Monkeypox – What You Need to Know

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You’ve probably heard about the monkeypox in the news and might be wondering about it, worried, or want more information.

Currently, there are no confirmed cases of monkeypox in Skagit County. However, as of July 26, 2022, 101 people in Washington State have tested positive for orthopoxvirus, likely to be monkeypox.

While new information continues to come in, here are answers to several common questions including information about how it is spread, who is at risk, signs and symptoms, and what to do if you have symptoms or think you may have been exposed.

What is monkeypox?
Monkeypox is a viral disease that can cause rashes and other symptoms. It does not commonly occur in the U.S., but there is currently an outbreak of monkeypox with cases spreading in Washington state and across the country, as well as in many other countries. Many of the current cases are occurring in men who have sex with men, although monkeypox can spread person-to-person with any kind of close, skin-to-skin contact.

How is it spread?
Monkeypox spreads in different ways but requires close interaction with a symptomatic individual. The virus can be transmitted from person-to-person through:

  • Direct contact with the infectious rash, scabs or body fluids
  • Respiratory secretions during prolonged, face-to-face contact, or during intimate physical contact, such as kissing, cuddling, or sex
  • Touching items (such as clothing or linens) that previously touched the infectious rash or body fluids
  • Pregnant people can spread the virus to their fetus through the placenta

It is also possible for people to get monkeypox from infected animals, either by being scratched or bitten by the animal or by preparing or eating meat or using products from an infected animal.

Monkeypox can spread from the time symptoms start until the rash has fully healed. The illness typically lasts 2-4 weeks. People who do not have monkeypox symptoms cannot spread the virus to others.

Who is at risk?
At this time, the risk of monkeypox in the United States is fairly low, however, anyone in close contact with a person with monkeypox can get it and should take steps to protect themselves.

What are the signs and symptoms?
Symptoms of monkey pox can include fever, headache, muscle aches and backache, swollen lymph nodes, chills, exhaustion, and a rash. The rash can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals, or anus.

What should you do if you have symptoms or think you may have been exposed?
CDC recommends that anyone who has symptoms of monkeypox isolate themselves from others and immediately contact their healthcare provider, even if they have not had contact with someone who has monkeypox. Additional recommendations to prevent the spread of infection include:

  • Isolate yourself from other people and from animals
  • Do not kiss, hug, cuddle, sleep, or have sex with others
  • Wear a well-fitting medical mask around others
  • Do not share bedding, towels, dishes, or utensils
  • Wash your own laundry and dishes
  • Routinely clean and disinfect commonly touched surfaces and items
  • Do not use commercial travel (airplane, bus, taxi, shared car)

For more information about monkeypox, please visit Monkeypox | Washington State Department of Health. If you have symptoms of monkeypox or think you may have been exposed, contact your health care provider or Skagit County Public Health at (360) 416-1500.

Sources:

Monkeypox | Washington State Department of Health

Monkeypox | Poxvirus | CDC

Graphics | Monkeypox | Poxvirus | CDC


The importance of HPV Vaccination

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Did you know HPV is a common virus that can cause certain cancers later in life? According to CDC, more than 42 million American are currently infected with HPV types that cause disease and about 13 million Americans, including teens, become infected each year.  

What is HPV?  

HPV, also known as Human Papillomavirus, is a common virus that can cause cancers later in life. It is one of the most common sexual transmitted infections (STIs). HPV is spread through intimate skin-to-skin contact. You can get HPV by sexual contact with someone who has the virus, even if they do not have signs or symptoms.  

Who should get vaccinated? 

Children ages 11-12 years should get two doses of HPV vaccine, given 6 to 12 months apart, but HPV vaccines can be given as early as age 9 years. Talk to your child’s pediatrician about getting the HPV vaccine to prevent HPV infections. The vaccine is available for all people—male or female.  

It is recommended that everyone through age 26 should get the HPV vaccine. Adults between ages 27 and 45 years old who were not already vaccinated might still be able to get the HPV vaccine after speaking with their medical provider about their risks for new HPV infections. The HPV vaccine for adults provides less benefit because most people in this age range have already been exposed to HPV at some point.  

