Jefferson County Cautions Increase in Cases is Impacting Health Care System

Jefferson County Health Department (JCHD) released the updated Community Transmission Status today showing the county on the cusp of moving into “red” which would indicate widespread uncontrolled community transmission.

The main indicator used to determine the color status for the county is the seven-day rolling average of cases per day/per 100,000 residents.

“The seven-day rolling average hit 24.32 today, just shy of the 25-case threshold to move the county into its highest alert status,” stated Kelley Vollmar, Jefferson County Health Department Director. “New positive COVID-19 cases have increased 28% from last week with an estimated 13.4% positivity rate among tests.”

Today, JCHD reported 44 new cases for a total of 2,857 COVID-19 cases within the county. The White House Pandemic Task Force Aug. 30 report has moved Jefferson County into their highest alert status of red.

Mercy Hospital Jefferson also is seeing an increase in patients testing positive, which reflects the overall increase in the county.

“Not only are we seeing more positive tests results, we are seeing an increase in the number of patients requiring hospitalization,” said Dr. Karthik Iyer, Mercy Jefferson chief medical officer. “As our health care team provides care to both COVID and non-COVID patients, it’s important to slow or stop the spread in our community by practicing safe social distancing and wearing masks, which has now been clearly shown to decrease the risk of transmission of the virus to others.”

An increase in cases and outbreaks associated with social gatherings, congregate settings, and spread among members of the same household who are not isolating at home are some of the reasons the county is nearing the red warning level. Cases connected to schools are beginning to be reported. General transmission of the virus in the community is also increasing.

“The power to reduce the spread of COVID-19 is in each of our hands and the time to act is now,” stated Vollmar. “We need every resident of Jefferson County to do their part; wash your hands, wear your mask, keep your distance from others and avoid crowds to help protect public health.”

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Jefferson County Health Department Public Response to Ordinance Issue

At Jefferson County Health Department our mission is to “champion positive health outcomes and behaviors through innovative programs and community engagement.” Our priority is the health and well-being of Jefferson County residents.

On behalf of Jefferson County Health Department, I want to extend my sincerest apologies for the confusion and stress surrounding our ordinance late last week. We never want the public to feel misled about the process used when preparing public health orders.

After viewing the comments, messages, and emails we have received, we recognize that there is confusion around the issue, and we want clear it up. When voting on a county wide ordinance, specific processes and procedures need to take place. Rather than move forward with an ordinance without public review, our board decided to meet Friday and revoke the ordinance. This allows the community time to review it.

“I don’t believe we made a mistake on the agenda for Sunshine, but we would rather have residents comfortable that we are being transparent and open, so we recalled the document,” states Jefferson County Health Department Director, Kelley Vollmar.

We recognize that we have lost some of your trust throughout the process. In these challenging times, we have, and will continue, to strive for transparency in communication with the public we serve. We have attached the agendas, new draft ordinance language, and the emails from last week.

We stand behind our recommendation for wearing masks per CDC guidelines; however, we understand that not everyone may see it as helpful. We encourage feedback from the public and thank those that have reached out to express their opinions. This is how we grow as an agency, as a county.

Moving forward, we continue to strongly encourage the use of preventative measures in the county. We will work with businesses, food establishments, schools, and other community locations to push the “Protect Public Health” message. We will continue to provide accurate and timely information, education, and data so county residents are educated and empowered to make the best health decisions for their families.

We will continue to prevent illness, promote health and wellness, and protect public health. We are proud to be public health.

Final Documents for Community Review

Jefferson County Health Center Board of Trustees Revokes Ordinance 20-008-27-01

The Jefferson County Health Center Board of Trustees met in an emergency meeting on Friday, August 28th, to revoke Ordinance Number 20-08-27-01. The vote was 5 in favor and 0 against. The decision was made to hold the emergency meeting after concerns were raised regarding whether or not the Board had followed proper procedures for notification of the public prior to the meeting. 

It is extremely important to the Board and Director of the Health Center that residents feel confident in the process that is used when preparing public orders.  The full document of the proposed ordinance has been posted online and distributed to the community for further review through elected officials, schools and will be posted on the Health Center’s webpage.  The Board has not determined a date for a future meeting to discuss the proposed order. 

Residents who wish to communicate with the Board or Director regarding the proposed guidelines should email director@jeffcohealth.org or may send a letter addressed to Dennis Diehl, Board Chair, attn: Jennifer Pinkley, Board Secretary, 405 Main Street, PO Box 437, Hillsboro, MO 63050.

We appreciate your support and will post updated dates and times for our next meeting as they become available.

Jefferson County Health Center Board of Trustees Order Number 20-08-27-01

Last evening, August 27th, 2020, the Jefferson County Health Department Board of Trustees voted on an order to reduce the spread of COVID-19 in the community. You can read the signed order here in full.

ORDER NUMBER 20-08-27-01

Sections 1-8 of the ordinance are also listed below:

Section 1: By virtue of the authority vested in Board of Trustees of the Jefferson County Health Center by the Missouri Constitution, the Laws of the State of Missouri, Chapter 192 RSMO, the following order shall go into effect at 12:01 a.m. on August 31, 2020 after its passage by three-fifths of the members of the Board of Trustees and shall remain in effect until September 25, 2020 or until it is extended, rescinded, superseded or amended in writing by later adopted order.

