(Latest update 9-p.m.) — Iowa Governor Kim Reynolds, Saturday night, held a broadcast update on the latest COVID-19 information for the State of Iowa. Reynolds said another person has tested positive, this time in Dallas County (a specific location inside the county was not made public), bringing the total number of positive cases to 18. That person, who is between the ages of 60-and-81, was not affiliated with any of the prior, cruise ship COVID-19 cases. This case was what was called “Community Spread.”

“We are confident that we now have community spread (the coronavirus) in our state,” Reynolds said. “Community spread occurs when individuals have been infected with the virus and public health cannot specifically identify the source of the infection or determine how or where they became infected.” The counties affected include Pottawattamie, Carroll, Harrison, Dallas and Johnson.

The Governor and health officials recommend Iowans refrain from gathering in groups of 250 or more. Persons age 60 or older with underlying conditions, Reynolds said, “Should stay at home and avoid gatherings or other situations of potential exposures, including travel to affected areas.”

They are NOT recommending any school closures at this time, but remind you that this is still a “Very fluid situation.” Based on CDC guidance, she said, “If a school has a positive case in a student, faculty member or visitor, we recommend a short-term suspension of a few days, for cleaning to mitigate the spread of the virus. If there is significant absenteeism…they should consider a short-to-medium length suspension of 2-to 4-weeks, or for substantial community spread…”and we are NOT there yet”…we would begin to look at longer suspensions of 4-to 8-weeks or more.”

On Saturday, the Board of Regents of the University of Iowa, the University of Northern Iowa and Iowa State University has requested all students, staff and faculty abroad return to the United States. The Board of Regents is allowing each university president to make exceptions on a case-by-case basis.

Health Care organizations are asked to consider their contingency plans at this point, and to consider alternative, “Tele-health can support the needs of Iowans.”

Here is the complete IDPH Press Release from 3/14/20:

DES MOINES – The Iowa Department of Public Health (IDPH) has been notified of one additional positive case of an Iowan with COVID-19, for a total of 18 positive cases. The individual is an older adult age 61-80, and a resident of Dallas County. Additionally, IDPH has determined, based on the new COVID-19 case and the announcement this evening of community spread in Omaha, Neb., there is now community spread in our state.

Community spread occurs when individuals have been infected with the virus in an area and cannot specifically identify the source of the infection, or do not know how or where they became infected. Due to the detection of community spread, there are new recommendations for individuals with underlying conditions, and all Iowans should be prepared for cancellations and disruptions in routine activities.

Mitigation measures should be implemented immediately to have the most significant impact on slowing the spread of the virus.  Leaders of institutions and organizers of events should begin to act on their contingency plans related to large gatherings, including church services. Iowans should not hold or attend large gatherings of more than 250 people, and consider making adjustments for smaller gatherings with high risk groups.

Health care organizations should also review their contingency plans and consider how telehealth can support the needs of Iowans. At this time, school closures are not recommended. Based on CDC guidelines:

• If a school has a positive case in a student, faculty member or visitor, we recommend a short-term suspension of a few days for cleaning to mitigate spread of the virus.
• If there is significant absenteeism of staff and students, they should consider a short to medium length suspension of 2 to 4 weeks.
• For substantial community spread, longer suspensions of 4 to 8 weeks or more are recommended.

Iowans should do their part to protect their health and the health of others:

• Individuals 60 years of age and older with underlying conditions should stay at home and avoid gatherings or other situations of potential exposures, including travel to affected areas.
• Consider personal social distancing measures: avoid large gatherings, limit the number of attendees per gathering.
• Consider working remotely or online learning when possible.
• Encourage staff to telework (when feasible), particularly individuals at increased risk of severe illness.
• Limit non-essential work travel and gatherings.
• Follow CDC guidance regarding school closures if a school-based case is identified, implement short term suspension for school cleaning and contact tracing, and alter schedules to reduce student mixing. Cancel extracurricular activities as needed.

A status report of monitoring and testing of COVID19 in Iowa provided by IDPH can be found here. In addition, a public hotline has been established for Iowans with questions about COVID-19. The line is available 24/7 by calling 2-1-1 or 1-800-244-7431.

