A affected person is wheeled into Houston Methodist Hospital as storm clouds collect over the Texas Medical Heart, amid the worldwide outbreak of the coronavirus illness (COVID-19), in Houston, Texas, U.S., June 22, 2020.Callaghan O’Hare | ReutersThe U.S. added greater than 31,000 new Covid-19 circumstances on Monday because the seven-day common of every day new circumstances continues to develop and the variety of hospitalizations additionally will increase in states like Arizona and Texas, in keeping with a CNBC evaluation of Johns Hopkins College information. As of Monday, the nation’s seven-day common of every day new Covid-19 circumstances elevated greater than 30% in contrast with every week in the past, in keeping with a CNBC evaluation of Johns Hopkins College information. Instances are rising by 5% or extra in 26 states throughout the U.S., together with Arizona, Texas, Florida and Montana. A few of these states reported record-high single-day will increase in coronavirus circumstances final week as they ramped up testing and moved ahead with their phased reopening plans. Dr. Scott Gottlieb, former commissioner of the Meals and Drug Administration, stated Monday that states which might be seeing main spikes in new circumstances are heading right into a “pivotal week” that might decide whether or not “they’re tipping over into exponential progress or not.” Texas, Arizona and California are among the many variety of states principally throughout the American South and West which have seen a dramatic enhance in circumstances over the previous few weeks as they began reopening their economies. Texas added 4,846 new circumstances on Monday bringing its seven-day common of every day new circumstances to three,940, in keeping with Hopkins’ information. The state has seen greater than 100% enhance in its seven-day common in contrast with every week in the past. Arizona is averaging about 2,500 every day new circumstances as of Monday, which is a couple of 94% enhance since one week in the past. California noticed a large soar in its every day report of constructive circumstances on Monday, including 6,219 new circumstances, in keeping with Hopkins’ information. This new determine shattered its earlier single-day document of 4,084 new confirmed circumstances from final Thursday, in keeping with the California Division of Public Well being. Monday’s quantity reported by county well being departments throughout the state contains some caveats as some counties report multiple-day totals after not updating their case counts over the weekend.As of June 22, California is seeing a seven-day common of practically 4,148 every day new circumstances, in keeping with Hopkins’ information. This quantity has risen by greater than 32% since one week in the past. Whereas Monday’s determine is a giant uptick, it doesn’t change the general pattern line because the seven-day common of every day new circumstances has already been on the rise forthe previous two weeks. “The issue is with exponential progress all the things seems to be type of OK till rapidly it would not,” Gottlieb stated on CNBC’s “Squawk Field.”In the meantime, 16 states and Washington D.C. reported declines in circumstances together with, New York, New Jersey and Connecticut. Well being officers have cited that it may take anyplace from 5 to 12 days for individuals to indicate signs from the coronavirus, which may delay reporting. Every native state well being division has its personal methodologies for counting case numbers, inflicting the numbers to fluctuate based mostly on degree of testing performed. Coronavirus hospitalizations, like new circumstances and deaths, are an essential measure of the outbreak because it helps well being officers gauge how extreme it may be. Hospitalizations from Covid-19 have been rising in 16 states as of Monday, in keeping with a CNBC evaluation of information compiled by the Covid Monitoring Challenge. Texas has been reporting days of document spikes in hospitalizations and every day will increase in Covid-19 circumstances in latest weeks. As of Monday, there are 3,110 individuals at present hospitalized in Texas based mostly on a seven-day transferring common, which is a 43% enhance in contrast with every week in the past, in keeping with Covid Monitoring Challenge information.Texas Gov. Greg Abbott stated Monday that “extra measures are going to be crucial” if these metrics proceed to climb at present charges into July. “The way in which hospitalizations are spiking, the way in which that every day new circumstances are spiking — absolutely the general public can perceive that if these spikes proceed, extra measures are going to be crucial to verify we preserve the well being and security of the individuals of the state of Texas,” Abbott stated in response as to whether he would take into account rolling again a number of the state’s reopening tips. Abbott has beforehand defended the state’s reopening plan by saying there’s “no actual must ratchet again the reopening of companies within the state.” Texas was one of many first states to reopen its financial system, permitting bars, eating places and gymnasiums to renew operations in early to mid-May.”Throughout the early a part of May, Texas was transferring in a really productive place,” Abbott stated. “After which across the time of Memorial Day there was a rise, and that enhance has maintained for a number of weeks now, necessitating that subsequent steps be taken.”—CNBC’s Nate Rattner, William Feuer and Noah Higgins-Dunn contributed to this report. Scott Gottlieb is a CNBC contributor and is a member of the boards of Pfizer, genetic-testing start-up Tempus and biotech firm Illumina.