Camas, WA — Clover Podiatry, owned and operated by Dr. Tek Fish, a foot and ankle surgeon, recently opened it doors in downtown Camas. 

A foot and ankle surgeon, as well as a foot and general physician, Dr. Fish treats any issues and ailments from the knee down, which includes skin, muscles, bones, and tendons. 

“We’re happy to be here,” said Dr. Fish. “Clover Podiatry treats ingrown toenails, warts, heel pain, plantar fasciitis, ankle sprains, and diabetic foot care.”

He said heel pain is the same as plantar fasciitis — it’s an overuse injury of the heel, usually from tight calf muscles. 

“It happens when you puts too much stress on the tissue on the bottom of your foot,” he said. “It comes from being on your feet too much and not having the right support. Orthotics and stretching are some of the best ways to prevent it. Shockwave therapy is one way to treat it.” 

His clinic also treat ailments that require surgery, such as ankle fractures, bunions, hammer toes, wound care, and trauma. Hammer toes is an imbalance in your foot muscles and results in your toes curling up. People with diabetes get it, too, and it’s corrected through surgery. 

“It’s a fairly simple surgery,” he said “Almost all surgeries I perform are at PeaceHealth.”

He also treats sports injuries like turf toe or ankle sprains, fractures, and shin splints, “which we try to manage with conservative care.”

Most of the time Clover Podiatry doesn’t require referrals. The clinic accepts most insurances: Medicare, Medicaid, Premera Blue Cross/Blue Shield, Regence, United Health Care, Lifewise, Molina Healthcare, etc.

Dr. Fish also encourages patients to wear medical grade orthotics, which are pre-fabricated and available at his practice for 1/3 of the price. 

The move back to the Pacific Northwest in July with is wife Kimberly Fish, a Physician’s Assistant, and his toddler daughter, Devri, was a homecoming for Fish, who grew up in Hockinson.

“We moved back to the Pacific Northwest in July, bought the building on September 1 and spent a couple months renovating it. I grew up in Hockinson, went to Heritage High School, attended BYU (competed on their track team and studied landscape management), then I went to podiatry school at Kent State U, College of Podiatric Medicine in Cleveland, Ohio, and graduated in 2017.”

Dr. Fish stayed in Cleveland for three years of surgical training, and then decided plant roots once again in the Pacific Northwest.

“We plan to be active in the community, and we’re just really happy to be here,” he said.

He also has his own blog, which you can read at his website: www.cloverpodiatry.com

Fish
Clover Podiatry offers high quality orthotics at 1/3 the price.

Vancouver, WA — According to Clark County Public Health, COVID-19 activity rates plummeted from 209 cases per 100,000 to 137 cases per 100,000 this past week.

Here’s the latest COVID-19 update:

  • 24 new cases
  • 8,135 cases to date
  • No new deaths
  • 221 total deaths to date (199 confirmed, 22 suspect)
  • 245 active cases (in isolation period)
  • 34 COVID-19 patients hospitalized
  • 1 person hospitalized awaiting COVID-19 test results

Learn more on the Clark County Public Health COVID-19 data webpage: https://clark.wa.gov/public-health/covid-19-data

Vaccination Update

The Washington State Department of Health received its shipment of Pfizer vaccine for the Clark County Fairgrounds vaccination site. That means the fairgrounds will be open this week to fulfill its second-dose appointments.

Anyone who received their first dose at the fairgrounds site should have received an email from Safeway after receiving their first dose. That follow-up email contains a link to schedule an appointment for the second dose. 

Appointments are best. But anyone who was unable to get a second dose appointment scheduled or didn’t receive the confirmation email, can take their vaccination card and ID to the fairgrounds and receive their second dose without an appointment.

The fairgrounds site is open 9 am to 5 pm Tuesday to Friday and 9 am to 3 pm Saturday.

First-dose appointments are not available at the fairgrounds this week.

COVID-19
Vaccines.

