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COVID-19 UpdateCity of Dubuque City Council Meeting ITEM TITLE SUMMARY: SUGGESTED DISPOSITION: Copyrighted June 21, 2021 Presentation(s) # 1. COVID-19 Update Mary Rose Corrigan, Public Health Specialist for the City of Dubuque, will provide an update on the COVI D-19 pandemic and response activities. Dubuque THE CITY OF All-Amerin City MI N Nnl. CT-7C: I1-i4-llE. DUB E 2007*2012*2013 Masterpiece on the Mississippi 2017*2019 TO: Mike Van Milligen, City Manager FROM: Mary Rose Corrigan, Public Health Specialist SUBJECT: COVID-19 City Council Work Session update DATE: June 21, 2021 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 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 the Equity Imersion Committee and many community partners. CURRENT INFORMATION Current case counts and other related COVID -19 data can be found at www.coronavirus.iowa.aov. COVID -19 Vaccine administration data can be found at https://coronavirus.iowa.gov/pages/vaccineinformation#Vaccinelnformation Vaccination scheduling and access information can be found at https://www.cityofdubugue.org/2965/COVID-19-Vaccinations and Vaccinate.lowa.gov, and at https://vaccinefinder.org/ Community State Profile Report file:///C:/Users/mcorriga/Downloads/Iowa State Profile Report 20210611 Public%20( 1).Pdf County Vaccination data: https:Hcovid.cdc.gov/covid-data-tracker/#county-view Long Term Care facility status Dubuque County currently has no long term care facility (LTC) outbreaks and the state of Iowa reports three facility outbreaks. 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 42,795 contacts calls/contact from the community. The VNA also continues with the contact tracing and daily public health support for community and remains in partnership with IMT team and Equity Immersion Committee. Emergency Management Agency (EMA) Director Tom Berger reports no shortages of PPE. The EMA continues to provide logistical and operational support for the POD and ongoing vaccination planning in conjunction with City Health Services staff. The state is distributing their PPE stockpile to counties based on need. Hospital Capacity Planning The IMT continues to monitor hospital capacity and capability and communicate with MercyOne and UnityPoint Finley Hospitals. This includes 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. Hospital census for COVID-19 patients are low, however, patients continue to be hospitalized for COVID- 19. Public Information The PIO team continues to promote vaccination clinics and the Sleeves Up! campaign through all channels available and assists with clinic signage. PIO staff will continue to provide messaging and information on the latest research and guidance around vaccinations. COVID- 19 Vaccination The IMT manages the IDPH vaccine allocations along with partnering with local pharmacies are who are receiving vaccine through the Federal Retail Pharmacy Program. The IMT has not requested or accepted vaccine for several weeks, but most likely will request more vaccine this week since the inventory in the county has been administered. Unity Point Finley, and VNA, continue to utilize the POD while other providers utilize their own facilities and/or community outreach clinics. During June, the POD is open on Fridays from 9 am - 6 pm for walk-in and appointment vaccinations, provided by the VNA and other providers as needed. The IMT will continue to facilitate, develop and plan smaller community -based, outreach vaccination clinics. Upcoming clinics at the following outreach locations: Pride Festival, June 26, 2021 4-7 pm (Hartigs) Walk ins/initial