Iowa’s former State Medical Director Dr. Caitlin Pedati began working last week as Virginia Beach Health District Director, the city of Virginia Beach announced on December 10.

Jason Clayworth reported on December 14, “Pedati’s new gig is a recently created position that pays $190,000 a year, according to records obtained by Axios Monday.” He noted that was substantially less than Pedati’s annual salary in Iowa. The state employee salary book lists Pedati’s annual gross pay at $229,545.41 for fiscal year 2020 and $282,131.62 for the 2021 fiscal year.

Governor Kim Reynolds’ disaster emergency proclamations allowed state employees who normally would not be eligible for overtime pay to receive it for work related to the COVID-19 response. Bleeding Heartland reported last year that Pedati received more than $55,000 in overtime pay from March through early July 2020. Documents I received through a subsequent public records request showed that Pedati collected a total of $67,653.29 in overtime pay during the first six months of the pandemic.

Pedati grew up in the Virginia suburbs and attended college and medical school in the Washington, DC area. So it’s not surprising she would want to return to her home state—even for a lower salary—after four and a half years in the Midwest.

State Medical Director and Epidemiologist Dr. Caitlin Pedati is leaving the Iowa Department of Public Health (IDPH) in late October, the agency announced on September 22.

The leader of Iowa’s COVID-19 response had hardly been seen in public all year and granted few media interviews. Pedati was an occasional speaker at Governor Kim Reynolds’ televised news conferences during the first eight months of the pandemic, but had not appeared at one since November 2020.

The unexplained departure raised questions about whether Pedati walked or was forced out. Reynolds’ new spokesperson Alex Murphy told Bleeding Heartland via email that no one in the governor’s office asked the medical director to leave. “This was a personal decision by Dr. Pedati.” Murphy also said the governor won’t pick her successor; rather, IDPH Director Kelly Garcia “and her team will handle the hiring.”

I’ll be seeking records that could show whether Pedati (a board-certified pediatrician) disagreed with any aspects of Iowa’s COVID-19 mitigation strategy, such as grossly inadequate guidance for schools or the retreat from recommending masks, even for unvaccinated people crowded together indoors.

Whether or not Pedati had any private misgivings, she repeatedly failed to keep Iowans safe or adequately informed during this pandemic, which has already killed more than 1 in 500 Iowa residents who were alive eighteen months ago.

Once upon a time, Governor Kim Reynolds postured as an advocate for mask wearing to reduce community transmission of COVID-19. Although she never consistently masked up when near others, and often sent mixed messages about whether face coverings were advisable for everyone or mainly for vulnerable people, she appeared in videos last year that promoted masks as one way to “step up and stop the spread.”

The governor stopped touting masks some months ago. In recent interviews and public appearances, she has claimed it’s not clear whether face coverings reduce virus transmission in schools, and has asserted that masks can harm children.

The Iowa Department of Public Health has similarly retreated from recommending masks as part of a layered COVID-19 mitigation strategy. The governor’s staff have micromanaged the public health agency’s communications with the media since the earliest days of the pandemic. At Reynolds’ latest news conference, she and a staff member intervened twice to stop IDPH Director Kelly Garcia from answering questions about the benefits of masks.

Governor Kim Reynolds loves to boast that Iowa “led the way” in bringing kids back to school during the COVID-19 pandemic, “and we did it safely and responsibly.” The talking point was debatable last year, since Iowa’s new cases and hospitalizations began surging several weeks after schools reopened.

It’s laughable now, as Iowa schools prepare to welcome kids back this week. While the Delta variant has caused spikes in pediatric cases and hospitalizations where schools are already in session, Reynolds and leaders of Iowa’s education and public health departments have blocked nearly every practice that helped reduce COVID-19 spread in schools last year.

State Medical Director and Epidemiologist Dr. Caitlin Pedati asserted that publicly available information about coronavirus cases in Iowa nursing homes is “pretty similar” to what was long disclosed on the state’s official COVID-19 website.

Pedati made the false claim during a wide-ranging interview with Andy Kopsa of Iowa Watch, conducted soon after the state switched from daily to weekly updates on coronavirus.iowa.gov. As part of the revamp, officials removed a page that had shown current outbreaks in long term care facilities.

