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Health

Australia’s commerce minister on vaccination charges and journey bubbles

Police officers patrol the Sydney Opera House on July 11, 2021.

James D. Morgan | Getty Images

More Australians need to be vaccinated before the country builds travel bubbles and lets international students in.

Australia has closed its doors to the outside world since March 2020 and even banned its own citizens from returning from India last May.

Australia’s Trade Minister Dan Tehan told CNBC that the easing of border restrictions and the return of foreign students to the country are still “a big part of the roadmap if we get out of this virus”.

“Of course we have to increase the vaccination rates. And as soon as we increase the vaccination rates further, we will check quarantine precautions, “he said on Tuesday in the” Squawk Box Asia “.

Tehan added that South Australia will begin implementing a domestic quarantine process. That trial is slated to take place for two weeks in September and Prime Minister Scott Morrison said it could pave the way for Australians to leave and return, local media reported.

Australia has been criticized for its slow adoption of vaccines. According to Our World in Data, only 15.3% of the population was fully vaccinated as of August 1. Last week, local media reported that Morrison said the country must vaccinate 80% of its population before borders are reopened.

As soon as vaccination rates rise, Australia will try to let in more groups of people in, according to Tehan.

“So we’re going to try to lift the caps so more Australians can return home and then look for ways we can bring in international student business people who want to do business here in Australia,” he said.

Travel bubble plans

Largest city Sydney is battling a virus resurgence as cases hit record highs last week and the military was called in to enforce restrictions. Sydney last week extended its lockdown – which began in late June – for another four weeks as the Delta variant continued to spread.

Still, Tehan said Australia was “very interested” in building travel bubbles with countries that have handled the virus well, such as Singapore, Japan and South Korea.

“That’s still the plan. Obviously we are in a pandemic. So the plan can be adjusted and changed further, but … that’s what we see. We want to be able to open up and open up” with these countries Contact the basis of the medical advice when we know it is safe, “he said.

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Health

F.D.A. Goals to Give Remaining Approval to Pfizer Vaccine by Early Subsequent Month

WASHINGTON — With a new surge of Covid-19 infections ripping through much of the United States, the Food and Drug Administration has accelerated its timetable to fully approve Pfizer-BioNTech’s coronavirus vaccine, aiming to complete the process by the start of next month, people involved in the effort said.

President Biden said last week that he expected a fully approved vaccine in early fall. But the F.D.A.’s unofficial deadline is Labor Day or sooner, according to multiple people familiar with the plan. The agency said in a statement that its leaders recognized that approval might inspire more public confidence and had “taken an all-hands-on-deck approach” to the work.

Giving final approval to the Pfizer vaccine — rather than relying on the emergency authorization granted late last year by the F.D.A. — could help increase inoculation rates at a moment when the highly transmissible Delta variant of the virus is sharply driving up the number of new cases.

A number of universities and hospitals, the Defense Department and at least one major city, San Francisco, are expected to mandate inoculation once a vaccine is fully approved. Final approval could also help mute misinformation about the safety of vaccines and clarify legal issues about mandates.

Federal regulators have been under growing public pressure to fully approve Pfizer’s vaccine ever since the company filed its application on May 7. “I just have not sensed a sense of urgency from the F.D.A. on full approval,” Dr. Ashish K. Jha, the dean of the Brown University School of Public Health, said in an interview on Tuesday. “And I find it baffling, given where we are as a country in terms of infections, hospitalizations and deaths.”

Although 192 million Americans — 58 percent of the total population and 70 percent of the nation’s adults — have received at least one vaccine shot, many remain vulnerable to the ultracontagious, dominant Delta variant. The country is averaging nearly 86,000 new infections a day, an increase of 142 percent in just two weeks, according to a New York Times database.

Recent polls by the Kaiser Family Foundation, which has been tracking public attitudes during the pandemic, have found that three of every 10 unvaccinated people said that they would be more likely to get a shot with a fully approved vaccine. But the pollsters warned that many respondents did not understand the regulatory process and might have been looking for a “proxy” justification not to get a shot.

Moderna, the second most widely used vaccine in the United States, filed for final approval of its vaccine on June 1. But the company is still submitting data and has not said when it will finish. Johnson & Johnson, the third vaccine authorized for emergency use, has not yet applied but plans to do so later this year.

Full approval of the Pfizer vaccine will kick off a patchwork of vaccination mandates across the country. Like most other employees of federal agencies, civilians working for the Defense Department must be vaccinated or face regular testing. But the military has held off on ordering shots for 1.3 million active-duty service members until the F.D.A. acts.

The City of San Francisco has said its roughly 44,500 employees must be fully vaccinated within 10 weeks of F.D.A. approval. The State University of New York, with roughly 400,000 students, is on a parallel track.

A number of health care systems have issued similar mandates to employees, including Beaumont Health, the largest health provider in Michigan, with 33,000 employees, and Mass General Brigham in Massachusetts, with about 80,000 workers.

Updated 

Aug. 3, 2021, 9:15 p.m. ET

Full approval typically requires the F.D.A. to review hundreds of thousands of pages of documents — roughly 10 times the data required to authorize a vaccine on an emergency basis. The agency can usually complete a priority review within six to eight months and was already working on an expedited timetable for the Pfizer vaccine. The F.D.A.’s decision to speed up was reported last week by Stat News.

In a guest essay in The Times last month, Dr. Peter Marks, the agency’s top vaccine regulator, wrote that undue haste “would undermine the F.D.A.’s statutory responsibilities, affect public trust in the agency and do little to help combat vaccine hesitancy.”

The regulators want to see real-world data on how the vaccine has been working since they authorized it for emergency use in December. That means verifying the company’s data on vaccine efficacy and immune responses, reviewing how efficacy or immunity might decline over time, examining new infections in participants in continuing clinical trials, reviewing adverse reactions to vaccinations and inspecting manufacturing plants.

At the same time, senior health officials at the F.D.A. and other agencies are grappling with whether at least some people who are already vaccinated need booster shots. Several officials are arguing that boosters will be widely needed before long, while others contend that the scientific basis for them remains far from settled.

Two people familiar with the deliberations, speaking on the condition of anonymity, said that if booster shots are needed, the administration wants a single strategy for all three vaccines currently authorized for emergency use.

Different recommendations on boosters for different vaccines, they said, could confuse the public. Fully approving a vaccine and then authorizing a booster for it soon after might also offer conflicting messages about its effectiveness.

Understand the State of Vaccine Mandates in the U.S.

While research is continuing, senior administration officials increasingly believe that at the least, vulnerable populations like those with compromised immune systems and older people will need them, according to people familiar with their thinking. But when to administer them, which vaccine to use and who should get shots are all still being discussed.

In a study posted online last week, Pfizer and BioNTech scientists reported that the effectiveness of Pfizer’s vaccine against symptomatic disease fell from about 96 percent to about 84 percent four to six months after the second shot, but continued to offer robust protection against hospitalization and severe disease.

Administration officials said Moderna and Johnson & Johnson needed to present data as well and Moderna had been asked to do so quickly. Officials have said other studies will also influence their decision-making, including data that the government is collecting on the rate of breakthrough infections among tens of thousands of people, including health care workers.

Pfizer is expected to submit an application for a booster shot to the F.D.A. this month. While the F.D.A. could authorize such shots, the Centers for Disease Control and Prevention would need to recommend them after a meeting of its outside committee of experts.

A decision to fully approve Pfizer’s vaccine will give doctors more latitude to prescribe additional shots at least for certain Americans, including those with weakened immune systems. The C.D.C. had been exploring possible special programs for that group, but administration officials said it became clear that by the time any such initiative got underway, the Pfizer vaccine would already be fully approved and doctors could prescribe a third shot.

Roughly 3 percent of Americans — or about 10 million people, by some estimates — have compromised immune systems as a result of cancer, organ transplants or other medical conditions, according to the C.D.C. While studies indicate that the vaccines work well for some of them, others do not produce the immune response that would protect them from the virus.

Some people are trying to get booster shots from pharmacies or other providers on their own, without waiting for the federal government’s blessing. Officials in Contra Costa County, home to 1.1 million people in Northern California, were so eager to offer boosters that on July 23 they told vaccine providers to give extra shots to people who asked for them “without requiring further documentation or justification.”

