Taylor County Public Health Agency

5/3/2021

On Friday the CDC and FDA lifted the pause on the Johnson & Johnson vaccine allowing providers to begin administering the vaccine.   The use of the vaccine was paused to review the possible link between the vaccine use and the formation of a rare form of blood clots. These clots were reported in women age 18 to 48 years of age and occurred at a rate of approximately 1 in every 1 million vaccinations. The CDC panel determined that the benefits of being vaccinated with the J & J product outweighed the potential risks associated with the formation of the blood clots. Moving forward, pubic health will be offering the J&J and Moderna vaccines at all our upcoming clinics.  Information on each of the vaccines are provided to each recipient.  Our nurses are a great resource and can help guide you in deciding what vaccine is best for you.

Vaccination rates have slowed and we know there are many people that are undecided about receiving a Covid-19 vaccine. As a community healthcare resource we’ve worked hard to provide the information you need to make a decision based on sound and reputable sources.  All three vaccines licensed in the United States have a high level of safety and effectiveness. These products provide up to 95% effectiveness against Covid-19 infection. Some might ask why to receive the vaccine if there is only a 1 to 2% chance of death from Covid-19. The risk of morbidity or developing long term health conditions are much higher than the 1 to 2% death rate. These conditions have the potential for permanent damage to any individual.  More information on the long-term effects of COVID can be found here: https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-long-term-effects/art-20490351

Not being vaccinated or delaying vaccination when the vaccine is available does impact other people in that the virus can continue to thrive and mutate. This can prolong the pandemic by allowing the virus to infect those that have not been vaccinated and potentially giving rise to more contagious and deadlier strains of the virus. Mutations of the virus to more contagious and/or more deadly variants of the virus do have the potential to lower the effectiveness of the vaccines that have already been administered. Mutations can also lead to reinfection in those that believed that they possessed immunity through natural Covid-19 infection. The idea of herd immunity is based on reducing the number of people that are at risk of infection. Those that are unvaccinated have a higher risk of infection and unfortunately, this virus can affect the extremely healthy as well as those with health issues.  More information on the concern of variants can be found here: https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/variant-surveillance/variant-info.html

 

We’ve seen long lasting sickness and death impact residents in our communities. It has delayed health and wellness activities and consumed an enormous amount of healthcare resources on all levels. Vaccination is one of the most powerful tools we have to overcome COVID-19.  The pandemic isn’t over just because we’re over the pandemic.

 

The following list provides all of the clinics public health will be providing through the end of May.  No appointments are needed, just walk in!

 

TAYLOR COUNTY, UNITED CHRISTIAN PRESBRYTRIAN CHURCH – BEDFORD

Wednesday, May 5th, 1 – 6pm

Saturday, May 8th, 9am – 4pm

Wednesday, May 12th 1 – 6pm

Wednesday, May 19th, 1 – 6pm

Wednesday, May 26th, 1 – 6pm

 

TAYLOR COUNTY, COMMUNITY CENTER – LENOX

Thursday, May 6th, Noon – 7pm

 

ADAMS COUNTY, CHI WELLNESS CENTER- CORNING

Friday, April 30th, 9am – 1pm

Friday, May 7th, 9am – 1pm

Friday, May 14th, 9am – 1pm

Friday, May 21st,  9am – 1pm  

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4/27/2021

We continue to support vaccination for all eligible individuals.  This is one of the best tools we have to return to a sense of normalcy in the near future.  Right now vaccine providers in Taylor and Adams have a plentiful supply of vaccine.  Currently, we are administering the Moderna vaccine.

Public Health will be transitioning to walk-in clinics starting now through the month of May.  Currently we will be available at the following locations on the given day/time:

TAYLOR COUNTY, UNITED CHRISTIAN PRESBRYTRIAN CHURCH – BEDFORD

Saturday, April 24th, 9am – 3pm

Wednesday, May 5th, 1 – 6pm

Saturday, May 8th, 9am – 3pm

Wednesday, May 12th 1 – 6pm

Wednesday, May 19th, 1 – 6pm

Wednesday, May 26th, 1 – 6pm

TAYLOR COUNTY, COMMUNITY CENTER – LENOX

Wednesday, May 6th, Noon – 7pm

ADAMS COUNTY, CHI WELLNESS CENTER- CORNING

Friday, April 23rd, 9am – 1pm

Friday, April 30th, 9am – 1pm

Friday, May 7th, 9am – 1pm

Friday, May 14th, 9am – 1pm

Friday, May 21st,  9am – 1pm  

 Other vaccine providers in Taylor County are also available for vaccination appointments.  Feel free to reach out to them:

Bedford Drug

Where: 419 Main St., Bedford IA 50833

When: Appointment only during the week

How: Call for appointment

Phone: 712-523-2385

Nurara-Lenox

Where: 107 N. Main St. Lenox, IA

When: Appointment only during week

How: Call for appointment

Phone: 641-333-2260

Corning Hy-Vee Pharmacy

Where: 625 Davis Ave., Coring, IA

When: varied appointment times

How: Call for appointment/ Online appointments https://www.hy-vee.com/my-pharmacy/covid-vaccine

Phone: 641-322-3454

Other:

Hy-Vee Pharmacies-Call or register online https://www.hy-vee.com/my-pharmacy/covid-vaccine

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3/29/2021

PSA:
YOUR HELP IS NEEDED!
Please continue to help support our mitigation efforts against Covid-19! Taylor County Public
Health would like your help vaccinating everyone! Please refer family, friends, or anyone at all
to our vaccination clinic. Sign up is easy, showing up is easy and getting vaccinated is easy! Scan
the QR code below with a smart phone to link to our registration and see current openings. You
may also visit us on our Facebook page or website: http://taylorcountyhealth.com/
Thank you for your help, as you are actively contributing to stopping the spread of Covid-19!

