COVID-19 UpdateCity of Dubuque
City Council Meeting
ITEM TITLE
SUMMARY:
SUGGESTED
DISPOSITION:
Copyrighted
August 2, 2021
Presentation(s) # 2.
COVI D-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.
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TO: Mike Van Milligen, City Manager
FROM: Mary Rose Corrigan, Public Health Specialist
SUBJECT: COVID-19 City Council update
DATE: Aug 2, 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, led by Kelly Larson, Human
Rights Director. The vulnerable populations section is assisted by the Equity Immersion
Committee and many community partners.
CURRENT INFORMATION
Current case counts and other related COVID -19 data can be found
at www.coronavirus.iowa.gov. and
https:Hcovid.cdc.gov/covid-data-tracker/#datatracker-home
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
https://healthdata.gov/browse?sortBv=alpha&taqs=covid-19-
spr&utf8=%E2%9C%93&page=2
County Vaccination data:
https://covid.cdc.gov/covid-data-tracker/#county-view
Dubuque VNA
VNA continues to operate the public call center for Dubuque County 7 days/week for
general COVID questions. To date VNA has fielded over 43,011 calls/contacts from the
community, IDPH has made a statewide change discontinuing contact tracing for
individual cases. Contact tracing will only occur for COVID 19 positive clusters and
outbreaks. The VNA and IMT continuing to monitor positive cases on a daily basis,
which are reported in conjunction with our local health care providers and through the
IDPH disease reporting system. Contingency planning is underway for if, and when,
contact tracing will need to be resumed.
Emergency Management Agency (EMA)
PPE supply chains have caught up and PPE is readily available through normal
vendors. We are demobilizing our PPE distribution but will still be able to submit
emergent requests for PPE if local facilities cannot procure on their own. Tom Berger
reports the state continues to deplete the extra inventory through allocations to specified
tiers. We are currently in the process of receiving and distributing PPE for schools,
colleges and childcare facility businesses that requested PPE from the state.
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 continue to be low. However, patients are being hospitalized for
COVID-19, but require less length of stay.
Public Information
The City's Public Information Office team continues to provide communications support
to the incident management team. The PIO team also continues to promote public
vaccine clinics, testing availability and the SleevesUp! phone line along with facilitating
pandemic -related media inquiries. Printed posters are being distributed throughout the
community by the PIO office and IMT. This week the PIO team is producing a
vaccination promotion video featuring 8-10 local doctors encouraging residents to get
vaccinated. The PIO facilitated the process for the recent physician's letter printed in the
Telegraph Herald.
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 and shelf
life of the vaccines is being extended. This will allow less wastage.
The IMT continues to seek and plan for outreach vaccination opportunities and will
facilitate, develop, and plan smaller community -based, outreach vaccination clinics.
VNA is giving out healthy snacks at all evening clinics on Mondays at their location on
Iowa St and $10 Kwik Stop gas card at all clinic sites to any individual receiving
vaccinations.
VNA will be offering walk in appointments at their main location at 660 Iowa Street and
scheduled clinics on the following:
Mondays: 8/16 (4pm-7pm) WALK INS.
Fridays: 8/6, 8/13, 8/20, 8/27
September schedules to be determined.
Outreach clinics coming up:
Wednesday St. Pat's Church Meal Site 4-530pm: 8/4, 8/11, 8/18, 8/25
Sunday August 1 st 5-7pm: Dubuque Colts Youth Organization Music on the March
Tuesday August 3rd 6-8pm, National Night Out, Comiskey Park
Monday, Aug. 16, 6 - 9 p.m. New Vienna Fire Station, New Vienna
In addition, health care providers and pharmacies continue to offer walk-in and
appointments for vaccinations, prime and booster doses, at their sites, and assist with
outreach clinics. To facilitate access to vaccination appointments, the Dubuque County
Sleeves Up phone line at (563)587-4950 continues, currently staffed by AmeriCorps
workers. After this week, staffing the phone line will be done by the City Manager's
Office. Call takers facilitate vaccine clinic locations, appointment making and internet
navigation though inbound and outbound calls to connect people to vaccines.
Testing for COVID-19
Since the closing of Testlowa sites on July 16, 2021, the Iowa Department of Public
Health (IDPH) and State Hygienic Lab (SHL) now provide at-home test kits free of
charge to Iowa residents through a mail order system or via pick-up locations at
healthcare and public health sites in communities. Information about where to obtain
these free in- home test kits can be found at: https://www.testiowa.com/en
Dubuque County in home test pick-up sites include:
https://www.cityofdubuque.org/2940/Local-COVID-19-Testing-Options
Dubuque County Health Department, Dubuque VNA, Crescent Community Health
Center, Medical Associates Clinics, Epic Health and Wellness, Grand River Medical
Center.
Free In -Person Standard PCR Testing is available at Hartig Drug Stores and the Dodge
Street Hy-Vee Pharmacy.
The Variants
SARs COV2 variants continue to emerge with the B.117 or Alpha variant having been
the most dominant and the Delta variant now being the dominant strain in the United
States with 83% of the positive cases. All vaccines used in the US continue to be
effective against the Delta variant. With community spread continuing, and vaccinated
individuals experiencing break through infections, ongoing public health mitigation
strategies are important and necessary. Continued spread will allow time for further
mutation of the virus and additional variants developing.
Looking ahead
See the attached document titled "Dubuque County IMT COVID-19 Roadmap" for an
updated report on continued planning and mitigation in Dubuque County through 2021.
While contact tracing is not occurring for individual cases, the IMT will continue to
monitor the reports of positive cases daily, through the IDPH COVID 19 disease
notification and tracking system database. Adjustments to contact tracing work
will be made if the data warrants restarting.
