A post-Thanksgiving uptick in covid-19 patients at U.S. hospitals is arriving even as health systems contend with waves of feverish, coughing people stricken with RSV and influenza infections.

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Covid hospitalizations last week reached their highest level in three months, with more than 35,000 patients being treated, according to Washington Post data tracking. National hospitalizations had stagnated throughout fall but started rising in the days leading up to Thanksgiving. All but a few states reported per capita increases in the past week.

Public health authorities are concerned that the increase in the number of covid patients will worsen the strain on hospitals already under pressure from the effects of two other viral ailments, influenza and respiratory syncytial virus, widely known as RSV.

Nearly 20,000 Americans were hospitalized with influenza during Thanksgiving week, the most for that week in more than a decade and almost double the previous week’s count.

Nancy Foster of the American Hospital Association said members are still mostly raising concerns about RSV and flu rather than covid.

“It could be in a week or two we are seeing many more covid patients than we are seeing RSV or flu, but the real concern is we will see a large influx of all of them really stressing out the hospitals’ capacity to care for these very sick patients,” said Foster, the association’s vice president of quality and patient safety policy.

Experts warn that holiday gatherings are a prime time for the coronavirus to spread as millions of Americans travel and get together. The increase in hospitalizations probably reflects a combination of patients who were infected before the Thanksgiving holiday rush and those exposed during Thanksgiving week, health experts said.

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