Cultural norms draw people together, increasing chances of transmission. Most Peruvians shop daily. Stocking up with a weekly shop would mean breaking a lifelong habit. It’s also impossible for the 40% who do not have a refrigerator.5 As a result, markets quickly became a major vector of the disease. As many as 86% of people in Lima’s markets tested positive during the first wave of cases in May 2020.6 Then-president Martín Vizcarra acknowledged the crisis but did not shut markets down because of the need to supply food.

Covid-19: Why Peru suffers from one of the highest excess death rates in the world — BMJ 2021; 372 doi: https://doi.org/10.1136/bmj.n611 (Published 09 March 2021)

A sad but very informative article on the Covid-19 situation in Peru.