For Our Health Care Workers, It’s Not Just About COVID-19

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Post contributed by Josh Pelonio, Skagit County EMS Director

Our healthcare system, including hospitals, emergency departments and emergency medical services (EMS) are there to take care of you during times of crisis, but we’re unable to do this critical work if we’re in crisis ourselves. With COVID-19 case numbers and hospitalizations continuing to be at historic highs, the healthcare system is taxed and we’re seeing impacts to quality, and availability of care, system wide.

Increased hospital patient volumes are creating region-wide challenges with bed availability. When emergency department or in-patient hospital beds aren’t available, hospitals in Skagit enter what’s called ‘diversion status,’ meaning that EMS personnel are asked to route patients arriving by ambulance to alternate hospitals, including neighboring counties. EMS personnel must then drive farther to get patients the care they need, or they must wait longer at local hospitals for emergency department beds to become available. Either way, hospital bed delay results in delayed patient care and can negatively impact patient outcome. It can also mean a delay in available personnel and equipment to respond to the next emergency in the community.

Statewide, we are seeing the highest COVID-19 hospitalization rates ever, with 17.7 patients per 100,000 residents between August 22 and August 28 (the most current complete data). This is higher than December 2020, when we saw between 8 and 10 patients per 100,000 residents averaged over a seven-day period.

We also seeing about one-third of all ICU beds in the State being occupied by COVID-19 patients, which is again higher than December 2020 when we saw about one-fifth of beds occupied. Locally, our total ICU occupancy is at 88 percent, meaning that we’re nearly at capacity.

All this to say, the healthcare system is overwhelmed and healthcare staff, including first responders are exhausted. Skagit—we need your help to protect the capacity of our healthcare system.  

This situation doesn’t just impact COVID-19 patients. It impacts car crash victims, heart attack patients, people in mental health crisis, those struggling to control their diabetes, gunshot victims and the child who broke his arm climbing a tree. It impacts everyone. When our healthcare services are in crisis, every single individual in our community is at greater risk of poor health outcomes from any acute injury or illness. This is not a good situation to be in.

Fortunately, there are two simple things that you can do to help:

1. Reduce your risk. Not just from COVID-19, but from all injuries and illnesses. Take caution and use appropriate healthcare services like your primary care doctor or urgent care for minor illness and injury and only use 911 for emergencies.

If looking for COVID-19 testing, please do not go to your local emergency department ! Find a testing provider near you by going to: www.doh.wa.gov/Emergencies/COVID19/TestingforCOVID19/TestingLocations.

2. Get vaccinated against COVID-19. And if you have been vaccinated, talk to others  in your life about getting vaccinated as well. Getting the vaccine is a safe, effective, and totally free tool that you have available to you. CDC data shows that over 99.99% of people who were fully vaccinated against COVID-19 did not die or even require hospitalization and the highest hospitalization rates remain in areas with low vaccination rates. By getting vaccinated, you help stabilize our healthcare system, and directly help improve health outcomes for those in crisis.

Skagit Public Health offers free COVID-19 vaccination for those 12 years of age or older at the Fairgrounds site from 5 p.m. –  8 p.m. Monday through Friday. You can also find other providers in our community at www.skagitcounty.net/covidvaccine.

Get vaccinated, or help someone get vaccinated, today.


New Operational Changes for the Skagit County Fairgrounds Testing and Vaccination Site

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September 10, 2021

Beginning on Monday, September 13, the Skagit County Fairgrounds Testing and Vaccination Site will be changing its operations, limiting testing and vaccination services to individuals who live, work, or go to school in Skagit County. This change is due to high demand and supply chain issues with testing supplies.

Also beginning on September 13, testing will be limited to individuals 5 and older who are actively exhibiting COVID-19 symptoms, or who have had a known COVID-19 exposure. Limiting to these two groups will allow us to ensure access to testing for disease mitigation purposes.

As a reminder, the Skagit County Fairgrounds location provides antigen testing and should not be used for pre-travel. If seeking a test before traveling, please seek out a testing provider that uses PCR testing. A full list of providers can be found on our website at www.skagitcounty.net/coronavirus.

Testing should not be used as a way to guarantee safety. Testing is a point-in-time measure of whether someone has COVID-19 and should not be used to justify decisions that are risky if you are unvaccinated, like travel or gathering in large groups. The best way to be safe is by getting vaccinated and wearing a mask when in crowded settings.

