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That’s Dr. Scott Got­tlieb shar­ing his pan­dem­ic out­look with CNBC in an inter­view on Mon­day as the num­ber of coro­n­avirus infec­tions con­tin­ue to spike. “You look at states like North Dako­ta and South Dako­ta, it’s prob­a­bly 30%, 35%,” he added. “Maybe as high as 50%.”

New dai­ly U.S. cas­es recent­ly reached sin­gle-day records around 200,000, and, accord­ing to Johns Hop­kins Uni­ver­si­ty, there are now about 13.4 mil­lion con­firmed infec­tions in Amer­i­ca so far this year. Those fig­ures are under­stat­ing the actu­al num­ber, accord­ing to Got­tlieb, who said ear­li­er this month “we’re prob­a­bly, at best, diag­nos­ing 1 in 5 cas­es right now, maybe a lit­tle bit less than that.”