As of 14 March 2020 , among nations with at least one million citizens , Italy has the world 's highest per capita rate of positive coronavirus cases at 350.0 cases per million people , having more confirmed cases than all of mainland China outside Hubei province ; and is the country with the second-highest number of positive cases as well as of deaths in the world , after mainland China .
Italy had recorded the highest number of COVID-19 cases per capita in the world at 350 before March 15 , 2020 .