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Data: European Centre for Disease Prevention and Control via Our World in Data; Chart: Naema Ahmed/Axios

Peru's coronavirus death rate is now the highest in the world, surpassing Belgium and exceeding even Brazil (7th) and the U.S. (8th).

Why it matters: Peru and Belgium illustrate the divergence between the world's two hardest-hit regions since the eye of the storm shifted from Europe to Latin America in the spring.

Zoom in: Belgium saw an incredibly sharp spike over a single month, from its first death on March 11 to a daily high of 321 deaths on April 9.

  • The post-lockdown descent was nearly as sharp. It has now been three months since Belgium last recorded more than 15 deaths in one day.
  • The trend is similar in other European countries, like Italy: a terrifying spike, a steady decline and consistently low death tolls even after the lifting of lockdowns.

The flipside: Peru was hit later than Belgium, and it imposed a lockdown in March before recording a single death. Death tolls climbed much more slowly, but over nearly three months rather than one.

  • On April 27, Peru’s daily death toll crossed 150 for the first time.
  • Since then, Peru (pop. 33 million) has recorded over 150 deaths nearly every day for four months.

Peruvian President Martín Vizcarra was initially praised for locking down early and hard, while passing a large aid package for workers.

  • But Peru's health care system has been chronically underfunded, its economy is largely informal, and social distancing is difficult in its densely populated slums and crowded food markets.
  • Hospitals struggled to cope with rising caseloads, while attempts to restart the economy caused further spikes.
  • Peru is facing the worst of both worlds. In addition to the world's highest death rate, its lockdown also caused the world’s deepest economic contraction in the second quarter, per Bloomberg.

Zoom out: Over the past week, the 10 countries with the highest population-adjusted death rates have all been in Latin America and the Caribbean (Peru is 5th).

  • Brazil and Mexico have grabbed international headlines for their high overall death tolls and COVID-skeptic leaders, but Colombia (1st) and Argentina (4th) are now recording among the world's highest death rates despite far stricter policies.
  • Buenos Aires has been under continuous quarantine for nearly six months, but it hasn't followed the trend of European cities like Milan or Madrid, where fast-growing outbreaks were eventually brought under control.
  • Latin America's economic downturn could be the most severe in the world, with the recovery stretching into 2023, per WSJ.

What to watch: While death tolls remain relatively low across Europe, cases have begun to spike dramatically in Spain and France while ticking upward elsewhere, including in Belgium.

  • Family gatherings and domestic travel have been cited as potential drivers, in addition to significantly higher testing rates.
  • In Spain, the median age of those testing positive has fallen to 37 from 60, per NYT.

The bottom line: Latin America was unable to match Europe's success in quickly suppressing the virus — but it remains to be seen if Europe can sustain it.

Go deeper: 9 things for the next pandemic

Go deeper

20 hours ago - World

UN: "2021 is literally going to be catastrophic"

David Beasley, executive director of the World Food Programme. Photo: Souleymane Ag Anara/AFP via Getty Images

Next year is "going to be catastrophic" in terms of worldwide humanitarian crises, World Food Program executive director David Beasley warned on Friday, per Reuters.

Driving the news: The stark outlook comes as many countries contend with not only the coronavirus pandemic, but also possible famine, economic instability, conflict and other humanitarian crises. A record 235 million people will need humanitarian assistance and protection next year, a nearly 40% increase from 2020, the UN projected earlier this week

22 hours ago - Health

CDC: It's time for "universal face mask use"

Photo: Paul Hennessy/SOPA Images/LightRocket via Getty

The CDC is urging “universal face mask use” for the first time since the coronavirus pandemic began, citing recent case spikes as the U.S. has entered a phase of “high-level transmission” before winter officially begins.

Why it matters: Daily COVID-related deaths across the U.S. hit a new record on Wednesday. Face coverings have been shown to increase protection of the wearer and those around them, despite some Americans' reluctance to use them.

20 hours ago - Health

Bay Area counties to enact stay-at-home order ahead of state mandate

Golden Gate Park. Photo: Justin Sullivan via Getty

Counties around the San Francisco Bay Area will adopt California’s new regional stay-at-home order amid surges in cases and ICU hospitalizations, health officials said Friday.

The big picture: California Gov. Gavin Newsom announced a three-week stay-at-home order on Thursday that would go into effect in regions with less than 15% ICU capacity. Despite the Bay Area’s current 25.3% ICU capacity, health officials from Alameda, Contra Costa, Marin, Santa Clara, San Francisco and the city of Berkeley are moving ahead with a shelter-in-place mandate in the hopes of reducing risk.