COVID-19 Pandemic Update Work SessionCopyrighted
May 3, 2021
City of Dubuque Work Session - Top # 2.
City Council Meeting
ITEM TITLE: 5:30 PM - COVID-19 Pandemic Update
SUMMARY: City staff and network partners will provide updates on the internal and
community -facing response to COVI D-19.
SUGGESTED
DISPOSITION:
ATTACHMENTS:
Description Type
COVI D-19 Work Session Agenda-MVM Memo City Manager Memo
staff memo Staff Memo
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TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Agenda for 5.3.21 City Council Work Session: re COVID-19 Response
DATE: April 29, 2021
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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Cori Burbach, Assistant City Manager
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TO: Michael C Van Milligen, City Manager
FROM: Cori Burbach, Assistant City Manager
DATE: April 29, 2021
RE: Agenda for 5.3.21 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 May 3, 2021. The presentation will provide updates from City staff and
our partners on the internal and community -facing response to COVID-19.
Tentative aresentation order:
5:30 pm Community COVID-19 Update & Communication Response
Mary Rose Corrigan, Public Health Specialist
5:45 pm Update on vaccine distribution, call center and outreach to marginalized
communities
Rick Steines, Fire Chief
Cori Burbach, Assistant City Manager
Kelly Larson, Human Rights Director
6:00 pm Community Partner Presentations
Rick Dickinson, Greater Dubuque Development Corporation
Jenna Manders, Community Foundation of Greater Dubuque
6:15 Q&A
6:30 Adjourn for regular Council meeting
The most up-to-date information will be shared verbally during the work session.
Thank you.
May 3, 2021
Community COVID-19 Update
Mary Rose Corrigan, Public Health
Specialist
Vaccine Distribution Updates
Rick Steines, Fire Chief
Cori Burbach, Assistant City Manager
Kelly Larson, Human Rights Director
Fire Dept Vaccine Clinics
to date & upcoming
Grand River Center
Apr 8
Apr 15
Apr 22
Apr 29
May 6
May 13
May 20
May 27
Audubon School
Apr 28
May 19
May 26
Farmers Market (12th &
Iowa)
May 8
Outreach & Scheduling
SleevesUP! call center activity
Neighborhood canvassing
Equity Immersion Team Update
Food Provider Network
Civic Leaders
Vaccine Q&A Panels
3 panels (English & Spanish)
1000+ views
Marshallese coming soon
Community Partner Updates
Community Foundation of Greater Dubuque
(Jenna Manders, Director of Strategic
Relations)
Additional Questions?
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TO: Mike Van Milligen, City Manager
FROM: Mary Rose Corrigan, Public Health Specialist
SUBJECT: COVID-19 City Council Work Session update
DATE: May 3, 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. Another section of the
IMT is vulnerable populations, lead by Kelly Larson, Human Rights Director. The
vulnerable populations section is assisted by other city staff and many community
partners.
CURRENT INFORMATION
Current case counts and other related COVID -19 data can be found at
www.coronavirus.iowa.gov.
COVID -19 Vaccine administration data can be found at
https://coronavirus.iowa.gov/pages/vaccineinformation#VaccineInformation
Vaccination scheduling and access information can be found at Vaccinate.Iowa.gov,
and at https://vaccinefinder.org/
Long Term Care facility status: Dubuque County currently has no long term care
facility (LTC) outbreaks and the state of Iowa reports two current outbreaks.
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
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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.
Dubuque County K-12 schools have had 93 positive cases during April, 2021, which is
up from the 44 total during March, 2021. The IMT is asking schools to assist in
promoting vaccination among students 16 years and older. Schools are assessing the
need to host school-based vaccination clinics for students and families.
The Dubuque County higher education institution representatives have met weekly with
the IMT to prepare for vaccinations. All colleges in Dubuque County have began
vaccinating students along with remaining faculty and staff that have not yet received
vaccine. Second doses will be administered prior to the local higher education
institutions finishing their spring semesters.
Dubuque VNA Continues to operate the public call center for Dubuque County 7
days/week for general COVID questions. To date VNA has fielded over 41,425 contacts
calls/contact from the community. The VNA continues contact tracing for positive cases
along with providing daily public health follow up to two facilities including local school
districts.
