(HealthDay)—With millions of American children soon returning to school, a new study shows that at least 97,000 children were infected with COVID-19 during the last two weeks of July.

According to the new report from the American Academy of Pediatrics and the Children’s Hospital Association, at least 338,000 U.S. children had tested positive through July 30, The New York Times reported. That means that more than a quarter of those cases had come up positive in the second half of July alone. Already, some schools have tried to reopen and then had to order quarantines or close after COVID-19 cases were reported among students and staff.

In the new report, states in the South and West accounted for more than seven of 10 infections. The count could be higher because the report did not include complete data from Texas and parts of New York state outside of New York City. Missouri, Oklahoma, Alaska, Nevada, Idaho, and Montana were among the states with the highest percentage increase of child infections during that period. There were differences in how states classified children: Most places cited in the report considered children to be no older than 17 or 19 years. But in Alabama, the age limit was 24 years, while it was only 14 years in Florida and Utah, The Times reported.

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