The U.S. soared past 12 million confirmed COVID-19 cases this weekend, as the number of new cases quickly approaches 200,000 a day. Over a quarter of a million people in the U.S. have died from the coronavirus. Despite warnings from public health experts — including the Centers for Disease Control and Prevention — who are urging people to skip travel and indoor gatherings, a surge in holiday travel has already started ahead of Thanksgiving.

The Department of Health and Human Services warned over 1,000 hospitals across the country are “critically” short on staff, and that number is expected to rise. North Dakota is the worst hit with over 50% of hospitals facing shortages.