US sets new daily case record for 2nd straight day

The U.S. reached its single-day record with over 90,000 COVID-19 cases.

Over 45.4 million people across the globe have been diagnosed with COVID-19, according to data compiled by the Center for Systems Science and Engineering at Johns Hopkins University. The actual numbers are believed to be much higher due to testing shortages, many unreported cases and suspicions that some national governments are hiding or downplaying the scope of their outbreaks. The criteria for diagnosis -- through clinical means or a lab test -- has also varied from country to country.

COVID-19 has killed more than 1.18 million people worldwide.

The United States is the worst-affected nation, with more than 9 million diagnosed cases and at least 229,585 lives lost.

The U.S. battle against the pandemic is headed in a dangerous direction as the nation reached its single-day record for cases on Thursday, according to the COVID Tracking Project.

Forty-two states and territories are in an upward trajectory of new cases, according to an internal Health and Human Services memo obtained by ABC News.


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California reports case of flu, COVID-19 co-infection

A resident of Solano County, California, has a co-infection of COVID-19 and the flu, the county’s health department said.

The resident was not identified, but the health department said he or she is under the age of 65 and is the first person in the county with a confirmed co-infection.

“With the likelihood of both COVID-19 and seasonal flu activity this winter, contracting either disease may weaken your immune system and make you more susceptible to the other disease,” Solano County Health Officer Bela Matyas said in a statement. “Getting a flu vaccine this year is more important than ever."

The Centers for Disease Control and Prevention recommends that everyone at least 6 months old get a flu shot each year by the end of October.

ABC News’ Jennifer Watts and Eric Strauss contributed to this report.


29 states reported record number of new cases in October

These 29 states, as well as Puerto Rico, hit a record number of new cases in October, according to the COVID Tracking Project: Alaska, Arkansas, Colorado, Idaho, Illinois, Iowa, Indiana, Kansas, Kentucky, Maine, Michigan, Minnesota, Montana, Nebraska, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, Utah, South Dakota, Tennessee, Utah, West Virginia, Wisconsin and Wyoming.

Forty-one states, as well as Washington, D.C., Guam and Puerto Rico are seeing an uptick in hospitalizations, according to the COVID Tracking Project.

The only states seeing a decrease in hospitalizations are Delaware, Hawaii and Kansas.

In six states, hospitalization rates are flat: Alaska, California, Maine, Oregon, South Carolina and Vermont.

ABC News' Arielle Mitropoulos contributed to this report.


ICU beds are 80% filled in quarter of US hospitals

With COVID-19 cases spiking across the U.S., hospitals are once again filling up. At least 25% of hospitals across the country have more than 80% of their ICU beds filled, according to an internal Health and Human Services memo obtained by ABC News.

The percentage of hospitals at that number was 17-18% during the summertime peak.

Two of the hardest-hit states include Idaho and Wisconsin.

Hospitals in Idaho are so constrained that the governor is moving the state back to Stage 3 of reopening plans.

Death rates in Idaho doubled from 22 to 44 between Oct. 19-25, as the statewide test positivity rate rose from 16.7% to 18.7%. That rate is more than triple the national rate. Hospitalizations have climbed sharply since the beginning of October and now the state has reported a new four-month peak of 14.7 hospitalizations per 100,000 people during the week ending Oct 25.

In the southern town of Twin Falls, one out of every four hospitalized patients is infected with COVID-19 and regional hospitals have postponed non-emergency surgeries. At St. Luke Magic Valley, the COVID unit is 97% full, ICU units are running at least 125% above normal and adequate staffing is an issue, HHS said in its memo.

In Wisconsin, the state reported 5,262 new cases and a record 64 new deaths on Oct, 27, both of which were the highest for the state since the beginning of the pandemic.

The seven-day case average in the Badger State is 3,975 while the test-positivity rate is 25.7%.

Officials, according to the HHS memo, anticipate the situation will get worse in the coming weeks. At least 84% of all beds in the state are occupied with 447 patients on ventilators but Wisconsin does have 2,324 ventilators available.


Global cases top 45 million, US nears 9 million

As the number of new cases of COVID-19 surge across Europe and the United States, the global total of diagnosed coronavirus cases is now over 45 million, according to a count kept by Johns Hopkins University.

There are at least 8,945,891 cases as of 4 a.m. Friday in the U.S. and the country will likely hit 9 million cases before the end of the day as cases, hospitalizations and deaths from the virus are increasing.

The U.S. on Thursday saw a record single-day high of coronavirus cases with more than 88,000 reported, according to the COVID Tracking Project.  Deaths are up 3.6% week-over-week, while new cases are up 24.8% and the test-positivity rate increased to 6.2% from 6% over the same seven-day period, according to an internal Health and Human Service memo obtained by ABC News.

Forty-three states and territories are in an upward trajectory of new cases, while eight jurisdictions are at a plateau and five are going down, the HHS memo said.

Meanwhile, Europe now accounts for 46% of global coronavirus cases.

This month, many countries in the continent, such as France and Spain, have declared states of emergency, while many others are imposing more restrictions so that ICUs do not become overwhelmed.