IOWA STATEREPORT 07.26.2020 SUMMARY lowais in the red zone for cases , indicatingmore than 100 new cases per 100,000 population lastweek , and the yellow zone for test positivity , indicating a ratebetween 5 % to 10 % . lowahas seen stability in new cases and an increase in testing positivity over the pastweek. The following three counties had the highestnumber of new cases over the past 3 weeks: 1.Polk County, 2. Scott County, and 3.Dubuque County . These counties represent 36.9 percent ofnew cases in . lowahad 106 new cases per 100,000 population in thepastweek, compared to a national average of 140 per 100,000. The federal government has deployed the following staff as assets to support the state response: 14 to support medical activities from VA . During Jul 18 - Jul24 , on average , 30 patients with confirmed COVID - 19 and 28 patients with suspected COVID - 19 were reported as newly admitted each day to hospitals in lowa. An average of 84 percent ofhospitalsreported each day during this period; therefore , this may be an underestimate ofthe actualtotalnumber of COVID -related hospitalizations. Underreportingmay lead to a lower allocation of critical supplies . RECOMMENDATIONS Continue to promote socialdistancing and wearing ofcloth face masks when outside the home, especially in indoor environments and in counties with high ( > 100 cases / 100K population ) or increasing case rates. Protectthose in nursinghomes and long-term wear facemasks while on duty . care facilities by testing allstaff each week and requiring staff to Continue to identify and aggressively investigate outbreaks early, especially in localities with increasing transmission and large populations. Intensify contact tracing , quarantine of contacts, and isolation for documented or suspected cases. Meatpacking plants and other crowded workplaces should ensure social distancing, the wearing of facemasks, and regular testing . Workplaces should implement clear protocols for early and thorough case investigations and contact tracing. Increase volumeoftesting andmove to community -led testing in localities with elevated or increasing transmission. Consider pooled testing as directed below to increase access and reduce turnaround times. In localities with 7-day average test positivity greater than 10% , close bars and gyms, require strict social distancing in restaurants ( restrict indoor dining and promote outdoor dining), and restrict gatherings to fewer than 10 people. Specific , detailed guidance on community mitigation measures can be found on the CDC website . Thepurposeof this reportis to developa sharedunderstanding of thecurrentstatusof thepandemicat the national , regional , stateand locallevels. Werecognize thatdata at thestate levelmaydiffer from thatavailableatthe federallevel. Our objectiveis to useconsistent data sourcesand methodsthatallowfor comparisons to bemadeacrosslocalities. Weappreciateyour continuedsupportin identifyingdata discrepanciesandimprovingdata completenessand sharingacrosssystems . Welookforwardto yourfeedback. * This figuremay differ from state data due to differences in hospital lists between federal and state systems or inclusion of hospitals that are not admitting COVID - 19 patients. We are working to incorporate feedback on anongoing basis to update these figures. These data exclude psychiatric, rehabilitation, and religious non-medicalhospitals . COVID - 19 COVID - 19 STATE REPORT 07.26.2020 STATE, % CHANGE FROM PREVIOUS STATE LASTWEEK NEW CASES WEEK 3,330 ( 106 ) (RATE PER 100,000) DIAGNOSTIC TEST -0.3 % * 6.9 % 63,686 ** ( 2,019) ( TESTS PER 100,000) COVID DEATHS 38 ( RATE PER 100,000 ) ( 1) -2.6 % + 1.1% * 4.7 % COVID - 19 CASE MOBILTY RELATIVEBASELINE MOBILTY TO