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With 4 Deaths in Iran and More Cases on 3 Continents, Fears of Coronavirus Pandemic Rise | With 4 Deaths in Iran and More Cases on 3 Continents, Fears of Coronavirus Pandemic Rise |
(2 days later) | |
Read live updates on the coronavirus outbreak here. | Read live updates on the coronavirus outbreak here. |
HONG KONG — An alarming surge of new coronavirus cases outside China, with fears of a major outbreak in Iran, is threatening to transform the contagion into a global pandemic, as countries around the Middle East scrambled to close their borders and continents so far largely spared reported big upticks in the illness. | HONG KONG — An alarming surge of new coronavirus cases outside China, with fears of a major outbreak in Iran, is threatening to transform the contagion into a global pandemic, as countries around the Middle East scrambled to close their borders and continents so far largely spared reported big upticks in the illness. |
In Iran, which had insisted as recently as Tuesday that it had no cases, the virus may now have reached most major cities, including Tehran, and has killed at least four people, according to health officials. Already, cases of travelers from Iran testing positive for the virus have turned up in Canada and Lebanon. | In Iran, which had insisted as recently as Tuesday that it had no cases, the virus may now have reached most major cities, including Tehran, and has killed at least four people, according to health officials. Already, cases of travelers from Iran testing positive for the virus have turned up in Canada and Lebanon. |
The number of cases also soared in South Korea, with the sudden spread tied to a secretive church where hundreds of congregants attended services with numerous people infected with the virus. | The number of cases also soared in South Korea, with the sudden spread tied to a secretive church where hundreds of congregants attended services with numerous people infected with the virus. |
The United States now has 34 cases, with more expected, and Italy experienced a spike from three cases to 17 and ordered mandatory quarantine measures. | The United States now has 34 cases, with more expected, and Italy experienced a spike from three cases to 17 and ordered mandatory quarantine measures. |
“The cases that we see in the rest of the world, although the numbers are small, but not linked to Wuhan or China, it’s very worrisome,” Tedros Adhanom Ghebreyesus, director-general of the World Health Organization, said Friday at a news conference at the agency’s headquarters in Geneva. “These dots are actually very concerning.” | “The cases that we see in the rest of the world, although the numbers are small, but not linked to Wuhan or China, it’s very worrisome,” Tedros Adhanom Ghebreyesus, director-general of the World Health Organization, said Friday at a news conference at the agency’s headquarters in Geneva. “These dots are actually very concerning.” |
As uneasiness about the breadth and duration of the outbreak grew, stocks fell for the second straight day on Friday amid worries the virus would drag down global demand and hurt the world economy. | As uneasiness about the breadth and duration of the outbreak grew, stocks fell for the second straight day on Friday amid worries the virus would drag down global demand and hurt the world economy. |
The disturbing reports out of Tehran suggested the virus was being transmitted far more widely there than officials had previously acknowledged. While the country’s health officials confirmed only 18 cases by Friday, the number of deaths indicates the total is likely to be far higher. | The disturbing reports out of Tehran suggested the virus was being transmitted far more widely there than officials had previously acknowledged. While the country’s health officials confirmed only 18 cases by Friday, the number of deaths indicates the total is likely to be far higher. |
Four reported deaths probably mean at least 200 cases, said Michael T. Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota. If the virus kills about 2 percent of known victims, as Chinese doctors have reported, then the number of deaths can be multiplied by 50 to get a rough case estimate, he explained. | Four reported deaths probably mean at least 200 cases, said Michael T. Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota. If the virus kills about 2 percent of known victims, as Chinese doctors have reported, then the number of deaths can be multiplied by 50 to get a rough case estimate, he explained. |
“People don’t die right away of this virus — it usually takes two or three weeks after cases start to spread for the first death,” Mr. Osterholm said. “So there may be a lot more cases, and a lot more deaths on the way. And we didn’t even know there was a problem in Iran before yesterday.” | “People don’t die right away of this virus — it usually takes two or three weeks after cases start to spread for the first death,” Mr. Osterholm said. “So there may be a lot more cases, and a lot more deaths on the way. And we didn’t even know there was a problem in Iran before yesterday.” |
