Joint Statement on Local Healthcare Capacity & COVID-19 Transmission Rates

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January 13, 2022

Skagit County hospitals have seen a dramatic increase in the number of individuals admitted for inpatient care due to COVID-19 over the past week. This recent spike has only further exacerbated our already overburdened healthcare system both locally and across the state.

Today, our local hospitals together with County Health Officer Dr. Howard Leibrand are coming together to ask Skagitonians to help in easing the current strain on our healthcare system. Each person can take action to help alleviate this strain on our providers. Please, take necessary precautions to decrease COVID-19 transmission rates and be conscientious of seeking emergency medical services.

Vaccination continues to be the best tool in preventing serious illness due to COVID-19. While we know that breakthrough infections are expected with the Omicron variant, current data has shown that the vast majority of breakthrough infections have resulted in mild to moderate symptoms that do not require medical attention.

Transmission rates are also of grave concern. The Omicron variant is extremely transmissible and has resulted in more than a doubling of COVID-19 cases this week compared to last. Skagitonians can help to control the spread by taking precautions and not gathering when sick or if recently exposed. For this reason, it is our recommendation at this time that people postpone all large indoor gatherings, regardless of the vaccination status of those gathering.

Masking is also still an extremely important tool that people must use when congregating in indoor public settings and certain outdoor public settings. Ensure the quality and fit of your mask by going to the CDC’s masking guidance webpage here.

We understand that testing options are limited at this time, both in Skagit County and throughout Washington. If you are symptomatic or have been recently exposed to COVID-19 and cannot get access to a test, please follow the CDC’s updated isolation and quarantine guidance. Essentially:

IF YOU HAVE SYMPTOMS but do not need medical care and can’t get a test, assume you have COVID-19.  You should isolate for at least 5 days to keep from spreading the virus to others. Monitor your symptoms.

IF YOU WERE EXPOSED to someone with COVID-19 and need to quarantine and are unable to get a test 5 days after your last close contact, you can leave your home after day 5 if you have not had symptoms; wear a mask for 10 days after last contact.

Our hospitals and urgent care facilities have the capacity to care for those who are acutely ill. These are not the locations to go for COVID-19 testing if you are asymptomatic or are experiencing mild COVID-like symptoms. Please look to community testing sites and local pharmacies for testing options.

Severe COVID-19-related symptoms that would require emergency medical attention include:

  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion
  • Inability to wake or stay awake
  • Pale, gray or blue-colored skin, lips or nail beds, depending on skin tone.

“From looking at previous waves, we know that this current surge will level out in time,” said Dr. Leibrand. “Now is not the time to get together or socialize. That time will come, but it isn’t right now. It is essential that we work together to see ourselves out of this current wave.”

To find a vaccine provider near you, please use the Vaccine Locator or call 1-800-525-0127 (press #). For a list of local testing providers, please go to the Testing Locations page here.

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

Knock Out Flu: Think of It as Your Best Defense

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From the WA Department of Health

Think of It as Your Best Defense

This year, it’s more important than ever to get vaccinated against the flu. The flu vaccine can keep you from getting and spreading the flu to others during the COVID-19 pandemic and help keep our hospitals from being overwhelmed.

Why is it so important to get the flu vaccine this year?

Flu activity was unusually low last year. People in Washington did a great job getting their flu vaccine, and the COVID-19 safety measures like masking, staying home, and limiting gatherings also helped limit the spread of the flu. But this year, many of these safety measures are lifted.

Some people are returning to work in-person, and most children are going back to in-person school. That means we have a much higher risk of exposure to the flu virus. And with last year’s low activity, most people weren’t as exposed to flu viruses, so they don’t have much natural immunity to the flu anymore. Getting the flu vaccine is your best defense.

Should I still get the flu vaccine if I’m usually healthy?

Yes, we recommend the flu vaccine for everyone six months and older. The flu vaccine protects not only you, but also the people you’re around. Flu can be serious even in healthy people, but some people are at higher risk including:

  • People 65 years and older
  • Young children, especially those under 5 years of age
  • Pregnant people
  • People with medical conditions like asthma, diabetes, heart disease, lung disease, or neurologic conditions

While flu illness can be mild in most people, it’s important to remember how serious flu really is. Sadly, over 900 people in Washington died from flu-related illness in the last five years, including many children. The flu vaccine saves lives.

When should I get the flu vaccine?

You should get your flu vaccine before the end of October for the best protection through the fall and winter months when flu is most likely to spread. You can even get your COVID19 and flu vaccines at the same time. You can still get a flu vaccine for several months after October and get protection through the end of the flu season in the spring.