UNITED STATES LAST WEEK 460,137 ( 140) 8.2 % -0.5 % ** WITH AT LEASTONE REGION LAST WEEK 16,495 (117) -8.9 % POSITIVITY RATE TOTAL DIAGNOSTICTESTS FEMA/HHS 8.5 % 201,537 ** ( 1,425) 5,437,404 ** 141 6,434 ( 1) (2 ) ( 1,657) 5.2 % 12.1% 100 % 80 % 60 % 40 % 20 % 0 % 3/1 4/5 3/8 2/23 3/15 3/22 3/29 4/12 4/19 4/26 5/3 5/10 5/17 5/24 5/31 6/14 6/21 6/28 7/5 7/12 7/19 7/26 Indicates absolute change in percentage points . ** Dueto delayed reporting, this figuremay underestimate totaldiagnostic tests and week-on-week changes in diagnostic tests. DATA SOURCES Cases and Deaths: State values are calculatedby aggregating county -leveldata from USAFacts; therefore , the valuesmaynotmatch those reported directly by the state. Data is through 7/24/2020; lastweek is 7/18 - 7/24 previousweek is 7/11- 7/17. Testing: State -level values calculatedby using 7 -day rolling averages ofreported tests. Regional-andnational-levelvalues calculated by using a combination of CELR (COVID - 19 ElectronicLab Reporting) state health department-reported data and HHSProtect laboratory data (provided directly to FederalGovernmentfrom publichealthlabs, hospitallabs, and commerciallabs) through 7/22/2020. Last week is 7/16 - 7/22, previousweek is 7/9 - 7/15 . Testing data areinclusive of everythingreceived and processed by the CELR system as of 19:00EDT on 07/25/2020. Somedates may beincomplete due to delaysin reporting. Testing data may bebackfilled over time, resulting in changes week-to -week in testing data. It is criticalthatstates provide as up- to-date testing data aspossible. Mobility: Descartes Labs. This depicts themedian distancemoved across a collection ofmobiledevices to estimate the levelof human mobilitywithin a county; 100 % represents thebaselinemobility level. Data is anonymized and provided at the county level. Data through 7/24/2020. Skilled nursingfacilities. NationalHealthcare Safety Network. Lastweek is 7/ 13-7/ 19, previousweek is 7/6-7/ 12. COVID - 19 IOWA STATE REPORT 07.26.2020 COVID - 19 COUNTY ANDMETRO ALERTS LOCALITIES IN RED ZONE LOCALITIES IN YELLOW ZONE DesMoines-West DesMoines Waterloo -Cedar Falls Cedar Rapids METRO Dubuque Marshalltown AREA (CBSA ) LASTWEEK w Ottumwa 14 Top 12 shown (fulllist below ) Fort Dodge Mason City Omaha -Council Bluffs Sioux City Ames Muscatine Clinton Spirit Lake Storm Lake Polk Scott Black Hawk Dubuque Marshall Franklin COUNTY LASTWEEK 8 Wapello Hardin Emmet Lyon Montgomery Linn 53 Dallas Webster Cerro Gordo shown Top Woodbury ( fulllist Pottawattamie below ) Story Warren Muscatine AllYellow CBSAs: DesMoines-WestDes Moines, Waterloo -Cedar Falls, CedarRapids, Fort Dodge, Mason City, Omaha-CouncilBluffs, Sioux City , Ames, Muscatine, Clinton , Spirit Lake, Storm Lake, Carroll, Spencer All Yellow Counties: Polk, Scott, Black Hawk, Linn , Dallas, Webster, Cerro Gordo, Woodbury, Pottawattamie Story ,Warren, Muscatine, Jasper, Clinton, Dickinson, Sioux, Plymouth , Jackson , Bremer, Buena Vista, Boone, Tama, Carroll, Guthrie, Jones , Wright, Hancock, Washington , Benton, Madison , Kossuth , Mitchell, Buchanan ,Winnebago, Clay, Worth , Clayton , Clarke, Palo Alto, O'Brien , Page, Harrison, Pocahontas, Chickasaw , Lee, Louisa, Monroe, Monona, Taylor, Greene, Decatur, Ringgold, Ida Red Zone: Those core-based statistical areas (CBSAs) and counties that during the lastweek reported both new cases above 100 per 100,000 population , and a diagnostic test positivity result above 10 % . Yellow Zone : Those core -based statistical areas (CBSAs) and counties that during the last week reported both new cases between 10 100 per 100,000 population , and a diagnostic test positivity result between 5-10 % , or one of those two conditions and one condition qualifying as