The Iowa Department of Public Health has been notified of one additional positive case of an Iowan with COVID-19, for a total of 18 positive cases. The individual is an older adult age 61-80, and a resident of Dallas County.

Additionally, IDPH has determined, based on the new COVID-19 case and the announcement this evening of community spread in Omaha, Neb., there is now community spread in our state.

Community spread occurs when individuals have been infected with the virus in an area and cannot specifically identify the source of the infection, or do not know how or where they became infected.

Due to the detection of community spread, there are new recommendations for individuals with underlying conditions, and all Iowans should be prepared for cancellations and disruptions in routine activities.

Mitigation measures should be implemented immediately to have the most significant impact on slowing the spread of the virus.

Leaders of institutions and organizers of events should begin to act on their contingency plans related to large gatherings, including church services. Iowans should not hold or attend large gatherings of more than 250 people, and consider making adjustments for smaller gatherings with high risk groups.

Health care organizations should also review their contingency plans and consider how telehealth can support the needs of Iowans.

At this time, school closures are not recommended.