Monica Carfora, right, deputy head of the emergency of the Santo Spirito Hospital, which now has a separate emergency for possible covid patients, holds a chocolate Easter egg as she poses for a photograph with nurse Silvia Sforza, holding out their arms to indicating social distancing, outside the entrance to for covid emergency, in central Rome, Sunday, April, 12, 2020. The new coronavirus causes mild or moderate symptoms for most people, but for some, especially older adults and people with existing health problems, it can cause more severe illness or death. (AP Photo/Alessandra Tarantino)

Italy is reporting its lowest number of new coronavirus deaths in three weeks and officials say hospitalization, including the number of patients admitted to intensive care, are also down.

Italy has been Europe’s COVID-19 hot spot with more than 156,000 confirmed cases overall. But some Italian experts say the actual number may be much higher because of the high rate of fatalities in nursing homes where many of the patients were not tested before they died.

The Associated Press, which has kept its own count, reports the number of coronavirus deaths in U.S. nursing homes has jumped since the start of April to more than 3,300. But just like Italy, the true number may never be known because of patients dying before they could be tested.