The global tally for the coronavirus-borne illness headed above 203.4 million on Tuesday, while the death toll climbed above 4.30 million according to data aggregated by Johns Hopkins University. The U.S. leads the world with a total of 35.9 million cases and in deaths with 617,321 as the highly infectious delta variant continues to spread fast, especially in states with low vaccination rates. The seven-day average of cases stood at 124,470 on Monday, according to a New York Times tracker, marking the highest level since early February. Hospitals in states in the deep South are near capacity in some areas and the majority of patients are unvaccinated. Louisiana, with just 37% of residents fully vaccinated, is leading the nation in new cases,the Guardian reported. On Friday, it had a daily increase of 6,116 cases, 2,421 patients in hospitals and 277 on ventilators. Last week 180 patients died from the virus in Louisiana. India is second by cases at 31.9 million and third by deaths at 428,682 according to its official numbers, which are expected to be undercounted. Brazil is second in deaths at 563,562, but is third in cases at 20.2 million. Mexico has fourth-highest death toll at 244,690 but has recorded just 2.9 million cases, according to its official numbers. In Europe, Russia continues to pull ahead of the U.K. by deaths at 163,629, while the U.K. has 130,667, making Russia the country with the fifth-highest death toll in the world and highest in Europe.