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

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Post contributed by Josh Pelonio, Skagit County EMS Director

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

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

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

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

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

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

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

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

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

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

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

Get vaccinated, or help someone get vaccinated, today.


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

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September 10, 2021

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

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

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

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

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

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


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

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August 25, 2021

[updated August 27, 2021]

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

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

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

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

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

Jennifer Johnson, Skagit County Public Health Director

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

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

For Testing

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

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

For Vaccination

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

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

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


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

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August 18, 2021

State-wide Mask Mandate

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

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

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

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

Educator vaccine requirement

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

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

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

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


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

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August 16, 2021

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

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

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

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

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

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

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

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

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

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

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


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

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

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

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

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

¿Cuándo debo hacerme la prueba?

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

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

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

¿Qué tipos de pruebas están disponibles?

Básicamente, hay dos categorías amplias de pruebas:

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

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

¿Qué tipo de prueba debo hacerme?

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

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

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

¿Qué tan precisas son estas pruebas?

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

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

¿Qué prueba necesito para viajar?

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

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

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

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

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

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

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

¿Qué es una prueba de anticuerpos?

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

#

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


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.


Prueba COVID-19: Sigue Siendo Esencial

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Ahora estamos en un poco más del 65% de todos los residentes elegibles en el condado de Skagit haber recibido al menos una dosis de la vacuna. Es emocionante pensar en lo lejos que hemos llegado en nuestro viaje de vacunación desde diciembre de 2020. Aún así, tenemos un largo camino por delante antes de que COVID-19 ya no sea motivo de preocupación. Con la rápida propagación de la variante Delta en todo el estado de Washington y el aumento de los casos y las tasas de hospitalización el mes pasado, sabemos que aún no estamos a salvo.

En la segunda mitad de julio, Salud Pública del Condado de Skagit estaba viendo recuentos diarios de nuevos casos repetidamente en las decenas y veinte; un máximo no visto desde nuestra última ola en abril de 2021. Este aumento probablemente se deba a múltiples factores, incluido el aumento de la propagación de la variante Delta más contagiosa, aumento de reuniones sociales y viajes en verano, y reapertura de negocios, todo sucediendo con menos personas con máscaras.

Tendencias de Casos de COVID-19 del Condado de Skagit del tablero de WA DOH
https://www.doh.wa.gov/Emergencies/COVID19/DataDashboard

Mientras que la conversación se ha centrado principalmente en la vacunación en los últimos tiempos, es importante recordar que hacerse la prueba para COVID-19 es una herramienta que puede, y debe, de usar si / cuando se expone a COVID-19 o cuando se viaja.

Entonces, revisemos el tema de las pruebas …

Las pruebas son esenciales.

Cualquier persona con signos o síntomas de COVID-19 debe hacerse la prueba tan pronto como sea posible, a pesar del estado de vacunación. Con la disminución de la temporada de alergias y la temporada de gripe aumentando, no hay duda de que sentirá un cosquilleo o dos, o desarrollará tos en algún momento de este otoño. Cuando sepa que ha estado expuesto; cuando se sienta un poco mal: tome precauciones. ¡HACERSE LA PRUEBA!

¿No está seguro de si sus resfriados justifican una prueba de COVID o no? Utilice el Auto comprobador de Coronavirus aquí.

Si ha estado expuesto al COVID-19.

Tanto si ha sido vacunado o no, si has estado cerca de alguien que tiene un caso sospechoso o confirmado de COVID-19, debe hacerse la prueba 3-5 días después de su exposición, incluso si usted no tiene síntomas.

Debe continuar monitoreando los síntomas durante 14 días después de una exposición y, si presenta síntomas, aísle de inmediato y considere volver hacerse la prueba. Si su prueba es positiva, debe aislar durante 10 días.

Para las personas no vacunadas, es importante tener en cuenta que las pautas de cuarentena no han cambiado. Si no está vacunado y está expuesto, además de hacerse la prueba, deberá ponerse en cuarentena durante 14 días – incluso si no tiene síntomas.

Si usted está experimentando cualquiera de los siguientes síntomas, hágase la prueba COVID-19 en un sitio de pruebas. Para obtener una lista completa de ubicaciones, vaya a: https://www.doh.wa.gov/Emergencies/COVID19/TestingforCOVID19/TestingLocations.

Los síntomas pueden incluir:

  • Fiebre o escalofríos
  • Tos
  • Cansancio
  • Dolores musculares o corporales
  • Dolor de cabeza
  • Falta de aliento o dificultad para respirar.
  • Nueva pérdida del gusto u olfato
  • Dolor de garganta
  • Congestión o secreción nasal.
  • Náuseas, vómitos o diarrea

Notar: Si se encuentra en cuarentena o aislamiento y necesita ayuda para obtener suministros o alimentos, llame a Salud Pública del Condado de Skagit al (360) 416-1500 entre las 8:30 a.m. y las 4:30 p.m., de lunes a viernes.

