Iowa Governor Kim Reynolds told reporters Tuesday that capacity was "at risk" in the state's healthcare system following a surge in Covid-19 cases.
Reynolds said there have been more than 21,000 new cases in the past week and the percentage of people testing positive is more than 19%, with 1,131 patients in hospital.
The overall increase patient volume is stressing our health care system and it is putting capacity at risk," Reynolds said.
While there are surge plans in place and there are still beds available, the governor said staffing had become "increasingly challenging."
"This situation has the potential to impact any Iowan who may need care for any reason," Reynolds said. "We don't want anyone to be turned away from our hospitals."
She said 42% of new cases were among 14 to 18-year-olds.
Reynolds said she had signed a proclamation, which goes into effect Tuesday at midnight, extending the public health emergency for 30 days and imposing new restrictions.
- Indoor gatherings limited to 25 people
- Outdoor gatherings limited to 100 unless everyone wears mask
- Groups attending events limited to eight people (unless one household)
- Distance must be maintained between groups
- These rules apply to all bars and restaurants
- Bar and restaurant employees and patrons must wear masks
- Masks must be worn by providers and clients in personal services
- Spectators at indoor youth sporting events limited to two per athlete