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Health Services Fiscal Year 2027 Budget Presentation Copyrighted April 22, 2026 City of Dubuque BUDGET PRESENTATIONS # 5. City Council ITEM TITLE: Health Services Fiscal Year 2027 Budget Presentation SUMMARY: SUGGUESTED DISPOSITION: ATTACHMENTS: 1. 27 Policy Book Volume VII - Health Updated 2. Health Services - FY27 Budget Presentation FINAL Page 1061 of 1207 Health Services 111 Page 1062 of 1207 This page intentionally left blank. 112 Page 1063 of 1207 HEALTH SERVICES DEPARTMENT % Change From FY FY 2025 FY 2026 FY 2027 2026 Budget Highlights Actual Budget Requested Budget Employee Expense $ 766,329 $ 836,618 $ 868,495 3.8 % Supplies and Services $ 385,245 $ 410,195 $ 454,220 10.7 % Machinery and Equipment $ 3,994 $ 4,590 $ 7,300 59.0 % Total $1,155,568 $1,251,403 $1,330,015 6.3 % Operating Revenue $ 439,653 $ 407,769 $ 419,209 2.8 % State Grant $ 17,500 $ 10,000 $ 10,000 — % Greater powntown TIF Loan Repayment $ — $ — $ 40,028 — % Total $ 457,153 $ 417,769 $ 469,237 12.3 % Property Tax Support $ 698,415 $ 833,634 $ 860,778 $ 27,144 Percent Increase (Decrease) 3.3 % Personnel -Authorized FTE 7.14 7.14 7.14 Improvement Package Summar� 1 of 11 This improvement package request is for seven (7) licenses of a Permitting and Inspection software license fees. This software's comprehensive health inspection solution can be configured to reflect City of Dubuque health and animal control codes, associated citations, fines, and reporting. It's online portal enables the online submission of complaints and inspection information, including photos, notes, due dates and reminders to allow Health sanitarians and animal control officers to access this software in the field from any mobile device. Inspections are streamlined, with automated checklists, photos and videos taken from the inspector's mobile device, and customized inspection reports. Inspectors can conduct, complete, and report on health inspections from the field, including generating a notice of violation, eliminating return trips to the office. Since the Housing and Community Development Department, Planning & Zoning, City Clerk, Police, and Fire have developed workflow, and are now using this software, Health Services operations can be modeled from their guidance and experience to improve consistency in enforcement of city nuisance violations. The Health Services Department needs software for code enforcement that provides historical and current access to activities with stream-lined workflow. Our current Citizen Response Management software interfaces with this software to allow citizen requests to be processed using the software without redundant data entering and monitoring. This improvement package supports the City Council goal of Financially Responsible, High-Performance City Organization: Sustainable and Effective Service Delivery. 113 Page 1064 of 1207 Related Cost: $ 10,500 Tax Funds Recurring Recommend -Yes Property Tax Impact: $ 0.0033 0.03% Activity: Administration, Animal Control, Inspections 2of11 This improvement package request is for $5,000 to fund a Rabies Vaccination Voucher Program for low- income pet owners within city limits. The program would provide approximately 166 vouchers covering the cost of rabies vaccines (excluding exam or appointment fees) to promote public health and reduce the risk of rabies exposure. By increasing vaccination rates, the program could help prevent costly rabies exposures, which can require post-exposure treatment costing approximately $2,500 to $7,000 per person. Vouchers would be distributed through existing low-income support channels such as the Community Impact Service Program and Housing Choice Voucher Program. This initiative supports community health, increases vaccination compliance, and aligns with the City's commitment to public safety and resident wellbeing.A policy and process for voucher qualification will be developed. Council Goals: Healthy and Safe Community, Financially Responsible, High-Performance City Organization: Sustainable and Effective Service Delivery, Livable Neighborhoods and Housing: Great Place to Live Related Cost: $ 5,000 GDTIF Loan Repay Non-Recurring Recommend -Yes Activity: Animal Control 3of11 This improvement package request is for two Environmental Sanitarians to attend the National Environmental Health Association Annual Educational Conference in Kansas City, Missouri. Conference dates are August 3-6, 2026. Tools, resources, and new networking opportunities, and knowledge of recent trends and research in the environmental health field will be covered. The main objectives of the training are to learn about latest practices, data, and research related to the regional NEHA affiliates practice in environmental health. Create more livable communities/neighborhoods by having sharper skills and new tools for code enforcement; become more efficient in daily operations and develop creative workflows to attribute to a high- performance organization; and networking and learning about other organizations regionwide to create a more vibrant and equitable community for our citizens and food service operators. Relationship to City Council Goals & Priorities: Healthy and Safe Community, Livable Neighborhoods and Housing: Great Place to Live, Financially Responsible, High-Performance City Organization: Sustainable and Effective Service Delivery NEHAAEC Kansas City Missouri, 8/3/2026-8/6/2026 (5 hour and 45-minute drive) Registration 950 (added 50.00 from 2024) x 2 sanitarians = 1,900 Per diem 80 x 4 = 320 (two sanitarians) = 640 total Lodging 300 X 4= 1,200 (two sanitarians) = 2,400 total Fuel (395 miles each way-790 miles total round trip) = 150.00 Related Cost: $ 5,090 GDTIF Loan Repay Non-recurring Recommend -Yes Activity: I nspections 114 Page 1065 of 1207 4 of 11 This improvement package was submitted as recurring but is being recommended as non-recurring. This improvement package request is for the Animal Control activity to send a 15,000 post- card mailing for promotion of the new pet licensing software. We will be educating citizens on the new system and how to license pets. Licensing dogs and cats is a city ordinance, and licensed pets have a better chance of being returned home if they get lost, as a license tag helps identify their owner. Although the new licensing system was initiated in FY26, additional and ongoing marketing and education on using the system will be necessary. Relationship to City Council Goals & Priorities: Healthy and Safe Community, Livable Neighborhoods and Housing: Great Place to Live, Financially Responsible, High-Performance City Organization: Sustainable and Effective Service Delivery Recurring for 2 years. Related Cost: $ 9,130 GDTIF Loan Repay Non-Recurring Recommend -Yes Activity: Animal Control 5of11 This improvement package request is for additional funding for the Animal Control truck to purchase and install seat covers, floor mats, and a cargo divider to enhance vehicle protection and ensure the safety of animal control officers when transporting animals. Animal Control operations regularly involve the transport of stray, injured, aggressive, or potentially diseased animals, making it essential that our vehicles are properly equipped to ensure officer safety and humane animal handling. Two critical additions to our Animal Control truck—a set of weather mats and a secure containment cage for the back seat—are necessary to enhance safety, sanitation, and efficiency. Weather mats help protect the vehicle's interior from dirt, fluids, and biological waste such as urine, feces, or vomit, which are common during animal transport. They are easy to clean, reduce turnaround time between calls, offer long-term durability, and help maintain a professional and sanitary appearance. Equally important, a containment cage provides secure transport for animals who cannot be lifted into the truck box kennels, or