The Skagit County Fairgrounds Site will be closed today (Friday, September 10) due to a scheduling conflict, and will reopen on Monday, September 13 at 5:00 p.m. Those seeking testing or vaccination, and who meet the new operational criteria, are asked to come to the South Gate Entrance at 501 Taylor Street in Mount Vernon. Services are free; no appointment or insurance is required.

For more information about the Skagit County fairgrounds Testing and Vaccination Site, please go to our website at www.skagitcounty.net/coronavirus or call (360) 416-1500.


What are Social Determinants of Health?

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Post contributed by Aaron Katz, Skagit County Board of Health member

Social Determinants of Health.  The phrase was born out of a growing recognition that medical care is not the main ingredient in good health, despite our tendency to equate health with hospitals and doctors.  In fact, as far back as 2000 – 20 years ago! – researchers estimated that medical care was responsible for only about 10% of our health; the other 90% was mostly the product of environmental, economic, and social factors.

This isn’t surprising – I think most families know their well-being is dependent mostly on whether they have a job with sufficient income, a stable roof over their heads, adequate food, decent recreation opportunities, good relationships, and a safe environment.  Yes, medical care matters, but usually only in exceptional times. 

The Covid pandemic has opened our eyes to how “social determinants” affect us in ways that were, for many of us, invisible before:

  • The structure of the job market – Who knew there were “essential workers”??  And isn’t it interesting that one feature many such workers – hospital staff, farm workers, grocery store clerks – shared was higher risk of Covid infection, because they had to work closely together or in sustained contact with the public.  And they often earned low wages and had few benefits, like health insurance or paid leave for caring for themselves or loved ones.
  • Housing affordability – Every community, large and small, has struggled with assuring every person had stable housing.  Real estate prices continued to grow even during the pandemic, making it more and more difficult for especially lower income workers to live close to their work or to afford to buy enough nutritious food for their children. People without stable housing are more vulnerable to infection much less the health effects of living outdoors during our cold, wet winters.
  • Supply chains – The vibrancy of our economy – as well as our health care system – depends on an intricate web of linkages that supply us with food (remember the flour shortage!), electronic parts, clothing, and toilet paper.  It doesn’t take much imagination to understand how broken supply chains like these worsen our health and well-being.

Ok, so now we can see more clearly how social determinants of health work in our communities.  But the phrase “social determinants” hides an important fact … that the factors like those I note above are neither “determinant” – as in, fated or a forgone conclusion – nor are they “social” – in the sense of being just a product of some natural way that society operates. 

Rather, these “social determinants” are very much the products of how a community shapes itself – the decisions it makes about land use, transportation, taxation, economic development, education, parks and recreation, and environmental protection and restoration. 

So, as we continue to our fight against the Covid pandemic together, we can make decisions that will strengthen our communities, for today and far into the future. If you’d like to learn more about improving health and wellness in the community and the social determinants of health, check out the Robert Wood Johnson Foundation.


Aaron Katz is a Skagit County Board of Health member and Principal Lecturer Emeritus at the University of Washington School of Public Health. Aaron received a Bachelor of Science degree from the University of Wisconsin-Madison in 1974 and a certificate (master) of public health degree from the University of Toronto in 1975.


Meet the Population health Trust, Part Three

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The Skagit County Population Health Trust (or “Trust”) is gearing up to publish its new Community Health Assessment; a document which provides a framework for what the County and its partners will focus on over the next several years. Trust members have been busily collecting data and community input over the spring and summer in order to identify the top health concerns of our residents.

This Assessment, called the CHA, would not be possible without a diverse group of experts coming together with a shared mission and vision. One of its members, Anneliese Vance-Sherman, has shared her thoughts about the importance of the Trust below.

What health topic are you most committed to improving for Skagitonians?

Anneliese Vance-Sherman, Ph.D.

My top priority on the Population Health Trust is improving economic health for Skagit County residents. While economic health is not necessarily what comes to mind first for most people, it is a social determinant of health. Economic stability makes it possible for individuals and families to access stable housing, healthy food, routine health checkups and be able to withstand unexpected stresses.

Economic health takes many forms, and shows up in an interconnected web of priorities. I am specifically committed to working with workforce and education partners to help build a financially stable, skilled, and resilient local workforce. I also work closely with economic development and business to attract, build and retain businesses that support jobs in the community. I am also committed to improving access to affordable housing, supporting mental and behavioral health, and ensuring that all families are able to access the resources they need to raise healthy children and pave a pathway for future success.