Where can I get a flu vaccine?

You can visit your local doctor’s office, pharmacy or clinic event in your area. Visit www.vaccinefinder.org or call the Help Me Grow Washington hotline at 1-800-322-2588 (language assistance available) to find a flu vaccine location near you. If you’re working,
you can also check with your employer to see if they are hosting an on-site clinic for their staff.

Does my insurance cover the flu vaccine?

Most insurance plans, including Medicaid and Medicare part B, cover the cost of flu vaccine for adults. If you do not have insurance, you may still be able to get the flu vaccine at no cost.

Children aged 18 and under in Washington can get a flu vaccine and other recommended vaccines at no cost. The provider may charge an administration fee to give the vaccine. You can ask them to waive this fee if you cannot afford it.

For more information, visit www.KnockOutFlu.org.

Shellfish Harvesting & Consumption: What You Know To Know

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With the upcoming warm weather and low tides, you might be venturing out to harvest shellfish from one of Skagit County’s many beaches. With the help of a diligent group of volunteer harvesters, Skagit County Public Health routinely monitors samples of clams, oysters and mussels for the toxins that cause Paralytic Shellfish Poisoning (PSP), Amnesic Shellfish Poisoning (ASP), and Diarrhetic Shellfish Poison (DSP). 

Consuming shellfish with elevated levels of these marine biotoxins can cause serious illness or death. What begins as a tingling sensation in the lips and tongue can progress to a life-threatening paralysis of the respiratory system. 

Skagit County Public Health works with the Washington State Department of Health to issue beach closures when toxin levels become elevated. Before harvesting shellfish, always check for current beach closures posted on the Shellfish Safety Map or the Marine Biotoxin Bulletin, or call the Marine Biotoxin Hotline at 1-800-562-5632.

Samish Bay Seasonal Vibrio Advisory

The Department of Health has updated the Shellfish Safety map to reflect the seasonal vibrio bacteria advisory for recreational shellfish harvesting in Samish Bay from May 1- September 30, 2021. Vibrio is a bacteria naturally found in marine coastal waters, normally present in low numbers. When the weather warms up, these bacteria multiply rapidly so shellfish are more likely to be contaminated in the summer.

Tips for Safe Shellfish Consumption

There are a variety of other bacterial and viral illnesses caused by consuming contaminated shellfish. Proper cooking of shellfish before eating is always advised. Eat only well-cooked shellfish, especially during summer months. Do not consider shellfish to be fully cooked when the shells first open; shellfish need to cook for longer and must reach 145° F to be safe to eat. Click the link for more information on how to handle, store, and cook shellfish.

Safe Harvesting

  • Just before you leave, check for closures and advisories due to vibrio, biotoxins, and pollution at on the Shellfish Safety Map, by contacting Skagit County Public Health (360-416-1500), or by calling the Biotoxin Hotline at 1-800-562-5632.
  • Harvest shellfish as soon as possible with the receding tide.
  • Don’t harvest shellfish that have been exposed to the sun for more than one hour.
  • Keep shellfish on ice immediately after harvesting.
  • Thoroughly cook shellfish. The internal temperature must reach 145 °F for at least 15 seconds. Cooking shellfish thoroughly destroys vibrio bacteria; however, cooking does not destroy biotoxins.
  • If you need a refresher, here is a guide on shellfish identification.
  • More shellfish safety tips.

For questions about shellfish at beaches in Skagit County, please email Samantha Russell at srussell@co.skagit.wa.us or call 360-416-1500.

Seasonal Allergies or COVID-19?

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There’s nothing better after a long winter than the first few glimpses of spring. The cherry blossoms are in full bloom, and some days it takes everything in me to remain seated inside at my desk. But for those with allergies, springtime isn’t always that welcome, and blooming flowers don’t call to them like they do for me.

This is our second spring during COVID-19, and while we’ve learned a lot, there are still questions. Is my sinus headache a sign of seasonal allergies or could it possibly be COVID? Is my toddler’s runny nose cause for concern or just your run-of-the-mill springtime sniffles?

If you’re feeling a bit under the weather and are asking yourself these questions, here are a few more to contemplate:

What are your symptoms?

https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/infographic-overlap-symptoms.html

The CDC has a helpful diagram (to the right) that shows the differences and similarities between COVID-19 and allergy symptoms. While there are many symptoms that the two share, there are some symptoms that are very obviously one or the other.

