Coalition Bulletin

June 22, 2020

In This Issue Coronavirus

Disease 2019 –

Situational

Update

COVID

Numbers at a

Glance

RESTORE

ILLINOIS

REGIONAL

SCORECARD

LaSalle County

COVID-19 Test

Results

Summary

First Reported

Cases of SARS-

CoV-2 Infection

in Companion

Animals – 2

Case Studies

LaSalle County

Health

Department

Testing for

COVID-19

Outdoor

Visitation

Guidance for

Long-Term Care

Facilities

Coronavirus

Disease 2019

Case

Surveillance —

United States,

January 22–

May 30, 2020

Public Attitudes,

Behaviors, and

Beliefs Related

to COVID-19,

COVID-19 Situational Update

COVID Numbers at a Glance

6.14.2020 6.21.2020

Cases Deaths

Worldwide 8,827,934 465,051

US 2,260,972 119,762

Illinois 136,262 6647

LaSalle County

190 16

Cases Deaths

Worldwide 7,838,833 431,225

US 2,083,082 115,578

Illinois 132,543 6308

LaSalle County

180 16

Stay-at-Home

Orders,

Nonessential

Business

Closures, and

Public Health

Guidance

Community

Based Testing

Web Link

Resources

John Hopkins GIS

Map

ILLINOIS

TESTING SITES

Symptoms

Infographic

Resources for

Healthcare

Facilities

Preventing

Community

Spread

Information for

Law Enforcement

Personnel

Interim Guidance

for Emergency

Medical Services

Interim Guidance

for School and

Childcare

Environmental

Cleaning and

Disinfection

Recommendations

RESTORE

ILLINOIS

Interim Guidance

for Management

of Coronavirus in

Correctional

Facilities

RESTORE ILLINOIS REGIONAL SCORECARD (6.19.20)

LaSalle County COVID-19 Test Results 6.14.20 6.21.20

Guidance for Pets

and Animals if

you have COVID-

19

COVID-19 Web Links to PDF Resources

Checklist for

Healthcare

Facilities:

Strategies for

Optimizing the

Supply of N95

Respirators

during the

COVID-19

Response

ASPR COVID-19

Healthcare

Planning

Checklist

Cover Your

Cough Poster

Proper

Handwashing

Poster

COVID-19

Poster: Stop the

Spread of

Germs

Guide for Faith-

Based

Community

Guide for

Homeless

Shelters

Workplace

Guidance

Interim

Guidance for

Implementing

Safety Practices

for Critical

Infrastructure

Workers Who

May Have Had

Exposure to a

Person with

Suspected or

Of those tested this week, 0.88 % were positive compared to 1.44 % last week

Age Range F M

<13 0 2

13-19 7 6

0.00%

1.00%

2.00%

3.00%

4.00%

5.00%

6.00%

7.00%

8.00%

9.00%

10.00%

% postive this week

0

5

10

15

20

25

30

35

40

2/19/2020 3/10/2020 3/30/2020 4/19/2020 5/9/2020 5/29/2020 6/18/2020 7/8/2020 7/28/2020 8/17/2020

# New Cases Identified by Week

Confirmed

COVID-19

Interim

Guidance for

Routine Oral

and Dental Care

PHASE 3 Tool

Kit

20s 14 12

30s 13 12

40s 15 24

50s 8 18

60s 13 15

70s 7 8

80s 6 6

90s 2 2

100s 0 0

Total 85 105

% 44.74% 55.26%

total cases tracked 190

LaSalle County Health Department Testing for COVID-19 A drive-thru COVID-19 Community Based Testing Site (CBTS) will be held on a weekly basis

at the LaSalle County Emergency Management Agency Building (EMA) at 711 E Etna Rd,

Ottawa. The site will be open from 9:00 a.m. to 1:00 p.m. and will run by appointment only.

This testing site is open to all regardless of symptoms, no Doctor’s order is required. There will

be no fee for this test. Individuals are required to schedule an appointment by calling 815-

433-3366 prior to arriving on site. Instructions including wearing a mask, bringing a Photo ID,

and directions for how to drive into the site will be provided at that time. Patients utilizing the drive thru testing site must be seated at a functioning window. Once you

get in line at the testing site you will not be allowed to exit your car. For the safety of testing

personnel, the drive thru site will not be able to accommodate walk-up individuals.

The test is the nasal swab test. Lab results typically take 2-5 days from the date of the test. It is

recommended that the person self-quarantine until their test results are returned. The Health

Department will call the individual regarding their results and provide any further instructions

necessary.

