Omicron and Masking: Is it time to update your mask collection?

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The new Omicron variant is now circulating in Washington State. Although we do not yet have an official report of the variant here in Skagit County, now is the time to be taking precautions. There is still much that experts don’t know about this new variant. What we do know, though, is that we already have the tools we need to fight the spread of omicron.

The CDC has listed vaccination, boosters, testing, and masking as the best ways to keep omicron under control. We know that COVID-19 vaccines are highly effective at preventing severe illness, hospitalizations, and death, and the CDC recommends that those 16 years and older who are eligible for a booster go and get theirs now.

As for masking—we know that face masks offer protection against all variants, including omicron. The CDC continues to recommend wearing a mask in public indoor settings in areas of substantial or high community transmission, regardless of vaccination status. Here in Washington, the statewide mask mandate requires that all people five years of age and older must wear a mask in public indoor settings and at large, outdoor events with 500 or more attendees, including sporting events, fairs, parades, and concerts, regardless of vaccination status.

We’ve been masking up for 21 months at this point, and some of us have amassed quite the collection! Some of those masks may be getting a bit worn, or maybe they’re not fitting as snugly as you’d like. If you’re wondering if those cloth face masks from 2020 are still offering the right amount of protection, please read on.

NOTE: No child under the age of two should wear a face mask for safety reasons.

It comes down to fit and quality.

When choosing a face mask, it comes down to fit and quality. So, let’s discuss fit first.

Masks that are loose, with gaps around your face or nose, are not as helpful in protecting you or others. A mask should completely cover your nose and mouth and should fit snugly against the sides of your face without any gaps.

To ensure a proper fit, you can choose masks with a nose wire to prevent air from leaking out of the top of the mask. You can also use a mask fitter to help ensure a snug fit with a cloth mask. For visuals of these tips, visit the guidance for improved mask use from the U.S. Centers for Disease Control and Prevention (CDC). 

Knotting and tucking is also a good way to improve the fit of a medical procedure mask. Knot the ear loops of the mask where they join the edge of the mask, then fold and tuck the unneeded material under the edges. (For instructions, see the following https://youtu.be/GzTAZDsNBe0)

Wearing a mask with at least two layers is also important. Some people even opt to wear a disposable mask underneath a cloth mask. (Note: N95/KN95 masks should not be layered with other masks.)

And for quality…

The highest quality masks are designed and tested to ensure they meet a standard. That means they perform at a consistent level to prevent the spread of COVID-19. The level of quality you need will be dependent on the situation. Sometimes a cloth mask will work just fine, and at other times, a higher quality mask may be called for.

The highest quality, in order, are:

  1. N95 and KN95 (as well as KF94) are the most effective, provided they are genuine and have been tested to meet a standard. These are disposable, so you will need to replace them (depending on how much you wear it). These are not available in children’s sizes and are more expensive.
  2. Surgical masks that have been tested to meet a national standard (ASTM 2/3). These are also disposable.  
  3. Cloth masks that have a double layer. These can be washed and re-used.

When to consider wearing a N95 or KN95 mask. 

For the best protection against COVID-19 variants such as omicron, there are times when folks may want to consider a higher quality mask. However, it is important to note that if you do not have this type of mask available, a high-quality, well-fitting surgical or cloth mask will do just fine.  

The following scenarios may warrant the need for better protection against COVID-19:

Should you use N95 and KN95 masks for everyday use?

The supply of high-quality N95 and KN95 masks have definitely improved since the early days of the pandemic. These are better at filtering the virus and now are more widely available for the public. Even still, the CDC does not recommend the use of N95 respirators for protection against COVID-19 in non-healthcare settings, stating that these masks should be prioritized for healthcare personnel and for other workers who are required to wear them for protection against other hazards. An exception to this would be for scenarios such as the ones listed above.

