WASHINGTON (AP) — The United States was on the cusp of marking at least 100,000 deaths from the coronavirus, a once-unthinkable toll that now appears to be just the beginning of untold misery in the months ahead as Las Vegas casinos and Walt Disney World make plans to reopen, crowds of unmasked Americans swarm beaches and public health officials predict a resurgence by fall.

In the U.S., President Donald Trump several months ago likened the coronavirus to the flu and dismissed worries that it could lead to so many deaths.

According to figures tracked by Johns Hopkins University, the death rate per 100,000 people is lower in the U.S. than Italy, France and Spain but higher than Germany, China, South Korea, Singapore, Japan, New Zealand and Australia.

Countries with low death rates suppressed the virus “through lots of testing, contact tracing and policies to support isolation and quarantine of people at risk,” Michaud said.

SeaWorld and Walt Disney World plan to reopen to undisclosed limited numbers of tourists in Orlando, Florida, in June and July after months of being shuttered.