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In a VICE News special report, Isobel Yeung travels to the epicenter of Italy’s COVID-19 outbreak.

Since February 20, when it was first detected in the country’s Lombardy region, Italy has been devastated by the virus. While official data says that more then 19,000 people have perished so far, there are signs that the actual death toll could be much higher.

Spending a shift with EMTs, Yeung witnessed firsthand a healthcare system in crisis. And she and her team gained rare access to an ICU in a hospital overwhelmed by COVID-19 cases.

VICE News Tonight Presents COVID-19: Italy’s Tragedy. Airs April 14 at 11PM ET on VICE TV.