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Covid-19 Vaccine Stay Updates: Mississippi Opens Eligibility, Italy Lockdown and Extra

Here’s what you need to know:

Credit…Rory Doyle for The New York Times

Mississippi will become the second state to open Covid-19 vaccinations to all of its adult residents, following a call from President Biden for all states to do so by May 1.

Alaska opened its vaccination doors last week to anybody 16 or older who lives or works in the state. The change in Mississippi takes effect Tuesday.

“Get your shots, friends,” Gov. Tate Reeves announced on Twitter. “And let’s get back to normal!”

The pace of vaccinations in the United States has steadily increased as production has ramped up, from well under one million shots per day on Jan. 20, when Mr. Biden took office, to about 2.4 million doses per day on average, according to a New York Times database.

Mr. Biden’s team has made key decisions that quickened the manufacturing and distribution of vaccines, but now the country faces the challenge of getting all those shots into arms. Mass vaccination sites across the country are opening up or increasing their capacity, in part to respond to the influx of doses from the single-shot Johnson & Johnson vaccine.

But more challenges remain, including improving access in communities of color and convincing Americans wary for a variety of reasons that getting vaccinated is safe and effective.

Although Mississippi lags most states in the share of its population that has been vaccinated, it is doing better than all of its neighbors except Louisiana, according to a New York Times tracker. As of Sunday, about 20 percent of Mississippians have received at least one shot, and 11 percent have been fully vaccinated.

The state had already opened eligibility further than most states, to cover everyone 50 or over. Governor Reeves urged older residents to book appointments as soon as possible.

Gov. Gretchen Whitmer of Michigan has said that her state will drop its restrictions on eligibility by April 5, about a month before Mr. Biden’s deadline. Gov. Ned Lamont of Connecticut said his state would as well, tentatively opening vaccine eligibility to all adults on April 5.

“It’s still going to take some time to get the vaccine to everyone who wants it, and I urge patience to the greatest extent possible,” Mr. Lamont said in a news release.

Officials in Washington, D.C., said on Monday that they would do the same by May 1, allowing anyone 16 or older who lives in the city to be inoculated.

In New York, where the minimum age was recently lowered to 60, the state will open three new mass vaccination sites on Long Island at the end of the week, Gov. Andrew M. Cuomo said on Monday at a news conference. The sites will be on college campuses in Old Westbury, Brentwood and Southampton.

More categories of public-facing workers will become eligible in New York on Wednesday, including government employees, building services workers and employees of nonprofit groups. Mr. Cuomo has yet to announce how or when the state would open eligibility to all adults.

About 92.6 million vaccine doses have been administered since Mr. Biden’s inauguration, according to data released on Monday by the Centers for Disease Control and Prevention. At the current pace, the country will pass 100 million doses under Mr. Biden before the end of the week.

United States › United StatesOn March 14 14-day change
New cases 38,034 –19%
New deaths 572 –31%
World › WorldOn March 14 14-day change
New cases 369,370 +11%
New deaths 5,360 –6%

U.S. vaccinations ›

Where states are reporting vaccines given

Peter Krage, 54, a gerontological nurse, getting his first dose of the AstraZeneca vaccine in Rostock, Germany, last month.Credit…Lena Mucha for The New York Times

As a third wave of the pandemic crashes over Europe, questions about the safety of one of the continent’s most commonly available vaccines led Germany, France, Italy and Spain to temporarily halt its use on Monday. The suspensions created further chaos in inoculation rollouts even as new coronavirus variants continue to spread.

The decisions followed reports that a handful of people who had received the vaccine, made by AstraZeneca, had developed fatal brain hemorrhages and blood clots.

The company has strongly defended its vaccine, saying that there is “no evidence” of increased risk of blood clots or hemorrhages among the more than 17 million people who have received the shot in the European Union and the United Kingdom.

“The safety of all is our first priority,” AstraZeneca said in a statement Monday. “We are working with national health authorities and European officials and look forward to their assessment later this week.”

The timing of the pause in inoculations by some of Europe’s largest countries — which followed a flurry of similar actions by Denmark, Norway and several others — could not have been worse.

Europe’s vaccine rollouts already lag far behind those in Britain and the United States, and there is dawning realization that much of the continent is suffering a third wave of infections. Leading immunologists fretted on Monday that the decision by several of Europe’s leading nations to suspend the use of AstraZeneca would make vaccination efforts even harder by emboldening vaccine skeptics in countries where they are particularly entrenched.

The European Medicines Agency and the World Health Organization warned against an exodus from vaccines that would undermine rollout efforts at a pivotal moment.

VideoVideo player loadingItaly began to enter strict regional lockdowns on Monday, as the government moved to halt an increase in coronavirus infections just one year after the country became the first in Europe to impose a national lockdown.CreditCredit…Alessandro Grassani for The New York Times

A year after Italy became the first European country to impose a national lockdown to contain the spread of the coronavirus, the nation has fallen eerily quiet once again, with new restrictions imposed on Monday in an effort to stop a third wave of infections that is threatening to wash over Europe and overwhelm its halting mass inoculation program.

As he explained the measures on Friday, Prime Minister Mario Draghi warned that Italy was facing a “new wave of contagion,” driven by more infectious variants of the coronavirus.

Just as before, Italy was not alone.

“We have clear signs: The third wave in Germany has already begun,” Lothar Wieler, head of the Robert Koch Institute for Infectious Diseases, said during a news conference on Friday. Prime Minister Viktor Orban of Hungary predicted that this week would be the most difficult since the start of the pandemic in terms of allocating hospital beds and breathing machines, as well as mobilizing nurses and doctors. Hospitalizations in France are at their highest levels since November, prompting the authorities to consider a third national lockdown.

Officials in the United States are watching those developments with wary eyes. At a White House news briefing on Monday, Dr. Rochelle Walensky, director of the Centers for Disease Control and Prevention, pleaded with Americans not to let their guard down as case numbers have dropped from their peak. She pointed to images of young people crowded onto Florida beaches, though generally people are safer outside than inside, and to European nations as a warning.

“Each of these countries has had nadirs like we are having now, and each took an upward trend after they disregarded no mitigation strategies,” she said. “They simply took their eye off the ball. I’m pleading with you for the sake of our nation’s health. These should be warning signs for all of us.”

The U.S. death rate remains at nearly 1,400 people every day. That number still exceeds the summer peak, when patients filled Sun Belt hospitals and outbreaks in states that reopened early drove record numbers of cases, though daily deaths nationwide remained lower than the first surge last spring. The average number of new reported cases per day remains comparable to the figures reported in mid-October.

Across Europe, cases are spiking. Supply shortages and vaccine skepticism, as well as bureaucracy and logistical obstacles, have slowed the pace of inoculations. Governments are putting exhausted populations under lockdown. Street protests are turning violent. A year after the virus began spreading in Europe, things feel unnervingly the same.

In Rome, the empty streets, closed schools, shuttered restaurants and canceled Easter holidays came as a relief to some residents after months of climbing infections, choked hospitals and deaths.

“It’s a liberation to return to lockdown, because for months, after everything that happened, people of every age were going out acting like there was no problem,” said Annarita Santini, 57, as she rode her bike in front of the Trevi Fountain, a popular site that had no visitors except for three police officers. “At least like this,” she added, “the air can be cleared and people will be scared again.”

For months, Italy had relied on a color-coded system of restrictions that, unlike the blanket lockdown of last year, sought to surgically smother emerging outbreaks in order to keep much of the country open and running. It does not seem to have worked.

“History repeats itself,” Massimo Galli, one of Italy’s top virologists, told the daily Corriere della Sera on Monday. “The third wave started, and the variants are running.”

“Unfortunately we all got the illusion that the arrival of the vaccines would reduce the necessity of more drastic closures,” he said. “But the vaccines did not arrive in sufficient quantities.”

Sheryl Gay Stolberg Lauren Leatherby and Mitch Smith contributed reporting.

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Biden: ‘Shots in Arms and Money in Pockets’

President Biden declared on Monday that within 10 days the U.S. would achieve his goal of administering 100 million vaccination shots and delivering 100 million stimulus checks to Americans.

Over the next 10 days, we’ll reach two goals, two giant goals. The first is 100 million shots in people’s arms will have been completed within the next 10 days and 100 million checks in people’s pockets in the next 100 days. Shots in arms and money in pockets. That’s important. The American Rescue Plan is already doing what it was designed to do, make a difference in people’s everyday lives. And we’re just getting started. By the time all the money is distributed, 85 percent of American households will have gotten their $1,400 rescue checks. I’m pleased to announce and introduce another gifted manager to coordinate our implementation of the American Rescue Plan, Gene Sperling. Gene will be on the phone with mayors and governors, red states, blue states, the source of constant communication, a source of guidance and support, and above all, a source of accountability for all of us to get the job done. And together, we’re going to make sure that the benefits of the American Rescue Plan go out quickly and directly to the American people where they belong. Help is here and hope is here in real and tangible ways. We’re just days away from 100 million shots and millions — in the arms of millions of Americans. That’s the way, that’s the way on the way to get every single American access to the vaccine.

