Using data reported for “respiratory symptoms” on June 8 from Emergency Medical Services response data, which is a timely early-warning source, the health department observed a statewide increase of 17.8 percent in the rates per 100,000 on Wednesday, June 7, as compared to the average of the five-day period of June 1 through 5. At the same time, for the metropolitan New York City region, the increase was 28.4 percent and for the Capital Region, it was 12.4 percent.