Why is vaccination important?  

You can protect your child from certain cancers later in life with the HPV vaccine. The earlier the better! It can protect your child long before they ever have contact with the virus. 

HPV infections can cause certain cancers in both men and women. Some of those are cervix, vagina and vulva cancer in women and penis cancer in men. Both men and women can also get anus and back-of-the-throat cancer. Cancer usually takes years, even decades, to be detected after a person is infected with HPV.  

Are HPV vaccines safe and effective? 

The HPV vaccine can prevent over 90% of cancers caused by this virus and work best when given at age 11-12 years, before contact with the HPV virus.  

HPV vaccination is safe! More than 135 million doses of HPV vaccines have been distributed throughout the states since they were licensed. Also, 15 years of monitoring have shown that HPV vaccines are very safe and effective in protecting against the HPV types targeted by the vaccine. For more information about HPV vaccination please visit, HPV Vaccine Safety | CDC.  

For more resources please visit: 

https://www.cdc.gov/hpv/index.html

HPV Resources, Education, and References | CDC 

Human Papillomavirus (HPV) Vaccine Information (immunize.org) 


Safer Ways to Celebrate Holidays

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Getting together with friends and extended family during the holiday season is a tradition for many folks. Though we have seen COVID-19 cases spike after nearly every holiday since the beginning of the pandemic, this doesn’t necessarily mean that people can’t—or shouldn’t—get together. There are several ways to enjoy holiday traditions, protect the health of your loved ones, and keep COVID-19 from spreading. Read on for 5 tips as you plan for the holidays this December…

#1: If you are not yet vaccinated, now is the time to do so.

With delta still spreading, and the emergence of the new omicron variant, the recommendation is still to get vaccinated as soon as possible. At this time, this includes anyone 5 years and older. Getting vaccinated is the best way to protect yourself, as well as those who are not yet eligible for vaccination such as young children.

If you’re eligible for a vaccine booster, it’s a good idea to get it before the holidays. To find a vaccine provider near you, go to Vaccine Finder or call the COVID-19 Information Hotline at 1-800-525-0127, then press #.

#2: Wear a well-fitting mask over your nose and mouth if you are in indoor public settings.

This includes everyone five years and older, regardless of vaccination status. In Washington State, the statewide mask mandate requires that people wear their mask when in indoor public spaces, including malls, grocery stores, and chain outlets. It also applies to certain outdoor settings, including large events. Remember: Do NOT put a mask on children younger than 2 years old.

#3: Gather with safety in mind.

If you are gathering with a group of people from multiple households and potentially from different parts of the country, you should consider additional precautions (e.g., avoiding crowded indoor spaces before travel, taking a test) in advance of gathering to further reduce risk.

This is especially true if some people are not vaccinated, including young children. If gathering with folks who are not vaccinated, the safest thing to do is for everyone to mask up, and to keep gatherings outside when possible. Proper ventilation and avoiding crowded spaces will be key in these types of scenarios.

People who have a condition or are taking medications that weaken their immune system may not be fully protected even if they are fully vaccinated and have received an additional dose. They should continue to take all precautions recommended for unvaccinated people, including wearing a well-fitted mask.

#4: Know when to stay home.

If you are sick or have symptoms, don’t host or attend a gathering. Period. Get tested if you have symptoms of COVID-19 or have a close contact with someone who has COVID-19. For a list of testing providers in Skagit County, go to our website here.

#5: Travel safely.

If you are considering traveling for a holiday or event, visit CDC’s Travel page to help you decide what is best for you and your family. The CDC still recommends delaying travel until you are fully vaccinated.

If you are not fully vaccinated and must travel, follow the CDC’s domestic travel or international travel recommendations for unvaccinated people. If you will be traveling in a group or family with unvaccinated people, choose safer travel options.

Also, everyone—even people who are fully vaccinated—must wear a mask on public transportation and follow international travel recommendations.


