The country is the last major economy wedded to a zero-Covid strategy, responding to all cases with strict isolation orders and tough testing campaigns.

The outbreak in Anhui — where officials first found hundreds of cases last week — comes as the Chinese economy begins to rebound from a months-long lockdown in Shanghai and disruptive Covid restrictions in the capital Beijing.

Two counties in the province — Sixian and Lingbi — announced lockdowns last week, with more than 1.7 million residents only permitted to leave their homes if they are getting tested.

Footage from state broadcaster CCTV showed empty streets in Sixian over the weekend and people lining up for their sixth round of mass testing in recent days.

The province reported 287 new infections on Monday, including 258 people who had no symptoms, according to China’s National Health Commission, bringing the total cases found to just over 1,000.

Provincial governor Wang Qingxian urged local authorities to “seize every minute and earnestly implement quick screening” as well as rapid quarantine and reporting of cases, in a statement published by the Anhui government on Monday.

Neighbouring Jiangsu province also reported 56 new local infections across four cities on Monday.

Photos shared widely online, verified by AFP Fact Check, showed hundreds of people in hazmat suits lining up in the city of Wuxi in Jiangsu, appearing to be waiting for buses to quarantine facilities.

Some of the shots showed babies in blue protective clothing carried by people with suitcases waiting outside a hospital in sweltering heat.

Temperatures in Wuxi have recently reached up to 36 degrees Celsius (97 degrees Fahrenheit).

While cases remain low relative to China’s vast population, officials insist the zero-Covid policy is necessary to prevent a healthcare calamity, pointing to unevenly distributed medical resources and low vaccination rates among the elderly.