Washington — Kristalina Georgieva, in her first major address as head of the International Monetary Fund, painted a downbeat picture of the world economy and said a more severe slowdown could require governments to coordinate fiscal-stimulus measures.

In a speech that sets the tone for next week’s annual meeting of the IMF, Georgieva said the IMF will cut its growth forecasts for 2019 and 2020 in its next World Economic Outlook due on October 15. In July, the fund lowered its projection to 3.2% in 2019 and 3.5% in 2020 — its fourth downgrade since last October.

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