The URL can be used to link to this page

White House Coronavirus Task Force Report Copyrighted September 8, 2020 City of Dubuque Action Items #4. City Council Meeting ITEM TITLE: White House Coronavirus Task Force Report SUM MARY: City Manager providing a copy of the White House Coronavirus Task Force's Report for the State of I owa as of August 30, 2020. SUGGESTED Suggested Disposition: Receive and File DISPOSITION: ATTACHMENTS: Description Type Yellow Zone Designation by W hite House Coronavirus City Manager Memo Task Force-MVM Memo Yellow Zone Designation by W hite House Coronavirus Staff Memo Task Force- Staff Memo and Report Dubuque THE CITY OF � ui-Aseria cih DuB E , . � . , � II � Maste iece on tj2e Mississi i zoo�•zoiz•zois YP pp zoi�*zoi9 TO: The Honorable Mayor and City Council Members FROM: Michael C. Van Milligen, City Manager SUBJECT: Yellow Zone Designation by White House Coronavirus Task Force DATE: September 3, 2020 Public Information Officer Randy Gehl is transmitting information that advises that Dubuque and Dubuque County were designated as "yellow zones" for COVID-19 spread in an August 30, 2020 report from the White House Coronavirus Task Force. Dubuque and Dubuque County were previously designated as red zones in the task force's July 26, 2020 report. � � Mic ael C. Van Milligen MCVM:jh Attachment cc: Crenna Brumwell, City Attorney Teri Goodmann, Assistant City Manager Cori Burbach, Assistant City Manager Randy Gehl, Public Information Officer aubuque THE CITY OF � DUB E A��.�e�� II � 2097•2012•2013 Masterpiece on the Mississippi zon*zois TO: Michael C. Van Milligen, City Manager FROM: Randy Gehl, Public Information Officer SUBJECT: Yellow Zone Designation by White House Coronavirus Task Force DATE: Sept. 3, 2020 INTRODUCTION The purpose of this memorandum is to advise you that Dubuque and Dubuque County were designated as "yellow zones" for COVID-19 spread in an Aug. 30, 2020, report from the White House Coronavirus Task Force. Dubuque and Dubuque County were previously designated as red zones in the task force's July 26, 2020, report. BACKGROUND According to media reports, the task force's weekly reports are shared with the nation's governors. The Dubuque County Public Health Incident Management Team became aware of the reports through media reports. According to the task force report, the two zones are defined as follows: Red Zone: Those core-based statistical areas (CBSAs) and counties that during the last week reported both new cases above 100 per 100,000 population, and lab test positivity result above 10%. Yellow Zone: Those CBSAs and counties that during the last week reported both new cases between 10-100 per 100,000 population, and a lab test positivity result between 5-10%, or one of those two conditions and one condition qualifying as being in the Red Zone. The state of lowa is identified as a red zone for cases, indicating more than 100 new cases per 100,000 population for the week of Aug. 22-28, with the highest rate in the country. lowa is also in the red zone for test positivity, indicating a rate above 10%, with the fifth highest rate in the country. Ten lowa metros and 28 counties are also designated as red zones in the Aug. 30 report. The report includes policy recommendations for red zones and yellow zones, including public messaging, guidance for public officials and testing recommendation. The lowa portion of the report is provided with this memo and is available on the City of Dubuque website at https://www.cityofdubuque.orq/DocumentCenter/View/46642/Auq-30-2020- White-House-Coronavirus-Task-Force-Report---lowa-Section-Only The report in another tool for the Dubuque County Public Health Incident Management Team to monitor and respond to the pandemic. Attachment: lowa Portion of Aug. 30, 2020, White House Coronavirus Task Force Report CC: Mary Rose Corrigan, Public Health Specialist I O WA STATE REPORT � 08.30.2020 SUMMARY • lowa is in the red zone for cases,indicating more than 100 new cases per 100,000 population last week,with the highest rate in the country.lowa is in the red zone for