These types of masks are highly effective when used properly. They are tight-fitting respirators that—when fit properly—filter out at least 95% of particles in the air, including large and small particles. These masks meet a standard of quality, meaning that they are designed and tested to ensure they perform at a consistent level to prevent the spread of COVID-19.

As stated above, N95 and KN95 masks are not available in children’s sizes and can be more expensive. If folks decide to go this route for everyday use, that is perfectly fine. But remember: a high-quality, well-fitting surgical or cloth mask are great everyday options for the whole family (minus those itty bitty kiddos and babies).

For N95 and KN95 masks, fit and quality are key.

Most people outside of health care settings don’t have access to fit testing to ensure proper use with minimal air leakage. If an N95 does not fit tightly, you won’t get the full benefit. Aside from fit testing, some people might find that N95s are less comfortable for everyday use. For these reasons, you should use your best judgement on how much value these types of masks add in a particular scenario.

Counterfeits are a challenge, so find a reputable dealer and make sure the product is legitimate. KN95 masks are commonly made and used in China. Some KN95 masks sold in the United States meet requirements similar to those set by NIOSH, while other KN95 masks do not. It is also important to know that about 60% KN95 masks in the United States are counterfeit (fake) and DO NOT meet NIOSH requirements. Some N95 masks also are counterfeits, described in this article from the CDC.

Need a good resource to ensure the quality and legitimacy of your mask? Project N95 aims to help people find a credible source for buying N95 and KN95. 

As we learn more about omicron, please use everything in your toolkit to keep yourself and your family safe. Mask up, get tested and stay home when sick or exposed, and—most importantly—get vaccinated and boosted against COVID-19. To find your vaccine, go to Vaccine Locator today or give the COVID-19 Info Hotline a call at 1-800-525-0127, then press #.

Returning Home After A Flood

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When returning to a home that’s been flooded after a natural disaster, be aware that your house may be contaminated by floodwaters, mold, or sewage, all of which can cause health risks for your family. Below are some tips for Skagitonians who may be returning home after flooding.

When you first reenter your home.

Before returning home, make sure that it is safe to do so. Always pay attention to authorities for information and instructions. 

When it is safe, try to return to your home during the daytime so that you do not have to use any lights. Use battery-powered flashlights and lanterns, rather than candles or gas lanterns. Please keep the following in mind:

  • If you have standing water in your home and can turn off the main power from a dry location, then go ahead and turn off the power, even if it delays cleaning. If you must enter standing water to access the main power switch, then call an electrician to turn it off. NEVER turn power on or off yourself or use an electric tool or appliance while standing in water.
  • If you smell gas or suspect a leak, turn off the main gas valve, open all windows, and leave your house immediately. Notify the gas company or the police or fire departments or State Fire Marshal’s office, and do not turn on the lights or do anything that could cause a spark. Do not return until you are told it is safe to do so.
  • If the house has been closed for several days, enter briefly to open doors and windows to let the house air out for a while (at least 30 minutes) before you stay for any length of time.
  • If your home has been flooded and has been closed for several days, assume your home has been contaminated by floodwater, sewage, and/or mold. See Floodwater After a Disaster or Emergency.

Stay out of floodwater.

Floodwaters contain many things that may harm health. It is important to protect yourself from exposure to floodwater regardless of the source of contamination. The best way to protect yourself is to stay out of the water.

If you come in contact with floodwater:

  • Wash with soap and clean water as soon as possible. If you don’t have soap or water, use alcohol-based wipes or sanitizer.
  • Take care of wounds and seek medical attention if necessary.
  • Wash clothes contaminated with flood or sewage water in hot water and detergent before reusing them.

If you must enter floodwater, wear rubber boots, rubber gloves, and goggles.

Throw away unsafe food.

Throw away food that may have come in contact with flood or storm water; perishable foods that have not been refrigerated properly due to power outages; and those with an unusual odor, color, or texture. Unsafe food can make you sick even if it looks, smells, and tastes normal. When in doubt, throw it out. For more information, visit Keep Food Safe After a Disaster or Emergency.

