Coronavirus Live Updates: Trump Effectively Ousts Top Watchdog for Virus Relief Funds

Coronavirus Live Updates: Trump Effectively Ousts Top Watchdog for Virus Relief Funds 1

新冠病毒疫情最新消息

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Credit…Doug Mills/The New York Times

Trump effectively ousts the top watchdog for the $2 trillion in virus relief.

President Trump moved on Tuesday to oust the leader of a new panel of watchdogs charged with overseeing how his administration spends trillions of taxpayer dollars in coronavirus pandemic relief.

The official, Glenn A. Fine, has been the acting Defense Department inspector general since before Mr. Trump took office. Last week, an umbrella group of agency inspectors general across the executive branch named him the chairman of a new Pandemic Response Accountability Committee with control of an $80 million budget to police how the government carries out the $2 trillion coronavirus relief bill.

But Mr. Trump has now abruptly named a different federal official — Sean O’Donnell, the Environmental Protection Agency’s inspector general — to be the acting Defense Department inspector general.

The move effectively ousted Mr. Fine from his role overseeing pandemic spending as well. Mr. Fine is a longtime former Justice Department inspector general who earned a reputation for aggression and independence in the years following the Sept. 11, 2001, terrorist attacks.

In a statement, Dwrena K. Allen, a spokeswoman for the office of the inspector general at the Pentagon, said Mr. Trump designated Mr. O’Donnell to simultaneously serve as the acting leader of the office on Monday in addition to his duties at the E.P.A.

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“Mr. Fine is no longer on the Pandemic Response Accountability Committee,” she said.

Speaker Nancy Pelosi responded to the news during an interview with CNN’s Anderson Cooper.

“The president is sending in some of his loyalists,” she said. “So this is really a problem.”

Asked if somebody should be watching over the aid package, she said, “Yes, and the president thinks he should be the one, and that’s exactly upside down.”

Major challenges remain in grappling with the virus amid some encouraging signs.

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How Coronavirus Attacks the Body

It doesn’t take long for mild coronavirus symptoms to turn serious. These virtual reality images show how the virus can invade the lungs and kill.

You’re looking at a virtual reality image of a coronavirus patient at George Washington Hospital in Washington, D.C. The patient is a generally healthy 59-year-old man with high blood pressure. Just days before this image was created, he was asymptomatic. But now, those green areas show where the infection has damaged tissue in the lungs. For many, Covid-19 will be mild, but for others it’s deadly. This video is about the latter path: How the virus kills. We’ll start in China: 191 confirmed Covid-19 patients were in a hospital in Wuhan — 54 died. Of those 54, 50 had a condition known as ARDS, Acute Respiratory Distress Syndrome. It’s a condition that stops oxygen from reaching the organs. “You have air hunger.” “It means that they can’t breathe.” “There’s a very strong correlation between the people who develop ARDS and the people who die.” ARDS is not unique to Covid-19. “It’s such a long list of causes: infection, people with H.I.V./AIDS. If you get into a big motor vehicle accident and sustain multiple injuries to multiple organs, that causes ARDS, SARS and MERS. Now, things that you inhale and that can be toxic can cause ARDS: household bleach, you know, war gases, mustard gas and phosgene. To the people who vaped THC that was contaminated with vitamin E acetate, and those patients were also developing ARDS.” Here’s what’s actually happening when you get ARDS. When we breathe in air, oxygen goes down our windpipe and fills the lungs. Specifically, the small air sacs at the end of the lungs are the key to air exchange in the body. “So that’s why nature has created, or evolution has created, this very, very — the barrier is so thin. It’s just a few micrometers in size. So the oxygen has to go through just a little bit of collagen, the cell that lines the alveolus, into the red blood cell. Once it gets into the red blood cell, then the blood takes it back into the heart and from there to the rest of the body.” And this is the key to understanding why Covid-19 is killing people. “That entire wall of the air sac gets damaged by the virus. Think of it like a thick layer of paint on the inside of the walls of a room or a thick layer of mold on the walls on the inside of the room. That’s what it looks like.” As that wall becomes thicker, oxygen can no longer pass into the bloodstream, and your organs begin to suffocate. So if you are sick, you might be asking yourself: Am I on the mild path or the serious path? A good indication is whether you have severe shortness of breath and for how long. Those are indications the virus has progressed lower into the lungs. One small study of hospitalized patients in China found that zero to two days after development of symptoms, chest scans were coming back normal for more than half of patients. Keep in mind, these are patients that were sick enough to be in the hospital. But within three to five days after symptoms started, that flipped, and 91 percent of hospitalized patients had significant respiratory issues. “As you progress beyond the seven to 10 days stage, that’s when the ARDS seems to be developing. And once it develops, it develops rapidly fast compared to ARDS developing from let’s say another cause. And these patients seem to be doing much worse over a relatively faster period of time.” Many people have mild or even no symptoms with the virus. But the longer Covid-19 affects your lungs, the higher the risk of serious respiratory issues. “And the longer you’re on the ventilator, the less likelihood you will come off the ventilator. That is the blunt truth of this situation.” “When I saw this in our first patient, and you see the extent of the damage and how it affects both lungs and various parts of the lungs, and it’s much more striking even for somebody who’s been in practice for almost 20 years.” And that’s what happened to this patient. “Just about one week after being at our hospital, unfortunately he passed away. Really my goal of trying to get this out into the public is so that they understand the severity of the problem that we’re seeing, and why the social distancing and the flatten the curve, and every other hashtag that’s come up in the past couple weeks, is just so, so important — is because this is a community-wide problem. It’s a global problem, and it’s going to take a community solution. Right? Everybody has a role to play. And if you’re not in the health care field right now, your role is to stay home. All right? Because again, the virus doesn’t move on its own. People move. People transmit the virus.” Gov. Cuomo: “And the longer you’re on the ventilator, the less likelihood you will come off the ventilator.”

