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KEWAUNEE COUNTY PUBLIC HEALTH DEPARTMENT COVID-19 SITUATIONAL REPORT

As of date: July 20, 2020 2:00 p.m.

COVID-19 Cases Nationally: • 3,761,362 total cases (+63,201 since yesterday) • 140,157 deaths (+498 since yesterday)

. Wisconsin Data:

Total positive cases: 43,018

Total negative cases: 737,191

Total deaths: 849

Case fatality %: 2% Cases in Kewaunee County:

• 91 positive; 17 active, 73 have been cleared, 1 death Kewaunee County’s case count of 92 is

wrong on the DHS website today. • 1 hospitalized at this time • 2369 negative • 45 pending

Kewaunee County is now listed at a high burdon rate. This means our county falls between 50 and 100 cases per 100,000 and our activity level is considered high.

Positive Cases by Age

< 18 years old 19-30 years old 31-49 years old 50-65 years old >65 years old

8 30 26 21 6

RESOURCES: Agriculture / Veterinary Resources:

• The CDC provides Interim Infection Prevention and Control Guidance for Veterinary Clinics

During the COVID-19 Response • Guidance for Testing Animals for SARS-CoV-2

https://datcp.wi.gov/Documents/TestingAnimalsCovid19.pdf • Many resources pertaining to family, youth, farming, and finances are now available through the

UW-Extension Office. https://kewaunee.extension.wisc.edu/2020/03/30/uw-madison-

extensionprovides-tailored-community-resources-to-respond-to-covid-19/ • Agricultural producers can apply for the federal Paycheck Protection Program (PPP) which

provides loans for payroll costs, benefits, interest on mortgages, rent, utilities, etc. • Best practices for community gardens added to the DHS COVID-19 Community page • DATCP released an updated version of Guidance for Farmers Market Managers, Vendors and

Consumers which adds bedding plants and fresh cut flowers to the list of vendors recommended

for participation

• Gov. Evers Goes All In for Agriculture with $50 Million in Relief for Wisconsin Farmers, $15

Million Food Security Initiative • Reopening Guidelines to Help Veterinary Practices • Updated Guidelines for Farmers Market Managers, Vendors and Customer DATCP

Releases Guidance for You-Pick and Farm Stands

Business / Employment Resources: https://www.dhs.wisconsin.gov/covid-19/employers.htm • Kewaunee County Re-opening guidelines:

http://www.co.kewaunee.wi.gov/docview.asp?docid=26882 • Recommendations for Reopening Pools and Water Attractions • Recommendations for Lodging Establishments during COVID-19 • Recommendations for Opening Restaurants, Retail Businesses during COVID-19 • Guidelines for Operating Campgrounds during COVID-19 • Gov. Evers Announces $75 Million We're All In Grant Program and Initiative to Spur Wisconsin's

Economic Recovery, Promote Safe Business Practices • Wisconsin Courts COVID-19 Task Force releases report with framework to guide counties and

circuit courts • CDC has released several decision trees for sectors • Gov. Evers Announces Another Turn of the Dial for Wisconsin Businesses 05/11/2020 • Gov. Evers Announces Best Practices and Safety Guidelines for WI Businesses - guidelines are

available on WEDC's website • OSHA and the CDC provide guidance for meat and poultry processing workers and

employers. • Businesses & Employers: https://www.dhs.wisconsin.gov/covid-19/employers.htm • Return-to-Work Guidance for Asymptomatic Workers Who Had Contact with COVID-19: • DHS COVID-19 Businesses and Employers • Guidance for farmer’s markets added to the DHS COVID-19 Community page

https://datcp.wi.gov/Documents/FarmersMarketGuidanceCovid19.pdf • Proper Cleaning: Guidance for COVID-19

https://www.dhs.wisconsin.gov/publications/p02618.pdf • Employee Rights: Families First Coronavirus Response Act

https://www.dol.gov/sites/dolgov/files/WHD/posters/FFCRA_Poster_WH1422_Non-Federal.pdf • Wisconsin Economic Development Corporation (WEDC) • Additional $600 Unemployment Benefit Will Be Counted for FoodShare but Not Health Care

Benefits • CARES Act Information and FAQs added to US Department of the Treasury website • You're not alone! Visit HealthWatch Wisconsin's COVID-19 Resource Page if you or someone

you are helping: o Just lost a job, had work hours reduced, or otherwise have unpredictable income o