Which agency or organization do you represent on the Trust?

I represent the Washington State Employment Security Department (ESD). ESD’s mission statement reads “We provide communities with inclusive workforce solutions that promote economic resilience and prosperity.” Economic health and financial security are fundamentally connected to community health. Indeed, steady employment and reliable wages make it possible for individuals and families to access resources that contribute to their well-being and that of the community.

What have you/your agency been up to during COVID?

The Employment Security Department has been on the front lines of the COVID-19 employment crisis since day one, in a number of different capacities.

  • The Unemployment Insurance division has assisted an unprecedented number of Washingtonians seeking unemployment benefits. ESD brought in staff from other parts of the agency and even the national guard to process a tsunami of claims as quickly and effectively as possible, while simultaneously working to identify and block fraudulent applications.
  • The constellation of organizations and service providers that make up the WorkSource system reimagined service delivery during the pandemic. Staff assisted job seekers through online meetings and appointments. Many ESD staff in WorkSource also assisted the Unemployment Insurance division during the peak of the pandemic.
  • ESD launched the Paid Family and Medical Leave program during the pandemic.
  • The division I work for (Labor Market and Economic Analysis) collects, analyzes and publishes labor market information. The quickly-evolving situation brought on by the pandemic required us to think about data differently. Our team focused a great deal of attention to unemployment insurance data both because there was heightened demand for it given the nature of the crisis and because with a weekly cadence for reporting, unemployment insurance data helped us to keep closer tabs on the changing economy. 

I have spent the pandemic innovating with my ESD colleagues over zoom meetings and communicating frequently with partner agencies in the economic and workforce development arenas and the media. My desk has been my kitchen table, and my in-person co-workers included two young scholars attending school remotely, my spouse who was also working from home, two dogs, and two cats.

I also volunteered at the Skagit County COVID-19 testing center; first at the Skagit Valley College campus, then at the fairgrounds. It was humbling to see how many people were proactively getting tested, and rewarding to work alongside so many dedicated community-minded neighbors.

Why do you think the Population Health Trust is important?

If you tug on a single thread in a woven piece of cloth, the cloth will pucker and pull. Tugging on the single thread may even tear and destroy the integrity of the cloth. If you are only aware of or focused on the single thread, it is difficult to anticipate how a single action could impact the whole.

The Population Health Trust relies on deep multi-sector engagement of community leaders and stakeholders with a mission to explore and promote community health in Skagit County. The diverse composition of the Trust makes this possible. Our multi-sector team includes representatives from hospitals and health care providers, community organizations, education, state and local government, law enforcement, and more. Together, we explore issues that impact community health, and proactively work toward creative and sustainable strategies that will improve the well-being of communities throughout Skagit County.

Rather than each pulling on our own thread, we can collectively take a step back, understand the strengths, weaknesses, challenges, and connections within and between our communities, and explore optimal solutions through active and creative dialog that centers and prioritizes a broad understanding of health for Skagit County.


Want more information about the Population Health Trust? Go to: https://www.skagitcounty.net/Departments/PHTAC.


We’re Open Again: COVID-19 Testing and Vaccination to Begin at Skagit County Fairgrounds on August 30th

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August 25, 2021

[updated August 27, 2021]

Beginning Monday, August 30th, Skagit County will once again be operating a COVID-19 testing and vaccination site at the Skagit County Fairgrounds. Both testing and vaccination will be available to the public free of cost, Monday through Friday from 5:00 – 8:00 p.m.

Note: The Fairgrounds testing and vaccine site will be closed on Monday, September 6th for the Labor Day holiday, and Friday, September 10th due to an event that was pre-scheduled to take place on site.

The decision to reopen the Fairgrounds location was made due to the recent spike in cases in Skagit County, and the accompanying increase in demand for testing services. The latest COVID-19 modeling and surveillance situation report from the Washington State Department of Health (DOH) shows current COVID-19 cases and hospital admissions at their highest levels to-date. The high case numbers are likely to continue in the coming month due to the delta variant, putting increased strain on our hospitals and medical staff.