Use safe water.

Floodwater can contaminate your drinking water. Some contaminants from surface water get into the groundwater and affect private drinking water wells and municipal water systems that use groundwater.

Do not use water you suspect or have been told is contaminated to wash dishes, brush your teeth, wash and prepare food, wash your hands, make ice, or make baby formula. Safe water for drinking, cooking, and personal hygiene includes bottled, boiled, or treated water.

For tips on how to properly disinfect contaminated water, go to Public Health’s Safe Water webpage or give us a call at (360) 416-1500.

For well water:

Wells that have been flooded may be contaminated with pathogenic organisms that can cause disease (bacteria, viruses). To have well water tested, contact one of the labs below:

  • Edge Analytical, Burlington: 360-757-1400
  • Everett Environmental Laboratory, Everett: 425-257-8230
  • Monroe Water Quality Laboratory, Monroe: 360-794-6558
  • Exact Scientific Services, Ferndale: 360-733-1205
  • Lynden Water Treatment Plant, Lynden: 360-255-5470

For septic systems.

For information about what to do with your septic system after a flooding event, go to: https://www.epa.gov/ground-water-and-drinking-water/septic-systems-what-do-after-flood.

Clean up your home safely.

Before you begin to clean, be sure to check in with your insurance company. You may need to document any damage to your property.

Take steps to protect yourself and your loved ones during the cleanup process. For more information, visit Clean Up Safely After a Disaster. Some quick tips?

  • Using personal protective equipment (or “PPE”), like gloves, eye protection, and a dust mask to avoid breathing in fine silts and sands.
  • Be sure to wear long sleeve shirts and pants while cleaning and wash hands frequently with soap and water.

Use generators and other electrical equipment safely.

Talk to your utility company about using electrical equipment, including power generators. Be aware that it is against the law and a violation of electrical codes to connect generators to your home’s electrical circuits without the approved, automatic-interrupt devices. If a generator is online when electrical service is restored, it can become a major fire hazard. In addition, the improper connection of a generator to your home’s electrical circuits may endanger line workers helping to restore power in your area.

All electrical equipment and appliances must be completely dry before returning them to service. Have a certified electrician check these items if there is any question. For more information, see Protect Yourself and Others From Electrical Hazards After a Disaster.

Never use a generator, pressure washer, any gasoline-powered engine, or charcoal grills inside your home, basement, or garage or less than 20 feet from any window, door, or vent. Visit Preventing Carbon Monoxide Poisoning After an Emergency for more information.

Dry out your home to prevent mold.

If flood or storm water has entered your home, dry it out as soon as possible to prevent mold. Here’s some helpful guidance:

People with asthma and other lung conditions and/or immune suppression should not enter buildings with indoor water leaks or mold growth that can be seen or smelled. Children should not take part in disaster cleanup work.

If you have electricity and an electrician has determined that it’s safe to turn it on, use a “wet-dry” shop vacuum (or the vacuum function of a carpet steam cleaner), an electric-powered water transfer pump, or sump pump to remove standing water. If you are operating equipment in wet areas, be sure to wear rubber boots to avoid electrocution.

If you do not have electricity, or it is not safe to turn it on, you can use a portable generator to power equipment to remove standing water. Note: If you must use a gasoline-powered pump, generator, pressure washer, or any other gasoline-powered tools to clean your home, never operate the gasoline engine inside a home, basement, garage, carport, porch, or other enclosed or partially enclosed structures, or less than 20 feet from any door, window, or vent, even if the windows and doors are open. Such improper use can create dangerously high levels of carbon monoxide and cause carbon monoxide poisoning.

If weather permits, open windows and doors of the house to aid in the drying-out process.

Use fans and dehumidifiers to remove excess moisture. Fans should be placed at a window or door to blow the air outwards rather than inwards, so not to spread the mold.

