COVID-19 Pandemic Update Work Session Copyrighted
January 4, 2021
City of Dubuque Work Session - Top # 1.
City Council Meeting
ITEM TITLE: 5:30 PM - COVID-19 Pandemic Update
SUM MARY: City staff and network partners will provide updates on the internal and
community-facing response to the COVI D-19 pandemic.
Tentative presentation order:
1. Community COVI D-19 Update & Response: Mary Rose Corrigan,
Public Health Specialist and Alexis Steger, Housing & Community
Development Director
2. Community Foundation of Greater Dubuque Update: Jenna
Manders, Director of Strategic Relations
3. United Way of Dubuque Update: Danielle Peterson,
President/CEO
4. 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
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TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Agenda for January 4, 2021 City Council Work Session on COVID-19
Response
DATE: December 28, 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.
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Mic ael C. Van Milligen
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Attachment
cc: Crenna Brumwell, City Attorney
Cori Burbach, Assistant City Manager
Dubuque
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TO: Michael C Van Milligen, City Manager
FROM: Cori Burbach, Assistant City Manager
DATE: December 28, 2020
RE: Agenda for 1.4.21 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 January 4, 2021. The presentation will provide updates from City staff
and our partners on the internal and community-facing response to COVID-19.
Tentative presentation order:
5:30 pm Community COVID-19 Update & Response
Mary Rose Corrigan, Public Health Specialist
Alexis Steger, Housing & Community Development Director
5:50 pm Community Foundation of Greater Dubuque Update
Jenna Manders, President/CEO
6:00 pm United Way of Dubuque Update
Danielle Peterson, President/CEO
6:10 pm Greater Dubuque Development Corporation
Rick Dickinson, President/CEO
6:20 Adjourn
The most up-to-date information will be shared verbally during the work session.
Thank you.
F:\Users\Health Department\Administration\COVID19\city council COVID\2021.1.4.21 City Council Update.docx
TO: Mike Van Milligen, City Manager
FROM: Mary Rose Corrigan, Public Health Specialist
SUBJECT: COVID-19 City Council Work Session update
DATE: Jan 4, 2021
BACKGROUND 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. The IMT also consists of county Health Department Assistant Director,
Samantha Kloft and City of Dubuque Health Services Department Environmental
Sanitarians Tim Link and Sydney Moquin. 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.
CURRENT INFORMATION
Current case counts and other related COVID -19 data can be found at
www.coronavirus.iowa.gov.
Contact tracing: VNA and IDPH continue contract tracing with no lag due to additional
contact tracing staff at IDPH and the lower number of cases in the past month.
Long Term Care facility status: Dubuque County currently has four long term care
facility (LTC) outbreaks, with these facilities having 33 cases in the last 14 days and a
total of 114 cases. All LTC facilities have agreements with pharmacies for vaccination of
residents and staff. Vaccine for LTC has begun via Walgreens and the National
Pharmacy Chain Agreements and is expected to continue through January, 2021.
Schools
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:\Users\Health Department\Administration\COVID19\city council COVID\2021.1.4.21 City Council Update.docx
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
IMT continues to meet bi-weekly with preK-12 schools. The schools, like many entities
are anxiously awaiting the determination of vaccine priority groups for Iowa. The VNA
works closely with the preK-12 schools on notification of positive cases and starting the
contact tracing process as soon as possible. Dubuque County K12 schools currently
have 311 positive cases.
The Dubuque County higher education institution representatives also meet bi-weekly
with the IMT and will resume these meetings Jan 5, 2021. VNA provides similar contact
tracing and assistance with the higher education students as they do with preK-12.
Dubuque County colleges have had 92 positive cases.
Dubuque VNA Continues to operate the public call center for Dubuque County 7
days/week. To date VNA has fielded 31,632 contacts (259 in the last week) calls/contact
from the community. In addition, they continue to provide thermometers, food
assistance and other human needs referrals. VNA will be adding additional staff nurses
to focus on the pandemic response. VNA staff continues to reach out to all cases 28
days after testing positive to promote plasma donation for the convalescent plasma
treatments being used by hospitals. VNA staff are contacting 18 residential care
facilities daily.