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It doesn’t take long for mild coronavirus symptoms to turn serious. These virtual reality images show how the virus can invade the lungs and kill.

After weeks of unrelentingly bleak news, a few encouraging signs have begun to emerge in recent days suggesting that the spread of the virus is beginning to slow in at least some parts of Asia and Europe that have adopted strict social distancing measures.

Wuhan, the Chinese city where the virus first appeared, lifted its lockdown, and China announced no new deaths from the virus for the first time since January, though doubts remain about the veracity of its statistics. Two of Europe’s most battered countries, Italy and Spain, have seen hopeful signs that their rate of new infections may be slowing. And one framework that American policymakers are relying on to try to predict the course of the outbreak, by the Institute for Health Metrics and Evaluation at the University of Washington, was recently revised with generally less dire projections.

But the scope of the staggering challenges that remain was underscored Tuesday when New York, the hardest hit state in America, reported that another 731 people had died from the virus, the most deaths there in a single day since the crisis began.

It was a sobering reminder that, even amid signs that the spread of the virus may be beginning to level off in parts in some hard-hit places — and there have even been signs suggesting that it may be in New York — it is doing so at a very high level. Many people continue to die each day and many hospitals are stretched to their limits.

Gov. Andrew M. Cuomo of New York said that while the state’s new death toll was upsetting, he was encouraged by data showing that the rate of hospitalizations had fallen for several days, suggesting that the spread of the virus could be plateauing. But he cautioned against growing complacent or easing up on social distancing measures that seem to be working.

“To the extent that we see a flattening or a possible plateau,” Mr. Cuomo said, “that’s because of what we are doing and we have to keep doing it.”

And for all the places that seem to be making progress, there are other places where the crisis only seems to be growing.

France’s health minister said Tuesday that the country had not reached the peak of its epidemic and was “still in a worsening phase.” The country has recorded some 78,167 cases in total and 10,328 deaths, with the toll steadily rising.

Britain — where Prime Minister Boris Johnson, who has the virus, was moved into intensive care Monday — has been reporting high numbers of new infections. And several parts of the United States are bracing for worse outbreaks in the days and weeks to come.

New York records the largest number of deaths in a single day.

Gov. Andrew M. Cuomo of New York said on Tuesday that 731 more people had died in the state, the largest number of deaths in a single day from the coronavirus since the crisis began. The grim tally followed two days in which the numbers appeared to have leveled off. The total number of deaths is 5,489.

The governor emphasized that the death rate was a lagging indicator, and pointed to a falling rate of hospitalizations. He also said that the state was still projecting that the spread of the virus was plateauing.

