The top U.S. disease expert, Dr. Anthony Fauci has warned of early signs of rising COVID-19 cases in the midwest states.
Ohio, Indiana, Tennessee and Kentucky have been reporting high positive COVID-19 test rates.
Speaking to Good Morning America on Tuesday, the director of the National Institute of Allergy and Infectious Diseases said this was not a sign to be ignored.
He also repeated his strategies to keep the spread low the importance of hand-washing, wearing masks and keeping social distance.
He added, should the states follow the guidelines laid by the federal government, the surge could be prevented and that the country could not afford another surge.