Emergency Management Agency (EMA) Director Tom Berger reports they are now
traveling to the regional node in Cedar Rapids to pick up requested PPE and supplying
the Test Iowa Sites rather than them receiving direct shipments from the DOT. PPE
supplies for healthcare facilities are adequate, available through the state and
allocations through the MRCTI Mayors.
Vaccines The IMT is receiving ongoing information and vaccination planning tools from
the IDPH. To date, 58 local providers have indicated their interest in administering
vaccine through including eight pharmacies and their multiple sites. The IMT will
determine the specific allocations to the health care and other vaccine providers as we
receive weekly vaccine allocations. The county vaccination plan, based on the IDPH
strategy is now focusing on
• Vaccine administration capacity
• Vaccine allocation, ordering, distribution, and inventory management
• Vaccination program communication and community education, including
education to vulnerable populations
• Vaccine equity and accessibility
The IDPH Infectious Disease Advisory Council (IDAC) has not released any further
priority group recommendations since its first health care worker priority group on
December 18, 2020.
Final decisions about prioritization of populations and priority groups will not be made
until closer to implementation. Therefore we are preparing multiple scenarios for
F:\Users\Health Department\Administration\COVID19\city council COVID\2021.1.4.21 City Council Update.docx
local distribution and administration.
Hospital Capacity Planning The IMT and city Human Resources Department staff are
working with MercyOne and Unity Point Finley Hospital on hospital capacity and
capability planning. The purpose of the planning effort is to maximize capacity and
capability of MercyOne and UnityPoint Finley Hospitals in order to care for COVID-19
patients while maintaining services for other non-COVID-19 patients.
As we continue to meet with hospital management and human resources staff, and plan
for an alternate care facility site, the hospitals’ census has decreased and leveled off.
The Incident Management Team will continue planning and meeting on the issue, but
the hospitals are not experiencing the level of urgency they were in November.
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. Health Services Department environmental sanitarians continue to
respond to citizen complaints at food and alcohol establishments not following the
Governor’s proclamation or the city face covering ordinance. Health Services
environmental sanitarians have done compliance related inspections on 92 food
establishments- there were 13 total covid complaints with 7 verified, and 2 warning
letters along with 15 referrals to ABD. For tattoo and swimming pool facilities, they’ve
done a total of 11 inspections.
Public Information The IMT, in conjunction with the City Public Information Office,
continues to provide daily COVID-19 updates along with social media posts and fielding
and responding to a variety of news media requests.
Looking ahead
• Promote influenza vaccinations!
• Plan for community vaccine distribution and administration
• City Public Information Office staff, in conjunction with the IMT and the joint
Information Center (JIC), will be providing messaging and community education
for vaccine education and administration along with an multi-media plan for
dissemination
• Insist on public health mitigation strategies continuing
• Implementing and distributing ever changing guidance from CDC, IDPH and
DOE.
