The death toll from the coronavirus in the US hit 150,000 on Wednesday, by far the highest in the world, according to the tally kept by Johns Hopkins University.
The bleak milestone comes amid signs that the nation's outbreak is beginning to stabilize in the Sun Belt but heating up in the Midwest, fuelled largely by young adults who are hitting bars, restaurants and gyms again.
The surge has been accompanied by a burgeoning outbreak of misinformation and conspiracy theories about supposed cures and the effectiveness of masks.
Brazil was second with over 88,000 deaths, followed by Britain at about 46,000.
Johns Hopkins put the nation's confirmed infections at nearly 4.4 million, also the highest in the world, though the real numbers in the US and around the globe are believed to be higher because of limits on testing and the many mild cases that have gone undetected or unreported.