The global tally for the coronavirus-borne illness climbed above 216.4 million on Monday, while the death toll rose to 4.5 million, according to data aggregated by Johns Hopkins University . The U.S. leads the world with a total of 38.8 million cases and 637,539 deaths. The daily average of new cases over the past seven days rose to 156,886 as of Sunday, up 20% from two weeks ago, according to a New York Times tracker . The daily average for deaths increased to 1,296 up 96% in two weeks, trending above 1,000 for the first time since March, the tracker shows. The daily average for hospitalizations rose to 100,319, up 24% from two weeks ago. The number of people that have been fully vaccinated grew to 173.5 million, or 52.3% of the total U.S. population, according to data from the Centers for Disease Control and Prevention , while the number of people who have received at least one dose of a vaccine edged up to 204.4 million, or 61.6% of the total population. The head of the World Health Organization for Europe said Monday another 236,000 deaths are possible in Europe by Dec. 1, amid flattening vaccination rates and vaccine hesitancy in some of the continent's poorer countries, AFP reported. "Last week, there was an 11 percent increase in the number of deaths in the region -- one reliable projection is expecting 236,000 deaths in Europe, by December 1," WHO Europe director Hans Kluge told reporters at a briefing. India has the second highest death toll after the U.S. at 438,210 and is third by cases at 32.7 million, the JHU data shows. Brazil has second highest death toll at 579,308 and has 20.7 million cases. In Europe, Russia has 179,233 deaths, followed by the U.K. with 132,760.