MINNEAPOLIS (AP) — The number of COVID-19 patients in intensive care units across Minnesota has climbed to more than 200 for the first time this year, fueling concerns from health officials about shrinking capacity at hospitals statewide.

Health Commissioner Jan Malcolm told reporters on Wednesday that 718 patients are hospitalized due to COVID-19 — the highest since this spring — including 208 in intensive care.

Malcolm said Minnesota hospitals were “very full” of patients with other critical conditions even before virus cases began increasing.

“It is getting harder for some hospitals to find open, staffed beds at the right level of care for critically ill patients, whether due to heart attack, stroke or COVID-19,” she said. “This is an issue statewide impacting both small rural facilities and larger metro systems.”