“Let’s get out of here!” Traveling After Getting a COVID-19 Vaccine

Reading Time: 2 minutes

You did it! You got vaccinated! Thank you for doing so. It helps not only protect you but the community at large. We bet that you’re ready to start returning to some of the activities you gave up in March 2020, including travel. If you are, please keep some things in mind.

The COVID-19 vaccines currently in use are highly effective.

Real world data has shown that their nearly 100 percent effective at preventing hospitalization and death amongst fully vaccinated individuals. In fact, Washington State has only observed a breakthrough rate of 0.01%, which is fantastic. Being fully vaccinated means you can do a lot of things again, such as:

  • Gather indoors with other fully vaccinated people without wearing a mask or social distancing
  • Gather indoors with unvaccinated people of any age from one other household without masks or social distancing unless one of the participants is at increased risk for severe illness from COVID-19.
  • Travel domestically, or return from international travel without getting a negative COVID-19 test or self-quarantining (Note: if you’re traveling internationally, you might still need a negative COVID-19 test to enter the country you’re visiting. Do your research before you go).
  • Unless you live in a group setting (like a correctional facility or group home), you don’t need to quarantine after an exposure to COVID-19 as long as you don’t develop symptoms.

Reminder: After receiving your second dose of the Pfizer or Moderna vaccine, or your Johnson & Johnson shot, you need to wait two weeks for immunity to build in your system. After that two week period, you’re considered fully vaccinated.

That said, COVID-19 vaccines aren’t get out of jail free cards.

There is still a risk that you could contract COVID-19 and spread it to loved ones or close contacts. This means that when traveling you should:

  • Keep wearing masks- and two if you can- especially on airplanes, in public spaces and when gathering with unvaccinated individuals from multiple households. 
  • Avoid large gatherings or events, especially when indoors, where people don’t remain in fixed locations, engage in activities that pose great risk for spread (singing, exercising, shouting, etc…) or wear masks aren’t or can’t be worn.
  •  Monitor for COVID-19 symptoms, and if any develop get tested right away.
  • Avoid visiting unvaccinated individuals who are at increased risk for poor health outcomes after traveling or being in public spaces for prolonged periods.
  • Follow your workplace guidance on quarantine when returning, which may be more strict than what is outlined here.

We’re all looking forward to increased travel and activity–but we’re not quite out of the woods yet. Please, continue to be smart and practice good behaviors. Wear your mask, practice social distancing in public or with unvaccinated individuals, wash your hands frequently (like, all the time and for lots of reasons it’s just a good thing to do).

If you’re planning a trip and are nervous about some of the circumstances, we’ve included a handy flow chart that can help guide you towards the best decision for your situation.

We’re in this together and we’ll get through this by protecting our community together.


Reflections: A Year Of COVID-19

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Dr. Howard Leibrand, Skagit County Health Officer 

Today is the first of several heavy anniversaries for Skagit County. On March 10, 2020, the first case of COVID-19 was reported in Skagit County. On March 13, Governor Inslee closed schools in order to protect students, staff and the community at large from COVID-19 spread. On March 17, Skagit County first became aware of the Chorale outbreak, which would lead to the loss of 2 Skagitonians- some of the first known casualties from COVID-19 in Washington State. On March 23, the first ‘Stay Home, Stay Healthy order’ began.

Since then, we’ve learned a lot. The science has come a long way- we now know how effective masks are at preventing spread of COVID-19; we know that surface transmission is pretty unlikely (so wiping down groceries isn’t really necessary), and we have three vaccines that are highly effective against the wild coronavirus.  All of this is a testament to human innovation and resiliency. 

We’ve also worked incredibly hard. Skagit Public Health, Department of Emergency Management and Unified Command have put in long, hard hours and accomplished so much. Skagit operated the longest continuously running COVID-19 mass testing site and has opened one of the largest mass vaccination clinics in the region. This clinic has administered over 6,000 doses of vaccine so far and has the capacity to do up to 940 total doses per day.

Residents and friends of Skagit County have also made huge efforts. Beyond everyone taking precautions to keep the community safe, individuals have donated thousands of masks, volunteered over 14,000 hours at the test site, vaccine clinic and staffing the hotline, and given $700,000 dollars to the Skagit Community Foundation’s COVID-19 fund which helped families in need through this difficult year. I am continuously in awe of my colleagues and the community that I serve. 

Unfortunately, the work is not yet over. While I look forward to further reopening of Skagit businesses and activities, now is not the time to let up on our basic precautionary measures. The B117 variant was confirmed in Skagit County two weeks ago, and it is likely that this more contagious version of the virus is circulating at large in the Community. Because it spreads more quickly and easily, if we don’t continue to observe precautions we risk a large fourth wave of illness. We also risk the B117 or the wild virus potentially mutating further and lessening vaccine efficacy; something that we have seen early evidence of in places like Brazil (P1) and South Africa (B1351). I encourage the community to double down their precautionary efforts. Wear masks- two if you can- at all times in public or during private social gatherings. Stay six feet apart from anyone you don’t live with, continue to practice good hand hygiene and please, stay home if you feel ill. 