• Provide ongoing education and access for COVID -19 to vulnerable populations,
with the assistance of the Equity Immersion Committee and many community
partners.
• Plan and execute non-traditional and targeted community vaccine
distribution and administration sites to reach of variety of populations and assure
adequate vaccine access.
• Continue community vaccine education and administration as eligibility and
availability changes, utilizing multi -media and community outreach, with a focus
on school age and those attending higher education institutions.
• Implementing and distributing ever changing guidance from CDC, IDPH and the
Governor's Office.
• 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 is underway.
• Continue assurance of COVID 19 testing access and in -home kit distribution.
• Move to cluster and outbreak contact tracing of COVID-19 cases, if warranted.
4
Dubuque County
COVID-1 9 Roadmap
A look at the Incident
Management Team's plan for
continued COVID-19 mitigation
throughout Dubuque County.
Prepared by Samantha Kloft
Assistant Health Director
Dubuque County Health Department
Last revised: July 29, 2021
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Table of Contents
Background& IMT Goal......................................................................................................................... 1
Contacts& Roles..................................................................................................................................... 2
COVID-19 Testing.................................................................................................................................... 3
COVID-19 Vaccinations........................................................................................................................... 6
QHealthcare Provider Capacity, Capability, & Needs........................................................................... 8
QPublic Education & Communication.................................................................................................... 10
2022 & Beyond....................................................................................................................................... 11
Background & IMT Goal
The Dubuque County Incident Management Team (IMT) consists of representatives from the
Dubuque County Health Department, City of Dubuque Health Department, Dubuque County
Emergency Management (EMA), and the Dubuque Visiting Nurse Association (VNA). These four
agencies, along with countless other community partners, have worked collectively to ensure
the health and safety of Dubuque County residents since the start of the COVID-19 pandemic in
February 2020.
While Dubuque County is only the 7th largest county in the state of Iowa, it is currently ranked
4th in COVID-19 vaccination rates. Approximately 64.5% of Dubuque's 12+ population has
completed their vaccination series or is currently in the process, and the same goes for 91.5% of
the county's 65+ population. Although COVID-19 cases in the county remain low, and
vaccination rates continue to increase, mitigation is still needed to prevent future spread. This
plan is the Dubuque County IMT's roadmap for managing the pandemic throughout the
remainder of 2021, with a focus on four main components:
• COVID-19 testing
• COVID-19 vaccinations
• Healthcare provider capacity, capability, and needs
• Communication to the public
While continuing to prioritize these four elements, the IMT aims to also continue promotion
and access to COVID-19 vaccinations for eligible Dubuque County residents through 2021.
1
Contacts & Roles
Dubuque County Incident Management Team (IMT)
Patrice Lambert - IDPH, Board of Health, and Board of Supervisors liaison, as well as grant management.
Executive Director of the Dubuque County Health Department
Patrice. Lam bert@du bug uecounty.us
(563) 557-7396
Mary Rose Corrigan - General information and guidance for schools/community programming as it
relates to COVID-19, and liaison to public information services.
City of Dubuque Public Health Specialist
Mcorriga @cityofdubugue.org
(563) 589-4181
Tom Berger - Personal protective equipment for medical providers and community, as well as requests
resources and communicates with Homeland security.
Director of the Dubuque County Emergency Management Agency
Tom. Berger@DBQCOEMA.COM
(563) 589-4170
Stacey Killian - Contact tracing and/or positive COVID-19 case investigation, as well as vaccine provider
contact and coordination with individual needs/assistance.
Director of the Visiting Nurse Association
Stacey.killian@unitypoint.org
(563) 556-6200 Ext. 1901
IMT Support Staff
Samantha Kloft
Assistant Director— Dubuque County Health
(563) 557-7396
Tim Link
Environmental Sanitarian — City of Dubuque Health
(563) 589-4181
Sydney Moquin
Environmental Sanitarian — City of Dubuque Health
(563) 589-4181
Randy Gehl
Public Information Officer— City of Dubuque
(563) 589-4151
COVI D-19 Testing
All Dubuque County residents have access to free COVID-19 testing as well as rapid
testing.
What: COVID-19 testing is provided to residents in a variety of methods including rapid testing,
at-home testing, and standard PCR testing via healthcare providers. Residents have the ability
to choose a testing option that fits their specific needs and current CDC guidance.
When: COVID-19 testing is available 7-days a week.
Where, The following locations will stay as consistent as possible. Detailed information and
availability of services will be modified as needed, based on changing guidance, need, etc.
Dubuque County Health Department
1225 Seippel Road, Dubuque, IA 52003
Free at-home testing kits are available Monday -Friday, 8am-4:30pm for pick up.
Call (563) 557-7396 for more information or to schedule a pick-up in advance.
Dubuque County Visiting Nurse Association
660 Iowa Street, Dubuque, IA 52001
Free at-home testing kits are available Monday -Friday, 8am-4:30pm for pick up.
Call (563) 556-6200 for more information or to schedule a pick-up in advance.
Crescent Community Health Center
1690 Elm St #300, Dubuque, IA 52001
Free at-home testing kits are available Monday -Thursday, 7am-6pm and Friday 8am-5pm for pick
up. Call (563) 690-2850 for more information or to schedule a pick-up in advance.
ALL Medical Associates Locations, including Dyersville and Cascade
Free at-home testing kits are available at all locations during operating hours.
Grand River Medical Group Multispecialty Clinic
1515 Delhi Street, Suite 100, Dubuque, IA 52001
Free at-home testing kits are available at all locations during operating hours.
