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HomeMy WebLinkAbout2025-07-21 Joint Entities Meeting MinutesMinutes of the Joint Meeting of the Johnson County Board of Supervisors; City of Coralville; City of Hills; City of Iowa City; City of Lone Tree; City of North Liberty; City of Oxford; City of Solon; City of Swisher; City of Shueyville; City of Tiffin; City of University Heights; Clear Creek Amana Community School District Board; Iowa City Community School District Board; and University of Iowa was held on Monday, July 21, 2025 at City Hall in Coralville; Council Chambers at 4:30 PM. A recorded webcast of the Joint Meeting is available online at www.coralville.org/coralvision. Mayor Meghann Foster call the meeting to order at 4:30 PM and welcomed everyone. Welcome and Introductions: Johnson County Board of Supervisors present: Green -Douglass, Remington, Fixmer-Oraiz Iowa City Council present: Harmsen, Moe, Bergus, Coralville Council present: Mayor Foster, Goodrich, Knudson North Liberty Council present: Mayor Hoffman, Sittig, Wayson University Heights Council present: Gahn Hills Council present: Mayor Kemp Solon Council present: None Swisher Council present: None Tiffin Council present: Orris Iowa City Community School District Board: Lingo, Abraham, Williams, Finch, Eyestone, Malone, Eastham Clear Creek Amana Community School District Board: Pfeiffer Staff members from the school districts and local governments were in attendance along with members of the public. Public Comments: Mary McCann noted many will know her through the JECC 911 data she sends to the city councils, and she works with at risk black teens who have experienced violence and injustice. McCann reported recently three out of five Johnson County Supervisors refused increasing funding for more juvenile detention center beds with Linn County. McCann found out about this from her pastor and not a press release. Two parents must visit their teen that is six hours away because if there are not enough beds in Linn County youth in custody must be transported to other facilities across the state. McCann voiced her concerns about those who have adopted the abolition of law enforcement as a political identity at risk of having a society run by the rule of law and putting marginalized groups more at risk from those who would harm them because they no longer have protection from law enforcement. McCann asked people to support law enforcement and leave politics at the door and look at the intent of those who attack the rule of law. Solon City Administrator Cami Rasmussen thanked Johnson County Sheriff Brad Kunkel for his department's assistance during Solon Beef Days. Rasmussen noted it takes a lot of different groups to pull off a small-town event like Solon Beef Days and it especially takes a lot of collaboration with the Johnson County Sheriff's office and Johnson County Emergency Management whose hard work and planning prevented any incidents from occurring during this event_ Rasmussen thanked everyone who came out to Salon Beef Days this year, Rasmussen announced Solon is getting it's first 5-year contract with the Johnson County Sheriffs Department_ They have been on an annual contract for the last 28 gears so this 5-year agreement Is groundbreaking for Solon and will help them budget and focus their resources_ Rasmussen Is very appreciative to have the opportunity to work with the Sheriffs Department and share resources as city budgets are really challenging right now. Update on Individual Disaster Assistance Programs (Co ra I v i I I e) -. Director of Community Impact & Engagement Emily Meister with United Way of Johnson & Washington Ucunty and Johnson County Director Debbie Ackerman with HACAP introduced themselves. Ackerman explained they will be talking about the disaster response in Johnson County and what they do. They are representing the Johnson County Community Organizations Active in Disaster (JCCOAD) and it was established in 2008 and they bring agencies together to ensure readiness to meet needs in disaster events like fires, floods, tornados and any event where they need to come together and help our neighbors. This prograrn is headed by United Way, but it is several community organizations coming together to ensure needs are met, United Way holds the Community Disaster Relief Fund which they like to keep at $125,000.00 to meet the needs of the community that are not being met in different ways. Another role of JOCOAD is volunteer management and United Way is very good at mobilizing and organizing volunteers and has a big role doing this in JCCOAD_ The JCCOAD has gone through some significant changes in the last year and United Way has made sure they are organized and able to meet several different needs. Their Steering Committee is made up of Meister, Nate Savage from Johnson County Public Health, Ackerman and committee heads who are local agency leaders who know the landscape and resources and can help make sure needs are met when disaster strikes. The Steering Committee also has advisory members who necessarily head up a committee but have expertise in several different areas to make sure needs are all met. Meister reported they have been doing a lot of work for the last year and a half to strengthen the JCCOAD because they are seeing a lot more di�aster� nationwide and in our community_ They also know some of their federal and state supports are a little bit less reliable and consistent than they used to be_ Meister explained there is