weekly wi covid-19 dodge county public report health …

TOTAL POSITIVE TESTS

808

POSITIVESRECOVERED COMMUNITY 392

DECEASED5 (+0)

COVID-19 CUMULATIVE TOTALS AS OF AUGUST 8, 2020:

WEEKLY COVID-19

REPORTIssued: August 10, 2020

DODGE COUNTY, WIDODGE COUNTY PUBLIC HEALTH UNIT199 CTY RD DF- GROUND FLOORJUNEAU, WI 53039 PH: 920-386-3670

For WEEK 23: August 2-8, 2020

TOTAL NEGATIVE TESTS

16,462FACILITY WIDEINVESTIGATIONS

23 (+1)

HOSPITALIZATIONSEVER

42

POPULATION

87,839-2019

238 (+1)

POSITIVES FROM DEPARTMENT OF CORRECTIONS TESTING

COMMUNITY POSITIVESexcludes Department of Corrections

570 (+ 132)

Source: WI Department of Health Services (DHS)

Source: WI Department of Health Services (DHS)

Source: WI Department of Health Services(DHS)

Source: Dodge County Public Health & City of Watertown Public Health


Source: DCPH & CWPH

Source: https://www.dhs.wisconsin.gov/covid-19/investigations.htm

Source: WEDSS

POSITIVESACTIVE COMMUNITY173


PURPOSE:

DISCLAIMER:

The intent and purpose of the Dodge County, WI COVID-19 Weekly Report is to turn real data tracked into a visible format for the community to stay informed on the current COVID-19 status in Dodge County.

Data shown below are subject to change. We strive for transparency and accuracy in our data, and as individual cases are investigated by public health, there may be corrections to the status and details of cases that result in changes to this information. Some examples of corrections or updates that may lead to changes to our data, such as case and negative counts and deaths going up or down, include:

Update or correction of case's address, resulting in a change to their location of residence to another county or state,Correction to laboratory result,Correction to a case's status from confirmed to unconfirmed (for example, if they were marked as confirmed because a blood test detecting antibodies was positive instead of a test detecting the virus causing COVID-19),De-duplication or merging and consolidation of case records,Update of case's demographic information from missing or unknown to complete information.

7/30/20

WEEKLY COVID-19 REPORTDODGE COUNTY, WI

AS OF MAY 23, 2020

Gov. Evers Issues Executive Order Declaring Public Health Emergency and Requiring

Face Coverings Statewide

Effective Date: 12:01 a.m. on Saturday, August 1, 2020 Expiration Date:September 28, 2020 or by a subsequent superseding order

Mandatory Face Covering Order:

Requirement: Every individual, age five and older, in Wisconsin shall wear a face covering if both of the following apply:

1. a. The individual is indoors or in an enclosed space, other than at a private residence; and;

2. b. Another person or persons who are not members of individual's household or living unit are present in the

same room or enclosed space.

Face coverings are strongly recommended in all other settings, including outdoors when it is not possible to maintain

physical distancing.

Exceptions:

While eating or drinking.

When communicating with an individual who

is deaf or hard of hearing and communication

cannot be achieved through other means.

While obtaining a service that requires the

temporary

removal of the face covering, such as dental

services.

While sleeping.

While swimming or on duty as a lifeguard.

While a single individual is giving a religious, political,

media, educational, artistic, cultural, musical, or theatrical

presentation for an audience, the single speaker may

remove the face covering when actively speaking. While

the face covering is removed, the speaker must remain at

least 6 feet away from all other individuals at all times.

When engaging in work where wearing a face covering

would create a risk to the individual, as determined by

government safety guidelines.

When necessary to confirm the individual's identity,

including when entering a bank, credit union, or other

financial institution.

When federal or state law or regulations prohibit wearing

a face covering.

Exemptions

Children between the ages of 2 and 5 are encouraged to wear a mask when physical distancing is not possible. The

CDC does not recommend masks for children under the age of 2.

Individuals who have trouble breathing.

Individuals who are unconscious, incapacitated, or otherwise unable to remove the face covering without

assistance.

Individuals with medical conditions, intellectual or developmental disabilities, mental health conditions, or other

sensory sensitivities that prevent the individual from wearing a face covering.

