More people ended up in emergency rooms and died in recent weeks from COVID-19, federal health data showed.

The information agencies collect, known as surveillance data, that tracks cases and the spread of COVID-19 has become limited. However, COVID-19 hospitalizations and deaths are indicators of the disease’s spread. The numbers for emergency room admissions and deaths are up, according to the Centers for Disease Control and Prevention's latest data.

COVID-19, with its endless list of mutating sub-variants, appears to have more predictable seasons, with large jumps in cases during winter months, and smaller increases in the summer. Experts previously told USA TODAY cases appear to be increasing this summer. However, Americans don't face nearly the same risk of serious illness or death due to COVID-19 compared to earlier in the pandemic, thanks in part to vaccines and prior infections that keep people protected.

CDC warns that new COVID-19 variants, nicknamed FLiRT, found in wastewater

That doesn’t mean people shouldn’t be concerned. In 2023, more than 75,000 people died from COVID-19. Nearly a million people wound up in U.S. hospitals last year.

There was a 23% increase in emergency department visits, according to CDC data posted on Monday. The data, taken from the week of June 22, the latest available, showed the weekly percentage of emergency room visits diagnosed as COVID-19 at 0.9%. It showed a substantial rise in people being diagnosed in Hawaii and, to a lesser extent, in Arizona, New Mexico, Florida and Washington. The percentage of COVID-19 diagnoses has ticked upwards since early May, CDC data showed.

There wasn't a marked change in COVID-19-related hospitalizations. But deaths jumped 14% in the past week. While that sounds alarming, it’s important to note it's a percentage increase compared to recent numbers. It doesn’t mean the total number of deaths is anywhere near as high as early in the pandemic.

Provisional data shows hundreds of deaths, compared with more than 2,000 deaths on average each week in late December and January. Before that, when the omicron variant dominated cases in 2021, weekly averages topped 20,000 deaths that winter.

Health officials said during a recent panel to approve updated COVID-19 vaccines this fall that older people remain at heightened risk of the worst COVID-19 outcomes. The CDC recommends everyone 6 months and older receive the updated COVID-19 vaccine once it is available later this year.

COVID Is Surging Right Now. Here's What Alarms Doctors The Most.

We don’t typically associate hot weather with viral illnesses, but COVID has thwarted that in recent years. This summer seems to be no exception: Recent data from the Centers for Disease Control and Prevention shows that COVID test positivity rates and emergency room visits are steadily rising, especially along both coasts.

The culprit: the FLiRT variants. This family of variants, which evolved from omicron, took off in the spring. Now, they account for over 50% of infections.

According to Dr. Robert H. Hopkins, Jr., the medical director of the National Foundation for Infectious Diseases, this year’s summer wave got an early start ― and it doesn’t appear to be slowing down anytime soon. “I suspect it’s going to increase,” Hopkins told HuffPost. “It seems like we’re seeing more and more states showing increased levels of activity.”

Here’s what to know about the summer COVID spike:

What’s up with the new FLiRT variants?

The FLiRT variants are offshoots of JN.1, which was the dominant variant in the U.S. this past winter.

This family of variants appears to be very contagious, thanks to mutations in the spike protein that may improve the virus’s ability to bind to human cells. “When we look at their molecular profile, some of those mutations potentially could allow the [virus] to escape from previous immunity,” Hopkins explained.

According to Dr. Nikhil Bhayani, an assistant professor in the department of internal medicine at the Burnett School of Medicine at Texas Christian University, one variant in particular is gaining steam right now: KP.3. It’s currently responsible for roughly 25% of cases.

Two other variants in the FLiRT family, KP.2 and KP.1.1, make up 22.5% and 7.5% of infections, respectively. Research from Japan found that KP.2, the dominant variant this past spring, was more transmissible than its predecessors and potentially better at outsmarting our vaccines.

Fortunately, it doesn’t seem like the illness will be any different with the FLiRT variants, according to Hopkins. He suspects they’ll trigger the typical COVID symptoms: Fever, cough, congestion, sore throat, body aches and, though less common these days, loss of taste and smell.

The increase in cases also doesn’t appear to be causing an uptick in hospitalizations. “There’s no evidence they’re more severe than what we’ve been dealing with,” Hopkins said.

What concerns experts about this wave of infections?

We’ve seen summertime increases in COVID infections every year during the pandemic, according to Hopkins, so this isn’t too out of the ordinary. What does alarm him, however, is how early we’re seeing the summer wave kick off this year.

According to Aubree Gordon, a professor of epidemiology and director of the Michigan Center for Infectious Disease Threats & Pandemic Preparedness in the School of Public Health at the University of Michigan, variants gain traction when they evolve to evade the immunity we achieved through past infections and vaccinations.

The current wave is “probably predominately [caused] by those changes in the virus that are probably resulting in it being able to better get around preexisting immunity,” Gordon told HuffPost.

