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New cases and deaths attributed to COVID-19 have increased in the United States, while hospitalizations remain about the same. Bing Guan/Bloomberg via Getty Images
  • New COVID-19 cases have risen to more than 94,000 a day in the United States.
  • Deaths are also up as the number of hospitalizations related to COVID-19 remained about the same.
  • The daily vaccination rate in the United States has ticked up to more than 1.5 million. Nonetheless, experts say elected and community leaders still need to continue to promote the benefits of vaccination.

Editor’s note: This story is updated regularly as new statistics are released.

The average number of new COVID-19 cases in the United States rose again last week, driven in large part by more states now experiencing cold weather.

According to figures from the Centers for Disease Control and Prevention (CDC), the average number of new COVID-19 cases inched up to more than 94,000 a day, about 3,000 more than a week ago.

The total number of new COVID-19 cases for the week that ended Sunday, Nov. 21, was listed at 661,572, a jump of 14 percent from the previous week.

Deaths attributed to COVID-19 for the same time period were listed as 10,830, a jump of 36 percent from the prior week. Much of that change was due to one state that added in previous weeks’ deaths due to a change in how deaths are recorded.

Hospitalizations are sitting at about 42,000, about 3,000 fewer than a week ago.

Meanwhile, the 7-day average of vaccine doses administered in the United States rose to more than 1.5 million as adults are getting booster shots and children 5 to 11 years old become eligible for vaccination.

Overall, the United States has reported 48 million COVID-19 cases since the pandemic began. Deaths related to COVID-19 in the United States have now surpassed 775,000.

Late last week, the CDC issued a new report that stated unvaccinated people are more than twice as likely to be hospitalized with COVID-19 than vaccinated people, and they’re more than seven times as likely to die from the disease.

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The rate of transmission of the coronavirus that causes COVID-19 on a county-by-county basis as of Nov. 23. Source: CDC

Experts say the pandemic isn’t behind us yet.

“We cannot let our guard down, or the virus will continue to find and infect unvaccinated persons and send them to the hospital,” Dr. William Schaffner, an infectious disease specialist from Vanderbilt University in Tennessee, told Healthline.

“It is still incredibly important to get vaccinated, wear your masks, practice good hygiene, and do all you can to protect yourself and those around you,” Dr. Jamila Taylor, director of healthcare reform and a senior fellow at The Century Foundation, told Healthline.

When might we see the end of the pandemic, and what might life look like, at least in the United States?

“It is hard to even envision this thing being completely eliminated,” Taylor said. “Even if the virus itself were to be eliminated, the effects will be seen over the long term, for sure. The economic, mental, and physical health effects of COVID-19 have changed the lives of millions of people.”

“The COVID virus will not disappear,” Schaffner added. “We will have to learn how to cope with it as we do with influenza. We may need periodic booster doses of COVID vaccine, but that interval has yet to be determined.”

There were 39 states that reported an increase in new COVID-19 cases for the week that ended Sunday, Nov. 21. There were 30 states the previous week.

Missouri had the largest jump, with a 102 percent increase to 20,231 cases. Connecticut is next with an 85 percent hike to 5,168 cases.

Michigan reported a 65 percent increase to 61,551 cases, while Oklahoma saw a 49 percent jump to 5,869 cases and Massachusetts experienced a nearly 48 percent hike to 17,452 cases.

In overall numbers, the CDC reports that Michigan had the most new cases in the past 7 days with 55,956 new positive tests.

New York is second with 47,323 new cases this past week. Pennsylvania recorded 42,896 new cases, with Ohio next at 39,326 cases.

California is fifth with 36,545 cases the past 7 days.

The CDC reports that Michigan is the leader per capita, with 560 cases per 100,000 residents over the past 7 days.

Minnesota is second with 524 cases per 100,000 residents, while New Hampshire registered 509 cases per 100,000 residents.

New Mexico is fourth with 474 cases per 100,000 people. Wisconsin is fifth with 439 cases per 100,000 residents.

Florida had the lowest per capita rate at 49 cases per 100,000 residents. Louisiana is next at 63 cases per 100,000 people. Hawaii had 70 cases per 100,000 people, followed by Georgia with 71 cases per 100,000 residents.

A look at the map shows that most of the states with the highest per capita rates are now experiencing cold weather.

Most of the states with the lowest per capita rates are along the southern edge of the country, where it’s still warm.

Experts told Healthline last month that they were concerned COVID-19 cases would heat up when colder weather returned.

However, Schaffner said there may be more to it than just falling temperatures.