refuse to enter the kennels, reducing the risk of injury to both animals and officers. Without proper containment, unsecured animals may panic, become aggressive, or cause dangerous distractions while driving. Approval and funding of these items are respectfully requested to support the continued success and professionalism of ourAnimal Control operations. Relationship to City Council Goals & Priorities Livable Neighborhoods and Housing: Great Place to Live, Financially Responsible, High-Performance City Organization: Sustainable and Effective Service Delivery Related Cost: $ 1,208 GDTIF Loan Repay Non-recurring Recommend -Yes Activity: Animal Control 6of11 This improvement package request is for funding for a one-time community education and outreach event focused on responsible pet ownership. The event will include live demonstrations by professional dog trainers, public Q&A sessions, and distribution of educational resources. Paws in the Park — A Community Pet Education Event would be a planned gathering set to take place at Comiskey Park in Dubuque during the spring or summer of 2026. The event will last approximately 2 to 3 hours and is free and open to all Dubuque residents. Designed to promote responsible pet ownership and community engagement, the event will feature a range of educational activities. Attendees can enjoy live dog training demonstrations, participate in Q&A sessions with professional trainers and Animal Control staff, and learn more about local pet regulations including licensing, leash laws, and other ordinances. 115 Page 1066 of 1207 Informational flyers and City pet resources will also be distributed to help residents better care for their pets and stay informed. The primary goal of Paws in the Park is to improve the culture of pet ownership within the Dubuque community by teaching responsible pet care and reinforcing community expectations. The event aims to build long-term habits that support compliance with local ordinances. By proactively addressing common issues such as off-leash dogs, excessive barking, and aggression, the event is expected to help reduce complaint calls to Animal Control. It also promotes the humane and safe treatment of animals, ultimately improving both pet behavior and the relationships between pets and their owners. Additionally, the event seeks to strengthen community engagement by building public trust in the Animal Control activity and showcasing the City's commitment to proactive, resident-focused leadership. This one-time investment of $2,500 will yield lasting benefits by improving pet welfare, increasing enforcement efficiency, and fostering greater trust between residents and city services. Council Goals: Healthy and Safe Community, Financially Responsible, High-PerFormance City Organization: Sustainable and Effective Service Delivery, Livable Neighborhoods and Housing: Great Place to Live Related Cost: $ 2,500 GDTIF Loan Repay Non Recurring Recommend -Yes Activity: Animal Control 7of11 This improvement package was submitted as recurring but is being recommended as non-recurring. This improvement package request is for the Environmental Sanitarian/Public Health Emergency Preparedness Planner to attend the International Association of Emergency Managers (IAEM)Annual Conference in Long Beach California November 15th-19th, 2026 The IAEM Annual Conference provides an opportunity for all levels of emergency management staff to network with other communities and to meet colleagues from around the world. IAEM offers a wide range of stimulating programs that will enlighten everyone, from students to 30-year veterans of emergency management. This multi-day training and educational event provides many benefits to emergency management professionals at all levels of government, the private sector, and non-government agencies alike, such as models or planning and response; new technology; etc. The goal of the IAEM Annual Conference is to improve attendees' knowledge, competency level and collaborative skills. IAEM accomplishes this by attracting relevant high-profile speakers to address current topics and practical solutions. Outcomes of Attending Include: • Best value for obtaining/learning new skill sets. • Learn best practices from the field's most respected speakers. • Hear lessons learned from actual disasters. • Improve job proficiency through critical information sharing with other emergency management professionals in all levels of government, private sector, public health and related professions with nearly 2,400 participants. • Attend private meetings and training sessions specific to various sectors such as public health. • Network with other attendees, speakers and exhibitors. 116 Page 1067 of 1207 Relationship to City Council Goals & Priorities: Healthy and Safe Community , Livable Neighborhoods and Housing: Great Place to Live, Financially Responsible, High-Performance City Organization: Sustainable and Effective Service Delivery Related Cost: $ 3,700 GDTIF Loan Repay Non-Recurring Recommend -Yes Activity: I nspections 8of11 This improvement package was submitted as recurring but is being recommended as non-recurring. This improvement package request is for the Environmental Sanitarian/Emergency Preparedness Planner to attend the National Association of County and City Health Officials (NACCHO) Preparedness Summit in FY 27. The Preparedness Summit is the first and longest-running national conference on public health preparedness. Since its beginning in 2007, the National Association of County and City Health Officials (NACCHO) present new research findings, sharing tools and resources, and providing a variety of opportunities for attendees to learn how to implement model practices that enhance the nation's capabilities to prepare for, respond to, and recover from disasters and other emergencies. Over the last decade, the nature of threats to our national health security has changed significantly and public health professionals, we can expect these threats to continue to evolve. It is imperative that we adapt our public health practices to meet the demands of an ever-evolving environment. Each year, the Preparedness Summit will feature experts from the healthcare and emergency management fields in addition to public health preparedness professionals to address the gaps between these life-saving industries to work more collaboratively and efficiently in the face of emerging threats. When the County EMA Director goes on vacation/out of office, the Environmental Sanitarian/Emergency Preparedness Planner (ES/EPP) becomes the acting EMA Director for the City. This training will provide further education for the ES/EPP to handle any situation. Relationship to City Council Goals & Priorities: Healthy and Safe Community, Livable Neighborhoods and Housing: Great Place to Live, Financially Responsible, High-Performance City Organization: Sustainable and Effective Service Delivery Budget NACCHO Preparedness Conference Conference dates: To Be Determined April/May 2027 Registration $1250 (added 100.00 from 2025) FY26 location is Baltimore MD Per diem 64.50 x 6 = $387 (based on 2026 location) Lodging 5 x 191.00 = $984 (based on 2026 location + 3%) Airfare $600 (based on 2026 location + 3%) Fuel and Parking $100 Taxi/Uber $100 Total Cost = $3500.00 Related Cost: $ 3,500 GDTIF Loan Repay Non-Recurring Recommend -Yes Activity: I nspections 117 Page 1068 of 1207 9of11 This improvement package request is for one Animal Control Officer and one Environmental Sanitarian to attend Dale Carnegie training. As part of employee development, Dale Carnegie courses develop and build confidence and personal leadership competence, strengthen skills in relating to others and build positive relationships with the public, enhance skills to communicate logically, clearly, and concisely. Staff capability, confidence, and capacity will improve the Health Services Department to provide