Minou Mohrez, who is on the infectious disease committee of the Iranian Health Ministry, told the official IRNA news agency on Friday that it was clear the virus was spreading across Iran’s cities. | Minou Mohrez, who is on the infectious disease committee of the Iranian Health Ministry, told the official IRNA news agency on Friday that it was clear the virus was spreading across Iran’s cities. |
“A coronavirus epidemic has started in the country,” she said. “It’s possible that it exists in all cities in Iran.” | “A coronavirus epidemic has started in the country,” she said. “It’s possible that it exists in all cities in Iran.” |
A spokesman for the Health Ministry, Kianush Jahanpur, said on Friday there were more than 735 people hospitalized with flulike symptoms who were being tested for the virus. | A spokesman for the Health Ministry, Kianush Jahanpur, said on Friday there were more than 735 people hospitalized with flulike symptoms who were being tested for the virus. |
Kuwait’s civil aviation authority on Friday stopped all flights to and from Iran, which shares a long border with both Afghanistan and Iraq, where health officials have a limited capacity to stop the spread of the virus should it find its way to those countries. | Kuwait’s civil aviation authority on Friday stopped all flights to and from Iran, which shares a long border with both Afghanistan and Iraq, where health officials have a limited capacity to stop the spread of the virus should it find its way to those countries. |
Dr. Sylvie Briand, the director of infectious hazards management for the W.H.O., said the rapid increase in cases in Iran was disquieting. | Dr. Sylvie Briand, the director of infectious hazards management for the W.H.O., said the rapid increase in cases in Iran was disquieting. |
“We are wondering what the extent of the outbreak in Iran is,” she told reporters on Friday. “We are wondering about the potential for more cases to be exported in the coming days. We want all countries to be aware of this and to put in place detailed measures to pick up these cases as early as possible.” | “We are wondering what the extent of the outbreak in Iran is,” she told reporters on Friday. “We are wondering about the potential for more cases to be exported in the coming days. We want all countries to be aware of this and to put in place detailed measures to pick up these cases as early as possible.” |
As concern grew that Iran was emerging as an important new vector of transmission, the country where the coronavirus originated was also responding to significant negative developments. | As concern grew that Iran was emerging as an important new vector of transmission, the country where the coronavirus originated was also responding to significant negative developments. |
Officials in China, already straining to deal with an outbreak that has infected more than 76,000 people and resulted in 2,300 deaths, announced a new front in its war on the virus on Friday as officials reported clusters of infections in at least four prisons in three provinces. | Officials in China, already straining to deal with an outbreak that has infected more than 76,000 people and resulted in 2,300 deaths, announced a new front in its war on the virus on Friday as officials reported clusters of infections in at least four prisons in three provinces. |
The outbreaks, affecting at least 512 prisoners and guards, raised the specter of the disease spreading through the country’s extensive prison system. | The outbreaks, affecting at least 512 prisoners and guards, raised the specter of the disease spreading through the country’s extensive prison system. |
More than 200 of the infections occurred in one prison in the city of Jining, 450 miles east of Wuhan, the capital of Hubei Province and the center of the outbreak; officials there suggested that the cluster may have been tied to a prison guard. | More than 200 of the infections occurred in one prison in the city of Jining, 450 miles east of Wuhan, the capital of Hubei Province and the center of the outbreak; officials there suggested that the cluster may have been tied to a prison guard. |
In South Korea, the total number of cases surpassed 340 on Saturday morning, and the authorities were racing to trace all the people who had come in contact with members of the Shincheonji Church of Jesus. Members of that church, along with their relatives and others who got the virus from them, account for more than half of the country’s confirmed infections. | In South Korea, the total number of cases surpassed 340 on Saturday morning, and the authorities were racing to trace all the people who had come in contact with members of the Shincheonji Church of Jesus. Members of that church, along with their relatives and others who got the virus from them, account for more than half of the country’s confirmed infections. |
More than 1,250 other church members have reported potential symptoms, health officials said, raising the possibility that the nation’s caseload could skyrocket. | More than 1,250 other church members have reported potential symptoms, health officials said, raising the possibility that the nation’s caseload could skyrocket. |
As of Saturday, more than 700 members of Shincheonji, which mainstream South Korean churches consider a cult, still could not be reached, according to health officials, who were hoping to screen them for signs of infection. | As of Saturday, more than 700 members of Shincheonji, which mainstream South Korean churches consider a cult, still could not be reached, according to health officials, who were hoping to screen them for signs of infection. |
