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Work Session - COVI D-19 Pandemic Monthly Update Copyrighted October 5, 2020 City of Dubuque Work Session - Top # 1. City Council Meeting ITEM TITLE: 5:00 PM - COVID-19 Pandemic Monthly Update SUM MARY: City staff and network partners will provide updates on the internal and community-facing responses to the COVI D-19 pandemic. Tentative presentation order: • Community COVI D-19 Update & Communication Response: Mary Rose Corrigan, Public Health Specialist; and Mark Dalsing, Police Chief • Community Foundation of Greater Dubuque Update: Jenna Manders, Director of Strategic Relations • United Way of Dubuque Update: Danielle Peterson, President/CEO • Greater Dubuque Development Corporation: Rick Dickinson, President/CEO SUGGESTED DISPOSITION: ATTACHMENTS: Description Type COVI D-19 Work Session Agenda-MVM Memo City Manager Memo Staff Memo Staff Memo 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: Agenda for October 5, 2020 City Council Work Session re: COVID-19 Response DATE: September 30, 2020 Assistant City Manager Cori Burbach is transmitting the agenda for the Work Session on COVID-19 Response. The presentation will provide updates from City staff and our partners on the internal and community-facing response to COVID-19. � � Mic ael C. Van Milligen MCVM:jh Attachment cc: Crenna Brumwell, City Attorney Cori Burbach, Assistant City Manager Dubuque THE CITY OF � All•p�eedoa Ci� Du B � ;�� �; � � � �� MRste iece on the MisSiSsi i zoo��zoiz=zois � pp zoi�*Zoi� TO: Michael C Van Milligen, City Manager FROM: Cori Burbach, Assistant City Manager DATE: September 29, 2020 RE: Agenda for 10.5.20 City Council Work Session: re: COVID-19 Response The purpose of this memo is to provide an agenda for the City Council Work Session scheduled for October 5, 2020. The presentation will provide updates from City staff and our partners on the internal and community-facing response to COVID-19. Tentative presentation order: 5:00 pm Community COVID-19 Update & Communication Response Mary Rose Corrigan, Public Health Specialist Mark Dalsing, Police Chief 5:45 pm Community Foundation of Greater Dubuque Update Jenna Manders, Director of Strategic Relations 5:55 pm United Way of Dubuque Update Danielle Peterson, President/CEO 6:05 pm Greater Dubuque Development Corporation Rick Dickinson, President/CEO 6:30 pm Regular City Council meeting begins The most up-to-date information will be shared verbally during the work session. Thank you. F:\Council\5_Scanned Images\2020_10_5 Agenda\2020.10.05 City Council Update.docx TO: Mike Van Milligen, City Manager FROM: Mary Rose Corrigan, Public Health Specialist SUBJECT: COVID-19 update DATE: October 5, 2020 CURRENT INFORMATION • The Dubuque County Public Health Incident Management (IMT) 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. Randy Gehl serves as the Public Information (PIO) officer for the IMT. • As of 3 pm on Oct 5, 2020, 921 new cases were added to Dubuque County’s total since I last gave a report to the City Council on Sept 21, 2020. As of October 5, 2020, Dubuque County has 3735 positive COVID-19 cases. To date, we have had a total of 45 deaths in Dubuque County. In the past 7 days, 353 people have tested positive. Currently, Dubuque County has 19 COVID-19 Dubuque County patients who are hospitalized. This is not the total number of COVID-19 related hospitalization, but Dubuque County residents. Over 31,000 people have been tested in Dubuque County. About 12% of the cases tested since March have been positive. The current average 14-day positivity rate is 15% according to the IDPH. This increased from slightly from 14.5% on September 21, 2020. About 60% of Dubuque County positive cases have recovered to date. • The State has 92,986 cases, up 12,253 from 80,733 positive cases reported on Sept 21, 2020. About 11% of individuals tested statewide have been positive overall. The State’s 14-day average positivity rate is 8.8%, stable from the rate reported on September 21, 2020. A total of 1388 Iowans have died due to 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 F:\Council\5_Scanned Images\2020_10_5 Agenda\2020.10.05 City Council Update.docx COVID-19 illness. Currently, 389 cases are hospitalized, an increase of 118 since Sept 21, 2020 and almost 72,000 or 77% of Iowans have recovered. • New Quarantine Guidance: • White House Task Force Report dated September 13th moved Dubuque County and the City of Dubuque back to Red Zone status, with the state continuing as a Red Zone. Citing Iowa as having the third highest new cases/100,000 in the country and the 16th highest positivity rate. The designation is also based on having greater than 100 cases/100,000 population in the previous 7 days, along with test positivity above 10%. The recent drastic increase in the number of positive cases reported daily is a result of two main categories. First, local colleges and universities testing athletes regularly have added to the numbers, along with pre-K- 12 students throughout the county. Children 0-17 years old now make up 10% of the cases, with more grade school students now testing positive. In my last report on September 8th, I mentioned the fact that school openings (including higher education and pre-K through 12) would continue to affect our local positivity rates. Adding to the increases are community events, even if they are occurring outdoors, where physical distancing and mask wearing are not adhered to, along with weddings and social gatherings