>> THE IOWA GOVERNOR IS ABOUT TO BEGIN HER DAILY BRIEFING. >> -- THE CASE COUNT. THIS MORNING, 740 NEW POSITIVE CASES IN IOWA. 85% OF THE POSITIVE CASES ARE FROM 22 COUNTIES WHERE RESTRICTIONS REMAIN IN PLACE. 516 OF THE 740 NEW POSITIVE CASES ARE FROM BLACKHAWK, DALLAS, POLK, WOODBERRY COUNTIE S. ANOTHER 8 I WENT SET PASSED AWAY DUE TO COVID -- 8 IOWANS PASSED AWAY DUE TO COVID-19. 37,708 NEGATIVE CASES. 45,593 TOTAL TESTS CONDUCTED IN IOWA, EQUATING TO PER CAPITA RATE OF ONE IN EVERY 69 IOWANS HAVE BEEN TESTED. OVER 2000 EVER COVERED WITH A RECOVERY RATE OF 37%. WE SIGNIFICANTLY EXPANDED TESTING IN IOWA, AND THE LAST WEEK ALONE WE HAVE DEPLOYED STRIKE TEAMS TO LONG-TERM CARE FACILITIES, MANUFACTURING FACILITIES AND THE IOWA VETERANS HOME SO ESSENTIAL WORKERS COULD BE TESTED. WE OPENED TEST SITES IN DES MOINES AND WATERLOO, GENERATING A HIGH VOLUME OF TESTS TO THE HYGIENIC LAB IN A SHORT AMOUNT OF TIME. WHILE TESTS ARE BEING PROCESSED AND INDIVIDUALS NOTIFIED AS TIMELY AS POSSIBLE, THERE IS A BACKLOG IN DATA ENTRY PROCESS WHICH IS HOW WE GET DAILY NUMBERS FOR REPORTING. THIS IS BEING ADDRESSED. IT WILL BE CAUGHT UP THIS WEEKEND. I WANT TO ASSURE YOU THERE -- THIS IS A SHORT-TERM ISSUE WHILE THE LAB IS TRANSITIONING TO ACCOMMODATE A HIGHER VOLUME OF TESTS ON AN ONGOING BASIS BUT AS THEY WORK THROUGH THE VALIDATION OF THE TEST IOWA PROCESS. AS WITH ANY NEW TEST, VALIDATION IS A NORMAL PROCESS OF THAT PROCESS AND TAKES TIME AND THIS IS CAUSING DELAY IN THE TEST IOWA RESULTS. FOR IOWANS THREE WAITING -- WAITING FOR THE RESULTS, WE ARE SORRY FOR THE DELAY. YOU WILL RECEIVE YOUR RESULTS THIS WEEKEND. BECAUSE OF THE LARGE NUMBER OF TESTS WE CONDUCTED RECENTLY WE ANTICIPATE THE OVERALL NUMBERS THAT WILL BE REPORTED THIS WEEKEND, THEY MAY BE HIGHER THAN USUAL AS WE HAVE SEEN IN TODAY’S NUMBERS SO PLEASE KEEP IN MIND A HIGH VOLUME OF TESTS CONDUCTED THIS WEEK WERE AMONG ESSENTIAL WORKERS AND COMMUNITIES FOR FACILITIES WHERE VIRUS ACTIVITY IS HIGH. BY WORKING WITH THESE BUSINESSES AND EMPLOYEES TO PROVIDE ACCESS TO SURVEILLANCE TESTING, WE HAVE AN OPPORTUNITY TO IDENTIFY AND ISOLATE POSITIVE CASES, CONDUCT CASE INVESTIGATIONS TO TRACK THE VIRUS SO WE CAN CONTAIN, MANAGE AND UNDERSTAND THE SCOPE. IT PROVIDES REASSURANCE TO EMPLOYEES. ADDITIONAL TOOLS ARE CRITICAL AS WE MOVE