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The real number of cases is difficult to assess because many patients, unable to access testing, are forced to stay at home, said Anucha. “A lot of cases have no appropriate place to shelter them: we don’t have beds in hospital, we don’t have beds in the field hospital. They have to be at home or some other place,” he said. Infections are now spreading among family members in the home, he added: “Transmission in this situation, where [the] vaccine has not been widely disseminated, can be very alarming and exponential.” A government rule that hospitals must admit patients who test positive has resulted in facilities capping their daily PCR tests, making them harder for patients to access. Though a home isolation policy has been adopted, hospitals are still required to monitor such patients when resources are already stretched.

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