The new year has brought new concerns about the spread of COVID-19. Hospital admissions for COVID-19 reached the highest level in nearly a year in the most recent reporting period, according to data from the Centers for Disease Control and Prevention. Test positivity also climbed. The latest data reflect an increase in social activity associated with the holiday season.
To determine the states where the COVID-19 surge is the worst right now, 24/7 Tempo reviewed data on recent COVID-19 hospital admissions from the Centers for Disease Control and Prevention. States were ranked based on the number of new hospital admissions due to COVID-19 per 100,000 state residents for the week of Dec. 17-23, 2023. Supplemental data on the total number of recorded COVID-19 hospital admissions since Aug. 1, 2020; the total number of deaths due to COVID-19 since January 2020; and the COVID-19 test positivity rate for the week of Dec. 17-23, 2023 also came from the CDC. Population data used to adjust hospital admission and death counts per capita came from the U.S. Census Bureau’s Population and Housing Unit Estimates program and is for July 1, 2022.
The seven-day moving average of hospital admissions across the country increased 16.7% to 29,059 for the reporting period ending Dec. 23 from the previous week, the highest weekly total since Jan. 21. Test positivity rose 0.7% to 11.7% for the week ending Dec. 23.
The JN.1 variant of COVID-19 now accounts for around 44% of COVID cases in the U.S., according to the CDC, up from 8% four weeks ago. Health officials say the illness caused by JN.1 doesn’t appear to be any more severe than earlier COVID variants.
Deaths due to COVID-19 rose 10% in recent weeks and accounted for 3.3% of all fatalities in the United States for the Dec. 17-23 period, according to the CDC. There have been 1,163,040 total deaths from the pandemic in the U.S. since the onset of the coronavirus in early 2020.
For the sixth straight week, West Virginia led the nation in new hospital admissions per 100,000 people with a rate of 16.4. That is 2.1 percentage points higher than the previous reporting period. All but one of the 10 states with the highest new hospital admissions had higher rates than the corresponding list of states a week prior.
As it has in recent weeks, Alaska had the lowest percentage of hospital admissions rates at 2.7. 0.2 percentage point below the previous week. Eight of the 10 states with the lowest percentage of hospital admissions rates were also among the lowest the week before. All but Alaska were above the previous week’s rate.
Four Midwest/Plains states — Nebraska, Kansas, Missouri, and Iowa — topped the country in test positivity rate for the seventh straight week. The rate of 18.3 was 0.2 points lower than the prior reporting period. As in previous weeks, Midwest states filled out the rest of the 10 states with a test positivity rate of 14.8, the same as the previous period.
The western states of Alaska, Arizona, Nevada, and California had the nation’s lowest test positivity rate of 6.5. This was almost a full point lower than the states with lowest test positivity rate from the prior week. (Click here for 30 famous people who died from COVID.)
Here are the states where the COVID-19 surge is the worst right now:
50. Alaska
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 2.7 per 100,000 (20 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,374.6 per 100,000 (6th lowest)
- COVID-19 deaths since January 2020: 211.2 per 100,000 (5th lowest)
- Current COVID-19 test positivity rate: 8.7% (21st lowest)
49. Washington
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 3.9 per 100,000 (302 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,043.5 per 100,000 (the lowest)
- COVID-19 deaths since January 2020: 199.1 per 100,000 (4th lowest)
- Current COVID-19 test positivity rate: 8.7% (21st lowest)
48. Georgia
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 4.6 per 100,000 (501 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,250.1 per 100,000 (10th highest)
- COVID-19 deaths since January 2020: 336.2 per 100,000 (20th lowest)
- Current COVID-19 test positivity rate: 8.6% (17th lowest)
47. Oregon
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 4.7 per 100,000 (200 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,171.4 per 100,000 (4th lowest)
- COVID-19 deaths since January 2020: 226.7 per 100,000 (6th lowest)
- Current COVID-19 test positivity rate: 8.7% (21st lowest)
46. Mississippi
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 5.6 per 100,000 (165 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,951.8 per 100,000 (25th lowest)