Then, realizing that policy violated the F.D.A. rules on vaccines authorized for emergency use, the county reversed it this week.

Jennifer Steinhauer contributed reporting. Susan C. Beachy contributed research.

Categories
Politics

Pelosi amongst prime Democrats calling for NY Gov. Cuomo’s resignation

Governor Andrew Cuomo holds press briefing and makes announcement to combat Covid-19 Delta variant at 633 3rd Avenue.

Pacific Press | LightRocket | Getty Images

House Speaker Nancy Pelosi and other top Democrats called on New York Gov. Andrew Cuomo to resign on Tuesday, following the release of a bombshell report alleging that the governor sexually harassed 11 women.

Pelosi expressed her belief that Cuomo should resign, a shift from the spring when she declined to call on the governor to step down from office.

“Recognizing his love of New York and the respect for the office he holds, I call upon the Governor to resign,” Pelosi said in a statement. 

President Joe Biden also called on Cuomo to step down. “He should resign,” Biden told reporters at the White House.

Asked whether Cuomo should be removed from office if he refuses to resign, Biden said, “I understand the state legislature may decide to impeach, I do not know that for a fact.”

Shortly after Biden’s response, New York State House Speaker Carl Heastie (D) announced the launch of an impeachment inquiry.

U.S. Senate Majority Leader Chuck Schumer and Sen. Kristen Gillibrand, both Democrats from New York, issued a joint statement calling the allegations against Cuomo “profoundly disturbing” and demanding his resignation.

“Today’s report from the New York State Attorney General substantiated and corroborated the allegations of the brave women who came forward to share their stories — and we commend the women for doing so,” the senators said.

“No elected official is above the law. The people of New York deserve better leadership in the governor’s office. We continue to believe that the Governor should resign,” Schumer and Gillibrand said. The senators had originally called for Cuomo’s resignation back in March.

Gillibrand on Tuesday called the report “very serious and damning.”

“My heart goes out to the women who have come forward … and I thank them for their courage,” she told reporters in the Capitol.

Governor Ned Lamont of Connecticut, Governor Dan McKee of Rhode Island, Governor Phil Murphy of New Jersey and Governor Tom Wolf of Pennsylvania released a joint statement asking Cuomo to resign: “We are appalled at the findings of the independent investigation by the New York Attorney General. Governor Cuomo should resign from office.”

Three Democratic congressmen from New York, Reps. Tom Suozzi, Gregory Meeks and Hakeem Jeffries, none of whom had previously called on Cuomo to step down, did so on Tuesday.

“The time has come for Governor Andrew Cuomo to do the right thing for the people of New York State and resign,” the lawmakers said in a statement.

Jeffries is the House Democratic Caucus chairman, the fifth highest-ranking Democrat in the House.

White House press secretary Jen Psaki said the White House’s message to Cuomo’s accusers is that all women who “have lived through this type of experience … deserve to be treated with respect and dignity.”

“I don’t know that anyone could have watched [James’ press conference] this morning and not found the allegations to be abhorrent — I know I certainly did,” said Psaki.

Heastie, the state House Speaker, said the report made it impossible for Cuomo to continue to lead the state.

“It is abundantly clear to me that the Governor has lost the confidence of the Assembly Democratic majority and that he can no longer remain in office,” Heastie said in a statement.

“We will move expeditiously and look to conclude our impeachment investigation as quickly as possible.” 

U.S. Senate Majority Chuck Schumer (D-NY) looks up after reading a statement calling for the resignation of New York Governor Andrew Cuomo at the U.S. Capitol in Washington, August 3, 2021.

Kevin Lamarque | Reuters

The report is the product of a monthslong probe by independent investigators working for state Attorney General Letitia James’ office. It concluded that Cuomo “sexually harassed multiple women and in doing so violated federal and state law,” James said at a press conference.

A somber but defiant Cuomo strongly denied some of those allegations later Tuesday and said that other examples of his alleged misconduct had been mischaracterized or misinterpreted.

News of the report’s findings landed like a grenade in Albany and in Washington, where the powerful Democratic governor has earned a reputation as a bare-knuckle political brawler.

The 165-page report also said that Cuomo’s office was riddled with fear and intimidation and was a hostile work environment for many staffers. The women Cuomo harassed included members of his own staff, members of the public and other state employees, one of whom was a state trooper, the report found.

“The Governor must resign for the good of the state,” said Andrea Stewart-Cousins, the Democratic majority leader of the New York State Senate. “Now that the investigation is complete and the allegations have been substantiated, it should be clear to everyone that he can no longer serve as Governor.”

New York City Mayor Bill de Blasio said the “abhorrent behavior” outlined in the report disqualifies Cuomo from remaining in office, renewing his call for the governor to resign or be impeached.

“My first thoughts are with the women who were subject to this abhorrent behavior, and their bravery in stepping forward to share their stories,” de Blasio said in a statement. “The Attorney General’s detailed and thorough report substantiates many disturbing instances of severe misconduct. Andrew Cuomo committed sexual assault and sexual harassment, and intimidated a whistleblower. It is disqualifying.”

One of the women allegedly sexually harassed by Cuomo was a New York state trooper.

Thomas H. Mungeer, president of the New York State Troopers Police Benevolent Association, said he was “outraged and disgusted that one of my members, who was tasked with guarding the governor and ensuring his safety, could not enjoy the same sense of security in her work environment that he was provided.”

“The NYSTPBA also applauds the bravery of our member, who when called upon during this investigation was truthful and had the courage to share her experiences,” said Mungeer.

Categories
Entertainment

After Uproar, Matt Damon Tries to Make clear Feedback on Anti-Homosexual Slur

In the face of a backlash after being quoted as saying that he recently decided to “withdraw” a homophobic libel, actor Matt Damon said in a statement Monday that “I don’t use any insults.”

The statement followed an interview published this week by The Sunday Times in which Mr. Damon recounted a conversation he had with his daughter in which he “made a joke” that led her to write him an essay on the historical damage caused by it to write what she calls “the”. f-Slur for a homosexual. ‘”

“She went into her room and wrote a very long, beautiful treatise on how dangerous that word is,” said Mr Damon, according to The Sunday Times, a British newspaper. “I said, ‘I’m pulling back the visor arch!’ I have understood.”

In the statement Variety received, Mr. Damon said that in his “personal life” he had never called anyone “someone” the word and that he understood why his framing in the interview “led many to assume the worst” .

He added that while speaking with his daughter, he remembered hearing how evil was used on the street as a kid in Boston “before I even knew what it was related to.”

“I explained that this word was used constantly and casually and was even a line of dialogue in one of my films back in 2003; She, in turn, expressed her disbelief that there could ever have been a time when that word was used thoughtlessly, “said Mr. Damon in the statement. “To my admiration and pride, she made it very clear about how painful that word would have been for someone in the LGBTQ + community, regardless of how culturally normalized it was. I not only agreed with her, but was enthusiastic about her passion, her values ​​and her desire for social justice. “

“This conversation with my daughter was not a personal awakening,” he continued. “I don’t use bows of any kind.”

In an interview with the Sunday Times, Mr. Damon seemed to imply that the word had come up in a joke.

“The word my daughter calls ‘f-slur for a homosexual’ was used a lot in my childhood, with a different application,” said Mr Damon in the interview. “I made a joke months ago and got a memoir from my daughter. She left the table. I said, ‘Come on, this is a joke! I say it in the movie “Stuck on You”! ‘”

In the interview, he did not state which of his daughters the interaction took place with.

Many on social media were unimpressed by Mr. Damon’s story, saying he should have known better years – not months – ago. Some also wondered why Mr. Damon was telling the story in the first place.

Charlotte Clymer, a former spokeswoman for the human rights campaign, said on Twitter that while she got the mood of the story, “It’s like more than 10 years ago. And he knows better. “

This is not the first time Mr Damon has been controversial with comments about LGBTQ people.

In 2015, he told The Guardian that the critical thing about acting was that “people shouldn’t know about your sexuality because that’s one of the secrets one should be able to play,” adding that he imagined “That it must be really difficult”. “For gay actors to make their sexuality public. On the Ellen Show, Mr. Damon defended the remarks, saying that “actors are more effective when they’re a secret”.

