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More than 350 Indonesian doctors have contracted Covid-19 despite being vaccinated with Sinovac and dozens have been hospitalised, officials said, as concerns rise about the efficacy of some vaccines against more virulent virus strains.

Most of the doctors were asymptomatic and self-isolating at home, said Badai Ismoyo, head of the Kudus district health office in Central Java, but dozens were in hospital with high fevers and declining oxygen saturation levels.

Almost all have received the vaccine developed by China’s Sinovac, according to the Indonesian Medical Association (IDI).

Kudus is battling an outbreak believed to be driven by the more transmissible Delta variant which has pushed bed occupancy rates above 90% in the district.

Grappling with one of the worst outbreaks in Asia, with more than 1.9 million cases and 53,000 deaths, there has been a heavy toll on Indonesia’s doctors and nurses with 946 deaths.

Reuter report that many are now experiencing pandemic fatigue and taking an increasingly laissez-faire approach to health protocols after being vaccinated, said Lenny Ekawati, from LaporCOVID-19.

“That phenomenon happens quite often these days, not only within the community but also healthcare workers,” she said, “They think because they are vaccinated that they are safe.”

Across Indonesia, at least five doctors and one nurse have died from COVID-19 despite being vaccinated, according to the data initiative group, although one had only received their first shot.

In the capital Jakarta, radiologist Dr Prijo Sidipratomo told Reuters he knew of at least half a dozen doctors in the city who had been hospitalised with COVID-19 in the past month despite being vaccinated, with one currently being treated in ICU.

“It is alarming for us because we cannot rely on vaccinations only,” he said, urging people to strictly adhere to health protocols.