Prime Minister Boris Johnson of Britain has been moved to intensive care.
Prime Minister Boris Johnson was moved into intensive care on Monday, a worrisome turn in his 10-day battle with the coronavirus and the starkest evidence yet of how the virus has threatened the British political establishment and thrown its new government into upheaval.
The government said the decision was a precaution and that the prime minister had been in good spirits earlier in the day. But with Mr. Johnson’s aides releasing few details about his condition, the nation kept a tense vigil on Monday night, hoping for the best and experiencing, together, the frightening mysteries of this disease.
In a sign of how grave the situation had become, Downing Street said in a statement on Monday that Mr. Johnson had asked the foreign secretary, Dominic Raab, to deputize for him “where necessary.” The pound fell against the dollar after investors reacted to the news.
After noting earlier in the day that the prime minister was still getting official papers, Mr. Johnson’s aides said he had been moved to the intensive care unit in case he needed a ventilator to help his recovery. Not every patient in critical care is ventilated, medical experts said, but many are — or are at least given oxygen. Mr. Johnson remains conscious, officials said.
For Mr. Johnson, 55, it was an especially cruel reversal. Just four months ago, he engineered the greatest Conservative Party victory since Margaret Thatcher’s in 1987, delivered his promise to take Britain out of the European Union, and set in motion an ambitious economic program to transform his divided country.
Now, Mr. Johnson, a political phenomenon whose career has always had a quicksilver quality, finds himself in a debilitating battle after contracting a virus he initially viewed with characteristic nonchalance.
For Britain, which had so recently emerged from three-and-half years of paralysis and polarization over Brexit, Mr. Johnson’s illness plunges the country back into the uncertainty Britons thought they had left behind.
A top White House adviser starkly warned Trump administration officials in late January that the coronavirus crisis could cost the United States trillions of dollars and put millions of Americans at risk of illness or death.
The warning, written in a memo by Peter Navarro, President 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, and he would later go 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.
The authorities in mainland China on Tuesday reported no new coronavirus deaths for the first time since January, just as they planned to further ease a monthslong lockdown in Wuhan, the central Chinese city where the pandemic began.
Wuhan has been slowly returning to a semblance of normalcy in recent weeks. Its once-shuttered subways began running again in late March, and restrictions on outbound travel were scheduled to lift for the first time on Wednesday.
As of Tuesday, China had 83,654 coronavirus infections since the start of the outbreak, according to official figures compiled by The New York Times. At least 3,331 people nationwide have died, and most other patients had recovered.
But many believe China’s death toll is actually much higher. American intelligence officers say that because midlevel Chinese officials in Wuhan and elsewhere have been lying 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, the capital of Hubei Province, where officials have suppressed online discussion of fatalities and pushed relatives of coronavirus victims to bury the dead quickly and quietly.
Other doubts revolve around how China counts new cases.
The National Health Commission said on Tuesday that the 32 new confirmed infections it had recorded a day earlier were all imported from abroad.
Yet China does not count asymptomatic infections as part of its confirmed caseload, as other countries do. And on Tuesday it recorded 30 new asymptomatic cases, including 18 in Hubei Province. All but nine of them were transmitted locally.
From dorm rooms and apartments, 52 medical students watched video of themselves roll across their screens. Miles away, their proud families followed online. Gazing into webcams, the students pledged the Hippocratic oath in frayed unison, dozens of different starts and voices, all coming to the same point.
They could get on with doctoring.
On Friday, a virtual graduation was held over video chat for nearly half the 2020 class at New York University’s Grossman School of Medicine. They were two months ahead of schedule. That moment will be repeated in some form at other medical schools in the coming days.
The more ragged the ritual, the more soul-stirring its core: Young people were stepping up to join others already serving at an hour of crisis, little different than soldiers being deployed in war.
“The country needs to mobilize people,” said Dr. Steven Abramson, vice dean of the Grossman school. “Last time this happened was in World War II, when medical schools were shortened to three years.”
Celebrate the students today. Remember, too, that they stand as proxies for an entire caste of the essential: doctors, nurses and technicians, of course, but also those who drive buses, pick up garbage, save lives in ambulances, stock grocery shelves, deliver mail, push bins of dirty sheets down corridors, keep the electricity grid humming and the sewer system flowing, and figure out how to make space in hospitals when none is left.
India appeared to be softening its position on blocking the export of hydroxychloroquine, a drug being hailed as a possible treatment for the coronavirus.
India is the world’s largest producer of hydroxychloroquine, known as HCQ, and President Trump 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 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.
“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.
Trump again misleads on the availability of coronavirus testing.
President Trump, at his coronavirus task force briefing, again said the number of coronavirus tests in the United States now exceeds that in other countries, wrongly suggesting that the country is doing a better job of monitoring the spread of the disease than other nations.
Though it is true that the total number of tests in the United States has now edged higher than the number in South Korea last week, America has a much larger population than that country. On a per-capita basis, the United States has tested far fewer people than several other countries.
There is also substantial local variation in the country, with tests much harder to obtain, on average, in some parts of the country than others.
Even as new and faster tests become available, lengthy delays in obtaining results continue and test materials are running low, compounding the crises hospitals are facing.
Private companies like Quest and LabCorp are now running thousands of tests a day. But demand for testing has overwhelmed many labs and testing sites.
Doctors and officials around the country say that lengthy delays in getting results have persisted and that uneven access to tests has prolonged rationing and hampered patient care. In addition, swabs and chemicals needed to run the tests are in short supply in many of the nation’s hot zones.
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.
Wisconsin election fight previews battle over virus-era voting.
Wisconsin voters will face 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. The political and legal skirmishing throughout Monday was only the first round of an expected national fight over voting rights in the year of Covid-19.