Video player loadingPresident Biden declared on Monday that within 10 days the U.S. would achieve his goal of administering 100 million vaccination shots and delivering 100 million stimulus checks to Americans.CreditCredit…Doug Mills/The New York Times

President Biden said Monday that his administration was on pace to achieve two key goals by March 25: the distribution of 100 million shots of Covid-19 vaccines since his inauguration and 100 million checks and electronic deposits of stimulus payments under his economic relief bill.

“Shots in arms and money in pockets. That’s important,” Mr. Biden said in a brief address from the White House.

The president also introduced Gene Sperling, a longtime Democratic policy aide, as his pick to oversee implementation of the $1.9 trillion economic relief package that he signed into law late last week.

“The American Rescue Plan is already doing what it was designed to do,” Mr. Biden said. “Make a difference in people’s everyday lives.”

The United States has administered 92.6 million vaccine doses since Jan. 20, when Mr. Biden took office, according to data released on Monday by the Centers for Disease Control and Prevention. At the current pace of vaccinations, the country will pass 100 million doses under Mr. Biden before the end of the week.

Answering a question from a reporter after the speech, Mr. Biden brushed aside calls for his administration to enlist former President Donald J. Trump’s help in appealing to Republicans who have resisted getting vaccinated.

“I discussed it with my team,” Mr. Biden said, “And they say the thing that has more impact than anything Trump would say to the MAGA folks is what the local doctor, what the local preachers, the local people in the community would say. So I urge, I urge all local docs, and ministers, and priests, to talk about why — why it’s important to get that vaccine.”

Mr. Biden’s remarks came as his team launched a week of sales pitches for the relief bill. The president and several members of his administration will travel the country to promote the plan that contains direct $1,400-per-person payments to low- and middle-income Americans, new monthly checks for parents and additional relief for the unemployed, among other particulars.

Mr. Biden will visit Delaware County, Pa., on Tuesday and will appear with Vice President Kamala Harris on Friday in Atlanta, which helped deliver Democrats the Senate majority that made the stimulus law possible.

A group of other administration representatives and officials, including the first lady, Jill Biden, and Ms. Harris’s husband, Doug Emhoff, will also make trips. Ms. Harris and her husband landed in Las Vegas for an event on Monday afternoon, while Dr. Biden finished an event in New Jersey.

The road show is an effort to avoid the messaging mistakes of President Barack Obama’s administration, which Democrats now believe failed to continue vocally building support for his $780 billion stimulus act after it passed in 2009. The challenge will be to highlight less obvious provisions, including the largest federal infusion of aid to the poor in generations, a substantial expansion of the child tax credit and increased subsidies for health insurance.

Mr. Sperling’s challenge with the rescue plan will be different than the one Mr. Biden faced in 2009, because the relief bill differs starkly from Mr. Obama’s signature stimulus plan. The Biden plan is more than twice as large as Mr. Obama’s. It includes money meant to hasten the end of the pandemic, including billions for vaccine deployment and coronavirus testing.

Oversight of the $1.9 trillion relief legislation is currently expected to rely on the Government Accountability Office and the Pandemic Response Accountability Committee, a panel of inspectors general from across the federal government. A Treasury official said that the department would set up a process to monitor the use of funds that are being sent to states to ensure that they are used according to the eligibility requirements in the law.

A rally in San Francisco on Saturday in support of a five-day in-person learning schedule at the city’s public schools.Credit…John G Mabanglo/EPA, via Shutterstock

Parents of schoolchildren protested in several cities around the United States over the weekend, frustrated by the off-again-on-again reopening policies in some school districts and blanket closures in others a full year after the pandemic began, despite growing scientific evidence that schools can reopen safely if they follow basic procedures.

Several hundred people rallied in downtown Naperville, Ill., on Sunday to urge officials to give students the option of returning to the classroom five days a week. Wielding signs with messages like “Get our kids back in school” and “Flip the school board,” demonstrators chanted, “Five days a week,” The Naperville Sun reported.

In San Francisco, hundreds of parents and children marched on Saturday in support of a five-day in-person learning schedule, arguing that a partial reopening falls short, The San Francisco Chronicle reported. Similarly, parents demonstrated at Pan Pacific Park in Los Angeles on Saturday, according to a local news station, saying a tentative agreement with teachers for a partial reopening in April was not enough.

Parents pressing for in-person classes say that remote learning leaves students feeling emotionally and socially drained at home.

They have the Biden administration on their side. Jill Biden and members of her husband’s administration have been traveling the country in a campaign aimed at reopening schools. And the Centers for Disease Control and Prevention released guidelines last month saying it was safe for schools to reopen if they could ensure measures like proper masking, physical distancing and hygiene were taken. The recommendations called for every elementary school to open in some fashion.

In early February, The New York Times surveyed 175 experts — mostly pediatricians focused on public health — who largely agreed that it was safe enough for schools to be open to elementary students for full-time, in-person instruction. Some said that was true even in communities where coronavirus cases were widespread, with proper safety precautions, including adequate ventilation and avoidance of large group activities.

Heather Kilpatrick used to work in hospitality before the pandemic, but she now stays home with her 3-year-old daughter, Vivienne. Credit…Tony Luong for The New York Times

In the year since the pandemic upended the U.S. economy, more than four million people have quit the labor force, leaving a gaping hole in the job market that cuts across age and circumstances.

An exceptionally high number have been sidelined because of child care and other family responsibilities or health concerns. Others gave up looking because they were discouraged by the lack of opportunities. And some older workers have called it quits earlier than they had planned.

These labor-force dropouts are not counted in the most commonly cited unemployment rate, which was 6.2 percent in February, making the group something of a hidden casualty of the pandemic.

Now, as the labor market begins to emerge from the pandemic’s vise, whether those who have left the labor force return to work — and if so, how quickly — is one of the big questions about the shape of the recovery.

There is some reason for optimism. Economists expect that many who have left the labor force in the past year will return to work once health concerns and child care issues are alleviated. And they are optimistic that as the labor market heats up, it will draw in workers who grew disenchanted with the job search.

Moreover, after the last recession, many economists said those who left the labor force were unlikely to come back, whether because of disabilities, the opioid crisis, a loss of skills or other reasons. Yet labor force participation, adjusted for demographic shifts, eventually returned to its previous level.

But the speed with which the pandemic has driven workers from the labor force could leave lasting damage.

Many Facebook and Instagram users are already using the apps to share their vaccination status.Credit…Marcio Jose Sanchez/Associated Press

Facebook said on Monday that it planned to expand its efforts to help get people vaccinated against the coronavirus.

The social network said it would roll out a new location-based tool to direct people to the clinics nearest to them that offer vaccinations, which users can find inside Facebook’s main app.

The company will also have an information center for Covid-19-related questions and data inside its Instagram photo-sharing app, building on a similar effort that Facebook introduced last year. And it will keep adding automated chat bots to WhatsApp, which can text users information on where to get vaccinated.

“By working closely with national and global health authorities and using our scale to reach people quickly, we’re doing our part to help people get credible information, get vaccinated and come back together safely,” Mark Zuckerberg, the chief executive of Facebook, said in a company blog post.

While Facebook previously allowed anti-vaccination groups on its platform to flourish, last year it pledged to remove Covid-related misinformation from its site. It also labeled posts related to the coronavirus with links to its official information center so it could direct people to sources like the World Health Organization.

But critics have said that false or misleading data about vaccines and the virus continues to be visible in private groups and pages on Facebook.

At North Dakota State University in October. Several studies have shown that the pandemic has disproportionately affected the mental health of young people.Credit…Bing Guan/Reuters

Young people’s reports of poor well-being during the pandemic have fueled a global crisis that needs immediate attention, according to a nonprofit organization that surveyed nearly 50,000 people in eight countries, providing a comprehensive overview of the pandemic’s impact on mental health.

More than one in four respondents reported facing or being at risk of clinical disorders, a number that rose to nearly one in two for those ages 18 to 24, according to the report, which was released by group, Sapien Labs, a U.S. nonprofit group dedicated to understanding the human mind.

The report, based on data collected from an online, anonymous survey whose findings were published on Monday, focused on Australia, Britain, Canada, India, New Zealand, Singapore, South Africa and the United States. It found that 40 percent of respondents ages 18 to 24 reported feeling sadness, distress or hopelessness, as well as unwanted, strange and obsessive thoughts.

“The coronavirus pandemic has exacerbated trends that were already there, and made them worse,” said Dr. Tara Thiagarajan, the founder and chief scientist of Sapien Labs. “Particularly, social isolation has had a larger impact on young people, and it’s pushed many of them over the edge.”

Other studies have shown that the pandemic has disproportionately affected the mental health of young people, women and people of color.

Mental health experts have also warned against the long-term effects of the pandemic, which are likely to include an economic recession and the psychological fallout of long-term social isolation.

The report’s authors, Dr. Thiagarajan and Jennifer Newson, urged governments to focus on population-wide policies targeting mental health, instead of individual approaches that are often favored.