Incarcerated individuals. The Wisconsin Department of Corrections shall continue to comply with COVID-19

protocols to ensure the health and safety of its staff and individuals in its care. Local governments are strongly

encouraged to continue or create COVID-19 protocols to ensure the health and safety of their staff and individuals

in their care.

DCPH- Mayville COVID-19 Test Event Friday July 31 &August 1, 2020


Dodge County Public Health and Dodge County Emergency Management coordinated with Wisconsin National Guard to complete a 2 day specimen collection for COVID-19 testing. Anyone age 5 or older was eligible for a nasal swab regardless of symptoms. The Dodge County Highway provided us their Garage in Mayville with two lanes for testing which could accommodate up to 45-50 tests to be collected each hour.

DATE# SPECIMENSCOLLECTED

FRIDAY 7/31 289

SATURDAY 8/1

295

TOTAL 584

Tested for COVID-19 at a Wisconsin National Guard site?

Once you call, you’ll need to provide:• The date of your test,• The National Guard testing site you visited• Your name, and• Your date of birth.

473 37of the 584 specimenswere Dodge County residents

of the 473resulted: Positive

=7.8%=81%

The high turnout of local people truly shows the need for increased testing availability in our rural communities. We continue to work with our local providers to expand testing once the National Guard completes their mission.

Where to find community COVID drive thru testing: Ongoing site: Alliant Energy Center--Madison, WI

To find a "pop-up" testing site visit:

1919 Alliant Energy Center Way, Madison, WI 537138:00am - 4:00pm, Mon/Wed/Fri/Sat; 8:00am - 8:00pm, Tue/Thu

https://www.dhs.wisconsin.gov/covid-19/community-testing.htm

Mayville test site statistics:

Recent Clusters of Positive Cases


This past week our County experienced the largest spike in community positive cases (not from the department of corrections) since the COVID-19 pandemic began. Our team of contact tracers works diligently to interview these folks within 24 hours of the test result time reported by the laboratory. During these interviews it is important to try to identify those who the positive may have exposed during their infectious period (2 days before symptoms started until current date). It is also important to explore back 14 days prior to illness to try to pinpoint where they may have been exposed to the virus. The Wisconsin Department of Health Services has a questionnaire that we follow to collect this info. We understand it's summer and that summertime in Wisconsin is sacred, we do! However, many people this week reported attending a large gathering in the 14 days prior to illness. We strongly encourage folks to still take proper precautions if they will be attending these sorts of events. Interim guidance on large gatherings: At this time, DHS does not advise large gatherings, and there is no projected time frame available as to when this advisory would change.

133 New Positive tests- case breakdown:

Mass Gatherings Recommendation Under Dodge Safe Restart Phase 2:

Events held outdoors should allow for all people to maintain 6 feet physical distance (36 square feet per person) from others.If community members choose to gather socially, private indoor social gatherings should be limited to 50 people or less with physical distancing. Encourage masking especially when it is difficult to practice physical distancing.Wash your hands frequently, and avoid touching shared surfaces.--Hand sanitizer is great to use when soap and water aren't available!

39 72reported attending a large gathering, party or meeting with people from outside their home.

were associatedwith clusters:

30 from workplaces

3 from bars/restaurants/other

36 from a single large gathering

3 from other gatherings

Mass Gatherings Recommendation Under Phase 2:DHS Advise on large gatherings:Public health experts agree that large gatherings of people in sustained, close contact greatly increases the risk for spread of the virus among those who attend the events and to the communities these individuals return to after the event. The communal nature of such events makes it especially challenging to accommodate the physical distancing and sanitation recommendations required to slow the spread of disease. This includes but is not limited to fairs, festivals, parades, and conferences. Given the state of COVID-19 transmission in Wisconsin, DHS recommends you not engage in public or private gatherings of people that are not part of a single household or living unit. This recommendation will change as the state progresses through the different phases of Wisconsin’s roadmap outlining public health principles to decrease COVID-19 cases and death.

