By Doug Faulkner
US President Joe Biden has tested positive for Covid-19 and is isolating at the White House.
The 79-year-old, who is fully-vaccinated and has twice received booster jabs, is experiencing "very mild symptoms" and will continue to carry out all his duties, press secretary Karine Jean-Pierre said.
The president is taking the antiviral medicine Paxlovid, her statement added.
In a tweet Mr Biden said he was "doing great" and "keeping busy".
His wife First Lady Jill Biden said she had tested negative.
Consistent with White House protocol the president will continue to work in isolation until he tests negative, Ms Jean-Pierre said – and will take part in meetings via telephone and Zoom.
White House Covid coordinator Dr Ashish Jha said the president was tired, with a runny nose and dry cough.
He said Mr Biden went to bed feeling fine but did not sleep well and then tested positive on Thursday morning.
An update from me: pic.twitter.com/L2oCR0uUTu
In a press briefing at the White House on Thursday afternoon, Ms Jean Pierre said that Mr Biden had continued working throughout the day and held calls with a number of US mayors and government officials.
Dr Jha said that Mr Biden's vaccination status meant that his risk of serious illness was "dramatically lower", and was further reduced by the anti-viral drug he was now taking. He added that Mr Biden will return to normal activities after a negative test.
The White House medical unit will inform all close contacts of the president during the day, Ms Jean-Pierre said earlier, including any members of Congress or members of the press who were with Mr Biden during his visit to Massachusetts on Wednesday. It is unclear where he was infected.
First Lady Mrs Biden said she had spoken to her husband and he was "doing fine".
"He's feeling good. I tested negative this morning. I'm going to keep my schedule. According to CDC guidelines, I'm keeping masked," she said.
Mr Biden, who is the oldest president in US history and turns 80 this year, last tested negative for Covid on Tuesday, the White House said.
Mr Biden was judged "fit for duty" and described as "healthy" and "vigorous" by his physician, Dr Kevin O'Connor, during his last physical examination in November, according to the BBC's US partner CBS.
As the pandemic has unfolded, doctors have come to understand more about who is at greatest risk of getting seriously ill if they catch Covid and what care they might need.
Age is a big factor – generally, the older you are the higher the risk – as well as how fit and healthy you were beforehand.
Doctors will be conscious that being aged 79 puts Mr Biden at some additional risk, although he is fully vaccinated which means he already has some good protection against severe Covid.
They will normally only prescribe Paxlovid to those who have a higher chance of becoming extremely ill.
But he is the president after all, so you would expect him to get the Rolls Royce of medical care.
Paxlovid is an antiviral medicine that helps stop the Covid virus from multiplying in the body. This keeps virus levels in the body low while the immune system gets on with the job of fighting the infection.
It's actually a course of two treatments or tablets. The patient usually takes the pills – one tablet of ritonavir and two of nirmatrelvir – twice daily, for five days.
The White House confirmed that US Vice-President Kamala Harris, who caught Covid back in April, had tested negative, although an official later said she was being considered a close contact of the president.
Should Mr Biden become unable to carry out his duties due to illness she would be given presidential powers.
This happened briefly in November when Mr Biden was put under general anaesthetic during a regular health check.
Mr Biden is not the first US president to suffer Covid after his predecessor Donald Trump had to be taken to hospital after contracting the virus in October 2020 while he was in office.
There have been 89.7 million Covid cases in the US and more than one million deaths, according to the Centers for Disease Control and Prevention (CDC).
The US has been seeing a rebound in cases, which are up by more than 25% in the last month, according to CDC data.
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