The global tally for the coronavirus-borne illness climbed above 232.4 million on Tuesday, while the death toll rose above 4.75 million, according to data aggregated by Johns Hopkins University . The U.S. continues to lead the world with a total of 43.1 million cases and 690,434 deaths. The U.S. is averaging more than 2,000 deaths a day, according to a New York Times tracker, the most since late February. A survey on vaccine attitudes released by the Kaiser Family Foundation Tuesday found that fear of the highly transmissible delta variant have become the best motivator for unvaccinated Americans, with many choosing to get their shots after seeing hospitals fill with cases and rising death rates. However, the confusion about booster shots has become a net negative for unvaccinated people who believe it shows the vaccines are not working, the survey found. India is second by cases after the U.S. at 33.7 million and has suffered 447,373 deaths. Brazil has second highest death toll at 594,653 and 21.4 million cases. In Europe, Russia has most fatalities at 201,854, followed by the U.K. at 136,569.