a threshold that a disaster in the community must meet in terms of dollars of damage before federal or state funds kick in_ SeveraI significant events happen in our community that do not meet this threshold and that means 100% of that response is up to our community. An exam pie is the fire that happened in Cora Ivllle recently. Traditionally JDCOAD has been led and activated by the United Way with 000rdination with other community partners, but it has struggled to take hold and have the type of leadership it needed for the past seVeraI years_ Part of that is capacity because disaster response is an extra on many of their jobs_ They have created a structure where leadership can be shared and brings the right people to the table not just for response but also preparedness. As mentioned earlier, the Steering Committee is made up of the Co -Chairs (Meister and Savage), Ackerman and the chairs of their committees. They have an Unmet Needs Committee that they are still looking for leadership; a Long -Term Recovery Committee co-chaired by Lynette Jacoby with Johnson County Social Services and Adrianne Kcrbakes with CommUnity, a Training & Preparedness Committee co-chaired by Director Dave Wilson and Deputy Director Travis Beckman with Johnson County Homeland Security and Emergency Management, Wendy Nolan with United Way and Nate Savage from Johnson County Public Health, and a Communications & Public RelationslOutreach Committee co-chaired by Ellie Moore with the Community Foundation of Johnson County and Michael Shaw with Neighborhood Centers of Johnson County. One thing they realized in this most recent disaster is they are missing some key players at the activation stage of their Steering Committee, and they have already worked to bring on CommUnity and Shelter House. It they want to respond effectively in a disaster, they do not have time to coordinate and build those relationships at the disaster, but they need to exist already. They will have JCCOAD quarterly meetings which will be open to the public and any organizations or entities are welcome to join. The only commitment is attending the quarterly meetings which will help you know who is active, what the needs are and to get to know each other. When there is a disaster event, they will activate the Steering Committee and get together at the table to figure out what the needs are for community members that are affected and to pull in other agencies. Emergency management, police departments, fire departments and government entities are going to take the lead in the initial response, but they will be too busy to coordinate the long-term recovery and community organizations that need to be pulled in to fully support those who are affected. Meister let Ackerman talk about the updates with the disaster assistance grant program. When a disaster occurs, the threshold will determine the response. JCCOAD will always be activated and look at the situation to ensure that needs are met for the residents who are affected. The amount of damage will determine if the Governor declares the County or region a disaster. Ackerman explained when they first planned this presentation they were going to talk about the Iowa Individual Assistance Grant Program, which provides up to $7,000.00 for disaster related expenses for people living at 200% of the federal poverty line or below. It is a contract that Community Action Programs across the state have administered for decades. They have just found out their contract has been rescinded because the Department of Homeland Security believes they are able to administer this program so HACAP will no longer be doing it at the local level starting August 151. This is a program for the most vulnerable among us that provides $7,000.00 for property, home repairs, roofs, mold mitigation and items like that. A lot of times the power went out and people would lose food, so they were able to provide food assistance and temporary housing, hotel stays, and deposits for new places to live. Now folks affected by a disaster have 45-days to apply for the program and then have additional time to get in all their documents because people who are marginalized and have some other barriers will take a little while to get all the necessary documents together. Ackerman does not know how this program will look moving forward but the services she mentioned are what is covered by the program. This program also provides assistance to people with over 200% of the poverty line in the way of Disaster Case Advocacy. This is a newer part of the program that does not come with any grant funds, but it provides someone who will help identify and assess resources for people affected by disaster, help prepare a home repair or rebuild plan, create a recovery plan with steps to reach their goals and more depending on their needs post disaster. The last time they used this program was for the tornado in Coralville in 2023 and they were able to help many people with those expenses. Since 2019 there have been 5 activations of this program and of 270 applications from Johnson County residents 177 were approved and only one Disaster Case Advocacy application was received because it is a new program. Ackerman noted they are currently working with Scott County residents for the flood that recently occurred in Davenport, and they have received 220 applications. This is a program that really helps people, and it is something our community really needs. Meister reported the last disaster was a 12-unit