On Friday, there were a record 922 people with Covid-19 hospitalized in West Virginia, up from 52 in the first week of July. There are 277 people in intensive-care units now, up from 17 in early July. The state announced 57 new Covid-19 deaths Friday, bringing the total to 3,370, in a state of 1.8 million people.

Clay Marsh, the executive dean for health sciences at West Virginia University, who is coordinating the state’s coronavirus response, said the state has been more successful in vaccinating the most at-risk people and older residents. Roughly 81% of people 65 and older are fully vaccinated in the state. But he said that about a quarter of the state’s residents, including many younger people, are hesitant to get the vaccine, according to a survey…

Ruby typically takes patients from about 65 other hospitals in the state, he said, but it now is turning down most requests for transfers. It has a waiting list of 10 people to be admitted to the ICU.

“Covid is pretty much everywhere,” Mr. Wright said. “I just don’t think people realize how bad it is.”