Epic Health & Wellness
1075 Cedar Cross Road Suite 1, Dubuque, IA 52003
Free at-home testing kits are available during operating hours.
Rapid testing is available onsite for $75.
Grand River Medical Group Urgent Care
3500 Dodge Street Suite 135, Dubuque, IA 52003
Rapid testing is available onsite for $75.
All Walgreens Pharmacy Locations
Asbury: Free rapid testing is available.
Dubuque: Free standard PCR COVID-19 testing and free rapid testing is available.
Make an appointment at least 24 hrs. in advance at
https://www.walgreens.com/findcare/covidl9/testing?ban=covid vanity testing
Hartig Drug Pharmacy
Rapid testing is available at the following locations. $24.99 for two tests.
Free standard PCR COVID-19 testing is available at the following locations:
o Hartig Drug Co 3, 2255 John F Kennedy Rd, Ste. 16, Dubuque
o Hartig Drug Co 4, 2225 Central Ave, Dubuque
o Hartig Drug Co 8, 1600 University Ave, Dubuque
Schedule an appointment online at www.doineedacovid019test.com
Dubuque Hy-Vee Pharmacy
3500 Dodge Street Suite 1A, Dubuque, IA 52003
Free standard PCR COVID-19 testing is available Tues.-Thurs., Sam -gam and Sat. 9-10am. Schedule
an appointment online at https://www.hy-vee.com/my-pharmacy/services/covid-19-testing
Details of the Dubuque County COVID-19 Testing Plan Moving Forward
The Dubuque County IMT partners with many providers to assure COVID-19 testing to all
county residents. As of July 16, 2021, the Iowa Department of Public Health (IDPH) ended Test
Iowa operations throughout the state and now provides free, at-home COVID-19 test kits.
These kits are available at a variety of locations throughout the county (see above). While IDPH
has not provided an end date to this new program, the IMT anticipates this will be long-term
operation.
Additionally, select healthcare providers offer standard PCR testing as well as rapid testing (see
above). By offering a variety of testing methods, at accessible locations throughout the county,
residents have the ability to choose one that fits their specific needs whether that be work,
travel, or sickness. Testing options have been added to the County and City of Dubuque
websites, and have also been printed on posters and distrusted throughout the county.
To ensure COVID-19 testing is accessible and equitable to all Dubuque County residents, many
of these testing options remain at no cost. Additionally, homebound individuals have the option
to request a kit be sent to their home, and have UPS pick up their sample by contacting the
State Hygienic Lab at (855) 374-4692.
The Dubuque County IMT will follow IDPH guidelines on contact tracing and case investigation.
As of July 1, 2021, the state shifted investigation focus to outbreaks in vulnerable settings such
as long-term care facilities as well as clusters of positive cases. IDPH also ended routine COVID-
19 case investigation calls for individual positive tests. At the local level, the VNA will make
contact with individual positive cases when necessary.
The IMT will meet and communicate with the COVID-19 testing providers listed above on a
monthly, or as needed, basis. This will allow the IMT to assess the availability of testing supplies
and personal protective equipment (PPE), as well as evaluate testing progress and needs
moving forward.
The IMT will also be focused on COVID-19 data provided via IDPH DOMO to assess trends in
positive cases and detect COVID-19 outbreaks early on.
Certain populations are at a high risk for exposure to, and infection with, SARS-CoV-2. Such
populations are especially well -suited for sentinel monitoring efforts to detect the early
introduction and spread of COVID-19, particularly in areas with low vaccination coverage or
where layered prevention strategies are not in use. The CDC considers the capacity to monitor
COVID-19 incidence in the following populations particularly useful due to their high risk of
exposure or severe illness:
• Students and staff members of PreK-12 schools
• Higher education institutions
• Health care workers
• Residents and staff members of long-term care facilities
• Incarcerated persons
• Homeless persons
• Workers in high -density work sites
The following metrics, among others, are used as indicators in assessing the impact of COVID-19
in Dubuque County. The IMT will continue to monitor these metrics on a regular basis.
• Community transmission rates
• 7 and 14-day trend line
• Hospitalization admits in past 24hr
• Positivity rate: daily & 14-day
average
• Positivity rate/100,000 population
• Testing rates
• Case age ranges
• Long -term -care outbreaks/cases
• COVID-19 deaths
The IMT will continue to assess local metrics and communicate observations to organizations,
schools, etc. working with vulnerable populations and/or doing regular screening and
monitoring of their employees, customers, students, and/or residents to detect an early
increase in COVID-19 cases. In the event of an outbreak, the IMT and testing providers are prepared
to respond accordingly.
Current testing information can be found at www.dubuquecounty.org/sleevesup or by calling
(563) 557-7396.
5
COVID-19 Vaccinations
All Dubuque County residents have access to a free COVID-19 vaccine.
COVID-19 vaccines are offered to residents in a variety of methods, during regular clinic
hours and at popup community clinics.
When: COVID-19 vaccines are available 7-days a week.
WhPrP, The following locations will stay as consistent as possible. Detailed information and
availability of services will be modified as needed, based on changing guidance, need, etc.
Please note, most locations listed below offer walk-in COVID-19 vaccinations.
Dubuque County Visiting Nurse Association
660 Iowa Street, Dubuque, IA 52001
Walk-ins are available during operating hours.
Crescent Community Health Center
1690 Elm St #300, Dubuque, IA 52001
Walk-ins are available during operating hours.
ALL Unity Point Health/Finley Primary Care Clinics, including Peosta Pharmacy
Walk-ins are available at all locations during operating hours.
ALL MercyOne Locations, including Dyersville and Cascade Pharmacy
Walk-ins are available at all locations during operating hours.
