The Macau government will extend a lockdown of casinos and other businesses until Friday as authorities work to curb the spread of COVID-19 in the largest gaming hotspot in the world, according to a statement on its website.

The Chinese Special Administrative Region’s lockdown was supposed to expire on Monday.

The mayor of Macau ordered the closure last Monday, closing its casinos, the city’s main source of revenue, and banning people from leaving their homes except from for necessities like grocery shopping.

Macau has recorded around 1,700 coronavirus infections since mid-June. More than 20,000 people are in mandatory quarantine as the government adheres to China’s zero-COVID policy, which aims to stamp out all outbreaks, running counter to a global trend of trying to coexist with the virus.

More than 90% of Macau’s 600,000 residents are fully vaccinated against COVID but this is the first time the city has had to grapple with the fast-spreading Omicron variant.

The former Portuguese colony has only one public hospital for its more than 600,000 residents, and its medical system was already stretched before the coronavirus outbreak.

Authorities have set up a makeshift hospital in a sports dome near the city’s Las Vegas-style Cotai strip and have around 600 medical workers from the mainland assisting them.

In neighbouring Hong Kong, authorities are starting to loosen draconian coronavirus restrictions even as daily cases top 3,000, in a push to reboot the financial hub and its economy.