Washington - Coronavirus COVID-19

Clinical trial enrollment plummets as volunteers are scared off coronavirus drugs promoted by Trump

May 9, 2020

One of the hottest debates in the coronavirus pandemic is whether the malaria drugs promoted as possible treatments by President Donald Trump really work. But Americans don’t seem overly eager to help answer the question.

Enrollment in several clinical trials of chloroquine and hydroxychloroquine — including two by the University of Washington — has been anemic so far. Fewer than 260 volunteers, out of a target of 2,000, have signed up for a $9.5 million UW study being conducted in Seattle and six other sites across the country. Another multi-site project coordinated by the UW has only about 30 patients enrolled.

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Barnabas and other researchers say the potential risks of the drugs have been exaggerated in the heated political controversy ignited when Trump first began promoting them. Critics of the president blasted him for touting unproven medications, while his supporters have accused scientists of cover-ups and conspiracies.

[..]

For people with no underlying heart or kidney problems, there is no evidence the drug — at the doses used in the clinical trials — poses serious risks of cardiac problems, said Dr. William O’Neill, who is overseeing a trial at the Henry Ford Health System in Detroit.

“We have decades of experience with this drug,” he said. “It’s one of the few drugs approved for use during pregnancy and for lactating women.”

Enrollment has also slowed in O’Neill’s study, which is focused on testing hydroxychloroquine’s ability to protect people who work in high-risk settings, like hospitals, nursing homes and prisons, from infection. The project was funded by the Bill & Melinda Gates Foundation, which is interested in inexpensive drugs that might be used to fight COVID-19, the disease caused by the novel coronavirus, in developing countries.

O’Neill’s team has given hydroxychloroquine to about 1,700 people so far, with no serious side effects, he said.
 
Ryan Simms[URL='https://twitter.com/RyanKIRO7']@RyanKIRO7[/URL]

.
@harborviewmc
says 30 doctors/employees are now in quarantine, many of them from the hospital's surgery unit. Hospital administrators admit there is now an unexpected stress upon the surgery unit with so many personnel out. "We're working to get through this," they say

11:15 AM · Oct 16, 2020

Ryan Simms@RyanKIRO7

#Breaking: doctors confirm that there has been a #Covid outbreak at
@harborviewmc
. Ten doctors and several patients have been infected. One of the patients later died because of the virus.

11:05 AM · Oct 16, 2020 from Alderwood Manor, WA
 
NOV 4, 2020
Washington state reports highest ever single-day total of COVID-19 cases on Wednesday
The Washington State Department of Health on Wednesday reported 1,469 new confirmed cases of COVID-19 and 16 new deaths. The mark is the highest single-day total since the pandemic began, surpassing the previous high of 1,056 on July 6.

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Statewide totals from the illness caused by the coronavirus are at 111,480 cases and 2,416 deaths, up from 110,011 cases and 2,400 deaths on Tuesday.

King County continues to have the highest numbers in Washington, with 28,926 cases and 822 deaths. Yakima County is second, with 12,061 cases and 279 deaths. Pierce is third with cases at 10,879.

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Coronavirus update: Washington state eclipses 111,000 total COVID-19 cases
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Part of the state's COVID-19 increase comes from a record-breaking surge in Pierce County.

Pierce County Health officials reported 214 new COVID-19 cases Wednesday, the highest single day total since the pandemic began.

The Tacoma-Pierce County Health Department said they believe the spike is from community transmission as more people move indoors with the colder weather.

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Pierce County has reported 1,408 COVID-19 cases in the past 14 days making their 14-day case rate per 100,000 156.1.

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NOV 5, 2020
'We're going the wrong way fast': Experts concerned by COVID spike in Washington | king5.com
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"We’re going the wrong way fast," said Dr. Kathy Lofy, health officer for the Washington Department of Health (DOH). "Yesterday, we reported almost 1,500 new cases, which is the highest number of cases the state has ever reported in a single day."

Data from the DOH showed the state reported 1,443 new COVID-19 cases on Tuesday and 1,068 new cases on Wednesday. As of Thursday evening, there are 112,550 confirmed COVID-19 cases in the state, including 2,431 deaths.

Another measurement health experts are pointing to is the number of new cases per 100,000 people on a 14-day average, which should be 25 or less, but it's currently more than 146, according to the DOH.

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NOV 10, 2020
Dire warnings from health officials as coronavirus runs wild in Washington: ‘Any in-person gathering is risky’
As coronavirus levels reach record highs in Washington, health officials from around the state warned Tuesday afternoon that “any in-person gathering is risky,” including Thanksgiving dinners.

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“We do not want to take further actions that will further hurt our economy,” said State Health Officer Dr. Kathy Lofy. “But unfortunately, if we continue on this trajectory, at some point we may need to.”

