FILE – In this Thursday, July 15, 2021 file photo, Paola Preciado gets a COVID-19 test in North Miami, Fla. 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. (AP Photo/Marta Lavandier, File)