this is bbc news with the latest headlines for viewers in the uk and around the world. in a video message from hospital, president trump says he's doing well but that the next few days will be crucial as he continues his treatment for coronavirus. i'm starting to feel good. you don't know, over the next period of a few days, i guess that's the real test, so we'll be seeing what happens over those next couple of days. more members of the president's inner circle are also testing positive. they include his campaign adviser, chris christie, who's checked himself into hospital. i'm ben brown in london with the other main stories. the uk prime minister, borisjohnson, warns there could be "a very tough winter" ahead, as the country deals with coronavirus.

i've got to tell you, in all candour, it's going to continue to be bumpy through to christmas. it may even be bumpy beyond. but this is the only way to do it. it comes after the daily number of new confirmed coronavirus cases nearly doubles from the day before, to almost 13,000. the uk government blames a technical error. and defending champion and world record—holder brigid kosgei wins the women's race, in the first ever virtual london marathon. she said the conditions here in london were freezing. the rain is still pouring down here on the mall and the men are out on the course. world record holder eliud kipchoge is being pushed all the way.

hello and welcome. we're covering all the latest coronavirus developments in britain and globally. we begin here in washington where donald trump's doctor says the president has made "substantial progress" since his coronavirus diagnosis, but he's "not yet out of the woods". mr trump recorded a video message from hospital, saying the next few days would be the real test, though he was "starting to feel good" and would be back at work soon. there's still confusion, though, over exactly when the president was diagnosed with coronavirus and whether he attended official events after learning he was positive. 0ur north america correspondent peter bowes has the latest. donald trump's first full day in hospital, a day of confusion and concern over the president's health with mixed messages coming from his doctors and the white house. and then, late in the day, a tweet from the president and another video, an update from mr trump on his condition. i came here, wasn't feeling so well. i feel much better now.

we are working hard to get me all the way back. i have to be back. when he addressed reporters outside walter reed medical center earlier, the president's personal physician said mr trump's symptoms, a mild cough, nasal congestion and fatigue, were now resolving and improving. but he was vague on whether the president had needed oxygen at any point. has he ever been on supplemental oxygen? right now he is not on oxygen. you keep saying right now but should we read into the fact that he had been previously? yesterday and today he was not on oxygen. he has not been on it during his covid treatment? he's not on oxygen right now. it later emerged that mr trump had received oxygen at the white house before he was admitted to hospital. there was further confusion when the white house chief of staff, mark meadows, indicated to reporters at the hospital that the president was still not on a clear path to a full recovery. there is a consensus that the next few days will be crucial. donald trump has been given

two experimental drugs which it's hoped will speed up his recovery from covid—i9. i'm starting to feel good. you don't know over the next period of a few days, i guess that's the real test. so we'll be seeing what happens over those next couple of days. mr trump also sought to explain his decision not to shelter at home from the virus. i had no choice because ijust didn't want to stay in the white house. i was given that alternative. stay in the white house, lock yourself in, don't ever leave, don't even go to the oval office, just stay upstairs and enjoy it. don't see people, don't talk to people and just be done with it. and i can't do that. with the president in hospital, there is growing concern that more members of his inner circle are also testing positive for the virus. many of them attended what has been described as a super spreader event at the white house last weekend, when mr trump named his nominee for the vacant seat on the supreme court. they include the former governor

of newjersey chris christie who has checked himself into hospital with a slight fever. this is a crisis that has engulfed the trump administration less than a month before the election. peter bowes, bbc news, los angeles. coronavirus has hit the white house hard. as the president receives treatment in hospital, and his wife melania recovers at home, the disease has spread to some in the president's inner circle as well as the larger republican party. it includes his re—election campaign manager, bill stepien, the chair of the republican national committee, ronna mcdaniel, close aide hope hicks and former newjersery governor and campaign advisor chris christie. three republican senators are also affected — mike lee of utah, ronjohnson of wisconsin, and thom tillis of north carolina. meanwhile, the coronavirus pandemic in the country continues to swell, with nearly 7.4 million recorded cases.

