Coronavirus infections are hitting record levels in many countries across Europe as winter takes hold, prompting a call for action from the World Health Organization which described the new wave as a "grave concern".
Soaring numbers of cases, especially in Eastern Europe, have prompted debate on whether to reintroduce curbs on movement before the Christmas holiday season and on how to persuade more people to get vaccinated.
That conversation comes as some countries in Asia, with the notable exception of China, reopen their tourism sectors to the rest of the world.
"The current pace of transmission across the 53 countries of the European Region is of grave concern," regional WHO head Hans Kluge said, adding that the spread was exacerbated by the more transmissible Delta variant.
The virus spreads faster in the winter months when people gather indoors.
Kluge warned earlier that if Europe followed its current trajectory, there could be 500,000 COVID-related deaths in the region by February.
"We must change our tactics, from reacting to surges of COVID-19, to preventing them from happening in the first place," he said.
The region saw a 6% increase in new cases last week, with nearly 1.8 million new cases, compared to the week before. The number of deaths rose 12% in the same period.
Germany, Europe's biggest economy, reported 33,949 new infections, the highest daily increase since the start of the pandemic last year. Cases in Russia and Ukraine are soaring.
Austria's daily new coronavirus infections surged towards a record set a year ago, making a lockdown for the unvaccinated ever more likely.
COVID-19 prevalence in England rose to its highest level on record in October, Imperial College London said, led by a high numbers of cases in children and a surge in the southwest.
Slovakia reported 6,713 new cases, also a record, while daily new cases in Hungary more than doubled from last week to 6,268. Poland, Eastern Europe's biggest economy, reported 15,515 daily cases on Thursday, the highest figure since April. Croatia and Slovenia on Thursday both reported record daily infections.
CHINA ON ALERT AHEAD OF OLYMPICS
China is also on high alert at ports of entry to reduce the risk of COVID-19 cases entering from abroad, and has stepped up restrictions amid a growing outbreak less than 100 days before the Beijing Winter Olympics.
Authorities have also tightened curbs in the capital ahead of a major gathering of the top members of the Communist Party next week.
Since mid-October, over 700 locally transmitted cases with confirmed symptoms have been reported in China. While the number is tiny compared with other countries, it has led to a growing wave of restrictions under Beijing's zero-tolerance policy.
In Central Europe, Hungary has trimmed its 2021 GDP growth projection to 6.8% from 7.0-7.5% due to a rise in inflation, energy prices, and the risks stemming from COVID-19, the finance minister said, flagging the possibility of some new restrictions in a country where there are currently hardly any curbs in place.
Slovakia's Finance Ministry cut its forecasts for 2021 and 2022 growth in September, saying a new wave of COVID-19 cases will hit consumer demand and the labour market at the end of the year although the impact will not be as strong as earlier in the pandemic. Poland's central bank left its projections unchanged.
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Heaven help us when the predicted influenza epidemic hits. Assuming the predicted figures are realized death rates will soar to previously unbelievable figures. It's time we were all confined to our homes and deliveries of food etc made only to residential addresses. We must act now, forget fundamental rights, this is too important, life can only go back to normal once covid is totally irradicated 100% throughout the world. Only then can the human race begin to rebuild.