Lake County Health & Wellness Magazine

Learn how to keep your family safe during the COVID-19 pandemic

SURVIVORS:

A mother and daughter’s journey through COVID-19 pg. 9

LAKE COUNTY

HEALTH

& WELLNESS

CONTENTS 5 W hat has the COVID-19 Pandemic Taught You?

6 Healthy at Home: Eating Right for COVID-19 and Everyday 7 7 Ways to Stay Active 12 COVID-19 Myth vs. Fact 13 Our Community Depends on You 14 Answer the Call to Slow the Spread 15 How COVID-19 Spreads

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You are Not Alone

MISSION

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18 22 24 25 27 28 29

Preparing for a Vaccine Testing for COVID-19 By the Numbers Quarantine vs. Isolation 12 Ways to Manage Stress Lake County is Open for Business Getting and Giving Help During COVID-19

31 COVID-19 Information You Can Trust

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Survivors

Promoting the health and well-being of all who live, work, and play in Lake County.

Care During COVID-19

VISION

Healthy Choices. Healthier People.

Healthiest Communities.

health.lakecountyil.gov 1

This magazine is a publication of the Lake County Health Department and Community Health Center, funded by Coronavirus Relief Funds through the U.S. Coronavirus Aid, Relief and Economic Security Act.

GETTING THROUGH THIS

TOGETHER

A letter from Executive Director Mark Pfister

Neighbors, Our community and our world has been and continues to be shaken by the COVID-19 pandemic. The effects from this disease and the ripples it has made on society will be felt for quite some time. We will always be here for you.

My name is Mark Pfister and not only am I a proud resident of Lake County, I have the privilege of serving as Executive Director of the Lake County Health Department and Community Health Center. Leading our public health agency during this time has been humbling and I am grateful to our staff, community partners, and residents for coming together and coordinating efforts at a magnitude I have never before seen.

We are a voice that you can trust. At times, with research evolving and no shortage of opinions, it can be overwhelming to know where to find real information. Our mission is to promote the health and well-being of all who live, work, and play in Lake County. Providing timely and transparent information helps us to better partner with you. Whether you follow us on social media, subscribe to our COVID-19 newsletter, attend our virtual town halls, email questions to our Communications team, or monitor shifting trends on our data hub, we want to make sure you have access to the information you need to make healthy choices not only during this pandemic but in your everyday life.

We serve with compassion in crisis and in calm. There are few things in life that affect us as intimately as our health and the health of our loved ones. This crisis brought to light vulnerabilities in our communities.

Our senior citizens. Our Black and LatinX communities. Our essential workers. Our residents living with chronic diseases such as asthma, diabetes, heart disease, and obesity. To continue to serve you, we adapted by offering telehealth services through our health centers. We provided over 1.7 million pieces of personal protective equipment to frontline essential workers, first responders, and vulnerable populations. We coordinated with homeless shelters, long-term care facilities, public transportation, faith communities, schools, businesses, and our hospitals to meet your needs during this crisis. We have expanded our contact tracing team, made up of community members just like you, to help you through incredibly vulnerable conversations, approaching each interaction with humility and compassion.

Thank you for protecting our community. The 3 Ws — Wear a mask, Wash your hands, and Watch your distance — are helping to slow the spread of COVID-19 in our community. I know that the pandemic has uprooted everyone’s lives in profound ways, and together we are getting through this. We will always be here for you — providing a voice you can trust and compassionate care, because that is what public health is all about.

All my best,

Mark A. Pfister, MSES, LEHP Executive Director

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You

ARE NOT ALONE Sam Johnson-Maurello, Director of Behavioral Health

You or someone you know is feeling sad, angry, frustrated, hopeless, or all of the above. These are trying times for everyone. The good news is, there are things you can do to help yourself, and professional help is more available than ever before.

Some folks are busier than ever, going to work every day with the added stress of trying to stay safe. Some are working from home, trying to stay focused and productive while dealing with isolation or childcare. And some don’t have nearly enough to do and are growing tired of it. The important thing is to be aware of what’s going on with yourself and do some self-care.

Many people need help coping with sadness and grief, increased use of substances like alcohol or drugs, or other issues. While not everyone needs to see a counselor or medical professional, there is nothing to be ashamed of if you need some extra help. And please know that it has never been easier to connect with help.

Almost every mental health professional in Lake County is now providing services virtually. This means you can talk to a counselor or medical professional over the phone or by video using a smartphone or computer. In-person help is also

available. In many cases, the wait to see someone is shorter than it was before the COVID-19 pandemic. And many support groups and 12-step groups are now meeting virtually.

If you or someone you care about is having trouble concentrating or taking care of their everyday needs, having trouble caring for their children, or thinking about suicide, it’s time to reach out for support.

In Lake County, you can call 211 or text your zip code to 898211 to connect with someone who can help.

If you are thinking about suicide, you can talk to someone right now by calling the National Suicide Prevention Lifeline at

(800) 273-8255 It’s a FREE and CONFIDENTIAL call.

What can you do to help yourself and those around you? Be aware of how you’re feeling and thinking. Do something every day that’s good for you. Having a sense of accomplishment, even for small things, can go a long way in helping your state of mind. If you can’t do the things that normally bring you joy, what’s the next best thing you can do right now?

Connecting with other people is one of the most important things we can do. Make an effort to stay in touch. Don’t wait for others to reach out to you.

If you care about someone, tell them—often. And if you see someone struggling, ask if you can help.

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NEED HELP? Call 211 OR Text your zip code to 898211 Expert navigators guide you to available local health and human services.

Free, Fast & Confidential 24/7 Helpline 150+ Languages 211LakeCounty.org

We’re all feeling stressed and overwhelmed right now.

Do you need help?

Call 211 or visit LiveWellLC.org/TakeCare To connect with resources, call 211

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I’ve learned to appreciate our medical personnel and first responders even more.

