At least 116 nurses have died in this country of 210 million from Covid-19, according to Brazil’s Federal Nursing Council—the highest toll anywhere. That is more than the 107 nurses who have died in the U.S., where the total death count of people succumbing to the pandemic is about six times more than in Brazil. In Italy, which has about twice as many total deaths as Brazil, 39 nurses have died, according to Italy’s National Federation of Nurses, or Fnopi.

Nurses and other medical professionals in Brazil are often outfitted with aging equipment and lack enough face shields, goggles, gloves and gowns to battle a highly contagious disease, nurses from hospitals in five states said in interviews…

The true numbers of both infected and dead may be far higher because the country does far less testing than the U.S. and Europe. Brazil performed 3,462 tests per 1 million people as of Saturday, ranking 22nd in the world, according to the analysis company Statista. A study by Ribeirão Preto Medical School in São Paulo and other universities across Brazil calculated the number of people infected with Covid-19 at about 3 million. That is twice the number of confirmed cases in the U.S.

“Brazil is the most infected country in the world today,” said Domingos Alves, a professor at Ribeirão Preto Medical School.