according to johns hopkins university, more than 209,000 people have died from covid—i9 in the us. let's speak to dr paul whitaker, consultant respiratory physician. hejoins me from bradford. thank you for being with us. the president himself acknowledged that the next few days are crucial. can you explain why that is the case with coronavirus patients and particularly one of his age and condition? we often see the worst symptoms developing when people get to date seven, eight, nine, ten of the condition. assuming he developed coronavirus symptoms on around wednesday, which i think was one of the reports, it might not be until the reports, it might not be until the middle of next week or the weekend before he is physically in the worst state in terms of the respiratory disease. and what do you

make of the fact that the white house finally has reluctantly acknowledged that on friday morning it seems the president was given supplemental oxygen?” it seems the president was given supplemental oxygen? i think there area supplemental oxygen? i think there are a couple of things about his treatment person toke firstly, he did receive expert mental medication. these medications are still undergoing clinical trial and in fact one of them forms part of one of the uk big clinical trials, the recovery trial. he received experimental medicine. in terms of the oxygen, it's difficult to know because certainly in terms of the patients who do worse with coronavirus, they are often the ones who need oxygen. but the fact he needed it so early is difficult to understand because at that point you would not have expected he would have developed any significant respiratory disease. i think the fa ct respiratory disease. i think the fact he is now off oxygen is quite a

positive sign and hopefully he will continue to improve. like i said, the danger point might not be until the danger point might not be until the middle or even end of next week. and under normal circumstances, would you expect somebody of his age and condition to recover, adding in the fact that he is receiving probably the best medical care in the world at this point? that's right. he has a couple of risk factors, he is over 70 which is probably the main one for him. he may be slightly overweight, it is difficult to know but to my knowledge, he does not have any of the major risk factors which are diabetes, heart conditions. although he is over 70, he pulled into a relatively lower risk group for that age group. the likelihood is that he will make a slow and steady recovery —— he falls into a lower risk group. the president's doctor said yesterday that they especially want

to observe him as he potentially enters the second information phase of the illness so can you tell us more about that? that's right, we do the same in bradford as well. we might have a patient for example who is on might have a patient for example who isona might have a patient for example who is on a six or seven of the illness, already needing a tiny bit of oxygen but have quite a lot of changes. these are the people who are at a high risk of deterioration nine or ten days in so we will often keep people in until they are over that danger phase. when they get two days 11 danger phase. when they get two days ii and i2, often they are much more co mforta ble ii and i2, often they are much more comfortable and we are happy to discharge people but you do get a secondary inflammatory response about that time which is something you have to be very careful of. thank you so much forjoining us with that analysis. let's speak to dr thomas gift, associate professor of political science at university college london.

we can talk more about the political implications. thank your for being with us. crucially, what is the world to make of these mixed m essa 9 es world to make of these mixed messages from the white house about the president's condition? his position gave a sunny briefing but his chief of staff said the next 48 hours were critical and in fact they we re hours were critical and in fact they were worried about his condition in the first 24 hours. what are we to make of this? in terms of how this leads to a global audience, i think the mixed messaging surrounding his health only reinforces an image he has long displayed in the pandemic, that of confusion and largely scattered leadership in the white house point at mixed messaging is nothing new for trump. since the beginning he has been sending mixed m essa 9 es beginning he has been sending mixed messages on the virus itself but that he has a equivocate about the importance of wearing masks, social distancing, even the disparity of the virus itself and he has presided over 200,000 deaths in the us which for a country that historically led the world in so many areas and

sought to be a banggaard in dealing with international crises, many people are looking at that situation and find it both puzzling and profoundly sad to an extent —— at the vanguard. it's less than a month until this critical election. the president cannot campaign for at least the next week it looks like. what does this mean in terms of us leadership in the world? certainly trump coming down with coronavirus creates complications because at least for the next 14 days it is going to prevent him from doing much of anything. he was already planning to be mostly focused on the campaign between here and november three but there is still a lot of governing left to do even in that time and untiljanuary. he will be making some crucial decisions are caught and i'm sure he will continue to be briefed about us foreign policy