Click here for the QR code.

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3/08/2021

Yesterday the CDC released the first set of recommendations for fully vaccinated people. This guidance will be updated and expanded based on the level of community spread, the proportion of the population that is fully vaccinated, and the rapidly evolving science on COVID-19 vaccines.

For the purposes of this guidance, people are considered fully vaccinated for COVID-19 ≥2 weeks after they have received the second dose in a 2-dose series (Pfizer or Moderna), or ≥2 weeks after they have received a single-dose vaccine (Johnson and Johnson).

The following recommendations apply to non-healthcare settings.

Fully vaccinated people can:

  • Visit with other fully vaccinated people indoors without wearing masks or physical distancing
  • Visit with unvaccinated people from a single household who are at low risk for severe COVID-19 disease indoors without wearing masks or physical distancing
  • Refrain from quarantine and testing following a known exposure if asymptomatic

For now, fully vaccinated people should continue to:

  • Take precautions in public like wearing a well-fitted mask and physical distancing
  • Wear masks, practice physical distancing, and adhere to other prevention measures when visiting with unvaccinated people who are at increased risk for severe COVID-19 disease or who have an unvaccinated household member who is at increased risk for severe COVID-19 disease
  • Wear masks, maintain physical distance, and practice other prevention measures when visiting with unvaccinated people from multiple households
  • Avoid medium- and large-sized in-person gatherings
  • Get tested if experiencing COVID-19 symptoms
  • Follow guidance issued by individual employers
  • Follow CDC and health department travel requirements and recommendations

As a reminder, individuals age 65 & older and individuals age 18-64 with high risk health conditions are eligible for vaccination.  If you are interested in vaccination, call our office to schedule and appointment. 712-523-3405

A list of high risk health conditions can be found here: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html

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1/21/2021

Recently Iowa has updated the Phase 1B priorities. Individuals age 65 and up will now be eligible in 1B.  This aligns Iowa guidelines closer to CDC recommendations. However, vaccine remains in short supply.  This means not everyone in Phase 1B will be able to get the vaccine right away.  To help balance vaccine supply with the Phase 1B demands, IDPH has implemented a tiered prioritization (outlined attached). IDPH remains in close contact with our federal partners to communicate Iowa’s need for additional vaccine. We will continue to put out information to let everyone know when and how our 1B Clinics will proceed. Please be patient. Our Phase 1B population just grew significantly and our allocation did not, so it will still take some time to meet the demand.

In Taylor County, Bedford Drug, NuCara Pharmacy and Taylor County Public Health will be vaccinating individuals in 1B.  In Adams County, Taylor County Public Health, with support form CHI, will be vaccinating those in 1B.  We are all working together to share vaccine and plan vaccination clinics. In addition, we are working with local employers and priority groups that are eligible in 1B (starting with tier 1) to schedule vaccination clinics for staff/members.

All vaccinations will be conducted by appointment only and patients will be contacted to schedule an appointment when a time is available.  At Taylor County Public Health we are keeping a list of those individuals that meet criteria for phase 1B.  We will work off this list as vaccine becomes available.  TCPH will have regular vaccination clinics in Bedford and Corning each week.  Since the vaccine is packaged in 10 dose vials, individuals will be grouped together to ensure there is no waste. If you meet the requirements of 1B, you can call our office to be added to our list.  712-523-3405 (Bedford) or 641-322-6283 (Corning)

Knowing that everyone does not have the opportunity to get online, we are taking information by phone.  Our call volume has increased significantly but we will do our best to answer your call, take your information and help with any questions you may have.  

Again, we ask patience and grace as we work to get more vaccine in our counties and schedule vaccination appointments.

Click here for more information on the Phase 1B requirements....

 
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1/19/2021

Many are eager to receive the COVID-19 vaccine and its protective benefits. As COVID-19 vaccine supply increases it will be available to anyone wanting to be vaccinated. As we each wait to be vaccinated, there are several things we can do to prepare.

 

For individuals wanting to receive vaccine:

1. Follow Taylor County Public Health on Facebook and on our website for updates on vaccine distribution in Taylor and Adams County.

2. Read the FDA Vaccine Factsheet below. These factsheets will help you understand the risks and benefits of receiving this vaccine. Taylor and Adams County clinics will be administering the Moderna vaccine. The Moderna Vaccine Factsheet can be found at Moderna COVID-19 Vaccine EUA Fact Sheet for Recipients and Caregivers (fda.gov)

3. If you are pregnant, immunocompromised, or have had allergic reactions to injections in the past, consult with your doctor. The COVID-19 vaccine is safe and effective but it is always a good idea to talk with your physician before making healthcare decisions.

 

For employers wanting to vaccinate staff:

1. Survey how many staff want to receive the vaccine.

2. Contact our office or your local pharmacy on vaccine administration at your business.

3. Monitor for phase eligibility of your business and employees. Guidance on phases of vaccine distribution can be found at https://bit.ly/39xUX3O.

 

Phase 1-B of COVID-19 vaccine distribution is planned to begin no later than February 1st and will continue over the subsequent weeks.  Vaccination efforts in our counties will be determined by vaccine allocation.  We will continue to provide information as it becomes available.