Mr. Cuomo said that increases in hospital beds and the number of health care providers who were working had helped New York to balance its patient load and help ensure that no one facility was overburdened.

The number of hospitalizations depends not only on the number of new arrivals but also on hospital admission standards. As hospitals have teetered on the brink of being overwhelmed, they have sent home people whom they would have admitted just a few weeks earlier, several New York doctors said in interviews.

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‘I Know It Feels Like a Lifetime,’ Cuomo Says of Coronavirus Crisis

Gov. Andrew M. Cuomo of New York said that coronavirus deaths hit a new one-day peak in the state, but that hospitalizations were slowing.

Total number of newly hospitalized is up from yesterday. But when you look at the three-day averaging of these numbers, the three-day average is down, which is good news. This is the three-day hospitalization rate. We tend not to look at any one day, day-to-day. It’s up somewhat. But if you look at the three-day average, it’s moving down, which is good news. The bad news is 5,489 New Yorkers have lost their lives to this virus. That is up from 4,758. That is the largest single-day increase. And we talk about numbers, but that’s 731 people who we lost — behind every one of those numbers is an individual, is a family, is a mother, is a father, is a sister, is a brother. So a lot of pain. Department of Health developed an antibody testing regimen that Department of Health has approved for use in New York State. That has to be brought to scale, and the Department of Health is going to be working with the F.D.A. to do just that. This tests the blood to determine whether or not you have the antibodies, which means you had the virus and resolved the virus. I know it feels like a lifetime. It’s been so disruptive. So abrupt. So frightening. So disorienting, but it’s only been 37 days, right? Everything in context and everything in perspective.

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Gov. Andrew M. Cuomo of New York said that coronavirus deaths hit a new one-day peak in the state, but that hospitalizations were slowing.CreditCredit…Mike Segar/Mike Segar

So even if the number of hospitalizations appears to have plateaued, that could be because the number of sick people turning up has lessened, or it may have to do with changing hospital admissions standards — or both.

Mr. Cuomo said that social distancing practices were working and that they had to continue.

The governor also said that planning was underway to restart the regional economy and that he had spoken to the governors of New Jersey and Connecticut about coordinating those efforts.

The governor called for federal assistance, using a PowerPoint slide to assert that “the next federal legislation must remedy the previous inequities.” (Mr. Cuomo had previously criticized the federal stimulus package as “woefully inadequate” and said on Tuesday that once he had studied the bill, he found that it was even worse than he’d thought.)

Britain is gripped by concern for the health of its prime minister, and questions of succession.

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Boris Johnson Is a ‘Fighter and He’ll Be Back,’ Raab Says

Britain’s foreign secretary, Dominic Raab, said that Prime Minister Boris Johnson was breathing without any assistance at a hospital as he battles the coronavirus.

Can I first give an update on the condition of the prime minister. I know a lot of people be concerned about that. I can tell you he’s receiving the very best care from the excellent medical team at St. Thomas’s Hospital. He remained stable overnight. He’s receiving standard oxygen treatment, and breathing without any assistance. He’s not required any mechanical ventilation or non-invasive respiratory support. He remains in good spirits, and in keeping with usual clinical practice, his progress continues to be monitored closely in critical care. I think it’s probably worth just remembering that as will be the case for many people up and down the country who know someone at work who’s fallen ill with the coronavirus, it comes as a shock to all of us. He’s not just the prime minister for all of us in cabinet. He’s not just our boss. He’s also a colleague, and he’s also our friend. So all of our thoughts and prayers are with the prime minister at this time with Carrie and with his whole family. And I’m confident he’ll pull through because if there’s one thing I know about this prime minister, he’s a fighter and he’ll be back at the helm leading us through this crisis in short order. Of course, for us in cabinet we know exactly what he wants from us, and what he expects from us right now. And following the cabinet discussion today, I can reassure the prime minister. And we can reassure the public that his team will not blink. And we will not flinch from the task at hand at this crucial moment. We’ll keep all of our focus and all of our resolve with calm determination on delivering the government’s plan to defeat the coronavirus.

