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Medical staff are reflected in a mirror at an ICU of the city hospital in Rivne, Ukraine, Friday, Oct. 22, 2021. In Rivne, 300 kilometers (190 miles) west of Kyiv, the city hospital is swamped with COVID-19 patients and doctors say the situation is worse than during the wave of infections early in the pandemic that severely strained the health system. Ukraine's coronavirus infections and deaths reached all-time highs for a second straight day Friday, in a growing challenge for the country with one of Europe's lowest shares of vaccinated people. (AP Photo/Evgeniy Maloletka)