VNA staff have administered 5,844 vaccines and today joined in utilizing the software
the city purchased for their scheduling. VNA continues to partner with Kelly Larson and
the Equity Immersion Committee to schedule vulnerable populations through various
ways, including tickets that break down barriers for scheduling and reserving 30
appointments each week for these populations. All VNA clinics now incorporate both
scheduled and walk in appointments. Spanish translations are available on Thursdays
and Fridays at VNA clinics, as well as Marshallese translation on Fridays.
Emergency Management Agency (EMA) Director Tom Berger reports they do not
need to travel to the regional node in Cedar Rapids to pick up requested PPE due to
demand for supplies decreasing steadily. The EMA is transitioning to packing 30 day
supplies of gowns, masks, gloves and face shields to place in storage for future spikes
in cases or future events. The EMA continues to provide logistical and operational
support for the POD and ongoing vaccination planning in conjunction with City Health
Services staff.
Hospital Capacity Planning The IMT continues to monitor hospital capacity and
capability and communicate with MercyOne and UnityPoint Finley Hospitals. This
includes closely monitoring new cases, outbreaks and other data points to assure that
hospitals continue to plan for surges while maintaining services for other non-COVID-19
patients.
The alternative care site contract has ended and those needing isolation, quarantine
housing will utilize local hotels. The Dubuque County case manager who managed the
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isolation and quarantine shelter assists oversees the process for those needing this
resource.
Public Information The PIO team continues to promote vaccination clinics through all
channels available. Over 100 posters promoting clinics May 1-14, 2021 were produced
and distributed by Health Services staff. COVID updates are now being issued on
Mondays, Wednesdays, and Friday.
The "SleevesUp!" Dubuque County campaign continues to promote vaccinations, and
where vaccines can be accessed, which is frequently being updated. Social media
posts and videos featuring messages on vaccine safety and effectiveness as well as
testimonials from county board of health members and city council members are
running and a countywide billboard campaign is underway featuring multiple messages
on 10 different locations. Sixty-second commercials ran for two weeks on five different
radio stations in the county. Posters and flyers are also being distributed with the latest
clinic information. Additional targeted vaccine information is being produced for various
audiences and events.
PIO staff will continue to provide messaging that explains the safety and effectiveness
of the vaccines and addresses FAQs and misinformation and they will promote public
vaccination clinics as they become available
COVID- 19 Vaccination The IMT continues to manage the IDPH vaccine allocations
along with the allocations local pharmacies are receiving through the Federal Retail
Pharmacy Program. We receive allocation notifications on Wednesday mornings which
requires expeditious planning for local distribution and administration by the IMT and the
local providers. The local distribution request must be returned to IDPH by Thursday at
noon and the vaccines arrive here anytime between Friday and Tuesday. Nine local
Federal Retail Pharmacy Providers are now receiving allocations: MercyOne, HyVee,
Walmart, Walgreens, CVS (Target), INFOCUS, Union, Prescription Shoppe, and Hartig
Drug, along with Crescent Community Health Center receiving doses through the
Federal Health Center COVID-19 Vaccine Program. These allocations have increased
significantly over the next several weeks.
A community point of distribution (POD) for vaccine providers to administer vaccines
has been operational since Feb 10, 2021 at the Kennedy Mall former women’s
Younkers store. Unity Point Finley, Grand River Medical Group, VNA, Medical
Associates and Union Family Pharmacy continue to utilize the POD.
The Grand River Center (GRC) POD, developed by staffed by the Dubuque Fire
Department and city staff under the guidance of the IMT, and continues to host drive
through clinics, hosting a clinic at Farmers Market on May 8, 2021 and assisting with the
Saturday May 1st clinic at Crescent Community Health Center. All of these clinics offer
walk in and appointments.
