BEIRUT (AP) — Lebanese authorities began enforcing an 11-day nationwide shutdown and round the clock curfew Thursday, hoping to limit the spread of coronavirus infections spinning out of control after the holiday period.

For the first time, residents were required to request a one-hour permit to be allowed to leave the house for “emergencies,” including going to the bakery, pharmacist, doctor, hospital or airport.

Authorities came under pressure to take a tougher approach after the country's hospitals ran out of beds with daily infections reaching an all-time high of 5,440 cases last week in the country of nearly 6 million people.

The dramatic surge in infections began in late December. As most governments around the world tightened lockdowns, Lebanon relaxed health measures over the holidays, allowing restaurants and nightclubs to reopen with barely any restrictions in place. An estimated 80,000 expats flowed back into the country to celebrate Christmas and New Years with loved ones, many of them expats who skipped visiting in the summer due to the devastating Aug. 4 explosion at Beirut port.

“The holiday season should have been the time for lockdown. The season of crowds, shopping and parties," said Hanna Azar, owner of a money transfer and telephones shop. "They opened it to allow dollars into the country and now they want to close, especially in this economic crisis. People don’t have money to eat.”

Even before the coronavirus, Lebanon was going through an unprecedented economic and financial crisis that has seen its national currency and bank sector collapse and locked depositors out of the savings. Hospitals, long considered among the best in the Middle East, struggled to pay staff, keep equipment running and secure necessary medical supplies as dollars grew scarce.

Amid the surge, many hospitals have now reached maximum capacity for coronavirus patients. Some have halted elective surgeries as they run out of beds, oxygen tanks and ventilators.

Furthermore, the country has been without a government since the old one resigned in the wake of the catastrophic Aug. 4 explosion at Beirut port, which put a further strain on hospitals, inundating them with injured. At least three hospitals were destroyed.

The massive explosion caused by the detonation of a stockpile of poorly stored ammonium nitrate ravaged the city, killing over 200 people and injuring thousands.

On Thursday, police manned checkpoints around the country, checking motorists' permits to be on the road and creating traffic jams in some cases. The curfew is the strictest since the start of the pandemic. For the first time, even supermarkets were told to close their doors and open for delivery only. That decision triggered three days of chaotic panic buying as worried citizens emptied shelves at supermarkets and grocery stores.

Lebanon had only just announced a nationwide lockdown last week. But many, including the health minister and officials on a government committee, considered it to be too lenient because it exempted many sectors. In some areas of the country, it was business as usual, leading to more calls for a complete shutdown and curfew.