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Health

A New Coronavirus Variant Is Spreading in New York, Researchers Report

A new form of coronavirus is spreading rapidly in New York City and has a worrying mutation that can make vaccines less effective, two research teams have found.

The new variant, named B.1.526, first appeared in samples collected in the city in November. By the middle of this month, roughly every fourth virus sequence was in a database shared by scientists.

A study of the new variant, led by a group at Caltech, went online on Tuesday. The other was sent to a preprint server by researchers at Columbia University, but is not yet public.

The study has not been peer-reviewed or published in a scientific journal. However, the consistent results suggest the variant’s prevalence is real, experts said.

“It’s not particularly good news,” said Michel Nussenzweig, an immunologist at Rockefeller University who was not involved in the new research. “But just knowing about it is good because then maybe we can do something about it.”

Dr. Nussenzweig said he was more concerned about the New York variant than the one that was quickly spreading in California. Another contagious new variant discovered in the UK currently affects around 2,000 cases in 45 states. It is expected to be the most widespread form of the coronavirus in the United States by the end of March.

Researchers looked at the virus’s genetic material to see how it might change. They examine genetic virus sequences taken from a small fraction of the infected in order to record the emergence of new versions.

Caltech researchers discovered the rise in B.1.526 by looking for mutations in hundreds of thousands of viral genetic sequences in a database called GISAID. “There was a recurring pattern and group of isolates in the New York area that I hadn’t seen,” said Anthony West, a computational biologist at Caltech.

He and his colleagues found that two versions of the coronavirus were more common: one with the E484K mutation seen in South Africa and Brazil, which is believed to help the virus partially evade vaccines; and another with a mutation called S477N that can affect how tightly the virus binds to human cells.

By mid-February, the two together made up about 27 percent of the viral sequences stored in the database in New York City, said Dr. West. (At the moment both are summarized as B.1.526.)

Columbia University researchers took a different approach. They sequenced 1,142 samples from patients at their medical center. They found that 12 percent of people with the coronavirus were infected with the variant that contains the E484K mutation.

Updated

Apr. 24, 2021, 8:33 p.m. ET

Patients infected with the virus that carried this mutation were, on average, about six years older and more likely to be hospitalized. While the majority of patients were found near the hospital – particularly in Washington Heights and Inwood – there were several other cases scattered across the metropolitan area, said Dr. David Ho, director of the Aaron Diamond AIDS Research Center.

“We’re seeing cases in Westchester, the Bronx and Queens, lower Manhattan, and Brooklyn,” said Dr. Ho. “So it seems to be widespread. It’s not a single outbreak. “

The team also identified six cases of the variant that beat the UK, two infections with a variant identified in Brazil, and one case of the variant adopted in South Africa. The latter two have never been reported in New York City, said Dr. Ho.

University investigators have alerted New York state and city authorities as well as the Centers for Disease Control and Prevention, said Dr. Ho. He and his colleagues plan to sequence about 100 viral genetic samples daily to monitor the increase in variants.

Other experts said the sudden appearance of coronavirus variants was worrying.

“Given the involvement of E484K or S477N, coupled with the fact that the New York area has strong immunity to the spring wave, this is definitely a good thing,” said Kristian Andersen, a virologist at the Scripps Research Institute in San Diego, who did not participated in the new research effort.

The E484K mutation has appeared independently in many different parts of the world, suggesting that it offers a significant benefit to the virus.

“Variants that have an advantage will increase in frequency pretty quickly, especially as the numbers decrease overall,” said Andrew Read, an evolutionary microbiologist at Penn State University.

The team of Dr. Ho reported in January that the monoclonal antibodies made by Eli Lilly and one of the monoclonal antibodies in a cocktail made by Regeneron are powerless against the variant identified in South Africa.

Several studies have now shown that variants containing the E484K mutation are less susceptible to vaccines than the original form of the virus. The mutation disrupts the activity of a class of antibodies that almost everyone makes, said Dr. Nut branch.

“People who have recovered from the coronavirus or who have been vaccinated are very likely to be able to fight off this variant, there is no doubt about that,” he said. But “they might get a little sick.”

They could also infect others and keep the virus floating around, which could delay herd immunity, he added.

However, other experts were a little more optimistic. “These things are a little less well controlled by vaccines, but they are no orders of magnitude less, which would scare me,” said Dr. Read.