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1/14/2021

Recently US Health & Human Services Secretary, Alex Azar, indicated that anyone over age 65 is eligible for the COVID vaccination.  However, each state is responsible for how vaccine is allocated and disseminated according to population, demand and vaccine supply amounts.  Iowa has taken a phase approach to vaccine allocation.  The Infectious Disease Advisory Council (IDAC) provides recommendations of eligibility requirements for each phase to IDPH for approval.  Currently, we are in Phase 1A vaccinating healthcare workers, long term care and assisted living facilities.

Yesterday IDAC released the approved priority populations for phase 1B.  This information is for planning purposes as we will NOT be moving into phase 1B until the first part of February.

As outlined by the Iowa Infectious Disease Advisory Council, phase 1B of vaccine distribution will include:

  • Persons aged 75 years and older;
  • Individuals with disabilities living in home settings whom are depended on attendant care staff, and their attendant care staff;
  • Correctional facility staff and incarcerated individuals;
  • Staff of, and individuals living in congregate settings (not including college dormitories);
  • Food, agriculture, distribution and manufacturing workers whom work in or live in congregate settings that do not allow for social distancing;
  • PK-12 school staff, early childhood education, and childcare workers;
  • First responders (e.g. firefighters, police officers, and dependent adult abuse and child welfare social workers);
  • Inspectors responsible for health, life, and safety, including those in hospitals and long term care settings, child, and food production safety;
  • State Government officials, including staff engaged in state business at the Iowa Capital during the legislative session.

Find the recommendations in full at https://idph.iowa.gov/Emerging.../Novel-Coronavirus/IDAC

IDAC continues to monitor the amount a vaccine that is being received in Iowa and prepares recommendations for the 1C group.  Once they have reasonable confidence that supply meets demands, broader eligibility criteria and distribution will be released.

TCPH is eager to move to the next phase of vaccine distribution at the direction of the Iowa Department of Public Health.  Our vaccine strategy will be consistent with the state of Iowa as described above.

When the 1B group opens, we will be working with approved COVID vaccine providers and pharmacies in our counties that can also provide vaccination.

Once eligible for the vaccine, there are no residency requirements for where to receive it. If you live and work in different counties, you could receive your vaccine in either. The only eligibility criteria will be that associated with the vaccine distribution phase.

As we learn more information and smooth out our vaccination clinic plans, we will communicate with the public through this email group, our Facebook page, website and local new outlets.

 

 

FOR IMMEDIATE RELEASE
10/14/2020


Contact: Crystal Drake, Administrator
admin@taylorcountyhealth.com


Second COVID-19 Death Confirmed in Taylor County


The Taylor County Department of Public Health today announced the second death associated with novel
coronavirus (COVID-19) in the county. The individual was elderly and over 80 years of age.
“We wish to extend our sympathy to this individual’s family,” said Taylor County Public Health Director Crystal
Drake. “Taylor County Public Health and all of our key partners throughout the county and state continue to
work to stop the spread and impact of this virus in our communities.”

All residents should:

• Social distance from others by keeping a safe space between yourself and other people who are not
from your immediate household.
• Wear a mask when social distancing measures are difficult to maintain
• Stay home when even mildly ill
• Cover coughs and sneezes with a tissue or your elbow/upper arm.
• Wash hands frequently with soap and water for at least 20 seconds.

For up-to-date information on COVID-19, visit the IDPH webpage at https://idph.iowa.gov/EmergingHealth-Issues/Novel-Coronavirus and follow the department on Facebook at @IowaDepartmentOfPublicHealth

 

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9/25/2020

 

Amid the COVID-19 pandemic, it is important to use caution and plan ahead for Halloween festivities. It is strongly recommended everyone exercise caution when deciding to participate in trick-or-treating and events that put them in close contact with people outside their households. To lower risk, consider safer and socially distant ways to celebrate.

This guidance is designed to help curb the spread of COVID-19. It may be updated as we learn more in the weeks leading up to Halloween.

Kids and Parents:

  • If you are sick, or you have been in contact with someone who is sick with COVID-19 or has symptoms of COVID-19 stay home, and away from others.
  • Wear a face mask covering both your mouth and nose, even under your Halloween mask. (NOTE: Face coverings should never be placed on children younger than 2)
  • Trick or treat with people from your immediate household and maintain a 6-foot distance from all others.
  • Carry hand sanitizer and use it often, especially after coming into contact with frequently touched surfaces and before eating candy.
  • Limit the number of houses you visit and ask your children to stay as far from treat-givers as possible. For small children, consider holding the bag for them.

Homeowners:

  • Do not hand out candy if you are sick, or you have been in contact with someone who is sick with COVID-19 or has symptoms of COVID-19
  • Refrain from having children select their own treats from a bowl/common container instead, use a distribution table between yourself and trick or treaters.
  • Allow for social distancing between families
  • Wear a face mask covering both your mouth and nose and wash your hands often.
  • Do not hold large in-person Halloween parties. If holding smaller parties, limit attendance to 10 or fewer people and hold the event in an outdoor area where social distancing is possible. Avoid activities, such as bobbing for apples, that foster the spread of infection.

More information on low, moderate and high risk activities can be found here: https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/holidays.html#halloween

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8/4/2020

FOR IMMEDIATE RELEASE
8/4/2020
Contact: Taylor County Public Health
712-523-3405


Taylor County Board of Health Position Statement Regarding Large Events and Gatherings
During COVID-19 Pandemic


The Taylor County Board of Health has a responsibility to address the health concerns of Taylor County citizens. Based on known evidence of how COVID-19 spreads among mass gatherings of people, the Board believes that the harmful health impact on our residents attending large events and gatherings could be substantial.


