hospitals with very low oxygen levels, code red, and have passed away. thirty-five medical students working at the "dr. josé maría rodríguez" general hospital in ectepac have tested positive. one student died on january 4, and the other students have since been relieved of their duties. on january 10, gloria molina, health secretary for tamaulipas, announced that a 56-year-old man was found to be infected with the highly-contagious british strain of covid-19. the man arrived in mexico on december 29 after traveling to the united kingdom in september 2020. jesús ramírez cuevas, general coordinator of social communication of the presidency of the republic, announced that he had tested positive to the coronavirus. the university of guadalajara announced that covid-19 daily deaths in the state tripled in the three weeks from december 19, 2020 to january 10. compared to the previous month, to an average 58 per day. hospital bed use increased from 40.7% to 53.0%, and intensive care bed occupation increased from 51.0% to 56.2%. 439,725 doses of vaccine arrived on january 12 which were then distributed for health workers at 879 hospitals across the country. foreign minister marcelo ebrard said on january 13 that mexico would enforce the united states–mexico–canada agreement (called t-mex in mexico) to ensure that all its nationals would be vaccinated. nebraska governor pete ricketts reportedly threatened that undocked workers in meat–packing plants would not receive the vaccine. the state of michoacan reported that its public hospitals reached 100% occupancy and private hospitals were 85% full. four bottles of the vaccine were stolen from "carlos calero elorduy hospital" run by sedena in cuernavaca, morelos, on january 14. salud reported a new one-day record for infections — 21,366 — on january 15. the agency also reported that nationally 59% of general hospital beds are occupied, and six entities report 70% or more occupation. 415,417 doses of vaccine have been applied, included 1,958 people who have had both injections. 667 people have had serious reactions to the vaccine and 21 have reported mild reactions. dr. lopez-gattel said that a lack of ultrafreezers makes it difficult to fully implement the vaccination program for the elderly. most of the freezers capable of storage at -70 °c are found in the metropolitan area of the valley of mexico, morelia, and juriquilla, queretaro, and eleven entities have none. a food relief given in the state of mexico by the municipality of cuautitlán izcalli to help during the pandemic hundreds of people, few wearing face masks or keeping a healthy distance, attended the "gran bailazo 2021" featuring norteño and dancing in vícam, sonora on january 16–17. no one was charged, and another event is planned for february 13. sonora is on orange alert and mexico is experiencing the fourth highest levels of covid-19 infections in the world. 1,584 deaths were confirmed on january 19, the highest single-day record since the pandemic began. police in tultepec, state of mexico, recovered 44 oxygen tanks from a stolen truck. seven oxygen tanks were stolen navojoa, sonora. a shortage of oxygen tanks was exacerbated by hording, and the consumer protection agency promoted its "return your tank, for the love of life" campaign. on january 22, the consejo nacional de población (national population board, conapo) stated that since march 2020, pregnancies among adolescents had increased 20% (145,719 unwanted pregnancies among women 15–19), and the suicide rate among young people 20–24 had increased to 9.3%. suicide is the second cause of death among people 15–29. hugo lopez-gatell announced that second doses of the pfizer vaccine may be delayed as the company plans to send half of a 200,000-dose shipment has been destined by who for poor countries. amlo announced that local governments or private companies that wish to purchase vaccines will be allowed to do so. on january 24, president lópez obrador announced he had a mild case of covid-19. interior secretary olga sánchez cordero will take over for him in his daily news conferences. with 659 new deaths, mexico passes 150,000 total deaths on january 25. carlos slim, mexico′s richest man whose fortune is estimated at usd $60 billion, is infected with covid-19. health authorities reported on january 26 that 202 confirmed cases and 46 probable cases of covid-19 were responsible for maternal deaths in 2020. between january 2 and 7, nineteen of 31 (61.2%) maternal deaths were attributed to the coronavirus. sixty-nine babies born at the monica pretelini saenz maternal hospital in toluca in 2020 had covid-19; one died. on january 27, secretary of the interior olga sánchez cordero reported that the pandemic in the valley of mexico had stabilized and the number of cases had slightly declined. mayor claudia sheinbaum had said earlier that cdmx would remain on red alert through january 31. inegi reports 44.9% more covid-19 related deaths (108,658) than those registered by salud from january–august, 2020, making the virus the second cause of death in the country (behind heart failure but ahead of type 2 diabetes). 