As the virus evolves, the vaccines need to be tweaked, “but in the scheme of things this isn’t a huge concern compared to having a vaccine missing,” said Dr. Read. “I’d say the glass is three quarters full compared to where we were last year.”

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Coronavirus Vaccine Finder Goals to Assist Individuals Get Photographs

Despite the progress, getting appointments for vaccinations has been a huge disappointment for many people. Appointments will be filled within minutes depending on availability. States, local health departments, and pharmacy chains have their own registration websites, which in many cases do not share data with one another. The CDC has its own Vaccine Administration System (VAMS) which some states use to register people for vaccinations and collect important data. However, state officials have complained that this is clunky.

Disgruntled people have taken matters into their own hands, setting up online navigator tools and Facebook groups for “vaccine hunters” in cities like Los Angeles and New Orleans to connect people with available doses.

Updated

Apr. 24, 2021, 8:33 p.m. ET

When the VaccineFinder portal goes live this week, it will include a few drug and grocery stores nationwide, as well as many other locations such as mass vaccination sites in Alaska, Indiana, Iowa, and Tennessee.

Kristen Nordlund, a CDC spokeswoman, said the agency is encouraging vaccination centers to “provide accurate and up-to-date information on the location, hours and availability of vaccines so that Americans can more easily find vaccination sites.”

Dr. Marcus Plescia, Chief Medical Officer of the Association of State and Territorial Health Officials, said, “I think people are optimistic and are eagerly awaiting it.” big confusion to come, but I think we just have to work it through. “

In the first few weeks of the vaccine’s launch, it was relatively easy to find doses when eligible individuals – healthcare workers, residents and long-term care workers – were mainly vaccinated where they lived or worked.

However, since then states have expanded their eligibility criteria to include the elderly, people with certain medical conditions, and certain frontline workers. Additional locations for vaccine dispensing have been added, including stadiums and local pharmacies.

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Health

Coronavirus Vaccines Are Reaching American Arms

President Biden is also pushing for faster vaccinations – a case he is expected to bring on Friday when he travels to Kalamazoo, Michigan, to visit the manufacturing facility of Pfizer, one of two manufacturers of federally approved vaccines.

Federal officials estimate that up to six million vaccine doses are still unnecessarily stowed away. The release could increase the number of doses used by more than 10 percent – significantly accelerating the pace of the country’s vaccination program at a time when speed is vital to saving lives, containing disease and fighting off more contagious variants of the virus could. To date, 56 million shots have been administered and only 12 percent of Americans have received one or more doses.

The idea of ​​cans lying in the refrigerator while millions of people are on waiting lists has deeply frustrated government officials. The problem has two roots.

First, when the federal vaccination program for long-term care facilities began late last year, the CDC relied on the number of beds, even though occupancy rates are the lowest in years. According to the American Health Care Association, a trading group, only 68 percent of beds in nursing homes and 78 percent of beds in assisted living are filled.

Then the CDC doubled that allocation to cover staff. While four-fifths of long-term care residents opted for a vaccination during the first month of the program, 63 percent of staff received no shots, the agency reported. Some of them have since been vaccinated, although it is not known exactly how many more.

Despite a lack of acceptance, the pharmacy chains that administer the program have continued to withdraw their allocations from the federal government. At one point in Virginia, Dr. Avula, if they had used less than one of the three cans they had on hand.

Clark Mercer, Virginia Governor Ralph Northam’s chief of staff, said of “good, corporate, risk-averse companies”, “If they can pull down, they will pull down.”

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Health

U.Ok. Approves Examine That Will Intentionally Infect Volunteers With Coronavirus

LONDON – In the coming weeks a small, carefully selected group of volunteers is expected to arrive on the 11th floor of a London hospital to learn what the rest of the 7.8 billion people around the world have tried to avoid: coronavirus infection .

Tiny droplets of the virus are given into their noses as part of a plan approved by UK regulators on Wednesday to intentionally infect unvaccinated volunteers with the coronavirus.

The scientists hope to eventually expose vaccinated people to the virus to compare the effectiveness of different vaccines. Before doing so, however, the project’s supporters must expose unvaccinated volunteers to determine the lowest dose of the virus that will reliably infect them.

Up to 90 people could take part in the study, but the number could be fewer if researchers can determine the correct dose with fewer volunteers.