It doesn’t help that it’s likely been a while since many people were last vaccinated. In May, the CDC revealed that only 22% of adults had received an updated COVID shot since it was released in September 2023.

This dip in immunity, combined with the FLiRT variants’ advantageous mutations, could be fueling the spread. Recent gatherings marking the start of summertime, including Memorial Day Weekend and Father’s Day, may be contributing, too, according to Hopkins. It’s known, after all, that social gatherings are a huge source of disease transmission.

Is now a good time to get a booster shot?

It’s expected that all main vaccine manufacturers will have an updated shot available in the fall that, most likely, will target the KP.2 strain. If you’re wondering whether you should get another jab now or hold off until the new booster’s here, know this: There’s really no wrong time to get a booster shot, Bhayani said.

While the updated shot will likely better target circulating strains, the currently available vaccines will likely still provide good protection against getting sick, and more important, winding up in a hospital or dying, research suggests.

The timing of your next dose depends on your overall health and when you got your previous booster or were last infected. In general, health experts recommend spacing doses out by at least four months.

If you were infected or got vaccinated in the past few months, it might make the most sense to hold off until the new shot’s out later this year, Gordon said. “I’d recommend they delay vaccination just because they’re not going to benefit from it too much at this point,” she said.

That said, Hopkins recommends that people 65 and older who didn’t receive the latest vaccine to go out and get another shot now. The same goes for people who are immunocompromised and haven’t had a shot in the past two months.

“Why take a chance with this current surge if we’ve got something that is going to reduce your severity of illness?” Hopkins said.

Here’s what to do if you get COVID this summer.

If you contract COVID, it’s a good idea to first test yourself at home with an antigen test. If your test is negative, Hopkins recommended testing yourself again in 24 hours because it can take a few days for the virus to become detectable in your sinuses.

If you’re concerned about your symptoms, reach out to your primary care physician or visit an urgent care to get a PCR test ― these are more sensitive and catch a higher percentage of cases.

Older adults, people who are immunocompromised and those with chronic illnesses face a higher risk of severe disease. Hopkins advised anyone in these groups to contact a health care provider as soon as they feel sick. There are effective oral antivirals ― Paxlovid and molnupiravir ― that can shorten the duration of your illness and reduce the severity of it. But here’s the kicker: They work best when given within five days after symptoms appear.

As for otherwise healthy individuals who test positive, the same tried-and-true measures still work well. Acetaminophen and anti-inflammatories, like ibuprofen and naproxen, can reduce a fever, nasal sprays alleviate congestion, drinking fluids prevents dehydration and getting plenty of rest will aid your overall recovery, Hopkins said.

Finally, keep a distance from other people for five days or until your symptoms are improving. If you do go out, the CDC recommends masking up until the 11th day of your sickness.

These new variants might be adept at skirting our immunity, but getting another booster shot and wearing a high-quality mask in crowded spaces are still the very best ways to stay healthy this summer.

 

CDC warns that new COVID-19 variants, nicknamed FLiRT, found in wastewater

CDC warns that new COVID-19 variants, nicknamed FLiRT, found in wastewater.

Why is COVID spreading again in NY this summer? What we know about this uptick, variants

An uptick in COVID-19 patients at New York hospitals suggests this summer wave of infections could be nastier than last year as new variants spread nationally.

Emergency room visits for COVID-19 averaged 181 per week as of late June, with a total of about 750 COVID patients hospitalized, the most recent statewide date show. By contrast, those key COVID hospital metrics stood at 80 visits and 410 hospitalized at the time last summer.

Wastewater surveillance also identified high detections of COVID in parts of Monroe, Westchester and Rockland counties, underscoring the virus' spread in those communities. But those levels remained below the highest possible detections ‒ mostly in parts of Buffalo, New York City and Long Island.

Which COVID variants are spreading in NY?

Cases are driven by consistent upticks in a collection of sub-variants known as FLiRT, named for the mutations’ technical names. FLiRT derives from the JN.1 variant, descended from omicron, which dominated cases until the spring, according to the CDC’s Nowcast loose estimates of circulating variants.

The top subvariants spreading last month in New York included KP (40%) and JN.1 (22%), state data show, but the fastest-growing variant nationally, LB.1, has begun to show up in wastewater in New York, suggesting the potential for additional infections.

How this summer COVID uptick compares to prior NY waves

While outpacing last summer, the current uptick in COVID-19 infections remains below the summer levels earlier in the pandemic, with the worst summer peak in 2022 at nearly 2,800 COVID-19 patients hospitalized, state data show.

Further, experts noted the seasonal ebbs and flows of COVID cases — with much higher spread during fall and winter months — underscored the fact the virus is here to stay as it becomes endemic, similar to the seasonal flu, which causes up to 51,000 deaths per year nationally.

Should I still isolate for COVID in 2024?

New Yorkers should stay home and away from others until at least 24 hours after there is no fever and their symptoms are getting better overall, according to the updated Centers for Disease Control and Prevention recommendations.