The global tally for confirmed cases of the coronavirus that causes COVID-19 climbed to 47.5 million on Wednesday, according to data aggregated by Johns Hopkins University , while the death toll rose above 1.2 million. The U.S. has the highest case tally in the world at 9.4 million and highest death toll at 232,634, or about a fifth of the global totals. Infections are rising in all but three states and are climbing at the fastest pace in the Midwest and Southwest, the AP reported. Missouri, Oklahoma, Iowa, Indiana, Nebraska, North Dakota and New Mexico all reported record high hospitalizations this week. Nebraska's largest hospitals started limiting elective surgeries and looked to bring in nurses from other states to cope with the surge. Hospital officials in Iowa and Missouri warned bed capacity could soon be overwhelmed. Brazil has the second highest death toll at 160,496 and is third by cases at 5.6 million. India is second in cases with 8.3 million, and third in deaths at 123,611. Mexico has the fourth highest death toll at 92,593 and 10th highest case tally at 938,405. The U.K has 47,340 deaths, the highest in Europe and fifth highest in the world, and 1.1 million cases, or ninth highest in the world.