Vaccination is—and will continue to be—the best tool for preventing COVID-19. The County also aims to be proactive in response to this week’s news regarding Pfizer’s full FDA approval for those 16 years and older, as well as the Governor’s recent vaccination requirements for employees of certain sectors. Public Health’s goal is to continue to make vaccines easily accessible for all eligible individuals, particularly as families gear up for the new 2021/2022 school year.

“We understand that this decision to reopen the Fairgrounds site may seem like we are moving backwards to some, but this decision is a sign of our county’s strength and endurance. We are fortunate to be able to respond to rising cases and increasing demand for testing and vaccination by reopening the site. It shows that we can act quickly and effectively when action is needed.”

Jennifer Johnson, Skagit County Public Health Director

All Public Health testing and vaccine services (except for a select few outreach locations) will now move officially to the Fairgrounds beginning on August 30th. Mobile vaccine clinics this fall will be prioritized based on location, need, and risk, and most people needing low barrier vaccination will be directed to the Fairgrounds clinic or another Skagit provider. 

Those seeking testing or vaccination are asked to come to the South Gate Entrance of the Fairgrounds, located at 501 Taylor St, Mt Vernon, WA 98273. Both testing and vaccination will be operating as a drive-through clinic, though accommodations will be available to those who arrive on foot or who require assistance.

For Testing

Public Health will be using self-swab antigen testing at this location, with results available within 15 minutes. The site can serve anyone 5 years and older for testing. No insurance or appointment will be required. Please note that antigen testing is not intended for pre-travel. Those seeking testing for travel should find a location offering PCR testing.

A full list of testing providers can be found at: https://www.doh.wa.gov/Emergencies/COVID19/TestingforCOVID19/TestingLocations

For Vaccination

All three currently authorized vaccines, including Pfizer, Moderna, and Johnson & Johnson, will be available at the Fairground Vaccination site. Anyone 12 years and older can utilize this site to access a first or second dose of vaccine; no appointment required.

For certain immunocompromised individuals, Public Health will also make third doses of either Pfizer or Moderna available. Please speak with your doctor before seeking a third dose of vaccine. Third doses will not be available for the general public until a determination is made by the FDA, CDC, and Washington Department of Health. For anyone seeking a second or third dose, please bring your Vaccination Card with you when you come to the site.

For more information about the Skagit County fairgrounds testing and vaccination site, please go to our website at www.skagitcounty.net/coronavirus or call (360) 416-1500.


El Condado Lanza Portal de Asistencia de Alquiler para los Residentes de Skagit

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Los residentes del condado de Skagit ahora tienen una opción conveniente para obtener una aprobación previa para recibir ayuda con el alquiler y las facturas de servicios públicos. Esta semana, el condado y sus socios comunitarios lanzaron un nuevo portal en línea donde los inquilinos pueden completar una sencilla encuesta de elegibilidad y consiga un proveedor de asistencia para el alquiler o complete una aplicación para asistencia.

Para acceder al portal, vaya a: www.skagitcounty.net/renthelp.  

El Programa de Asistencia de Alquiler del Condado de Skagit proporciona asistencia financiera a los inquilinos del condado de Skagit que cumplen con los requisitos de ingresos, y sus propietarios, que tal vez están teniendo dificultades para pagar el alquiler y los servicios públicos debido a la pandemia de COVID-19.

El Programa de Asistencia de Alquiler del Condado de Skagit se ha hecho posible gracias a una subvención de $8.9 millones proporcionada por el Departamento de Comercio del Estado de Washington y financiado por el Programa de Asistencia de Renta del Tesoro (T-RAP). El programa está destinado a evitar los desalojos durante la crisis de salud de COVID-19 en pagando pagos atrasado y el alquiler y los servicios públicos actuales / futuros para las personas que necesitan ayuda.

“Sabemos que muchos residentes del Condado de Skagit han sido afectados por COVID-19, y algunos tienen problemas para mantenerse al día con el alquiler. Hay ayuda disponible, y tenemos la esperanza de que el nuevo portal en línea será más fácil para los residentes y propietarios para conectar con los proveedores de asistencia de alquiler.”

