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  • Coronavirus pandemic

Image caption, Of the 18 patients on this Covid ward in Leipzig, 14 were unvaccinated

One of Germany's top virologists has warned that a further 100,000 people will die from Covid if nothing's done to halt an aggressive fourth wave. Case numbers have soared and Germany on Wednesday registered its highest rate of infection since the pandemic began, with almost 40,000 cases in a day.

"We have to act right now," said Christian Drosten, who described a real emergency situation.

Doctors in the intensive care Covid ward at Leipzig University Hospital warn this fourth wave could be the worst yet.

One patient here, a woman in her 20s, has just given birth. Her baby is fine, but staff say they don't know whether she'll survive.

This state of Saxony has the highest seven-day infection rate in Germany at 459 cases per 100,000 people. The national rate is 232.

It also has the lowest take-up of vaccine: 57% of the population here have been immunised.

There are 18 patients on the Covid ward. Just four were vaccinated.

"It's very difficult to get staff motivated to treat patients now in this fourth wave," says Prof Sebastian Stehr, who heads the department. "A large part of the population still underestimates the problem."

By now, Prof Sehr says, most people will know someone who's had Covid and should, therefore, be aware of the risk of infection. "Nevertheless," he adds, "we are still seeing so many patients who are not vaccinated."

Germany's health minister has publicly blamed those people for the soaring cases, describing the current situation as a "pandemic of the unvaccinated".


data in detail

Scroll table to see more data

*Deaths per 100,000 people

Filter:

The world
Africa
North America
Latin America & Caribbean
Asia
Europe
Middle East
Oceania

