Former Surgeon General Jerome Adams, who served during the Trump administration, said on Sunday that the pandemic is “spiraling out of control yet again,” as cases begin to rise and the country’s vaccination rate plateaus.

“More mitigation is coming, whether it’s masking or whether it’s closures or whether it’s your kids having to return to virtual learning, that is coming. And it’s coming because this pandemic is spiraling out of control yet again, and it’s spiraling out of control because we don’t have enough people vaccinated,” Adams told host John Dickerson on CBS’s “Face the Nation.”

“So get vaccinated because it helps your neighbors, but get vaccinated because it’s going to help every single American enjoy the freedoms that we want to return to,” Adams continued.