# Iowa Department Of Public Health



A good Iowa court ruling for public employees—and open records

Iowans who handle public records requests for government bodies gained more protection from possible retaliation on June 23, when the Iowa Supreme Court ruled that former Iowa Department of Public Health communications director Polly Carver-Kimm can proceed with both of her wrongful termination claims against the state.

Four justices affirmed a Polk County District Court decision, which allowed Carver-Kimm to allege under Iowa’s whistleblower statute that she was wrongly forced to resign in July 2020, and that Iowa’s open records law protected her activities when fulfilling records requests for the public health agency.

The Iowa Supreme Court did reverse one part of the lower court’s ruling. All seven justices determined that Governor Kim Reynolds and her former spokesperson Pat Garrett should be dismissed as individual defendants, because they lacked the “power to authorize or compel” Carver-Kimm’s termination.

But the impact of the majority decision in Carver-Kimm v. Reynolds extends far beyond the named defendants in one lawsuit.

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Midwifery licensure would improve maternal health, infant outcomes

Bethany Gates is a Certified Professional Midwife from Vinton (Benton County), where she lives with her husband, Judah, and their 4 daughters.

Certified Professional Midwives are midwives who practice in an out-of-hospital setting. Iowa CPMs attend home births; in other states, CPMs attend home births and births in birth centers. 

Here in Iowa, CPMs are unregulated, and the Iowa Code does not have any section addressing their practice. While this may sound like freedom in theory, the reality is that midwives face many challenges as they strive to provide quality care, because Iowa does not license the profession.

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Analysis: Five years of maternal health data in Iowa

Rachel Bruns is a volunteer advocate for quality maternal health care in Iowa.

I recently recounted how it took the Iowa Department of Public Health (IDPH) 170 days to respond to my request for information on the total births, primary cesareans, total cesareans, and vaginal births after cesareans (VBACs) at Iowa hospitals. I eventually received aggregated five-year totals (2016 through 2020) for each birthing hospital in Iowa.

The International Cesarean Awareness Network (ICAN) of Central Iowa, where I serve as a volunteer chapter leader, has made the data available on our website. You can see it in table form below as Appendix 1. 

While I would have preferred for IDPH to provide the figures for a single year, as I requested, the compiled data still tells us a lot about the overuse of cesareans at several Iowa hospitals and the lack of VBAC access across much of the state.

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On COVID-19, governor is a day late and a dollar short—again

Jan Flora is Professor Emeritus at Iowa State University.

On January 9, new cases of COVID-19 reached an all-time high in Iowa. Governor Kim Reynolds may have known that when she gave her Condition of the State address two days later. By barely mentioning the pandemic, she attempted to relegate it to the past.

With the Omicron variant now dominant, COVID-19 cases were modeled to peak on January 15. Coronavirus-related hospitalizations are now near 1,000, the highest point since early December 2020. Iowa faces a grave hospitalization crisis that may not ease before March.

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Kim Reynolds gave up trying to fight COVID-19

This week, Iowa’s COVID-19 hospitalizations reached levels not seen for more than a year. Even with 100 out-of-state nurses and respiratory therapists helping to manage the workload, the state’s major medical centers are being crushed. Hospital leaders, health care workers, and public health officials in the Quad Cities, Cedar Rapids, and central Iowa have been begging for weeks: “We are overwhelmed.” “We’re exhausted.” “We need your help.”

Against this backdrop, Governor Kim Reynolds has not made even a token effort to encourage Iowans to slow the spread of a virus that has killed more than 8,200 of her constituents, claiming more than 100 lives each week in recent months.

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Iowa extends nurses' contract as COVID-19 hospitalizations surge

As COVID-19 hospitalizations reach levels not seen in Iowa for more than a year, the state has extended a contract for 100 out-of-state nurses and respiratory therapists to alleviate staff shortages at major medical centers.

Iowa Department of Public Health spokesperson Sarah Ekstrand confirmed to Bleeding Heartland via email that the state has twice extended the six-week contract signed with Kansas company Favorite Healthcare Staffing in early December—first to run through January 28, and more recently to run through February 11.

Ekstrand added that the state recently accepted bids “to establish a statewide hospital bed transfer line. The goal is to establish a call center to help relieve pressure on hospital staff in order for them to be able to spend more time caring for ill patients.”

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My effort to allow religious use of marijuana extracts in Iowa

Carl Olsen is the founder of Iowans for Medical Marijuana.

In October, I asked the Polk County District Court to declare religious use as a qualifying condition for participation in the state’s marijuana extract program, Iowa Code Chapter 124E.

