“We need to relate to people with respect, despite their positions,” he said, “and to patiently explain” the need to inoculate.

Possibilities for an escalation with Ukraine abound. Mr. Putin, speaking at an event with Defense Minister Sergey K. Shoigu on Tuesday, ruminated on the possibility that the United States had long-term plans to deploy hypersonic missiles in Ukraine, something that the United States has never suggested it intends to do.

“What they are now doing on the territory of Ukraine, or trying to do, or planning to do, is not thousands of kilometers from our national borders,” Mr. Putin said. “It’s on the doorstep of our home. They just have to understand that we have nowhere left to retreat.”

Anton Troianovski reported from Moscow, and Andrew E. Kramer from Kyiv, Ukraine.

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