North Korea on Thursday reported 262,270 more suspected COVID-19 cases as its pandemic caseload neared 2 million — a week after the country acknowledged the outbreak and scrambled to slow infections in its unvaccinated population.

The country is also trying to prevent its fragile economy from deteriorating further, but the outbreak could be worse than officially reported since the country lacks virus tests and other health care resources and may be underreporting deaths to soften the political impact on authoritarian leader Kim Jong Un.

The World Health Organization representative in Lebanon, Dr. Iman Shankiti, and the Italian Ambassador in Beirut, Nicoletta Bombardiere, signed an agreement Thursday at the Italian Embassy in Beirut worth 1,616,000 euros, which is aimed at supporting the strengthening of public health systems in Lebanon.

"It has two main pillars: the first is improving the government’s regulatory capacity in terms of access to quality medications, by expanding the pharmaceuticals bar code system at the national level, and the second is enhancing the capacity of public hospitals to deliver quality services, by supporting selected public hospitals in terms of emergency care capacity," a joint statement said.

Japan's government announced Tuesday it will begin allowing small package tours from four countries later this month before gradually opening up to foreign tourism for the first time since it imposed tight border restrictions due to the coronavirus pandemic.

Transport Minister Tetsuo Saito said the tours will be allowed from Australia, Singapore, Thailand and the United States as an experiment.

The Spanish government approved a draft bill Tuesday that widens abortion rights for teenagers and may make Spain the first country in Europe entitling workers to paid menstrual leave.

The measures are part of a package of proposals that will be sent to the Spanish parliament for debate. The package includes an extension of abortion rights, scrapping the requirement for 16- and 17-year-olds to obtain parental consent before terminating a pregnancy.

During more than a decade as North Korea's leader, Kim Jong Un has made "self-reliance" his governing lynchpin, shunning international help and striving instead for domestic strategies to fix his battered economy.

But as an illness suspected to be COVID-19 sickens hundreds of thousands of his people, Kim stands at a critical crossroad: Either swallow his pride and receive foreign help to fight the disease, or go it alone, enduring potential huge fatalities that may undermine his leadership.

Six people have died and 350,000 have been treated for a fever that has spread "explosively" across North Korea, state media said Friday, a day after the country acknowledged a COVID-19 outbreak for the first time in the pandemic.

North Korea likely doesn't have sufficient COVID-19 tests and said it didn't know the cause of the mass fevers. But a big coronavirus outbreak could be devastating in a country with a broken health care system and an unvaccinated, malnourished population.

China's leaders are struggling to reverse an economic slump without giving up anti-virus tactics that shut down Shanghai and other cities, adding to challenges for President Xi Jinping as he tries to extend his time in power.

The ruling Communist Party has declared its "zero-COVID" goal of preventing all infections takes priority over the economy. It is a decision with global implications and comes despite warnings by experts including the head of the World Health Organization that the goal might be unattainable.

North Korea imposed a nationwide lockdown Thursday to control its first acknowledged COVID-19 outbreak after holding for more than two years to a widely doubted claim of a perfect record keeping out the virus that has spread to nearly every place in the world.

The outbreak forced leader Kim Jong Un to wear a mask in public, likely for the first time since the start of the pandemic, but the scale of transmissions inside North Korea wasn't immediately known. A failure to slow infections could have serious consequences because the country has a poor health care system and its 26 million people are believed to be mostly unvaccinated. Some experts say North Korea, by its rare admission of an outbreak, may be seeking outside aid.

China on Wednesday defended sticking to its strict "zero-COVID" approach, calling critical remarks from the head of the World Health Organization "irresponsible."

The response from the Foreign Ministry came after WHO Director-General Tedros Adhanom Ghebreyesus said he had been discussing with Chinese experts the need for a different approach in light of new knowledge about the virus.

Teams in white protective suits are entering the homes of coronavirus-infected people to spray disinfectant as Shanghai tries to root out an omicron outbreak under China's strict "zero-COVID" strategy.

City official Jin Chen said Tuesday that in older communities with shared bathrooms and kitchens, the homes of anyone else who uses those facilities will also be disinfected. He tried to address public concern about damage to clothing and valuables, saying residents can inform the teams about anything that needs protection.