I promise you, spring is coming. We will further reopen, and learn to live with COVID-19. You will see loved ones in unmasked social gatherings again. Vaccines will protect us. But we cannot get there without everyone’s help. Over the last year, I’ve said this many times but it bears repeating: wear a mask, wash your hands, and stay safe, stay healthy. 


Updated Quarantine Requirements for Vaccinated Persons

Reading Time: 3 minutes

On February 10th, the Centers for Disease Control (CDC) announced some recent changes to quarantine requirements for those who are fully vaccinated. This update comes at a perfect time as more people are getting vaccinated and as many are beginning to wonder what life will look like post-vaccine.

If you have been following the news, or if you have been recently vaccinated, you have most likely heard the recommendations: Vaccinated persons should continue to follow current guidance to protect themselves and others, including wearing a mask, staying at least 6 feet away from others, and avoiding crowds.

But why must those who have received both doses of vaccine continue to practice these safety precautions? Shouldn’t we be able to go back to normal once vaccines are more readily available?

Well…the science just isn’t there quite yet to tell us otherwise!

What we know—and don’t know just yet

We know that the currently approved COVID-19 vaccines are highly effective at preventing symptomatic COVID-19, meaning that those who have received a full vaccine series have protection against developing symptoms and are especially protected against severe illness related to COVID-19. The evidence also shows that symptomatic and pre-symptomatic transmission has a greater role in transmission that purely asymptomatic transmission.

While mRNA COVID-19 vaccines (like Pfizer and Moderna) have demonstrated high efficacy at preventing severe and symptomatic COVID-19, there is limited information on how effective the vaccines are at reducing transmission and how long protection lasts. The efficacy of the vaccines against emerging SARS-CoV-2 variants is also not yet known.

As we wait to learn more about how much vaccines are able to reduce transition, it is best to be cautious. Counties across Washington State have shown reductions in COVID-19 cases in the past several weeks, and it is best to keep doing what we know works best against the virus.

If you are like me though, you may be looking for a glimmer of hope for the coming months. The updated CDC quarantine guidelines is a promising example of the benefits that vaccinated individuals will begin to see.

Updated Guidance for Vaccinated Persons

The CDC states that vaccinated persons with an exposure to someone with suspected or confirmed COVID-19 are not required to quarantine if they meet all of the following criteria. Persons who do not meet all three of the below criteria should continue to follow current quarantine guidance after exposure to someone with suspected or confirmed COVID-19:

1. Are fully vaccinated (i.e. it has been longer than two weeks following receipt of the second dose in a two-dose series, or it has been longer than two weeks following receipt of one dose of a single-dose vaccine).

2. Have remained asymptomatic since the current COVID-19 exposure.

3. Are within three months following receipt of the last dose in the series (meaning that an individual is no more than three months out from their last vaccine dose).

Experts are currently gathering data about the duration of immunity to COVID-19 post-vaccination. At present, we have good data confidence to say that immunity lasts for 90 days (or three months). This may change as more data is gathered and analyzed.

Vaccinated healthcare personnel, patients, and residents in healthcare settings

If you are a healthcare worker, patient, or resident of a healthcare setting, these new updates will not apply to you. This exception is due to the unknown vaccine effectiveness in this population, the higher risk of severe disease and death, and challenges with social distancing in healthcare settings. These individuals must continue to follow current quarantine guidance.

Exposed and feeling sick. Now what?

Fully vaccinated persons who do not quarantine should still watch for symptoms of COVID-19 for 14 days following an exposure. If they experience symptoms, they should be clinically evaluated for COVID-19. In addition, vaccinated persons should continue to follow current guidance to protect themselves and others, including all other SARS-CoV-2 testing recommendations and requirements, and state, territorial, tribal, and local travel recommendations or requirements. For local information, visit: https://www.skagitcounty.net/Departments/HealthDiseases/coronavirus.htm.

More to come

The CDC quarantine recommendations for vaccinated persons, including the criteria above, will be updated when more data becomes available and additional COVID-19 vaccines are authorized.

To find out if you are currently eligible for vaccine in Washington State, visit www.findyourphasewa.org. If eligible, people can register for an appointment at one of the many vaccine provider locations: https://www.doh.wa.gov/YouandYourFamily/Immunization/VaccineLocations. Please know that vaccine supply is still quite limited at this time, and it will take several months for all currently eligible individuals to receive vaccine.

For information about Skagit County Public Health’s vaccination clinic at the Skagit County Fairgrounds, visit www.skagitcounty.net/COVIDvaccine or call the Vaccine Hotline at (360) 416-1500.


This Sunday, Let’s Play it Safe

Reading Time: 2 minutes

I’m not going to lie. I do not care about football. At all. Games are long and boring. In pre-COVID times, I’d go shopping while my husband watched games. When it came to the Super Bowl, I was 100% in for the snacks and hanging out with friends. But this year, like so many other things COVID-19 has taken away, I won’t be hanging out with friends. It will just be me and my husband. And the snacks.

