Secretary of State for Health and Social Care

An AI-manipulated image showing Iowa Democratic gubernatorial candidate Rob Sand wearing a large mask and face shield has circulated widely on social media since at least July, amplified in a September 1 Facebook post by Republican nominee Zach Lahn. Lahn shared the image alongside clips from a podcast appearance in which he criticized Sand, Iowa's state auditor, as an "East Coast elitist."

Fact-checkers traced the photo to an unaltered original published by the Iowa Capital Dispatch in July, showing Sand without any mask or face shield while meeting cancer-advocacy group representatives in Des Moines. OpenAI's image-verification tool detected a SynthID watermark in the altered version, confirming AI manipulation. Sand's campaign called the image fake.

Lahn, who has aligned with vaccine-skeptic rhetoric and attacked Sand over past pandemic-era mask support, is locked in a tight race to succeed term-limited Republican Governor Kim Reynolds in the reliably red state.