Global growth in 2019 should be even slower than previously expected but a “precarious” rebound is likely later this year, the head of the International Monetary Fund (IMF) said on Tuesday.

In a speech ahead of next week’s spring meetings with the World Bank, IMF chief Christine Lagarde said the world economy was vulnerable to shocks from Brexit, high debt levels and trade tensions, as well as unease on financial markets.

“The expected rebound in global growth this year is precarious. This is a delicate moment that requires us to handle with care,” Lagarde said in prepared remarks.

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