Though Trump in public has downplayed the virus, privately he has voiced his own anxieties, rebuking public health leaders over last week’s decision to fly home 14 Americans who tested positive for the virus while aboard a cruise ship off Japan, said three individuals with knowledge of the situation. Trump was worried that transporting the Americans to the United States without adequate precautions could create new risks, the individuals said.

“The biggest current threat to the president’s reelection is this thing getting out of control and creating a health and economic impact,” said Chris Meekins, a Raymond James financial analyst and former Trump administration HHS emergency-preparedness official…

Meanwhile, the White House remains worried about growing economic risks, with Chinese production plunging in recent weeks and U.S. companies like Apple and Walmart with significant investments in the country reporting they’re taking financial hits. Senior officials fear that a sustained outbreak could slow global markets and upend a strong U.S. economy that has been central to Trump’s political pitch.