Every person who refuses to take the coronavirus vaccine in Spain will be added to a register, it has been revealed.
The vaccine will not be mandatory but the register will keep track of who has not taken it, and it will also be shared with other European Union countries.
The document "will not be public" according to Health Minister Salvador Illa, and will be compiled "in full respect of privacy".
The fact the document will be shared with other EU countries may lead to a travel ban for those who refuse to get the jab, and it could pave the way for similar measures in other European countries.
A number of Covid-19 vaccines have been developed and rolled out.
The new, highly contagious strain that is spreading across Europe has led to an "unprecedented" infection rate in England, a health official has said.
A record 41,385 Covid-19 cases and 357 deaths were reported in the UK today.
The rollout of the Pfize/BioNTech vaccine began at the start of December while the NHS is struggling to cope with the rising number of patients.
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Hospitals are under such pressure from an influx of people with coronavirus that some patients are being treated in ambulances with hospital admissions believed to be first the same as the first peak.
One ambulance service reported that Boxing Day was one of its busiest day.
Dr Adrian Boyle, from the Royal College of Emergency Medicine, said the situation is "very tough" and added that the problem was particularly acute in London but "this could easy spread".
He said: "Ambulances keep coming in – we are desperate to offload ambulances, that's always been a priority for us.
And nd you feel terrible and a sense of helplessness when you can't, because your emergency department is full."
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