Photo/Illutration People walk across a pedestrian crossing along a shopping street in Tokyo on Nov. 3. (AP photo)

Tokyo reported 35 serious cases of COVID-19 on Nov. 4, the highest level since late August, as well as 122 new infections.

Of the new cases, the Tokyo metropolitan government said 31 involved patients in their 20s, followed by 22 in their 30s, 17 in their 40s and 15 in their 50s. The number of new patients aged 65 or older stood at 22.

The number of serious cases, patients on ventilators or on extracorporeal membrane oxygenation (ECMO) lung bypass machines, was the highest since Aug. 24 when 38 were reported. The figure on Nov. 4 was three more than the previous day.