Lost job-based health insurance o Can no longer afford your ACA Marketplace Plan o Have questions about insurance coverage for COVID-19 testing, treatment or services o

Need help connecting to community resources: internet, food or heat • Updated CDC Guidance for Pharmacies (Updated May 28) • Click here for additional CDC guidance for sanitation and wastewater workers. • 06/05/2020: interim guidance for bars and restaurants • Employer and Business Toolkit now available on the DHS Businesses, Employers, and Workers

webpage • WI Legislative Council IssueBrief: COVID-19 Liability Waivers for Businesses • WEDC Report Assesses Ongoing Economic Impact of COVID-19 Pandemic, Outlines Recovery

Priorities

• Guidance for facility managers is posted on the COVID-19 Community page • Ways to Protect Your Employees: https://www.dhs.wisconsin.gov/publications/p02673c.pdf

Case Count Resources:

• Wisconsin Outbreak data page: https://www.dhs.wisconsin.gov/news/releases/042920a.htm • DHS announced a new data page with COVID-19 facility-wide investigations & outbreaks across

Wisconsin by region and setting. • Daily Wisconsin Data: https://www.dhs.wisconsin.gov/covid-19/data.htm • Wisconsin’s Model: https://www.dhs.wisconsin.gov/covid-19/model.htm • Wisconsin Hospital Association Information Center (WHAIC) Situational Awareness

Update (State and regional hospitalization data) • COVID-19 Cases in the U.S. by County: Use this interactive tool to explore the extent of

COVID-19 tests, cases and deaths in counties across the United States. • DHS COVID-19 Facility-Wide Public Health Investigations page now includes county-level data • FDA Releases Guidance on Development and Licensure of Vaccines to Prevent COVID-

19Vaccine must be at least 50% more effective than a placebo

Childcare Resources: https://www.dhs.wisconsin.gov/covid-19/schools.htm • School &Childcare Guidelines: https://www.dhs.wisconsin.gov/covid-19/schools.htm • Updated Best Practices for Child Care Providers FAQ • Best Practices for Child Care Providers Overview • Reopening Child Care During the COVID-19 Pandemic Decision Tree • CDC Guidance for Schools and Childcare Programs • CDC Decision Tools for Childcare Programs During the COVID-19 Pandemic

Cleaning:

• The CDC created a one-stop-shop for all information related to cleaning and disinfecting spaces. Included are long-term care facilities, nursing homes, healthcare settings, community settings and homes.

• Reopening Guidance from CDC for Cleaning and Disinfecting Public Spaces, Workplaces, Businesses, Schools and Homes: This guidance is intended for everyone, whether you own a business, run a school or want to ensure the cleanliness and safety of your home. Reopening America requires all of us to move forward together

• Proper Cleaning: Guidance for COVID-19

https://www.dhs.wisconsin.gov/publications/p02618.pdf

• https://www.safehome.org/resources/keeping-house-clean-flu-coronavirus/

EMS / First Responders Resources: • First Responders & Law Enforcement: CDC resources for first responders. • PPE: https://www.dhs.wisconsin.gov/publications/p02645.pdf

Community & Faith Based Organizations: https://www.dhs.wisconsin.gov/covid-19/community.htm • Gov. Evers Announces COVID-19 Volunteer Program • CDC Interim Guidance for Leaders of Community- and Faith-Based Organizations

General COVID-19 Information

• Symptoms: https://www.dhs.wisconsin.gov/covid-19/symptoms.htm • Someone I know has been diagnosed: https://www.dhs.wisconsin.gov/covid-19/diagnosed.htm • Resilient Wisconsin: https://www.dhs.wisconsin.gov/covid-19/resilient.htm • Symptoms of COVID-19: https://www.dhs.wisconsin.gov/covid-19/symptoms.htm

• Avoiding Illness: https://www.dhs.wisconsin.gov/covid-19/protect.htm • Multi-System Inflammatory Syndrome in Children (MIS-C) Potentially Associated with COVID-19:

Health Alert #10: • Avoiding Illness: https://www.dhs.wisconsin.gov/covid-19/protect.htm • Home Visiting Guidance updated on DHS COVID-19 Health Care Provider page • Guidance for the general public is posted on the COVID-19 Avoid Illness page

Healthcare / Dental Resources: https://www.dhs.wisconsin.gov/covid-19/providers.htm

