ROME — Worldwide confirmed coronavirus infections hit the 10 million mark Sunday as voters in Poland and France went to the polls for virus-delayed elections.

New clusters of cases at a Swiss nightclub and in the central English city of Leicester showed that the virus was still circulating widely in Europe, though not with the rapidly growing infection rate seen in parts of the U.S., Latin America and India.

Wearing mandatory masks, social distancing in lines and carrying their own pens to sign voting registers, French voters cast ballots in a second round of municipal elections. Poles also wore masks and used hand sanitizer, and some in virus-hit areas were told to mail in their ballots to avoid further contagion.

“I didn’t go and vote the first time around because I am elderly and I got scared,” said Fanny Barouh as she voted in a Paris school.

While concern in the U.S. has focused on big states like Texas, Arizona and Florida reporting thousands of new cases a day, rural states are also seeing infection surges, including in Kansas, where livestock outnumber people.

The U.S. handling of the outbreak has drawn concern from abroad. The European Union seems almost certain to bar Americans from traveling to the bloc in the short term as it draws up new travel rules to be announced shortly.

The infection surges prompted Vice President Mike Pence to call off campaign events in Florida and Arizona, although he will still travel to those states and to Texas this week to meet with their Republican governors. Those three governors have come under criticism for aggressively reopening their economies after virus lockdowns despite increasing infections in their states.

After confirmed daily infections in the U.S. hit an all-time high of 40,000 on Friday, Texas and Florida reversed course and closed down bars in their states again. Arizona Republican Gov. Doug Ducey reversed himself and allowed cities and counties to require face masks in public even though he hasn’t been seen wearing one.

“This is not a sprint, this is a marathon,” said Dr. Lisa Goldberg, director of the emergency department of Tucson Medical Center in Arizona. “In fact, it’s an ultra-marathon.”

U.S. Health and Human Services Secretary Alex Azar stressed that “the window is closing” for the U.S. to take action to effectively curb the coronavirus.

Azar pointed to a recent spike in infections, particularly in the South. He says people have “to act responsibly” by social distancing and wearing face masks, especially “in these hot zones.”

Speaking on NBC and CNN, Azar argued that the U.S. is in a better position than two months ago in fighting the virus because it is conducting more testing and has therapeutics available to treat COVID-19.

But he acknowledged that hospitalizations and deaths could increase in the next few weeks.

Globally, confirmed COVID-19 cases passed the 10 million mark and confirmed deaths neared half a million, according to a tally by the Johns Hopkins University, with the U.S., Brazil, Russia and India having the most cases. The U.S. also has the highest virus death toll in the world at over 125,000.

Experts say all those figures significantly undercount the true toll of the pandemic, due to limited testing and missed mild cases. U.S. government experts last week estimated the U.S. alone could have had 20 million cases.

Workplace infection worries increased after Tyson Foods announced that 371 employees at its chicken processing plant in the southwestern corner of Missouri have tested positive for COVID-19.

In the state of Washington, Gov. Jay Inslee put a hold on plans to move counties to the fourth phase of his reopening plan as cases continue to increase. But in Hawaii, the city of Honolulu announced that campgrounds will reopen for the first time in three months with limited permits to ensure social distancing.

Britain’s government, meanwhile, is considering whether a local lockdown is needed for the central English city of Leicester amid reports about a spike in COVID-19 among its Asian community. It would be Britain’s first local lockdown.

“We have seen flare-ups across the country in recent weeks,” Home Secretary Priti Patel told the BBC on Sunday.

Polish voters were casting ballots, in person and by mail, for a presidential election that was supposed to have taken place in May but was chaotically postponed amid the pandemic. President Andrzej Duda, a 48-year-old conservative backed by the nationalist ruling Law and Justice party, is running against 10 other candidates as he seeks a second five-year term.

Iwona Goge, 79, was encouraged to see so many people voting in Warsaw.

“It’s bad. Poland is terribly divided and people are getting discouraged,” she said.

French voters were choosing mayors and municipal councilors in Paris and 5,000 towns and cities in a second round of municipal elections held under strict hygiene rules. Key battlegrounds include Paris, where the next mayor will preside over the 2024 Summer Olympics. The spread of the virus in France has slowed significantly but is still expected to hurt Sunday’s turnout.

Italy was honoring its dead later Sunday with an evening Requiem concert in hard-hit Bergamo province. The ceremony in the onetime epicenter of the European outbreak came a day after Italy registered the lowest daily tally of COVID-19 deaths in nearly four months: eight.

European leaders were taking no chances in tamping down new clusters. German authorities renewed a lockdown in a western region of about 500,000 people after about 1,300 slaughterhouse workers tested positive. Swiss authorities ordered 300 people into quarantine after a “superspreader” outbreak of coronavirus at a Zurich nightclub.

Africa’s confirmed cases of COVID-19 continued to climb to a new high of more than 371,000, including 9,484 deaths, according to figures released Sunday by the African Centers for Disease Control and Prevention.

In Asia, Indian Prime Minister Narendra Modi said his country must focus on bolstering the economy as it exits lockdowns, even as the number of coronavirus cases still keep on climbing. On Sunday, India reported additional 19,906 confirmed cases, taking its total to nearly 529,000 with 16,095 deaths. The pandemic has exposed wide inequalities in India, with public hospitals being overwhelmed by virus cases while the rich get expert treatment in private hospitals.

China reported 17 new cases, all but three of them from domestic transmission in Beijing. But authorities say a campaign to conduct tests on employees at hair and beauty salons across the city has found no positive cases so far.

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