more public education and community engagement with service clubs, neighborhood associations, and other community-based organizations, including organizations with vulnerable and special populations. Relationship to City Council Goals & Priorities Livable Neighborhoods and Housing: Great Place to Live, Financially Responsible, High-PerFormance City Organization: Sustainable and Effective Service Delivery Related Cost: $ 4,700 GDTIF Loan Repay Non-recurring Recommend -Yes Activity: Animal Control & Inspections 10of11 This improvement package request is to request funding to provide for more robust community outreach and engagement during the Community Health Assessment and Health Improvement Plan (CHA-HIP) process which provides data not available through secondary statistical resources. The Health Services Department conducts a CHA-HIP process every three years in conjunction with the Dubuque County Health Department and other community partners, including local hospitals, health care providers and community-based organizations. Qualitative and quantitative data are collected through the compiling of statistics from various secondary data sources, as well as distributing and evaluating a community-wide survey about health, risk factors and lifestyles. The committee also incorporates findings from other community assessments related to health. The statistical data and community input then shape the community health improvement plan by identifying health concerns and needs in the community, which were then prioritized with goals and objectives. The goal is to obtain community input from all sectors of the community. The Health Services Department will partner with Community Impact & Neighborhood Support Department to design and host community input opportunities on needs and more importantly the Health Improvement Plan. • Printing (posters, surveys, utility billing insert, executive summaries) $2,500 • Advertising of outreach and engagement events and the community survey $2,000 • Supplies for outreach events $200 • Translation of marketing/outreach for print and social media $500 Relationship to City Council Goals & Priorities Livable Neighborhoods and Housing: Great Place to Live, Financially Responsible, High-PerFormance City Organization: Sustainable and Effective Service Delivery Related Cost: $ 5,200 GDTIF Loan Repay Non-recurring Recommend -Yes Activity: Community Health 11 of 11 This improvement level decision package request is for the addition of one part-time Animal Control Officer, working 25 hours per week, to enhance weekday and weekend service coverage and support the successful implementation of the City's new animal licensing program. 118 Page 1069 of 1207 Currently, the division operates with two full-time Animal Control Officers, which limits flexibility and reduces the capacity to maintain consistent coverage, respond promptly to service calls, and manage the administrative workload associated with new program implementation and the goal of more community engagement. This need has become more urgent due to recent operational changes: the police are no longer responding to non-emergency animal-related calls, resulting in a higher call volume for Animal Control, and the city is transitioning to a new pet licensing platform, which may require additional enforcement and administrative support from Animal Control staff, the Dubuque Regional Humane Society is not taking owner surrender animals, which results in increased complaints and problem animals, and increased number of pets that Animal Control picks up, while a rise in the number of stray animals has created a greater need for pickup, care, and transport According to Catalis statistics in the month of September 2025, "Animal Related Issue" was the highest most submitted citizen request type with 113 entries. Call volume directly impacts how animal control officers respond to animal-related calls throughout the day. On busy days with high call volume, officers must prioritize calls based on urgency—such as aggressive animals, bite incidents, or animals running at large— while less critical issues like noise complaints or unsanitary conditions may face delays. The unpredictability of call frequency means that officers often juggle multiple incidents, travel across wide service areas, and adjust their schedules in real time. In the last year, Animal Control responded to 6,000 calls through their main line and also responded to some calls through their work cell phones as well. Adding a part-time Animal Control Officer offers clear advantages in cost control, operational efficiency, revenue generation, public safety, and risk mitigation. From an operational standpoint, this position would reduce the need for costly overtime, help clear the current backlog of calls and complaints, add additional hours of operation and improve the efficiency of pet license processing. It would also support the added workload created by recent changes in police response protocols. On the revenue side, the new position would aid in the implementation and enforcement of the City's new pet licensing vendor, encouraging higher compliance and increasing pet licensing revenue. Public safety and trust would also benefit, as faster and more reliable response times improve service delivery and allow for proactive public education and outreach. This, in turn, helps reduce repeat complaints and boosts overall community satisfaction. Risk mitigation is another key benefit, as the added coverage ensures enforcement continuity and minimizes liability risks associated with delayed or missed responses to animal welfare concerns. Safety should be the top priority when dealing with the public, particularly given the unpredictable and sometimes dangerous nature of working with aggressive animals or hostile owners. Having a partner on scene provides immediate backup in situations that may escalate, especially when police response is delayed. Difficult cases involving large or multiple animals often require extra hands to safely capture, restrain, or transport them, and some scenarios are simply too complex or risky for one person to manage alone. While not all calls for service require 2 Animal Control Officers, teamwork also improves documentation and evidence collection, with one officer able to handle the animal or conduct a welfare check while the other captures photos, takes notes, or records video, ensuring accurate and thorough reporting. The operational challenges addressed include inadequate weekday coverage due to limited staffing, safety of officers and the absence of consistent backup during sick leave, training, or personal time off. These issues have led to delayed response times for animal-related complaints and welfare checks... Overall, reduced enforcement capacity has contributed to a rise in incidents and community complaints. Council Goals: • Healthy and Safe Community • Financially Responsible • High-Performance City Organization: Sustainable and Effective Service Delivery • Livable Neighborhoods and Housing: Great Place to Live 119 Page 1070 of 1207 Related Cost: $ 50,822 Tax Funds Recurring Recommend - No Property Tax Impact: $ 0.0162 0.16% Activity: I nspections Significant Line Items Employee Expense 1. FY 2027 employee expense reflects a 3% wage package increase for non-bargaining employees. 2. The lowa Public Employee Retirement System (IPERS) City contribution of 9.44% is unchanged from FY 2026 City contribution of 9.44%. The employee contribution of 6.29% is unchanged from FY 2026. 3. The City portion of health insurance expense is increased from $1,119 in FY 2026 to $1,175 in FY 2027 per month, per contract, which results in annual increased by $4,362 or 5%. The increase per contract is due to the city contribution increasing 5.00% because of increasing health costs. 4. Overtime expense is decreased from $8,579 in FY 2026 to $5,651 in FY 2027. FY 2025 actual was $5,316. 