By controlling the amount of virus people are exposed to and monitoring it from the time they are infected, scientists hope to discover things about how the immune system reacts to the coronavirus that would be impossible outside of a laboratory – and devise ways to do it directly to infect comparing the effectiveness of treatments and vaccines.

“We will learn a lot about the immunology of the virus,” said Peter Openshaw, a professor at Imperial College London who was involved in the study, on Wednesday. He added that the study would be able to “not only accelerate understanding of diseases caused by infections, but also accelerate the discovery of new therapies and vaccines”.

The idea of ​​such a study, dubbed the Human Challenge Challenge, has been hotly debated since the early months of the pandemic.

In the past, scientists have deliberately exposed volunteers to diseases such as typhoid and cholera to test vaccines. But infected people could be cured of these diseases. Covid-19 has no known cure, which puts the scientists responsible for the UK study into largely unknown ethical territory.

To ensure participants do not get seriously ill, the UK study will be limited to young, healthy volunteers aged 18 to 30 years.

But these types of patients also had severe Covid 19 cases, and the long-term consequences of an infection are also largely unknown. Age restrictions can also make it difficult to extrapolate the results to older adults or people with pre-existing medical conditions, whose immune responses may differ, and who are the target audience for treatments and vaccines.

“It will be a limited study,” said Ian Jones, professor of virology at the University of Reading, who is not part of the study. “And you could argue that, by definition, it won’t investigate those where it is most important to know what is going on.”

Currently the only part of the study that has been officially approved by UK regulators is the experiment to determine the lowest dose of virus needed to infect humans.

After exposure to the virus, participants will be isolated in hospital for two weeks. They will be paid £ 4,500, or about $ 6,200, for this one year worth of scheduled follow-up appointments. The researchers said this would compensate people for their absence from work or family without creating too much economic incentive for people to participate.

When the idea of ​​human challenge experimentation first came out last year, some scientists saw it as a way to cut the crucial time in the race to identify a vaccine. Unlike large clinical trials where scientists wait for vaccinated people to encounter the virus in their communities, researchers in this project might infect people who were vaccinated on purpose.

With multiple vaccines approved, the goals of this human challenge study are slightly different.

For now, researchers will be exposing people to the version of the virus that has been spreading across the UK since last spring, rather than the contagious and potentially more deadly variant that has caught on more recently. But eventually, they said, they could give people experimental vaccines to combat the effects of new, more worrisome variants, and then expose them to those versions of the virus.

You could also directly compare different vaccine doses and dosing intervals for the same vaccine.

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World News

French Mayor Opens Museums, Defying Coronavirus Orders

France, like most of Europe, saw an increase in coronavirus cases in winter as new variants spread across the continent. Now the number of cases seems to be stabilizing, partly thanks to a curfew at 6 p.m., but remains high. There were 21,063 new cases and 360 deaths as of Thursday. As of Friday morning, France had recorded nearly 81,000 deaths related to the virus.

However, the different numbers of cases have not ceased to oppose the limitations of cultural life.

France’s bookstores led the charges and a handful refused to close when the lockdown was ordered in October. Florence Kammermann, the owner of the Autour d’un Livre store in Cannes, which stayed open for several weeks despite the order, said in a telephone interview that the police had visited their store four times and fined them. But she didn’t regret her decision, she said.

She was completely against the National Rally Party and its policies, she added, but she supported Aliot in reopening museums. Many in France complained that the country’s lockdown rules were illogical, she added, “but they don’t have the courage to do so.”

French theaters have also held protests against their forced closure. In December, several venues symbolically reopened their doors to let actors and fans into their entrance rooms, although they were closed again after the action.

Jean-François Chougnet, president of the Museum of Civilizations of Europe and the Mediterranean in Marseille, said in a telephone interview that the French museum directors would like to accept all the conditions if they would allow them to reopen their doors. “Just tell us,” said Chougnet. “We are open to everything.”

On Monday, French Culture Minister Roselyne Bachelot launched a zoom call with the heads of several museums, including the Louvre, to discuss how they could safely reopen. She told attendees that museums would be the first cultural institutions to reopen once the virus was under control, said Emma Lavigne, president of the Palais de Tokyo, who was on the call.

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Business

Coronavirus harm theme parks, costing Disney $2.6 billion

An employee cleans the grounds behind the closed gates of Disneyland Park on the first day of the Disneyland and Disney California Adventure theme parks closure in Anaheim, California on March 14, 2020.

