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LONDON Diplomatic activity quickened on multiple fronts Monday as Russias war on Ukraine entered an uncertain new phase, with President Vladimir V. Putins forces widening their bombardment of Kyiv and other cities, hundreds of civilians escaping the devastated port of Mariupol, and the United States warning China over its deepening alignment with an isolated Russia.

There were no breakthroughs, either at the negotiating tables or on the battlefield. But as the human cost of the war continued to mount, the flurry of developments suggested that people were groping for a way out of the crisis or, failing that, for ways to prevent it from mutating into a wider proxy war.

In Rome, President Bidens top national security aide, Jake Sullivan, met with a top Chinese foreign affairs official, Yang Jiechi, to try to peel away one of Mr. Putins few potential allies, after reports denied by Moscow and Beijing that Russia had sought military aid from China, and that Chinese leaders were open to such a request. Mr. Sullivan, a Biden administration official said, had expressed deep concerns about Chinas alignment at this time.

Ukrainian and Russian officials held another round of direct negotiations, adjourning without signs of progress, though they agreed to meet again on Tuesday. The negotiations unfolded against a backdrop of thunderous Russian artillery strikes that led the secretary general of the United Nations, Antnio Guterres, to declare Ukraine was being decimated before the eyes of the world.

An uncharacteristically angry Mr. Guterres accused Russia of attacking 24 health facilities and leaving hundreds of thousands of people without water or electricity. Having once predicted there would be no war in Ukraine, he now warned there could be a calamitous cascade of world hunger and food inflation because Ukraine is one of the worlds foremost grain producers.

The impact on civilians, Mr. Guterres said, was reaching terrifying proportions.

President Volodymyr Zelensky of Ukraine plans to address the U.S. Congress on Wednesday in a virtual speech that could increase pressure on the Biden administration to send fighter jets to Kyiv.

In one of dozens of episodes of violence in Ukraine, a missile slammed into an apartment block in a once-tranquil Kyiv neighborhood just after dawn on Monday, when many residents were asleep. They had become accustomed to the percussive noise of shelling after more than two weeks of Russian bombardment, but never thought their building would be hit.

We do not have a military target near us, said Yuriy Yurchik, 30. We did not think we ourselves would be a target.

Yet amid the drumbeat of horror, there were also glimpses of resilience. Hundreds escaped Mariupol by car, according to the local government, even as a convoy of vehicles carrying food, water and medicine tried to find a safe path through the battle that has been raging around that southeast port city almost since the war began. Relatives of those still living in Mariupol said fleeing seemed to offer the best, perhaps only, chance for survival.

I do not believe the humanitarian convoy will be a big help, said Oleksandr Kryvoshapro, a humanitarian activist whose parents were in Mariupol. Too many people are still there. And this once beautiful, big and constantly developing city is now completely destroyed. It is not possible to live there anymore.

An estimated 400,000 people are trapped in Mariupol, which is entering its second week without heat, food or clean water. Attempts to reach the city and evacuate people have failed day after day amid heavy fighting. The convoy en route Monday was carrying 100 tons of relief supplies, officials said.

Russia has been laying siege to the city, a major industrial hub on the Azov Sea, creating a humanitarian catastrophe that led the International Committee of the Red Cross to issue an urgent appeal for a cease-fire to assist the hundreds of thousands of people with no access to clean water, food or heat.

Dead bodies, of civilians and combatants, remain trapped under the rubble or lying in the open where they fell, the I.C.R.C. said.

Casualty figures are difficult to confirm in the conflict. The United Nations has estimated that at least 596 civilians have been killed, but that figure is considered low because of the organizations inability to gain access to all areas of fighting. Ukrainian officials have said more than 2,500 people have died in Mariupol alone.

Particularly striking was the death of a pregnant woman who had been photographed clutching her belly as she was carried on a stretcher from a blasted-out maternity hospital that had been attacked.

The split-screen images of slow-moving diplomacy and sudden, brutal attacks on many civilian targets underscored the challenges of finding an acceptable off-ramp for Mr. Putin, even after a campaign that, by nearly all accounts, has gone far worse for Russia than expected.