Country

Deaths

Death rate*

Total Cases

New Cases

0

10
100
1k
10k

**

US

742,279

226.1

45,760,091

Brazil

607,824

288.0

21,810,855

India

458,437

33.6

34,285,814

Mexico

288,365

226.0

3,807,211

Russia

234,194

162.2

8,377,984

Peru

200,246

615.9

2,201,796

Indonesia

143,405

53.0

4,244,358

UK

140,632

210.4

9,057,629

Italy

132,100

219.1

4,771,965

Colombia

127,281

252.8

5,002,387

Iran

126,303

152.3

5,924,638

France

117,655

175.4

7,166,877

Argentina

115,950

258.0

5,288,807

Germany

95,757

115.2

4,607,958

South Africa

89,177

152.3

2,922,116

Spain

87,368

185.6

5,011,148

Poland

76,999

202.8

3,025,247

Ukraine

72,371

163.1

3,072,044

Turkey

70,611

84.6

8,032,958

Romania

47,751

246.7

1,648,031

Philippines

43,172

39.9

2,787,276

Chile

37,757

199.2

1,695,048

Ecuador

32,958

189.7

515,859

Czech Republic

30,775

288.4

1,765,654

Hungary

30,729

314.5

863,419

Canada

29,022

77.2

1,722,468

Malaysia

28,912

90.5

2,471,642

Pakistan

28,456

13.1

1,273,560

Bangladesh

27,868

17.1

1,569,539

Belgium

25,994

226.3

1,360,650

Tunisia

25,241

215.8

712,747

Bulgaria

23,999

344.0

602,492

Iraq

23,170

58.9

2,055,248

Vietnam

22,083

22.9

921,122

Thailand

19,260

27.7

1,920,189

Bolivia

18,925

164.4

513,584

Myanmar

18,697

34.6

500,073

Egypt

18,651

18.6

331,017

Netherlands

18,411

106.2

2,132,052

Japan

18,275

14.5

1,723,573

Portugal

18,157

176.8

1,090,651

Kazakhstan

17,078

92.2

1,020,264

Paraguay

16,246

230.6

461,006

Greece

15,938

148.7

742,170

Guatemala

15,094

90.9

601,572

Sweden

15,025

146.1

1,171,512

Morocco

14,668

40.2

946,145

Sri Lanka

13,743

63.0

541,073

Slovakia

13,034

239.0

483,773

Bosnia and Herzegovina

11,495

348.2

252,758

Nepal

11,407

39.9

812,570

Austria

11,357

127.9

830,981

Switzerland

11,234

131.0

872,558

Jordan

11,038

109.3

862,541

Honduras

10,239

105.1

375,381

Georgia

10,089

271.2

721,388

Serbia

9,955

143.3

1,142,749

Croatia

9,220

226.7

470,348

Saudi Arabia

8,794

25.7

548,617

Lebanon

8,502

124.0

642,024

Cuba

8,236

72.7

952,001

Israel

8,100

89.5

1,327,720

Moldova

7,790

293.1

337,768

Panama

7,315

172.3

472,664

Afghanistan

7,280

19.1

156,250

North Macedonia

7,132

342.3

202,552

Azerbaijan

7,074

70.6

531,370

Costa Rica

7,029

139.3

559,698

Ethiopia

6,459

5.8

365,167

Armenia

6,379

215.7

309,397

Uruguay

6,078

175.6

393,899

Algeria

5,920

13.8

206,452

Lithuania

5,913

212.2

410,580

Ireland

5,436

110.0

445,594

Kenya

5,281

10.0

253,310

Libya

5,099

75.2

357,338

Venezuela

4,891

17.2

407,151

China

4,849

0.3

109,666

Slovenia

4,745

227.3

335,850

Zimbabwe

4,678

31.9

132,977

Palestinian Territories

4,663

99.5

452,997

Belarus

4,631

48.9

600,168

Dominican Republic

4,130

38.5

381,667

Oman

4,111

82.6

304,291

Zambia

3,661

20.5

209,734

El Salvador

3,638

56.4

113,422

Namibia

3,554

142.5

128,927

Latvia

3,253

170.1

219,139

Uganda

3,215

7.3

126,171

Sudan

3,099

7.2

40,433

Kosovo

2,977

165.9

160,762

Albania

2,924

102.4

185,300

Nigeria

2,896

1.4

211,961

South Korea

2,858

5.5

366,386

Cambodia

2,794

16.9

118,613

Denmark

2,714

46.6

387,783

Kyrgyzstan

2,672

41.4

181,327

Syria

2,558

15.0

43,146

Kuwait

2,461

58.5

412,678

Botswana

2,406

104.4

186,594

Malawi

2,301

12.4

61,796

Jamaica

2,236

75.8

89,014

United Arab Emirates

2,136

21.9

739,905

Montenegro

2,103

338.0

144,314

Mozambique

1,930

6.4

151,292

Yemen

1,889

6.5

9,791

Senegal

1,878

11.5

73,917

Mongolia

1,745

54.1

360,317

Australia

1,743

6.9

172,030

Angola

1,710

5.4

64,433

Trinidad and Tobago

1,696

121.6

57,329

Cameroon

1,686

6.5

102,499

Estonia

1,531

115.4

193,969

Bahrain

1,393

84.9

276,829

Rwanda

1,331

10.5

99,698

Uzbekistan

1,325

3.9

186,244

Eswatini

1,242

108.2

46,421

Somalia

1,208

7.8

21,998

Ghana

1,175

3.9

130,077

Finland

1,158

21.0

157,531

Suriname

1,092

187.8

49,019

DR Congo

1,091

1.3

57,470

Madagascar

963

3.6

43,626

Guyana

913

116.6

35,548

Norway

900

16.8

207,280

Taiwan

847

3.6

16,412

Luxembourg

843

136.0

81,683

Guadeloupe

815

203.7

54,288

Mauritania

797

17.6

37,320

Tanzania

725

1.2

26,154

Ivory Coast

695

2.7

61,297

Martinique

681

181.3

43,183

Fiji

674

75.7

52,141

Haiti

671

6.0

23,960

Lesotho

658

31.0

21,635

Bahamas

643

165.1

22,351

French Polynesia

636

227.7

45,541

Qatar

610

21.5

239,247

Cyprus

575

48.0

124,017

Mali

563

2.9

16,073

Belize

491

125.8

26,798

Malta

461

91.7

37,653

Singapore

407

7.1

198,374

Guinea

385

3.0

30,653

Réunion

374

42.1

54,668

Papua New Guinea

370

4.2

29,715

Cape Verde

349

63.5