That doesn’t mean we can’t still be social! If there is one thing the pandemic has shown us, it’s that it’s really not that hard to connect with friends and family, no matter where they are. Zoom, Skype, FaceTime—whatever your preferred method of video chat—are available 24-7. Use them! If you’re looking for a social connection this Sunday while you watch the game, set up a group call with friends and/or family, and react to the plays (and commercials and halftime show) in real time from a safe distance.

Share snack recipes or see who can come up with the most unique game day treat. Compete with each other for who can dress in the best football garb. Play Game Day or commercial BINGO. There are free printable versions online, or make up your own if you’re creative! Take bets on the final score. Loser owes the winner cupcakes or beef jerky or whatever you’re into.

But if you absolutely cannot fathom being physically apart from friends and/or extended family for the big game, please take steps to keep your party from becoming a super spreader event. Remember: COVID-19 spreads really easily, even without symptoms.

So what can you do to hold a safer gathering?

  1. Limit your gathering to one other household. The more households, the greater the risk of virus transmission.
  2. Stay outside. Use a projector to watch the game. Go inside only when absolutely necessary.
  3. Stay six feet or more from people you don’t live with. This also means no high fives except for air high fives.
  4. Wear a mask. Even if you’re outside and at least six feet apart, you still need to wear a mask. Take it off when you’re actively eating and drinking, but put it back on between bites or sips.
  5. Limit your yelling/cheering. The louder you speak, the more aerosols you emit, and the more likely you are to spread the virus if you have it. Bring a noisemaker, clap, stomp your feet, silently swear to yourself—whatever you need to do to keep your volume down and your aerosols to yourself.
  6. Bring your own food/drinks. Share snacks only with members of your own household. Obviously, this means you need to make the most delicious appetizer so everyone else is jealous. And for once, you don’t need to share!
  7. On that note, bring your own plates, cups, utensils, etc.
  8. Keep hand sanitizer handy. If you touch a common surface, wash your hands or use sanitizer.
  9. Moderate your alcohol intake. We all know alcohol lowers our inhibitions. If you have a few too many, you may be less likely to take proper COVID-19 precautions.
  10. Looking for more tips: Check out these from the CDC.

Public Health definitely doesn’t encourage you to hold or attend a gathering this Sunday. But if you do choose to gather, please be as safe as possible!


What Is Binge Drinking, Anyway?

Reading Time: 4 minutes

New year’s resolutions aren’t for everyone. Making big plans and setting high expectations for the months to come can seem too burdensome for some—and that’s totally fine! The beginning of a new year does present a good opportunity to reflect on the prior year, though. An opportunity to think about the things that we’d like to work on or change.

This past year was definitely a doozy, and it wouldn’t be surprising if some of our routines were uprooted or thrown out the window entirely. While, before last March, it might not have been acceptable to take a meeting in sweats, or to shower in the middle of the workday, we’ve adapted and made concessions out of pure necessity.

Perhaps, for some, one of these concessions has been around drinking habits. While it was once acceptable to have an occasional glass of wine over dinner or a few cocktails on the weekend, now a quaran-tini (or two) each night has become the standard.

While it’s perfectly fine to have a drink here and there, it is important to monitor one’s drinking habits. When does drinking become “too much,” and when do rates of consumption go from healthy to possibly dangerous?

Isolation, the disruption of routine, and an inability to use pre-COVID coping mechanisms can cause one to feel especially vulnerable during times of crisis. Partnered with other stressors like economic uncertainty or unemployment, an individual may be at increased risk of developing a reliance on alcohol or other substances in order to cope.

What is binge drinking?

Not everyone who drinks—even regularly—engages in binge drinking. Even still, the definition of “binge drinking” may surprise you.

Moderate drinking, for men, is drinking no more than 15 drinks per week and no binge drinking. For women, the limit is seven drinks per week, with no binge drinking.

Binge drinking, however, is defined as drinking five or more drinks in a two-hour period for men, and four or more drinks in that same two-hour period for women.

Note: Women metabolize alcohol less efficiently than men, meaning they have higher concentrations of it in their blood when they drink the same amount.

The CDC states that one in six US adults binge drinks about four times a month, consuming about seven drinks per binge, with the highest percentage of binge drinking happening amongst 25-34 year olds. A person who binge drinks may or may not have an alcohol use disorder.

Recent Findings

A recent study published in the American Journal of Alcohol & Drugs Abuse reported that “thirty-four percent [of those studied] reported binge drinking during the COVID-19 pandemic.” It was also found that more binge drinkers increased alcohol consumption during the pandemic (60%) than non-binge drinkers (28%). And for every one-week increase in time spent at home during the pandemic, there were greater odds of binge drinking.

Also of note was that binge drinkers with a previous diagnosis of depression and current depression symptoms had greater odds of increased alcohol consumption compared to those reporting no depression.

Why can it be dangerous?

