Romania reported a record daily number of 591 COVID-19 deaths Tuesday amid a persistently low vaccination rate and a wave of coronavirus infections that has overwhelmed the country’s ailing health care system.

Only 37% of adults in Romania, a European Union member with around 19 million people, have been fully vaccinated against COVID-19 compared to an EU average of 75%. Within the 27-nation EU, only Bulgaria has a smaller share of its population vaccinated.

Romanian authorities said Tuesday that 541 of the 591 people who had died of COVID-19 since the day before were unvaccinated.

The unfolding disaster prompted authorities to impose tighter restrictions starting last week. Vaccination certificates are required for many day-to-day activities, such as going to the gym, the cinema or a shopping mall. For everyone, there is a 10 p.m. curfew.

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