The city of Philadelphia will ban indoor gatherings altogether and the nearby state of New Jersey will strictly limit their size as U.S. officials struggle to slow a Covid-19 surge that could overwhelm hospitals and kill thousands.

U.S. coronavirus infections surged by at least 129,606, according to a Reuters tally, the third consecutive daily rise of more than 100,000 cases as a third wave of Covid-19 sweeps the United States.

The United States set a one-day record for new coronavirus cases with at least 102,591 new infections and as hospitals in several states reported a rising tide of patients, according to a Reuters tally.

The number of coronavirus patients in U.S. hospitals breached 50,000, the highest level in nearly three months, as a surge in infections threatens to push the nation’s health care system to the edge of capacity.

Coronavirus cases continued their grim climb in the United States with Midwestern states experiencing record hospitalizations, as increasingly bitter rhetoric kept the virus front and center of campaigning two days before the presidential election.

The United States set a new all-time high for coronavirus cases confirmed in a single 24-hour period, reporting just over 100,000 new infections to surpass the record total of 91,000 posted a day earlier, according to a Reuters tally.

UW Health University Hospital in Madison, Wisconsin has been rushing to convert available space into units for Covid-19 patients, as the state’s medical facilities struggle to keep pace with a surge in new infections.

The number of new Covid-19 cases in the United States last week rose 24% to more than 485,000 while the number of tests performed rose 5.5%, according to a Reuters analysis of state and county reports.

The United States saw the country’s highest-ever number of new Covid-19 cases in the past two days, keeping the pandemic a top election issue as Vice President Mike Pence travels the U.S. to campaign despite close aides testing positive.

The number of coronavirus deaths reported in the United States reached its highest total in two months, offering more evidence that the pandemic was gaining fresh momentum across the country as cooler weather sets in.