– Doug W. The pandemic has reminded me how wonderful it is to get out of my routine and take the time to enjoy the abundant nature we are fortunate to have in our area.

– Lori K.

COVID-19 taught me to find peace and joy in my home environment.

– Mori B.

Be patient with others because people cope with issues differently.

– Nedra A.

I’ve learned more about how precious life is and have enjoyed getting projects done outside our home.

– Dawn R.

How to wash my hands properly.

– Michelle B.

WHAT HAS THE COVID-19 PANDEMIC TAUGHT YOU?

Cherish all the extra time with your children.

If I wasn’t staying home, I would not have been there to see my son’s first steps.

– Brian L. 5

The value of another’s hug.

– Ashley J.

Masks work! Cherish life.

You’re capable of more than you know.

– Eric H.

HEALTHY AT HOME EATING RIGHT FOR COVID-19 AND EVERYDAY

Summer Richards, RDN, LDN, CLC, Lead WIC Dietician Does the pandemic have you focused on eating well? It’s important to know that there is no single food or supplement that will prevent COVID-19 or “boost” your immune system. To stay healthy, it’s important to maintain a balanced diet with key nutrients to support your immune function. Include these in your meals and snacks: •P rotein - eggs, beans, lentils, nuts, seafood, lean meats, chicken, and turkey •B eta Carotene - carrots, sweet potato, kale, broccoli, and red bell peppers •V itamin C - oranges, tangerines, strawberries, red bell pepper, and kiwi •V itamin D - salmon, canned tuna, egg yolks, milk, cheese, and yogurt • Vitamin E - spinach, nuts, seeds, and avocado •Z inc - beans, seeds, nuts, lean meat, chicken, turkey, and seafood Try eating a variety of these foods throughout the week. Aim to eat the rainbow—the more colorful your plate, the better. See a food listed you’ve never tried? Add it to the grocery list this week and try it together as a family.

It’s also important to know how to handle and prepare your food. Remember to wash your fruit and vegetables and use separate cutting boards for produce and raw meat. And always wash your hands before and after cooking to help prevent the spread of germs.

You can also support your immune system by: •R educing stress - Do something you love, like reading a book, playing a game, or listening to music.

•D rinking water - Try adding lemon, watermelon, cucumber or mint for added flavor.

•G etting enough sleep - Try limiting screen time before bed to relax your mind for a great night’s sleep.

•D oing physical activity - Have a family dance party, go for a walk, or play outside.

NEED HELP BUYING HEALTHY FOODS? Qualifying families may participate in the Supplemental Nutrition Program for Women, Infants, and Children (WIC). You can speak with a nutrition counselor and receive benefits to shop for WIC-approved foods.

If you are interested in finding out if your family qualifies, call (847) 377-8420.

Have more questions about nutrition and your immune system? If you are a Lake County Health Department patient, call (847) 377-8562 to schedule an appointment with a registered dietitian.

And remember to follow the 3 Ws — Wear a mask, Wash your hands, and Watch your distance!

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WAYS TO STAY ACTIVE

DURING COVID-19 Jon Ashworth, Strategic Partnerships Manager

1 – MOVE TO THE MUSIC Simply put on your favorite music and start moving to the beat. Get creative and enjoy the movement.

Take breaks to get a drink of water and catch your breath, but then start back up again. Make it fun and keep it upbeat.

2 – ADD IN SOME LIGHT WEIGHTS Building on #1, keep the music pumping, but bring some light weights into the mix. If you don’t have weights, use a book or a basketball.

3 – WALK UP AND DOWN STAIRS Don’t underestimate how good walking up and down stairs can be for your heart. It is also good exercise for your legs.

4 – STRETCH Stretch your arms, your neck, and your back.

Then try sitting on the floor and stretching your legs. You can also do this in a chair.

5 – GO FOR A SHORT WALK Whether it’s warm or cold outside, dress for the weather and take a short walk. It’s good for your heart and your mind to get some fresh air.

6 – TAKE THE SCENIC ROUTE It’s good to walk in the neighborhood, but when you can get out in nature, that’s great too.

7 – TV TIME = TIME TO GET MOVING! It’s okay to watch TV, but this can also be a great time to get moving. Get creative and find a fun way to get moving or do some stretches.

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WHY IT MATTERS 1–W hen we’re home more, we’re less likely to be active. We have to be intentional.

2–W hen we’re more active, we’re less likely to get sick. Boost that immune system.

3–W e are a whole person. Being physically active gives us a mental boost as well.

4 – P hysical activity is good for your emotional health.

5–S itting more means we need to stretch more. Don’t forget to stretch every day.

6–W e need some fresh air. Getting outside to move can be good for you.

7–Y our muscles want to be active. Have some fun using them.

More than a community, we are family.

When we must go out in public, we protect one another by wearing masks.

Find information and resources:

lakecountyil.gov/coronavirus

MASK

H YO U

HANDS

W

W

AS

AT

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C H YOU R

3 Ws

AR A

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Follow the

WE

S TA N C E

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SURVIVORS When little was known about the novel coronavirus, Waukegan resident Lenora Woods grew concerned about her mother, Iona.

“I said to my sister, ‘You don’t think mom could have the coronavirus, do you?”

A Mother and Daughter’s Journey through COVID-19

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in mid-March, Coronavirus Disease (COVID-19) hardly seemed to be on the news, Iona Woods recalls, and it seemed only to be affecting people overseas. As a very social, independent woman, Iona told her two daughters she didn’t think she would get the virus. Yet after a full weekend attending a cancer awareness fundraiser, a baby shower, and church service, Iona grew weaker and struggled to breathe.

Lenora called 911, and at the hospital, Iona tested positive for COVID-19. Doctors put her into a medically induced coma, where she spent the next two and a half weeks on a ventilator in the Intensive Care Unit, fighting for her life. Three weeks in the hospital led to another two and a half weeks in a nursing home, where Iona had to learn to walk and talk again. When she returned home, she needed several weeks of home health visits and physical therapy.

