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COVID-19 UpdateCity of Dubuque City Council Meeting ITEM TITLE SUMMARY: SUGGESTED DISPOSITION: Copyrighted November 1, 2021 Presentation(s) # 1. COVID-19 Update Public Health Specialist Mary Rose Corrigan will provide an update on the COVI D-19 pandemic and response activities. Dubuque THE CITY OF All-Americe City MI N Nnl. CT-7C: I1-i4-llE. DUB E 2007*2012*2013 Masterpiece on the Mississippi 2017*2019 TO: Mike Van Milligen, City Manager FROM: Mary Rose Corrigan, Public Health Specialist SUBJECT: COVID-19 City Council update DATE: Nov 1, 2021 BACKGROUND INFORMATION Health Services Department City Hall Annex 1300 Main Street Dubuque, IA 52001 Office (563) 589-4181 Fax (563) 589-4299 TTY (563) 589-4193 health@cityofdubuque.org www.cityofdubuque.org The Dubuque County Public Health Incident Management (IMT) team consisting of City of Dubuque Health Services Department (Mary Rose Corrigan) Dubuque County Health Department, (Patrice Lambert) VNA (Stacey Killian) and the Dubuque County Emergency Management Agency (Tom Berger), along with both hospitals continue in full activation. The IMT also consists of county Health Department Assistant Director, Samantha Kloft and City of Dubuque Health Services Department Environmental Sanitarians Tim Link and Sydney Moquin. We are coordinating our response efforts in conjunction with the Iowa Department of Public Health (IDPH), and with guidance from CDC via weekly webinars and direct contact with our regional epidemiologist. Randy Gehl serves as the Public Information (PIO) officer for the IMT. Another section of the IMT is vulnerable populations, led by Kelly Larson, Human Rights Director. The vulnerable populations section is assisted by the Equity Immersion Committee and many community partners. CURRENT INFORMATION Current case counts and other related COVID -19 data can be found at www.coronavirus.iowa.gov. • A map on the Vaccine Page shows the vaccination numbers from CDC as well as Iowa data. • A link to an Monoclonal antibodies treatment finder on the homepage to encourage Iowans with COVID-19 to seek this treatment in their communities. Data Via CDC: httos://covid. cdc.aov/covid-data-tracker/#datatracker-home Vaccination scheduling and access information can be found at https://www.cityofdubugue.org/2965/COVID-19-Vaccinations and Vaccinate.lowa.gov, and at https:Hvaccinefinder.org/ Community State Profile Report https:Hhealthdata.gov/browse?sortBV=alpha&taqs=covid-19- spr&utf8=%E2%9C%93&page=2 County Vaccination data: https:Hcovid.cdc.gov/covid-data-tracker/#county-view Dubuque VNA VNA continues to operate the public call center for Dubuque County 7 days/week for general COVID questions. To date VNA has fielded over45,401 calls/contacts from the community. VNA continues contact tracing for COVID 19 positive clusters and outbreaks, along with schools. However, contacts are only made to the positive case and for their household members. VNA distributes home Testlowa COVID test kits to anyone needing a test, free of charge. VNA has currently given out 447 test kits. Please home test kits are also available through health care providers let me tell pharmacies throughout the community. VNA also continues vaccination at outreach sites and events and at their office, 660 Iowa St Emergency Management Agency (EMA) The state distribution of PPE is inactive right now. They are not closing the nodes in the event of needs that could arise from the current spike in cases, however regular distribution has seized. We continue to support local facilities with specialty items such as testing supplies for LTC centers if they are unable to acquire the supplies on their own. The training center point of distribution (POD) is ready for use. The VNA operated the POD for five days in October while the need was present