DAVID MCNEW | AFP | Getty Images

Disney suffered another financial blow in the first quarter of fiscal as restrictions on participation in its open theme parks and continued closure of its California parks weighed heavily on bottom-line earnings.

There is currently no schedule for Disneyland to reopen as the state of California has announced that it will not allow theme parks to reopen until coronavirus cases in the surrounding community have declined significantly. Although the 7-day average of daily new Covid cases is down from the previous week in California, more than 1,000 new cases are diagnosed in the state every day, according to a CNBC analysis of data from Johns Hopkins University.

“Where we have managed to reopen our theme parks with limited capacity, guests have always shown their willingness and desire to visit them. We believe that this is evidence that they are in the health and safety areas we set Security protocols feel safe in place, “said CEO Bob Chapek during an earnings call on Thursday.

The company said the outbreak cost that division an operating loss of approximately $ 2.6 billion in the December quarter.

Disney Parks, Experiences, and Products revenue decreased 53% to $ 3.58 billion.

Disney has reported similar losses in each of its last three wins. In the fourth quarter, the company announced that the coronavirus outbreak has cost around $ 2.4 billion in operating losses recently. In the second quarter, the company had reported it had lost $ 1 billion in operating income due to the pandemic, and in the third quarter the pandemic reduced its operating income by $ 3.5 billion.

Florida Walt Disney World and Shanghai Disney Resort were open for the entire first quarter, while Disneyland and all of Disney’s cruise business were shut down.

Disneyland Paris was open until late October, about a third of the quarter, and Hong Kong Disneyland was open until early December, or about two thirds of the quarter. The company expects its Hong Kong facility to reopen in the second quarter.

“In terms of the parks’ prospects for the rest of the year and capacity, this will really depend on the public’s vaccination rate,” Chapek said. “That seems to us to be the biggest lever we can maneuver to either enlarge the parks with currently limited capacity or to open up the parks that are currently closed.”

CFO Christine McCarthy said the company could make a profit from guests for the parks open. The income of the park visitors outweighed the costs of the opening. She also noted that the company is happy with the number of reservations and bookings it sees.

As the parks expand and reopen their capacity, Chapek will wear some level of social distancing and masks for the rest of the year.

“Dr. Fauci said earlier today that he hopes there will be vaccines for anyone who wants them by April this year,” Chapek said. “If that happens, it’s a game changer and that could accelerate our expectations and give people confidence that they need to return to the parks.”

“Will there be some overlap by the time we know we get herd immunity?” he said. “Sure we will, but do we also think we’ll be in the same state of 6 feet of social distancing and mask-wearing in 2022? Absolutely not.”

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Health

Robert F. Kennedy Jr. is barred from Instagram over false coronavirus claims.

Instagram on Wednesday deleted the report by Robert F. Kennedy Jr., the political scion and prominent anti-vaccine activist, for providing false information related to the coronavirus.

“We removed this account because we repeatedly shared debunked claims about the coronavirus or vaccines,” Facebook, which owns Instagram, said in a statement.

Mr. Kennedy, the son of former Senator and US Attorney General Robert F. Kennedy, worked as an environmental attorney for decades but is now better known as a crusader against vaccines. A 2019 study found that two groups, including his nonprofit now called Children’s Health Defense, had funded more than half of the Facebook ads spreading misinformation about vaccines.

During the pandemic, he found an even wider audience on platforms like Instagram, which he had 800,000 followers on. Although Mr Kennedy has said he is not against vaccines while they are safe, he regularly advocates discredited links between vaccines and autism, arguing that it is safer to contract the coronavirus than to get vaccinated against it.

Facebook is becoming more aggressive in its efforts to stamp out misinformation about vaccines, and this week it says it would remove posts with flawed claims about the coronavirus, coronavirus vaccines, and vaccines in general, whether it was paid advertisements or user-generated Posts. In addition to Mr. Kennedy’s Instagram account, the company said it removed eight more Instagram accounts and Facebook pages on Wednesday as part of its updated policy.

They did not include Mr Kennedy’s Facebook page, which was still active early Thursday and making many of the same unfounded claims against more than 300,000 followers. The company said it has not automatically disabled accounts on its platforms and that there are no plans to delete Mr. Kennedy’s Facebook account “at this point.”

Children’s Health Defense did not immediately respond to a request for comment.