On November 23, 2021, the state filed a Motion to Dismiss my Petition for Declaratory Judgment. The state said it had sovereign immunity and cannot be sued.

On November 24, 2021, I filed an application with the Iowa Department of Public Health (IDPH) for access to the program.

The state made three other arguments in its motion to dismiss:

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State agency took 170 days to produce maternal health records

Rachel Bruns recounts the saga of trying to obtain records that the Iowa Department of Public Health could have provided promptly.

In an article I wrote for this website in January 2021, Provider practices in Iowa lead to more c-sections, complications, I mentioned that I had requested records from the Iowa Department of Public Health (IDPH) on the number of cesarean births and vaginal births after cesarean (VBACs) in Iowa hospitals.

A lot has happened related to my request since then. I’m summarizing my experience in case it can help other Iowans seeking what should be public information from a government entity.

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Court ruling good for open records, bad for Kim Reynolds

A Polk County District Court has rejected the state’s motion to dismiss part of Polly Carver-Kimm’s wrongful termination lawsuit against the state of Iowa, Governor Kim Reynolds, her former communications director Pat Garrett, and several senior Iowa Department of Public Health (IDPH) officials.

Carver-Kimm handled press contacts and public records requests for the IDPH for thirteen years before being forced to resign in July 2020. She asserts that she was “stripped of her duties and later terminated after she made repeated efforts to comply with Iowa’s Open Records law (Chapter 22) by producing documents to local and national media regarding the State of Iowa’s response to the ongoing pandemic.”

District Court Judge Lawrence McLellan’s December 22 ruling (enclosed in full below) affirmed the importance of the open records law and rejected the state’s effort to remove Reynolds as a defendant in this case.

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Where are they now? Caitlin Pedati edition

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.

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Amid COVID-19 surge, state orders traveling nurses for Iowa hospitals

As Iowa’s COVID-19 hospitalizations reach levels not seen since December 2020, the state is contracting for 100 traveling nurses and respiratory therapists to be deployed in hospitals around Iowa.

Iowa Department of Public Health spokesperson Sarah Ekstrand did not list the participating hospitals but said in a December 7 email that the deployment will support seventeen facilities “that provide 1, 2, and 3 Trauma Level care.”

Communications staff for Mercy Cedar Rapids, MercyOne (which operates hospitals in Des Moines, West Des Moines, Dubuque, Clinton, Sioux City, Mason City, and Waterloo), Genesis Health System in Davenport, and UnityPoint’s Allen Hospital in Waterloo confirmed to Bleeding Heartland that they will receive some of the staffing assistance. UPDATE: The full list can be found at the end of this post.

Ekstrand said the deployment “will enhance capacity, reduce ED [emergency department] wait room times, facilitate additional transfers of critically ill patients and reduce strain at lower level trauma care facilities allowing their teams to focus on care for those who are less critically ill.”

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Ten ways Dr. Caitlin Pedati failed Iowans

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.

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Health agency hiring temporary help with public records requests

The Iowa Department of Public Health is hiring a temporary staffer to assist public information officer Sarah Ekstrand in processing open records requests. The job listing says the new hire will help review and update the agency’s system for tracking requests, communicate with members of the public about the status of requests, help refine search terms, provide cost estimates, and review documents to see if they can be withheld as confidential.

The application deadline for the position was September 16. The temporary hire will be paid between $26.61 and $40.50 an hour, for at most 780 hours of work in the current fiscal year. That works out to about 20 weeks of full-time efforts devoted to processing records requests between now and June 30, 2022.

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1 in 500 Iowans have died of COVID-19

At least 6,390 Iowans have died of COVID-19, according to U.S. Centers for Disease Control statistics published on September 13. That’s just over one in 500 of the 3,190,369 Iowans who were living in the state as of April 1, 2020 (the U.S. Census Bureau’s resident population count).

The state’s COVID-19 dashboard, which lags behind federal data and is updated less frequently, now shows 6,337 total deaths. Sara Anne Willette draws on federal databases when updating her Iowa COVID-19 Tracker website, which now shows 6,392 total deaths.

Statistics compiled by the New York Times indicate that Iowa is the 25th state to pass the grim milestone of losing one in 500 residents in the pandemic. The highest per capita fatality rates are mostly found in densely populated northeastern states, where the novel virus spread widely before mitigation practices were in place, or in the deep South.