The Kremlin, confronting a remarkably determined Ukrainian resistance and heavy losses on the battlefield, vowed to carry out its subjugation of the country in full and on its original schedule. (It is unclear what that schedule is, though Russia denied, until just before the invasion, that it had any plan to send troops into Ukraine.) Russian officials have tried to portray their militarys failure to capture most major cities in Ukraine as an act of restraint.

Responding to Western claims that Russian forces were making slow progress in large cities, the Kremlin spokesman, Dmitri S. Peskov, said that Mr. Putin had ordered Russian troops to refrain from storming large cities including Kyiv before the Feb. 24 invasion. The reason, he said, was that armed clashes in urban areas would inevitably lead to big losses among civilians. But he added that the cities are already practically encircled anyway.

Interpreting Mr. Peskovs statements was difficult, but they did not appear to foreclose the possibility of a negotiated settlement.

On Monday, Mr. Putin spoke again with Prime Minister Naftali Bennett of Israel, continuing Israels efforts to mediate. The 90-minute call focused on the possibility of a cease-fire, a senior Israeli official said, and followed a call between Mr. Bennett and President Zelensky of Ukraine on Saturday evening.

The prospect of Chinas involvement in support of Russia, however, raises the risks of a conflict that has already threatened to pull in the West. It would blunt the impact of a trans-Atlantic campaign to isolate Russia, relieving some of the economic pressure on Mr. Putin and giving him a potential supplier of weapons to counteract those flowing in to Ukrainian troops from the United States and other NATO countries.

It really risks making Ukraine a proxy conflict in what could be a broader geopolitical competition between China and Russia on the one side with the U.S. and its allies on the other, said Evan S. Medeiros, a professor of Asian Studies at Georgetown University and former China policymaker in the Obama administration.

Mr. Sullivans seven-hour meeting with Mr. Yang had been scheduled long before the invasion, but it came one day after American officials told reporters about the request from Moscow for assistance from Beijing a test of a new commitment to work together pledged by Mr. Putin and President Xi Jinping at the opening of the Beijing Winter Olympics last month. American intelligence agencies learned of the Russian request in recent days.

It appears the request may include drones, secure communications and financial support, American officials said, though the details are unclear. The United States told allies in diplomatic cables that China had given a positive signal to Russia, a European official said on Monday, speaking on the condition of anonymity because of the sensitivity of the exchanges, which were first reported by the Financial Times.

Mr. Sullivan was direct about those concerns and the potential implications and consequences of certain actions, an administration official said. But the official refused to give specifics about the exchange with Mr. Yang, a former Chinese ambassador to the United States.

China, which has urged a peaceful resolution to the conflict and has maintained good relations with Ukraine, has denied receiving any request for help from Moscow. But with much of the rest of the world cutting off trade, financial transactions and other economic interactions with Russia, which threatens to plunge the country into default, Mr. Putin is clearly counting on his relationship with Mr. Xi to help him resist the overwhelming economic pressure and to perhaps emerge as a critical military ally.

Clearly, the leak of the intelligence that Russia sought Chinas help was designed to pressure both sides. It was humiliating for Mr. Putin, who is enormously sensitive to suggestions that he is the junior partner in the relationship between Moscow and Beijing.

But it also places China in a hard spot. Just before Russias invasion, Chinas foreign minister, Wang Yi, left no doubt that Beijing opposed military action. The sovereignty, independence and territorial integrity of any country should be respected and safeguarded, he said. Ukraine is no exception.

If China provided military or economic support, it would be violating that principle and risk being associated with the carnage now underway. The White House has made clear it would respond to any effort to bail out Russia.

Support of any kind, said Mr. Bidens spokeswoman, Jen Psaki, there would be consequences for that.

Mark Landler reported from London, and David E. Sanger from New York. Reporting was contributed by Carlotta Gall from Kyiv, Ukraine, Marc Santora from Lviv, Ukraine, Eric Schmitt, Edward Wong and Julian Barnes from Washington, Isabel Kershner from Jerusalem, Anton Troianovski and Ivan Nechepurenko from Istanbul, Nick Cumming-Bruce from Geneva, and Richard Prez-Pea, Farnaz Fassihi and Rick Gladstone from New York.

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What Happened on Day 19 of Russias Invasion of Ukraine - The New York Times