The Republicans’ success came at the end of a day that left anxious voters whipsawed between competing claims from Gov. Tony Evers and his opponents in the G.O.P.-controlled State Legislature over whether Tuesday’s election would proceed as planned. It rattled democracy in a key battleground state already shaken by a fast-growing number of cases of the coronavirus.
The governor 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 capping the election-eve chaos, 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 their attempt to extend the deadline for absentee voting in Tuesday’s elections, 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.”
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 coronavirus pandemic. But there are many things you can do to help medical professionals, the people affected directly by the virus and your local businesses.
In responding to the coronavirus pandemic, the world’s autocrats are turning to their tried-and-tested tool kits, employing a mixture of propaganda, repression and ostentatious shows of strength to exude an aura of total control over an inherently chaotic situation.
For Egypt’s president, Abdel Fattah el-Sisi, that meant deploying chemical warfare troops, clad in protective suits and armed with disinfectant, to the streets of Cairo, in a theatrical display of military muscle projected via social media.
Russia’s leader, Vladimir V. Putin, donned the plastic suit himself, in canary yellow, for a visit to a Moscow hospital for coronavirus patients. Then he dispatched to Italy 15 military planes filled with medical supplies and emblazoned with the slogan “From Russia with Love.”
President Recep Tayyip Erdogan of Turkey, a prodigious jailer of journalists, locked up a few reporters who criticized his early efforts to counter the virus, then sent a voice message to the phone of every citizen over 50, stressing that he had everything under control.
And in Turkmenistan, one of the world’s most repressive countries, where not a single infection has been officially declared, the president for life, Gurbanguly Berdymukhamedov, promoted his book on medicinal plants as a possible solution to the pandemic.
As Pakistan struggles to implement a lockdown to curtail the spread of coronavirus, it is facing resistance from firebrand clerics bent on bringing together the masses for Friday prayers, despite several outbreaks linked to mosques.
Pakistan has over 3,200 confirmed cases of coronavirus and 48 deaths. But experts believe the real number is much higher in the world’s fifth largest country.
Although Pakistan’s Ulema Council, its highest religious authority, has urged people to pray at home, radical clerics have promised to keep their mosques open. In response, the government implemented a three-hour curfew last Friday during noon prayers in Sindh Province.
But worshipers came out across the country anyway.
When the police tried to break up prayers at one mosque in Karachi, congregants formed a violent mob. They threw stones at police vehicles and attacked officers. A stampede formed and snaked through a part of the city as the crowd ran after the scampering police officers. In other parts of Karachi, where mosques had closed, people showed up anyway and prayed outside the gates.
“Allah is angry due to our sins and because we are not following Islamic teachings. It is the reason that the coronavirus pandemic is spreading,” said Hussain Attari, a worshiper who joined in the attack on the police last Friday.
Clerics in Islamabad, the capital, and Khyber Pakhtunkhwa Province also defied government orders and opened their mosques. They promised to do so again this Friday.
Pakistan’s police have registered dozens of cases against clerics across the country for violating the ban and promised to disperse congregants this Friday if they defy the curfew again.
A ‘Liberty’ rebellion in Idaho threatens to undermine coronavirus orders.
In a state with pockets of deep wariness about both big government and mainstream medicine, the sweeping restrictions aimed at containing the spread of the virus have run into outright rebellion in some parts of Idaho, which is facing its own worrying spike in coronavirus cases.
The opposition is coming not only from people like Ammon Bundy, whose armed takeover of the Oregon refuge with dozens of other men and women in 2016 led to a 41-day standoff, but also from some state lawmakers and a county sheriff who are calling the governor’s statewide stay-at-home order an infringement on individual liberties.
Health care providers and others have been horrified at the public calls to countermand social-distancing requirements, warning that failing to take firm measures could overwhelm Idaho’s small hospitals and put large numbers of people at risk of dying.
Many of the latest claims about the Constitution have come from Idaho’s northern panhandle, where vaccination rates for other diseases have always been low and where wariness of government is high.
At a time when health officials say social-distancing measures are vital to avert catastrophic outbreaks of the kind that could overwhelm hospitals — as happened in Italy — Idaho’s tensions threaten to undermine compliance. While the state was one of the last in the country to identify a coronavirus case, it now has far more cases per capita than California. Blaine County, which includes the popular Sun Valley ski resort, now has the largest per capita concentration of coronavirus cases in the nation.
President Rodrigo Duterte of the Philippines on Tuesday extended for another two weeks a lockdown on the country’s main island that encompasses about 60 million people, as virus-related restrictions look set to continue elsewhere in Southeast Asia.
The lockdown on the island of Luzon covers the Philippine capital, Manila, which has a population of 14 million and a sprawling network of slums. The weather there is particularly scorching at this time of year, with average temperatures above 90 degrees Fahrenheit.
Mr. Duterte’s move came a day after the authorities in Thailand extended by 12 days a ban on all incoming passenger flights. The ban took effect over the weekend and was initially designed to end on Monday.
And in Jakarta, the capital of Indonesia, the governor was preparing on Tuesday to impose greater social distancing restrictions, including requiring employees to work from home, prohibiting religious gatherings and reducing public transportation. The governor had previously closed schools and some workplaces and urged the public to maintain social distancing.
Manila and Jakarta, which has a population of about 11 million, are two of the world’s most populous cities.
Reporting was contributed by Mike Baker, Declan Walsh, Andrew Higgins, Carlotta Gall, Patrick Kingsley, Stephen Castle and Mark Landler, Adam Liptak, Sheila Kaplan, Katie Thomas, Motoko Rich, Mike Ives, Richard C. Paddock, Hannah Beech, Jason Gutierrez, Muktita Suhartono and Elaine Yu.