Several hundred cars were parked outside a food bank in San Antonio on Good Friday — the food bank fed 10,000 people that day. Such scenes, increasingly common across the nation and evocative...

“I pledge my Head to clearer thinking, my Heart to greater loyalty, my Hands to larger service, and my Health to better living, for my club, my community, my country, and my world.”...

Nearly 25,000 more Iowans filed unemployment claims in the past week, Iowa Workforce Development reported Thursday. Continuing weekly unemployment claims total 181,358, the department reported. Iowa...

MARION — Marion’s 14-member COVID-19 Economic Recovery Task Force is beginning to work on recommendations of how to get people back to work, while keeping everyone...

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Vice President Mike Pence owes Iowans more than a photo-op when he visits Des Moines today, according to Joe Biden’s campaign. “Iowans are seeing up close the most consequential failure...

In August 1919, the Cedar Rapids Evening Gazette opined in favor of the passage of a $5 million congressional appropriation to “investigate influenza, its cause, prevention and...

Coronavirus provides a chilling lesson about crowding. The disease originated in a densely packed Chinese City. As it moved worldwide it struck most heavily in crowded places where people live and...

This Mother’s Day, April Kelley just wants to give her daughter Jessica Kelley a hug. But she can’t. Jessica, 21, works on the COVID-19 floor at Mercy Medical Center in Cedar Rapids. To...

Mother’s Day celebrations will look different for many families this year as we follow social distancing guidelines. Fortunately, we don’t have to be in proximity to express our love...

Some Eastern Iowans are ready to go camping. With Gov. Kim Reynolds allowing campgrounds across the state to open Friday, some people wasted little time in heading outdoors. “They’re...

DES MOINES — In traveling to Iowa to call attention to the burdens COVID-19 brought to religious services and the food supply, Vice President Mike Pence unwittingly called attention to another...

A 10th wedding anniversary traditionally is celebrated with a gift of aluminum or tin. For Sondy Daggett, her 10th year of marriage to Liz Hoskins was marked with a gift of Champagne and...

When Andrea Wilson approached me five years ago with her idea of creating a space for writers in our community separate from any offered by the University of Iowa, I must admit I was a bit skeptical,...

JULIA LOUISE RUPPENKAMP
Riverside

Julia Louise Ruppenkamp, 85, of Riverside, died unexpectedly early Tuesday, May 5, 2020, at Mercy in Iowa City.
According to the wishes of Julia and her family, she will be cremated and a
memorial service will be planned for this fall. Burial will be in St. Stanislaus Cemetery in rural Hills. Lensing Funeral & Cremation Service in Iowa City is handling arrangements.
She was born Aug. 10, 1934, in Red Oak, Iowa, the daughter of John and Mary "Catherine" (Pfeiffer) Ruth. Julia grew up in Cosgrove.
She graduated from Cosgrove High School and graduated from Iowa City Commercial College.
She met Earl Ruppenkamp at a Junior Farm Bureau dance. They were married Sept. 20, 1955, in Cosgrove, and the couple moved to the Riverside area in 1959. Julia provided for her family as both a farmwife and mother to their children. She was constantly baking and her pies were enjoyed by many. Julia loved flowers and grew them in her garden to share with others, especially the residents at Atrium Village.
She was a member of St. Joseph Catholic Church and St. Joseph's Altar & Rosary Society in Hills.
Julia is survived by her husband, Earl; children, Mark, Ann and Jane; and a brother, John Ruth.
Her parents preceded her in death.
www.lensingfuneral.com

Tthink about the great relics of human civilization—the pyramids, the magnificent castles of Europe, the Great Wall of China, meticulously detailed sculptures from different eras, the awe-inspiring churches and temples that dot almost every landscape we’ve ever inhabited… All made of stone. All hundreds of years old. All crafted with the intention of permanence and […]

In response to the coronavirus, Americans were told by their federal and state governments to shut down their businesses, stop going to church, work, school or out to eat, travel only when necessary and hunker down at home. Originally, Americans were led to believe this was for a two- or three-week period, in order to flatten the curve and not overwhelm our health care system.

At seven weeks and counting, with staggering economic loss that will leave families and thousands of small businesses and farmers with profound devastation, the question must be asked, are we trying to flatten the curve or flatten our country?

The initial models that pointed to staggering loss of life from the coronavirus have proved wildly inaccurate. As of May 2, the CDC placed the number of deaths in the U.S. from the virus at 66,746. While all loss of life is deeply regrettable, these numbers cannot be considered in a vacuum. For perspective, deaths from pneumonia in the U.S. during the same period were 64,382, with average yearly deaths from influenza in the same range.

The original goal of closing much of the U.S. economy and staying at home was to flatten the curve of new coronavirus cases so that our hospital systems would not be overwhelmed. Hospitals built by the Army Corps of Engineers to handle the increased volume have mostly been taken down. Except for a few spots in the U.S. the health care system was not overwhelmed. As the medical models of casualties from the coronavirus continue to be adjusted down, it is clear the curve has been flattened, so why do we continue to stay closed and worsen the economic devastation that tunnel vision has thus far kept many of our leaders from acknowledging?

Many health experts say 80 percent of Americans will get the coronavirus and experience only mild symptoms. The curve has been flattened. Our health care system is not overwhelmed. Why is our economy, for the most part, still closed?

A University of Washington study recently revised the projected number of deaths from the coronavirus in Iowa from 1,367 to a much lower estimate of 365. While all loss of life is horrific, we must also consider the devastation being done to our economy, our families and our way of life by actions taken to combat the coronavirus.

It must be noted that 578 Iowans died from the flu and pneumonia in 2017, a greater number than are likely to pass away from the coronavirus. We also know that many who die from the virus are elderly with underlying health conditions, increasing the likelihood that any serious illness could result in their death. Are draconian government restrictions in response to the coronavirus still needed and economically sustainable? The data shows that the answers to both questions is no. We are no longer flattening the curve; we are flattening our state and nation.

We have seen the medical data. What has been less visible in news conferences and in the overall reporting of the coronavirus and our response to it, are the economic and human costs of what we are doing:

• 30 million Americans are out of work and the number grows daily.

• Dairy farmers are pouring out milk they have no market for.

• Pork producers are euthanizing hogs they have no market for.

• According to a study by Iowa State University, the losses to Iowa Agriculture are at a staggering $6.7 billion and growing, with the largest losses in pork production and ethanol.

• In Iowa, the economic loss for corn is estimated to be $788 million, $213 million for soybean and $34 million for cattle.

• The Iowa Restaurant Association estimates that between 10 & 25% of Iowa’s restaurants will not reopen.

• Iowa’s public universities are predicting a $187 million loss.

• Iowa is spending $200 million or more per month on unemployment claims, with over 171,000 Iowans unemployed.

• 29 percent of the U.S. economy is frozen as a result of government action, with U.S. economic output down 29 percent.

• U.S. unemployment could soon hit 47 million.

• Losses to U.S. tourism are predicted to top $910 billion.

• Retirement plans for millions of Americans are being decimated, with recent reports projecting the average 401(k) loss at 19 percent.

• Drug and alcohol addiction and relapse are increasing.

• Testing for chronic diseases such as high blood pressure, diabetes and heart disease are being delayed, which could lead to increasing health problems and life-threatening illnesses in the future.

• Economic damage to rural hospitals could lead to hospital closures and less access to health care in some areas.

• Warnings of a possible meat shortage in the U.S. have been issued by executives of Farmland and Tyson, with reports that the food supply chain is under stress. Several grocery store chains are now limiting meat purchases and some national restaurant chains are no longer offering certain meat products on their menus. Higher meat prices are almost certain in the months to come.

• Huge U.S. debt increases unlike anything seen since World War II, to the tune of over $3 trillion and counting, are adding to the already monstrous $22 trillion in U.S. debt. This does not bode well for our children or future economic stability.

The list of consequences goes on and on, and behind each of the statistics is a family struggling to survive, a father and mother fearful of how they will care for their children, a small-business owner seeing their dreams and hard work destroyed overnight by draconian government mandates, a restaurant owner deciding never to reopen, a dairy farmer throwing in the towel and a business owner postponing indefinitely plans for expanding.

Behind these numbers is an economy greatly impacted by the government response to the coronavirus, with implications for our economic well-being profound and long lasting. Expansion projects delayed, business closures, layoffs and contraction for many businesses will likely keep unemployment numbers high and depress economic expansion for an unknown amount of time.

Let us be clear, it grows worse every day we remain closed.

Steve Holt represents District 18 in the Iowa House.

After more than a decade in the making, the Tea Party moment has finally arrived.

The movement originated in 2009 as a challenge to runaway taxes, spending and regulation. Organizers sought to restore the constitutional balance of power between the states and the federal government.

Eventually, the Tea Party devolved into a catchall for right-wing populism, and a magnet for xenophobes and culture warriors. In 2016, its early adherents overwhelmingly fell in line with President Donald Trump, choosing protectionism over freedom.

But that original Tea Party spirit — the charge to buck the national government in favor of local control — was on full display recently from two unlikely sources.

Trump decided early on in the coronavirus pandemic that the federal government would not centrally coordinate the purchase and distribution of medical supplies. That might have worked fine, except the Trump administration actively undermined state governments’ efforts. The federal government has outbid state buyers and even seized products from states.

After 3 million masks ordered by the Massachusetts governor were confiscated in New York, Republican Gov. Charlie Baker decided to sidestep the usual procurement process. He sent a New England Patriots’ private airplane to bring supplies back from China.

In Maryland, Republican Gov. Larry Hogan coordinated a large COVID-19 test order from South Korea. The delivery was facilitated by the National Guard and state police, and the tests were put in a secure location with armed security.

“We guarded that cargo from whoever might interfere with us getting that to our folks that needed it,” Hogan said last week in an interview with Washington Post Live.

Hogan and Baker don’t fit the common perception of the Tea Party mold. They both have harshly criticized President Donald Trump and supported the impeachment inquiry. Hogan openly considered challenging Trump for the GOP presidential nomination.

They are among the last vestiges of moderate conservatism in American executive office, and yet they are the ones waging a battle over federalism and states’ rights.

The political minds built for this moment — the ones who have long fantasized about escalating the state-federal power struggle — are not up to the task. The conservative firebrands who should be taking up this fight instead are beholden to Trump and whatever cockamamie plans he comes up with.

At a news conference last month, Trump made a striking claim about his powers in managing the public health crisis: “When somebody is the president of the United States, the authority is total. And that’s the way it’s got to be. It’s total.”

