European nations including hard-hit Italy and Spain have started looking ahead to easing coronavirus lockdowns after steady falls in fatality rates, as the United States prepared on Monday for what one official called “peak death week”.

British Prime Minister Boris Johnson, the most prominent victim of the virus, was having tests in hospital on Monday after 10 days of symptoms, but said he was continuing to work. Officials declined to say whether he had pneumonia.

In Spain and Italy, which account for over 40% of the world’s fatalities, the death rate has been declining for several days and public discussion has turned to how and when to ease weeks of drastic curbs on personal and economic activity.

Germany, seen by many as a guide for how to tackle the pandemic by combining restrictions on movement with widespread testing, drew up a detailed plan.

Yet the global figures remain stark, and show no sign of plateauing yet. A Reuters tally at 1400 GMT put the number of confirmed cases at 1.27 million – just three days after it crossed the 1 million mark – and deaths up by 17,000 over the same period to 70,395.

Confirmed U.S. cases topped 336,000 on Sunday, making the United States by far the world leader, with deaths going over 10,000.

“It’s going to be the peak hospitalization, peak ICU week and unfortunately, peak death week,” Admiral Brett Giroir, a physician and a member of the White House coronavirus task force, told ABC’s “Good Morning America” TV program on Monday.

Roughly twice as many people a day are dying in the United States as in Spain or Italy, and hospitals report chaotic shortages of beds, ventilators and protective gear.

While New York City accounts for almost a third of U.S. coronavirus deaths, more than 90 percent of Americans are under stay-at-home orders.

New York City Mayor Bill de Blasio said that a shortage of medical professionals was replacing a lack of equipment as the city’s primary need, calling for an additional 45,000 clinical personnel for April.

A University of Washington model, one of several cited by U.S. and some state officials, projected that the peak need for hospital beds would come on April 15, and that daily deaths would peak, at 3,130, on April 16.

President Donald Trump, whom critics have accused of playing down the epidemic and trying to rush an end to the devastating economic paralysis, for his part on Monday repeated a message he had expressed at the weekend, tweeting “LIGHT AT THE END OF THE TUNNEL!”

In Britain, Johnson tweeted: “I’m in good spirits and keeping in touch with my team, as we work together to fight this virus and keep everyone safe.”

There was little detail on his condition or why he had been admitted to hospital late on Sunday. However, foreign minister Dominic Raab said Johnson remained in charge, and housing minister Robert Jenrick said he expected Johnson to be back in his Downing Street residence shortly.

The British government reported 439 deaths in the 24 hours to Sunday evening, the lowest daily toll since March 31.

On Sunday, Neil Ferguson, a professor at Imperial College in London who has helped shape the government’s response, said he expected Britain’s epidemic to plateau in seven to 10 days.

“What’s critically important then is how quickly case numbers go down: do we see a long flat peak or do we, as we hope, see a much faster decline, and that really depends on how effective the current measures are,” he told the BBC.

Spain saw its daily deaths fall from Thursday’s peak of 950 to 637 on Monday, for a total of more than 13,000 deaths; Italy on Sunday reported 525 deaths, its lowest daily death toll in more than two weeks, for a total of more than 16,000.

As the numbers have flattened in Italy, there has been increasing discussion about rolling back a lockdown that has closed most businesses and slammed the brakes on an already fragile economy.

Prime Minister Pedro Sanchez said at the weekend that Spain’s lockdown would remain in place until April 26, but opened the door to easing some restrictions, such as keeping all non-essential workers at home, after Easter, which falls this Sunday

Reuters