Clark County Public Health issued a statement over the weekend that people who visited a Camas salon recently may have been exposed to COVID-19 and should quarantine at home:

Anyone who visited Stellar Hair Design in Camas between 10 am and 7 pm Jan. 19-23 or Jan. 26 may be at risk of contracting COVID-19. Skamania County Community Health and Clark County Public Health have been unable to identify and notify individuals who may have been exposed. It’s unclear how many people may have been exposed.

Individuals who visited the salon during those times should quarantine for 14 days from their most recent visit to the salon during that timeframe.

Health officials recommend anyone exposed to COVID-19 quarantine at home for 14 days and monitor themselves for symptoms. People who do not live or work in a high-priority setting – such as long-term care facilities, health care facilities, food processing facilities or jails – may shorten their quarantine in the following circumstances:

• If a person who is in quarantine has no symptoms, quarantine can end after Day 10.
• If a person who is in quarantine receives a negative COVID-19 test and has no symptoms, quarantine can end after Day 7. The person must be tested on or after Day 5, and quarantine cannot be discontinued earlier than Day 8. Even if a negative test is received before Day 8, the quarantine period should still be a full seven days.

Anyone who has been in quarantine should continue to monitor their symptoms through Day 14. If they develop symptoms, they should isolate themselves immediately to avoid infecting others and seek testing for COVID-19.

COVID-19
Ready for take out or delivery. www.champpizza.com

As practitioners of naturopathic oncology, we know that the vast majority of cancer diagnoses occur within 5 years of a major trauma. These include the death of a loved one, divorce, loss of a job, to name a few. However, even early childhood trauma can have negative health outcomes many years after the fact. ACEs, or “Adverse Childhood Experiences” are recognized by the CDC as contributing to conditions like heart disease, diabetes, depression, and cancer. When I did my residency at Cancer Treatment Centers of America, all patients had the option of seeing a Psychoneuroimmunologist (PNI). Big word, but basically their job was to ferret out the traumas that impacted the patient’s psychology that impacted the nervous system which ultimately impacted the immune system. 

The underlying issue is “toxic stress.”  This is a prolonged period of stress in which the body is responding physiologically without ever being given a chance to recover. This leads to immune suppression, increased blood sugar, and changes in brain chemistry that predispose people toward anxiety and depression. As many know, toxic stress can lead to stress eating and poor nutritional choices. Ironically, sugar and carbs can increase serotonin transiently which makes you feel better short term until the blood sugar drops and that is another stressor. Stress also tends to reduce our exercise and can lead many times to substance use like alcohol, marijuana, and other recreational drugs. The consequence of these stress behaviors results in increased blood sugar, insulin, obesity, insomnia. All of which increases inflammation and reduce immune function and thus increasing the probability of major disease such as cancer.

As naturopathic physicians who specialize in oncology, we take a detailed look at all aspects of every patient’s health. This includes mental and emotional health. Everyone experiences stressors in their lives. Some people have more trauma than others. What matters is how each person copes with these major stressors. Naturopathic medicine emphasizes lifestyle and nutritional medicine as a first-line approach to health and healing. For example, studies show the simple act of meditating for 15 minutes daily can make an enormous difference in brain function and levels of stress hormones in the body. Making sure to eat whole foods instead of processed “frankenfoods” gives the body what it needs to heal and remain healthy. We also have other tools to address toxic stress such as botanical medicine, targeted supplementation, and homeopathy. When appropriate we will refer our patients for additional counseling. 

If you have experienced a major trauma and are struggling with your health, call our office today to make an appointment.  We take a whole-person, patient-centered approach to health and healing.  No stone will be left unturned.  

Yours in health,

Cynthia Bye, ND, FABNO

Board certified in Naturopathic Medicine

360-695-8800

www.cynthiabye.com

Vancouver, WA — Due to the Thanksgiving holiday, the last Clark County Public Health update was Wednesday morning (included all cases reported to them on Tuesday). Today’s update includes new cases reported to Public Health on Wednesday, Thursday, Friday, Saturday and Sunday.