Binge drinking is associated with many short- and long-term health problems. Short-term side effects include:

  • Poor balance and coordination
  • Nausea
  • Dehydration
  • Vomiting
  • Hangover
  • Shakiness
  • Loss of consciousness
  • Poor decision-making
  • Memory loss

From the American Addiction Centers, some long-term effects of repeated binge drinking include: alcoholism, brain damage, liver damage, cardiovascular disease, and even sexual dysfunction.

Tips for a healthier relationship with alcohol

Keep track. Whether you can keep track in your mind, or you need something in writing to help you monitor throughout the week, it may be a good idea to have a system in place. Did you have a few drinks over the weekend? Maybe take a break for a few days this week. Even taking a couple days off from alcohol can help your physical (and even mental) wellbeing!

Count and measure. Being your own bartender at home can surely be cost efficient, but it can also pose a challenge for proper measuring! According to NIAAA, a standard alcoholic drink is 12 ounces of regular beer (usually about 5% alcohol), 5 ounces of wine (typically about 12% alcohol), and 1.5 ounces of distilled spirits (about 40% alcohol). Keep these measurements in mind when pouring (and counting) drinks.

Set goals. Along these same lines, try setting some goals for yourself over the coming weeks. Maybe it isn’t realistic right now to cut out alcohol together. How about cutting out a drink here and there to start, and work your way into a healthier routine? Don’t get discouraged if you lapse or if you have to start over. Changing behaviors can be extremely difficult—but also entirely doable! Maybe set a goal with a friend or loved one so that you can work toward a common goal together, while also keeping one another accountable.

Find alternatives. If having a drink at 5 o’clock has become the norm recently, try replacing this habit with something else. Try taking a walk during this time, or taking a hot bath. If having a drink makes you feel calm, find something that provides a similar sensation. If you feel like a drink is a nice way to treat yourself after a long day, find something else that feels like a little reward. Just be sure not to replace one unhealthy habit with another!

Avoid “triggers.” A trigger can be anything that causes you to want to drink. This could be something stressful like watching the nightly news or scrolling social media. However, it can be something pleasurable like cooking a meal or video-chatting with a friend. It is important to recognize what your triggers are in order to plan for and work through it.

Remember non-alcoholic drinks. For some people, just having alcohol in the house can pose a difficulty in regulating consumption. If this is the case, move the alcohol out of the refrigerator, or avoid having it in the home altogether. Try having something in the fridge that you can go to instead when you’re craving a drink. Carbonated water (which comes in a variety of flavors) can be a nice go-to, or even diet soda.

Need more help?

Need a little extra help? That’s okay! The Washington Recovery Helpline is a great resource available to all Washingtonians who may be struggling with substance use. Call 1-866-789-1511 to speak with a specialist (available 24/7/365). You can also text this same number during Monday-Friday between 9 a.m. to 9 p.m. for treatment options, resources, and referrals.

You can also access www.skagithelps.org for a list of helpful resources.


Halloween How To’s: Let’s Get Creative!

Reading Time: 3 minutes

One of the things that has kept me going mentally over the past six months has been my garden. Trust me…this thing is nothing to write home about! But it gives me a sense of pride when I look out from my window and I see the tall stalks of our corn blowing in the wind. While I haven’t been able to control a lot since March, I know that this little space I’ve created will be there every day, ready to be watered and weeded. The champions of my garden, without a doubt, have been my pumpkins. I’ve watched these things grow from tiny green balls, to beautiful orange spheres. I’ve been waiting with so much anticipation for October so I can finally cut them off the vine and bring them into our home. Halloween, here we come!

With our Health Officer’s recent announcement about in-person trick-or-treating, along with recommendations from the CDC, I will be honest: I was disappointed. It is okay to feel this way (something I tell myself frequently), and it is normal to mourn our “normal” holiday traditions. That being said, to dwell on this would do a great disservice to ourselves and our loved ones.

So traditional in-person trick-or-treating isn’t happening this year? Okay. There is so much that we can still do—and still control—despite these challenges.

So let’s explore these creative options!

1. Decorate your house and/or yard. You can even hold a contest with your neighbors and vote on the spookiest house!

2. Carve your pumpkins in the front yard this year and have your neighbors do the same. Enjoy this holiday tradition with other families, while keeping a safe distance. Play some Halloween-themed music (Monster Mash, anyone?), and do your best Thriller moves.

3. Coordinate a Halloween scavenger hunt by giving your kids a list of Halloween-themed decorations to look for while they walk outdoors (think cobwebs, ghosts, and black cats).

Make it a bingo game and use this template, or create your own!

4. Hold a virtual costume party via video chat with family or friends. Hold a contest for most creative, scariest, sparkliest, best overall, etc.

5. Exchange candy with a few families you know. Do a drop-off delivery at their doorstep for a Halloween surprise for the kids. If you are preparing goodie bags, wash your hands with soap and water for at least 20 second before and after preparing the bags.

6. Trick-or-treat inside your home—or in the yard—by hiding candy for your kids to find. A few jump-scares may be in order for older kids (so long as this is something that they would find enjoyable!).

