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COVID-19 UpdateCity of Dubuque City Council Meeting ITEM TITLE SUMMARY: SUGGESTED DISPOSITION: Copyrighted March 7, 2022 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: March 7, 2022 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, (Interim Director, Samantha Kloft) 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 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 IDPH epidemiologist. Randy Gehl serves as the Public Information (PIO) officer for the IMT. CURRENT INFORMATION Iowa redesigned the state Coronavirus dashboard based on the expiration of the Governor's Public Health Emergency Proclamation on Feb 15, 2022. Current case counts and other related COVID -19 data can be found at https://idph.iowa.gov/Emerging-Health-Issues/Novel-Coronavirus/COVID-1 9-Reporting Data Via CDC: https://covid.cdc.gov/covid-data-tracker/#datatracker-home Vaccination scheduling and access information can be found at https://www.cityofdubugue.org/2965/COVID-19-Vaccinations and and at https:Hvaccinefinder.org/ County Vaccination data: https://covid.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 over48,373 calls/contacts from the community and administered 11,250 vaccines. VNA distributes home Testlowa COVID test kits to anyone needing a test, free of charge. VNA offers vaccinations through community events as applicable. VNA will continue to direct individuals to Friday walk- in clinics at the VNA office to be responsible with inventory, however any individuals seeking a vaccine at VNA on any day will not be turned away. VNA offers COVID vaccine to all age eligible children participating in VNA Vaccines For Children (VFC) immunization clinics. The COVID-19 hotline staffed by VNA seven days a week has resulted in 102 calls from the community regarding isolation and quarantine. Emergency Management Agency (EMA) The EMA distributes N95 masks, procedure masks, masks for the public and rapid tests based on requests, while supplies last. As of mid -February, with the expiration of the State Emergency Proclamation, the nodes are being decommissioned and supplies will be distributed to the counties in our region. We will have a small supply on hand for distribution from the training center. This does not include the 30-day emergency supply we have in warehouse for another event. Without a State Disaster proclamation in effect, any new requests for assistance from local EMAs on behalf of their communities cannot be acted upon by the state, except for that assistance that can be provided under an agency's "normal" authorities. In partnership with Hartig Drug, we are awaiting a shipment of N95 masks which will be distributed throughout the community based on need and requests. Hospital Capacity Planning With COVID-19 hospitalizations significantly decreasing in the past month, the IMT is now meeting bi-weekly with hospitals to assess local capacity. Local hospital data can be accessed via the Health and Human Services Public Health Protect Website: https://protect-pubiic.hhs.gov/pages/hospital-utilization The IMT will continue to monitor hospital capacity and capability and communicate with MercyOne and UnityPoint Finley Hospitals as needed. Public Information The City Public Information Office (PIO), in conjunction with the Incident Management Team (IMT), revised the weekly COVID-19 updates to align with current data and metrics available through the IDPH and CDC. The PIO office continues with frequent social media posts, responds to 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 continues to manage the IDPH vaccine allocations and distribution. As of February 28, 2022, 34,045 booster doses have been administered in Dubuque County and 63.8% of the total county populations are fully vaccinated. 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. In addition to multiple vaccine providers in Dubuque County, Ongoing walk-in VNA clinics at 660 Iowa St are available on the following: Mondays 3-6 pm -WALK INS: 3/7, 3/21, 4/4, 4/25 Fridays 8-430pm-WALK INS: 3/11, 3/18, 3/25, 4/1, 4/8, 4/22, 4/29 Testing Local providers offering COVID-19 now have adequate test supplies and availability. Testing providers report less demand for COVID-19 testing over the past two weeks. 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 Federal test via mail: https://www.covidtests.gov/ Dubuque County in home testlowa pick-up sites include: https://www.cityofdubugue.org/2940/Local-COVI D-19-Testing-Options Testing options are updated regularly and posted at https:Hwww.cityofdubugue.org/2940/Local-COVID-19-Testing-Options The Variants SARs COV2 variant Omicron emerged November 23, 2021 and continues as the dominant strain in Iowa and Dubuque County. The State Hygienic Laboratory (SHL) continues to sequence approximately 300 positive samples per week for variants. Omicron accounted for 100% of the positive COVID tests in Dubuque County during February that were sequenced for variants by the SHL. Looking ahead • Continue new community information strategies in lieu of traditional contact tracing • Implement operational changes to the IMT COVID-19 response based on the