test positivity,indicating a rate above 10%,with the Sth highest rate in the country. • lowa has seen an increase in new cases and an increase in test positivity over the last week. • The following three counties had the highest number of new cases over the last 3 weeks:l.Polk County,2.Johnson County,and 3. Story County.These counties represent 35.3%of new cases in lowa. • 62%of all counties in lowa have ongoing communitytransmission(yellow or red zone),with 28%having high levels of community transmission(red zone). • The high proportion of nursing homes with more than one positive resident is concerning,alongwith deaths among nursing home residents.Less than 1%of nursing homes are reporting 3 or more residents with new COVID-19 cases per week over the last 3 weeks. • Rural and urban counties in lowa continue to have increases in cases and test positivity.Common sense preventive measures must be implemented to stop further spread. • lowa had 232 new cases per 100,000 population in the last week,compared to a national average of 88 per 100,000. • Current staff deployed from the federal government as assets to support the state response are:10 to support medical activities from VA. • Between Aug 22-Aug 28,on average,48 patients with confirmed COVID-19 and 44 patients with suspected COVI D-19 were reported as newly admitted each day to hospitals in lowa.An average of greater than 95%of hospitals reported either new confirmed or new suspected COVID patients each day duringthis period.' RECOMMENDATIONS • Community transmission continues to be high in rural and urban counties across lowa,with increasingtransmission in the major university towns.Mask mandates across the state must be in place to decrease transmission. • Bars must be closed,and indoor dining must be restricted to 50%of normal capacity in yellowzone and 25%of normal capacity in red zone counties and metro areas.Expand outdoor dining options. • Community spread must decrease to protect vulnerable populations in nursing homes. • Universitytownsneedacomprehensiveplanthatscalesimmediatelyfortestingallreturningstudentswithroutinesurveillance testingto immediately identify new cases and outbreaks and isolate and quarantine. • Ensure both diagnostic and surveillance testing are rapid and comprehensive at all universities with students on campus. • Require all universities with RNA detection platforms to use this equipmentto expand surveillance testingfor schools(K- 12,community colleges)and university students for their students and to support the community surrounding their universities. • University students with or exposed to COVI D-19 should have access to quarantine and care sites on or near campus and not be returned home to multigenerational households where additional transmission could occur. • Ensure all universities can fullytest,isolate,and contact trace. • Ensure all nursing homes,assisted living,and elderly care sites have full testing capacity in all towns with university students so staff can be aggressively tested weekly to prevent spread from students to residents through staff. • Continueongoingeffortstobuildandutilizecontacttracing.Hirecontacttracersandcommunityhealthworkersfromwithin minority and underserved communities to ensure cultural competencyto gain trust and buy-in from within the community. • In red zones,limit the size of social gatherings to 10 or fewer people;in yellow zones,limit social gatherings to 25 or fewer people. • Encourage individuals that have participated in large social gatherings,birthday parties,and family gatherings to gettested and isolate themselves from older family members and those with comorbidities. • Nursinghomesandpublichealth(includingepidemiology)mustestablishongoingcollaborationforreal-timeunderstandingof community transmission to prevent cases and deaths in nursing homes.Expand the protection of those in nursing home,assisted living,and long-term care facilities by ensuring access to rapid facility-wide testing in response to a resident or staff inember with COVID-19 and the isolation of all positive staff and residents.Ensure