Section 2. All places of public accommodation  shall institute as outlined herein appropriate health and safety protections including physical distancing techniques (e.g. requiring people to  be at least six feet apart; reducing the number of employees or customers, or other people present; reducing face-to-face contact and keeping the same to a minimum; using phone calls, virtual meetings and drop­ offs/curbside pickups rather than in-person contact.)

For purposes of this Ordinance, "place of public accommodations:" means a business or an education, refreshment, entertainment or recreation facility or an institution of any kind, whether licensed or not, whose goods, services, facilities, privileges, advantages or accommodations are extended, offered, sold or otherwise made available to the public. Place of public accommodation includes facilities of private clubs, including country clubs, golf clubs, sports clubs, athletic clubs and dining facilities and places of worship.

Section 3: Citizens should limit unnecessary travel as much as is practical; ensure proper hygiene to the greatest extent possible; continue to utilize electronic financial and other transactions; and restaurants are urged to promote and continue, even while allowed to fully open, a full take out service as much as possible.

Section 4: Gatherings and places of public accommodation shall be limited in any one place and any one time under this ordinance to ensure individuals maintain 6 foot physical distance and required face mask can be ensured.

Section 5: Wearing of Face Masks Required. Except as otherwise provided in this ordinance all persons age five years old and above who are present within Jefferson County are required to wear a clean Face Mask any time they are, or will be, in contact with other people who are not household members. CDC recommends all people 2 years of age and older wear a mask in public settings and when around people who don't live in your household, especially when other social distancing measures are difficult to maintain.

Definition. As used in this ordinance, a "Face Mask" means a covering made of cloth, fabric, or other soft or permeable material, without holes, that covers only the nose and mouth and surrounding areas of the lower face. A covering that hides or obscures the wearer's eyes or forehead is not a Face Mask. A Face Mask may be factory-made, or may be handmade and improvised from ordinary household materials.

Any mask that incorporates a one-way valve (typically a raised plastic cylinder about the size of a quarter on the front or side of the mask) that is designed to facilitate easy exhaling allows droplets to be released from the mask, putting others nearby at risk. As a result, these masks are not a Face Mask under this Ordinance and must not be used to comply with this Ordinance's requirements.

Section 6. Employers to Provide Face Masks to Employees. Any time an employee or staff person is required to wear a Face Mask pursuant to this ordinance, the employer shall make face masks available in sufficient quantity to assure each employee can wear a clean Face Mask at all times.

Section 7. Exempted Activities. A person may remove their Face Mask where otherwise required under the following circumstances:

a.        While outdoors when able to maintain a distance of at least six feet from others;

b.        While exercising outdoors or while exercising indoors when able to maintain a distance of at least six feet from others;

c.        When engaged in a sporting activity;

d.         While at home and exclusively in the presence of members of their own household;

e.         When in your or your family's personal vehicle;

f.           While eating or drinking only when inside or in the outside dining area of a restaurant or other establishment that offers food or beverage service, provided that person is able to maintain a distance of at least six feet from persons seated at other tables, and provided this distance restriction is enforced by the restaurant or other establishment;

g.         When an individual has a medical condition, mental health condition or disability that prevents wearing a Face Mask;

h.         When any party to a communication is deaf or hard of hearing and not wearing a Face Mask is essential to communication;

i.           While obtaining a service that requires temporary removal of the Face Mask, such as dental examinations;

j.            When necessary to confirm the individual's identity;

k.         When federal or state law prohibits wearing a Face Mask or requires the removal of a Face Mask;

I.       When requested by a law enforcement officer;

m. When requested by a medical provider, including emergency response personnel;

n. When in a business/commercial/office setting and not within six feet of any other person; provided however, when moving from place to place in a business location where the person cannot maintain at all times a distance of six feet from all other persons a Face Mask shall be worn;

Section 8: If any part of this Order is invalid for any reason, such invalidity shall not affect the remainder of this Order.

National Immunization Awareness Month

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August is National Immunization Awareness Month (NIAM). This annual observance highlights the importance of getting recommended vaccines throughout your life. You have the power to protect yourself and your family against serious diseases [like whooping cough, cancers caused by HPV, and pneumonia] through on-time vaccination.

During NIAM, Jefferson County Health Department encourages you talk to your doctor, nurse, or other healthcare professional to ensure you, your child, and your family are up to date on recommended vaccines.

We also encourage you to visit CDC’s Interactive Vaccine Guide, which provides information on the vaccines recommended during pregnancy and throughout your child’s life.

As your children head back to school this fall, make sure vaccination is at the top of your checklist. August is also a key time to make sure you are up to date on all the vaccines you need to stay healthy. Use CDC’s adult vaccine assessment tool to see which vaccines might be right for you.

During NIAM, Jefferson County Health Department will be sharing information and resources on social media to highlight the importance of vaccines. Help us spread the word! Follow the conversation and use #ivax2protect to share why you choose to vaccinate.