– George Kosovich, Analista de Salud Pública del Condado de Skagit

Los hogares deben cumplir con los cuatro de los siguientes criterios de selección para ser elegible para asistencia de alquiler:

  1. Alguien en el hogar ha estado desempleado durante al menos 90 días, o experimentó una reducción en sus ingresos, incurrió en costos significativos o experimentó dificultades financieras durante la pandemia de COVID-19
  2. Debe estar experimentando inestabilidad de la vivienda o riesgo de inestabilidad de la vivienda, lo que puede incluir tarifas de alquiler impagas o anticipación de la imposibilidad de pagar el alquiler futuro
  3. El ingreso familiar está en, o bajo de 80% del Ingreso Medio del Área
  4. El hogar está en el Condado de Skagit

Los residentes que completen la encuesta de elegibilidad en línea serán emparejados con uno de los siguientes proveedores de asistencia para el alquiler:

  • FORWARD Aplicaciones En Línea – Sirviendo a los residentes del Condado de Skagit
  • La Autoridad de Vivienda del Condado de Skagit – Sirviendo a los Titulares de Vales de la Sección 8 e inquilinos de propiedades propiedad de la Autoridad de Vivienda
  • Centro de Trabajadores Agrícolas CCS – Sirviendo a miembros de la comunidad indígena, latina y campesina
  • Voluntarios de América Oeste de Washington – Sirviendo a los residentes del Condado de Skagit
  • Northwest Youth Services – Sirviendo a adultos jóvenes de 18 a 24 años
  • Community Action of Skagit County – Sirviendo a todos los residentes del Condado de Skagit

También, hay tres organizaciones que ofrecerán alcance y asistencia adicional para completar la solicitud de asistencia en línea:

  • Skagit Legal Aid – Sirviendo a los residentes del condado de Skagit y a los hogares que enfrentan el desalojo por razones distintas a la renta atrasada
  • Community to Community Development (C2C) – Sirviendo a miembros de la comunidad de trabajadores agrícolas y Latinx
  • Padres a Padres – Sirviendo a familias donde una o más personas tienen una discapacidad del desarrollo y / o necesidades de atención médica complejas

Para obtener más información sobre el Programa de Asistencia de Alquiler, verificar la elegibilidad o solicitar asistencia, visite www.skagitcounty.net/renthelp o llame al (360) 416-1500.


County Launches New Rental Assistance Online Portal for Skagitonians

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Skagit County residents now have a convenient option to get pre-approved for help with rent and utility bills. This week, the County, and its community partners launched a new online portal where renters can complete a simple eligibility survey and get matched with a rental assistance provider, or complete an application for assistance.  

To access the portal, go to: www.skagitcounty.net/renthelp.

The Skagit County Rental Assistance Program provides financial assistance to income-eligible Skagit County renters, and their landlords, who may be struggling to afford rent and utilities due to the COVID-19 pandemic.

The Skagit County Rental Assistance Program is made possible by an $8.9 million grant provided by the Washington State Department of Commerce and funded by the Treasury Rent Assistance Program (T-RAP). The program is intended to prevent evictions during the ongoing COVID-19 health crisis by paying past due and current/future rent and utilities for people needing relief.

“We know that many Skagit County residents have been impacted by COVID-19, and some are having trouble staying current on rent. Help is available, and we are hopeful that the new online portal will make it easier for residents and landlords to connect up with rental assistance providers.”

– George Kosovich, Skagit County Public Health Analyst

Households must meet all four of the following screening criteria to be eligible for rental assistance:

  1. Someone in the household has been unemployed for at least 90 days, or experienced a reduction in income, incurred significant costs, or experienced financial hardship during the COVID-19 pandemic.
  2. Must be currently experiencing housing instability or risk of housing instability, which may include unpaid rental fees or anticipation of inability to pay future rent.
  3. Household income is at, or below, 80% of Area Median Income.
  4. Household resides in Skagit County.

Residents who complete the online eligibility survey will get matched with one of the following rental assistance providers:

FORWARD Online Application Serving all Skagit County residents
Housing Authority of Skagit County Serving Section 8 Voucher Holders and tenants of Housing Authority-owned Properties
Catholic Community Services (CCS) Farmworker pr Serving members of the Indigenous, Latinx, and Farmworker Community
Volunteers of America Western Washington Serving all Skagit County residents
Northwest Youth Services Serving young adults ages 18-24
Community Action of Skagit County Serving all Skagit County residents
For contact information, go to: www.skagitcounty.net/renthelp

In addition, three organizations will offer outreach and extra assistance to complete the online assistance application:

  • Skagit Legal Aid: Serving residents of Skagit County and households facing eviction for reasons other than past-due rent
  • Community to Community Development (C2C): Serving members of the farmworker and Latinx community
  • Parent to Parent: Serving families where one or more individual has a developmental disability and/or complex healthcare needs

For more information about the Rental Assistance Program, to check eligibility, or to apply for assistance, go to www.skagitcounty.net/renthelp or call (360) 416-1500.