  • 849 new cases (average about 170 cases/day Wed-Sun)
  • 8,841 cases to date
  • 397 active cases (currently in isolation period)
  • 77 COVID-19 patients hospitalized
  • 9 persons under investigation (PUIs) for COVID-19 hospitalized

The health department provided this reminder about active cases: “This reflects the number of confirmed cases who are currently in their isolation period. For most people, isolation is based on when symptoms began, not when they received the positive test result. Some individuals learn they are COVID-19 positive and only have a few days of isolation remaining.”

You may also learn more on their COVID data webpage: https://clark.wa.gov/public-health/covid-19-data

If you’ve been in close contact with someone who tests positive for COVID-19, please stay home for 14 days from your last contact with the sick person.

Staying home for the full 14 days – even if you have a negative COVID-19 test – is important because it can take up to 14 days for an infected person to develop symptoms. But people can spread COVID-19 before they know they are sick – up to two days before symptoms develop.

People in quarantine should not go to work, school, child care or church, or participate in other social or community activities. This ensures that if a person in quarantine does get sick, they don’t spread the virus to others.

COVID-19
www.acreativetwistcorp.com

Olympia, WA — Governor Jay Inslee warned Tuesday that hospitalizations statewide continue to rise in rates similar to the early days of the pandemic as coronavirus continue surge and indicated he may expand business restrictions. 

He repeated his concern about families meeting for the Thanksgiving holiday, but emphasized that Washington is doing better than other states by limiting contact this weekend. 

Inslee spoke with his wife, Trudi, in a public address on November 12 that prohibited families and friends gathering on Thanksgiving. He mandated that families stay home with immediate members of their household.

Inslee is clearly concerned about the direction the state is headed in with its COVID-19 cases. The state’s cases are now soaring at 300 per 100,000 residents when the desired rate is 25 per 100,000.

Clark County’s COVID-19 activity rate is climbing rapidly. This week, the rate increased to more than 359 cases per 100,000 residents – up from 254 cases per 100,000 last week.

“We’re concerned Thanksgiving gatherings will cause our case numbers to rise even higher,” said Dr. Alan Melnick, Clark County Public Health Director. “Please celebrate safely and only gather with the people you live with.”

The increase in COVID cases has increased the possibility that local hospitals may need to suspend elective procedures and non-emergency operations. 

“We cannot tolerate the continuation of that straight up curve for very much longer,” Inslee said. “And what we have done is we’ve hard targeted reductions of social interaction in the hope that we can change the slope of that curve. But if it does not, we will have no other option but to extend those restrictions to other parts of the economy.”

Inslee also expressed concern for the frontline healthcare workers who have worked in challenging conditions for more than eight months. He’s worried about their well being as many are hitting burn out.

Mathaesthetics
www.acreativetwistcorp.com

Great Barrington, MA — The Great Barrington Declaration, which offers an alternative COVID-19 national and global strategy, was penned by professors at Harvard, Oxford and Stanford universities on October 4, and released to the public October 5, calls for “focused protection” by letting young and low-risk populations carry on with their lives, while protecting the immune compromised and elderly.

It’s been discussed and debated since its early October release, but is it based on proper science?

The Declaration was written by Dr. Jay Bhattacharya, Dr. Sunetra Gupta and Dr. Martin Kulldorff. 

Dr. Martin Kulldorff is a professor of medicine at Harvard University, a biostatistician, and epidemiologist with expertise in detecting and monitoring infectious disease outbreaks and vaccine safety evaluations.

Dr. Sunetra Gupta is a professor at Oxford University, an epidemiologist with expertise in immunology, vaccine development, and mathematical modeling of infectious diseases.

Dr. Jay Bhattacharya is a professor at Stanford University Medical School, a physician, epidemiologist, health economist, and public health policy expert focusing on infectious diseases and vulnerable populations.

The declaration was signed by more than 40 other medical and public health scientists and medical practitioners worldwide.

“As immunity builds in the population, the risk of infection to all – including the vulnerable – falls,” the declaration authors write. “We know that all populations will eventually reach herd immunity – i.e. the point at which the rate of new infections is stable – and that this can be assisted by (but is not dependent upon) a vaccine. Our goal should therefore be to minimize mortality and social harm until we reach herd immunity.”