5. During FY 2026, the City Manager approved a reclassification of an Environmental Sanitarian to Lead Environmental Sanitarian. The Lead Environmental Sanitarian was moved from NB-11 to NB-14, a 7.185% increase. Supplies & Services 6. Recording Fees decreased from $17,612 in FY 2026 to $13,936 in FY 2027. The FY 2025 actual was $10,345. This decrease is due to the department's efforts to reduce the number of infractions from resolution and equitable fee and fine reform. The Dubuque County Sheriff's Department personally serves some municipal infractions on behalf of the Health Services Department for a fee. Departments that file municipal infractions must budget the upfront filing/court fee, and a portion of the amount is reimbursed to the department going forward. The offsetting revenue is budgeted in lowa District Court Fines and is $15,274 in FY 2027. 7. Payments to Other Agencies increased from $241,757 in FY 2026 to $270,207 in FY 2027. The Dubuque Humane Society contract expires June 30, 2026 and is currently being negotiated. The Humane Society contract has a projected FY 2027 budget of $212,207. Most of these contracted services for animal control are expenses that the City would have within its organization regardless of who provides the services. In addition, there is $50,000 budgeted for Crescent Community Health Center patient health and wellness programming operating expenses. There is also $8,000 budgeted for the Visiting Nurse Association to provide medical case management of lead-poisoned children, which is funded by the lowa Department of Health and Human Services grant. 8. Collections decreased from $53,035 in FY 2026 to $0 in FY 2027. The FY 2025 actual was $43,897. This line item formerly represented the amount paid to PetData Services for pet licensing. This expense was moved to Technology Services as this better aligns with the pet licensing contract. 9. Technology Services increased from $2,335 in FY 2026 to $42,052 in FY 2027. The FY 2025 actual was $2,123. This items includes data charges, CitizenServe software licenses, animal control software, body camera licensing and inspection software. The increase is due to the alignment of expenses into more appropriate account and an approved non-recurring improvement package. 120 Page 1071 of 1207 10. Education and Training increased from $12,893 in FY 2026 to $28,390 in FY 2027. This line item represents public health continuing education ($205), Humane Society of the United States Expo and national animal care & control training ($8,350), database training ($16,490), continuing education credits ($150), and Childhood Lead Poisoning Prevention Training and Lead and Healthy Homes Training ($3,195), which is covered by a grant. 11. Refunds decreased from $2,000 in FY 2026 to $1,454 in FY 2027. The FY 2025 actual was $1,452. This line item represents refunds for pet and food licenses. Machinery & Equipment 12. Equipment replacement items include ($7,300): Health Administration Smart Phone and Case (2) $ 800 Animal Control Smart Phones and Case (2) $ 800 Inspections Smart Phone and Case (3) $ 1,200 Recommended Improvements Licenses for Permitting and Inspection Software $ 10,500 Total Equipment $ 13,300 Revenue 13. Animal Licenses revenue decreased from $230,141 in FY 2026 to $225,334 in FY 2027. The FY 2025 actual revenue was $220,527. This is based on the average number of pet licenses sold in FY 2024 and FY 2025. 14. Business license revenue increased from $139,248 in FY 2026 to $144,000 in FY 2027. The FY 2025 actual revenue was $149,946. This number fluctuates year to year based on number of food establishments and gross food and beverages sales of each establishment. 15. lowa District Court Fines decreased from $16,694 in FY 2026 to $15,274 in FY 2027. The FY 2025 actual was $15,275. This revenue represents the reimbursement of the cost of court costs and record fees for municipal infraction fees paid upfront by the City and then reimbursed to the City by the Court. This number is decreasing due to our participation in the pilot program, beginning in 2021, for equitable fee and fine reform. Several strategies to reduce the number of municipal infractions were implemented, including direct resident contacts via calling and texting to resolve overdue pet licensing issues. 16. Swimming Pool Inspection revenue is increased from $9,406 in FY 2026 to $9,576 in FY 2027. This is based on estimated FY 2026 actuals based on the number of establishments, which fluctuates year to year. FY 2025 actual was $9,576. Miscellaneous 17. The Animal Control activity is 48.5% self-supporting in FY 2027 versus 51.7% self-supporting in FY 2026. 18. The Inspection of Food Establishments activity is 40.0% self-supporting in FY 2027 versus 38.3% self- supporting in FY 2026. 121 Page 1072 of 1207 HEALTH SERVICES Health Services provides an effective service to protect, maintain and promote the physical health, environmental health and well-being of the citizens of the community. �A��rh S��vices Orgeni�tion Chert ,_- -- __ � � � Administrative Suppo�t �1� Animal Control I Office� (2) ♦ � Public Health Director 0 � 0 � 0 � Publie Heal Inte�n (0.14) Lead Environme�tal Sanitn�ian (1) Environmtntal Snnita�ian (2) En►ergency Pr�eparedness Plcnne�- Enviro�n►ental Snnitarian (1) �22 Page 1073 of 1207 SUCCESS IS ABOUT PLANNING, PARTNERSHIPS AND PEOPLE LEADING TO OUTCOMES Planning The Dubuque County Community Health People Needs Assessment and Health Improvement plan is a community-wide effort to assess the The Health Services community's health needs and decide how to Department strives to respond meet them. to conditions that affect the overall health of the community The Dubuque County Health Care in a timely manner. Preparedness Coalition is a multi-disciplinary partnership that assesses jurisdictional risk and responds cohesively to public health incidents and emergencies. GQV G��TH,S\ Green&HeahhyHomeslnitiatwe _ . O� aJ r �`�sot `� � G �D� �� VNA ,�t ' ''� �o: ��` o Crescent Community �UBU J / 192r� � — — Partnerships Partnerships allow public health to perform its activities in an effective, efficient, and inclusive manner. Some partners include the Crescent Community Health Center, lowa Department of Public Health, Dubuque Community Schools, Dubuque Visiting Nurses Association, Dubuque County Health Department, MercyOne Dubuque, Unity Point Health/Finley Hospital, The Community Foundation of Greater Dubuque, local health care providers, and many others. 123 Page 1074 of 1207 HEALTH SERVICES FY FY FY 2025 2026 2027 Full-Time Equivalent 7.14 7.14 7.14 Resources and Property Tax Support $1,000,000 $750,000 - $500,000 $250,000 $0 Operating Revenue State Grant Property Tax Support � FY 2025 Actual FY 2026 Budget FY 2027 Recomm'd The Health Department is supported by 7.14 full-time equivalent employees, which accounts for 65.30% of the department expense as seen below. Overall, the department's expenses are expected to decrease by 6.28% in FY 2027 compared to FY 2026. Expenditures by Category by Fiscal Year $766,329 Employee Expense $836,618 $868,495 $385,245 Supplies and Services $410,195 $454,220 $3,994 Machinery and Equipment $4,590 $7,300 $0 $200,000 $400,000 $600,000 $800,000 � FY 2025 Actual FY 2026 Budget FY 2027 Recomm'd 124 Page 1075 of 1207 HEALTH SERVICES Administration/Community Health Mission & Services Community Health provides assessment, assurance, and policy development to address public health problems and issues in the community. The Health Services Department works with the Dubuque County Board of Health to carry out public health essential services necessary for an effective public health system. Responsibilities include evaluating, reviewing, and updating animal, noise, nuisance, sewer, refuse, food ordinances, polices, and workflows enforced by the Health Department. Health Administration/Community Health Funding Summary FY 2025 FY 