Statewide Indoor Mask Mandate in Effect August 23 Following Governor Press Conference; New Educator Vaccination Requirement

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August 18, 2021

State-wide Mask Mandate

Today, Governor Inslee announced that the existing statewide mask mandate will be expanded to once again include vaccinated individuals in indoor settings effective Monday, August 23. The mask mandate will apply to most all indoor public places across the state, including restaurants, grocery stores, malls, and public-facing offices, regardless of an individual’s vaccination status.

This expansion comes after hospitals throughout Washington State are seeing record-breaking numbers of new COVID patients, and as cases continue to surge in every county. At present, the Centers for Disease Control and Prevention (CDC) has marked all 35 counties in Washington as areas of High Community Transition. Disease prevalence is approaching levels last seen in the winter 2020 surge. In Skagit County, 436 new COVID cases have been reported since last Wednesday alone.

Local cases are increasing at an alarming rate,” said Jennifer Johnson, Skagit County Public Health Director. “We know that people are worried about what they’re seeing in the news and we are hoping that the community will see this announcement as a positive step in getting things back to a manageable place. Current rates are not sustainable—not for our hospitals or for our families. We ask that people please mask up to keep their loved ones safe.

There will be limited exceptions when face coverings won’t be required, such as office spaces not easily accessible to the public where individuals are vaccinated, and when working alone indoors or in a vehicle with no public face-to-face interaction. Small, private indoor gatherings where all attendees are vaccinated are also exempt. Further, while not required, the Department of Health strongly recommends individuals also wear masks in crowded outdoor settings, such as outdoor concerts, fairs and farmers markets.

Educator vaccine requirement

The Governor also announced today that K -12 educators, school staff, coaches, bus drivers, school volunteers and others working in school facilities will have until October 18 to be fully vaccinated as a condition of employment. The requirement includes public, private and charter schools, and comes as schools across the state prepare to return for the 2021–2022 school year amid rapidly increasing case and hospitalization numbers. This does not impact students, regardless of age.

Vaccines will also be a requirement for employees in Washington’s higher education institutions, as well as for most childcare and early learning providers who serve children from multiple households.

Education staff, faculty and contractors are also required to be fully vaccinated by October 18, consistent with the state worker vaccination requirement timeline.

Inslee stated that, as with state employees and private healthcare workers, there will be no test out option. There are limited exceptions under law which employees may apply for, including legitimate medical reasons and sincerely held religious beliefs. For full details, please read the press release here: https://medium.com/@GovInslee/inslee-announces-educator-vaccination-requirement-and-statewide-indoor-mask-mandate-a2f5a47d8a31


Third dose of COVID-19 vaccine now recommended for certain immunocompromised individuals

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August 16, 2021

The Washington Department of Health (DOH) released a statement on Saturday, August 14 providing guidance to health care providers regarding administration of third doses of Pfizer-BioNTech and Moderna COVID-19 vaccines to certain immunocompromised individuals. This statement follows recommendations made by the U.S. Food and Drug Administration (FDA), Advisory Committee on Immunizations Practices (ACIP), and Western States Scientific Safety Review Workgroup.

While authorized vaccines have proven to be more than 90% effective in protecting against most variants, emerging data suggest people with moderately to severely compromised immune systems do not always build the same level of immunity compared to people who are not immunocompromised. The third dose is not considered a booster, rather an additional dose for individuals who did not adequately develop immunities with the initial two-dose series.

People are asked to speak with their healthcare provider about their medical condition, and whether getting an additional dose is appropriate for them. CDC does not recommend additional doses or booster shots for any other population at this time.

Currently, CDC is recommending that moderately to severely immunocompromised people receive an additional dose. This includes people who have:

  • Been receiving active cancer treatment for tumors or cancers of the blood
  • Received an organ transplant and are taking medicine to suppress the immune system
  • Received a stem cell transplant within the last 2 years or are taking medicine to suppress the immune system
  • Moderate or severe primary immunodeficiency (such as DiGeorge syndrome, Wiskott-Aldrich syndrome)
  • Advanced or untreated HIV infection
  • Active treatment with high-dose corticosteroids or other drugs that may suppress your immune response

A full list of conditions is available on the CDC’s website.