In his statement on Monday, the actor admitted that “open hostility” towards LGBTQ people is not uncommon.

“To be as clear as possible, I stand by the LGBTQ + community,” he said.

Categories
World News

Dwell Coronavirus Updates: Vaccine and Delta Variant Information

Here’s what you need to know:

Credit…Octavio Jones/Reuters

President Biden, seeking to reiterate that the rise of the highly contagious variant in the United States is a “pandemic of the unvaccinated,” voiced his frustration with leaders who have been slow to provide coronavirus relief or get shots in arms.

Mr. Biden singled out Florida and Texas, where cases have risen sharply, criticizing the pandemic response by the governors in those states.

“We need leadership from everyone,” he said. “Some governors aren’t willing to do the right things to make this happen. I say to these governors, please, if you aren’t going to help, at least get out of the way for people who are doing the right thing.”

Mr. Biden has been under pressure to redirect the American public’s focus after days of policy whiplash, shifting directives on mask usage, and roiling debates about requiring workers to receive the vaccine.

Mr. Biden’s speech reflected in blunt terms what his top advisers have been saying, with varying degrees of success, for days: that the people who get sickest from the Delta variant are unvaccinated, and that his administration is working to make vaccines available to every person who needs one. Fully vaccinated people are protected against the worst outcomes of Covid-19 caused by the Delta variant.

On Tuesday, Mr. Biden was plainspoken and direct in his remarks, calling the rise of the Delta variant a “largely preventable tragedy that will get worse before it gets better.” He also tackled a criticism directed at his White House in recent days: that his administration had not done enough to synthesize information in a way that Americans could understand.

“I know there’s a lot of misinformation out there, so here are the facts,” Mr. Biden said. “If you are vaccinated, you are highly unlikely to get Covid-19. and even if you do, the chances are you won’t show any symptoms. And if you do, they’ll most likely be very mild. Vaccinated people are almost never hospitalized.”

Mr. Biden reiterated his earlier mandate that all federal workers must be vaccinated or subject to strict requirements.

“If you want to do business with the federal government,” he said, “get your workers vaccinated.”

He added that the private sector, including companies like Wal-Mart, Google and Tyson Foods, were taking similar steps. “Even Fox has vaccination requirements,” he quipped.

Mr. Biden had said earlier this year that he wanted to see 70 percent of eligible Americans at least partly vaccinated by July 4. The country hit that goal on Monday, about a month late and only after the Delta variant began disrupting the progress touted by the president and public health officials.

There was no celebration of reaching the delayed milestone. Instead, the Biden administration has been in a race to encourage vaccine-reluctant and vaccine-refusing Americans to receive shots as caseloads rise in states with high unvaccinated populations.

“The vaccines are doing exactly what they are supposed to do when it comes to keeping you out of the hospital, out of serious disease, and certainly, preventing your death,” Dr. Anthony Fauci, the nation’s top disease expert, told reporters.

The White House has also struggled to put into context the threat of the Delta variant to those who are vaccinated. Experts say that infections in vaccinated people — so called breakthrough infections — are still relatively uncommon, and that even in those cases, the vaccines appear to protect against severe illness and death.

Nationally, new cases have reached an average of about 86,000 a day as of Monday, a dramatic jump from about 13,000 daily cases a month ago but still far fewer than in January. Hospitalizations have risen as well, but hospitalizations and deaths remain a fraction of their devastating winter peaks.

Mr. Biden’s pledge to donate 500 million Pfizer-BioNTech doses is by far the largest yet by a single country, but it would fully inoculate only about 3 percent of the world’s population. The United States will pay $3.5 billion for the Pfizer-BioNTech shots, about $7 apiece, which Pfizer described as a “not for profit” price — much less than the $20 it has paid for domestic use.

In a fact sheet released on Tuesday, the administration said that it would work with programs focused on the equitable distribution of vaccines, including Covax, to ensure that the doses arrive in the countries that are in the most need. But health officials in countries that have received some of the doses have already warned that additional funding is needed to train people to administer the shots and fuel vehicles that transport the vaccines to clinics in remote areas.

Mr. Biden also announced during a speech at the White House on Tuesday that the United States has donated more than 110 million vaccine doses globally, a down payment on a pledge he made to send half a billion doses of vaccine to poorer countries over the next year.

Mr. Biden, who for months was under pressure to share doses of the vaccine, is now seeking to position his administration as a global leader in inoculating the rest of the world amid the spread of highly contagious variants of the virus.

“The virus knows no boundaries,” Mr. Biden said. “There’s no wall high enough or ocean wide enough to keep us safe” from the virus in other countries.

Azi Paybarah contributed reporting.

Young adults at a weekly gathering in Manhattan earlier this year. Hospitals across the country are reporting that new Covid-19 patients tend to be younger, many in their 20s or 30s.Credit…Kathy Willens/Associated Press

Recently, a 28-year-old patient died of Covid-19 at CoxHealth Medical Center in Springfield, Mo. Last week, a 21-year-old college student was admitted to intensive care.

Many of the patients with Covid-19 now arriving at the hospital are not just unvaccinated — they are much younger than 50, a stark departure from the frail, older patients seen when the pandemic first surged last year.

In Baton Rouge, La., young adults with none of the usual risk factors for severe forms of the disease — such as obesity or diabetes — are also arriving in E.R.s, desperately ill. It isn’t clear why they are so sick.

Physicians working in Covid hot spots across the nation say that the patients in their hospitals are not like the patients they saw last year. Almost always unvaccinated, the new arrivals tend to be younger, many in their 20s or 30s. And they seem sicker than younger patients were last year, deteriorating more rapidly.

Doctors have coined a new phrase to describe them: “younger, sicker, quicker.” Many physicians treating them suspect that the Delta variant of the coronavirus, which now accounts for more than 80 percent of new infections nationwide, is playing a role.

Studies done in a handful of other countries suggest that the variant may cause more severe disease, but there is no definitive data showing that the new variant is somehow worse for young adults.

Some experts believe the shift in patient demographics is strictly a result of lower vaccination rates in this group.

As of Sunday, more than 80 percent of Americans ages 65 to 74 were fully vaccinated, compared with fewer than half of those ages 18 to 39, according to figures from the Centers for Disease Control and Prevention.

The vaccines are powerfully effective against severe illness and death after infection with any variant of the virus, including Delta. A vast majority of hospitalized patients nationwide — roughly 97 percent — are unvaccinated.

“I don’t think there’s good evidence yet about whether it causes more severe disease,” Dr. Adam Ratner, associate professor of pediatrics and microbiology at the New York University Grossman School of Medicine, said of the Delta variant.

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New York City Will Require Vaccination for Indoor Activities

Mayor Bill de Blasio of New York announced that proof of vaccination would be required for many indoor activities including dining, museums, fitness centers. The policy comes as new coronavirus cases have spiked.

So today, I announce a new approach, which we’re calling the Key to N.Y.C. Pass, the key to New York City. When you hear those words, I want you to imagine the notion that because someone’s vaccinated, they can do all the amazing things that are available in this city. This is a miraculous place, literally full of wonders. And if you’re vaccinated, all that’s going to open up to you. You’ll have the key. You can open the door. But if you’re unvaccinated, unfortunately, you will not be able to participate in many things. That’s the point we’re trying to get across. The Key to N.Y.C. Pass will be a first-in-the-nation approach. It will require vaccination for workers and customers in indoor dining and indoor fitness facilities, indoor entertainment facilities. This is going to be a requirement. The only way to patronize these establishments indoors will be if you’re vaccinated — at least one dose. The same for folks in terms of work, they’ll need at least one dose. This new policy will be phased in over the coming weeks. So we’ve been working with the business community, getting input. We’re going to do more over the next few weeks. The final details of the policy will be announced and implemented in the week of Aug. 16.

Video player loadingMayor Bill de Blasio of New York announced that proof of vaccination would be required for many indoor activities including dining, museums, fitness centers. The policy comes as new coronavirus cases have spiked.CreditCredit…Andrew Kelly/Reuters

New York City will become the first U.S. city to require proof of at least one dose of a coronavirus vaccine for a variety of activities for workers and customers — indoor dining, gyms and performances — to put pressure on people to get vaccinated, Mayor Bill de Blasio announced Tuesday morning.

