British Prime Minister Boris Johnson was in stable condition with the coronavirus Tuesday in a hospital intensive care unit, where he was given oxygen but was breathing on his own without a ventilator, officials said.
Foreign Secretary Dominic Raab has temporarily taken over many of the prime minister’s duties to lead the country's response to the pandemic while Johnson is being treated. Britain has no official post of deputy prime minister.
The 55-year-old Johnson is the first major world leader confirmed to have COVID-19. He was admitted to St. Thomas' Hospital late Sunday with a fever and cough that persisted 10 days after he was diagnosed with the virus and was moved to the ICU on Monday evening after his condition worsened.
At a news conference, Raab said the government's thoughts were with Johnson's family and his fiancee, Carrie Symonds, who is pregnant and is herself recovering from coronavirus symptoms.
"He is not just the prime minister. For all of us in Cabinet, he is not just our boss. He’s also a colleague and he’s also our friend,” Raab said.
“And I’m confident he’ll pull through because if there’s one thing I know about this prime minister, he’s a fighter."
Johnson was "receiving standard oxygen treatment and breathing without any assistance,” Raab said, adding: “He has not required mechanical ventilation or noninvasive respiratory support.”
No other details were released about what form of oxygen treatment the prime minister was getting.
The deterioration of Johnson’s health took many in Britain by surprise. On Monday afternoon, he tweeted that he was in good spirits and thanked the National Health Service for taking care of him and others with the disease.
St. Thomas' Hospital is just across the River Thames from Parliament that was one of the first public hospitals in the country to treat COVID-19 patients. Officials have not said whether Johnson has a private room.
“It was a shock yesterday to hear the news of his going into intensive care,” said Cabinet Office Minister Michael Gove, who is in isolation at home after a family member showed mild coronavirus symptoms. “All of us just want him to pull through — he is the leader of our country. He is a big-hearted, generous-spirited guy. who believes in public service. We are rooting for him.”
The government faced calls Tuesday to be more transparent about Johnson's condition amid concerns it had underplayed how serious it was.
It's not common for details about the health of British prime ministers to be made public, except at times of crisis. Even then, information has sometimes been scanty. When Winston Churchill suffered a debilitating stroke in 1953, the government kept it secret until Churchill recovered.
Buckingham Palace said Queen Elizabeth II was being kept informed about Johnson’s condition. Buckingham Palace said the monarch told Johnson and his family “said they were in her thoughts and that she wished the prime minister a full and speedy recovery.”
The queen's son, Prince Charles, who tested positive for the virus but has recovered, and grandson Prince William also sent messages of support.
Johnson had been quarantined in his Downing Street residence since being diagnosed with COVID-19 on March 26.
He continued to work throughout his illness, to the concern of some of his colleagues. With the U.K. still approaching the peak of the coronavirus outbreak and the government facing criticism it did not act soon enough to put the country into lockdown, Johnson and his ministers are under intense pressure.
Johnson chaired daily meetings on the outbreak until Sunday. He released several video messages during his 10 days in isolation urging Britons to stay home and observe social distancing measures to combat the virus.
Concerns had been growing about Johnson’ ever since he posted a message Friday in which he appeared red-eyed and flushed, saying he was feeling better though was still feverish.
Johnson's former communications director, Will Walden, said the prime minister tended to try to soldier on through illness rather than taking a break.
“He’s pretty stoic and can be a bit bloody-minded about that kind of thing,” Walden told the BBC.
News that Johnson had been transferred to intensive care drew an outpouring of support from around the world.
U.S. President Donald Trump said “Americans are all praying for his recovery.”
“He’s been a really good friend,” Trump said at a White House briefing. “He’s been really something very special — strong, resolute, doesn’t quit, doesn’t give up.”
Trump said he asked two “leading companies” to contact officials in London about therapeutics that could be of help. He did not identify the companies, but said “we have contacted all of Boris’ doctors, and we’ll see what’s going to take place, but they are ready to go.”
In response, Johnson’s spokesman, James Slack, said the government was “grateful for all of the warm wishes the prime minister has received,” but added that "any treatment he receives is a matter for his doctors.”
French President Emmanuel Macron tweeted his support for Johnson, his family and “the British people at this difficult time. I wish him well.”
Russian President Vladimir Putin sent a telegram wishing Johnson a full and quick recovery, the Kremlin said. “I’m positive that your energy, optimism and sense of humor will help combat the disease,” Putin wrote.
The virus causes mild to moderate symptoms in most people, but for some, especially older adults and the infirm, it can cause pneumonia and lead to death.
The number of coronavirus deaths in the U.K. has reached 6,159, an increase of 786 over 24 hours earlier. That is the biggest daily leap to date, although the deaths reported Tuesday occurred over several days.
Britain’s unwritten constitution does not have a clear rule for what happens if a prime minister becomes incapacitated or dies. Seven prime ministers have died in office, but the most recent was in 1865.
Johnson delegating Raab to fill in for him clarifies things for now, but it does not mean he would automatically take over permanently should a new leader be needed. If it became clear Johnson could not return to his job, the remaining Cabinet ministers would be expected to choose a successor. The governing Conservative Party would also hold a leadership contest to replace Johnson as party chief.