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Here are the COVID-19 cases and deaths confirmed Tuesday for Washington state
On Oct. 30, the most recent date with complete data, 18,396 specimens were collected statewide, with 5.8% testing positive. The average positive test rate for the seven days prior was 4.9%. More than 2.6 million tests have been conducted in Washington.

Coronavirus update: Washington state surpasses 120,000 total COVID-19 cases
The Washington State Department of Health reported 1,441 new COVID-19 cases, 61 additional hospitalizations and 22 more deaths due to the virus.

The latest surge pushes the statewide total since the start of the pandemic to 120,011 confirmed COVID-19 cases, 9,092 hospitalizations and 2,482 deaths.
 
NOV 15, 2020
Inslee announces statewide restrictions for four-weeks | Governor Jay Inslee
The restrictions are statewide and will take effect Monday, November 16 at 11:59 PM and will remain in effect until Monday, December 14. The modified restrictions of restaurants, however, will take effect Wednesday, November 18 at 12:01 AM.

To help mitigate financial impacts on businesses and their employees, the state will commit $50 million in aid. In the short term, the state is commuting $20 million be dedicated to cash assistance targeted directly to hardest hit industries. Remaining funds will be focused on supporting recovery efforts through business loans. Additional details are forthcoming.

Inslee announces statewide restrictions for four-weeks

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Attachments

Washington state wedding with 300 guests turns into a COVID-19 super-spreader event

Nov 17, 2020

Seventeen confirmed COVID-19 cases — with more being added daily — and two subsequent coronavirus outbreaks are the legacy of a wedding at a private venue near Ritzville that drew more than 300 attendees, according to Grant County health officials.

[..]

Weddings ceremonies had been capped at no more than 30 people, though starting this week indoor wedding receptions of any size are banned in Washington.

Officials with the Grant County Health District are asking wedding attendees to get tested and self-quarantine through Saturday, Nov. 21.

[..]

Health officials said they’re posting public requests notifying guests of the possible exposure and urging them to get tested, “but with more than 300 people attending the wedding from many communities, local health jurisdictions are unlikely to reach them all.”

Adams County health officials could not be reached for comment late Monday.
 
NOV 5, 2020
Woman with COVID-19 sheds infectious virus for a record 70 days | Live Science
A woman with COVID-19 in Washington state shed infectious virus particles for 70 days, meaning she was contagious during that entire time, despite never showing symptoms of the disease, according to a new report.

The 71-year-old woman had a type of leukemia, or cancer of the white blood cells, and so her immune system was weakened and less able to clear her body of the new coronavirus, known as SARS-CoV-2. Although researchers have suspected that people with weakened immune systems may shed the virus for longer than typical, there was little evidence of this happening, until now.

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The woman was infected in late February during the country's first reported COVID-19 outbreak, which occurred at the Life Care Center rehabilitation facility in Kirkland, Washington, where she was a patient.

She was hospitalized for anemia related to her cancer on Feb. 25, and doctors screened her for COVID-19 because she came from the center with the outbreak. She tested positive on March 2.

Over the next 15 weeks, the woman would be tested for COVID-19 more than a dozen times. The virus was detected in her upper respiratory tract for 105 days; and infectious virus particles — meaning they were capable of spreading the disease — were detected for at least 70 days. Specifically, the researchers were able to isolate the virus from the patient's samples, and grow it in a lab. They were even able to capture images of the virus using scanning and transmission electron microscopy.

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The woman was likely contagious for so long because her body didn't mount a proper immune response. Indeed, the woman's blood samples did not appear to contain antibodies against the virus.

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Exactly how the woman cleared the virus is unknown and is something that should be examined in future research involving patients with weakened immune systems, the authors said.

In addition, the researchers don't know why the woman never experienced symptoms of COVID-19 despite being immunocompromised, which puts her at higher risk of severe disease, according to the CDC.

"You would indeed think that the immunocompromised status would allow the virus to spread from the upper (more common cold scenario) to the lower respiratory tract (pneumonia)," Munster told Live Science in an email. "Even though the patient was at least infected for 105 days, this clearly didn’t happen, and this remains a mystery to us."

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An estimated 3 million people in the U.S. have an immunocompromising condition, including people with HIV, as well as those who have received stem-cell transplants, organ transplants and chemotherapy, the authors said.

"Understanding the mechanism of virus persistence and eventual clearance [in immunocompromised patients] will be essential to providing appropriate treatment and preventing transmission of SARS-CoV-2," the authors concluded.
 
NOV 30, 2020
Washington launches statewide COVID-19 notification app (apnews.com)
Washington state on Monday launched a statewide coronavirus exposure app, joining more than a dozen states that have already enlisted the use of smartphone technology in the ongoing effort to prevent the spread of COVID-19.