A person receiving a third dose should get it at least 28 days after their second dose. When possible, the individual should receive the same vaccine as the first two doses but may receive the other mRNA vaccine brand if the other vaccine is not available. 

There is not enough data at this time to determine whether immunocompromised people who received the Johnson & Johnson vaccine also have an improved antibody response following an additional dose of the same vaccine. At this time, no additional dose is recommended for people who had the Johnson & Johnson single-dose vaccine. People who received J&J should not get a second dose of either J&J or a dose of an mRNA vaccine.

While a third dose of vaccine is likely to increase protection, people who are immunocompromised should continue to wear a mask, maintain 6 feet of social distancing, avoid crowds, and avoid poorly ventilated indoor spaces. Close contacts of immunocompromised people are also strongly encouraged to be vaccinated against COVID-19 to further increase protection for those at greater risk.

Skagit County Public Health will now make third doses available to immunocompromised individuals at pop-up vaccine clinics and at our weekly vaccine clinic on Wednesday evenings from 6-9pm at the County Administrative Building (700 S 2nd St, Mount Vernon, WA 98273). Please bring your Vaccination Card with you when seeking a second or third dose. For information about our clinics, go to www.skagitcounty.net/COVIDvaccine or call (360) 416-1500.

To find a full list of vaccine providers near you, go to: https://vaccinelocator.doh.wa.gov/. For assistance call the COVID-19 Information Hotline at 1-800-525-0127, then press #. Language assistance is available.


¿Cuándo debo hacerme la prueba? ¿Qué tipo de prueba debo hacerme?

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Salud Pública del Condado de Skagit ha estado recibiendo muchas llamadas en los últimos días de personas que preguntan sobre las opciones locales de prueba de COVID-19. En la última semana, alrededor del 30% de todas nuestras llamadas entrantes han sido sobre pruebas.

La mayoría de las personas que llaman preguntan sobre el acceso y quieren saber dónde pueden ir localmente para hacerse la prueba. En respuesta, nos hemos asegurado de que nuestra página web de opciones de prueba esté actualizada y coincida también con la lista del Departamento de Salud de Washington. Para obtener una lista de las opciones de prueba locales, vaya a: https://www.skagitcounty.net/Departments/HealthDiseases/coronavirusTESTsites.htm.

Muchas personas que llaman también preguntan acerca de las diferencias entre las ubicaciones de prueba y los tipos de pruebas que ofrecen. Aunque algunas ubicaciones ofrecen pruebas de PCR y de antígeno, mucha de las veces una ubicación proporcionará una u otra. Con la reciente apertura de la frontera canadiense a los estadounidenses completamente vacunados, no es sorprendente que tantas personas preguntan qué tipo de prueba de COVID deberían hacerse.

Aquí hay algunas respuestas que pueden ser útiles al elegir entre las opciones de prueba…

¿Cuándo debo hacerme la prueba?

Si ha tenido una exposición por contacto cercano a un caso de COVID-19 o si le preocupa haber estado expuesto y no experimenta síntomas, se recomienda que espere de 3 a 5 días después de la exposición inicial para hacerse una prueba de diagnóstico. Este tiempo de espera se debe al período de incubación del virus, la cantidad de virus en su cuerpo y las características de las pruebas de diagnóstico.

Aquellosque experimentan síntomas COVID-19 deben hacerse la prueba tan pronto como sea posible.

  • Fiebre o escalofríos
  • Tos
  • Falta de aliento o dificultad para respirar.
  • Cansancio
  • Musculares o dolores en el cuerpo
  • Dolor de cabeza
  • Nueva pérdida del gusto u olfato
  • Dolor de garganta
  • Congestión o secreción nasal.
  • Náuseas o vómitos
  • Diarrea

¿Qué tipos de pruebas están disponibles?

Básicamente, hay dos categorías amplias de pruebas:

Prueba de antígeno (frecuentemente referido como prueba rápida). Esta prueba detecta fragmentos de proteínas específicos del coronavirus. Se puede hacer en una farmacia, clínica, consultorio médico o en un hospital. El tiempo de respuesta de los resultados usualmente es muy rápido y, en algunos casos, los resultados se pueden informar en 15 minutos.