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Britain’s foreign secretary, Dominic Raab, said that Prime Minister Boris Johnson was breathing without any assistance at a hospital as he battles the coronavirus.CreditCredit…Simon Dawson/Reuters

Prime Minister Boris Johnson of Britain remained in the intensive care unit of a London hospital on Tuesday battling symptoms, raising questions not just about the state of his health but about who would lead the country, gripped by a major outbreak, in his stead if that became necessary. In England alone, 758 patients were reported to have died in hospital in 24 hours, public health officials reported on Tuesday.

Mr. Johnson was transferred to the intensive care unit on Monday after his illness worsened. Aides said he had been moved in case he needed a ventilator to help his recovery. On Tuesday evening, the British foreign secretary, Dominic Raab, said that Mr. Johnson was “receiving standard oxygen treatment and breathing without any assistance,” like a ventilator.

As Britain has no written Constitution and no standard line of succession in the case of illness or death of the head of the government, it was for Mr. Johnson to decide who should stand in for him if he became ill. But the man he nominated, Mr. Raab, has been relatively untested, serving as the leader of the Foreign Office for less than a year.

While Mr. Johnson remains as the head of the government from his hospital bed, the seriousness of his illness means that could change quickly. At a time of extraordinary challenge, Mr. Raab is already serving as chairman of a key committee on the pandemic as the government battles to control the spread of the virus and stabilize an economy hit hard by the lockdown measures it has imposed.

Previous British prime ministers, including Tony Blair and Margaret Thatcher, have had health issues while in power, but had brief periods of absence for planned procedures.

Mr. Johnson could be hospitalized for some time, and at a moment when the government must make major decisions about its virus response. Though some British prime ministers have nominated deputies, Mr. Johnson chose not to do so when he took the role last year.

The last time Britain experienced such a power vacuum was in 1953, when Winston Churchill suffered a stroke and the truth of his condition was kept from the British public.

Before going into intensive care, Mr. Johnson asked Mr. Raab to stand in for him “where necessary.”

Another senior minister, Michael Gove — who has had a lead role in coordinating the government’s response, including giving interviews on Mr. Johnson’s state of health — announced on Twitter on Tuesday that he was self-isolating. He felt well, he said, but a member of his family showed symptoms of the virus.

China ends a lockdown on Wuhan as the country reports its first day since January with no deaths.

China has ended its lockdown of Wuhan, the city where the coronavirus first emerged and a potent symbol in a pandemic that has killed tens of thousands of people. But the damaged city has a long way to go before it returns to normal.

The move came hours after China announced no new deaths from the virus for the first time since January, though doubts remain about the veracity of China’s statistics.

The Chinese authorities had sealed off Wuhan, an industrial hub of 11 million people, in late January, in a frantic attempt to limit the outbreak’s spread. At the time, many outsiders saw it as an extreme step, one that could be tried only in an authoritarian system like China’s. But as the epidemic has worsened, governments around the world have enacted a variety of stringent restrictions on their citizens’ movements.

Wuhan’s recovery could offer a window into how other places recover. Sickness and death have touched hundreds of thousands of lives. Businesses, even those that have reopened, face a wrenching road ahead, with sluggishness likely to persist. Neighborhood authorities continue to regulate people’s comings and goings, with no return to normalcy in sight.

Controls on outbound travel were officially lifted just after midnight on Wednesday in China. People can now leave after presenting to the authorities a government-sanctioned phone app that indicates, based on their home address, recent travels and medical history, whether they are a contagion risk. China’s national rail operator estimated that more than 55,000 people would leave Wuhan by train on Wednesday, according to a state-run broadcaster.

China has had 83,654 coronavirus infections since the start of the outbreak, according to official figures collated by The New York Times. At least 3,331 people nationwide have died, with most other patients recovered.

But many believe the true death toll is far higher. American intelligence officers say that because midlevel officials in Wuhan and elsewhere have lied about infection rates, testing and death counts, even Beijing does not know the full extent of China’s outbreak. Those doubts are rife in Wuhan, where officials have suppressed online discussion of fatalities and pushed for quick, quiet burials of coronavirus victims.

The Chinese Communist Party said on Tuesday that it was investigating an outspoken property tycoon who accused China’s top leader, Xi Jinping, of having mishandled the outbreak.

Party officials said the man, Ren Zhiqiang, was suspected of “serious violations of discipline and law,” a euphemism the authorities often use for corruption and other abuses of power.