Members of Mr. Kennedy’s family have spoken out against his anti-vaccination efforts, including a brother, sister and niece who accused him of “dangerous misinformation” in a column they wrote for Politico in 2019 . Another niece, Kerry Kennedy Meltzer, a New York Presbyterian Hospital / Weill Cornell Medical Center doctor, wrote an opinion piece in the New York Times in December challenging his claims.

“I love my uncle Bobby,” she wrote. “I admire him for many reasons, including his decades of struggle for a cleaner environment. But when it comes to vaccines, he’s wrong. “

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World News

UK coronavirus variant ‘on target to comb the world,’ geneticist says

Ron Votral will receive a vaccine against coronavirus disease (COVID-19) on February 9, 2021 at a drive-through vaccination center in Robstown, Texas.

Go Nakamura | Reuters

LONDON – A variant of the coronavirus, which first appeared in the UK and has since been identified in over 80 countries, could become the world’s dominant form of the virus, according to the head of the UK’s genetic surveillance program.

“The new variant has taken over the country and will most likely take over the world,” said Professor Sharon Peacock, director of the Covid-19 Genomics UK Consortium.

“I think the future will be key if something (a variant) is particularly problematic with the vaccines,” she told the BBC’s Newcast podcast.

The group that Peacock leads, founded in April 2020, brings together highly respected experts and institutes to collect, sequence and analyze genomes of the virus as part of the UK’s pandemic response. To date, the genetic history of more than 250,000 samples of the virus has been followed.

In September 2020 in Kent, southeast England, the consortium first discovered the more infectious mutation of the virus, known as the “British variant” and officially known as “B1.1.7”, through retrospective analysis of virus samples.

Viruses are constantly mutating, but experts are concerned when a virus mutates to become more transmissible, as in this case, or more deadly. The higher rates of infection associated with the variant identified in the UK are likely to result in more hospitalizations and, unfortunately, more deaths. As a result, containment has become a priority.

The variant quickly spread in southeast England and London and is now the dominant variety in Great Britain. It was also discovered in more than 80 countries, according to the latest World Health Organization census, prompting health officials to isolate cases. although this more virulent strain is believed to be already widespread.

Knowing the exact origin of the mutation is difficult, and given the work of the consortium, it was likely that new variants were found in the UK (other countries that have advanced genome sequencing of the virus, such as Denmark and South Africa, have also discovered variants ). Peacock, who is also a professor of public health and microbiology at the University of Cambridge, believed that sequencing of coronavirus variants would be required for at least 10 years.

There have been over 107 million coronavirus cases and over 2.3 million deaths worldwide, according to Johns Hopkins University.

Mutation mutated

Aside from the variant of the virus, which was first observed in south-east England, two new variants have emerged in a number of cases in the cities of Liverpool and Bristol, which scientists are currently monitoring.

The Bristol variant has been identified as a “variant of concern” by the UK Advisory Group on New and Emerging Respiratory Virus Threats.

Peacock said although mutant variants were a problem, the variant seen in and around Bristol was in “closed areas and in very small numbers” with only 21 cases discovered to date.

“It is inevitable that the virus will continue to mutate, but the point is that the B1.1.7 variant that we have been circulating for a few weeks and months will mutate again and get new mutations that will affect the way We could treat the virus in terms of immunity and vaccine effectiveness, “she added.

Dr. Catherine Smallwood, chief emergency officer in the WHO European team, said during a press conference on Thursday that variant B1.1.7 “is now very widespread in the communities in more than half of the countries in the (European) region”. The WHO European Region comprises 53 countries.

“And this particular type of concern, particularly in Western European countries, is spreading faster than other lineages in terms of prevalence. So it’s really important that we keep an eye on overall transmission rates because they can grow very quickly once they become dominant have an impact on the overall epidemic curve and will require a more restrictive approach to public health and society actions in order to reduce overall transmission rates. “

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Health

Germany set to increase lockdown on issues over new coronavirus variants

Chancellor Angela Merkel wears a protective face mask when leaving the country after speaking to the media at her annual summer press conference in Berlin on August 28, 2020 during the coronavirus pandemic.

Anadolu Agency | Anadolu Agency | Getty Images

Chancellor Angela Merkel will announce that Germany will extend its lockdown until March 14, amid concerns about new strains of the coronavirus.

A draft document appeared early Wednesday setting out plans between Merkel and state officials to maintain the lockdown and urge citizens to maintain socially distant rules, but gradually lift some restrictions in the coming weeks.