social distancing and universal face mask use.In facilities with workers who tested positive,ensure all residents have been promptly tested and appropriate cohorting measures are in place. Conduct onsite infection prevention reviews at nursing homes with ongoing cases and deaths. • Specific,detailed guidance on community mitigation measures can be found on the . The purpose of this report is to dwelop a shared understanding of the current status of the pandemic at the narional,regional,state and local levels. We recognize that data at the state leved may differ from that availabde at the federal lwel.Our objective is to use consistent data sources and methods that a11ow for comparisons to be made across localities. We appreciate your conlinued support in identifying data discrepancies and improving data completeness and sharing across systems. We lookforward to yourfeedback. 'Prychological,rehabilitation,and religious non-medical hospitals were exduded from analyses.In addition,hospitals explicitly iden[ified by s[ates/regions as those from which we should not exped repor[s were exduded from the percent repor[ing figure.This value may differ from[hose in s[ate - databases because of differences in hospital lists and repor[ing processes between federal and s[ate systems.The data presented represen[s raw data COVI D-19 provided;we are working diligen[ly with state liaisons to improve reporting consistency.Continued feedback on improving these data is welcome. • � � � ' ' '� ' 1: 1 1 1 , � � � , , • � • • � � � � � � � � ' � • � � � � � � � , . � , � ' � ' , ' � � ' , � � • � � • � .� � � � � � � � • � � � , � • � � � � � � ' � � ' � ' � � ' , � • � � .� � �' � ' � ' , � � ' � i •' � ' � �' � � • � • � � ��'� . . �� . .. .. • � .. � �� .. � .. � *Indicates absolute change in percentage points. **Due to delayed reporting,this figure may underestimate total diagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES-Additional data details available under METHODS Note:Some dates may have incomplete data due to delays in reporting.Data may be backfilled overtime,resulting in week-to-week changes. tases and Deaths:State values are calculated by aggregating county-level data from USAFacts;therefore,the values may not match those reported directly by the state.Data is through 8/28/2020;last week is 8/22-8/28,previous week is 8/15-8/21. Testing:CELR(COVID-19 Electronic Lab Reporting)state health department-reported data through 8/26/2020.Last week is 8/20-8/26,previous week is 8/13- 8/19. Mobility:Descartes Labs.This data depicts the median distance moved across a collection of mobile devices to estimate the level of human mobility within a county.The 100%represents the baseline mobility level priorto the pandemic;lower percent mobility indicates less population movement.Data is anonymized and provided at the county level.Data through 8/27/2020. SNFs:Skilled nursingfacilities.National Healthcare Safety Network.Data are reported separately for cases among residents and staff.Last week is 8/10-8/16, previous week is 8/17-8/23. COVID-19 I OWA STATE REPORT � 08.30.2020 COVID-19 COUNTYAND METRO ALERTS* Top 12 shown in table (full lists below) LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE Waterloo-Cedar Falls Des Moines-West Des Moines Cedar Rapids lowa City Davenport-Moline-Rock Island M ETRO Ames Omaha-Council Bluffs AREA Clinton sioux City Burlington Dubuque �CBSA� 1 Pella 1 Fort Dodge Fort Madison-Keokuk Mason City LAST WEEK Marshalltown Muscatine Ottumwa Oskaloosa Carroll Spirit Lake Fairfield Polk Linn Johnson Black Hawk Story Scott Clinton Dallas Des Moines Woodbury COUNTY Marion 33 Dubuque LAST WEEK 2$ �ee webster Sioux Pottawattamie Plymouth Cerro Gordo Warren Muscatine Marshall Jasper Wapello Bremer All Red Counties: Polk,Johnson,Story, Clinton, Des Moines, Marion, Lee,Sioux, Plymouth,Warren, Marshall, Wapello,Carroll, Henry,Winneshiek, Boone, Delaware,Crawford, Howard, Clayton, Butler,Tama,Van Buren, 0'Brien,Grundy,Clarke, Calhoun,Wayne AllYellow Counties: Linn, Black Hawk,Scott, Dallas,Woodbury, Dubuque,Webster, Pottawattamie,Cerro Gordo, Muscatine,Jasper, Bremer,Winnebago, Mahaska, Franklin, Humboldt, Buchanan, Hardin, Madison, Jackson,Chickasaw, Dickinson, Mills, Harrison,Jones,Guthrie, Lucas,Jefferson,Cherokee, Hancock, Appanoose, Louisa,Greene *Localities with fewer than 10 cases last week have been exduded from these alerts. • ' • ' �. -� . � • . � '�• '� �• .