“While much of the focus in the mental health arena has been on self-care through apps, therapy and other programs, social and economic policy and institutional culture may have a large role to play in the mitigation of our present mental health crisis and prevention of future crises,” they wrote.

Anallely Falcon receiving her second dose on in Central Falls, R.I., last month.Credit…David Degner for The New York Times

Nearly nine in 10 Americans who received the first dose of a two-dose Covid-19 vaccine went on to complete the regimen, and most people who received two doses got them within the recommended time frames, federal health officials reported on Monday.

The analyses, by investigators with the Centers for Disease Control and Prevention, included data on tens of millions of Americans who received the Moderna or Pfizer-BioNTech vaccines between mid-December and mid-February.

The percentage of people completing the regimens varied markedly by jurisdiction and between demographic groups, however. Federal health officials urged local vaccinators to take steps to ensure that everyone comes back, including scheduling a return appointment when giving the first shot, sending reminders, and rescheduling missed or canceled appointments.

While the data were “reassuring” over all, C.D.C. researchers said, the first groups receiving the vaccine in the United States — health care workers and long-term care facility residents — had easy access to the second dose, since they were likely to have been vaccinated at their workplace or place of residence.

As vaccines are offered to broader groups of people, the scientists warned, the percentage getting fully vaccinated may drop.

People are not considered fully vaccinated against the coronavirus until two weeks after they receive the second shot of the two-dose regimen (or two weeks after receiving the single-dose vaccine made by Johnson & Johnson).

C.D.C. researchers looked at some 40.5 million Americans who were vaccinated between Dec. 14, 2020 and Feb. 14, 2021.

In one analysis, they reviewed the records of 12.4 million people who had received the first dose of a two-dose vaccine regimen and had enough time to get the second dose. Some 88 percent had completed the series, while 8.6 percent were still within the allowable interval — 42 days — to receive the second dose. But 3.4 percent had missed that window. (The recommended interval between doses is 21 days for the Pfizer-BioNTech vaccine and 28 days for Moderna).

Americans most likely to have missed the second dose varied by locality. Among vaccine recipients for whom information on race and ethnicity were known, the lowest completion rates were among Native American or Alaska Native individuals.

A second analysis of 14.2 million people who completed the full regimen found that 95.6 percent received the second dose within the recommended period, though again the figures varied by community.

The authors of the study urged providers and public health workers to encourage Americans to come back for second doses and to emphasize the importance of full vaccination. C.D.C. officials also asked that vaccinators work to understand what keeps people from completing the series, and whether access or lack of confidence in the vaccines are playing a role.

GLOBAL ROUNDUP

With the borders closed, Russian tourists are discovering domestic destinations, like Lake Baikal.Credit…Sergey Ponomarev for The New York Times

Usually, it is foreigners who flock to Lake Baikal in Siberia this time of year to skate, bike, hike, run, drive, hover and ski over a stark expanse of ice and snow, while Russians escape the cold to Turkey or Thailand.

But Russia’s borders are still closed because of the pandemic, and to the surprise of locals, crowds of Russian tourists have traded tropical beaches for the icicle-draped shores of Baikal, the world’s deepest lake. The tour guides are calling it Russian Season.

If you catch a moment of stillness on the crescent-shaped, 400-mile-long, mile-deep lake, the assault on the senses is otherworldly. You stand on three feet of ice so solid it is crossed safely by heavy trucks, but you feel fragile, fleeting and small.

Yet stillness is hard to come by.

Western governments have been discouraging travel during the pandemic, but in Russia, as is so often the case, things are different. The Kremlin has turned coronavirus-related border closures into an opportunity to get Russians — who have spent the last 30 years exploring the world beyond the former Iron Curtain — hooked on vacationing at home.

A state-funded program that began last August offers $270 refunds on domestic leisure trips, including flights and hotel stays. It is one example of how Russia, which had one of the world’s highest coronavirus death tolls last year, has often prioritized the economy over public health during the pandemic.

“Our people are used to traveling abroad to a significant degree,” President Vladimir V. Putin said in December. “Developing domestic tourism is no less important.”

In other news from around the world:

  • The government of Hong Kong said on Monday that vaccine eligibility would be expanded to include everyone age 30 and older regardless of occupation, as the Chinese territory tries to increase vaccine uptake. About 200,000 of Hong Kong’s 7.5 million residents have received a first dose of either the BioNTech or Sinovac vaccines since the inoculation drive began late last month. But the proportion of people who show up for their appointments has fallen amid reports that six people have died after receiving the vaccine developed by Sinovac, a private Chinese company. Officials say that two of the deaths are not directly related to the vaccine and that the others are under investigation. The vaccine announcement came as Hong Kong is trying to contain a cluster of cases that began at a gym and has grown to 122 people, with more than 850 close contacts sent to government quarantine facilities and multiple residential buildings locked down overnight for mandatory testing. Also on Monday, the U.S. Consulate in Hong Kong said it was closing for deep cleaning after two employees tested positive for the virus.

The pandemic became real for Clary Montgomery when she introduced her daughter, Paloma, who was born March 11, 2020, to family members via video.

“When my toddler grandson tried to feed me a blueberry through the cellphone screen.”

That was the answer from Alice Gilgoff, 74, of Rosendale, N.Y., when The New York Times asked readers: When did the coronavirus pandemic become real for you? Nearly 2,000 people responded, and we have compiled many of their thoughts.

Across the United States and around the globe, nearly everyone experienced a moment when the pandemic truly hit home. And one year later, as the pandemic carries on, having claimed more than 2.6 million lives worldwide, it has been with us long enough to have its own history.

The answers from readers to that question are a journey through time. It has been a year of trauma and resilience. No one has been spared, yet some have borne burdens far more profound than others.

Still, our stories connect us: each of us human, each of us just trying to survive a pandemic that changed us and the world.

Denise Saylor photographed herself as Lara Comstack injected her with  vaccine in January at the Callen-Lorde Community Health Center in Manhattan.Credit…James Estrin/The New York Times

Most people aren’t particularly fond of needles.

For a significant number of people, though, fear of needles goes beyond anxiety into a more dangerous area, and prevents them from seeking out needed medical care.

As the world’s hopes of returning to a post-pandemic normal rest largely on people’s willingness to take a Covid-19 vaccine, experts and health care professionals are assuring those people that there are ways to overcome this problem.

“It would be heartbreaking to me if a fear of needles held someone back from getting this vaccine, because there are things we can do to alleviate that,” said Dr. Nipunie S. Rajapakse, an infectious diseases expert at the Mayo Clinic in Minnesota.

A study from the University of Michigan found that 16 percent of adults in several countries avoided annual flu vaccinations because of a fear of needles, and 20 percent avoided tetanus shots.

Whether fear is keeping you from being vaccinated at all or is causing you distress about doing so, there are some steps that the experts suggest:

  • Seek professional help. A therapist can help people with the most severe fear, especially if the fear is interfering with getting appropriate medical care.

  • Tell the nurse about your fear before getting the shot. There may be techniques the nurse can use, or products may be available, to reduce the pain of the injection or to put you at ease.

  • Distract yourself. It could be a YouTube video or your favorite song playing on your phone. You could practice deep-breathing or meditation techniques, or wiggle your toes, or look around and count all of the blue items you can see in the room.

  • Focus on the benefits. Think about the summer barbecues, family gatherings and economic recovery the vaccines will help usher in, and you might be feeling more optimistic and excited than nervous.

The apparent assault on an Uber driver, Subhakar Khadka, is the latest incident involving confrontations around coronavirus protections.Credit…Jason Henry for The New York Times

Two arrests have been made after scenes from a viral video that circulated showed passengers taunting and deliberately coughing on an Uber driver.

In the dashcam video, the driver, who had a hand on his head, looked exasperated. A woman in the passenger’s seat uttered an expletive about a mask and then coughed on the driver, while using racial slurs. Another passenger joined in, pulling down her mask and laughing. “And I got corona,” she said.

The driver refused to continue the ride, and the situation escalated. The passenger who had initially coughed on the driver grabbed his phone and tore off his mask, breaking the strap. The women continued screaming profanities.

The San Francisco Police Department said in a statement last Thursday that the driver, identified by KGO-TV as Subhakar Khadka, had picked up three passengers in the early afternoon on March 7, but when he saw that one of the women was not wearing a mask, he told them he would not continue unless they all wore masks.

In a video that was posted on Instagram and has since been removed, one passenger said that the driver was trying to make them exit the car in the middle of the freeway.

Soon, “an altercation ensued,” the police said.

One woman grabbed the driver’s cellphone, which Mr. Khadka eventually retrieved, and another passenger sprayed “what is believed to be pepper spray” into the car through an open window after they exited the vehicle, according to the police.

The flare-up is the latest high-profile example of mask conflicts, which have sometimes taken violent turns. Last year, prosecutors in Chicago said two sisters attacked a store security guard with a garbage can. One of the women stabbed the guard repeatedly with a small knife after he tried to insist that they wear masks and use the store’s hand sanitizer on entry.