Mr. Ren, a longtime party member, disappeared last month after having written an explosive essay describing Mr. Xi as a power-hungry “clown.” The essay, which circulated on Chinese social media sites, said that the party’s strict limits on freedom of speech and its silencing of the news media had exacerbated the epidemic.

A brief statement about the investigation of Mr. Ren, issued by party disciplinary officials in Beijing, did not provide Mr. Ren’s whereabouts, give details about the status of his case or make mention of the essay.

A top White House official warned in January that a pandemic could imperil millions of Americans.

A top White House adviser starkly warned Trump administration officials in late January that the crisis could cost the United States trillions of dollars and put millions of Americans at risk of illness or death.

The warning, in a memo by Peter Navarro, Mr. Trump’s trade adviser, is the highest-level alert known to have circulated inside the West Wing as the administration was taking its first substantive steps to confront a crisis that had already consumed China’s leaders and would go on to upend life in Europe and the United States.

“The lack of immune protection or an existing cure or vaccine would leave Americans defenseless in the case of a full-blown coronavirus outbreak on U.S. soil,” Mr. Navarro’s memo said. “This lack of protection elevates the risk of the coronavirus evolving into a full-blown pandemic, imperiling the lives of millions of Americans.”

Dated Jan. 29, it came during a period when Mr. Trump was playing down the risks to the United States. He later went on to say that no one could have predicted such a devastating outcome.

Mr. Navarro said in the memo that the administration faced a choice about how aggressive to be in containing an outbreak, saying the human and economic costs would be relatively low if it turned out to be a problem along the lines of a seasonal flu.

But he went on to emphasize that the “risk of a worst-case pandemic scenario should not be overlooked” given the information coming from China.

In one worst-case scenario cited in the memo, more than a half-million Americans could die.

Black Americans face alarming rates of coronavirus infection in some states.

African-Americans are suffering coronavirus infections at disturbing rates in some of the largest cities and states in the United States, emerging statistics show.

In Louisiana, about 70 percent of the people who have died are African-American, though only a third of the state’s population is black. In the county around Milwaukee, where 27 percent of residents are black, nearly twice as many African-American residents tested positive for the virus as white people. And in Chicago, where African-American residents make up a little less than a third of the population, more than half of those found to have the virus are black, and African-Americans make up 72 percent of those who have died of the virus.

Data on the race of those sickened by the virus has only been made public in a handful of places and is too limited to make sweeping conclusions. But racial disparities in cases and outcomes, researchers said, reflect what happens when a viral pandemic is layered on top of entrenched inequalities.

The data, researchers said, is partly explained by factors that could make black Americans more vulnerable in any outbreak: They are less likely to be insured, more likely to already have health conditions and more likely to be denied testing and treatment. There is also the highly infectious nature of the coronavirus in a society where black Americans disproportionately hold jobs that do not allow them to stay at home, the researchers said.

“If you walk outside and see who is actually still working,” said Elaine Nsoesie, of Boston University’s School of Public Health, “the data don’t seem surprising.”

In an early test of virus-era voting, some Wisconsinites are waiting more than two hours to cast ballots.

Wisconsin voters are facing a choice between protecting their health and exercising their civic duty on Tuesday after state Republican leaders, backed up by a conservative majority on the state’s Supreme Court, rebuffed the Democratic governor’s attempt to postpone in-person voting in their presidential primary and local elections.

In Milwaukee, where election workers expect more than 50,000 voters, the number of polling locations has been drastically reduced — from more than 180 to just five. Some voters waited in line for more than two hours, spread out over blocks as they tried to practice social distancing to guard against the coronavirus.

In other parts of the state, especially in smaller communities that tend to be less Democratic, the in-person voting process was running relatively smoothly, with wait times more closely resembling a normal election.

Only a day earlier, political and legal skirmishing surrounding the Wisconsin balloting amounted to only the first round of an expected national fight over voting rights during the coronavirus crisis.

Gov. Tony Evers, a Democrat, had issued an executive order postponing in-person voting and extending to June the deadline for absentee ballots. But Republican leaders succeeded in getting the state’s top court to stay the decree.

And in a decision late Monday, the U.S. Supreme Court’s conservative-leaning majority dealt its own blow to Wisconsin Democrats. In a 5-4 vote, the majority ruled against extending the deadline for absentee voting, saying such a change “fundamentally alters the nature of the election.” The court’s four liberal members dissented, with Justice Ruth Bader Ginsburg writing that “the court’s order, I fear, will result in massive disenfranchisement.”