38,215

Gambia

340

14.5

9,965

French Guiana

306

105.2

44,554

Liberia

287

5.8

5,812

New Caledonia

265

92.1

10,968

Congo

258

4.8

17,323

Saint Lucia

255

139.5

12,559

Maldives

243

45.8

87,638

Togo

242

3.0

26,079

Gabon

239

11.0

35,525

Burkina Faso

214

1.1

14,793

Niger

213

0.9

6,366

Nicaragua

208

3.2

16,422

Grenada

198

176.8

5,840

Mayotte

185

69.5

20,555

Djibouti

181

18.6

13,478

Curaçao

174

110.4

17,084

Chad

174

1.1

5,069

Aruba

171

160.8

15,925

Equatorial Guinea

167

12.3

13,368

Mauritius

166

13.1

17,698

Benin

161

1.4

24,749

Barbados

153

53.3

17,763

Comoros

147

17.3

4,259

Guinea-Bissau

141

7.3

6,134

South Sudan

133

1.2

12,361

Andorra

130

168.5

15,516

Tajikistan

125

1.3

17,486

Timor-Leste

122

9.4

19,790

Sierra Leone

121

1.5

6,397

Seychelles

119

121.9

22,243

Channel Islands

103

59.8

13,070

Antigua and Barbuda

102

105.0

4,058

Bermuda

101

158.0

5,647

Central African Republic

100

2.1

11,518

Gibraltar

98

290.8

5,992

San Marino

92

271.7

5,547

Brunei

88

20.3

13,130

Sint Maarten

75

184.1

4,494

St Vincent and the Grenadines

68

61.5

4,995

Laos

65

0.9

40,271

Liechtenstein

61

160.4

3,662

Isle of Man

57

67.4

9,691

Saint Martin

56

147.4

3,920

Sao Tome and Principe

56

26.0

3,714

Eritrea

45

1.3

6,834

Burundi

38

0.3

20,039

British Virgin Islands

37

123.2

2,725

Monaco

36

92.4

3,414

Iceland

33

9.1

13,492

Dominica

32

44.6

4,823

New Zealand

28

0.6

6,594

Turks and Caicos Islands

23

60.2

2,980

Saint Kitts and Nevis

23

43.5

2,669

Bonaire, Sint Eustatius and Saba

19

73.1

2,435

Diamond Princess cruise ship

13

712

Wallis and Futuna Islands

7

61.2

454

Saint Barthelemy

6

60.9

1,659

Bhutan

3

0.4

2,621

Faroe Islands

2

4.1

2,145

Cayman Islands

2

3.1

1,650

MS Zaandam cruise ship

2

9

Anguilla

1

6.7

944

Montserrat

1

20.0

41

Vanuatu

1

0.3

6

Greenland

0

0.0

799

Falkland Islands

0

0.0

69

Saint Pierre and Miquelon

0

0.0

32

Vatican

0

0.0

27

Solomon Islands

0

0.0

20

Palau

0

0.0

8

Marshall Islands

0

0.0

4

Saint Helena

0

0.0

4

Samoa

0

0.0

3

Kiribati

0

0.0

2

Micronesia

0

0.0

1

Cook Islands

0

0.0

1

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This information is regularly updated but may not reflect the latest totals for each country.

** The past data for new cases is a three day rolling average. Due to revisions in the number of cases, an average cannot be calculated for this date.

Source: Johns Hopkins University and national public health agencies

Figures last updated: 1 November 2021, 09:31 GMT

At the start of this week, Saxony banned unvaccinated people from bars, restaurants, public events and sport and leisure facilities. At least several other states are expected to follow suit.

Germany's anti-vaxxers are furious. Several thousand protested last weekend in Leipzig.

"This is discrimination, and we want to express vehemently that we do not accept this in our society," said Leif Hansen, who represents anti-vax "Bewegung Leipzig" (Leipzig Movement). He doesn't trust the companies that made the vaccine or the authorities who approved it.

"They say the vaccination is ok, that I should give it to my children? Never!" he told me. "I have a feeling that it should never go into my body, and I will fight all I can to prevent it coming into my body."

Image caption, Anti-vaxxers out in force in the city of Leipzig, in Saxony: This eastern state has the lowest vaccine take-up rate in Germany

Sixteen million Germans over the age of 12 have not been fully vaccinated. The German government has admitted it's unlikely to persuade many of those people now, and politicians worry that social divisions might deepen.

What many fear is another lockdown. Nadine Herzog's bar in Leipzig barely survived the last one. She deftly prepares cocktails as she tells us that even before the authorities required it she and her co-owner banned unvaccinated drinkers.

"My business is dying. My dreams came true and now they suffer from people who don't do logical things to prevent others from getting ill or dying and I'm so angry," she told the BBC.

A long queue formed outside a vaccine centre in the city earlier in the week. Evidence, perhaps, that some have changed their minds. But Germany is also now rolling out booster jabs amid concerns about waning protection in those who have been vaccinated.

On the intensive care Covid unit they fear the damage is done. Operations have already been cancelled, procedures postponed to make way for Covid patients.

Doctors here told us that nearly half of the people who end up here will die.

For Germany, which invented one of the world's first Covid vaccines, that is a source of great shame.