Grand River Medical Group Acute Clinic & Urgent Care
Acute Care: 2395 NW Arterial, Inside Hy-Vee, Dubuque, IA 52002
Urgent Care: 3500 Dodge Street Suite 135, Dubuque, IA 52003
Walk-ins are available during operating hours.
Medical Associates East & West Campus
East Campus: 100 Langworthy Street, Dubuque, IA 52001
West Campus: 1500 Associates Drive, Dubuque, IA 52002
Walk-ins are available during operating hours.
Epic Health & Wellness
1075 Cedar Cross Road Suite 1, Dubuque, IA 52003
Appointment required for COVID-19 vaccination.
Schedule an appointment online at www.epichealth.net
INFOCUS Pharmacy
1690 Elm Street Suite 200, Dubuque, IA 52001
Walk-ins are available during operating hours.
CVS Pharmacy (Target)
3500 Dodger Street, Dubuque, IA 52003
Walk-ins are available during operating hours.
Walmart Pharmacy
4200 Dodge Street, Dubuque, IA 52003
Walk-ins are available during operating hours.
ALL Hartig Drug Pharmacy Locations
Walk-ins are available at all locations during operating hours.
ALL Dubuque Hy-Vee Pharmacy Locations
Walk-ins are available at all locations during operating hours.
ALL Walgreens Pharmacy Locations
Walk-ins are available at all locations during operating hours.
Details of the Dubuque County COVID-19 Vaccination Plan Moving Forward
The Dubuque County IMT partners with many providers to offer free COVID-19 vaccines to
county residents. Vaccination options have been added to the County and City of Dubuque
websites, and have also been printed on posters and distrusted throughout the county.
The IMT will meet and communicate with the COVID-19 vaccine providers listed above on a
weekly, or as needed, basis. This will allow the IMT to assess the availability of vaccine supplies
and personal protective equipment (PPE), as well as evaluate vaccination progress, barriers,
and needs moving forward.
The IMT will also continue to creatively disseminate COVID-19 vaccine information to the public
and educate on the importance of immunizations (see Page 10).
To ensure the COVID-19 vaccine is accessible and equitable to all, the vaccine remains at no
cost, and most clinics allow walk-in appointments (see above). COVID-19 vaccinations have
shifted slightly from mass vaccination sites, such as the Kennedy Mall, to routine visits with an
individual's health care provider. However, the IMT continues to plan outreach vaccination
clinics that better reach those who may not have a regular health care provider or health care
home. The IMT uses IDPH DOMO data and collaborates with the Dubuque County Equity
Immersion Committee to assess vulnerable population needs based on the following
demographics:
• Age
• Race
• Ethnicity
• Zip code
This information influences the location, type, and timing of outreach clinics that aim to meet
residents where they already are. As the IMT and vaccine providers continue to evaluate and
plan future outreach clinics, these will be promoted in advance, using a variety of
communication methods (see Page 10).
Any homebound individuals can contact the Dubuque County Visiting Nurse Association to
assist with coordinating a home visit with a vaccine provider if needed. Additionally, Dubuque
County Regional Transit Authority (RTA) provides free rides to COVID-19 vaccine appointments
for persons of all income levels. All vehicles are wheelchair accessible. To schedule a ride,
individuals must call 24 hours in advance at (563) 588-4592 or 1-800-839-5005 (toll free) or dial
711 for Relay Iowa.
Current vaccine information can be found at www.dubuquecounty.org/sleevesup or by calling
(563) 557-7396.
9 Healthcare Provider Capacity, Capability & Needs
Healthcare provider needs and abilities are a top priority for the Incident Management Team.
Without the facilities, dedication, and hard work of these many individuals and agencies,
Dubuque County would not have been able to decrease the spread of COVID-19 and excel in
vaccination rates. The IMT values the ability to work closely with these providers and will
continue to sustain these partnerships moving forward.
As previously mentioned, the IMT will continue to meet with both COVID-19 testing providers
and COVID-19 vaccine providers on a regular basis over the next six months to ensure program
stability and evaluate any need for change. More specifically, the IMT will assess needs related
to capacity of health care/hospital staff and supplies in order to continue operations.
Communication will consist of the following topics:
• Updated county statistics related to COVID-19 testing/vaccinations, positive cases and
other COVID-19 epidemiological data
Capacity and capability check in: Staffing
• Capacity check in: Supplies (i.e., PPE, testing kits, vaccine)
• New CDC and/or IPDH guidance and changes
• New or upcoming testing/vaccination opportunities in the community (outreach clinics)
• Additional news or needs from providers
The IMT also has representation on the Hospital Infection Control Committee, which monitors
both in -patient and community infectious diseases and conditions. In addition to these
meetings and communications, the IMT will continue to partner with the following community -
based organizations to provide COVID-19 guidance and serve as a connection between
providers and the community:
• Dubuque County PreK-12 schools
• Dubuque County higher education institutions
• Dubuque County Equity Immersion Committee
• Greater Dubuque Development Corp.
• Dubuque Area Chamber of Commerce
• Dubuque County Board of Health
• Dubuque County Board of Supervisors
• Dubuque City Council
• Long term care facilities
• County mayors and city clerks
• Dubuque Fire Department and other County EMS services
• Additional sectors listed in the Dubuque County Public Health Emergency Preparedness
Plan as needed.
The IMT will continue to use information from providers and the above entities to assess the
need for a future isolation shelter(s) and/or alternative hospital(s). As COVID-19 cases in the
county remain low, and vaccination rates continue to increase, the IMT does not see a present
need for such facilities. However, it is understood that the COVID-19 situation may change in
the future and the IMT is prepared to implement these plans if needed.