for boosters. All equipment, signage and supplies are ready to go on short notice should any of the providers need to utilize the POD for their patients. Hospital Capacity Planning The IMT continues to monitor hospital capacity and capability and communicate with MercyOne and UnityPoint Finley Hospitals weekly. Hospital COVID inpatient numbers continue to increase. However, both hospitals have capacity to care for COVID and other ill patients. The majority of Dubuque County hospitalized COVID-19 patients are not vaccinated. In Iowa, the unvaccinated accounted for 72.2% of hospitalized COVID-19 patients and 80.2% in the ICU hospitalized COVID patients. Public Information The City Public Information Office (PIO), in conjunction with the Incident Management Team (IMT), continues to provide weekly COVID-19 updates and frequent social media posts, responds to frequent news media requests for interviews and information, and assist with general messaging/communication needs. The PIO continues to track multiple metrics for the IMT and update the COVID-19 webpage on the City website. Videos featuring Public Health Specialist Mary Rose Corrigan are produced when needed and distributed through all available channels. In addition to continued marketing of vaccinations, PIO staff are promoting booster doses and the public clinics planned for the POD and other locations. COVID- 19 Vaccination The IMT manages the IDPH vaccine allocations along with partnering with local pharmacies are who are receiving vaccine through the Federal Retail Pharmacy Program. On October 20, 2021 the CDC approved expanding the third, booster dose for Pfizer and Moderna vaccines making all three COVID-19 vaccines approved for a booster dose for certain groups. These groups include: • 65 years and older Age 18+ who live in long-term care settings Age 18+ who have underlying medical conditions Age 18+ who work or live in high -risk settings The IMT requested and received additional vaccine for providers to accommodate the third or booster dose for Moderna, Pfizer, and Johnson and Johnson vaccines to those who are eligible. However, the Johnson and Johnson vaccine continues to be allocated in limited supplies. The IMT continues to seek and plan for outreach vaccination opportunities and will facilitate, develop, and plan smaller community -based, outreach vaccination clinics. The county POD Is set up and available to providers who need space at the Dubuque County Firefighters Association Regional Emergency Responder Training Facility, 14928 Public Safety Way, Dubuque, IA 52002-8216. The demand for POD space is minimal, with retail pharmacy and vaccine providers scheduling vaccinations at their own locations. To date only the VNA has utilized the pod To facilitate access to vaccination appointments, the Dubuque County Sleeves Up phone line at (563)587-4950 continues, staffed by the City Manager's Office. Call takers facilitate vaccine clinic locations, appointment making and internet navigation though inbound and outbound calls to connect people to vaccines. Increased shipments of Pfizer vaccine will begin this week and the week of November 15th to accommodate booster doses and additional pediatric doses. Testing for COVID-19 The Iowa Department of Public Health (IDPH) and State Hygienic Lab (SHL) continue to provide at-home test kits free of charge to Iowa residents through a mail order system or via pick-up locations at healthcare and public health sites in communities. Information about where to obtain these free in- home test kits can be found at: httas://www.testiowa.com/en Dubuque County in home test pick-up sites include: https://www.citvofdubugue.org/2940/Local-COVID-1 9-Testing-Options Dubuque County Health Department, Dubuque VNA, Crescent Community Health Center, Medical Associates Clinics, Epic Health and Wellness, Grand River Medical Center, Unity Point Finley Hospital, and MercyOne. Free In -Person Standard PCR Testing is available at Hartig Drug Stores and the Dodge Street Hy-Vee Pharmacy. As the need for COVID testing remains high and and COVID testing supplies, particularly rapid testing supplies, are limited, quarantine is still a necessary step while awaiting test results in order to prevent the further spread of COVID-19. 