DeKalb County Board of Health MeetingJANUARY 26, 2021

I. Virtual Meeting Guidelines

Virtual Meeting Guidelines• Public participants will be on mute, Board of Health

members will remain unmuted.

• When making a motion, please make the motion by stating your last name.

• All motions will be voted on using a roll call vote of participating Board Members.

Virtual Meeting Guidelines• During the public comment portion of the meeting, those

who would like to provide comment can click on the reactions button and utilize the “thumbs up” icon. • Individuals will be unmuted one at a time for an

opportunity to comment. • If called upon, please state your full name before making

comment for documentation purposes.

Virtual Meeting Guidelines• At the end of the presentation, Board of Health

members will be given the opportunity to ask questions or make comments.

• Board members can utilize the “thumbs up” icon if you would like to speak anytime during the meeting.

II. Approval of AgendaA P P R OVA L O F T H E B O A R D O F H E A LT H M E E T I N G A G E N D A F O R 0 1 - 2 6 - 2 0 2 1

III. Approval of MinutesA P P R OVA L O F T H E B O A R D O F H E A LT H M E E T I N G M I N U T E S O F 1 1 - 2 4 - 2 0 2 0

IV. Committee Reports

V. Persons To Be Heard From The Floor*

*Via Zoom, any member of the public may address the Board of Health or committee for up to 3 minutes on any topic of their choosing, limited to thirty minutes in total. To make a comment, use the thumbs up feature. When called, please state your full name before commenting.

VI. Presentation

1. COVID-19 Situational Update

COVID-19 Case Update

Confirmed Cases as of 1/26/2020

Cases by Age

Deaths by Age

Cases by Race & GenderRace Demographics

Cases by Week

Cases by Month

Cases by Zip Code

Weekly Summary as of 1/22/21

Current Outbreaks – Long Term Care

Current OutbreaksIdentified Outbreaks # of Facilities # of Total Cases

Manufacturing/Industry 1 8

Restaurant/Food 0 0

Schools/Daycares 0 0

Business/Office 0 0

Congregate Living Facilities 2 49

First Responders 0 0

Week 2: 1/10/2021 through 1/16/2021

Region 1 Metrics

Contact Tracing

Public Facing Metrics•DeKalb County Health Department contact tracing metrics from 8/1/2020 to 1/16/2021

Confirmed Cases 6,299 Close Contacts 3,790

Cases Attempted 6,128 (97.29%) Contacts Attempted 3,192 (84.22%)

Cases Interviewed 5,025 (70.77%) Contact Interviewed 2,939 (77.55%)

IDPH Contact Tracing Grant• Contact Tracing Grant funded through May 31, 2021.

Updated Guidance

Sports Guidance• On January 22, 2021, IDPH, DCEO, and

ISBE issued new guidance on sports for all youth and adult recreational sports, including, but not limited to, school-based sports (high school and elementary school), travel clubs, private leagues and clubs, recreational leagues and centers, and park district sports programs.

School Recommendation

School Activity Adaptive Pause recommendation was issued in early November and began on

the Thanksgiving Holiday and went through the first two full weeks of January.

DCHD elected to refrain from recommending additional pause due to the following considerations: COVID-19 Vaccine Availability BinaxNOW Antigen Test Availability County Level Metrics

DeKalb County Schools resumed their identified learning plans beginning the week of January 18th

School ActivitySchool District In-Person E-Learning Hybrid COVID-19 Activity

Genoa-Kingston #428 √ Yes

Indian Creek #425 √ Yes

Hiawatha #426 √ Yes

Sycamore #427 √ Yes

DeKalb #428 √ Yes

Hinckley-Big Rock #429 √ Yes

Sandwich #430 √ Yes

Somonauk #432 √ Yes

BinaxNOW Testing

BinaxNOW Testing• The Abbott BinaxNOW test is a rapid antigen test that was granted

Emergency Use Authorization by the FDA. • Tests distributed to by the Federal Government to the State of

Illinois to Local Health Departments throughout the state on a per capita basis.

• Tests allocated to meet the needs in each jurisdiction under a number of “broad and flexible” options.

• As LHD’s distribute or use the tests, the state will continue to replenish local supply.

BinaxNOW Testing • Partners must complete application, sign MOU, register to report,

assure that testing staff complete online modules and schedule an onsite training and observation provide by the DCHD Lab Director.

