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COVID-19 Update Copyrighted June 6, 2022 City of Dubuque Presentation(s) #4. City Council Meeting ITEM TITLE: COVID-19 Update SUMMARY: Public Health Specialist Mary Rose Corrigan will provide an update on the COVI D-19 pandemic and response activities. SUGGESTED DISPOSITION: Dubuque Health Services Department THE CITY OF trend City Hall Annex 1300 Main Street All-America City Dubuque,IA 52001 DUB EOffice(563)589-4181 Fax(563)589-4299 TTY(563)589 4193 2007*2012;2013 health@cityofdubuque.org Masterpiece on the Mississippi 2017*2019 °wwcityofdubuque.org TO: Mike Van Milligen, City Manager FROM: Mary Rose Corrigan, Public Health Specialist SUBJECT: COVID-19 City Council update DATE: June 6, 2022 BACKGROUND INFORMATION 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-19-Reporting Case and Vaccination Data Via CDC: https://covid.cdc.gov/covid-data-tracker/#datatracker-home Vaccination scheduling and access information can be found at htt. �1/www.cityofdubuque.org/2965/COVID-19-Vaccinations and and at https://vaccinefinder.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 48,469 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) Since March,2022, no requests for supplies have been received 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: httos://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. Hospitals continue to be very busy with a variety of conditions and illnesses. Few of the COVID-19 patients are in the ICU. 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. We will be deploying targeted messaging and information for children and teens vaccinations. 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. IDPH is now only updating vaccination data monthly. 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: 6/6, 6/27 Fridays 8-430pm-WALK INS: 6/10, 6/17, 6/24 Testing Local providers providing COVID-19 tests 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. 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.cityofdubuque.org/2940/Local-COVID-19-Testinq-Options Testing options are updated regularly and posted at https://www.cityofdubuque.orq/2940/Local-COVID-19-Testinq-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 through May, that were sequenced for variants by the SHL. The variants during May, 2022 are 100% B.A2 and B.A2.12.1. The CDC transmission rate remains at "high", however it is not an accurate indicator of the spread since negative cases are not reported along with home, rapid tests etc. The CDC transmission indicator is used by health care organizations. Dubuque County is in the "Medium" community level category, however over the past few weeks, this has fluctuated between low and medium. 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 will be reviewing consultant proposals for completing an after-action report for Dubuque County's COVID-19 response. • Prepare for deployment of vaccinations for children 6 months through 5 years. • 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 . 14e• Mary Rose Corrigan, Public Healcialist r • June 6, 2022 � Positive Cases - Rolling 7 Day Volume Dubuque County Mar 1, 2020 -Jun 5, 2022 1.5K Max 1,475 1 1K f 4 1 (1\i \ 500 141N/j Avg 226.65 0 Min 0 —_— I I I I Z T IIII Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2020 2021 2022 ri POWERED BY All Variants by Month Dubuque County Jan 1, 2021 - May 16, 2022, by Month Dataset last updated: June 06, 2022 100% 80% WHO Labels 60% •Alpha • Other • Epsilon • Gamma 40% • Delta • Omicron 20% 0% �, c ko Q c �a NQ 41 ›c ^,J hz O =o Qm ,a <z 44 SQ $ ryo% ryoN ryoN ryoN dory ryoti ryorV VoN o 1 Vo(V ryo�L '1 Doti rV V�V ryoti o� N ri POWERED BY • Delta • Omicron BA. 1 • Omicron BA.2 Omicron BA.4 • Omicron BA. 5 • Omicron BA. 2 . 12 . 1 1000000 -u) USA ,1°, 100000 - I10000 .- a co loocL t w 100 - ^ Mar 1 Apr 1 May I (Trevor Bedford Twitter Here) COMMUNITY TRANSMISSION & HOSPITALIZATION 162 cases Last 7 days NEW COVID-19 CASES IN DUBUQUE COUNTY IN LAST 7 DAYS DUBUQUE COUNTY 149 HOSPITALIZATIONS WITH COVID-19 123 124 130 139 8 9 7 7 66 4 41 25 24 514/2022 5111/2022 5/18;2022 5/25;2022 6/1/2022 4/6;2022 4/13/2022 4/20/2022 4/27/2022 5/4/2022 5/11/2022 5/18/2022 5/25/2022 611;2022 OMMUNITY LEVEL --, , . AO COVID-19 Community Levels in Dubuque County, Iowa * � '4 , } i•�, Dubuque County: Medium Last 7 days 122 mom - �Low ' Medium �High �No Data �� Frilun 032022 10:15:24 GMT-0So0 1 -- I Weekly Metrics Used to Determine the COVID- 0 19 Community Level Case Rate per 100,000 population 142.84 New COVID-19 admissions per 12. 