vaccine, authorized in 1955, was 50% effective at preventing infections but 90% effective at preventing hospitalizations. It wasn’t until 1962 when the Sabin oral vaccine replaced the Salk vaccine, that infections dropped 90% after a first dose and 99% after four doses.
If the Covid-19 vaccines follow a similar development path as other vaccines, a more effective version will likely be discovered in the future.
Why didn’t the United States approve boosters for all after the Biden Administration announced its intent
Over the summer, the Biden Administration and the World Health Organization (WHO), FDA, and CDC had a very public disagreement on who should get booster shots. President Biden wanted every adult to be eligible for a booster. The WHO objected, pointing out how some nations had no access to COVID vaccines while the United States was throwing out expired doses. The FDA and CDC also pushed back, arguing there wasn’t enough real-world data to support boosters for all.
While the debate raged, experts had a real-world case study unfolding on the other side of the world. Israeli officials started boosters for anyone over 60 on July 13 and three weeks later dropped the age to 40. On September 25, they dropped the age again to 12 and older. The program was highly effective at controlling deaths and hospitalizations, and when Israel is compared to the United Kingdom, the booster program implemented was an evident success.
On September 22, the FDA approved booster shots for recipients of the Pfizer vaccine, and on October 20 added the vaccine by Moderna. Eligibility was limited to people who were 65 or older or were 18 to 64 and worked or lived in places with a high risk of exposure or had a serious underlying medical condition that increased their chances of severe COVID. The FDA recommended a booster six months after receiving the second dose.
Also, on October 20, the FDA authorized boosters for anyone who received the Johnson & Johnson vaccine. As the Delta variant raged in the southeastern United States during the summer of 2021, it became evident the J&J vaccine offered less protection against hospitalization. Additionally, the viral-vector vaccines created by Astra Zeneca and developed in Russia and China were also low-performing. Anyone who received the Johnson & Johnson vaccine was advised to get a booster 60 days after the first dose.
Unfortunately, the ethical and trust concerns that tainted the debate in the United States have resulted in new COVID cases stuck on a high plateau for the last three weeks. New cases are rising in most states, and the pattern of Covid-19 infections looks eerily similar to the United Kingdom. A vast majority of hospitalized COVID patients continue to be unvaccinated.
The world needs to learn to live with Covid-19 and everyone will eventually have a date with the illness. The question is, will you be effectively vaccinated or not when it happens.
Knowledge is the best tool to fight against fear. A wise person chooses to be informed so they can make sound decisions. To join the fight against COVID misinformation, you can share this update through your social media platform of choice.
[KING COUNTY, Wash.] – (MTN) Multiple sources reported to us today that the state of Washington is considering a plan to place renewed restrictions on gatherings within public indoor spaces, as hospitalizations reached a new record. There is some evidence that the growth of new cases may be slowing down, as more hospitals report they are running out of resources.
There are reports out of Washington D.C. that the Pfizer and Moderna vaccine may receive full FDA approval next week. Trials for both the vaccine started more than a year ago, while the Johnson & Johnson vaccine was released later, requiring more data.
Bonadventure Senior Living is under fire after a recruiter for the company in Oregon posted a video on Tik Tok called for unvaccinated nurses to work for the eldercare company in Oregon, Washington, and Colorado. That story took a much darker turn today with new allegations of criminal activity.
Governor Inslee is considering setting capacity limits for indoor public venues, according to several people we spoke to today. The plan being considered would not return Washington state to the phases used during the spring of 2021 but would put limits on the number of people who can gather in one place in specific public settings. No specific date was given, but there were indications if the plan is implemented it would happen end of August or early September.
“Extremists may seek to exploit the emergence of COVID-19 variants by viewing the potential re-establishment of public health restrictions across the United States as a rationale to conduct attacks. Pandemic-related stressors have contributed to increased societal strains and tensions, driving several plots by domestic violent extremists, and they may contribute to more violence this year.”
The report did not mention any specific threats and is a broad assessment of the risk of terrorism, foreign or domestic, at a national level. A large anti-vaccination rally is planned to happen on Saturday in Olympia from noon to 3 PM.
Washington state COVID update
COVID continues to spread through Washington at levels not seen since December of 2020. Through August 12, the 14 day rolling average Washington grew again to 455.8 COVID cases per 100K. This breaks the record high that was set yesterday. The USA Today COVID Tracker indicated that on Thursday, Washington reported over 3,900 new COVID cases. New cases continue to grow exponentially, with the epidemiological curve showing signs that things are slowing.
Washington State Newly Diagnosed COVID Cases per 100K During the Prior Two Weeks Through August 12, 2021
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 11.69%, and over the previous 7 days, 12.69%. We continue to see widespread transmission in the state, with another small decrease in the 7-day average.
The 7-day moving average for COVID-related deaths has increased again to 8 per day and the USA Today COVID tracker reported 33 deaths in Washington state Thursday. It is important to note that fatalities are a trailing indicator that usually increases two to four weeks after hospitalizations begin growing. The growing number of fatalities would align with the spike in hospitalizations that started two weeks ago.
Are changes coming to the Evergreen State Fair?
In a KOMO News report, Jeremy Husby of Snohomish County Parks & Recreation expressed concern about the upcoming Evergreen Fair. Husby said that capacity limits were already in place, but they were expecting between 18,000 and 24,000 people to attend. According to the Washington State Department of Health, Snohomish County hospitals have reached the same utilization level as early 2021. “When we know we are at a capacity where we can’t not serve the public and we can’t provide a safe space,” Husby said. “We need to make that call to shut down the fair,” Husby told KOMO.