In response, the government is shutting thousands of day-care facilities and community centers, even banning the outdoor political rallies that are a feature of life in downtown Seoul. | In response, the government is shutting thousands of day-care facilities and community centers, even banning the outdoor political rallies that are a feature of life in downtown Seoul. |
All four virus-related deaths in Iran occurred in Qom, a holy city popular with Shiite pilgrims across the Middle East. | All four virus-related deaths in Iran occurred in Qom, a holy city popular with Shiite pilgrims across the Middle East. |
People have already tested positive in Qom, Tehran and Gilan, near the Caspian Sea, said Mr. Jahanpur, the Health Ministry spokesman. | People have already tested positive in Qom, Tehran and Gilan, near the Caspian Sea, said Mr. Jahanpur, the Health Ministry spokesman. |
“Most of these people were residents of Qom or they had traveled to Qom in the past days or weeks,” he said. | “Most of these people were residents of Qom or they had traveled to Qom in the past days or weeks,” he said. |
In Qom, schools and religious seminaries were shut down on Thursday as officials urged people to avoid gathering in large groups. But on Friday, as Iranians went to vote in parliamentary elections, polling stations were open and the communal pools of ink for people to dip their fingers proving they voted were in wide use. | In Qom, schools and religious seminaries were shut down on Thursday as officials urged people to avoid gathering in large groups. But on Friday, as Iranians went to vote in parliamentary elections, polling stations were open and the communal pools of ink for people to dip their fingers proving they voted were in wide use. |
With rumors spreading across the country on instant messaging services like Telegram, a confused and increasingly worried public watched as Tehran’s largest metro station was suddenly closed. Workers wearing protective gear descended on the station, apparently responding to reports of sick commuters. It remained closed Friday night. | With rumors spreading across the country on instant messaging services like Telegram, a confused and increasingly worried public watched as Tehran’s largest metro station was suddenly closed. Workers wearing protective gear descended on the station, apparently responding to reports of sick commuters. It remained closed Friday night. |
There was growing skepticism over the government’s handling of the outbreak. Mahmoud Sadeghi, an outspoken member of Parliament from Tehran, accused the government of “covering up the spread of an epidemic.” | There was growing skepticism over the government’s handling of the outbreak. Mahmoud Sadeghi, an outspoken member of Parliament from Tehran, accused the government of “covering up the spread of an epidemic.” |
Updated June 5, 2020 | |
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April. | |
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission. | Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission. |
Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home. | Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home. |
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people. | States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people. |
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks. | Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks. |
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days. | Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days. |
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.) | If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.) |
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications. | Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications. |
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing. | The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing. |
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others. | If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others. |
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested. | If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested. |
While the source of the outbreak in Iran could not be pinned down, officials speculated that it began in the large population of Chinese workers in the country. | While the source of the outbreak in Iran could not be pinned down, officials speculated that it began in the large population of Chinese workers in the country. |
Critics accused the government of playing down the disease, and failing to take strict precautions to prevent its arrival in the country, in order to avoid provoking China, a key trading partner and a lifeline for Iran’s economy in the face of U.S. sanctions. | Critics accused the government of playing down the disease, and failing to take strict precautions to prevent its arrival in the country, in order to avoid provoking China, a key trading partner and a lifeline for Iran’s economy in the face of U.S. sanctions. |
The sanctions against Iran could hamper its ability to contain the spread of the virus and diminish the country’s ability to mobilize international support. | The sanctions against Iran could hamper its ability to contain the spread of the virus and diminish the country’s ability to mobilize international support. |
