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COVID-19 Update(s) Copyrighted April 29, 2020 City of Dubuque Presentation(s) # 1. ITEM TITLE: COVID-19 Update SUMMARY: • Mary Rose Corrigan, Public Health Specialist for the City of Dubuque • Kristen Dietzel,Vice President of Workforce Solutions for the Greater Dubuque Development Corporation • Mayor Roy D. Buol SUGGESTED DISPOSITION: ATTACHMENTS: Description Type GDDC COVID-19 Presentation Supporting Documentation 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 TO: Mike Van Milligen, City Manager FROM: Mary Rose Corrigan, Public Health Specialist SUBJECT: COVID-19 update DATE: April 29, 2020 CURRENT INFORMATION  The Dubuque County Public Health Incident Management team consisting of City of Dubuque Health Services Department (Mary Rose Corrigan) Dubuque County Health Department, (Patrice Lambert) VNA (Stacey Killian) and the Dubuque County Emergency Management Agency (Tom Berger), along with both hospitals continue in full activation. We are coordinating our response efforts in conjunction with the Iowa Department of Public Health (IDPH) and with guidance from CDC via weekly webinars and direct contact with our regional epidemiologist.  48 new cases and 2 additional deaths were added to Dubuque County’s total since last week’s report on April 22. Dubuque County now has 97 COVID-19 cases and a total of 3 deaths. 1 in the 0-17 age group, 31 in the 18-40 age group, 42 in the 41-60 age group, (the largest group affected in Dubuque Co and in Iowa) 21 in the 61-80 age group, and 2 that are over age 80. All 3 Dubuque County deaths were older adults. Also, 1170 people have been tested in Dubuque County- with 1073 negative results. 18 people or 18% of Dubuque county positive cases have recovered. The state added 3095 positive cases over this past week and 467 today for a total of 6843. I am sorry to report 50 additional deaths have been reported since April 22, for a total of 148 statewide deaths. 93% of today’s positive cases tested today are from the 22 counties excluded from the Governor’s closures that st begin May 1. In all, there are 34,494 negative tests and 323 cases are currently hospitalized, and this number has been increasing. 35% of Iowans have recovered.  RMCC / Region medical coordination center or RMCC 6- where Dubuque Co is located, was lowered to a score of 9/12. In addition to the 3 meat processing facilities in Iowa, 23 long term care facilities, including one in Dubuque, and 7 in Region 6, have experienced outbreaks causing a significant increase in the number of positive tests. Regions continue to be ready for a possible surge in hospitalizations from the increased cases.  Joint Information System is lead by PIO Randy Gehl. The JIS has coordinated responses to requests from the TH and other news media and provided daily COVID-19 specific media/news releases 6 days per week. I am giving regular updates at every city council meeting, and on other days, Facebook Live updates  The guidance from our incident management team and from the IDPH and CDC will continue to change, based on new cases, the number of cases, and the ongoing epidemiological data and investigations in Iowa and the U.S. changes/new guidelines. Recent changes include: CDC guidance for symptoms, IDPH food establishment, Farmer’s Market, business, etc. Community Test site overview - walk through and final preparations were  completed. Test site is ready to launch within a 72- hour time frame, if not sooner. Also planning for targeted testing based on our local epidemiological data and findings– those high risk that we know have a known exposure with a positive case. This will increase the testing locally. Long Term Care status and planning: MercyOne and Unity Point Finley hospitals  facilitate the long -term care section of our public health response- Mary Rose Corrigan is the liaison for this group to the Public Health Incident Management Team. Testing has been arranged for the long- term care facility experiencing the outbreak TestIowa- TestIowa sites have been set up in Des Moines, Waterloo and soon at  Sioux City, and Scott County. The goal is to dramatically increase the rate of COVID-19 testing so Iowans can have better access to testing and help stem the spread of COVID-19. TestIowa sites are determined by assessments completed online by citizens along with other outbreak and case counts in local areas.  Governor Kim Reynolds guidance and information: Latest proclamation on April 28, 2020. Crenna Brumwell has provided a summary of the effects for Dubuque County, most of which take effect May 15, 2020. The Homeless Isolation Shelter is increasing its capacity in preparation for more  residents based on the recent increase in COVID-19 cases. PPE– Tom Berger, EMA, continues to monitor and meet local needs. He is  receiving state stockpiles weekly. What you can do now Continue to stay home as much as possible  Limit trips to grocery stores and for other necessities – for example, once a week  at the most Utilize curbside pick-up, carryout and delivery  Practice social distancing  Strictly follow self-isolation practices. If you are not sure whether you’ve been  exposed, start self-isolating anyway. Continue to seek and utilize factual information from the city of Dubuque, IDPH  and CDC websites and postings. Greater Dubuque DEVELOPMENT CORP. Covid- 19 Update Apri 29th, 2020 • COVID- 19 Update Kristin Dietzel, Vice President of Workforce Solutions, COVID- 19 Project Lead COVID-19 Business Helpline (563-588-3350) • Launched Varch 24 • Partnership with Northeast Iowa Community Collece, Small 3usiness Development Center, and ECIA Business Growth • Two press releases