Like it or not, COVID-19 is still a public health issue five years after the start of the pandemic flipped the nation, and the world, on its head.

Changing vaccination guidelines, ever-evolving variants and strains, threats to health insurance and more mean COVID is still very much a regular conversation on the lips of lawmakers, regulators and the general public. More than 40,000 positive tests were reported by the Centers for Disease Control and Prevention in May, and while hospitalizations and deaths are fortunately down significantly since the pandemic's peak, vulnerable people are still grappling with limiting their risk amid changing practices.

Here is a brief recap of the status of COVID cases, variants and vaccines in the U.S. as of June 4, 2025.

Where do COVID cases currently stand in the US?

According to the most recent data on the CDC's COVID Data Tracker dashboard, there were 735 confirmed COVID-19 deaths in May 2025 as of May 24. In the four weeks leading up to May 24, 3% of 1,344,681 COVID tests administered nationwide were positive.

New NB.1.8.1 COVID variant

In January, a new COVID-19 variant known as NB.1.8.1 was first detected in China. As of mid-May, the variant had reached 10.7% of global reported COVID-19 cases, according to the World Health Organization (WHO).

As of May 27, less than 20 cases of NB.1.8.1 had been reported in the U.S., a CDC spokesperson told USA TODAY. This figure is too low to be added to the CDC's COVID Data Tracker dashboard, the spokesperson added, though they did not clarify the threshold for adding new variants to the dashboard.

NB.1.8.1 is one of the latest variants of COVID-19, a "slightly upgraded version" of the LP.8.1 variant that is prominent right now, Subhash Verma, microbiology and immunology professor at the University of Nevada, Reno, previously told USA TODAY. For comparison, LP.8.1 made up 70% of reported COVID-19 cases in the U.S. between April 26 and May 10, as reported by the CDC.

Verma said NB.1.8.1 may be able to be transferred more easily than LP.8.1. Additionally, he said that NB.1.8.1 is able to evade antibodies created by vaccines or past infections more easily than LP.8.1.

The variant has similar symptoms to other strains, including fever or chills, cough, shortness of breath or difficulty breathing, sore throat, congestion or a runny nose, new loss of taste or smell, fatigue, muscle or body aches, headache, nausea or vomiting.

Vaccine back-and-forth: Who can get it and will there be new boosters?

Health and Human Services Secretary Robert F. Kennedy Jr. said on May 27 that the COVID-19 vaccine would no longer be included in the CDC's recommended immunization schedule for healthy children and pregnant women, a move that broke with previous expert guidance and bypassed the normal scientific review process.

Under the changes, the only people who will be recommended for COVID-19 vaccines are those over 65 and people with existing health problems. This could make it harder for others who want the COVID-19 vaccine to get it, including health care workers and healthy people under 65 with a vulnerable family member or those who want to reduce their short-term risk of infection.

Insurance coverage typically follows federal recommendations, so anyone who is healthy and under 65 is likely to have to pay out of pocket to get the shot, which runs about $200, if they can get it. It's not clear what insurance companies will do about the new recommendations.

RFK Jr. is a vaccine skeptic known for making false claims about vaccination and other medical practices. Under his leadership and the Trump administration, the FDA canceled the advisory meeting of independent experts who usually gather to formulate new flu shots annually and nixed a contract with Moderna to develop a bird flu vaccine amid the spread. He also pushed false claims about MMR vaccines as measles, previously eradicated in the U.S., began erupting in states across the country, causing the first death in a decade.

It is not yet known how accessible the COVID-19 vaccine will be moving forward.

Contributing: Karen Weintraub, Sudiksha Kochi, USA TODAY; Reuters

This article originally appeared on USA TODAY: A new COVID-19 variant, vaccine changes: What to know in 2025

Reporting by Mary Walrath-Holdridge and Greta Cross, USA TODAY / USA TODAY

USA TODAY Network via Reuters Connect