The World Health Organization is concerned about a spike in COVID-19 infections in China and is supporting the government to focus its efforts on vaccinating people at the highest risk across the country, the head of the U.N. agency said on Wednesday.

Infections have recently spiked in the world’s second-largest economy and projections have suggested China could face an explosion of cases and more than a million deaths next year.

“The WHO is very concerned over the evolving situation in China, with increasing reports of severe disease,” Director-General Tedros Adhanom Ghebreyesus told reporters.

Tedros said the agency needed more detailed information on disease severity, hospital admissions and requirements for intensive care units support for a comprehensive assessment of the situation.

The comment comes as the German government confirmed it has sent its first batch of BioNTech COVID-19 vaccines to China to be administered initially to German expatriates.

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