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As the number of new coronavirus cases continues to increase worldwide, and more than a dozen states and Puerto Rico are recording their highest averages of new cases since the pandemic began, hospitalizations in at least nine states have been on the rise since Memorial Day.

In Texas, North and South Carolina, California, Oregon, Arkansas, Mississippi, Utah and Arizona, there are an increasing number of patients under supervised care since the holiday weekend because of coronavirus infections. The spikes generally began in the past couple weeks and in most states are trending higher.

Data from states that are reporting some of their highest seven-day averages of new cases is disproving the notion that the country is seeing such a spike in cases solely because of the continued increase in testing, according to data tracked by The Washington Post.

Many of these states that have experienced an increase in cases have also had an increase in hospitalizations, with a handful of states also nearing bed capacity. Hospitalizations nationwide are difficult to track, with states reporting hospitalization numbers in varying ways, or not at all. Even states that do report hospitalization numbers may not have always received complete data from every hospital in the state at the time of their reports.

Texas has reported 75,616 cases since the pandemic began, and in 10 of the past 15 days, the state’s seven-day average of new cases has increased.

As of Tuesday, it has reported two consecutive days of record-breaking coronavirus hospitalizations. The state has seen a 36 percent increase in new cases since Memorial Day, with a record 2,056 current hospitalizations as of early Tuesday afternoon. It was up from a high of 1,935 hospitalizations on Monday.

Texas was one of the first states to relax their stay-at-home order. Businesses started to open up in early May. According to the state’s health department, Texas has 28.14 percent of available hospital beds open, and 1,723 available intensive care unit beds.

In Arizona, 28,296 cases have been reported as of Tuesday, and in 13 of the past 15 days the state’s seven-day average of new cases has increased. There have been a record number of hospitalizations in the state over the past few days. As of Tuesday, Arizona reported 1,243 current hospitalizations, a 49 percent increase since Memorial Day, when there were 833 hospitalizations.

Arizona has also been struggling with its bed capacity. On Friday, Banner Health, one of the largest health-care systems in the country, confirmed that ICUs in Arizona were nearing capacity. Roughly 50 percent of all those hospitalized are in Banner Health facilities. As of Monday, 76 percent of all ICU beds in Arizona were in use, according to data from the state health department.

Arkansas has reported 10,080 cases, and in 11 of the past 15 days the state’s seven-day average of new cases has increased. It has had an 88 percent increase in hospitalizations since Memorial Day. Arkansas had 173 hospitalizations reported on Tuesday, compared with 92 on May 25.

According to local reports, hospitals statewide remained below capacity on Monday, and none of the new coronavirus cases had been linked to recent protests in the state.

The Carolinas have also seen a rise in hospitalizations, with North Carolina experiencing the second-largest spike in the nation behind Texas. North Carolina’s upward trend began after Memorial Day. On May 26, the state reported 621 hospitalizations but two weeks later, that number has climbed to 774.

In South Carolina, hospitalizations sharply increased Monday. In that 24-hour span, there were 30 new hospitalizations, or a 6 percent jump, for a total of 507 covid-19 patients. With the current spike, 12 counties in South Carolina have reached 75 percent of hospital capacity or greater, according to the state’s health department.

Mississippi has reported 18,109 cases since the pandemic begin. On Tuesday, it recorded 671 hospitalizations, a new daily high. It has seen an 17 percent increase in hospitalizations since Memorial Day, with 573 reported on May 25.

In Utah, new covid-19 cases are on the rise and as a result, so are hospitalizations. Utah’s coronavirus task force tweeted that the state has seen a spike in coronavirus cases, and it wasn’t because of testing or a lone outbreak.

Similar to other regions, Utah’s numbers have climbed steadily since Memorial Day, as the seven-day average of new cases has increased 12 of the past 15 days. Over that two-week span, Utah’s current hospitalizations more than doubled, and as of Tuesday afternoon, 230 patients were hospitalized with covid-19.

Arizona tourist sites were packed for Memorial Day weekend. Lake Havasu, a popular vacation destination, was full, according to local officials. In South Carolina, a host of entertainment venues, including zoos, aquariums and water parks, were allowed to open the weekend ahead of Memorial Day. In North Carolina, restaurants were allowed to open at reduced capacity and public pools at 50 percent capacity during Memorial Day weekend.

As of Tuesday, at least 110,000 people in the United States have died of covid-19, the disease caused by the coronavirus, and almost 2 million cases have been reported.