INTO THE NEXT PHASE OF COVID-19 AND REOPENING THE STATE. AFTER EIGHT WEEKS UNCERTAINTY, IOWANS WILL BEGIN TAKING FAMILIAR STEPS FORWARD. TODAY, 77 COUNTIES WITH LOW OR NO VIRUS ACTIVITY, RESTAURANTS, FITNESS CENTERS, RETAIL STORES, CLOSED MALLS MAY REOPEN 50% NORMAL OPERATING CAPACITY ACCORDING TO SPECIFIC PROTOCOLS DESIGNED TO PROTECT WORKERS, CUSTOMERS AND COMMUNITIES. IN ALL CASES, BUSINESSES MUST ENSURE SOCIAL DISTANCING, INCREASED HYGIENE PRACTICES AND OTHER PREVENTATIVE MEASURES CONSISTENT WITH GUIDANCE FROM THE DEPARTMENT OF PUBLIC HEALTH. HOUSES OF WORSHIP MAY CHOOSE TO REOPEN FOR RELIGIOUS SERVICES. TIMES LIKE THESE, IT IS OUR FAITH THAT GIVES SO MANY OF US THE STRENGTH WE NEED. I HAVE BEEN IMPRESSED WITH HOW RELIGIOUS COMMUNITIES HAVE REMAINED CONNECTED EVEN WHILE APART. WHETHER YOU HAVE JOINED YOUR CHURCH ONLINE OVER THE LAST SEVERAL WEEKS OR LIVE-STREAMED SERVICES ACROSS THE GLOBE, THERE HAS BEEN NO SHORTAGE OF OPPORTUNITIES TO GATHER VIRTUALLY IN PRAYER. MANY IOWANS ARE EAGER TO RETURN TO CHURCH. OVER THE LAST WEEK, I HAVE HEARD FROM A NUMBER OF RELIGIOUS LEADERS ACROSS THE STATE. WHILE THEY ARE GRATEFUL FOR THE OPPORTUNITY TO COME BACK TOGETHER WITH MEMBERS, THEY ARE ALSO AWARE OF THE IMPORTANCE TO DO SO IN A SAFE AND RESPONSIBLE WAY. MANY CHURCHES INTEND TO TAKE EXTRA TIME TO ASSESS AND CHANGE PHYSICAL SPACE AND ADAPT SERVICES AS NECESSARY TO PROTECT HEALTH AND SAFETY OF MEMBERS. I APPRECIATE THE THOUGHTFUL APPROACH OF THESE DECISIONS AND OF THOSE WHO CHOOSE TO HOLD SERVICES THIS WEEKEND. IN ANTICIPATION OF RETURNING TO CHURCH, WHETHER THIS WEEK OR IN COMING WEEKS, I THOUGHT IT MIGHT BE HELPFUL FOR IOWANS TO KNOW MORE ABOUT THE GUIDANCE FOR SPIRITUAL AND RELIGIOUS GATHERINGS DURING THIS TIME. I HAVE ASKED SARAH, FROM THE DEPARTMENT OF PUBLIC HEALTH TO PROVIDE AN OVERVIEW. SARAH. >> THANK YOU, GOVERNOR REYNOLDS. GOOD MORNING. MANY SOCIAL GATHERINGS ARE STILL LIMITED, ENTERTAINMENT VENUES ARE CLOSED. STARTING TODAY, IOWANS MAY ONCE AGAIN GATHER FOR RELIGIOUS PURPOSES. THE GOVERNOR’S APRIL 27 PROCLAMATION PROVIDES CHURCHES, SYNAGOGUES, POSTS OF SPIRITUAL/RELIGIOUS GATHERINGS WHO WISH TO RESUME SERVICES MUST TAKE SPECIAL MEASURES TO ENSURE HEALTH OF CONGREGANTS. I WOULD DEPARTMENT OF PUBLIC HEALTH HAS DEVELOPED GUIDANCE TO HELP THEM DO THIS. IT IS AVAILABLE