The outbreak is hitting the Midwest the hardest, based on new cases per capita in recent weeks. Image A health care worker performs a coronavirus test at in Milwaukee. When the country reached the million-case mark in late April, the virus was more concentrated geographically  the New York area and the West Coast were the main hot spots  but outbreaks were surfacing elsewhere in vulnerable settings like nursing homes, prisons and meat packing plants. In addition to rising cases, on Tuesday hospitalizations topped 50,000 for the first time in three months. That changed in mid-October, when the virus began surging again across much of the country.
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