The Iowa Department of Public Health (IDPH) and Madison County Public Health have identified a fourth death in Madison County due to COVID-19. 

“We wish to extend our sympathy to this individual’s family,” said Madison County Public Health Administrator Sharon Miller. 

“Unfortunately, the positivity rates in Madison County have continued to trend upward over the past two weeks. Positive COVID cases are noted throughout the entire county.” 

As of Nov. 9, Madison County has had 467 documented positive cases. There have been four deaths, and 314 recovered individuals. The overall positivity rate is 10.3 percent, and 4,517 people have been tested.

COVID-19 symptoms may appear 2-14 days after exposure to the virus. 

People with these symptoms or combination of symptoms may have COVID-19: fever over 100.4 F, cough, shortness of breath, loss of taste and/or smell, headache, runny nose, congestion/stuffy nose, muscle or body aches, fatigue/tiredness, sore throat, abdominal pain, nausea, vomiting, diarrhea.

If you are concerned that you may have contracted COVID-19, contact your local health care provider and discuss your symptoms with them to determine if an appointment is appropriate. Individuals can also take the COVID-19 assessment at and schedule a COVID test online.

Miller says if individuals have been notified that they have received a positive COVID-19 test, it is important to follow the isolation and quarantine guidelines. Not following those dates and public health strategies may continue to spread the virus from person to person.

For up-to-date information on COVID-19, visit and follow the IDPH on Facebook at @IowaDepartmentOfPublicHealth and on Twitter at @IAPublicHealth.