Liverpool 's coronavirus cases are at risk of surging out of control and the city is facing the very real prospect of having further lockdown restrictions imposed, just days after new measures came into force.
New restrictions for the city - and the wider Merseyside region - came into force on Tuesday, and mean people can no longer mix with others in homes and gardens.
It also means that all pubs, bars and restaurants must now close at 10pm and only use table service - measures that are now also in place across the rest of the country.
But the situation in Liverpool is now so concerning,that a further tightening of restrictions may come into force.
The ECHO understands that these matters are likely to be discussed soon, with real worries about the surging infection rate in the city.
Data extracted covering testing up to September 22 show that the total number of confirmed cases for the last 7 days is 982, an increase of 362 cases on the previous week.
The latest weekly rate of Covid-19 in Liverpool is 197.2 per 100,000 population and the latest positivity testing rate is 10.9%.
The ECHO also understands that the number of covid patients in intensive care in Liverpool hospitals has started to rise.
To give a sense of the speed at which cases have exploded in Liverpool, there were just 94 cases per week across the city at the start of the month.
Back in July it was just 14 cases per week.
And a new survey for the Liverpool Echo suggests people in the city do not think the current lockdown restrictions go far enough.
When asked "what do you think of the new lockdown measures?" 57% of respondents said they did not go far enough.
Only 20% found the restrictions a "good balance" while 23% said they went "too far".
When asked "what is most important now?" 56% of respondents said "people's health must come first" while 21% said schools and universities must remain open.
This week the ECHO reported how some senior doctors are calling for tougher measures after seeing Liverpool hospitals becoming increasingly busy and a rise in seriously ill Covid-19 patients.
So what further restrictions could be brought in?
We have looked at other areas in the country that have been hit with more severe restrictions .
Leicester was the first local area to be hit with a local lockdown back at the start of the summer.
Leicester's infection rate was around 140 cases per 100,000 when it was put into a full city-wide lockdown earlier in the summer, a significantly lower rate than Liverpool has now.
At the end of June all non-essential retail stores were closed in Leicester, with schools also closing - although they had mainly broken up for Summer or were close to doing so.
People in the city were told to make essential journeys only and pubs and bars did not reopen when others did across the country on July 4.
This move did appear to have some impact, with infection levels dropping.
Bolton is another part of the country that has had extra measures imposed on it to try and stem the flow of infections.
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Earlier this month the town was placed under new restrictions with its infection levels around 120 cases per 100,000 - again much lower than Liverpool's current rate.
The new measures, which remain in place, mean that all hospitality venues including pubs, bars and restaurants are limited to only providing a takeaway service and must close to customers between 10pm and 5am.
Health bosses in Liverpool have previously said that the explosion in cases in the city can be linked to social settings, so we could see some further tightening of measures around hospitality venues.
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The current new rules for Liverpool make mixing with other households in parks and gardens illegal, but mixing with others in pubs or other public venues is currently only advised against.
This is another rule that is likely to be looked at again if cases continue to spiral.
It is not yet know if Liverpool will face further restrictions, but local leaders and officials are expecting some movement on this soon if levels here do not slow down.