AT CORONAVIRUS. IOWA.GOV AT THE TOP OF THE WEBPAGE. PLACES OF WORSHIP MUST ENSURE SOCIAL DISTANCING OF EMPLOYEES AND CONGREGANTS. HANDWASHING AND SANITIZING SUPPLIES SHOULD BE READILY AVAILABLE. THOROUGH CLEANING SHOULD BE CONDUCTED ON A REGULAR BASIS, ESPECIALLY FOR HIGHLY TOUCHED SURFACES LIKE DOOR HANDLES. WE ENCOURAGE VIDEO SERVICES FOR HIGH RISK IOWANS WHO CHOOSE TO STAY HOME BUT WISH TO ENGAGE WITH THE RELIGIOUS COMMUNITY. SMALL AND PERSON SERVICES OR OUTDOOR SERVICES CAN BE CONSIDERED. SOME CHURCHES ARE OFFERING DRIVE IN SERVICES TO CONTINUE EFFORTS TO SLOW THE SPREAD OF THE VIRUS. ALL CONGREGANTS SHOULD CONSIDER WEARING FACE COVERINGS SUCH AS FACE MASKS OR SHIELDS AND THOSE IN HIGH-RISK CATEGORIES SHOULD REFRAIN FROM ATTENDING SERVICES AS THE VIRUS IS STILL SPREADING IN SOME COMMUNITIES. WITH THIS ANNOUNCEMENT, WE HAVE BEEN GETTING QUESTIONS ABOUT WHAT IS CONSIDERED A RELIGIOUS SERVICE. WEDDINGS AND FUNERALS ARE CONSIDERED A RELIGIOUS SERVICE. FUNERAL VISITATIONS AND WEDDING RECEPTIONS ARE NOT. VISITATIONS AND RECEPTIONS MUST BE LIMITED TO 10 PEOPLE OR FEWER. IOWANS AT HIGH RISK FOR MORE SEVERE ILLNESS SHOULD CONTINUE TO AVOID THESE GATHERINGS. AS THE GOVERNOR SAID, WE ARE ALL WORKING TO ADJUST TO A LIFE WILL BE LIKE AS WE MOVE THROUGH THIS PANDEMIC. WE KNOW THIS IS A DIFFICULT TIME. IOWANS NEED TO CONTINUE TO BE RESPONSIBLE IN TAKING CARE OF THEIR OWN HEALTH, WHILE PROTECTING THE HEALTH OF COMMUNITIES. IF YOU CHOOSE TO ATTEND A WORSHIP SERVICE THIS WEEKEND, PLEASE CONTINUE TO DO ALL THE THINGS PUBLIC HEALTH HAS BEEN ASKING OF IOWANS. CONTINUE TO PRACTICE SOCIAL DISTANCING, CONSIDER THE YOUTH OF CLOTH FACE COVERINGS IF YOU ARE IN SITUATIONS WHERE SOCIAL DISTANCING IS NOT POSSIBLE, WASH YOUR HANDS, USE HAND SANITIZER REGULARLY AND STAY HOME IF YOU ARE NOT FEELING WELL OR IF YOU HAVE BEEN IN DIAGNOSED OR IN CLOSE CONTACT WITH ANYONE DIAGNOSED WITH COVID-19. >> THANK YOU, SARAH. GREATLY APPRECIATE THE WORK THAT APARTMENT CONTINUES TO DO TO KEEP IOWANS SAFE AND HEALTHY, ESPECIALLY AS WE BEGIN TO EASE RESTRICTIONS AND TAKE THOSE FIRST STEPS TO GET LIFE BACK TO NORMAL WHILE LEARNING HOW TO MANAGE COVID-19. PASTORS, PRIESTS, RABBIS AND OTHER RELIGIOUS LEADERS ARE DETERMINING HOW BEST TO MOVE FORWARD TO PROVIDE MEMBERS WITH SPIRITUAL GUIDANCE DURING THIS TIME. I