Maryland and Virginia officials are announcing new COVID-19 restrictions, as cases rise and the region heads into the winter holidays.

The recent moves leave the D.C. region with a patchwork of coronavirus restrictions, unlike the early weeks of the pandemic when all three announced stay-at-home orders just hours apart. Below are the latest restrictions from officials in D.C., Maryland, and Virginia.

The District

D.C. Mayor Muriel Bowser has tightened restrictions in the last several weeks, with new orders including limits on gathering size and new rules for restaurants. The newest order limited indoor gatherings to 10, down from 50, and outdoor gatherings to 25 people. She restricted group exercise classes and banned restaurant alcohol sales after 10 p.m.

D.C. also announced a ban on high-contact sports like basketball, hockey, and football, prohibiting competition at the high school and youth sports levels. The restrictions don’t apply to professional or university sports.

Bowser, however, has declined to issue a new stay-at-home order, in part because officials believe residents would not comply with the order.

Maryland

Maryland Gov. Larry Hogan reduced capacity at bars and restaurants to 50% and ordered them to close by 10 p.m. He reverted retail stores, gyms and houses of worship back to 50% capacity and limited visitation at hospitals and nursing homes. The state also imposed restrictions on travel. Hogan issued an emergency order allowing only essential travel. People traveling to and from Maryland must either test negative for COVID-19 or self-quarantine for 10 days. The order does not apply to people traveling to and from Delaware, Pennsylvania, Virginia, West Virginia and D.C. Gatherings are also limited to 10 people or fewer.

Montgomery County will prohibit indoor dining starting at 5 p.m. on Dec. 15, as well as impose stricter capacity limits on a number of businesses. The new restrictions were announced by County Executive Marc Elrich and unanimously approved by the County Council on Tuesday, Dec. 15.

Restaurants will be closed to indoor dining, but may serve food and beverages outdoors between 6 p.m. and 10 p.m. Retail businesses, gyms, and places of worship must reduce capacity from 50% to 25%. Retail establishments must not exceed 150 people — or one person per 200 square feet. Large retail establishments wishing to accommodate more than 150 people must request a letter of approval from the county. Any religious institutions trying to have outdoor services with more than 25 people must also request a letter of approval.

The county’s 14-day average positivity rate is 6.1%, according to county health data.  Hospitalizations have also seen an uptick with 21% of hospital beds occupied with COVID-19 positive patients. Dr. Earl Stoddard, director of the county’s office of emergency and homeland security management, said the new restrictions are the only chance the county has to get kids back into school in-person in February.

Dr. Earl Stoddard, director of the county’s office of emergency and homeland security management, says the measures will most likely last for four weeks.

“The things you all are considering today are really our best and only chance at having kids back in school in February,” Stoddard told councilmembers Tuesday.

Prince George’s County will prohibit indoor dining in restaurants from Dec. 16 until at least Jan. 16, County Executive Angela Alsobrooks announced at a press conference Thursday. Outdoor dining will remain open at 50% capacity. Casinos, gyms, and retail businesses will also have to scale back their capacity to 25%.

The county’s test positivity rate, which measures the percentage of coronavirus tests that come back positive, was 10.1% last week — a 12% spike from the previous week, and more than double the 5% threshold that the World Health Organization recommends for reopening. County Health Officer Dr. Ernest Carter said Prince George’s has not seen comparable positivity rates since June.

Carter said the rise in hospitalizations in the county is also alarming since Thanksgiving. On Nov. 8 there were 68 people hospitalized with the virus. A month later that number had more than doubled: 177 people were hospitalized with the virus.

“The number has not yet reached what we were seeing back in May,” Carter said. “Lately, our new cases are trending younger. More people under the age of 50 are testing positive. This is an age group that has a lower hospitalization than those folks older than 50.”

Hospital bed availability is around 48%. Carter says the county health department is monitoring hospital beds as the holiday season continues.

Alsobrooks urged residents to continue taking precautions and protecting themselves against the virus.

“I know that you are really fatigued,” said Alsobrooks. “But we must continue to stay the course.”

In Anne Arundel County, Executive Steuart Pittman announced new restrictions Dec. 10 as well.

Retail establishments will be required to reduce their capacity to 25%. Gyms will remain open, said Pittman—but they will have to reduce their capacity to 25%, and group fitness classes will be suspended. But Pittman said people exercising in fitness centers must wear masks.

Casinos will be required to move to 25% capacity and stop serving food. Salons and other personal service establishments may remain open, but at 25% capacity. Indoor religious services will be limited to one-third of their normal capacity; Outdoor religious gatherings can proceed with as many as 250 people. All organized sports must cease, and theaters and live entertainment venues will close.

Though Pittman also announced that restaurants would move to take-out only, an Anne Arundel Circuit Court judge temporarily blocked the restriction on Dec. 16. Four restaurants in the county sued Pittman over his order, claiming it would devastate local restaurant workers, according to the Washington Post. Restaurants can continue to serve patrons indoors until Dec. 28, per the ruling, at which time Judge William Mulford will hear a motion on a preliminary injunction.

Other restrictions took effect Dec. 16 at 5 p.m., and will last for at least four weeks.

“If at the end of four weeks it turns out that our hospitals…are doing fine and hospitalization increases did not happen as projected, that will tell us something,” said Pittman.

Leaders at county hospitals said they are starting to see a significant rise in coronavirus patients.

“Our hospital is busier now—both with COVID and non-COVID patients, than we have been over the past several months, and busier than we were during the spring,” said Dr. Neel Vibhakar, Senior Vice President and Chief Medical Officer with the University of Maryland Baltimore Washington Medical Center.

Dr. Mitchell Schwartz of the Anne Arundel Medical Center also pointed to a “steady” and “unrelenting” rise in the number of coronavirus patients in the hospital.

Virginia

Virginia Gov. Ralph Northam (D) issued a curfew Thursday and a flurry of other coronavirus-related restrictions as cases and hospitalizations surge to record levels.

The “modified stay-at-home order” directs people not to leave their homes between midnight and 5 a.m. The directive includes exceptions for people traveling to and from work, obtaining food or seeking medical attention.

“It’s about saving lives,” Northam said.

He also expanded the state’s face mask mandate, requiring employees and customers to wear face masks inside restaurants and retail establishments. Under the current mandate, employees are only required to wear a mask if they are interacting with customers. People will also have to wear a face covering outdoors if they cannot keep six feet of distance from others, Northam said.

The state will also place restrictions on sporting events, limiting indoor sports to 25 people per field and two guests per player for outdoor games.

The new measures, which go into effect Monday, were announced a day after Virginia recorded 4,398 new coronavirus cases, blowing past its previous record by more than 500 cases. The state’s 7-day average of new cases is 3,521.

Northam had imposed modest restrictions in November, including capping indoor and outdoor gatherings to 25 people and barring alcohol sales at restaurants and bars after 10 p.m.

This post has been updated with additional information about the restrictions in each jurisdiction.