F:\Users\Health Department\Administration\COVID19\city council COVID\2021.1.4.21 City Council Update.docx
Mary Rose Corrigan, Public Health Specialist
Health Services Department
Public Health Incident Management Team
City Council COVID-19 Work Session January 4, 2021
Dubuque County Public Health
Incident Management Team (IMT)
Mary Rose Corrigan Stacey Kilian
City of Dubuque VNA
Randy Gehl, City of Dubuque
Public Information Officer
Patrice Lambert Tom Berger
Dubuque County Dubuque County
Health Department EMA
3,538
1,341
NEW CASES IN NOVEMBER NEW CASES IN DECEMBER
New COVID-19 Cases in Dubuque County:
Nov. 2020 vs. Dec. 2020
NOVEMBER
DECEMBER
7,351
3,528
INDIVIDUALS TESTED -NOV. 2020 INDIVIDUALS TESTED -DEC. 2020
Dubuque County Residents Tested for
COVID-19: Nov. 2020 vs. Dec. 2020
NOVEMBER
DECEMBER
9
2
Tattoo Establishments Pools
Social Distancing Compliance
Inspections
92
13 1520
30
40
50
60
70
80
90
100
City of Dubuque COVID19 Compliance
Inspections
September 24, 2020-January 4, 2021
45
34
22 27 22 17
12/3/2012/4/2012/5/2012/6/2012/7/2012/8/2012/9/2012/10/2012/11/2012/12/2012/13/2012/14/2012/15/2012/16/2012/17/2012/18/2012/19/2012/20/2012/21/2012/22/2012/23/2012/24/2012/25/2012/26/2012/27/2012/28/2012/29/2012/30/2012/31/201/1/211/2/211/3/211/4/21COVID-19 HOSPITALIZATIONS OF
DUBUQUE COUNTY RESIDENTS
9.8%9.3%
11.4%
14-DAY AVERAGE OF
PERCENT OF POSITIVE CASES
13%15%
12%12%
16%
11%11%12%
0-17 18-29 30-39 40-49 50-59 60-69 70-79 80+
PERCENTAGE OF NEW DUBUQUE COUNTY
COVID -19 CASES BY AGE GROUP:
Last 14 Days as of Dec. 30
4%
<5 Cases
6%
8%
13%
11%
15%
40%
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85+
Percent of Dubuque County COVID-19
Deaths by Age Group as of Jan. 4, 2021
COVID-19 VACCINE PROVIDER AGREEMENTS
Dec 30, 2020
COVID-19 Completed Vaccine Provider Agreements
processed and approved by IDPH: 1,632
COVID-19 Completed Vaccine Provider Agreements
in Dubuque Co: 58
Public (FQHC/RHC) -3, LPHA -1, Hospitals -3,
LTC -9, Medical Providers -16,
Pharmacies (chain & independent) -25, Private
Company -1
Vaccination Planning
Phase 1a Priority
●Hospitals and LTC, front line health care workers-
4857 (not including ancillary staff)
●First vaccine received ~ Dec 17, 2020
●Weekly allocations
●Iowa Infectious Disease Advisory Council (IDAC)
Vaccination Allocation Update
Allocation Date Pfizer Moderna Total
12/14/2020 1,950 0 1,950
12/21/2020 0 400 400
12/28/2020 0 400 400
Total 1950*800 2750
Previous Allocations This Week’s Allocations
Expected
Allocation Date Pfizer Moderna Total
1/4/2021 1,950*0 1,950
*NOTE: booster
Total
vaccinations
provided to DBQ
County2,750
Who will get vaccinated next?
Priority Group Goals
•Maintain hospital and health care capacity
•Decrease death and serious disease
•Preserve functioning of society
•Reduce extra COVID-19 burden on those facing
disparities
•Iowa Disease Advisory Council
•1a Healthcare workers
How will I get Vaccinated?
•Clinics/medical providers offices
•Hospitals
•Pharmacies
•Public Health Clinics
•Work Sites
•Sites as determined by IDAC
CDC Vaccine Priority 1b-
●Congregate living facilities
●> 75 years
●Emergency and law enforcement personnel
●Food packaging and distribution workers
●Teachers/school staff, child care providers
●Adults with high -risk/underlying medical conditions
CDC Vaccine Priority Group 1c-
•65 -74 years old
•Underlying medical conditions
•Other essential workers
•Public Health
When will I get a COVID-19 Vaccine?
1.4867 Health care workers
2.2283 LTC residents and staff
3.17819 > 65 years old
4.3698 chronic medical conditions (Medicaid only)
5.9367 Critical Workforce
2750 Vaccines received to date
Additional COVID -19 Activities
●Schools, preK -12 and higher ed
●LTC
●Dubuque VNA call center and other functions
●Emergency Management Agency (EMA)
●Vaccine public information/education
Questions