FILE - In this Nov. 19, 2020, file photo, medical personnel prone a COVID-19 patient at Providence Holy Cross Medical Center in the Mission Hills section of Los Angeles. Across the U.S., the surge has swamped hospitals with patients and left nurses and other health care workers shorthanded and burned out. (AP Photo/Jae C. Hong, File)

By SAM METZ

Associated Press

The U.S. recorded over 3,100 COVID-19 deaths in a single day, obliterating the record set last spring, while the number of Americans in the hospital with the virus has eclipsed 100,000 for the first time and new cases have begun topping 200,000 a day, according to figures released Thursday.

The three benchmarks altogether showed a country slipping deeper into crisis, with perhaps the worst yet to come, in part because of the delayed effects from Thanksgiving, when millions of Americans disregarded warnings to stay home and celebrate only with members of their household.

Across the U.S., the surge has swamped hospitals and left nurses and other health care workers shorthanded and burned out.

“The reality is December and January and February are going to be rough times. I actually believe they are going to be the most difficult time in the public health history of this nation,” Dr. Robert Redfield, head of the Centers for Disease Control and Prevention, said Wednesday.

Health authorities had warned that the numbers could fluctuate strongly before and after Thanksgiving, as they often do around holidays and weekends. Because of reporting delays, the figures often drop, then rise sharply a few days later as state and local health agencies catch up with the backlog.

Still, deaths, hospitalizations and cases in the U.S. have been on a fairly steady rise for weeks, sometimes breaking records for days on end.

The bleak portrait comes as states decide how the vaccine will be distributed when it’s authorized by the federal government, as expected next week.

States face a Friday deadline to submit requests for doses of the Pfizer vaccine and specify where they should be shipped. Because vaccine availability is expected to be limited until the spring, most states are expected to follow guidelines adopted by the CDC this week that say health care workers and nursing home patients should be first in line.

But some are considering whether to open the line to other workers they regard as essential.

Arizona Gov. Doug Ducey said he wants teachers to get priority to keep schools open. Firefighter groups wrote the Minnesota governor this week, asking to be placed in the first group. The Illinois plan gives highest priority to health care workers but also calls for first responders to be in the first group to get the shot. Others are struggling with where to put prisoners in the pecking order.