1 meet weekly with the community testing providers who provided updates on supplies and demand. The IMT recommends testing for documentation of being COVID negative for travel, school, work, or attending events should utilize regular (non -rapid) testing from pharmacies, or Testlowa take-home kits. Those that are exposed with no or mild symptoms should seek testing via pharmacies and Testlowa, or healthcare providers (if symptomatic.) The Variants SARs COV2 variants continue to emerge with the Delta variant continuing as the dominant strain in the United States and Dubuque County. All vaccines used in the US continue to be effective against the Delta variant. With community spread continuing, and vaccinated individuals experiencing break through infections due to waning immunity, ongoing public health mitigation strategies are important and necessary. Continued spread will allow time for further mutation of the virus and additional variants developing. Looking ahead • Provide ongoing education and access for COVID -19 testing and vaccination to all populations, with the assistance of the Equity Immersion Committee and many community partners. • Plan and execute non-traditional and targeted community vaccine distribution and administration sites to reach of variety of populations and assure adequate vaccine access, especially for administering the booster doses. • Continue community vaccine education and administration as eligibility and availability changes, utilizing multi -media and community outreach, with a focus on school age, immunocompromised and those ready for a booster dose. • Implementing and distributing ever changing guidance from CDC, IDPH, OSHA and the Governor's Office. • Monitor and provide community education on SARS CoV2 variants. • Provide COVID-19 guidance for special events and activities • Continue assurance of COVID 19 testing access and in -home kit distribution. • Monitor county transmission rates to provide up to date information on masking and other mitigation strategies. 0 DUBUQUE CITY COUNCIL COVI Dm 19 UPDATE Mary Rose Corrigan, Nov I, 2021 4JI04 Public Health Specialist • 40 • • 0 Positive Cases - Dubuque County Rolling 7 Day Volume Mar 1, 2020 - Oct 31, 2021 1.5K — 1K 500 n Max 1,164 Avg 187.73 Min 0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct 2020 2021 POWERED '" Positive Tests Last 7 days by Age Group Dubuque County Oct 25, 2021 - Oct 31, 2021 40% 30% 20% U L 10% [1YN 32% 0-17 18-29 30-39 40-49 50-59 60-69 70-79 80+ LF- HIS' COMMUNITY TRANSMISSION NOV 1,2021 391 cases last 7 days (IDPH data) 402/100,000 pop (189 last week in Sept) 11.1 % 7 day ave (5% last week in Sept) NEW COVID-19 POSITIVE DUBUQUE COUNTY RESIDENTS 7-DAY INCREASES 9/29/2021 10/612021 10/13/2021 10/20/2021 10/27/2021 Case Status Trend 8 Oct1- Oct 31, 2021, by Day Total: 8,375 1 Negative: 6,979 1 Positive: 1,391 1 Inconclusive: 5 800 600 400 200 Oct 2021 III 29 30 31 ■ Total Individuals Positive ■ Total Individuals Negative ■ Total Individuals Inconclusive POWERED '" 12 pick up sites in Dubuque County https://www.testiowa.com/en 1 2 3 4 5 GET A KIT Have an at-home test kit sent di rectly to your residence by submittinga request or picking up a test kit at a nearby pick-up site. REQUEST KIT PICK UP A KIT ACTIVATE KIT Activate the test kit by providingyour information and test Wit ID. You will only receive your test result if yourtest kit has been activated. COLLECT