That should have been a flashpoint for conservatives, the beginning of a revitalized Tea Party that recognizes the enormous threat Trumpism poses to our values.

But it wasn’t. Loyalists brushed it off, again, as Trump misspeaking.

The small-government philosophy is founded on the likelihood that the levers of government power will eventually be grabbed by some menace, an incompetent or malicious figure. But when that menace is your friend, your fundraiser and your public relations manager, it proves hard to slap his hand away.

adam.sullivan@thegazette.com; (319) 339-3156

I grew up on a Heritage farm (150 years in the same family) near Sutliff, and attended K-12 in the Lisbon school system. I am an alumnus of the University of Iowa. I have held several positions in the field of human services, including six years with the Department of Human Services and six years as executive director of the Arc of Johnson County.

I am married to Dr. Melissa Fath, a research scientist at the University of Iowa and a volunteer pharmacist at the Free Medical Clinic. We have three adult children — Rachel, Jordan and BJ, and have served as foster parents for another 50+ children.

I am a member of several community organizations, including: St. Andrew Presbyterian Church, Iowa Foster & Adoptive Parent Association, NAMI, Center for Worker Justice, ACLU Hawkeye Chapter, AFT Local 716, and Iowa City Federation of Labor. I also served four years as chairman of the Johnson County Democratic Party.

Some of the accomplishments of which I am proud:

• Leadership during the COVID-19 crisis.

• Leadership during 2008 floods.

• Raising the minimum wage — the first county in Iowa to do so.

• Passed a Human Rights Ordinance — the first county in Iowa to do so.

• Passed a Sensitive Areas Ordinance — the first county in Iowa to do so.

• Passed the Conservation Bond Initiative — the first county in Iowa to do so.

• Passed the Community ID Program — the first county in Iowa to do so.

• Started 1105 Project with gift of old Public Health building.

• Saved Sutliff Bridge after 2008 floods.

• Started trails funding.

• Created the Free Tax Help project.

• Created the Livable Community for Successful Aging.

• Added outdoor warning sirens to unincorporated Johnson County.

• Created the Local Foods Policy Council.

• Heritage AAA Outstanding Elected Official — 2009.

If reelected, my goals are:

1. Continue community recovery from COVID-19;

2. Begin serving people at the GuideLink Center;

3. Improve affirmative action results;

4. Renegotiate six union contracts to the benefit of all.

I am grateful for your past support, and I thank you for your future consideration. I promise to never take this position for granted! I respectfully request your vote on or before June 2.

Rod Sullivan is a candidate in the Democratic primary for Johnson County Board of Supervisors.

COVID-19 is a brutal villain, infecting millions and taking more than 185,000 lives worldwide, just over 100 of which were Iowans at the time of this writing. In the face of this, Iowans are showing the strength of their character. Individual acts of courage have become everyday occurrences. Nowhere is this truer than in our state’s long-term care centers.

The threat facing those in long-term care is unprecedented. Because many who are infected remain asymptomatic, efforts to prevent the virus from being introduced into facilities has proved difficult. Once the virus is introduced, it is hard to impede its spread — and virtually impossible without enhanced testing capabilities and more personal protective equipment (PPE) than we have access to today.

Long-term care providers have taken unprecedented steps to protect their residents, including prohibiting non-essential visitors in early March. Unfortunately, even with these measures and following guidance from the Centers for Medicare and Medicaid Services, the Centers for Disease Control and Prevention and other public health officials, more than 3,600 long-term care facilities nationwide have been impacted by the virus, including 13 in Iowa.

Yet, in the face of this challenge, our long-term care workers are performing with a valor we have not seen during peacetime in a generation; maybe two.

While many of us are hunkered down in our homes teleworking and spending time with our families, these caregivers are leaving their families to provide care for the loved ones of others. What these caregivers are doing and what they are sacrificing is remarkable. We owe them our gratitude, and we owe them our best efforts to address their critical needs.

Adequate PPE and routine testing for long-term care are paramount. While there has been significant attention paid to providing hospitals with PPE, it is imperative we not overlook those working in long-term care.

More than 70% of long-term care facilities nationwide report they lack enough PPE. This not only puts our caregivers at risk, it also puts the people they care for at greater risk. Preventing the introduction of the virus and containing its spread in nursing homes and assisted living facilities is one of the most important things we must do to relieve pressure on hospitals now.

Testing is a critical area where more support is needed. There are protocols in place to limit the spread of the virus once it is in a facility, including establishing isolation wings where those who have the virus are kept apart from the rest of the residents and are cared for by staff who do not interact with those in the rest of the building. But the virus leaves many of those infected without symptoms, these steps cannot be effectively implemented without broader testing.

We applaud Gov. Kim Reynolds’ recent action to broaden testing for some of Iowa’s long-term care staff. Equally important is the plan to address potential staff shortages which may result from expanded testing. Since a test result only captures an individual’s infection status for a fixed period of time, long-term care staff and residents must be prioritized at the highest level to receive ongoing testing to effectively identify infections and respond as early as possible.

Those one the front lines of this fight need the tools to confront, contain and ultimately defeat the virus. There is reason to be hopeful. Even though residents of long-term care are particularly at risk, most recover from the virus. Caregivers can do even more amazing work if we get them the tools they need: protective equipment, testing and staffing.

It is time to rally around our long-term care residents and staff, and give them the support they need and deserve.

Brent Willett is president and CEO of the Iowa Health Care Association.

Another day, another devastating new uptick in Iowa’s COVID-19 figures.

Several times in the past few weeks, Gov. Kim Reynolds has announced a new daily high in Iowa’s positive COVID-19 tests or deaths. On Tuesday, yet another striking record — 19 deaths in a 24-hour period, or nearly 10 percent of the state’s total COVID-19 deaths to date.

For a governor who says she is staking her pandemic response on data and metrics, those grim numbers don’t seem to weigh heavily on Reynolds’ decision-making.

“The fact is we can’t prevent people from getting the COVID-19 virus,” Reynolds said at her Tuesday news conference. “If we weren’t testing in these areas, people would still have the virus and without being tested, diagnosed and isolated it could spread even further.”

In one breath, Reynolds tells Iowans we are helpless to stop the virus’s spread. In the very next breath, she explains how testing and isolation can help prevent the spread.

It’s just one example of the confusing guidance Iowans are getting from the governor and her team. Iowans looking for answers about how to protect themselves and their families are finding seemingly conflicting answers.

They report we have reached the peak, only to backtrack. They say we’re in this together and there’s a statewide plan to confront the outbreak, but then they tell us it’s really about “personal responsibility.” They tell us to stay home as much as possible, then pivot to emphasizing the need for people who feel sick to stay home.

Sometimes, it almost feels as if Reynolds is blaming Iowans for getting sick.

Early on, Reynolds used a regional strategy to track the virus, based on factors such as hospitalizations and health care resources in six multicounty regions across the state. That approach has been brushed aside with little explanation to the public.

Instead, Iowa now has “open” and “closed” counties — 22 where significant restrictions remain intact, and 77 where businesses can open in a limited manner. After less than a week under the county-by-county strategy, there are early signs that the 77 counties are seeing an uptick in confirmed COVID-19 cases.

• Gov. Reynolds is disrupting her own virus response plan

Reynolds’ response in this phase of the pandemic is just as crucial as the initial phase, to prevent a deadlier wave. Shifting to the personal responsibility path also decentralizes leadership, which creates more uncertainty.

If Iowa’s “open” counties see a surge, will Reynolds relent and reimpose restrictions?

We have reason to doubt it. Just this week, Reynolds co-authored a Washington Post guest column with other governors, arguing “our approach worked.”

In Reynolds’ mind, she has already defeated the virus, so she’s retreating from the fight. That’s bad news for Iowans who are still very much on the front lines of this pandemic.

(319) 398-8262; editorial@thegazette.com

Right now, there are so many things that are hard to believe. It’s hard to believe we’re in the midst of a global pandemic. It’s hard to believe how much things have changed how incredibly quickly. It’s hard to believe I’ve only been the Iowa Department of Human Services director for six months. What is not hard to believe is how our team at DHS has stepped up during this public health emergency. In my short time in the great state of Iowa, I have seen our team do incredible things. In honor of Public Service Recognition Week, I want to take a moment to talk about #TeamDHS and their unwavering dedication to those we serve.

The DHS mission is to help Iowans achieve healthy, safe, stable, and self-sufficient lives through the programs and services we provide. To accomplish this mission in typical times, our team wakes up every day to do difficult work. Our front-line staff often work holidays, evenings and weekends, sacrificing time with their own families to serve others. Our team members hear difficult stories, make tough decisions and assist families when they are at their most vulnerable. Their jobs are tough under normal circumstances — navigating a global pandemic has challenged everything we do, but the work has not stopped, because the work cannot stop. Iowans need us now more than ever.

COVID-19 impacts the way social workers support families. It impacts the way facilities support and protect the individuals we serve. It impacts the mental health of countless Iowans. It impacts the needs of Medicaid members and Iowans receiving other assistance.

As an agency impacted from top to bottom, I’m proud to share our collective response effort. The Medicaid and Adult, Children and Family Services (ACFS) teams kicked into high gear and set forth waivers that will truly help those most in need; ensuring access to medical care, food and economic assistance. Our income maintenance workers stand ready to assist those families who have questions or find themselves now in need of supports.

DHS went from an agency with no telecommute policy, to deploying more than 2,000 people to work from home. Our IT team stepped in to help disassemble and lift computers for those team members who couldn’t. Our fiscal team shifted paper approval processes to electronic streamlined processes to assist our new telecommute capabilities and continues to source supplies to meet our entire system’s personal protective equipment (PPE) need. We’ve even been able to help some of our partners out in the community obtain PPE. And many, many team members have stepped into new roles when asked because there was a need.

If this isn’t teamwork, I don’t know what is.

Many of our staff continue their work on the front line every day, despite these uncertain and unprecedented times. I know for many of them it is challenging, and our work and our lives are changing in ways we would never have imagined just weeks ago. We know there is more to come, and our response effort must pivot on a dime. So, to my team, thank you for stepping up and leaning in. And to my fellow Iowans, I ask you join me in thanking them, and all of our public servants and essential workforce during Public Service Recognition Week.

Public Service Recognition Week (PSRW) is May 3-9, celebrated the first week of May since 1985 (beginning on the first Sunday of the month) to honor the men and women who serve our nation as federal, state, county and local government employees.