Bonadventure Senior Living
On Monday, TikTok user @thisdaneshguy reposted a recruiting video made by Bonadventure Senior Living employee Shanya Hall, which went viral. Bonadventure, based in Salem, Oregon, manages senior living facilities in Washington, Oregon, and Colorado. In the video, Hall says, “I just wanted to tell you that if you are a nurse, a caregiver, a tech, and you now need a new job because of this, hit me up. I’ll hire you. I need nurses, caregivers, med techs, in Washington, Colorado, and Oregon.”
When asked what she would say to families who are concerned about unvaccinated health workers caring for their family members, she said protecting residents is the number one priority for Bonaventure.
“I get being concerned or being scared but we are taking precautions,” she said. “We wouldn’t want to put anybody in the way of danger.”
In the same story, Jeremiah Gray, divisional director of operations at Bonaventure for Oregon, stated that they could not require vaccines for their staff because of an Oregon law. However, that was only partially true while the recruiting video was still on TikTok. On August 5, 2021, the Oregon Health Authority filed a final temporary rule requiring COVID-19 vaccination or weekly testing for individuals who work in healthcare settings.
In a since-deleted Facebook post, Gray responded to the TikTok video on the Bonadventure, defending the company, and again stating that they are prevented by Oregon law to require vaccinations. That point became moot, with the federal nursing home vaccine mandate issued earlier this week. Today, in another video posted on TikTok by @thisdaneshguy, the creator claims that multiple employees of Bonadventure have shared internal e-mails with him about directives made by the company that put residents and patients at risk. Among the claims made, eight current and former employees are accusing Bonadventure of falsifying federal issued COVID vaccination cards, including in Washington state. That information has been turned over to The Statesman Journal, which ran a deeper story about Bonadventure yesterday.
The University of Washington Medicine is allegedly denying organ transplants to patients who refuse to get a COVID vaccine. In an interview with Jason Rantz, Sam Allen of Monroe claims he was removed from the heart transplant waitlist for refusing to get the COVID vaccine. Allen claims he had a “dispute” with his cardiologist over wearing a mask, and then was called.
“The cardiologist called me and we had a discussion, and he informed me that, ‘well, you’re going to have to get a vaccination to get a transplant.’ And I said, ‘well that’s news to me. And nobody’s ever told me that before.’ And he says, ‘yeah, that’s our policy.”
Allen was removed from the waitlist on June 7. Although post-transplant organ rejections are less common, and the medications to prevent the condition have dramatically improved, organ transplant patients face a lifetime of being immunocompromised. University of Washington Medicine would not confirm if this was a policy or part of evaluating how viable an individual patient is for a transplant.
Former University of Washington wide receiver Lamarr Mitchell died of COVID after a 10-day battle. Lamarr was part of the 1991 Rose Bowl team and was described by his family as healthy and fit. He was unvaccinated and went from being on a ventilator to kidney failure in 24 hours. His family was called at 4 AM to come and say their final goodbyes but became stuck in traffic and did not get to the hospital in time. Lamarr’s parents are appealing for people to get vaccinated.
“We got to get the message out there we have to get the message out there; this is real. This is real,” she pleaded.
No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks
Vaccination
There are multiple reports tonight that the Food and Drug Administration will issue full approval of the Pfizer COVID vaccine as early as Monday. Pfizer started Phase I trials of the COVID vaccine in May of 2020. Researchers used development efforts to create a vaccine for SARS and MERS as a foundation for the COVID vaccine. COVID or SARS-Cov-2 is similar to the original SARS strain, which appeared in 2003, and MERS which appeared in 2012.
Phase III trials were completed in November enabling the FDA to issue an emergency authorization for the vaccine. Distribution began on December 14, 2020, to tens of millions of Americans. Pfizer would be the first to receive full approval because it was the first vaccine to complete its trials in the United States.
Almost two million Washingtonians who are vaccine eligible remain unvaccinated. The group Find a COVID Shot WA can assist anyone who needs help making an appointment. The group of 75 volunteers has been operating since the beginning of 2021 and offers support in 20 languages.
King County, Washington is over 80% vaccinated, and Washington state is over 70%. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA is expected to provide full approval to the Pfizer vaccine next month.
COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
On August 19, 86.4% of available adult staffed acute care beds in Washington state have patients. The data indicated there were 1,211 acute care beds available statewide and 210 in King County. The Northwest, South Central, and East Regions were over 80% utilization and the Central and West Regions are now over 90%. According to the Washington State Department of Health, there are 1,221 COVID patients in acute care, an increase of 16 since yesterday, which is 13.7% of all acute care patients.
Washington State Hospital Acute Care Beds Occupied by Patients – August 19, 2021
Statewide ICUs were 85.9% occupied with 171 staffed beds available, 52 located in King County. Although the number of COVID patients statewide in the ICU dropped to 327.
Washington State ICU Patients with COVID – August 19, 2021
Washington state continues to have a critical shortage of blood, with a less than 24 hour supply for five out of eight blood types. The situation has deteriorated since August 3. There will be a blood drive in Kirkland on August 30 and 31. We will publish additional details when they become available.
The West Region, which includes Tacoma, is down to 9 available ICU beds and the East Region, which includes Spokane, has 10 ICU beds available.
PeaceHealth St. John Medical Center in hard-hit Cowlitz County issued a statement on Facebook that the hospital, “is now at maximum capacity.” The facility appealed that, “only people who are experiencing true medical emergencies come to our E.R. for care.”
In another comment, PeaceHealth stated, “We are experiencing an exceptionally high number of caregivers unable to work due to COVID-19, and we have great concern that – as patient demand continues to surge – we will be faced with a corresponding increase in the number of caregivers unavailable to help.”
The hospital is no longer doing COVID testing and advised people to use urgent care facilities. People were suggesting other locations to get a COVID test but frustration was boiling over.
Barbara Anderson wrote, “The only urgent care center in Longview will not see u unless u are a current Peace Heath [sic] patients [sic]. Where should the rest go?”