The program, similar to mandates issued in France and Italy last month, will start on Aug. 16, and after a transition period, enforcement will begin on Sept. 13, when schools are expected to reopen and more workers could return to offices in Manhattan. Mr. de Blasio has been moving aggressively to get more New Yorkers vaccinated to curtail a third wave of coronavirus cases amid concern about the spread of the Delta variant. He is also requiring city workers to get vaccinated or to face weekly testing, and he has offered a $100 incentive for the public.

“If you want to participate in our society fully, you’ve got to get vaccinated,” he said at a news conference. “It’s time.”

“This is going to be a requirement,” he added. “The only way to patronize these establishments is if you are vaccinated, at least one dose. The same for folks in terms of work, they will need at least one dose,” he said, holding up a single finger.

On Monday Mr. de Blasio stopped short of reinstating an indoor mask mandate even as large urban areas, including Los Angeles County, San Francisco and Washington, and at least one state did so. He said he wanted to focus on increasing vaccination rates, and was concerned that requiring everyone to wear masks would remove an incentive for those who are considering getting vaccinated now.

Nationally, new cases have reached an average of about 86,000 a day as of Monday, a dramatic jump from about 13,000 daily cases a month ago but still far fewer than in January. Hospitalizations have risen as well, but hospitalizations and deaths remain a fraction of their devastating winter peaks.

About 66 percent of adults in the city are fully vaccinated, according to city data, although pockets of the city have lower rates. The federal government has authorized three vaccines for emergency use in the United States: The Pfizer-BioNTech and Moderna vaccines both take two doses while Johnson & Johnson uses a single dose. Individuals are not considered to be fully vaccinated until two weeks after their final dose.

Fully vaccinated people are protected against the worst outcomes of Covid-19 caused by the Delta variant, but there’s a sharp drop in the efficacy if an individual has only had one dose of a two-dose vaccine.

The new program, dubbed “Key to NYC Pass,” is not a particular document, but rather the strategy of requiring proof of vaccination for workers and customers at indoor dining, gyms, entertainment and performances, including Broadway, the mayor said.

Indoor movies and concerts will also require people to show proof of vaccination to enter. People will be able to continue to dine outdoors without showing proof of vaccination.

To enter indoor venues, patrons must use the city’s new app, the state’s Excelsior app or a paper card to show proof of vaccination. The mayor did not say how the city will handle vaccinations like AstraZeneca or Sinovac that may be common among international tourists.

Children younger than age 12 will not be excluded from venues because they are not eligible to be vaccinated, he said. But the details of those plans remain to be worked out. “We have to figure out how to do things in a safe manner,” the mayor said.

The city will issue a health commissioner’s order and a mayoral executive order to put the vaccine mandate in place. The six weeks before enforcement begins on Sept. 13 will be spent educating businesses and doing outreach, he said.

The mayor said the city consulted with the U.S. Department of Justice and got a “very clear message” that it was legal to move forward with these mandates, even without full F.D.A. approval.

Only people fully vaccinated in the state of New York can get an Excelsior pass, which confirms vaccination against city and state records. Everyone, however, can use the city’s new app, NYC Covid Safe, because it is simply a digital photo album that stores a picture that a person takes of their own vaccination card and does not double check it against any registry. A paper card from the Centers for Disease Control and Prevention must always be accepted, too.

Security personnel asked customers for proof of vaccination as they entered City Winery in June.Credit…Frank Franklin Ii/Associated Press

Reactions were largely supportive of vaccine restrictions imposed Tuesday by Mayor Bill de Blasio of New York City, the most stringent steps announced recently in any major U.S. city, though some health experts suggested they might not go far enough. Workers and customers in New York will soon have to provide proof that they have received at least one vaccine dose before engaging in activities like indoor dining, exercising in gyms and seeing performances, Mr. de Blasio said on Tuesday.

The new requirements could have been rolled out sooner, some health experts said, and vaccination and mask requirements could be further expanded.

Still, the new restrictions got a positive response from one important trade group, the N.Y.C. Hospitality Alliance, which represents restaurants and bars, a sector still recovering from months of limited capacity and other restrictions.

Andrew Rigie, the trade group’s executive director, said that the new restrictions could avert another broad lockdown. The rules “may prove an essential move to protecting public health and ensuring that New York City does not revert to restrictions and shut down orders,” he said in a statement.

At the White House, the press secretary Jen Psaki said the Biden administration supported local efforts to control the virus.

“Different communities and states are going to take steps to protect the people living in their states, and also incentivize, whether it’s through carrots and sticks, more people getting vaccinated,” Ms. Psaki said at a news conference. The federal government, she said, has no plans to issue similar guidance on a national level.

Later in the afternoon, President Biden reiterated the point, saying he thought that more cities and states should announce rules like New York City’s.

Mr. de Blasio said the program will start on Aug. 16, and that enforcement will begin on Sept. 13, when schools are expected to open and more workers could return to the office.

Dr. Wafaa El-Sadr, an epidemiology professor at Columbia University, said that she wished the mayor had imposed the restrictions earlier and that she did not see the point in further delaying them.

“Once vaccination was widely available to people, which was weeks ago, I think requiring vaccination for access to such venues would have been appropriate,” Dr. El-Sadr said.

The city’s vaccination program has slowed in recent months, despite efforts like a $100 payment to people who get vaccinated and inoculating people at home.

Fully vaccinated people are protected against the worst outcomes of Covid-19 caused by the Delta variant, but there’s a sharp drop in the efficacy if an individual has only had one dose of a two-dose vaccine.

Dr. Celine Gounder, an epidemiologist at New York University’s Grossman School of Medicine and an adviser to city officials, also recommended that city officials expand their message about the importance of masking and testing, even for vaccinated people, noting that “we can walk and chew gum at the same time.”

About a week ago, the federal government updated its health guidance, recommending that people wear masks indoors in virus hot spots even if they are vaccinated.

Mr. de Blasio said on Monday that he strongly recommended that people wear masks indoors, but that he would not immediately impose a requirement in the city, as many municipalities have.

A health care worker collected a swab sample for a coronavirus test from a young passenger arriving on an international flight in Chennai, India on Sunday.Credit…Idrees Mohammed/EPA, via Shutterstock

Although most children with Covid-19 recover within a week, a small percentage experience long-term symptoms, according to a new study of more than 1,700 British children. The researchers found that 4.4 percent of children have symptoms that last four weeks or longer, while 1.8 percent have symptoms that last for eight weeks or longer.

The findings suggest that what has sometimes been called “long Covid” may be less common in children than adults. In a previous study, some of the same researchers found that 13.3 percent of adults with Covid-19 had symptoms that lasted at least four weeks and 4.5 percent had symptoms that lasted at least eight weeks.

“It is reassuring that the number of children experiencing long-lasting symptoms of Covid-19,” is low, Dr. Emma Duncan, an endocrinologist at King’s College London and lead author of the study, said in a statement. “Nevertheless, a small number of children do experience long illness with Covid-19, and our study validates the experiences of these children and their families.”

The study, published on Tuesday in the journal The Lancet Child & Adolescent Health, is based on an analysis of data collected by the Covid Symptom Study smartphone app. The paper focuses on 1,734 children between the ages of 5 and 17 who tested positive for the virus and developed symptoms between Sept. 1 and Jan. 24. Parents or caregivers reported the children’s symptoms in the app.

In most cases, the illness was mild and short. Children were sick for six days, on average, and experienced an average of three symptoms. The most common symptoms were headache and fatigue.

But a small subset of children experienced lingering symptoms, including fatigue, headache and a loss of smell. Children between 12 and 17 were sicker for longer than younger children and more likely to experience symptoms that lasted at least four weeks.

“We hope our results will be useful and timely for doctors, parents and schools caring for these children — and of course the affected children themselves,” Dr. Duncan said.

The researchers also compared children who tested positive for the coronavirus with those who reported symptoms in the app but tested negative for the virus. Children who tested negative — and may have had other illnesses, such as colds or the flu — recovered more quickly and were less likely to have lingering symptoms than those with Covid. They were ill for three days, on average, and just 0.9 percent of children had symptoms that lasted at least four weeks.

