Italy announces 627 more coronavirus deaths, the country's biggest day-to-day increase

Italy has recorded its highest day-to-day rise in the number of deaths of persons infected with COVID-19.

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Civil Protection Chief Angelo Borrelli announced Friday there were 627 new deaths. The number of new cases also shot staggeringly higher: 5,986 cases.

That brings the official total of new deaths overall to 4,032 and cases to 47,021.

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Authorities said most of the dead had existing health problems before they were sickened with the coronavirus, such as heart disease and diabetes. The soaring numbers in the country with Europe's largest outbreak come despite a national lockdown to drastically limit the reasons citizens can leave their homes.

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Mayors and governors throughout the country have been demanding even stricter measures. Italy's national government is widely expected to respond soon.

The death toll in Italy from the coronavirus overtook China’s on Thursday in a stark illustration of how the outbreak has pivoted toward Europe and the United States.

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Italy reached the bleak milestone the same day that Wuhan, the Chinese city where the coronavirus first emerged three months ago, recorded no new infections, a sign that the communist country's draconian lockdowns were a powerful method to stop the virus' spread.

Health authorities have cited a variety of reasons for Italy’s high toll, key among them its large population of elderly people, who are particularly susceptible to serious complications from the virus, though severe cases have also been seen in younger patients. Italy has the world’s second-oldest population, and the vast majority of its dead — 87% — were over 70.

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Jonas Schmidt-Chanasit, a virologist at Germany's Bernhard Nocht Institute for Tropical Medicine, said Italy's high death rate could be explained in part by the almost total breakdown of the health system in some areas.

“That's what happens when the health system collapses,” he said.

On a visit to the northern city of Milan, the head of a Chinese Red Cross delegation helping advise Italy said he was shocked to see so many people walking around, using public transportation and eating out.

Sun Shuopeng said Wuhan saw infections peak only after a month of a strictly enforced lockdown.

“Right now we need to stop all economic activity and we need to stop the mobility of people,” he said. “All people should be staying at home in quarantine.”

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Aside from the elderly and the sick, most people have mild or moderate symptoms, like a fever or cough, and most recover in a matter of weeks.

Spain has been the hardest-hit European country after Italy, and in Madrid a four-star hotel began operating as a makeshift hospital for coronavirus patients.

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