People are screened to get the Moderna Covid-19 vaccine in a school turned vaccination site that operates 24/7, in Manila, Philippines, on August 10.

Vaccination centers across the Philippine capital Manila are trying to speed up inoculation rates, including by staying open 24 hours, to help combat a sharp rise in Covid-19 infections linked to the spread of the highly contagious Delta variant.

With just over 10% of the country’s 110 million people fully vaccinated, millions remain vulnerable to infection amid efforts to fully immunize up to 70 million before the year ends.

Movement in metro Manila, an urban sprawl of 16 cities home to 13 million people, has been restricted to try to contain the Delta variant, which was first detected in India.

Salvador Camacho, 71, got over his initial worry about side effects and decided to get his jab when a slot opened for a night appointment at one of the 24-hour hubs.

“I do not really want to be inoculated because I have a lot of sickness, but lately I see a lot of people older than me getting vaccinations, and my child and wife told me to take my jab since we never know when I might get infected,” he said.

Joan Carbonell, who works as a supervisor in a Manila vaccination hub, said the decision by some hubs to open at night was also to limit crowds in the morning as people scramble to get a shot.

Last week, thousands queued outside Manila vaccination centers after rumors spread that people would not be able to leave their homes if they did not get their shots.

The Philippines has reported more than 1.67 million infections and 29,000 deaths so far during the pandemic, but the number of positive tests has been rising, driving a surge in cases and hospitalizations.

The positivity rate rose for a sixth straight day on Tuesday to 21.9%, up from around 15% at the start of August, data from the health ministry showed. The World Health Organization (WHO) says the positivity rate should stay below 5% for a two-week period for a outbreak to be considered under control.

Meanwhile, more hospitals have reported that their intensive care units, isolation beds and wards are nearing full capacity, and some have had to refuse new patients because of a lack of beds and ventilators.

Philippine hospitals with occupancy at critical levels rose to 289 on Tuesday from 236 on Sunday, reaching more than a fifth of the country’s 1,290 hospitals, government data showed.