�• - 11 �' 11 111 �� .� �• .�• 1'� • ' . � • . � '�� '� �• �- 1 11 �- 11 111 �� . � . � . .� �• �- 1'� • • - � • • • � • � � • � • � �- -� • • -� . � • • . • -� � �- � • • � � - �. - • � - - �. . � • �- -�• �. �- �. -� • � � ' • �� • �. . �- .� - �- �� - -� � � �. • - • • � -�• -� � � �. • .1 1. • 1 � .� -�• �'�. '�• '� �. � 1 1 1 POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 10 people or fewer • Do not go to bars,nightdubs,or gyms • Use take out or eat outdoors socially distanced • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene,including handwashing and cleaning surfaces • Reduce your public interactions and activities to 25%of your normal activity Public Officials • Close bars and gyms,and create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 10 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities.Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity,hypertension,and diabetes mellitus,and recommend to shelter in place • Work with local community groups to provide targeted,tailored messaging to communities with high case rates,and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can't quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling:Laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours.Consider pools of 2-3 individuals in high incidence settings and 5:1 pools in setting where test positivity is under 10% • Surveillance pooling:For family and cohabitating households,screen entire households in a single test by pooling specimens of all members into single collection device POLICY RECOMMENDATIONS FOR COUNTIES IN THE YELLOW ZONE IN ORDER TO PREEMPT EXPONENTIAL COMMUNITY SPREAD Public Messaging • Wear a mask at all times outside the home and maintain physical distance • Limit social gatherings to 25 people or fewer • Do not go to bars or nightclubs • Usetakeout,outdoordiningorindoordiningwhenstrictsocialdistancingcanbemaintained • Protect anyone with serious medical conditions at home by social distancing at home and using high levels of personal hygiene • Reduce your public interactions and activities to 50%of your normal activity Public Officials • Limit gyms to 25%occupancy and dose bars until percent positive rates are under 3%;create outdoor dining opportunities with pedestrian areas • Limit social gatherings to 25 people or fewer • Institute routine weekly testing of all workers in assisted living and long-term care facilities.Require masks for all staff and prohibit visitors • Ensure that all business retailers and personal services require masks and can safely social distance • Increase messaging on the risk of serious disease for individuals in all age groups with preexisting obesity,hypertension,and diabetes mellitus,and recommend to shelter in place • Work with local community groups to provide targeted,tailored messaging to communities with high case rates,and increase community level testing • Recruit more contact tracers as community outreach workers to ensure all cases are contacted and all positive households are individually tested within 24 hours • Provide isolation facilities outside of households if COVID-positive individuals can't quarantine successfully Testing • Move to community-led neighborhood testing and work with local community groups to increase access to testing • Surge testing and contact tracing resources to neighborhoods and zip codes with highest case rates • Diagnostic pooling:Laboratories should use pooling of samples to increase testing access and reduce turnaround times to under 12 hours.Consider pools of 3-5 individuals • Surveillance pooling:For family and cohabitating households,screen entire households in a single test by pooling specimens of all members into single collection device COVID-19 I OWA STATE REPORT � 08.30.2020 2500 y � 2000 W Q a � 1500 V � '� � � looa Z ° 500 � t� ' � r..