Have your home heating, ventilating, and air-conditioning (HVAC) system checked and cleaned by a maintenance or service professional who is experienced in mold cleanup before you turn it on. If the HVAC system was flooded with water, turning on the mold-contaminated HVAC will spread mold throughout the house. Professional cleaning will kill the mold and prevent later mold growth. When the service determines that your system is clean and if it is safe to do so, you can turn it on and use it to help remove excess moisture from your home.

Prevent water outdoors from reentering your home. For example, rainwater from gutters or the roof should drain away from the house; the ground around the house should slope away from the house to keep basements and crawl spaces dry.

Ensure that crawl spaces in basements have proper drainage to limit water seepage. Ventilate to allow the area to dry out.

For more information on mold cleanup, visit Homeowner’s and Renter’s Guide to Mold Cleanup After Disasters.

If you have questions or concerns about re-entering your home, please contact Skagit County Public Health at (360) 416-1500 or email EH@co.skagit.wa.us.

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.

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 Reports 10,000 COVID-19 Cases and 100 Deaths

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October 12, 2021

According to the WA Department of Health Data Dashboard, on Saturday, October 9, Skagit County surpassed a cumulative total of 10,000 COVID-19 cases since the beginning of the pandemic. The day prior- October 8- Skagit County reported its 100th death due to the virus.

Jennifer Johnson, Skagit County Public Health Director said, “This is an upsetting milestone for the County. These numbers represent people. Our residents—families, friends, and neighbors—have dealt with so much over these past 20 months, with loved ones getting sick and battling this awful virus. We want to encourage people to continue to do their part to curb the spread of COVID-19, to mask up, and get vaccinated as soon as possible.”

Skagit currently has a case rate of 666.2 per 100,000 residents over the last 14 days, and a hospitalization rate of 13.0 COVID-19 patients per 100,000 over the last 7 days. These rates are still extremely high—with Skagit County expecting to see a record case rate high of 670.0 in the next day or so. It appears, based on incomplete data on the Data Dashboard, that the county will start to see a decrease in new cases and hospitalizations over the coming days. However, it is too early to say whether this downward trend will continue, and for how long.

Skagit County is currently sitting at 66.9 percent fully vaccinated amongst residents 12 years and older. Of the entire population, the percentage of fully vaccinated is 57.4 percent. This means that 42.6 percent of Skagit County residents, including children under 12 years old, are still unprotected against COVID-19.

The recommendation continues to be the same: Get vaccinated as soon as possible. Vaccination is a critical tool for containing the COVID-19 pandemic. COVID-19 vaccines are highly effective and greatly reduce the risk of severe illness, hospitalization, and death from COVID-19.

As weather gets colder and people begin to move inside, it is important that Skagit County residents continue to use precaution when gathering with people from outside of their households. All the risk mitigation strategies that people have been using since the beginning of the pandemic continue to be the best course of action: mask up when in crowded indoor and outdoor locations, get tested when feeling sick or when notified of recent COVID-19 exposure, and stay at home when ill with COVID-like symptoms.

To find a list of COVID-19 testing and vaccination providers in Skagit County, go to: www.skagitcounty.net/COVIDvaccine or call the WA COVID-19 Information Hotline: Dial 1-800-525-0127, then press #.

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.

What You Need to Know About Monoclonal Antibody Therapeutic Treatment

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UPDATE: As of September 21, 2021, local supply of Monoclonal antibodies is extremely low, and is expected to remain so for two or more weeks. If you are seeking treatment, you will need to go through your health care provider for a referral. Please do not call local treatment providers or go to the emergency department for monoclonal antibody treatment.

Getting vaccinated is the best way to protect yourself and others against COVID-19. We know that people who are fully vaccinated are much less likely to get COVID-19, and that the vaccines continue to prove effective in keeping people from getting seriously sick or dying if they catch the virus.

