COVID-19 Update 10 19 20 Copyrig hted
October 19, 2020
City of Dubuque Presentation(s) # 2.
City Council Meeting
ITEM TITLE: COVID-19 Update
SUM MARY: Mary Rose Corrigan, Public Health Specialist for the City of Dubuque,
will provide an update on the COVID-19 pandemic and response
activities.
SUGGESTED
DISPOSITION:
www.cityofdubuque.org health@cityofdubuque.org 4193-589TTY (563) 4299-Fax (563) 589 4181-Office (563) 589 Dubuque, IA 52001 1300 Main Street City Hall Annex Health Services Department
Long Term Care (LTC) outbreaks ➢ Equity related data as it becomes available ➢ Cases by zip code ➢ curve/overall trend line-Epi ➢ Cases by age group ➢ ospitalizationsH ➢ ave positivity
rate trend line 14 day The ➢ : ncludeimportant metrics for the city council to understand and monitor i where we’ve been and where we’re going. The -and focus on trend lines e don’t
need detailed specific numbers but we do need to know around data. W, especially c fatigue in one way or anotherwe all are experiencing some pandemiI think -. I’m not going to review
all of the numbers www.coronavirus.iowa.gov19 data can be found at -Current case counts and other related COVID • officer for the IMT. as the Public Information (PIO)Gehl serves
Randywebinars and direct contact with our regional epidemiologist. Department of Public Health (IDPH), and with guidance from CDC via weekly We are coordinating our response efforts
in conjunction with the Iowa Services Department Environmental Sanitarians Tim Link and Sydney Moquin. Department Assistant Director, Samantha Kloft and City of Dubuque Health The
IMT also consists of county Health in full activation. both hospitals continue Dubuque County Emergency Management Agency (Tom Berger), along with County Health Department, (Patrice
Lambert) VNA (Stacey Killian) and the of City of Dubuque Health Services Department (Mary Rose Corrigan) Dubuque team consisting (IMT) The Dubuque County Public Health Incident Management
• CURRENT INFORMATION , 202019 DATE: 19 -COVID SUBJECT: Mary Rose Corrigan, Public Health Specialist : FROM Mike Van Milligen, City Manager TO: 2020.10. 19 City Council
Update.docx\\GY2WWEYG\\Content.Outlook\\INetCache\\Windows\\Microsoft\\Local\\AppData\\kfirnsta\\Users\\C:
individuals identified through contact tracing ofadditional testing providingThe Public Health Incident Management Team is hospitals. ic Lab guidelines and both for the most testing
according to State Hygien, the physician and health care provider clinics who are gnand HHS testi TestIowato assess their needs and testing capacity. Local testing capacity includes
major health care providers weekly esentatives fromreprmeet with to continueI demand and more difficult to source. Hospitals must use rapid test supplies prudently since these
are in higher or admittance to the hospital. surgeries,patients undergoing procedures, symptomatic, at risk and those be very busy continue tos report they clinicThe local health
care provider up test. -schedule an appointment for a driveDoINeedACovid19Test.com and receive a voucher number to be eligible to on the websiteTestIowa.com or hese locations must
register tThose wanting testing at for timely testing of those who need or want a test.The test sites are not scheduled at full capacity, which allows federal program. through the
at Hartig Drug locations offered is ree testing University Ave. Fpiratory clinic on additional site at Grand River Medical Group at their resan along with at Epic Health and Wellness
on Cedar Cross Road continueshe TestIowa . TAbout 12% of the cases tested since March have been positivepeople have been tested in Dubuque County. 34,000Over : Community Testing •
family and social gatherings. , some school transmission among athletes, and some through smaller gatheringsand social weddings ask wearing are not adhered to, along with and mrring
outdoors, where physical distancing community events, even if they are occuRed Zone designation in Dubuque county are cases contracted through Contributing 10%, while factoring in
LTC outbreaks and hospitalizations. with test positivity above population in the previous 7 days, alongcases/100,000 he designation is based on having greater than 100 Tstate during
that week. Polk, Woodbury and Dubuque county accounted for 24% of the new cases in the reportable infectious disease of this magnitude. never experienced a e that we’v. The point
of this total is cumulative cases Iowa has a total of almost 108,000Currently for the first week in October. highest positivity rate10%) -(between 8 th in the country and the 11 )compared
to a national average of 100/100,00last week /100,00099(1 00,000highest new cases/1 the iting Iowa as CRed Zone status. n thei buque County and the City of DubuqueDuOct 11, 2020 maintains
Iowa and White House Task Force Report dated • 2020.10. 19 City Council Update.docx\\GY2WWEYG\\Content.Outlook\\INetCache\\Windows\\Microsoft\\Local\\AppData\\kfirnsta\\Users\\C:
The answers to the have completed the required checklist. , 75license holders f the city of Dubuque’s 220 alcohol O proclamation requirements.Governor’s the 19 Compliance Checklist
to assist in the implementation of -COVIDlicensees to complete a (ABD) requiresIowa Alcoholic Beverages Division The -Public Health Mitigation measure enforcement in restaurants and