Coronavirus testing in Wuhan, China, on Tuesday.Credit…Agence France-Presse — Getty Images

Wuhan, the city in central China where the pandemic first emerged, is planning to test all of its 11 million residents for the coronavirus, officials said on Tuesday, as they announced the first local transmission there since last spring.

The city, the first to show the world the damage the virus could wreak, had not recorded any local cases since May of last year, after a harsh two-and-a-half month lockdown helped eradicate the virus there. But city officials said they had detected three symptomatic local cases in the previous 24 hours, as well as five asymptomatic ones.

Wuhan had some of China’s strictest measures to stop the spread of the virus, and many residents continued to wear masks even as people elsewhere relaxed as the country brought the outbreak under control. But China is battling several new flare-ups as the Delta variant makes inroads, including in the cities of Nanjing and Zhangjiajie, and several more in the country’s south. The authorities in Zhangjiajie also barred residents and tourists from leaving the city, imposing a de facto lockdown.

Wuhan had previously tested all its residents in two weeks last spring, mobilizing the Chinese Communist Party’s vast network of local officials in a feat unprecedented at the time. Since then, the country has carried out several mass testing campaigns.

Officials said that Wuhan was a major transportation hub and that it was crucial to cut off any further transmission there. Liu Dongru, a provincial health official, said at a news conference on Tuesday that the authorities would “firmly protect the hard-won results against the epidemic.”

Officials also announced on Tuesday that large-scale gatherings would be prohibited. They encouraged residents not to leave Wuhan and suspended offline classes.

Amy Chang Chien contributed reporting.

Nicola Zingaretti, president of the Lazio region of Italy, spoke to reporters in Rome on Monday about the cyberattack on his region’s vaccine appointment website.Credit…Angelo Carconi/EPA, via Shutterstock

The Lazio region of Italy, which includes Rome, has been unable to offer vaccination appointments online for three days because of a cyberattack on its website over the weekend, part of what the authorities said was probably Italy’s most serious ransomware case to date.

Ransomware attacks, in which criminals break into a computer system, encrypt the data it contains and demand money to release it, have struck health care systems in many countries, paralyzing hospitals, clinics and testing centers from California to Ireland and New Zealand. The attack in Italy is one of the largest to affect a vaccination campaign, raising alarms about its potential impact.

“It’s hitting one of the things that in 2021 are fundamental,” said Stefano Zanero, a professor of cybersecurity at the Polytechnic University of Milan.

The attack against the regional information technology services began at midnight on Saturday. It came at a fraught time, as the Italian authorities are grappling with vaccine skepticism and the spread of the Delta variant, which is dominant in the country.

Italy’s postal police, who have jurisdiction over cyberattacks, are still investigating the identity of the attackers, but the president of the Lazio region, Nicola Zingaretti, said on Monday that the police knew it had come from abroad. He called the attack “very powerful and very invasive.”

A ransomware attack in May on the Colonial Pipeline, which transports fuel from Texas across the southeastern United States as far as New Jersey, caused a shutdown that lasted several days and prompted panic buying of gasoline in the United States. In Ireland, an attack paralyzed the health services’ digital systems for more than a week in June, delaying Covid-19 testing and medical appointments.

Italy’s regional governments have extensive powers over vaccinations in Italy, and the Lazio region, home to nearly 6 million people, prided itself on an efficient campaign. About 70 percent of the region’s adult population is fully vaccinated, the highest figure in the country; for Italy as a whole, the figure as of Tuesday was 53 percent, according to a New York Times tracker.

Vaccinations are going ahead in Lazio, and the 500,000 people who had booked appointments before the cyberattack will still receive their shots, the authorities said. After Aug. 13, though, the region’s vaccination schedule is empty. Alessio D’Amato, the region’s top health care official, said that bookings would become available again by the end of the week.

Several other public services have also been affected by the attack, including health care appointments, but the authorities said personal health and financial information had not been breached or stolen. Residents can still download the health pass that will be required for many social activities starting Friday.

Some vaccination sites in the region are offering shots without appointments, including one at the Rome-Fiumicino International Airport, and officials are sending vans to distribute shots in remote villages. But their capacity is limited.

The pace of Italy’s vaccination campaign has slackened in recent weeks, and many Italians over the age of 60 have not yet completed their vaccinations. “I make an appeal to all the workers and the citizens,” Mr. Zingaretti said, “Let’s go ahead and not slow down.”

Mr. Zanero, the professor of cybersecurity, said that he thought the attack was financially motivated rather than a political or terrorist attack. He expressed hope that the attack would prompt more investment in cybersecurity. “This could be an impulse in that direction,” he said.

After a backlash from Michigan residents and a rebuke from a state judge, a Republican elected official who used federal Covid relief money to give himself $25,000 in hazard pay resigned his leadership position this week.

Jeremy R. Root resigned his position as chairman of the Shiawassee County Board of Commissioners, according to a resignation letter read at a public meeting on Sunday. Mr. Root, who did not attend the meeting, said in the letter that he would retain his position as a commissioner, representing the southeast part of the county, about 26 miles west of Flint.

Telephone and email messages sent to Mr. Root on Monday evening were not returned.

The plan to use the federal funds for “Covid hazard pay for county employees” was approved by all six Republican commissioners that were present at the board’s July 15 meeting, according to a draft of the minutes.

The bonuses included $25,000 for Mr. Root, $10,000 each for two other commissioners, and $5,000 each for four other commissioners, MLive-The Flint Journal reported. After a public backlash, the commissioners reversed course a week later, and a judge later ordered them to give back the money, The Associated Press reported.

An average of six coronavirus cases per day are being reported in the county, according to data collected by The New York Times. Since the beginning of the pandemic, at least one in 10 county residents has been infected, totaling more than 6,500 cases.

At Sunday’s board meeting, a commissioner read two sentences from Mr. Root’s resignation letter. In a video from the meeting, cheers could be heard after the first sentence was read aloud, announcing Mr. Root’s resignation as chairman “effective immediately.”

But when Mr. Root’s letter went on to say that he “will retain my position as a commissioner,” the cheers turned to boos.

President Biden had been under intense pressure from activists and allies to extend a national moratorium on evictions that expired on Saturday.Credit…Tom Brenner for The New York Times

WASHINGTON — The Biden administration on Tuesday imposed a new, 60-day federal moratorium on evictions in areas of the country ravaged by the Delta variant, a move aimed at protecting hundreds of thousands of renters at risk of being kicked out of their homes during a pandemic.

The action was also intended to quell a rebellion among angry Democrats who blamed the White House for allowing a previous eviction ban to expire on Saturday — after the Democratic-controlled House was unable to muster enough votes to extend that moratorium.

President Biden has been under intense pressure from activists and allies for the last week to protect people who are at risk of being driven from their homes for failing to pay their rent during the economic crisis brought on by the pandemic. The previous nationwide moratorium on evictions, which went into effect in September, expired on Saturday after the Supreme Court warned that an extension would require congressional action.

The end of the rental protections has triggered a flurry of recriminations in Washington and a furious effort by the White House to find a solution that prevents working-class and impoverished Americans from being evicted from their homes on Mr. Biden’s watch as billions in aid allocated by Congress goes untapped.

The Centers for Disease Control and Prevention late Tuesday announced the new order barring people from being driven out of their homes in many parts of the country, saying that “the evictions of tenants for failure to make rent or housing payments could be detrimental to public health control measures” aimed at slowing Covid-19.

The new, temporary order will expire on Oct. 3, the C.D.C. said, and applies to areas of the country “experiencing substantial and high levels of community transmission” of the virus. Mr. Biden, in remarks ahead of the official order, said the moratorium was expected to reach 90 percent of Americans who are renters.

“This moratorium is the right thing to do to keep people in their homes and out of congregate settings where COVID-19 spreads,” Dr. Rochelle Walensky, the director of the C.D.C., said in a statement. “Such mass evictions and the attendant public health consequences would be very difficult to reverse.”

The decision to impose a new and targeted moratorium, rather than extending the previous national ban, is aimed at sidestepping a Supreme Court ruling from late June that seemed to limit the administration’s ability to enact such policies. While the Supreme Court upheld the C.D.C.’s moratorium, Justice Brett M. Kavanaugh issued a brief concurring opinion explaining that he had cast his vote reluctantly and believed the C.D.C. had “exceeded its existing statutory authority by issuing a nationwide eviction moratorium.”