We’re asking individuals whose lives have been positively impacted by one of our team members, to reach out to them directly with an email or video message to thank them. Whether it’s a case worker, social worker, income maintenance worker or direct care staff, now more than ever they deserve to hear how they’re improving the lives of Iowans.

We’re hoping we can count on you to get the word out and support our public servants. Notes directly to DHS team members are a really impactful way to personally show gratitude. This week we’ll also be encouraging people to thank those in public service using the hashtags #PSRW and #TeamDHS. Stay tuned to our social media to see how you can help celebrate our public servants.

The bravery, grace, and sacrifice our team shows every day is what true public service looks like. From one very proud DHS team member to her more than 4,100 colleagues — thank you. Public service is indeed a noble calling.

Kelly Garcia is the director of the Iowa Department of Human Services.

Gov. Kim Reynolds has put Iowa on the map, and not in a good way. Sioux City and Waterloo/Cedar Falls are now on the list of communities in America with exploding cases of COVID-19. Both communities are now fighting to protect meatpacking workers and the community because company efforts to protect their workers have failed.

The alarms started going off at Iowa’s meatpacking plant in Tama and Columbus Junction in late March. Packing plants in those communities closed on April 6 due to rampant worker sickness from the deadly virus. Now, after repeated complaints, state OSHA inspectors were finally forced to visit Tyson’s plant in Waterloo. Sadly, however, they still have not conducted a single in-person inspection of any other Iowa plants to make sure that workers have protective equipment and are practicing effective infectious disease control.

Instead, Gov. Reynolds has repeatedly praised company executives for their efforts. trust packing plant CEOs without independently verifying what they were doing is now causing sickness, death and supply chain calamity.

Her ideologically motivated decision to block state inspectors from visiting and helping the plants has thrown Iowa livestock farmers into financial and management turmoil.

Now the president says all packing plants must remain open. This is a disaster. Forcing Iowa workers to work in unsafe conditions without state enforceable protections is cruel and will make all Iowans unsafe while further delaying our economic recovery.

Iowans deserve better.

State Sen. Joe Bolkcom

Iowa City

Several hundred cars were parked outside a food bank in San Antonio on Good Friday — the food bank fed 10,000 people that day. Such scenes, increasingly common across the nation and evocative of loaves and fish, reflect the cruel facts about the wealthiest nation in the world: 80 percent of Americans live paycheck to paycheck, and 100 percent of Americans were unprepared for the COVID-19 pandemic. People are hungry due to macroeconomic and environmental factors, not because they did something wrong. Although everyone is at risk in this pandemic, the risk is not shared equally across socioeconomic classes. Universal basic health care could resolve this disparity and many of the moral and economic aspects associated with the pandemic.

Increases in the total output of the economy, or the gross domestic product (GDP), disproportionately benefit the wealthy. From 1980 to 2020, the GDP increased by 79 percent. Over that same time, the after-tax income of the top 0.01 percent of earners increased by 420 percent, while the after-tax income of the middle 40 percent of earners increased by only 50 percent, and by a measly 20 percent for the bottom 50 percent of earners. At present, the top 0.1 percent of earners have the same total net worth as the bottom 85 percent. Such income inequality produces poverty, which is much more common in the U.S. than in other developed countries. Currently 43 million Americans, or 12.7 percent of the population, live in poverty.

At the same time, 30 million Americans are uninsured and many more are underinsured with poorly designed insurance plans. The estimated total of uninsured and underinsured Americans exceeds 80 million. In addition, most of the 600,000 homeless people and 11 million immigrants in the U.S. lack health care coverage. Immigrants represent an especially vulnerable population, since many do not speak English and cannot report hazardous or unsafe work conditions. Furthermore, many immigrants avoid care due to fear of deportation even if they entered the country through legal channels.

Most people in poverty and many in the middle class obtain coverage from federal programs. On a national level, Medicaid is effectively a middle-class program and covers those living in poverty, 30 percent of adults and 60 percent of children with disabilities as well as about 67 percent of people in nursing homes. In Iowa, 37 percent of children and 48 percent of nursing home residents use Medicaid. Medicaid also finances up to 20 percent of the care provided in rural hospitals. Medicare, Medicaid and the Children’s Hospital Insurance Program (CHIP) together cover over 40 percent of Americans.

In addition to facilitating care, health care policy must also address the “social determinants of health,” since the conditions in which people live, work, and play dictate up to 80 percent of their health risks and outcomes. This means that health care reform requires programs in all facets of society. Winston Churchill first conceptualized such an idea in the early 20th century as a tool to prevent the expansion of socialism, arguing that inequality could persist indefinitely without social safety nets. Since that time most developed countries have implemented such social programs, but not the US.

All developed countries except the U.S. provide some type of universal basic health care for their residents. Universal basic health care refers to a system that provides all people with certain essential benefits, such as emergency services (including maternity), inpatient hospital and physician care, outpatient services, laboratory and radiology services, treatment of mental illness and substance abuse, preventive health services (including vaccinations), rehabilitation, and medications. Providing access to these benefits, along with primary care, dramatically improves the health of the community without imposing concerns regarding payment. Perhaps not coincidentally, the U.S. reports a lower life expectancy and higher rates of infant mortality, suicide and homicide compared to other developed countries.

Countries such as Canada, Great Britain, Denmark, Germany, Switzerland, Australia, and Japan all produce better health care outcomes than the U.S. at a much lower cost. In fact the U.S. spends about twice the percentage of its GDP on health care compared to these countries. With that being said, the Affordable Care Act of 2010 (ACA), which facilitated a decrease in the rate of the uninsured in the U.S. from 20 percent to 12 percent, also decreased the percentage of the GDP spent on health care from 20.2 percent to 17.9 percent in just 10 years. For this reason, most economists agree that universal basic health care would not cost more than the current system, and many would also argue that the total costs of the health care system cannot be further reduced unless everyone has access to basic care.

Achieving successful universal basic health care requires a serious long-term commitment from the federal government — contributing to Medicaid and financing its expansion are not enough. It requires courage from our elected leaders. The ACA took several important steps toward this goal by guaranteeing coverage for preexisting conditions, banishing lifetime maximums for essential services, and mandating individual coverage for everyone, though Congress repealed this final provision in 2017. At present, the ACA requires refinement and a public option, thereby preserving private and employer-based plans for those who want them.

Without universal basic health care the people living at the margins of society have no assurances that they will have access to basic health care services, especially during times of pandemic. Access to food and medications is less reliable, large families live together in small spaces, and public transportation facilitates frequent exposure to others. Childhood diseases such as asthma, chronic diseases such as diabetes, and diseases related to smoking such as COPD and cancer are all likely to worsen. Quarantine protocols also exacerbate the mental health crisis, further increasing rates of domestic violence, child abuse, substance abuse, depression, and suicide. In the last six weeks over 30 million Americans have applied for unemployment benefits, and as people become unemployed, many will lose health insurance.

Access to basic health care without economic or legal consequences would greatly enhance all aspects of pandemic management and response, from tracing contacts and quarantining carriers to administering tests and reinforcing supply chains. The COVID-19 pandemic has disproportionately affected minorities and the impoverished in both mortality and livelihood. Universal basic health care helps these vulnerable populations the most, and by reducing their risk it reduces the risk for everyone. In this way, universal basic health care supports the best interests of all Americans.

Like a living wage, universal basic health care aligns with the Christian tradition of social justice and is a moral and economic imperative for all Americans. Nurses, doctors, and other health care providers often observe a sharp contrast between the haves and have-nots when seeing patients. The homeless, the hungry, the unemployed, the working poor, the uninsured; people without families, patients with no visitors, those who live alone or lack support systems; refugees and immigrants — all of these people deserve the fairness and dignity provided by universal basic health care and programs which improve the social determinants of their health. The ACA moved U.S. toward this goal, but now it requires refinement and a public option. The COVID-19 pandemic highlights the urgency of this imperative by demonstrating how universal basic health care could decrease the risks to those less fortunate, thus significantly decreasing the risks to everyone.

James M. Levett, MD, serves on the board of Linn County Public Health and is a practicing cardiothoracic surgeon with Physicians’ Clinic of Iowa. Pramod Dwivedi, MS, DrPH (c), is the health director of Linn County Public Health.

In August 1919, the Cedar Rapids Evening Gazette opined in favor of the passage of a $5 million congressional appropriation to “investigate influenza, its cause, prevention and cure.”

“We all remember without effort the darkness and terror which engulfed the land last fall and winter as death stalked swiftly from seaboard to seaboard, into crowded city and unto lonely plain, sparing not the cottage of the poor nor the mansion of the rich,” the editorial said. “In four short months, influenza claimed a half million lives and pressed millions of others onto beds of sickness, suffering and helplessness. The nation’s mortality rate leapt high and with astounding speed. The nation was unprepared to cope with a disease calamity such as it has never known.”

The Gazette lamented that billions of dollars in loss were wrought by the pandemic of so-called Spanish influenza, compared with only $5 million being spent to investigate the virus.

“More has been spent in studying diseases of hogs,” the editorial argued.

Just less than a year earlier, The Evening Gazette did not see “darkness and terror” coming. A front page, above-the-fold story Sept. 25, 1918, asked: “Spanish Influenza just the old-fashioned grippe?” “Grippe” is an old-time term for the flu, by the way.

“As a matter of fact, in the opinion of City Physician Beardsley, and a good many other Cedar Rapids men in the same profession, Spanish influenza is just another name for the regular old fashioned influenza and is no different from the influenza we have always had. A bad cold is a bad cold, and a worse cold is grippe, which covers a multitude of things ...,” The Gazette reported, optimistically.

An earlier strain of influenza in the spring of 1918 had been less virulent and deadly. But the second wave was no ordinary grippe.

By mid-October, according to reports in The Evening Gazette, influenza caseloads exploded. On Oct. 12, 1918, the local health board shut down pool rooms, billiard halls and bowling alleys. It pleaded with store owners to avoid allowing crowds to linger. On Oct. 16, stores were ordered to discontinue any special sales that might draw more shoppers.

Restrictions tightened as the pandemic worsened.

Death notices were stacking up on Gazette pages, in rows reminiscent of small tombstones. Many victims were cut down in the prime of life by a virus that struck young, healthy people hardest. Mothers and fathers died, leaving young children. Soldiers serving in World War I died far away from home. Visitors to town never returned home.

Young brothers died and were mourned at a double funeral. A sister who came to care for a sick brother died, and so did her brother.

