North Central Public Health District says five Wasco County residents and one Gilliam County resident have died since August 4 from COVID-19.  That brings the total deaths in Wasco County to 36 and in Gilliam County to two.  All six of the recent deaths had underlying chronic health conditions.  The NCPHD says the Wasco County residents lived at Columbia Basin Care in The Dalles, which is experiencing an outbreak that started July 14.  Thus far, 20 residents have been infected, 16 of whom are vaccinated.  Four of the five who passed away were vaccinated.  Of staff at Columbia Basin, 13 tested positive, and five were vaccinated.  Oregon’s vaccine breakthrough cases report for July showed that the majority of breakthrough deaths have occurred in the elderly, with a median age of 83. The majority of cases are still occurring in the unvaccinated, and vaccine breakthroughs remain uncommon.  Columbia Basin executive director Jasen Tennison said they have asked the Oregon Health Authority and the Oregon Department of Human Services about providing a support team for staffing help.  NCPHD says Mid-Columbia Medical Center had a record seven people hospitalized with COVID earlier this week.  Between MCMC and Providence Hood River Memorial Hospital, just two of 10 staffed ICU beds are available as of Thursday.  Of the 37 staffed non-ICU beds between the two hospitals, just 7 are available.