“Ever since COVID burst upon the scene, causing human infections, its epidemiologic patterns have been a series of twists and turns, often unanticipated and frequently not completely explained,” he said. “Recently, cases and hospitalizations have diminished, apparently as a consequence of increasing vaccination as well as ongoing transmission, both producing a degree of immune protection.”

“Just as we were beginning to breathe a sigh of relief, cases plateaued and started to rise once more,” Schaffner noted. “How to explain this new epidemiologic twist?”

“The highest percentage increases have occurred in the northern states where the weather has gotten colder, driving people indoors where there are more opportunities for close contact transmission. While this may be a factor, I am sure it is not the only one. We epidemiologists must remain humble. There is still much to learn about COVID,” Schaffner said.

Whatever the reason, here’s a look at the states with the highest per capita caseload and their percentage of fully vaccinated people:

StateDaily cases per 100,000 residentsFull vaccination rate
New Hampshire50963%
New Mexico47463%
Source: CDC

There were 30 states that reported an increase in deaths related to COVID-19 for the week that ended Sunday. There were 18 the previous week.

Missouri had the highest jump, with an increase of nearly 2,000 percent to 2,875 deaths. Most of those fatalities were due to a change in how previous deaths were recorded.

Maine is second with a 78 percent hike to 41 deaths. Rhode Island registered a 77 percent increase with 16 deaths, while South Dakota saw a 71 percent increase to 24 deaths.

California recorded the most COVID-19 deaths over the past 7 days with 624.

Texas is next with 579 deaths. Pennsylvania recorded 520 deaths, and Georgia registered 397 deaths. Ohio is fifth with 377 deaths in the past 7 days.

Wyoming had the highest death rate per capita, with more than 8 deaths per 100,000 residents. Idaho and West Virginia were next with more than 5 deaths per 100,000 people.

Wyoming and Florida had the lowest per capita death rates at less than 0.1 deaths per 100,000 people each.

The CDC reports there have been more than 454 million COVID-19 vaccine doses administered across the United States.

More than 231 million people have received at least one dose. More than 196 million people are fully vaccinated.

The numbers include the more than 37 million people who have received COVID-19 boosters since they were made available.

That means that more than 69 percent of the total U.S. population has received at least one dose. More than 82 percent of the country’s adult population has received at least one dose. More than 99 percent of people 65 years and older have received at least one dose.

California has administered the most doses, with more than 58 million. That’s followed by Texas with more than 36 million.

Florida has administered more than 30 million doses, while New York is close behind at more than 29 million doses. Pennsylvania is fifth with more than 18 million doses.

None of those states, however, is in the top five for the percentage of the population that’s received at least one dose:

States with the highest percentage of vaccination (total population)
1. Massachusetts: 85%
2. Vermont: 84%
3. Connecticut: 83%
4. Rhode Island: 82%
5. Hawaii: 82%
Source: COVID Act Now

The Food and Drug Administration (FDA) has granted an emergency use authorization allowing children 5 to 11 years old to receive the Pfizer-BioNTech COVID-19 vaccine.

Nearly 1 million children in that age group were vaccinated during the first week the shots were available.

Taylor and Schaffner both say the vaccination of children is crucial.

“I think it will have a major impact,” Taylor said. “Cases among children have been rising, and many parents remain fearful about transmission among their children. Back to school has been particularly stressful because of this.”

“Ensuring a safe and effective vaccine for this age group is also critical in increasing our overall number of vaccinated people in the U.S.,” she said.

“It is very important for children 5 to 11 years old to be vaccinated both to protect themselves and to protect their communities,” Schaffner said. “We all know that children are less severely affected by COVID than are adults, particularly older adults. However, that does not mean that children remain unscathed.”

“Young children can be transmitters,” he added, “spreading the disease to older persons who can become seriously ill. All these are reasons for young children to be vaccinated. In addition, vaccinating youngsters can help make day care and schools safer for all.”

Schaffner said the country needs to continue to encourage people to get vaccinated.

“One of the things that we do know about COVID is that vaccination provides strong protection against the most severe manifestations of disease,” he said.

“The appearance of the Delta variant has taught us that, although the vaccines do reduce the risk of mild infection and transmission, that protection is not complete. As a result, we’re now more cautious in our hopes for herd immunity.

“For sure, high community levels of vaccination will protect individuals from hospitalization, and there will be less pressure on our healthcare system, but the COVID virus will continue to smolder, still seeking out the unvaccinated. We are in this for the long haul, and there still are many, too many, unvaccinated adults,” Schaffner said.