BOARD OF HEALTH POSITION /RESPONSE
The Taylor County Board of Health recommends the following:


• Large events and mass gatherings in Taylor County are discouraged until the threat of Covid-19 spread has diminished.
• Events where a large portion of attendees travel from outside the local area are also discouraged.
• Large events and mass gatherings with primary attendance being largely from the local area, should adequately provide protective measures to reduce the Covid-19 spread.

The Board of Health and Taylor County Public Health are willing to work with any entity to plan a safe event. Following CDC guidance, the following is a minimum list of protective measures recommended to promote healthy behaviors and prevent spread:


• Encouraging ill persons to stay home;
• Adequate space for social distancing/ modified layouts;
• Hygienic practices recommended by the CDC for large events;
• Encourage face mask use when social distancing is not possible;
• Adequate cleaning and sanitizing of frequently touched surfaces; and
• Increased messages/signage/announcements reminding people to utilize healthy practices to prevent spread


CDC Guidance on Gatherings & Large Events: https://www.cdc.gov/coronavirus/2019-ncov/community/large-events/index.html


The Taylor County Board of Health is greatly concerned about how mass gatherings will affect the citizens, businesses, and schools of Taylor County should an outbreak occur related to an event. The Taylor County Board of Health understands the importance these events and are aware that there may be financial implications of not having these events, but they recommend decreasing the size of mass gatherings and events to decrease the health impact on the community.


Signed,
Dr. Stephen Gruba, Taylor County Board of Health Medical Director
Michael Schweitzer, RPh, Taylor County Board of Health Chair
Diane Ware, Taylor County Board of Health Member Jenn Miller, RN, Taylor County Board of Health Member
Kim Watson, Taylor County Board of Health Member

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7/22/2020

Please see notice from Taylor County Public Health.

Good afternoon,

Our local public health neighbors made us aware of scam that is happening in our area.

A caller posing as an employee from your county public health department is calling saying you have been exposed to a positive COVID-19 case.  The caller then says that the public health office wants to send you a COVID-19 test kit and asks to collect a $50 processing fee over the phone.

Please know that your local public health office does not provide at-home COVID-19 test kits and will never ask for your banking or credit card information over the phone.  Your best defense is to always say NO if someone you don’t know unexpectedly asks for banking or credit card numbers over the phone. To report this type of fraud, please contact the Consumer Protection Division at the Iowa Attorney General’s Office: consumer@ag.iowa.gov or 515-281-5926

 

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7/16/2020

The CDC has provided a one-stop resource center for the many communications toolkits that have been developed throughout the COVID-19 response that covers a variety of topics. There are digital and print resources available in multiple languages.

Topics Cover the following areas:

  • Young Adults, age 15-21
  • Childcare Programs & Summer Camps
  • Youth Sports
  • K-12 Schools
  • Businesses & Workplaces
  • Community & Faith-Bases Organizations
  • General Public
  • Domestic Travel
  • Shared & Congregate Housing
  • Parks & Rec Facilities
  • Employee & Worker Safety
  • Colleges & Universities

Check it out here:  https://www.cdc.gov/coronavirus/2019-ncov/communication/toolkits/?deliveryName=USCDC_2067-DM32945    

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6/19/2020

On Wednesday The Iowa Department of Public Health announced that it has received the first reported case of neuroinvasive West Nile Virus this season. The case was confirmed by the State Hygienic Laboratory and is an adult (18 to 40 years old) from Polk County.

About 20 percent of people infected with West Nile virus will have mild to moderate symptoms such as fever, headache, body aches and vomiting. Less than one percent of people infected become seriously ill and rarely, someone dies.

In addition, IDPH has received its first ever report of Heartland virus. The individual is an older adult (61 to 80 years old) in Appanoose County.
“These reports are an important reminder that as Iowans take advantage of outdoor activities, they should take precautions to prevent tick and mosquito bites,” said IDPH Deputy State Epidemiologist and Public Health Veterinarian, Dr. Ann Garvey.

Since Heartland virus is new to Iowa, here are answers to some common questions:

What is Heartland virus?

Heartland virus is an RNA virus in the genus Phlebovirus, family Phenuiviridae believed to be transmitted by the Lone Star tick (Amblyomma americanum). First discovered as a cause of human illness in 2009 in Missouri, more than 40 cases of Heartland virus disease have been reported from states in the midwestern and southern United States as of September 2018. Most people diagnosed with the disease became sick during May through September.

What are the symptoms?

Symptoms include fever, fatigue, anorexia, headache, nausea, diarrhea, and muscle or joint pain. Heartland virus has been found to cause leukopenia (low white blood cell count), thrombocytopenia (low platelet count), and elevated liver transaminases.

What is the treatment?

There is no specific antiviral treatment. Supportive therapy can treat some of symptoms.

What is the incubation period?

The incubation period (time from tick bite to feeling sick) is not known, but most patients reported a tick bite in the 2 weeks before they felt sick.

Who is at risk for infection?

People who work outside or participate in outdoor activities, where they are exposed to ticks, may be more likely to become infected.

What steps can be taken to reduce your risk of infection?

When spending time outdoors:

·   Wear long-sleeved shirts and long, light-colored pants tucked into socks or boots.

