cases surging 30% nationwide in month. midwest seeing the biggest up tick. in michigan cases spiked nearly 70%. we are looking at two to three times the number of covid patients back a month or two. frustrating. we were hoping to be approaching this holiday season where all of us would be able to enjoy the company of the loved one. reporter: parts of the northeast hit hard. erie cown tin, new york, highest number of numbers since the pandemic began. we are going in the wrong direction and the worst direction we have had. reporter: hospitalizations among those vaccinated and younger from extremely rare. in minnesota the death rate for fully vaccinated people under 50 in delta surge 0.0% for 100,000 people. the biggest keys to stop what you see. the most effective means is