apartment complex fire on April 911, on Boston Way in Coralville. Twelve households and 26 individuals were affected. The immediate response was led by the Coralville Fire Department and then Johnson County Emergency Management. The immediate on -site response was led by those departments. They had a great presence by CommUnity Mobile Crisis to support people being evacuated. The first step in this situation was to account for everyone's safety and get them to a safe location. Traditionally the Red Cross would step in. Their preferred method for any event larger than a single household is a general population or mass shelter. In the last few instances in our community, instead of opening a mass shelter United Way works with Emergency Management to find alternative accommodation in the form of a hotel room where they can get everyone in the same place and provide coordinated resources onsite. This is more expensive locally. The United Way spent just under $10,000.00 from their disaster relief fund to house those individuals, some were for a couple of days, and some were for several weeks. The Red Cross was there to do some case management and meals. One challenge is if they do not follow the Red Cross' preferred method it makes it harder for them to deliver their whole model, so they struggled a little with meals and case management. They found out case management is one of their biggest struggles. They had a wide variety of individuals that were affected. There were University of Iowa students, a single mom, an elderly couple, immigrant populations and non-English speaking people. The recovery was a little bit more complicated and had to be individualized. During this time JCCOAD was working on their structure and what their committees and activation protocol would look like, and they were not finalized. During this disaster they realized right away their gap was case management. They did not have a contract with an organization that could provide that support for the victims and affordable housing under $1,000.00 per month was the number one concern. They also struggle with the leasing cycle which is August 1"1 through July 8161 for most properties. After a few days they developed a contract and MOIL with the Shelter House which will allow the Shelter House to prioritize people affected by a disaster and work with them ImrnedIately with their coordinated reentry and rapid rehousing program, They came up with a schedule where someone was always at the hotel to answer questions and help people. In the future that will not be how it works, and they will create partnerships with other agencies that can provide that service so the Steering Committee can take a step back and work more with the pulling in of community resources and things like that. Out of the 12 households 2 relocated to Cedar Rapids, some a temporarily housed in a hotel of their own choice because they are covered by insurance and transitioning to horns ownership. Everyone is now in some form of long -terra or temporary housing of their own choice. They consider this a success despite some of the gaps they had, and they received a lot of positive feedback from those residents. They were asked about their interaction with the school district with families that have students involved in a disaster. Meister responded they do not have that line of communication right now, but they have two individuals from the school district at their last two meetings. This is an area they have identified as a need to strengthen. Discussion on current Crisis Response Programs and exploration of opportunities to further collaborate. (Iowa City): Iowa City CounciIperson Laura Bergus reported the Iawa City City Council recently had a presentation by Iowa City Police Chief Dustin Liston and Executive Director Sarah Nelson from CommUnity Crisis Services about the Co -responder and Liaison Program that they have in Iowa City and at the Johnson County Criminal Justice Coordinating Committee meeting Johnson County Sheriff Brad Kunkel, his staff and Mental Health Liaison Kieonne Pape gave a presentation, Supervisor Mandi Remington has been participating in a national cohort about different ways for community response and at the JECC where North Liberty Mayor Chris Hoffman is the current Vice Chair they have talked about haw they can get even mare sophisticated with better matching responses to calls_ Bergus noted when 988 rolled out and what it provides for people who are in crisis and that Johnson County was a piIat county for mental and behavioral health calls that came to 911 to be handed to 988_ Bergus is aware of the Johnson County Ambulance Service's Mobile Health Outreach Program and that Fire Chief Scott Lyon has been discussing how to respond to different kinds of calls with Director Fiona Johnson_ Iowa City ouncilperson Josh Moe and Bergus thought it would be a good idea to get everyone into the same room to talk about this at least on some introductory level. They hope to have everyone they asked to talk for a few minutes about what those response options are and haw those organizations are working together. This is the political moment to be collaborating and to find those efficiencies among their different organizations and departments. Johnson County Ambulance Director Fiona Johnson reported they launched a part-time community paramedic for a mobile integrated health program in 2024 and became a full-time program in July of 2024. They have had great success with this and there