New Mexico Gov. Michelle Lujan Grisham reinforced public health messaging as the state continues to break records for COVID-19 case counts and with hospitalizations on the rise.

She also announced new restrictions for restaurants and drink establishments, setting a 10 p.m. curfew for those that serve alcohol.

Separately, she announced that visitors from high-risk states must quarantine for 14 days upon arrival.

She also said she wouldn't be afraid to "make another really tough decision" and put tougher restrictions into place.

"Don't go out. Don't go out. Don't go out," she said, urging residents to avoid visiting El Paso. "And what I want everyone to know is, I'm prepared to make another really tough decision. I don't want to make that decision. I want us to show that collectively we can use these tools and attack the virus right back and stop it from spreading."

Wisconsin Gov. Tony Evers said the virus is becoming a "life and death" event for residents and urged people to take it more seriously as the state set a new daily record.

"The longer it takes for everyone to take the virus seriously, the longer it takes to bring the economy back," he said.

Evers asked for people to stay home and to wear a face covering when out in public. He also encouraged residents to contact legislators to find out if they support the current public health emergency.

"This is becoming life and death for the people of Wisconsin," he said in a video message, noting that it was not just about the economy.

Wisconsin Department of Health Services Secretary-designee Andrea Palm said some parts of the state had 90% full intensive care units and staffing shortages, citing a September case spike.

Officials said the seven-day average of daily cases rose to 2,927 and said they expected numbers to increase.

As of Thursday, the state had 162,325 confirmed cases, with a record increase of 3,747 cases from the previous day, officials said.

Coronavirus cases are increasing in 38 states and Washington, D.C., and deaths are rising in 14 states, according to an ABC News analysis of COVID Tracking Project data.

Amid warnings of a second wave, the seven-day average of new cases rose across the country with the figure now surpassing 52,000 -- the highest in nearly two months.

The trends were all analyzed from data collected and published by the COVID Tracking Project over the past two weeks, using the linear regression trend line of the seven-day moving average to examine whether a state's key indicators were increasing, decreasing or remained flat.

Two states and Puerto Rico reported decreases in new case trends and 10 states reported flat trends. Separately, nine states saw decreasing positivity rates, while rates in 15 states and Washington, D.C., were flat.

When it comes to hospitalizations, six states experienced a declining trend in current hospitalizations, while eight states, Washington, D.C., and Puerto Rico reported flat hospitalizations trends. Twelve states saw a declining trend in new deaths, and 24 states, along with Washington, D.C., and Puerto Rico, reported flat rates.

Over the last week alone, the seven-day average of new cases increased by 10% or more in 33 states, according to an analysis of state data.

Data from this week may be skewed because of lags in reporting or backlogs as a result of the Columbus Day holiday.

The Centers for Disease Control released their weekly ensemble forecast showing that the agency expects the U.S. death toll to reach between 229,000 and 240,000 people by Nov. 7, according to new forecasts.

The center said it received forecasts of COVID-19 deaths over the next 4 weeks from 44 modeling groups. Of the 44 groups, 39 provided forecasts for both new and total deaths, three groups forecast total deaths only, and two focused solely on new deaths.

"This week’s national ensemble forecast indicates an uncertain trend in new COVID-19 deaths reported over the next four weeks and predicts that 3,400 to 7,100 new deaths will likely be reported during the week ending November 7, 2020," the CDC said in a statement Thursday.

It added: "The state- and territory-level ensemble forecasts predict that over the next 4 weeks, the number of newly reported deaths per week may increase in three jurisdictions and decrease in one jurisdiction … trends in numbers of future reported deaths are uncertain or predicted to remain stable in the other states and territories."

The national positivity rate for COVID-19 tests across the United States has jumped from 4.7% to 6% in week-to-week comparisons, according to an internal memo from the U.S. Department of Health and Human Services that was obtained by ABC News on Wednesday night.

The memo, which is circulated to the highest levels of the federal government and is used to determine daily priorities for the agencies working on COVID-19 response, said 38 U.S. states and territories are in an upward trajectory of new infections, while four jurisdictions are at a plateau and 14 others are in a downward trend.

There were 359,745 new cases confirmed during the period of Oct. 7-Oct. 13, a 17.1% increase from the previous week. There were also 4,962 fatalities from COVID-19 recorded during the same period, a 2.1% decrease compared with the week prior, according to the memo.

Meanwhile, 24% of hospitals nationwide have more than 80% of beds full in their intensive care units. That figure was 17-18% during the summertime peak, the memo said.

In Arizona, 6.71% of the state's prison population -- 2,599 inmates -- has tested positive for COVID-19, along with 712 prison staff. At least 17 inmates have died from the disease, according to the memo.

The number of new cases recorded in Washington, D.C., increased by 84% over the past week, after dropping to its lowest levels since July. The nation's capital reported an average of 81% of its inpatient beds occupied and 74.2% of intensive care unit beds occupied, the memo said.

Idaho's positivity rate for COVID-19 tests surged to 14.7% for the week ending Oct. 8, twice the national rate during the same period, according to the memo.

Indiana saw a 27.5% week-to-week rise in cases and a 23.4% week-to-week increase in deaths from COVID-19, as of Oct. 11. The state reported three consecutive days of record-high daily case counts from Oct. 8 to Oct. 10. The state's seven-day COVID-19 hospitalization rate reached a five-month peak at 17.3 per 100,000 population on Oct. 11, the memo said.

Minnesota's seven-day COVID-19 hospitalization rate also hit a five-month peak at 11.3 per 100,000 population on Oct.11. Minnesota reported a 19% increase in cases between the weeks ending Oct. 4 and Oct. 11, which state health officials said is linked to widespread transmission rather than clustered outbreaks, according to the memo.

Mississippi saw a 22.4% increase in COVID-19 cases in the week ending Oct. 11, compared to the previous week. The seven-day and 14-day averages for new cases continued to rise statewide, reaching levels not seen since early September. State officials are concerned that Mississippi is at the start of a second surge and have estimated that the cause of the increasing spread is sustained community transmission. Six major hospitals in the state were reported to have no more ICU surge capacity, the memo said.

Meanwhile, COVID-19 has devastated the Mississippi Band of Choctaw Indians, with the disease infecting more than 10% of the tribe and killing at least 81 of them, according to the memo.

North Carolina and Tennessee are two of five U.S. states that reported a greater than 50% increase in COVID-19 cases over the past week, the memo said.

COVID-19 hospitalizations continue to rise across Ohio, with the state's seven-day rate at 11.9 per 100,000 population on Oct. 11, according to the memo.

Pennsylvania recorded its highest daily case count in six months on Oct. 10 with 1,742 new cases. Multiple counties across the state reported a doubling of new cases during the period of Oct. 5-11, the memo said.

ABC News' Josh Margolin contributed to this report.