Ray Franklin Minburn, 24, died of influenza, leaving behind six sisters and two brothers. “Mr. Minburn was a faithful son, a devoted companion, a good neighbor,” concluded his death announcement on Oct. 21, 1918.

On the same page that day came news, tucked among the tombstones, reporting that Iowa Gov. William Harding had recovered from influenza, in the midst of his reelection campaign, and was back in the office. You might remember Harding as the governor who banned German and other languages during World War I and who was nearly impeached for bribery in 1919.

Not far from Harding’s update came news from the prison in Anamosa that “whisky and quinine” were being deployed to attack the grippe.

The pages of The Evening Gazette also were dotted with advertisements for supposed cures and treatments.

“Danger of infection from influenza or any contagious disease can be eliminated by using preventive measures,” prescribed by Ruby S. Thompson, chiropractor and naturopathic physician. Those included “Sulphur-vapor baths, Carlsbad mineral bath.”

You could build up your blood using “Gude’s Pepto-Mangan,” the “Red Blood Builder.” Keep your strength up with Horlick’s Malted Milk.

One ad looked exactly like a news story, carrying the bold headline “Druggists still asked to conserve stocks of VapoRub needed in ‘flu’ districts.” In a tiny notation at the end of the “story” were the words “The Vicks Chemical Co.”

That August 1919 Gazette editorial I mentioned makes me wonder what we’ll be writing in a year or so after our current pandemic.

Death stalking us swiftly from seaboard to seaboard in an unprepared nation, preceded by the casual insistence it’s no worse than the seasonal flu, sounds eerily familiar in 2020. More attention is being paid to hogs than the health of humans working in meatpacking plants.

Will we be writing in 2021 how reopening states and counties too soon led to our own second wave? Here in Iowa, reopening began before we had a fully working predictive model to chart the pandemic’s course and before new testing efforts had a chance to ramp up. Will decisions made without crucial information look smart in 2021? Or will we wish we’d waited just a couple more weeks?

What of the protesters demanding liberation? What about the president, running for reelection in a nation harmed by his crisis mismanagement? What will a new normal look like?

Will there be newspapers around to editorialize in the aftermath? After all, most of the pitches for fake cures are online now, some even extolled at White House briefings.

And will we be better prepared next time? I bet editorial writers in 1919 figured we’d have this pandemic response thing down to a science by now.

Little did they know that in 2020 we’d have so little respect for science. And after a century-plus, the darkness and terror apparently slipped our minds.

(319) 398-8262; todd.dorman@thegazette.com

We invited Admiral Mike Franken to a gathering of voters to explain why he was qualified to run for the U.S. Senate. We were impressed with his friendliness, his openness, and especially his range of experience as a leader. One of those in attendance at our home was a woman who had served under his command on the U.S.S. Barry; it was a happy reunion for the sailor and the admiral. She had no hesitation in endorsing him and supporting him in his campaign. Admiral Franken also visited our son’s home in another city. Again, those gathered were impressed with Admiral Franken’s experiences and priorities But the person most impressed was our eight-year-old grandson. When Charlie walked into the room, Admiral Franken interrupted himself, introduced himself to Charlie and engaged him in genuine conversation. Charlie’s summation of politicians. “I like him. He was talking about boring stuff, but he was nice to me. People shouldn’t talk about boring stuff; they should just be nice to everyone.”

Mike doesn’t talk about boring stuff — to us, anyway. He talks about the actions we want our United States Senate to take: pass legislation to address climate change, health care and the economy.

Because Mike has experience as a leader and as a staff member on Capitol Hill, he has an advantage over newcomers to Washington.

We, one Democrat and one Republican, encourage you to vote for Admiral Mike Franken to be our Senator.

Dianne and Bim Prichard

DeWitt

Coronavirus provides a chilling lesson about crowding. The disease originated in a densely packed Chinese City. As it moved worldwide it struck most heavily in crowded places where people live and work in proximity.

Medical experts advise us to stay home and keep fellow humans at a distance. Isolation works. If a pathogen can’t reach us it can’t cause harm.

The same holds true for food. Years ago farmers planted diverse crops in relatively small fields, and raised modest numbers of chickens, pigs, and cattle. One cornfield or chicken coop was, essentially, isolated from the next closest counterpart, making it hard for a disease to jump from one farm to the next.

Modern Agriculture, in contrast, raises hundreds of thousands of chickens and turkeys crowded together in single buildings. Hogs and cattle are also crammed together, as are crops. Essentially the Midwest is one continuous cornfield stretching from Ohio to Nebraska. Once a pathogen mutates a new disease can easily sweep across vast fields or through crowded growing buildings, leaving a path of death and food shortages in its wake.

Modern mass agriculture is efficient, providing consumers with inexpensive eggs, milk, vegetables and meat, but it is vulnerable. Today’s farmers recognize disease potential and practice scrupulous biosecurity to keep pathogens away from their crops and animals. Still, all it takes is one mutation or introduction of a foreign microbe and a high percentage of American food is lost.

Families can reduce their vulnerability to mass food production by growing some at home. During The Second World War the government encouraged families to plant victory gardens and keep one to two hens per family member. Many households were able to grow up to 40% of their annual dietary needs, even in small yards. It freed commercially produced food for the military. Yards remain capable of growing significant quantities of nutritious food using three techniques.

Gardening: An amazing quantity of nutritious food can be grown in even a small sunny backyard, especially when intensive gardening techniques are used.

Foraging: Delicious wild foods grow in unsprayed yards and are free for the picking. Our family, for example, enjoys nettles, lambsquarters, purslane, acorns and dandelions. Learning to identify, harvest, and process them is not difficult. Ironically spraying a yard kills plants people can eat to favor inedible grass.

Chickens: A six hen backyard flock will produce two dozen eggs a week. They need some commercial feed but recycle kitchen scraps and garden weeds into eggs. Cedar Rapids and other towns allow families to keep chickens with a few restrictions.

Families unable or unwilling to grow backyard food can boost food security by buying vegetables, meat and eggs from small local producers.

Coronavirus has taught us about contagion and helps clarify the threat that mass production poses. Raising backyard food enhances resilience. It’s satisfying and helps ensure there will be something to eat.

Rich Patterson of Cedar Rapids is a writer, former nature center director and ecological consultant who co-owns Winding Pathways LLC with his wife, Marion.

One in five people will have some kind of mental illness in their lifetime. Yet despite how common these conditions are — as common as silver cars, and more common than being left-handed — stigma remains the greatest barrier to individuals seeking help regarding their mental illness.

May is Mental Health Awareness Month. This serves as a great opportunity for our community to begin eliminating stigma by starting conversations and increasing understanding about mental illness.

Now, more than ever before, it is important to talk about mental illness. Many of us could be feeling increased anxiety, stress and feelings of isolation due to the COVID-19 outbreak and social distancing requirements. For those Iowans who already live with a mental illness, this pandemic could be causing symptoms to compound.

A recent study released by a team at Iowa State University states that increased unemployment and social isolation measures related to COVID-19 could result in an increase in suicide rates of close to 50,000 individuals.

Despite the challenges created by the COVID-19 pandemic, there still is help available: Telehealth services during this crisis is critical. Our state leaders, Iowa Insurance Commissioner Doug Ommen and Gov. Kim Reynolds responded immediately by encouraging health providers, insurers and businesses to work together to remove barriers and ensure telehealth is accessible.

Your Life Iowa, a state-operated service, offers referrals for problems related to alcohol, drugs, gambling, mental health or suicidal thoughts and can be contacted by phone, text or online chat 24/7.

Between March 1 and April 19, Your Life Iowa received nearly 500 contacts related to COVID-19 and traffic on the website — YourLifeIowa.org — is up 27 percent. Crisis lines and mental health counselors around the state and country are also reporting an uptick in patients reaching out for resources or virtual counseling. This is important progress.

However, the greatest barrier for those in need of mental health services is stigma.

If you know someone who is struggling, be a voice of support. The silence around mental illness is preventing our fellow Iowans — our friends, neighbors, co-workers and family members — from feeling better. By breaking down the stigma around mental illness, we can help them access the resources and treatment they deserve.

If someone opened up to you about their mental illness, would you know what to say? Do you have a general understanding of the most common mental illnesses? Do you know how to support loved ones dealing with mental illness? There are free resources available at MakeItOK.org/Iowa to learn more.

You can also read stories of Iowans who live with mental illness, take a pledge to end mental illness stigma and learn more about how you can get more involved with Make It OK through ambassador trainings, upcoming events and workplace programming.

Together, we can end the stigma and Make It OK.

Jami Haberl, Iowa Healthiest State Initiative; Lori Weih, UnityPoint Health — St. Luke’s Hospital; Tricia Kitzmann, Linn County Public Health and Mona McCalley-Whitters, Ph.D., NAMI Linn County.

When Andrea Wilson approached me five years ago with her idea of creating a space for writers in our community separate from any offered by the University of Iowa, I must admit I was a bit skeptical, if not defensive. Over a long coffee discussion, I shared with her a detailed look at the literary landscape of Iowa City and all of the things my organization, the Iowa City UNESCO City of Literature was doing to make those assets more visible and accessible.

• Coronavirus closes the Iowa Writers’ House - for now

Despite this, Andrea mentioned the need for an “on ramp,” a way for people who don’t feel a part of that community to find their path, to access those riches. It was there, I thought to myself. She just hadn’t looked in the right place.

Then she built that ramp in the form of the Iowa Writers’ House. As she and her team defined what that ramp should look like, what role it should play, the Writers’ House evolved from being an idea with promise to a vital part of our literary infrastructure. She showed that people were hungry for further instruction. They desired more and different ways to connect with one another. These were things beyond the scope and mission of the UI and the City of Literature. She had found her niche, and filled it, nicely complementing what was offered by my organization and others.

But those services do not come without cost. Andrea and her team scrambled, using the house as a literary bed-and-breakfast that was used by many visiting writers. They scheduled workshops. They held fundraisers. But that thin margin disappeared with the onset of COVID-19. Unable to hold those workshops, to serve as a bed-and-breakfast, to provide meaningful in-person connections, the Writers’ House was unable to carry on in its current configuration.

We have every hope and expectation that the Iowa Writers’ House and Andrea will continue to be a part of our literary landscape in the future. This will come perhaps in another form, another space. Conversations have been underway for months about the needs of the literary community beyond the UI. Andrea has been a key part of those discussions, and the work that she and her team has done offer vital information about where those conversations need to go. Gaps have been identified, and while they won’t be filled in the same way, they will be filled.

