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WUHAN, China. — The spread of the Wuhan coronavirus shows no signs of slowing, as China reported another major spike in both confirmed cases and deaths in the region at the heart of the epidemic.

The total number of confirmed cases in China stands at 20,438 as of Tuesday morning, including a 1-month-old baby in southwestern Guizhou province, an increase of 3,235 on the previous day — an over 18{5ad3c25f5d8a6462a9daae157324f98d5b0edc4be0c0ed5ad8ca367936c1d337} jump. The death toll is now at 425 in China, an increase of around 65 from Sunday.

China’s National Health Commission said Tuesday that the death rate from the virus stands at 2.1{5ad3c25f5d8a6462a9daae157324f98d5b0edc4be0c0ed5ad8ca367936c1d337} nationwide. The figure is higher for Hubei province, of which Wuhan is the capital, at 3.1{5ad3c25f5d8a6462a9daae157324f98d5b0edc4be0c0ed5ad8ca367936c1d337}. A spokeswoman for the commission said 80{5ad3c25f5d8a6462a9daae157324f98d5b0edc4be0c0ed5ad8ca367936c1d337} of victims were over the age of 60 and 75{5ad3c25f5d8a6462a9daae157324f98d5b0edc4be0c0ed5ad8ca367936c1d337} had some form of an underlying condition.

Outside of China, the prevalence of the virus remains far lower, but at least 190 cases have been reported in over two dozen countries and territories. Two people have died outside mainland China since the outbreak began. One in the Philippines, and another in the semi-autonomous Chinese city of Hong Kong, which reported on Tuesday that a 39-year-old man who had traveled to Wuhan last month had died.

In a meeting with top officials Monday, Chinese President Xi Jinping called the virus outbreak a “major test of China’s system and capacity for governance,” as the extended Lunar New Year holiday and growing concerns began to take a toll on the country’s economy.

According to state media, Xi demanded “resolute opposition against bureaucratism and the practice of formalities for formalities’ sake in the prevention work,” adding that those who disobeyed would be punished. His comments could be an indication that frustration is growing over the failure to rein in the virus, and the slow initial response by Wuhan officials, some of whom have already offered to resign over their handling of the crisis.

Xi also called for an improvement in the country’s emergency management system, an “overhaul of environmental sanitation,” improvements to public health, and a “crackdown on illegal wildlife markets and trade.”

Even as cases of the virus are reported worldwide, the majority of patients have a link to China, either tourists or people returning home from a visit to the country. Person-to-person transmission of the virus has been confirmed, however, including among some patients overseas, and countries are scrambling to ensure it does not spread further afield.

On Monday, authorities in Japan quarantined a cruise ship at a port in Yokohama, south of Tokyo, after an elderly male passenger on the vessel was found to be infected with the virus when he disembarked in Hong Kong in late January.

Japanese health authorities said around 2,500 passengers and some 1,000 crew members are onboard the Diamond Princess, which returned to Yokohama after stops in Hong Kong, Vietnam, Taiwan, and the Japanese prefectures of Okinawa and Kagoshima. At least seven people on board said they feel ill, though none have been confirmed to have the virus.

All passengers will be checked, authorities said, with the results expected Tuesday evening.

(PHOTO: Barcroft Media/Getty Images)