bars • staff nurse to focus on the pandemic response. VNA will be adding an additional assistance and other human needs referrals. food total) 56(10 In addition, they continue to
provide thermometers, days/week.r for Dubuque County 7 Continues to operate the public call cente Dubuque VNA • COVID dashboards on their respective websites. institutions have Some
higher education 12. -the higher education students as they do with preKVNA provides similar contact tracing and assistance with weekly with the IMT. -biThe Dubuque County higher
education institution representatives also meet general school related questions. ose Corrigan is the contact for RMary found on individual district websites. School specific COVID
dashboards can be the state contact tracing efforts. , which has proven to be ahead of contact tracing process as soon as possibleand starting the 12 schools on notification of positive
cases -Kpreclosely with the sThe VNA work12 school. -preK weekly with-biThe IMT meets classrooms. contact tracing data that reveals spread happening primarily outside of the ls in
lieu of the case and county schools are opting to keep their hybrid mode15%, the rate at which schools can request a waiver to in person learning, the Although the positivity rate has
hit person school attendance. -maintaining in site as one of the indicators that determines the coronavirus.iowa.govday positivity rate posted on -must use the IDPH 14 12 schools-he
KTdistricts. 12 -colleges and universities and the K county planning assistance with thecontinues to provide guidance and The Public Health Incident Management team • Schools .19
vaccination steps-COVIDLTC will have the option of partnering with a national pharmacy retailer for all previous week’s positivity rate and other CMS directives. frequency based on
the on a and residents test staff to continueursing homes N. scare facility outbreakterm -long threeLong Term Care facility status: Dubuque County currently has • the contact tracing.
stitutions are also actively participating in Schools and higher education intracing. 12 schools and higher education institutions on contact -K -also assisting with pre along with
testing information. and assess isolation and shelter needsall new positive cases to provide a local connection phone/contactcontinues to VNA additional staff. hiringstill in the
process of tracing of positive casesContact tracing: The Iowa Department of Public Health is conducting the contact • 2020.10. 19 City Council Update.docx\\GY2WWEYG\\Content.Outlook\\INetCache\\W
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enza seasonPreparing for the upcoming Influ • Proclamation public health measurers and compliance with Governor’s 19 -COVIDrecommended s with the Conduct food inspections and assist
special event • organizations with providing guidance for when they have a positive case. focus on to plan for opening and ongoing operation along with otherContinue to • Looking
ahead federal government.is now stalled due to contract issues between the national retailers and the Although this planning was underway it retailers for their vaccine administration.
Long term care facilities have the option of partnering with participating national basis and will also depend on successful phase three trials by the manufacturers. egin during November,
it will be on a limited although distribution is supposed to b ,. Soprotection, either 3 or 4 weeks apart, depending on the manufacturerhis vaccine will require 2 doses for full Tthe
general public, as supplies allow. then it will be distributed to -ritical or essential workershealth conditions, and cgroups such as those in specific age categories, those who have
underlying increases, it will continue to delivered and administered based on other priority term care facilities. As the vaccine production -rst responders, and longfisuch as health
care workers, -departments, it will be restricted for priority groupsWhen the vaccine is first distributed to state and local health be determined. vaccine administration in November,
a specific date for vaccine delivery is yet to tart to s creating plansAlthough we are administering vaccine through 14 sites. vaccine planning. To date, 10 local providers have indicated
their interest in and provide information on assess their interest in being a vaccination site healthcare providers to continue to work with local tools from the IDPH. We The IMT is
receiving ongoing information and vaccination planning Vaccines • . n and enforcementand/or ABD will follow up with investigatioand complaints on specific establishments. Once a
complaint is received, DIA line portal for citizens to submit concerns -on Beverages Division (ABD) ent of Inspections and Appeals (DIA) and the Alcoholic he Iowa DepartmT Governor’s
Proclamation. communication from local law enforcement and food inspectors to enforce the The ABD continues to rely on warning letters to food establishments. g the Governor’s proclamation
and have issued two hments not followinestabliscomplaints at food and alcohol sanitarians have responded to 10environmental Health Services Department verify compliance by an ABD investigator.