Among the states bordering Iowa, South Dakota has the highest fatality rate, followed by Illinois. Missouri’s per capita deaths are a little lower than Iowa’s, while Wisconsin, Minnesota, and Nebraska have all lost far fewer residents than Iowa as a percentage of their populations.

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Exclusive: Other agencies covered $900K in governor's office costs

Governor Kim Reynolds’ office was able to spend nearly 40 percent more than its $2.3 million budget appropriation during the last fiscal year, mostly by shifting personnel costs onto other state agencies.

Documents Bleeding Heartland obtained through public records requests show that eight state agencies covered $812,420.83 in salaries and benefits for nine employees in the governor’s office from July 1, 2020 through June 30, 2021. In addition, the Office for State-Federal Relations in Washington, DC remained understaffed, as it has been throughout Reynolds’ tenure. The vacant position should allow roughly $85,000 in unspent funds to be used to balance the rest of the governor’s office budget, as happened last year.

The governor’s communications director Pat Garrett did not respond to four inquiries over the past two weeks related to the office budget. But records indicate that unlike in 2020, federal COVID-19 relief funds will not be tapped to cover salaries for Reynolds’ permanent staffers in fiscal year 2021.

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Governor muzzles public health experts on masks

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.

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Governor, ER doctor on how COVID-19's affecting Iowa hospitals

Some 524 Iowans were hospitalized with COVID-19 as of September 1, according to the latest available figures on Iowa’s official coronavirus website. The first time pandemic hospitalizations reached that level here was in late October 2020. Before this week, the last time Iowa marked seven straight days with more than 500 people being treated for coronavirus in the hospital was in early January.

Governor Kim Reynolds put a positive spin on recent trends during a news conference on September 2. The same morning, Dr. Lance VanGundy, an emergency room physician at UnityPoint’s Marshalltown hospital, posted a weary assessment of the current situation on his Facebook feed.

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Iowa's COVID-19 hospitalizations reach October 2020 levels

COVID-19 case counts and hospitalizations continue to accelerate in Iowa, reaching levels not seen for many months. Data published on the state’s official website on August 25 show Iowa reported 7,112 new coronavirus cases over the previous week. The last time the state averaged 1,000 new cases a day was in late January.

Statewide, 498 Iowans are now hospitalized with COVID-19, an increase of 25 percent from the 396 reported on August 18. The last time this many Iowans were hospitalized with coronavirus was in mid-January. The number of patients being treated for the virus in intensive care units (133) is at its highest level since late December 2020. Iowa also reported 89 new daily admissions for COVID-19 on August 25, the highest level since mid-January.

Hospitalizations have risen sharply this summer, quadrupling in the last month alone. Current numbers are ten times higher than the low point for Iowa’s COVID-19 hospitalizations in late June.

The slope of this past month’s increases resembles what happened in Iowa last October, as you can see from graphs published on the RMCC Data page of the state’s website. Total hospitalizations and new daily admissions are now approximately where they were on October 20, 2020.

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Governor blocks Iowa schools from opening "safely and responsibly"

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.

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Utah attorney sues state agency for Test Iowa records

An attorney representing the board chair of the Salt Lake Tribune has sued the Iowa Department of Public Health (IDPH) and its records custodian for failing to provide email correspondence related to the $26 million Test Iowa program.

Paul Huntsman confirmed on July 30 that the lawsuit Suzette Rasmussen filed in Polk County the previous day is part of his Jittai initiative. The Tribune’s board chair recently created Jittai in order “to learn more about TestUtah and its sister programs” created through similar no-bid contracts in Iowa, Tennessee, and Nebraska. Florida also implemented parts of the program.

According to the court filing, which is posted in full below, Rasmussen wrote to Sarah Ekstrand in March seeking “copies of all correspondence between the Iowa Department of Public Health, including but not limited to Interim Director Kelly Garcia, and the Iowa Governor’s Office, Utah state officials, Nebraska state officials, and Tennessee state officials regarding the Test Iowa Contract” from March 1, 2020 to March 11, 2021.

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Governor bashes CDC, blames immigrants for COVID-19 spread

As the more transmissible Delta variant causes COVID-19 cases to rise in all 50 states, the U.S. Centers for Disease Control changed its guidance for fully vaccinated individuals on July 27. The CDC now recommends that they “wear a mask indoors in public” in areas “of substantial or high transmission.” In addition, anyone living with unvaccinated or immunocompromised household members, or those at higher risk of severe disease, “might choose to wear a mask regardless of the level of transmission.”