COVID-19 STATISTICS: WEEKLY TESTING INFORMATION

FOR WEEK 23Aug 2-8, 2020


Aug 2-8, 2020

TOTAL TESTS1,516 POSITIVE TESTS 133

Day of the Week for August 2-8, 2020

# of

Tes

ts

Weekly Positive & Negative Lab Results

192159

300173 158

310

9127 3 23 15 14 25 26

Negative Positive

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

50

150

250

350

NEGATIVE TESTS 1,383

Calculations: 1) Total Positive Labs / Total Positive and Negative Labs = % Positive of Total Tests2)# Positive labs in last 24 hrs/total labs resulted in last 24 hrs = % positive in last 24 hrs

Of concern

for week Aug 2-8, 2020

Average %Pos8.77%

Interpretation: 1) % Positive of Total Tests- Rolling average2) % positive in last 24 hrs- fluctuations occur more frequently based on how long different labs take to produce test results and the LPHD's resources to log positive and negative test results.

DATE

POSI

TIVE

TES

TS (%

of t

otal

test

s)

2 Week (2020) % POSITIVE TESTS TRAJECTORY (Goal <5%) AND downward trajectory

% pos of total % pos 24hrs

July 26 27 28 29 30 31 Aug 1 2 3 4 5 6 7 80

5

10

15

20

25

Good

Proceed w/

caution

DODGE COUNTY COVID-19 DATA ACCURACY

Info from 7/27/20 press release


DATA LOGGING PROCESS:

The Dodge County Human Services and Health Department-Public Health Unit is dedicated to keeping the public informed about COVID-19, including providing accurate data and current guidelines. Recently, there have been news reports stating that the COVID-19 data put out by health departments is inaccurate due to a backlog of health departments entering negative results. This is not the case for Dodge County.

When a person is tested, their swab is sent to a lab for testing. The labs report the result, positive or negative, to local health departments where the person lives through a statewide secure data system called the Wisconsin Electronic Disease Surveillance System (WEDSS). Local health departments then go into a “staging area”, pull cases into their “jurisdiction”, and assign the case to a staff member for follow-up. When there is a large amount of testing, such as at a community-testing site, there may be hundreds of cases in staging. Dodge County Public Health has assigned staff to move cases from the staging area to their jurisdiction seven days a week to assure timely and accurate reporting.

Dodge County Public Health has seen an average of 200-225 results reported a day and that number continues to trend upwards. Even with those numbers rising, Dodge County Public Health has regularly processed all results, negative and positive, in under 24 hours. This allows Dodge County to report up to date metrics and data to county leaders and the public. The public can be reassured that the data that Dodge County Public Health reports regarding testing, to include positive and negative results, is accurate.

REPORTING DATA TO YOU:

Positive and negative case data is pulled from WEDSS and reported by local health departments and the state Department of Health Services. Positive cases are counted by person positive, not by each test that person may have had done.

DATE

POSI

TIVE

TES

TS d

ivide

d by

Tot

al T

ests

(%)

ROLLING % POSITIVE OF TOTAL TESTS TRAJECTORY (Goal <5% and downward trajectory)

Excellent Proceed with Caution

April 2025 May 15 10 15 20 25 30June 1

5 10 15 20 25 30July 15 10 15 20 25 30Aug 12345678

0.5

1.5

2.5

3.5

4.5

5.5

6.5

7.5

CUMULATIVE TESTING INFORMATIONWEEK 23

Aug 2-8, 2020

WEEKLY COVID-19 REPORT

Week PeriodTota

l # T

ests

Per

form

ed (p

os+

neg) NUMBER OF TESTS PERFORMED BY WEEK

total tests pos tests

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 230

500

1,000

1,500

2,000

DODGE COUNTY, WI

Throughout the state currently performing testing

Number of Labs83

Week 1: March 1-7Week 2: March 8-14Week 3: March 15-21Week 4: March 22-28Week 5: March 29-April 4Week 6: April 5-11

Week 7: April 12-18Week 8: April 19-25Week 9: April 26-May 2Week 10: May 3-9Week 11: May 10-16Week 12: May 17-23Week 13: May 24-30

2020 Week Periods: Week 14: May 31- June 6Week 15: June 7-13Week 16: June 14-20Week 17: June 21-27Week 18: June 28-July 4Week 19: July 5-11Week 20: July 12-18

5%

Throughout the state planning to do testing (once they get the supplies)