issues, domestic policy issues, but it creates some challenges and it might differ other response abilities to individuals besides the president, those in his inner circle . how important now is the vice presidential debate next week?|j presidential debate next week?” think in general the consensus is that vice presidential debates and candidates more generally make the biggest difference. in general, americans vote for the top of the ticket. i think that is particular true this time round simply because the lines are drawn so clearly, the contrast is so sharp between trump and biden. most voters have already made up their minds, only about 10% according to most estimates are unsure about who they will vote for. i'm sure many americans will tune in and of course it will be another entertaining debate to say the least. i think a lot of americans

have made up their minds and i'm not sure if this will make too much of a difference one way or the other. do you see any parallels between the british prime minister borisjohnson and the way he treated his coronavirus illness and the way that donald trump is dealing with his infection? it is interesting because we have not heard a whole lot from donald trump until this point to point out the one message we got from borisjohnson as he tried to use his illness, regrettable as it was, as an opportunity to bring the country together, to basically say, we are all in this as one and we need to fight this virus is a country. that is really difficult for donald trump to do simply because he spent so much time until this point belittling the virus, making fun of those who wear masks, suggesting that social distancing and other protocols for maintaining safety are not important. typically i think we would see a leader look at this situation and say it is very serious, very grave, the fact that i

can get it means anyone can get it, but i'm not sure that will be the case with donald trump. thank you very much for that perspective. it is an anxious and unsettling day in america with the president is spending his second night in hospital. we expect to receive daily updates from his position and we will bring you that as soon as we get it. back now to ben in london. break many thanks. the uk prime minister, borisjohnson, has said britons should behave "fearlessly" but act with "common sense" to defeat coronavirus, but said the battle against the virus will continue until christmas, and possibly beyond. speaking to the bbc‘s andrew marr, boris johnson acknowledged the fatigue being felt by many areas of northern england currently under increased lockdown restrictions. 0ur political correspondent nick eardley said ministers are attempting to balance keeping the spread of the virus until control without doing any further damage to the uk economy.

the government is really reluctant to put in big national measures, instead focusing on local ones in different parts of the country. i think we got a slightly mixed message from boris johnson on that this morning. as you said, he was saying people should be fearless as long as they used common sense but he was also really cautious about what the next few months might look like. have a listen. what we want people to do is to behave fearlessly but with common sense, fearlessly but with common sense, to follow the guidance, whether national or local, get the virus down but allow us, as a country, to continue with our priorities. continue to keep kids in education, continue to keep our economy moving. and as far as we possibly can.

and what i hope is that, and i believe very strongly, is that in the course of the next few weeks and months, the scientific equation will change and we will start to see progress, whether it is on vaccines or on testing, that will enable us to take a different approach. but for the moment, that is the balance that people have to adopt. that was boris johnson's strategy but the question is what that strategy leads towards. there has been a lot of discussion over whether there will be a normal christmas in the uk, given that potentially the virus could get worse over the winter months. this is what the primer minister had to say on that. the fatigue that people are experiencing... people are exhausted, people are furious. but we have to work together, follow the guidance and get the virus down whilst keeping the economy moving, that is the balance.

i know people are furious with me and the government... they are. but i have to tell you in all candour, it will continue to be bumpy through to christmas and may even be bumpy beyond. but this is the only way to do it. so, bumpy until christmas, i think that will probably raise some questions within borisjohnson's own party. we know many of his mps are frustrated at some of the actions of the government has been taking. his message to them this morning was, i agree with you. he used the phrase "i'm a freedom loving tory," but you also heard him say that he just doesn't think there is another viable option. it suggests that the next few weeks and months in the uk are going to look very similar to the last few weeks and months, where we have seen areas going in and out of increased restrictions, with some seeing some quite draconian steps,