2026 FY 2027 Actual Budget Recomm'd Expenditures $346,422 $357,542 $389,790 Resources $24,693 $10,180 $10,000 Health Administration/Community Health Position Summary FY 2027 Public Health Director 1.00 Environmental Sanitarian Assistant Intern 0.14 Admin Support Prof 1.00 Total Full-Time Equivalent Employees 2.14 125 Page 1076 of 1207 Performance Measures City Council Goal: Healthy and Safe Community � Dept. Objective: Ensure accessibility and quality of primary care and population-based health services. Performance Measure Target CY 2023 CY 2024 CY 2025 Performance (KPI) Actual Actual Estimated Indicator Crescent Community Health Center total 9,000 9,193 10,993 11,500 Goal Met patients served % of Medicaid patients 56% 49% 56% 44% Goal Met % of patients served 30% 33% 22% 44% without insurance Goal Met City Council Goal: Financially Responsible, High Performance City Organization: Sustainable and Effective Service Delivery 2 Dept. Objective: Mobilize community partnerships to identify and investigate public health problems and emerging issues Performance Measure Target FY24 FY25 FY26 Performance (KPI) Indicator Emergency Response 5 Plans activation and incidents exercises and drills /and or 2 6 7 Goal Met participation exercise/ year City Council Goal: Healthy and Safe Community 3 Dept. Objective: Maintain a Childhood Lead Poisoning Prevention Program PerFormance Measure Target 2015 2016 2017 PerFormance (KPI) Indicator % of birth cohort* (# of 6- year-old children in that 1% 4% 1% 1% Goal in year)with elevated blood Progress lead level *The birth cohort children under 6 provides information about blood lead testing and blood lead levels (BLLs) among children born in the same year, known as a birth cohort. This indicator evaluates all BLL test results prior to a child's sixth birthday.Since BLL are important up to the age of 6, the most recent blood cohort year is 2017 (all children born in 2017 and the % who have gotten a BLL) 126 Page 1077 of 1207 HEALTH SERVICES Environmental Health Mission & Services Environmental Health promotes a safe and healthy environment by assuring sanitary conditions and practices in accordance with municipal public health and environmental ordinances, codes and regulations. Responsibilities include responding to complaints, inspecting pools, spas, tanning, and tattoo facilities, and inspecting and licensing food establishments, stands, and mobile units, while assuring compliance with codes and regulations. Food Inspection/Environmental Health Funding Summary FY 2025 FY 2026 FY 2027 Actual Budget Recomm'd Expenditures $392,839 $405,567 $433,941 Resources $191,667 $155,354 $173,429 Food Inspection/Environmental Health Position Summary FY 2027 Lead Environmental Sanitarian 1.00 Environmental Sanitarian 2.00 Total Full-Time Equivalent Employees 3.00 Performance Measures City Council Goal: Healthy and Safe Community � Dept. Objective: Assure safe and sanitary public swimming pools, spas and tattoo facilities by providing a minimum of one inspection per year within Dubuque County. Performance Measure (KPI) Target FY 24 FY 25 FY 26 Performance Actual Actual Estimated Indicator #of closures of public pool/spa 0 0 0 0 Goal Met Dept. Objective: All permanent and temporary food establishments, mobile food units and 2 hotels/motels/inns are inspected and licensed through a contract with the lowa Department of Inspections, Appeals, and Licensing (DIAL). #of new/change ownership food N/A 35 48 41 Goal Met establishments % of food service establishments that Decrease by o 0 0 do not have accessible or fully-stocked 50�0 33/0 23/0 18/o Goal Met handwashing sink Successful compliance of unlicensed 0 1 5 2 Goal in establishments Progress 3 Dept. Objective: Alleviate improper garbage/refuse storage and disposal and other public nuisances through code enforcement. # municipal infractions (Mls) issued for �25 13 8 12 Goal Met nuisance violations. �27 Page 1078 of 1207 HEALTH SERVICES Animal Control Overview Animal Control enforces the City Animal Ordinance which provides for licensing of all cats and dogs, the prohibition of dogs and cats running at-large within the city, inoculation of all dogs and cats against rabies, investigation of animal bites and assurance of proper rabies confinement, prohibition of harboring a vicious/dangerous or potentially-vicious animal and prohibition of animals causing serious disturbance or nuisance. Animal Control Funding Summary FY 2025 FY 2026 FY 2027 Actual Budget Recomm'd Expenditures $416,307 $488,294 $506,284 Resources $240,793 $252,235 $245,780 Animal Control Position Summary FY 2027 Animal Control Officer 2.00 Total Full-Time Equivalent Employees 2.00 Performance Measures City Council Goal: Healthy and Safe Community 1 Dept. Objective: Respond to and abate the problems and nuisances of cats and dogs. Performance Measure (KPI) Target FY 2024 FY 2025 FY 2026 Performance Actual Actual Estimated Indicator #of citations issued for violations of �40 60 56 60 Goal Not Met Animal Control ordinance 2 Dept. Objective: Control the spread of rabies among and between animals. #of pet licenses sold 12,000 10,848 10,721 11,000 Goal Not Met #of citations for failure to license a <1,000 1,095 266 500 Goal Met pet 3 Dept. Objective: Assess and evaluate animal bites, injuries and attacks for determining potentially vicious and vicious animal declarations. # of animal bites <150 196 200 200 Goal Not Met City Council Goal: Financially Responsible, High Performance City Organization: Sustainable and Effective Service Delivery 4 Dept. Objective: Provide shelter for dogs, cats and other animals without homes in Dubuque. Maintain agreement with Dubuque Under Under Under Under Goal Met Regional Humane Society Contract contract contract contract �28 Page 1079 of 1207 Recommended Operating Revenue Budget - Department Total 17 - HEALTH SERVICES FY 2024 FY 2025 FY 2026 FY 2027 Fund/Account/Account Title Actual Actual Budget Recomm'd 100 - General 4A - Charges for Services 41365 - Refuse Permits (500) (525) (500) (525) 41700 - Business License (139,248) (149,946) (139,248) (144,000) 41710 -Tattoo License (3,000) (3,750) (4,250) (3,500) 41720 - Swimming Pool Insp (7,021) (9,576) (9,406) (9,576) 41800 -Animal Licenses (230,141) (220,527) (230,141) (225,334) 45015 -Animal Impoundment Fee (7,350) (5,820) (7,350) (6,000) 45025 - Weed Cutting Charges (475) - - - 45500 - Miscellaneous Chg for Svcs - (7,193) - - 47100 - Reimbursements (430) (2,306) (180) - 47450 - Sale of Salvage - (14,078) - - 47700 - District Court Fines (16,694) (15,275) (16,694) (15,274) 4A - Charges for Services Total (404,859) (428,996) (407,769) (404,209) 4B - Grants/Contribs 44000 - Federal Grants - (10,657) - (15,000) 44400 - State Grants (4,404) (17,500) (10,000) (10,000) 4B - Grants/Contribs Total (4,404) (28,157) (10,000) (25,000) HEALTH SERVICES -TOTAL (409,263) (457,153) (417,769) (429,209) �29 Page 1080 of 1207 Recommended Operating Expenditure Budget - Department Total 17 - HEALTH SERVICES FY 2024 FY 2025 FY 2026 FY 2027 Fund/Account/Account Title Actual Actual Budget Recomm'd 6A - Salaries &Wages 100 - General 60100 - Salaries-Regular Full Time 534,872 559,544 611,465 637,148 60300 - Hourly Wages -Temp/ Seasonal 2,221 - 3,855 5,582 60400 - Overtime 4,431 5,316 8,579 5,651 60410 - Overtime - Holiday 1,107 916 - 1,944 60620 - Special Pay - Holiday - - 947 - 60635 - Special Pay Sick Lv Payout 50% 6,552 7,080 6,747 7,311 60640 - Special Pay -Vacation Payout 108 2,291 - - 60720 - Spec Pay- Meals No Overnight 89 - 28 14 6A - Salaries &Wages Total 549,380 575,147 631,621 657,650 6B - Employee Benefits 100 - General 61100 - FICA- City Contribution 40,351 42,295 47,755 50,531 61300 - IPERS - City Contribution 51,139 53,356 58,942 62,255 61510 - Health Insurance 86,472 88,119 87,614 91,611 61540 - Life Insurance 336 320 323 323 61600 - Workers' Compensation 5,805 6,896 7,773 5,392 61700 - Unemployment Compensation (282) - 