HEALTHCountries Where the Most People Have Died From COVID-19As the COVID-19 pandemic stretches into its third year, the U.S. is approaching a grim milestone - nearly 1 million COVID-19-related deaths. Even as new cases and deaths have dropped to relatively low levels as of May 2022, local and state health officials are still reporting anywhere from dozens to hundreds of fatal COVID-19 cases each day. The COVID-19 deaths in the U.S. represent just a fraction of the worldwide struggle with the pandemic. Many other countries have reported hundreds of thousands of COVID-19 deaths since 2020. To determine the countries where the most people have died from COVID-19, 24/7 Wall St. reviewed the mortality analyses from the Johns Hopkins University of Medicine Coronavirus Resource Center. Nations were ranked based on the total number of reported COVID-19 deaths through May 11, 2022. Observed case fatality ratios, death rates per 100,000 population, and total case data also came from JHU. Population figures came from the World Bank and are for 2020. The countries on this list have observed COVID-19 case fatality ratios - the percentage of deaths out of observed cases - from as low as 0.5% all the way up to 6.0%. This high variance is likely due to discrepancies in testing. Cou ntries with more te sting and confirmed cases tend to have lower case fatality ratios, whereas nations in which only the most serious cases receive attention have lower confirmed cases and higher case fatality ratios. The U.S.'s case fatality ratio stands at 1.2%. Death rates per 100,000 population also vary greatly among countries on this list, from 38 COVID-19 deaths per 100,000 people to 646 deaths per 100,000 people. In the United States, the death rate is 303 per 100,000 people, 18th highest of the 190 countries considered. ( These are the states where COVID-19 cases are climbing fastest .) Gathering this much data from all over the world is a daunting task, and the figures rely on each country's ability and willingness to test for COVID-19 and investigate deaths, in addition to disclosing the results. Some countries have had a hard time securing tests, while others are likely not revealing their actual data. China is notably absent from the list. Though the country has well over 1 billion res idents, it has admitted to having fe wer than 15,00 0 COVID-19 fatalities. Forbes reported that China's COV ID-19 death rate (deaths per 100,000 population), especially relative to China's high population, is "plainly implausible" and that its death rates are "much higher than what is published." As of May 2022, COVID-19 infections were trending up slightly from previous months. The Centers For Disease Control and Prevention recommends vaccination as the best protection against the virus. States with a higher share of the population that is vaccinated tend to have lower infection rates than those with lower vaccination rates. These are the states where the most people are vaccinated.Chip Somodevilla / Getty Images News Via Getty Images25. Czech Republic • COVID-19 deaths: 40,233 • Confirmed cases: 3,914,113 • Observed COVID-19 case fatality ratio 1.0% • Death rate: 375.7 per 100,000 (#9 out of 190 countries) • Population: 10,697,860Gabriel Kuchta / Getty Images News Via Getty Images24. Vietnam • COVID-19 deaths: 43,058 • Confirmed cases: 10,681,214 • Observed COVID-19 case fatality ratio 0.4% • Death rate: 44.2 per 100,000 (#109 out of 190 countries) • Population: 97,338,580 ALSO READ: These Are the Cities With the Fewest COVID-19 CasesFbxx / IStock Via Getty Images23. Hungary • COVID-19 deaths: 46,266 • Confirmed cases: 1,903,200 • Observed COVID-19 case fatality ratio 2.4% • Death rate: 478.9 per 100,000 (#4 out of 190 countries) • Population: 9,750,150COVID-19 Equipments To Hungary... (CC BY 2.0) By IAEA Imagebank22. Chile • COVID-19 deaths: 57,642 • Confirmed cases: 3,583,227 • Observed COVID-19 case fatality ratio 1.6% • Death rate: 301.5 per 100,000 (#19 out of 190 countries) • Population: 19,116,210Hispanolistic / E+ Via Getty Images21. Philippines • COVID-19 deaths: 60,439 • Confirmed cases: 3,687,320 • Observed COVID-19 case fatality ratio 1.6% • Death rate: 55.2 per 100,000 (#104 out of 190 countries) • Population: 109,581,090Junpinzon / IStock Editorial Via Getty Images20. Romania • COVID-19 deaths: 65,581 • Confirmed cases: 2,900,375 • Observed COVID-19 case fatality ratio 2.3% • Death rate: 340.9 per 100,000 (#11 out of 190 countries) • Population: 19,257,520 ALSO READ: These Are the Cities With the Fewest COVID-19 CasesFlyparade / IStock Via Getty Images19. Turkey • COVID-19 deaths: 98,861 • Confirmed cases: 15,046,779 • Observed COVID-19 case fatality ratio 0.7% • Death rate: 