The decline in vaccine demand over the last four weeks continues and the IMT has
responded with “no appointment required” clinics as much as possible. The decline in
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demand is a state and national trend. The IMT is facilitating and planning smaller
community-based, outreach vaccination clinics over the next several weeks as the
Kennedy Mall POD continues to see significant traffic. Operation Warp Speed no longer
requires the state or counties to achieve the 80% vaccine administration rate (burn rate)
and has also relaxed the “no waste” policy
To facilitate access to vaccination appointments, the Dubuque County Sleeves Up
phone line at 563 587 4950 is staffed by city staff who have shifted their job
responsibilities. Call takers facilitate vaccine clinic locations, appointment making and
internet navigation though inbound and outbound calls to connect people to vaccines. A
software system manages this effort.
The IMT has completed the vaccination offering to county employers
with GDDC in conjunction with the Dubuque Area Chamber of Commerce and the
Dyersville Area Chamber of Commerce. The IMT and local employers greatly
appreciate the assistance provided and system developed for accomplishing this
substantial task. The IMT thanks and commends GDDC and it’s partners for all their
work on this vaccination effort.
Looking ahead
• As private clinics and hospitals incorporate vaccination into their daily work and
patient visits, the IMT will continue planning for meeting community wide
vaccination needs. As local pharmacies and the Crescent Community Health
Center continue to receive federal vaccine allocations, we will be less reliant on
the local health care provider clinics and PODs to administer vaccines. While
vaccine allocation and supply is no longer an issue, the roll out will be slow but
steady from here on out.
• Plan for Kennedy Mall POD and Grand River Center POD phase out
• Provide ongoing education and access for COVID -19 to vulnerable populations,
with the assistance of the Equity Immersion Committee and many community
partners.
• Plan for non-traditional and targeted community vaccine distribution and
administration sites and methods in case they are needed
• Provide ongoing community vaccine education and administration as availability
continues to change, utilizing multi-media
• Implementing and distributing ever changing guidance from CDC, IDPH and
DOE.
• Monitor and provide community education on SARS CoV2 variants.
• Provide COVID-19 guidance for spring and summer special events and activities
• Think ahead to vaccinating children
• Booster doses are on the fall/winter horizon
DUBUQUE
CITY COUNCIL COVID-19
WORK SESSION
City Council update-May 3, 2021
Mary Rose Corrigan,
Public Health Specialist
INCIDENT MANAGEMENT TEAM (IMT)
Mary Rose
Corrigan
City of Dubuque
Stacey Killian
VNA
Patrice Lambert
Dubuque County
Health Department
Tom Berger
Dubuque County
EMA
Randy Gehl City of Dubuque Public Information Officer
PERCENT OF POSITIVE CASES
4.9%
2.1%
14-DAY AVERAGE OF
PERCENT OF POSITIVE
CASES
COMMUNITY PROFILE REPORT
COMMUNITY PROFILE REPORT
VACCINATION PROGRESS
exported 03 May 2021
Vaccine Dose Administration by Day in Iowa (Includes prime and boost doses)
Dec 14, 2020 -May 1, 2021, by Day
exported 03 May 2021
Doses Administered by Manufacturer Dubuque County
Dec 14, 2020 -May 2, 2021
exported 03 May 2021
Vaccine Series by Resident Dubuque County
Dec 14, 2020 -May 2, 2021
CDC Data tracker Dubuque County fully vaccinated
DUBUQUE COUNTY VACCINATION PROGRESS
11
HERD IMMUNITY:
WHAT IS IT?
•Concept
•Different for different
diseases
•No universally accepted
number or %
•R factor <1
•Relies on geographic
and demographic
distribution of immunity
VACCINE COMMUNITY EDUCATION
•Targeted Outreach to Organizations & Populations
•Social Media
•City/County Newspapers & Publications
•Billboards in City & County
•Public Access Television (Dubuque, Dyersville, Epworth, Farley)
•Code RED call Apr 30
VACCINE INFORMATION
New Sleeves Up! Phone line
563-690-6253
(690-MAKE)
For Residents needing
•Vaccination
•Booster
•Appointment navigation
What would it take to get to 50% fully vaccinated?