Just days after calling the ambulance for her mother, Lenora was taken by ambulance to the emergency department. With a rising fever, coughing, and difficulty breathing, she also tested positive for COVID- 19. She stayed in the hospital for a few days, then came home to recover.

When we learned that my mom had it, I knew I was next.

“When we learned that my mom had it, I knew I was next,” recalls Lenora, who is a cancer survivor and shares a home with her mother.

Multi-generational homes like the Woods’ are more common in communities of color, and COVID-19 spreads very easily within households.

The pandemic has highlighted health disparities across the nation and right here in Lake County, as infections in African American and Hispanic communities have soared. Factors like housing, transportation, employment and access to health care, insurance, and sick leave greatly influence people’s ability to stay safe. Essential workers who couldn’t work from home were at higher risk of being exposed to the virus. People who live in food deserts—communities with limited access to healthy food—are at higher risk for obesity, heart disease, and diabetes, which are risk factors for more severe illness from COVID-19.

In response to these disparities, the Lake County Health Department brought together two coalitions, co-chaired by community leaders and Health Department staff. Today, the African American Community Partnership Group (AACPG) and Asociación Comunitaria Latina (ACL) are working to reduce the impact of COVID-19 and address the root causes of health inequity in Lake County.

The AACPG and ACL are reaching residents in the hardest hit areas with the help they need.

They have hosted Facebook LIVE discussions.

They have gone door-to-door in areas with the highest infection rates. They’ve hosted free flu shot clinics. And through a grant from the federal CARES act, they are in the process of distributing 80,000 safety kits containing masks, hand sanitizer, and educational materials to families in need.

Through Lenora’s work with the Exchange Club of North Chicago, she has partnered with the AACPG to help with local safety kit distribution events. And through her business, she has helped promote these events to the community. And community members are elated when they learn they can truly get these supplies to protect their families at no charge.

During the ACL’s first safety kit distribution event, over 2,000 kits were given to families in need. One recipient was Teresa, a single mother.

At the start of the pandemic, Teresa was let go from her job at a hair salon. As a result, she couldn’t afford supplies like masks and hand sanitizer to keep herself and her two daughters safe. Because of the work of the ACL, Teresa felt welcomed and understood by her community and had peace of mind knowing her family could protect themselves.

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Today, Iona thanks God for her survival and mails letters describing everything she went through, urging others to take the coronavirus seriously. The last line of her testimony reads, “He left me on earth to finish the work he has for me to do.” The mother and daughter hope that others will learn from their experiences and take steps to protect themselves, because life is precious.

“Be careful. Don’t wait until there’s a tragedy,” says Lenora. “You can’t see the virus, and it hasn’t affected everybody, but it’s still out there, and it’s serious.”

AACPG and ACL volunteers prepared thousands of safety kits to distribute to the community.

Both the AACPG and ACL are gaining traction, helping Lake County residents keep themselves safe and sharing empowering messages. You matter.

We are here for you, no strings attached. Our commitment is greater than the virus. You have the power to stop the spread of COVID-19, to protect yourself and your family. We have the power to not only survive, but to thrive together.

The effects of the COVID-19 pandemic will be felt for many years, and dismantling health inequities is a long-term endeavor at the heart of the Health Department’s work. The momentum gained through the formation of these new coalitions is furthering the work of the Health Department and community partners that are deeply committed to health equity for all Lake County residents. Iona and Lenora survived COVID-19, an experience that has brought them closer together.

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Iona still experiences coughing fits and shortness of breath, and a severe bedsore she developed in the hospital is still healing. Lenora’s lungs and eyesight are weaker, but she is grateful that she has been able to resume her active lifestyle, working and volunteering with civic organizations that strengthen her community and help local businesses thrive.

Be careful. Don’t wait until there’s a tragedy.

You can’t see the virus, and it hasn’t affected everybody, but it’s still out there, and it’s serious.

Learn more about the groups working to address health disparities in Lake County Asociación Comunitaria Latina (ACL) facebook.com/Asociacion ComunitariaLatinaLC African American Community Partnership Group (AACPG) facebook.com/AACPGLakeCounty

COVID-19

MYTH VS.

FACT

MYTH: Young people cannot get COVID-19.

FACT: People of all ages can get and spread COVID-19. Although people age 65 and older and those

with pre-existing health conditions are more likely to become severely ill, young people can too. It is important that people of all ages protect themselves from the virus.1

MYTH: COVID-19 is just like the flu.

FACT: W hile COVID-19 shares symptoms with seasonal influenza (flu), they are caused by different

viruses. Because of this, it is possible to get sick from both COVID-19 and the flu, even at the same time.

Early data shows that COVID-19 spreads more easily and is more deadly than the seasonal flu.

The COVID-19 pandemic is rapidly evolving, and scientists are still learning its long-term effects.

This is a new virus and the vast majority of people do not yet have immunity to it. As of this publication, there is no COVID-19 vaccine available. The good news is, seasonal flu vaccine is available and effective in preventing common flu strains or reducing the severity of symptoms.2

MYTH: Wearing masks increases the amount of carbon dioxide (CO2) you inhale and leads to worse illness or reduced immune function.

FACT: Healthcare providers wear masks for extended periods with no adverse health effects. There is no

risk of hypoxia (lower oxygen levels) in healthy adults. Carbon dioxide diffuses through your cloth mask as you breathe.3

MYTH: If I am wearing a mask, I don’t need to practice social distancing.

FACT: It is important to still practice social distancing while wearing a mask. In addition to wearing a mask, everyone should: • Keep a distance of 6 feet or more.

• Limit in-person meetings and events.

• Wash your hands often with soap and water.