- COVID-19 deaths since January 2020: 514.2 per 100,000 (the highest)
- Current COVID-19 test positivity rate: 8.6% (17th lowest)
45. Utah
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 5.8 per 100,000 (197 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,462.4 per 100,000 (9th lowest)
- COVID-19 deaths since January 2020: 166.9 per 100,000 (2nd lowest)
- Current COVID-19 test positivity rate: 9.0% (24th highest)
44. Hawaii
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 6.1 per 100,000 (88 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,455.5 per 100,000 (8th lowest)
- COVID-19 deaths since January 2020: 141.4 per 100,000 (the lowest)
- Current COVID-19 test positivity rate: 6.5% (4th lowest)
43. Texas
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 6.3 per 100,000 (1,877 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,092.4 per 100,000 (16th highest)
- COVID-19 deaths since January 2020: 344.6 per 100,000 (21st lowest)
- Current COVID-19 test positivity rate: 8.4% (9th lowest)
42. Florida
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 6.3 per 100,000 (1,391 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,639.5 per 100,000 (4th highest)
- COVID-19 deaths since January 2020: 366.3 per 100,000 (24th highest)
- Current COVID-19 test positivity rate: 8.6% (17th lowest)
41. Louisiana
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 6.4 per 100,000 (293 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,150.6 per 100,000 (14th highest)
- COVID-19 deaths since January 2020: 390.1 per 100,000 (14th highest)
- Current COVID-19 test positivity rate: 8.4% (9th lowest)
40. New Mexico
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 6.4 per 100,000 (135 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,906.4 per 100,000 (22nd lowest)
- COVID-19 deaths since January 2020: 449.7 per 100,000 (5th highest)
- Current COVID-19 test positivity rate: 8.4% (9th lowest)
39. Wyoming
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 6.5 per 100,000 (38 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,048.7 per 100,000 (19th highest)
- COVID-19 deaths since January 2020: 377.7 per 100,000 (19th highest)
- Current COVID-19 test positivity rate: 9.0% (24th highest)
38. North Carolina
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 6.6 per 100,000 (701 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,642.0 per 100,000 (15th lowest)
- COVID-19 deaths since January 2020: 324.5 per 100,000 (18th lowest)
- Current COVID-19 test positivity rate: 8.6% (17th lowest)
37. Arizona
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 6.8 per 100,000 (502 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,172.5 per 100,000 (13th highest)
- COVID-19 deaths since January 2020: 409.7 per 100,000 (13th highest)
- Current COVID-19 test positivity rate: 6.5% (4th lowest)
36. Colorado
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 7.0 per 100,000 (410 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,764.4 per 100,000 (18th lowest)
- COVID-19 deaths since January 2020: 263.2 per 100,000 (9th lowest)
- Current COVID-19 test positivity rate: 9.0% (24th highest)
35. Tennessee
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 7.1 per 100,000 (500 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,925.0 per 100,000 (24th lowest)
- COVID-19 deaths since January 2020: 415.1 per 100,000 (11th highest)
- Current COVID-19 test positivity rate: 8.6% (17th lowest)
34. South Carolina
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 7.3 per 100,000 (386 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,871.9 per 100,000 (20th lowest)
- COVID-19 deaths since January 2020: 409.8 per 100,000 (12th highest)
- Current COVID-19 test positivity rate: 8.6% (17th lowest)
33. Maryland
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 7.3 per 100,000 (451 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,636.5 per 100,000 (14th lowest)
- COVID-19 deaths since January 2020: 301.6 per 100,000 (16th lowest)
- Current COVID-19 test positivity rate: 9.6% (19th highest)
32. Nevada
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 7.4 per 100,000 (235 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,092.2 per 100,000 (17th highest)
- COVID-19 deaths since January 2020: 380.4 per 100,000 (18th highest)
- Current COVID-19 test positivity rate: 6.5% (4th lowest)
31. Maine
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 7.4 per 100,000 (103 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,165.2 per 100,000 (3rd lowest)
- COVID-19 deaths since January 2020: 248.1 per 100,000 (8th lowest)
