The report is dated Sunday and was released by the state Department of Public Health Tuesday.
It found the rate of new infections dropped 12 percent in Iowa last week, but with a rate of 875 new cases per 100,000 residents, the state still had a rate more than double the national average.
Its test positivity rate was 22 percent - the third highest rate in the country - and it found 99 percent of Iowa’s counties had high levels of community spread.
The report says the surge in cases can only be interrupted through proactive, focused testing of asymptomatic and pre-symptomatic people. And through significant behavioral changes.
This includes wearing a mask at all times in public and while interacting with those outside of your immediate household.