Washington state COVID summary for November 4, 2021

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[KING COUNTY, Wash.] – (MTN) Although new cases statewide were almost unchanged, they are plummeting in the rural counties of Washington. Hospitalization data for Covid-19 patients receiving acute care also is looking promising. If the state can maintain these trends past Thanksgiving and COVID VUI-21 doesn’t get a foothold in the United States – let’s not get too far ahead of ourselves.

This abbreviated update uses the latest data from the Washington State Department of Health (WSDOH), released on November 4, 2021.

Washington State Update for November 4, 2021

Washington state Covid-19 update

The number of new Covid-19 cases in Washington was steady but a couple of really interesting trends are happening this week.

We had predicted that the return of cold rainy weather would have a split impact in Washington. For densely populated areas infection rates would creep upward with more people moving back indoors. In rural areas, we predicted the rates would decline as people become more isolated and the peak of farming activity winds down. We also predicted this wouldn’t be a one size fits all situation because vaccination rates, age, race, and income levels would also have some impact.

This is exactly what we’re seeing. Washington has 12 counties with fewer than 25,000 residents. Only one, Klickitat, has not seen a sharp decline in Covid-19 cases in the last two weeks. Although case rates in Ferry County are still high (568.9) it is 60% below its peak from two weeks ago.

Five Washington counties have more than 500,000 residents, and case rates are declining much slower in those areas. Vaccination rates are just part of the equation and this sudden drop in Eastern Washington started 14 days after the October 18 vaccine mandate deadline. Cause is not correlation, but the mandate is certainly one of several factors driving new cases down east of the Cascades.

We will likely see a shift in infection patterns seven to 14 days after Thanksgiving weekend.

For the first time, new case rates are essentially the same in all but the most vaccinated counties, which continue to remain significantly lower.

Through November 3, Washington’s statewide 14-day rolling average is 303.6 Covid-19 cases per 100K. If this trend can continue hospitalizations should start to decline faster in two to three weeks.

Only Skagit County has a case rate between 600.0 to 799.9 – and after peaking at 669 has dropped to 616.3.

Asotin, Chelan, Douglas, Ferry, Grant, Klickitat, Lewis, Okanagan, and Spokane counties have a new case rate between 400.0 and 599.9. Cowlitz, Mason, Pend Oreille, and Stevens were just under 400.

Eleven counties have a 7 day moving average case rate under 100 and Columbia, Garfield, and San Juan are under 25.

The 7 day case rate was unchanged for most age groups and slightly down for people 80 and older. Hospitalization rates were mixed but didn’t indicate a significant trend.

The USA Today COVID Tracker reported 34 deaths on Wednesday.

Travel Advisories

With new cases starting to decline statewide, we continue to hope the East Hospital Region travel advisory can end in the next six to 13 days. For now, we’re maintaining our recreational travel advisory to the region, including Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens, Wahkiakum, and Whitman counties. Acute care and ICU capacity remain limited.

Additionally, we are maintaining the travel advisory for the Northwest Hospital Region. The region includes Clallam, Jefferson, Kitsap, and Mason counties.

We are adding Colorado to our list of states to avoid all nonessential travel. On Sunday, Governor Jared Polis signed an executive order implementing crisis standards of care. We continue to strongly advise against all nonessential travel to Alaska, Idaho, and Montana. Alaska and the Idaho Panhandle are experiencing an extreme number of Covid-19 hospitalizations. Hospital resources in these regions are constrained, and you may receive inadequate care if you experience a serious medical emergency.

We are downgrading our travel advisory for Wyoming and recommend avoiding recreational travel at this time. The situation has improved significantly in the last two weeks.

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Vaccination

Vaccinate Washington web portal now includes Pfizer-BioNTech pediatric ages 5 to 11 vaccine locator

Despite up to 316,000 doses of the Pfizer vaccine for children ages 5 to 11 expected to arrive in Washington this week, officials are asking for patience and kindness as parents scramble to make appointments. The Washington State Vaccine Locator provided by the Washington State Department of Health has added Pfizer-BioNTech pediatric ages 5 to 11 as a filter for searching for appointments and locations.

To find a location for your child, or a booster for yourself, you only need to provide your zip code at the Vaccinate WA website. On the results page, you can click on the down arrow to add filters, and select Pfizer-BioNTech Pediatric age 5 – 11.

A search this afternoon provided four locations in Seattle including Docere Center for Natural Medicine, UW Medicine at two locations, and Harborview Medical Center.

CVS, Rite-Aid, Walgreens, and Walmart are also accepting appointments online.

Hospital Status

According to the DoH COVID Dashboard, 91% of all staffed acute care beds are occupied, and 14.7% of patients have Covid-19. Statewide, hospitals have the staff to support approximately 657 additional acute care patients. The ratio of acute care Covid-19 patients is down in every hospital region. We should start to see a faster decline in ICU utilization in the next 10 to 20 days. Regrettably, some of that decrease will be driven by fatalities.

ICUs are at 88.5% of capacity statewide, with 25.0% of ICU patients fighting Covid-19 – an estimated 294 patients with 58.0% on ventilators. The state has the staff to support approximately 138 additional ICU patients.

On Wednesday, the 7-day rolling average hospital admission rate for new COVID patients was 94. The Department of Health reported 1,004 Covid-19 patients statewide on November 3, with 172 requiring ventilators.

Hospital Region readiness was largely unchanged from yesterday. The East Hospital Region is showing signs of improvement and if the trend continues, the travel advisory will likely be downgraded or lifted next week.

Back to School

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.

There was a parent confirmed Covid-19 case reported at Blackwell Elementary in the Lake Washington School District on Monday and an additional parent confirmed COVID case on Tuesday, including three in quarantine. Because LWSD updates data weekly, we add a footnote for parent-reported cases during the week.

Woodinville High School in the Northshore School District now has five confirmed Covid-19 cases, adding two more this morning.

We continued to encourage parents to request daily updates from the Lake Washington School District. We would also encourage parents to request the Bellevue School District include data on close contacts. These two changes would bring the three school districts we track into alignment.

Kirkland-Bellevue-Woodinville

Kirkland Health Fair and Community Vaccination Event on November 6

The Kirkland Health Fair and Community Vaccination Event will be held on Saturday, November 6, from 10 a.m. to 2 p.m at Juanita High School. Hosted by the City of Kirkland in partnership with Public Health – Seattle and King County, the event will provide Covid-19 vaccination, information, education, and more.

The City of Kirkland has confirmed that vaccinations for 5 to 11-year-olds will not be available.

National Round-Up

Johns Hopkins University Cumulative Case Tracker reports 83,501 new cases and 1,904 deaths nationwide on Wednesday.

Brief summary for the nation today. There are five states with at least one hospital operating under crisis standards of care – Alaska, Colorado, Idaho, Montana, and Wyoming. The states are first, fifth, tenth, second, and fourth for new Covid-19 cases respectively.

State Updates

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Disinformation

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