� _ l � �� i� � �� , �.;, �� o __ __ .s � Daily COVID-19 Cases(7-day average) � Daily COVID-19 Cases 10000 � � � 20.0% w � 8000 m � z �� 15.0% ¢ � J w 6000 � � , Q H V � y jQ 4000 10.0% � � W �J a' (n ~ � 2000 5.0% Q O � � � 0 0.0% — Daily Tests Completed (7-day average) %Positivity Rate(by result date 7-day average) Top counties based on greatest number of new cases in last three weeks(8/8-8/28) N 12500 — �°�k W � Johnson H �w 10000 — smry — Linn z W � — Black Hawk � ' Q ¢ 7500 — xacr O O � Dallas V w � 5�0o Clinton � Des Moines a Z („) Woodbury Q `� 2500 ~ 0 - — -- � � � � � � � � � � � � � � � � � � � � � � � � � � � 00 �C'1 N Ol ll'1 N Q1 l0 f�"1 O f� � rl M1 � ri 00 u"1 N O'1 CO N 6� l0 f+"1 O n"1 � � � � � � � LC1 � � � � � � � � f� � � � � � � � � m m f�"1 � � � LC1 Lfl Lf1 Lf1 l0 l0 lD I� M1 M1 00 00 00 � � • �.. . .. . .- .. .- �� . - .. - . . - - .. . . . .- -.. �. .- .. -. . . -. . . .. . . . . -.. -. . . �. . � � � � . .. -.. .-.. -.. -. .. . � � COVID-19 Top 12 counties based on number of new cases in the last 3 weeks Daily COVID-19 Cases (7-day a�erage) � Daily COVID-19 Cases Polk County Johnson County Story County 600 200 zao �ao 150 lso iao lao zoo , I �w�l II�J �I •,�rl��+�1 IiJI�� 50 Ji r .. �I�I ._,� k+� ` 50 ,�+I I ' A� �, iI.J -;�J�.t.� .. � �._.��.�Y D a D Linn County Black Hawk County Scott County �Q 150 N 60 W 100 � V 4a I `�� 40 �'I l � ! I � Za �' I l�' S0 �� 20 ` �'� � � � I � � � I�� ,�� Q �.� �� ' + �,r 1, `+ +,V �II,�� I�Wi:i��1 � � d � ?' J a Dallas Caunty Clinton Caunty Des Moines County � 40 Q 100 30 � 30 zo za so I� I + io �I� iQ I� � �I ��,,��I.�I�� ,i I � �_. �' ��W �� :�.-.�,; I � ,��'�� . ��.�: ��I ��: ;.11::�,�l��l 0 D D Waad6ur County dubuque Caunty Webster County 300 60 200 200 40 I� 100 I5 �� 100 I Zo � µ�V ,' �I � �� , �, �� ,. i, �� D i i �I"�i p i:�,}:,�1i�� i D i i i i i f_` f��I'di i �'i � �n o �n o � rn � rn r� � ru � �n o �n o � rn � rn m oo r.r � �n o �n o � rn � rn r� m ru 1 � 'V v1 � � '� I� � OJ � Q� � � N �e"f N �O � f� � � '� Q> ; � '~ vl � � '� I� '� OJ '� Q� m � �n io r� w m � �n co r� w m � �n io r m 1 ' • '�� • •. . •' .� �' •� '� • • �. • ' • • • -�• -� • � �. • 1 1 • � � � ' ' '� ' 1: 1 1 1 � � � 1 1 � � � � ' • 1 � �� : • � • � • i � � � � : � � • � � • � DATA SOURCES-Additional data details available under METHODS Note:Some dates may have incomplete data due to delays in reporting.Data may be backfilled over time,resulting in week-to-week changes. Cases: State values are calculated by aggregating county-level data from USAFacts;therefore,the values may not match those reported directly by the state.Data is through 8/28/2020.Previous week is 8/15-8/21. Testing:CELR(COVID-19 Electronic Lab Reporting)state health department-reported data through 8/26/2020.Last week is 8/20-8/26, previous week is 8/13-8/19. • � . • . � ' ' ' 11 111 ' �� . � �� / �� • � � ( � � ,�� , . �'� �� a y i 1 � ■ � � � � � � �• � � � /� � �� • � � �� . ,�� ,,,� , � �� . y i 1 � DATA SOURCES Note:Some dates may have incomplete data due to delays in reporting.Data may be backfilled over time,resulting in week-to-week changes. Cases:County-level data from USAFacts through 8/28/2020.Last week is 8/22-8/28. Testing:Combination of CELR(COVID-19 Electronic Lab Reporting)state health department-reported data and HHS Protect laboratory data(provided directly to Federal Government from public health labs,hospital labs,and commercial labs)through 8/26/2020.Last week is 8/20-8/26. COVID-19 METHODS STATE REPORT � 08.30.2020 COLOR THRESHOLDS: Results for each indicator should be taken in context of the findings for related indicators (e.g.,changes in case incidence and testing volume) - Yellow � New cases per 100,000 population per week <10 10-100 >100 Percent change in new cases per 100,000 population <-10% -10%-10% >10% Diagnostic test result positivity rate <5% 5%-10°/o >10% Change in test positivity <-0.5% -0.5%-0.5% >0.5% Total diagnostic tests resulted per 100,000 population per week >1000 500-1000 <500 Percent change in tests per 