SAMPLE Collect and package the sample by following instructions provided with the test kit or watching the instructions video. RETURN SAMPLE Return the sample at your nearest UPS drop-off location using a prepaid UPS label included with the test ki t. Other drop-off o ptions may be available. GET RESULTS You should receive your results byemail within 24 hours from when the sample is received atthe lab. You will also be able to access you r resu Its on the patient portal. OTHER LOCALTESTING OPTIONS: HTTPS:/ .CITYOFDUBUQUE.ORG/2940/LOCAL-COVID- 19-TESTING-OPTIONS CDC BOOSTER RECOMMENDATIONS (10/ For those who have received Pfizer, Moderna or J&J vaccine 65 years and older Age 18+ who live in long-term care settings Age 18+ who have underlying medical conditions Age 18+ who work or live in high -risk settings COVID-19 Vaccine Additional Dose and Booster Guidelines Vaccine Immun000mpromM Tin*Sinm Reoammentiation Type stales ft mart' Series Are you Pfi r` Age 66+UR M* PI and reside in a settin Modem@' Do you have a moderately to severely compromised immune system - JdrJ n� Ir Am you Do you have an underfft medul condi6onV Arm y4U - I Do you have an 1 ? underfft medial oonditMV Are yGu at iw;reased risk due to OCCUPATION or Institutional setting? L P4eese mnsultprprmiderebaAirnmuramrnwvrnued status, Z LhdleFtYi% medical moditiDm a a defined trrrthe CDC mukion-,) eo'IrwLh- mecicaFrondiins.html 3. Far ooa:tem ymu %oy a, i e tiamne prDmKt FeBerdless of whet eras nrdl� rrlaftd 0. For irdaidr.misi8+ 3. For irdvidr.misl2+thetweidenGlredwimmuranmoramisedw4dforfhnse i&F1Mtr�a waster H a s it been at least 6 -Ionthssince the 2id rep You SHOULD receive@ ,� BOOSTEI�dase Has it been at:: 6 moths since fire 2i1 dotse? Hasit been at least28 Days !�inae the 2l' dose? %Muntil 6 months, tfren} SHom recei ve a Bi}45TE�dbse WAR until 6 rnm Ms4 then you WY receive a BNSTER%se,based on individual bene%./ris You Mg receive a 1304STE143doser based on individual benefits/risks 51MfOFfurtherpublic healttl guidance You SHOM reaeiweanAlDDITIONAL31 � Das��f#lre3if�IlEa>�i�� WAlruntil 28 days are completed, then an ADDMOML 3" Dose oithe SAM E irnMvaccine SHOULD bereaeired Q IWdoae 1lLIS be tM ,M.trriara.� r Pf w.. A� 112mL :6 25m1 L6 nl more f" likely to x have a positive Off I D- 19 test compared to vaccinated peopW 1C44#19110t QNn: FkoWigtrdlMis 90-1;9dM 4r'Iv pfkYlnlec" or IvI Y3kcImlIKn 'Wa6w evw d++ WFM wCC64A ii71P:) plaYnus 4%[Ilu.i Get vaccinated as soon as passible bi#_iYfMM+r R7044ei A n 0I6 of total population fully vaccinated of All Counties in Dubuque County, Iowa III 14mi an, f-` 0-29,9°la ' 30-39.9% � 40-49.9% 0 50-69.90A 0 700h+ 0 No Data Dubuque Totals IDPH • : 2,026 111,487 2,325 53,568 2,026 111,487 • CDC data (Oct 31, 2021) People Vaccinated Total % of Total Population Population > 12 Years of Age of Population >_ 12 Years of Age Population > 18 Years of Age % of Population >_ 18 Years of Age Population > 65 Years of Age of Population > 65 Years of Age At Least One Dose 59,945 61.6% 59,944 72.5% 56,22 74.9% 17,772 99.7% 6L-m 57.1% Ful ly Vaccinated 57,040 58.6% 57,040 69% 58,712 71.4% 17,098 9 % Oct 14, 2021 Moderna booster for 18 years + EUA Oct 15, 2021 J&J Janssen booster for 18 years + EUA Oct 26, 2021 Pfizer children 5-11 years EUA Nov 2, 2021 CDC ACIP Pfizer children 5-11 years mr:YA.\. TARGETED VACCINE �LINICS Vaccinations available at clinics/doctors' offices, retail pharmacies POD at Dubuque County Firefighters Association Regional Emergency Responder Training Facility 14928 Public Safety Way- Ready and available for use Ongoing walk-in VNA clinics at 660 Iowa St •SleevesUN Phone lip � 563 690 6253 lk ilk ■ w Mondays 4-7pm-WALK INS: 11/15 Fridays 8-430pm-WALK INS: 11 /3, 11 /12, 11 /19 -N - wi I low R THANK -YOU � MARY ROSE CORRIGAN %L PUBLIC HEALTH SPE ST Ilk Next update: Dec 6, 2021 r-1 LL • • 40