We also know that COVID-19—and especially the delta variant—are still circulating widely in our community. Local case and hospitalization rates are at the highest that they’ve ever been, with unvaccinated people representing the vast majority of these cases. Breakthrough cases (when someone who is fully vaccinated and contracts COVID-19) are also a reality, and in rare circumstances, fully vaccinated folks are still becoming critically ill with the virus.

Thankfully, for certain high risk individuals who do get COVID-19—regardless of vaccination status—there is some good news available.

What are monoclonal antibodies?

Monoclonal antibodies are laboratory-made proteins that help jumpstart your immune system so you can fight off a COVID-19 infection. They can be given by a shot or an IV infusion. Studies show that the treatments successfully fight the virus and prevent serious illness.

Is Monoclonal Antibody Therapeutic Treatment safe?

To date, the Food and Drug Administration (FDA) has issued Emergency Use Authorization for several monoclonal antibody treatments. The FDA currently recommends the REGEN-COV™ and Sotrovimab monoclonal antibodies for the treatment of mild-to-moderate COVID-19 in adults and pediatric patients who are at high risk for progression to severe COVID-19, including hospitalization or death.

Just like with any medication, the safety and effectiveness of this investigational therapy continues to be evaluated by the FDA for treatment of COVID-19.

Potential side effects of REGEN-COV™ and Sotrovimab include allergic reactions, including anaphylaxis, as well as infusion-related reactions, including pain, bruising of the skin, soreness, swelling, and possible infection at the injection site.

Who should get this treatment and when?

Monoclonal antibody therapies can treat mild to moderate COVID-19 in adults and children 12 and older (must weigh at least 88 lbs.), who are at high risk for developing severe illness. Some fully vaccinated people may even qualify for antibody treatment if they are in a high-risk category.

Regardless of vaccination status, timing is important. Monoclonal antibodies must be given within 10 days of getting symptoms to work best. Once someone is hospitalized or needs oxygen therapy due to COVID-19, they are no longer eligible to receive monoclonal antibody treatments. Check with your doctor right away to decide if this treatment is right for you.

If you were treated for COVID-19 with monoclonal antibodies, you should wait 90 days before getting a COVID-19 vaccine. Talk to your healthcare professional if you are unsure what treatments you received or if you have more questions about getting a COVID-19 vaccine.

Do I still need to get vaccinated if this treatment is available?

Monoclonal antibody therapies are not authorized for pre-exposure prevention of COVID-19. These therapies do not replace vaccination against COVID-19. Getting vaccinated is the best way to prevent against contracting COVID-19 and is recommended by the CDC for everyone 12 years and older.   

How are vaccines and monoclonal therapies different?

A vaccine helps stimulate and prepare your immune system to respond if or when you are exposed to COVID-19. Two weeks following your final dose, your immune system is prepped and ready to create antibodies, even before they are needed.

Monoclonal antibodies boost the immune system after you are already sick with COVID-19. The treatment speeds up your immune response to prevent a person’s symptoms from getting worse. Monoclonal antibodies act as guided missiles that target the virus, but protection doesn’t stick around. While monoclonal antibodies are effective for a short period, COVID-19 vaccines have been proven to still offer significant protection months down the road.

While Monoclonal Antibody Therapeutic Treatment is a great option for people who are already sick with the virus and at an increased risk for complications, vaccination is the easiest and most effective option for keeping people safe.

Is this treatment free?

The federal government provides some monoclonal antibody treatments for free. Depending on insurance coverage, some may need to pay an administration fee. This is to cover the costs of giving the treatment, not for the antibodies. As always, check with your insurance provider to learn more about treatment costs for your specific plan, first. For people with Medicare and Medicaid, the cost of administering the treatment should be covered.

Where can I get Monoclonal Antibody Therapeutic Treatment?