POPULATION VACCINATION
●96,982 ACS Dubuque Co pop est (2019)
●48491 is 50%
●39824 currently vaccinated
●= 8667 more vaccinations for 50% of total pop
Since ~Apr 19, 8295 Vaccinations completed
Pace has slowed, therefore fully vaccinated increase will slow
Working with Vaccine Providers
PLANNING FOR THIS WEEK AND BEYOND
Vaccine need projections
Are this week’s appointments/slots being filled?
Vaccinate during routine clinic/office visits?
J & J vaccine allocation-who wants some?
IDPH removes “burn” or 80% administration rate rule
Vaccine wastage is acceptable
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August September October November December January February March April
Police Calls for Service -Ordinance or Proclamation
Violations
QUESTIONS?
City Council Work Session
May 3, 2021
Mary Rose Corrigan
Dubuque County
Incident Management Team
Service People Integrity Responsibility Innovation Teamwork
City of Dubuque
FACE COVERING ORDINANCE CONSIDERATIONS
Many cities and communities, businesses and organizations have adopted policies
requiring the wearing of masks and/or face coverings under certain circumstances.
While there are many examples of these policies and ordinances, very few include
provisions for lifting such policies. As we continue monitoring the pandemic locally and
in Iowa, we have monitored a variety of metrics and have created some of our own
utilizing primarily IDPH and census data, including:
• Epi curve • 14- day new case trend line • Hospitalizations • Hospitalization admits in past 24 hours. • Deaths • Positivity rate: daily & 14- day average • Positivity rate/100,000 pop • Testing, including number of tests administered, testing per capita, local capability and access. • Long Term Care facility outbreaks, cases, and deaths • Recovery rate • Positive cases by age group • Pre-K through 12 school positive cases • Higher Education institution positive cases • Isolation shelter/facility census • White House / CDC COVID -19 community profile reports • Adequate PPE supplies • COVID-19 virus variants and their impact on transmission and vaccine effectiveness • Vaccination coverage/rates
Other qualitative information that guides our PH IMT planning, response and community information include:
• Business and Worksite outbreaks
• Contact tracing trends and resource needs.
• Health care provider and hospital needs (capacity, staffing, supplies etc.)
• Public health workforce capacity and status
• Feedback from news and social media
• Planning guidance and forecast information from IDPH and CDC
• Information from Iowa Governor’s office, CDC, Dubuque City Council proclamations
All of this information and metrics are useful in PH IMT response and emergency declarations. However, assigning quantitative benchmarks for the face covering
Service People Integrity Responsibility Innovation Teamwork
ordinance removal is challenging for the mere fact that they all are related and influence each other and the response to the pandemic.
The most indicative of the pandemic status as it relates to face covering requirements which would be most helpful are:
Monitoring new infections:
• Epi curve decreasing
• 14 day and monthly trend line decreasing
• Positivity rate: daily & 14- day average, including longer trend lines decreasing.
• Decline in number of deaths trendline.
Health Care Capacity:
• testing supplies available,
• adequate hospital bed, ICU bed and staffing
Number of outbreaks:
• School
• Worksite
• Long Term Care
• Special populations
Vaccination Coverage:
• By age group
• By vulnerable population
• Vaccine breakthrough data
• % of population vaccinated
Qualitative information to consider:
• State and local Emergency Declaration proclamations
• Health care provider information on trends
• Community information gathered through contact tracing, healthcare providers’ capacity, testing supplies, schools etc. Herd Immunity:
• Herd immunity is a concept used to describe the level of immunity for a particular communicable disease within a community.
• Desired or obtainable herd immunity varies from infectious disease to disease. Herd immunity is influenced by the R factor, meaning fewer people are infected than one for every person infected. Herd immunity also relies on strategic geographic and demographic distribution of immune individuals, and also among various groups (vulnerable etc.) and even among social networks. Herd immunity can be influenced by disease mutations or variants, and also by waning immunity.
Service People Integrity Responsibility Innovation Teamwork
Assigning specific quantitative numbers to any of these metrics is difficult due to the frequent addition of new metrics as the virus changes and the pandemic research unfolds. We will continue to evaluate and monitor trends over time periods. Prepared by: Mary Rose Corrigan RN Public Health Specialist May 3, 2021