Spiraling Covid-19 cases have put Cambodia "on the brink of death", its strongman premier Hun Sen has warned, as the country imposed lockdowns in the capital Phnom Penh and a nearby city.

The Southeast Asian kingdom has seen Covid-19 cases surge since February, when an outbreak was first detected among its Chinese expatriate community.

Authorities said last week that hospitals in Phnom Penh were running out of beds and that they had transformed schools and wedding party halls into treatment centres, while Hun Sen threatened quarantine-breakers with jail time.

Phnom Penh and adjacent city Ta Khmau were Wednesday night placed under lockdown for two weeks to curb the spread, effectively halting the movement of more than two million people.

"Please my people -- join your efforts to end this dangerous event," pled premier Hun Sen in a recorded address aired on state-run television late Wednesday night.

"We are on the brink of death already," he said. "If we don't join hands together, we will head to real death."

Police blocked motorists from passing a checkpoint set up between capital Phnom Penh and neighbouring Ta Khmao town amid spiraling Covid cases
Police blocked motorists from passing a checkpoint set up between capital Phnom Penh and neighbouring Ta Khmao town amid spiraling Covid cases AFP / TANG CHHIN Sothy

Cambodia's latest announced figures exceeded 4,800, but the premier said Wednesday that an additional 300 cases had been detected.

Phnom Penh and Ta Khmau residents are now barred from leaving their homes for two weeks except to go to the hospital or to buy medicine, while only two household members will be allowed out to buy food.

On Thursday morning, police blocked motorists from passing a checkpoint set up at the border between the two cities, with residents showing their ID cards hoping to pass through.

Blockades were also erected around the major Norodom Boulevard around the iconic Independence Monument to prevent people from travelling.

While the kingdom has seen improvements in its healthcare in the past decade, its infrastructure -- especially in rural areas -- is still poor, with a lack of services and qualified doctors.

Inequality also plagues the system, with reports of lower income families being turned away from hospitals.

Before the community outbreak was detected in February, Cambodia's Covid-19 toll was comparatively lower than its regional neighbours -- but experts had chalked it up to the lack of widespread testing.