The CDC issued a warning tonight for older adults, and people in high-risk groups not to take cruises, even if they are vaccinated. The new guidance applies to older adults, people with certain medical conditions and pregnant and recently pregnant people. Prior to Friday’s announcement, the agency recommended that only people who were not fully vaccinated against COVID-19 avoid cruise ships.
Alabama
Former President Donald Trump is holding a rally in Cullman, Alabama tomorrow, forcing the city to declare a COVID state of emergency. Alabama added 3,800 new COVID cases on Wednesday and the state ran out of ICU beds the day before. The declaration of the State of Emergency allowed the city to provide the additional personnel and equipment for this weekend’s political rally after it was requested by Cullman Regional Hospital, which is overwhelmed with patients.
Florida
The Sunshine State only releases COVID data once a week on Friday’s and the data indicates that it may be hitting its COVID peak. New cases were flat week over week for the first time in over two months. However many state residents are complaining they can’t get tested. Of the 150,118 new cases reported, 20,331 were children under 12 years old. Florida has 16,973 people hospitalized with COVID, a new record.
Pictures taken by Louie Lopez at a monoclonal antibody treatment center recently set up by Governor Ron DeSantis went viral late this week. The images show people lying on the floor, barely able to move or breathe, and moaning waiting for treatment. The lobby only had two chairs according to Lopez, and one patient laid on the floor for almost 30 minutes before someone came with a wheelchair. A spokesperson for the city confirmed that according to organizers at the site, the woman in the picture was waiting to be treated with Regeneron.
Mayor Buddy Dyer of Orlando appealed for residents to conserve water due to a shortage of oxygen. The Orlando Utility Commission treats the city’s water with liquid oxygen and supplies that ordinarily go toward water treatment have been diverted to hospitals for patients suffering from the virus, Mayor Dyer said.
“We acknowledge that the No. 1 priority for the liquid oxygen should be for hospitals,” Dyer said at a news conference.
The city-owned utility typically goes through 10 trucks of liquid oxygen a week but its supplier recently said that it would be cut back to five to seven trucks a week to accommodate hospitals, said Linda Ferrone, OUC’s chief customer, and marketing officer.
Hawaii
Yesterday we reported that hospitals on the island of Oahu were on the brink of having to implement disaster plans. City officials in Honolulu made a “disaster area” declaration today. At Queen’s West Hospital, a rush of new COVID patients overwhelmed the hospital, on top of many already waiting for beds in the emergency room. The City set up a disaster area and tents.
Hawaii also appealed for traveling nurses, with more than 500 expected to arrive next week. Honolulu having to potentially move to “black tag triage” is coming at the same time that flooding rains are expected this weekend.
Seventy-three Mississippi hospitals have asked for a combined 1,450 healthcare professionals to supplement their staff, as the state’s hospital system teeters on the brink of collapse. Efforts that are described as “last-ditch” to shore up the system included support from the federal government and building two field hospitals in a parking garage.
Mississippi State Department of Health Reported a sharp spike in calls to their Poison Control Center due to Ivermectin poisoning. State officials sent out a health alert warning to health care providers about the use of the horse dewormer. Although Ivermectin is used in humans to treat scabies, it is highly concentrated for livestock. At least 70% of the calls into poison control have been for Ivermectin poisoning.
There is no good news coming out of Oregon today. COVID hospitalizations have set a new record every day since August 10, in the Pacific Northwest State. In the last 30 days, cases have increased 500% putting the hospital system on the brink. Oregon is requesting outside help to come to the state including 35 physicians, 35 advanced practice providers, 300 registered nurses, 10 paramedics, and 100 respiratory therapists.
“A COVID-positive patient was in our Emergency Department, within our four walls, waiting for an open Intensive Care Unit bed to receive life-saving care. It had been several hours because other COVID-positive patients had filled those beds. Even after expanding ICU care onto other floors, there weren’t any beds available for this patient. We didn’t have enough. This patient died in the Emergency Department waiting for an Intensive Care Unit bed.”
Texas
Lt. Governor Dan Patrick blamed “Black Texas” for the surge of COVID in the Lonestar State. During an interview on Fox News Patrick said, “The Democrats like to blame Republicans,” Patrick said. “Well, the biggest groups in most states is African Americans who are not vaccinated. Last time I checked, over 90 percent of them vote for Democrats in their major cities and major counties.”
State officials previously were blaming undocumented immigrants for the spread of COVID in the state, but mostly backed away from the claim after the City of McAllen declared a state of emergency. Of the 586,000 undocumented immigrants processed in the city in the first seven months of 2021, 7,500 were COVID posted after testing – a rate under 2%. The state of Texas is at 19.8% positivity as of this Friday.
“We haven’t reached that critical moment yet where we’re unable to provide that care,” said Dr. James Black, medical director of emergency services at Albany’s Phoebe Putney Memorial Hospital. “We’re doing everything we can to stay just ahead of that, but it’s a race and a race that most of us are losing.”
An ongoing piece of misinformation is the COVID vaccine has microchips in it. Typically the needle used to vaccinate an adult is 28 gauge and has an outer diameter of 1/3 of an mm. The inner diameter is about 1/6 of an mm (0.184 mm). That’s about thick enough to pass a human hair through with a touch of room to spare. The smallest 5G chip available today is about the size of your fingernail. That’s just the 5G chip, not the microprocessor to run it, not an antenna that can transmit through your body to the nearest 5G tower. It doesn’t include a power source and most critically, it doesn’t include having a heat sink or other way to regulate the temperature.
The RFID chips they inject into pets such as cats and dogs are about the size of a grain of rice. They provide no way to track, only identification with a scanner. The 12 gauge needle used to insert an RFID chip into a dog is almost 3 mm (and anyone who has had a large-bore IV can tell you, needles that big are very unpleasant). Additionally, they are passive RFID chips that don’t require a battery and are incapable of transmitting any data, let alone to a 5G cell tower.