Pruebas y viajes

Algunas restricciones sobre viajes se han eliminado recientemente, pero es importante recordar que aún se deben tomar precauciones. Al fin y al cabo, viajar aumenta la posibilidad de contraer y propagar COVID-19. El Centro para el Control de Enfermedades (CDC) continúa recomendando que las personas limiten los viajes si no están vacunadas y que todas las personas, a pesar del estado de vacunación, tomen precauciones adicionales si viajan.

Estas son algunas cosas importantes que debe tener en cuenta al hacer planes de viaje dentro de los Estados Unidos:

  • Refrain from travel if not fully vaccinated. El CDC recomienda que aquellos que no están completamente vacunados retrasen su viaje. Si tiene que viajar, siga las opciones de viaje seguros, incluyendo una prueba viral 1-3 días antes de viajar. Si viaja con niños que no pueden vacunarse en este momento, seguir las recomendaciones para personas no vacunadas y elija opciones de viaje más seguras.
  • Prueba antes de viajar. Las personas que están completamente vacunadas con una vacuna autorizada por la FDA pueden viajar de manera segura dentro de los Estados Unidos. Las personas no vacunadas deben planear hacerse la prueba con una prueba viral 1-3 días antes de su viaje.
  • Consulte la guía de viaje antes de partir. Aunque la mayoría de los estados ya no requieren una prueba, las restricciones de viaje varían según el estado basado en el estado de vacunación y están sujetas a cambian en cualquier momento. Consulte la guía estatal y local antes de hacer planes concretos.
  • Use una máscara durante el viaje. Se requieren máscaras en interiores en los centros de viaje y en el transporte público, a pesar del estado de vacunación. Siga todas las recomendaciones y los requisitos estatales y locales para el uso de mascarillas y el distanciamiento social.
  • Requisitos después de viaje para estar completamente vacunado. No es necesario hacerse la prueba antes o después de viajar si está totalmente vacunado, pero aún debe seguir todas las demás recomendaciones de viaje, auto-monitor para COVID-19 síntomas, y hacerse la prueba si se presentan síntomas. Durante el viaje, si ha estado cerca de alguien que tiene COVID-19, debe hacerse la prueba de 3 a 5 días después de su exposición, incluso si no tiene síntomas, y usar una máscara en entornos públicos interiores hasta que el resultado de la prueba sea negativo.
  • Requisito después del viaje para los no vacunados. Aquellos que no están vacunados deben hacerse una prueba viral de 3 a 5 días después del viaje Y permanecer en casa y ponerse en cuarentena durante 7 días completos después del viaje. También deben aislar y monitorear los síntomas durante 14 días completos También deben aislar y monitorear los síntomas durante 14 días completos y buscar repetir las pruebas si se presentan síntomas. Consulte la guía de los CDC para viajeros no vacunados.

Para viajes internacionales:

Aquellos que viajan internacionalmente deben verificar los requisitos de su país de destino, ya que pueden requerir una prueba antes de la llegada, incluso para las personas vacunadas. Consulte los requisitos de prueba y guia de los CDC para viajes internacionales.

Dónde hacerse la prueba.

Muchas oficinas del médico están ofreciendo pruebas COVID-19 a sus pacientes. Comuníquese primero con su proveedor de atención médica para ver si ofrecen pruebas de COVID-19. Si usted está experimentando síntomas graves, como dificultad para respirar o sensación de opresión en el pecho, considere ir a un departamento de emergencias cercano.

Para obtener una lista de ubicaciones de prueba en su área, vaya a: https://www.doh.wa.gov/Emergencies/COVID19/TestingforCOVID19/TestingLocations

Las pruebas en el hogar también están ahora disponibles para su compra. Consulte los siguientes enlaces para conocer las opciones de prueba en el hogar:

  • Kit de recolección casera de prueba COVID-19 de Everlywell
  • Pixel Prueba en Casa de Labcorp
  • Autoprueba de Antígeno de BinaxNOW™

Lo que debe llevar con usted cuando hacerse la prueba.

  • Una identificación con foto con su fecha de nacimiento. Las pruebas están disponibles independientemente de su estado de ciudadanía / inmigración.
  • Su tarjeta de seguro si tiene seguro. Si tiene un seguro privado, Medicare o Medicaid, debe proporcionar esta información y el laboratorio les facturará. No se le cobrará por la prueba. No es necesario tener un seguro médico o una nota del médico para programar una prueba.
  • Una máscara bien ajustada. Como instalaciones de atención médica, se requieren máscaras en todos los lugares de prueba en interiores y exteriores, independientemente del estado de vacunación.

Cómo y cuándo obtener resultados.

  • La mayoría de los resultados típicamente llegara por correo electrónico, mensaje de texto o a través del portal en línea escogida por el proveedor. Consulte con su proveedor de pruebas sobre cómo se enviarán los resultados.
  • Los resultados usualmente estarán disponibles en 48 horas, aunque pueden tardar hasta 72 horas.

Si da positivo.

Si da positivo, espere una llamada de Salud Pública. Nuestro personal sigue realizando un seguimiento activo de todos los casos confirmados y tendrán que hacerle algunas preguntas. Si recibe la llamada, es imperativo que conteste y nos ayude con el rastreo de nuestro contrato. ¡Gracias!


