Switzerland, Austria and Croatia have confirmed their first cases of the virus in their countries, and the number of confirmed dead rises in Italy.
Angelo Borrelli, the chief of Italy's Civil Protection agency, said the number of virus cases in the country increased 45% in the last day and there have now been 11 deaths.
The four latest deaths to be reported in Italy were all elderly - three over the age of 80 from Lombardy, the worst impacted region, and a 76-year-old woman in Veneto, another region in the north hit by the virus.
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