The reopening of schools is a priority for the German leadership, although due to the federal system of the country the individual federal states can be expected to be able to decide how to do this. Stores and hotels could start reopening next month in areas where infection rates are also low. The restrictions should end on February 14th.

There are concerns in Germany about the spread of more contagious variants of the virus, particularly the mutation that was first discovered in the UK last fall. However, the daily number of new infections in Germany has fallen as public life continues to be blocked across the country.

The Robert Koch Institute, a public health institution, reported 8,072 new coronavirus cases and 813 deaths on Wednesday. This brought the total number of infections to around 2.3 million and the death toll to 62,969.

German lawmakers reportedly described the situation as “very fragile” on Wednesday.

Slow rollout of the EU

The slow introduction of coronavirus vaccines in Germany and the rest of the EU is a problem for the federal government, which is an important pillar of the bloc. The EU has been slower than the UK and US to order vaccines from major drug manufacturers and has faced supply shortages.

The longer the introduction of vaccinations, the longer the economic damage is expected from lockdowns. According to the GDP data published in January for the full year (gross domestic product), the German economy contracted by 5% in 2020.

Ludovic Subran, Allianz’s chief economist, told CNBC on Wednesday that the slow roll-out of vaccinations could seriously hurt the EU’s growth prospects in 2021.

“I’m getting a little nervous and we are only in February that we miss the boat here, that the vaccination is the best investment and we should put all our forces (efforts) there,” he told CNBC’s “Street Signs Europe”.

“Our projections show that Europe won’t return to pre-crisis (growth) levels until 2022. Then we saw the vaccination chaos and started thinking, ‘OK, we’re really jeopardizing the recovery here’ … the problem is we’re vaccinating four times here slower than the UK and US, “he said, adding,” This is really a big problem as it will make or break the 2021 GDP recovery for Europe. “

—CNBC’s Annette Weisbach contributed to this article.

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World News

Our bodies once more pile up in Bolivia as Latin America endures an extended, lethal coronavirus wave.

In Bolivia, bodies are piling up at home and on the streets, reflecting the terrifying images of last summer when a deadly spike in coronavirus infections overwhelmed the country’s fragile medical system. Bolivian police say they recovered 170 bodies of people believed to have died from Covid-19 in January and health officials say the intensive care units are full.

“If 10 or 20 patients die, their beds will be full again in a matter of hours,” said Carlos Hurtado, a public health epidemiologist in Santa Cruz, Bolivia’s largest city.

The virus resurgence in Bolivia is part of a larger second wave across Latin America where some of the toughest quarantine in the world is giving way to pandemic fatigue and economic worries.

The International Monetary Fund announced on Monday that it was revising its 2021 growth forecast for Latin America and the Caribbean from 3.6 percent to 4.1 percent. The fund warned that in some cases the surge could jeopardize an economic recovery that is likely to take longer than other parts of the world, and forecast regional production will not return to pre-pandemic levels until 2023.

As the number of new cases falls, deaths remain at record highs in many parts of the region, just as some governments are starting vaccination efforts.

In Brazil and Mexico, an average of more than 1,000 people have died from Covid-19 every day for weeks. Its total pandemic death toll is second only to that of the United States. Deaths in Brazil have reached their summer peak, while in Mexico they are far higher than any previous high, although they have started to fall in the past few days.

In Bolivia last summer, the New York Times revised mortality figures suggested the country’s actual death toll was nearly five times the official figure, suggesting that Bolivia had suffered one of the worst epidemics in the world. According to a Times analysis, about 20,000 more people died from June to August than in previous years – a large number in a country of about 11 million people.

Bolivia currently reports an average of 60 coronavirus deaths per day, approaching last summer’s numbers. Experts believe the higher mortality rate is caused by the contagious virus variants that originate from neighboring Brazil and elsewhere, but they lack the tools to analyze the viruses’ genetic code.

Despite the rising death rate, the Bolivian authorities failed to implement quarantine measures to contain the first wave of the virus a year ago. Officials in Bolivia and other Latin American countries are hailing their emerging vaccination programs as a reason to avoid lockdowns, although few countries in the region outside of Brazil have sourced significant numbers of doses.

Only 20,000 doses of vaccine have arrived in Bolivia, although the government plans to vaccinate eight million people by September.