Nearly a quarter of all coronavirus cases in the U.S. were reported in November

Saturday was the 19th day in a row that the US reported over 100,000 new cases, according to Johns Hopkins. The spring and summer peak records of new cases did not exceed 60,000.

At least 24 hospital leaders warned the American Hospital Association they are experiencing staffing shortages, Nancy Foster, the association’s vice president for quality and patient safety policy, said. Rises in hospitalization rates are often followed by climbing death tolls.

There were 24,291 deaths so far reported in the month of November. That accounts for 9.5% of deaths during the pandemic.