Number of Labs24

Week 21: July 19-25Week 22: July 26-Aug 1Week 23: Aug 2-8Week 24: Week 25: Week 26: Week 27:

COVID-19- COMMUNITY POSITIVE STATISTICS (570)EXCLUDES PERSONS UNDER CARE OF DEPARTMENT OF CORRECTIONS

MALES FEMALES

HOSPITALIZEDNOT HOSPITALIZED

ACTIVE CASES- 30%RECOVERED- 69%DECEASED- 1%

POSITIVE CASES BY

GENDER

% HOSPITALIZED EVER

8%

69%

WEEKLY COVID-19 REPORT

RECOVERY STATUS

DODGE COUNTY, WIFor WEEK 23: Aug 2-8, 2020

MALES: 281

FEMALES: 289

EXPERIENCED SYMPTOMS- 91%EXPERIENCED NO SYMPTOMS- 9%

% ASYMPTOMATIC

9%

HEALTHCARE WORKERNOT A HEALTHCARE WORKER

HEALTH CARE WORKER

11%

Required a Ventilator (6)Did not require use of ventilator

% REQUIRED MECHANICAL VENTILATION

1%

% of COVID-19 Community Positives cases who are health care workers.

50/50

9%

2%

OTHER REASONS FOR TESTINGTESTED PRE-OP (4)

POSITIVE CASE DISCOVERED BY PRE-OPERATION TESTING

COVID-19- COMMUNITY POSITIVE STATISTICS (570)EXCLUDES PERSONS UNDER CARE OF DEPARTMENT OF CORRECTIONS

AGE

OF P

OSIT

IVE

TEST

PAT

IENT

(YEA

RS)

TOTAL NUMBER OF POSITIVE TESTS

Positive Deaths New Positives

0-1

1-9

10-19

20-29

30-39

40-49

50-59

60-69

70-79

80-89

90-99

0 20 40 60 80 100 120

AGE RANGE OF POSITIVE INDIVIDUALS- CUMULATIVE

WEEKLY COVID-19 REPORTDODGE COUNTY, WIFor WEEK 23: Aug 2-8, 2020

Age Group (years) Total Positives New Positives this Week Total Deaths

birth-1 1 0 0

1-9 15 4 0

10-19 42 8 0

20-29 111 26 0

30-39 102 22 0

40-49 86 24 0

50-59 96 26 0

60-69 81 18 3

70-79 21 2 0

80-89 11 2 2

90-99 4 0 0

How to read this table: There are 42 total positives in the 10-19 age group, which is up 8 cases from the week before; there are no deaths in this age group.


DEATHS BY SETTING

LONG TERM CARE FACILITY (4)OTHER GROUP HOUSE SETTINGS: CORRECTIONS, HOMELESS SHELTER, DORMITORIESNOT GROUP HOUSING (1)

DEATHS BY GENDER

1

4

MALEFEMALE

DEATH RATE (%) OF TOTAL

DECEASEDALL RECOVERED/ACTIVE

1% of

609

COVID-19- DEATH STATISTICS

5 Total

Deaths

Number of new deaths Week 23: 0

Deaths must be reported by health care providers, medical examiners/coroners, and recorded by local health departments in order to be counted.The medical examiner in the county of the death reviews all pertinent medical records and tests to determine the cause of death.

AGE

GROU

P OF

INDI

VIDU

AL

TOTAL # DEATHS

COVID-19 Deaths by Age Group

000000

30

20

infant-9 yrs10-19 yrs20-29 ys

30-39 yrs40-49 yrs50-59 yrs60-69 yrs70-79 yrs80-89 yrs90-99 yrs

0 1 2 3 4 5 6 7 8 9 10

About counting COVID-19 deaths:

Aug 2-8, 2020WEEKLY COVID-19 REPORTDODGE COUNTY, WI

AS OF MAY 23, 2020

FACILITY-WIDE COVID-19 PUBLIC HEALTH INVESTIGATIONS :

What types of facilities?: Long-term care facilities (nursing home, assisted living, CBRF) , group housing facilities (correctional facilities, homeless shelters, dormitories, group homes) , health care facilities (hospitals, clinics), workplace (non-health care) settings (manufacturing and production, distribution, offices and other indoor workplaces), and Other settings (adult or child day care centers, restaurants, event spaces and religious settings)

How are these investigations initiated?:A single confirmed case in a long-term care facility.Two or more confirmed cases in any other setting.