·   Stay on trails when walking or hiking and avoid high grass.

·   Use insect repellants.

·   After each day spent in tick-infested areas, check yourself, your children, and your pets for ticks. Ticks tend to prefer the back of the knee, armpit, scalp, groin, and back of the neck.

·   Promptly remove any attached tick. Clean the wound and disinfect the site of the bite.

When and where was Heartland virus first identified in Iowa?

The first identified case of Heartland virus in Iowa was in Appanoose County in 2020.

How can a provider test a patient for Heartland virus?

Testing for Heartland virus is available at CDC. Any provider in Iowa, who has a patient with an acute illness that may be compatible with Heartland virus disease, should call the Iowa Department of Public Health at 1-800-362-2736.

For more information about Heartland virus, visit https://www.cdc.gov/heartland-virus/index.html

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6/9/2020

Taylor County Public Health will provide mass COVID-19 drive-thru testing to the general public on Thursday, June 11th from 3-6pm.  Testing will take place in the parking lot of the Lenox Community Center (directions attached).  Testing is open to any adult, age 18 or older. 

Registration is strongly encouraged to minimize your wait time. Please register and select a testing time slot via the link: REGISTER HERE!

Registration is available in English and Spanish.

Registration will be available until 11am on June 11.

To register by phone, call 712-542-7887 from 8am-6pm on June 8-10, and 8am-11am on June 11.

A translator will be available on-site.

Please assist us in sharing this with your employees, colleagues, family and friends.  A post will be available on our Facebook page to share as well!

Thank you!

Crystal

 

Additional Information:

We will also have the rapid test machine available from Ringgold Co. Hospital to test essential service workers.  These would include any individuals in the following fields:

Healthcare/Public Health

Law Enforcement, Public Safety and other First Responders

Food Service

Agriculture Production

Energy

Water & Wastewater

Transportation & Logistics

Critical Manufacturing

Communications

Financial Services

 

Test results from the rapid test machine will be available that evening or early the next day.

 

Registration is strongly encouraged to minimize your wait time. Please register and select a testing time slot via the link: REGISTER HERE!

Please include “ESSENTIAL SERVICE” behind your last name so we can ensure your information in placed in the correct testing lane.

Registration will be available until 11am on June 11.

 

To register by phone, call 712-542-7887 from 8am-6pm on June 8-10, and 8am-11am on June 11.  Please let them know that you are an essential service worker.

 

When you arrive at the testing site, please let traffic control know that you are an essential worker.

 

We encourage you to share this with your essential service staff, coworkers, family and friends.

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6/3/2020

 

We’ve learned of another COVID-19 testing opportunity in our region!  Clarinda Regional Health Center in Clarinda has been named a Test Iowa drive-thru testing site starting today, June 3rd.  The Test Iowa initiative is open to any Iowan that feels they need to be tested.

To schedule an appointment, visit TestIowa.com and complete an assessment. After the assessment, it will determine if you need to be tested and ask what site you choose.  At this point you need to indicate that you want to be tested at a clinic. You will then have the option to select Clarinda Regional as your clinic choice. You will then receive a unique ID and QR Code and be able to schedule an appointment through the clinic.

Currently, CRHC's site will be open today from 3-5 p.m., Thursday from 11 a.m.-1 p.m. and Friday from 9 a.m.-11 a.m. with more dates and times possible based on demand.

Those getting tested are asked to exit off the Highway 2 bypass onto West Glenn Miller Drive, turn east on West Laperla Drive and then turn south onto Essie Davison Drive and wait to be received by a CRHC team member. Following testing, patients are asked to exit onto Highway 71.

For more information and to complete the assessment, visit TestIowa.com.

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6/1/2020

We’ve fielded several questions over the last couple days about a variety of topics and wanted to share.

 

Do I have to self-isolate after traveling?

COVID-19 virus is circulating across the United States. While there is no longer a recommendation to self-isolate for 14 days after returning home from travel outside of Iowa and within the United States (as long as the traveler remains well and has not been identified as a close contact of an ill individual), travelers should continue to:

  • Clean your hands often.
  • Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
    • If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub your hands together until they feel dry.
  • Clean your hands often.
  • Avoid touching your eyes, nose, and mouth.
  • Avoid close contact with others.
  • Keep 6 feet of physical distance from others.
  • Avoiding close contact is especially important if you are at higher risk of getting very sick from COVID-19.
  • Wear a cloth face covering in public.
  • Cover coughs and sneezes.

 

The Centers for Disease Control continues to recommend that persons returning from international travel stay home for 14 days after they return.

 

What is suggested for critical workers who’ve been exposed?

Critical infrastructure workers, including personnel in 16 different sectors of work including:

  • Federal, state, & local law enforcement
  • 911 call center employees
  • Fusion Center employees
  • Hazardous material responders from government and the private sector
  • Janitorial staff and other custodial staff
  • Workers – including contracted vendors – in food and agriculture, critical manufacturing, informational technology, transportation, energy and government facilities

 

Critical infrastructure workers may continue work following potential exposure to COVID-19, provided they remain asymptomatic and additional precautions are implemented to protect them and the community. A potential exposure means being a household contact or having close contact within 6 feet of an individual with confirmed or suspected COVID-19. The timeframe for having contact with an individual includes the period of time of 48 hours before the individual became symptomatic.

Critical Infrastructure workers who have had an exposure but remain asymptomatic should adhere to the following practices prior to and during their work shift:

Pre-Screen: Employers should measure the employee’s temperature and assess symptoms prior to them starting work. Ideally, temperature checks should happen before the individual enters the facility.