issued; also shared by partners (Chamber, Vain Street, etc) and promoted on radio, print ads, and social media • 17 counselors and Helpline staff available based on employer needs • Topics include: • PPP, EIDL assistance • State IEDA Relief assistance • Covid-19 workplace safety • Families First Coronavirus Response Act • Unemployment Insurance • Dubuque Initiatives Bridge Loan • 971 business calls made by Dan, Rob, and 3i11 to build awareness • 508 Helpline calls taken (not includinc call backs or follow up with clients) • Greater Dubuque staff handled 90 of these IEDA Small Business Relief Grants • Launched in Varch with a closure date of Varch 31 • Offers small businesses of 2-25 employees Grants ranging from $5,000-$25,000 • $ 24m. was appropriated and disbursed from April 7-10 • Additional funding through the federal CARES Act is assistinc IEDA in making new awards from the existinc slate of applicants—so far $24.5m. awarded • Dubuque County has received 87 awards totaling $ 1 ,678,423 Dubuque Initiatives Bridge Loan • 28 bridce loans funded J • 13 in progress (as of 4/24 5pm); • 106 inquiries to Helpline and 69 referred on to ECIA for processinc • Following up with sole proprietors for new eligibility Dubuque County Unemployment Claims 3/7/202 3/14/202 3/21/202 3/28/202 4/4/202 4/11/202 4/18/202 Total 0 0 0 0 0 0 0 Iowa 2,221 2,229 40,952 55,966 67,334 46,356 27,912 242,970 Dubuque 87 97 1 ,273 1 ,910 2,718 1 ,912 1 ,028 9,025 Estimated % increase in 4.10% 2.60% 3.18% 4.50% 3.19% 1 .70% 19.27% unemploym ent Data is initial claims for unemployment • Top Sectors Experiencinc lay-offs or furloughs: • Health Care and Social Assistance: 1 ,506 • Accommodation and Food Services: 1 ,378 • Industry Not Available: 1 ,135 • Retail Trade: 1 ,067 • Manufacturing: 941 Safe at Work • Framework and support model for employers wishinc to implement guidance from Iowa Department of Public Health anc CDC regarding COVI D-19 best practices • Utilizes the COVID-19 Business Helpline as the point of contact, with subject matter experts available depending on the topic (HR, layout, health, etc.) • Seekinc endorsement by the Dubuque County Incident Vanacement Team (VNA, Emercency Vanacement Services, City Public Health, County Public Health) • Will be distributec and implemented throuch the Helpline and promoted by economic development partners • Wednescay 4/29 work session with joint meetinc of Board of Supervisors anc Board of Health • Once endorsements are finalizec, will make a public announcement and train Helpline staff Economic Development Collaborative Calls • Hoc weekly calls with invitations to 24 economic cevelopment partners to • Discuss top news and issues of the week, • Identify caps in services • sec uce du of ication • Ensure a continuum of services 4/28/2020 3:12 PM PROCLAMATION WHEREAS, one of the greatest responsibilities of any elected official is the protection of the electorate served and the protection of the greater public health and safety; and WHEREAS, COVID-19 poses a serious and potentially deadly threat to the public and the public health as the Federal Center for Disease Control (“CDC”) has noted that serious illness occurs in 16% of cases with older people and people of all ages with severe chronic medical conditions, such as heart disease, lung disease and diabetes or those who are immunocompromised, seeming to be at a higher risk of developing serious COVID-19 illness and noting that the World Health Organization has determined COVID-19 to be a pandemic; and WHEREAS, the Iowa Department of Public Health (“IDPH”) has issued recommendations for behavior modification to flatten the curve of COVID-19; and WHEREAS, a high rate of infection has been shown to overwhelm medical systems throughout the world and numerous governmental entities and epidemiologists have stated that community spread in the United States poses the same risk of overwhelming American medical systems; and WHEREAS, the Governor has issued numerous State of Public Health Disaster Emergency orders; and WHEREAS, in order to flatten the curve of COVID-19 in the City of Dubuque it is necessary to maintain and extend several mitigation measures; and WHEREAS, Iowa Code Section 372.14(2) and the City of Dubuque Code of Ordinances 7-3-1 grant the Mayor powers in circumstances when public danger or emergency exists to take extraordinary steps to protect the public health and safety. NOW, THEREFORE, IN CONSIDERATION OF THE FOREGOING AND OTHER VALID EMERGENT CONCERNS, I, ROY D. BUOL, MAYOR OF THE CITY OF DUBUQUE, PROCLAIM THE FOLLOWING: I hereby determine that a state of emergency or public danger exists and direct that mass gatherings of more than 10 people on public property or public right-of-way are hereby prohibited subject to exclusions director by the Governor’s Emergency Disaster Proclamations. Any permits or permissions previously granted are hereby rescinded and any amounts paid for such permits shall be refunded upon request. I further determine and direct the Police Chief to enforce such direction to avoid any such gatherings on public property and public right-of-way, whether formally or informally organized. I further strongly suggest all citizens comply with the mandated closures and recommendations issued by Governor Kim Reynolds. 