MORE COMMONLY KNOWN AS AN "OUTBREAK"

FACILITY CLASSIFICATION ACTIVE INVESTIGATIONS CLOSED INVESTIGATIONS

LONG-TERM CARE FACILITY 5 4

WORKPLACE (NON-HEALTH CARE) 7 1

GROUP HOUSING FACILITY 3 0

HEALTH CARE FACILITY 0 0

OTHER SETTING 3 0

SOURCE: https://www.dhs.wisconsin.gov/covid-19/investigations.htmThese numbers are updated once a week on Wednesdays by the DHS

18 4TOTAL POSITIVES TOTAL DEATHSAssociated with Long-term care Facility (residents)

Associated with Long-term care Facility (residents)

Number of facility-wide COVID-19 public health investigations:

Detecting COVID-19 in a nursing home is an indicator that the nursing home is following proper notification procedures and working with public health experts to test and protect their residents and employees by using appropriate isolation and infection control practices. Proactive testing helps address outbreaks early on while they’re easier to isolate and manage.

18ACTIVEFacility-wide investigations for COVID-19 in Dodge County.

Long-term care facilities:

DEPARTMENT OF CORRECTIONS & FACILITY-WIDE INVESTIGATIONS

Week 23 August 2-8, 2020


AS OF MAY 23, 2020

Dodge County numbers (positive and negative tests) include any Dodge County Department of Correction facility numbers; to learn more about cases within Department of Corrections facilities go to Department of Correction COVID-19 Information Page. DODGE COUNTY HAS 4 DEPARTMENT OF CORRECTIONS FACILITIES:

FACILITY

DODGE CORRECTIONAL INSTITUTION- WAUPUN, WI

FOX LAKE CORRECTIONAL INSTITUTION- FOX LAKE, WI

JOHN C. BURKE CORRECTIONAL CENTER- WAUPUN, WI

WAUPUN CORRECTIONAL INSTITUTION- WAUPUN, WI

Dodge County Public Health Unit does not provide follow-up/contact tracing to "persons under care of corrections." The Department of Corrections is responsible for the follow-up care, isolation, and symptom tracking for persons under their care. Dodge County Public Health is not aware of certain data/statistics that we track for the community positives that is shared with the public, therefore these positives are not included in some statistics in this report which is noted in those areas.

DEPARTMENT OF CORRECTIONS COVID-19 TESTING:

238Department of CorrectionsTotal Positive CasesSource: Wisconsin Electronic Disease Surveillance System

Distribution of Dodge County Positive Cases

238

570

Department of Corrections Cases Community Positive Cases

+1

DODGE COUNTY SAFE RESTART Released May 22, 2020


AS OF MAY 23, 2020

READ THE FULL PLAN: Visit our website under the "Coronovirus Information" > Dodge County Safe Restart tab and click the link: "Dodge County Safe Restart Guidelines and Recommendations for Action" to read the full plan.

WHAT IS IT?: A measured, phased-in approach that utilizes data-driven benchmark criteria and aligns with federal and state metrics has been developed to guide Dodge County decision making.

Effective June 13, Dodge County will be in Phase TWO of the Dodge County Safe Restart:

Weekly Benchmark Criteria Scorecard:

Phase2

● Businesses should continue using the general best practice guidelines from the Wisconsin

Economic Development Corporation (WEDC) and any sector specific recommendations that

apply to the work being done. If your sector is not included the CDC has additional resources

for sectors/organizations to reference.

● Limit capacity within non-essential businesses, bars, restaurants and organizations to 50%.

● Events held outdoors should allow for all people to maintain 6 feet physical distance (36

square feet per person) from others.

● People age 65 or older and those who are medically vulnerable should continue to limit

travel and remain at home as much as possible.

● Support online education/remote work options as able.

● Encourage curbside pick-up to reduce in-store traffic and long lines.

● If community members choose to gather socially, private indoor social gatherings should be

limited to 50 people or less with physical distancing.

● Encourage masking for both staff and consumers.