These conversations join those that have been taking place in our community for decades about the need for space and support for writers and artists. As we all have realized over these past few weeks of isolation just how much we miss when we are not able to gather to create and to celebrate those creations, perhaps those conversations will accelerate and gain focus once we reconvene. The newly formed Iowa City Downtown Arts Alliance, of which we are proud to be a part, is an additional voice in that conversation.

In the meantime, we want to thank Andrea, Associate Director Alisha Jeddeloh, and the team at the Iowa Writers’ House, not just for identifying a need, but for taking the rare and valuable step of actually rolling up their sleeves and doing something to meet it.

John Kenyon is executive director of the Iowa City UNESCO City of Literature.

With the throng of websites on the internet vying for people’s attention, it will be hard to stand out if you don’t have an appealing or dependable business website. Investing in building your own website and acquiring a reliable domain and web hosting provider are some of the things you must do right to make […] More

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Before 20 years, the websites are developed with text and static HTML only. But as technology is growing we have lots of new ways to create any complex to a simple website. There are so many options available to develop a user-friendly website.

The time is near, only 6 hours and some change to to get your tickets to WordCamp in Las Vegas! I have my tickets, and so do 125 other at the moment. If you have not purchased tickets and are going to be in the LV area, or planning on heading that way, well then […]

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I am at the WordCamp convention in Las Vegas and

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The WordPress e-Commerce team are gearing up to announce a competition for the best WordPress e-Commerce compatible theme. The first prize is $1500 + any additional community donated funds that people throw into the prize pool kitty. The second prize is a new iPod. For the rules head over to Instinct

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Well, it was a long run, ok, only 24 hours when Mr. Seidel’s announced that he would pull the plug on further updates to the cforms plugin. But after consideration and many emails, he has released a update to a GPL compliant version of his plugin: 10.2.

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Manon is a true game-changer in the WordPress sphere. This unparalleled portfolio & agency theme lets you create a wonderfully fluid website that will surely stand out in the crowd. It comes completely decked-out with powerful features and a collection … Continued

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When Joe Sample started posting photos of his takeout food stops in the days after Iowa restaurants were ordered shut down to dine-in service in March, he didn’t think much of it. He just wanted to get some good food while supporting restaurants.

“I have a lot of friends in the food business. My wife worked at Elevate Salon and Emil’s Deli, so she’s not working right now,” he said. “I felt it was a great way to support local businesses.”

But then a new Facebook group dedicated to promoting curbside, delivery and takeout food options in Cedar Rapids sprung up — this week, it had more than 15,000 members — and Sample started sharing photos there. The 46-year-old Cedar Rapids resident quickly found himself having a new experience — going viral.

In a pandemic, that phrase could have negative connotations, but this was the positive kind of viral spread. The kind where hundreds of people liked his photos and commented on them. Then a Cedar Rapids T-shirt maker, Ivory Pearl Designs, started selling “Be Like Joe” T-shirts and other people started showing up to order takeout in the shirts. Soon, restaurants were asking if he would come take a photo at their restaurant.

“I just started it to have fun and posted a few fun pictures, and then I started having restaurants reach out to me,” Sample said.

He decided to dedicate his stimulus check from the federal government to the effort. Sometimes, he said he hits up more than one restaurant a day.

“I’ve hit close to 60 restaurants,” he said.

He’s leaned into the enthusiasm and found ways to play up the efforts. One day he dressed as Oscar the Grouch while visiting’ Oscar’s Restaurant in Hiawatha. On another day, he and one of his daughters bought plastic pig noses to wear on a stop at the Blind Pig in Cedar Rapids. He wears a Superman costume to some stops.

“I was totally surprised at how viral it went,” he said. “Now I’m just trying to keep it exciting.”

In his day job, Sample is a salesman for American Building Components in Mount Pleasant. He normally spends a lot of time on the road, selling metal roofing, siding and steel frame structures around the Midwest. These days, he’s working from home, making sales over the phone instead. He said going out to get carryout is a chance to see other people and get out of the house.

“It brings some normalcy to my life,” he said.

He has two daughters at home, age 9 and 15, and one son, 22. When he’s not eating out, he likes to spend time outdoors with his family, fishing, camping, hunting and coaching soccer. He admits his last name is a bit on-the-nose for his newest hobby.

“A lot of people ask, ‘Is that really even your real name?’” he said with a laugh.

Sample was born and raised in Cedar Rapids, which fuels his desire to support his town.

“My dad had Sample Pharmacies when I was growing up. People helped support us, so I figured it was the least I could do, to support other local businesses,” he said. “I think the biggest thing is, we want to keep them here. There are so many great restaurants in Cedar Rapids, and we don’t want to lose half of them. I’m going to try to keep going with this until they open the places back up, as much as I can.”

He also has helped do deliveries of donated meals to area hospitals and long-term care facilities. That effort started when his younger daughter’s Girl Scout troop had dozens of boxes of unsold cookies and few options to sell them once the pandemic hit. Sample’s family purchased them and sent them to staff at Mercy Medical Center. Since then he’s dropped off boxes of pita, hummus and gyro meat from Pita’z Mediterranean and American Cuisine, trays of cinnamon rolls from Oscar’s and other places.

“People seem to be very supportive in Cedar Rapids,” he said.

He gave a lot of credit to the Cedar Rapids Facebook group, which was started by Lindsay Leahy, Brooke Murphy-Fitzgerald and Shannon Hanson. Others like it have sprung up in Marion, North Liberty and Iowa City.

“I think this has opened a lot of people’s eyes; it has given people an opportunity to try new things,” Sample said. “I’ve seen more restaurants on here than I’d ever tried before.”

He’s also started to promote nonprofits like the Freedom Festival. He is helping sell the $5 commemorative buttons — even though the 2020 festival was canceled, the buttons will help support the organization’s operations. And he helped with a Big Brothers Big Sisters fundraiser, an effort which inspired him so much he signed up as a volunteer.

He said he hopes his efforts, and others like it inspire others to support the community.

“Keep supporting local, do your best to stay healthy, and when restaurants open back up, keep going to them,” he said. “They’re going to need our help for a long time to come.”

Comments: (319) 398-8339; alison.gowans@thegazette.com

“I pledge my Head to clearer thinking, my Heart to greater loyalty, my Hands to larger service, and my Health to better living, for my club, my community, my country, and my world.” — 4-H pledge

The Johnson County 4-H program is living up to these words, teaming up with Big Brothers Big Sisters of Johnson County to assemble Camp-in-a-Bag kits for the youngest “Littles” enrolled in the BBBS mentoring program.

Big Brothers Big Sisters creates one-on-one opportunities between adult volunteer mentors and at-risk youths ages 6 to 18. Known as “Bigs” and “Littles,” they meet for at least six hours a month for 18 months. But those in-person outings to movies, museums, restaurants, recreational activities and new adventures, as well as monthly events and school-based programs organized by the agency, are on hold during the COVID-19 pandemic.

So the kits became an outreach outlet.

“I was thinking about ways that we would be able to connect with our Littles, to let them know that we’re thinking about them,” said Dina Bishara, program specialist for Big Brothers Big Sisters of Johnson County. “And also in a very small way, to try to fill that gap that so many kids are experiencing right now. They’re used to the structure and activity of school and extracurricular activities and playing with friends.”

The bags contain more than six hours of STEAM — science, technology, engineering, arts and math — activities, from the pieces needed for building gliders and balloon flyers, to conducting scientific experiments, planting seeds, choosing healthy snacks and writing down their thoughts.

Those activities also reflect the other contributing partners: Johnson County Master Gardeners, Johnson County Extension and Outreach’s Pick a Better Snack program, O’Brien Family McDonalds and Forever Green Garden Center.

“(We wanted to) just give them something really fun and also educational and engaging, to help them spend time with their siblings, if they have them, and get their parents involved, if possible — and just really keep them connected to that learning and the fun, but also to Big Brothers Big Sisters,” Bishara said. “Camp-in-a-Bag helps us structure things in an intentional and thoughtful way.”

Partnering with 4-H, known for its summer camps, fairs and educational programs, “was a really great way to make sure that the activities we were including were really robust, so it was not going to be a hodgepodge, throw-some-things-in-a-bag,” Bishara added. “We really needed to be deliberate about it, to have the directions nicely laid out.”

The first wave is being distributed to 20 elementary-age children, and officials are hoping to expand the project.

“Funding is always a question,” Bishara said. “We would love to expand to 20 or 40 for more. ... We’d sure like to be able to target the kits to a little older kids, who have different interests.”

Bishara and Kate Yoder, who works with 4-H out of the Iowa State University Extension office in Johnson County, are eager to continue their collaborative efforts.

“It really great,” Yoder said. “When you work together, things comes together and amazing things happen. I’m excited to see what the future holds — what partnerships we can build on and grow.”

Comments: (319) 368-8508; diana.nollen@thegazette.com

• What: Big Brothers Big Sisters Camp-in-a-Bag kit contributions

• Contact: Email Dina Bishara at dina@bbbsjc.org

Nearly 25,000 more Iowans filed unemployment claims in the past week, Iowa Workforce Development reported Thursday.

Continuing weekly unemployment claims total 181,358, the department reported.

Iowa Workforce Development said 24,693 people filed unemployment claims between April 26 and May 2. That included 22,830 initial claims by people who work in Iowa and 1,863 claims filed by people who work in Iowa but live in another state.

State unemployment insurance benefit payments totaled $50,931,302 for the same week, the department said.

Also this week, a total of $111,378,600 in Federal Pandemic Unemployment Compensation benefits was paid to 164,088 Iowans. Since April 4, a total of $439,126,200 has been paid.

A total of $10,046,089 was paid to 15,612 Iowans receiving Pandemic Unemployment Assistance benefits.

The industries with the most claims were manufacturing, 6,053; industry not available, self-employed, independent contractors, 4,010; health care and social assistance, 2,988; accommodation and food services, 2,200; and retail trade, 1,768.

Gov. Kim Reynolds is continuing to allow more businesses to reopen, which may mean more Iowans going back to work.

On Wednesday, after meeting with President Donald Trump at the White House, Reynolds issued a proclamation permitting a variety of businesses to reopen, including dental services, drive-in movie theaters, tanning facilities and medical spas.

She also relaxed mitigation strategies in the 22 counties that remain under more strict orders because the virus is more widespread there.

Beginning Friday in those 22 counties — which include Linn, Johnson and Black Hawk — malls and retail stores may reopen provided they operate at no more than 50 percent of capacity, and fitness centers may reopen on an appointment basis only.

