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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

Updated 10 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Health: Coronavirus cases rose 10% in the week before Thanksgiving.
  2. Politics: Supreme Court backs religious groups on New York coronavirus restrictions.
  3. World: Expert says COVID vaccine likely won't be available in Africa until Q2 of 2021 — Europeans extend lockdowns.
  4. Economy: The winners and losers of the COVID holiday season.
  5. Education: National standardized tests delayed until 2022.
Nov 26, 2020 - Health

Wyoming Gov. Mark Gordon tests positive for COVID-19

Wyoming Gov. Mark Gordon (R) has tested positive for COVID-19, his office announced Wednesday, per CBS News.

The state of play: The governor has minor symptoms and will continue working remotely, according to his office.

Bryan Walsh, author of Future
Nov 25, 2020 - Health

COVID-19 shows a bright future for vaccines

Illustration: Annelise Capossela/Axios

Promising results from COVID-19 vaccine trials offer hope not just that the pandemic could be ended sooner than expected, but that medicine itself may have a powerful new weapon.

Why it matters: Vaccines are, in the words of one expert, "the single most life-saving innovation ever," but progress had slowed in recent years. New gene-based technology that sped the arrival of the COVID vaccine will boost the overall field, and could even extend to mass killers like cancer.