People with iPhones can now enable the ‘exposure notifications’ feature that is already in their phone’s settings, and Android devices can download the app, called WA Notify. Use of the app is voluntary and users can opt out at any time. The statewide expansion comes after a monthlong pilot project used by 3,500 participants — including students, faculty and staff — at the University of Washington.

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The technology, created by Apple and Google, is in use in more than 30 countries and more than a dozen states in the U.S., including New York, Colorado and Virginia. Washington was among five states with pilot programs already testing the technology.

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NOV 30, 2020
Will Washington have to endure another COVID-19 lockdown? | KOMO (komonews.com)
Gov. Jay Inslee and state health leaders said Monday that they are waiting to see if gatherings that occurred for the Thanksgiving holiday will result in a dramatically higher coronavirus case count, which could lead to another statewide lockdown.

COVID-19's impact generally does not surface for up to 10 days or two weeks after someone has contracted the mystery virus.

That means health officials won't be able to say if Thanksgiving gatherings caused a substantial uptick in cases until about the same time when the governor’s current ban on indoor dining, indoor fitness center activity and a total shutdown of bowling alleys expires.

[...]
 
DEC 14, 2020
Who is getting the COVID-19 vaccine first in Washington? | king5.com
[...]

The first shipment of the COVID-19 vaccine arrived in Washington state on Monday. The state is expected to receive 62,400 doses of Pfizer's vaccine this week.

Around 500,000 people in Washington are eligible to receive the COVID-19 vaccine in its first distribution phase, according to estimates from the state Department of Health.

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Right now, the first people who will receive the vaccine are among the following populations: high-risk workers in health care settings; high-risk first responders; and residents and staff of nursing homes and assisted living facilities and other congregates living settings where most individuals over 65 years old are receiving care.

Many residents of long-term care facilities will receive the vaccine through a federal pharmacy program that will begin in late December and draw from Washington state's allotment, according to the DOH.

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The full Phase 1a guidance is available on the state DOH website.

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The first distribution will go to 17 sites across 13 counties in Washington state.

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The federal government has given Washington state an estimated total distribution of 222,000 doses of the Pfizer vaccine by the end of December, according to the DOH. Regular weekly shipments should begin in January.

Moderna also submitted an emergency use authorization (EUA) application on November 30, which will be reviewed on Thursday, Dec. 17. If the EUA is granted and the vaccine is approved, Washington state should get about 183,800 doses of the vaccine by the end of December.

[...]

It's unknown right now who will be vaccinated first in later phases. Washington state is relying on guidance from the ACIP.

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Washington state will share distribution and prioritization guidelines for future vaccine phases in the coming weeks, according to the DOH.

DOH documents said it could take two months to cover frontline workers, especially considering the vaccine is two doses. It could take several months for the general public to get vaccines.
 
JAN 23, 2021
First case of U.K. COVID-19 strain found in Washington state > Washington State Department of Health
Today, the Washington State Department of Health (DOH) along with the Snohomish Health District and the UW Medicine Virology Lab, announce that the B.1.1.7 variant of COVID-19 has been found in testing samples from our state.

The UW Medicine Virology Lab detected two cases of the COVID-19 variant, known as B.1.1.7 or SARS-CoV-2 VOC 202012/01 in specimens collected from two Snohomish County residents. ...

[...]

The B.1.1.7 variant, first detected globally in September 2020, emerged with an unusually large number of mutations and has now spread significantly in London and southeast England. This variant spreads more easily and quickly than other variants. According to the Centers for Disease Control and Prevention (CDC), there is no conclusive evidence that it causes more severe illness or increased risk of death. In a report last week, CDC estimated that this strain will become the dominant strain in the U.S. within a few months. Data they provided show that, through January 22, there were 195 detections of this variant in 22 states.

... “Now that this variant has been found, it underscores the absolute importance of doubling down on all the prevention measures to protect Washingtonians against COVID-19.”

[...]
 
JAN 29, 2021
What Does the More Contagious Strain of Coronavirus in Washington State Mean, and What Can Be Done? | Community | chronline.com
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The B.1.1.7 variant has been found in 24 states, including Washington, and has become the dominant strain in the U.K.

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A single mutation rarely makes major changes to the virus. When a number of mutations happen, a new variant of the virus occurs, which can make the virus more transmissible and more dangerous, but not always.

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When a variant of a virus such as B.1.1.7 emerges and takes root, as it did in the U.K., it is partly because a number of mutations gave it an advantage. The B.1.1.7 variant has a mutation to one of the spike proteins that better allows it to attach to and invade its host's cells.

[...]

While the B.1.1.7 variant is worrisome, Dr. Wes Van Voorhis, director for emerging and reemerging infectious diseases at the University of Washington School of Medicine, is more concerned about a variant identified in South Africa.