State agencies are taking the following steps:

The Iowa Department of Public Health encourages long term care facilities to align their practices with recent guidance issued by the Centers for Medicare and Medicaid Services which limits non-essential visitors to long term care facilities. In addition, IDPH is requesting that long term care facilities report to the department when greater than two staff or residents are ill with respiratory symptoms without another diagnosis.

The Department further encourages long term care facilities to implement additional visitor limitation protocols as deemed necessary to protect the life and safety of their residents.

Today, Iowa Veterans Home announced it is restricting all visitors to both residents and staff in accordance with new national guidelines for nursing homes from the Centers for Medicare and Medicaid Services (CMS). Only Iowa Veterans Home staff will be allowed access, and all staff will be screened prior to entering.

Similarly, the Iowa Department of Human Services (DHS) suspended all in-person visitation for their six state-run facilities to prevent risk to the individuals served and to mitigate against community-spread. The Department will consider limited exceptions and is offering virtual options to allow continued communication with loved ones.

In addition, DHS is putting policies in place to ensure access to childcare during this time, including financial and operational assistance. These include paying child care providers based on enrollment rather than attendance, and expediting licensing to enable increasing capacity. Childcare inspection and regulatory functions will shift to provide technical assistance focused on hygiene and sanitation. DHS also recognizes the stress that emergency events cause children and families and are developing strategies to identify and address their needs.

Iowans can help prevent the spread of illness by following simple daily precautions including washing hands frequently, covering coughs and sneezes, and staying home when ill. It is currently flu and respiratory disease season, and IDPH recommends getting the flu vaccine. Influenza activity is widespread in Iowa and as long as flu viruses are circulating, it’s not too late to receive the vaccine.

COVID-19 was first linked to an outbreak in Wuhan, China, but cases have subsequently been identified in several countries, including the U.S. Symptoms of COVID-19 include fever, cough and shortness of breath. Those most at risk of the virus are older adults, and individuals with underlying health conditions.

DUBUQUE, Iowa (AP) — A May 4 sentencing has been scheduled for a Dubuque man who neglected to properly care for his girlfriend’s baby. The Telegraph Herald reports that Mark Ward pleaded guilty to neglect of a dependent person. Ward and his girlfriend, Iesha Searcy, were the primary caregivers of Searcy’s then 9-month-old daughter.

The girl weighed less than 11 pounds when seen by a dietitian on Aug. 15, 2018. Court documents say the infant was hospitalized two days later, and a doctor found her to be severely malnourished. Searcy has pleaded not guilty. Her trial date is March 31.

OMAHA, Neb. (AP) — Federal courts in Nebraska are nixing all jury trials and grand juries for the rest of the month in a move to deal with the coronavirus pandemic. Meanwhile, state courts in Iowa and Nebraska are taking some precautions. An order from Nebraska’s Supreme Court chief justice says those at elevated risk of transmitting COVID-19 are barred from attending trials.

In Iowa, state courts may conduct meetings and hearings remotely. For most people, the coronavirus causes only mild or moderate symptoms, such as fever and cough. But for some people, it can lead to more severe illness, including pneumonia.

Atlantic, IA – Cass County Health System issued a specific process today (Friday) for all patients who need COVID-19 testing. As of March 13, the process is as follows:

• Patients should review the testing criteria that can be found at casshealth.org/covid-19 or via the hotline at 712-243-7479.
• The patient should call 712-243-2850 to schedule a same-day appointment or to inquire about being seen at AMC Rapid Care.
• Patients will then be directed to go to the southeast side of CCHS to the Suite C entrance (previous Evening Clinic entrance). Patients should wait at the door. CCHS staff will meet the patient at the door with a mask. The masked patient will then be escorted into an exam room for testing. (see the map below)
• The test itself is the same as being swabbed for influenza. The swab will be inserted into the nostril and rotated gently for 10-30 seconds.
• Patients with mild symptoms will be sent home for self-monitoring and appropriate home treatment. If the COVID-19 test is positive, then additional direction will be given to the patient at that time about isolation protocols.
• Patients with severe symptoms will be assessed by CCHS staff; next steps will be determined at that time.

If you are concerned about your symptoms and you think you may meet the testing criteria, please call 712-243-2850.