As the weather cools and fall approaches, COVID-19 cases are still spiking in much of the United States. The country has yet to emerge from a late summer COVID wave driven by the highly contagious new “Stratus” variant, which is sickening Americans from coast to coast.

As of Sept. 6, the level of COVID-19 viral activity in wastewater is "high" nationally, according to the latest data from the U.S. Centers for Disease Control and Prevention .

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At least 18 states are reporting “very high” levels of COVID in wastewater, per the CDC. Hotspots include California, Utah, Texas, Indiana, Florida, and North Carolina.

The rise in cases comes as confusion grows around who can get the updated COVID-19 vaccines this fall

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