The Catholic Church opened the solemn Lenten season leading to Easter on Wednesday without the participation of Pope Francis, who was in the third week of hospital treatment for double pneumonia.

Francis remained in stable condition, with a guarded prognosis, meaning he was not out of danger, the Vatican said.

As Christians around the world mark the start of the season of Lent at Ash Wednesday services, the pope is taking part in associated traditions in his hospital room. Pope Francis had ashes imposed on his forehead at Rome’s Gemelli Hospital by another Catholic leader and also received the Eucharist,