Regular Monitoring: As long as the employee does not have a temperature or symptoms, they should self-monitor under the supervision of their employer’s occupational health program. Wear a Mask: The employee should wear a face mask at all times while in the workplace for 14 days after last exposure. Employers can issue facemasks or can approve employees’ supplied cloth face coverings in the event of shortages.

Social Distance: The employee should maintain 6 feet and practice social distancing as work duties permit in the workplace.

Disinfect and Clean Workspaces: Clean and disinfect all areas such as offices, bathrooms, common areas, shared electronic equipment routinely.

For additional Guidance visit: https://www.cdc.gov/coronavirus/2019-ncov/downloads/critical-workers-implementing-safety-practices.pdf

 

What is defined as a close contact and when is a person infectious?

Contact is defined as being less that 6 feet away from someone for more than 15 minutes.  This is new guidance as if was previously 15 minutes.

 

Infectious period for asymptomatic cases is defined as 10 days before through 10 days after the first date the patient tested positive for COVID-19 infection. For example: I tested positive on April 15th – I was infectious from April 5 through April 25.

 

Infectious period for symptomatic cases is defined as 48 hours before illness started until the patient is fever free for at least 72 hours AND other symptoms have improved AND at least 10 days have passed since the first symptom began.

 

A household contact of mine tested positive, do I need to quarantine?

Yes.  All household contacts (adults and children) and close contacts (defined above) need to quarantine, preferably at home, for 14 days after last potential exposure and always maintain social distance from others.  Self-monitor symptoms daily: check and record temp twice a day; contact your provider if you become feverish or have temp 100.4o F or higher, develop cough or shortness of breath, develop milder symptoms (soar throat, muscle aches, tiredness, diarrhea, loss of taste or smell), and avoid contact with people at high risk for severe illness.

 

For example:

Close contact – Jim is a good friend of yours and on May 1 you helped him at his home where you were in close contact for long periods of time.  On May 3 you learned Jim tested positive for COVID-19. A member of the case investigation team contacted you as you were identified as a a close contact of Jim’s though the case investigation process.  You will need to quarantine until May 15, which is 14 days from the last time you saw Jim.

 

Household contact – On May 1 Your wife, Jane, wasn’t feeling well, had a fever and chills and decided to call her provider and it was determined she be tested for COVID-19.  On May 3 Jane was contacted with positive test results.  As part of the case investigation process, a member of the state reached out to Jane to identify close contacts and household contacts. Household contacts include you, your 16 yr old daughter and 4 yr old son.  They regularly check in with Jane on her condition and symptoms.  On May 12 they determine that she’s met all the criteria to be considered recovered. You and your children, the household contacts, would need to quarantine until May 26 because you’ve all had daily contact with Jane throughout her entire illness and infectious period.  The recommended guidance is for all household contacts to quarantine for 14 days after last potential exposure.  In this case, last potential exposure would be May 12, the day Jane was considered recovered.

 

https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/quarantine-isolation.html

 

All contacts (asymptomatic and symptomatic) are recommended (not required) to be tested for COVID-19 infection (testing should not occur before 48 hours after their earliest exposure to the COVID-19 infected case. For example: (From the examples above) if you were with Jim on May 1, you should test on May 4 or later.  If you are the spouse and children of Jane, you should test on May 4 or later.)

 

https://idph.iowa.gov/Portals/1/userfiles/61/covid19/Contact%20Tracing%2005052020.pdf

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05/22/2020

Memorial Day is a common time for gatherings of friends and family to welcoming in Summer and remembers those that served our country.  Like many other events and activities, Memorial Day should be different this year.

It is important not to let our guard down this coming holiday weekend.  Be smart as you celebrate Memorial Day by keeping gatherings to 10 or fewer people. Plans may be modified to ensure social distancing and good hygiene. Please celebrate safely this weekend. Anyone who is high risk should continue to stay home.

On May 20th, the Governor opened up more businesses and activities throughout the State.  Her proclamation with brief explanations can be found here: https://governor.iowa.gov/press-release/gov-reynolds-signs-new-proclamation-continuing-the-state-public-health-emergency-3

If additional guidance is provided, I will email you or you can find it here: https://idph.iowa.gov/Emerging-Health-Issues/Novel-Coronavirus/Guidance

We’ve fielded questions about why our office is not sharing more information on the recent confirmed cases. Iowa Code Chapter 22 prohibits the release of any information that could lead to the identification of any individual or facility.  Contact tracing is done with the confirmed case to identify close contacts who should all monitor their health and symptoms and self-isolate.  Close contacts of the confirmed case that are at risk will be contacted.  There is no additional general public guidance that would result from providing more information about a case. So, no matter where they shop or work, the guidance to stay safe provided to the public is the same.   Because ALL residents are urged to stay home as much as possible, social distance, avoid large groups of people, wear a mask in public, wash hand frequently, disinfect common surfaces, etc.  This is needed by everyone, regardless of a confirmed case, because we know there is community spread throughout Iowa.  The risk of the virus is the same for the general public regardless of where the confirmed case visited or shopped, what town they live in, etc.   There are practices in place for the confirmed case to contact their employer and a procedure for doing so.  If other public health offices or employers are releasing this information, that is on them.  We are following Iowa Code laws and recommendations by IDPH and only releasing the age range.