117.2 per 100,000 (#73 out of 190 countries) • Population: 84,339,070JazzIRT / E+ Via Getty Images18. South Africa • COVID-19 deaths: 100,559 • Confirmed cases: 3,852,148 • Observed COVID-19 case fatality ratio 2.6% • Death rate: 169.6 per 100,000 (#54 out of 190 countries) • Population: 59,308,690AJ_Watt / E+ Via Getty Images17. Spain • COVID-19 deaths: 104,869 • Confirmed cases: 12,009,059 • Observed COVID-19 case fatality ratio 0.9% • Death rate: 224.3 per 100,000 (#36 out of 190 countries) • Population: 47,363,420David Ramos / Getty Images News Via Getty Images16. Ukraine • COVID-19 deaths: 112,459 • Confirmed cases: 5,040,518 • Observed COVID-19 case fatality ratio 2.2% • Death rate: 257.1 per 100,000 (#30 out of 190 countries) • Population: 44,134,690 ALSO READ: These Are the Cities With the Fewest COVID-19 CasesUSAID Carriers For COVID-19 Va... (CC BY 2.0) By UNICEF Ukraine15. Poland • COVID-19 deaths: 116,150 • Confirmed cases: 6,001,327 • Observed COVID-19 case fatality ratio 1.9% • Death rate: 306.9 per 100,000 (#17 out of 190 countries) • Population: 37,899,070Lusia599 / IStock Via Getty Images14. Argentina • COVID-19 deaths: 128,729 • Confirmed cases: 9,101,319 • Observed COVID-19 case fatality ratio 1.4% • Death rate: 284.8 per 100,000 (#22 out of 190 countries) • Population: 45,376,760Eric Kitayama / IStock Editorial Via Getty Images13. Germany • COVID-19 deaths: 136,987 • Confirmed cases: 25,503,878 • Observed COVID-19 case fatality ratio 0.5% • Death rate: 164.7 per 100,000 (#58 out of 190 countries) • Population: 83,160,870Alvarez / E+ Via Getty Images12. Colombia • COVID-19 deaths: 139,809 • Confirmed cases: 6,093,645 • Observed COVID-19 case fatality ratio 2.3% • Death rate: 274.8 per 100,000 (#26 out of 190 countries) • Population: 50,882,880 ALSO READ: States Where the Most People Are VaccinatedRECVISUAL / IStock Via Getty Images11. Iran • COVID-19 deaths: 141,192 • Confirmed cases: 7,226,219 • Observed COVID-19 case fatality ratio 2.0% • Death rate: 168.1 per 100,000 (#56 out of 190 countries) • Population: 83,992,950Phynart Studio / E+ Via Getty Images10. France • COVID-19 deaths: 148,016 • Confirmed cases: 29,212,276 • Observed COVID-19 case fatality ratio 0.5% • Death rate: 226.8 per 100,000 (#35 out of 190 countries) • Population: 67,379,910 ALSO READ: States Where the Most People Are VaccinatedPascal Le Segretain / Getty Images News Via Getty Images9. Indonesia • COVID-19 deaths: 156,396 • Confirmed cases: 6,048,685 • Observed COVID-19 case fatality ratio 2.6% • Death rate: 57.2 per 100,000 (#102 out of 190 countries) • Population: 273,523,620Rudi_suardi / E+ Via Getty Images8. Italy • COVID-19 deaths: 164,731 • Confirmed cases: 16,872,618 • Observed COVID-19 case fatality ratio 1.0% • Death rate: 272.5 per 100,000 (#27 out of 190 countries) • Population: 59,449,530Em Campos / IStock Editorial Via Getty Images7. United Kingdom • COVID-19 deaths: 177,358 • Confirmed cases: 22,329,180 • Observed COVID-19 case fatality ratio 0.8% • Death rate: 261.3 per 100,000 (#29 out of 190 countries) • Population: 67,215,290Gemphotography / IStock Via Getty Images6. Peru • COVID-19 deaths: 212,968 • Confirmed cases: 3,570,339 • Observed COVID-19 case fatality ratio 6.0% • Death rate: 645.9 per 100,000 (#1 out of 190 countries) • Population: 32,971,850Myriam Borzee / IStock Editorial Via Getty Images5. Mexico • COVID-19 deaths: 324,465 • Confirmed cases: 5,745,652 • Observed COVID-19 case fatality ratio 5.6% • Death rate: 253.9 per 100,000 (#31 out of 190 countries) • Population: 128,932,750Octavio Sanchez Vazquez / IStock Editorial Via Getty Images4. Russia • COVID-19 deaths: 369,548 • Confirmed cases: 17,971,207 • Observed COVID-19 case fatality ratio 2.1% • Death rate: 253.2 per 100,000 (#32 out of 190 countries) • Population: 144,104,080 ALSO READ: States Where the Most People Are VaccinatedGargonia / IStock Via Getty Images3. India • COVID-19 deaths: 524,157 • Confirmed cases: 43,110,586 • Observed COVID-19 case fatality ratio 1.2% • Death rate: 38.0 per 100,000 (#114 out of 190 countries) • Population: 1,380,004,390Ritesh Shukla / Getty Images News Via Getty Images2. Brazil • COVID-19 deaths: 664,624 • Confirmed cases: 30,594,388 • Observed COVID-19 case fatality ratio 2.2% • Death rate: 312.7 per 100,000 (#15 out of 190 countries) • Population: 212,559,410 ALSO READ: These Are the Cities With the Fewest COVID-19 CasesRebeca Figueiredo Amorim / Getty Images News Via Getty Images1. United States • COVID-19 deaths: 998,048 • Confirmed cases: 82,059,839 • Observed COVID-19 case fatality ratio 1.2% • Death rate: 302.9 per 100,000 (#18 out of 190 countries) • Population: 331,501,080Robi_J / IStock Editorial Via Getty ImagesFeatured Weekly Ad