HAVE INVITED GREG BAKER WITH THE FAMILY LEADER TO SHARE WHAT HE HAS HEARD FROM PASTORS ACROSS THE STATE AS THEY PREPARE TO BRING IOWANS BACK TO CHURCH. GREG, THANK YOU FOR JOINING ME TODAY. I WILL TURN IT OVER TO YOU. >> THANK YOU SO MUCH, GOVERNOR. I APPRECIATE YOU GIVING US THE OPPORTUNITY TO SHARE WHAT CHURCHES ARE DOING ACROSS IOWA. I AM THE EXECUTIVE VICE PRESIDENT OF FAMILY LEADER AND THEN BLESSED TO WORK WITH CHURCHES ACROSS THE STATE. THE MAIN PART OF MY CHURCH ABBASID OR NETWORK. FOR SIX YEARS, -- AMBASSADOR NETWORK. FOR SIX YEARS, WE HAVE BRINGING -- WE HAVE BEEN BRINGING PEOPLE TOGETHER TO BUILD RELATIONSHIPS, AS A SHEPHERD AND PARTNER MEETING COMMUNITY NEEDS. IN THIS CRISIS, WE HAVE SHOWN THE NEED FOR THAT PARTNERSHIP. THESE INSTITUTIONS CONTINUE TO CONNECT WITH EACH OTHER. GOVERNOR, I WANT TO THANK YOU FOR RECOGNIZING CHURCH IS A FIRST AMENDMENT RIGHT AND I WANT YOU TO KNOW WE DO NOT TAKE THAT LIGHTLY. WE ALSO WANT TO ENCOURAGE IOWANS AS WELL. FREEDOM COMES WITH GREAT RESPONSIBILITY. AS AMERICANS, WE LOOK AT OUR BILL OF RIGHTS. INCREDIBLE OPPORTUNITIES, RESPONSIBILITY. WE LOOK AT CHURCHES ACROSS THE STATE. THE ATTITUDE IS OUR LORD AND TO -- THE ATTITUDE WE ARE SEEING IS OUR LORD AND SAVIOR JESUS CHRIST. THAT IS THE HEART WE ARE SEEING. WE WANT TO WORK WITH CHURCHES ACROSS IOWA TO ENSURE THAT AS CHURCHES LOOK TO REOPEN, WE DO SO WISELY, WITH NOT ONLY MEMBERS INTEREST IN MIND BUT ALSO THE COMMUNITY AT HEART. MOST CHURCHES WILL BE CONTINUING ONLINE CHURCH SERVICES IN THE NEXT FEW WEEKS, PARTICULARLY IN THE 22 COUNTIES, LIKE LUTHERAN CHURCH OF HOPE. THEY WILL BE CONTINUING ONLINE SERVICES. THEY WILL BE DISINFECTING THEIR ENTIRE FACILITIES TO SEE HOW WE CAN MOVE BEYOND JUST USING AUDITORIUM SPACE AND TAKING ADVANTAGE OF ALL SQUARE FOOTAGE. MANY CHURCHES WILL BE CONTINUING PARKING LOT CHURCH SERVICES. FAITH CHRISTIAN OUTREACH CHURCH CENTER IN MOUNT PLEASANT STARTED THIS SEVERAL WEEKS AGO AND WILL BE CONTINUING. CHURCHES HAVE BEEN TAKING ADVANTAGE OF SMALL GATHERINGS. CONNECTION IN IOWA IS IMPORTANT. SO IS IT IN THE CHURCH, THROUGH VIRTUAL, SMALL COMMUNITY GROUP GATHERINGS OR GROUPS OF 10 OR LESS. CHRIST COMMUNITY CHURCH IN MASON CITY HAS BEEN ENSURING THESE ENCOURAGEMENT GATHERINGS HAVE BEEN CONTINUING. A LIMITED NUMBER OF CHURCHES ARE LOOKING TOGETHER IN