being in the “ Red Zone. Note: Top 12 locations are selected based on the highest number of new cases in the last three weeks . DATA SOURCES Cases and Deaths: State values are calculated by aggregating county -level data from USAFacts ; therefore , the valuesmay notmatch those reported directly by the state. Data is through 7/24/2020 ; lastweek is 7/18 -7/24 , three weeks is 7/4 - 7/24 . Testing :CELR ( COVID - 19 Electronic Lab Reporting) state health department -reported data through 7/22/2020 . Lastweek is 7/16 - 7/22. Testing datamay bebackfilled over time, resulting in changes week -to -week in testing data. It is critical that states provide as up -to date testing data as possible. POLICY RECOMMENDATIONS FOR COUNTIES IN THE RED ZONE Public Messaging Wear amask at all timesoutsidethehomeandmaintain physicaldistance Limitsocialgatheringsto 10 people or fewer Do not go to bars, nightclubs , or gyms Usetakeoutor eat outdoorssocially distanced Protectanyonewith seriousmedicalconditionsat homeby socialdistancingathomeand usinghigh levelsof personal hygiene , including handwashingand cleaningsurfaces Reduceyourpublic interactionsandactivitiesto 25 % ofyournormalactivity Public Officials Closebars and gyms, and createoutdoordiningopportunities withpedestrianareas Limitsocialgatheringsto 10 peopleor fewer Instituteroutineweeklytestingof allworkersin assistedliving andlong-term care facilities. Requiremasksforallstaff andprohibit visitors Ensurethatallbusinessretailersandpersonalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk of seriousdisease for individualsin all age groupswith preexistingobesity, hypertension , and diabetes mellitus , andrecommendto shelterin place Workwith localcommunitygroupsto providetargeted, tailoredmessagingto communitieswithhigh caserates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24hours Provideisolationfacilitiesoutsideof householdsif positiveindividualscan't quarantinesuccessfully Testing Moveto community-ledneighborhoodtesting andwork with localcommunity groupsto increaseaccessto testing Surgetestingand contacttracing resourcesto neighborhoodsand zip codes highestcase rates Diagnostic pooling: Laboratoriesshould usepooling ofsamplesto increasetestingaccessand reduce turnaroundtimes to under 12 hours. Considerpoolsof2-3 individuals in high incidencesettingsand 5 : 1pools in settingwheretestpositivityis under 10% Surveillancepooling: For familyand cohabitatinghouseholds , screen entirehouseholdsin a single test by pooling specimensof all members into single collection device POLICYRECOMMENDATIONS FOR COUNTIESIN THEYELLOW ZONEIN ORDER TO PREEMPTEXPONENTIALCOMMUNITYSPREAD PublicMessaging Wear a mask at all times outsidethe homeand maintain physicaldistance Limitsocialgatherings to 25 people or fewer Do notgo to barsor nightclubs Usetake out, outdoor dining or indoor diningwhen strict socialdistancingcan bemaintained Protectanyone with serious medicalconditions at homeby socialdistancing athome and using high levels ofpersonal hygiene Reduce your public interactions and activities to 50 % of your normal activity PublicOfficials Limit gymsto 25 % occupancyandclose barsuntilpercentpositiveratesareunder3 ; createoutdoordiningopportunitieswith pedestrian areas Limitsocialgatheringsto 25 peopleor fewer Instituteroutine weeklytestingofallworkersin assistedlivingandlong-term carefacilities. Requiremasksfor allstaffandprohibit visitors Ensurethat allbusinessretailersand personalservicesrequiremasksand can safelysocialdistance Increasemessagingon therisk ofseriousdiseaseforindividualsin allage groupswith preexistingobesity, hypertension , anddiabetes mellitus , andrecommendto shelterin place Work with localcommunitygroupsto providetargeted, tailoredmessaging