Low number of vaccine uptakes affected out of hours services.
Offaly had one of the highest incident rates of Covid during the Christmas period.
The county trailed only Donegal, according to the Health Protection Survelliance Centre, with a rate of 36.1 per 100 thousand.
Westmeath was sixth on the list, and Laois was seventh.
The Irish College of General Practitioners says the low number of people getting vaccines is impacting on out of hours services.
Infection Control lead with the ICGP Dr. Scott Walkin says if more people were vaccinated against flu and covid, it would ease the pressure.
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