COVID on the rise in 49 states: Symptoms to watch for, including some new ones - AL.com

COVID-19 cases are surging in 49 U.S. states, with high rates in the South, attributed to people moving indoors due to heat and back-to-school gatherings. The dominant strain is an XFG offshoot, and new symptoms include gastrointestinal issues, red/itchy eyes, and severe sore throats, reminiscent of early pandemic symptoms.
Why it matters
The widespread increase in COVID-19 cases and the emergence of new symptoms indicate a continued public health concern, requiring vigilance and awareness for individuals and healthcare systems. It highlights the ongoing evolution of the virus and its impact on daily life.
COVID is making a late summer surge, with the Centers for Disease Control and Prevention estimating the virus is likely increasing in 49 states.
While overall virus activity and emergency room visits related to the respiratory illness remain very low, only one – Rhode Island - reported no increase in activity. Levels were also flat in Washington, D.C. Iowa did not provide current case data.
Rates of the virus are “very high” in Texas and “high” in Mississippi, according to wastewater analysis. California, Florida, Louisiana, Rhode Island and Washington report “moderate” COVID-19 levels. Levels were consistently highest in the South.
Experts attribute the surge to environmental and behavioral changes as heat drives people indoors and back-to-school gatherings increase. The virus’s life cycle and waning immunity are also factors.
The current dominant strain is an offshoot of the variant XFG, or “Stratus,” which was first detected in January 2025.
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