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With the federal government seemingly reluctant to issue blanket policies on dealing the coronavirus pandemic, it comes down to the states to implement their own guidelines for reopening the economy.

That patchwork of policies is evident in the changing map of where cases are spiking. New York and New Jersey, which were both hit hard in the early stages of the pandemic and implemented some of the toughest restrictions, have seen their cases decline since April. On the other end of the spectrum, states that were keen to reopen commerce, like Florida and Texas, are seeing a sharp spike in cases. Those spikes have now spread to other states in the Southeast like Georgia and the Carolinas.

Cases are also increasing in Washington—where some of the earliest cases in the U.S. were reported—suggesting the virus can quickly make a resurgence.