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COVID-19 UpdateCity of Dubuque City Council Meeting ITEM TITLE SUMMARY: SUGGESTED DISPOSITION: Copyrighted May 2, 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- Norio City r:nlN Nell.'" ��YdI UB E 'I If 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: May 2, 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 monitoring the pandemic and providing guidance. However, members of the IMT and community healthcare partners are now gradually resuming "pre -pandemic" activities. The IMT also consists of City of Dubuque Health Services Department Environmental Sanitarians Tim Link and Sydney Moquin who are spending much less time on the pandemic response. The Iowa Department of Public Health (IDPH) provides information via Health Alerts and their website. Randy Gehl continues to serve as the Public Information (PIO) officer for the IMT. CURRENT INFORMATION Iowa Coronavirus dashboard with 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 Case and Vaccination Data Via CDC: https:Hcovid.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/ Dubuque VNA VNA continues to operate the public call center for Dubuque County 7 days/week for general COVID questions along with quarantine and isolation specifics. To date VNA has fielded over 48,413 calls/contacts from the community and continues to administer vaccines. Along with free vaccinations, VNA distributes home Testlowa COVID test kits to anyone needing a test, free of charge. Emergency Management Agency (EMA) In March, 2022, there were no requests for supplies at the county EMA. The Regional node as been closed, but we do maintain local supplies in storage. In partnership with Hartig Drug, N95 masks are available to community members and organizations upon request. Hospital Capacity Planning With COVID-19 hospitalizations continuing to fluctuate, the IMT meets bi-weekly with hospitals to assess local capacity and patient load. Local hospital data can be accessed via the Health and Human Services Public Health Protect Website: https://protect-public.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), continues to produce and distribute weekly County COVID updates with important messages to residents as well as new data on new cases, hospitalizations, deaths, and vaccinations. The PIO office responds to news media requests for interviews and information and assists the IMT 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 clinics where they are available. COVID- 19 Vaccination The IMT continues to manage the IDPH vaccine allocations and distribution, primarily through the VNA. As of May 1, 2022, 34,987booster doses have been administered in Dubuque County and 64.5% of the total county populations are fully vaccinated. This is a slight increase from the 63.8% reported on April 4, 2022. The Dubuque County Sleeves Up phone line at (563) 587-4950 will continue to be staffed by the City Manager's Office. In addition to multiple vaccine providers in Dubuque County, Ongoing walk-in VNA clinics at 660 Iowa St are available on: Mondays 3-6 pm -WALK INS: 5/16 and 6/6/2022 Fridays 8-430pm-WALK INS: 5/6, 5/13 and 5/20, 2022 Testing Local providers offering COVID-19 continue to have adequate test supplies and availability. Testing providers report less demand for COVID-19 testing. In addition to isolating when you have COVID symptoms, the Dubuque County Public Health Incident Management Team encourages residents who are symptomatic for COVID-19, but test negative with a rapid self -test, to follow-up that test with a Test Iowa PCR test. Rapid, at-home tests (antigen tests) cannot detect small amounts of the virus or asymptomatic cases as accurately as the PCR test can, so there is a greater chance for a false negatives with rapid tests. PCR tests can detect even a small trace of the virus in your system whereas the rapid, at-home tests can only determine if you have an active virus in your body. Test Iowa test kits are free and available for pick-up at multiple locations in Dubuque County, for a complete list, visit https://www.testiowa.com/en#find-a-pick-up-site Currently, the average time for Test Iowa results (email confirmation) after being received at the lab is 12-24 hours. 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://www.cityofdubugue.org/2940/Local-COVI D-19-Testing-Options The Variants, Cases and Transmission 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 and March, that were sequenced for variants by the SHL. Transmission has slowed and is now not as accurate indicator of the spread since negative cases are not reported along with home, rapid tests. Although the CDC reports 16.44 cases per 100,000 population for Dubuque County and a "substantial" transmission level , the new indicator for COVID is "the community level." Dubuque County is in the "Low" community level category. Levels can be low, medium, or high and are determined by looking at hospital beds being used, hospital admissions, and the total number of new COVID-19 cases in an area. Looking ahead Modify the IMT COVID-19 response based on the case transmission, CDC Community Level and community needs. • COVID-19 After Action Report: The IMT has started the process of completing an after -action report for Dubuque Conty's ongoing COVID-19 response. This includes looking at potential funding sources, developing a project timeline, and researching subcontractors to potentially organize this on behalf of the county. • 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. • 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 40% of my time is devoted to COVID-19 DUBUQUE CITY COUNCIL COVID-19 UPDATE May 2, 2022 Mary Rose Corrigan, Public Health Specialist Positive Cases -Rolling 7 Day Volume Dubuque County Mar 1, 2020 -May 1, 2022 Positive Cases -Rolling 7 Day Volume Dubuque County Apr 1, 2022 -May 1, 2022 ●109 cases Last 7 days COMMUNITY TRANSMISSION & HOSPITALIZATION All Variants by Month Dubuque County 100% Omicron Iowa 99.6% Omicron Dataset last updated: May 02, 2022 CDC COMMUNITY LEVEL Dubuque County: LOW Weekly Metrics Used to Determine the COVID- 19 Community Level Case Rate per 100,000 population 67.82 New COVID-19 admissions per 100,000 population 8.2 % Staffed inpatient beds in use by patients with confirmed COVID-19 1.2% Apr 20-26, 2022 Population with SARS-CoV2 antibodies Sept 2021-Feb 2022 ●U.S. seroprevalence increased from 33.5% to 57.7% ●Children 0-11 years 44.2% to 75.2% ●Children 12-17 years 45.6% to 74.2% ●All age groups increased in seroprevalence SEROPREVALENCE OF INFECTION WHO’S HAD COVID? https://www.dubuquecountyiowa.gov/567/COVID-19-Vaccinations Ongoing walk-in VNA clinics at 660 Iowa St ▪Mondays 3-6 pm 5/15, 6/6/22 ▪Fridays 8-430pm : 5/6, 5/13, 5/20, 5/16, 6/6/22 SleevesUp Phone Line: (563) 690-6253 VNA Phone Line: (563) 556-6200 •64.5 % of County population is fully vaccinated •57% of fully vaccinated are UP TO DATE (have received 1 booster) Dubuque County COVID-19 Vaccine Access 9 SHOULD I GET A BOOSTER? Are You Eligible? •50 years of age or older and got your first booster at least 4 months ago •Are moderately or severely immunocompromised, 12 years of age or older,and got your first booster at least 4 months ago •Got 2 doses of J&J/Janssen vaccine at least 4 months ago ARE YOU (OR SOMEONE YOU LIVE WITH) MORE LIKELY TO GET SICK? Factors to consider •Moderately or severely immunocompromised •More likely to get very sick from COVID-19 •More likely to be exposed to COVID-19 through your job, where you live, or other factors (such as frequent travel or large gatherings) •In an area with medium to high COVID-19 community levels •Or if someone you live with is unvaccinated CAN I WAIT ? And how long? •Had COVID-19 within the past 3 months •Apprehension due to potentially getting another booster in the fall, new variants or new vaccine becomes available •Minimum of 4 months since first COVID booster •90 days post COVID-19 infection 13 QUESTIONS? Next update: June 6, 2022 Thank-you