A sharp spike in reported cases arrived in Maricopa County on Wednesday that saw reports crest 3,000 in one day for the first time in several months, according to the county’s Department of Public Health.

The number of cases, 3,122, was up significantly from a string of days where case reports were above 2,000. It put the total number of reported cases in Maricopa County at 195,377 since the start of the pandemic.

Death also rose sharply as the county reported 27 on Wednesday. It had reported no deaths on Tuesday. The total number of county deaths since the start of the pandemic stood at 3,921.

Those new cases were pushing up the seven-day rolling average to 2,018 as of Nov. 19, the first time it has risen that high since July 17, when the county was coming down from a major wave of COVID-19 cases that started in late May.

The seven-day rolling average for deaths also ticked up to 12 on Nov. 8, up one from the previous day. COVID-19-related deaths trail rises in cases by two to three weeks.

Accompanying the rise in cases is a rise in hospitalizations across Maricopa County. The seven-day average for hospitalizations stood at 74 on Nov. 14, but based on data already into the county that number will continue rising over the next few weeks.

Daily hospitalization rates have not been this high since early August when the county was recovering from the first major wave of COVID-19.

During the county’s summer spike, cases reached 3,809 cases in a day on June 29. The highest seven-day average for cases reached during the summer was July 2 at 3,199.