In May of 2021 all EMS, long term care facilities, hospitals, and public health agencies were able
to request remaining PPE stock from the State warehouse. Those supplies have since been
received locally and distributed through EMA. Local jails and correctional facilities will also
receive what remains in stock. The state will continue to offer available supplies to additional
prioritized groups while available in inventory, therefore Dubuque County EMA has demobilized
PPE distribution at this time.
Local EMA does retain a 30-day supply of PPE in the event of another COVID-19 surge that will
be available for future needs while it remains within expiration dates. Additionally, EMA will
still be able to submit emergent requests for PPE if local facilities cannot procure their own.
9 Public Education & Communication
The IMT will continue to implement the Joint Information Committee (JIC) as needed. Led by
the City of Dubuque Public Information Office (PIO), they will continue to creatively provide
COVID-19 information to the public in a variety of ways to assure accurate information
dissemination. Communication strategies that have been used over the past year include:
• Mass mailing to all county residents
• Billboard posters
• Radio commercials
• Newspaper ads
• Newspaper and radio interviews
• CodeRED messaging
• City council, Board of Health, & Board of Supervisors presentations
• Facebook Live events & updates
• Instagram ads
• Social media posts & monitoring
• Daily/Weekly virtual COVID-19 updates & media releases as needed
• County and City of Dubuque website updates with COVID-19 information
• Poster/Flyer distribution
• COVID-19 general information phone line via the VNA
• SleevesUp vaccination phone line via City of Dubuque staff
Over the next six months, the IMT plans to explore new methods of communication, including
but not limited to:
• Letters and testimonials from the Dubuque County medical community and other
community leaders
• Increased COVID-19/disease prevention education in PreK-12 schools during Fall 2021
• Flyer distribution of current testing and vaccination opportunities with widespread
distribution to bars, restaurants, childcare facilities, community -based organizations,
higher education, PreK-12, etc.
• Educational presentations for social media outlets and City Channel 8
• Focus groups with high risk and vulnerable populations as needed
• QR coding of updated testing and vaccination information/opportunities
• Community calls
Popup and on -going community vaccination clinics organized by the IMT will be promoted via
multimedia avenues such as social media outlets, posters, etc. Additionally, communication will
be made directly through community calls and community leaders to share information with
others in their circle.
10
2022 & Beyond
i�
This roadmap is the Dubuque County IMT's plan for the remainder of 2021 with regard to
COVID-19 mitigation and planning efforts. Though it is difficult to predict the status of COVID-19
in Dubuque County six months from now, the IMT will continually make adjustments based on
COVID-19 federal, state, and local data, available resource, new research and findings, as well
as changes in guidance and mitigation strategies.
At the close of 2021, the IMT will assess the state of COVID-19 in Dubuque County and begin
shifting focus to additional responsibilities held prior to the start of the pandemic. As the Iowa
Department of Public Health has already initiated this shift, and IMT members have re-engaged
in other everyday tasks, the start of 2022 will be an appropriate time to evaluate IMT activities
and planning moving forward.
The IMT believes local providers are well -versed in COVID-19 and able to incorporate testing,
vaccinations, and treatment into their regular services. This does not mean the IMT will be
completely removed from the COVID-19 mitigation efforts that will continue into 2022, but
rather begin the natural transition to focus on additional agency tasks and community needs.
Please note that if there are any major changes in the status of COVID-19, this plan will be
adjusted accordingly.
11
0
DUBUQUE CITY COUNCIL
COVI Dm 19 UPDATE
Mary Rose Corrigan,
Aug 2, 2021
4JI04
Public Health Specialist
•
40
•
•
0
Positive Cases by Age Group Dubuque County 104 total
Jul 19 2021 - Jul 31, 2021
Percent (%)
01/0 5% 10% 15% 20%
0-10 (Child)
11-14 (Child)
15-18 (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)
65-69 (Older Adult)
70-74 (Older Adult)
75-79 (Older Adult)
80-84 (Elderly) - 1 %
85+ (Elderly) - 2%
3%
5%
6%
8%
10%
15%
POWEREC'
VARIANTS
• https:Hcovid.cdc.gov/co
vid-data-tracker/#variant-
proportions
MHHS Region 7: 4/1112021 — 711712021
-. HHS Region 7: 71412021 — 7/1712021 NOWCAST
-
_ B.1.1-7 r
90% B.1.1.7
80%
70%
60%
B.1.1.7
12.1-1.7 B.1.1.7
50%
40%
30%
20%
10% 1
0% 8.1526
4124/21 5/8121
13.1.617.2
B.1.617.2
h
13.1.617.2
Region 7 - Iowa, Kansas, Missouri, and Nebraska
Lineage
B.1.617.2
Delta
Type
VOC
95.5%
%Total 95%PI
86.7-100-0%
113.1.1.7
Alpha
VOC
2-90A
0.0-10.09b
B.1.621
0.2%
0.0-3.3%
113.1.621.1
0.2%
0.0-3.3%
B.1.628
0.1%
0.0-3.3%
P.1
Gamma
VOC
2.0%
0.0-6.7%
B.1.526
Iota
VOI
0-1%
0.0-3.3%
B.1.351
Beta
VOC
0-0%
0.0-3.3%
6.1.617.3
Vol
0-0%
0.0-3.3%
B.1.429
Epsilon
Vol
0-0%
0.0-3.3%
B.1.427 Epsilon Vol 0-0% 0.0-3.3%
■ B.1.525 Eta Vol 0-0% 0.0-3.3%
Other 0-0% 0.0-0.0% Ej
P.1
" Other represents lineages each circulating at O % of viruses aver the last 4
B.1.526 weeks of weighted data.
