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Average Covid cases and hospitalizations rise in nearly every state across U.S.

Newly diagnosed coronavirus cases and hospitalizations continue to rise in nearly every state across the country as the U.S. reports fresh record one-day spikes in cases.

Average daily new cases are up by at least 5% over the last week in at least 47 states and D.C. as of Wednesday, according to a CNBC analysis of data compiled by Johns Hopkins University. Average daily new cases are steady or falling only in Louisiana, Montana and Georgia, but that’s likely due to reporting errors in Louisiana and Georgia.

Montana appears to be the only state truly below that 5% threshold, with an average of 873 new cases each day, 2.1% higher on a weekly basis.

Across the country, the U.S. reported over 143,231 new cases on Wednesday, setting a new record one-day spike, according to CNBC’s analysis of Hopkins data. That brings the seven-day average to more than 127,400, up nearly 35% compared with a week ago. Over the past five days, the U.S. has reported a fresh record in daily new cases on three days, Hopkins data shows.

It’s not just cases that are rising. The seven-day average of hospitalized Covid-19 patients is up by at least 5% in 46 states, according to data from the COVID Tracking Project, which is run by journalists at The Atlantic. Across the country, there are more than 65,300 people currently hospitalized with Covid-19, more than at any other point in the pandemic.

“We’re piercing the previous records, and ICU admissions are going up quickly, as well, with 12,000 people in the ICUs,” former Food and Drug Administration Commissioner Dr. Scott Gottlieb said Thursday on “Squawk Box.” “Hospitalizations right now are rising by about 1,600 people a day, but that’s going to continue to increase, as well.”

Gottlieb said the outbreak across the U.S. is different now than from earlier points in the pandemic in that the virus is spreading rapidly across all of the U.S. rather than just certain regions or so-called hot spots.

‘Across the country’

“This one’s really across the country, so every hospital system is a little pressed right now,” he said, adding that “there’s only a handful that are really overwhelmed.”

Hospitals in Wisconsin, parts of Texas, Utah and the Dakotas are currently overwhelmed, Gottlieb said. He added that the pace at which hospitalization is rising is “very concerning.”

State officials and hospital administrators in Iowa, Ohio, Nebraska and Oklahoma have also warned that they’re approaching or at capacity.

Gottlieb said the country is better prepared today when it comes to medical equipment such as ventilators, but some hospitals are going to run out of personal protective equipment such as masks for health workers. He added that as hospitals move to surge capacity, reallocating beds from other units of the hospital to the Covid ICU, trained personnel will become the most scarce resource.

“Hospitals previously were able to create new ICUs, basically out of scratch. They turned their anesthesiology wards, their post-acute care facilities, post-surgical care facilities into ICUs to take care of Covid patients,” Gottlieb said of earlier phases of the pandemic. “They’re not going to be able to do that this time around if they can’t get trained personnel into those settings.”

‘Stress and strain’

Dr. Marc Boom, CEO of the Houston Methodist hospital system in Texas, said that parts of the state such as El Paso that weren’t hit that hard earlier this year are now surging. On top of that, he said, the urban areas that struggled throughout the summer are also ticking up.

“We’re concerned about where things are going,” he said Thursday on “Squawk on the Street.” “And we really see potential for a pretty challenging next few months if we don’t manage to bend this back down.”

He added that Houston Methodist is “battle tested” from the influx of Covid-19 patients it saw this summer. He said the hospital has been preparing for this surge for months and is ready to provide care for not only Covid-19 patients but also other sick people who require care.

“We cannot allow what happened in March and April to happen again. We had delays in cancer diagnosis, people afraid of coming to emergency rooms,” he said. “It’s a stress and strain, and it’s really tough on our employees, but their sacred duty and obligation is to care for people, and they know, and they step up, and they take care of people with everything.”

‘On their own’

Dr. Alan Kaplan, CEO of UW Health at the University of Wisconsin, said his system’s hospitals are overwhelmed in both rural and urban communities. With help from the federal government, they’ve set up a field hospital in Milwaukee, but he doesn’t expect more aid coming.

“For all practical purposes, everyone’s on their own,” he said, adding that half of the state’s 300,000 total Covid cases were reported in the past month and the same goes for coronavirus deaths. “All our hospitals are reaching their limits and capacity.”

He added that trained personnel could become scarce in the weeks ahead.

“We are short of staff all times, either because they have Covid or they have some other illness and we need to rule out Covid before we bring them back to work,” he said. “There is no surplus now.”

— CNBC’s Sara Salinas contributed to this report.

Disclosure: Dr. Scott Gottlieb is a CNBC contributor and is a member of the boards of Pfizer, genetic-testing start-up Tempus and biotech company Illumina. He also serves as co-chair of Norwegian Cruise Line Holdings′ and Royal Caribbean‘s Healthy Sail Panel.

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