like being told they cannot visit friends in houses or go to the pub with them, and that will continue well into the winter. and what have the labour party said? we heard from sir keir starmer in the papers, claiming that boris johnson has lost control of the virus, a pretty strong attack. it was interesting because we often have these discussions about what the labour party is saying, it's asking questions rather than being overtly critical but i think that is starting to change. we have seen the labour leader really go for the government on this, saying they have lost control of the virus, that they need to get a grip and come up with a new strategy. one of the things in particular labour is worried about is that many of the areas represented by labour politicians by the way are in those increased local restrictions but don't really seem to know how to get out of them. this was the labour shadow health secretary, jon ashworth. we support local restrictions but what people want is clarity. the rules seem to chop and change loal over the place. borisjohnson did all those regional

news interviews and couldn't even explain what the local restrictions were because they chop and change virtually every day. so we need clarity on why an area goes into restrictions, clarity on how they get out of restrictions but this is the key — if a local area, any area that is in restrictions, any area across the country, the local authorities should have control over the testing system and the tracing system. the serco call centre is simply not working. that was jonathan ashworth. going back to borisjohnson, he talked about his own experience of coronavirus, being overweight and so on, and also talked about president trump and the good wishes he had sent to him. that's right. they have been rumours over boris johnson's health at westminster for some time and he sought to put them to bed by saying he does not have long covid, basically that he was fat when he had the disease, his words not mine, and he is working on that, and warning the country that it could be a wake—up call to lose some weight.

the spanish capital, madrid, has been put back under partial lockdown because of an increase in the number of coronavirus cases. spain has the highest infection rate of any country in europe but the reimposition of the controls is proving controversial. damian grammaticas reports. in spain's capital, what every government, what every scientist has feared — covid—i9 surging again. 10,000 new infections every day, a second wave breaking over an already battered country. so what's the reason for this resurgence? it seems spain may have been too hasty to lift the original lockdown that brought the first wave of the virus under control, too quick to let people back into bars and restaurants and too slow to build an effective system to test, identify and isolate new cases. intensive care units

are overflowing, extra icu beds again being used. the warning signals are everywhere. psychologically, it's the worst thing. because all the people are afraid the tsunami will come again. spain, like many countries, has been trying to target infection hotspots with local controls. but it's not been working. like this part of madrid, home to 200,000 people who already had a fortnight restricted to essential movements only. this wave is not as bad as the height of the pandemic, but one in four tests for covid—i9 in madrid has been coming back positive. in recent weeks spain, like the uk, brought in its own rule of six, limiting gatherings to six people, told bars and restaurants to stop serving at 10pm.

now the restrictions are being expanded to many other areas. translation: we all went back to work, crammed on the trains, metro and buses. the infections are back because they didn't control it. miguel hernan advised spain on its first lockdown and says the new measures may be too little, too late. what we have seen in spain over the summer is a serious warning that we cannot relax, that there is the possibility of a serious second wave all over the world. a warning to london, to new york and other cities? right. so is this what might come to madrid's rescue? trials of a new rapid test for covid which costs less than $5 and takes just 15 minutes to get a result. "we needed those tests sooner," says carlos. "this neighbourhood has been abandoned."

but until testing can be done at scale, and with a health system heading towards saturation, spain may stand as an example of what happens if countries let things slip out of control. damian grammaticus, bbc news, madrid. now the latest on the london marathon. more than 40,000 people from all over the world are taking part in the first virtual london marathon. only the elite athletes are running together. the defending champion and world record holder, brigid kosgei from kenya, won the women's elite race. the men's race is underway, with the pace being set by the british olympic gold medallist, sir mo farah. kat downes is at st james's park this morning where the elite runners are running the 26.2 miles around a specially constructed covid—secure route. what is happening with the men's race? we have just had an almighty shock, it has just finished race? we have just had an almighty shock, it hasjust finished in race? we have just had an almighty shock, it has just finished in the last few minutes. eliud kipchoge,