Wall Street rallies as investors take heart in signs of progress.

U.S. stocks rose on Tuesday and global markets extended Wall Street’s rally from the day before amid continued signs that the outbreak may be peaking in a number of hard-hit places.

The S&P 500 was up nearly 3 percent early Tuesday afternoon.

Tuesday’s gains added to a fairly strong, even if disjointed, rebound that has lifted stocks from their lowest point in March. Initially fueled by Washington’s $2 trillion effort to counter the economic effect of the pandemic, the rally has now taken on a more hopeful tone — reflecting glimmers of progress in the fight against the pandemic’s spread in the United States and Europe.

In total, through Monday, the S&P 500 was up 19 percent from its March 23 low. (It’s still more than 20 percent below the high it reached on Feb. 19.)

Still, the global economy still faces daunting challenges before it can get back on track, and many companies continue to announce furloughs of employees and sustained shutdown of operations in the wake of an uncertain path forward.

Besieged by requests, small business loan program could grow by at least $200 billion.

The Treasury Department is preparing to formally request at least another $200 billion to help supplement a new program created to help small businesses secure loans from banks, in response to an overwhelming demand for assistance through the program.

The request could come as early as Tuesday, according to an official familiar with the plans, who asked for anonymity to disclose details of the announcement.

Senators Mitch McConnell of Kentucky, the majority leader, and Chuck Schumer of New York, the minority leader, were negotiating the possibility of approving the additional funding during a procedural session on Thursday, without the full chamber present.

“It is quickly becoming clear that Congress will need to provide more funding or this crucial program may run dry,” Mr. McConnell said in a statement Tuesday. “That cannot happen.”

Larry Kudlow, the top White House economic adviser, said Tuesday morning that the program had funded 178,000 loans at a value of $50 billion so far.

Congress initially allocated $349 billion to the effort, which was created as part of the $2 trillion economic stabilization package signed into law last month.

The Treasury Department did not immediately respond to a request for comment, but Steven Mnuchin, the Treasury secretary, signaled on Tuesday morning that he was ready to ask Congress for additional funds if needed.

“The president has made clear if we run out of money, he’s going to go back to Congress,” Mr. Mnuchin said on the Fox Business Network.

Pressure mounts to remove Navy leader over rebuke to carrier crew and captain.

Pressure was mounting on Tuesday to remove the acting Navy secretary, presenting a stark choice for Defense Secretary Mark T. Esper: persuade President Trump that his appointment to the Navy’s top civilian job, Thomas B. Modly, is no longer fit to serve, or allow a controversy ignited by Mr. Modly to engulf the entire military.

Mr. Esper has carefully followed the administration line since the beginning of the coronavirus crisis, including urging military commanders overseas not to make any decisions related to the virus that might surprise the White House or run afoul of Mr. Trump’s confident messaging on the growing health challenge.

But Mr. Modly may have taken Mr. Esper’s warning too far when he harshly rebuked the crew and captain of a nuclear aircraft carrier.

Mr. Modly fired a respected Navy captain after he implored officials for help as the coronavirus spread across the aircraft carrier Theodore Roosevelt. Mr. Modly then flew to Guam and berated the carrier’s crew. With those actions, Mr. Modly turned what could have been a straightforward health matter into a political crisis.

Even Mr. Trump, who initially backed Mr. Modly’s handling of the issue, seemed to be having second thoughts on Monday. “I may look into it,” the president told reporters, “from the standpoint that something should be resolved.”

Turkey orders all citizens to wear masks as infections surge.

Turkey has ordered all citizens to wear masks when shopping or visiting crowded public places and announced it will start to deliver masks to every family, free of charge, as infections sharply increase in the country of 80 million.

Turkey has over 30,000 confirmed cases of the virus and has registered 649 deaths. More than 1,300 patients are in intensive care units and at least 600 medical workers have been infected, according to figures released by the Health Ministry.

The number of confirmed cases places Turkey among the top 10 currently worst affected countries, a sharp rise since its first confirmed death from the disease on March 17.

Health Minister Fahrettin Koca, however, said on Monday that the increase in confirmed cases was low when compared with the increase in testing, which has been ramped up to more than 20,000 per day.

