COVID-19 cases have seen an alarming surge in China's capital Beijing, with officials announcing on Monday, following the sharp reversal in the country's previously stringent coronavirus strategy.
Just a few days after China began loosening restrictions, Beijing authorities said more than 22,000 patients had visited hospitals across the city the previous day – 16 times the number a week ago.
"The current trend of the rapid spread of the epidemic in Beijing still exists," said city health commission spokesperson Li Ang at a briefing Monday.
"The number of fever clinic visits and flu-like cases increased significantly, and emergency calls increased sharply," he added.
China reported 8,626 domestic infections Monday but with testing no longer mandatory for much of the population, the number is believed to be much higher.
As the country steers a tricky path out of its zero-Covid policy toward living with the virus, many with symptoms have opted to self-medicate at home.
Cold and fever medicines have sold out in virtually all pharmacies across Beijing. Rapid antigen tests are dwindling as people stock up in anticipation of a virus surge that threatens the lives of millions of unvaccinated elderly.
Social media users reported a surge of infections in smaller cities, including Baoding in Hebei province and Dazhou in Sichuan, with hospitals inundated and residents unable to buy medicines.
Agence France-Presse (AFP) was not immediately able to verify the claims.
"It's severe, the supply of medicine is not enough and it's being managed badly," wrote one person on the Twitter-like platform Weibo.
Lacking adequate medical infrastructure and primary care triage, China's rural interior is particularly vulnerable to health crises such as COVID-19.
End of an era
In a significant move toward unwinding years of hardline restrictions, China said Monday it would retire an app used to track travel to areas with infections.
The state-run "Communications Itinerary Card" was a central part of zero-Covid, keeping tabs on the movements of millions through their phone signal data.
It was one of a panoply of tracking apps that have governed everyday life through the pandemic. Most people still use local "health codes" in their city or province to enter shops and offices.
Social media users hailed the retirement of the software, noting the symbolism of the government shutting down its main tracking app.
"Bye-bye, this announces the end of an era, and also welcomes a brand-new one," one person wrote on Weibo.
Others asked what would become of the mountains of data collected and hoped it would be deleted.
Spreading rapidly
Kendra Schaefer, the tech partner at research consultancy Trivium China, said the "political win of returning to normalcy is ginormous."
But that normalcy means the country faces a surge of cases it is ill-prepared to handle, with millions of elderly not fully vaccinated and underfunded hospitals lacking the capacity to take on huge numbers of patients.
China has one intensive care unit bed per 10,000 people, Jiao Yahui, director of the Department of Medical Affairs at the National Health Commission, warned last week.
The official number of COVID-19 cases has dropped sharply from an all-time high recorded last month, but top Chinese health expert Zhong Nanshan warned in state media Sunday that the Omicron variant was "spreading rapidly."
The easing of restrictions has also released pent-up demand for domestic travel, with state broadcaster CCTV saying Monday that flights from Beijing's two main airports were expected to soon return to 70% of 2019 levels.