58% of the deaths did not occur in hospitals. the lowy institute, an independent think tank in australia, on january 28 describes mexico′s response to the pandemic the second worst in the world. days after president lópez obrador announced the purchase of the sputnik v vaccine for delivery in fecruary, the russian government announced a 2–3 week delay in delivery. with a 24-hour record of 1,506 deaths, only the united states reported more deaths on the 28th. mexico is in eighth place in total deaths this week with 18,670. thirty entities were on maximum (red) or high (orange) alert on january 30; only camperche and chiapas were low yellow. 1,841,893 total cases, 96,518 active cases, and 156,579 total deaths were reported. 662,217 people have received the first pfizer vaccine and 31,397 have received both. 58% of general hospital beds and 52% of beds with ventilators are occupied, although the numbers are 80% each in cdmx. vaccine registration for older (60+) adults began on february 2, although many failures were reported in the online-only system. a study by instituto nacional de ciencias medicas y nutricion salvador zubiran released in february 2021 showed that from more than 100 people died between february 26 and june 5, 2020, because intensive care unit (icu) beds were unavailable at the hospital. mexico′s mortality rate of 59.2 deaths per million people became the highest in latin america on february 9, surpassing panama and peru; it is the 15th highest in the world. vaccination of adults over sixty began on february 15. on february 16, mexico passed two million confirmed coronavirus cases and 175,000 deaths, third highest in the world. the first shipment of 200,000 doses of the sputnik v vaccine arrived from moscow on february 22. the vaccine needs to be stored at between 2 °c and 8 °c; mexico has contracted to buy 24 million doses. most of this first shipment is destined for elderly people (60+) in xochimilco, tláhuac, iztacalco in mexico city starting february 24. the 11th shipment of the pfizer-biontech vaccine (511,000 doses) arrived from belgium on february 23. the vaccine is destined for health workers; some was sent to mexico city and some to monterrey. 4,180 doses of coronavac vaccine are scheduled to be applied in the state of mexico on february 23. the 429 deaths reported mark the fifth consecutive week of a decline in infections, hospitalizations, and deaths. the health department of nuevo leon was forced to return 4,680 sinovac covid-19 vaccines (33,480 doses) that had spoiled due to poor storage. they should be stored at a temperature of 2 °c to 8 °c, but were stored in coolers at 12 °c or 13 °c. as of 16 march, there have been 2,169,007 confirmed cumulative cases and 195,119 deaths in total. 3,794,719 people have been given the first dose of vaccine. prosecutors announced on march 24 that they were unsure whether 5,000 russian sputnik v vaccine doses seized aboard a private plane bound for honduras were authentic. no arrests can be made until their authenticity is established. the number of confirmed covid-19 deaths passed 200,000 on march 25, 2021, third highest in the world. with 2,214,542 confirmed cases, mexico is in thirteenth place in total cases. 6,643,886 doses of vaccine have been applied. on march 28 a report was issued showing 294,287 covid-19-related deaths by march 15, 61.4% higher than previously reported. the number of excess deaths is said to be 417,002. the number of daily deaths continues on a downward trend, with 194 deaths reported on march 28. seven states are in the traffic light orange as holy week begins. no state is in red, and coahuila, tamaulipas, veracruz, jalisco, nayarit, chiapas, and campeche are green. april–june 2021 medical personnel from private hospitals protested outside the "escuela médico naval" in mexico city on april 1, demanding to be vaccinated, only to be turned away since there were no vaccines available. on june 9, dr. lópez-gatell announced he would no longer be giving daily updates on the pandemic, although he would continue to give occasional press conferences. on june 10, 225 new deaths were reported, bringing the official total to 229,578. 