Dr. Tom Frieden, the former director of the US Centers for Disease Control and Prevention warns United States needs a comprehensive approach to the coronavirus pandemic, following a week of several states reporting alarming spikes.

24 states saw their number of new cases rise at least 10% this week from the week before, according to a data from Johns Hopkins University, and 19 states were holding steady.

Only 7 states — Alabama, Florida, Georgia, North Carolina, South Carolina, Oklahoma and Texas — reported decreases in new cases of at least 10% compared to last week.

The country’s 7-day average of new daily cases, about 42,400, is more than 20% higher than where it was September 12, when it was at 2-month low of about 34,300.

It’s still below a summer peak of roughly 67K from July, but health authorities have said even daily cases in the 40K’s are far too high if the country wants to avoid a serious surge in the coming months, when cold weather will nudge people indoors more often.

The states reporting rising numbers of new cases are Alaska, Connecticut, Delaware, Idaho, Indiana, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, Ohio, Pennsylvania, Rhode Island, South Dakota, Vermont, Wisconsin and Wyoming.