COVID-19 infections are climbing in more than half of U.S. states as health officials report increasing activity across the Southeast, South, and West Coast regions.
The surge comes as overall acute respiratory illness remains at very low levels nationwide.
States experiencing confirmed growth in COVID-19 activity include Arkansas, Hawaii, Illinois, Iowa, Kentucky, North Carolina, Ohio, Pennsylvania, Texas, and Virginia, according to CDC surveillance data released July 25.
An additional 17 jurisdictions—Alaska, California, Delaware, District of Columbia, Georgia, Indiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, New Jersey, New York, Oklahoma, South Carolina, Tennessee, and Wisconsin—are showing likely increases in transmission.
Emergency department visits for COVID-19 are increasing specifically among young children ages 0 to 4, while laboratory test positivity rates are climbing nationally, the agency reported.
However, the agency noted that wastewater monitoring indicates COVID-19 activity levels remain low in most areas.
The World Health Organization has designated the strain as a "variant under monitoring" but considers the global public health risk to be low.
Chinese health officials reported that NB.1.8.1 drove a wave of infections across that country during the spring, with doctors describing symptoms including sharp sore throat, fever, runny nose, vomiting, and diarrhea, according to The Epoch Times.
Chinese physicians at Peking University predicted the variant could become the next dominant global strain.
Despite the COVID-19 increases, other respiratory illnesses remain low. Seasonal influenza activity is low nationwide, while respiratory syncytial virus activity is very low. The CDC noted that RSV hospitalization rates among infants were significantly lower this past season compared to pre-pandemic years, which it attributed to new maternal vaccines and preventive treatments.
The new data showed that RSV hospitalization rates were 45 to 52 percent lower in infants younger than 3 months and 28 to 43 percent lower in infants younger than 8 months compared to the 2018 to 2020 seasons.
Two other respiratory infections continue to circulate at higher than usual levels. Mycoplasma pneumoniae, which causes "walking pneumonia," remains elevated in some U.S. regions based on emergency department visits and test positivity. Whooping cough cases, while lower than their November 2024 peak, remain higher than normal compared to pre-pandemic levels.
