The official leading Iran’s response to the new coronavirus acknowledged on Sunday the pandemic could overwhelm health facilities in his country, which is battling the worst outbreak in the Middle East while under heavy US sanctions.

Iran’s health ministry reported another 113 deaths, bringing the country’s total death toll to 724 with nearly 14,000 confirmed cases. It was the biggest single-day jump in fatalities since the virus was first reported in the country.

Iran’s outbreak has caused growing alarm with concerns about the government’s transparency in reporting the extent of the epidemic and its ability to contain it.

“If the trend continues, there will not be enough capacity,” Ali Reza Zali, who is leading the campaign against the outbreak, was quoted as saying by the state-run IRNA news agency.

Iran is believed to have about 110,000 hospital beds, including 30,000 in the capital, Tehran. Authorities have pledged to set up mobile clinics as needed.

Zali also acknowledged “many” of those who have died from the COVID-19 illness caused by the virus were otherwise healthy, a rare admission by local authorities that the virus does not only prey on the sick and elderly.

Health ministry figures show while 55 percent of fatalities were in their 60s, some 15 percent were younger than 40.

For most people, the virus causes only mild or moderate symptoms, such as fever and cough. For some, especially older adults and people with existing health problems, it can cause more severe illness, including pneumonia. Most people recover in a matter of weeks.

The virus has infected more than 150,000 people worldwide and killed more than 5,800. More than 70,000 people worldwide have recovered after being infected.

In Iran, the virus has infected a number of senior officials, including cabinet ministers, members of parliament, Revolutionary Guard members and health ministry officials.

Senior Vice President Eshaq Jahangiri returned to work on Sunday after testing negative, the presidency’s website said. He was absent from official meetings last week, and the semi-official Fars News Agency reported he contracted the virus.

Authorities have nevertheless been slow to adopt measures taken by other hard-hit countries. Iranian President Hassan Rouhani on Sunday ruled out a general quarantine and said the government was working to keep the borders open.

Dalia Samhouri, a senior regional official with the World Health Organization, said both Iran and Egypt, two of the most populous countries in the Middle East, were likely underreporting cases because of the nature of the virus, which can be spread by individuals who show no visible symptoms. Egypt has reported 110 cases, including two fatalities.

“We can easily say that the current figures are an underestimation of the actual figures,” she said.

Iran has struggled to respond in part because of crippling sanctions imposed by the Trump administration after the US withdrew from the 2015 nuclear deal. The US says it has offered humanitarian aid but Iran has rejected it.

Countries across the Middle East have imposed sweeping travel restrictions, cancelled public events and called on non-essential businesses to close for the coming weeks.

Qatar will bar entry to arriving air passengers except citizens from Wednesday for at least two weeks, the government said as it announced a $23bn economic stimulus in response to the new coronavirus.

The country is the worst affected in the Gulf Cooperation Council (GCC), with 401 confirmed cases of COVID-19 as of Sunday. It has not reported any fatalities but has closed universities, schools, gyms and cinemas as well as cancelling many public events including the MotoGP.

In the skyscraper-studded city of Dubai, a global business and travel hub in the United Arab Emirates (UAE), authorities announced on Sunday all movie theatres, arcades and gyms would be closed through the end of the month.

Abu Dhabi, the capital of the UAE, also shut down its amusement parks and museums through the end of the month, including Louvre Abu Dhabi.

In Lebanon, police used loudspeakers to order people to evacuate the city’s famous Mediterranean boardwalk. The small country, which has reported 99 cases and three deaths, has already closed all restaurants and nightclubs, halted flights from several countries, and tightened border controls. President Michel Aoun urged people to stay home.

Jerusalem’s Al-Aqsa Mosque is the latest in a series of religious sites where access has been halted or strictly limited. Saudi Arabia has suspended the Umrah pilgrimage to Mecca and Medina and could be forced to limit or cancel the much larger Hajj later this year.

On Sunday, it announced the temporary closure of all mosques and called off Friday prayers.

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