are many benefits to the program. It is designed to improve healthcare to undarserved populations in our community; to reduce costs and improve patient outcomes. They have a community paramedic going to people's homes and helping connect them to social services; provide basic medical care support like medication management, connecting them with a primary care physician; and reducing the costs by reducing the number of 911 activations because the person no long ar needs ambulance, fire or law enforcement and cutting emergency room costs. The community paramedic is collaborating with their partners by getting a list of their high utilizers to determine what the root causes of the need for emergency services are. These causes might be someone not Being able to keep up with their medications and one solution they came up with was getting a person connected with a ph@rmacy to provide them with daily packets of their medications. This reduced the 911 calls from this person. The corn munity paramedic is also working with the Johnson County Sheriff's Department looking at a long-term injectable program to work with individuals being released from jail that are prone to reincarceration due to a lack compliance getting their monthly injections of psych medications so they can get the medication to these individuals before they get into crisis and interact with law enforcement_ The community paramedic is also partnering with the University of Iowa Population Health to look at their high Alizers, They are working with community partners to find funding mechanisms because right now it is the Board of Supervisors trusting in the concept and goal to reduce costs, but they do have to find those other funding mechanisms. Iowa C Ity Fire Chief Scott Lyon reported his role in the mobile integrated health program is a supportive role In what Is going on at Johnson County Ambulance. Lyon personally attested to the difference Johnson County Ambulance is making daily in our corn rnunity. They have identified and collaborated on shared needs, and they recently had a remote meeting with some of Lyon's peers in central Iowa looking at innovative strategies be it call triage at the dispatch center. Right now, they are in the fact-finding stages of how the Iowa City Fire Department can best support Johnson County Ambulance to fulfill their mission. Lyon feels there is a lot of low hanging fruit they can go after and there is a financial component they must address to make this be successful. This can make a real difference but there is a cost to it. Johnson was asked how many people the community paramedic can assist. Johnson responded he is currently assisting 40 clients the University of Iowa could give him hundreds. Iowa City Fire had one person who was continually failing so the paramedic went out and did an in -home fall risk assessment to figure out what the problem was and get some solutions in place to reduce the calls for lift support. Johnson stated they need more than one community paramedic. The dream is for this to be a county -wide collaboration with the Johnson County Sheriff's Department and corn munity liaisons. The paramedic will sometime respond with a social worker and sometimes a police officer of firefighter, AdMan ne Korbakes with Corn mUnity Crisis Services reported on the behavioral any! mental health crisis services they provide. They answer the 988-line state-wide with one ether center in Iowa where anyone can get connected to a trained crisis councilor. The councilors can stabilize 95% of their caller's on the phone without referring them to a higher level of care. They do a lot of referrals to mobile crisis services, access centers, CCBHCs and now with the Iowa Mental Health Realignment they are making referrals to system navigators to connect people with services in their area. Last year, between all their crisis help line services they answered close to 900,000 contacts with a quarter being Iowa 988 specifically. The next level of service they provide in Johnson County is their mobile health crisis response services tea rns which are corn prised of two councilors trained in Crisis mental health support and are accredited by the state. Their tearns are 24/71365 of two. Individuals can access mobile crisis by calling 988 or the old Your Life Iowa Line where a few questions will be asked and then councilors will be dispatched to the location where the individual is at_ They have been to almost every location possible including schools, ho!5pitels, office,s, doctor offices, a corn field, private residences where anyone is experiencing a crisis and will work with that person to deescalete. They do screenings for suicide adulation, and they do safety planning with every person they work with_ This is proven to reduce a person's ability to commit suicide, end it is effective in keeping people alive_ They see people who are not thinking of suicide but have other things going on in their life that feel overwhelming to #hem, life an increase in mental health symptoms or experiencing them for the first time, losing a job or having a personal situation going on that is causing a lot of overwhelming anxiety_ They see a lot of people with substance use and mental health and maybe a difficult life situation_ They spend a lot of time with people experiencing acute grief and loss. They partner with law enforcement agencies to do death notifications and be with individuals during their most difficult time. They are a low barrier service where they only need to know a couple of things about people before they are able to dispatch. They send out two councilors that are not law enforcement so they want to make sure they are safe and if they may not be safe, they will send one of their law enforcement liaisons or co -respond with law enforcement and mobile services. They want a little bit of demographic information from people about what is going on so they can be supportive and help them. Their average response time in the Iowa City and Cora lviIIa area is just over 20 minutes. 