FILE – In this Monday, July 12, 2021 file photo, Karen Martin receives a COVID-19 vaccine at a vaccination clinic hosted by James River Church West Campus in conjunction with Jordan Valley Community Health Center in Springfield, Mo. The U.S. surgeon general said Sunday, July 18 that he’s concerned about what lies ahead with cases of COVID-19 increasing in every state, millions still unvaccinated and a highly contagious virus variant spreading rapidly. (Nathan Papes/The Springfield News-Leader via AP, File)