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.
[KIRKLAND, Wash.] – (MTN) Washington state set a new hospitalization record as COVID cases continue to grow. The Delta variant represents 98% of all cases in Washington state. The CDC released a study that examines breakthrough cases and hospitalizations from May to July, that provides a better understanding of vaccine effectiveness.
Washington state continues to set new records as cases and hospitalizations continue to rise. Through August 11, the 14 day rolling average Washington is recording 437.9 COVID cases per 100K. This breaks the record high that was set yesterday. New cases continue to grow exponentially, doubling every 7 to 10 days. The number of people seeking COVID tests has increased 20% to 50% in the last month throughout King County.
Washington State Newly Diagnosed COVID Cases per 100K During the Prior Two Weeks Through August 11, 2021
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 11.71%, and over the previous 7 days, 12.92%. We continue to see widespread transmission in the state, with a slight decrease in the 7-day average.
The 7-day moving average for COVID-related deaths has increased to 7 per day. It is important to note that fatalities are a trailing indicator that usually increases two to four weeks after hospitalizations begin growing.
Washington State University football coach Nick Rolovich, the highest-paid public employee in the state of Washington, says he will follow the state’s COVID vaccine requirement. He had previously said he would not get a vaccine due to personal reasons, even after WSU announced they would require vaccines. When asked about having to get vaccinated his only statement was, “It is what it is.”
On Pac-12 media day. Rolovich said, “I’m not against vaccinations, and I wholeheartedly support those who choose to be vaccinated, including our players, staff, and coaches… I think we all know this virus is deadly, and these vaccines are free. I urge everyone to consider being vaccinated. I do.”
From May 3 to July 25, Delta went from 2% of COVID cases to 80%, and New York City dropped mask mandates and occupancy restrictions.
CDC MMWR for August 18, 2021, Vaccine Effectiveness in New York City from May 3 to July 25, 2021
The small dashed line on the top of both charts represents overall vaccine effectiveness in preventing new COVID cases and preventing hospitalizations. The dash-dot line represents how many people have been vaccinated. The dashed line represents the total number of infections and hospitalizations among the unvaccinated. The solid line represents the total number of cases of infections and hospitalizations among the vaccinated, and the dotted line between them is the average between the two lines.
The study indicated that overall age-adjusted vaccine effectiveness dropped from 91.7% to 79.8% as the Delta variant became the dominant strain. In contrast, hospitalizations moved in a narrow range of 91.9% to 95.3%. The report states, “Currently authorized vaccines have high effectiveness against COVID-19 hospitalization, but effectiveness against new cases appears to have declined in recent months, coinciding with the Delta variant’s increase.”
It is important to remember that no vaccine is 100% effective and there is strong evidence that COVID vaccinations lessen the severity among those who get an infection, and vaccinated individuals have dramatically lower mortality rates compared to the unvaccinated.
Appreciation goes to Dr. Katrine Wallace, P.hD of the University of Illinois, Chicago, for bringing this study to our attention.
Almost two million Washingtonians who are vaccine eligible remain unvaccinated. The group Find a COVID Shot WA can assist anyone who needs help making an appointment. The group of 75 volunteers has been operating since the beginning of 2021 and offers support in 20 languages.
King County, Washington is over 80% vaccinated, and Washington state is over 70%. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA is expected to provide full approval to the Pfizer vaccine next month.
COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
Washington state reached an all-time high for COVID hospitalizations, surpassing the December 2020 peak, with the Delta variant representing 98% of cases. The Washington Hospital Association CEO Cassie Sauer reported there were 1,240 hospitalized patients with COVID-19. This number does not align with the Washington State Department of Health data, and we have reached out to understand the difference in numbers.
On August 18, 85.7% of available acute care beds in Washington state have patients. The data indicated there were 1,285 acute care beds available statewide and 314 in King County. The West, Central, South Central, and East Regions were over 80% utilization. According to the Washington State Department of Health, there are 1,205 COVID patients in acute care, an increase of 31 since yesterday. 13.4% of all hospitalized acute care hospital patients are being treated for COVID. More than 20% of acute care patients in The West Region, which includes Pierce County, are hospitalized with COVID. This indicates that the hospitals in that region are under stress.
Washington State Hospital Acute Care Beds Occupied by Patients – August 18, 2021
Statewide ICUs were 85.5% occupied with 176 staffed beds available. King County has 56 ICU beds available. The number of COVID patients in the ICU dropped to 342 patients.
Washington State ICU Patients with COVID – August 18, 2021
Washington state continues to have a critical shortage of blood, with a less than 24 hour supply for five out of eight blood types. The situation has deteriorated since August 3. There will be a blood drive in Kirkland on August 30 and 31. We will publish additional details when they become available.
The West Region, which includes Tacoma, is down to 11 available ICU beds and almost 2 out 5 ICU patients are fighting COVID. in the more rural North Central District, 45% all ICU patients are hospitalized with COVID.
With the epidemiological curve doubling every 7 to 10 days, our hospital system is in danger of being overrun.
Yesterday we reported on Governor Inslee’s directive requiring all employees and contractors working for private K–12 schools and public K–12 school districts, charter schools, and educational service districts to be fully vaccinated by October 18, 2021. Due to the overwhelming amount of news yesterday, we cut the story short. The vaccine directive includes most of Washington state’s childcare workers.
The mandate includes employees, contractors, and volunteers working in licensed and licensed-exempt childcare centers and in early learning and youth development programs. Individuals that provide babysitting services to friends, neighbors, or direct family members from the same household are exempt.
Employees must provide proof of vaccination by showing their vaccine card, certificate of COVID-19 vaccination, or Washington State Immunization Information System printout. Individuals cannot use attestation as proof of immunization, and daycare providers cannot opt-out.
