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COVID-19 UpdateCopyrighted June 15, 2020 City of Dubuque Presentation(s) # 1. ITEM TITLE: COVID-19 Update SUMMARY: Mary Rose Corrigan, Public Health Specialist for the City of Dubuque, will provide an update on the COVI D-19 pandemic and response activities. SUGGESTED DISPOSITION: TO: Mike Van Milligen, City Manager FROM: Mary Rose Corrigan, Public Health Specialist SUBJECT: COVID-19 update DATE: June 15, 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), the Governor’s Office, and with guidance from CDC via weekly webinars and direct contact with our regional epidemiologist. • 20 new cases were added to Dubuque County’s total since I last gave a report to the City Council on June 8, 2020. As of June 15, 2020, Dubuque County has 387 positive COVID-19 cases. To date, we have a total of 22 deaths in Dubuque County. Currently, Dubuque County has 3 COVID-19 patients who are hospitalized. Also, 6840 people have been tested in Dubuque County with 6452 negative results. 6% of the cases tested have been positive. 229 people or about 59% of Dubuque County positive cases have recovered to date. • The State has 24,053 cases, up 2066 from 21,987 positive cases on June 8, 2020. About 11% of individuals tested statewide are positive. Cases continue to be from meat processing, worksite and long- term care facilities identified by state strike team testing due to outbreaks. A total of 657 Iowans have died due to COVID-19 illness. In all there have been 227,759 tests administered in Iowa. The 18-40 year old age group has the most number of cases with 44%, followed 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 by the 41-60 year old group with 34%. Those who are >80 years old have 47% of all Iowa COVID-19 deaths followed by the 61-80 year old group with 41%. Currently, 197 cases are hospitalized. 14,662 or 60% of Iowans have recovered. • Community Testing: Last week, the Board of Supervisors requested Interim Board Executive Director, Ed Raber, follow up with the Governor’s office staff regarding a TestIowa clinic in Dubuque. The TestIowa clinic model was discussed with local healthcare providers with the Governor’s office last week. The Governor is expected to announce the clinic site for Dubuque this week. The Public Health Incident Management Team continues to request viral test kits from the IDPH for targeted testing, focusing on individuals identified through public health contact tracing along with the latest request focusing on childcare staff and vulnerable populations. A total of 1078 individuals have been tested via public health, primarily at the VNA. Those included testing for essential workers and volunteers, high risk and vulnerable and at-risk populations. In addition, 1670 individuals that were tested the first week in May, primarily long- term care staff and contact tracing individuals. Additional long- term care testing was completed at one facility for 254 staff and residents with assistance from VNA. Currently, of Iowa’s 99 counties, Dubuque County has the 4th highest number of people tested, among counties with cities over 50,000 population, (9th among all Iowa counties), the 7th highest number of positive cases /100,000 per capita rate among the counties with populations over 50,000 and the 16th highest number of county cases in the state. • Contact tracing: since VNA has turned contact tracing over to the IDPH, VNA staff has been able to provide strategic public health services specifically for Dubuque County, including provide support to long term care facilities, worksites and facilities with positive cases, and targeted testing. • Long Term Care facility status: Dubuque County continues to experience one long term care facility outbreak. Testing of staff occurred at another facility with a positive staff member. VNA provides guidance to these sites daily. Long term care facilities are considering the new CMS and IDPH phased guidelines for resuming pre- COVID-19 operations. The phases have specific time frames for no new cases and will take considerable time to work through. • City staff continues to work with Dubuque County staff on an agreement for cost sharing and management of the shelter in order to allow county residents to utilize the housing isolation facility. • PIO Randy Gehl continues to coordinate responses to COVID inquiries from the media and provides daily COVID-19 specific media/news releases 7 days per week and sometimes more frequently, depending on what is happening. Looking ahead • Continue to work with county groups, organizations, schools, facilities, (including swimming pools) and businesses on planning for events and openings. • Conduct food inspections and assist food establishments in meeting recommended COVID-19 public health measurers. • Public swimming pool inspections will begin by staff since pools will be opening • Even though most restrictions have been lifted, the Governor’s proclamations still require physical distancing for groups, events, retail and other businesses, along with public health measures in place to reduce the spread of COVID-19. The reason to continue all these measures is because the pandemic continues, both in the US and around the world. In addition, research continues on vaccine development, transmissibility of the virus, mask use, risk factors and many other areas for which we are lacking definitive answers and information. So the guidance from local, state and national experts may change as time goes on. What you can do now • Continue to stay home as much as possible and practice physical and social distancing. • 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, carry-out and delivery for food and other purchases • Consider your own personal risk factors before venturing to retail stores and places of business or for personal or recreational services. Risks to consider include age, underlying and/or chronic health conditions – especially respiratory and cardiac conditions, diabetes and if you smoke, are obese or live with someone who has any of these risk factors. • Strictly follow self-isolation practices. If you are not sure whether you have been exposed, start self-isolating anyway. • Follow the 3 C’s - (clean, cover, contain) and emphasize handwashing- which is ideal. When handwashing is not available, use hand sanitizer. • Encourage citizens to continue to seek and utilize factual information from the city of Dubuque, IDPH and CDC websites and postings, being mindful that this is an ever changing and emerging pandemic. • Do research before traveling- so you are totally prepared for other communities’ risk, and potential illness. • For community groups, plan ahead for events and cancellations.