Mr. Biden conceded on Tuesday that the new approach might be struck down by the courts as executive overreach. But he suggested the move could help buy the administration time as it tried to get states to disburse billions of dollars of aid to help renters meet their obligations to landlords.

Congress previously allocated $46.5 billion in rental assistance in two Covid relief packages but only about $3 billion had been delivered to eligible households through June, according to Treasury Department data.

“Whether that option will pass constitutional measure with this administration, I can’t tell you. I don’t know,” Mr. Biden said of a new moratorium. “There are a few scholars who say it will and others who say it’s not likely to. But at a minimum, by the time it gets litigated, we’ll probably give some additional time while we’re getting that $45 billion out to people who are in fact behind in rent and don’t have the money.”

For days, some of Mr. Biden’s closest allies on Capitol Hill, including some of the most progressive Democrats in Congress, have been publicly and privately assailing his lack of action to help renters, accusing the president and his aides of failing to find a replacement for the eviction moratorium until it was too late.

Just days before Saturday’s expiration of the ban, Mr. Biden called on Congress to pass legislation to extend it. But with the House about to leave town for a seven-week vacation period and Republicans solidly opposed to an extension, progressive Democrats described the White House call as a cynical attempt to shift blame to lawmakers. The administration, for its part, feared that any unilateral move would open the White House to legal challenges that could ultimately erode Mr. Biden’s presidential powers.

The expiration presented the president with a thorny choice: side with the C.D.C. and his own lawyers, who saw an extension as a dangerous step that could limit executive authority during health crises, or heed the demands of his party’s progressive wing to take immediate action to halt what they saw as a preventable housing crisis.

Under intense pressure from Speaker Nancy Pelosi and other Democrats, Mr. Biden’s team opted for an approach that would give them a chance to satisfy both camps, creating a new moratorium, based on a recent rise in infections from the Delta variant, that cited the risks associated with the movement of displaced tenants in areas where the virus is raging.

But ultimately it came down to a simpler calculation: Mr. Biden could not ignore the call, led by Black Democrats, to reverse course.

“Every single day that we wait, thousands of people are receiving eviction notices, and some of them are being put out on the street,” said Representative Cori Bush, Democrat of Missouri, who has been sleeping on the steps of the Capitol since the moratorium expired in a bid to pressure her party’s leadership. “People started sending me pictures of dockets, court dockets, that were all evictions. We cannot continue to sit back, we need this done today.”

Ms. Pelosi and Senator Chuck Schumer, Democrat of New York and the majority leader, were briefed on Tuesday on the C.D.C.’s plan by Ms. Walensky, the agency’s director, and Xavier Becerra, the secretary of Health and Human Services, according to a person familiar with the call. Ms. Pelosi hailed the idea of a new eviction moratorium as a victory for many Americans who were struggling because of the pandemic.

“Today is a day of extraordinary relief,” she said in a statement. “Thanks to the leadership of President Biden, the imminent fear of eviction and being put out on the street has been lifted for countless families across America. Help is Here!”

Yet for two days it was unclear how — or whether — any help would arrive as landlords prepared to turn to housing courts to evict tenants who were behind on their rent.

At a White House meeting with Mr. Biden on Friday, Ms. Pelosi and Mr. Schumer bluntly informed Mr. Biden they did not have the votes to pass an extension — and pressed him to take whatever action he could using his executive power, according to two Democratic congressional aides briefed on the meeting.

On Tuesday, House Democrats summoned Treasury Secretary Janet L. Yellen to explain what the agency was doing to help struggling renters who are at risk of being forced out of their homes. In a private call between Democrats and Ms. Yellen, the Treasury secretary insisted that her team was using all available tools to get rental assistance money to states and to help governments distribute those funds to landlords and renters.

“I thoroughly agree we need to bring every resource to bear,” Ms. Yellen said, according to a person who was on the call.

The White House has been scrambling to figure out exactly what their legal options are for continuing the moratorium. On Monday, Jen Psaki, the White House press secretary, said Mr. Biden had asked the C.D.C. on Sunday to consider extending the moratorium for 30 days, even just to high-risk states, but that the C.D.C. had “been unable to find legal authority for a new, targeted eviction moratorium.”

A day later, however, the administration appeared ready to barrel through legal challenges and embrace a solution that did just that.

The extension is likely to intensify a legal fight with landlord groups that have argued the eviction ban has saddled them with debt.

The National Apartment Association, which filed a lawsuit last week seeking to recoup lost rent, said that the moratorium was jeopardizing the viability of the housing market. The group estimates that the apartment industry is shouldering $26.6 billion in debt as a result of the eviction ban.

“The government has intruded into private property and constitutional freedoms, and we are proudly fighting to make owners whole and ensure residents’ debt is wiped from their record,” said Robert Pinnegar, the chief executive of the association.

Legal experts said it was likely that the administration would face a new wave of lawsuits if the justification and structure of a new moratorium was similar to the one that had been in place.

“The only logic by which this could be justified is a logic that would enable them to be able to suppress virtually any activity of any kind that they can claim might spread contagious disease,” said Ilya Somin, a law professor at George Mason University.

Travelers at Ben Gurion International Airport, near Tel Aviv last month.Credit…Amir Cohen/Reuters

Israel will add 18 countries, including the United States, to a list of locations from which travelers will need to quarantine after reaching Israeli soil, the Health Ministry said Tuesday. The requirement will come into force on Aug. 11.

Those affected include people who were vaccinated in Israel, or who have recovered from the coronavirus — none of whom were previously required to quarantine when traveling from the 18 countries.

The countries added to the list also include Germany, France, Italy and Greece.

Most studies indicate that immunity resulting from the vaccines made by Pfizer-BioNTech and Moderna is long-lasting, and researchers are still trying to interpret recent Israeli data suggesting a decline in efficacy of the Pfizer-BioNTech vaccine months after inoculation.

The additions to the list mean that travelers from more than 40 countries will now have to quarantine for up to 10 days after arriving in Israel, whether or not they were vaccinated.

Israel has been a greenhouse for antivirus measures since the start of the year, when the country became one of the fastest to fully vaccinate a majority of its population against the coronavirus.

Israeli society also returned far faster to normal life: By mid-June, the number of daily coronavirus infections had fallen to single figures and indoor mask mandates were lifted, as well as restrictions on gatherings and public events.

But an easing on inbound travel restrictions and the arrival of the Delta variant to Israel have contributed to a spike in infections since late June. In the past week, the average number of new infections each day rose beyond 2,400 — up from 300 at the start of July..

A traveler picked up a Covid-19 home test kit at Toronto’s Pearson International Airport in July.Credit…Zou Zheng/Xinhua, via Getty Images

Canadian health officials have fined two travelers thousands of dollars after determining that they had presented fake documents showing Covid-19 vaccinations and pre-departure Covid tests, the first fines of their kind to be issued by Canada.

The travelers, Canadian citizens whom the authorities did not name, arrived in Toronto by air from the United States during the week of July 18. Each was fined a total 19,720 Canadian dollars (about $15,700) for failing to comply with travel protocols and for presenting fraudulent documents, Canada’s public health agency said Tuesday.

Public health offenses in Canada can result in fines of 5,000 Canadian dollars ($4,000) a day for each offense; more serious breaches can be punished by up to six months in jail and a fine of up to 750,000 Canadian dollars.

Canada is gearing up to reopen its border on Monday to U.S. citizens and fully vaccinated permanent residents. The United States will keep border restrictions in place for nonessential travel at land and ferry crossings with Canada and Mexico through Aug. 21.

Sixty percent of Canadians are fully vaccinated, and 72 percent have received at least one dose, according to data compiled by The New York Times.

Canada’s health ministry said last week that the country had received more than 66 million doses of vaccine in all, enough to fully vaccinate every eligible Canadian. It represented a drastic rebound from the sluggish start to the country’s vaccination campaign, which was hampered in part by shortages.

Travelers will only be granted entry if the vaccines they received have been approved in Canada, a list that includes the Pfizer/BioNTech, Moderna and AstraZeneca vaccines and those from the Serum Institute of India and Janssen, the brand used in Canada by Johnson & Johnson.

