The combination of health issues has kept the Pope from performing his public duties, including weekly prayers on Sundays, but his doctors have recently said he is alert, joking, and continuing to work, as well as reading messages from well-wishers around the world.

Francis was also given blood transfusions, according to the Vatican, after blood tests revealed he was suffering from thrombocytopenia, meaning the platelet count in his blood was too low, a condition the doctors said is associated with anemia. Infections and medical treatment may lower platelet count.

ROME (AP) — Pope Francis showed slight improvement in laboratory tests Monday and resumed some work activities, including calling a parish in Gaza City that he has kept in touch with since the war there began, the Vatican said.