vaccinations continue to be administered at the Kennedy Mall POD - through June, with the site's last day officially June 25, 2021. In addition to vaccine administration at the POD on Fridays in June, VNA will be offering walk in appointments at their main location at 660 Iowa Street: Mondays: 7/5 (4pm-7pm), 7/26 (4pm-7pm)-WALK INS Fridays: 7/9 (8am-430pm), 7/16 (8am-430pm), 7/23 (8am-430pm), 7/30 (8am-430pm)- In addition, health care providers and pharmacies continue to offer walk-in and appointments for vaccinations, prime and booster doses, at their sites To facilitate access to vaccination appointments, the Dubuque County Sleeves Up phone line at 563 587 4950 continues, currently staffed by Americore workers. Call takers facilitate vaccine clinic locations, appointment making and internet navigation though inbound and outbound calls to connect people to vaccines. Completed COVID-19 Vaccinations by Age Group in Dubuque County Over Time from December 2020Present (6/15/2021) 18,000 16,000 14,000 12,000 10,000 8,000 6,000 i EM _16 - 16-29 30-09 So "1. 65+ F}7r] December 2020 January 2021 February 2021 March 2021 April 2021 May 2021 June 2021 - - - - 2 603 - 369 971 1,735 1333 6,543 6,874 - 938 1,981 3,784 9,391 11,683 11,973 - 896 1,923 3,842 10,976 13,046 13,255 - 651 3,278 13,065 15,169 15,665 15,733 ­16 -16-29 -30,49 T506 -65+ Testing for COVID-19 On June 16, 2021, the IDPH announced Test Iowa, the state's large-scale, free COVID- 19 testing program which launched in April of last year, will end operations on July 16, 2021. Staggered closings of its drive-thru test sites and clinic locations statewide will occur over the next five weeks. The Iowa Department of Public Health (IDPH) and State Hygienic Lab (SHL) are finalizing plans now to provide at-home test kits free of charge to Iowa residents following the closure of the Test Iowa program. IDPH is currently planning to provide at-home test kits via direct shipping to the requesting resident's home or at local pick-up sites. The Variants SARs COV2 variants continue to emerge with the B117 or Alpha variant being the most dominant in the United States. Prior to being dominant in the US, this variant was dominant in the United Kingdom (UK.) Now the Delta, or B1617.2 variant is dominant in the UK and is contributing to the surge in India. This variant is believed to be 40% more infectious than the B117 variant, which itself is 50-100% more infectious than previous strains. All vaccines used in the US are effective against the Delta variant, and this is monitored continuously. The Delta variant is making up 6% of the US variants found. 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. While vaccine allocation and supply is no longer an issue, the roll out will be slow but steady from here on 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 summer special events and activities • School and higher education institution planning for Fall, 2021 • Plan for COVID 19 testing access and in -home kit distribution outside of Testlowa clinics. 0 • 1 m . Lz DUBUQUE CITY COUNCIL COVID= 19 UP Mary Rose Corrigan, Public Health Specialist 414TV9 June 21, 2021 • 40 r-1 LL • • 4D ' -Community Transmission Level by County 051 81 0 1-061031 0 1 D NE TV i MN KU91 EL I IL Corn munity Transmission � Level w - High Substantial Moderate -� Love+ Date:6111/2021 Community Transmission Level by County 0610412021-0611012021 SD NE KS MN MO W1 IL Community Transmission Level High Substantial Moderate Low NEW COVID-19 CASES IN DUBUQUE COUNTY yo yo �o yo �a yo �o yo �o �o ro -op 0rp yo a a a\' a Positive Cases by Age Group Dubuque County Jun 7, 2021 - Jun 21, 2021 0% 0-10 (Child) 11-14 (Child) 15-1 S (Young Adult) 19-24 (Adult) 25-29 (Adult) 30-34 (Adult) 35-39 (Adult) 40-44 (Middle Age) 45-49 (Middle Age) 50-54 (Middle Age) 55-59 (Middle Age) 60-64 (Older Adult) 70-74 (Older Adult) 3% 3% 5% Percent (%) S% 10% 14% 14% 14% 15% TEST IOWA SITES ENDING • Sites and clinics closed effective July 16, 2020 • Replaced with free in -home test kits • Available via mail or pick-up, drop-off sites (clinics etc) • All testing continues at State Hygienic Lab (SHL) ab 01%,A.W PERCENT OF 18+ POPULATION FULLY VACCINATED Date 6;11 �2021 J Percent of 18+ Population Fully Vaccinated through 0611112021 SD NE KS N k wl Percent of county 18+ population fully vaccinated o -19.9% 30% - 39-V�- 40% - 49.9% W% - 59.9% M c - 69.9% M ?D%or More • •121■:1ION M161: Date: 611112021 D NE K Percent of 65+ Population fully Vaccinated through 0611/12021 m MC m Percent of county 664 IL population fully vaccinated 20% - 39.9% 40% - 49 9% 50% - 59. 9% 60% - 69 9% 70% - 79. 9% ao% or More People Vaccinated At Least One Dose Fully Vaccinated Total 53,392 50,648 % of Total Population 54.9% 52% Population > 12 Years of Age 53,391 50,648 % of Population _> 12 Years of Age 64.6% 61.3% Population > 18 Years of Age 51,125 48,812 % of Population ! 18 Years of Age 68% 64.9% Population : 65 Years of Age 16,910 16,467 % of Population ! 65 Years of Age 94.9% 92.4% See more information on wharthese data mean. CDC I Data as of, June 20, 2021 6:00am ET. Posted: Sunday, June 20, 2021 1:35 PM ET 60000 50000 40000 30000 20000 10000 0 Total Completed COVID-19 Vaccinations in Dubuque County December 2020 - Present (6/15/2021) December 2020 January 2021 February 2021 March 2021 April 2021 ag 020 May 2021 48,438 June 2021 Month Vaccine Administration by Age Group Dubuque County Dec 14, 2020 - Jun 19, 2021 Vaccinations 0% 20% 40% 60% 12 - 15 ■ 2,230 16 - 17 0 1,857 18 - 19 0 2,039 20 - 29 10,623 30 - 39 12,242 40 - 49 12,058 50 - 59 16,512 60 - 64 10,108 65+ 31,767 OUTREACH CLINICS COMING UP •Friday, June 25, 9 a.m. - 6 p.m. Kennedy Mall Vaccination Clinic LAST ONE — POD Closing Walk-in vaccinations of Pfizer and J&J administered by the Dubuque Visiting Nurses Association. •Key City Pride Festival, June 26 Town Clock 12-4 pm Walk-in vaccinations of Pfizer and J&J administered by Hartigs • Exploring incentives • Ongoing outreach clinics VACCINE COMMUNITY EDUCATION I OUTREACH • Booster shots- available anywhere • IDPH Vaccination Campaign • Incentives= 0 Kennedy Mall POD closing: last clinic June 25. 2021 • VNA offer vaccines at 660 Iowa Fridays starting July 9th VACCINE COMMUNITY EDUCATION • Social Media posts • City/County Newspapers & Publications • Radio and TV interviews • Billboards in City & County • Public Access Television (Dubuque, Dyersville, Epworth, Farley) • IDPH Vaccination Campaign Sleeves Up! Phone line 563=690=6253 563=(690=MAKE) For Residents needing • Vaccination • Booster • Appointment navigation 0 0 I OLW QUESTIONS? Mary Rose Corrigan Dubuque County Public Health Incident Management TearrfI'vr Monthly City Council updates starting in July n • L r 40 • • 4D 300 250 200 (U L v E Q v 150 V) 0 0 0 100 50 0 Past Three Friday's - POD Vaccinations vs. Community Vaccinations (includes booster/2"d doses) 153 239 122 �I June 4 June 6 85 June 11 130 0 Total Doses Administered at POD 0 Total Doses Administered in the Community 0 0 00 Co ai a v -1 Y N E Q v U U f6 0 v E z 300 423 Boost Total 83 Prime Total 268 250 200 150 100 50 0 153 Total Doses Administered at POD 85 POD Vaccination Days 101 Boost Walk-ins 83 Prime Walk-ins 1.9 Walk -Ins 27 322 Boost Scheduled 0 Prime Scheduled 88 176 Scheduled ■June4 ■June 11 ■June 18