Who initiated the Declaration?

Dr Kulldorff invited Doctors Bhattacharya Gupta to Massachusetts to record a video outlining an alternative to the current COVID-19 strategy. While meeting, the three spontaneously decided to also write a short declaration to summarize their thinking. 

Why was the Declaration written?

The Declaration was written from a global public health and humanitarian perspective, with special concerns about how the current COVID-19 strategies are forcing children, the working class and the poor to carry the heaviest burden.

The full text of the Great Barrington Declaration

“The Great Barrington Declaration – As infectious disease epidemiologists and public health scientists we have grave concerns about the damaging physical and mental health impacts of the prevailing COVID-19 policies, and recommend an approach we call Focused Protection. 

“Coming from both the left and right, and around the world, we have devoted our careers to protecting people. Current lockdown policies are producing devastating effects on short and long-term public health. The results (to name a few) include lower childhood vaccination rates, worsening cardiovascular disease outcomes, fewer cancer screenings and deteriorating mental health – leading to greater excess mortality in years to come, with the working class and younger members of society carrying the heaviest burden. Keeping students out of school is a grave injustice. 

“Keeping these measures in place until a vaccine is available will cause irreparable damage, with the underprivileged disproportionately harmed.

“Fortunately, our understanding of the virus is growing. We know that vulnerability to death from COVID-19 is more than a thousand-fold higher in the old and infirm than the young. Indeed, for children, COVID-19 is less dangerous than many other harms, including influenza. 

”As immunity builds in the population, the risk of infection to all – including the vulnerable – falls. We know that all populations will eventually reach herd immunity – i.e.  the point at which the rate of new infections is stable – and that this can be assisted by (but is not dependent upon) a vaccine. Our goal should therefore be to minimize mortality and social harm until we reach herd immunity. 

“The most compassionate approach that balances the risks and benefits of reaching herd immunity, is to allow those who are at minimal risk of death to live their lives normally to build up immunity to the virus through natural infection, while better protecting those who are at highest risk. We call this Focused Protection. 

”Adopting measures to protect the vulnerable should be the central aim of public health responses to COVID-19. By way of example, nursing homes should use staff with acquired immunity and perform frequent PCR testing of other staff and all visitors. Staff rotation should be minimized. Retired people living at home should have groceries and other essentials delivered to their home. When possible, they should meet family members outside rather than inside. A comprehensive and detailed list of measures, including approaches to multi-generational households, can be implemented, and is well within the scope and capability of public health professionals. 

”Those who are not vulnerable should immediately be allowed to resume life as normal. Simple hygiene measures, such as hand washing and staying home when sick should be practiced by everyone to reduce the herd immunity threshold. Schools and universities should be open for in-person teaching. Extracurricular activities, such as sports, should be resumed. Young low-risk adults should work normally, rather than from home. Restaurants and other businesses should open. Arts, music, sport and other cultural activities should resume. People who are more at risk may participate if they wish, while society as a whole enjoys the protection conferred upon the vulnerable by those who have built up herd immunity.”

On October 4, 2020, this declaration was authored and signed in Great Barrington, United States, by:

Dr. Martin Kulldorff, professor of medicine at Harvard University, a biostatistician, and epidemiologist with expertise in detecting and monitoring infectious disease outbreaks and vaccine safety evaluations.

Dr. Sunetra Gupta, professor at Oxford University, an epidemiologist with expertise in immunology, vaccine development, and mathematical modeling of infectious diseases. 

Dr. Jay Bhattacharya, professor at Stanford University Medical School, a physician, epidemiologist, health economist, and public health policy expert focusing on infectious diseases and vulnerable populations.

Clark County Public Health Response

Lacamas Magazine asked Clark County Public Health to respond to the Great Barrington Declaration. This is their official statement:

“The way to herd immunity is through vaccination; not by letting people contract a deadly disease. And we are a long way from herd immunity.