In another case last year, an 80-year-old man in upstate New York was killed after he asked a bar patron to wear a mask; the patron shoved the man to the ground, causing him to hit his head.

Mr. Khadka, an Uber driver from Nepal who came to the United States eight years ago, said in an interview with KPIX that he never said anything “bad” to the women, and that they had refused to leave his car. Mr. Khadka said he believed he was singled out for their ire because he is South Asian. “If I was of another complexion, I would have not gotten that treatment from them,” he said. “The moment I opened my mouth to speak, they realized I’m not among one of them. It’s easy for them to intimidate me.”

One of the passengers was arrested in Las Vegas on Thursday, the Las Vegas Police Department said. The passenger, Malaysia King, 24, was taken into custody on a warrant for assault with a caustic chemical, assault and battery, conspiracy and violation of a health and safety code, the police said.

A second passenger, Arna Kimiai, 24, turned herself in on Sunday, the San Francisco Police Department announced. Ms. Kimiai was booked on charges of robbery, assault and battery, conspiracy, and violation of a health and safety code.

“The behavior captured on video in this incident showed a callous disregard for the safety and well-being of an essential service worker in the midst of a deadly pandemic,” said Lt. Tracy McCray, who heads the San Francisco Police Department’s robbery detail.

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Health

President Biden Takes 1st Tentative Steps to Deal with International Covid-19 Vaccine Scarcity

WASHINGTON – President Biden was under heavy pressure on Friday to donate excess coronavirus vaccines to nations in need to otherwise address global shortages and partnered with Japan, India and Australia to increase global manufacturing capabilities Expand vaccines.

In an agreement announced at the so-called Quad Summit, a virtual meeting of the heads of state and government of the four countries, the Biden government pledged to provide financial support to enable Biological E, a large vaccine manufacturer in India, to manufacture at least 1 Billion doses of coronavirus to help vaccines by the end of 2022.

This would fix acute vaccine shortages in Southeast Asia and beyond without risking the domestic setback of exporting cans in the coming months as Americans demand their shots.

The United States has fallen far behind China, India and Russia in the race to adopt coronavirus vaccines as an instrument of diplomacy. At the same time, Mr Biden is accused of hoarding vaccines from global health lawyers who want his government to route supplies to nations in need desperately seeking access.

The president insisted that Americans come first and has so far refused to make any specific commitments to free US-made vaccines, despite tens of millions of doses of the British-Swedish company AstraZeneca’s vaccine idling in American manufacturing facilities .

“If we have a surplus, we will share it with the rest of the world,” Biden said this week, adding, “We will first make sure that the Americans are taken care of first, but then we will try the rest of the world to help. “

In fact, the president still has a lot of work to do domestically to keep the promises made in the past few days: All states must question all adults for vaccinations by May 1st so that enough vaccine doses are available by the end of May to vaccinate every American adult, and that by July 4th, if Americans continue to follow public health guidelines, life should return to a semblance of normalcy.

Vaccine supplies seem on track to meet these goals, but the president still needs to put in place the infrastructure to manage the doses and overcome reluctance in large parts of the population to take them.

Still, Mr Biden has also made restoring US leadership a core part of his foreign policy agenda after his predecessor’s alliances frayed and relations with allies and global partners strained. His Foreign Secretary, Antony J. Blinken, said in a recent BBC interview that a global vaccination campaign would be part of this effort. Washington is “determined” to be an “international leader” in vaccinations.

Foreign policy experts and global health activists see clear diplomatic, public and humanitarian reasons for this.

“It’s time for US leaders to ask themselves: When this pandemic is over, do we want the world to remember America’s leadership in helping distribute life-saving vaccines, or will we leave that to others?” said Tom Hart, the North American executive director of One Campaign, a nonprofit founded by U2 singer Bono and dedicated to eradicating global poverty.

The federal government has bought 453 million surplus doses of vaccine, the group says. She has asked the Biden administration to share 5 percent of their doses overseas when 20 percent of Americans have been vaccinated, and gradually increase the percentage of divided doses as more Americans receive their vaccines.

According to the Centers for Disease Control and Prevention, 13.5 percent of people in the United States who are 18 years of age or older were fully vaccinated as of Friday.

The authoritarian governments of China and Russia, less affected by national public opinion, are already using vaccines to expand their sphere of influence. As the Biden government plans its strategy to counter China’s growing global clout, Beijing is polishing its image by shipping vaccines to dozens of countries on multiple continents, including Africa, Latin America, and the Southeast Asian backyard in particular.

Russia has been providing vaccines to Eastern European countries like Hungary, the Czech Republic and Slovakia at a time when Biden officials want to unify the European Union against Russian influence on the continent.

“We may be outdone by others who are more willing to share, even if they do so for cynical reasons,” said Ivo H. Daalder, former NATO ambassador and president of the Chicago Council on Global Affairs. “I think countries will remember who was there for us when we needed them.”

Updated

March 13, 2021, 3:49 p.m. ET

In the face of worrying and highly contagious new varieties in the US and around the world, public health experts say vaccinating people overseas is necessary to protect Americans too.

“It has to be sold to Americans to keep Americans safe over the long term, and it has to be sold to a highly divided, toxic America,” said J. Stephen Morrison, a global health expert with Centers for Strategic and International Studies. “I don’t think that’s impossible. I think Americans are beginning to understand that in a world of variation, anything that happens outside of our borders increases the urgency to act really quickly. “

Mr Blinken also said this to the BBC: “Until everyone in the world is vaccinated, nobody is really completely safe.”

The quad vaccine partnership announced at the summit on Friday includes different commitments from each of the nations, according to the White House.

In addition to supporting the Indian vaccine maker, the US has pledged at least $ 100 million to bolster vaccination capacity overseas and support public health efforts. Japan is “in discussion” to provide loans to the Indian government to expand the production of vaccines for export and will support vaccination programs for developing countries. Australia will allocate $ 77 million for vaccine provision and delivery assistance with a focus on Southeast Asia.

The four countries will also form oneQuad Vaccine Experts Group byTop scientists and government officials who will work to overcome production hurdles and funding plans.

Mr Morrison said the government deserves “some credit” for the effort, adding, “It shows diplomatic ingenuity and speed.” However, a spokesman for One Campaign, which focuses on extreme poverty, said his group would still see a plan for the United States’ vaccine supply, noting that Africa had given far fewer doses per capita than Asia.

Mr Biden’s efforts to ramp up vaccine production helped the United States produce up to a billion doses by the end of the year – far more than needed to vaccinate the roughly 260 million adults in the United States.

What you need to know about the vaccine rollout

A government-brokered deal to see drug company Merck manufacture Johnson & Johnson’s single-dose vaccine, which the president celebrated in the White House on Wednesday, will help achieve that goal. Also on Wednesday, Mr Biden directed federal health officials to source an additional 100 million doses of the vaccine from Johnson & Johnson.

The government has stated that these efforts are aimed at having enough vaccines for children, booster doses, to face new varieties and unforeseen events. Jeffrey D. Zients, Mr Biden’s coronavirus response coordinator, told reporters Friday that the Johnson & Johnson-Merck deal would also “expand capacity and ultimately benefit the world”.

Not only did Mr Biden resist the urge to dump excess doses, but he also criticized the Liberal Democrats for blocking a motion by India and South Africa for a temporary waiver of an international intellectual property agreement that would make it easier for poorer countries to access generic versions of Coronavirus vaccines and treatments.

“I understand why we should prioritize our supply to Americans – it was paid for by American taxpayers, President Biden is President of America,” said Representative Ro Khanna, a Liberal Democrat from California. “But there is no reason to prioritize the profits of pharmaceutical companies over the dignity of other countries.”

Mr Biden recently announced a $ 4 billion donation to Covax, the international vaccine initiative supported by the World Health Organization. David Bryden, director of the Frontline Health Workers Coalition, a nonprofit that supports health workers in low- and middle-income countries, said money was also urgently needed to train and pay these workers to administer vaccines overseas.

However, that donation and the Quad’s announcement of financial support for vaccine production on Friday fell short of the urgent demands of public health advocates for the United States to provide ready-to-use doses that can be quickly injected.

However, the quad’s focus on Southeast Asia most likely reflects an awareness of China’s gratitude in the region for Beijing’s focus in its vaccine distribution efforts.

If Mr Biden is widely viewed as helping the world recover from the coronavirus pandemic, that could become part of his legacy when President George W. Bush made a huge investment in public health funding in the 2000s the AIDS crisis in Africa responded. More than a decade later, Bush and the United States continue to be revered across much of the continent for the President’s Emergency Plan for AIDS Relief (Pepfar), which the government said has spent $ 85 billion and saved 20 million lives.

Michael Gerson, a former Bush White House speechwriter and policy advisor who helped shape the Pepfar program, said its impact has been both moral and strategic and that the program has been “an enormous amount of money to the United States.” goodwill “in Africa.

“I think the principle here should be that the people who need it most should get it, no matter where they live,” he said. “There is little moral sense in giving the vaccine to a healthy American 24-year-old in front of a front-line worker in Liberia.”

But he added, “It’s very difficult for an American politician to explain.”