to communities with high case rates, and increasecommunity leveltesting Recruitmore contacttracers ascommunity outreachworkersto ensureallcasesare contactedand allpositivehouseholdsare individuallytestedwithin 24 hours Provideisolationfacilitiesoutsideofhouseholdsif positiveindividualscan'tquarantinesuccessfully Testing Moveto community- led neighborhoodtestingandwork with localcommunitygroupsto increaseaccess to testing Surgetestingand contact tracingresourcesto neighborhoodsand zip codes with highestcaserates Diagnosticpooling: Laboratoriesshouldusepoolingof samplesto increasetestingaccessand reduceturnaroundtimes to under 12 hours. Considerpoolsof3-5 individuals Surveillancepooling : Forfamily andcohabitatinghouseholds , screenentire householdsin a singletestby poolingspecimensof all membersinto single collectiondevice COVID - 19 STATE REPORT 07.26.2020 CASE COVID CASE 19 NEW 800 600 400 200 Daily COVID - 19 Cases Daily COVID -19 Cases ( 7 - day average) 10000 TESTING TESTS COVID 19 20.0 % 8000 15.0 % 6000 10.0 % 4000 5.0 % 2000 OF TESTS PERCENTAGE TOTAL 0.0 % Daily Tests Completed ( 7 day avg. ) % Positivity Rate (by result date 7 day avg. ) Top counties based on greatest number ofnew cases in last three weeks (7/4 - 7/24 ) CTOUONTPIES Polk Scott 8000 ) CASES NEWCUMULATIVE Dubuque Black Hawk Linn 6000 son Dallas Webster 4000 Cerro Gordo Woodbury ( 2000 3/8 3/15 3/22 3/29 4/5 4/12 4/19 - 4/26 5/3 5/10 5/17 5/24 5/31 6/7 - 6/14 6/21 6/28 7/5 7/12 7/19 7/26 DATA SOURCES Cases: County-leveldata from USAFacts. State values are calculated byaggregating county- leveldata from USAFacts; therefore, the values may notmatch those reported directly by the state. Data is through 7/24/2020 . Testing: CELR ( COVID - 19 Electronic Lab Reporting) statehealth department-reported data through 7/22/2020. COVID - 19 Top 12 counties based on number ofnew cases in the last 3 weeks Daily COVID - 19 Cases ( 7 -day average) 200 Polk County Daily COVID - 19 Cases Scott County DubuqueCounty 60 60 40 40 20 20 150 100 50 CASE DAILY TO AL Black Hawk County Linn County Johnson County 60 150 60 100 40 50 20 40 20 WebsterCounty Dallas County 100 Cerro GordoCounty 60 30 75 40 20 50 20 10 25 O PottawattamieCounty Woodbury 300 Story County 40 40 200 30 20 20 100 10 - - 3/21 4/5 4/20 5/5 5/20 6/4 6/19 7/4 7/19 5/20 6/4 6/19 7/19 DATA SOURCES Cases: County-leveldata from USAFacts through 7/24/2020. Last 3 weeks is 7/4 - 7/24. 5/20 6/4 6/19 7/4 7/19 COVID - 19 IOWA STATE REPORT 07.26.2020 CASE RATESAND DIAGNOSTIC TESTPOSITIVITYDURING THE LASTWEEK TEST POSITIVITYDURING LAST NEW CASES PER 100,000 DURING LASTWEEK WEEK Date: 7/26/2020 Date : 7/26/2020 MN MN WI SD WI SD IA NE IA NE IL IL Cases per 100K TestPositivity 20 Cases inLast 14 Days 20 Casesin 14Days % to 4.9% 0.1to 9.9 MO 100 to 199.9 200 to499.9 500 orMore KS 5 % MO 0 10 to 99.9 to 9.9% 10% to 19.9% 20% or More KS WEEKLY % CHANGEIN NEW WEEKLY CHANGEIN TEST CASES PER 100K POSITIVITY Date: 7/26/2020 Date : 7/26/2020 MN MN WI SD WI SD IA IA PercentChangein Casesper100K NE NE Absolute Change in Test Positivity Casesin Last 14Days Cases in Last 14Days % 100 Less 2 % 10% to 99.9 Less KS 100% to 999.9% More 1.000% + % LittleChange 10% to 99.9% More MO Less 0.5% to 1.9% Less MO LittleChange 0.5 % to 1.9% More KS % + More DATA SOURCES Cases: County-leveldata from USAFactsthrough 7/24/2020. Lastweek is7/18 - 7/24, previousweek is 7/11- 7/17. Testing: CELR (COVID- 19 ElectronicLab Reporting ) state health department -reporteddata through 7/22/2020. Lastweek is 7/16 - 7/22, previousweek is 7/9 - 7/15. Testingdatamaybebackfilledover time, resultingin changesweek- to-week in testing data. It is criticalthat statesprovideasup- to -datetestingdata aspossible.