• Stay home if you are feeling ill.4

MYTH: We can achieve herd immunity by letting the virus spread. This would be better in the long run.

FACT: The term herd immunity refers to the resistance to the spread of a disease within a population.

This resistance comes from a high proportion of the group being immunized. So-called ‘natural herd immunity’ achieved by letting COVID-19 infect our population unchecked could lead to millions of deaths. There is also evidence that immunity from COVID-19 may not be long-lasting, and people may get re-infected again in the future.5

COVID-19 Mythbusters. (2020). Retrieved October 30, 2020, from https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/myth-busters Maragakis, L. (2020). Coronavirus Disease 2019 vs. the Flu. Retrieved October 30, 2020, from https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronavirus/coronavirus-disease-2019vs-the-flu 3 Frodl, K., MD. (2020, July 10). Debunked myths about face masks. Retrieved October 30, 2020, from https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/debunked-mythsabout-face-masks 4 COVID-19: Considerations for Wearing Masks. (2020, August 7). Retrieved October 30, 2020, from https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover-guidance.html 5 Coronavirus disease (COVID-19): Herd immunity, lockdowns and COVID-19. (2020, October 15). Retrieved October 30, 2020, from https://www.who.int/news-room/q-a-detail/herd-immunitylockdowns-and-covid-19 1 2

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OUR COMMUNITY DEPENDS ON

You

A letter from Dr. Sana Ahmed, Medical Epidemiologist Dear Lake County Residents, It is a humbling experience to lead the Lake County Health Department’s Communicable Disease efforts during the COVID-19 pandemic.

As a medical epidemiologist, my role is to help patients learn how to protect themselves and their loved ones, connect them to resources, and work toward creating healthier communities. I feel more committed to this mission than ever before. Since the beginning of the pandemic my team and I have been working tirelessly to protect those who call Lake County home.

I am reminded every day that this virus comes with a deadly cost. When I speak to staff in long-term care facilities or talk to someone who has lost a parent, a sibling, or a friend, I am reminded of all that is at stake.

Every person infected or who has died of COVID-19 weighs heavily on me—I wish we could have done more sooner. But there are steps that we can all take now. With flu season upon us, please rethink and reassess your plans. Consider the risks to yourself and your family before you gather. This is a difficult recommendation that I do not take lightly.

Recently, an elderly woman shared with me that she felt sad to cancel her holiday travel plans that she looked forward to every year. She was afraid to travel, but also anxious about protecting her husband due to his chronic medical conditions.

We understand that our work and the guidance we give impacts lives. I know that people are struggling not only to stay safe and to provide for their families, but also emotionally. Our county has resources available to help during this time of increased stress and anxiety—don’t be afraid to ask about them or to use them.

Not long ago I spoke with a woman who was diagnosed with COVID-19. In addition to facing uncertainty surrounding her health, she and her family were bracing for the financial impact of her not being able to work.

These are challenges that no one anticipated. Yet our communities remain strong and I know that we will get through this pandemic together. I take great pride in our Health Department’s collaboration with businesses, schools, faith leaders, and municipalities.

Our lives are interconnected, and if one part of our community suffers, the impact ripples throughout the rest of Lake County. I am so encouraged to see so many of our residents stepping up to protect others, focusing on the greater good.

Together we can overcome this virus. My team and I are here to work with you to ensure that your loved ones and our communities are protected, but we need your help. Remember to answer the call of contact tracers, follow the 3 Ws (Wear a mask, Wash your hands, Watch your distance), get your flu shot, and take the precautions seriously. Our community depends on it.

Sincerely,

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Dr. Sana Ahmed Medical Epidemiologist

ANSWER THE CALL TO

Slow the Spread

Every minute counts when it comes to preventing the spread of COVID-19. The virus spreads easily from person to person, even when an infected person doesn’t have symptoms. That’s why the Lake County Health Department uses contact tracing to identify and notify people who may have been exposed to COVID-19.

If you test positive for COVID-19, or you have been in close contact* with someone who has COVID-19, expect a call from the Health Department. Do your part—answer the call.

Case investigators and contact tracers first try to reach people by phone and text message.

The number that will appear on your phone is (312) 777-1999 and/or “IL COVID HELP”.

If you receive a message from the Health Department, please call back as soon as possible.

Your response is critical to protecting your family, friends, and community.

HOW DOES CONTACT TRACING WORK? Case Investigation When a person tests positive for COVID-19, the Health Department does a phone interview to gather information and provide support. A case investigator will ask about: • Symptoms and when they started • Medical and travel history • Others who live in the home • Where you have been while possibly infectious • W ho you have spent time with while possibly infectious (your close contacts*) • Date of birth, race and ethnicity, and address The personal and medical information you provide to the Health Department is never shared with your close contacts.

Contact Tracing Next, contact tracers notify the close contacts* of their possible exposure. Contact tracers will help you understand the steps you need to take to protect others. If a contact tracer tells you to self-quarantine, you will be asked to log your symptoms each day. *A close contact is someone who has: • Been within 6 feet of a person with COVID-19 for 15 minutes or more over a 24 hour period • Had direct contact with bodily fluids from a person with COVID-19 • Had direct physical contact with a person with COVID-19 • Provided care at home to someone who has COVID-19

Contact tracers will never: • Ask for your Social Security number; • Ask for money, bank account or credit card numbers, or any other form of payment; • Ask for your immigration status; or • Threaten consequences for not answering questions.

If you receive a suspicious call, text message, or email about contact tracing or exposure to COVID-19, call the Health Department’s Communicable Disease program at (847) 377-8130. Staff can verify if you have been contacted by the Health Department.

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HOW COVID-19 SPREADS The virus that causes COVID-19 spreads easily through respiratory droplets. Droplets containing the virus are produced when an infected person coughs, sneezes, sings, or talks. Know how COVID-19 spreads so that you can better protect yourself and others.