Ana Swanson contributed to the coverage

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Covid-19: Biden Administration Opens Nursing House Doorways

Here’s what you need to know:

Credit…Amr Alfiky/The New York Times

The Biden administration on Wednesday published revised guidelines for nursing home visits during the pandemic, allowing guests the freedom to go inside to see residents regardless of whether the visitors or the residents have been vaccinated.

The new recommendations, released by the Centers for Medicare & Medicaid Services with input from the Centers for Disease Control and Prevention, are the first revision to the federal government’s nursing home guidance since September. And they arrived as more than three million vaccine doses have been administered in nursing homes, the agency said.

The guidance was also the latest indication that the pandemic in the United States was easing, with Covid-19 cases continuing to decrease across the nation, though the seven-day average remains at more than 58,000. The C.D.C. on Monday released long-awaited guidance for Americans who have been fully vaccinated, telling them that it is safe to gather in small groups at home without masks or social distancing.

About 62.5 million people have received at least one dose of a Covid-19 vaccine, including about 32.9 million people who have been fully vaccinated with Johnson & Johnson’s single-dose vaccine or the two-dose series made by Pfizer-BioNTech and Moderna.

In a statement of the reasoning behind the updated recommendations, Dr. Lee Fleisher, the chief medical officer at C.M.S., cited the millions of vaccines administered to nursing home residents and staff and a decline in infections in nursing homes.

“C.M.S. recognizes the psychological, emotional and physical toll that prolonged isolation and separation from family have taken on nursing home residents, and their families,” Dr. Fleisher said.

Earlier in the pandemic, the coronavirus raced through tens of thousands of long-term care facilities in the United States, killing more than 150,000 residents and employees and accounting for more than a third of all virus deaths since the late spring. But since the arrival of vaccines, new cases and deaths in nursing homes have fallen steeply, outpacing national declines, according to a New York Times analysis of federal data.

The eight pages of recommendations, which are not legally binding, did come with suggested limits, saying that “responsible indoor visitation” should be allowed at all times unless a guest is visiting an unvaccinated resident in a county where the Covid-19 positivity rate is higher than 10 percent and less than 70 percent of residents in the nursing home have been fully vaccinated. The guidance also says to limit visits if residents have Covid-19 or are in quarantine.

Federal officials said in the new guidance that outdoor visits were still preferable because of a lower risk of transmission, even when the residents and guests have been fully vaccinated.

So-called “compassionate care” visits — when a resident’s health has severely deteriorated — should be allowed regardless of vaccination status or the county’s positivity rate, the guidance said.

United States › United StatesOn March 10 14-day change
New cases 58,530 –16%
New deaths 1,477 –30%
World › WorldOn March 10 14-day change
New cases 467,404 +11%
New deaths 9,595 –11%

U.S. vaccinations ›

Where states are reporting vaccines given

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New Jersey Increases Indoor Capacity Limits to 50 Percent

On Wednesday, Gov. Philip D. Murphy of New Jersey announced that indoor dining, casinos, salons and gyms could open at half capacity starting March 19.

I am pleased to announce that effective next Friday, March 19, the indoor capacities for our restaurants, indoor recreational and amusement businesses, gyms and fitness clubs, and barbershops, salons and other personal care businesses will increase to 50 percent. These businesses have been capped at 35 percent for the past five weeks. Additionally, effective next Friday, same date, we are also announcing changes to our general gathering limits: indoor gatherings that are not religious services or ceremonies, political events, weddings, funerals, memorial services or performances will be capped at 25 individuals. That’s up from 10. And similarly, outdoor gatherings that are not religious services or ceremonies, political events, weddings, funerals or memorial services will be capped at 50 individuals, up from 25. We feel confident in these steps given the data that we’ve been seeing over the past five weeks since the last time we expanded the indoor reality.

Video player loadingOn Wednesday, Gov. Philip D. Murphy of New Jersey announced that indoor dining, casinos, salons and gyms could open at half capacity starting March 19.CreditCredit…Michael Loccisano/Getty Images

Restaurants in New York City and New Jersey will be able to increase indoor dining to 50 percent of capacity starting March 19, the governors of New York and New Jersey said on Wednesday.

The announcement of the relaxed limits comes as New York and New Jersey continue to lead the nation in the rate of new coronavirus cases per capita. The states are both reporting a seven-day average of 37 new virus cases a day for every 100,000 residents, according to a New York Times database.

The change — which will take effect two days after St. Patrick’s Day, traditionally a busy day for restaurants and bars — will bring both places into line with current dining limits in Connecticut and Pennsylvania.

Gov. Andrew M. Cuomo said that his decision to expand dining in New York City was made “in partnership” with Gov. Philip D. Murphy, a fellow Democrat.

“We will continue to follow the science and react accordingly,” Mr. Cuomo said in a news release issued by both governors.

Mr. Cuomo had already announced that capacity limits for restaurants statewide outside New York City could expand on March 19 to 75 percent, from 50 percent.

The new half-capacity limit in New Jersey will also apply to casinos, salons and gyms. In addition, the maximum number of people permitted at private indoor gatherings in New Jersey is also increasing to 25 people from 10. Outdoor gatherings can include 50 people, up from 25.

“We believe that when all factors are weighed, we can make this expansion without leading to undue further stress on our health care system,” Mr. Murphy said.

New Jersey was one of the last states to permit indoor dining to restart, and Mr. Murphy has faced pressure to expand capacity limits.

In New York City, restaurants have been operating with limited indoor capacity for months, including a shut down from December to February when cases started to rise again. Restaurants are currently allowed to serve diners inside at 35 percent capacity, up from 25 percent a few weeks ago.

The New York City Hospitality Alliance, an industry group, praised the new guidelines, saying they would provide much-needed relief to struggling restaurants.

“While city restaurants may not increase occupancy to 75 percent, like restaurants are safely doing throughout the rest of the state,” Andrew Rigie, the group’s executive director, said on Wednesday, being able to go to 50 percent capacity in the city “is still welcome news to the battered restaurant industry.”

After the announcement on Wednesday, employees at Pizza Moto, a pizzeria between Carroll Gardens and Red Hook in Brooklyn, gathered to discuss what it would mean for the restaurant. Pizza Moto opened for indoor dining for just a few weeks late last year before the shut down in December.

Joe Blissen, the restaurant’s general manager, said that he believed Pizza Moto could safely restart indoor dining at 50 percent capacity because most of the staff would have received their second vaccines by March 19.

“We are just trying to be cautious to make sure everything is nice, clean and safe,” said Mr. Blissen, who got his second shot this week. “It’s reassuring to us that at least our staff will be safe.”

Chris Labropoulos, who works at the Buccaneer Diner in East Elmhurst, Queens, said that an increase to 50 percent would have little impact because few people choose to dine indoors there. He could not recall the last time the diner, which opened in 1976, had reached max capacity under the state’s pandemic guidelines.

“A lot of people don’t come in as it is,” Mr. Labropoulos said, adding that most orders are for delivery or pickup.

In New Jersey, Mr. Murphy last eased restrictions on indoor dining before the Super Bowl, when he raised the limit to 35 percent and ended a 10 p.m. curfew.

Diners must continue to wear masks when not seated at tables, and seating at bars in New Jersey remains prohibited.

“Unlike some states, which are prioritizing, frankly, flat-out politics over public health — Texas and Mississippi come to mind — our mask mandate remains in place,” Mr. Murphy said.

Texas’ mask mandate ended on Wednesday, following Mississippi’s lead, which eliminated its mask rules a week ago over objections from federal health officials, who warned the step was premature.

Over the last week, there were an average of 3,322 new cases of the virus reported each day in New Jersey and 7,177 in New York, fueled in part by the spread of virus variants.

Researchers with the Centers for Disease Control and Prevention released a study on Friday that found that counties opening restaurants for on-premises dining — indoors or outdoors — saw a rise in daily infections about six weeks later, and an increase in Covid-19 death rates about two months later.

The study does not prove cause and effect, but the findings square with other research showing that masks prevent infection and that indoor spaces foster the spread of the virus through aerosols, tiny respiratory particles that linger in the air.

Gov. Larry Hogan of Maryland toured a vaccination site in Baltimore in February.Credit…Kenneth K. Lam/The Baltimore Sun, via Associated Press

Across Maryland on Wednesday, mayors, county executives, business owners and public health officials were parsing Gov. Larry Hogan’s surprise Tuesday announcement that he was loosening statewide Covid restrictions.

The order allows bars, restaurants, churches and gyms to open back up to full capacity starting Friday evening, though with certain social distancing regulations still in place. It also allows larger venues like banquet halls, theaters and sports stadiums to open to the public at 50 percent of capacity. The statewide mask mandate remains in effect.

“With the pace of vaccinations rapidly rising and our health metrics steadily improving, the lifting of these restrictions is a prudent, positive step in the right direction and an important part of our economic recovery,” Mr. Hogan said. He was joined at his announcement by Dr. Robert R. Redfield, a former director the Centers for Disease Control and Prevention, who is now a senior adviser to the governor.