”It’s estimated that less than 15 percent of the US population has been infected with COVID-19, yet more than 220,000 people have died. To reach herd immunity, we suspect we’ll need at least 60-70% of the population to become infected. That would mean millions of additional infections and several hundred thousand more deaths – and that’s if the immunity from a COVID-19 infection lasts. And for those who survive COVID-19, we still don’t know the lasting health impacts those individuals will endure.

“While the idea of isolating the vulnerable and opening up society for everyone else may sound appealing to some, it’s not practical. If the virus is spreading in a community, it can make its way to vulnerable populations. Young healthy people can and do contract COVID-19. Then they take it home to their family members, to school to their classmates and teachers, and to work to their colleagues. Vulnerable people still interact with others. They may live with other people or have caregivers. They still need groceries and medical care. They cannot be completely insulated from the rest of the community. We can protect our most vulnerable by wearing face coverings, maintaining physical distancing and practicing good hand hygiene – the things necessary for slowing the spread of the virus in our community.

”Tom Frieden, the CDC director from 2009 to 2017, wrote an opinion piece on herd immunity and COVID-19 for the Washington Post. It’s worth a read: https://www.washingtonpost.com/opinions/tom-frieden-herd-immunity-wrong-solution-coronavirus/2020/10/16/acb4ae8a-0fe6-11eb-8074-0e943a91bf08_story.html

”For a look at herd immunity a little closer to home: The CDC is doing a large-scale geographic seroprevalence survey that looks for SARS-CoV-2 antibodies among people who had blood collected and tested by commercial labs in certain areas of the U.S. Western Washington is one of the regions. The latest data (samples collected July 6-7) show a seroprevalence estimate of 1.3%, and the seroprevalence has consistently been less than 2.5% in Western Washington. You can check out the data from the survey here: https://covid.cdc.gov/covid-data-tracker/#serology-surveillance.”

Video Links

Do the three authors have any conflicts of interest? 

According to their website, Dr. Kulldorff works on research grants from the National Institutes of Health, the Centers for Disease Control and Prevention, the Food and Drug Administration and the non-profit Fund for Public Health in New York City, some of which is related to COVID-19. He has never accepted or received any funding from pharmaceutical companies, nor from any other large corporation. 

Dr. Bhattacharya research funding over the past 22 years of his career has come almost entirely from grants from the National Institutes of Health, the National Science Foundation, the US Department of Agriculture, and participation on contracts with the Center for Medicare and Medicaid Services (CMS) and the Food and Drug Administration (FDA) via a government contracting research group, Acumen, LLC. He has never accepted or received any funding from pharmaceutical companies, nor from any other large corporation. 

Dr. Gupta’s research funding over the last 30 years has principally been through fellowships and investigator awards from the Wellcome Trust and the European Research Council.  She has also received funding from the UKRI, the Royal Society, the Leverhulme Trust, the Emily and Georg von Opel Foundation and the Oxford Martin School. She and Dr. Craig Thompson have developed a novel method for producing a universal influenza vaccine (derived from a mathematical model) and this has now been licensed and is going through early testing. She does not hold any consultancy contracts or stock shares in any commercial company. 

Other Responses

Critics of the declaration say the event where it was signed was hosted by the American Institute for Economic Research, a conservative free-market think tank located in Great Barrington, and is politically motivated.

“From a public health and ethical viewpoint, the fact that the Great Barrington Declaration is now the Trump administration’s official policy is deeply troubling,” Dr. Gavin Yamey, a physician and professor of global health and public policy at Duke University, wrote October 14 in TIME. He says this “letting the virus rip” approach is “dangerous and inhumane.”

The Infectious Diseases Society of America issued a statement denouncing the Great Barrington Declaration, calling the herd immunity strategy to COVID-19 “inappropriate, irresponsible, and ill-informed.”

The Director-General of the World Health Organization said during an October 12 media briefing: “Never in the history of public health has herd immunity been used as a strategy for responding to an outbreak, let alone a pandemic. It is scientifically and ethically problematic.”

The Great Barrington Declaration signers aren’t backing down, and continue to defend their positions.