The 5 tips above are nothing new, but they are tried and true. By working together, we can enjoy safer holidays, travel, and protect our own health as well as the health of our family and friends. Happy holidays, everyone!


Public Health to Close Fairgrounds Testing and Vaccination Site After January 28, 2022

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November 19, 2021

The Skagit County Fairgrounds Testing and Vaccination Site will close permanently after Friday, January 28, 2022. The site, located at 501 Taylor Street in Mount Vernon, has operated since November of 2020, with a temporary closure between July – August 2021. Prior to this, COVID-19 testing was provided by Public Health at Skagit Valley College.

To date, Public Health has administered approximately 55,492 vaccine doses in Skagit County. Since the Fairgrounds reopened in August 2021, over 11,400 antigen tests have been conducted. When the site closes, Public Health’s COVID-19 response will have included 17 months of testing (no services between March – July 2021), and 13 months of vaccination services.

“We are extremely proud of what we’ve accomplished at the Fairgrounds. After nearly a year and a half of providing critical pandemic response services to our community, its time for our staff to shift and refocus on the many other responsibilities that fall on Public Health.” 

Jennifer Johnson, Skagit County Public Health Director

Antigen testing will continue to be offered until the site closes after January 28. Testing is available to people 5 years and older who live, work, or go to school in Skagit County and who are symptomatic or have been recently exposed to COVID-19. No appointment or insurance is required for testing services.

First, second, and third doses of vaccine for people 12 years and older will also continue to be offered—no appointment required—through January 28. The final day to receive a first dose of vaccine with a second dose guaranteed at the Fairgrounds will be January 17, 2022. After this date, people will be required to seek their second dose elsewhere.

The final day to book an appointment for a COVID-19 booster will be November 24, 2021. To make an appointment for a booster, go to https://prepmod.doh.wa.gov/ and search for “Skagit County Public Health.”

Lastly, beginning December 1, 2021, the Fairgrounds will be increasing the daily number of pediatric vaccine appointments for children 5-11 years old. Please note that at this time, appointments are still limited. To schedule a pediatric vaccine appointment, go to https://prepmod.doh.wa.gov/ and search for “Skagit County Public Health,” or use Vaccine Locator to find another provider. 

For a full list of testing and vaccination providers in Skagit County, visit our website at www.skagitcounty.net/coronavirus or call the COVID-19 Information Hotline at 1-800-525-0127, then press #. 


Skagit Fairgrounds Testing & Vaccine Site Closed November 15 and 16

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November 15, 2021

The Skagit Fairgrounds Testing & Vaccine Site will be closed on Monday, November 15 and Tuesday, November 16 due to flooding and high winds. The site will reopen on Thursday, November 18 assuming that there are no serious impacts to the area from flooding and high winds.

“It is our priority to protect the health and safety of our staff and volunteers at the Fairgrounds site,” said Jennifer Johnson, Skagit County Public Health Director. “When it is safe to reopen the site, we will do so.” 

Flooding is expected to continue in Skagit County throughout the days of November 15 and November 16. As of 4:00 am this morning, the Skagit River is forecasted to crest in Mount Vernon at 37.46 feet at 10:00 am on Tuesday, November 16. High winds and falling trees are also of concern with the grounds saturated from rainwater.

Due to the Fairgrounds remaining closed on Monday, November 15, appointments for pediatric vaccines will not be made available this morning at 9 a.m. as scheduled. New appointments will be added next Monday, November 22 at 9 a.m. instead.

Those who have scheduled appointments for booster vaccines for November 15 and 16 will be contacted by Public Health, and these appointments will be rescheduled for a later date.

If you are looking for other COVID-19 testing or vaccination options, visit our website at www.skagitcounty.net/coronavirus. Please check with your chosen location in advance to ensure that they are operating.

For more emergency information, sign up for the emergency information listservCodeRed Alerts or follow Skagit County on Twitter @SkagitGov. The River Level Hotline (360- 416-1404) and www.skagitcounty.net/flood are updated frequently during events with current conditions and can be resources for information as well.