Individuals who have a medical condition, have been recently infected with COVID, and are under recommendation not to get a vaccination for 90 days, or who have a genuine and deeply held religious exemption can apply with the state. State officials said anyone applying for an exemption will be rigorously vetted and personal and philosophical reasons are not allowed.
FACT CHECK: In 1905, the United States Supreme Court decided that the states have the power to mandate vaccinations (Jacobson v. Massachusetts, 197 U.S. 11 (1905)). Last week, Trump appointed Supreme Court Justice Amy Comey Barrett, denied an appeal from students at Indiana University to block the school’s vaccine mandate. Because the Supreme Court was not in session, enabling Justice Comey Barrett to render a decision independently. A three-judge federal appeals court panel, including two judges appointed by former President Donald Trump, previously sided with Indiana University to require vaccinations.
To comply, employees need to have their second mRNA vaccination dose or the single-dose Johnson & Johnson vaccine by October 4, 2021.
Kirkland-Bellevue-Woodinville
We will be featuring area businesses that require vaccinations for their customers and require their staff to be vaccinated. The Lounge at DeLille Cellars is a place where you can enjoy wine by the glass and bottle with hand-crafted fare from Executive Chef Michael C. Toni. Located in Woodinville, they offer light bites for sharing to salads, sandwiches, entrees, such as steak frites and fresh pasta made daily.
No promotional consideration is given. If you have a business that requires proof of vaccination and you’re located on the eastside, send an email to tips@malcontentment.com. We’ll feature a new business here every day.
Burnout among nurses is reaching a crisis in the United States. Now dealing with the fourth wave (or fifth wave in Washington state) in the last 18 months, the trauma, stress, long hours, and under-appreciation is shrinking the nursing corps, and that is even before vaccination mandates started in hospital systems across the United States. In an interview with ICU nurse Cassandra Alexander, she quipped, “Why stay in a hard, dangerous, seemingly thankless job?”
Toyota, the largest car company in the world, is having to cut 40 percent of its global production, shutting down plants in its home nation of Japan. The production reduction is happening due to the global semiconductor shortage and parts suppliers closing in Malaysia due to a severe COVID outbreak in the archipelago. For US customers who want a Heche en Nippon product, the slowdown impacts the RAV4, Corolla, Camry, and Lexus ES.
As a disclaimer, we try to pick from more neutral sources so we’re not exactly fans of Vanity Fair. However, the differences from the on-the-air message versus what goes on behind the cameras at Fox News are worth highlighting. While hosts like Laura Ingraham and Tucker Carlson rail against vaccination and masks, mandates, vaccine cards, and mask wear, their employer has a different take.
In a Tuesday memo updating staff on COVID-19 procedures, Fox News Media chief executive Suzanne Scott said that the company has “asked all employees—whether on-site as part of our essential workforce or working remotely—to upload their vaccination status” into an internal database. “All employees must enter their status no later than today, August 17th, by close of business,” Scott wrote.
Scott added that while masks remain optional for vaccinated employees, the company is “requiring employees to wear a mask in small, confined spaces with limited opportunities for social distancing and where there are multiple employees, including control rooms.”
Arkansas
Hope that Arkansas had hit its peak fourth wave peak is fading as cases and hospitalizations started to climb again. Of Arkansas’ 262 school districts, 118 have issued mask mandates and another 87 have banned them. The state did cross a critical milestone, with 51% of the eligible population vaccinated against COVID.
Hawaii
On Oahu, where Honolulu is located, Straub Hospital is overcapacity in its ICU as the state deals with its worst surge of COVID cases ever. Dr. Johnathan Paladino reported the ICU was at 125% capacity and is currently at stage five of its seven-stage disaster plan. Patient triage is now being performed in a tent. Earlier in the week, the Queens Health System had also run out of ICU capacity. The disaster plan, based on military battlefield triage will hopefully not get to stage six or seven. At stage six care would be rationed, with the most critically sick could find care delayed. Stage seven is so-called “black tag triage,” where the sickest patients, regardless of having COVID or not, would be moved to comfort care.
Missouri
Missouri state representative Sara Walsh, another outspoken critic of vaccination and masks, reported that her husband has died of COVID. Steve Walsh died early this morning after the couple becomes infected in July. Neither were vaccinated, and the state representative said she didn’t get vaccinated because of concerns about friends’ negative reactions to the vaccine and said she didn’t feel she needed it as she’d been healthy since the pandemic began. Walsh is running for U.S. Representative Vicky Hartzler’s 4th District congressional seat in the 2022 election.
Governor Kate Brown announced that educators in the Pacific Northwest state who teach K-12, have until October 18 to receive a vaccination or face termination. “We will need confirmation from a qualified medical care provider on any medical exemption. And, we will be reviewing that each religious exemption that is requested is based on bonified beliefs,” said PPS Chief Human Resources Officer Sharon Reese. The mandate comes one day after Washington state issued a similar directive. Oregon has one of the fastest-growing rates of COVID in the United States, with many rural hospitals overwhelmed.
Texas
While Texas Governor Greg Abbott battles COVID in isolation at the governor’s mansion, he continues to battle mask mandates in Texas school districts. The town of Paris, Texas found a loophole in the Governor’s executive order, and modified the school dress code, making masks required.
“The Texas Governor does not have the authority to usurp the Board of Trustees’ exclusive power and duty to govern and oversee the management of the public schools of the district,” Paris ISD said in a release posted on its website. “Nothing in the Governor’s Executive Order 38 states he has suspended Chapter 11 of the Texas Education Code, and therefore the Board has elected to amend its dress code consistent with its statutory authority.”
Texas Attorney General Ken Paxton is taking the San Antonio Independent School District to court after the district mandated all staff be vaccinated for COVID-19. The School District is claiming they have the right to mandate vaccinations under the Equal Employment Opportunity Commission rules, while AG Paxton says it violates state law. We wrote yesterday how the Supreme Court has addressed challenges on vaccination mandates at a state level since 1905, and it is likely Texas will not prevail in its challenge.
