Although 74 percent of its population is fully vaccinated, the state of Vermont is experiencing its largest surge of COVID-19 cases since the pandemic began. Throughout the past week, coronavirus infections have jumped 54 percent along with an 18 percent increase in hospitalizations. According to the Vermont Department of Health, six new deaths have been attributed to COVID-19 complications across the state. Ninety percent of those hospitalized in intensive care units in the state are unvaccinated. Vermont is far from the only state recording surges of COVID-19 infections. The number of Americans fully vaccinated reached 200 million Wednesday amid a dispiriting holiday-season spike in cases and hospitalizations that has hit even New England, one of the most highly inoculated corners of the country. New cases in the U.S. climbed from an average of nearly 95,000 a day on November 22 to almost 119,000 a day this week, and hospitalizations are up 25 percent from a month ago. Deaths are running close to 1,600 a day on average, back up to where they were in October. The overall U.S. death toll less than two years into the crisis could hit another heartbreaking milestone, 800,000, in a matter of days. Some states, notably in highly vaccinated New England, but also in the Midwest, are grappling with some of the worst surges since the start of the pandemic. Hospitals are filling up and reacting by canceling non-urgent surgeries or taking other crisis measures, while states are strongly promoting boosters.