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Spain has overtaken Italy on "deaths per million" measure
https://www.worldometers.info/coronavirus/#countries256 for Spain, 254 for Italy (tiny San Marino is higher still at 943). Other high countries are Belgium (125), France (116), Netherlands (96), Switzerland (77), and the UK (64). The USA overall is 26; states above 50 are New York (182), New Jersey (95), Louisiana (88) and Michigan (54).