7. Have a spooky movie night or Halloween craft party with the family. Call your local library and ask to have some Halloween-themed DVDs or books put together, and pick them up using the library’s curbside pick-up.

If none of these strike your fancy, ask around and see what other people might be planning. Get creative and try some new things. Who knows…you may incorporate some of these 2020 Halloween activities into your future holiday traditions! For some more helpful insights into COVID-safe holiday fun, visit the CDC’s holiday page. Take care of yourself, and happy haunting!

Note: Skagit County’s Health Officer has recommended against in-person trick-or-treating this year because it “presents too much of a risk for widespread community transmission.” We realize that there may be families who still participate this year, despite the recommendation. For those who intend to trick-or-treat, it is imperative that the following health precautions be taken.

Handing out candy:

  • Offer no-contact treats by bagging up separate treats and placing them away from your front door or in your yard or near the sidewalk. Allow trick-or-treaters to gather candy while remaining physically distanced.
  • If you are preparing bags of candy, wash your hands well before and after preparing the bags. 

Trick-or-treating:

  • Do not substitute a Halloween mask for a face covering. Wear an approved face mask. Find one that fits in with your costume!
  • Maintain six feet of distance from other trick-or-treaters or residents who are handing out candy.
  • If you are trick-or-treating with others outside your household, keep six feet of distance between yourselves.
  • Stay away from large costume parties or trick-or-treating events.
  • Bring plenty of hand sanitizer with you.

Are playgrounds re-opening? What you need to know.

Reading Time: 3 minutes

I was scrolling through my social media newsfeed on a recent Saturday morning, when a particular post caught my eye: Mount Vernon playgrounds have re-opened. As a mom of a toddler who has been shut out of all playgrounds and splash-pads this summer, I nearly jumped for joy. My first thought was, “FINALLY! Shoes on! Let’s go!” … But then reality set in. Is it too soon? Is it safe? All the anxieties of the past six months flooded my brain and I spent the rest of the morning debating about our next move.

After quickly scoping out our nearest park, I decided that we would give it a try. My daughter couldn’t put her shoes on fast enough when I told her we could go. Before I knew it, we were walking up to her favorite twisty slide, and she looked back at me with reservation in her eyes. It felt so alien to be at a playground again, and even weirder to encourage her to climb onto the steps.  

All in all, it was a wonderful morning. She had a blast! But I was glad that I’d talked to my daughter about my expectations before we went, and about how we had to continue to be careful about keeping our distance when around others. Here are some things that I took into account before we left the house that may be helpful for you and your family.

Talk to your child about keeping their distance

Even though playgrounds may be reopening, we should be trying our best to keep a six-foot distance from others, and this can be really hard to accomplish between children at a playground! Talk to your child before you leave the house about what your expectations are, and even practice what six feet looks like. Discuss some things that your child can say if another child is getting too close, and reassure them that you will be there to help them.

Note: While you may be able to control what your own child is doing, it may be difficult to make sure other children are keeping their distance. Stay close to your child and discuss any concerns that you may have with the parents/caregivers of the other children at the playground (if it becomes problematic). If it is too difficult to keep distance, be prepared to leave.

Go during “non-peak” hours

Go to the playground when it isn’t busy, and leave (or take a snack break and come back) if it gets crowded. Though the park was empty when we arrived in mid-morning, within several minutes we were greeted by two other families. I think if we went again, I’d make a point to go earlier (since it was a sunny Saturday, after all) or maybe even a bit later in the afternoon. Keeping your distance—as mentioned above—is much easier to achieve if the playground isn’t crowded.

Take the usual health precautions

This is nothing new, but it is important to keep in mind regardless! Adults and children must wear masks when at the playground (exception being children younger than two  years old and those with health exemptions), and sanitize your hands often. Bring some hand sanitizer with you to have in your pocket, and talk to your child about avoiding touching their eyes, nose, and mouth.

Be sure to follow the signs!

Some parks may not have opened their restroom facilities yet, so make alternate plans for going to the restroom. If the facilities are open, be sure to wear your mask and try to avoid congregating in big crowds. When you are using the restroom families, take the opportunity to wash everyone’s hands! Hand sanitizer is great, but nothing beats good, old-fashioned soap and water.

Weigh the pros and cons

I had to wrestle with the pros and cons of going back to the playground and even made a few false starts before we actually made it there that morning. Even though being outdoors lowers the risks of infection, there are absolutely some risks associated with crowding and contaminated surfaces. In the end, I trust the benefits to our mental health outweigh the potential risks. That being said, I made sure to follow instructions on all posted signage, and practiced safe distancing and proper hygiene throughout our trip. I also don’t know if we will continue to go if the parks begin to get crowded. I guess I’ll make that judgment call when and if the time comes.  

Take care of yourself, and take care of others. Oh, and don’t forget the sunscreen!


Family, Though Far Apart

Reading Time: 4 minutes

Back in late March, there was a lot of talk between my family members and me about the possibility of the Canadian border closing due to COVID-19. With my mom, step-dad, elderly grandmother, brother, and his young family all located in Alberta, my sisters and I worried that a closure might mean we wouldn’t see our immediate family for a while. My mom sent me an article about the possibility of the border locking down, but I disregarded it. I was unable to conceive at the time that this could even be a possibility.

