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Data: The COVID Tracking Project, state health departments; Map: Andrew Witherspoon, Sara Wise/Axios

The pace of coronavirus infections increased last week in 23 states plus Washington, D.C., and only declined in four states and Puerto Rico.

The big picture: The virus is not under control, or anywhere close to it.

  • That's especially true in Washington, D.C., where the outbreak tied to the White House appears to be increasing the caseload. The District experienced a 26% increase last week, rising from about 40 new cases per day to about 50.

By the numbers: Nationwide, cases were up 6%, compared to the week before. The U.S. is now averaging roughly 43,700 new infections per day.

  • Increases continue to span every region of the country.
  • Infections are rising in the New York region, which has largely had the virus under control in the months since it became the epicenter for the outbreak, and in parts of the southwest, which saw big spikes over the summer.
  • Just four states — Hawaii, Kansas, North Carolina and South Carolina — saw the pace of new infections slow over the past week.

Testing was largely unchanged over the past week. The U.S. is conducting about 927,000 tests per day.

How it works: Each week, Axios tracks the change in new infections in each state. We use a seven-day average to minimize the effects of day-to-day discrepancies in states’ reporting.

Go deeper

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The U.S. reported 83,718 new coronavirus cases on Saturday, marking the second day in a row that the country topped 80,000 daily infections, according to data from Johns Hopkins University.

Why it matters: The coronavirus is surging across the U.S. and threatening to overwhelm hospitals, especially in rural areas. The government's top infectious-disease expert Anthony Fauci told MSNBC earlier this month the U.S. is "facing a whole lot of trouble" as it heads into the winter, with cold weather likely to contribute to further spread of the virus.

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Spanish Prime Minister Pedro Sánchez on Sunday announced a new state of emergency that imposes a curfew in an effort to combat a rising number of coronavirus cases.

Driving the news: The mandate comes less than a week after Spain became the first nation in Western Europe to exceed 1 million COVID-19 cases.