95% of people they see are stabilized in their home, in the community without needing a higher level of care. The remaining 5% go to crisis stabilization beds or the hospital depending on the needs of the individual. They serve all ages and are a point in time service so they are trying to stabilize the crisis at that moment to bring the escalation down to where it is manageable for that individual and they can be released into the community. The next day they follow up and connect them to long term services and support based on what was going on during that crisis. They have law enforcement liaisons embedded in the Iowa City Polioe Department that cover both first and second shift and they are able to respond to higher acuity calls and they are able to do committals for those who don't realize they are sick and they will work with their families work with those people around them and with law enforcement to get the committal in place and get that individual the support that they need. They have triage councilors at the Guidelink Center who are the first person they will meet with. Last year they had 2400 people come In. A lot of those people go into sobering, detox or crlsls stabllizatlon arnd a lot of other people Just meet with the triage councilor and then discharge back into the community with resources and support in place. All their mobile crisis teams can check in people into behavioral center beds in both Johnson and Linn County. Their last service is Healing Prairie Farm which is a youth crisis stabilization program For ages 12 to 17 who are experiencing some sort of emotional crisis, and they serve youth across Iowa with most corning from Eastern Iowa. It is a 5-7 day stag at their farm, and they use a farm care model where they integrate nature -based intervention along with a lot of emotional support from their staff. The goal is to provide structured control for the youth to get them connected to longer term care community support and services to help them when they are discharged. They do a lot of work with the schools. They check in with a mental health provider every day and they are staffed 4/W365. Eight beds are available for crisis stabilization and 4 beds are for youth shelter for youth who are experiencing homelessness. The goal of the youth shelter is to look for long-term housing and connection to life -skills Delp they are going to need, orbakes was asked about their coordination with schools who responded they have a youth crisis coordinator with their mobile crisis program who works closely with all the other schools in Johnson County to help students who are suffering from a behavioral or mental health crisis and they keep open communication with the schools for when youth are ready to be reintegrated into classes they have a plan to help support them during that transition and to support the school during that transition and help teachers integrate students safely and not push too hard, Korb@kes was asked about the loss of funding For LGBTQ 988 and how much of their calls were LGBTQ, Kerbakes answered about 70,000 out of 100,000 calls_ They want to make sure that no matter who you are please use 988 including if you are LG3TQ and it is still the same councilors answering those lines. Iowa City Police Chief Dustin Liston reported in 2021 Iowa City partnered with CommUnity for a mental health liaison and in 2023 they added another position to give them 15 hours of coverage a dad+ for 5 days a week. In 2024 they transferred on of the liaisons into a co- responder position who partners up with a police officer in uniform to respond to calls in the field_ This unit responds to twice as many calls as their station -based health liaison. They average 100 calls per month, and the station liaison gets 30 to 50 calls per month. The liaison has a lot more time to make sure individuals are connected to services that a regular police officer does not have time to do_ The station -based liaison does a lot more follow-up work to make sure people have the services they need_ The Iowa City Council has a goal of providing mental health services 2417 coverage within a few years and they are getting closer. They will evaluate if they need overnight coverage or riot, but Liston's goal is to get coverage 7 days a week. Bustin plans to look at how calls are impacted with their new data analyst and if they increase or decrease with the mental health liaison_ Dustin isn't sure haw they have impacted calls, but people are very satisfied with the service, and they get repeat calls because people trust the liaisons_ Even if they increase calls that is fine if people are getting the services they need. Dustin was asked where the liaisons come from and Bustin answered they come from ommlJnity and have a mental health background. The liaisons do not become police officers but remain social workers, The police officer partnered with a liaison makes sure the scene is safe and then the liaison