Governor Kim Reynolds has been lucky at key points in her political career. Terry Branstad passed over more experienced contenders to select her as his 2010 running mate, allowing a little-known first-term state senator to become a statewide elected official. Six years later, Donald Trump won the presidency and named Branstad as an ambassador, setting Reynolds up to become governor without having to win a GOP primary first.

Most important, Reynolds has enjoyed a Republican trifecta her entire four years as governor. Not only has she been able to sign much of her wish list into law, she has not needed to worry that state lawmakers would closely scrutinize her administration’s work or handling of public funds.

During the legislative session that wrapped up last month, the GOP-controlled House and Senate rejected every attempt to make the governor’s spending decisions more transparent. They declined to hold even one hearing about questionable uses of federal COVID-19 relief funds or practices at state agencies that disadvantaged thousands of Iowans.

Governor Kim Reynolds and other officials with important roles in Iowa’s COVID-19 response received talking points from Domo, Inc. before filming a promotional video for the company on state property last July.

The Utah-based firm, part of a group that received a $26 million no-bid contract to create the Test Iowa program, provided each interview subject with questions and “key statements” in advance, documents Bleeding Heartland received through a public records request show. State Medical Director Dr. Caitlin Pedati, the governor’s chief operating officer Paul Trombino, and others voiced some of those messages on camera.

Despite official claims that “no state resources were used” for the video, email records indicate two of the governor’s staffers spent time on preparations such as securing permissions to use different areas of the state capitol building. In addition, Trombino asked Dr. Michael Pentella, director of the State Hygienic Laboratory, to participate in the Test Iowa video.

My primary goal in running this website is to provide Iowa political news and analysis that’s not available anywhere else. I’m proud of what Bleeding Heartland accomplished in 2020 and want to highlight some of the investigative reporting and accountability journalism published first or exclusively here.

A forthcoming post will review the site’s most popular pieces from 2020, which included many I worked hardest on or most enjoyed writing.

As always, I’m grateful for readers whose appetite for this kind of reporting keeps me going.

Iowa Medical Director Dr. Caitlin Pedati received a 45 percent raise this summer despite a state policy limiting within-grade pay increases, records obtained by Bleeding Heartland show.

Department of Administrative Services (DAS) Interim Director Paul Trombino III advocated for Pedati to receive the unusually large raise three weeks after informing state agency directors that they could give employees within-grade salary hikes of up to 3 percent.

State rules also require that “any within grade pay increase must be accompanied by a current performance evaluation,” Trombino reminded directors in the same memo. However, staff with the Iowa Department of Public Health (IDPH) and DAS did not answer questions about whether anyone has formally reviewed Pedati’s work this year.

Governor Kim Reynolds found a way to make a bad situation worse.

In the past month, Iowa’s coronavirus deaths have accelerated, while hospitalizations have nearly doubled, far surpassing the previous peak in early May.

Despite numerous warnings from experts that Iowa is on a dangerous path, Reynolds refuses to take any additional steps to slow community transmission of the virus. Instead, she is sticking with the “trust Iowans to do the right thing” playbook, confident that hospitals will be able to handle the influx of COVID-19 patients.

The numbers speak for themselves.

Iowa continues to attract national media attention due to our high coronavirus case numbers, uncontrolled outbreaks on college campuses, Governor Kim Reynolds’ refusal to mandate face coverings, and her stubborn insistence that all school districts return to in-person instruction.

Another milestone in our state’s losing battle to contain the virus passed with little notice this week. Iowa moved up to eleventh place among the 50 states in terms of COVID-19 cases per capita, surpassing early hot spots New York and New Jersey.

There’s no excuse for how poorly we are managing the pandemic.

Less than a month into the new academic year, Iowa state officials changed guidance on student absences in a way that will make it difficult for school districts to hit a key metric for transitioning to online learning.

If you visit coronavirus.iowa.gov and view the graphs on the “case counts” page, you might expect to learn how many Iowans were tested for COVID-19 on any given day, and how many of those tests came back positive or negative.

You would be wrong.

Every day, records of hundreds or thousands of old tests disappear from the website. Consequently, it is impossible to reconstruct an accurate picture of Iowa’s testing numbers or positivity rates, either statewide or at a county level.

“Much of the spread that we’re seeing in Iowa continues to be tied back to young adults” between the ages of 19 and 24, Governor Kim Reynolds said during an August 27 news conference, where she announced a new proclamation closing bars in Polk, Dallas, Linn, Johnson, Story, and Black Hawk counties.