Despite having no science background, Governor Kim Reynolds bashed the new guidance as “not grounded in reality or common sense.” Only a few hours earlier, she had absurdly suggested that immigrants entering Texas might be to blame for accelerating community spread of COVID-19.

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State medical director misleads on COVID-19 nursing home data

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.

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Vaccinated Iowa Veterans Home resident dies of COVID-19 (updated)

This story has been updated to note that a second resident infected in the latest outbreak has died.

Two of the seven Iowa Veterans Home residents who recently contracted COVID-19 have died, the home told relatives and guardians. The first resident who passed away “was in end of life care prior to testing positive” for coronavirus, an email sent on July 2 said. The message announcing the second death on July 4 did not provide further details.

All residents and staff affected by the latest coronavirus outbreak–the fifth at the state-run facility in Marshalltown–had been living or working in the Malloy 3 unit, which “remains in isolation.” Five of the residents who tested positive in late June returned from the facility’s COVID unit to Malloy 3 last week.

According to previous emails the facility sent to relatives and guardians, the residents who became infected in late June were all vaccinated for COVID-19.

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Company that provided Test Iowa tests faced SEC investigation

Co-Diagnostics, the Utah-based company that provided hundreds of thousands of COVID-19 tests for the Test Iowa program, faced a U.S. Securities Exchange Commission (SEC) investigation last year, Andrew Becker exclusively reported for the Salt Lake Tribune on June 17. Nomi Health, which signed no-bid contracts to provide COVID-19 testing with Utah, Iowa, and Nebraska, subcontracted with Co-Diagnostics for polymerase chain reaction (PCR) tests.

Records obtained and sources interviewed by Becker indicated that Co-Diagnostics went to a small regional hospital in Utah to validate its PCR tests while seeking Food and Drug Administration approval, instead of using equipment at Utah’s Public Health Laboratory. Senior state officials pushed for allowing the tests to be used in the Test Utah program prior to FDA emergency use authorization. In addition, the FDA issued the emergency approval more quickly than expected, even though officials within the federal agency reportedly “had concerns because Co-Diagnostics tests were manufactured in China.” 

The SEC began asking Utah officials questions in late April, Becker’s reporting shows. That was a few weeks after Test Utah launched and one week after Governor Kim Reynolds announced her administration had partnered with the same Utah-based companies for Test Iowa.

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Update on efforts to obtain a federal cannabis exemption for Iowa

Carl Olsen is the founder of Iowans for Medical Marijuana. promoted by Laura Belin

In February 2019, I asked the Iowa Medical Cannabidiol Board, which regulates our state’s medical cannabis program, if there was anything we could be doing about federal drug law, such as obtaining a federal exemption (21 C.F.R. § 1307.03) like the one that currently exists for another federal Schedule I controlled substance, peyote (21 C.F.R. § 1307.31).

In August 2019, at my request, the board recommended that the Iowa Department of Public Health (IDPH) obtain a federal exemption for cannabis. However, the department refused, saying none of the other 46 states that have enacted medical cannabis laws have requested federal exemptions, and that Iowans were not being injured by the federal criminalization of cannabis.

Keep in mind that patients had been testifying before the board about discrimination in schools and health care facilities because of the federal criminalization of cannabis. Iowa Attorney General Tom Miller signed a September 2019 bipartisan letter from attorneys general saying the current federal policy “poses a serious threat to public safety.”

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Iowa Republicans have abandoned executive branch oversight

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.

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Governor's complacency on vaccinations endangers Iowans (updated)

COVID-19 vaccinations increased significantly in Ohio after Governor Mike DeWine announced vaccinated residents would be eligible for five $1 million lottery drawings or full-ride scholarships to state universities. In contrast, vaccinations have been plummeting in Iowa lately. Most county health departments have been declining their vaccine allocations. Average daily shots are down 80 percent from their peak in early April.

Eighteen states and Washington, DC are now ahead of Iowa in terms of percentage of the population fully vaccinated, and 22 states plus DC have a higher percentage of residents who have received at least one shot. Less than two weeks ago, Iowa ranked sixteenth in the country on that metric.

Governor Kim Reynolds isn’t worried, though. She told reporters on June 2, “I am really happy with where we’re at” in terms of vaccinations. From Brianne Pfannenstiel’s article for the Des Moines Register,

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Data show no clear trend for Iowa suicides during pandemic

While defending her approach to the COVID-19 pandemic last year, Governor Kim Reynolds repeatedly asserted that Iowa was seeing an “uptick” in suicides, and listed suicides among the mental health problems that were “exponentially increasing.”