Outdoor Visitation Guidance for Long-Term Care Facilities Long-Term Care Facilities (LTCF) may allow outdoor visitation for residents when certain

conditions are met. Visitations must be limited to two visitors at a time per resident. The

maximum number of residents and visitors in the outdoors space at one time is predicated on

the size of the outdoor space. The LTCF must ensure that a minimum distancing of six feet

is achievable in the outdoor space when determining the maximum number of residents and

visitors who can simultaneously occupy that outdoor space. The LTCF must clearly

communicate and enforce social distancing of six feet between the resident and all visitors.

The facility must set the maximum number of visitors allowed in a single day.

Total Deaths – 16

Deaths by Age

20’s

30’s

40’s 1

50’s

60’s 5

70’s 3

80’s 5

90’s 2

Deaths by Gender

Males 9

Females 7

Visitors must schedule an appointment with the facility to visit a resident. The LTCF must

prescreen visitors via phone with the Centers for Disease Control and Prevention (CDC)

symptom checklist not more than 24 hours in advance. The facility must also screen visitors

on arrival with the CDC symptom checklist and a temperature check. Residents with active

COVID-19 infection, either laboratory confirmed or symptomatic, are not allowed to

participate in outdoor visits. Residents receiving visitors should also be screened with the

CDC symptom checklist prior to visitor’s arrival. Visitors displaying symptoms should not

visit the facility.

Visits must be limited to outdoor areas only. However, they may take place under a canopy

or tent without walls. Outdoor spaces must have separate ingress and egress which does not

require the visitor to enter the LTCF building. Visitors must not enter the facility at any time

during their visit. For the duration of each visit, the resident and visitor must wear a face

covering. The facility may set the time duration of each visit.

The facility should have staff supervision during each visit to ensure the use of face

coverings and social distancing. The facility may determine whether supervision is

continuous or intermittent.

Coronavirus Disease 2019 Case Surveillance — United States, January 22–May 30, 2020 As of May 30, a total of 1,761,503 aggregate U.S. cases of COVID-19 and 103,700

associated deaths were reported to CDC. Although average daily reported cases and deaths

are declining, 7-day moving averages of daily incidence of COVID-19 cases indicate

ongoing community transmission. (1)

The COVID-19 case data summarized here are essential statistics for the pandemic response

and rely on information systems developed at the local, state, and federal level over decades

for communicable disease surveillance that were rapidly adapted to meet an enormous, new

public health threat. CDC aggregate counts are consistent with those presented through the

Johns Hopkins University (JHU) Coronavirus Resource Center, which reported a cumulative

total of 1,770,165 U.S. cases and 103,776 U.S. deaths on May 30, 2020. (2) Differences in

aggregate counts between CDC and JHU might be attributable to differences in reporting

practices to CDC and jurisdictional websites accessed by JHU.

Reported cumulative incidence in the case surveillance population among persons aged ≥20

years is notably higher than that among younger persons. The lower incidence in persons

aged ≤19 years could be attributable to undiagnosed milder or asymptomatic illnesses

among this age group that were not reported. Incidence in persons aged ≥80 years was

nearly double that in persons aged 70–79 years.

Among cases with known race and ethnicity, 33% of persons were Hispanic, 22% were

black, and 1.3% were AI/AN. These findings suggest that persons in these groups, who

account for 18%, 13%, and 0.7% of the U.S. population, respectively, are disproportionately

affected by the COVID-19 pandemic. The proportion of missing race and ethnicity data

limits the conclusions that can be drawn from descriptive analyses; however, these findings

are consistent with an analysis of COVID-19–Associated Hospitalization Surveillance

Network (COVID-NET) (3) data that found higher proportions of black and Hispanic

persons among hospitalized COVID-19 patients than were in the overall population. The

completeness of race and ethnicity variables in case surveillance has increased from 20% to

>40% from April 2 to June 2. Although reporting of race and ethnicity continues to improve,

more complete data might be available in aggregate on jurisdictional websites or through

sources like the COVID Tracking Project’s COVID Racial Data Tracker. (4)

The data in this report show that the prevalence of reported symptoms varied by age group

but was similar among males and females. Fewer than 5% of persons were reported to be

asymptomatic when symptom data were submitted. Persons without symptoms might be less

likely to be tested for COVID-19 because initial guidance recommended testing of only

symptomatic persons and was hospital-based. Guidance on testing has evolved throughout

the response. (5) Whereas incidence among males and females was similar overall, severe

outcomes were more commonly reported among males. Prevalence of reported severe

outcomes increased with age; the percentages of hospitalizations, ICU admissions, and

deaths were highest among persons aged ≥70 years, regardless of underlying conditions, and

lowest among those aged ≤19 years. Hospitalizations were six times higher and deaths 12

times higher among those with reported underlying conditions compared with those with

none reported. These findings are consistent with previous reports that found that severe

outcomes increased with age and underlying condition, and males were hospitalized at a

higher rate than were females.

