The percentage of U.S. adults believing the coronavirus situation is getting better nationally fell from 51% in October to 31% in Gallup’s latest COIVID-19 tracking survey, conducted Nov. 29-Dec. 5. Accordingly, the percentage saying the situation is getting worse has about doubled, rising from 18% to 35%, while nearly a third continue to say it’s staying about the same.

October had been the first month since June that Americans’ outlook for the situation was more positive than negative, after turning sharply negative over the summer. The outlook was significantly more positive in the first half of the year, during the vaccine rollout — peaking in June, when 89% said the situation was getting better.

Despite shifts in their perceptions of how the pandemic is going, Americans’ personal level of worry about getting COVID-19 has been flat since August near 40%, including 38% in the latest survey.