Georgia
Parents in Cobb County, Georgia are pulling their children out of school, just three weeks after the 2021-2022 school year started. Last week the entire fifth-grade class at East Side Elementary was sent home because of a spike of COVID cases in the school. Parents had to select either remote or in-person learning during the spring, while masks and social distancing requirements were in place. The district voted not to require masks, going against federal guidelines. The situation has gotten tense with parents on both sides of the argument squaring off. Georgia’s PICUs are 75% to 90% full, with a growing number of pediatric COVID patients.
Wisconsin
Republican State Senator Andre Jacques, one of Wisconsin’s most conservative lawmakers and an outspoken critic of mask and vaccine mandates, is in the hospital with COVID. Jacques, who is married and has six children, reported on Monday night that several of his family members are also sick. On Wednesday no one would comment on his condition beyond he has pneumonia, is very tired, but in good spirits. Since his positive test, his legislative office said it “has been following all protocols.”
Minnesota
The number of children in childcare becoming infected with COVID is growing, with 120 new cases among the unvaccinated a week. The increase started at the height of summer camp season in the last week of July, said Dr. Beth Thielen, a pediatric infectious disease specialist at M Health Fairview. “That was really before things even started to spiral in Minnesota.”
You may have seen a claim that 45,000 people have died within 3 days of receiving the COVID vaccine based on information in the VAERS database. This misinformation is often touted with, “look it up for yourselves,” and has been shared widely on social media.
The VAERS database is a self-reporting tool, that anyone can complete online. It is true you can download the data and do analysis. The data is raw, has not been reviewed or verified, and relies upon the honesty of the people reporting. That would require in part, 45,000 reporting in three days that a relative had died from the vaccine. It is a significant leap to then assume that you had 100% reporting and it was 100% accurate.
But wait, there’s more. The VAERS database only has 6,000 self-reported fatality reports from December 2020 to July 2021. In early May there were 4,700. So where did the 45,000 number come from?
The organization America’s Front Line Doctors is behind the numbers and the lawsuit. But there is a huge problem with the claim, even if you want to cling to it as fact. The lawsuit states that an unnamed person (Jane Doe) who is a computer program calculated her estimate of deaths happening within 3 days of vaccination by examining the VAERS data and comparing it against medical claims. The lawsuit goes on to say, “The number of deaths occurring with (sic) 3 days of injection with the Vaccines exceeds those reported by VAERS by a factor of at least 5.”
There in the lies the problem. We don’t know when the data was pulled, but we do know the number of reports had to be under 6000. No explanation was given on the factor of five. Even if there was any veracity to the claim, the number in the lawsuit should be between 25,000 to 30,000. The other critical point is the data in VAERS is unverified data.
Americas Frontline Doctors were behind a July 27, 2020, viral video touting a cocktail of hydroxychloroquine, zinc, and Zithromax as a treatment for COVID. The claims were untrue, created a shortage of hydroxychloroquine, and left states like Oaklahoma looking to sell back the drug they bought last year under the advice of then-President Trump when he retweeted their video.
The three leaders of Americas Frontline Doctors are Dr. Stella Immanuel of Houston, Dr. Dan Erickson, and Dr. Simone Gold.
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.
[KIRKLAND, Wash.] – (MTN) The Biden Administration announced guidance for COVID vaccine booster shots, Washington state renewed its mask mandate while requiring K-12 educators to get vaccinated, as the United States has its first day with 1,000 COVID related deaths since April.
The Washington State Department of Health has released the latest COVID data through August 17, 2021. COVID cases continue to rise through the state, and more hospital systems are curtailing or delaying elective procedures and closing their doors to visitors.
Washington State Update for August 18, 2021
Today, Governor Jay Inslee held a press conference in Olympia, announcing the renewal of the statewide mask mandate effective Monday, August 23, 2021. “We are requiring all individuals, including the vaccinated, to mask up inside in all public places,” the governor said.
The mask directive applies to all individuals over the age of 5 in indoor public settings regardless of their vaccination status. Exceptions include athletes while engaged in active play or when people are eating or drinking. Additionally, persons who have a bonafide medical condition are exempt.
People who are fully vaccinated and work in places that don’t face the public, such as computer programmers or machine operators, do not have to wear masks when working in those environments. For private events where everyone is vaccinated, masks are not required.
For the unvaccinated over 5 years old, masks are required in all indoor settings.
“There is a strong recommendation for crowded situations outdoors,” said Secretary of Health Umair A. Shah, MD, MPH, adding, “There is no requirement.” Dr. Shah’s guidance was to wear a mask in densely crowded areas outdoors or in large group settings such as sporting events, fairs, or concerts. As of this writing, the new directive has not been published on the State of Washington Department of Health website. We will provide a link in our next update or when it is made available.
No promotional consideration has been given, or requested from the n95 project or any manufacturer of masks
The number of COVID cases and rate of infection continue to deteriorate. Through August 10, the 14 day rolling average Washington is recording 419.2 COVID cases per 100K. This represents the highest rate of new infections since the December 2020 peak. New cases continue to grow exponentially, doubling every 7 to 10 days.
Washington State Newly Diagnosed COVID Cases per 100K During the Prior Two Weeks Through August 10, 2021
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 10.53%, and over the previous 7 days, 13.78%. Both of these numbers would indicate widespread community transmission and significant under testing of the population.
So far, COVID deaths remain very low, with a 7 day rolling average of 6 per day. It is important to note that fatalities are a trailing indicator that usually increases two to four weeks after hospitalizations begin growing.