Monoclonal antibody (mAb) therapy is available in Washington state with a provider’s recommendation for certain high risk individuals. People can be at high risk because of many reasons including their age, having an underlying medical condition, and other things. Some of the most common reasons include:

  • Age ≥ 65 years
  • Obesity or being overweight based on Centers for Disease Control and Prevention clinical growth charts
  • Pregnancy
  • Chronic kidney disease
  • Diabetes
  • Immunosuppressive disease or immunosuppressive treatment
  • Heart or circulatory conditions such as heart failure, coronary artery disease, cardiomyopathies, and possibly high blood pressure (hypertension)
  • Chronic lung diseases including COPD (chronic obstructive pulmonary disease), asthma (moderate to severe), interstitial lung disease, cystic fibrosis, and pulmonary hypertension
  • Sickle cell disease
  • Neurodevelopmental disorders such as cerebral palsy
  • Having a medical device (for example, tracheostomy, gastrostomy, or positive pressure ventilation [not related to COVID-19])

If you think you might qualify for this treatment, please speak to your healthcare provider first and get a referral before contacting these sites to arrange an appointment. There is limited capacity at certain sites, and it is preferred that individuals contact these facilities over the phone to arrange an appointment time, in order to limit exposure for staff and other patients.

To find a Monoclonal Antibody Therapeutic Treatment location near you, go to: https://bit.ly/3hVhagX.

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.

Skagitonians Urged to Get Vaccinated; Wear Masks in Light of Increasing COVID-19 Cases

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August 5, 2021

Skagit County Public Health is extremely concerned about the rise in COVID-19 cases and hospitalizations being seen locally and across the state due to the spread of the delta variant. This concern is felt at the state level, as well, with the Washington State Department of Health releasing a statement on Tuesday, urging Washingtonians to get vaccinated immediately and wear masks in indoor spaces to combat the variant’s spread.

In the last 7 days alone, Skagit County has reported 90 new confirmed COVID-19 cases and 10 new COVID-19 hospitalizations. State-wide hospital occupancy is at the highest levels seen to date in 2021 due to increased COVID-19 transmission and patient demand.

The highly contagious delta variant, which is a more transmissible strain of the virus, is now the dominant strain in Washington making up roughly 76% of sequenced cases. While no vaccines are 100% effective, it is proven COVID-19 vaccines provide strong protection against variants, prevent severe illness and hospitalization, and lower your risk of death. 

More than 94% of all cases, deaths, and hospitalizations in Washingtonians 12 years of age and older can be attributed to people who have not been fully vaccinated. In Skagit County, between February 1 and July 30, 2021, 95.3% of all PCR-confirmed COVID-19 cases were in unvaccinated individuals. During this same period, 100% of deaths due to COVID-19 were in unvaccinated individuals.

“We are pleading with Skagitonians to get vaccinated now” said Jennifer Johnson, Skagit County Public Health Director. “Getting vaccinated will give our community a chance to breathe again. It will keep our hospitals operating the way they need to be during cold and flu season. It will ensure the safety of our children as they go back to school in the fall. If there was ever a time to get vaccinated, it is absolutely right now.”

“These vaccines are a medical marvel, and I would confidently recommend to every family member, friend and patient I have to take advantage and get vaccinated. The vaccines are saving lives,” said Dr. Howard Leibrand, Skagit’s Health Officer. “I am also recommending that everyone return to masking in indoor public spaces. This is in light of emerging information about the delta variant and will help protect yourself, kids under 12, immunocompromised people and others who may be unvaccinated. We need to keep this disease under relative control to prevent deaths and hospital overwhelm.”

Getting vaccinated is a very personal choice, and also an extremely important one. If someone has questions or concerns about the vaccine, it is recommended that they speak with their doctor or visit the WA DOH Frequently Asked Questions page for fact-based information. To find a list of vaccine providers near you, go to: https://vaccinelocator.doh.wa.gov/ or call Public Health at (360) 416-1500.

Lastly, with case numbers on the rise and delta circulating in Skagit County, Public Health wants to remind everyone that getting tested is still essential in our fight against the spread of COVID-19.