100,000 population >10% -10%-10% <-10% COVID-19 deaths per 100,000 population perweek <1 1-2 >2 Percent change in deaths per 100,000 population <-10% -10%-10% >10% Skilled Nursing Facilities with at least one resident COVID-19 case,death 0% 0.1%-5% >5% � Change in SNFs with at least one resident COVID-19 case,death <-0.5% -0.5%-0.5% >0.5% DATA NOTES • Some dates may have incomplete data due to delays in reporting.Data may be backfilled over time,resulting in week-to-week changes.It is critical that states provide as up-to-date data as possible. • Cases and deaths:County-level data from USAFacts as of 12:30 EDT on 08/30/2020.State values are calculated by aggregating county-level data from USAFacts;therefore,values may not match those reported directly by the state.Data are reviewed on a daily basis against internal and verified external sources and,if needed,adjusted.Last week data are from 8/22 to 8/28;previous week data are from 8/15 to 8/21. • Testing:The data presented represent viral COVID-19 laboratory diagnostic and screening test(reverse transcription polymerase chain reaction,RT-PCR)results—not individual people—and exclude antibody and antigen tests.CELR(COVID-19 Electronic Lab Reporting)state health department-reported data are used to describe county-level viral COVID-19 laboratory test(RT-PCR)result totals when information is available on patients'county of residence or healthcare providers'practice location.HHS Protect laboratory data(provided directly to Federal Government from public health labs,hospital labs,and commercial labs)are used otherwise.Some states did not report on certain days,which may affect the total number of tests resulted and positivity rate values. Because the data are deidentified,total viral(RT-PCR)laboratory tests are the number of tests performed,not the number of individuals tested.Viral(RT-PCR)laboratory test positivity rate is the number of positive tests divided by the number of tests performed and resulted.Resulted tests are assigned to a timeframe based on this hierarchy of test-related dates:l.test date;2.result date;3.specimen received date;4.specimen collection date.Resulted tests are assigned to a county based on a hierarchy of test- related locations:1.patient residency;2.provider facility location;3.ordering facility location;4.performing organization location. States may calculate test positivity other using other methods.Last week data are from 8/20 to 8/26;previous week data are from 8/13 to 8/19.HHS Protect data is recent as of 12:00 EDT on 08/30/2020.Testing data are inclusive of everything received and processed by the CELR system as of 19:00 EDT on O8/29/2020. • Mobility:Descartes Labs.These data depict the median distance moved across a collection of mobile devices to estimate the level of human mobility within a locality.The 100%represents the baseline mobility level prior to the pandemic;lower percent mobility indicates less population movement.Data is anonymized and provided at the locality level.Data is recent as of 13:00 EDT on O8/30/2020 and is through 8/27/2020. • Hospitalizations:Unified hospitalization dataset in HHS Protect.This figure may differ from state data due to differences in hospital lists and reporting between federal and state systems.These data exclude psychiatric rehabilitation,and religious non-medical hospitals.In addition,hospitals explicitly identified by states/regions as those from w�ich we should not expect reports were excluded from the percent reporting figure.The data presented represents raw data provided;we are working diligently with state liaisons to improve reporting consistency.Data is recent as of 15:00 EDT on 08/30/2020. • Skilled Nursing Facilities:National Healthcare Safety Network(NHSN).Data report resident and staff cases independently.Quality checks are performed on data submitted to the NHSN.Data that fail these quality checks or appear inconsistent with surveillance protocols may be excluded from analyses.Data presented in this report are more recent than data publicly posted by CMS.Last week is 8/10-8/16,previous week is 8/17-8/23.