Now in August, I am going on five months without seeing half of my family. It feels downright heart wrenching at times knowing that they are so close, yet so very far away. On top of the day-to-day feelings of being isolated, we have also seen holidays, anniversaries, and several birthdays come and go without visits from grandparents and cousins.

Since I am a dual citizen, I could technically visit my family. However, the 14-day quarantine requirement in order to enter Canada makes a quick trip impossible, and it would mean leaving my husband and young children behind for weeks. Though I know this forced separation is a very common reality for many, this is the first time in my lifetime where I lack any control over being able to see my loved ones. The thought of being separated from my children sends chills down my spine, and I am thankful that this is not something that I have to endure.

To read more about the current entry restrictions at the Canadian border, visit: https://www.cbsa-asfc.gc.ca/services/covid/non-canadians-canadiens-eng.html

To take away some of the sting, we connect on video chat frequently and make a point of checking in throughout the week. My mom and I definitely shed tears on a routine bases via FaceTime, while my stepdad provides emotional stability and support. Beyond checking in by phone, the distance has forced us to get creative with the ways that we connect.

Here are just a few things that we have done to make the distance seem smaller:

1. Send snail mail
This is something that I do with my three year old on the weekends. She loves creating little masterpieces, placing stamps on the envelopes, and kissing the letters before dropping them in the mailbox. When the letters arrive, she loves seeing pictures of her artwork placed lovingly on fireplace mantels and refrigerators.

Finding fun stamps can be an added bonus! I recently purchased Sesame Street stamps from the post office and these have been a huge hit with my daughter.

2. Gift loved ones with a digital picture frame
For my mom’s 60th birthday, we gifted her with a digital picture frame. By downloading the app, my siblings and I can upload our photos, and they pop up on her picture frame in real time. My mom jokes sometimes she sits in front of her frame for an hour, just watching the pictures change.

3. Share a meal or special occasion
Even though we can’t get together physically, we can enjoy a meal together on video chat. Every Saturday morning I call my mom and we chat over coffee and eggs, and talk about what household chores we need to get done before Sunday night. When someone has a birthday, we make sure to have everyone present virtually so that the whole family can sing “Happy Birthday” together.

4. Talk about each other, even when they aren’t on the phone
With young children who may not have the greatest long-term memory, I’ve found that it is crucial to talk about their extended family members throughout the week. I will ask my daughter about her aunts and uncle, will make reference to times that we spent together, and encourage her to talk about her cousins. While it makes me miss my family by talking about them, I’ve found that my daughter really enjoys recalling these memories. And for my baby daughter, I try to show her pictures and have her engage during video chatting sessions in order to keep her familiar with their faces.

5. Plan a trip for the near future
Even though it sometimes doesn’t seem like it, eventually we will be able to get together again. So we talk about what we will do in the near future, and it helps us feel a sense of control and direction. Though these plans may take a while to come to fruition, it can be really helpful to have something to look forward to.

When all the above still doesn’t seem to help, I try really hard to keep myself in the moment and avoid drifting into the “what-ifs.” This distance is really hard and emotionally exhausting, but there are also so many blessings to count. And when we finally do see each other again, the hugs will be even sweeter than they were before.


Family Beach Day During “COVID Summer”

Reading Time: 4 minutes

I don’t know about you, but the last several weeks my family and I have been feeling more cooped up than usual. It has been difficult to deal with the realities of our current situation as the days are now sunny and warm and perfect for all things SUMMER! I feel like I spend a good chunk of my time dreaming up ideas for the weekend, just to strike everything off the list because they are not COVID-safe activities. Last Friday was definitely a tipping point for me, as I sat deflated, and—let’s be honest—angry about not having anything fun planned for the weekend to come.

To pull myself out of this emotional slump, I picked up the phone. I dialed Deception Pass State Park and, with fingers crossed, asked the woman on the phone if their beach was open for visitors. She said that it was, and I thanked her profusely (and rather dramatically) before hanging up. “Woohoo!! Tomorrow will be beach day,” I shouted to my husband. I went to bed feeling over-the-moon excited about finally having a “normal” summer activity planned.

As we drove into the park, I looked around to gauge if anything looked different from last summer. I was nervous about being so out in the open and felt a little anxious about what I might find as we pulled into the parking lot. When we finally parked, I let out a sign of relief.

Deception Pass State Park – photo of the beach at 1:00 pm right before we left for the day.

Along with the regular beach things like sand toys, hats, sunscreen, and a packed lunch, I was sure to bring a face mask for my husband and myself. Even though our oldest is only three (and exempt from the State/County mask requirement), I packed a little pink practice mask along in case she wanted to imitate mommy (and yes, she absolutely did, and it was very cute). Thankfully, we had decided to get there early (as recommended online), in order to avoid larger groups that would gather later in the afternoon. This turned out to be a very smart move! By around 1:30pm, the whole beach was becoming packed with people, and we were able to make a mad dash to the car to keep socially distanced.

