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COVID-19 UpdateCity of Dubuque City Council Meeting ITEM TITLE SUMMARY: SUGGESTED DISPOSITION: Copyrighted August 15, 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 -America City NI N N�11 � 71-9�.; I.I �". 1 DUB E 'I 2007*2012.2013 Masterpiece on the Mississippi 2017*2019 TO: Mike Van Milligen, City Manager FROM: Mary Rose Corrigan, Public Health Director SUBJECT: COVID-19 City Council update DATE: Aug 15, 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) 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 continue to gradually resume"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. The Dubuque County Health Department Director position is vacant due to the August 12, 2022 departure of interim executive director, Samantha Kloft. 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: httas://covid.cdc.aov/covid-data-tracker/#datatracker-home Vaccination scheduling and access information- https://www.citvofdubugue.org/2965/COVID-1 9-Vaccinations 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 48,587 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) The state stockpile of PPE will be moving from Iowa Homeland Security and EMA to the Department of Administrative Services (DAS) to maintain and rotate stock. We continue to assist local healthcare facilities with requests as they need them. We continue to maintain a 30 day, emergency supply in storage available for an emergency. Hospital Capacity Planning Although COVID-19 hospitalizations remain steady, the IMT meets bi-weekly with hospitals to assess local capacity, capability and patient load. 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. 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 July 25, 2022, Iowa providers can administer Novavax COVID-19 vaccinations for those age 18 years and older. Novavax is a non-mRNA 2 dose vaccine. Novavax is available at the VNA. As of August 10, 2022, 65.3% of Dubuque County is fully vaccinated. This is a slight increase from the 64.5% reported on June 6, 2022. In addition to multiple vaccine providers in Dubuque County, Ongoing walk-in VNA clinics at 660 Iowa St are available on: 3rd Monday 3-6pm-WALK INS: 8/29 Fridays 8-430pm-WALK INS: 8/19, 8/26 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.cityofdubugue.org/2940/Local-COVI D-19-Testing-Options Testing options are updated regularly and posted at https://www.cityofdu bugue.org/2940/Local-COVI D-19-Testing-Options The Variants, Cases and Transmission Omicron and its sub -variants accounted for 100% of the positive COVID tests in Dubuque County during July, that were sequenced for variants by the SHL were 100% BA5. August variant picture consists of BA.5.2.1 and BE.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 and indicates the presence and spread of SARS-CoV-2. Dubuque County continues to be in the "Medium" community level category, although the level was at high two weeks ago.Levels can be low, medium, or high and refer to the measures of the impact of COVID-19 in terms of hospitalizations and healthcare system strain, while accounting for transmission in the community. After Action Report The IMT has contracted with Emergency Preparedness Consulting (EPC) LLC, to conduct the COVID-19 pandemic after action report (AAR). Dubuque County executed a contract with the consultant, which will include a separate component to evaluate City of Dubuque COVID -19 response operations, specifically public education regarding COVID-19 and municipal service delivery, safe workplace guidance and employee safety, and Departments Continuity of Operations Plans. The AAR is expected to be completed in December, 2022. Community partners, health care organizations and some appointed and elected officials will be surveyed and/or interviewed for their input. Looking ahead • Modify the IMT COVID-19 response based on the case transmission, CDC Community Level and community needs. • COVID-19 After Action Report: Begin with data gathering and planning for community input in conjunction with Emergency Preparedness Consulting (EPC). • Create and disseminate vaccinations educational materials for parents and families of children 6 months though 4 years of age to disseminate via childcare providers. • 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 30% of my time is devoted to COVID-19 DUBUQUE CITY COUNCIL COVI Dm 19 UPDATE Mary Rose Corrigan, Public Aug 15, 2022 %;a� Health Director r91 LA ■ ha= Positive Cases - Rolling 7 Day Volume Dubuque County Mar 1, 2020 - Aug 14, 2022 1.5K 7: 500 0 Max 1,450 Avg 222.23 Min 0 Apr May Jun Jul Auge Oct Nov Dec Jan Feb Mar Apr May Jun Jul Auge Oct Nov Dec Jan Feb Mar Apr May Jun Jul AugP Y g P P Y g P P Y 2020 2021 2022 POWERED BY • • COVID-19 CASES & HOSPITALIZATION iDrnoarn NEW COVID-19 CASES IN DUBUQUE COUNTY IN LAST 7 DAYS 64 31 25 \%j3 16 31912022 3116/2022 3/23/2022 3/30/2022 4/6l2022 NEW COVID-19 CASES IN DUBUQUE COUNTY IN LAST 7 DAYS 178 191 1 A7 171 153 DUBUQUE COUNTY HOSPITALIZATIONS WITH COVID-19: MAR. 2 - MAR. 30 4 3 2 2 1 $1212022 3f3012022 31812022 311612022 312312022 DUBUQUE COUNTY HOSPITALIZATIONS WITH COVID-19 10 12 10 10 7/13/2022 7/20/2022 7/27/2022 8/3/2022 8/10/2022 7/13/2022 7/20/2022 7/27/2022 8/3/2022 81101 CDC COMMUNITY LEVEL DUBUQUE CO: MEDIUM COVID-19 Community Levels in Iowa 40 Low Medium 4k High 0/ No Data Mon Aug 15 2022 09:48:1 1 GMT-0500 Weekly Metrics Used to Determine the COVID- 19 Community Level Case Rate per 100,000 population 157 New COVID-19 admissions per 18 100,000 population % Staffed inpatient beds in use by 6.2% patients with confirmed COVID-19 Aug 10, 2022 All Variants by Month Dubuque County 100% Omicron BA 5.2.1 BA.2 BA.5 Dataset last updated: August 12, 2022 100% 1 60% 1 40% 20% 0% �Ic ,,c �j J� ha, ryo� Doti ��N ry�ti dory N�� oN ,T� WHO Labels ■ Alpha ■ Other ■ Epsilon ■ Gamma ■ Delta ■ Omicron POWERED BY • • VACCINATIONS CDC data Aug 10, 2022: People Vaccinated Total % of Total Population Population >_ 5 Years of Age % of Population > 5 Years of Age 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 IDPH no longer reporting vaccination data At Least One Dose FuIly Vaccinated 68,027 63,584 69.9% 65.3% 67,776 63,564 74.3% 69.7% 64,936 60,987 7 .6% 7 .8% 60,709 57,050 80.7% 75.9% 18,533 17,718 95% 95% HOW MANY KIDS HAVE BEEN INFFO"..TED? National Commercial Lab Pediatric Antibody Seroprevalence ❑p Pediatric 5eroprevalence Estimate + 79.7% � 9596 Confidence Interval- 79.0%-80.4% Estimated Pediatric Population that has had 1 or more SAPS-CoWi nfecttions 56,977,000 95% Confidence Interval: 56, 491, 000-57, 463, 000 Antigen target- Nudeocapsid (%infected) United States COVID-19 PeciiatricSeroprevaIence Estimates Full date range for round 325f2,l2022-6/26/2022 �.I Number of Samples Estimated _ 0 C-O�o 10% 2036 3036 4036 5036 E�°: 80°.5 90°.5 1000A Tested:26,725 seroprevalence PEDIATRIC ANTIBODY SEROPREVALENCE May 2, 2022- June 24, 2022 Iowa COVID-19 Pediatric Seroprevalence Estimates Pediatric 5eroprevalence Estimate 84.5% 95% Confidence Interval: 78.9%-39. 59n Estimated Pediatric Population that has had 1 or mare SAPS-CoWnfections 597,000 95%Confidence In erval: 558,000-634,000 Antigen target- Nucleocapsid (%infected) -- =e range for round 32: S f 2 j2022 - 6 f24 f 2022 NumberofSampies Estimated 096 10% 20% 30% 40% 50% GO% 70% 30% 90% 100% Tested: 257.0 seroprevalence VACCINATION INFORMATION 74% of the County's total 5+ population has at least one dose 82.3% of the County's total 65+ is fully vaccinated with one booster 59.5 % of residents 12+ who are already fully vaccinated, now have a booster dose. Vaccination information available at: www.cityofdubuque.org/sleevesup Ongoing walk-in VNA clinics at 660 Iowa St Every 3rd Monday: 8/29 3 - 6 pm WALK INS Every Friday: 8/19, 8/26 8 - 4:30pm WALK INS SleevesUp Phone Line: (563) 690-6253 VNA Phone Line: (563) 556-6200 CHILDCARE HANDOUT PROTECT YOUR C0110 WITH THE COVIQ-19 VACCINE Getting children va 'inat d against COVID-1 protects them f ro rn netting really s is k and allows kids to attend childcare, school, visits to grandparents, and other activities safely. t .1 5 - y # � r #► AM, '�` 0 r a 1=j4wLnI* Know your r isk e ILW "tHp YOU rnar%e inrvrrneu r. tn nrpvpnt c.PLvPrP r.()VIF'),Iq Protect yourself Z F !: Take action if exposed Take action if you are sick or test positive bd.wkmw"131 0 0 0 LOOKING AHEAD After Action Report underway IMT- modifications Monitoring cases as school starts Community Metrics COVID-19 VACCINATION COVERAGE COVID-19 COMMUNITY LEVELS LOCAL METRICS AND INFORMATION Wastewater surveillance • 5yndromic surveillance • High -risk populatlons, settings. and events • Other locally available data Community Actions VACCINE ACTIVITIES INFORMS • Outreach • Distftution • Campaigns • Equity INFORM LOCAL PREVENTION DECISIONS • Individual prevention behaviors • Community -level INFORM prevention strategies QUESTIONS? Thank -you v Next update: Sept 6, 2022