PERSON. THEY WANT TO MOVE ABOUT THIS SLOWLY AND WISELY, AS MANY ARE ACROSS THE STATE. MORE IMPORTANTLY, IOWANS WANT TO STEP INTO TAKE CARE OF COMMUNITY NEEDS. JESUS CAME TO SERVE. WE WANT TO SERVE AS WELL. WHETHER THAT BE THE NEED FOR PPE PROTECTION, LIKE NEW HOPE CHRISTIAN CHURCH AND FAITH ASSEMBLY OF GOD IN MARSHALLTOWN, WHETHER IT BE THE GROWING NEED OF FOOD INSECURITY IN OUR STATE, 58 CHURCHES HAVE BEEN WORKING TOGETHER WITH THE FOOD BANK OF IOWA IN DES MOINES. WESTCHESTER HEAT FREE AND COTTAGE GROVE ARE HOSTING DISTRIBUTION SITES FOR FOOD. CEDAR RAPIDS, FIRST ASSEMBLY OF GOD DISTRIBUTED 35,000 POUNDS OF FOOD TO IOWANS IN NEED. WHEN A COMMUNICATION CAME OUT FROM THE GOVERNOR THAT WE NEEDED MORE BLOOD DRIVES ACROSS IOWA, 21 CHURCHES STEPPED UP IMMEDIATELY AND SAID THEY WERE WILLING TO HOST THE BLOOD DRIVE. WITH THE GROWING NEED OF SENIOR STAYING AT HOME, THAT INCLUDED SENIORS IN NEED OF MEAL DELIVERY, BUT MANY VOLUNTEER TO DELIVER MEALS. NORTHPOINT CHURCH HAS STEPPED IN TO HELP REPLACE VOLUNTEERS. THIS IS JUST A SMALL SAMPLING OF WHAT MANY CHURCHES ARE DOING ACROSS IOWA. WHAT WE ENCOURAGE IS CHURCHES NOT ONLY CONTINUE TO OFFER THIS TO COMMUNITIES BUT ALSO TO CONTINUE TO DISPLAY THE LOVE OF CHRIST BY COMING ALONGSIDE THEIR NEIGHBORS. THANK YOU SO MUCH, GOVERNOR. IT IS AN HONOR TO SERVE YOU AND THE STATE. >> THANK YOU FOR EVERYTHING YOU’RE DOING TO MAKE THE TRANSITION AS SMOOTH AS POSSIBLE AND FOR THE PARTNERSHIP AND ALL YOU ARE DOING THROUGH CHURCHES ACROSS THE STATE TO MEET THE NEEDS OF IOWANS IN VARIOUS COMMUNITIES IN THESE DIFFICULT TIMES. I WANT TO THANK ALL RELIGIOUS LEADERS FOR THEIR THOUGHTFUL, RESPONSIBLE APPROACH. I RESPECT THE DECISIONS. I WISH YOU WELL. THANK YOU VERY MUCH. I APPRECIATE THAT. WE ALSO RECEIVED GOOD NEWS YESTERDAY. HOMELAND SECURITY AND EMERGENCY MANAGEMENT NOTIFIED THAT IOWA QUALIFIED THE CRISIS COUNSELING ASSISTANCE AND TRAINING PROGRAM THROUGH. FEMA .THIS PROGRAM ASSISTS INDIVIDUALS AND COMMUNITIES IN RECOVERING FROM THE EFFECTS OF DISASTERS THROUGH OUTREACH AND SHORT-TERM INTERVENTIONS THAT HELP PEOPLE UNDERSTAND THEIR CURRENT SITUATION. IT HELPS THEM MANAGE STRESS, DEVELOP COPING SKILLS AND PROVIDE EMOTIONAL SUPPORT. IT ALSO CONNECTS PEOPLE WITH ADDITIONAL RESOURCES TO ASSESS OTHER ASPECTS OF RECOVERY PROCESS. COVID-19 HAS TAKEN A