Pediatric COVID-19 Vaccine Now Available at the Fairgrounds

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November 3, 2021

Skagit County Public Health is ecstatic to announce that pediatric Pfizer COVID-19 vaccine is now available at its drive-through Testing and Vaccine Site at the Fairgrounds. This announcement follows the FDA’s endorsement on October 29, the CDC’s Advisory Committee on Immunization Practices unanimous vote on November 2, and the subsequent support of the Western States Scientific Review Workgroup and the Washington State Department of Health.  

Children are not immune to this virus and the great challenges it poses to everyday life. The CDC’s latest data show that 172 children ages 5 to 11 have died from COVID-19 and more than 8,300 have been hospitalized. Science also does not yet know the long term impacts children could face from having contracted and recovered from COVID-19.

“In Skagit County, approximately 25 percent of all our COVID-19 cases between September 5 and October 23 were in school age children. Pediatric vaccines will be a game changer in our fight against this virus.”

Howard Leibrand, Skagit County Health Officer

Pediatric Pfizer COVID-19 vaccine is available to children 5-11 years old at the Fairgrounds by appointment only. Parents and caregivers can now make an appointment by going to https://prepmod.doh.wa.gov/ and searching for “Skagit County Public Health” under Name of Location. Appointments are limited at this time. If, when you search, there are no appointments available, please check back the following Monday around 12:00pm.

Parents/caregivers may also check with other providers about availability. For a full list of local vaccination providers, go to Vaccine Locator or call the COVID-19 Information Hotline at 1-800-525-0127, then press #.

The Fairgrounds is located at 501 Taylor Street in Mount Vernon and operates on Mondays, Tuesdays, Thursdays, and Fridays from 3pm to 7pm. Parent/guardian consent to vaccinate is required for all dependent minors and must be provided in-person at the time of the appointment.

COVID-19 vaccines are provided at no-cost, and no insurance required. For more information about the site, go to: www.skagitcounty.net/COVIDvaccine or call (360) 416-1500.


Holiday Operational Changes at the Skagit Fairgrounds Testing & Vaccine Site

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November 3, 2021

The Skagit County Fairgrounds Testing and Vaccine Site at 501 Taylor Street in Mount Vernon operates on Mondays, Tuesdays, Thursdays, and Fridays from 3pm to 7pm. During the months of November and December, the site will be closed on the following dates:

  • Thursday, November 11th (Veteran’s Day)
  • Thursday, November 25th (Thanksgiving)
  • Friday, November 26th (Thanksgiving)
  • Friday, December 24th (Christmas Eve)
  • Friday, December 31st (New Year’s Day)

In lieu of these dates, the site will be open on the following days from 3pm to 7pm:

  • Wednesday, November 10th
  • Wednesday November 24th
  • Wednesday, December 22nd
  • Wednesday, December 29th

These dates have been added to ensure that vital vaccination and testing services remain available during the busy holiday season. As a reminder, the Fairgrounds Site should not be used as a testing option for those seeking to travel or attend an event that requires proof of a negative COVID-19 test.

For a full list of vaccination and testing providers, go to: www.skagitcounty.net/coronavirus or call the COVID-19 Information Hotline at 1-800-525-0127, then press #.


Traveling for the Holidays?

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Holidays bring people together. Last year, many of us chose to come together virtually or in small groups. This year, with vaccination rates above 68 percent amongst Skagitonians 12 and older, we expect that folks will be eager to gather—and even travel once again. So, how do you travel safely? And should you travel at all? Below are some helpful tips from the Centers for Disease Control and Prevention (CDC).

First off, the CDC continues to recommend that only those who are fully vaccinated should travel this holiday season. People are considered fully vaccinated two weeks after their second dose in a 2-dose series, such as the Pfizer or Moderna vaccines, or two weeks after a Johnson & Johnson single-dose vaccine.

If you are unvaccinated and MUST travel, the CDC has a list of recommendations below. These recommendations are also for those who have unvaccinated folks in their travel party, including young children who are not yet eligible for the vaccine.

