A new report from Russia’s state statistics agency shows the country recorded a record number of deaths in July of people infected with coronavirus.

The report from the Rosstat agency said 50,421 people suffering from COVID-19 died during the month, sharply higher than the previous record of 44,435 in December.

However, the agency said in the report that only 38,992 deaths were directly attributed to the disease. In another 5,206 deaths, the virus was assessed as likely the main cause but that more investigation would be need; in 1,449 other cases, the virus contributed to the deaths but was not the main cause.

Rosstat said the other 4,844 deaths of infected people were not connected to the virus.

The report said the total of virus-related deaths in Russia by the end of July was 215,265—well higher than the 180,840 cited by the national coronavirus task force. Russian officials ascribe that to different counting methods, saying the task force only includes deaths where COVID-19 was the main cause.

Officials also say the task force uses data from medical facilities while Rosstat takes its numbers from civil registry offices, where registering a death is finalized.

Russia’s vaccination drive against COVID-19 has lagged behind other nations. As of mid-August, only a quarter of the country’s 146 million people had received at least one vaccine dose, while 20% had been fully vaccinated.

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