ROME (AP) — Police in Italy have arrested a nurse on charges that he faked giving coronavirus vaccinations to at least 45 people so they could get a health pass fraudulently, ditching vaccines in a bin and even putting bandages on his “patients” so no one would suspect the scam.

Police in Ancona, on Italy’s eastern coast, also placed four alleged accomplices under house arrest, accusing them of finding anti-vaccine customers who were willing to pay for a health pass rather than get the shots. Forty-five people who allegedly received the passes as part of the scam are under investigation, required to check in daily with police and prevented from leaving their cities, a police statement said.

Police filmed the nurse at work in the huge vaccine hub of Ancona, apparently squirting the needle’s contents into the medical waste bin before pretending to inject the patient’s arm, and then putting a bandaid on.

The suspects are accused of corruption, falsifying information and embezzlement, though police added that the fake vaccination scheme also wasted a “fundamental public resource.”

Italy has cracked down increasingly hard on the unvaccinated, requiring proof of vaccination or a recent recovery from COVID-19 to access a host of leisure activities as well as services such as public transport. Italy, where the outbreak first erupted in Europe in February 2020, has inoculated 86% of its over-12 population and has administered boosters to about 60% of those eligible.