For Domestic Travel

For people who are fully vaccinated

  • Before Travel:
    • You are not required to get tested or self-quarantine if you are fully vaccinated or have recovered from COVID-19 in the past 3 months.
    • You should still follow all other travel recommendations.
  • During Travel:
    • Wearing a mask over your nose and mouth is required on planes, buses, trains, and other forms of public transportation traveling into, within, or out of the United States.
    • Follow all state and local recommendations and requirements, including mask wearing and social distancing.
    • If travel to an area with high numbers of COVID-19 cases, consider wearing a mask in crowded outdoor settings and for activities with close contact with others who are not fully vaccinated.
  • After Travel:
    • Self-monitor for COVID-19 symptoms for 14 days; isolate and get tested if you develop symptoms.
    • Follow all state and local recommendations or requirements.

For people who are unvaccinated

If you are not fully vaccinated and must travel, take the following steps to protect yourself and others from COVID-19:

  • Before Travel:
    • Get tested with a viral test 1-3 days before your trip. Go here for a list of providers.
  • During Travel:
    • Wearing a mask over your nose and mouth is required on planes, buses, trains, and other forms of public transportation traveling into, within, or out of the United States The CDC recommends that travelers who are not fully vaccinated continue to wear a mask and maintain physical distance when traveling.
    • Avoid crowds and stay at least 6 feet from anyone who is not traveling with you.
    • Wash your hands often or use hand sanitizer.
  • After Travel:
    • Get tested with a viral test 3-5 days after travel AND stay home and self-quarantine for a full 7 days after travel.
      • Even if you test negative, stay home and self-quarantine for the full 7 days.
      • If your test is positive, isolate yourself to protect others from getting infected.
    • If you don’t get tested, stay home and self-quarantine for 10 days after travel.
    • Avoid being around people who are at increased risk for severe illness for 14 days, whether you get tested or not.
    • Self-monitor for COVID-19 symptoms; isolate and get tested if you develop symptoms.
    • Follow all state and local recommendations or requirements.

For International travel

Do not travel internationally until you are fully vaccinated. Fully vaccinated travelers are less likely to get and spread COVID-19. However, international travel poses additional risks, and even fully vaccinated travelers might be at increased risk for getting and possibly spreading some COVID-19 variants. If you are not fully vaccinated there will undoubtedly be additional requirements to follow before, during, and after travel.

NOTE: Travel requirements to enter the United States are changing for non-residents, starting November 8, 2021. More information is available here.

What international travelers need to know:

  • Check your destination’s COVID-19 situation and travel requirements before traveling. Countries may have their own entry and exit requirements.
  • When you travel to the United States by air, you are required to show a negative COVID-19 test result or documentation of recovery from COVID-19 before you board your flight. The timing of this test depends on your vaccination status and age.
  • Wearing a mask over your nose and mouth is required in indoor areas of public transportation (including airplanes) traveling into, within, or out of the United States and indoors in U.S. transportation hubs (including airports).

For more information about traveling internationally, go to: www.cdc.gov/coronavirus/2019-ncov/travelers/international-travel/index.html.

Lastly—and as always: Do NOT travel if you were recently exposed to COVID-19, if someone in your party is sick, you are sick, you test positive for COVID-19, or you are waiting for results of a COVID-19 test. To learn when it is safe (or unsafe) to travel, visit the CDC’s travel page here: www.cdc.gov/coronavirus/2019-ncov/travelers/when-to-delay-travel.html.


The Flu Vaccine: It’s not too late to get yours!

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Flu activity was kept low last season because of vaccination, social distancing, masking, school closures and limited travel. Now that many pandemic restrictions have been lifted, the flu has a much higher chance of spreading.

The timing of flu is difficult to predict and can vary in different parts of the country and from season to season. So, while we haven’t seen much flu activity yet, it doesn’t mean that we shouldn’t prepare. Experts have warned that reduced population immunity due to lack of flu virus activity since March 2020 could result in an early, and possibly severe flu season. 

