Case numbers in the US always follow a weekly pattern, with Friday as highest and Sunday lowest. Still a big jump from last Friday
Couple of observations comparing the case, hospitalization and average deaths between last June- early July and now: First there are less reported hospitalizations relative to caseload, compared to the summer. Presumably do to testing more and catching more cases. But the 7-day average deaths are still above the average back in June (700 vs 550), despite reported hospitalizations being basically identical. Don't have a theory on why that is the case.
In Addition to Wisconsin mentioned above, North Dakota in particular is really doing bad. They get ignored due to small raw numbers, but per capita its terrible. >0.1% of their population was reported positive today alone!