1,590 537 61992 - Physicals - 196 1,000 196 6B - Employee Benefits Total 183,821 191,181 204,997 210,845 6C - Staff Development 100 - General 62100 -Association Dues 1,155 1,709 1,995 2,084 62200 - Subscriptions 162 50 174 174 62325 - Mileage 114 101 200 120 62400 - Meetings & Conferences 7,612 4,717 12,293 13,095 62500 - Education Reimbursement 13,634 14,698 12,893 28,390 6C - Staff Development Total 22,677 21,275 27,555 43,863 6D - Repair/Maint/Util 100 - General 63311 - Vehicle Ops - Diesel - 293 - - 63312 - Vehicle Ops - Gasoline 4,048 1,829 5,800 3,355 130 Page 1081 of 1207 Recommended Operating Expenditure Budget - Department Total 17 - HEALTH SERVICES FY 2024 FY 2025 FY 2026 FY 2027 Fund/Account/Account Title Actual Actual Budget Recomm'd 63320 -Vehicle Repair- Internal 3,023 3,476 3,022 3,981 63321 - Vehicle Repair- Outsourced 59 259 725 1,475 63730 -Telecommunications 7,309 4,022 4,272 4,571 6D - Repair/Maint/Util Total 14,438 9,880 13,819 13,382 6E - Contractual Svcs 100 - General 64004 - Internal Service Charge - - - 2,017 64015 - Financial Service Fees 400 - 400 - 64020 -Advertising - 20 - 2,000 64030 - Outsourced Labor - - 3,700 3,500 64040 - Collections 53,035 43,897 53,035 - 64050 - Recording Fees 17,612 10,345 17,612 13,936 64062 - Refunds 934 1,452 2,000 1,454 64081 - Insurance - Liability 6,720 7,169 8,333 7,746 64130 - Payments to Other Agencies 172,510 259,541 241,757 270,207 64140 - Printing 1,200 1,732 2,986 14,471 64145 - Copying 405 250 642 470 64160 - Rental - Land/Bldgs/Parking 2,679 2,984 3,384 3,360 64190 -Technology Services 890 2,123 2,335 42,052 64191 - IT Recharges 10,195 11,197 11,235 5,638 64900 - Other Professional Service 2,647 1,912 8,225 8,725 64975 - Equip Maint Cont 420 434 430 469 64985 - Hauling Contract 13,402 4,459 2,500 4,459 6E - Contractual Svcs Total 283,050 347,515 358,574 380,504 6F - Commodities 100 - General 65025 - Program Materials 2,733 836 990 8,448 65045 -Technology Equipment 3,260 3,495 4,590 7,300 65060 - Office Supplies 526 471 1,208 931 65070 - Operating Supplies 629 1,708 1,250 1,050 65080 - Postage/Shipping 4,466 2,620 5,199 4,442 65100 - Safety Supplies 999 195 300 300 65925 - Uniform Purchase 1,223 747 1,300 1,300 6F - Commodities Total 13,836 10,071 14,837 23,771 6G - Capital Outlay 100 - General 67100 - Vehicles 26,749 - - - 131 Page 1082 of 1207 Recommended Operating Expenditure Budget - Department Total 17 - HEALTH SERVICES FY 2024 FY 2025 FY 2026 FY 2027 Fund/Account/Account Title Actual Actual Budget Recomm'd 67210 - Furniture/Fixtures 909 499 — — 6G - Capital Outlay Total 27,658 499 — — HEALTH SERVICES -TOTAL 1,094,861 1,155,568 1,251,403 1,330,015 132 Page 1083 of 1207 Recommended Expenditure Budget Report by Activity & Funding Source 17 - HEALTH SERVICES FY 2025 FY 2026 FY 2027 Fund/Activity Actual Budget Recomm'd 1701 -Administration 100 - General 6A- Salaries & Wages 128,161 136,392 148,093 6B - Employee Benefits 38,492 41,293 43,601 6C - Staff Development 4,145 6,698 7,090 6D - Repair/Maint/Util 1,163 1,103 1,332 6E - Contractual Svcs 2,550 6,744 9,790 6F - Commodities 1,071 2,432 2,216 1701 - Administration Total 175,582 194,662 212,122 1702 -Animal Control 100 - General 6A- Salaries & Wages 118,106 144,559 147,250 6B - Employee Benefits 48,946 53,984 54,967 6C - Staff Development 6,204 6,290 8,610 6D - Repair/Maint/Util 4,398 7,730 7,175 6E - Contractual Svcs 234,807 267,577 274,837 6F - Commodities 3,846 8,154 13,445 1702 - Animal Control Total 416,307 488,294 506,284 1703 - Inspections - Food 100 - General 6A- Salaries & Wages 260,099 272,031 276,899 6B - Employee Benefits 88,477 92,530 94,043 6C - Staff Development 10,925 7,722 21,318 6D - Repair/Maint/Util 4,209 4,892 4,757 6E - Contractual Svcs 23,474 24,201 29,074 6F - Commodities 5,155 4,191 7,850 6G - Capital Outlay 499 - - 1703 - Inspections - Food Total 392,839 405,567 433,941 1704 - Community Health Service 100 - General 6A- Salaries & Wages 68,782 77,191 85,408 6B - Employee Benefits 15,008 16,675 18,231 6C - Staff Development - 3,650 3,650 6D - Repair/Maint/Util 49 42 53 6E - Contractual Svcs 76,684 52,052 56,786 6F - Commodities - - 200 1704 - Community Health Service Total 160,522 149,610 164,328 133 Page 1084 of 1207 Recommended Expenditure Budget Report by Activity & Funding Source 17 - HEALTH SERVICES FY 2025 FY 2026 FY 2027 Fund/Activity Actual Budget Recomm'd 1750 - Grants 100 - General 6A- Salaries & Wages — 1,448 — 6B - Employee Benefits 258 515 3 6C - Staff Development — 3,195 3,195 6D - Repair/Maint/Util 60 52 65 6E - Contractual Svcs 10,000 8,000 10,017 6F - Commodities — 60 60 1750 - Grants Total 10,318 13,270 13,340 HEALTH SERVICES -TOTAL 1,155,568 1,251,403 1,330,015 134 Page 1085 of 1207 CITYOFDUBUQUE , IOWA DEPARTMENT DETAIL - PERSONNEL COMPLEMENT 17 HEALTH SERVICES DEPARTMENT FY 2025 FY 2026 FY 2027 FD JC WP-GR JOB CLASS FTE BUDGET FTE BUDGET FTE BUDGET 60100 Full Time Employee Expense 100 225 NB-07 ADMIN SUPPORT PROF 1.00 $56,630 1.00 $61,556 1.00 $66,781 100 8255 NB-09 ANIMAL CONTROL OFFICER 2.00 $129,057 2.00 $139,961 2.00 $141,655 100 8355 NB-12 ENVIRONMENTAL SANITARIAN 3.00 $253,532 3.00 $264,734 2.00 $180,925 LEAD ENVIRONMENTAL 100 8350 NB14 SANITARIAN — $0 — $0 1.00 $91,371 100 4,355 NB-19 PUBLIC HEALTH DIRECTOR 1.00 $134,518 1.00 $143,766 1.00 $156,416 TOTAL FULL TIME EMPLOYEES 7.00 $573,737 7.00 $610,017 7.00 $637,148 60300 Temporary Employee Expense ENVIRONMENTAL SANITARIAN 100 8357 NB-03 INTERN 0.14 3,644 0.14 3,855 0.14 5,582 TOTAL TEMPORARY EMPLOYEES 0.14 3,644 0.14 3,855 0.14 5,582 TOTAL HEALTH SERVICES 7.14 577,381 7.14 613,872 7.14 642,730 135 Page 1086 of 1207 CITY OF DUBUQUE, IOWA ACTIVITY PERSONNEL COMPLEMENT SUMMARY FY 2025 FY 2026 FY 2027 WP- ACCT FD JC GR POSITION CLASS FTE BUDGET FTE BUDGET FTE BUDGET Health Services Administration-General Fund 1701 60100 100 5000 NB-07 ADMIN SUPPORT PROF 1.00 $ 56,630 1.00 $ 61,556 1.00 $ 66,781 PUBLIC HEALTH 1701 60100 100 4355 NB-19 DIRECTOR 0.50 $ 67,259 0.50 $ 71,883 0.50 $ 78,208 Total 1.50 $ 123,889 1.50 $133,439 1.50 $144,989 Community Health Services-FT General Fund PUBLIC HEALTH 1704 60100 100 4355 NB-19 DIRECTOR 0.50 $ 67,259 0.50 $ 71,883 0.50 $ 78,208 Total 0.50 $ 67,259 0.50 $ 71,883 0.50 $ 78,208 Community Health Services-Temporary General Fund ENVIRONMENTAL 1704 60300 100 8357 NB-03 SANITARIAN INTERN 0.14 $ 3,644 0.14 $ 3,855 0.14 $ 5,582 Total 0.14 $ 3,644 0.14 $ 3,855 0.14 $ 5,582 Inspection of Food Est./Environmental -FT General Fund ENVIRONMENTAL 1703 60100 100 8355 NB-12 SANITARIAN 3.00 $ 253,532 3.00 $264,734 2.00 $180,925 LEAD ENVIRONMENTAL 1703 60100 100 8350 NB-14 SANITARIAN - $ - - $ - 1.00 $ 91,371 Total 3.00 $ 253,532 3.00 $264,734 3.00 $272,296 Animal Control-FT General Fund ANIMAL CONTROL 1702 60100 100 8255 NB-09 OFFICER 2.00 $ 129,057 2.00 $139,961 2.00 $141,655 Total 2.00 $ 129,057 2.00 $139,961 2.00 $141,655 TOTAL HEALTH SERVICES DEPT. 7.14 $ 577,381 7.14 $613,872 7.14 $642,730 136 Page 1087 of 1207 THF CITY OF UB E :'1-1r��fE�r��r�� r�►r tlrc� �ti�r��r��i;?��; � � � � • � . • � � . Page 1088 of 1207 Health Services Department Provide effective public health services to prevent the spread of disease and other health conditions while promoting the health, safety and well being of our citizens and the environment. Page 1089 of 1207 o � 0 i� Communit O C l,l et . y � A Safe and Happy Home for every pet Fou ndat ion OF GREATER DUBUQUE -....�w �.r►- IOWAEHA � Health & Human Services .. 1aYEARS 1925-2025 � � A I � � , 11r � RCY �� z IOWt � PUBLI� � , ; W HEALTH � t � � - - _ _ � S ' (� ' ��`� �� '•,J �' . • �� ' '� , �,'� Pubhc Health . � Prevent. Promote. Protect. �F, D� ' . � I � • i Dubuque County Public Health 4�cT po�� rEARS OF SAVING LIVES ■ ` HUMANE � � D U 6 U Q U E R E G I N A L Unit�oint Health � NATION4L ANIM�L Visiting Nurse Association f . , , � � SOCI � TY ' • �, CRESCENT De artment of Ins ections � �. � ' .r n p p � ,. Appeals, & Licensing Page 1090 of 1207 � , � � , � � I , � I Public Health Director Mary Rose Corrigan Environmental nitarian ssista ffic m Link ' ie FI eparedness � /Environmental anitarian . � - . . . , . � . -..