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Coronavirus Live Updates: ‘Now Is the Time to Act,’ W.H.O. Chief Warns

The world’s leading health official implored international leaders to unleash the full power of their governments to combat the new coronavirus outbreak.

“This is not a drill,” said Dr. Tedros Adhanom Ghebreyesus, director general of the World Health Organization. “This is not a time for excuses. This is a time for pulling out all the stops.”

But around the world, as the number of cases neared 100,000, governments have displayed signs of paralysis, obfuscation and a desire to protect their own interests, even as death tolls passed 3,200 and global capitals were so threatened by infection that politicians and health officials tested positive for the illness.

In the United States, a survey of nurses found that only 29 percent had a plan to isolate potentially infected patients. Across the nation, as the number of new cases passed 200, public health labs anxiously awaited diagnostic kits, which will allow for a fuller sense of the scale of the crisis.

But in communities where local transmission is already occurring — like the area near Seattle where 10 residents of one nursing home died — the race to try and halt the virus’s further spread was already upending daily life as schools were closed and public events canceled.

Americans struggled to make sense of conflicting information from President Trump and members of his own cabinet. Vice President Mike Pence, who previously vowed that “any American could be tested,” conceded on Thursday that “we don’t have enough tests today to meet what we anticipate will be the demand going forward.”

Dr. Tedros warned that time to contain the virus was running out. “Now is the time to act,” he said.

Still, some political leaders around the world seemed more interested in pointing fingers at one another and complaining about tit-for-tat travel restrictions. Japanese citizens have been outraged by the hands-off approach of Prime Minister Shinzo Abe as cases have continued to climb. Lending more outrage, testing has proceeded slowly, leaving many fearful that many infections are going undetected.

In the center of the outbreak in China, residents of Wuhan who have been confined to their homes for weeks heckled the visiting vice prime minister Thursday, with some shouting from their windows: “Fake! Everything is fake!”

An older woman without any known contact with coronavirus patients became the first Briton to die from the new coronavirus, the British government said on Thursday. She learned she was infected after the health service expanded its testing to include seriously ill patients with respiratory problems.

That she contracted the virus without traveling or socializing with known patients added to fears that the virus was spreading undetected in Britain, where a severe shortage of intensive care beds would sap the health service’s ability to treat a deluge of cases like hers, doctors said.

In a series of interviews, doctors laid bare dire shortcomings in Britain’s efforts to combat the coronavirus: a dearth of ventilators, overflowing hospital wards, health workers having to buy their own face masks. An explosion of cases could mean denying care to the weakest patients to make room for stronger ones, they said.

“If we haven’t got ventilatory support to offer them, it’s going to end in death,” said Dr. George Priestley, an intensive care doctor and anesthesiologist. “I don’t want to be alarmist. I just want someone to pay attention.”

A decade of austerity-driven cuts to budget growth has starved the health service of workers and beds at the very moment Britain most needs them. The country has among the fewest hospital beds per person in Europe, according to studies, and many fewer intensive care beds per person than the United States, leaving its wards packed even before coronavirus patients arrive.

Tourism to the West Bank has been banned indefinitely and the city of Bethlehem is on lockdown after seven Palestinian hotel workers there tested positive for the coronavirus, officials said.

The Church of the Nativity, revered as the birthplace of Jesus, and other houses of worship in Bethlehem were closed for two weeks.

The Palestinian Authority declared a state of emergency Friday morning, shutting schools and colleges, suspending sporting events, restricting gatherings and travel between cities on the West Bank and canceling the hotel reservations of foreign tourists.

Outside Bethlehem, tour buses idled near the gates to the city on Friday after the Israeli military closed off a main checkpoint, barring Israelis and Palestinians from entering or leaving the city.

The seven sick Palestinians worked at a hotel in Bethlehem where a group of Greek tourists stayed in late February. Some 21 members of the group tested positive for the virus on their return home. The group’s bus driver, an East Jerusalem resident, is also infected.

The Palestinian health minister, Mai al-Kaila, came under harsh criticism after announcing the spread of the virus to Bethlehem on Thursday. In Jericho, protesters set tires ablaze late Thursday over false rumors that patients with the virus were being transferred there.

Hubei, the Chinese province at the center of the coronavirus outbreak, reported on Friday that there were no new infections outside its capital, Wuhan. The news is a major milestone in the government’s all-out campaign to combat an epidemic that has gripped the country since January.

In a daily update on its website, China’s National Health Commission reported 126 new infections in Hubei on Friday, but for the first time all of them were in Wuhan, the city of 11 million where the virus is thought to have originated. In total, the country reported 143 new cases on Friday, a sign that Wuhan appears to be the only obvious hot spot of new infections in China.

The downward trend is a result of an all-out effort by the Chinese government to contain the spread of the disease. Since January, the government has enacted nationwide quarantine and travel restrictions and placed Hubei under a strict lockdown, effectively penning in 56 million people.

The new numbers reflect a steep decline from just a few weeks earlier. At one point in early February, Hubei reported more than 1,400 new cases outside Wuhan in one day. One of the government-appointed Chinese researchers working to control the outbreak told the state-run newspaper People’s Daily on Thursday that, based on the data, he expected Wuhan to hit zero new infections later this month.

Vice President Mike Pence on Thursday pledged the full resources of the federal government to Washington State, as the death toll in the state continued to rise.

Washington State registered its 13th fatality from the coronavirus on Thursday, driven by an outbreak at a nursing home in the Seattle suburbs, and the state’s overall number of infections rose to 75.

Eleven deaths have come at EvergreenHealth Medical Center in Kirkland, which is near the nursing home.

