The streak of days with fewer than 1,000 cases is over after the latest COVID-19 numbers reported in Arizona.

According to the Arizona Department of Health Services, there are 203,953 cases and 5,130 deaths of the novel coronavirus in the state, up 1,091 and 65 from Wednesday, respectively.

Thursday was the first day the AZDHS reported over 1,000 additional cases since Aug. 13, when 1,351 were reported.

The number of infections is thought to be far higher because many people have not been tested, and studies suggest people can be infected with the virus without feeling sick.

Maricopa County shows a case rate of 3,012 cases per 100,000 residents, using 2019 population estimates. The state rate is 2,802. Santa Cruz County has the highest at 5,938 cases per 100,000 residents.

As of Thursday morning, Arizona is among five states with the ninth lowest R-naught in the nation at 0.95, according to rt.live. This is the average number of people who become infected by an infectious person. Less than 1.0 is ideal, officials say. Massachusetts and Texas have the lowest with 0.85. South Dakota has the highest with 1.29.

Arizona was a national hot spot in June and July, with cases and deaths trending downward since.

Seven-day rolling averages for daily new cases and daily deaths reported statewide continued to decrease through Wednesday, according to Johns Hopkins University data analyzed by The Associated Press.

The rolling average of new cases went from 873 on Aug. 19 to 486 on Wednesday, wile the rolling average of daily deaths dropped from 41 to 28 during the same period.

The coronavirus causes mild or moderate symptoms such as fever and cough for most people. The vast majority of people who are diagnosed with COVID-19 recover.

But for some — especially older adults and people with existing health problems — it can cause more severe illness including pneumonia, and death.