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CBS News reported that the number of coronavirus cases in the United States reached the milestone of 1 million on Tuesday, and the death number mounted to more than 57,000 across the nation.

There are so far over 3 million cases worldwide and more than 213,000 deaths around the world.

However, while the numbers in the U.S. are already staggering, it is very likely that the lack of testing and awareness during the initial stage of the coronavirus outbreak led to undercount of the infection cases.

New York City, the epicenter of the country, illustrates the very real possibility of undercounting cases. NBC News reported that “New York’s second round of antibody testing found 14.9 percent of samples to be positive, a full percentage point higher than the first round.”

“That indicates even more than the 2.7 million New Yorkers identified in the first testing round may have been infected at some point,” NBC reported. “Many likely never even knew they had the virus--and were spreading it.”

In addition, if the 5,228 probable COVID-19 fatalities in New York City were included in the state count, the actual death toll in the five boroughs alone could be closer to 17,500.

There have been 157,713 COVID-19 cases and 11,820 deaths in the city. New York state has observed 295,106 cases and 17,671 deaths as of today.

See the full report here.