1 100,000 population Staffed inpatient beds in use by 3.3% patients with confirmed COVID-19 May 26 — June 1 2022 •Low Medium •High •No Data Fri Jun 03 2022 10:15:24 GMT-0500 SEROPREVALENCE OF INFECTION WHO'S HAD COVID? Population with SARS -CoV2 antibodies Sept 2021 - Feb 2022 U . S . seroprevalence increased from 33 . 5 % to 57 . 7 % Children 0- 1 1 years 44. 2 % to 75 . 2% Children 12- 17 years 45 . 6% to 74. 2% c,'JEAll age groups increased in seroprevalenceGo li I • oUBUUUE�� ' 17 ii .. . i GETTING MY COVID-19 I. _ • .,- VACCINE MEANS t : "{ _ :__, .lop.7 I CAN GET BACK - •. TO MY FAVORITE• •a, . i A AI �� 4. * _ GETTING HER _ ?' ACTIVITIES. r Y a.� VACCINATED - ��"� �; i '�-� - _ N 44.+ `1 .' # 19Or MY -f yr, ,COT� ` •I AGAINST 1,AVIlo-19 _ '': YM-19 - 3 'rI 4 .i COVID-19 MEANS V► CIneI - = • . t NW a iil - -5 �� ..) LESS WORRY MY DAD SAYS ;, . ; ff ,� AND MORE COVID-19 I ' ' _ LEARNING. VACCINES• HELP KEEP s + '•... IOQi NY {;�= ■$ oovIo 19 ME SAFE. v s A safe and effective vaccine to prevent }4 ,.I,t F rr COVID-19 is now available for everyone 12 years \ix,\. , ' ti ' ,.7fr. and up.Get yours today! Learn mare:vvww.cdc.gov � ,.-..�r_ COVID-19 vaccination is recommended \ :: —111411.0 ' - .,r, �' for everyone 5 years and older. Learn mare _itimedir about protecting your child at cdc.gov. r44,, „.. ., ..,,, _ „.,.. 4. COVID-19 vaccination is recommended FL'A.,?, for everyone 5 years and older. Learn more about protecting your child at cdc.gcv. Dubuque County COVID-19 Vaccine Access May 3, 2022 70.74% of the County's total population 5+ who has either completed their vaccination series or is currently in the process. 97.40% of the County's total 65+ population who has either completed their vaccination series or is currently in the process. 57.35% of residents 12+ who are already fully vaccinated, now having a booster dose. Please note, not everyone in this calculation is considered eligible for a COVID-19 booster of fully vaccinated population with a first booster dose in Dubuque County, Iowa I Ongoing walk-in VNA clinics at 660 Iowa St Mondays 3-6 pm 6/6, 6/27 Fridays 8-430pm : 6/3, 6/10, 6/17, 6/24 SleevesUp Phone Line: (563) 690-6253 VNA Phone Line: (563) 556-6200 Tue May 31 2022 10:14:01 GMT-0500 VACCINATIONS FOR CHILDREN AND TEENS Prevent illness and absence .0 ) N CDC recommends everyone ages 5 years and older get vaccinated against COVID- 19 . Everyone ages 5 years + should also get a COVID- 19 booster, when eligible . Children who have had COVID- 19 should get vaccinated Fully vaccinated and those previously infected with SARS-CoV-2 each have a low risk of subsequent infection for at least 6 months HOWEVER Early reinfection within 90 days of the initial infection can occur No approved test to reliably determine protection from COVID-19 Reinfection with SARS-CoV-2 with the same virus variant as the initial infection or with a different variant are both possible Symptoms during reinfection are likely to be less severe but some people can experience more severe COVID-19 during reinfection 12 • Coverage, costs, and payment for COVID-19 testing, treatments, and vaccines • Medicaid coverage and federal match rates • Telehealth Medicare coverage • Other Medicaid, Medicare and CHIP coverage & payment flexibilities • Other private insurance coverage flexibilities • Access to medical countermeasures (vaccines, tests, and treatments) through FDA emergency use authorization ( EUA) • Liability immunity to administer medical countermeasures MONKEYPDX OUTBREAK - 12 STATES, JUNE 3, 2022 • First US case May 17, 2022 zoonotic disease (spread animal-human , human-human , human-animal) 25 US cases, international travel Rash , chills, fatigue, fever etc ® ME'..,. MT rip OR SD MN w���s � -t � MA ID 1/1 fil MI RI gall* CT NJ MO 9fMD NMSC TX _ f' . k,,, , - y_ � 9 „„,,, • • QUESTIONS? Thank-you GO • • Next update: July 5, 2022 • • .YrCe.