a visit to the establishment to licensees to complete the checklist will results in Failure by tion.to comply with the requirements as outlined in the proclamaquestions will indicate
the operational measures licensees have or will be taking 2020.10. 19 City Council Update.docx\\GY2WWEYG\\Content.Outlook\\INetCache\\Windows\\Microsoft\\Local\\AppData\\kfirnsta\\Users\\C:
ith mayors. data and meeting wDubuque County Health Department is supplying county municipalities with local • educate and promote contact tracing within worksites per CDC
guidelinesIMT will work with GDDC and the Dubuque Area Chamber of Commerce to • etc mation options, local enforcement of proclaordinanceslocal communities, including additional provisions
in local proclamations, from practicesCity Attorney is researching other mitigation strategies and best • city’s face covering ordinance. , along with enforcing the s enforcement
on the Governors’ Proclamation violation Police and Fire Departments will formulate strategies on assisting ABD/DIA with • could be explored. Additional allocations marketing and
outreach with a private firm.contracted for spent $8600. The County Board of Healother best practicesand , paid advertising (post election)efforts stressing the city face covering
ordinance, including to combat pandemic fatigue new messaging and community educationconjunction with the IMT, will be exploring City Public Information Office staff, in • contract
tracing strategies with VNA.assistant Health Department Director. We will be exploring additional staffing and County Health Department is now fully staffed with the recent addition
of an The Dubuque 19. -The VNA is adding a staff nurse to focus solely on COVID • else can we do? What vaccine administrationand community wide Plan for community vaccine point of
distribution (POD.) • Implementing ever changing guidance from CDC, IDPH and DOE. • 2020.10. 19 City Council Update.docx\\GY2WWEYG\\Content.Outlook\\INetCache\\Windows\\Microsoft\\Local\\AppData\\
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City Council Oct. 19, 2020
COVID -19 Update
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
Numbers to Watch
•The 14 day ave positivity rate trend line
•Hospitalizations
•Cases by age group
•Epi-curve/overall trend line
•Cases by zip code
•Equity related data as it becomes available
7.2%
14.1%
0%
5%
10%
15%
20%
25%
DUBUQUE COUNTY PAST 14-DAY AVERAGE COVID -19 TEST
POSITIVITY RATE
(IDPH CALCULATION)
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
5,000
3/15/2020 4/15/2020 5/15/2020 6/15/2020 7/15/2020 8/15/2020 9/15/2020 10/15/2020
TOTAL NUMBER OF COVID-19 CASES CONFIRMED
IN DUBUQUE COUNTY TO DATE (OCT. 18, 2020)
20
30
DUBUQUE COUNTY
COVID -19 HOSPITALIZATIONS
SEPT. 19 -OCT. 19, 2020
exported 19 Oct 2020
Positive Cases by Age Group March 16-October 19, 2020
Zip Code Data Update
1.40%
3.16%3.38%3.63%3.76%3.96%4.09%4.11%4.26%4.46%4.64%4.68%
5.24%5.33%
5.86%
7.04%
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
7.00%
8.00%Percent of Positive CasesZip Code
Percent of Positive Cases per Zip Code Based on Population Size -October 19, 2020
7.4%
5.9%5.3%5.2%
4.7%4.6%4.5%4.3%4.1%4.1%4.0%3.8%3.6%3.4%3.2%
1.4%
5.6%
4.6%4.7%
3.7%3.4%3.8%3.4%3.6%
2.5%
3.4%
2.5%
3.1%2.9%2.8%
2.1%
1.3%
4.7%
3.5%
3.9%
3.1%
2.7%
3.2%2.9%3.1%2.8%
1.6%
2.5%2.7%2.5%
1.9%
1.1%
0%
1%
2%
3%
4%
5%
6%
7%
8%
COVID -19 CASES TO DATE AS PERCENT
OF ZIP CODE POPULATION
% of Population on Oct. 19 % of Population on Oct. 5
White House Report
10/11/2020
Governors’ Proclamation violations
•Restaurant/food service related violations via DIA :
https://stateofiowa.seamlessdocs.com/f/COVID_Food_
Violation
•Alcoholic Beverage establishments violations via ABD
https://stateofiowa.seamlessdocs.com/f/abd_complain
t
Incident Management Team (IMT) & The Community
Daily
•IMT members meeting
•VNA meetings with specific long-term-care, colleges/universities,
and preK-12 schools
•IMT daily updates to public
Weekly (with Additional Communication as Needed)
•Board of Supervisors meeting
•Public health service area region meeting
•IDPH public health webinar
•IDPH Long-term-care webinar
•COVID-19 vaccine committee meeting
•Testing committee meeting
•State-wide county directors meeting
•Test Iowa sites meeting
•Isolation shelter meeting
•Long-term-care facilities meeting
•ICT Hospitals meeting
•Mayors and City Clerks (via email in the form of a weekly update)
Bi-weekly (with Additional Communication as Needed)
•Board of Health meeting
•County-wide colleges/universities meeting
•County-wide preK-12 schools meeting
•City Council meeting
Monthly
•EOC meeting
•Fire and EMS meeting
•Dubuque City Council COVID-10 work session
Bi-Monthly
•Bi hospital infection control meeting
Quarterly
•DCHCP Coalition meeting
Meetings with businesses, city councils, and media as needed
and/or requested.
What else can we do?
•Expanded public health staffing: VNA (dedicated RN) and County
Health Dept (Assistant Director)
•Marketing & community education
•Governor’s Proclamation, city face covering enforcement: Police,
Fire, Health planning to assist ABD and DIA
•Business contact tracing-GDDC and Chamber
•City attorney researching
•ABD / DIA enforcement
•Board of Health $ on education /outreach-expansion
Questions