Some business owners applauded the announcement as a sign that they may be able to begin crawling out of an economically punishing year. Public health experts were less welcoming.

“I was shocked, I thought it was a joke,” said Dr. Leana Wen, a public health professor at George Washington University and former Baltimore health commissioner.

City and state officials were surprised by the order, but they were particularly taken aback by one part of it, which seemed to say that starting Friday, the ability of local governments to make rules that are more restrictive than the state’s — a flexibility they have had throughout the pandemic — would be “null and void.”

That language seemed to conflict with Mr. Hogan’s remarks at the announcement, when he said that though he discouraged deviations, state law gave local jurisdictions “some powers to take actions that were more restrictive.” The governor’s spokesman said in a tweet that county “emergency powers and authorities” established during the pandemic were unaffected.

County and city officials spent Wednesday reading their local charters and talking with their lawyers about the situation.

In an emailed statement, Baltimore County Executive John A. Olszewski, Jr., said, “leaders across Maryland have been forced to scramble to meet with our legal teams, health officials, and neighboring jurisdictions to understand how this impacts our own executive orders and to determine if and how to use our own local authority moving forward.”

Maryland ranks in the middle of states in the percentage of its people who have been given at least one vaccine dose, according to a New York Times database, and somewhat above average in the number of new cases it has been reporting lately relative to its population — 13 per 100,000 residents. All three of the variants of the virus that are being tracked by the C.D.C. have been reported there, but only one in significant numbers: B.1.1.7, which was first identified in Britain and is more transmissible and possibly more lethal than earlier versions of the virus.

In the early days of the pandemic, Governor Hogan drew bipartisan praise for his aggressive response. He was among the first governors in the country to order schools closed, and he publicly criticized President Trump, a fellow Republican, for leaving states unprepared to deal with the pandemic. “I think a lot of us locally and around the country would have rated him very highly,” Dr. Wen, former Baltimore health commissioner, said.

Her estimation has fallen considerably since then. While she said she was pleased that Mr. Hogan did not lift his statewide mask order, as fellow Republican governors in Texas and Mississippi did last week, she called the broad lifting of capacity restrictions a dangerous gamble.

“It’s really disappointing, because we’ve come so far,” she said. “Why are we letting down our guard down when we’re so close?”

Main Street in Daytona Beach, Fla., this week. Some fear a superspreader event in the making. Credit…Stephen M. Dowell/Orlando Sentinel, via Associated Press

About 300,000 people are expected to descend on Daytona Beach, Fla., this week for an annual motorcycle rally despite the pandemic and a lack of restrictions to slow the spread of the coronavirus.

Excitement about the event has been tempered by some motorcycle enthusiasts in a Facebook group dedicated to the rally who worry it could turn into a superspreader event.

Last August, the Sturgis motorcycle rally in South Dakota drew more than 450,000 bikers, most of whom did not wear masks or appear to follow social-distancing guidelines. That rally was later blamed for outbreaks in other states.

Daytona Beach’s Bike Week typically draws almost half a million people, though because of the pandemic, numbers are estimated to be closer to 300,000 people this year, said Janet Kersey, the executive vice president and chief operating officer of the Daytona Regional Chamber of Commerce.

“We know because of continued Covid concerns and the loss of income many have had over this past year it will be less,” Ms. Kersey said. Good weather and the accelerating pace of vaccinations might increase attendance, she said.

At least 125 new coronavirus deaths and 4,426 new cases were reported in Florida on Tuesday, according to a New York Times database. Over the past week, there has been an average of 4,948 cases per day in the state, a decrease of 16 percent from the average two weeks earlier.

A more contagious and possibly more lethal variant of the coronavirus, known as B.1.1.7, which was first spotted in Britain, is spreading more widely in Florida as a share of total cases than in any other state, according to an analysis of data from Helix, a lab testing company.

Officials urged people attending Bike Week to exercise care.

“While our community is working hard to follow C.D.C. safety guidelines,” Ms. Kersey said, “the support of the visitors and participants is important in these efforts, as well, for everyone’s safety.”

Bike Week events include races, bike exhibitions, concerts and giveaways in and around Daytona Beach. Ms. Kersey said that officials had considered canceling the gathering but that the Daytona Beach City Council was “very meticulous in its decision to move forward.”

Masks were off in Bill Smith’s Cafe in McKinney, Texas, after Gov. Greg  Abbott issued a rollback of coronavirus prevention restrictions.Credit…Shelby Tauber/Reuters

HOUSTON — The plexiglass was down. The tables were crammed back into bars and restaurants. The masks were off.

There had been plenty of resistance to masks in Texas, even if many started to begrudgingly wear them. But now it is official: The state is no longer legally requiring people to cover their faces.

It is just one of the rules loosened by state officials eager to declare the pandemic over, even if the case numbers say otherwise.

“It is now time to open Texas 100 percent,” Gov. Greg Abbott declared in announcing the changes last week. And so on Wednesday, the signs reminding people about the mask mandate came down. So did barriers intended to curb the spread of the coronavirus.

On South Padre Island, it was like prepandemic times, with spring breakers drinking and dancing at a beachside bar. And the Texas Rangers announced that when the baseball season starts next month, they would allow the stadium — 40,518 seats — to be filled to capacity.

Not everyone was celebrating.

At Barflys in San Antonio, the “MASKS REQUIRED UPON ENTRY” sign outside may have been gone, but Britt Harasmisz’s face covering remained firmly in place as she tended customers at the patio bar.

“A lot of people have been vaccinated — Governor Abbott was vaccinated,” said Ms. Harasmisz, 24. “But a lot of us on the front lines have not.”

Texas has not rolled the calendar back entirely.

Businesses are still allowed to require employees and customers to cover their faces and limit capacity. Cities can choose to keep limits in place in municipal facilities, and masks remain required on federal property.

Hours before restrictions were lifted across the state, city officials in Austin announced they planned to defy the governor’s new orders and impose a citywide mask mandate. That puts this Democratic-led city on yet another likely collision course with the Republican-led state Legislature after years of clashes on a range of issues.

A City Council member, Greg Casar, said city officials believed their stance is “legal and it’s right.”

“If the state chooses to sue us, then it’s basically them going out of their way to undermine the health of Texas,” he said. “My hope is that they focus on vaccine distribution rather than messing with Austin and putting more lives at risk.”

Others welcomed the new rules.

On the smoky back patio of Barflys, Sophie Bojorquez, 47, sat at a table with friends. She is a vaccinated nurse and a self-proclaimed anti-masker.

“I’m happy about the governor’s decision. The masks impeded the herd immunity we need. Now they want to vax so fast,” she said, shaking her head.

The move to open Texas has faced intense resistance.

The governor’s medical advisers have said that they were not involved in the decision. And federal health officials and some experts are concerned that the moves, especially repealing the mask mandate, could intensify the spread of the virus during the vaccination process.

Texas, which is averaging about 5,500 new cases a day, has one of the lowest vaccination rates in the country.

Lina Hidalgo, the county judge in Harris County, which includes Houston, argued that lifting the mask mandate puts the burden on workers to enforce rules in retail establishments and restaurants.

“We know better than to let our guard down simply because a level of government selected an arbitrary date to issue an all-clear,” Ms. Hidalgo, a Democrat and a persistent critic of Mr. Abbott, said in an op-ed column published this week by Time magazine. “I am working to clearly explain to the residents of my county that we will spare ourselves unnecessary death and suffering if we just stick with it for a little bit longer.”

Rick Rojas, James Dobbins and

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Biden Orders 100 Million More Johnson & Johnson Vaccine Doses

President Biden announced on Wednesday that the government would secure another 100 million doses of the Johnson & Johnson vaccine and touted a joint production deal between the company and the pharmaceutical giant Merck.

Today, we’re seeing two health companies, competitors, each with over 130 years of experience, coming together to help write a more hopeful chapter in our battle against Covid-19. During World War II, one of the country’s slogans was, “We are all in this together.” We are all in this together. And the companies took that slogan to heart. For example, one automaker didn’t have the capacity to build enough Jeeps. The competitors stepped in to help. The result is that we’re now on track to have enough vaccine supply for every American adult by the end of May, months earlier than anyone expected. And today, I’m directing Jeff and my H.H.S. team to produce another 100 million doses and purchase another 100 million doses of the Johnson & Johnson vaccine. On Saturday, we hit a record of 2.9 million vaccinations in one day in America. And beyond the numbers are the stories. A father says he no longer fears for his daughter when she leaves to go to work at the hospital. The children are now able to hug their grandparents. The vaccines bring hope and healing in so many ways. There is light at the end of this dark tunnel of the past year, but we cannot let our guard down now or assume the victory is inevitable. Together, we’re going to get through this pandemic, and usher in a healthier and more hopeful future.”

Video player loadingPresident Biden announced on Wednesday that the government would secure another 100 million doses of the Johnson & Johnson vaccine and touted a joint production deal between the company and the pharmaceutical giant Merck.CreditCredit…Doug Mills/The New York Times

President Biden said on Wednesday that he was directing the federal government to secure an additional 100 million doses of Johnson & Johnson’s Covid-19 single-shot vaccine, a move the White House said could help the country vaccinate children and, if necessary, administer booster doses or reformulate the vaccine to combat emerging variants of the virus.

