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story.lead_photo.caption Medical personnel at work in the intensive care unit of the hospital of Brescia, Italy, Thursday, March 19, 2020. Italy has become the country with the most coronavirus-related deaths, surpassing China by registering 3,405 dead. Italy reached the gruesome milestone on the same day the epicenter of the pandemic, Wuhan, China, recorded no new infections. For most people, the new coronavirus causes only mild or moderate symptoms. For some it can cause more severe illness. (Claudio Furlan/LaPresse via AP)
For more news about the COVID-19 coronavirus, access the News Tribune Health section.
 

ROME (AP) — Italy's death toll from the coronavirus outbreak eclipsed China's on Thursday as the scourge extended its march across the West, where the United States and other countries increasingly enlisted the military and improvised at every turn to get ready for the onslaught of patients.

In the U.S., the Army readied mobile military hospitals for deployment in major cities. In Madrid, a four-star hotel was turned into a hospital. Medical centers around the United States set up drive-thru testing sites that drew long lines of motorists waiting for nurses to swab their nostrils.

As the outbreak spread westward, it infected at least one European head of state: Monaco's 62-year-old Prince Albert II, who continued to work from his office. And it appeared to be opening an alarming new front in Africa, where health care in many countries is already in sorry shape.

At the United Nations in New York, Secretary-General Antonio Guterres said the world is "at war with a virus" and warned "a global recession, perhaps of record dimensions, is a near certainty."

"If we let the virus spread like wildfire — especially in the most vulnerable regions of the world — it would kill millions of people," he said.

Italy, with 60 million citizens, recorded a total of at least 3,405 deaths, or roughly 150 more than in China — a country with a population over 20 times larger. At the same time Italy reached its bleak milestone, Wuhan, the Chinese city where the coronavirus first emerged three months ago, recorded no new infections, a sign the country's lockdowns had worked.

In a measure of how the fortunes of East and West have shifted, New York officials were sent to China to buy more ventilators. And in Italy, the leader of a delegation from the Chinese Red Cross openly castigated Italians for failing to take the country's national lockdown seriously.

On a visit to the hard-hit city of Milan, Sun Shuopeng said he was shocked to see so many people walking around, using public transportation and eating out in hotels.

"Right now we need to stop all economic activity and we need to stop the mobility of people," he said. "All people should be staying at home in quarantine."

In the U.S., the damage to the world's largest economy kept piling up, with the number of Americans filing for unemployment benefits surging by 70,000 last week. On Wall Street, though, stocks rose modestly amid optimism over efforts by the Federal Reserve and other central banks to shore up the economy. The Dow Jones Industrial Average gained almost 200 points, or 1 percent.

Congress is weighing a proposed $1 trillion emergency package that would dispense relief checks to households in as many as two rounds, the first of which would consist of payments of $1,000 per adult and $500 for each child.

The U.S. death toll rose to at least 168, primarily elderly people. Johns Hopkins University, which has been tallying the virus' spread around the world, said the U.S. had more than 11,000 cases.

Worldwide, the death toll crept toward 10,000, and the total number of infections topped 220,000, including nearly 85,000 people who have recovered.

French Prime Minister Edouard Philippe pleaded with people to keep their distance from one another to avoid spreading the virus, even as the crisis pushed them to seek comfort.

"When you love someone, you should avoid taking them in your arms," he said in Parliament.

Health authorities have cited a variety of reasons for Italy's high toll, key among them its large population of elderly people, who are particularly susceptible to serious complications from the virus. Italy has the world's second-oldest population, and the vast majority of its dead — 87 percent — were older than 70.

Jonas Schmidt-Chanasit, a virologist at Germany's Bernhard Nocht Institute for Tropical Medicine, said Italy's high death rate could be explained in part by the almost total breakdown of the health system in the hard-hit northern part of the country.

In the U.S., Army officials announced plans to deploy two hospitals, probably to Seattle and New York City. President Donald Trump said earlier this week he would send a Navy hospital ship to the West Coast as well as one to New York City. With more than 4,000 cases, far more than any other state, New York is rapidly becoming a U.S. epicenter of the pandemic.

New York Gov. Andrew Cuomo said the state does not have enough ventilators for the expected surge of patients and needs to acquire thousands before the outbreak overwhelms hospitals.

"Every state is shopping for ventilators. We're shopping for ventilators. We literally have people in China shopping for ventilators which is one of the largest manufacturers. So this is a major problem," he said.

A Houston hospital that opened its doors to drive-thru testing quickly saw a line of hundreds of vehicles back up for more than a mile. At a white tent, workers in masks and head-to-toe protective gear swabbed motorists. Petra Sanchez waited to find out whether she had the virus.

"I have an 80-year-old dad, and I haven't been around him for the same reason," she said. "I don't know what I have."

On Thursday, the U.S. State Department warned Americans in the strongest terms yet not to travel abroad under any circumstances.

Around the world, the British government, criticized as slow to react to the virus, shifted gears and drew up legislation giving itself new powers to detain people and restrict gatherings. The bill is expected to be approved by Parliament next week.

The British supermarket chain Sainsbury's reserved the first hour of shopping for vulnerable customers. Among them was Jim Gibson, 72, of London, who was concerned the country had been too slow in ramping up testing.

"You can't go on ignoring World Health Organization guidelines — if they're wrong, who the hell is right?" he said. "Let's have no shilly-shallying."

In China, Thursday marked the first time since Jan. 20 the locked-down city of Wuhan, where thousands once lay sick or dying in hurriedly constructed hospitals, reported no new locally transmitted cases. Authorities said all 34 new cases recorded over the previous day had come from abroad.

"Today, we have seen the dawn after so many days of hard effort," said Jiao Yahui, a senior inspector at the National Health Commission.

Meanwhile, the World Health Organization warned the virus is spreading quickly in Africa, from about five countries a week and a half ago to 35 of the continent's 54 nations — an "extremely rapid evolution," WHO's Africa chief, Dr. Matshidiso Moeti, said.

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