There has been a recent rise in the number of adults and children experiencing respiratory and breathing problems across the state, but mostly in the east.

At the same time some health officials are still expressing concerns revolving around COVID and more.

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As The flu, COVID, and RSV continue to spread health officials are once again bringing up talk of masks, in some instances, as well as COVID vaccinations and more.

Dr. Mandy Cohen/Director, CDC: "We know in the winter viruses spread more often, we've been tracking flu and RSV for many years and we've seen that cycle in the winter things go up.It’s not too late to get vaccinated if you haven’t already.”

Here's what we know statewide.

Last week 529 cases of RSV were reported border to border, a three per cent hike over the week before. Most along the Missouri River, in Douglas County there were 71 cases of RSV for every 100,000 people.

Also, in Douglas County we’re told COVID cases, "Are experiencing a surge in recent weeks." No numbers have been released but we're told, "A mere 9.5% of Douglas County residents are up to date on their COVID vaccinations,” the national average for adults 16 percent, 7 percent for kids.

Dr. Mandy Cohen: It’s not too late to get vaccinated if you haven’t already.”

And while urging people to get vaccinated the local health department also wants folks "to consider wearing a mask in crowded indoor settings."

Experts say that for most adults RSV is oftentimes a common cold, but the RSV vaccine is recommended for adults 60 and over as well as women who are 32 to 36 weeks pregnant.