expiration of the State Public Health Disaster Emergency Proclamation and community needs. • Provide ongoing education and access for COVID -19 testing, vaccination and other guidance to all populations, with the assistance of the Equity Immersion Committee and many community partners. • 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 achieving "up to date" status for the general population • Implementing and distributing ever changing guidance from CDC, IDPH. • 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 as supplies and testing providers are available • Monitor county transmission rates and community level status to provide up to date information on masking and other mitigation strategies. • Currently approximately 60-70% of my time is devoted to COVID-19 0 DUBUQUE CITY COUNCIL COVI Dm 19 UPDATE Mary Rose Corrigan, Public Health S ecialist March 7, 2022 A • • 4D Positive Cases - Rolling 7 Day Volume Dubuque County Mar 1, 2020 - Mar 6, 2022 1.5K 1K 500 n Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2020 2021 Max 1,488 Avg 245.68 Min 0 Jan Feb Mar 2022 POWEREC """ HIGH COMMUNITY TRANSMISSION NEW COVID-19 CASES IN DUBUQUE COUNTY IN LAST 7 DAYS 19034 z 2/2/2022 2/9/2022 2/16/2022 2/23/2022 3/2/2022 Decreasing cases since 2/2/22 Last 7 days- 62 cases reported HOSPITAL ICAPACITY, CAPABILITY & LOCAL DATA DUBUQUE COUNTY HOSPITALIZATIONS WITH COVID-19: FEB. 2 -MAR. 2 14 � 9 7 4 3 21212022 219/2022 2116/2022 2/23/2022 3/2/2022 IDPH no longer collecting/reporting hospital data 1.3 5 Daily Hospital Admissions - 7-Day M ova rg Average May 1, '20 Sep 1, '20 ,Jan 1, '21 May 1, '21 Sep 1, '21 Jan 1, '22 CDC"S COVI D-19 COMMUNITY LEVELS AND INDICATORS New Cases (per 100,000 population in Indicators the last 7 days) New COVID-19 admissions per 100,000 Fewer than 200 200 or more population (7-day total) Percent of staffed inpatient beds occupied by COVID-19 patients (7-day average) New COVID-19 admissions per 100,000 population (7-day total) Percent of staffed inpatient beds occupied by COVID-19 patients (7-day average) Low a00 <10.0% NA M Medium 10.0-19.9 0.0-14.9% <10.0 <10.0% High >_20.0 >_15.0% >_ 10.0 >_ 10.0 The COVID-19 community level is determined by the higher of the inpatient beds and new admissions indicators, based on the current level of new cases per 100,000 population in the past 7 days U.S. COVID-19 Community Levels by County Map Updated Mar.3, 2022 LerJL-aJe=- Prir: Data provided by CDC Updated: March 3, 2022 Legend O High 0 Low Medium COID-19 Community Level WHAT DOES LOW MEAN? Individual- and household -level prevention behaviors • Stay up to date with COVID-19 vaccines and boosters • Maintain improved ventilation throughout indoor spaces when possible • Follow CDC recommendations for isolation and quarantine, including getting tested if you are exposed to COVID-19 or have symptoms of COVID-19 • If you are immunocompromised or high risk for severe disease - Have a plan for rapid testing if needed (e.g., having home tests or access to testing) - Talk to your healthcare provider about whether you are a candidate for treatments like oral antivirals, PrEP, and monoclonal antibodies Community -level prevention strategies (as recommended by state or Local authorities) • Distribute and administer vaccines to achieve high community vaccination coverage and ensure health equity • Maintain improved ventilation in public indoor spaces • Ensure access to testing, including through point -of -care and at-home tests for all people - Communicate with organizations and places that serve people who are immunocompromised or at high risk for severe disease to ensure they know how to get rapid testing • Ensure access and equity in vaccination, testing, treatment community outreach., support services for disproportionately affected populations VACCINATIONS Dubuque Totals • IDPH Feb 28, 2022 3,395 58,203 2,257 156,103 34,045 CDC data Mar 5, 2022: People Vaccinated At Least One Dose Full} Vaccinated Total 66,577 62,116 of Total Population 68,4% 63. % Population > 5Yea rs of Age 66,573 62,116 % of Popuilation > 5 Years of Age 73% 68.1 % Population �: 12 Yea rs of Age 63,949 59,779 % of Population �i 12 Years of Age 77,4% 72.3% Population_ 18 Years of Age 59,858 55,978 % of Population >_ 18 Years of Age 79.6% 74.4% Population �L 65 Years of Age 18,327 17,341 of Population �i 65 Years of Age 95% 95% % Fully Vaccinated EL 62.1 % Dubuque County COVID-19 Vaccinations March 4, 2022 70.23% of the County's 5+ population completed vaccination series or is in process. 97.5% of the County's 65+ population completed vaccination series or is in process. 56% of residents 12+ who are already fully vaccinated, now are up to date Vaccinations available at: httDS://www.dubuauecountviowa.Lyov/567/COVID-19-Vaccinations Ongoing walk-in VNA clinics at 660 Iowa St Mondays 3-6 pm -WALK INS: 3/7, 3/21, 4/4, 4/25 Fridays 8-430pm-WALK INS: March 4, 3/11, 3/18, 3/25, 4/1, 4/8, 4/22, 4/29 SleevesUp Phone Line: (563) 690-6253 VNA Phone Line: (563) 556-6200 0 THE HEALTH OF ALL PEOPLES IS FUNDAMENTAL TO THE ATTAINMENT OF PEACE CONSTITUTION OF THE WORLD HEALTH ORGANI ,1 �. • QUESTIONS? Next update: April 4, 2022 n0 eoh"y Ask, • • 4D