CLOSE CONTACT COVID-19 is most often spread during close contact with others. Close contact is being within 6 feet of an infected person for at least 15 minutes, over the course of 24 hours.

It’s not enough to avoid people who are sick.

A person can spread COVID-19 two days before symptoms are present. Others may be infected and never develop symptoms—they can still spread the virus!

CONTAMINATED SURFACES Although less common, COVID-19 can also spread through contact with contaminated surfaces. This happens when respiratory droplets containing the virus land on surfaces or objects.

If you touch something with the virus on it and then touch your own mouth, nose, or eyes, or the food you are eating, you could introduce the virus to your body.

AIRBORNE TRANSMISSION

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Sometimes, smaller droplets containing the virus can linger in the air for minutes to hours.

This is known as airborne transmission. Airborne transmission of COVID-19 is more likely to occur in enclosed spaces with poor ventilation.

WHERE COVID-19 SPREADS: AVOID THE 3 CS Settings where COVID-19 spreads more easily include: • Crowded places with many people nearby.

•C lose-contact settings where people have close-range conversations.

•C onfined and enclosed spaces with poor ventilation.

The risk is higher when these factors overlap.

A common but often overlooked setting is private gatherings. Even if you are around family and friends you know and trust, it is important to take precautions.

PREVENT THE SPREAD: FOLLOW THE 3 WS! These simple steps protect you from the different ways COVID-19 spreads. Practice all three consistently for the best protection!

WEAR A MASK – Limit the respiratory droplets that you spread to others. Show others that you care!

WASH YOUR HANDS – Good hand hygiene keeps germs at bay. Scrub with soap and water for at least 20 seconds or use hand sanitizer with at least 60 percent alcohol.

WATCH YOUR DISTANCE – Stay at least six feet from anyone who lives outside of your household. This limits your close contact, where you are most likely to be infected.

Stop the Spread of Germs Help prevent the spread of respiratory diseases like COVID-19. Follow the 3 Ws.

Wear a mask over your nose and mouth when in public.

Wash your hands often with soap and water for at least 20 seconds.

Cover your cough or sneeze with a tissue, then throw the tissue in the trash and wash your hands.

Do not touch your eyes, nose, and mouth.

Clean and disinfect frequently touched objects and surfaces.

6 ft Watch your distance. Stay at least 6 feet (about 2 arms’ length) from other people.

Stay home when you are sick, except to get medical care.

lakecountyil.gov/coronavirus

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EVERYONE SIX MONTHS AND OLDER SHOULD GET A FLU SHOT.

LAKECOHEALTH.ORG/FLU

Special thanks to the Cook County Department of Public Health

No matter how you feel about vaccines, it’s important to get the facts before making any decision that impacts your child’s health.

Visit IProtectIL.com to learn more.

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PREPARING FOR A VACCINE Patti Corn, Emergency Response Coordinator When will the Lake County Health Department get a vaccine?

We do not yet know when a COVID-19 vaccine will be available to the public. The Illinois Department of Public Health has said that we could have a vaccine before the end of 2020.

The staff of the Health Department’s Emergency Management Program is preparing for county-wide vaccine distribution.

Has the Health Department ever distributed a vaccine to large groups?

In 2009, Lake County held mass vaccination clinics and distributed the H1N1 vaccine. However, COVID-19 presents challenges that H1N1 did not. We will need to address social distancing, use of masks, ventilation inside vaccination locations, and drive-through vaccination clinics.

Does the Health Department know which vaccine we will get?

We do not yet know what type of vaccine will be approved for the public. Several vaccines are currently in clinical trials, and we are planning for all vaccines and their differences.

Who will be given priority when the vaccine is available?

Priority will be given to first responders, followed by vulnerable populations such as long-term care facility residents and immunocompromised people. Mass vaccination is expected to take several months.

Does the Health Department partner with outside agencies to distribute the vaccine?

The Health Department is in the process of finalizing partners, including hospitals, medical providers, park districts, school districts, and businesses. Some partners will have the ability to vaccinate their own patients and staff. Sites will be located throughout the county, and we can vaccinate thousands of residents quickly and efficiently.

Has the Health Department ever done a drive-through vaccination clinic?

The Health Department had the opportunity to test the drive-through vaccination process during its employee flu shot clinics. We vaccinated more than 300 staff members in our parking lot. This helped us test and adjust the process well before COVID-19 vaccine arrival.

Does the Health Department have enough staff to run all the vaccine clinics?

Our plans call for many volunteers to help staff the vaccination sites. Lake County has a Medical Reserve Corps that accepts both medical and non-medical volunteers. We also have a number of Community Emergency Response Teams and will rely on their help as well.

Will the COVID-19 vaccine be mandatory?

No, the vaccine will not be mandatory. However, the more people who get the vaccine, the better our community will be protected.

If you are interested in volunteering, please email the Health Department’s Emergency Management program at HLHeathEM@lakecountyil.gov.

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Care

DURING COVID-19

We sat down for a chat with Dr. Les Zun, Medical Director at the Lake County Health Department and Community Health Center, to ask about healthcare in a COVID-19 world.

Dr. Les Zun, Medical Director

How has COVID-19 impacted healthcare in Lake County?

What is the Health Department doing to keep patients safe?

So much has changed over the past year. Early in the pandemic, many medical and dental visits were postponed, and medical offices had separate locations or entrances for patients with COVID-19 symptoms. Many people have delayed seeing their doctor this year, which is a concern. Fortunately, many providers have added telehealth services, and getting an appointment is now easier than it was before the pandemic.

Our Community Health Centers ensure patient safety by asking pre-screening questions, conducting temperature checks, and having patients reschedule routine appointments if they have COVID-19 symptoms. We make sure that patients wear masks, have access to hand sanitizer or a place to wash their hands, and can keep their distance from others.

What is telehealth, and what types of care can I receive?

