Italy has recorded another 793 deaths from coronavirus, its largest daily increase since the outbreak began there over a month ago.
The country’s death toll has now risen to 4825, the highest anywhere in the world, including China.
The total number of cases in Italy has surged to 53,378, up from 47,021.
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The region of Lombardy in the country’s north remains the worst affected, with 25,515 cases and 3095 deaths.
Spain has also seen a significant increase in cases, rising to 25,374 as the virus continues to take a toll across Europe.
There has been 1,375 deaths in Spain so far.
Authorities in Spain have announced they will turn a conference centre in Madrid into a makeshift hospital with 5,500 beds to be set up inside.
Spain has already closed its borders and imposed a lockdown but officials expect the number of cases to keep rising significantly.
France has also seen a spike in cases, with 14,459 people testing positive and 562 deaths.
Meantime in the US, New Jersey is the latest state to go into lockdown, joining New York, California and Illinois.
More than 22,000 cases have been recorded in the US, with 278 deaths.
It comes as President Donald Trump criticised China over the outbreak, accusing it of being secretive about the virus.
“I have great respect for China, I like China, I have a tremendous relationship with President Xi. I wish they could have told us earlier about what was going on inside,” President Trump said.
“We didn’t know about it until it started coming out publicly.”