worrisome coronavirus variants spread, scientists and federal health officials have been warning that a new wave of cases could arise in the United States even as the nation’s vaccination campaign gathers speed. The seeds of such a surge may now be sprouting in the Upper Midwest and the Northeast.

Michigan is already in tough shape. New cases and hospitalizations there have more than doubled in the last two weeks. The six metro areas in the United States with the greatest number of new cases relative to their population are all in Michigan.

Several other states in the Upper Midwest, including Minnesota and Illinois, have also reported significant increases in new cases and hospitalizations. And in the Northeast, New York and New Jersey have continued to see elevated case counts.

While new cases, hospitalizations and deaths nationwide have declined

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