President Recep Tayyip Erdogan has introduced gradual measures to contain the spread of the coronavirus, asking people to stay at home and imposing a curfew on those over 65 and under 20, but resisting a nationwide lockdown.

Opposition politicians, including the mayors of two of the biggest cities, Ankara and Istanbul, which have been among the hardest hit by the virus, have called for stricter measures, but Mr. Erdogan has allowed industry, construction firms and public transport to continue working.

“Turkey’s situation concerning urgent needs, from health to food and cleaning material, is very good,” Mr. Erdogan said in an address to the nation on Monday. “We not only have the ability to overcome this epidemic, but also the morale and determination.”

India will export hydroxychloroquine, an untested treatment being pushed by Trump.

India appeared to be softening its position on blocking the export of hydroxychloroquine, a drug that Mr. Trump has promoted as a possible treatment for the coronavirus.

India is the world’s largest producer of hydroxychloroquine, known as HCQ, and the president threatened Monday night to retaliate against India if it did not lift tough export restrictions imposed last month.

Many scientists question if the drug, usually prescribed to treat malaria and rheumatism, actually helps against the coronavirus. But Mr. Trump and others have called it “a game changer.”

“In view of the humanitarian aspects of the pandemic, it has been decided that India would license paracetamol and HCQ in appropriate quantities to all our neighboring countries who are dependent on our capabilities,” Anurag Srivastava, a spokesman for India’s foreign ministry, said on Tuesday. (Paracetemol is the pain reliever usually called acetaminophen or Tylenol in the United States.)

“We will also be supplying these essential drugs to some nations who have been particularly badly affected by the pandemic,” Mr. Srivastava said.

India’s coronavirus cases have been doubling every four days; the number of detected cases has risen above 4,000, and the country remains under a strict lockdown that has kept much of its 1.3 billion people indoors.

Concerns are rising that the lockdown could send India into a deep recession that will hit hundreds of millions of poor people especially hard. The Indian government is now planning to slash the salaries of all members of Parliament, including Prime Minister Narendra Modi, by 30 percent.

Even as some European nations record rising death tolls, others begin planning for public life to return.

Even as death tolls are rising in France, rebounding in Spain and have yet to peak in cities across Europe, some countries have begun publicly considering plans to lift restrictions on movement and return to some semblance of normalcy.

Sebastian Kurz, the chancellor of Austria, in a Monday news conference introduced a timetable for the country to re-emerge from lockdown that would see some stores reopen after Easter.

Austria has recorded 12,058 confirmed cases and 220 deaths, but with new cases appearing to peak on March 26, the government has begun to plan for a loosening of restrictions. Mr. Kurz pleaded with residents to maintain social distancing rules this week, saying it was crucial.

Denmark will allow its youngest children to return to day care and school starting April 15, Prime Minister Mette Frederiksen announced on Monday, describing the steps as the first phase of the lifting a series of restrictions announced last month.

Other restrictions — like border closures, and the shuttering of restaurants and other nonessential services — will remain in place at least another four weeks. A ban on large gatherings was extended through August. Ms. Frederiksen said the relaxing of restrictions was not an easy decision.

“It’s like walking a tightrope: If we stand still, we may fall,” she said. “If we go too fast it may soon go wrong.”

In Italy, where there is a growing sense that the worst of the epidemic may have passed, officials are weighing the idea of widespread testing for antibodies that would allow workers to return. But elsewhere, officials have stressed that talk of lifting restrictions was premature. Chancellor Angela Merkel of Germany warned on Monday that it would be “irresponsible” to discuss a date for easing measures.

Édouard Philippe, France’s prime minister, said last week that it was too early to say precisely when and how easing would happen, adding it was important not to “ruin the collective effort.”

Cases are spiking in Japan, but its emergency measures are voluntary.

As Prime Minister Shinzo Abe prepares to declare a state of emergency for Japan’s largest population centers, citizens and businesses in cities like Tokyo, Yokohama, Osaka, Kobe and Fukuoka must now decide how to respond.

Unlike in other countries, Mr. Abe does not have the legal power to issue stay-at-home orders or force businesses to close, and he has promised to keep public transit operational.