Updated 8/7/2020Date:

August 7, 2020

Current Phase:Phase Two

COVID-19/WEEKLY REPORT TERMS --What do we mean when we say....

Terminology De�nition

COVID-19

2019 Novel (new) Coronavirus. There are many types of human coronaviruses including some that commonly cause mild upper respiratory tract illnesses. The COVID-19 was �rst identi�ed in Wuhan, Hubei Province, China in December 2019 . COVID-19 is a new virus that hasn't caused illness in humans before and has spread worldwide.

Positive CaseA resident within Dodge County jurisdiction that has a positive COVID-19 laboratory test result. This includes parts of Watertown. Positive cases are counted by person positive, not by each test that person may have had done.

Community PositiveA Dodge County resident with a positive lab result that is not a person under the care of the Department of Corrections.

Recovered caseCon�rmed cases where at least 24 hours have passed with no symptoms (asymptomatic) or the use of fever reducing medications AND at least 10 days have passed since symptoms �rst appeared.

Active caseIndividuals who have a positive laboratory test and are currently ill or under the 10 day monitoring period since a positive laboratory result .

Deceased Person died from complications of COVID-19 diagnosis and is a resident of Dodge County.

HospitalizationsPerson was admitted to the hospital with complications from COVID-19 Symptoms. Duration of admittance may vary.

Facility Wide Investigations at Long-term care facilities

A single con�rmed case in a long-term care facility ( skilled nursing home and assisted living facilities) initiates a facility-wide public health investigation.

Facility Wide Investigations at other facilities

Two or more con�rmed cases in group housing, health care facilities, workplace (non health care)settings and other settings (adult or child day care, restaurants, event spaces, religious settings) initiates a facility-wide public health investigation.

Healthcare WorkerRepresents a broad range of occupations in the health care �eld, including: nurses, certi�ed nurses assistants, physicians, surgeons, physician assistants, health care support staff, emergency medical technicians and paramedics, dentists, other dental workers and pharmacists.

IsolationA method of preventing the spread of communicable disease by separating people infected with a virus from people who are not infected.

QuarantineA method of preventing the spread of communicable disease by keeping someone who might have been exposed to a virus away from others.

Social DistancingAlso called Physical distancing; is a set of non-pharmaceutical interventions or measures intended to prevent the spread of a contagious disease by maintaining a physical distance between people and reducing the number of times people come into close contact with each other.

Pandemic (of a disease) prevalent over a whole country or the world.

Asymptomatic (of a condition or a person) producing or showing no symptoms.

PUBLIC HEALTH TERMS --What do we mean when we say....

Terminology De�nition

Chapter 252Wisconsin Legislation under statute 252 which de�nes and outlines duties of Public Health in regards to Communicable diseases.

Public Health O�cer "PHO"

The person in charge of a local health department who meets the quali�cations and is responsible for carrying out the duties established under s. 251.06, Stats.

Duties of PHO

Administer the local health department in accordance with state statutes and rules. Enforce state public health statutes and rules. Enforce any regulations that the local board of health adopts and any ordinances that the relevant governing body enacts, if those regulations and ordinances are consistent with state public health statutes and rules. Investigate and supervise the sanitary conditions of all premises within jurisdictional area of the local health department. Have access to vital records and vital statistics from the register of deeds. Have charge of the local health department and perform the duties prescribed by the local board of health. The local health o�cer shall submit an annual report of the administration of the local health department to the local board of health. Promote the spread of information as to the causes, nature and prevention of prevalent diseases, and the preservation and improvement of health. (See WI Statute 251.06)

Contact TracingThe process of identi�cation of persons who mat have come into contact with an infected person and subsequent collection of further information about these contacts.

Contact Noti�cation

Part of the contact tracing process of alerting people of their possible exposure to an infectious person and supporting them in order to stop chains of transmission.

WEDSSWisconsin Electronic Disease Surveillance System" is a secure, web-based system designed to facilitate reporting, investigation, and surveillance of communicable diseases in Wisconsin. It is designed for public health staff, infection control practitioners, clinical laboratories, clinics and other disease reporters.

DHS Wisconsin Department of Health Services

DOC Department of Corrections

Persons in our Care A DOC term- meaning an inmate of that facility.

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