“Washington State is on the front lines of the coronavirus,” Mr. Pence said. Gov. Jay Inslee, a Democrat, praised Mr. Pence for his work assisting the state.

As government leaders in the region have taken escalating action to contain the crisis, public spaces have emptied out. Seattle’s notorious traffic all but vanished, and the few cars on the highways raced along unimpeded. The Lake Washington Institute of Technology, which has 6,000 students, was closed after officials learned that students and faculty members had visited the nursing home in Kirkland last week.

Those individuals are now in self-quarantine for 14 days. The school is expected to reopen next week after being disinfected.

Residents in Wuhan, the Chinese city at the center of the global outbreak, shouted complaints on Thursday from their balconies at visiting government officials, the latest sign of simmering anger in the locked-down city.

The rare rebuke of high-level officials was captured on video and circulated on social and state-run media. The visiting delegation included Sun Chunlan, a vice premier who is leading the central government’s response to the outbreak.

“Everything is fake!” shouted one resident, in a video clip that was shared on social media by People’s Daily, a state-run newspaper, which covered the government’s response to the heckling.

The videos taken on Thursday did not make clear the exact reason for residents’ dissatisfaction. People’s Daily said the accusations were aimed at local neighborhood officials who had “faked” deliveries of vegetables and meat to residents. Critics were skeptical of that explanation, seeing the response as an attempt by high-level officials to deflect blame for mishandling the crisis.

Wuhan and many other cities in Hubei Province have been under strict lockdown since January. As the outbreak has escalated, residents have voiced frustration with provincial and central government officials. Unable to leave their homes, many residents have had to rely on their neighborhood committees to organize deliveries of groceries and other basic essentials — a process that has been unevenly implemented, much to the frustration of local residents.

CCTV, the state-run broadcaster, said Thursday evening that Ms. Sun had ordered local provincial and city officials to conduct an “in-depth investigation” in response to the “difficulties and problems reported by the masses at the scene.”

A French lawmaker, Jean-Marc Reitzer, a conservative representative for the Haut-Rhin area of eastern France, has been placed in intensive care after testing positive for the coronavirus.

The area that Mr. Reitzer represents has become a source of growing concern for the authorities. Laurent Touvet, the top state official in Haut-Rhin, said at a news conference on Friday that there were 81 confirmed cases — an eightfold increase in just 48 hours.

The health authorities have traced many of those cases to an evangelical religious gathering that was held in the city of Mulhouse in February, and there are concerns that attendees might have spread the virus to other regions.

Mr. Touvet announced restrictive measures to slow the spread of the virus, including a ban on gatherings of more than 50 people, a ban on public sporting events, and the closure of about 100 schools.

Mr. Touvet also said that minors would be prevented from visiting public and private health establishments, including retirement homes, arguing that children — who are less likely to follow health guidelines — could carry the virus without presenting any symptoms.

But Mr. Touvet asked residents “not to give in to psychosis,” stressing that the measures were mostly meant to protect people who are especially vulnerable to the virus.

At least seven deaths in France have been tied to the coronavirus since the end of January, and the authorities are bracing for a possible surge in cases as new clusters of infection appear around the country.

The latest was reported in the Val d’Oise region, north of Paris; the local authorities identified nine cases in the village of Méry-sur-Oise.

South Korea voiced “strong regret” on Friday over Japan’s travel restrictions and warned of tit-for-tat retaliations, as tensions over the coronavirus threatened to aggravate already-fraught ties between Washington’s two main allies in Asia.

Prime Minister Shinzo Abe of Japan imposed the restrictions on all visitors from South Korea and China, including a 14-day quarantine on Thursday, as part of his government’s efforts to fight the coronavirus. Japan also voided visas for 2.8 million Chinese visitors.

South Korea reported 518 new cases on Friday, bringing the total to 6,284, the largest outbreak outside China.

Although more than 90 countries have banned or restricted visitors from South Korea, Seoul became especially incensed by the move from Japan, a onetime rival.

“We cannot understand Japan’s decision to take this unfair step without consulting with us in advance,” South Korea’s National Security Council said in a statement. “Our government decided to consider countermeasures based on the principle of reciprocity.”

Prime Minister Chung Sye-kyun said Japan’s travel restrictions were tantamount to “full entry ban on our people.”

“We demand the excessive and irrational measure to be immediately withdrawn,” he said at a government meeting on Friday.

The number of confirmed cases of the new coronavirus in New York State doubled on Thursday to 22, with officials announcing two additional cases in New York City, eight new cases in Westchester County and one on Long Island.

The virus’s potential reach was underlined by a much larger number: As of Thursday morning, the city’s Department of Health was monitoring 2,773 New Yorkers currently in home isolation, most of them in self-quarantine.

Most of them had recently traveled to one of five countries where the outbreak has been most severe — China, Italy, Iran, South Korea or Japan — according to Dr. Oxiris Barbot, the city health commissioner.

At least two New Yorkers — a health care worker who has tested positive after visiting Iran and her husband, who tested negative — are under mandatory quarantine in their Manhattan home.

The eight new Westchester cases were all connected with a man from New Rochelle who is hospitalized, adding to eight that were found the day before. The two new New York City patients — a man in his 40s and a woman in her 80s — and the Long Island case, a 42-year-old man in Nassau County — were hospitalized after testing positive.

Reporting was contributed by David Halbfinger, Mohammed Najib, Marc Santora, Benjamin Mueller, Russell Goldman, Amy Qin, Elaine Yu, Javier C. Hernández, Max Fisher, Ben Dooley, Mike Isaac, David Yaffe-Bellany and Karen Weise.

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