- Current COVID-19 test positivity rate: 14.5% (11th highest)
30. Idaho
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 7.6 per 100,000 (147 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,518.1 per 100,000 (12th lowest)
- COVID-19 deaths since January 2020: 290.2 per 100,000 (13th lowest)
- Current COVID-19 test positivity rate: 8.7% (21st lowest)
29. Vermont
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 8.0 per 100,000 (52 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,063.1 per 100,000 (2nd lowest)
- COVID-19 deaths since January 2020: 168.9 per 100,000 (3rd lowest)
- Current COVID-19 test positivity rate: 14.5% (11th highest)
28. California
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 8.4 per 100,000 (3,279 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,646.2 per 100,000 (16th lowest)
- COVID-19 deaths since January 2020: 283.8 per 100,000 (12th lowest)
- Current COVID-19 test positivity rate: 6.5% (4th lowest)
27. Alabama
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 8.7 per 100,000 (440 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,429.7 per 100,000 (6th highest)
- COVID-19 deaths since January 2020: 447.1 per 100,000 (6th highest)
- Current COVID-19 test positivity rate: 8.6% (17th lowest)
26. Rhode Island
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 9.0 per 100,000 (98 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,280.2 per 100,000 (5th lowest)
- COVID-19 deaths since January 2020: 370.1 per 100,000 (21st highest)
- Current COVID-19 test positivity rate: 14.5% (11th highest)
25. Virginia
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 9.1 per 100,000 (790 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,485.2 per 100,000 (11th lowest)
- COVID-19 deaths since January 2020: 278.2 per 100,000 (10th lowest)
- Current COVID-19 test positivity rate: 9.6% (19th highest)
24. Kansas
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 9.2 per 100,000 (269 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,040.8 per 100,000 (21st highest)
- COVID-19 deaths since January 2020: 367.5 per 100,000 (22nd highest)
- Current COVID-19 test positivity rate: 18.3% (the highest)
23. Minnesota
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 9.4 per 100,000 (536 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,466.1 per 100,000 (10th lowest)
- COVID-19 deaths since January 2020: 280.2 per 100,000 (11th lowest)
- Current COVID-19 test positivity rate: 14.8% (5th highest)
22. New Hampshire
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 9.5 per 100,000 (132 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,392.3 per 100,000 (7th lowest)
- COVID-19 deaths since January 2020: 243.5 per 100,000 (7th lowest)
- Current COVID-19 test positivity rate: 14.5% (11th highest)
21. Iowa
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 9.5 per 100,000 (304 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,792.8 per 100,000 (19th lowest)
- COVID-19 deaths since January 2020: 355.1 per 100,000 (25th highest)
- Current COVID-19 test positivity rate: 18.3% (the highest)
20. Oklahoma
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 9.8 per 100,000 (392 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,823.3 per 100,000 (2nd highest)
- COVID-19 deaths since January 2020: 494.8 per 100,000 (3rd highest)
- Current COVID-19 test positivity rate: 8.4% (9th lowest)
19. North Dakota
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 9.9 per 100,000 (77 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,044.1 per 100,000 (20th highest)
- COVID-19 deaths since January 2020: 345.1 per 100,000 (22nd lowest)
- Current COVID-19 test positivity rate: 9.0% (24th highest)
18. Connecticut
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 9.9 per 100,000 (359 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,893.4 per 100,000 (21st lowest)
- COVID-19 deaths since January 2020: 347.0 per 100,000 (23rd lowest)
- Current COVID-19 test positivity rate: 14.5% (11th highest)
17. Pennsylvania
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 10.0 per 100,000 (1,295 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,985.4 per 100,000 (24th highest)
- COVID-19 deaths since January 2020: 415.1 per 100,000 (10th highest)
- Current COVID-19 test positivity rate: 9.6% (19th highest)
16. Arkansas
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 10.0 per 100,000 (305 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,304.0 per 100,000 (8th highest)
- COVID-19 deaths since January 2020: 418.7 per 100,000 (9th highest)
- Current COVID-19 test positivity rate: 8.4% (9th lowest)
