VDH: COVID-19 slightly elevated since early summer

VDH: COVID-19 slightly elevated since early summer

Report Timeframe: August 18 to August 24, 2025. Current Vermont Department of Health recommendations on preventing COVID-19.

by Timothy McQuiston, Vermont Business Magazine The Vermont Department of Health reported last week that the number of COVID-19 hospitalizations fell slightly after there were at a near record-low number of cases statewide in the late spring. Overall COVID trends are elevated in the US and at the South Burlington wastewater testing site. The Vermont COVID-19 pandemic death total stands at 1,302 as of August 23, 2025, with 1 reported death from the previous week (the most recent data available from the CDC). This is the first COVID-related death in Vermont since mid-July. WHO also reported that global COVID-19 deaths are at a relatively low level and holding. The VDH is no longer reporting COVID fatalities and cases in Vermont. 

updated national and Vermont infectious disease data from WastewaterSCAN. Notably, levels of COVID-19 are “high” in Vermont in wastewater samples collected through September 12, 2025. This matches national levels.

 

  • Vermont

    • COVID-19 is in the “High” category in Essex Junction and South Burlington, and in the “Medium” category in Montpelier. There has been a significant upward trend in the past 21 days.

  • National

    • COVID-19 is in the “High” category nationally, and there has been a significant upward trend in the past 21 days.

      • We are seeing aggregated detections peak later this year than in past years, with no indication that we’ve reached a peak yet.

      • Concentrations are ~105k copies per gram (cp/g), up from ~45k in August and ~28k copies per gram in July

      • ~99% of samples were positive in the last three weeks.

      • In 2024, summer COVID levels peaked in late July/early August at 93.7k cp/g. In 2023, levels peaked in mid-August at 44.03k cp/g. 

 

All other pathogens are in the “Low” category in Vermont. Please let me know if you would like to connect with a WastewaterSCAN scientist who can discuss COVID-19 trends further.

Wastewater concentrations are low/very low at most sites: Burlington, Montpelier, St. Albans, South Burlington, and Ludlow. Concentrations are moderately elevated at Essex Junction and Middlebury. Some week-to-week fluctuation is expected.

Most other pathogens, like RSV, in wastewater also show no, low or medium indications (See data below).

The hospitalizations dataset contains day-level data reported from all Vermont hospitals each Tuesday. Reported numbers are subject to correction.

Laboratory-confirmed and diagnosed COVID-19 cases and COVID-19 outbreaks must still be reported to the Vermont Department of Health. 

There were 0 outbreaks last week (1 the week before), with 0 in Long-Term Care Facilities and 0 in schools. 

Vermont has the second lowest state fatality rate in the US (148.7 per 100K; Hawaii 114.6/100K). Mississippi (466.7/100K) and Oklahoma (461.7/100K) have the highest rates. The US average is 308.5/100K (CDC data). 

There has been a total of 1,231,440 COVID-related deaths to date in the US (CDC) and 7,100,227 globally (WHO).

COVID-19 indicators have fallen to their lowest levels since early summer 2024 after very low levels that spring. Cases and hospitalizations began to rise during the summer. They peaked in late summer/early fall and again in mid-January 2025 (though well below the January 2024 peak) before falling again to their now very low levels.

Nationally, the New York Times is reporting that COVID increased this summer, though it appears to be a milder variant than previous mutations of the virus.

VDH: COVID-19 slightly elevated since early summerVDH: COVID-19 slightly elevated since early summerVDH: COVID-19 slightly elevated since early summerVDH: COVID-19 slightly elevated since early summer

Meanwhile, Vermont Health Commissioner Mark A. Levine MD retired at the end of March 2025. Dr. Levine, 71, of Shelburne was first appointed by Governor Scott in 2017 and is currently one of the Administration’s longest-tenured commissioners. He led his department through the COVID-19 pandemic and has served as a key advisor on public health matters. He was featured and well regarded during the governor's pandemic response press conferences at the height of the pandemic in 2020 and 2021. 

Also, the new RSV immunization for babies is over 90 percent effective at preventing hospitalization. In the Pediatric Intensive Care Unit (PICU) at University of Vermont Children’s Hospital, things look different this year – specifically, fewer newborns and infants admitted in need of critical respiratory care after catching one of the season’s most aggressive respiratory viruses: Respiratory syncytial virus (RSV).

“RSV is the most common reason for children under one year old to be admitted to the hospital,” Rebecca Bell, MD, a pediatric critical care physician at UVM Medical Center. “The kids that get the sickest are the youngest kids – particularly under six months old. Every year, our PICU is full of infants critically ill with RSV infection.”

But this year, RSV-related hospital admissions for these youngest patients are down significantly, said Dr. Bell – and the reason is clear: A new monoclonal antibody prevention medication approved in July 2023 by the Food and Drug Administration.

The medication, called nirsevimab, is given via injection to infants under eight months old and uses lab-made antibodies to block RSV from infecting cells. Unlike a vaccine, the immunization provides a ready-made supply of antibody protection to babies without triggering an immune system response. Protection against severe RSV infection begins immediately.

How many Vermonters are vaccinated against COVID-19, flu, and RSV?

This dashboard includes COVID-19, flu, and RSV vaccination data for Vermont residents reported to the Vermont Immunization Registry. Check back regularly as updates are made weekly on Tuesdays.

How many Vermonters are vaccinated against COVID-19, flu, and RSV?

This dashboard includes COVID-19, flu, and RSV vaccination data for Vermont residents reported to the Vermont Immunization Registry. Check back regularly as updates are made weekly on Tuesdays.

Note: As of Feb. 19, the Health Department’s COVID-19 surveillance report will no longer include information about cases and deaths, as data reporting transitions to a format similar to other respiratory viruses like the flu.

Case data has become a less meaningful indicator of COVID-19 activity since individual cases are being reported in a very limited basis by health care settings and laboratories. The same is true for death data, as COVID-19 has shifted from being the underlying cause of most COVID-associated deaths to a contributing cause.

The department continues to monitor the impact of COVID-19 in Vermont using the most meaningful data, including emergency department visits, wastewater data and outbreaks.

See current Vermont Department of Health recommendations on preventing COVID-19.

COVID-19 Update for the United States

Early Indicators

These early indicators represent a portion of national COVID-19 tests and emergency department visits. Wastewater information also provides early indicators of spread.

Severity Indicators

 
 

CDC | Test Positivity data through: August 23, 2025; Emergency Department Visit data through: August 23, 2025; Hospitalization data through: August 9, 2025; Death data through: August 23, 2025.
Posted: August 29, 2025 12:12 PM ET

Note: As of Feb. 19, the Health Department’s COVID-19 surveillance report will no longer include information about cases and deaths, as data reporting transitions to a format similar to other respiratory viruses like the flu.

Case data has become a less meaningful indicator of COVID-19 activity since individual cases are being reported in a very limited basis by health care settings and laboratories. The same is true for death data, as COVID-19 has shifted from being the underlying cause of most COVID-associated deaths to a contributing cause.

The department continues to monitor the impact of COVID-19 in Vermont using the most meaningful data, including emergency department visits, wastewater data and outbreaks.

See current Vermont Department of Health recommendations on preventing COVID-19.

WastewaterSCAN Dashboard

NATIONAL

Montpelier, Vermont

Essex Junction, Vermont

South Burlington, Vermont

 

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