Sneezing, by itself, is uncommon with COVID-19. If someone does have COVID-19, and they are experiencing sneezing, there are typically other symptoms involved. There are also some COVID-19 symptoms that would never be caused by allergies. These include fever, severe fatigue, muscle aches, nausea, vomiting, diarrhea, and abdominal cramps.

Have you had allergies in the past?

If you regularly deal with springtime allergies, and you’re starting to feel the typical symptoms (sneezing, runny nose, and itchy eyes), allergies may be the issue. These aren’t the most common symptoms associated with COVID-19, although sneezing, runny nose and itchy eyes can sometimes occur.

When in doubt, get tested. Especially if your allergies feel different than usual, if your symptoms progress or you begin to get sicker, or if you’ve had a potential exposure to COVID-19.

How severe are your symptoms?

In general, seasonal allergy symptoms remain relatively consistent but may get worse when pollen counts are high. If you notice that your symptoms are getting progressively worse, or if you develop different symptoms, you’re probably not dealing with allergies.

Do allergy medications help? 

If you take allergy medication and it seems to relieve your symptoms, you probably don’t have COVID-19. Even still, it is important to continue to monitor your symptoms.

Could you have been exposed to COVID-19?

If there is a chance that you may have been exposed to someone with COVID-19 recently and you begin to experience symptoms, it is important to get tested right away. While uncommon, someone can develop mild allergy-like symptoms first before the illness progresses. COVID-19 symptoms generally appear two to 14 days after exposure to SARS-CoV-2.

You are concerned that you may have COVID-19. Where can you get tested?

If you think you may have COVID-19, or if you decide to be extra cautious, visit here for a list of testing locations near you. If you have a health care provider, you may also be able to call them for an appointment. 

Your symptoms are getting worse. When should you seek help?

Look for emergency warning signs for COVID-19. If you or a loved one are showing any of the signs below, seek emergency medical care immediately:

  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion
  • Inability to wake or stay awake
  • Pale, gray, or blue-colored skin, lips, or nail beds, depending on skin tone

How can you prevent allergies?

The easiest way to prevent seasonal allergies is to avoid your known “triggers.” For example, if you are allergic to pollen, stay inside with your windows and doors closed during particularly pollen-heavy days.

Interestingly enough, wearing your trusted face mask (you know…the one that slows the spread of COVID-19) might also provide a bit of protection against seasonal allergies. And be sure to wash your mask in between wears since a used mask might carry pollen particles!

What’s worse than a pandemic?! A pandemic during flu season!

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It’s the end of August-the weather is cooling down, the kids are headed back to (virtual) school and pumpkin spice is available once again. Flu season is also just around the corner and this year it’s more important than ever that everyone get a flu vaccine as soon as possible—ideally by the end of October.

Why is it important to get a flu vaccine?

There are lots of great reasons to get a flu vaccine: namely, that it prevents you from getting the seasonal flu, an uncomfortable and potentially deadly illness. Some facts:

  • During the 2016-2017 flu season, vaccinations prevented an estimated 5.3 million illnesses, 2.6 million medical visits and 85,000 flu-associated hospitalizations.
  • Vaccination for people with chronic health conditions can help lessen the severity of the illness and prevent hospitalization or other negative health outcomes.
  • Vaccinating pregnant persons has been shown to not only protect the individual from the flu, but to protect the baby from flu infection for several months after birth before the baby can be vaccinated themselves at age 6 months.  

Additionally, COVID-19 (a respiratory illness with some symptoms in common with the flu) is still very present in our communities. Vaccination can prevent confusion on illnesses and reduce strain on already overburdened healthcare systems. Getting vaccinated for the flu will help keep testing, hospital beds and medical care available for COVID-19 patients who will need it the most.

I got one last year, do I need to get one again?

Yes. The seasonal flu virus mutates quickly. The virus is constantly changing, so flu vaccines are specially manufactured each year to best match/protect you from the current common viral strains of flu. Further, protection from a flu vaccine declines over time so yearly vaccination is needed for protection.

Can I get the flu from a vaccine?

No. Flu shots are made using either a dead version of the flu virus (called inactivated vaccines) or without virus at all (recombinant vaccines). Some minor side effects are relatively common like soreness, redness and/or swelling at the injection site, low grade fever and some muscle aches. You can talk to your medical provider or pharmacist about side effects and what to expect or watch out for in yourself and any kids you’re taking to get vaccinated.

Are flu vaccines safe?