TOLL ON IOWANS AND THESE RESOURCES ARE IMPORTANT IN HELPING US RECOVER AND HELPING IOWANS MOVE AHEAD IN THESE DIFFICULT TIMES. THE DEPARTMENT OF HUMAN SERVICES IS WORKING NOW ON A PLAN WITH HOMELAND SECURITY TO IMPLEMENT. I LOOK FORWARD TO PROVIDING MORE INFO SOON ABOUT HOW IOWANS WILL BE ABLE TO ACCESS SERVICES. WE WILL OPEN IT UP FOR QUESTIONS. >> WITH THE LAUNCH OF TEST IOWA AND MASS TESTING GOING ON IN DIFFERENT PLACES, WHY WAS THE STATE HYGIENIC LAB NOT PREPARED FOR INFLUX? >> THEY ARE PREPARED. AS WE SEE THE RAMP UP PROCESS, THAT INCLUDES VALIDATION. WE ARE WORKING THROUGH THAT. THEY ARE ADDRESSING NUMBER OF TESTS IMPLEMENTED ACROSS STATE. THROUGHOUT, WE HAVE BEEN RAMPING UP. THIS IS THE NEXT STEP IN INCREASING TESTING CAPACITY SO WE CAN START THE CASE INVESTIGATION AND CHASING, ISOLATE CASES AND DO EVERYTHING WE CAN TO MANAGE AND MITIGATE COVID-19 AS WE MOVE INTO NEXT PHASE, REOPENING IOWA. THEY ARE WORKING AROUND THE CLOCK. I WANT TO THANK THE INDIVIDUALS AT THE STATE HYGIENIC LAB, NOT ONLY WITH THE INCREASE IN CASES AND THAT WAS BEFORE WE BROUGHT ON TEST IOWA, WE WERE SEEING HOSPITALS START TO CONDUCT TESTING, NATIONAL LABS ON BOARD WITH DIFFERENT PROCESSES TO TEST, WE ARE SEEING A NUMBER OF CASES INCREASED. THE TEAM IS WORKING THREE SHIFTS AROUND THE CLOCK TO GET THESE TESTS PROCESSED AND GET THE INFO TO THE INDIVIDUALS THAT ARE DOING THE CASE INVESTIGATION AND CONTACT TRACING. >> HOW WAS THE STATE HYGIENIC LAB FOR PUBLIC HEALTH TRYING TO DETERMINE WHETHER THE TESTS ARE ACCURATE? YOU MENTIONED THERE WORKING ON THAT. WHAT IS THAT PROCESS? WHAT DOES THAT LOOK LIKE? THAT CONTRIBUTE TO WORKLOAD? >> I WILL START IN AND LET SARAH GIVE FURTHER DETAILS. IT IS SIMILAR WHEN WE STARTED TESTING FOR COVID-19. WE HAD TO GET OUR STATE HYGIENIC LAB PROCESS VALIDATED THROUGH CDC, CORRECT? REMEMBER AT THE BEGINNING WE WERE SAYING, WE HAD TO SEND THE TEST OUT UNTIL WE HAD A CERTAIN PERCENTAGE VALIDATED? AFTER THAT PROCESS WAS VALIDATED, WE WERE OK TO NAME POSITIVE CASES INSTEAD OF WAITING FOR THE PROCESS TO BE VERIFIED AT CDC LAB? THAT IS THE PROCESS THEY WENT THROUGH. WHEN WE FIRST STARTED TESTING IOWANS, A FIVE DAY TURNAROUND TIME AS WE WERE WALKING THROUGH THAT -- NOW WHAT THEY WILL DO IS USE THE LAB THAT HAS BEEN CERTIFIED TO VALIDATE THE NEW TEST IOWA EQUIPMENT. WE