Even as experts warn that Japan is on the brink of an explosion of infections that could overwhelm its health care system, the government will largely depend on voluntary compliance.

Those covered by the planned emergency declaration — about 56.1 million people across seven prefectures, or less than half of Japan’s total population — will be strongly urged for the next month to work from home and avoid going out for anything other than essential trips to the market or pharmacy.

Until now, Japan’s health officials have reassured the public that they have prevented the virus from raging out of control, mainly by closing schools, asking organizers of large sports and cultural events to cancel them, and quickly identifying clusters of cases and tracing close contacts to infected people.

But as Mr. Abe, who also announced an economic stimulus package on Monday that he said was worth nearly $1 trillion, prepares to take the nation’s containment measures a step further with an official declaration that is expected Tuesday evening, some experts saw that as a tacit admission that the government’s previous approach was no longer working.

As of Tuesday morning, Japan had confirmed a total of 3,906 cases and 80 deaths from the coronavirus.

With Passover under lockdown, Israeli Jews are revising the rituals.

Singing outdoors. Participating remotely in a Zoom Seder. Leaving apartment doors open so solitary neighbors can hear the recitations.

On the first night of Passover, which falls on Wednesday, multigenerational families, relatives and friends traditionally gather for the ritual Seder feast to commemorate the Israelites’ liberation from bondage in ancient Egypt.

But in an extraordinary effort to prevent the spread of the coronavirus, the government has tightened the general lockdown with additional restrictions targeted specifically at the holiday — temporarily banning intercity travel and requiring Israelis to remain in their own homes with no visitors allowed.

The restrictions come on top of existing measures that restrict people to within 100 meters of their homes except to shop for food or medical supplies or other essential trips.

Naftali Bennett, the defense minister, warned Israelis that children sneaking over to their parents’ for Seder night “could kill them.”

The religious questions arising from Zooming this year’s Seder gatherings set off a fiery debate among Israel’s rabbis because strictly observant Jews do not use electricity or technological devices on holy days.

A group of venerable rabbis of Moroccan descent presented a nuanced ruling in favor of allowing video chat for this year only, while Israel’s state rabbinical authority opposed that ruling, upholding the ban on the use of electronic devices.

Here’s how to help from home.

Sitting at home, it’s easy to feel like there’s nothing you can do to help those on the front lines of the pandemic. But there are many things you can do to help medical professionals, the people affected directly by the virus and your local businesses.

Chaos at the Afghan-Pakistan border overwhelms screening efforts.

In Afghanistan, thousands of people flooded through the border with Pakistan on Tuesday in chaotic scenes that overwhelmed any screening measures to identify cases and slow the spread of the disease.

The country’s weak management of borders has been a major issue. Even as the virus spread in neighboring Iran, hundreds of thousands of people still made it back to Afghanistan through its western borders, before spreading across the country. Now the rush of returnees from Pakistan, where nearly 4,000 cases have been confirmed, has exacerbated fears. By Tuesday morning, Afghanistan had reported 423 cases of the virus — but officials warn those numbers could not be an authentic indication of the spread, with testing starting late and remaining limited.

The border with Pakistan, shut for weeks, was temporarily opened on Monday to allow measured return of Afghans stuck on the other side. On the first day, officials even showed pictures of circles drawn on the ground to enforce distancing as returnees were checked to see if they had any symptoms. But early on Tuesday, the scenes were chaotic.

“Between 8,000 and 10,000 people rushed in all at once,” said Rahat Gul Ziarmal, the mayor in the border town of Torkham.

Reporting was contributed by Michael Cooper, Alan Blinder, Karen Zraick, Jonah Engel Bromwich, Alan Rappeport, Raymond Zhong, Javier C. Hernández, Carlotta Gall, Aurelien Breeden, Martin Selsoe Sorensen, Christopher F. Schuetze, Marc Santora, Megan Specia, Iliana Magra, Maggie Haberman, Mike Baker, Declan Walsh, Andrew Higgins, Carlotta Gall, Patrick Kingsley, Stephen Castle, Mark Landler, Adam Liptak, Rick Rojas, Abdi Latif Dahir, Sheila Kaplan, Katie Thomas, Motoko Rich, Mike Ives, Richard C. Paddock, Hannah Beech, Jason Gutierrez, Muktita Suhartono, Elaine Yu and Zach Montague.

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