Prepare Them for Fall; Prepare Them for Life

Reading Time: 3 minutes

Are your kids heading back to school? Whether your child is going to school in person or not, one of the most important things that you can do to prepare them for back-to-school is a visit with their doctor. For many people, the COVID-19 pandemic delayed or pushed back routine doctor visits, including well-child visits and routine vaccinations. Now is the time to get back on track!

Since August is National Immunization Awareness Month (NIAM), we figured this would be the perfect time to remind Skagit County families to get caught up on all routine medical appointments! NIAM is an annual observance which highlights the importance of getting recommended vaccines throughout your life.

During NIAM, we encourage you to talk to your doctor or healthcare professional to ensure that you and your family are protected against serious diseases by getting caught up on routine check-ups and vaccinations.

So let’s get ready for back-to-school! Here’s a checklist to help them prepare for a healthy year…

Physical & mental health

During a well-child check, doctors will note a child’s growth and development, based on what’s typical or expected for their age, while also taking into account the child’s personal or family history.

And perhaps of equal importance—and especially so this year—a check-up with your child’s doctor provides a fantastic opportunity to check in on your kiddo’s mental and emotional wellbeing. Talk with your child’s doctor about mental health assessments and discuss any concerns that you may have. We all know that this past year and a half has been tough, so be sure to keep both the head and the heart in mind!

Visit here for more tips on well-child visits.

Vaccinations

One important aspect of the annual visit is to ensure a child’s immunizations are up to date. Vaccinations not only reduce the risk of serious illnesses but also save lives. And vaccinations aren’t only for babies or the very young. As children get older, they will continue to need additional immunizations and booster shots even through adulthood.

As your children head back to school this fall, it’s particularly important for you to work with your child’s doctor or nurse to make sure they get caught up on missed well-child visits and recommended vaccines. For childhood vaccine schedules, check out the links below:

Vaccine Schedule: Birth – 6 Years

Vaccine Schedule: 7 Years – 18 Years

One of the new vaccines this year is, of course, for COVID-19. Children ages 12 and older are now eligible for this vaccination, which will help protect them against the virus and reduce its spread in our communities. To learn more about COVID-19 vaccination, check out the following websites:

Adults: Remember to take care of yourself too! Make sure to receive any vaccines you need to stay healthy. Use CDC’s adult vaccine assessment tool to see which vaccines might be right for you.

Additional exams

In addition to having their overall physical and mental health checked, kids should also have the following special exams on a regular basis:

  • Hearing tests.
  • Vision exams.
  • Dental checkups.
  • For young girls who are going or have gone through puberty, chat with your provider about whether or when they should begin seeing a specialist.

More tips for a healthy year

Here are some more helpful tips to ensure your child is off to a good start this fall:

  • Ease into a fall bedtime schedule.  Good sleep is essential!
  • Know the safety tips for backpack use. Note the fit and keep the weight manageable.
  • Plan lunches and snacks.  Aim for well-balanced nourishing meals.
  • Reduce anxiety and manage stress.  Keep the lines of communication open to talk about what’s on your child’s mind.

Schedule your child’s visit

Now is a good time to call your healthcare provider to schedule a visit for yourself and your children. For those who do not have a healthcare provider or who may be struggling to access healthcare, there is help available.

Help Me Grow Skagit provides a wide range of resources designed to support you and your family. Go to their website or call/ text (360) 630-8352 to talk to a specialist or complete their contact form online.


Mask Recommendation from Skagit County’s Health Officer

Reading Time: 2 minutes

July 26, 2021

The following is a statement from Dr. Howard Leibrand, Skagit’s Health Officer.

Earlier today, several of my colleagues issued a joint statement recommending masks indoors, regardless of vaccination status. It is the goal of this recommendation to protect high-risk individuals and those who are not able to be vaccinated, including children under twelve years old.  

It is clear that masks protect individuals from COVID-19. It is never a bad idea to wear a mask in an indoor situation, particularly as we see the delta variant becoming more prominent in our communities.

With that said, I want to assure my community that vaccination is—and will continue to be—the absolute best tool we have to stop the spread of COVID-19. Local data shows that from March 1, 2021 to July 13, 2021 96% of all COVID cases were in unvaccinated individuals. This perfectly highlights the effectiveness of the COVID-19 vaccines.

It is true that the delta variant is particularly concerning. It is much more transmissible than the variants that have been circulating in our county prior to July.  Delta variant may cause more serious illness. If you are unvaccinated and not using precautions like masking and social distancing, you are at very high risk of becoming infected with delta variant and getting seriously ill in the coming days and weeks. Therefore, if you are unvaccinated, I highly recommend that you wear a mask in all crowded situations and continue to encourage your loved ones to do the same.

COVID-19 is likely going to be with us for a long time. Like many reportable diseases, there is no clear end to this health concern. I am encouraging everyone to use every tool available in their toolbelt to protect themselves. Masks will always be a great option, but getting vaccinated is most important.

In summation, the strongest recommendation that I can make as a health professional is this:

Get vaccinated today.


Dr. Leibrand has served as Skagit’s Health Officer since 1989. For more information on Skagit’s COVID-19 response, including upcoming vaccine clinics, visit www.skagitcounty.net/covidvaccine.