Reynolds noted that young adults are spreading coronavirus to classmates, co-workers, and others “by socializing in large groups” and “not social distancing.” She added, “While we still know that this population is less likely to be severely impacted by COVID-19, it is increasing the virus activity in the community, and it’s spilling over to other segments of the population.”

The official narrative seems designed to conceal three inconvenient facts. Reynolds didn’t follow expert advice that could have prevented this summer’s explosive growth in cases. For months, she discouraged young, healthy Iowans from worrying about the virus. And despite her “#StepUpMaskUp” public relations campaign, Reynolds has failed to practice what she preaches when attending large gatherings herself.

Iowa’s official COVID-19 website will begin including positive and negative results from antigen tests in published statistics on cases and positivity rates, Governor Kim Reynolds announced at an August 27 news conference. Previously, the Iowa Department of Public Health had included antigen tests in the total testing numbers but considered all results from such tests “inconclusive.”

The governor and State Medical Director Dr. Caitlin Pedati said the reporting change reflects new guidance from the U.S. Centers for Disease Control and more widespread availability of antigen tests across the state.

Physicians and public health experts had expressed concern that omitting the antigen positives from case counts was skewing the data and obscuring the spread of the virus.

UPDATE: The state began reporting antigen test positives on August 28. Original post follows.

“I’m just imploring anybody who would listen,” Dr. Ryan Flannery said near the end of our interview. “I just want accurate data.”

The family physician who helped plan the Washington County Hospital and Clinics pandemic response has little trust in statewide or county-level COVID-19 testing and case numbers released by the Iowa Department of Public Health (IDPH).

Foremost among his concerns: the state’s dashboard (coronavirus.iowa.gov) does not report positive results from antigen tests.

“Our state coronavirus website now includes the county by county 14-day average positivity rate for our school districts,” Governor Kim Reynolds announced at her August 6 news conference. “Schools and others will be able to check to see where each county stands on this important metric.”

State Medical Director Caitlin Pedati appeared via computer link at the same press conference, answering reporters’ questions about state policies on reopening schools.

Pedati acknowledged on August 19 that the Iowa Department of Public Health’s epidemiology team knew in late July that the positivity rates were inaccurate, because many recent COVID-19 cases were recorded as occurring weeks or months in the past.

An announced “fix” did not appear to solve the backdating problem. On the contrary: newly posted totals on the state’s coronavirus website increased the number of cases recorded for March and April.

The base pay for Iowa’s medical director and state epidemiologist Dr. Caitlin Pedati increased by 45 percent as the current fiscal year began on July 1, records obtained by Bleeding Heartland show. The additional $3,144 that Pedati began receiving per two-week pay period would translate to an extra $81,744 in base salary over twelve months.

The doctor leading the state’s COVID-19 pandemic response also received more than $55,000 in overtime pay from March through early July, even though her job class would not normally be eligible for overtime compensation.

More than four months into the novel coronavirus pandemic, Governor Kim Reynolds and the Iowa Department of Public Health are finally acknowledging that slowing the spread of COVID-19 will require many more Iowans to routinely cover their faces in public.

Their “#StepUpMaskUpIA” campaign might have been more successful if state officials had pushed the message before reopening businesses and lifting other COVID-19 mitigation strategies in May and June. Instead, top officials waited until new coronavirus cases, hospitalizations, and deaths had been trending upward in Iowa for weeks.

Public health experts at the University of Iowa urged state leaders months ago to call for universal use of face coverings. But at her televised news conferences, Reynolds repeatedly asserted that expanded testing would allow the state to “manage” and “control” the virus. At the same events, the governor regularly portrayed face masks as something vulnerable Iowans might need, or a precaution people could bring with them in case they found themselves in a crowded setting.

As recently as last week, Reynolds was photographed in close proximity to others, with no one’s face covered. Even now, she refuses to delegate authority so local governments can issue enforceable mask orders.

This project started with the goal of clearing up some confusion surrounding Iowa’s novel coronavirus (COVID-19) death statistics.

Specifically, I wanted to debunk a conspiracy theory making the rounds on Facebook, Twitter, and Reddit.

I also planned to explain why the number of deaths for a given day on the state’s official website (coronavirus.iowa.gov) didn’t always match the number of new deaths that had been announced on that date. Many readers had asked about the discrepancy.