“Iran does have problems accessing specialized medication for rare and special diseases because of sanctions — either private companies or banks refuse to work with Iran in fear of U.S. secondary sanctions,” said Tara Sepehri Far, an Iran researcher at Human Rights Watch. | “Iran does have problems accessing specialized medication for rare and special diseases because of sanctions — either private companies or banks refuse to work with Iran in fear of U.S. secondary sanctions,” said Tara Sepehri Far, an Iran researcher at Human Rights Watch. |
The new global clusters showed, again, the difficulty in judging the true number of infections, amid concerns about underreporting and rapidly shifting definitions of confirmed cases. | The new global clusters showed, again, the difficulty in judging the true number of infections, amid concerns about underreporting and rapidly shifting definitions of confirmed cases. |
Further bolstering the idea that the virus is spreading widely, an epidemiological modeling team from Imperial College in London estimated Friday that two-thirds of the people infected with coronavirus who left mainland China before restrictions were imposed had traveled throughout the world without being detected. | Further bolstering the idea that the virus is spreading widely, an epidemiological modeling team from Imperial College in London estimated Friday that two-thirds of the people infected with coronavirus who left mainland China before restrictions were imposed had traveled throughout the world without being detected. |
The team, one of several modeling groups regularly consulted by the W.H.O., calculated how many cases were detected in different countries and how many should have been detected based on flights that left Wuhan just before most air travel out of China ended. | The team, one of several modeling groups regularly consulted by the W.H.O., calculated how many cases were detected in different countries and how many should have been detected based on flights that left Wuhan just before most air travel out of China ended. |
Detection failures “potentially resulted in multiple chains of as-yet-undetected human-to-human transmission,” the modeling team’s study concluded. | Detection failures “potentially resulted in multiple chains of as-yet-undetected human-to-human transmission,” the modeling team’s study concluded. |
The virus is spreading even in places that might be expected to have the closest monitoring and prevention. In Beijing, a spike in cases at two hospitals raised fears that the epidemic could be growing in a city so far largely exempt from extensive infections. | The virus is spreading even in places that might be expected to have the closest monitoring and prevention. In Beijing, a spike in cases at two hospitals raised fears that the epidemic could be growing in a city so far largely exempt from extensive infections. |
The infections — and in some cases, deaths — of medical workers have become a potent symbol of the epidemic’s toll for many Chinese. On Thursday, another doctor in Wuhan died. The doctor, Peng Yinhua, 29, had postponed his wedding to continue treating patients, according to local news reports. | The infections — and in some cases, deaths — of medical workers have become a potent symbol of the epidemic’s toll for many Chinese. On Thursday, another doctor in Wuhan died. The doctor, Peng Yinhua, 29, had postponed his wedding to continue treating patients, according to local news reports. |
Earlier this week, a high-profile doctor, Liu Zhiming, the director of the Wuchang Hospital in Wuhan, died. | Earlier this week, a high-profile doctor, Liu Zhiming, the director of the Wuchang Hospital in Wuhan, died. |
The almost random nature of new reports and new deaths is an indication the virus is moving much faster than countries are reporting to the W.H.O., Dr. Osterholm said. | The almost random nature of new reports and new deaths is an indication the virus is moving much faster than countries are reporting to the W.H.O., Dr. Osterholm said. |
“How many of these clusters and travel cases and prison outbreaks do we have to see before we realize that we’re just seeing the tip of the iceberg?” he said. “Testing is just getting set up around the world. There’s barely any in Africa right now. Even in the U.S., we’re testing travel cases — but we’re not testing in any meaningful way that will pick up cases that we didn’t suspect were there.” | “How many of these clusters and travel cases and prison outbreaks do we have to see before we realize that we’re just seeing the tip of the iceberg?” he said. “Testing is just getting set up around the world. There’s barely any in Africa right now. Even in the U.S., we’re testing travel cases — but we’re not testing in any meaningful way that will pick up cases that we didn’t suspect were there.” |
Vivian Wang reported from Hong Kong, Donald G. McNeil Jr. and Farnaz Fassihi from New York, and Steven Lee Myers from Beijing. Marc Santora contributed reporting from London and Choe Sang-Hun from Seoul, South Korea. | Vivian Wang reported from Hong Kong, Donald G. McNeil Jr. and Farnaz Fassihi from New York, and Steven Lee Myers from Beijing. Marc Santora contributed reporting from London and Choe Sang-Hun from Seoul, South Korea. |