Please support your medical community during this challenging time and learn the facts:
• Testing continues to take place routinely through local medical care providers, surrounding medical care providers, employer/strike teams, and TestIowa https://www.testiowa.com
• Local large employers are testing workers due to exposure to positive cases
• Symptoms of COVID-19 include: cough, shortness of breath, fever, chills, muscle pain, sore throat, loss of sense of taste/smell, and sometimes gastro-intestinal symptoms (such as abdominal pain, diarrhea, nausea, or vomiting). Call your healthcare provider if you have any of these symptoms!
• Symptoms may appear 2-14 days after exposure to the virus
• Older adults and those with underlying health conditions are at greater risk; this includes people who smoke.
• Community spread is occurring in all Iowa communities. Wearing a cloth mask when out for essential errands helps protect you and those you come into contact with
• The science of COVID-19 continues to evolve
• Most people recover from this viral illness - the goal is to not overwhelm hospital systems so all those in need can receive care/treatment.
• The virus is highly contagious. One person can spread this illness rapidly without intent. Stay home, even if you are mildly ill.
• Public health, in Taylor and Adams Counties, opted to have the State, with support from the National Guard, complete all contact tracing for positive cases in both counties.
• For contact tracing, they look back 2 days prior to symptom onset for all individuals who had contact with the positive case (within 6 feet for 30 minutes or more).

Enjoy your weekend – be smart and stay safe!

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05/20/2020

Two additional positive cases of COVID-19 have been confirmed in Adams County. One individual is an older adult (age 61-80) and the other is middle age (age 41-60).

This is Adams County’s 2nd and 3rd confirmed cases of COVID-19.

 

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05/20/2020

Another positive case of COVID-19 has been confirmed in Taylor County.  The individual is an adult (age 18-40).  This is Taylor County’s 4th confirmed case of COVID-19. 

Please click here for a document containing answers to common questions is attached.

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News Release

FOR IMMEDIATE RELEASE
05/18/2020
Contact: Joan Gallagher, Administrator
admin@taylorcountyhealth.com

Third Case of COVID-19 Confirmed in Taylor County

The Iowa Department of Public Health (IDPH) and Taylor County Public Health have identified 1 additional
case of COVID-19 in the county. The individual is adult aged (age 18-40).
“Preventative measures are key to slow the spread,” said Taylor County Public Health Director Joan
Gallagher. “It’s important for everyone to stay home as much as possible and only leave for essential
errands like getting groceries or medications. When you run these errands, send only one person from the
household, if possible.”
If you are experiencing any symptoms, call your health care provider before going into the office. The
provider may have special instructions for you and will determine if you should be tested.
Persons with symptoms of COVID-19 should self-isolate (regardless of whether they were tested for COVID-19)
until after these three things have happened:
• They have had no fever for at least 72 hours (that is three full days of no fever without the use of
medicine that reduces fevers) AND
• Their other symptoms have improved (for example, when your cough or shortness of breath has
improved) AND
• At least 10 days have passed since their symptoms first appeared.
Persons who test positive for COVID-19 but do not experience symptoms should self-isolate until:
• At least 10 days have passed since the date of the first positive test AND
• They continue to have no symptoms (no cough or shortness of breath) since the test.
For more information on COVID-19 in Iowa, visit the IDPH webpage at https://idph.iowa.gove/EmergingHealth-Issues/Novel-Coronovirus

To view the news release, please click here....

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News from Taylor County Public Health Agency

 

Update 04/15/2020

The IDPH Coronavirus website has been updated to reflect additional data! You can see to-date Taylor County has performed 44 tests with one confirmed positive result and Adams County has performed 19 tests with no confirmed positive results. Please remember that even though there are minimal positive test results, it does not mean Covid-19 isn't here. We strongly urge the community to continue following IDPH recommendations:

  • Staying home as much as possible
  • Run only essential errands, go alone and practice social distancing. Consider wearing a cloth face covering when running errands in case you are a carrier of Covid-19 without current symptoms.
  • Avoid groups of 10 or more people
  • Practice social distancing by staying 6' away from other people
  • Stay at home if you are not feeling well

https://coronavirus.iowa.gov/

Connections Area Agency on Aging is offering meals for seniors. Meals are frozen or shelf-stable and can be delivered to the senior’s door.  Care packages containing toilet paper, paper towels and other non-perishable food items are also available.   Please view the attachment below and share with those that may benefit from this program.

There is still a need for homemade masks.  IDPH guidelines on masks can be found here: https://idph.iowa.gov/Portals/1/userfiles/7/Homemade%20Mask%20Design%20Guidance%203_28_20.pdf

Another pattern can be found here: https://www.unitypoint.org/filesimages/COVID-19/UnityPointHealth-OlsonMask-Instructions.pdf

Video and picture tutorials can be found here: https://www.joann.com/make-to-give-response/

Contact our office or your local Emergency Management for mask donations.

Not familiar with a sewing machine, but have supplies to make masks?  No problem!  Let us know and we can get your supplies to those that can sew masks.

 

Personal Protective Equipment is still in short supply; not only state-wide but in our local nursing homes, clinics and hospitals.  If you are able to donate any PPE, please contact Emergency Management. 

Taylor County: 712-542-7284
Adams County: 641-322-3623

Stay safe.  Stay home. Stay aware.

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New update 04/10/2020

Click here for the New Update

Click here or see below for Letter from the Easter Bunny  and T-Shirt Mask Instructions

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Another helpline is available through ISU Extension. 

