On July 29, the US reported more than 71,300 infections, about two weeks after a peak daily case count of more than 77,000 cases. The country was then at the height of the pandemic and several states were adding thousands of new cases each day. By mid-September, the summer surge had slowed and the US was averaging a little more than 36,000 daily cases.

Nebraska Gov. Pete Ricketts announced changes to the state’s health measures, including requiring hospitals to reserve at least 10% of staffed general and ICU beds for Covid-19 patients. New Mexico Gov. Michelle Lujan Grisham this week ordered new mass gathering limitations and a 10 p.m. closing time for establishments serving alcohol. And in Kentucky, Gov. Andy Beshear said earlier this month he instructed authorities to step up mask enforcement.

“This is a good moment for people to stop and ask themselves, what can I do to try to be sure that we limit the further infections that otherwise seem to be looming in front of us as cold weather is kicking in and people are indoors, and those curves are going upward, in the wrong direction,” Collins said Friday.

Researchers from the University of Washington’s Institute for Health Metrics and Evaluation project more than 2,300 Americans could be dying daily by mid-January and a total of more than 389,000 people could die from the virus in the US by February 1. More than 218,000 people have already died nationwide since the start of the pandemic. Just over 8 million have been infected.

But it’s not too late to turn things around. Experts say Americans can help get the virus under control by heeding basic public health guidelines touted by officials for months: avoiding crowded settings, keeping a distance, keeping small gatherings outdoors and wearing a mask.

‘We are in a new wave of rising positivity in Covid-19 cases’

At least 31 states — scattered all across the US — are now reporting more new cases than the previous week, according to data from Johns Hopkins University.

On Thursday, at least 26 US states reported more than 1,000 new cases in a day, data from Johns Hopkins shows. And 14 states saw their highest 7-day averages for new daily cases: Alaska, Colorado, Illinois, Indiana, Kansas, Missouri, Nebraska, New Mexico, North Dakota, Ohio, South Dakota, West Virginia, Wisconsin, Wyoming.

US Surgeon General Dr. Jerome Adams addressed a surge of new cases and hospitalizations in Wisconsin and said the state’s positivity rates are “going in the wrong direction.”

“It is critical that we actually understand where this virus is circulating so that we could get cases under control and reverse positivity,” he said Friday.

In Illinois, Gov. J.B. Pritzker said he was concerned about a rise of infections.

“We’re in a new wave of rising positivity in Covid-19 cases all across the nation, not only in Illinois,” he said. “One of the challenges now is that three of the worst five states in the country are bordering Illinois: Indiana, Iowa, Wisconsin, bordering all of Northern Illinois, and of course in Indiana all the way down to Kentucky.”

Minnesota outbreak tied to Trump rally

In Minnesota, public health officials say they’ve so far traced at least 20 cases of the virus back to a rally held by President Donald Trump last month, or to related events.

Of the 20 cases,16 are among people who attended the rally. Four people said they participated in counter-protests the same day, the state’s health department told CNN.

The state has traced a total of 28 cases to various campaign events in recent weeks. One was linked to a rally for Democratic presidential candidate Joe Biden and three were linked to a Minneapolis speech by Vice President Mike Pence in late September.

Ahead of an expected Trump rally this weekend, Michigan Gov. Gretchen Whitmer encouraged people who were planning to attend to wear masks and social distance.

“We always are concerned when there are large gatherings without masks and social distancing. There is a risk of an outbreak when this happens, so we encourage people to wear their masks and practice social distancing,” Tiffany Brown, Whitmer’s press secretary, told CNN in a statement.

And in Tucson, Arizona, where Trump is scheduled to hold a political rally Monday, the mayor wrote wrote an open letter to remind campaign officials of the “various ordinances in effect” in the city and county.

“It would be deeply unfortunate if one gathering jeopardized all the progress we have made thus far,” Mayor Regina Romero wrote.

Pfizer announces Covid-19 vaccine plans

In an open letter published Friday by Pfizer Chairman and CEO Albert Bourla, the company said it plans to apply for Emergency Use Authorization (EUA) for its Covid-19 vaccine as early as November.

“Assuming positive data, Pfizer will apply for Emergency Authorization Use in the U.S. soon after the safety milestone is achieved in the third week of November,” the letter said.

But first, Bourla wrote, the vaccine should prove to be safe and effective in preventing the disease.

“And finally, we must demonstrate that the vaccine can be consistently manufactured at the highest quality standards,” Bourla wrote.

Once a vaccine is approved in the US, CVS and Walgreens pharmacies have been designated to help distribute free vaccines to long-term care facilities, federal officials confirmed. It will be up to the two drug chains to figure out how to deliver the vaccines, including cold storage requirements and personal protective equipment.

“This is a completely voluntary program on the part of every nursing home. This is an opt in program,” Paul Mango, deputy chief of staff for policy at the Health and Human Services Department, told reporters.

CNN’s Dave Alsup, Andrea Diaz, Nakia McNabb, Samira Said, Nadia Kounang, Andy Rose and Shelby Lin Erdman contributed to this report.

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