For more information on the total data for this week’s unemployment claims, visit https://www.iowalmi.gov/unemployment-insurance-statistics.

Comments: (319) 398-8375; james.lynch@thegazette.com

MARION — Marion’s 14-member COVID-19 Economic Recovery Task Force is beginning to work on recommendations of how to get people back to work, while keeping everyone safe.

“It’s hard to know right now at the beginning the various outcomes that are going to come out of this,” Marion Mayor Nick AbouAssaly told task force members in a meeting held this week via Zoom.

“Community sectors will work independently and report to the steering committee with ideas, strategies or policy recommendations,” he said.

In turn, the task force will consider recommendations to the Marion City Council, and AbouAssaly said he will update the council on the task force meetings.

“Unfortunately, we have to accept that the virus is here to stay,” AbouAssaly said. “It’s part of our life for the time being. We have to be able to plan for getting back to doing things and leading our lives in a way that allows us to exist with the virus in our community.”

Elizabeth Cwik, a Marion resident who works for the Greater Cedar Rapids Community Foundation, said there’s a “strong interest” among task force members to provide accurate information to the public about the virus.

“I see clear, consistent messaging from a variety of sectors from the schools, government, businesses and nonprofits. Then that message gets through,” Cwik said. “If that message is, ‘We care, and we want you to come out whole, and we want there to be a vibrant economy to be continued with every citizen’s effort,’ I think that’s a valuable contribution to the recovery.”

In joining the task force, Dr. Jaclyn Price said she hopes to dispel inaccurate information about the coronavirus and help businesses find ways to safely bring their employees back to work.

“I anticipate businesses will be operating at reduced capacities,” she said. “Maybe doing appointments rather than walk-in business, and cleaning more routinely.”

If businesses require employees and customers to wear masks, it will protect others from asymptomatic spread of the virus, she said.

“We will still see virus activity until we get a vaccine or herd immunity,” Price said. “This is going to be a problem for months to come. We’re trying to find ways to open slowly, but also understanding if we reopen everything and have to close it again, that could be more detrimental to people’s psychology or finances of businesses.”

The Rev. Mike Morgan of Marion United Methodist Church said “greater conversation” with government, business, education and health care leaders will help.

“Marion has become a town that is proactive,” Morgan said. “We really seek to have good things happen to our citizenry rather than let things happen and we react to them. ... As a person in the faith community, it’s important for us to be tending to people’s emotional, psychological, spiritual and, to some degree, physical needs.”

Comments: (319) 368-8664; grace.king@thegazette.com

Those serving on the Marion COVID-19 Economic Recovery Task Force, all Marion residents and volunteers, are:

• Nick AbouAssaly, Marion mayor

• Jill Ackerman, president, Marion Chamber of Commerce

• Shannon Bisgard, Linn-Mar schools superintendent

• Amber Bisinger, communications officer for the city

• Elizabeth Cwik, Greater Cedar Rapids Community Foundation

• Lee Eilers, executive committee member, Marion Economic Development Corp.

• Nick Glew, president, Marion Economic Development Corp.

• Amber Hoff, marriage and family therapist

• Steve Jensen, Marion City Council member

• Mike Morgan, pastor, Marion United Methodist Church

• Brent Oleson, Linn County supervisor

Lon Pluckhahn, Marion city manager

• Jaclyn Price, M.D., Mercy Clinic-Marion

• Brooke Prouty, program director, Marion Chamber of Commerce

IOWA CITY — Once upon a time, there was a house in a city that loved literature.

It was a quaint, two-story home in the heart of the historic district with brick stairs, pale yellow siding, a hipped red roof and a rich history: Its original owner was Emma J. Harvat, who in 1922 became the nation’s first female mayor for a city of more than 10,000.

Nearly a century later, in 2014, Andrea Wilson was working in advertising in Florida and pined for a more “altruistic purpose” for her life. So she planned a return to Iowa, where she grew up in Columbus Junction.

But this time Wilson would live in Iowa City, known for — among other things — pioneering academic creative writing pursuits at the University of Iowa’s famed Writers’ Workshop.

Wilson wanted to write and found the idea of the historic Harvat house so charming she bought it “sight unseen” from down in Miami, aiming to run it as a bed-and-breakfast. But when she arrived, Wilson discovered a need in her new community she aimed to fill. It had a surprising dearth of literary resources for those outside the university.

“There wasn’t any place for the public to take a class or meet other writers or really be part of a writing community where people could just express their humanity through words,” she said. “It became my passion project — to try to create that for this community. I thought if anywhere should have a place like that, it would be America’s only UNESCO City of Literature at the time.”

So in March 2015, Wilson debuted Iowa City’s first community-based literary center for writers — or those aspiring. She had hoped to open a communal writing space closer to downtown but didn’t have the funding. So she gave her home a third identity: the Iowa Writers’ House.

She continued to live there and maintain her bed-and-breakfast business, which funded the writing endeavor and kept its cozy corridors bustling with interesting characters.

Famed visiting writers included Leslie Jamison, American novelist and essayist with works on the New York Times bestseller list; Hope Edelman, whose six non-fiction books have published in 17 countries and translated in 11 languages; Alison Bechdel, an American cartoonist and MacArthur fellow; and Piedad Bonnett Velez, Colombian poet, playwright and novelist of international acclaim.

And over the years, the Iowa Writers’ House connected, served and motivated thousands with its workshops, seminars, readings and summer camps. It offered editing services, founded a Bicultural Iowa Writers’ Fellowship, and — among other things — inspired a growing network of friends and creatives to value their own stories and the stories of others.

“I said yes to everything anyone ever asked of me,” Wilson said. “We gave tours. I received visiting scholars. We hosted dinners for visiting poets and writers for the university. And a lot of that was all volunteer. We never had a steady funding stream like most literary centers do.”

So when the coronavirus in March reached Iowa City, later shuttering storefronts, canceling events, curtailing travel plans and crippling the economy, the Iowa Writers’ House momentum stopped, too.

“Once COVID hit, because all of our programming is live and people come to the house, we had to cancel it,” Wilson said.

She dropped most of the organization’s spring season. She lost all her projected bed-and-breakfast business. And in a message posted to the Iowa Writers’ House website last month, Wilson announced her hard but unavoidable news.

“As the situation pushes on, and with no programming in the foreseeable future, we must make drastic changes,” she wrote. “Organizations must weather the storm or adapt, and in the case of this little organization with a big heart, evolution is the only option.”

And so after five years of intimate conversations, communal meals, singing, laughing, crying and lots and lots of writing and reading — all done in the shadow of Harvat — the organization is leaving the historic space and “taking a break to assess our mission and consider our best options for the future.”

Wilson said she plans to focus on her own writing. And the Bicultural Iowa Writers’ Fellowship program will continue — allowing for the release later this year of a third volume of “We the Interwoven: An Anthology of Bicultural Iowa,” including six new authors with multilingual stories of living in Iowa.

News of the goodbye — at least for now — has been met with an outpouring of support and testimonials of the impact the Iowa Writers’ House has had,

“I grew up without a writing community, and it was a very lonely experience,” Erin Casey wrote to Wilson after learning of its pause.

Casey — on the Iowa Writers’ House team and director of The Writers’ Rooms, an offshoot of the house — said her involvement in the project shaped not only her career but her personal growth.

“You, and the Iowa Writers’ House, helped me become a stronger person who felt deserving of companionship, respect, and love,” she wrote. “Watching the house grow, the workshops fill, and the stories come in about how much the IWH touched people’s lives added to the joy. I finally found a place to call home.”

Casey said that while the future is unknown, its legacy is not.

“The IWH will live on in the hearts of the people you touched,” she wrote. “Writers have found friends, support, guidance …”

Although the project isn’t getting a fairy-tale ending, Wilson said the story isn’t over.

“The organization is leaving the space. I’m leaving the space. We’re going on an organizational break so we can determine what a sustainable future might be,” she said. “But it’s really the end of a chapter. And we don’t know what the next chapter will be.”

Comments: (319) 339-3158; vanessa.miller@thegazette.com

Vice President Mike Pence owes Iowans more than a photo-op when he visits Des Moines today, according to Joe Biden’s campaign.

“Iowans are seeing up close the most consequential failure of government in modern American history,” said Kate Bedingfeld, spokeswoman for the former vice president and presumptive Democratic presidential nominee.

“With nearly 300,000 Iowans filing for unemployment, rural hospitals on life support, Latino communities disproportionately suffering and workers on the job without sufficient protection, Mike Pence owes Iowans more than a photo-op — he owes them answers,” she said.

Pence, head of the White House coronavirus task force, is scheduled to meet with Iowa Gov. Kim Reynolds and U.S. Sens. Chuck Grassley and Joni Ernst, all Republicans, as well as with faith, farm and food production leaders.

Pence will talk to faith leaders about how they are using federal and state guidelines to open their houses of worship in a safe and responsible manner.

Later, he will go to Hy-Vee’s headquarters in West Des Moines for a roundtable discussion with agriculture and food supply leaders to discuss steps being taken to ensure the food supply remains secure.

Pence has called Iowa a “success story” in its response to the COVID-19, but Bedingfeld said the Trump administration failed to protect Iowa families from the virus that has claimed the lives of 231 Iowans.

“From devastating losses across the state, at meatpacking plants to rural communities, one thing is clear — it’s Iowans and the American people who are paying the price for the Trump administration’s denials and delays in response to this pandemic,” she said.

“Instead of listening to our own intelligence agencies and public health experts, Donald Trump was fed dangerous propaganda from the Chinese Communist Party — and he bought it,” she said. “Iowans deserve better — they deserve Joe Biden.”

For his part, Grassley said he welcomes the discussion with Pence.

“There’s much work to be done, and the pandemic is disrupting all of our communities,” Grassley said. “It’s important to hear directly from those who help feed the nation and the world.”

Ernst also is looking forward to the discussion of how Iowa is working to protect the health and safety of Iowa’s families and communities while reopening the state’s economy.

“We continue to take an all-hands-on-deck approach to tackling this pandemic,” she said. “Together, we will get through this.”

Comments: (319) 398-8375; james.lynch@thegazette.com

In August 1919, the Cedar Rapids Evening Gazette opined in favor of the passage of a $5 million congressional appropriation to “investigate influenza, its cause, prevention and cure.”