Please see below for more information on this helpline.  You are still able to call 2-1-1 for Coronavirus questions as well.

 

Who is in my social circle during the pandemic?

Your social group should include your immediate household members only.  Those that you eat with and sleep with 7 days a week.  Social distancing needs to be practiced with all other individuals.  We must avoid having friends over for the weekend, extended family birthday parties, neighborhood basketball games, etc.  For those that are considered essential and must go to work; please be smart about your interactions.  Wear a mask, ensure you are 6 ft. away, wash your hands and wipe down your work area often.  Please remember that COVID-19 does not have legs, we give it legs to spread when we leave home and do not follow social distancing guidelines. We know that this is hard and is a great sacrifice for many.  COVID-19 requires all of us to make changes to our daily routines and has created challenges for us all. Our common goal is to stop the spread of this virus and get back to a new normal. It requires patience, perseverance and understanding by all.

 

Garage sales/Trash-to-Treasure Weekends

We know it is the time of year for trash-to-treasure weekends and garage sales. Social distancing guidelines NEED to be followed. Less than 10 people in a setting and everyone needs to be 6 feet apart. Following these guidelines protects you, your family and your community. All social distancing rules should be followed by the both the sellers and shoppers. Remember, your community will police you if you are not following social distancing guidelines.  If we receive any more guidance on this, we will pass it along.

 

Face Covering Do’s and Dont’s

DO:
Make sure you can breathe through it
Wear it whenever going out in public
Make sure it covers your nose and mouth
Wash after using

DON’T:
Use if under two years old
Use surgical masks or other PPE intended for healthcare workers


See some COVID-19 face covering questions and answers: https://bit.ly/34cFym6

I attached the directions for homemade masks from IDPH if needed.

 

Essential Runs

Essential errands require one person. Keep the rest of your family at home. Your social circle should be the people you live with - those you eat with and sleep with 7 days a week

 

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Update from Taylor County Public Health Agency

 

  • How are food resources changing during the Coronavirus Pandemic?

See below for the food resources for all ages document

 

  • My family is planning on visiting our grandparents and other shut-ins.  Is this a good idea?

Don’t put older family members at risk for COVID-19 by visiting them in person. Call grandparents or invite them to a video chat. Keep your loved ones safe by staying connected while physically distant.  Those most at risk for COVID-19 are an older adult (65+), those with underlying medical conditions (heart disease, hypertension, diabetes, chronic respiratory diseases, cancer), and those with compromised immune system from a medical condition or treatment (chemotherapy) https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-at-higher-risk.html

 

  • How can I avoid Coronavirus scams?

Consumers can find more information on scams related to the pandemic, including phishing scams and robocalls, bogus treatments, fake or unapproved test kits and charity fraud at ftc.gov/coronavirus 

 

  • Why hasn’t the Iowa Governor issued a “shelter-in-place” order for Iowans?

Recently Governor Reynolds spoke with Linda Upmeyer, Speaker of the Iowa House of Representatives, and shared the following reasons why she hasn’t ordered a shelter-in-place:

  • Iowa’s population density is much smaller than most states (The New York City metro area’s population density is nearly 100x larger than Iowa’s)
  • Iowa does not utilize mass public transit with often spreads disease
  • Iowa does not have large apartment buildings where thousands of people live
  • A shelter-in-place order would strain local law enforcement resources

Governor Reynolds has already taken significant action to mitigate the spread of COVID-19 such as non-essential business closures, suspending non-essential surgeries, and encouraging Iowans to stay at home and self-isolate. Many of the Shelter-in-Place orders that have been implemented in other states cover what is already being done in Iowa. Given the varying shelter-in-place orders from other states, Iowa’s approach is both comparable and, in many cases, stronger.

Iowa is a unique state in the fact that we provide much of the agriculture and manufacturing for the country, and we need to keep those businesses operational during this time. Iowa produces 1/11 of the nation’s food supply and is home to 31 of the largest 100 food manufacturers in the world. Iowa is the 4th highest concentration of manufacturing employees of any state in the nation, producing crucial supplies.

Moving forward, the Department of Public Health is looking at the following 4 factors in considering whether further mitigation strategies need to happen:

  • % of population greater than 65 years of age
  •  % of identified cases requiring hospitalization
  •  Rate of infection per 100,000 population in the past 14 days
  • Long-term care facility outbreaks

 

  • What is the difference between isolation, quarantine and social distancing?

Check out the attached document below that explains how these 3 measures can slow the spread of COVID-19

 

  • What are the links for reliable information?

Iowa Dept Public Health (IDPH): https://idph.iowa.gov/Emerging-Health-Issues/Novel-Coronavirus/Healthcare

Centers for Disease Control (CDC): https://www.cdc.gov/coronavirus/2019-ncov/index.html

COVID-19 in Iowa: https://coronavirus.iowa.gov/

Taylor Co. Public Health Facebook page:  https://www.facebook.com/TaylorCountyPublicHealth/?ref=bookmarks

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Taylor County Public Health Agency

There is a national shortage of commercially-produced PPE including face masks, and public and private officials are working to address national and global supply challenges. Due to the current limitations on supplies of face masks, there may come a time during this response when commercially manufactured masks are no longer readily available.

Please see below for guidance from Iowa Dept of Public Health on how to construct homemade cloth masks if you would like to support healthcare providers in our area (and beyond).  

Please contact your local hospital, medical clinics, or long-term care facility prior to making a donation. The facility will provide information on where to drop off donations outside of the facility.

Iowa Concern Hotline