These data include NGwca5t estimates, which are modeled projections that
5122/21 6/5/21 6119/21 7/3121 7117121 may differ from weighted estmates generated at later dates
®9 Subilreages of P.1 and S.1.351 (P.1.1, P.1.2, 3.1.351.2, B.1.351.3) are
aggregated with the parent lineage and included in parent lineage's proportion.
Collection date, two weeks ending AYA. AY2, and AY-3 are aggregated with 5-1-617.2.
Delta is 2 times as transmissible causing surges (low vaccinated areas)
Vaccines protect against Delta (highly against hospitalization and death)
Breakthrough infections occur
Delta may be transmitted from fully vaccinated individuals
COMMUNITY TRANSMISSION PROFILE
Level of Community Transmission v
Map Data:
Level of Community Transmission v
AUG
Time Period: Mon Jul 26 2021 - Sun Aug 01 2021
JULY 22
Date: 7/2312021 Community Transmission Level by County
07116/2021-07/2212021
MN
I
Community
Transmission
Level
H igh
Ohim Substantial
n
COVI D CASES /100,000 LAST 7 DAYS AN D %FULLY VACCINATED
Date: 712312021
Source: CDC Aggregate
County Data; Unifed
CDViD-19 Vaccine Dataset
D
NE
Lincoln
No Date KS
INN
Mo
Gases per IOOK
in the Lest T Days
Z
0- 10- So- 100
o
99 49.9 99.9 +
' 5o%
L 100%
40% -
49 9%
C630% -
39 9%
o o% -
MI
Fully vaccinated wear a mask in public indoor settings in areas of substantial or high
transmission.
Fully vaccinated people might choose to wear a mask regardless of the level of transmission,
particularly if they are immunocompromised or at increased risk for severe disease from
COVID-19, or if they have someone in their household who is immunocompromised, at
increased risk of severe disease or not fully vaccinated.
Fully vaccinated people who have a known exposure to someone with suspected or confirmed
COVID-19 to be tested 3-5 days after exposure, and to wear a mask in public indoor settings
for 14 days or until they receive a negative test result.
CDC recommends universal indoor masking for all teachers, staff, students, and visitors to
schools, regardless of vaccination status.
2
{ommunity
spead
capa(ity
A u l-I
4
All [al
$ r, 10 LKt0$
Vacd riatio rn
(overa ge
.}
mo[� F i FM I I ITJ I I Ilk V
Early �eteckilopaf Pop la#ions
COVID-1 9 increases atrRsk
Community Spread = 28/100,000 population: Moderate
= 4.1 % 7-day positivity rate: Moderate
Health System Capacity = Adequate
Vaccination Coverage = 53.9% (above national average)
Capacity for Early Detection of increases in COVID-19 cases
Populations at Risk for Severe Outcomes = age 65+ 93.4% vaccinated
VACCINE COMMUNITY EDUCATION I OUTREACH
• Booster shots- available anywhere
• Community Education ongoing
Sleeves Up! Phone line continues
563=690=6253
563=(690=MAKE)
I FOR MORE INFORMATION VISIT WWW.DUBUQUECOUNTY.ORGICOVIDI9
DUEL JE r�MENEERODWY
ns Myiere- he Mississippi � 11&OEMEM
PROTECT YOURSELF, YOUR FAMILY,
ND YOUR COMMUNITY.
Local COVID-19 Vaccination Opportunities:
Crescent Cam munity Health Canter
1690 Elm St4300, Dubuque, IA
Walk-ins are available during operating hou rs
CVS Pharmacy (Target)
3500 Dodger St., Dubuque, IA
Walk-ins are available during operating hou rs.
Dubuq ue County Visiting Nurse Association
660 Iowa St, Dubuque, IA
Walk-ins are available during operating hou rs.
Epic Health & Wellness
1075 Cedar Cross Rd. Su Re 1, Dubuque,. IA
Appointment requ ired for COVID-19 vaccination.
Schedule an appointment online at wvrw.epichealth.net
Grand River Medical Group Acute Clinic & Urgent Care
Acute Care:2395 NW Arterial, Inside Hy-Vee, Dubuque, IA
LIrgentCare: 3500 Dodge St Suite 135, Dubuque, IA
Walk-ins are available during operating hou rs.
Hartig Drug Pharmacy Locations
Walk-ins are available at all locations during operab ng hours
Hy-Vee Pharmacy Locations
Walk-ins are available at all locations during operating hours
INFOCUS Pharmacy
1690 Elm St.Suite 200, Dubuque, IA
Walk-ins are available during operating hours.
Medical Associates East & West Campus
East Cam pus 100 Langworthy St, Dubuque, IA
West Campus'. 1500 Associates Dr, Dubuque, IA
Walkins are available during operating hours.
MercyOne Locations, including Dyersville a nd Ca sca de
Pharmacy
Walkins are available at all locations during operating hours
UnityPoint Clinic Fam i ly Medicine Cl i nics and Un ityPoint
Health Finley Pharmacy - Peosta
Appointment required for CDVI D-19 vaccination.
UnityPoint Clinic Urgent Care - West
22551FI( Road, Dubuque, IA
Walkins am available during operating hours.
Walgreens Pharmacy Locations
Walkins are available at all locations during operating hours.
Walmart Pharmacy
4200 Dodge St, Dubuque, IA
Walkins are available during operating hours.
VACCINE?
Local COVID-19 Testing Options:
Free at-home testing kits are available for Some local pharmacies and healthcare
pick-up at a numberof local pharmacies and providers are offering COVID-19testing
healthcare providers in -person.