“We all remember without effort the darkness and terror which engulfed the land last fall and winter as death stalked swiftly from seaboard to seaboard, into crowded city and unto lonely plain, sparing not the cottage of the poor nor the mansion of the rich,” the editorial said. “In four short months, influenza claimed a half million lives and pressed millions of others onto beds of sickness, suffering and helplessness. The nation’s mortality rate leapt high and with astounding speed. The nation was unprepared to cope with a disease calamity such as it has never known.”

The Gazette lamented that billions of dollars in loss were wrought by the pandemic of so-called Spanish influenza, compared with only $5 million being spent to investigate the virus.

“More has been spent in studying diseases of hogs,” the editorial argued.

Just less than a year earlier, The Evening Gazette did not see “darkness and terror” coming. A front page, above-the-fold story Sept. 25, 1918, asked: “Spanish Influenza just the old-fashioned grippe?” “Grippe” is an old-time term for the flu, by the way.

“As a matter of fact, in the opinion of City Physician Beardsley, and a good many other Cedar Rapids men in the same profession, Spanish influenza is just another name for the regular old fashioned influenza and is no different from the influenza we have always had. A bad cold is a bad cold, and a worse cold is grippe, which covers a multitude of things ...,” The Gazette reported, optimistically.

An earlier strain of influenza in the spring of 1918 had been less virulent and deadly. But the second wave was no ordinary grippe.

By mid-October, according to reports in The Evening Gazette, influenza caseloads exploded. On Oct. 12, 1918, the local health board shut down pool rooms, billiard halls and bowling alleys. It pleaded with store owners to avoid allowing crowds to linger. On Oct. 16, stores were ordered to discontinue any special sales that might draw more shoppers.

Restrictions tightened as the pandemic worsened.

Death notices were stacking up on Gazette pages, in rows reminiscent of small tombstones. Many victims were cut down in the prime of life by a virus that struck young, healthy people hardest. Mothers and fathers died, leaving young children. Soldiers serving in World War I died far away from home. Visitors to town never returned home.

Young brothers died and were mourned at a double funeral. A sister who came to care for a sick brother died, and so did her brother.

Ray Franklin Minburn, 24, died of influenza, leaving behind six sisters and two brothers. “Mr. Minburn was a faithful son, a devoted companion, a good neighbor,” concluded his death announcement on Oct. 21, 1918.

On the same page that day came news, tucked among the tombstones, reporting that Iowa Gov. William Harding had recovered from influenza, in the midst of his reelection campaign, and was back in the office. You might remember Harding as the governor who banned German and other languages during World War I and who was nearly impeached for bribery in 1919.

Not far from Harding’s update came news from the prison in Anamosa that “whisky and quinine” were being deployed to attack the grippe.

The pages of The Evening Gazette also were dotted with advertisements for supposed cures and treatments.

“Danger of infection from influenza or any contagious disease can be eliminated by using preventive measures,” prescribed by Ruby S. Thompson, chiropractor and naturopathic physician. Those included “Sulphur-vapor baths, Carlsbad mineral bath.”

You could build up your blood using “Gude’s Pepto-Mangan,” the “Red Blood Builder.” Keep your strength up with Horlick’s Malted Milk.

One ad looked exactly like a news story, carrying the bold headline “Druggists still asked to conserve stocks of VapoRub needed in ‘flu’ districts.” In a tiny notation at the end of the “story” were the words “The Vicks Chemical Co.”

That August 1919 Gazette editorial I mentioned makes me wonder what we’ll be writing in a year or so after our current pandemic.

Death stalking us swiftly from seaboard to seaboard in an unprepared nation, preceded by the casual insistence it’s no worse than the seasonal flu, sounds eerily familiar in 2020. More attention is being paid to hogs than the health of humans working in meatpacking plants.

Will we be writing in 2021 how reopening states and counties too soon led to our own second wave? Here in Iowa, reopening began before we had a fully working predictive model to chart the pandemic’s course and before new testing efforts had a chance to ramp up. Will decisions made without crucial information look smart in 2021? Or will we wish we’d waited just a couple more weeks?

What of the protesters demanding liberation? What about the president, running for reelection in a nation harmed by his crisis mismanagement? What will a new normal look like?

Will there be newspapers around to editorialize in the aftermath? After all, most of the pitches for fake cures are online now, some even extolled at White House briefings.

And will we be better prepared next time? I bet editorial writers in 1919 figured we’d have this pandemic response thing down to a science by now.

Little did they know that in 2020 we’d have so little respect for science. And after a century-plus, the darkness and terror apparently slipped our minds.

(319) 398-8262; todd.dorman@thegazette.com

This Mother’s Day, April Kelley just wants to give her daughter Jessica Kelley a hug. But she can’t. Jessica, 21, works on the COVID-19 floor at Mercy Medical Center in Cedar Rapids.

To protect her family and still do her job, Jessica is living full time at the hospital, which has made housing available to staff who need to isolate from their families during the pandemic.

“Just based on the floor I’m on, I don’t want to put my family at risk. It’s not worth it,” she said.

Her mother has an autoimmune disorder, adding another layer to Jessica’s worries. Though she does not interact with patients with the coronavirus directly, she still knows exposure is a risk.

“It wasn’t too hard of a decision, but it’s hard on me sometimes,” she said. “I really miss her.”

Jessica is a telemetry monitor technician. For her eight- to 12-hour shifts, her job is to watch heart monitors of patients in the hospital’s intensive care unit. If any patient starts to have cardiac distress or irregular heart rhythms, she and her fellow technicians are the first ones to notice and can notify the doctors and nurses in the main ward.

“It was her choice to either work at the hospital or come home, which was really difficult for her,” April Kelley said. “She’s only 21, so I was pretty proud of her for choosing to help. I don’t think people realize the sacrifice people are making to be there, working in the hospitals right now.”

Jessica is finishing her junior year as a nursing student at Mount Mercy University in Cedar Rapids. When classes moved online and the dorms closed, she had to figure out what to do. While many of her classmates moved back home with their families, doing so would have meant quitting her job. Right now, she said, that job feels more important than ever. In addition to being a full-time student, she works 32 to 36 hours a week at the hospital.

She spent about a week at home with her mother and brother in Humboldt after the dorms closed, but even then, she stayed in her mother’s finished basement and didn’t interact directly with her.

Her older brother, 26, is staying at home with their mom, and she misses him, too. Jessica said to stay connected, she does FaceTime with her mom, a social worker, almost every day.

“She’s definitely one of my best friends, one of my biggest supporters. She is a single mom, and she’s worked two jobs for the last 12 years,” Jessica said. “She always provides for us, and she’s just wonderful in every single way. She’s very caring, she takes care of everybody, no matter where you are.”

This Mother’s Day, those roles have reversed. Now, Jessica is protecting her mother instead of the other way around.

“She said, ‘Mom, I just can’t come home again, I couldn’t put you in that kind of danger,’” April said. “I’m extremely proud of the young lady she is and how responsible she is, and what she is doing during this time, to make sure other people are safe.”

Jessica’s interest in nursing came from her family. Her grandmother, aunt and cousin are all nurses. She also had an experience as a child that stuck with her and inspired her current career goal of becoming a pediatric intensive care nurse after graduation.

In the second grade, she had encephalitis. At first, she said, doctors didn’t believe she was actually sick. Her mother had to take her to a different hospital to get help.

“They said I was making it up, that my screaming and vomiting was just trying to get attention. They said I was faking it,” she said. “At one point, I really did not know who my mom was, and that’s the scariest part, to have someone tell you that’s not real. That’s just not right, and I don’t want other people, especially children to have to deal with that.”

She became interested in the telemetry job after touring the hospital as a student. She said watching the monitors can be surreal, knowing each line she watches represents a patient she may never meet but whose life she is responsible for.

“You see their heart, but you don’t see them,” she said. “Sometimes you watch them die, but never see them. Other times, you see someone going into a fatal rhythm, and you call the nurses ... and when they finally get that person stabilized, you know they might not have made it if we weren’t there. It’s very rewarding.”

April stressed the need for people to follow public health guidelines on social distancing to stay healthy.

“I know they’re starting to open back up and people are eager to get on with their lives,” she said. “But there are a lot of people putting their lives on the line right now ... and I would hate for Jessica to have to go back and self-isolate again if there was a second wave.”

April’s sad she can’t spend this Mother’s Day with her daughter, but right now, that’s not what is important.

“Remember, there’s going to be another Mother’s Day, she said. “We all just have to take care of our people.”

Comments: (319) 398-8339; alison.gowans@thegazette.com

Some Eastern Iowans are ready to go camping.

With Gov. Kim Reynolds allowing campgrounds across the state to open Friday, some people wasted little time in heading outdoors.

“They’re already starting to fill up,” said Ryan Schlader of Linn County Conservation. “By about 7 this morning, we had a dozen at Squaw Creek Park. People were coming in bright and early to camp. We’re not surprised.”

Schlader said Linn County Conservation tried to have the campgrounds open at the county’s Squaw Creek, Morgan Creek and Pinicon Ridge parks at 5 a.m. Friday. He expected all of them would be busy.

“I think people were ready to go,” he said.

Lake Macbride State Park in Johnson County didn’t see quite as much of a rush for campsites, park manager Ron Puettmann reported Friday morning, saying he’d had six walk-ins for the park’s 42 campsites.

Camping this weekend will be done on a first-come, first-served basis. Sites won’t be available for reservations until next week, though online reservations can be made now, Puettmann said.

“I’m quite sure people were waiting anxiously to get on,” he said.

While Reynolds’ campground announcement came Wednesday, Schlader and Puettmann said they had no issues having the campgrounds ready for Friday.

Schlader said county staff have been in touch with the Iowa Department of Natural Resources and other county conservation boards to discuss protocols for reopening to ensure a safe experience for campers and employers.

“We anticipated at some point the order would be lifted,” Schlader said. “We were anticipating maybe May 15. The campgrounds were in good shape and ready to go.”

For now, camping comes with some limitations:

• Campers can camp only in a self-contained unit with a functioning restroom, such as a recreational vehicle.

• Shower houses with restrooms will remain closed for the time being.

• Campsites are limited to six people unless they are from the same household.

• No visitors are allowed at the campsites.

Puettmann said staffers and a DNR officer will be on hand to make sure guidelines are followed, but he didn’t anticipate enforcement would be an issue.

“For the most part, we’re going to allow people to police themselves,” he said.

It’s hard to gauge demand, Schlader said.

The weather isn’t yet deal for camping, and some people might not be ready to camp, given the continuing coronavirus.