15. Delaware
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 10.0 per 100,000 (102 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,061.8 per 100,000 (18th highest)
- COVID-19 deaths since January 2020: 347.4 per 100,000 (24th lowest)
- Current COVID-19 test positivity rate: 9.6% (19th highest)
14. New Jersey
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 10.1 per 100,000 (937 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,954.7 per 100,000 (25th highest)
- COVID-19 deaths since January 2020: 387.2 per 100,000 (16th highest)
- Current COVID-19 test positivity rate: 14.4% (17th highest)
13. Montana
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 10.8 per 100,000 (121 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,805.7 per 100,000 (3rd highest)
- COVID-19 deaths since January 2020: 352.9 per 100,000 (25th lowest)
- Current COVID-19 test positivity rate: 9.0% (24th highest)
12. Wisconsin
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 10.9 per 100,000 (643 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,251.6 per 100,000 (9th highest)
- COVID-19 deaths since January 2020: 297.3 per 100,000 (14th lowest)
- Current COVID-19 test positivity rate: 14.8% (5th highest)
11. Illinois
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 11.0 per 100,000 (1,381 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,923.6 per 100,000 (23rd lowest)
- COVID-19 deaths since January 2020: 327.0 per 100,000 (19th lowest)
- Current COVID-19 test positivity rate: 14.8% (5th highest)
10. Michigan
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 11.1 per 100,000 (1,110 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,019.2 per 100,000 (23rd highest)
- COVID-19 deaths since January 2020: 383.5 per 100,000 (17th highest)
- Current COVID-19 test positivity rate: 14.8% (5th highest)
9. Kentucky
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 11.6 per 100,000 (522 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 3,567.3 per 100,000 (the highest)
- COVID-19 deaths since January 2020: 454.4 per 100,000 (4th highest)
- Current COVID-19 test positivity rate: 8.6% (17th lowest)
8. Missouri
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 12.2 per 100,000 (752 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,227.1 per 100,000 (12th highest)
- COVID-19 deaths since January 2020: 371.9 per 100,000 (20th highest)
- Current COVID-19 test positivity rate: 18.3% (the highest)
7. New York
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 12.2 per 100,000 (2,410 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,023.9 per 100,000 (22nd highest)
- COVID-19 deaths since January 2020: 419.8 per 100,000 (8th highest)
- Current COVID-19 test positivity rate: 14.4% (17th highest)
6. Ohio
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 12.3 per 100,000 (1,449 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,326.6 per 100,000 (7th highest)
- COVID-19 deaths since January 2020: 431.1 per 100,000 (7th highest)
- Current COVID-19 test positivity rate: 14.8% (5th highest)
5. Indiana
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 12.8 per 100,000 (875 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,134.6 per 100,000 (15th highest)
- COVID-19 deaths since January 2020: 388.3 per 100,000 (15th highest)
- Current COVID-19 test positivity rate: 14.8% (5th highest)
4. Massachusetts
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 12.9 per 100,000 (904 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,600.8 per 100,000 (13th lowest)
- COVID-19 deaths since January 2020: 307.6 per 100,000 (17th lowest)
- Current COVID-19 test positivity rate: 14.5% (11th highest)
3. Nebraska
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 13.6 per 100,000 (268 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 1,707.9 per 100,000 (17th lowest)
- COVID-19 deaths since January 2020: 299.1 per 100,000 (15th lowest)
- Current COVID-19 test positivity rate: 18.3% (the highest)
2. South Dakota
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 13.8 per 100,000 (126 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,247.5 per 100,000 (11th highest)
- COVID-19 deaths since January 2020: 367.4 per 100,000 (23rd highest)
- Current COVID-19 test positivity rate: 9.0% (24th highest)
1. West Virginia
- New weekly COVID-19 hospital admissions, Dec. 17-23, 2023: 16.4 per 100,000 (291 total)
- COVID-19 hospital admissions since Aug. 1, 2020: 2,558.4 per 100,000 (5th highest)
- COVID-19 deaths since January 2020: 499.8 per 100,000 (2nd highest)
- Current COVID-19 test positivity rate: 9.6% (19th highest)