Surprising fact: wastewater signals moved nationwide from low to moderate this week, a shift that often precedes a larger rise in clinical cases.
This update pulls together clear data points for people tracking public health. Wastewater monitoring flagged growing virus shedding, with the highest levels in Western states such as Alaska, California, Colorado, Nevada, and Utah.
Experts and centers disease control officials note that wastewater can show higher risk before test results and emergency visits climb. As of the most recent update, infections were estimated to be growing or likely growing in 45 states, up from 40 last week.
The percentage of ER visits tied to the virus rose compared with last week, though overall use remains relatively low. With summer patterns that mirror a winter surge, this rise fits a known seasonal rhythm.
What this means for you: rising community levels can lead to more exposures at work, school, and gatherings. Check local trends and refresh prevention habits if you are at higher risk.
Key Takeaways
- Wastewater shifted from low to moderate, signaling higher transmission.
- Growth is most visible in Western states, where levels are highest.
- Infections are likely growing in 45 states, up from last week.
- ER visits rose but remain at a relatively low level overall.
- Seasonal patterns mean a summer rise can foreshadow broader spread.
- Officials suggest checking local data and updating prevention plans.
Latest data signals a rapid rise: wastewater up to moderate, ER visits ticking higher
This week’s data highlight a growing footprint of the virus in wastewater and a parallel climb in emergency visits. Public health trackers note that wastewater activity moved from very low to moderate nationwide, an early signal that community transmission is widening.
Wastewater activity climbs nationwide, highest in Western states
Levels are notably higher in Western states such as Alaska, California, Colorado, Nevada, and Utah. Wastewater is a leading indicator: when activity shifts to a moderate level, cases often follow in the coming weeks.
ER visit percentages rising, with Pacific Northwest and Southeast seeing the most activity
Emergency department visits remain low overall, but the percentage of visits tied to the virus rose week over week. The Pacific Northwest saw a sharp jump in June, while the Southeast has climbed steadily over several weeks.
Estimates show infections growing week to week
Model-based estimates put infections as growing or likely growing in most states, rising from 40 to 45 states compared with last week. That alignment of wastewater, ER rates, and modeling strengthens confidence that the rise is real.
“Consistent increases over multiple weeks help distinguish noise from a true signal and guide faster action.”
- Practical tip: if your region’s levels and ER visits are rising, consider layering precautions during peak weeks.
Summer surge pattern and evolving variants: why cases are climbing now
Multi-year surveillance shows a reliable rhythm: cases tend to climb in late summer and again in winter.
The recent analysis finds biannual peaks that typically occur July–September and December–February. Scientists note this pattern is tied to genetics and behavior, not just the calendar.

How evolution drives the cycle
Researchers linked shifts in the S1 portion of the spike protein to recurring waves. These genetic changes can help the virus bind differently and partly escape immunity, nudging new infections every few weeks.
Why timing matters for planning
Regional peaks vary, but the two-hump yearly curve helps hospitals and public health plan staffing and supplies. The cdc said this rhythm gives communities a predictable window to refresh precautions and boosters.
“Knowing the season and the underlying genetics lets you prepare, not panic.”
For practical steps and symptom guidance, see this covid symptoms 2024 resource for timely information and local context in the news.
CDC warns of huge COVID spike: what officials say about risk, prevention, and hospital impact
With multiple viruses climbing, leaders are urging practical actions to limit illness and strain on hospitals.

Who faces higher risk now
Health officials say seniors, immunocompromised people, and young children are at higher risk for severe illness this season.
Pregnant women were also advised to consider masking when local levels rise.
Vaccine, masking, and early treatment to lower hospitalizations
Federal leaders urged people to stay current on vaccine doses for COVID and flu.
Early antiviral treatment for flu and authorized COVID therapies can reduce hospitalizations when given promptly.
Monitoring regions and multiple viruses
Officials track flu, RSV, and a noted uptick in parvovirus B19. Hospital systems report PPE and ventilators remain available while monitoring rates.
| Group | Immediate action | Hospital impact | Notable regions |
|---|---|---|---|
| Seniors | Keep vaccine up to date, mask in crowds | Higher risk of hospitalizations | Middle Atlantic, New England |
| Children & pregnant women | Test early, consider masking | Monitor pediatric admissions | Washington state, Pacific Northwest |
| Immunocompromised | Layered protection, antiviral access | Prevent severe illness | Southeast (rising ER rates) |
For background on changing guidance, see the changing threat guidance.
Conclusion
National indicators now point to rising activity: wastewater levels are at moderate and ER percentage trends have climbed in several states across the country.
Recent analysis and pattern data show a biannual season rhythm that often plays out over several weeks each year. Western regions lead, while the Pacific Northwest and Southeast show sharper ER increases.
Practical steps matter. The centers disease control and partners stress vaccine, early treatment, ventilation, testing, and layered disease control prevention measures to reduce illness from this virus and other circulating viruses.
Check local dashboards this week, act early, and use the time now to protect your household. This approach keeps hospitals ready and helps lower community risk as cases move up in the news.