“There is a lot of uncertainty,” he said. “Do people feel like they need to get out and enjoy a camping experience within their own campsite, or do people still feel under the weather and think it’s not a good idea for my family to go right now? ... We just want this to be an option for people.”

Comments: (319) 339-3155; lee.hermiston@thegazette.com

DES MOINES — In traveling to Iowa to call attention to the burdens COVID-19 brought to religious services and the food supply, Vice President Mike Pence unwittingly called attention to another issue: whether the White House itself is safe from the disease.

So far this week, two White House aides — President Donald Trump’s valet on Thursday, and Pence’s press secretary on Friday — have tested positive for the virus.

On Friday morning, Pence’s departure to Des Moines was delayed an hour as Air Force Two idled on a tarmac near Washington. Though Pence’s press secretary was not on the plane, White House physicians through contact tracing identified six other aides who had been near her who were aboard, and pulled them from the flight. The White House later said the six had tested negative.

Trump, who identified the Pence aide as press secretary Katie Miller, said he was “not worried” about the virus in the White House.

Nonetheless, officials said they were stepping up safety protocols and were considering a mandatory mask policy for those in close contact with Trump and Pence.

The vice president and 10 members of his staff are given rapid coronavirus tests daily, and the president is also tested regularly.

Miller, who is married to Trump adviser Stephen Miller, had been in recent contact with Pence but not with the president. Pence is leader of the White House coronavirus task force and Katie Miller has handled the group’s communications.

After landing in Des Moines, Pence spoke to a group of faith leaders about the importance of resuming religious services, saying cancellations in the name of slowing the spread of the virus have “been a burden” for congregants.

His visit coincided with the state announcing 12 more deaths from the virus, a total of 243 in less than two months.

Pence spoke with the religious leaders and Republican officials during a brief visit. He also spoke later with agricultural and food company executives.

“It’s been a source of heartache for people across the country,” Pence told about a dozen people at the Church of the Way Presbyterian church in Urbandale.

Pence told the group that continued efforts to hold services online and in other ways “made incalculable difference in our nation seeing our way through these troubled times.”

Iowa is among many states where restrictions on in-person services are starting to ease. GOP Gov. Kim Reynolds, who joined both of the state’s Republican senators at the event, has instituted new rules that allow services to resume with restrictions.

At Friday’s event, some religious leaders expressed hesitation at resuming large gatherings, while others said they would begin holding services soon,

“We are pretty much in a position of uniformly believing that it’s too early to return to personal worship. It’s inadvisable at the moment particularly with rising case counts in communities where we are across the state,” said David Kaufman, rabbi of Temple B’nai Jeshurun in Des Moines.

The Rev. Terry Amann, of Church of the Way, said his church will resume services May 17 with chairs arranged so families can sit together but avoid the temptation to shake hands or offer hugs. He said hand sanitizer will be available.

A new poll by The University of Chicago Divinity School and the Associated Press-NORC Center for Public Affairs Research shows just 9 percent of Americans think in-person services should be allowed without restrictions, while 42 percent think they should be allowed with restrictions and 48 percent think they shouldn’t be allowed at all.

Pence later met with agriculture and food industry leaders. Iowa tops the nation in egg production and pork processing and is a top grower of corn and soybeans.

Meatpacking is among the state’s biggest employers, and companies have been working to restart operations after closing them because hundreds of their workers became infected.

As Pence touted the Trump administration’s announcement of the reopening of 14 meatpacking plants including two of the worst hit by coronavirus infections in Perry and Waterloo, the union representing workers called for safer work conditions.

“Iowa’s meatpacking workers are not sacrificial lambs. They have been working tirelessly during the coronavirus pandemic to ensure families here and across the country have access to the food they need,” said the United Food and Commercial Workers Union in a statement.

The Associated Press and the McClatchy Washington Bureau contributed to this report.

A 10th wedding anniversary traditionally is celebrated with a gift of aluminum or tin.

For Sondy Daggett, her 10th year of marriage to Liz Hoskins was marked with a gift of Champagne and chocolate-covered strawberries shared through a window.

Employees at Bickford of Marion, the assisted living and memory care center where Hoskins is a resident, surprised the couple with the anniversary gift on May 1. Despite the current coronavirus-related mitigation practices, the staff had created a special moment for the couple, who have been partners for 24 years.

Daggett burst into tears as employees played their wedding song — Billy Joel’s “The Longest Time.”

“It just touched my soul,” Daggett said.

Across the state, moments like this are relegated through windows or over a phone call. As the novel coronavirus pandemic sweeps through the country, long-term care facilities have locked down in an effort to keep residents healthy, which means their families are no longer able to hug their loved ones, or sit with them in their rooms.

For many families, the feelings at such times this time are conflicted. Typical Mother’s Day celebrations have been placed on hold, and recent milestones have been missed by those living in long-term care facilities. Simple visits through windows feel distant.

“Those are the moments you remember and you miss,” said Daggett, recalling memories of visits to Bickford of Marion from Hoskins’s grandchildren and family gatherings during the holidays.

Hoskins, who has dementia, has been a resident at Bickford since August 2019.

“The pandemic has taken this away,” Daggett said.

But beyond this new dynamic with which family members are left to grapple, they also have the constant worry that their loved one could fall ill.

So far, Bickford of Marion has not seen any cases.

“Every time you read about another outbreak — whether it’s close to home or anywhere in the country — it brings home how fortunate we are so far,” said Matt Hoskins, Liz Hoskin’s son. “I can’t imagine the anxiety the residents and staff are having once it breaks through the wall.”

As of Friday, 29 long-term care facilities across the state, which includes skilled nursing facilities and senior living centers, among others — have reported outbreaks of COVID-19 among hundreds of their staff and residents.

As a result, for some Iowans, that fear has become a reality.

Ruth Brackett’s son Jamie Degner, a 38-year-old resident at Harmony House Health Care Center in Waterloo, tested positive for COVID-19 this past week.

Degner, who has severe autism and intellectual disabilities, has been a resident there since he was 15 years old.

More than 60 residents and staff have tested positive for COVID-19 at Harmony House, an intermediate care facility. It’s one of two long-term care facilities in Black Hawk County reporting an outbreak, defined as three or more positive tests among residents.

Degner received his test results on Tuesday. He’s had lower-than-normal oxygen levels, but otherwise has recorded his usual vital signs and has not experienced symptoms.

Brackett said it is “unbelievably difficult to not be able to go be with him through this.”

As with many facilities across the state, Harmony House closed its doors to visitors in early March, when the first cases of COVID-19 began being reported across Iowa and the nation. Brackett said her son’s cognitive abilities make it impossible for him to understand that she is unable to visit because she might make him sick, so the staff instead tell Degner his mom is “at work.”

While she’s optimistic he’ll improve, Brackett worries whether Degner’s virus would take a turn for the worse.

“It’s tough because I have to trust” the staff, Brackett said. “There’s nothing I can do, so I can’t spend a lot of time dwelling on what I might do differently.”

The families that spoke to The Gazette believe the leadership at long-term care facilities are doing what they can to keep its residents safe and healthy.

At Bickford of Marion, officials have taken the unique step of promising public transparency of possible COVID-19 cases in its facility. On the website of every Bickford location is a feature recording the number of residents who have tested positive for COVID-19.

“Whether it’s COVID-19 or not, we want to be transparent with families about their loved ones’ care,” Bickford of Marion Executive Director Jacobi Feckers said. “I don’t know why other nursing homes haven’t taken that step because I haven’t spoken to other facilities, but I’m thankful that’s the route we’ve taken.”

It’s not just families who are placing their trust in management. Ron Moore is an independent living resident at Cottage Grove Place, one of the largest senior living centers in Cedar Rapids that has reported an outbreak of COVID-19 this past week.

According to the latest data from public health officials, five residents and staff there have tested positive.

The outbreak originated in the skilled nursing unit, and officials said they are working to ensure the virus doesn’t spread to the assisted-living and independent-living portions of the facility. They restricted movement between the facilities and conduct frequent temperature checks of staff.

So far, the general feeling among residents at Cottage Grove Place’s independent-living housing is that management has “done a good job” of controlling exposure.

“The feelings of the residents here are positive,” Moore said. “They appreciate what management has done to protect us.”

Still, life looks much differently at Cottage Grove Place. Moore said his schedule typically is packed with weekly book clubs and coffees with friends. Now he and his wife take walks, or try to connect with friends over email.

“I’ve found (residents) are not depressed at this time,” he said. “But in the future, if this goes on for many months? My prediction is yes, depression will be a serious thing.”

Local senior living centers have come up with unique ways to allow visitors to see their loved ones. Gina Hausknecht, a 55-year-old Iowa City resident, was able to see her mother in person for the first time in weeks after her assisted-living home, Oaknoll Retirement Community in Iowa City, created a “drive up” visit option this past weekend.

While Hausknecht sat in the car, she was able to speak with her mother, 93-year-old Ellen Hausknecht, for an hour outside the facility. Before this, it had been emotionally difficult for Hausknecht not to see her mom weekly as she usually does

“It sunk in that I don’t know when I’m going to see my mom again, and that felt really terrible,” Hausknecht previously told The Gazette.

Hausknecht said she hopes to take this year’s Mother’s Day as an opportunity to do something special, particularly given the difficult past few weeks.

“Our family isn’t super-big on these kinds of holidays but we do like to acknowledge them, and this year it feels important to take hold of any opportunity to celebrate,” she said.

Other facilities, including Bickford of Marion, also have eased restrictions on sending food and gifts to residents in time for Mother’s Day. Matt Hoskins, Liz’s Hoskins’ son, said the family’s usual Mother’s Day plans are impossible this year, so they hope to send Liz’s Hoskins artwork from her grandchildren along with other gifts.

Brackett, who will be apart from her son Degner this year, said she hadn’t planned anything for the holiday. She looks forward to her first in-person visit with him after the pandemic, when she will bring his favorite meal from McDonald’s and a new deck of Phase 10 cards.

Despite the feelings of being separated, their wedding anniversary on May 1 likely is something Daggett will cherish, she said. With Daggett acting as Hoskins caregiver since her dementia diagnosis in 2016, their wedding anniversary has been something the couple hasn’t celebrated in a significant way in some time, she said.

But that worry still creeps in the back of her mind. Daggett said she’s trying to remain “as confident as anyone can at this point.”

“I learned a long time ago you can’t worry about what you can’t control,” Daggett said. “But does that mean I still wake up at 2 in the morning worried about it? Of course I do.”

Comments: (319) 398-8469; michaela.ramm@thegazette.com