In hard-hit Klickitat County, Sheriff Bob Songer reported he was infected with COVID in July and had a 5-day hospital stay. Sheriff Songer has been vocal in his position of not supporting COVID-related rules. He says he will continue to fight pandemic-related restrictions as he recovers at home and requiring oxygen. He dismissed his need for supplemental oxygen in an interview, stating he is a smoker with chronic pulmonary issues.
Washington state-based Alaska Airlines is said to be considering a vaccination mandate for their employees after three died from COVID in July. The deaths included Captain Eric Moss, a 53-year old pilot that would have likely not had any comorbidities. It is reported all three were unvaccinated.
EXTRA CREDIT: Airline pilots have to follow strict air medical standards to maintain flight status. The Aircraft Owners and Pilot Association can provide you with more information.
“Based on our latest assessment, the current protection against severe disease, hospitalization, and death could diminish in the months ahead, especially among those who are at higher risk or were vaccinated during the earlier phases of the vaccination rollout,” top health officials said in a joint statement.
Unlike vaccines from Pfizer and Moderna, the Johnson & Johnson vaccine uses a disabled adenovirus to deliver the instructions. This adenovirus is in no way related to the coronavirus. It cannot give you COVID-19, nor can it spread COVID-19 to other people. The virus delivers instructions to the immune system on how to defeat coronavirus without giving it the ability to replicate.
Tik Tok creator hotvickkrishna made this video that explains how the Johnson & Johnson vaccine works and why only one dose is required.
Yesterday, we reported that Texas Governor Greg Abbott, currently infected with COVID, received a booster shot. During an interview with Sean Hannity on Fox News, former President Donald Trump derided booster shots as a money-making scheme while falsly stating that vaccine developers said the COVID vaccine was forever.
FACT CHECK: On April 2, 2021, the CDC released a report indicating that the Pfizer and Moderna mRNA vaccines would be effective for at least six months. The study tracked 3,950 individuals from December 2020 to March 2021 under real-world conditions. Another study released in June 2021 from Washington University in St. Louis indicated the mRNA vaccines could be effective for years “so long as the virus and its variants do not evolve much beyond their current forms.”
During Governor Inslee’s press conference today, Dr. Shah reported seeing a “20% increase in vaccinations in the last two weeks” in Washington state.
Governor Inslee appealed to the almost 2 million Washingtonians vaccine eligible but have not gotten the jab. “Instead of shutting down businesses and schools, we are using tools to keep our businesses and schools open,” Inslee said. “This isn’t your grandpa’s illness anymore, and 95% of the people sick and hospitalized today are unvaccinated.”
The group Find a COVID Shot WA can assist anyone who needs help making an appointment. The group of 75 volunteers has been operating since the beginning of 2021 and offers support in 20 languages.
King County, Washington is over 80% vaccinated, and Washington state is over 70%. The highest rates of positivity are in areas with low vaccination rates statewide. The FDA is expected to provide full approval to the Pfizer vaccine next month.
COVID vaccines are free for anyone over 12 years old, and no appointment is necessary at most locations. Lyft and Hopelink provide free transportation, and KinderCare, the Learning Care Group, and the YMCA offer free childcare during vaccination appointments or recuperation.
Harborview Medical Center is Washington state’s only Level I trauma hospital with 413 beds. As recently as August 11, the hospital had more than 500 patients, and the wait time for patients arriving by ambulance was up to 90 minutes long.
“We have broken our previous record for hospitalizations set in December, and we are witnessing exponential growth,” Governor Inslee stated.
On August 17, 84.0% of available acute care beds in Washington state have patients. The data indicated there were 1,461 acute care beds available statewide and 314 in King County. The Northwest, West, Central, South Central, and East Regions were over 80% utilization. There are 1,174 COVID patients in acute care, an increase of 82 since yesterday. 12.8% of all hospitalized acute care hospital patients are being treated for COVID.
Washington State Hospital Acute Care Beds Occupied by Patients – August 17, 2021
Statewide ICUs were 82.9% occupied with 211 staffed beds available. King County has 70 ICU beds available. Unfortunately, the number of COVID patients in the ICU jumped significantly from yesterday. The number of ICU patients increased 72% overnight, to 400 patients – almost 1 in 3 people in the ICU.
Washington State ICU Patients with COVID – August 17, 2021
Washington state continues to have a critical shortage of blood, with a less than 24 hour supply for five out of eight blood types. The situation has deteriorated since August 3. There will be a blood drive in Kirkland on August 30 and 31. We will publish additional details when they become available.
The East Region, which includes Spokane, has 16 ICU beds remaining.
With the epidemiological curve doubling every 7 to 10 days, our hospital system is in danger of being overrun.
Today in Everett, anti-vaxxers protested out of Providence Hospital, where the first confirmed COVID case in the United States was treated. Hospital workers walked out during lunchtime, giving the middle finger to the crowd. One employee in scrubs said they felt “betrayed, hurt, and sad.”
I watched as Providence Everett employees walked out of the hospital around lunch time to a large anti-vaccine mandate protest. The employee in full scrubs flipping off the crowd, who declined to be named, said they felt “betrayed, hurt, sad” seeing the protestors. pic.twitter.com/rbqPBbXTaf
anti-vax protesters outside of everett providence hospital on august 18, 2021
Back to School
Governor Inslee announced a directive requiring all employees and contractors working for private K–12 schools and public K–12 school districts, charter schools, and educational service districts to be fully vaccinated by October 18, 2021.
All staff, faculty, administrators, contractors, coaches, volunteers, and visitors must provide proof of vaccination, a bonafide medical exemption, or proof of sincerely held religious beliefs by the deadline or face termination of employment. If a school employee contracts COVID and is recommended to wait 90 days before receiving their COVID vaccination, they need to seek accommodation before the October 18 deadline.
The order does not apply to state-tribal education compact schools or to students.