Telehealth is a health care appointment done on your phone or a computer. For many things, it’s as good as an in-person visit. You can receive basic medical or psychiatric evaluations or get prescriptions that you need. A provider can give you instructions about how to best care for most of your medical problems.

Is it safe to go to the doctor right now?

Yes, medical providers are working hard to make your visit as safe as possible. Don’t delay your care.

Even during the pandemic, we need our hypertension treated, our diabetes checked, and our routine immunizations. Continue taking your medications and schedule regular checkups.

Is the flu shot necessary, given the precautions we’re taking for COVID-19?

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Yes! We recommend everyone over the age of 6 months get a flu shot every year. Flu and COVID-19 are caused by different viruses, and both can be serious. Getting both viruses at the same time, or one after another, could be dangerous. It’s also important that we keep our hospital beds open for people who need care.

What if I don’t have insurance?

We know many people have lost their health insurance due to the pandemic. We are happy to take care of you at the Lake County Health Department and Community Health Center.

Our team can help you navigate your healthcare coverage options. Call 847-377-8800 if you would like an appointment.

What should I do if I think I have COVID-19?

Call your doctor. Your provider may schedule a telehealth or an in-person visit to provide evaluation, testing, and treatment. To keep others safe, do not walk into a medical office before calling and don’t forget to wear a mask.

If you are experiencing emergency warning signs for COVID-19 (trouble breathing, persistent pain or pressure in the chest, new confusion or inability to arouse, or bluish lips or face), call 911.

le! ab va il sh ot sa Flu

It is more important than ever to take care of your health.

Whether you’re already a patient of ours, or recently lost your job or insurance, we are here for you.

Primary Care

Dental Care

• Convenient evening and Saturday hours • Telehealth visits available • Help navigating health insurance options

Mental Health

Substance Abuse

Women’s Health

Conveniently located in:

Highland Park • Libertyville • North Chicago • Round Lake • Waukegan • Zion

Extra measures are in place to keep you safe during your visit.

For appointments, call:

(847) 377-8800

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HERE HERE TO TO SERVE SERVE LAKE LAKE COUNTY. COUNTY. HERE FOR

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You.

TESTING FOR COVID-19 WHO SHOULD GET TESTED? • People who have symptoms of COVID-19.

• People who had close contact with someone with a confirmed COVID-19 infection.

• People who have been asked to be tested by their local health department or healthcare provider.

• People who have been in a large gathering.

WHEN SHOULD PEOPLE GET TESTED? • Right away if experiencing COVID-19 symptoms.

• Right away if directed to do so by the Health Department or a medical provider.

• 5-7 days after last contact with someone who has a confirmed case of COVID-19.

• 5-7 days after attending a large gathering.

Remember to stay home while you are waiting for your results. A negative test does not shorten the 14-day quarantine period if you were exposed. Whether you test positive or negative, take precautions to protect yourself and others.

Learn about free COVID-19 testing sites in Lake County at lakecountyil.gov/4435.

DIAGNOSTIC TESTS VS. ANTIBODY TESTS DIAGNOSTIC TESTS

ANTIBODY TESTS

Diagnostic tests tell if you have a current infection.

An antibody test might tell you if you had a past infection. Antibody tests look for antibodies that are made by the immune system in response to a threat. Antibodies can help fight infections.

Antibodies develop after you have an infection and can stay in the blood for several weeks after recovery.

Currently, there are two types of diagnostic tests: • Molecular (RT-PCR) tests detect the virus’ genetic material. These are the tests that are used at most community-based testing sites in Illinois.

A positive test is reported as a COVID-19 case.

•A ntigen tests detect specific proteins on the surface of the virus. A positive test is reported as a probable COVID-19 case.

Diagnostic test samples are typically collected with a nasal or throat swab, or saliva collected into a tube.

An antibody test is taken with a finger stick or blood draw. Antibody tests should not be used to diagnose an active COVID-19 infection.

At this time, it is unknown if the presence of antibodies means a person is immune to the virus in the future.

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How to

Wear a Mask Wear a mask correctly and consistently for the best protection.

1

Be sure to wash your hands before putting on a mask

2

Do NOT touch the mask when wearing it

3

Wear a mask that covers your nose and mouth and secure the mask under your chin

4

Wear a mask that fits snugly against the sides of your face

How NOT to Wear a Mask

Around your neck

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On your forehead

Only on your nose

Under your nose

Dangling from one ear

On your chin

On your arm

BY THE

Numbers Jefferson McMillan-Wilhoit Director of Health Informatics & Technology

I

n the spring of 2020, cases of COVID-19 began to increase across Lake County, and so did our community’s interest in data. The Informatics and Technology team at the Lake County Health Department set out to create useful data visualizations to inform our community.

The metrics chosen for these visualizations are backed by centuries of public health science. We rely on the same proven metrics of years past to understand two critical elements of our pandemic response: disease spread and disease severity.

How do we know COVID-19 is spreading in Lake County?

Incidence rate, or the number of new daily COVID-19 cases per 10,000 or 100,000 people, helps answer this question. Seeing this metric over time helps to understand how quickly the virus is moving through our communities. It also helps to show if we are effective in our efforts to slow the spread of the virus.

Age-adjusted prevalence helps us understand how the virus is spreading in different communities.

It is a proven method for comparing populations

that don’t have the same age distribution, since we know older people are generally more likely to get sick. To understand how the virus spreads in communities of color, we adjust the metrics by age to account for these differences.

Early in the pandemic, the Hispanic community in Lake County had an age-adjusted prevalence rate eight times higher than the non-Hispanic white community. This means COVID-19 was spreading faster in our Hispanic community. This data helped shape our pandemic response to focus on prevention in the hardest-hit communities.

How do we measure COVID-19 severity?

The severity of COVID-19 in our community can be measured by both the number of hospital admissions and deaths related to COVID-19.