Mr. Biden made the announcement during an afternoon event at the White House with executives from Johnson & Johnson and the pharmaceutical giant Merck, where he praised them for partnering to ramp up production of the Johnson & Johnson vaccine — a deal brokered by the White House.

“During World War II, one of the country’s slogans was, ‘We are all in this together,’” Mr. Biden said. “And the companies took that slogan to heart.”

In announcing the agreement between Merck and Johnson & Johnson last week, Mr. Biden said that the United States would now have enough vaccine available by the end of May to vaccinate every American adult — roughly 260 million people. But Jen Psaki, the White House press secretary, said on Wednesday that the administration was trying to prepare for unpredictable challenges, from the emergence of dangerous virus variants to manufacturing breakdowns that could disrupt vaccine production.

“We still don’t know which vaccine will be most effective on kids,” she said at the White House’s daily briefing. “We still don’t know the impact of variants, the need for booster shots and these doses can be used for booster shots, as well.” She said the decision to purchase a surplus of the Johnson & Johnson vaccine was driven by a desire for “maximum flexibility.”

“It’s a one-shot vaccine,” she said. “It can be stored in the fridge and not a freezer. It’s highly effective as the others are as well against hospitalization and death.”

Mr. Biden said on Wednesday he was directing the White House’s pandemic response team and the Department of Health and Human Services to finalize the supply increase.

The White House had initially intended to hold Wednesday’s event at the Baltimore manufacturing facility of Emergent BioSolutions, another company that partners with Johnson & Johnson to make coronavirus vaccine. But Mr. Biden canceled his trip after The New York Times published an investigation into how Emergent used its Washington connections to gain outsize influence over the Strategic National Stockpile, the nation’s emergency repository of drugs and medical supplies.

Ms. Psaki has since said that the administration will conduct a comprehensive audit of the stockpile.

Emergent officials did not attend Wednesday’s session. In explaining the change in plans, Ms. Psaki said that the administration thought the White House was a “more appropriate place to have the meeting,” which it is billing as a celebration of what Mr. Biden has called the “historic” partnership between Johnson & Johnson and Merck.

Last August, Johnson & Johnson signed an agreement with the government to deliver 100 million doses of its coronavirus, and in an emailed statement on Wednesday the company said it is “on track to meet that commitment.” The government has the option to purchase additional doses under a subsequent agreement.

The administration says the collaboration with Merck will increase manufacture of the vaccine itself, and will also bolster Johnson & Johnson’s packaging capacity, known in the vaccine industry as “fill-finish” — two big manufacturing bottlenecks that had put the company behind schedule.

Wednesday’s announcement is in keeping with Mr. Biden’s aggressive efforts to acquire as much vaccine supply as possible, as quickly as possible. Before Mr. Biden took office, he pledged to get “100 million shots into the arms” of the American people by his 100th day in office — a timetable that seemed aggressive at the time, but more recently has looked tame. He has been trying to speed it up ever since.

At the time, two vaccines — one made by Moderna and the other by Pfizer-BioNTech — had been authorized by the Food and Drug Administration for emergency use. In January, Mr. Biden said the administration would have enough vaccine to cover every American by the end of summer. Last month, the president announced his administration had secured enough doses from those two companies to have enough to cover every American by the end of July.

The recent addition of the Johnson & Johnson vaccine, which received emergency authorization in late February, opened a path for the administration to move up the timetable yet again. But Johnson & Johnson and its other partners, including Emergent, were behind schedule, which prompted the administration to reach out to Merck.

Noah Weiland and Annie Karni contributed reporting.

Covid-19 information pamphlets with a mask and disinfectant kit distributed in San Jose, Calif.Credit…Ulysses Ortega for The New York Times

Black and Hispanic communities are confronting vaccine conspiracy theories, rumors and misleading news reports on social media.

The misinformation includes false claims that vaccines can alter DNA or don’t work, and efforts by states to reach out to Black and Hispanic residents have become the basis for new false narratives.

“What might look like, on the surface, as doctors prioritizing communities of color is being read by some people online as ‘Oh, those doctors want us to go first, to be the guinea pigs,’” said Kolina Koltai, a researcher at the University of Washington who studies online conspiracy theories.

Research conducted by the nonprofit Kaiser Family Foundation in mid-February showed a striking disparity between racial groups receiving the vaccine in 34 states that reported the data.

State figures vary widely. In Texas, where people who identify as Hispanic make up 42 percent of the population, only 20 percent of the vaccinations had gone to that group. In Mississippi, Black people received 22 percent of vaccinations but make up 38 percent of the population. According to an analysis by The New York Times, the vaccination rate for Black Americans is half that of white people, and the gap for Hispanics is even larger.

The belief that doctors are interested in experimenting on certain communities has deep roots among some groups, Ms. Koltai said. Anti-vaccine activists have drawn on historical examples, including Nazi doctors who ran experiments in concentration camps, and the Baltimore hospital where, 70 years ago, cancer cells were collected from a Black mother of five without her consent.

An experiment begun in the 1930s (not conducted in 1943, as an earlier version of this item reported) on nearly 400 Black men in Tuskegee, Ala., is one of the most researched examples of medical mistreatment of the Black community. Over four decades, scientists observed the men, whom they knew were infected with syphilis, but didn’t offer treatments so that they could study the disease’s progression.

Researchers who study disinformation followed mentions of Tuskegee on social media over the last year. The final week of November, when the pharmaceutical companies Moderna and Pfizer announced promising results in their final studies on the safety of their Covid-19 vaccines, mentions of Tuskegee climbed to 7,000 a week.

Students waiting to be admitted to PS 189 Bilingual Elementary School in Brooklyn last December.Credit…Victor J. Blue for The New York Times

New York City’s public schools have seen remarkably low virus transmission compared with the citywide rate of positive test results in the months since the nation’s largest school system reopened for thousands of students, according to a major new peer-reviewed study in the medical journal Pediatrics.

Of over 200,000 people who were tested in city school buildings from October to December, only .4 percent of tests came back positive for the coronavirus. That was during a period when virus cases were spiking in the community.

And even when cases were detected, relatively few close contacts in the school ended up testing positive for the virus during the same period: .5 percent of school-based contacts who quarantined contracted the virus.

“In-person learning in New York City public schools was not associated with increased prevalence or incidence overall of Covid-19 infection compared with the general community,” the study’s authors wrote. The study was led by Dr. Jay Varma, Mayor Bill de Blasio’s senior health adviser.

Still, school-based testing has been random and therefore focused more on identifying asymptomatic cases, while many New Yorkers who got tested outside schools had symptoms or had been exposed to the virus.

Mr. de Blasio reopened classrooms last September, months before many other large districts, particularly in the Northeast and on the West Coast. The city closed schools in November as virus cases surged, and has gradually reopened throughout the winter and spring. Still, the vast majority of city school students, roughly 700,000 children, have elected to learn from home for the rest of the school year.

The mayor faced significant criticism for his push to reopen schools, and there was widespread fear among families and educators that it was not yet safe to return to school buildings. But the strict safety measures the city put in place, including required masking, social distancing between students and teachers, and weekly random testing seem to have helped keep positivity rates in schools extremely low, the study said.

“We’ve said that our public school buildings are some of the safest places in New York City — and we’ve got the numbers to back it up,” Mr. de Blasio said in a statement on Wednesday.

Chris Hemsworth stars in the Marvel movie “Thor: Love and Thunder,” which has begun production in Australia.Credit…Rob Grabowski/Invision, via Associated Press

The Hollywood brigade has gone to Australia, a country that has effectively stamped out the coronavirus.

As a result of the near absence of the virus, plus subsidies from the Australian government, the country’s film industry has been humming along at an enviable pace for months.

More than 20 international productions are either filming or set to start the cameras rolling in the coming year, including “Thor: Love and Thunder,” a Marvel film starring Chris Hemsworth in the lead role, with Christian Bale, Matt Damon, Natalie Portman, Tessa Thompson and Taika Waititi also starring; “Three Thousand Years of Longing,” a fantasy romance with Idris Elba and Tilda Swinton; and “Joe Exotic,” a spinoff of the podcast made after the popular Netflix series “Tiger King,” starring Kate McKinnon as the big-cat enthusiast Carole Baskin.

Ron Howard is directing “Thirteen Lives,” a dramatization of the 2018 rescue of a soccer team from a cave in Thailand. That movie is to be shot in Queensland (the northeastern coast of Australia makes a good stand-in for the tropics). And later this year, Julia Roberts and George Clooney are set to arrive in the same state to shoot “Ticket to Paradise,” a romantic comedy.

A spokeswoman said that the Australian government had helped 22 international productions inject hundreds of millions into the local economy.

Chances are the stars will keep showing up. They’ve have been spotted camping, heading out to dinner, and partying (like it’s 1989). Mr. Damon said in January that Australia was definitely “the lucky country.”