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Health

J&J Covid vaccine recipients can get supplemental Pfizer or Moderna pictures in San Francisco

People queue at the bulk vaccination booth at the San Francisco Moscone Convention Center, which opened today on February 5, 2021 in San Francisco, California for healthcare workers and people over 65.

Amy Osborne | AFP | Getty Images

The San Francisco Department of Public Health and Zuckerberg San Francisco General Hospital announced Tuesday that they would allow patients who received the single-dose Covid-19 vaccine from Johnson & Johnson to have a second vaccination from Pfizer-BioNTech or Moderna.

J&J recipients can make special requests to get a “supplementary dose” of an mRNA vaccine, city health officials said in a statement to CNBC, declining to call the second shot a “booster.” J & J’s vaccine only requires one dose and recipients are considered fully vaccinated two weeks after receiving the vaccination.

In a call to reporters later Tuesday, San Francisco health officials said they would allow patients to take the extra syringes due to the high number of requests they received from local residents. They claimed that J & J’s vaccine was highly effective against the virus and its variants.

“We have received requests based on patients speaking to their doctors, so we are allowing the placement,” said Naveena Bobba, assistant director of health for the San Francisco Department of Public Health.

Health officials said they do not currently recommend a booster vaccination, which is in line with guidelines from the Centers for Disease Control and Prevention.

“This step does not represent a policy change for the EVS,” says a statement from the health department. “We are still following the guidelines of the Center for Disease Control and Prevention and currently do not recommend a booster vaccination. We will continue to review all new data and adjust our guidelines if necessary. “

The CDC is currently not recommending that Americans mix Covid vaccinations in most cases, and federal health officials say booster doses of the vaccines are not currently required.

The announcement by the San Francisco health authorities comes as some Americans say they are looking for ways to get extra doses of the Covid vaccines – some even go so far as to get extra vaccinations from various companies – due to concerns about the high contagious delta variant.

Dr. Angela Rasmussen, a virologist at Georgetown University, told CNBC last month that she received a booster of Covid-19 vaccine from Pfizer and BioNTech in late June, two months after receiving the single dose from J&J. She was concerned about her level of protection against Delta after studies showed that a single dose of a Covid vaccine was not enough.

Since Rasmussen received her booster, a new study has found that the J&J vaccine against the Delta and Lambda variants is much less effective than against the original virus. The researchers who led the study, which has not yet been peer-reviewed, are now hoping that J&J recipients will eventually receive a booster of the Pfizer or Moderna vaccines.

Of course, the new research contradicts a study by the company that found the vaccine to be effective against Delta even eight months after vaccination, especially against serious illness and hospitalization. It is likely that the mixing and matching debate in the US will rekindle as the highly contagious Delta variant continues to spread in the US

J&J did not immediately respond to a request for comment on the announcement by the San Francisco Department of Public Health.

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Politics

Pelosi and Yellen to Talk about Rental Help as Eviction Disaster Looms

President Biden is expected to announce a new federal eviction moratorium to replace the one that expired on Saturday — targeting counties with elevated rates of coronavirus infections, according to congressional aides and other officials familiar with the discussions.

White House aides and officials with the Centers for Disease Control and Prevention were working out details of a potential deal on Tuesday that could include a new freeze that would remain in place for up to 60 days, but officials involved in the process warned that the situation was in flux and no final decisions had been made. The C.D.C. is expected to provide details of the ban once the plan is finalized.

The new ban would cover about 90 percent of renters in the country, according to a Democratic leadership aide briefed on the proposal.

Creating a new moratorium to deal with the recent spike in coronavirus rates is an attempt to deal with concerns that extending the previous moratorium without congressional approval would run afoul of the Supreme Court, the officials said.

Tenants groups have argued that extending the original moratorium, which the C.D.C. imposed in November, is needed to buy time to fully implement an emergency rental assistance program that has been plagued by delays at the state and local level.

Consideration of a new freeze comes as Speaker Nancy Pelosi and a group of progressive Democrats, led by Representative Cori Bush of Missouri, have pressured the White House to act quickly — after Mr. Biden punted the issue to Congress last week, arguing he did not have the legal authority to extend the ban without legislative approval.

House Democrats pressed Treasury Secretary Janet L. Yellen on Tuesday to do more to help struggling renters who are at risk of being forced out of their homes, saying the Biden administration should have extended an eviction moratorium that expired last weekend and pressing the Treasury Department to do whatever it takes to get rental aid out the door.

In a private call between Democrats and Ms. Yellen, the Treasury secretary insisted that her team was using all available tools to get rental assistance money to states and to help governments distribute those funds to landlords and renters. She told lawmakers that the administration would “leave no stone unturned” to address the national emergency.

“I thoroughly agree we need to bring every resource to bear,” Ms. Yellen said, according to a person who was on the call.

Ms. Pelosi, for her part, has been trying to close the gap between Democratic progressives and a group of about a dozen moderates in her caucus who blocked efforts to pass a bill last week that would have extended the freeze through the end of the year.

Ms. Pelosi said on the call that the eviction moratorium needed to be extended. Ms. Yellen noted that Mr. Biden has asked the C.D.C. to see if it is legally possible to extend the eviction ban and that she was hopeful they will look carefully at that.

On Monday, Jen Psaki, the White House press secretary, said Mr. Biden had asked the C.D.C. on Sunday to consider extending the moratorium for 30 days, even just to high-risk states, but said the C.D.C. has “been unable to find legal authority for a new, targeted eviction moratorium. Our team is redoubling efforts to identify all available legal authorities to provide necessary protections.”

The administration appears to be coalescing around a solution to that legal issue by imposing a new moratorium, rather than extending the existing one.

At the White House briefing on Tuesday, Ms. Psaki said the administration was exploring all potential solutions, including a “partial limited short term extension,” but that no decisions had been made.

At a White House meeting with Mr. Biden on Friday, Ms. Pelosi and Senator Chuck Schumer, the majority leader, bluntly informed Mr. Biden they did not have the votes to pass an extension — and pressed him to take whatever action he could using his executive power, according to two Democratic congressional aides briefed on the meeting.

The Biden administration has said that it lacks the legal authority to extend the moratorium and has called on Congress to find a legislative solution. On Monday, the administration called on states to ramp up their efforts to provide more federal aid to struggling renters — while issuing a desperate plea for localities to extend their own local moratoriums.

In a letter to colleagues on Tuesday, Ms. Pelosi said she would discuss with Ms. Yellen how to expedite the disbursement of the $46.5 billion that Congress allocated to keep people in their homes.

“I am pleased that accelerating rental assistance is a stated priority of the administration,” Ms. Pelosi said.

But senior Democrats have been pushing the White House to do more.

“I wish that the president, the C.D.C. would have gone forward and extended the moratorium,” Representative Maxine Waters, Democrat of California who is chairwoman of the House Financial Services Committee, said in an interview with The New York Times on Monday. “They have the power to do that. I think he should have gone in and he should have done it, and let the chips fall where they may.”

Ms. Waters echoed that sentiment in a letter to colleagues on Tuesday, assailing the Biden administration for its “refusal” to extend the moratorium and for a “last-minute punt to Congress.”

With the moratorium in limbo, Ms. Yellen is under added pressure to make the rental assistance money flow. Only about $3 billion of the $46 billion had been delivered to eligible households through June, according to Treasury Department data.

In recent weeks, Ms. Yellen’s deputy, Wally Adeyemo, visited Houston and Arlington, Va., where rental assistance distribution has been going well, to help raise awareness about the program and understand how to make it more effective.

The Treasury Department is stepping up its efforts to raise awareness about the rental assistance money, potentially through radio or social media campaigns, and trying to let governments know the administration can offer additional support to states that lack the infrastructure to distribute the rental assistance money efficiently.

Ms. Yellen told lawmakers that the Treasury Department would be sending packets of information with material that could be used in advertisements and through social media channels in their districts.

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Health

Covid Delta Variant Security: Your Questions Answered

Most experts say they use a good quality medical mask such as an N95 or KF94 when flying. If you don’t have one, double masking is recommended. For a vaccinated person, the risk of briefly removing a mask to eat or drink during a flight is small, but it is better to keep it on for as long as possible. The CDC says that for anyone who has not been vaccinated, including children, it is best to avoid flying.

