A third of the global economy will be in recession this year, the head of the International Monetary Fund (IMF) has warned.
Kristalina Georgieva said 2023 will be "tougher" than last year as the US, EU and China see their economies slow.
It comes as the war in Ukraine, rising prices, higher interest rates and the spread of Covid in China weigh on the global economy.
In October the IMF cut its global economic growth outlook for 2023.
"We expect one third of the world economy to be in recession," Ms Georgieva said on the CBS news programme Face the Nation.
"Even countries that are not in recession, it would feel like recession for hundreds of millions of people," she added.
The IMF cut its outlook for global economic growth in 2023 in October, due to the war in Ukraine as well as higher interest rates as central banks around the world attempt to rein in rising prices.
Since then China has scrapped its zero Covid policy and started to reopen its economy, even as coronavirus infections have spread rapidly in the country.
Ms Georgieva warned that China, the world's second largest economy, will face a difficult start to 2023.
"For the next couple of months, it would be tough for China, and the impact on Chinese growth would be negative, the impact on the region will be negative, the impact on global growth will be negative," she said.
The IMF is an international organisation with 190 member countries. They work together to try to stabilise the global economy. One of its key roles is to act as an early economic warning system.
Figures released over the weekend pointed to weakness in the Chinese economy at the end of 2022.
The official purchasing managers' index (PMI) for December showed that China's factory activity shrank for the third month in a row and at the fastest rate in almost three years as coronavirus infections spread in the country's factories.
In the same month home prices in 100 cities fell for the sixth month in a row, according to a survey by one of the country's largest independent property research firms, China Index Academy.
On Saturday, in his first public comments since the change in policy, President Xi Jinping called for more effort and unity as China enters what he called a "new phase".
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