- �• . � . : � i � - � �"` _- . -,� �� . . f� ' � ' • � � `�+R.tt '''-•� � . f �,�yt`!� ,�� t I I ��i `"� • ��;� . _ �. - '� . ► � � ��A + :� � I - (. �',X`�'� ' :.,. • _ 'C ` � ! ` � , f ' ` � �� r l.,�r�N � � �_4` � . 1 '�"� _ t + {��%�_ M • ' • - , • � � , �'�.,�F,;�, _ �� - '� ' �r �/ � �� , � �� '� �a„�,� q �i'�� ` �. � � -� �-' — �� - �f��;� = . :� ' _�: ' 1 : .J, ' � _ � �; i ✓ "� � ,' �+ � f � � . � �': ' � } .� i° � � '� � ��•, � � � � .--, '�- ;� ' �- � � �i� �� _ -�� '� � �� , `, �' � � � - - � _ ,'� `� � � �• , � r - �� ` ,� �;� � - ,� 1 .�� _ ''= � ` � l+ - , r � \ _-i� / � � \ � �� . i • � � _ f,- � -� � _ � - . �� , �� , � �° .,_ � � _ � �; _ �� ; ��- - � ..,,,� •. :�+w; I� �'' :,/ � '�y �f � � s i � ..' � , � T� � N `f r `� �� - }�� .� ' I"� .�ar.�� I ' !-... . � -,�.-" � � .�--.��. _�•� � 1 . � , -� 4� . �j _ -— . � _ � `• , `-n � 3�' t � r ' �'�,f� �• . �_�_ t � ' �� 1�•�.� - � �, \.�'~' �� \ � /` << � � \ \�•..-•� ! \ �. `1 � 1' � `� �� ( � � '�^t� �-\` `� � - � � .�.\��--�� \ ,._,,._- �., -r-'�\,,....�� _--- _ . . - . . . .l�. �\ `�\ -`�\ � � - . . . ��`-i..' \- ��+�� -- �` \�,�'.�--�a'g� 1092 of 1207 . . �.. . � - � . ' � y-, � � � � ��--- - � � � - - - � =_- :-_�- �- � �_ - �- � - , r ti - ; � �-' � ' � � � � � ana an :— � . _ �' m r r v i M n r lL,�._�\ f:�- � - � ,� . , .�:~ �- =-�.:. Custo e Se ce a age _ ��. s- ;- :�, :-:;,- � _ - �.:. ,�U�`" �� t:�'�f•�- ,`�~�2 , �c.r�r 4� .. ,r�`� _ ,c, r,- . _i - - .7'. �' '�-�,�, ;��•,`r �- . ~'%~�::�'�4_..`1'.`,`.�Yq.' �.. ,'�� } �' �t••^ • . . � -� - i�� C�, - :ij' ��r,V� ,�.'� �`�� "�l ��(�`(`►'��.'�� ,` � .� \ �� ` �.. ��,�IJ1 �`�1E,�_` ''�� t ,` •'•` �' !��.r..��j . ' r 1 . ` � , �l, r r. `�L .� 3 �` '''t�t�Y ' � , , '� . , �!�i- *` . �► ��.+ � ' ,� , � ` ► �. ��. ,'�' �!�►'- '� _ �` � _ �.�t;�� age o 07 � • COVID-19 After Action Report and � � �.', .�t:� y� ., -�;t `:,�." ., . Improvement Plan implementation �:; s - ` ' � ,, -- �-:_= � � • FDA Standards Capacit Grant ��` `t ` ` �' , � - Y � � ;� y,a�,,. � _ �.�� - �. - . • Pet licensin RFP and selection . �'�� \' '��`"��\`'�� - -�`�' g - � �� : _ , t. � I • Crescent Communit Health Center �� = � � ��,,i '`�� '�- � , � �� -�" � y - �. �.� �:�.. ., _ � , �. � ;.,:,, _ ��^: -�� expansion of dental and wellness -- � �' , ^y�j ;{.yy T�l'R�I � , ._..._ ri�`��i. .� .� '/ Q � y+ . � • Mary Rose Corrigan, lowa Public Health �. - .::_._� ,��:� �__ f '. _ I ,�� , _ ,, , �; �. ,r.f i_� . . . • ;':1l \`j.�'; F� { '.� � ? � I;i' Associat�on (IPHA) Board of D�rectors , .��, ��.fl ,�.; ��. , _ �- ' �; .� I ,��.� • McKinzie Flana an Dale Carne ie ,�f��'`:`�+'� � ''t;' 1 r��;{ '��.�`��=1�� g , g ..J�`� .� ....��,.�:..�,:, ..�. , r � �_ ��., :� �_ . ,/ 17��4 - �, . , ,�(:� Course completion �� _ �:��- � _ �� :. • Tim Link, lowa Environmental Health � � �� _ � � �� -�;,� �:; � � , � Association President � ;� � . - ,; z �'=;�'`��,, -- �..�- i ��((R �,.� � • Lead Environmental Sanitarian position %1 '�� r�� I��'��1�, ��J� �,'',� � , 1 � �� \ i/�1� �h,,+ �� + j' ��, ' ; i ;1;�1)��l'.:��._;: lr �t�1 ;��,�' �' 1 � • New Animal Control truck ,,,, �_�.::=::.::i4,,�,;. :.-� _-. � _- • Computer kiosk in Health Dept. lobby - , _-- • Respiratory disease monitoring �� ' - Page 1094 of 1207 K � , cl � � � � � .. � — � { � • Full Implementation of DocuPet � • Public Health Emergency Preparedness Response Plan revision �; � � • Animal Control Ordinance updates . . . ,=.�(� 1 • Crescent Community Health Center mobile dental services and imaging � � �� o�� ''m �r'�, • Participation in City facility planning � go. She • SAFHER (System for Agriculture, Food, Health, E-Inspections, and � S�oops� <o�� Registration) food database �S My human • FDA US Food and Dru Administration rant im lementation is the 1 � J ) J p 8�ST'. • City staff emergency preparedness drills/exercises biannually • Citizenserve software � ---� � z� _ • Waste water monitoring _. _ _ ---a-�� . � - Proteeting people and pets! � � V , �� — � � ....m..N...�� Ntlatdko.� . � � 1 �.iKrF �-� ��'� • � •�. �«� �:y- � G!�� . fi��. , xr.. � � �a ' v — ' ��.m 5^9�, L. �: � � _ ��. . � ,ae. � �; � � ..,.�. �— �,.� �_ �, ' � , �� Ammal Control ,�� _ _ BEsr, r; �') � iieenie your pat at . -- -._ . � .�y �� 1 ,.'°� °""'��•, Animal Control —� � �1 1 563-589-4185 C� ��, - _ � _�, , - -.: �:: �— - _ _ _ -- — -- ��'?a Page 1095 of 1207 _ _ , . .___� - ..�.��;�� — - - � ' ■ ' • . � . � ; � _ � 860 778 13 . 48 ' Average homeowner's* Net Property ro ert tax cost for Health p p Y Tax Support Services (*Avg. home value of $213,211) Page 1096 of 1207 Public Health & Safety _ __ �'-_ "';r. s .- �_ ' "�'' `..� �Cl`'. � �� 1-" L•�. �'� . '. U��" . _'�.._�_I:•' -..11:�-r- �'.:,�_. �r �. � - - " - :�r�"S, ��- ' .. .'-j . _— I. . �-, ,_,'. - ; - -�'��_ - _ _ - � 1 ✓ / ,�/ . ' . � •v'� w�. �, , j/ `�., I � D�jBUQ(�� pUBUQVE . POLIC� � �. ; � , - / � _ � _ � �, �� - ; FtRE ,x� --, � ^ ouBuauE COUNTY * - 9YY " . . COMMUNICATIONS ,*. � � �;, � - '.�- 1• • 1 � . " ---�T- _ -��^` - . . \ -�� .�_�� =T�`:�`�_ '�_ " ,ii- _ �_- y� 2 I _� - �� - � - --� Promote a safe and health � ;�-�--��-�_ �_' � �� ° y � environment by assuring sanitary ��: :�- , _ conditions and practices � �� -�� _ . - . __ . " �� _ � � • Food Inspections _.� �_ � __ � • Swimming pool/spa inspections (29) • Tattoo inspections (15) _ ,� _ , • Hotels as needed � � �� '`,� ��--��' � � �`� ' � - _ _ � .� • Nuisance control -��=- -� � ��A� � � �� - � - - �' ��;'�" `��:�? �`".` � - � • Public Health Pre aredness and '��'! � � �'� ��'� � � � � � � � � '�s"'�{; ' _`. �'f �� t•_ � . ; � ; Res onse Plannin " . ��; ��► � ' ~ ,4`=" , p J �„ , = �. , , � �. __ _.�_:.- _ � � - - _ - . � ��'`-' � ` � . � . . � _ � . Page 1098 of 1207 _ � „---( — _ �„ ; I � � , �' i___ 4�:.:�- ��I"� ;_;.._.,.. - - Total Licensed Establishments - � �� i-�'F -- ' �- _ s2o � - - .�- �-�, � l�� 510 � � _ _ , - s�o � � . � 500 �y , :`� s- �ral� /�� y�.�t� 490 $s - � 484 �� - - ��.� -� 479 - � �; aso �' . _ a�o 45 �i �> 'i aso 54 455 � ` 45 450 440 FY18 FY19 FY20 FY21 FY22 FY23 FY24 FY25 Includes retail food, food service, home food, mobile food units, and unattended food markets. Page 1099 of 1207 FOOD LICENSE REVEN U E $149,946.34 $147,604 $144,355 $137 4 9' $136,670 � $122, 5 $107, 9 FY 2018 FY 2019 FY 2020 FY 2021 FY 2022 FY 2023 FY 2024 FY 2025 Page 1100 of 1207 �r \ ,`t I FOOD ESTABLISHMENTS .-. � -� COME � � � _ .F _ 42 �P EN 32 � � - 14 3 ,� New Change New Food Out of ,�,� . , .- � ; �;,� Ownership Truck Business 4��'! � - - :�„ �.,.� �� =�� ,�-_ ;n� "'��'�", Y� _; ' `y �� '�' � FY25 � :�, - _-_-_ - _ �,��;" _ �' _��-�- �`' � __� _ . �� =�"` :��' , i �4 - - - - .�� 42 " ., ,- 34 28 30 26 27 26 � , . �, , . . . +� , � . - . ► . `'�.��. FY19 FY20 FY21 FY22 FY23 FY24 FY25 � � � . , ; �,,,r _: - �� . � New Food Establishments = - --- - = � ,�� -=� ; � , . � ~`~',`,`t1' \ -� � ge'T101 of 1207 Restaurant inspection update : Moldy ravioli. dead rodents and a worm complaint BY: CLARK KAUFFMAN - APRIL 13,2026 4:20 PM Q Q O � Q a�� . � �� , � ,� � , � ` ' .•. . _� �" .` � ` �r `� �C . . - � � • 1 � � . �- ,.. .:� ' � t. � • • �� ..�� - �� i J � � ' . ,� �f---� �♦ � , . �`� . � �w . � - ; �ow�otrw�Th�..� o� � S . . INSPECT��N ' � _ _ - _� • � . - _ . �: cction Rapurt _� . �, � � �'' Food EstabMshm�ot Insn __�_— �� pw ++�� .� i«.�,.'""c^Y�.rnw�. T,,,�r u n�r � �� _ d r�w^"^a KR"�ai.. r°a�r. v�' �� r�o�t�n w -... �O�'�d „�p�.ypw,,,A Ai,V.ab re a pMM�W"n"""we�° • ` . . � ��"' . . � �e,�s1r�� a� no• ,u�w� •MW�►M N7H� ��17�0 N MO��A� �� y� �y CMp�►-� ��Tp CMM�M/F� �� [fl.T1M �� a�1� � . /�r IMW� brO� 11M~ ' � � c�^"� �rra utrw A�/�JG IIEALTM� �, -� � . . fy. ' zsez�•row s.Ma ��fAGTO11! ' , , � � 7� • wwNM M M�Mti��f0�1��R�� ` .a. 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Page 1105 of 1207 � • � � � • .