3,672 new cases were reported, bringing the total number of cases to 2,445,538. 1,948,268 people have recovered. the entities with the most active cases are mexico city (>3,000), tabasco, yucatán, quintana roo, baja california sur, tamaulipas, and state of méxico with more than 1,000 each. 25,306,211 people over 40, health workers, olympic athletes, health workers, and pregnant women have received at least one dosis of the vaccine. 58% have received the complete doses. 28% of the population over 18 have been vaccinated. five private schools in sinaloa had to suspend in-person classes after cases of covid-19 were discovered on june 11, 2021. dr. hugo lópez-gatell said the comisión federal para la protección contra riesgos sanitarios (cofepris, federal commission for the protection against health risks) will evaluate the pfizer proposal to apply its vaccine in children 12 years old or older. january 2022 popular travel destinations such as puerto vallarta mandated presentation of either vaccination proof or a negative pcr test result for individuals over 18 years to public recreational places owing to surge in covid cases. vaccination main article: covid-19 vaccination in mexico statistics curves of infection and deaths on april 20, the secretariat of health started to report active cases at the daily press conference. new cases per day graphs based on daily reports from the mexican secretariat of health on confirmed cases of covid-19. deaths per day chart of deaths by date of death on june 3 hugo lópez-gatell ramírez at a daily press conference on covid-19 explained that daily announced deaths were tested positive for covid-19 on that day but it does not imply all deaths occurred on this same day. there is a lag, for several causes, between the date of occurrence of the death and the day of positive covid-19 test result is received. chart of hospitalized cases number and categorization of hospitalized cases presented by the secretariat of health at the daily press conference. after april 20 the secretariat of health stopped reporting this type of classification of hospitalized cases. this chart is left here for historical purposes. general hospital beds occupancy rate of general hospital beds as presented by the secretariat of health at the daily press conference. beds with ventilators occupancy rate of beds with ventilators as presented by the secretariat of health at the daily press conference. salud reported mexico totals as of july 29 state cumulative cases active cases deaths recoveries 2,810,097 23,715 239,977 1,626,313 mexico city 775,4758,91635,587460,991 state of mexico 288,2022,43438,184161,270 nuevo león 140,50270810,05588,563 guanajuato 138,11580511,16194,023 jalisco 103,60156813,05556,954 puebla 90,41391112,46554,681 sonora 87,6994596,99751,389 tabasco 86,3107744,42645,600 veracruz 78,64530610,63039,190 querétaro 73,6059424,54348,490 coahuila 72,5092606,53348,602 tamaulipas 72,2653315,49539,946 san luis potosí 70,1703995,50444,206 chihuahua 59,9787407,64832,564 sinaloa 56,2943646,95624,302 oaxaca 54,4443164,13632,467 yucatán 53,8915114,50125,313 michoacán 52,9934056,15432,090 baja california 52,4862808,89530,884 guerrero 50,3434394,77726,820 baja california sur 48,6065591,94621,562 hidalgo 43,7093876,40624,574 quintana roo 42,8293123,29314,978 durango 37,0262572,53923,993 morelos 36,7153863,65421,834 zacatecas 32,8372422,91820,967 aguascalientes 27,7552392,48918,136 tlaxcala 21,0341472,61413,084 nayarit 18,006951,9877,646 colima 15,331741,2577,734 campeche 14,334721,4456,284 chiapas 13,985771,7477,175 source: secretaría de salud (2020). geological and atmospheric research institute statistics per 100,000 inhabitants as of april 8 state cumulative cases active cases deaths population 1,794.9 18.8 163.1 126,014,024 mexico city 6,688.396.8335.39,209,944 baja california sur 3,606.670.1161.1798,447 querétaro 2,764.239.7165.82,368,467 tabasco 2,568.932.1164.42,402,598 sonora 2,411.115.5214.32,944,840 san luis potosí 2,150.214.3178.32,822,255 coahuila 2,125.78.2187.13,146,771 guanajuato 2,082.813.0164.16,166,934 nuevo león 2,082.712.2156.75,784,442 zacatecas