Yes. Flu vaccines have an excellent safety record. Hundreds of millions of Americans have safely received flu vaccines over the past 50 years and extensive research supports the safety of seasonal flu vaccines. More information on the safety of flu vaccines is available at: www.cdc.gov/flu/protect/vaccine/vaccinesafety.htm.

Where can I get vaccinated?

Vaccination will be available through your primary care provider, health clinics and many pharmacies. You can also search for vaccines through Vaccinefinder.org.   

When will COVID-19 vaccines be available?

We honestly don’t know. Testing is still being conducted to ensure the effectiveness and safety of a variety of potential COVID-19 vaccines. Public Health is working now in planning efforts with our vaccine partners so we will be ready when COVID-19 vaccines become available in Washington State.  Be aware that the initial vaccine supplies will be limited and so will be targeted for the people at highest risk.  As soon as we have more information, we’ll let you know.

I’m traveling and I might be sick … what do I do?

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COVID-19 spreads quickly between individuals when in close contact with each other, like when on airplanes, trains or in cars. Sitting in close contact with anyone you don’t live with for a prolonged period of time puts you at higher risk of contracting COVID-19. Further, when driving long distances, you increase the likelihood that you’ll come into contact with more people than you normally would (stopping at gas stations or rest areas when driving, getting food, etc…).

This is why Public Health strongly discourages people from traveling outside of their immediate geographic area right now. We’ve said it repeatedly: Now is not the time to go see Grandma in Arizona or travel to your cousin’s wedding in Missouri. In fact, we wouldn’t even encourage you to get lunch with a friend in Seattle right now.

However, our case investigation data is showing that people are still traveling, and unfortunately, some are getting sick. Some of this travel is essential, like for work or to care for an ill family member. But all travel puts the traveler, the communities they visit, and their home community and family at risk. So, we feel compelled to explain what one should do if they’re far from home and start to get that cough and fever (or any other COVID-19 symptom) we all dread right now.

First, and most importantly: DO NOT TRY TO GET HOME.

If you’ve got symptoms, you need to hunker down wherever you are and do your best not to expose anyone else to the illness. Do not go to the store, do not let housekeeping clean your hotel room, and do not get back on an airplane. When you’re symptomatic, especially in the first days, it’s likely you’re highly contagious. You have a personal responsibility to not be in close contact with other people and not put them at risk of contracting COVID-19.

Related to this, anyone in your travel party (or any other close contacts you’ve had) shouldn’t travel or continue to be around other people either. The average person is contagious two days before symptoms present, so anyone you’ve been in close contact with (sharing a car, hotel room, sitting next to each other on airplane, etc.) has likely already contracted COVID-19 by the time your symptoms start to present. They also have a responsibility to not put anyone at risk and quarantine themselves so that COVID-19 doesn’t further spread to others

Second: Seek testing and, if you need it, medical care.

Wherever you are at, some kind of medical care should be available. If you have active symptoms, get tested as soon as possible. If you are the travel companion of a person with symptoms, wait 6-8 days after your companion’s symptoms started, and then seek testing.

Third: Cooperate with contact tracers.

It’s likely that if you’ve been traveling, you’ve come into contact with others who may now also be infected. Sharing that information with contact tracers is vital to prevent a cluster from growing. The information you share is confidential.  

Fourth: If your test comes back positive, you will need to isolate.

You will need to isolate for at least 10 days since the onset of symptoms (or test date, if you are asymptomatic). It is absolutely vital that you or anyone you have been traveling in close contact with do not get on an airplane, or any other sort of public transportation, during this time.

As you can see, traveling does not just increase your risk of getting sick, it also increases your risk of being stuck away from home while you are sick. This could mean out-of-network medical bills, prolonged hotel stays, and a need to change travel plans, which could be costly. This is not to mention being far from your support networks and trusted medical care. If you are choosing to travel right now, you need to have a plan in place to ensure you can quarantine or isolate wherever you are headed if the need arises.

If you are stuck somewhere and are unable to safely stay where you are, Public Health recommends renting a car and driving home. It will be important that you stop as little as possible, wear a mask whenever you have to get out of a car and try to sanitize anything you touch as you go. Every time you get out of the car, you risk exposing others to the virus—the customers and workers at the gas station or restaurant, housekeeping at the hotel, etc. Again, it’s important to remember that even if you’re the only one in your travel party exhibiting symptoms, it’s likely that your whole travel party is already infected and also contagious. Everyone needs to take the same level of precautions.

COVID-19 has taken a lot of things away from us, travel being one of them. Please, act responsibly so we can take care of each other and get back to normal as soon as possible.