The findings in this report are subject to at least three limitations. First, case surveillance

data represent a subset of the total cases of COVID-19 in the United States; not every case

in the community is captured through testing and information collected might be limited if

persons are unavailable or unwilling to participate in case investigations or if medical

records are unavailable for data extraction. Reported cumulative incidence, although

comparable across age and sex groups within the case surveillance population, are

underestimates of the U.S. cumulative incidence of COVID-19. Second, reported

frequencies of individual symptoms and underlying health conditions presented from case

surveillance likely underestimate the true prevalence because of missing data. Finally,

asymptomatic cases are not captured well in case surveillance. Asymptomatic persons are

unlikely to seek testing unless they are identified through active screening (e.g., contact

tracing), and, because of limitations in testing capacity and in accordance with guidance,

investigation of symptomatic persons is prioritized. Increased identification and reporting of

asymptomatic cases could affect patterns described in this report.

Similar to earlier reports on COVID-19 case surveillance, severe outcomes were more

commonly reported among persons who were older and those with underlying health

conditions. Findings in this report align with demographic and severe outcome trends

identified through COVID-NET. Findings from case surveillance are evaluated along with

enhanced surveillance data and serologic survey results to provide a comprehensive picture

of COVID-19 trends, and differences in proportion of cases by racial and ethnic groups

should continue to be examined in enhanced surveillance to better understand populations at

highest risk.

Since the U.S. COVID-19 response began in January, CDC has built on existing

surveillance capacity to monitor the impact of illness nationally. Collection of detailed case

data is a resource-intensive public health activity, regardless of disease incidence. The high

incidence of COVID-19 has highlighted limitations of traditional public health case

surveillance approaches to provide real-time intelligence and supports the need for

continued innovation and modernization. Despite limitations, national case surveillance of

COVID-19 serves a critical role in the U.S. COVID-19 response: these data demonstrate

that the COVID-19 pandemic is an ongoing public health crisis in the United States that

continues to affect all populations and result in severe outcomes including death. National

case surveillance findings provide important information for targeted enhanced surveillance

efforts and development of interventions critical to the U.S. COVID-19 response. 1 - Community transmission is defined by states and reflects varying conditions at the local and state levels.

2 - COVID-19 Dashboard by the Center for Systems Science and Engineering at Johns Hopkins University is

a publicly available data tracker that extracts data from state, territorial, and local public health websites

(https:// coronavirus.jhu.edu/us-map). Data are archived in GitHub (https://github.

com/CSSEGISandData/COVID-19/blob/master/csse_covid_19_data/ csse_covid_19_daily_reports_us/05-30-

2020.csv).

3 - COVID-Net is a population-based surveillance system that collects data on laboratory-confirmed COVID-

19–associated hospitalizations (https://www. cdc.gov/coronavirus/2019-ncov/covid-data/covid-net/purpose-

methods.html).

4 - The COVID Tracking Project is The Atlantic’s volunteer organization to collect and publish U.S. COVID-

19 data (https://covidtracking.com/race/dashboard).

5 - https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/testing.html.

Public Attitudes, Behaviors, and Beliefs Related to COVID-19, Stay-at-Home Orders, Nonessential Business Closures, and Public Health Guidance — United States, New York City, and Los Angeles, May 5–12, 2020 There was broad support for stay-at-home orders, nonessential business closures, and

adherence to public health recommendations to mitigate the spread of COVID-19 in early-

to mid-May 2020. Most adults reported they would not feel safe if government-ordered

community mitigation strategies such as stay-at-home orders and nonessential business

closures were lifted nationwide at the time the survey was conducted, although a minority of

these adults who did not feel safe wanted these restrictions lifted despite the risks.

There was a significant association between age and feeling safe without community

mitigation strategies, with younger adults feeling safer than those aged ≥65 years, which

might relate to perceived risk for infection and severe disease. As of May 16, adults aged

≥65 years accounted for approximately 80% of reported COVID-19–associated deaths,

compared with those aged 15–24 years, who accounted for 0.1% of such deaths. Identifying

variations in public attitudes, behaviors, and beliefs by respondent characteristics can inform

tailored messaging and targeted nonpharmacological interventions that might help to reduce

the spread of COVID-19.

Other variations in attitudes, behaviors, and beliefs by respondent characteristics have

implications for implementation of COVID-19 mitigation strategies and related prevention

messaging. For example, a lower percentage of respondents in the U.S. survey cohort

reported wearing cloth face coverings and self-isolating than did those in NYC and Los

Angeles. However, although use of cloth face coverings in NYC and Los Angeles were

similar, NYC experienced substantially higher COVID-19-related mortality during the

initial months of the pandemic than did Los Angeles. Nationwide, higher percentages of

respondents from urban areas reported use of cloth face coverings than did rural area

respondents. Because outbreaks have been reported in rural communities and among certain

populations since March 2020, these data suggest a need for additional and culturally

effective messaging around the benefits of cloth face coverings targeting these areas.