All in all, our little adventure at the beach went swimmingly (HA!). Except for having to wear a mask and being a bit more protective of our personal space than I typically would, the day seemed like any other beach day that my family and I might have enjoyed in the past. We all left feeling physically spent, but emotionally energized. On the car ride home, my husband suggested that we should go grab a bite to eat at a local restaurant (which we haven’t done since early March). For the first time in a very long time we sat and enjoyed a meal all together on an outdoor patio. Something that would have been so normal last year now felt like the most delicious treat, and I was impressed and grateful as I watched the restaurant staff and patrons abide by safe-distancing protocols.

What I realized in venturing outside of my comfort zone last weekend is that I cannot feasibly hole up forever. I need to make peace with the fact that this is a marathon—not a sprint—and I need to find balance in order to keep my sanity intact. So, while it isn’t safe or responsible to take on a full calendar of summertime events like before, it is absolutely okay to get out and safely find a little normalcy in very abnormal times.

Don’t forget the sunscreen!

Remember: find some balance this summer and take care of your mental and emotional needs. A little sand between the toes does a lot of good once in a while!

So here are a few take-aways for other households who may be looking for a little beachy fun.

  1. Go early. Like I mentioned above, this is essential in order to make sure that you avoid the crowds that will inevitably arrive come mid-afternoon. We got to the beach at 11am, and it was perfect timing! We were able to secure a space for our things that allowed for safe distancing, and we made an effort to steer clear of more congested areas. Just about the time when we were all feeling sunned-out and a little cranky, it was time to go!
  2. Have your face mask on hand. You will be expected to wear it when using public facilities, and it is smart to wear one when passing people in the parking lot or along trails. Children four and younger and those with underlying medical or behavioral health conditions are exempt from the mask requirement. However, parents of children ages two to four are encouraged to have masks available for their kids when in public settings. Lastly, the CDC states that masks are not required to be worn while people are in the water because they can be difficult to breathe through when they get wet. However, this means that it is even more important to maintain social distancing while swimming or wading.
  3. Pack what you will need and avoid unnecessary stops. And with multiple children, this can be a huge undertaking! Be sure to pack your own sand toys, sunscreen, towels, swimwear, hand wipes, and food (when applicable). Before arriving at the beach, talk to your children about keeping track of their toys and explain why—in this particular situation— they shouldn’t share. Talk to your kids about what they should expect when they get to the beach, and talk them through the experience. 
  4. Practice good hygiene and follow posted instructions. This not only will ensure that you keep yourself and your loved ones safe, but also lets the people around you know that you are taking these new requirements seriously. The more people that are seen following these safety precautions, the more likely that others will follow suit.
  5. Don’t go if you are feeling sick. Also, do not go if you have had recent exposure to a confirmed COVID-19 case. Keep in mind that many infected people never show symptoms but can still be contagious. We can all do our part to curb the spread of the virus, and that means staying home when we have symptoms. You can find the list of symptoms here: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html

Phase 3 Progress

Reading Time: 5 minutes

June 27, 2020

Please note: Phases of the Roadmap to Recovery have since changed! For updated information, go to: https://coronavirus.wa.gov/what-you-need-know/roadmap-recovery-metrics.

It’s been three weeks since Skagit County moved to Phase 2 of the governor’s Safe Start plan. Three weeks is the minimum amount of time a county has to wait before applying for the next phase. During this time, the county has to meet several metrics—the most important of which is positive case numbers—showing that it has the COVID-19 outbreak under control. Friday, the Skagit County Board of Health met with Skagit County Public Health and decided not to apply to move forward to Phase 3, because the County does not meet all the metrics.

“Of course, this is disappointing,” Public Health Director Jennifer Johnson said in a press release. “But unfortunately, we’ve seen an uptick in positive cases over the past several weeks that have prevented us from being able to move forward, per the Safe Start—Reopening Washington plan.”

In this post, we’ll take a look at the metrics the state is using and see how Skagit County measures up.

METRIC: Fewer than 25 positive cases per 100,000 people (32 Skagitonians) in the last 14 days

In order to meet this metric, Skagit County would need to see no more than 32 positive cases over the last 14 days. We’ve had 36 positive cases over the last two weeks. While we recently saw a decrease in cases, which helped get us to Phase 2 of the governor’s Safe Start plan, since then we’ve experienced a disturbing increase in the rate of positive cases.

Right now, most of our current cases are linked to extended family gatherings and celebrations, people traveling to visit family or friends both in and out of state, and we continue to see workplace transmission from worksites within Skagit County and adjoining counties. For many weeks now, most people becoming infected are of working age, born between 1970 and 2000. Positive cases usually show up about two to three weeks after exposure, and you can see the increase in cases three weeks after Memorial Day, indicating that people gathered against state and local health guidance.

“We have primarily seen cases tied to unauthorized gatherings, travel outside of the immediate community and workplaces,” said Dr. Leibrand. “It’s disappointing to see so many cases tied to activities not authorized under Phase 2. We hope the community will view this as a wakeup call and start taking the guidance more seriously.”