Thankfully, there is something that we can all do to prevent illness and hospitalizations caused by flu. We can get vaccinated!

What is the difference between the flu and COVID-19?

Flu and COVID-19 are both contagious respiratory illnesses, but they are caused by different viruses. COVID-19 is caused by infection with a coronavirus (called SARS-CoV-2) and seasonal flu (most often just called “flu”) is caused by infection with one of many influenza viruses that spread annually among people.

In general, COVID-19 seems to spread more easily than flu and causes more serious illnesses in some people. Compared with people who have flu infections, people who have COVID-19 can take longer to show symptoms and be contagious for longer. This FAQ page compares COVID-19 and flu, given the best available information to date.

So, do I need to get the flu vaccine this year?

Yes! Getting a flu vaccine is an essential part of protecting yours, and your family’s health every year. Yearly flu vaccination is recommended for everyone aged six months and older. It is also important to note that certain people are at greater risk, including:

  • Young kids (especially kids under five years).
  • People 65 years and older.
  • People of any age with certain health conditions like asthma and lung diseases, diabetes, heart disease, neurological conditions, kidney or liver disorders, cancer, cystic fibrosis, and sickle cell anemia.
  • Pregnant women.
  • American Indians and Alaskan Natives.
  • Health care professionals.
  • Household contacts and caregivers of kids, especially those in contact with babies under six months of age who are too young to get seasonal flu vaccine.
  • Household contacts and caregivers of people in any of the above groups.

Will a flu vaccine protect me against COVID-19?

Flu vaccines are not designed to protect against COVID-19. Flu vaccination reduces the risk of flu illness, hospitalization, and death in addition to other important benefits.

Likewise, getting a COVID-19 vaccine is the best protection against COVID-19, but those vaccines are not designed to protect against flu. Visit the CDC’s Frequently Asked Questions page for information about COVID-19 vaccinations.

Can I get the COVID-19 vaccine and flu vaccine at the same time?

Yes, you can get a COVID-19 vaccine and a flu vaccine at the same time!

Even though both vaccines can be given at the same visit, people should follow the recommended schedule for either vaccine: If you haven’t gotten your currently recommended doses of COVID-19 vaccine, get a COVID-19 vaccine as soon as you can, and ideally, get a flu vaccine by the end of October. To find a COVID-19 vaccine provider, go here.

While limited data exist on giving COVID-19 vaccines with other vaccines, including flu vaccines, experience with giving other vaccines together has shown the way our bodies develop protection and possible side effects are generally similar whether vaccines are given alone or with other vaccines. If you have concerns about getting both vaccines at the same time, you should speak with a health care provider.

If I get sick with the flu, am I at greater risk of contracting COVID-19?

Because COVID-19 is still a relatively new illness, there is little information about how flu illness might affect a person’s risk of getting COVID-19. We do know that people can be infected with flu viruses and the virus that causes COVID-19 at the same time.

Getting a flu vaccine is the best protection against flu and its potentially serious complications, and getting a COVID-19 vaccine is the best protection against COVID-19.

When is the best time to get your influenza vaccine?

September and October are generally good times to be vaccinated. Ideally, everyone should be vaccinated by the end of October.

Adults, especially those older than 65, should not get vaccinated early (in July or August) because protection in this group may decrease over time. Children can get vaccinated as soon as vaccine becomes available—even if this is in July or August. Talk to your child’s pediatrician if you have questions about the flu shot.

While flu activity may be low right now, it could begin increasing at any time. Remember, after you are vaccinated, your body takes about two weeks to develop antibodies that protect against the flu.

Where can I get the flu vaccine?

If you don’t have a health care professional you regularly see, you can find flu vaccines at many places, including your local pharmacy!

Looking for a vaccine for your child? Talk to their pediatrician or call the Help Me Grow Washington Hotline at 1-800-322-2588.

How much does a flu shot cost?

In Washington, all children under age 19 get flu vaccines and other recommended vaccines at no cost. That said, a provider may charge an administration fee to give the vaccine. You can ask them to waive this fee if you cannot afford it.

