More than a quarter million Americans have died from complications of COVID-19, the disease caused by a coronavirus that is tearing massive holes in states across the nation, as health experts warn the death toll could double in the coming months.

NBC News reported the death toll crossed the 250,000 mark on Wednesday. Other counts maintained by Johns Hopkins University and the New York Times were slightly below that figure.

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The United States continues to be the epicenter of the global pandemic, accounting for a hugely disproportionate share of both cases and deaths even as the virus begins spreading more widely in European countries.

Virtually every indicator in the U.S. is flashing bright red alarms: The country has recorded more than 100,000 new cases on every day since the November 3 election. More than 73,000 Americans are being treated in hospitals, an all-time high. Of those, 14,000 are in intensive care units. The number of tests conducted on a given day is rising, but so too is the percentage of those tests that come back positive, a sign that the virus is spreading faster than testing is expanding.

“This is a disaster waiting to happen,” said Kelli Drenner, a public health expert at the University of Houston. “People are letting their guard down, expanding their bubbles.”

If states were counted individually against other nations, 15 of the 20 worst outbreaks in the world on a per capita basis would be American states. Eight states — the Dakotas, Iowa, Wyoming, Nebraska, Wisconsin, Minnesota and Montana — have worse per capita outbreaks than any other country in the world. Case counts increased in 46 states and the District of Columbia week over week. Read more at The Hill