Using the number admitted to the hospital with COVID-19-Like Illness (CLI) provides an earlier understanding of how severe the disease is. The ultimate measure of severity is how many people have died from it, or the mortality rate.

Leading our communities to action.

Ultimately, tracking disease spread and severity data should lead our community to action. When the incidence and mortality rates are increasing rapidly, we should find ways to reduce our risk of getting the virus. We must understand the impact of our behavior on these metrics. The more risk we take on together, the higher the numbers will climb.

Find local COVID-19 data at lakecountyil.gov/COVID19data

When we each do our part to wear a mask, wash our hands, and watch our distance, we help stop the spread of COVID-19 and change these metrics for good.

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QUARANTINE VS. ISOLATION Quarantine and isolation are two public health practices used to prevent the spread of illnesses like COVID-19.

You may be wondering—when are they used, and what makes them different?

QUARANTINE

Q

uarantine is used to keep someone who might have been exposed to COVID-19 away from others. Quarantine helps prevent the spread of disease before a person knows they are infected.

Who needs to quarantine?

People who have been in close contact with someone who has COVID-19, with the exception of people who have had COVID-19 within the past 3 months. Examples of close contact include: • You spent 15 minutes or more within 6 feet of someone who tested positive for COVID-19 • You provided care at home to someone who is sick with COVID-19 • You had direct physical contact with someone who has COVID-19, such as a hug or a kiss • You shared eating or drinking utensils with someone who has COVID-19 • You were sneezed or coughed on by someone who has COVID-19

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HOW TO QUARANTINE: Stay home and monitor your health • Stay at home for 14 days since your last contact with a person who has COVID-19, even if you have no symptoms.

• Watch for fever (≥100.4 F), cough, shortness of breath, or other symptoms of COVID-19.

• If possible, stay away from others, especially people who are at higher risk for getting very sick from COVID-19. Consider isolation if only one person in the household is exposed.

• Get a COVID-19 test 5-7 days after exposure (sooner if you develop symptoms), or if the health department or your doctor asks you to do so.

Continue to quarantine even if you test negative.

°

ISOLATION

I

solation is used to separate someone who has COVID-19 from others who are not infected.

People who are in isolation should stay home until it’s safe for them to be around others.

Who needs to isolate?

• People who have COVID-19.

• People who have symptoms of COVID-19 and are able to recover at home.

• People who have no symptoms (asymptomatic) but have tested positive for COVID-19.

How to isolate:

How long to isolate for • If you are sick and think or know you have COVID-19, stay home until after: u At least 10 days since symptoms first appeared; u At least 24 hours with no fever without fever-reducing medication; and u Symptoms have improved.

• If you tested positive for COVID-19 but do not have symptoms, stay home until after 10 days have passed since your positive test.

Stay home except to get medical care.

• Monitor your symptoms. If you have an emergency warning sign (including trouble breathing), seek emergency medical care immediately.

• Stay in a separate room from other household members, if possible, and use a separate bathroom.

• Avoid contact with other members of the household, including pets.

• Don’t share personal household items, like cups, towels, and utensils.

• Wear a mask when around other people.

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12 WAYS TO MANAGE STRESS

FEELING STRESSED BY COVID-19?

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Here are 12 ways to help your family cope from our Child and Adolescent Behavioral Services program.

1

Talk about COVID-19 with your family. Not talking about it can make family members worry more. Stick with the facts and be reassuring.

2

Focus on what you are doing to stay safe, like wearing masks, washing hands, and social distancing. Your family members will feel safer when they know there are actions they can take to stay healthy.

3 4 5 6 7 8 9 10 11 12

Make sure to connect with others. Give your loved ones a call or use video chat apps on your phone or computer to feel less alone.

Take time to connect as a family. Play a board game, watch a movie, cook a meal together, or do arts and crafts.

Get outside and enjoy nature. Take a walk, have a picnic, jump in the leaves, or make a snowman.

Take a long car ride together. Look at fall colors or holiday lights.

Get a library card and check out free digital resources, such as audiobooks, e-books, music and movies.

Make window decorations to spread joy to others.

Have dance parties with your favorite music.

Try yoga or mindful movement for stress relief. Check out fun and free YouTube channels such as Cosmic Kids Yoga, or GoNoodle.

Practice taking slow, deep belly breaths when feeling nervous or angry.

Take time to unplug and rest every day.

Lake County is Open for Business

Barbara Prusila, Marketing and Communications Director Lake County Partners

Lake County businesses have faced many trials during the COVID-19 pandemic, and they have risen to the challenge, developing innovative new ways to engage and safely serve their customers. Never have we seen such ingenuity, powered by technological advances and sheer creativity.

Restaurants have embraced contactless service, online ordering, delivery, and pickup options, outdoor seating, and budget-conscious familystyle menus. Indoors, they have created more space between tables, reduced seating capacity and minimized shared surfaces. Sanitizing stations and touchless payment options are more available than ever.

Retail businesses have pivoted. Local distilleries are producing hand sanitizer. Signage companies are creating new products to help promote businesses. Boutiques are adding online inventory to bolster sales. Many businesses have created new drive-throughs, walk-up windows, and curbside options for customers to safely pick up goods from the comfort of their cars. Special senior hours now accommodate early visits to the grocery store, and some grocers monitor entrances to spread out foot traffic. Salons check their customers’ temperatures and have installed plexiglass barriers to further ensure safety. Shoe stores offer delivery and tryat-home options. Many car dealerships are offering phone service as well as test drives, delivery, and home drop-offs. In all cases, enhanced cleaning practices help keep our community safe.

Hotels have also implemented new sanitization procedures, with many “sealing” rooms after cleaning to ensure safety. We have seen hotels partner with cleaning product manufacturers and medical organizations, exploring electrostatic and UV light cleaning technologies. One resort is offering e-learning classrooms where children can be supervised while parents can relax. Our renowned entertainment venues have also adjusted to meet shifting consumer preferences. Outdoor and virtual concerts and events abound, and drive-in movies are no longer a thing of the past.