�•�- � -u -;,. 19 �� ' � � .;�� ``� - �.�,� =� 20 , �:;_ 9ti �� .�;�� -�� - - � 17 �r�� „ �'` __ --_ — — —r — f' �� --- - � � 1�C��,� —� � GICU 202G3� � . ttc � .�-� ; , � � _ � 15 �� s.. - ..,�� , �i1 � '�QL . � -- �� . 12 �,�,�o� �� — <, ,.;, -` ,. 11 �-� =�`�--�� a � _ ' � I I � t _-�' .�� ,. �� '� � -- I � 10 � , .�, - � 8 8 ; , __ . �+ �� ,�� I�� - — ��„� �� , .. -- �: ��• ., � f e � ... � - ;; , . , -`.Y-. _ - -- _. �1� � � � - -� _. "`jr��:��;� �'y" �� r! 5 4 — , 4 . _ , �� ;- - �-,�-- � . - � 3 _ _ _ - _ �� , _ _�- �Y��: _ _ - _ _ _ . �-�. �. _ _ . _ _ . .:� � . _ , �;, -; _ :.�.., - 1 _ _ �.. � _� ��_��«-- .�� - -'_ = �� ,.,A._ _` � � -�--_'.•_ ,�:� --� .,,— — -- x -�-;� O O f'. ' `^ .-Z" � -2'�z*�'�'�t _- •I.�. Y-- �'� T�- C�" ' O � i I - ..Xe�.� �a�$•""r.. __r" - ,- - y � - _ `�'�` � . -. ' � _ y� �... _ �;�- _` _ � _. '�y�`�� - _ _ ' - �' � >. .E _ FY20 FY21 FY22 FY23 FY24 FY25 �� - s - �'- ur`` � _ '� .= 4.= y �: .� �- � �r� �. ��-�.-�-�,� � �Y� r � �..'�` -� . �.� '�7 .�.� �`�' '_ �� _ 7'_-:.��'_.. . .� �_�rt�f'' .•�_�'_�:.�e53�b�CR�ty��:��._S.�f'r�'� Citations � Hired Contractor Page 1106 of 1207 � � � � � , � � Extreme Temperature Plan � � � ' , ' . , . Assisting Partners • Dubuque Rescue Mission 24/7 � � x;�' �t, ., • Carnegie-Stout Public Library Mon-Sat • �� ` � , `��, isi • Multicultural Family Center Mon-Sat , , . . : , o • Intermodal Transportation Center Mon-Sat ��'` _ '/�;,�`('r'.1�p/,�( 3 �o � � , ��: :"""�`�"� O � _ I 1 1 � 1 I • Bunker Hill Varies by Time of Year - � � � � �� c�� • � . . , • PetCo (Animal Friendly) Daily - �� . w.rauiu� �.�. 61 • Pet Smart (Animal Friendly) Daily � � � � ' ' ' �o � � � • Im On Ice Arena Daily except holidays _ ' � ,'��y •i i v • Kennedy Mall Daily except holidays �°r �� . , � > ��/� �_ � ' \�"�� **All are daytime/evening hours only except �� , Rescue Mission** ` ' ' ' ` 1 � � L)ti � � i s2 � � ,. \ �L Page 1107 of 1207 • • • � • ' ' � � • Number of Days 6/21/2025 7/28/2025 8/15/2025 12/13/2025 1/19/2026 1/21/2026 - Page 1108 of 1207 Animal Related Complaints 1381 1273 1278 1274 1232 761 647 543 581 482 440 FY20 FY21 FY22 FY23 FY24 FY25 �Animal Control � Police Page 1109 of 1207 Number of Animals Taken to the Dubuque Regional Humane Society � .� � � .� � I - _. . �,: � . - - . 1200 832 820 = 666 � , � i 1000 559 _ � J soo _� , � . , , soo , ,, - _ � �� 400 _ 434 423 � � 382 - ,y" 318 _ r � 200 0 FY22 FY23 FY24 FY25 --, . , , _� . - ...� . �Animal Control � Police Public � -� ' � � Page 1110 of 1207 Pet Reclaim Rates from impounded animals at DRHS � � 1400 1280 1254 � � 1183 \ 12�� 1031 � � _� _ * 'r` r� ��1'� �R�a'►. �� , ,� � j , <'. j � .. , 1. �� 600 � _ - /'�' r . , , �,. . "�- � .�"� � , � 400 �� ` ;� � 240 � � � . # 200 2�2 �75 165 i � i / , ■ � � � o FY22 FY2 FY24 FY2 ; 3 5 . j � Intakes � Owner Reclaims �;•, � - - � , : Page 1111 of 1207 NUMBER OF PET LICENSES PURCHASED 12,000 11 ,800 11 ,736 ��,\\ � 11 ,600 J - 11 ,515 � , �� - I'� � �::' __� 11 ,400 - - � � � �. 11 ,30� � � . 11 ,200 � �`'��'4�'�� 1 � � --;�+�I�,�v� 11 000 � �`.w.'�J'=�-,. ' _� �'f0,858 �'�� ;�.:, �� , ► • - �� - ` 10,848 . , �. ,, -� 10,800 � _�,_� t = -- -?_-� - _'_ __ - ' 10,721 ' �''� „_....,�.i;i�i� � _� y ` �'�' 4/ �l _� ' � .li �� z ;� ' � ., _ . . , ' ' �� . . �� 10,600 � �� _ � - � 10,439�� 10,400 10,200 FY19 FY20 FY21 FY22 FY23 FY24 FY25 Page 1112 of 1207 PET LICENSE REVEN U E �� I'm cute. $z7o,000 - — ��K� IT _ �- OFFICI��. v $260,000 �, _ $256,226 �_� . . �.IC�NS� MIA�1 $250,000 �t� - � _ . $241,313 $240,000 �� $235,189 -;; ,� � 30,141 $230,000 ' -- , - , `\`��$220,527 $220,000 1 �i � $210,000 � - -� $200,000 _� = �� $190,000 $188�99 $180,000 $174,554 , `� �� $170,000 2019 2020 2021 2022 2023 2024 2025 � Reve n u e Page 1113 of 1207 -- � ANIMAL BITE TREND , ._ _ _ _ , , _ � _ _ _ _ _ � .�� , - -- = _-�__.. _ _ � ; , �;= , :-�_._�_- .�� _..�:-=� _- _ � ----_ �� _-=- - � ' � ''r 218 j_ ' ` _' _ � � � � � �` _� �... �" / 200 195 196 192 18 77 FY19 FY20 FY21 FY22 FY23 FY24 FY25 t Tota I B ites Page 1114 of 1207 Municipal infractions issued 61 60 56 50 45 39 FY20 FY21 FY22 FY23 FY24 FY25 This excludes bulk license Mls Page 1115 of 1207 Urban Deer Management Program DEER HARVESTED 150 - .� - 125 120 5 121 � 105 104 ��` ~ �• 100 95 92 �, - ' ` �, � � � 82 �' t _ �.�f:�� .:,�: � ;:i� 75 _ �'' � �� - - ` � .:{:. _ �_5r ' _ • ` � � '-�_��? 5� �� .`�-. ;�- r �;-=�:�- � � :� : 2s 1 . � �• • _ � .` - . 25 �g 20 16 �� 17 18 10 � � � 0 18-19 (98) 19-20 (106) 20-21 (124) 21-22 (119) 22-23 (130) 23-24 (145) 24-25 (139) 25-26 (127) � Doe Buck Page 1116 of 1207 Year � � � � 5�'° � I J m � � • • • � > 4°/o v w � a� � w c 0 U 3% � L � .� C N � s Z o;.o U � c a� u � a� a Blue= Dubuque l�,o Orange= lowa o�io � ,� N c'�l d lIl �D I� 00 Q� � .i N M � lfl �D I� QO Q� � ,1 N '- G O C � O O O � O O .� +1 .1 .i .1 .� +1 .--� .i .1 N N N ^. 0 0 0 0 0 0 0 0 0 o c o c o c o 0 0 0 0 0 0 0 ; Page 1117 of 1207 N N N N N N N N N N N N N N N N N N N N N N N ^. Res i rator Disease Wastewater Mon itori n p Y � SARS-CoV-2 Levels (Normalized) Influenza A Levels (Normalized) 0.004- 4e-04- •� cv � �L c� � G � 0.003- � o � 3e-04- li � o � �- o � � N � � 0.002- � 2e-04- `o 0 Z Z N Q � � O N � 0.001 - � 1 e-04- Q � c � — 0.000- ' ■ �■ ' ' ' ' � � I Oe+00- ' ' ' ' � � � � � � Oct Jan E Oct Jan Apr Date Collected Date Collected Page 1118 of 1207 Unique Patients Seen Running Total YOY �a,000 - - 11,678 12,120 12,624 12,000 - �1•1'� 10 993 �0�481 10,599 ' 9.811 10,175 9.533 10,000 — �•� --- g,809 8 755 9,193 &�i 8,121 7,95g 8'�� 7�5 7,520 , 13 �� 6.822 ,133 6.1�' 5 , 25 6'686 ,� �� , - 3,750 , q,ppp 3,117 � 12 2,133 - - ' ' • 2,ppp 2, 1an Feb Mar Apr May J� Jul Aug Sept Oct Nov Dec Patierrts Seen 2025 YTD �Patients Seen 2024 YTD Patients Seen 2023 YTD -..- • . � Addressing Community Needs __ ,,,,, M � _ _ _ _ o _ , ��. « , ��,, � � �, � < ,�"�' _ �' � '� .�_ _. , I� . � . � � I �, .: - - -_ . ., „ � -� i,== � ❑ � � I - � , � i � - i , - —�_ � - - — � __- 11 i j i � � �� I DENTAL in 2025 � �. total patients : 8069 • Crescent Communit . . . y total pat�ent v�s�ts : 22,021 r--� ,��,L � � ,�,�,� r �,F� Page 1120 of 1207 � . � � � Health Administration • Community Health Assessment and Health Improvement Plan " • Outreach and Engagement - � • Citizen Serve Permitting and Inspection software Animal Control • Pet education event • Rabies vaccination vouchers • Pet licensing promotional mailing • Dale Carnegie • Safety accessories Environmental Sanitarians • National Environmental Health Association Annual Education Conference -Kansas City, MO • Dale Carnegie Public Health Emergency Preparedness r • NACCHO Preparedness Summit • International Association of Emergency Managers Conference Page 1121 of 1207 � ' qS " S - �S - s . , �� .. ca��:i��r � . f�'�"'�� "r �`EMERGENCY '� � � �MAHAGEMENT ' ' �� ' � - � � DUBUQUE COUNTY � . . �e��, M a n a�,e � y�g �°7 � Unit�i oint Health = �, .�.�::.,..: � . Visitin Nurse Association t'I� ' � � � ��;r�� g �.�1,�t-�� . , �� ' ' � ' O , . . � . , �� ' ��I Public Health � � , � � , � � �, ao � � Dubuque County �� , , , „ 1N • � � s `'" �' - �} �,;� , � r� .'�'� . , � T _ ,�,,��'� ��- `�a'�', � ..�� j � ' . I ' - � .;� i , � •� ' y 4 ;t �, i ,� _ :.-.. � �_ ~ � , . �•. ,�„�,r , r��`•�, � . � �,, --�'� �� :.��! , ,, _ �� /� - _s� �1 R « ` ;�� r . '--� ",,. � � .. ` w .a .� /� � �� ,� ' � .;'' '�, ! P 7 � _ � ,' � -.a'' -� � ��+,�, � � '? - �. r. ' • � � � ��' -� '~ �,� - ,�q�" 4`� ��'r" . . �` _ / I� _ t� /� � �„ �� ' a _ �' ��,� � / � �_ ,; �� ' '� i � - �, . � , � � i'� _-- — , � �'` � � _ � � � :� � � _ �� ` - �, - _ � �� _-� � � � , ,• ;�. ; � � ,' �'. �; � � ��`� �_,u ` — � �. , . � _ � : � _ - , � �.� , �`- �- �- �� _ - r- _ � ;� ,'r` , ��-�.��_ _ =� ��:_-- -- � � � ��= � ^ ,.\ �, . .�� ; •�' �_-� � ,1 , -�— - � — `�� _.�:�'� � ��..-----� � � .� ': ----�� .�---� ,�� `� \ � ��"� - �_� �� „/ _ � _ . � " - �,��_ ', `�. 1• ��._..- �..__�\J ��.< \`:'-- , � „ .� ! Page 1123 of 1207