The CDC updated guidance for dental settings. • DHS COVID-19 Health Care Providers page for current guidelines for healthcare settings • CDC Frequently Asked Questions and Answers: Coronavirus and Pregnancy • DHS Now Recommends Health Care Providers Test All Patients with Acute Respiratory

Illness for COVID-19. https://www.cdc.gov/coronavirus/2019-ncov/downloads/priority-

testingpatients.pdf • Safety of Home Visits: https://www.dhs.wisconsin.gov/publications/p02664.pdf • Ten Clinical Tips on COVID-19 for Healthcare Providers Involved in Patient Care (Source: CDC) • CDC: Symptom-Based Strategy to Discontinue Isolation for Persons with COVID-19 • Dental Settings: The CDC is hosting a call on Wednesday, June 3, from 1 to 2 p.m., on updated

guidance for dental settings, including recommendations for resuming non-emergency dental

care during the COVID-19 pandemic. Presenters also will discuss strategies for dental healthcare

facilities to optimize PPE. More info here.

HIPAA: https://www.dhs.wisconsin.gov/covid-19/privacy.htm

Law Enforcement Resources:

• A toolkit of jail infection control resources was developed by the SEOC Community

Resilience and Response Task Force and shared with local law enforcement.

• First Responders & Law Enforcement: CDC resources for first responders. PPE:

https://www.dhs.wisconsin.gov/publications/p02645.pdf Long Term Care Resources: https://www.dhs.wisconsin.gov/covid-19/ltc.htm

• PPE Request Process for Long-Term Care Providers Caring for COVID-19 Positive Individuals Visitation and Long-Term Care Communities

• New COVID-19 Guidance for Home Care Providers:COVID-19: Long-Term Care Facilities and

Services web page • COVID-19, Visitation and Long-Term Care Communities Update • Clarification Regarding COVID-19 Testing and Visitation Guidance for Assisted Living • Updated recommendations for 1-2 bed adult family homes added to DHS COVID-19 Long-term

Care page • Update regarding the Wisconsin Nursing Home and ICFs/IID Testing Opportunity • Application for Temporary Assisted Living Facility Expansion Units and Transfer Options • Guidance on Adult day centers • DHS Division of Quality Assurance Revises Memos Related to CMS 1135 Waiver Provisions and

Emergency Order #21 • DQA Memo 20-003 - Wisconsin Hospices • DQA Memo 20-004 - Wisconsin Nursing Homes • DQA Memo 20-007 - Wisconsin Home Health Agencies • Safer visits in assisted living facilities • DHS released Guidance for Providing On-Site Hair Salon and Barber Services in Long-Term

Care Settings • DHS Releases Guidance on Two Topics for Long-Term Care Settings • Nursing home testing, what employers can expect

• Retesting guidelines (long-term care facilities)

Nutrition: • WIC Information: https://www.dhs.wisconsin.gov/publications/p02620f.pdf • Temporary WIC Items: https://www.dhs.wisconsin.gov/publications/p44578f.pdf • Foodshare Information: https://www.dhs.wisconsin.gov/publications/p02647.pdf

Other:

• The DNR website has been updated to reflect the new hours, restroom openings, and camping

information • DHS Releases Recommendations for Public Pools, Splash Pads, and Waterparks • FAQs for Advising Local Courts on Resuming Operations • Guidance on Beaches

Personal Safety:

• Watching Out for Wisconsin's Children and Families. https://dcf.wisconsin.gov/files/press/2020/cw-covid.pdf

• Consumer Protection Webinar: Protecting WI Consumers from COVID-19 Related Scams • Many resources pertaining to family, youth, farming, and finances are now available through the

UW-Extension Office. https://kewaunee.extension.wisc.edu/2020/03/30/uw-madison-

extensionprovides-tailored-community-resources-to-respond-to-covid-19/ • DHS COVID-19 Community & Faith-Based page updated with information about co-parenting

from Department of Children and Families • COVID-19 may survive on surfaces for a few hours or up to several days depending on the type

of surface, humidity, exposure to heat, cold, sunlight and ventilation. Click here to see how long

COVID-19 lives on specific surfaces. • Information added to the DHS COVID-19 Protect page regarding safe handling of groceries,

take-out and delivery food, and cleaning guidelines • Making a Mask: https://www.dhs.wisconsin.gov/publications/p02646.pdf • Forward Health Resources: https://www.dhs.wisconsin.gov/covid-19/ppe.htm

