22 US states and territories in upward trajectory of new cases
An internal memo from the Federal Emergency Management Agency obtained by ABC News on Wednesday night shows that 22 U.S. states and territories are in an upward trajectory of COVID-19 infections, while 13 jurisdictions are at a plateau and 21 others are in a downward trend.
The number of new cases recorded in the United States is increasing by double digits in week-over-week comparisons, while the number of new deaths is down. There also continues to be a steady rise in the number of hospitals nationwide where more than 80% of beds in intensive care units are filled, according to the memo.
In Alabama's Limestone County, 90% of ICU beds across two hospitals were in use. The Alabama Hospital Association confirmed that a shortage of nurses is a statewide issue in both hospitals and universities due to a lack of faculty, facilities and funds, the memo said.
Florida's Leon County reported a 20% increase in COVID-19 cases among children since Aug. 10, around the start of the new school year, coinciding with a 20% increase in pediatric hospitalizations, according to the memo.
Meanwhile, the number of new cases recorded in Kentucky have increased by 21% since Sept. 13. The state's seven-day fatality rate has doubled since then, from 13.4 to 26.4 per 1 million population. The number of COVID-19 tests being conducted statewide declined by 45.2% during the week ending Sept. 17, compared with the previous week, according to the memo.
Michigan's seven-day case rate increased by 154.4% from Sept. 13 to Sept. 20. The state also reported a 38.1% week-to-week relative increase in COVID-19 testing on Sept. 17. Officials attribute the surge to schools and colleges, with 20-year-olds making up the largest portion of total cases, the memo said.
ABC News' Josh Margolin contributed to this report.