AUDUBON COUNTY — Audubon County has its first confirmed COVID-19 case and Shelby County reports four cases, but as of Monday, Cass County still has no positive cases.

On Monday, Robert Nelson, RN, BSN Administrator of Audubon County Public Health, said that the Iowa Department of Public Health had reported the first case of novel coronavirus had been confirmed. The individual has not been identified, but is in the 61-80 year old age range, and is self-isolating at home.

Nelson said, “While this is Audubon County’s first case, it may not be the last, and that’s why we encourage all residents to continue to make prevention a priority.”

“Today starts the fourth week since Iowa first coronavirus case were confirmed, and the reality is that the end is not yet in sight,” Gov. Kim Reynolds said during a press conference on Mondy “Late yesterday, President Trump announced that he is extendeding social distancing guidelines until April 30 to continue slowing the spread of the virus. The significant mitigation steps that we have taken in Iowa are aimed at that same goal and we continue to assess our actions on a daily basis. For now, we must adjust to a new normal, one that’s uncomfortable, it’s inconvient and it’s uncertain. And this is not an easy time. But if we know something about Iowans, it’s that we are at our best when times are tough.”

State-wide there were 88 additional positive cases of Iowans with COVID-19, for a total of 424 positive cases. There have been a total of 6,162 negative tests to date, which includes testing reported by the State Hygienic Lab and other labs.

Anne McCurdy, Public Relations at Cass County Health System said as of Monday morning, CCHS had no confirmed cases of COVID-19, but had performed 33 tests, with 32 of those tests coming back negative and one test still pending results.

Neighboring Shelby County had its first case reported on March 25 and two additional cases were reported bringing the total, on Monday, to three cases.

Statewide six people have died from the COVID-19 virus.

Sarah Reisetter, of the Iowa Department of Public Health said on Sunday that projections indicate the number of cases will continue to climb. “We’re thinking we might see a peak, a first peak, in the next two to three weeks, so that’s the best information that we have right now,” Reisetter says. “I would reiterate that things are changing on a daily basis and we continue to look at numbers both here in Iowa and what’s happening in other states.”

According to IDPH, two Iowans with COVID-19 passed away last night, one elderly adult (81+) of Linn County, one elderly adult (81+) of Washington County.

According to IDPH, the locations and age ranges of the 88 individuals include:

Audubon County, 1 older adult (61-80 years)

Benton County, 1 middle-aged adult (41-60 years), 1 older adult (61-80 years), 1 elderly adult (81+)

Cedar County, 1 older adult (61-80 years)

Cerro Gordo County, 1 middle-aged adult (41-60 years)

Clinton County, 1 middle-aged adult (41-60 years)

Crawford County, 1 older adult (61-80 years)

Dallas County, 3 adults (18-40 years), 1 middle-aged adult (41-60 years)

Dubuque County, 3 middle-aged adults (41-60 years), 2 older adults (61-80 years),

Guthrie County, 1 middle-aged adult (41-60 years)

Iowa County, 1 older adult (61-80 years)

Jackson County, 1 adult (18-40 years)

Jasper County, 1 elderly adult (81+)

Johnson County, 2 middle-aged adults (41-60 years), 3 older adults (61-80 years)

Jones County, 1 adult (18-40 years)

Linn County, 9 adults (18-40 years), 8 middle-aged adults (41-60 years), 6 older adults (61-80 years), 6 elderly adults (81+)

Monona County, 1 child (0-17 years), 1 adult (18-40 years), 1 older adult (61-80 years)

Muscatine County, 1 middle-aged adult (41-60 years), 2 older adults (61-80 years)

Polk County, 2 children (0-17 years), 2 adults (18-40 years), 6 middle-aged adults (41-60 years), 1 older adult (61-80 years)

Scott County, 1 adult (18-40 years), 2 middle-aged adults (41-60 years), 3 older adults (61-80 years)

Shelby County, 1 adult (18-40 years), 1 older adult (61-80 years)

Tama County, 1 adult (18-40 years)

Van Buren County, 1 older adult (61-80 years)

Washington County, 1 adult (18-40 years), 3 middle-aged adults (41-60 years), 1 older adult (61-80 years)

A status report of monitoring and testing of COVID19 in Iowa is provided by IDPH and can be found here. In addition, a public hotline has been established for Iowans with questions about COVID-19. The line is available 24/7 by calling 2-1-1 or 1-800-244-7431. The state of Iowa has started sharing the number of negative tests conducted at outside labs, and is providing additional information on the conditions of those infected with COVID-19.

Nelson recommended individuals continue to:

• wash hands frequently with soap and water for at least 20 seconds each time.

• cover coughs and sneezes with a tissue or elbow/upper arm

• stay home if you are ill

Health officials say that about 80 percent of Iowans infected with COVID-19 will experience only mild to moderate illness, and will not need to go to their health care provider to be tested to confirm they have COVID-19. Instead they should stay home and isolate themselves from other members of the household.

You should continue to isolate yourself from others until: • you have had no fever for at least 72 hours — three full days of no fever without the use of medications to reduce fever

and • other symptoms have improved, for example, when your coughing and shortness of breath have improved

and • at least seven days have passed since your symptoms first appeared.

If you do think you need health care, officials say to call first.

Providers can assess whether you need to be seen in the office, or if you can recover at home. There may also be options to speak with a medical provider via technology like telemedicine.

To follow up-to-date information on COVID-19 in Iowa, visit the Iowa Department of Public Health at…/Novel-Coronavirus or follow the department on Facebook at @IowaDepartmentOfPublicHealth and on Twitter at @IAPublicHealth

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