“We are well past the point where testing can keep people safe,” Inslee stated. “Before you leave your job, talk to your doctor. Don’t listen to all this baloney on the Internet. Don’t leave your career until you talk to your doctor about this vaccine,” he continued.
“This is fundamentally a health and safety issue.”
“Delta is not Alpha. It is impacting more folks, and it is more transmissible, Washington State Superintendent of Public Instruction Chris Reykdal said.
“Our goal here is safety first and foremost. Shutdowns have impacts. When 1.1 million kids are home, someone has to be there at home. Opening school is important. It matters to learning, it matters to our economy, and it matters to your families.”
According to the Washington Office of Superintendent of Public Instruction, COVID cases have increased 79% for children ages 4 to 10, 59% for ages 11 to 14, and 66% for teens ages 15 to 19.
Employees must provide proof of vaccination by showing their vaccine card, certificate of COVID-19 vaccination, or Washington State Immunization Information System printout. Individuals cannot use attestation as proof of immunization, and school systems cannot opt out.
FACT CHECK: In 1905, the United States Supreme Court decided that the states have the power to mandate vaccinations (Jacobson v. Massachusetts, 197 U.S. 11 (1905)). Last week, Trump appointed Supreme Court Justice Amy Comey Barrett, denied an appeal from students at Indiana University to block the school’s vaccine mandate. Because the Supreme Court was not in session, enabling Justice Comey Barrett to render a decision independently. A three-judge federal appeals court panel, including two judges appointed by former President Donald Trump, previously sided with Indiana University to require vaccinations.
To comply, employees need to have their second mRNA vaccination dose or the single-dose Johnson & Johnson vaccine by October 4, 2021.
Superintendent Reykdal stated that vaccination rates among current teaching staff are “well in excess of 70%.”
In explaining why he passed the mandate, Governor Inslee stated, “The freedom from COVID is a freedom we are protecting here. We are protecting your freedom to be alive, go to school, and run your business.”
Kirkland-Bellevue-Woodinville
Yesterday we created some confusion due to the wording in our story. The Lake Washington School District will not require students to provide a daily health screening/attestation. Parents are urged to keep their children home if they are experiencing COVID-like symptoms, have been directly exposed to COVID, or are sick.
According to Dr. Katelyn Jetelina, MD, 121,427 kids have tested positive for COVID, representing 18% of all reported COVID cases in the United States. Texas has the most pediatric cases, with 509 children hospitalized. Pediatric patients are growing exponentially in the United States, pushing children’s hospitals to the limit.
On the current trajectory, Dr. Denise Dewald, MD, projects the United States will need 6,800 PICU staffed beds to meet the anticipated peak. The nation only has 4,500 beds, and unlike adults, PICU cannot be expanded simply by adding surge capacity in tent hospitals or moving patients to adult care units. Pediatric patients require specialized equipment, medical staff, and medications.
“Thanks to God’s grace and to the work of many, we now have vaccines to protect us from COVID-19,” the Pope said in a video message made on behalf of the nonprofit U.S. group the Ad Council and the public health coalition COVID Collaborative.
“They grant us the hope of ending the pandemic, but only if they are available to all and if we work together.”
The Pope was vaccinated back in March, declaring it was an ethical obligation.
President Joe Biden announced that staff members at nursing homes would now be required to be fully vaccinated against COVID-19, or those facilities would risk losing their Medicare and Medicaid funding. The President reported that since COVID started, 130,000 residents in nursing homes have passed away.
According to early August data from the Centers for Medicare and Medicaid Services, only 60 percent of staff members at long-term-care facilities have received the full course of the coronavirus vaccine.
Alabama ran out of ICU beds on Tuesday night and added 4,465 new COVID cases. Dr. Don Williams, president of the Alabama Hospital Association, reported that the state is actually negative 11 for staffed ICU beds and has an additional 30 patients awaiting transfer to an ICU. Alabama has 2,723 people hospitalized with COVID, including 41 pediatric patients. Last week, Governor Kay Ivey announced a temporary emergency order enabling doctors, nurses, and pharmacists to practice in Alabama using expedited medical licenses.
COVID cases are spiking in Wisconsin, where 683 COVID patients are being cared for statewide. Dr. Ben Weston, the director of Medical Services for the Milwaukee County Office of Emergency Management, called attention to the steep increase in hospitalizations during a press call with Milwaukee County officials.
“For those who have not yet gotten vaccinated, now is the time,” Weston said. “The delta variant is widespread, and the vaccine significantly decreases your risk of infection, the risk of severe symptoms, your risk of hospitalization, and your risk of death.”
New COVID cases in Wisconsin have reached the highest levels since February.
A lot of digital ink has been spilled about the drug Ivermectin. On July 28, even the Wall Street Journal ran an opinion piece called, Why is the FDA Attacking a Safe, Effective Drug? The Wall Street Journal updated the op-ed piece recently with this disclaimer, “This article has been edited to remove a reference to a study of 200 healthcare workers by Ahmed Elgazzar of Benha University in Egypt. Messrs. Henderson and Hooper relied on a summary of studies published in the American Journal of Therapeutics. They learned after publication that this study has been retracted because of charges of data manipulation.”
Neither David R. Henderson nor Charles L. Hooper, the writers of the articles, are medical doctors, medical researchers, or immunologists. Additionally, Mr. Hooper is president of Objective Insights, a firm that consults with pharmaceutical clients. Who is one of Objective Insights’ clients? Merck, the maker of Ivermectin.
You might have seen videos out of San Diego County where several anti-vax, anti-mask, and COVID deniers took to the microphone. The BBC investigated how Russia is hiring American actors they are recruiting through YouTube and social media to create misinformation content and attend anti-vax protests.
Denver, Colorado actress Audra J. Morgan was identified as a speaker in San Diego by internet sleuths. After being identified, she was found in photos at several protests around the country.
Journalists, activists, and researchers defending the First Amendment
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