According to the Georgia Institute of Technology COVID-19 Event Risk Assessment Planning Tool, (https://covid19risk.biosci.gatech.edu/) the current risk level is 99% that at least 1 positive COVID-19 person will be present at an event in Dubuque County with 100 people attending. The risk is 80% if the event size is 25 people, and so on. • Community Testing: The TestIowa clinic continues at Epic Health and Wellness on Cedar Cross Road along with free testing offered at Hartig Drug locations and Union Family Pharmacy. An additional test site at Grand River Center opened on Sept 28,2020. The appointment hours at Grand River are different than the Epic Health and Wellness site, which improves testing accessibility for the community. The test sites are not scheduled at full capacity, which allows for timely testing of those who need or want a test. Those wanting testing at these locations must register on the websiteTestIowa.com or DoINeedACovid19Test.com and receive a voucher number to be eligible to schedule an appointment for a drive- up test. The local health care provider clinics report they continue to test symptomatic, at risk and those patients undergoing procedures, surgeries, or admittance to the hospital. Hospitals must use rapid test supplies prudently since these are in higher demand and more difficult to source. I continue to meet with representatives from major health care providers weekly to assess their needs and testing capacity. Local testing ca pacity includes F:\Council\5_Scanned Images\2020_10_5 Agenda\2020.10.05 City Council Update.docx TestIowa and HHS testig, the physician and health care provider clinics who are for the most testing according to State Hygienic Lab guidelines and both hospitals. The Public Health Incident Management Team is providing additional testing of individuals identified through contact tracing and referred 281 individuals by the VNA. • Contact tracing: The Iowa Department of Public Health is conducting the contact tracing of positive cases and is still in the process of hiring additional staff. VNA continues to phone/contact all new positive cases to provide a local connection and assess isolation and shelter needs along with testing information. VNA is also assisting with pre-K -12 schools and higher education institutions on contact tracing. Schools and higher education institutions are also actively participating in the contact tracing. • Long Term Care facility status: Dubuque County currently has two long-term care facility outbreaks. Nursing homes are required to test staff and residents on a frequency based on the previous week’s positivity rate and other CMS directives. The current positivity rate requires routine testing of staff twice per week. Long Term Care Facilities are receiving rapid, or point-of -care testing supplies through HHS, to allow them to perform the surveillance testing at their facilities. Long term care facilities receive guidance from IDPH, Iowa Department of received updated guidance regarding visitation. . Schools • The Public Health Incident Management team continues to provide guidance and planning assistance with the county colleges and universities and the K-12 districts. The K-12 schools must use the IDPH 14- day positivity rate posted on the coronavirus.iowa.gov site as one of the indicators that determines maintaining in- person school attendance. The IMT meets bi-weekly with preK-12 school. The VNA works closely with the preK-12 schools on notification of positive cases and starting the contact tracing process as soon as possible , conducting 642 contact tracing calls to date. School specific COVID dashboards can be found on individual district websites. Mary Rose Corrigan is the contact for daily, general school related questions. The Dubuque County higher education institution representatives also meet bi- weekly with the IMT. VNA provides similar contact tracing and assistance with the higher education students as they do with preK-12. Some higher education institutions have COVID dashboards on their respective websites. • Dubuque VNA Continues to operate the public call center for Dubuque County 7 days/week. The VNA has fielded a total of 21,861 calls and contacts since F:\Council\5_Scanned Images\2020_10_5 Agenda\2020.10.05 City Council Update.docx March, 2020. In addition, they continue to provide thermometers, (1056 total) food assistance and other human needs referrals. The VNA also provides guidance to childcare providers and schools .In addition, the VNA provides daily services for the isolation shelter. • Public Health Mitigation measure enforcement in restaurants and bars- The Iowa Alcoholic Beverages Division (ABD) requires licensees to complete a COVID-19 Compliance Checklist to assist in the implementation of the Governor’s proclamation requirements. Of the city of Dubuque’s 220 alcohol license holders, 62 have completed the required checklist. The answers to the questions will indicate the operational measures licensees have or will be taking to comply with the requirements as outlined in the proclamation. Failure by licensees to complete the checklist will results in a visit to the establishment to verify compliance by an ABD investigator. Recently, the ABD conducted 229 compliance inspections in Northwest and Central Iowa and reported to us that the majority are in compliance. The ABD continues to rely on communication from local law enforcement and food inspectors to enforce the Governor’s Proclamation. The Iowa Department of