Medical offices have transformed operations as well, with new advance questionnaires, intake forms, temperature checks, enhanced cleaning practices, drive-through vaccine clinics and telehealth services for routine appointments.

No matter the need or the season, Lake County residents will find the business community is open and ready to serve. Behind the scenes, partners in the Lake County Workforce Ecosystem— Lake County Partners, Lake County Workforce Development, the College of Lake County and others—are committed to working together to ensure businesses have the resources they need to safely operate and meet your needs.

Find resources for your business at lakecountypartners.com/resources

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Getting and Giving Help DURING COVID-19

Every one of us has been impacted by the COVID-19 pandemic, even if we haven’t had the virus ourselves or know anyone who has. Workers have lost their jobs. Parents have had to juggle their children’s virtual learning and their own job responsibilities.

Those who live in long-term care facilities have often been restricted to their rooms, without visits from loved ones. The financial and mental health impacts of the pandemic are immense.

There is hope. Help is available. You are not alone. Lake County has many resources for those who need assistance. And for those who are in a position to offer help, there are many ways to do so.

HOW TO GET HELP Call 2-1-1 Any Lake County resident can quickly be connected to the help they need by simply dialing 2-1-1 from their phone, or texting their zip code to 898211. From housing to food to employment resources and mental health support, 211 is a one-stop resource for help. During the first six months of the pandemic, 211 answered nearly 6,000 calls.

COVID-19 Housing Relief Program Do you need help paying rent or utility bills? You may be eligible for Lake County’s COVID-19 Housing Relief Program. The program is available to Lake County residents who meet certain qualifications. For more information and to apply, call 2-1-1.

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Job Center of Lake County Many Lake County residents have lost their jobs due to the pandemic. The Job Center of Lake County is here to help. Visit www.lakecountyil.gov/167, or call (847) 377-3450 to access many helpful resources. The Job Center is located at 1 N. Genesee Street, Waukegan. Be sure to call first before you visit.

Crisis Care Program The Health Department’s Crisis Care Program has a free, confidential hotline staffed by professional counselors for those experiencing a mental health crisis or substance use issue. Available 24/7, call (847) 377-8088 or walk in to 3002 Grand Avenue, Waukegan.

HOW TO HELP There has been an outpouring of support and generosity of Lake County residents and businesses who want to find a way to help.

Here are a few ways to get connected.

Northern Illinois Food Bank NIFB provides food to numerous food pantries throughout Lake County and is always in need of volunteers. To learn more or sign up, call (630) 443-6910.

Donate Blood and Plasma There is an urgent need for blood donations.

Additionally, those who have fully recovered from COVID-19 are being asked to donate convalescent plasma.

•V italant: Schedule an appointment for their Gurnee or Lake Bluff locations in advance by calling (877) 258-4825 or visiting vitalant.org.

•A merican Red Cross: Schedule an appointment at redcrossblood.org.

Additional Opportunities United Way of Lake County maintains an up-to-date list of volunteer opportunities.

Visit 211LakeCounty.org and click on COVID-19 Volunteer Opportunities toward the top right of the page.

Lake County Forward is a collaborative, whole-of-government initiative focused on helping Lake County recover from the economic impact of the COVID-19 pandemic.

We are committed, united and resilient on the road to recovery.

OUR ACTIONS Lake County CARES funding: Lake County received $121.5 million in federal funding to help with recovery.

Here are some of the ways it’s being spent*:

»

$13.5 Million: Committed to Food, Housing and Utilities for Residents

»

$17 Million: Committed to Local Small Businesses

»

$17.2 Million: Committed to Public Health

»

$42 Million: Committed to Municipalities & Local Governments' COVID-19 expenses

*As of November 17, 2020

Small Business Assistance Grant Program: This program provided millions of dollars in grants to Lake County small businesses financially impacted by COVID-19.

Municipal and Local Government Support: Lake County allocated $42 million in CARES funding to reimburse municipalities, fire protection districts, and other Lake County taxing bodies for reimbursement of COVID-19 related expenses.

COVID Housing Relief Program: This program provides help paying for rent, gas and electric bills to Lake County renters and homeowners who have been impacted by COVID-19. To apply or learn more, dial 211 from your phone, or text your zip code to 898211.

FOR MORE INFORMATION, VISIT LAKECOUNTYIL.GOV/FORWARD

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COVID-19 INFORMATION YOU CAN

Trust

Lake County Health Department and Community Health Center

lakecountyil.gov/coronavirus

facebook.com/healthdepartment twitter.com/lakecohealth instagram.com/lakecohealth linkedin.com/company/healthdepartment youtube.com/user/LakeCountyTV Centers for Disease Control and Prevention (CDC) cdc.gov/covid19 Illinois Department of Public Health (IDPH) dph.illinois.gov State of Illinois coronavirus.illinois.gov

Sign up for our weekly newsletter Sign up to receive weekly COVID-19 updates from the Lake County Health Department at bit.ly/lccovid-19 (English) or bit.ly/lccovid-19-es (Spanish).

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WHO CAN I CONTACT TO ASK A QUESTION ABOUT… COVID-19 IN LAKE COUNTY: Contact the Lake County Health Department at COVID19@lakecountyil.gov COVID-19 AND OTHER COMMUNICABLE DISEASES: Call the Health Department’s Communicable Disease program at (847) 377-8130 BUSINESS GUIDANCE AND CONCERNS DURING COVID-19: Call the Health Department’s Environmental Health program at (847) 377-8020

COVID-19 IN ILLINOIS AND COMMUNITY-BASED TESTING SITES: Contact the Illinois Department of Public Health at 1-800-889-3931 or DPH.SICK@ILLINOIS.GOV