Whether you have been vaccinated or not, if you’ve been around someone who has a suspected or confirmed case of COVID-19, you should get tested 3-5 days after your exposure, even if you don’t have symptoms.

For information about when you should get tested (for both vaccinated and unvaccinated individuals) and for current testing locations, read our blog post: https://bit.ly/3Aa2v8f. For a list of testing providers, go to: https://www.doh.wa.gov/Emergencies/COVID19/TestingforCOVID19/TestingLocations.

Let’s Be “Water Safe” This Summer!

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It’s hot this week. Like, hot-hot. And this weekend looks like its going to be a scorcher. With seriously warm weather coming, you and your family might be planning to spend some time in, or near, water this weekend. Whether you’re planning a trip to the beach, to the lake, or just a casual Saturday around the kiddie pool, it is critical to be thinking about water safety at all times.

Why is water safety important?

It only takes a moment. A child or weak swimmer can drown in the time it takes to reply to a text, check a fishing line or apply sunscreen. Death and injury from drownings happen every day in home pools and hot tubs, at the beach or in oceans, lakes, rivers and streams, bathtubs, and even buckets. 

How do you ensure water safety?

Being “water safe” means that you’ve taken the necessary steps to ensure the safety of yourself and your loved ones while enjoying time in, and around, the water. These steps include:

  1. Buddying Up: Always swim with other people. Designate a buddy from your household to swim with before you enter the water.
  2. Suiting Up: Always wear life jackets on boats. Make sure everyone has U.S. Coast Guard approved life jackets at all times.
  3. Knowing Your Limits: Only swim as far as you can safely get back. Don’t hold your breath for longer than you can. Stay close to shore and rest if you are cold or tired.
  4. Knowing the Water: Don’t enter cold water or very fast-moving water. Always jump feet first into unknown water.
  5. Keeping an Eye Out: Actively supervise young children and inexperienced swimmers. Stay within arm’s reach and avoid distractions.

How do you make water safety a priority, in every location and situation?

Use “Layers of Protection” In & Around Water

There are things that you can actively do to ensure water safety and prevent drowning. Here are just a few:

  • Even if lifeguards are present, you (or another responsible adult) should stay with your children.
  • Be a “water watcher” – provide close and constant attention to children you are supervising; avoid distractions, including cell phones.
  • Teach children to always ask permission to go near water.
  • Children, inexperienced swimmers, and all boaters should wear U.S. Coast Guard-approved life jackets.
  • Take specific precautions for the water environment you are in, such as:
    • Fence pools and spas with adequate barriers, including four-sided fencing that separates the water from the house.
    • At the beach, always swim in a lifeguarded area.

Know the Risks & Take Sensible Precautions – Even If You’re a Strong Swimmer

  • Always swim with a buddy.
  • Don’t use alcohol or drugs (including certain prescription medications) before or while swimming, diving or supervising swimmers.
  • Wear a U.S. Coast Guard-approved life jacket when boating or fishing, even if you don’t intend to enter the water.

Ensure That the Entire Family Learns How to Swim

Now is a great time to look into swim lessons for everyone in your family! Most fitness centers with a pool offer swim lessons for kiddos 6 months and older. For a list of swimming lessons being offered in Skagit County, go to: https://skagit.kidinsider.com/pools. Note: Some information may have changed due to COVID.

Know how to respond in case of emergency

One of the best, and proactive things that you can do to ensure water safety is to learn how to respond during an emergency. Want to become CPR certified? Find a course nearby!

Some helpful links:

The American Red Cross has fantastic resources available that cover every water safety topic. For more information, visit: https://www.redcross.org/get-help/how-to-prepare-for-emergencies/types-of-emergencies/water-safety.html.

Links to specific topics:

  1. Drowning Prevention Facts
  2. Home pool & hot tub safety
  3. Swimming Safely at the Beach