Inspections and Appeals (DIA) and the Alcoholic Beverages Division (ABD) have an on-line portal for citizens to submit concerns and complaints on specific establishments. Once a complaint is received, DIA and/or ABD will follow up with investigation and enforcement. DIA also asks local contracting health departments to visit the establishment and provide education. So far, we have done that on one establishment. • Vaccines The IMT is receiving ongoing information and vaccination planning tools from the IDPH. We continue to work with local healthcare providers to assess their interest in being a vaccination site and provide information on vaccine planning. To date, 10 local providers have indicated their interest in administering vaccine through 14 sites. Although we are creating plans to start vaccine administration in November, a specific date for vaccine delivery is yet to be determined. When the vaccine is first distributed to state and local health departments, it will be restricted for priority groups- such as health care workers, first responders, and long- term care facilities. As the vaccine production increases, it will continue to delivered and administered based on other priority groups such as those in specific age categories, those who have underlying health conditions, and critical or essential workers- then it will be distributed to the general public, as supplies allow. This vaccine will require 2 doses for full protection, either 3 or 4 weeks apart, depending on the manufacturer. So, although distribution is supposed to begin during November, it will be on a limit ed basis and will also depend on successful phase three trials by the manufacturers. F:\Council\5_Scanned Images\2020_10_5 Agenda\2020.10.05 City Council Update.docx Looking ahead • Continue to focus on to plan for opening and ongoing operation along with other organizations with providing guidance for when they have a positive case. • Conduct food inspections and assist special events with the recommended COVID-19 public health measurers. • Preparing for the upcoming Influenza season • Implementing ever changing guidance from CDC, IDPH and DOE. • Plan for community vaccine point of distribution (POD.) What you can do now • Continue to stay home as much as possible and practice physical and social distancing. • Mask up. • Implement the recommendations from The White House Task Force report, such as: a. Continue to promote social distancing and wearing of cloth face masks when outside the home, especially in indoor environments and in counties with high (>100cases/100k population) or increasing case rates. b. Limit social and other gatherings to fewer than 10 people c. Specific, detailed guidance on community mitigation measures can be found on the CDC website. • Assist IDPH contact tracers by “answering the call.” • Encourage citizens to quarantine for 14 days from an exposure to a confirmed or suspected COVID-19 case. If you are not sure whether you have been exposed, start quarantining anyway. • Isolate for 10 days if you test positive or have COVID-19 symptoms, including having improved symptoms and no fever for 24 hours without the use of fever reducing medications. • Limit trips to grocery stores and for other retail outlets • 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 • 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. F:\Council\5_Scanned Images\2020_10_5 Agenda\2020.10.05 City Council Update.docx • For community groups, plan ahead for events and cancellations. Health Services Department City Council update Oct 5, 2020 Mary Rose Corrigan, Public Health Specialist Dubuque County Public Health Incident Management Team (IMT) Mary Rose Corrigan Stacey Kilian City of Dubuque Visiting Nurses Association Randy Gehl, City of Dubuque Public Information Officer Patrice Lambert Tom Berger Dubuque County Emergency Management -20 0 20 40 60 80 100 120 140 160 1/20 3/10 4/29 6/18 8/7 9/26 11/15CASES DATE Dubuque County Epi Curve 46 69 134 83 59 63 45 29 71 76 75 81 57 30 0 20 40 60 80 100 120 140 TRENDLINE OF 14-DAY AVERAGE OF NEW COVID-19 CASES IN DUBUQUE COUNTY 7.2% 16.3% 0% 5% 10% 15% 20% 25% DUBUQUE COUNTY PAST 14-DAY AVERAGE COVID-19 TEST POSITIVITY RATE: SEPT. 1-30 (IDPH CALCULATION) exported 05 Oct 2020 Positive Cases -Rolling 7 Day Volume Mar 1, 2020 -Oct 4, 2020 10 21 10 38 36 21 26 18 22 41 30 47 24 23 20 43 45 113 69 85 40 46 69 134 83 59 63 45 29 71 0 20 40 60 80 100 120 140 9/1/20209/2/20209/3/20209/4/20209/5/20209/6/20209/7/20209/8/20209/9/20209/10/20209/11/20209/12/20209/13/20209/14/20209/15/20209/16/20209/17/20209/18/20209/19/20209/20/20209/21/20209/22/20209/23/20209/24/20209/25/20209/26/20209/27/20209/28/20209/29/20209/30/2020SEPTEMBER TRENDLINE OF NEW COVID-19 CASES IN DUBUQUE COUNTY 125 151 207 409 338 262 233 257 122 289 264 300 256 231 0 100 200 300 400 500 9/21/2020 9/22/2020 9/23/2020 9/24/2020 9/25/2020 9/26/2020 9/27/2020 9/28/2020 9/29/2020 9/30/2020 10/1/2020 10/2/2020 10/3/2020 10/4/2020 14-DAY TRENDLINE OF COVID-19 TESTING IN DUBUQUE COUNTY 5.6% 4.7%4.6% 3.8%3.7%3.6%3.4%3.4% 3.1%2.9%2.8%2.8% 2.5%2.5% 2.1% 1.3% 0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% COVID-19 Cases to Date as Percent of Population by Zip Code as of Oct. 5, 2020 5,627 4,740 4,455 3,773 3,712 3,614 3,439 3,438 3,054 2,908 2,820 2,800 2,491 2,469 2,109 1,287 0 1,000 2,000 3,000 4,000 5,000 6,000 Dubuque County COVID-19 Cases per Capita by Zip Code as of Oct. 5, 2020 exported 05 Oct 2020 Mar 16, 2020 -Oct 5, 2020 Positive Cases by Age Group Questions