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COVID-19 cases continued to climb with 365 new infections reported, raising the state’s total to 43,227.

Concerns are high as public schools are due to officially reopen on Tuesday with tens of thousands of students who are too young to be vaccinated.

Gov. David Ige has said he may need to reimpose COVID-19 restrictions if the rapid rise continues and hospitals are overwhelmed.

Hawaii reported 622 coronavirus cases on Friday, the highest number since the pandemic began. It included cases from lab reporting delays.

Waianae and Ewa have had the highest number of new COVID-19 cases on Oahu in the past two weeks.

The return of tourists has brought an increase in medical emergencies and ocean and hiking rescues.

The findings come as President Joe Biden has proposed fining noncompliant hospitals up to $2 million annually.

Nearly 30,000 people in Hawaii suffer from Alzheimer’s. A new treatment for the disease is causing significant protest in the scientific community.

There have been 13 confirmed cases of the variant, which is considered more contagious and tends to result in a higher rate of severe illness.

Lt. Gov. Josh Green had publicly urged the governor to end the pre-travel testing requirement on July 1.