I was almost ready to publish in early July, but I needed to nail down one detail. Did the total fatalities on the state website (793 at this writing) reflect all of what the U.S. Centers for Disease Control describes as “multiple cause” COVID-19 deaths, or only what the CDC labels “underlying cause” deaths?

After asking that question more than half a dozen times over two and a half weeks, I still haven’t received an answer. So much for the Iowa Department of Public Health’s supposed “transparency” and “constant communication with media” on the pandemic.

Occupational Safety and Health Administration (OSHA) staff conducted on-site inspections of two more Iowa meatpacking plants this week, the Iowa Division of Labor confirmed to Bleeding Heartland on June 2.

Documents provided the following day show regulators closed at least four coronavirus-related complaints against Iowa pork processors with no inspection.

Inspectors toured the Tyson Foods turkey plant in Storm Lake and the Perdue Premium pork facility in Sioux Center on June 1. Both site visits stemmed from “media referrals” rather than complaints, meaning officials acted on unspecified news reports or information relayed to OSHA by a journalistic source.

A company hired to ramp up Iowa’s capacity to test for novel coronavirus has been sending messages to sick Iowans that could discourage them from seeking a COVID-19 test.

Some people who reported respiratory symptoms when completing the Test Iowa online assessment, but did not qualify for an appointment at a drive-through site, received a message warning that COVID-19 testing “is quite invasive and uncomfortable” and that tests should be reserved “for those who need it the most.”

Neither Nomi Health nor state officials have clarified whether the Iowa Department of Public Health helped write or approved the wording.

The gaslighting was strong during Governor Kim Reynolds’ White House meeting on May 6 and Vice President Mike Pence’s Iowa visit two days later. Pence described Iowa as a COVID-19 “success story” on Wednesday. He elaborated in West Des Moines on May 8,

“Iowa has been leading the way with Governor Kim Reynolds […] From very early on, the strong steps and mitigation efforts have made a difference here. We grieve the loss of life here in Iowa, but the numbers speak for themselves. The outbreak in Iowa has not been like we’ve seen in other states and other metropolitan areas around the country. It’s a tribute to your early, strong steps.”

Meanwhile, Sioux City still tops a national list of “metro areas with the most recent cases and deaths, relative to their population, in the last two weeks.” Waterloo/Cedar Falls is fourth. Confirmed COVID-19 cases are rising rapidly in several smaller counties where Reynolds lifted restrictions on some business activities last week.

But that’s a topic for another day.

I was struck by Reynolds’ failure this week to follow best practices for slowing the spread of the virus.

For weeks, Governor Kim Reynolds told reporters at her daily news conferences that “data” and “metrics” informed her approach to slowing the spread of novel coronavirus (COVID-19) in Iowa.

That narrative flew out the window on April 27, when she unveiled her plan to lift some mitigation measures statewide and allow many kinds of businesses to reopen in 77 Iowa counties, effective May 1.

Reynolds and Dr. Caitlin Pedati, the state medical director and epidemiologist, sought to spin the new policy as “evidence-based.” In reality, they are betting Iowans’ lives on the potential for data collection that has barely begun.

Three weeks ago today, Iowa Department of Public Health Deputy Director Sarah Reisetter told reporters our state’s novel coronavirus (COVID-19) infections might hit “a first peak in the next two to three weeks.” But Iowa has racked up more confirmed cases and deaths attributed to COVID-19 during the past three days than in any previous three-day period. Outbreaks continue to be identified in long-term care facilities and meatpacking plants, where one infected person can pass the virus to many others.

Governor Kim Reynolds imposed stricter limits on socializing outside the household in fourteen northeast Iowa counties on April 16. The next day, she ordered all schools in the state to remain closed through the remainder of this academic year. But even as the governor encouraged Iowans to stay home if they can, she asserted on April 17 that “there are a lot of really positive signs” and suggested officials may be ready to start opening things up in parts of the state soon.

Meanwhile, the country’s most widely-cited model for COVID-19 now projects that use of hospital resources and coronavirus deaths in Iowa will peak on May 7 and 8, respectively. The Institute for Health Metrics and Evaluation (IHME) at the University of Washington also indicates that “relaxing social distancing may be possible” in Iowa after June 29. By comparison, the same model projects that the states of Washington and California already passed their peak for deaths and hospital resource use and may be able to scale down mandatory social distancing on May 18.

Why hasn’t Iowa turned the corner?