Below is a graph showing our County case data based on the numbers you can find on the Skagit County website. These numbers differ slightly from the state data, as Skagit County bases its case data on when the positive test result comes in, and the State bases its data on when the positive test was collected. The state also has a 6-day lag time to ensure it has all positive test results in before it publicizes its data. The state is using its own data when determining whether a county has met the metrics to move forward. While the data may differ slightly, the story told is the same: Our cases continue to rise faster than we’d like. The state shows that we have a positive rate of 27.1 cases per 100,000 Skagit County residents. Public Health expects this number to rise to 29.4 percent by June 29th and 30th, due to the six-day delay in the state data.

Skagit County COVID-19 positive case data.
Data as of June 26, 2020

Is Skagit County meeting the metric? NO

What can you do to help the County meet this metric? Minimize your risk of infection so you (and your close contacts!) don’t add to the case count. It’s not fun, but the best thing you can do is continue to stay home as much as possible. If you do go out, there are ways you can protect yourself:

  • Wear a mask (now required whenever you’re in indoors in public or if you’re outdoors in public and can’t maintain six feet of physical distancing)
  • Stay as far away from non-household members as possible (six feet minimum)
  • Wash your hands or use hand sanitizer often
  • Don’t touch your face
  • Limit the number of non-household members you come into close contact with to five or fewer per week. Any single gathering of more than five people (who don’t all live together) are prohibited during Phase 2.
  • Stay home if you’re feeling unwell, even just a little unwell, except to get tested. The drive-thru testing site in the Skagit Valley College parking lot is open Monday-Friday, 9am-4pm. Please bring your insurance card or the information from your card (plan name, group number, and individual identification number). With this information, insurance covers the cost of the test with no co-pay from you. If you don’t have insurance, the state will cover the cost.

METRIC: COVID-19 hospitalizations is flat or decreasing

Skagit County has been seeing a relatively flat hospitalization rate, between zero and three people hospitalized at any given time over the last few weeks.

Is Skagit County meeting the metric? YES

METRIC: Health care system readiness

The state defines health care system readiness as having less than 80% of the licensed beds full, and less than 10% of licensed beds occupied by suspected and confirmed COVID-19 cases. According to the state’s Risk Assessment Dashboard, 75.7% of Skagit County’s hospital beds are occupied, and only 0.6% of them are occupied by COVID-19 patients.

Is Skagit County meeting the metric? YES

METRIC: Average number of tests performed per day during the past week is 50 times the number of positive cases (maximum of 2% positive test rate)

According to the state’s Risk Assessment Dashboard, Skagit County is testing 56.8 people per positive case reported, a positive rate of 1.8%. It’s important that the county continues to test a lot of people to keep the ratio of positive test results low. Also, testing is the only way to find asymptomatic or presymptomatic people and have them isolate in order to stop them from spreading the virus to others in the community.

Is Skagit County meeting the metric? YES

METRIC: 90% of cases reached by phone or in person within 24 hours of a positive lab report

Skagit County Public Health contact tracers attempt to contact 100% of all positive cases within 24 hours of their notification of the case. Last week, they were able to successfully reach every single positive case within this time frame.

Is Skagit County meeting the metric? YES

METRIC: 80% of contacts reached by phone or in person within 48 hours of receipt of a positive test report on a case

Skagit County Public Health contact tracers attempt to contact 100% of close contacts of positive cases within 48 hours of notification of the case. Last week, they were able to successfully reach 92% of close contacts within this time frame.

Is Skagit County meeting the metric? YES

METRIC: 80% of cases are contacted daily during their isolation period

Is Skagit County meeting the metric? YES

METRIC: 80% of contacts are contacted daily during their quarantine period

Is Skagit County meeting the metric? YES

METRIC: Maximum of one outbreak (defined as two or more non-household cases epidemiologically linked within 14 days in a workplace, congregate living or institutional setting) per week

In June, Skagit County Public Health has investigated about one outbreak per week among employees at workplaces.

Is Skagit County meeting the metric? YES

Determining whether it’s safe to reopen is not something Skagit County leadership takes lightly. We’re all eager to open back up fully and return to some sense of normalcy. Skagit County is meeting most metrics—our healthcare system is prepared, our contact tracing team is absolutely incredible—but our case counts are too high for us to proceed.

“We want to reopen, but as the metrics show us, it’s just not safe right now,” said Board of Health Chair Commissioner Ron Wesen. “My colleagues and I will continue to watch the metrics closely, and consult with Public Health. As soon as we are able to do so safely, we will apply to move forward.”

It’s up to all Skagit County residents to do their part to help the county reach Phase 3. We need everyone to practice social distancing and good hand washing; we need everyone who is medically able to wear a mask, even if you find them uncomfortable (we all do!); we need everyone to limit their contact with people they don’t live with. This isn’t easy for anyone. But the more consistent we all are, the sooner we’ll be able to move on. Help us get there.