On the campaign trail, President Trump continued to defy the urgent warnings of his own public health officials as he rallied thousands of maskless supporters Wednesday at a packed campaign rally at the airport in Des Moines, Iowa. A billboard along the way to the rally featured an arrow pointing toward the airport with the words “Trump COVID Superspreader Event” in white letters over a red background.

Trump’s rally came as Iowa hit a record level of COVID-19 hospitalizations, with outbreaks at more than 60 long-term care facilities and test positivity rates above 20%. Iowa is considered a “yellow zone” by the CDC, and according to the Trump administration’s own guidelines, public gatherings should be limited to 25 people or less.

Trump is planning another rally today in Greenville, North Carolina — another state experiencing near-record levels of infection.