(CNN) — US coronavirus cases will spike after Thanksgiving, further stressing health care systems and prompting new restrictions, an emergency physician said Saturday.

Meanwhile, states continue to report soaring numbers of new cases, hospitalizations and deaths, and several governors have already announced measures to try to gain control before winter.

Dr. James Phillips, chief of disaster medicine at George Washington University Hospital, told CNN’s Erica Hill he is “terrified” about what’s going to happen this holiday season.

“We’re going to see an unprecedented surge of cases following Thanksgiving this year, and if people don’t learn from Thanksgiving, we’re going to see it after Christmas as well,” Phillips said.

Already, grim indicators offer a glimpse of what’s to come. A little more than a week after the US first topped 100,000 daily infections, it reported a record of more than 184,000 new cases Friday.

Hospitalizations also hit a new high — for the fourth consecutive day — with more than 68,500 Covid-19 patients nationwide, according to the COVID Tracking Project. And the country’s death toll has topped 1,300 at least three times this week.

On Saturday afternoon, Johns Hopkins University data showed the US has had at least 10,854,051 cases and at least 245,249 deaths. By 4 p.m. ET, the country had already recorded 116,716 cases, marking the 12th consecutive day the US reported more than 100,000 cases.

In New Mexico, Gov. Michelle Lujan Grisham announced Friday a temporary “statewide order closing in-person services for all nonessential activities.” The order is in effect starting Monday through November 30.

Residents are instructed to stay home except for essential trips, including emergency medical care or getting food.

Oregon Gov. Kate Brown announced a statewide “two-week freeze” Friday. New measures include limiting gatherings to six people from two households; allowing only takeout and delivery for restaurants and bars; closing gyms; and requiring businesses to mandate work from home as much as possible. The measures take effect Wednesday, the governor said, and will likely last “much longer” than two weeks for “hot spot” counties.

Arkansas Gov. Asa Hutchinson announced the creation of a winter Covid-19 task force. And New York Gov. Andrew Cuomo said Friday there will be an emergency meeting this weekend with the leaders of six northeastern states.

Phillips said Americans should prepare for restrictions similar to the stay-at-home orders seen in the spring. He cited restrictions that have recently been implemented in Chicago, Oregon and New Mexico as “the first dominoes to fall.”

 

States report soaring rates

 

On Saturday, California reported 9,875 new cases, according to the California Department of Health.

On Friday, health officials warned the state was seeing the fastest rate of increase in the number of daily coronavirus cases since the start of the pandemic, with a 47.1% increase in new cases in a one-week period since the beginning of the month.

“When cases are increasing at this pace, it is really important for us to act quickly,” said Dr. Erica Pan, California’s acting public health officer.

Maryland has confirmed an additional 2,321 coronavirus cases across the state, “by far the largest daily increase we’ve ever seen,” Gov. Larry Hogan said in a tweet Saturday. Twenty deaths were also reported over the past 24 hours, he added.

Minnesota reported a record 8,703 new cases on Saturday, according to the state Department of Health. This marks the most cases ever reported by state officials in a single day.

Arizona had 3,476 new cases on Saturday, the third day with more than 3,000 this week alone, according to the Arizona Department of Health Services (ADHS). This breaks the record set on July 31, when the state had 3,212.

The Pennsylvania Department of Health said it had 5,551 new cases Friday, the highest daily increase yet, bringing the statewide total to 259,938.

Wisconsin hit another record, recording 100,000 new Covid-19 cases in just 18 days, the Department of Health Services reported Friday. The state had 58 deaths and 7,777 new cases on Friday.

In Kentucky, at least 24 veterans have died of Covid-19 and more than 80 have been infected since an outbreak last month at Thomson-Hood Veterans Center, Gov. Andy Beshear said Friday.

And Nevada Gov. Steve Sisolak tested positive for Covid-19 Friday, according to a news release from his office.

 

A ‘grim day’ for the US

 

How people act over the coming weeks will have a “profound impact,” former Surgeon General Dr. Vivek Murthy said Friday.

“This is a grim day for the country, because we’re seeing cases skyrocketing, we’re seeing hospitals fill up and we’re also seeing the death toll march up,” Murthy, co-chair of President-elect Joe Biden’s Transition Covid-19 Advisory Board, said.

“We’re at a point now, even pre-Thanksgiving, where we are surging beyond any level that we have seen over the last eight months,” he added.

As the holiday season starts, it’s important to wear masks, keep a safe distance, and wash hands regularly, Murthy said.

“If you’re thinking about going home for Thanksgiving, ask yourself if you can observe these kinds of precautionary practices, because if you can’t, then you may be putting yourself and others at risk,” he said.

Health officials urge Americans to use masks during Thanksgiving celebrations but fear the holiday, and the friend and family gatherings that are likely planned, will fuel the Covid-19 surge. Experts say people who plan to visit family should quarantine ahead of the holiday.

 

Less than 9% of North Dakota staffed hospital beds are available

 

The rampant spread has put a massive strain on the country’s health care system that’s now hosting the highest number of Covid-19 patients ever.

Data from North Dakota’s health department shows only about 8.5% of staffed hospital beds remain available, with at least 421 people currently hospitalized who tested positive for the virus. About 50 patients are in the ICU.

On Friday, Gov. Doug Burgum announced new Covid-19 prevention measures, including a face covering mandate for indoor businesses and public settings and outdoor settings where social distancing isn’t possible.

“Since the beginning, we’ve taken a data-driven approach to our pandemic response, focusing on saving lives and livelihoods,” the governor said. “Right now, the data demands a higher level of mitigation efforts to reverse these dangerous trends, to slow the spread of this virus and to avoid the need for economic shutdowns.”

As of Saturday, the state’s daily positivity rate was 19.51% — far above the 5% mark the World Health Organization recommends governments see for 14 days before reopening.

In Oklahoma, health officials reported a 7% ICU bed capacity Friday, up from 5% a day earlier — with now 64 ICU beds available.

In Massachusetts, where reported infections have increased “by seven times” since Labor Day and hospitalizations have increased “by two times,” the governor announced a field hospital with 240 beds will be reestablished at the DCU Center — an indoor arena and convention center complex in downtown Worcester.

 

Vaccines will be distributed by population, official says

 

When a Covid-19 vaccine is approved, it will be distributed across US states and territories based on population, a top Operation Warp Speed official said Friday. Drugmaker Pfizer, which this week announced early data shows its vaccine is more than 90% effective, is expected to apply for emergency use authorization from the US Food and Drug Administration by the end of this month.

“We expect to have tens of millions of doses immediately following EUA and we will distribute them as soon as the FDA applies the EUA,” Gen. Gustave Perna, who is helping oversee Operation Warp Speed, said. “We will do that within 24 hours of the EUA.”

Pfizer has said it will distribute its vaccine outside the federal framework. State health officials have said they have not heard many details from the federal government about how the vaccine distribution will be organized, and they have not received the funding they need to get infrastructure in place.

Meanwhile, retail drug chain Walgreens says it’s “rapidly expanding” its ultra-cold storage capabilities to accommodate a potential Pfizer Covid-19 vaccine.

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