Prueba de PCR (tal vez conocido como una prueba viral o molecular). Las pruebas de PCR se consideran el “estándar de oro” en la detección del SARS-CoV-2. Esta prueba realmente detecta ARN (o material genético) que es específico del virus y puede detectar el virus a los pocos días de la infección, incluso aquellos que no presentan síntomas. La prueba también se puede hacer en una farmacia, clínica, consultorio médico u hospital. El tiempo de respuesta de los resultados puede ser más largo (generalmente en el intervalo de 2-3 días) dado que las muestras de PCR se analizan en un laboratorio.

¿Qué tipo de prueba debo hacerme?

Siempre es mejor hablar con su proveedor de atención médica sobre qué prueba es mejor para usted.

Si tiene síntomas, hágase la prueba rápida de antígenos si está disponible. Si es positivo, puede comenzar a aislar de inmediato para proteger a quienes lo rodean de la propagación del virus. Si la prueba de antígeno es negativa, debe volver a hacerse la prueba con una prueba de PCR y asegúrese de aislarse hasta que reciba el resultado.

Para la mayoría de las personas que no presentan síntomas pero que desean hacerse la prueba porque pueden haber estado expuestas o van a viajar pronto, la prueba de PCR es la mejor opción. Puede encontrar pequeñas cantidades del virus que pueden verse antes de que comiencen los síntomas.

¿Qué tan precisas son estas pruebas?

Las pruebas de PCR funcionan detectando material genético del SARS-CoV-2, el virus que causa COVID-19. El material genético del SARS-CoV-2 no se puede confundir con el material genético de otros virus, así es que este tipo de prueba es muy específico. Esto significa que raro da un falso positivo. Si se hace la prueba y la prueba da positivo, puede estar muy seguro de que usted está infectado con este virus. Las pruebas de antígenos también son muy específicas y raro dan un falso positivo.

Porque los falsos resultados negativos en las pruebas de diagnóstico pueden suceder, un resultado negativo no debe darle una sensación de falsa seguridad. Si tiene algún síntoma de COVID-19, lo más seguro es asumir que está infectado y se ponga en cuarentena.

¿Qué prueba necesito para viajar?

Aunque la prueba COVID-19 más aceptada universalmente es una prueba de PCR molecular, algunos destinos pueden aceptar pruebas de antígeno también. Lo mejor es consultar con su destino, aerolínea (etc.) en la planificación su viaje.

Si no está completamente vacunado y debe viajar a nivel nacional o internacional, se le requerirá a hacerse la prueba de 1-3 días antes de viajar. Aquellos que están completamente vacunados no requieren pruebas antes de viajar dentro del país, sin embargo, la mayoría de los destinos internacionales aún requerirán pruebas previas al viaje.

Para aquellos que viajan, recomendamos las siguientes opciones de prueba de PCR locales:

Auto-servicio Northwest Laboratory: Martes a sábado: 8:30 am a11:45 am; 1:15 pm a 4:30 pm. Se requieren citas. Resultados dentro de las 72 horas.

Estoy buscando una opción de prueba de barrera baja en el Condado de Skagit. ¿A dónde debería ir?

Salud Pública del Condado de Skagit ahora ofrece pruebas de antígenos gratis en nuestras clínicas de vacunas los miércoles por la noche en el Edificio Administrativo del Condado de Skagit: Aceptamos a cualquier persona de 5 años y mayor; no se requiere cita ni seguro. Los resultados de la prueba están disponibles en 15 minutos.

Nota: Esto NO pretende ser una prueba previa al viaje.

¿Qué es una prueba de anticuerpos?

Una prueba de anticuerpos busca la respuesta del cuerpo al SARS-CoV-2, el virus que causa COVID-19. Es un análisis de sangre que sirve para determinar si tuvo la enfermedad, pero no es bueno para determinar si tiene la enfermedad. Como tal, las pruebas de anticuerpos no deben usarse para diagnosticar el virus.

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A pesar de que existe evidencia de que los anticuerpos pueden brindar protección contra la infección, no ha sido probado y por eso, los resultados de una prueba de anticuerpos no deben usarse para determinar la inmunidad. Para obtener más información sobre las pruebas y las preguntas más frecuentes, vaya a la página web de pruebas WA DOH COVID-19: https://www.doh.wa.gov/Emergencies/COVID19/TestingforCOVID19