PROVIDENCE, R.I. (AP) 鈥� The number of Americans fully vaccinated against COVID-19 reached 200 million Wednesday amid a dispiriting holiday-season spike in cases and hospitalizations that has hit even New England, one of the most highly inoculated corners of the country.
New cases in the U.S. climbed from an average of nearly 95,000 a day on Nov. 22 to almost 119,000 a day this week, and hospitalizations are up 25% from a month ago. The increases are due almost entirely to the , though the has been detected in about 20 states and is sure to spread even more.
Deaths are running close to 1,600 a day on average, back up to where they were in October. And the overall U.S. death toll less than two years into the crisis could hit another heartbreaking milestone, 800,000, in a matter of days.
The situation is not as dire as , before the public had access to COVID-19 vaccines, but the 60% of the U.S. population that is fully vaccinated has not been enough to prevent hot spots.
The cold weather, Thanksgiving gatherings and a in holiday travel are all believed to be playing a role, along with public weariness with pandemic restrictions.
Lawrence Gostin, director of the WHO Collaborating Center on Public Health Law and Human Rights at Georgetown University, likened the virus to a wildfire.
鈥淵ou can clear a forest of the shrubbery. But if you leave some shrubs and trees standing, the fire will find them,鈥� Gostin said. 鈥淭he virus will find you. It is searching for hosts that are not immune. The fact that you live in New England or New York doesn鈥檛 insulate you.鈥�
鈥� with recent approval of boosters for all adults and shots for elementary school children 鈥� has been high amid the surge and the emergence of the omicron variant, whose dangers are still not fully understood. On Wednesday, Pfizer said that the initial two shots of its vaccine appear significantly less effective against omicron but that a booster dose may offer important protection.
Nearly 48 million people have received a booster, according to the Centers for Disease Control and Prevention. White House officials noted the U.S. administered 12.5 million shots last week, the highest weekly total since May.
鈥淎nd that鈥檚 critical progress as we head into the winter and confront the new omicron variant,鈥� White House coronavirus adviser Jeffrey Zients said.
At the same time, some states, notably in highly vaccinated New England, but also in the Midwest, are grappling with some of the worst surges since the start of the pandemic. Hospitals are filling up and reacting by canceling non-urgent surgeries or taking other crisis measures, while states are strongly promoting boosters.
Despite one of the highest vaccination levels in the country 鈥� over 74% of the population fully vaccinated 鈥� Vermont is coping with its biggest surge yet. In the last week, new cases per day are up 54%, and the number of people in the hospital with COVID-19 has climbed 18%.
The virus is preying on those who haven't gotten their shots: As of Tuesday, 90% of the COVID-19 patients in intensive care were unvaccinated.
鈥淥bviously, it鈥檚 not where we want to be,鈥� Gov. Phil Scott said Tuesday, calling the situation 鈥渆xtremely frustrating.鈥�
More than 400 people were in the hospital with COVID-19 in New Hampshire at the start of the week, breaking the record set last winter.
New Hampshire Gov. Chris Sununu directed hospitals to set up COVID-19 鈥渟urge centers鈥� using space normally reserved for such things as outpatient care.
鈥淓very day for the next several weeks, we鈥檙e likely to see a new high in COVID hospitalizations in New Hampshire,鈥� said Steve Ahnen, president of the New Hampshire Hospital Association. 鈥淲ith over 1,000 new cases a day, that number鈥檚 not going to do anything but continue to go up.鈥�
Maine likewise is struggling with record-breaking COVID-19 hospitalizations. Gov. Janet Mills on Wednesday activated as many as 75 members of the National Guard to help out.
鈥淭he vast majority of patients in our hospitals are unvaccinated. That鈥檚 especially true of critical care patients,鈥� said Andy Mueller, CEO of MaineHealth, the state's biggest health network. 鈥淚t requires a tremendous amount of our resources to provide care.鈥�
Rhode Island鈥檚 largest hospital system, Lifespan, said staffing shortages are at never-before-seen crisis levels, while Kent Hospital said it is near capacity and is considering delaying non-urgent procedures.
Dr. Paari Gopalakrishnan, Kent鈥檚 interim president and chief operating officer, said the spike is probably due to 鈥減eople letting their guards down鈥� during the holidays, and flu season could complicate things further.
New Hampshire plans to hold a 鈥渂ooster blitz鈥� on Saturday at 15 locations. Most appointments were booked.
In Berlin, Vermont, Mike Labounty got his booster Tuesday.
"I have friends that are in their 20s that are getting sick and friends that are 60 that are getting sick,鈥� he said. 鈥淭he thing you see on Facebook and stuff like that is, 鈥業 just want this to be over. I鈥檓 very sick,鈥� so I鈥檓 just trying to avoid that."
Elsewhere around the country, Indiana has seen COVID-19 hospital admissions double in the last month and is approaching levels not seen since this time a year ago, before vaccines were widely available.
The number of people in intensive care in Minnesota has reached the highest level yet during the pandemic, with 98% of ICU beds occupied. Teams of military medics have been sent into Michigan and New Mexico.
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Associated Press writers Kathy McCormack in Concord, New Hampshire; Patrick Whittle in Portland, Maine; and Wilson Ring and Lisa Rathke in Montpelier, Vermont, contributed to this report. Tareen reported from Chicago.
Sophia Tareen And Jennifer Mcdermott, The Associated Press