WILL BE ABLE TO USE THE STATE HYGIENIC LAB PROCESS TO VALIDATE TEST IOWA BECAUSE THEY WERE VALIDATED THROUGH CDC. DO YOU HAVE ANYTHING? >> THE ONLY THING I WOULD ADD IS THIS IS COMMON ANYTIME HE LAB RINGS ON A NEW TEST, A VALIDATION AS PART OF THAT PROCESS. WE DID THIS WHEN CDC TEST KITS BECAME AVAILABLE. THE PRESUMPTIVE POSITIVES, WE TALKED ABOUT, THOUGH SAMPLES HAD TO BE SENT TO CDC FOR VALIDATION. WITH TEST IOWA EQUIPMENT, STATE HYGIENIC LAB IS STILL IN PROCESS OF DOING VALIDATION OF EQUIPMENT TO MAKE SURE IT IS UP TO STANDARDS OF THE STATE HYGIENIC LAB. >> [INAUDIBLE] >> EVERYBODY, LABCORP, NATIONAL LABS, HOSPITALS, WHEN THEY BEGIN THE ABILITY TO PROCESS THEIR OWN TEST, THEY ALSO HAVE TO GO THROUGH VALIDATION PROCESS. THIS IS NOT ANYTHING OUT OF THE ORDINARY. THIS IS THE PROCESS TO GO THROUGH WHEN YOU BRING ON A NEW OPPORTUNITY. >> HAS THERE EVER BEEN ANY EFFORT TO TRACK THE PEOPLE WHO ASKED FOR TESTS EARLY ON WHEN WE DID NOT HAVE ANY SUPPLY? THEY MAY HAVE BEEN ASYMPTOMATIC. PEOPLE THOUGHT, WELL, STAY HOME, IF YOU ARE NOT AN ESSENTIAL WORKER, YOU’RE NOT LIKELY TO GET A TEST. IS THERE AN EFFORT TO CIRCLE BACK TO THEM FOR POSSIBLE SEROLOGY OR ANTIBODY TESTING? >> I THINK THAT WOULD BE IN THE REALM OF INDIVIDUAL HEALTH CARE PROVIDERS. IF THEY WENT AND DID NOT MEET CRITERIA FOR TESTING AND WERE TOLD TEST WAS NOT AVAILABLE AND THEY NEEDED TO GO HOME AND STAY HOME WHILE THEY WERE FEELING ILL, IT WOULD BE UP TO THAT INDIVIDUAL TO GO BACK TO THEIR PROVIDER, AND WE HAVE ENCOURAGED THAT ALONG, IF YOUR HEALTH DETERIORATES, YOU SHOULD ALWAYS CONTINUE TO SEEK CARE FROM YOUR PRIMARY CARE PROVIDER, IF YOU’RE NOT FEELING WELL. THE DEPARTMENT HAS NOT TRACKED THOSE. THOSE INDIVIDUALS WOULD NOT HAVE NECESSARILY COME TO THE ATTENTION OF THE DEPARTMENT OF PUBLIC HEALTH BECAUSE THEY WERE ENGAGING DIRECTLY WITH THEIR PRIMARY CARE PROVIDER. THE ADVICE TO ANYONE IN THAT SITUATION THAT STILL MIGHT NOT BE FEELING WELL, YOU SHOULD ALWAYS REACH OUT TO YOUR PRIMARY CARE PROVIDER IF YOU NEED HEALTH CARE. >> EVEN WITH THE TEST IOWA. IF YOUR SYMPTOMS CHANGE, GO BACK ON AND MANAGE THAT. ON EVERY PAGE, IT SAYS IF YOU ARE NOT FEELING WELL, CONTACT YOUR PHYSICIAN. VISIT WITH THEM. WALK THROUGH THE ASSESSMENT. IF THEY DEEM NECESSARY, YOU CAN GO IN. IT IS NOT THE ONLY OPTION. THERE ARE OPTIONS FOR IOW