Essential workers also reported lower adherence to recommendations for self-isolation, 6

feet of physical distancing, and limiting gatherings to fewer than 10 persons. These

behaviors might be related to job requirements and other factors that could limit the ability

to effectively adhere to these recommendations. Nevertheless, the high rate of person-to-

person contact associated with these behaviors increases the risk for widespread

transmission of SARS-CoV-2 and underscores the potential value of tailored and targeted

public health interventions.

The findings in this report are subject to at least four limitations. First, behaviors and

adherence to recommendations were self-reported; therefore, responses might be subject to

recall, response, and social desirability biases. Second, responses were cross-sectional,

precluding inferences about causality. Third, respondents were not necessarily

representative among all groups; notably a lower percentage of African Americans

responded than is representative of the U.S. population. In addition, participation might have

been higher among persons who knew someone who had tested positive or had died from

COVID-19, which could have affected support for and adherence to mitigation efforts.

Finally, given that the web-based survey does not recruit participants using population-based

probability sampling and respondents might not be fully representative of the U.S.

population, findings might have limited generalizability. However, this survey did apply

screening procedures to address issues related to web-based panel quality.

Widespread support for community mitigation strategies and commitment to COVID-19

public health recommendations indicate that protecting health and controlling disease are

public priorities amid this pandemic, despite daily-life disruption and adverse economic

impacts. These findings of high public support might inform reopening policies and the

timelines and restriction levels of these mitigation strategies as understanding of public

support for and adherence to these policies evolves. Absent a vaccine, controlling COVID-

19 depends on community mitigation strategies that require public support to be effective.

As the pandemic progresses and mitigation strategies evolve, understanding public attitudes,

behaviors, and beliefs is critical. Adherence to recommendations to wear cloth face

coverings and physical distancing guidelines are of public health importance. Strong public

support for these behaviors suggests an opportunity to normalize safe practices and promote

continued use of these and other recommended personal protective behaviors to minimize

further spread of COVID-19 as jurisdictions reopen. These findings and periodic

assessments of public attitudes, behaviors, and beliefs can also inform future planning if

subsequent outbreak waves occur, and if additional periods of expanded mitigation efforts

are necessary to prevent the spread of COVID-19 and save lives.

Community Based Testing A list of public and private testing sites can be found on the IDPH website at

http://www.dph.illinois.gov/testing.

Community-Based Testing Sites Location Address Times

Aurora 1650 Premium Outlet Blvd

Aurora

8:00am-4:00pm

while daily supplies last

Auburn/Gresham/Chatham SMG Chatham

210 W. 87th

Street

Chicago

8:00am-4:00pm

while daily supplies last

*Bloomington 1106 Interstate Drive

Bloomington

9:00am-5:00pm

while daily supplies last

Champaign Market Place Shopping Ctr

2000 N. Neil Street

Champaign

8:00am-4:00pm

while daily supplies last

*East St. Louis Jackie Joyner Kersee Ctr.

Argonne Drive

East St. Louis

8:00am-4:00pm

while daily supplies last

Harwood Heights 6959 W. Forest Preserve Rd.

Chicago

7:00am-3:00pm

while daily supplies last

*Peoria Peoria Civic Center Fulton

Street Parking Lot

Peoria

8:00am-4:00pm

while daily supplies last

Rockford 1601 Parkview Avenue

Rockford

8:00am-4:00pm

while daily supplies last

Rolling Meadows Rolling Meadows HS

2901 Central Road

Rolling Meadows

8:00am-4:00pm

while daily supplies last

South Holland South Suburban College

15800 State St

South Holland

8:00am-4:00pm

while daily supplies last

Waukegan 102 W. Water Street

Waukegan

8:00am-4:00pm

while daily supplies last

* Walk-up testing is available at Bloomington, East St. Louis, and Peoria.

Purpose of the Coalition Bulletin

Publishing a regular newsletter -- weekly, in this case – will help keep our LaSalle County Healthcare Coalition in regular contact with up-to-date information between meetings.

Maintaining regular contact is important since we have long gaps between our meetings. Any submission to the Bulletin needs to be sent in by 2:00pm on Thursday’s to be put in the

following Monday addition. Please email your submission to balbrecht@lasallecounty.org or fax your submission into 815-433-1636. For more information on the web: LaSalle County Health Department Illinois Department of Public Health

Centers for Disease Control and Prevention