• Antigen testing kits are used for symptomatic individuals only and protocols vary some by organization/district• First Responder Partners (1)

• School Partners (1, 2 pending)

Mitigations for DeKalb County

Current Mitigations

•DeKalb County moved back to Phase 4 on January 25th after being in stricter mitigations since October 2020.

Mitigation Complaints

Mitigation Complaints 67 Facilities 287 Complaints

General Complaints 96 Facilities 106 Complaints • Includes masking for employees and customers,

social distancing, and COVID-19 in the workplace

• Environmental Health staff are primarily responding to complaints regarding masking and indoor dining, following our five-step process regarding enforcement. We have focused on providing educational information to the restaurant industry. Based on existing law that will be supported in a legal proceeding, staff have to witness employee masking violations or capacity violations over 50% at the establishment to proceed with an order to disperse.

Temporary Free COVID-19 Testing

COVID-19 TestingIDPH Mobile Testing Sites

Date Site Location Total # Tests

11/14-11/15 Hiawatha High School 467

11/16-11/18 NIU 1,496

11/8 Kishwaukee YMCA 248

11/16 Sandwich Fairgrounds 131

11/22 DeKalb High School 139

12/29 Sycamore High School 159

Total Mobile Tests 2,642

COVID-19 Vaccination

COVID-19 Vaccine• Eligibility: Individuals who live or work in DeKalb County can receive the

vaccine from DCHD.

• Allotment: DCHD receives a pre-determined allotment by IDPH each week.• Creates difficulties planning for clinics due to the allotment inconsistencies

and last minute notice of supplies. Does not allow DCHD to schedule vaccine clinics too far in advance.

• Currently administering the Moderna COVID-19 vaccine• Requires a 2nd dose, 28 days after 1st dose (2 appointments per individual)

Current vaccination phase

Who is Included in Phase 1B?•Frontline Essential Workers◦ First responders: Fire, law enforcement, 911 workers, security personnel, school officers ◦ Education: Teachers, principals, student support, student aids, day care worker ◦ Food and agriculture: Processing, plants, veterinary health, livestock services, animal care ◦ Manufacturing: Industrial production of good for distribution to retail, wholesale or other manufactures ◦ Corrections workers and inmates: Jail officers, juvenile facility staff, workers providing in-person

support, inmates ◦ USPS workers ◦ Public transit workers: Flight crew, bus drivers, train conductors, taxi drivers, para-transit drivers, in-

person support, ride sharing services ◦ Grocery store workers: Baggers, cashiers, stockers, pickup, customer service ◦ Shelters and day care staff: Homeless shelter, women’s shelter, adult day/drop-in program, sheltered

workshop, psycho-social rehab

•Residents age 65 and over

Vaccine Administration• 11 clinics held

• Includes mass vaccination clinics and vaccination events for targeted populations (i.e. congregate living)

• Locations include NIU Convocation Center, DCHD, Community Outreach Building, and on-site administration

• DCHD has transferred 1,200 doses to Northwestern Medicine for healthcare personnel in Phase 1a

• Clinics require registration due to the limited amount vaccine available and for reminders to be sent for second dose

# of Vaccine’s Administered

Date Site Location Total #

Vaccines Given

Target Population

1/3/2021-1/9/2021 DeKalb County-Health Campus 471Phase 1A- providers outside of NM, Physicians Immediate Care,

Kindred Hospital, public health staff, EMS, dental providers, school nurses and health assistants, Center for Family Health

1/10/2021-1/16/2021 NIU Convocation Center 567Phase 1A- healthcare personnel, funeral homes, students in healthcare clinicals, ophthalmologists, chiropractors, home health care, dialysis centers, behavioral health, pharmacists

01/17/2021-01/23/2021 NIU Convocation Center 978 Phase 1A-healthcare personnelPhase 1B- law enforcement and education (teachers and staff)

Total Vaccines Administered by DCHD through last week: 2,016

Facility Set-up & ProcessSTEP 1: CHECK-IN STEP 2: SCREENING

Facility Set-up & ProcessSTEP 3: VACCINATION STEP 4: OBSERVATION/MONITORING

NIU Partnership• DCHD has a long-standing partnership and plan to utilize the NIU

Convocation Center as an identified Point of Distribution (POD).

• In addition, the DCHD Volunteer Management Plan incorporates the partnership with the NIU nursing program for the supplementation of staffing of vaccine clinics. This plan has been exercised annually during our flu clinics at NIU.