takes it over after. Some of the frequent users do have mental health issues and they do overlap with the Johnson County Ambulance program. Johnson County Sheriff Doug Kunkel reported they have a mental health liaison, but it works a little differently than Iowa City in that they share the cost with the City of North Liberty and the City of Coralville. It is an effective way of doing business with everyone, The Sheriff's office polices about 35,000 people in Johnson County which is not enough of a population or call base to sustain on person dedicated to mental health calls and the situation is similar in North Liberty and oralville. Combining these populations makes a lot more sense to support a mental health liaison. They are now at a point where they need a second one. The liaison works 9:00 AM to 6:30 PM and they are noticing a gap where they need someone to serve in the evenings from 6:30 PM to 10:00 PM along with some ova rlap with the afternoon shift, Kunkel hopes to have the second liaison in the budget for next gear_ One person noted they have an adult son who she cannot get mobile crisis help for unless the son agrees to it and she wanted to know if she still needs to call 911. Kunkel responded the liaison will never replace the need for a 911 law enforcement response In some situations and one of the things you must remember about a lot of these servloes is the voluntary component. One example is the trip to Guldelink Is voluntary and the police cannot force a person to go even if they should_ Sometimes arrest is the only option in some situations like if they refuse to go to Guidelink. Kunkel noted law enforcement has to respond to calls 2017 and they have a lot of training for these situations and are very good at the job they do and he is proud of the work everyone does. Director Tom Jones with the Johnson County Emergency Center (JEGG) on unique thing about JECC is they represent and serve all the communities in the county. They are the center taking your 911 calls and dispatching those resources. They also work with 988. Their dispatchers have a now chart that has been approved by Johnson County law enforcement agencies, so they have a list of questions they ask callers. Based on the answers to those questions they determine if the caller needs a law enforcement of public safety response or if the call will be transferred to 988. In same cases. 988 could return those calls to 911. There are also calls that stark at 988 and are transferred to 911. The calls that come to 911 and should go to 988 are very low. There have been three in the last year and a half and only one was a real transfer that they made. They have found locally the 911 and 988 numbers are being used appropriately. When they do call 911 it is because there is an immediate possibility, they may harm themselves or others, That requires a public safety or law enforcement response. When they get suicidal calls. which happens a lot the person isn't thinking about it JO days from now or two weeks from now or if they just lost their job they are not thinking if things don't get better in a few days I'll think about hurting myself. When they make those calls, they are thinking about harming themselves or someone else now. Those calls get transferred to law enforcement responders, Their dispatchers would dispatch mobile crisis at their request_ They have been having discussions about how they can dispatch mobile crisis sooner and as of today they are dispatched at law enforcement's request_ They then give mobile crisis all the information that they can because they are giving those, they dispatch very little information in a very short amount of time_ It can take a couple of rninutes to make the determination to ask J E C C to send out mobile crisis to come and assist when the scene is safe_ As JECC looks to the future there has been talk about integrating these councilors into the oammunication centers where they get the calls immediately for dispatch_ In order to make that effective they need to think about the number of cells they are getting; time of day it is occurring; are they getting enough calls to incorporate a councilor or is the flow chart and training they have sufficient to oontinue. If they bring a councilor in there will be a cost and they want to make sure it is cost effective to have them there. They also need to think about what a councilor can do if they are there when a suicidal call comes in to deescalate it. They will continue to think about that for the future. The one thing as a call center for all the law enforcement and public safety departments in the county is they try to keep their procedures down to one way because they have 5 full-time law enforcement agencies, over 15 fire departments and a county -wide ambulance service and if each one tried to do things there own way JEGG would be making mistakes and have delayed dispatch times if they had to think about which procedure to follow, e dispatch based off of their individual response policy. JEGG doesn't dictate how these entities respond in these situations, and they work collaboratively with all their law enforcement officers and JECC develops their policies and procedures based on their responses. Joint County health Departments measles information campaign. (Coralville): Sarn Jarvis with Johnson County Public Health reported back in June they reported Johnson County's 1"irst case of measles and the third case of measles in Iowa, and they quickly responded with the state