Italy’s coronavirus outbreak spread south on Tuesday to Tuscany and Sicily, as the civil protection agency reported a surge in the number of infected people and Rome convened emergency talks.

Prime Minister Giuseppe Conte has blamed poor management in a hospital in the country’s north for the outbreak, which has caused seven deaths in Italy so far and infected the largest number of people in Europe.

Tuscany reported its first two cases, including one in the tourist destination of Florence, while Sicily recorded one: a tourist from the worst-hit Lombardy region, where 212 people have tested positive.