Dr. Bromage said he had recently traveled by plane and briefly removed his mask to have a drink, but left it for most of the flight. He said he’d rather take off his mask to eat if he knew the people next to him had been vaccinated. He said he would be more concerned if the person next to him didn’t seem to be caring about Covid precautions or was wearing the mask under their nose. “If there is a random person next to you, especially a talkative person, I would keep the mask on,” he said.

Most buses, trains, and subways all still have to wear a mask, which lowers the risk. While vaccinated people are well protected, the risk of virus exposure increases the longer the journey takes and the more crowded the train or bus is. For many people, using public transport is essential to get to work or school, and wearing a well-fitting medical mask or double mask is recommended. If public transport is optional, deciding whether to ride should take into account local vaccination rates and whether the numbers of cases are increasing.

While it is generally considered safe for vaccinated people to hug each other and hang out unmasked, parents of unvaccinated children need to consider more risks, especially when visiting older relatives. In communities with low case numbers and high vaccination rates, unvaccinated children from a single household are generally considered safe to spend time with vaccinated grandparents. But with the spread of the Delta variant and the return of children to school, the risk of close contact also increases for elderly or immunocompromised people, who are more prone to complications from Covid-19, even if they are vaccinated.

If families are planning to visit a high-risk relative, it is a good idea to minimize other exposures, avoid restaurants, or work out at the gym the week before the visit. While the risk of Covid-19 spreading from a vaccinated person is small, vaccinated grandparents should also reduce their personal exposure when spending time with unvaccinated children.

“At the time, I did not mask myself indoors with my eighty-year-old parents because I am still very careful about wearing masks in public places,” said Dr. Huffman, the aerosol scientist. “But if I had more interactions that would increase my overall risk of exposure, I would strongly consider masking myself indoors with people at risk.”

Rapid home tests are an extra precaution when visiting grandparents or an immunocompromised family member. Take a test a few days before the visit, as well as on the day of the visit. Find out more about the home test here.

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World News

Dow jumps greater than 170 factors in noon rally

U.S. stocks moved higher on Tuesday as strength in bank and industrials stocks outweighed the travel names held back by Covid fears.

The Dow Jones Industrial Average jumped about 173 points, or 0.5%, almost halfway through the trading day, after briefly falling more than 100 points earlier in the session. The S&P 500 gained 0.5%, while the Nasdaq Composite was higher by 0.2%. The Dow sits about 0.5% from a record.

The 10-year Treasury yield stabilized on Tuesday after falling back to near five-month lows on Monday. As yields rebounded from their decline midday back to the unchanged mark, stocks edged higher.

Tuesday’s move for stocks served as something of a mirror image to Monday’s market action, which saw a late-day slump drag the Dow and S&P 500 into the red while the tech-heavy Nasdaq held on to a meager gain.

That sort of day-to-day volatility is to be expected after the strong run for stocks since spring of last year, said Randy Frederick, managing director of trading and derivatives at the Schwab Center for Financial Research.

“Everyone knows that valuations are fairly high. The S&P 500 is up nearly 100% since the March low of last year. … So the market tends to be a little skittish to any kind of news right now,” Frederick said. “My outlook for most of Q3 has been that I’ve been expecting the market to be mostly sideways with slightly elevated volatility.”

On Monday, the Dow was boosted by stocks tied to the economic recovery, including banks, Caterpillar and 3M. Health care stocks like Amgen and Johnson & Johnson outperformed as well.

On the other hand, shares of companies that would be hit hardest by potential new health restrictions, including airlines and cruise lines, fell on Tuesday, limiting upside for the market.

The spread of the delta coronavirus variant continued to cloud the outlook for the economy. The seven-day average of daily coronavirus cases in the U.S. reached 72,790 on Friday, surpassing the peak seen last summer when the nation didn’t have an authorized Covid-19 vaccine, according to data compiled by the Centers for Disease Control and Prevention.

However, on the positive side the U.S. reached the 70% Covid vaccine milestone, according to the CDC.

“The delta variant of the virus is now rapidly spreading in the U.S. and a modest pullback in activity can’t be ruled out,” Solita Marcelli, CIO Americas at UBS, said in a note. “But any potential slowdown should be somewhat muted.”

Oil stocks moved higher as well, even as the price of West Texas Intermediate crude drifted down to about $70 per barrel. Adam Karpf, a managing director at CIBC Private Wealth focused on energy, said the move in oil was due more to trading patterns than the delta variant taking a major bite out of global growth.

“Assuming that this will be kept under control … we’ve had several months and weeks of a strong crude oil market and energy industry, and this is a breather,” Karpf said.

Traders on the floor of the New York Stock Exchange

Source: NYSE

Meanwhile, the second-quarter earnings season continues with Under Armour shares rose nearly 7% after the company beat estimates on the top and bottom lines. However, Clorox’s stock fell 10% after a disappointing report.

Shares of Simon Property jumped more than 2% after the mall owner said sales bounced back to pre-pandemic levels, up 80% from a year ago. It also reported a relatively high occupancy rate.

Through Friday, 88% of S&P 500 companies had reported a positive earnings surprise for the second quarter, which will mark the highest percentage since FactSet began tracking this metric in 2008.

Investors are closely monitoring progress in Washington as lawmakers move toward a bipartisan infrastructure bill that would devote $550 billion to U.S. infrastructure. Senate Majority Leader Chuck Schumer aims to rush the 2,702-page legislation through the chamber before a planned monthlong recess starting Aug. 9. 

Categories
Health

Tough to mandate Covid vaccines to fly in U.S.

Ed Bastian, Delta Air Lines CEO, told CNBC on Tuesday the airline did not plan to require Covid vaccines for domestic travel.

“It’s very difficult for us to get a vaccine that isn’t even federally approved. The approval is not yet final, so stay tuned, “said Bastian on” Squawk Box “.

“We continue to encourage our own people and our customers to get vaccinated as much as possible. The number of vaccinations is increasing, ”he said.

More and more employees and customers have recently received their Covid vaccinations as the Delta variant, first discovered in India, became the dominant variety in the US, Bastian said.

He added that 73% of the airline’s staff are fully vaccinated.

Many companies are discussing whether they should implement vaccination regulations or just motivate more employees and customers to vaccinate. The discussion has intensified as the more contagious Delta variant continues to infect largely unvaccinated areas of the United States, causing the seven-day average daily case number to recently surpass the peak of last summer.

However, Bastian said that Delta’s flights were more than 90% booked over the weekend as people “learn to deal and live with the coronavirus pandemic”. He said the airline carries millions of people every week, the vast majority of whom are vaccinated and fully masked.

The Transportation Security Administration extended a state mask mandate for air, rail and bus travel to mid-September in the spring, a measure that is expected to be extended unless infection rates drop sharply.

The travel industry was particularly hard hit by the pandemic, with travel restrictions to curb the spread of the virus having a strong impact on demand and bookings. Domestic airlines lost more than $ 35 billion last year.

Since January, the US government has required travelers, including citizens, to provide evidence of a recent negative Covid test before entering the US. Some nations require proof of vaccination to enter the country or avoid quarantine.

“I assume that with the further opening of these borders you will see more and more of these requirements. Here in the USA I do not consider that to be necessary,” said Bastian.

Delta and United Airlines also require proof of vaccination for new hires. Delta, United, and American Airlines have offered vaccinated employees additional time off or pay, and are joining large employers like Walmart who have taken similar steps.

Ted Christie, CEO of Spirit Airlines, told CNBC that the airline is urging all passengers and employees to get Covid vaccinations and use face covers, even though the budget airline has no plans to implement vaccine requirements.

Back in January, United CEO Scott Kirby said the airline was considering a Covid vaccine mandate for the company’s entire workforce. The airline has not yet made the vaccine mandatory for all employees.

Two of the three Covid vaccines currently on sale in the US, two shots from Pfizer and Moderna, were cleared for emergency use by the US Food and Drug Administration in late December. These two companies have applied for full approval. Johnson & Johnson’s one-off Covid vaccine received emergency approval in February, but J&J has not yet applied for full approval.

– CNBC’s Leslie Josephs contributed to this report.