Preliminary data on Iowa deaths by suicide in 2020 paint a more complex picture. An estimated 557 Iowans took their own lives last year, the highest number recorded in two decades. However, many of the increased deaths occurred during January and February, before COVID-19 was identified in Iowa and well before any restrictions were imposed to slow the spread of the novel virus.

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Iowa Public Health abandons COVID-19 safety in schools

Governor Kim Reynolds told Iowans this week to “lean further into normal,” since “There’s no reason for us to continue to fear COVID-19 any longer.”

Iowa Department of Public Health Director Kelly Garcia obliged with new guidance urging schools and child care providers to “approach COVID-19 like other child illnesses.”

To justify abandoning precautions like mandatory face coverings and quarantines for children exposed to coronavirus, Garcia misrepresented the latest advice from the U.S. Centers for Disease Control.

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Iowa concealed COVID-19 testing help for well-connected firms

State officials deployed “strike teams” involving the Iowa National Guard to more businesses last year than previously acknowledged.

Records the Iowa Department of Public Health (IDPH) released on April 26 show seventeen workplaces received COVID-19 testing assistance through a strike team. The agency had stated in January that only ten workplaces (operated by nine companies) had strike team visits. Several newly-disclosed events benefited businesses linked to Governor Kim Reynolds’ major campaign donors.

Iowa used the strike teams mostly during the spring of 2020, when COVID-19 testing supplies were scarce. However, a strike team was sent to Iowa Select Farms administrative headquarters in mid-July, more than five weeks after the state had stopped providing testing help to other business. That company’s owners are Reynolds’ largest campaign contributors.

The governor asserted at a January news conference that the state had facilitated coronavirus testing for more than 60 companies, saying no firm was denied assistance. The newly-released records show nineteen businesses received testing kits from the state, and another nineteen were directed to a nearby Test Iowa site where their employees could schedule appointments.

The public health department’s spokesperson Sarah Ekstrand has not explained why she provided incomplete information about the strike team program in January. Nor has she clarified what criteria state officials used to determine which companies received which kind of testing assistance.

The governor’s spokesperson Pat Garrett did not respond to any of Bleeding Heartland’s emails on this subject. Reynolds walked away when I tried to ask her about the strike team decisions at a media gaggle on April 28.

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Iowa turned down $95 million to test school kids for COVID-19

Governor Kim Reynolds revealed on April 29 that she is sending back $95 million in federal funds designated for testing students for COVID-19.

During a Fox News event featuring Republican governors, Reynolds said of President Joe Biden,

I think he thinks the COVID just started. I just returned 95 million dollars because they sent an additional 95 million dollars to the state of Iowa to get our kids back in the classroom by doing surveillance testing. And I said, “We’ve been in the classroom since August. Here’s your 95 million dollars back.”

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States must apply for federal exemption when authorizing use of cannabis

Carl Olsen is the founder of Iowans for Medical Marijuana. -promoted by Laura Belin

Don’t be fooled by quasi-legal schemes to tax and regulate cannabis. There is a federal solution for doing this the right way.

If legislators tell you it makes their eyes glass over, tell them to leave the capitol and don’t come back until they are sober. They should not be legislating unless they can clearly see the road ahead.

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Iowa reports dozens of "new" COVID-19 deaths from 2020

Iowa’s official COVID-19 website added 68 more deaths over the weekend, bringing the state’s death toll to 5,822 (roughly one out of every 540 Iowans who was alive before the pandemic). The large increase was surprising; COVID-19 hospitalizations have been trending upward in recent weeks, but haven’t risen sharply enough to produce dozens of fatalities in just a few days.

It turns out that most of the newly reported deaths occurred more than three months ago.

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Racial disparities narrow in Iowa's COVID-19 vaccinations

As Iowa prepares to expand COVID-19 vaccine eligibility to all adults on April 5, racial and ethnic disparities in the state’s vaccination rates have narrowed slightly since Bleeding Heartland last reviewed this data four weeks ago. However, people of color have still received far fewer vaccine doses per capita, compared to white Iowans.

At least 1,588,117 COVID-19 vaccine doses have been administered to Iowa residents, according to the state’s vaccination dashboard on April 4. At least 662,885 Iowans have received all required doses of a COVID-19 vaccine (that is, two shots of the Pfizer or Moderna vaccines, or a single shot of the Johnson & Johnson vaccine). Another 368,646 Iowans “have received one dose of a two-dose COVID-19 vaccine series, but have not completed the series.”

Breaking down the numbers by race and ethnicity, it’s apparent that Iowa has a long way to go to achieve equity in vaccine distribution.