the fastest man to ever run a marathon, has been beaten, uncharted territory for him and a real shock for the kenyan. he was beaten thoroughly actually point that there was a three month break away for the last couple of laps and it was shura kitata from ethiopian who sprinted down the mall to claim his first major marathon when he has come second in new york before, second in london before but it was his day today. eliud kipchoge gradually fell away over the course of the race. we are used to see him in the leading pack, pushing the other athletes all the way. he was the first man ever to wina the way. he was the first man ever to win a marathon, running a marathon in under two hours of last yearin marathon in under two hours of last year in those remarkable high—tech shoes. but here in london in the pouring rain, hejust seems shoes. but here in london in the pouring rain, he just seems to fade away towards the end of the race and

it was a huge gang of ethiopian athletes who pushed the pace conduct they gradually fell away but shura kitata came through to win the marathon. you mentioned the women's race, that was won by the favourite, bridget kosgei, the world record holder and defending champion. she saw off the world champion, ruth chepngetich who is also from kenya and ran away from her in the closing stages. sara hall, a us athlete, had a lifetime best to go past ruth chepngetich and claim second place on the podium. put a huge shock in the men's race with eliud kipchoge beaten in london. amazing stuff. thank you very much indeed. the latest from the london marathon. confirming the news that shura kitata from ethiopia has one the

london marathon men's elite race, a pretty extraordinary race where the favourite, eliud kipchoge, suffered his first defeat since 2013. you are watching bbc news. pretty wet at the london marathon, let's get the latest weather forecast now. hello there. we have already seen a lot of rainfall this weekend. more wet weather to come through the day today for a number of areas. those rainfall totals have been really mounting up. over the last three days, winchcombe in gloucestershire has had more than a month's worth of rain. more than a months worth in parts of aberdeenshire and parts of hampshire and berkshire as well. the weather has been particularly wet, all down to this slow moving area of low pressure with a stuck weather front right over the british isles, bringing rain for many of us through saturday, overnight, and it is still raining at the moment as well. that said, we are starting to see something of an improvement

in eastern areas but with the met office amber weather warning still in force right the way to the middle part of the day, across wales, the west midlands and south—west england, we could see further issues building in here. as well as this persistent band of rain, it will be windy particularly around coastal areas. the rain pivoting away from the south and east of scotland but brighter weather here and we should see sunshine for northern england across north wales, into parts of the midlands, maybe norfolk, but with sunny skies, we are also seeing some heavy showers. the rainfall has been mounting up with the accumulations of rain building we have a number of flood warnings in force across parts of scotland and england. once you have factored in today's rain, we could see the number of warnings increase for a time. 0vernight tonight, the rain will tend to clear away for most areas, with the exception of south—west england where it will continue to rain through much of the night. 0therwise, clear spells and heavy showers, particularly for northern england and scotland as well. low pressure then, this is the low that has been bringing rain

through the weekend. that is still on the charts monday, tuesday and into wednesday as well. a particularly slow—moving area of low pressure. weather—wise, it means we are staying on the unsettled side but it is turning a little bit less grim for some of us. scotland, england and wales brighter skies, sunshine but some potentially heavy, thundery showers, particularly in the east. 0utbrea ks of persistent rain return to northern ireland during the day. tuesday, another showery day but this time the showers across england and wales could merge together to bring longer spells of rain for a time. further showers at times for northern ireland and scotland. temperatures continue to be below par but the rain is cause for concern, we could see further flooding today.

this is bbc world news. the headlines... donald trump has spent a second night in hospital, being treated for coronavirus. he said in a video message that he had made "substantial progress" but was "not out of the woods yet." 18 people are missing in france, and at least two people have been killed in italy, following the worst storm for more than 60 years. the equivalent of six months of rain fell in just a few hours. britain's prime minister boris johnson has warned the coronavirus pandemic could make things ‘bumpy‘ in the uk, up to and beyond christmas. he called on the public to act "fearlessly but with common sense." saudi arabia says it has allowed the umrah pilgrimage to resume, after pausing it in march because of the coronavirus pandemic.