to investigate that case and collect those contacts, In July the state announced their seventh case, and they found aut there a no links with that case to other cases. They have tried to track that back to the case in Johnson County and at this point in time there is not a link. Thera has been a posture change in the rew rnme nd ation far vaccinations, and they are recommending "Dose Zero" which is vaccinating infants ages 6 to 11 months_ This does not count for the normal vaccination series, so it is referred to as "Dose Zero_" They want to make people aware of this change so people can talk about it with their pediatrician_ As of today, the United States has seen 1,300 cases of measles reported. They are fortunate to have those lines with the state and fed aral governments still open with all the current chaos 90% of those cases are from unvacclnatad people so these cases are still driven by people who chose not to or couldn't get vaccinated. It is encouraging to sae the vaccine is still effective, They appreclate everyone rnaking sure that correct information gets out to folks because they are seeing a lot of misinformation. Jarvis was asked if they are seeing more interest from parents in getting their kids vaccinated now. The State Health Department has told them since a couple of months ago after recommending the early second dose and now with the zero -dose strategy they have seen an upturn in vaccinations in our area. Director Pettit-Majewski has recently been working to get the word out to childcare providers and other partners. Jarvis was asked what percentage of people in Johnson County are vaccinated and he answered it is somewhere in the high eighties but wasn't sure of the exact number. They would love to see it higher especially for a Got of other vaccines. Jarvis was asked if those exposed must stay quarantined for 21 days still. Jarvis said so Par, they are not looking about changing the 21-day quarantine, The quarantine begins at 21 days after exposure, Jarvis noted out of 200 contacts with the case in Johnson County they did not have any other cases from public exposure. It's good to know there is less risk in outdoor spaces. but indoor spaces are still a concern. Measle symptoms begin 7 to 12 days after exposure. They start to lose time to stop people from being exposed after a person gets exposed, gets symptoms and decides to get tested, which also takes time to get the results. One person asked if there are any changes for adult vaccinations. Jarvis answered at this time there is no recommendation for adults to get a booster, One of the things they look for with people who are contacts are if they are vaccinated and it is helpful to have that on file especially when it is in the state registry system, Having those records of staff vaccinations is important if they can get thern to establish risk for folks. For those parents with children that just got vaccinated the recommendation is to have the second dose 28 days later_ Jarvis wasn't sure but thought if your child got "Dose Zero" they would get their second dose at one year_ One person asked if everyone would consider being exposed in a larger building with a shared ventilation system if a carrier had been in the building working all day_ Jarvis responded he hadn't heard any guidance on that situation, and he will take that back to their team to look at but right now he would err on the side of caution and say yes and note that publicly. Timefrarne reminder for C ityfchool Elections for 205_ (Johnson County)' Johnson County Auditor Julie Persons wanted to remind those running for school board and city elections that their petition numbers have probably changed and to make sure they check it out because if they are short, they cannot be on the ballot. It is always a good idea to get extra signatures and to reach out to the Johnson County Auditor's Office If you have any questlons. Persons asked everyone to please not turn in their paperwork at 5.00 PM on the very last day because they need time to look through it and contact you if there is tirne to fix it. Everything is available on their website, and you can call he office during business hours and they can walk you through it. Persons will see them all on election day. Primary Cities (Iowa City, University Heights) o Filing period; 8111-818 o Iowa City At -large candidates need 166 signatures o Iowa City District B candidates need 17 signatures o University Heights needs 10 signatures o If a primary is triggered, the prirnary vote will be Tuesday, C[ctober 71" Non-Prirnary Cities (all others) o Filing period- W5-9118 o Coralville and North Liberty need 50 signatures o Solon and Tiffin need 25 signatures c Hills, Lone Tree, Oxford, ShueyviIle. and Swisher need 10 signatures School Boards o Information is available on the Auditor's Website: https://www.bohnsoncou ntyiowa.gov/november-4-2025-city-and-school- election or stop by the office. Affidavit of Candidacy and Nomination Petition forms are available on the Auditor's Website: https://www.00hnsoncountyiowa.gov/november-4-2025-city-and- school-election or stop by the office. Nomination Petition must have signatures from eligible electors. Election Day is Tuesday, November 4, 2025. Other Business: North Liberty Councilperson Erek Sittig was asked by North Liberty Mayor Chris Hoffman to inform everyone former North Liberty Councilperson and Mayor Pro-tem Gerry Kuhl passed away yesterday. Coralville Mayor Maghann Foster adjourn the meeting at 5:48 PM.