Uninsured and over 18 years old? The WA Department of Health is collaborating with Safeway Inc. and Albertsons Companies LLC to offer free flu vaccines across the state. Check here for a list of participating locations.  

Note: Most insurance plans, including Medicare part B, cover the cost of flu vaccine for adults.

I got the flu shot. What else can I do to prevent getting sick?

The flu vaccine keeps many people from getting the flu, however some people who get the flu vaccine may still get sick. If you do get the flu, the vaccine will help reduce the severity of your illness. It will also lower your chance of needing to go to the hospital.

Increase your protection by covering your coughs and sneezes, washing your hands for 20 seconds with soap and water, and staying home when you’re sick. Cloth face coverings or masks can also help prevent the spread of the flu—just like with COVID-19!

If you do feel sick with flu, it’s important to know when to stay home and when to get emergency medical care. When in doubt, check with your doctor.


Resources:

https://www.cdc.gov/flu/season/faq-flu-season-2021-2022.htm#what-virus  
https://www.doh.wa.gov/YouandYourFamily/IllnessandDisease/Flu


Skagit County Health Officer Releases Statement on High Case Rates & Guidance for the Holidays

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October 25, 2021

Today, Skagit County’s Health Officer Dr. Howard Leibrand issued the following statement:

Our COVID-19 case rates are increasing once again. The WA DOH data dashboard shows our 14-day rate still hovering in the range of 600 per 100,000 population. At present, Skagit is at 552.7 per 100k over the last 14 days, with a hospitalization rate of 12.3 COVID patients per 100k over the last seven days.

Though cases may be declining in other parts of our state, we are not seeing a sustained decrease in cases here in Skagit. To put it mildly, this is not what Public Health—or our exhausted healthcare workers—have been hoping for.

Reported daily case counts are still extremely high. Local data shows that we have had an average of 59 new test positive cases per day reported to Public Health over the past 14 days, from October 8 through October 21. 

It’s very simple: to recover from this most recent wave and prevent needless deaths, people need to get vaccinated as soon as possible. And with Pfizer, Moderna, and Johnson & Johnson vaccine boosters now available, we are encouraging each and every person to get their booster when eligible to do so.

Unfortunately, we know that there are folks in our community who are still reluctant to get vaccinated. Though our county’s population is 58.2 percent fully vaccinated now, this means that there is still nearly 40 percent of our residents, including children 11 and younger who aren’t yet eligible, who do not have protection against the virus.

Getting vaccinated not only protects you individually, but it slows spread and protects other vulnerable individuals. For our children’s sake—we are pleading with people to get vaccinated today.

Skagitonians need to continue to be stringent about masking up and limiting social gatherings, especially with the holidays coming up. Since the beginning of the pandemic, we have clearly seen spikes in cases after holidays. We cannot afford a spike right now with how high our case and hospitalization rates are at this time.

If you are already vaccinated, please continue to use discretion. If gathering with family or friends who are unvaccinated, use extra precaution—or do not gather at all. Avoid gathering indoors and in poorly ventilated areas. Wear a mask when gathering with folks who are considered higher risk.

If unvaccinated, gathering with others this holiday season is extremely risky. Please know that you are taking a very poor gamble, and putting yours, and your loved ones, health and safety on the line. From state data, we know that unvaccinated 12-64 year-olds are 5-6 times more likely to get COVID-19 compared to those who are fully vaccinated, and 19 times more likely to end up in the hospital with serious health complications. The facts are clear.

Lastly, no one experiencing possible COVID-19 symptoms should be attending any group events, going to in-person work, or in-person school. People with symptoms need to stay home until they can get tested and recover from symptoms. If we do not practice these measures, COVID-19 will continue to spread at alarming rates in our community—causing needless long-term illness, death, and disruption to all our daily lives.

We can still have a wonderful holiday season, and we can always turn around our case trends. Please do everything that you can to help your community in this fight.


Dr. Leibrand has served as Skagit’s Health Officer since 1989.