The authors also acknowledge that many online signatures are not actual doctors or experts in this field.

Vancouver, WA — Clark County Public Health said today that “COVID-19 is spreading throughout our community at an alarming pace.” This week, the health department said the COVID-19 activity rate increased to more than 171 cases per 100,000 people over 14 days.

Disease transmission is occurring at an accelerated pace across the state, as well.

“As the holidays near, we’re concerned our case counts will continue to rise as people attend gatherings and spend more time indoors,” the health department said in a statement.

Health guidelines to disrupt this transmission in our community by taking simple steps to slow the spread of COVID-19 include the following:

  • Wear a face covering anytime you’re around people you don’t live with (even friends and family).
  • Maintain physical distancing.
  • Stay home as much as possible.
  • Limit the number, size and frequency of gatherings – and only attend gatherings that are essential.
  • Wash your hands frequently.
  • Stay home if you’re sick.

Tuesday COVID-19 update

  • 166 new cases (5,783 cases to date)
  • 4 new deaths (77 to date)
  • 349 active cases
  • Rate is 171.55 cases per 100,000 (up from 131.42 cases per 100,000 last week)
  • 45 COVID-19 patients hospitalized
  • 8 persons under investigation (PUIs) for COVID-19 hospitalized
COVID-19
www.artfuljuxtaposition.com

The four deaths we’re reporting today are as follows:

  • Man in his 70s with no underlying health conditions
  • Man 80+ years old with underlying health conditions
  • Man in his 70s with no underlying health conditions
  • Woman in her 70s with underlying health conditions

The health department also put out this reminder about active cases: This reflects the number of confirmed cases who are currently in their isolation period. For most people, isolation is based on when symptoms began, not when they received the positive test result. Some individuals learn they are COVID-19 positive and only have a few days of isolation remaining.

Naturopathic physicians (NDs) go to medical school like their MD colleagues. The first two years of school follow the same track, with classes in basic science. Biochemistry, anatomy (including cadaver lab…ughh), physiology, and so on. You can’t change basic science no matter what medical philosophy you study. The last two years are where we diverge.  Yes, we learn Pharmacology and all the other ologies, and we can prescribe drugs in licensed states.  However, in their last 2 years, MD students enter a series of hospital-based specialty rotations (trauma surgery, emergency med, pediatrics, etc) while ND students rotate through outpatient primary care settings.  The last two years of ND education also include time spent learning the modalities that set us apart: botanical medicine, homeopathy, physical medicine, nutrition, motivational counseling, and so on. During this time, we are also honing our skills as primary care providers, managing patients under the supervision of licensed and experienced NDs.  In the primary care setting, we learn continuity of care as we see patients multiple times and see the outcome of our treatments.  MD training in hospital and specialty rotations, for the most part, do not follow their patients.  It is usually a one and done. When ND’s graduate, we pass our clinical boards, we are fully licensable as primary care provider physicians. But just like your MD, we are not oncologists without further training.

Becoming a naturopathic oncologist is a rigorous process.  In order to qualify to sit for the naturopathic oncology boards, one must complete a two-year hospital-based residency or be in practice for at least 5 years, with the last two years consisting of an 80% or greater load of cancer patients. At this time, I am in year 4 of supervising and training Dr. Jessica Campbell so she can sit for the Oncology board exam.  I did my residency at Cancer Treatment Centers of America in Tulsa Ok.  As part of approval process, a number of case studies must be submitted and approved by the American Board of Naturopathic Oncology (ABNO) which is the regulatory board. These case submissions are a screening process to be sure you are following safe and well-studied protocols.  Once you have been approved by ABNO, then you may sit for the board exam.  Dr. Campbell will be sitting for the oncology boards in 2021. The board exam itself is extremely demanding and requires that the applicant know the minutia of all the standard of care treatments for cancer and how they interact with the tools of naturopathic medicine. This is important because different cancer treatments work through different biochemistry and physiologic pathways, have different  half-life, and different sided effect profiles.  It is important to understand these intricacies of standard of care before using herbs and supplements, as many can interfere with these pathways, delay or speed up clearance of the drugs and make side effects worse.  This is why it is absolutely critical that cancer patients seek out naturopathic doctors who are specifically trained, and ideally board certified, in naturopathic oncology.  Again, NDs emerge from medical school trained for primary care.  Cancer patients need to work with a specialist.  Just as you would not rely on your primary care MD to prescribe your chemotherapy, radiation or perform surgery, you should not rely on a general practice ND to co-manage your cancer care. Training matters.