4/28/2020 3:12 PM I hereby close the Multicultural Family Center for public use through at least May 15, 2020. I hereby authorize City Boards and Commissions to make accommodations allowing for remote attendance and participation at regularly scheduled meetings by board and commission members and the public. I hereby suspend any requirements within the City of Dubuque Code of Ordinances which mandate the requirement for physical meeting locations and physical notifications or mailings and authorize electronic and virtual meetings and electronic notifications; this includes but is not limited to notices required by Title 16 of the city code. I hereby issue a moratorium on the issuance of special event permits and solicitor’s licenses through at least May 15, 2020. I hereby extend the closure of the following City buildings to public access through at least May 15, 2020: • City Hall • City Hall Annex • Leisure Services Department Office at Bunker Hill • Housing & Community Development Department at the Historic Federal Building • The Municipal Services Center on Kerper Court • Multicultural Family Center City staff in these buildings, or working remotely, shall work to provide services to the public electronically, by phone, by mail, and when possible, by appointment as well as access to information and the ability to participate in meetings by alternative means. I hereby determine and direct the City Manager to evaluate the ongoing operations of the city organization and adjust operations, accordingly, including the authority to further restrict access to facilities. Per City of Dubuque Code of Ordinances section 7-3-1 , the public is advised that the violation of a mayoral proclamation of emergency or of any subsidiary proclamation thereto evidencing the exercise of emergency powers or of any rule or order issued pursuant thereto by the mayor or city manager of any order issued pursuant thereto by any peace officer or of any directive issued by designated emergency management or emergency services personnel pursuant thereto shall constitute a violation of that section and shall bel be punishable as a misdemeanor as provided by Title 1, Chapter 4 of the city code. If any provision of this proclamation conflicts with a Proclamation of Emergency Disaster issued by Governor Kim Reynolds the proclamation issued by the Governor shall take precedence. This Proclamation of emergency and public danger is part of an ongoing response of the City of Dubuque to an ever-changing situation to protect public health and safety. 4/28/2020 3:12 PM This proclamation may be modified or superseded with more restrictive proclamations at any time as circumstances warrant. Please be aware these decisions have been made based upon the information available today. You can find the most recent information about the City’s response to COVID-19 at www.cityofdubuque.org. PROCLAIMED THIS DAY OF APRIL 2020 BY THE AUTHORITY VESTED IN ME BY THE CODE OF IOWA AND THE CITY OF DUBUQUE CODE OF ORDINANCES. ROY D. BUOL MAYOR CITY OF DUBUQUE April 29, 2020 The Honorable Kim Reynolds Governor of Iowa 1007 E Grand Ave Des Moines, IA 50319 Re: Testing Site for Dubuque County Dear Governor Reynolds: Thank you for your leadership and commitment to the residents of Iowa during these challenging times. Iowa’s response to and recovery from the COVID-19 pandemic will require all Iowans to do their part and will require local and State governments and agencies to collaborate at ever higher levels. We are writing today to assure you of Dubuque’s partnership in these efforts and to respectfully ask for your consideration of a request. As Dubuque County is one of the twenty- two (22) counties where restrictions remain in place through at least May 15, we are interested in exploring a partnership with the State to bring broader testing to this area. We are aware that a “TestIowa” site is planned for Waterloo on April 29 and an additional site is planned for Woodbury County this weekend or early next week to increase testing and contact tracing. Dubuque County has submitted two strike team requests to IDPH and your office since Sunday, April 26: one for special populations and one for a long -term care facility. In addition, we have a plan in place for a community test site, developed in partnership with our local healthcare providers. We believe these two factors, combined with Dubuque County’s recent increase in positive cases, indicate our community is ready and deserving to host a “TestIowa” site. The plans and information already developed by local public health officials could easily be used by a State team to increase and provide timely testing in our area and provide additional data for Statewide decision making. As you know, Dubuque County’s unique location positions the City of Dubuque as a regional employment center and healthcare hub. Due to this, the area attracts residents from the tri- states and from multiple surrounding NE Iowa counties who travel into Dubuque County daily. Increased testing can curb the increase of cases we are seeing within the county and reduce the potential for increases to occur in abutting counties – all of which are currently part of the seventy-seven (77) where some restrictions will be lifted on May 1, 2020. We are particularly encouraged by the data collection you have initiated with “TestIowa.” Data-driven decision making is critical and allows for a targeted and appropriate response to changes in conditions in specific locations. In Dubuque and Dubuque County we are actively encouraging our residents to participate in the “TestIowa” assessment process and promoting the initiative through our partners in the public health incident management team’s Joint Information Center and other channels. Again, thank you for your leadership. We are proud of our history of partnering with your office and all State agencies. We trust we will soon partner with you on the “TestIowa” initiative. Be Safe and Well, Roy D. Buol Mayor, City of Dubuque David J. Baker Chair, Dubuque County Board of Supervisors