President Rodrigo Duterte has threatened to jail people who refuse to be vaccinated against the coronavirus as the Philippines battles one of Asia’s worst outbreaks, with a cumulative total of more than 1.3 million cases and 23,000 deaths.

“You choose, vaccine or I will have you jailed,” Duterte said in a televised address on Monday following reports of low turnouts at several vaccination sites in the capital Manila.

Duterte’s remarks contradict those of his health officials, who have said that while people are being urged to receive the Covid-19 vaccine, it was voluntary.

“Don’t get me wrong, there is a crisis in this country,” Duterte said. “I’m just exasperated by Filipinos not heeding the government.”

As of Sunday, Philippine authorities had fully vaccinated 2.1 million people, making slow progress towards the government’s target of up to 70 million of the country’s 110 million people.

Duterte, who has been criticised for his tough approach to containing the virus, also stood by his decision not to let schools reopen.

In the same address, he took a swipe at the international criminal court (ICC), after an ICC prosecutor had sought permission from the court for a full inquiry into the drug war killings in the Philippines.

Duterte, who in March 2018 cancelled the Philippines’ membership of the ICC’s founding treaty, repeated he would not cooperate with the inquiry, describing the ICC as “bullshit”.

“Why would I defend or face an accusation before white people. You must be crazy,” Duterte said, who after winning the presidency in 2016 unleashed an anti-narcotics campaign that has killed thousands.

Human rights groups say authorities have summarily executed drug suspects, but Duterte maintained those who were killed violently resisted arrest.

Sought for comment, ICC court spokesperson Fadi El Abdallah said: “The court is an independent judicial institution, and does not comment on political statements.”