Spain has become the third country to surpass China in coronavirus infections after the United States and Italy.
With a population of only 47 million to China’s 1.4 billion, Spain’s tally of infections reached 85,195 on Monday, a rise of 8% from the previous day.
It also reported more than 800 new deaths, for an overall toll of more than 7,300.
The health systems in Italy and Spain have been crumbling under the weight of caring for so many desperately ill patients at once.
At least six of Spain’s 17 regions were at their limit of ICU beds and three more were close to it, authorities said on Monday.
Crews of workers were frantically building more field hospitals.
“Reducing the pressure on the ICUs will be important for considering de-escalation measures,” said Dr Maria Jose Sierra, who took over on Monday as the health emergency centre’s spokesperson after its director tested positive.
Nearly 15% of all those infected in Spain, almost 13,000 people, are health care workers.
In hard-hit Madrid, flags were hoisted at half staff for an official mourning period.
During a minute of silence, Madrid’s Puerta del Sol central square was empty as bells tolled.
Another 812 people died in the last day, bringing Italy’s toll to 11,591 and maintaining its position as the country with the most dead.
Overall, Italy added 4,050 new infections on Monday, bringing its official total to 101,739 and keeping its place as the European epicentre of the pandemic and second only to the US.
Epidemiologists say the real number of Italy’s caseload, however, is as much as five to 10 times more than the official number, but that those cases are not being counted because Italy is only testing people with severe symptoms.
Of those infected, 14,620 have been declared cured, including a record 1,590 in the past day.
In Japan, organisers said the opening ceremony for the Tokyo Olympics will take place on July 23 2021.
Last week, the IOC and Japanese organisers postponed the Olympics until 2021 because of the coronavirus pandemic.
The rescheduled closing ceremony will take place on August 8.
Tokyo organising committee president Yoshiro Mori said a spring Olympics was considered but holding the games later gives more space to complete the many qualifying events that have been postponed by the virus outbreak.
“We wanted to have more room for the athletes to qualify,” Mr Mori said.
In the US, in a stark reversal of his previous stance, President Donald Trump extended federal guidelines recommending that Americans stay home for another 30 days until the end of April to slow the spread of the virus.
The turnabout came after Dr Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said up to 200,000 Americans could die and millions become infected if lockdowns and social distancing did not continue.
“We want to make sure that we don’t prematurely think we’re doing so great,” Dr Fauci said.
Moscow went on its own lockdown on Monday as all of Russia braced for sweeping nationwide restrictions.
Russian president Vladimir Putin has asked all citizens to stay at home, and Moscow mayor Sergei Sobyanin began enforcing a strict lockdown for all city residents except those working in essential sectors.
“The extremely negative turn of events we are seeing in the largest European and US cities causes extreme concern about the life and health of our citizens,” Mr Sobyanin said.
He said an electronic monitoring system will be used to control residents’ compliance with the lockdown and warned “we will steadily tighten the necessary controls”.
Moscow, a city of 13 million, accounts for more than 1,000 of Russia’s 1,836 coronavirus cases.
China’s National Health Commission on Monday reported 31 new Covid-19 cases, among them just one domestic infection.
At the peak of China’s restrictions, some 700 million people were in areas ordered to stay home, but those rules are easing.
New York state remained the epicentre of the US outbreak, with the vast majority of the deaths in New York City.
A US Navy hospital ship with 1,000 beds arrived in New York to help relieve the crisis gripping the city.
The USNS Comfort — also sent to New York City after 9/11 — will be used to treat non-coronavirus patients while packed hospitals deal with those with Covid-19.