Peru has passed one million confirmed cases of coronavirus, becoming the fifth nation in Latin America to report that number as the region struggles with the pandemic’s economic and health effects.

Peru, which has a population of 32m, was quick to declare lockdown measures in March as the pandemic spread in Europe. But in spite of closing its airports for almost six months and ordering most of its residents to stay at home, it has struggled to contain the virus.

Officials said they had recorded 1,000,153 cases. More than 37,000 people have died from Covid-19 in Peru. That gives the Andean nation the world’s second-highest per capita death toll from the pandemic, according to data compiled by John Hopkins University.