• Newly developed partnership includes collaboration with NIU Athletics to provide athletic trainers to assists in screening of patients before they receive the vaccine.

Vaccine Notification System• Allows individuals or businesses to sign-up to receive notification and

registration when they are eligible to receive the COVID-19 vaccine.

• Helps anticipate vaccination numbers per phase and to contact individuals on a rolling basis when working through each phase.

Vaccine Notification System• Even though individuals/businesses choose the category from the

list, it requires DCHD to review to determine the specific phase individuals or businesses qualify for and to eliminate duplicate entries in the system.

• To date, over 300 businesses have signed up for the vaccine notification system and have provided the number of eligible staff.

• The business list helps us determine Closed POD opportunities and to work with businesses provide notification of vaccine opportunities for eligible staff.

Vaccine Notification SystemPhase Category Number of Individuals

Signed Up

Phase 1A Healthcare Personnel 2,333

Phase 1B Frontline Essential Workers 1,332

Phase 1B Persons aged 75 years and older 3,004

Phase 1B Persons aged 65 to 74 years old 4,612

Phase 1C Persons aged 16 to 59 with high-risk medical conditions 1,545

Phase 1C Other Essential Workers 1,858

Phase 2 None of the Above 1,646

Total 16,327

IDPH Vaccine Data• IDPH reports individuals who received

the COVID-19 vaccine who reside in DeKalb County. This includes individuals who may have received their vaccine outside of DeKalb County.

• DCHD’s numbers will look different since DCHD reports the number of vaccines administrated locally which includes individuals who work and/or live in DeKalb County.

http://dph.illinois.gov/covid19/vaccinedata?county=DeKalb

Current Challenges• Vaccine availability/local allocation is substantially lower than current

demand for vaccine• Call and email volume related to COVID-19 Vaccine

• Additional staff reassigned to manage phone calls and return messages

• People call multiple times and leave messages with more than one staff person

• Communication coming down from the state level is slow and sometimes lacking altogether

• Managing misinformation on vaccine and the local vaccine strategy

Current State and Local Effort to Expand Vaccine Access•Local (DCHD) Efforts:

•Agreement with Greater Elgin Center for Family Health for allocation of vaccine to vaccinate patients in identified Phases

•Weekly allocation of vaccine to NM Kishwaukee and Valley West Hospitals to provide vaccine to patients 65 and older (approximately 65% of DeKalb County 65+)

•State (IDPH) Efforts:•Expansion of vaccine availability to pharmacy partners to assist with

vaccination efforts (Walgreens/HyVee)•Utilization of National Guard to staff sites throughout the state

Additional Funding for Vaccination Efforts Originally, IDPH indicated that vaccination funding would be dispersed as

an amendment to our existing Local Health Protection Grant.

On Monday, IDPH released information on a new grant specifically targeted to COVID-19 Vaccination efforts. Grant amount is significantly under expected allocation.

Funding period of December 1, 2020 through November 30, 2021

Over the next few weeks, Emergency Preparedness Team will meet to discuss how funds are best utilized to support response efforts.

Questions?

VII. Combined Report

VIII. Financial DataR E V I E W A N D A P P R O VA L O F F I N A N C I A L S TAT E M E N T S F O R T H E M O N T H S O F N O V E M B E R A N D D E C E M B E R 2 0 2 0

R E V I E W A N D A P P R O VA L O F C L A I M S F O R T H E M O N T H S O F D E C E M B E R 2 0 2 0 A N D J A N U A R Y 2 0 2 1

IX. Old Business

X. New Business

1. Appointment of Standing Committees for 2021

2021 Appointment of CommitteesEXECUTIVE COMMITTEE Derryl Block, RN, PhD- President Heather Breuer, DMD- Vice President Lizy Garcia- Secretary FINANCE COMMITTEE Heather Breuer, DMD, Chair Paul Stromborg, MD Anita Zurbrugg

BYLAWS COMMITTEE Jessica Harrill, JD, Chair Erik Englehart, MD PERSONNEL COMMITTEE Derryl Block, RN, PhD, Chair Lorraine Daly, RN Lizy Garcia NOMINATING COMMITTEE Rukisha Crawford, Chair Carlos Dominguez, DVM Patricia Faivre

XII. Correspondence and News

XIII. Adjournment