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COVID-19 UpdateCopyrighted May 4, 2020 City of Dubuque Presentation(s) # 1. ITEM TITLE: COVID-19 Update SUMMARY: Dubuque City/ County Emergency Management Coordinator Tom Berger will provide an update on COVI D- 19 preparation and response activities. SUGGESTED DISPOSITION: 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: May 4, 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.  16 new cases were added to Dubuque County’s total today. As of May 4, Dubuque Co has 152 + COVID-19 cases. 2 in the 0-17 age group, 49 in the 18- 40 age group, 61 in the 41-60 age group, (the largest group affected in Dubuque co and in Iowa) 33 in the 61-80 age group and 7 that are over 80. This is 55 more cases than was reported to you on April 29, 2020. To date, we have a total of 5 deaths in Dubuque county, 4 of which are in older adult category, aged 61- 80 years old. Currently, Dubuque county has 16 COVID-19 patients who are hospitalized. Also, 1559 people have been tested in Dubuque co- with 1407 negative results. 9.7% of the cases tested have been positive. 25 people or about 16% of Dubuque county positive cases have recovered to date.  The state added 534 positive cases today for a total of 9703. Last Wednesday, th on April 29, the state had 6843 positive cases. The majority of new cases continue to be from the 22 counties where the Governor’s restrictions are still in place. A total of 188 Iowans have died. In all there have been 57,161 tests administered in Iowa. Currently, 389 cases are hospitalized. 3486 or (36%) of Iowans have recovered.  Friday, Gov. Reynolds explained that we would be seeing larger numbers of positive COVID-19 cases being reported over the weekend. This is a result of the additional testing in the state through the testiowa initiative and strike teams deployed to long term care facilities and work sites around the state. As the testing numbers ramp up, the State Hygienic Lab is completing their testing validation on the new methodology used for testiowa this weekend. This means that test results will then become available at a faster, more timely rate than they were this week. So as this process is completed and the data reported catch up this weekend, we will see even higher positive results reported – this will most likely also be true for Dubuque County numbers. The Dubuque County Public Health Incident Management Team is currently planning for more testing locally in Dubuque county. Community Test site overview: Last week the Dubuque County Public Health  Incident Management Team requested a strike team for testing workers at all the long term care facilities in Dubuque County through the Iowa Department of Public Health and the Governor’s office. We, along with the city council and board of supervisors, also requested a community test site utilizing the testiowa initiative. Even though we have made multiple requests for a TestIowa site and state strike team testing in Dubuque, the State of Iowa was unable to grant those requests at this time. Local officials will continue to work with state officials to pursue community testing for Dubuque County. However, due to the data, epidemiological profile and contact tracing results here in Dubuque County, the IDPH is providing test kits and some assistance to conduct targeted COVID-19 testing this week for long-term care facilities and individuals identified through contract tracing as having possible exposure to positive COVID-19 patients in Dubuque County. The testing will occur at the planned community test site, which is the Grand River Center parking garage, with an additional site available if necessary. Approximately 1,000 Dubuque County residents are expected to be tested through this targeted testing program from Wednesday through Friday this week at several locations. This targeted testing will include staff from long-term care facilities in Dubuque County and Dubuque County residents already identified through contact tracing related to confirmed COVID-19 cases. All testing will be virology testing. No serology testing will be offered at this time. Individuals will be contacted by the Dubuque Visiting Nurses Association and appointments will be scheduled for them to be tested. Test kits will be provided by the IDPH and testing will be conducted by staff from local healthcare providers. There will be no testing cost for residents. Dubuque County will cover the staffing and location costs associated with the testing. The targeted testing planned for this week will be conducted under the direction of the Iowa Department of Public Health and is NOT open to the public. We would like to provide more broad community testing at this time, but feel the targeted testing will provide valuable results in helping to slow the spread of COVID-19 in our community. More Dubuque County residents completing the testiowa assessment will demonstrate the need to the need to the Governor’s office. Therefore, we encourage residents to continue to take the on-line testiowa assessment. Long Term Care status and planning: As stated earlier, all the long term care  facilities are offered testing for their staffs this week. Most are conducting the testing at their facilities. Housing needs, and special isolation needs, along with other human service  needs are being handled by the Human Resources section of our incident management team, and are managed by Human Rights Director Kelley Larson and Housing and Community Development Director, Alexis Steger. Temporary housing is available for individuals not able to secure appropriate isolation in their own residences. Food continues to be provides to a variety of individuals via delivery and also through distribution by community based organizations. PPE requests, donations, sourcing products – Tom Berger, EMA, assesses local  needs and uses local needs to meet those requests or puts requests into the state EOC. What you can do now Continue to stay home as much as possible. Dubuque County has not yet  peaked in the number of COVID-19 cases. Encourage citizens to take the testiowa assessment  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. Follow the 3 C’s and emphasize handwashing  Continue to seek and utilize factual information from the city of Dubuque, IDPH  and CDC websites and postings.