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Twelve facts about Iowa's staggering COVID-19 death toll

Kathy Davis passed away on March 24, 2020, having fallen ill shortly after an overseas vacation with her husband. The Iowa Department of Public Health later determined that the retired community college counselor from Dubuque was the first Iowan to die of the novel coronavirus.

One year later, the state’s official website shows that 5,689 Iowans have died of COVID-19. The real death toll is somewhat higher, since the process of confirming and reporting coronavirus deaths usually involves weeks of delay. In addition, some Iowans who died in the early weeks of the pandemic may not have had a positive test during their illness.

This post attempts to put Iowa’s coronavirus fatality numbers into context. But since statistics don’t convey the loss that thousands of families have experienced, I hope readers will take time to reflect on those who have passed. The Dubuque Telegraph-Herald’s Bennet Goldstein wrote about Kathy Davis and her widower Chuck’s journey of bereavement. The Carroll Times Herald’s Jared Strong covered the aftermath of a card game among friends in Crawford County. Newspaper reporters from around the state have profiled hundreds of the dead as part of the Iowa Mourns series, available on the Des Moines Register’s website. One of those featured was Jay Daniels, a longtime family friend whose funeral we couldn’t attend, due to COVID safety protocols.

Bereavement on this scale is hard to fathom, especially in a culture some might call “grief-illiterate,” where death is often “unseen and denied.” Even so, it’s worth looking at the numbers.

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State auditor to review Iowa's COVID-19 "strike teams"

State Auditor Rob Sand announced on January 26 that his office will examine the state’s use of COVID-19 “strike teams” involving the Iowa National Guard. A news release noted,

Reports show public record emails in which a metal-working manufacturer owned by major donors to Governor Reynolds received a strike team deployment upon a personal request made to her office, while the same county’s public health department saw its requests for locations with higher needs ignored.

Bleeding Heartland exclusively reported on those emails. In one exchange, an employee of the GMT Corporation in Waverly told Bremer County’s public health administrator, “I requested testing and was told that we would most likely be denied with only one case. Our owners contacted the governor directly and she authorized the testing for us.”

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Exclusive: Governor fast-tracked COVID tests for firm linked to major donor

Governor Kim Reynolds authorized using state resources to conduct COVID-19 tests at a workplace that had only one confirmed case after the company’s owners reached out to her last May.

Iowa National Guard and Iowa Department of Public Health (IDPH) personnel facilitated coronavirus testing at GMT Corporation, a machine parts manufacturer in Waverly, on May 22, 2020. Fewer than a dozen Iowa businesses received such visits during the two months the state’s “strike team” program was active, when coronavirus testing kits were not widely available.

Summit Ag Investors, the asset management arm of Bruce Rastetter’s Summit Agricultural Group, owns a majority interest in GMT. Emails Bleeding Heartland obtained through a public records request indicated, and GMT’s top executive confirmed, that someone from Summit Ag “contacted the governor directly” after GMT staff learned they “would most likely be denied” testing assistance from the state.

Neither Summit Ag executives nor staff in the governor’s office responded to Bleeding Heartland’s inquiries.

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Birthing a conference: A celebration of Black kin

Des Moines-based holistic doula and lactation counselor Olivia Samples first published this post on Kismet Doula Services’ blog. -promoted by Laura Belin

Last year I attended two conferences centered around Black Maternal Health. After the first one I attended, I had a dance party in my room to the playlist they sent us. The discussion, resources, and connection I got from this event totally filled my cup; left me energized and ready for more.

A few weeks later, during the second conference, I felt the anger rising from my gut into my face. I cried and stepped away after hearing so many statistics of the disparities for Black birthing people in Iowa. I learned a lot from other sessions throughout the conference, but at the end of the day, I closed my laptop, journaled, and took a nap.

Something that sticks out from the entry that day:

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The 20 most-viewed Bleeding Heartland posts of 2020

Since I started reviewing Bleeding Heartland’s most widely-read posts at the end of each year, I’ve had mixed feelings about the practice. My organizing principle on any given day is not chasing clicks, but looking for ways to add value, either by covering Iowa political news not reported elsewhere, or by offering a different perspective on the big story of the day. I try not to be hyper-aware of traffic numbers, so as not to let those drive editorial decisions.

On the other hand, it is fun at year-end to recap the posts that were particularly popular with Bleeding Heartland readers, and I usually find a few surprises.

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Best of Bleeding Heartland's original reporting in 2020

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.

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