NEW YORK — Catholic priests are often called into action through tough times. Whether they work in a local parish or as a missionary, the main duties of a priest is to administer the church’s seven sacraments — which include baptism, confession and holy communion — while also visiting the sick, overseeing religious education programs and providing pastoral care to parishioners.

How does all that work during the COVID-19 pandemic? In Italy, where the coronavirus has led to the infection of some 35,000 residents and the deaths of nearly 3,000 people, priests have been among the group hardest hit during this epidemic. Ten priests have already died after contracting COVID-19, more than half of time in the city of Bergamo, just outside Milan. In Bergamo alone, more than 20 priests have been hospitalized, with six of them dead as a result of falling ill. They ranged in age from 59 to 70.

That members of the clergy are suffering in such high numbers isn’t a surprise given the advanced age of so many priests. In the United States, where fears about the deadly bug’s spread has grown over the past week, the average age of a priest is 63. The number puts priests in the high-risk bracket for people who can die from contracting COVID-19.

Priestly vocations has been trending downward for years, especially in Europe and the United States. These two places, where the need for clergy to comfort the sick is at its highest while officials call for social distancing, find themselves with no pastoral care. Instead, priests are relegated to streaming services via the Internet as part of social distancing in an effort to stem the outbreak’s growth.

How can priests around the world give pastoral care and comfort to the sick and panic-stricken without putting themselves at risk? Clergy in China, where the virus began last year, and France, where it has grown in recent weeks, have been hospitalized. It’s especially tough when priests are themselves forced into quarantine and dealing with the grief of losing family members.