Early reports about that variant, B.1.351, show that people have been reinfected by the variant and plasma taken from recovered people hasn't neutralized the new variant, Van Voorhis said.

The B.1.351 strain has infected two people in South Carolina, state officials announced Thursday. Neither had traveled recently.

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So far, it appears the various variants aren't different enough to completely evade the effects of the coronavirus vaccines, Van Voorhis said.

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Double-masking "likely does" help protect against the variant strains and, "it just makes common sense that it would be more effective," Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, told the "Today" show on Monday.

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"Bottom line is, get vaccinated early, and it'll probably help against all these variants," he said.
 
FEB 17, 2021
Seattle Woman, 90, Walks 6 Miles Through Snow for Vaccine – NECN
A rare winter storm that dumped a foot of snow on Seattle couldn’t keep a 90-year-old woman from her first appointment for the coronavirus vaccine.

The Seattle Times reports that FG walked six miles round trip to get her shot.

“I have been calling to get an appointment anywhere, every morning, every afternoon and often I’ve been online at night,” FG said.

She finally secured a slot for Sunday morning, but Friday and Saturday a strong winter storm moved through the region, turning the city's normally rainy streets into a winter scene of snowdrifts.

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“It was not easy going, it was challenging,” she told the newspaper.

But FG made it to her appointment, just 5 minutes late.

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MAR 30, 2021
102 get sick with coronavirus despite getting vaccine in Washington | KATU
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According to the Washington State Health Department, scientists call these “vaccine breakthrough” cases, which are expected with any vaccine.

Dr. Ken Stedman with Portland State University agrees.

"It’s exactly what you expect. Nothing is 100% effective," he said.

With the virus still around, Stedman says it's likely we will continue to see more vaccine breakthrough cases until most people are vaccinated. But these numbers shouldn't be seen as a reason to not get a vaccine; if anything, they show the vaccine is working.

"I was really excited to see that data. It seems like the number of breakthrough cases after people have been fully vaccinated is actually even way lower than the 5% that you would expect," he said. "It seems like they’re working."

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The Washington State Health Department did not say if those who tested positive had a new variant of the virus or if it was the original strain of COVID-19. Regardless, Stedman said it's further proof of the importance of continuing to wear masks and practice social distancing even after being vaccinated.
 
MAR 30, updated MAR 31, 2021
Another 2 million people in Washington now eligible for the COVID-19 vaccine | king5.com
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Washington moved into Phase 1B Tiers 3 and 4 of the vaccine rollout making vaccine appointments open for:
  • Anyone age 16 and older with two or more diseases or medical conditions
  • Anyone age 60 and older
  • Anyone living or working in certain congregate settings (correctional facilities, group homes for those with disabilities, those experiencing homelessness, etc.)
  • Additional high-risk critical workers in congregate settings (restaurants, manufacturing, construction)
The DOH also no longer requires people to use their online questionnaire, known as Phase Finder, to determine eligibility for the shot. The DOH said they trust most people will continue to do the right thing and wait for their turn.

The DOH instead refers people to Washington's vaccine locator, Vaccinate WA. On the website, people will be able to see if they fall into a qualified group, and they will be able to find providers with available vaccine appointments in their area.

[...]
 
Washington state suspends rollout of Johnson & Johnson COVID vaccine as feds review clotting

4/13/21

Washington state on Tuesday paused the administration of Johnson & Johnson COVID-19 vaccine doses in Washington state.

“Use of that vaccine will be put on hold until we receive further recommendations from our federal partners about how best to move forward. Safety is the highest priority when it comes to all COVID-19 vaccines,” the state Department of Health said in a news release.

Washington officials aren’t aware of any instances of blood clots associated with the Johnson & Johnson vaccines here, according to Gov. Jay Inslee’s office.

“There are no incidents that we are aware of with blood clots here,” wrote Inslee spokesperson Tara Lee in an email, adding later: “Hopefully people are aware that it is six people out of 6 million doses total nationwide.”

[..]

The health department said some 149,000 doses of Johnson & Johnson vaccine have been administered in Washington so far.
 
US recommends ‘pause’ for J&J vaccine over clot reports

4/13/21

WASHINGTON (AP) — The U.S. on Tuesday recommended a “pause” in using the single-dose Johnson & Johnson COVID-19 vaccine to investigate reports of rare but potentially dangerous blood clots, a development that could jeopardize the rollout of vaccines around the world.

The Centers for Disease Control and Prevention and the Food and Drug Administration announced that they were investigating unusual clots that occurred 6 to 13 days after vaccination. The FDA commissioner said she expected the pause to last a matter of days.

The clots occurred in veins that drain blood from the brain and occurred together with low platelets, the fragments in blood that normally form clots. All six cases were in women between the ages of 18 and 48. One person died, and all of the cases remain under investigation.
 

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