FOR MORE INFORMATION VISIT WWW.DUBUQUE000NTY.ORGICOVIDI9
T72arA21
Mondays: 7/26 (4pm-7pm)-WALK INS
Fridays: 7/23 (8am-430pm), 7/30 (8am-430pm)-WALK INS
@ St Patrick Wed meal site: July 28, 4:30 p.m. - 6:30 p.m.
Dubuque County Fair:
Hartigs Tues- Fri noon- 5 pm
VNA Wed. 6-8pm & Sat 10am-2pm
VNA
Sunday August 1st 5-7pm: Dubuque Colts Youth Organization
Music on the March
Tuesday August 3rd 6-8pm, National Night Out - Comisky Park
Monday, Aug. 16, 6 - 9 p.m. New Vienna Fire Station, New
Vienna
Telegraphidemid.com • Telegraph Herald • Sunday,July25,2021 VA
�oteet
°"T UBUQUE COUNTY
" = Health Department
o ►-
$ 4 a
o iDuBUM
A Message From Your Health Care Providers In Dubuque
Dear Dubuque Community Members,
We, the medical community of Dubuque County, would like to ask you to strongly consider vaccinating yourself, your children 12 years of age
and older, and your extended family against COVID-19.
After living through a year where we lost over 200 of our local patients to COVID-19 —among them fathers, mothers and grandparents- we
are in a situation where we can prevent severe disease, hospitalization and death from COVID-19 by vaccination. We are fortunate to have
sufficient amounts of vaccine to give it to anyone who asks for it.
No one has to die of COVID-19, since the current vaccines effectively prevent hospitalization and death from COVID, including the Delta
variant. As of June of this year, more than 99%of COVID-related deaths and disabilities were in unvaccinated people and are completely
avoidable. The vaccines currently available have been extensively studied and closely monitored and are proven to be safe and effective.
The 12 - 29 years of age group is the least vaccinated group at this point in time. Although this age group does suffer the least from COVID-19
infection, they pose the greatest risk to others, as they can spread COVID-19 and its variants among themselves and their families, particularly
to unvaccinated members of the community. Moreover, with congregating at the beginning of the school year, this group will significantly
increase exposure to COVID-19 and its new variants, which can be brought home to friends and family of each student.
In addition, we have to anticipate further rise of the Delta variant of COVID-19 in the community. The Delta variant of COVID-19 has currently
shown to be much more infectious than the original strain and leads to more hospitalizations. The current vaccines are effective against this
variant of COVID-19.
Vaccination does not only protect the vaccinated person but also protects others, like family members (e.g. immunosuppressed people), by
reducing the amount of the virus that is shed by an infected person in the community.
We, your medical providers in the Dubuque Community, endorse the vaccine and strongly advise you and your family to get vaccinated to
break the cycle of COVID-19 infection and related death and disability. Let's leave the pandemic behind us and return to a normal life.
Dubuque and the surrounding communities have done a great job so far with getting vaccinated and our vaccination rate is above average
compared to the rest of Iowa and the U.S. However, we are not yet at a point where outbreaks or surges cannot reoccur since we do not have
enough herd immunity in the community to shut the spreading of the virus down.
Please reach out to one of us or the Dubuque County Department of Public Health to talk about the COVID-19 vaccine. We'd be happy to help
you protect yourself and your family.
Your healthcare providers of the Dubuque Medical Community,
Signed by
Nicole Ynlosser,ARNP
Phillip Bailey MD
A ,,fn Cao, MD
sePM1 Compton MD
Brm MCCh—, MD
Ken East ARNP
Megan K2CInn,PTDPTOC1,
CMT
am y aXM1
Epic Health rd Wellness
NL
Cardiology
agy/Onwbgy
Beth Wdwisry, PT
MicM1�I1G hi,4ARNPa
Mahon ARP, MSN/
Mw..
Angela Kelley, DO
Cynthia—,, MD
Julie EM1linger,ARNP
TllomaslpM IAD
eEngelmery DO
Cheryl Morgamlhri&MD
Al-. Thiele, PT, ATC
PT, ATC
Shl Thiele,K
PAD
ftachael Plcexl, DNP
SanAez Taun, MD
Amanda Renne,FP
Grind 0.Mer Metliral Group
bath Edwards, PA-C
k.
ortney KueteOr, PAC
Mark Liaboe,MD
CarabvmculvrSugery
Stephanie Helmer, MD
iammi Noonan, ARNP
ospiml Mea'cine
Ballar,ne,ARNP
ft-i y
Alec Anderso,,.1D
Aahle,A ,PM1D, ABPP
Wepkin6 DP
Jennifer galazmk. ARNP
Daniel Troutne, PXC
Nels l,MDR
NII Powers, DO FRCP
Hlla, Sales, MD
otology
StepM1e Hoy, MD
Ashley Biede,menn, ARNP
Vick Gordon, MDMD
em—Jones, DO
himle Yxad, PhD
M.Ottavi,PM1D,L.P.
Dubwlue AnesMesla Servkes,PC
Steps a mKlein, CRNA
Paige Oft ARNP
PJab, ARNP
NephmbpY
lersi®I hP PA{, MPAS
Karyn Kuennen,ARP
Michael Kuennen,MD
M chael S. Perodi, DO, CMO,
FA PA
Tin y unders, ARP
�Ic9M
—Levy, ARP
Ch Prier unle.MD
ne, PryD
cnrimne M��ati, w.Jen, PhD
nmoNytMak�ns, MD
ennikr McClimon CRNA
Sheik Muelle,CRNA
Alkrpy
Adrian Lea, MD
David Rirgold, MDNP
JvhnWMlen MD
Amy Connolly, ARN P
Albers, Rotlriguez, MD
Parlxr,MD
Yakw gagMzkiY MD
PWmonobgyDMCrioml Care
Marklanes, MD
er, MD
Hr aid obey I MD
rMReddy,M
Petes.'"D D
amlogy
-
lennge ESchope, MD
Onwh,.