Pet Resources: • Is your Pet at Risk? https://www.dhs.wisconsin.gov/publications/p02655.pdf • What Pet Owners Need to Know: https://www.dhs.wisconsin.gov/publications/p02656.pdf

PPE: https://www.dhs.wisconsin.gov/covid-19/ppe.htm • COVID-19 PPE Use and Reuse Guidance Posted • Efforts to decontaminate N95 masks continue to be explored across the state. DHS sent an

email requesting N95 masks be retained for future decontamination. • Next Steps to Sign Up for Battelle N95 Decontamination • Recipients of Home and Community Based Services • Home and Community Based Service Providers • In-Home Visits for Social Workers • Providers of Transportation Services • Delivery Drivers • WI Welcomes Donation of PPE from Sister State in China • Wisconsin Department of Administration has posted a Face Mask FAQ and updated information

about the three phases of reopening on the Division of Personnel Management COVID-19 page.

Please note that these resources are being used for State Government employees only. Local

and tribal employers will need to make their own decisions for their workforce

School Resources: https://www.dhs.wisconsin.gov/covid-19/schools.htm • School &Childcare Guidelines: https://www.dhs.wisconsin.gov/covid-19/schools.htm

• New tools available to connect essential workforce families to local, safe child care (DCF) • Wisconsin to Provide Temporary Food Benefits for Children Missing School Meals • Graduation and Summer School Guidance: https://dpi.wi.gov/administrators/e-mail/covid-

19update-april-29-2020 • DHS posts graduation recommendations to Schools and Child Care page • Guidance for Licensed Day Camps for Children Overview • CDC Guidance for Schools and Childcare Programs • CDC Decision Tools for Schools During the COVID-19 Pandemic • CDC Decision Tools for Youth Programs and Camps During the COVID-19 Pandemic • Guidance for Recreational and Educational Camps during COVID-19 • 06/05/2020: CDC has updated guidance for schools and day camps • UW System Announces Students Will Return to Campus in Fall • WIAA Releases Guidance for Grades 6-12 Summer Activities • Gov. Evers Announces More Than $80 Million in COVID-19 Financial Assistance to K-12

Schools and Higher Education Institutions • Gov. Evers Announces Statewide Efforts to Distribute PPE to Schools, Food Processors,

Businesses • Cloth Face Covers in schools

DPI Releases School Guidance School Bus COVID-19 Safety Guidance released by the Wisconsin State Patrol is available on the

Wisconsin School Bus Association website

• Sport Specific Summer Guide released by WIAA • American Academy of Pediatrics, COVID-19 Planning Considerations: Guidance for School

Reentry • Harvard T.H. Chan School of Public Health, Schools for Health: Risk Reduction Strategies for

Reopening Schools • Kaiser Permanente, Thriving Schools: Playbook for School Reopening

Testing Resources:

• Health Alert #9: Required data collection for COVID-19 disease testing; new guidelines for

COVID-19 testing at WI public health laboratories • DHS COVID-19 Symptoms page was updated to reflect testing criteria. • Updated CDC Guidance: Interim Guidelines for Collecting, Handling, and Testing Clinical

Specimens from Persons for COVID-19 (April 29, 2020) • The Infectious Diseases Society of America (IDSA) outlines the current state of antibody

testing for SARS-CoV-2, along with research questions and additional testing and policy

considerations. This information will be updated regularly as new research, tests, and increased

public health capacity become available. • COVID-19: Health Alert #7: Antibody Testing for SARS-CoV-2 in Wisconsin: • CDC Guidance: Collection and Submission of Postmortem Specimens from Deceased Persons

with Known or Suspected COVID-19 • Wisconsin National Guard members staffing SEOC and helping to increase testing capacity in

Brown County and elsewhere throughout the state • Gov. Evers Announces $1 Billion Statewide Effort to Support COVID-19 Testing, Contact

Tracing, Operations, and Resources for Local Communities • Antibody testing FAQ has been added to DHS COVID-19 Testing page • Guidance to Coroners and Medical Examiners on Postmortem COVID-19 Testing

Travel Resources: https://www.dhs.wisconsin.gov/covid-19/travel.htm

• CDC Travel guidelines: https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html • Travel guidance updated on DHS COVID-19 Travel page

Travel Guidance: https://www.dhs.wisconsin.gov/covid-19/travel.htm