Police
www.resultsfitnesstraining.com

At our clinic, we specialize in oncology.  While we do see some patients who do not have cancer, especially family members of cancer patients, the vast majority of our patients are either recently diagnosed and in treatment or have a history of cancer.  They may or may not be in remission.  We are equipped to help all cancer patients, working collaboratively with their conventional oncology team, at any stage of the journey.  We follow a three pronged approach.  (see blog on the three-pronged approach) If you or someone you know has been diagnosed with cancer, or have a family hx of cancer and are seeking extra support, please call our clinic today to make an appointment.  We have many tools in our toolbox, and we teach our patients how to regain control as they navigate their illness. No one wants a diagnosis of cancer, but once the diagnosis has happened, one can choose to be part of the process and take control of their situation.  Naturopathic oncology is about taking back control of your health, guided by experts who have dedicated their lives to helping cancer patients thrive. It is vitally important if you are going to uses supplements and herbs during your cancer care  that you get guidance from those of us that are formally trained in interactions, and short- and long-term side effects.  It is very dangerous to go to Dr. Google and self-prescribe and not tell your oncologist what you are doing. We are trained to help you to help yourself. At this time there are 123 ND’s in the United States and Canada that have passed the Naturopathic Oncology board exams and are Fellows of the American Board of Naturopathic Oncology (FABNO).

Written by Cynthia Bye, ND, FABNO
Board certified in Naturopathic Medicine

www.cynthiabye.com

Vancouver, WA — Clark County Public Health released their weekend report today stating another 124 people have tested positive for COVID-19 – for an average of about 41 new cases per day (Fri-Sun). However, the department has removed 12 previously counted cases from the county total.

“During our data reconciliation process, we discovered 12 cases among people who live in another county and whose cases have been transferred to the health departments in those counties,” the department said in a statement. “With those changes, a total of 4,230 Clark County residents have tested positive for COVID-19 to date.“

Currently, Clark County has 150 active COVID-19 cases. As a reminder, the number of active cases reflects the number of confirmed cases who are currently in their isolation period. For most people, isolation is based on when symptoms began, not when they received the positive test result. Some individuals learn they are COVID-19 positive and only have a few days of isolation remaining.

There are 19 COVID-19 patients and nine persons under investigation (PUIs) for COVID-19 hospitalized. Additional hospital data is available on our website, such as the percent of hospital beds occupied and percent of beds occupied by COVID-19 patients and PUIs. The health department has also added data on the percent of ICU beds currently occupied. For more information, visit: https://www.clark.wa.gov/public-health/novel-coronavirus

COVID-19
www.electlarryhoff.com

Close Contact Guidance

If you were in close contact with someone who tested positive for COVID-19, please stay home.

“Even if you feel OK, you may still be infected and be able to spread the virus to others,” advises the health department. “We ask all close contacts who were around the person who tested positive – going back two days before their symptoms began – to stay home for 14 days from their last exposure.“

Close contacts are classified as follows:

  • Were within 6ft of the sick person for more than 15 minutes
  • Were near the sick person’s coughs or sneezes
  • Live in the same home as the sick person
  • Cared for the sick person

If during the Public Health case investigation you are identified as a close contact to someone who tests positive, you can expect a call from an attending nurse. But you don’t have to wait to hear from If you know you were exposed, help slow the spread of the virus by staying home.

This handout has more information for those who may have been exposed to someone with COVID-19: https://clark.wa.gov/sites/default/files/dept/files/public-health/novel_coronavirus/CCPH_COVID-19_Exposed_%28English%29.pdf