The skyrocketing number of new coronavirus infections in the United States is likely to climb further over the next several weeks, even in the hardest-hit areas where soaring case loads are starting to overwhelm hospitals and medical facilities.

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New cases appear to be reaching a peak in the Dakotas and Iowa, where infections are at their highest levels since the pandemic began. But most states experiencing a COVID-19 surge are weeks behind those epicenters as tens of thousands of people test positive every week.

“It’s starting to plateau in relatively few locations, but it’s giving us a sense that many areas could continue to experience this into January,” said David Rubin, a physician who runs the PolicyLab at the Children’s Hospital of Philadelphia. “This is a hard period.”

A January peak would put the height of the coronavirus pandemic around the time of President-elect Joe Biden’s inauguration on Jan. 20.

Read more at The Hill.