Merle Heiarmann,MD
Chalet Parker, MD
a,yNMea'cy ne
Jaretl Freiburge, DO
yl
ConnoG6altlery PA-C
Mark Nhme, MD, FACP
Sep[e, CRNA
O
ASMey Skracu CRNA
Craig nermn, CRNA
hold Nerson, MD
D MD
David lGegenbrink, MD
Kunlummen, MD
eerAer,�MD
a nife M. Do o
Julie lvanw, PAC
Ra 0
Benhimi, Bolin& MD
VPut,
Chadwick Nachman, MD
soM4y gy
WbuqueFM NM &Xed Sugary
ThOmm Benda, MO
Daniel Givenx MD
vmily Medinne
Sa,aFElawb 6oKuie, MD
AngelaaftautthlARNP
Kaidvn Vms,MD
Alison Ragan, PA{
BNd.IS hmi,, DNP, FNP-BC
Kenn,M1 R SteRen,DO
oph Berger, MD
Ho DO
Shannon —,,MD
mpoNonvl HevhM1
E..1VS rMWb 9,M-C, MPAs
Erin Kennetly MD MPH
Gregory White, MDFACS
Obsmdcs ®
Kuts h, ANNP
Pulmonvryantl CriMol Care
Braden Powers, MD
Lauren Trumm, ARNP
Chnsropher M. SXde, MO
Ryan Salle, MD
Erika O'Don,eIID,MD
Julie hues, ARNP
Unity Poi, Clinic
gubuqua
ne,lagy ve
maeaens Anderson, MD
eS ,DO
Brad Vdl bring, DO
56'lledNursng/Nursi,g Homes
lau nWAl,ARNF
Ophtholmology/Opmmevy
.Chew A., ,,OD
a,ilYMeanne
d!, n MD
Te�ah Hirsch, DO
urology
Randalll MD
Glrerclren A—, ARNP
Ip..
Hi, a.1schulKS'MD FICP FHM
l che, DOMD
G,aa DNRARNP
and, ONP,ARNP
eihld Tn Do
pPeBae,MD
Curt Page, MD
loam Witth—,MD
pling,
Hospital Meanne
Gantiview McMM1ssa, PC
Flower A—%DO
renal Medkine
R. Walker, OD
Orthopaedhs/MuxubsMktvl
Amanda Rabinson,ARNP
wubuqua OmhapaatlicAl
Rebekah Bond, MD
[M1un&MD
mantla Cagan,CRNA
iim-,
KIm Chi—
D
rig, PA-C
Shannon Dawwn-Wiese, ARNP
UmlopY
rBepna, Pe
Ryan Cloo; DO
xy El. DO
aRurM,ARNV D
CRNa
Dnimd,", CRNA
nerea LO=lMD
anal, MD
ul,PA{
vaa'amCt
Anae,aan, Do
Ioh
Carrie Heaae, PA C
Trumm, MD
Dubuque Surgery, PC
uv ryle, ARNP
Khawa, Wmaich, MD
Media Aav— Clinic PC
Core
4
Model ine 9mhb, PA-C
Brian E. S,,llivan,MD
M.Callahary MD
Thomas E. Callihary DO
Kevin Mullen, MD
Gremh®H ng�ARNP
Keilh Shaw, MD
ate
Fred lsaak, MD
Mbe,ARNP
Douglas G..h,MD
David OpPert, MD
-lallema,, FNP-C
lawn Tuthill, ARNP
",ARNP
Amy M. wmky, MD
Karen HDspvda, Swtt, MD, PhD
McgM1an —di-,
mm.zsnp
Vaccination Completed by Age Group Dubuque County
Dec 14, 2020 - J u 129, 2021
0%
12 - 15 ■ 1,303
16-17 . 983
18 - 19 0 1,017
20 - 29 5,196
30 - 39 5,997
50 - 59
65+
8,101
20%
Vaccinations
15,834
40%
POWEREC'
60%
People Vaccinated
At Least One Dose
Fully Vardnated
Total
55,181
52,4D6
% of Total Population
56.7%
53.9%
Population �! 12 Years of Age
55,180
52,406
% of Population �: 12 Years of Age
66.8%
63.4%
Population >_ 18 Years of Age
52,445
50,1D3
% of Population L 18 Years of Age
69.7%
66.6%
Population L 65 Years of Age
17,D91
16,643
% of Popu lation 2i 65 Years of Age
95.9%
93.4%
See •pore information on what these data mean.
CDC I Data as of. August 2, 2021 6:00am ET. Pasted: Monday, August 2, 2021 1:36 PM ET
COVID 19 TESTING & FAQVS
IDPH at home testing: Dubuque
Co Health Dept, VNA, MA, Epic
When a person tests positive for Covid 19
using the home test kits provided by IDPH,
is there still a portal to track the test and
results at a local level?
Does VNA/public health receive those
results?
Is there the capability locally to enact
contact tracing?
Test Iowa Howto- get tested Find a pick-up site FAQ START NOW
https://www.testiowa.com/en
0
0
QUESTIONS
MARL( ROSE CORRIGAk
46 PUBLIC HEALTH SPN
Next update: Sept 7, 2021
7
r
n0
eoh"y
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•
•
4D