Residents of a nursing home near Paris waiting under observation after receiving their vaccines last month.Credit…Andrea Mantovani for The New York Times

The European Union exported 25 million doses of vaccines produced in its territory last month to 31 countries around the world, with Britain and Canada the top destinations, just as the bloc saw its own supply cut drastically by pharmaceutical companies, slowing down vaccination efforts and stoking a major political crisis at home.

The European Union — whose 27 nations are home to 450 million people — came under criticism last week, when Italy used an export-control mechanism to block a small shipment of vaccines to Australia. The move was criticized as protectionist and in sharp contrast to the bloc’s mantra of free markets and global solidarity in the face of the coronavirus pandemic.

The issue of vaccine production and exports has also created a bitter dispute between the European Union and Britain, which recently departed the bloc, prompting accusations that Brussels wants to deprive London of doses out of spite, in part because Britain is doing so much better with its rollout.

The tensions culminated in a diplomatic spat on Wednesday, after a top E.U. official accused the United States and Britain of implementing an “export ban” — a charge the British government vehemently denied.

Practically speaking, ban or no ban, Britain is not exporting vaccines authorized for use at home. The country has said that it would be prepared to give excess shots to neighboring Ireland but only after it was done with its own vaccination efforts.

The United States has also been hoarding doses, in part through a wartime mechanism known as the Defense Production Act which permits the federal government greater control over industrial production. President Biden last week promised each adult American at least one vaccine dose would be offered to them by May.

But information made public for the first time, recorded in detailed internal documents seen by The New York Times, shows that the European Union, far from being protectionist, is in fact a vaccine exporting powerhouse.

Of the nearly 25 million total vaccines made in the European Union that were exported from Feb. 1 — when the export mechanism came into force — to March 1, about a third, more than eight million doses, went to Britain.

And while the United States kept doses for itself, the European Union shipped 651,000 vaccines to the country last month, and made vaccines for others across the Atlantic: The country that received the second-largest number of shots made in the European Union was Canada, with more than three million doses last month, while Mexico received nearly 2.5 million.

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Chaos in the Streets: Protests Turn Violent in Athens

Around 6,000 people gathered to protest against police violence and officers’ coronavirus lockdown tactics in Athens on Tuesday night. Police said 10 officers were wounded and 16 people were arrested.

[shots fired] [explosions] [explosion]

Video player loadingAround 6,000 people gathered to protest against police violence and officers’ coronavirus lockdown tactics in Athens on Tuesday night. Police said 10 officers were wounded and 16 people were arrested.CreditCredit…Alkis Konstantinidis/Reuters

A protest in Greece turned violent on Tuesday night as anger grew about tactics used by police officers who were enforcing coronavirus lockdown restrictions.

The clashes came on the same day that Greece said it was aiming to open to vacationers in mid-May. Later, the country reported 3,215 new infections, its highest daily tally since mid-November.

The protest on Tuesday was provoked after a video emerged two days earlier seeming to show an officer beating a man with a baton in the Athens suburb of Nea Smyrni. The man was apparently among several who had expressed objections to officers issuing fines to people in the square. The officer has since been suspended, the police said on Wednesday.

Around 6,000 people gathered in the normally quiet suburb on Tuesday evening to protest against police violence. The demonstration began peacefully but spiraled into violence after about 500 people appeared to pelt officers with firebombs. The police said that 10 officers were wounded, one seriously after he was dragged off a motorcycle and set upon. Sixteen people were arrested and were to face a prosecutor on Wednesday on charges including attempted homicide, possession of explosives and arson.

Prime Minister Kyriakos Mitsotakis appeared on television on Tuesday night, calling for calm and restraint. The violent turn of the protest has fueled debate in the Greek media about police tactics in enforcing the lockdown.

The Greek ombudsman said on Tuesday that reports of police violence had increased by 75 percent over the past year. Alexis Tsipras, leader of the leftist opposition party Syriza, referred on Monday to a “crescendo of police violence on the pretext of enforcing health measures.” Mr. Mitsotakis countered by calling Mr. Tsipras’s support for large rallies at the peak of a pandemic “the height of irresponsibility.”

The conservative government of Mr. Mitsotakis has urged Greeks to be patient for a little longer so that it can start gradually reopening the country’s battered economy without provoking a new surge in infections. However, public tolerance appears to be waning as government officials have been accused of flouting restrictions that thousands of ordinary Greeks have been fined for violating.

Mr. Mitsotakis himself came under fire last month for apparently disregarding his own government’s restrictions for the second time in two months, violating limits on public gatherings by attending a lunch at a politician’s home on an Aegean island.

In other news from around the world:

  • Mauritius went into a two-week nationwide lockdown on Wednesday, Agence France-Presse reported, the second time that the Indian Ocean archipelago nation has imposed such a restriction since the pandemic began. “We had no other choice but total containment in order to prevent the spread of the virus and protect the population,” Prime Minister Pravind Kumar Jugnauth announced Tuesday evening in a televised address. Only essential services will be operational from Wednesday, including hospital services and emergency relief. As of Thursday, supermarkets, bakeries, petrol stations and pharmacies will have limited accessibility. The country, which has a population of about 1.4 million, has reported 641 cases of the virus and 10 deaths.

  • Kenya and Morocco have approved the Russian Sputnik V vaccine, according to RDIF, a Russian sovereign wealth fund, Reuters reported. The fund, which is promoting the vaccine globally, said that 48 countries had now approved Sputnik V.

Robbie Fairchild, a former dancer at New York City Ballet, lost his health insurance during the pandemic. He is now running a flower business to help with finances.Credit…Amr Alfiky/The New York Times

Across the United States, thousands of actors, musicians, dancers and other entertainment industry workers are losing their health insurance or being saddled with higher costs in the midst of the pandemic. Some were simply unable to work enough hours last year to qualify for coverage. Others were in plans that made it harder to qualify for coverage.

The insurance woes came as performers faced record unemployment. Several provisions in President Biden’s $1.9 trillion coronavirus relief plan, which passed the Senate on Saturday and is expected to pass the House on Wednesday, offer the promise of relief. One would make it a lot cheaper for people to take advantage of the federal government program known as COBRA, which allows people to continue to buy the health coverage they have lost. Another would lower the cost of buying coverage on government exchanges.

Many of the more than two dozen performers interviewed by The New York Times said that they had felt abandoned for much of the year — both by their unions and by what many described as America’s broken health care system.

“You never think it’s going to be you,” said Robbie Fairchild, a former dancer at New York City Ballet who was nominated for a Tony Award in 2015 for his star turn in “An American in Paris” on Broadway and who later appeared in the film adaptation of “Cats.”

Unlike other workers who simply sign up for a health plan when they start a new job, the people who power film, television and theater often work on multiple shows for many different employers, cobbling together enough hours, days and earnings until they reach the threshold that qualifies them for health insurance. Even as work grew scarce last year, several plans raised that threshold.

Musicians are struggling, too. Officials at Local 802 of the American Federation of Musicians, the New York local that is the largest in the nation, estimate that when changes to its plan take effect this month, roughly one in three musicians will have lost coverage.

Insurance plan officials say they were left with no choice but to make painful changes to ensure their funds survive because health care costs have been rising at rates that have outpaced contributions.

Delivering items in New York in January. Workers have often been targeted for their electric bikes, which can cost thousands of dollars.Credit…Hiroko Masuike/The New York Times

The delivery of restaurant orders and other goods has become a bigger part of daily life across the United States since the pandemic forced millions of people indoors. And in New York City — where the disease has taken nearly 30,000 lives — delivery workers have become a lifeline for people working from home and for vulnerable residents who have been warned against going outside.

On any given day, thousands of men, and a growing number of women, can be seen crisscrossing city arteries, transporting meals, groceries and medicine in plastic bags on top of their well-worn bikes.

But their visibility has also made them targets for criminals looking for a quick profit through robbery. The unemployment rate has surged into double digits and economic desperation has grown in the city’s less affluent neighborhoods, which had already been pummeled by the pandemic.

Stolen electric bikes can be easily sold on the streets for cash or dismantled for their parts, the police and workers say. The bikes can cost thousands of dollars and are vital tools for the workers, who often make less than $60 a day. Many have come to rely on the bikes, despite the steep price tag, because they can go about 20 miles per hour, enabling workers to travel farther and make more trips to increase their slim bottom lines.

The theft of electric bikes doubled during the first year of the pandemic, rising to 328 in 2020 compared with 166 the year before, according to police data obtained by The New York Times.

Investigators said robbers often use fraudulent credit cards to call in bogus orders and lure delivery workers to secluded locations. The delivery workers then are faced with two dire options: let go of the expensive bikes they need to remain employed, or risk injury and even death.

Ligia Guallpa, director of the Worker’s Justice Project, a nonprofit that represents immigrants working in low-wage jobs, said that many delivery workers did not report robberies and assaults. A large percentage of them lack the documentation to work in the country legally and don’t speak English fluently. Many fear filing a police report could lead to deportation.

The Covaxin vaccine in cold storage.Credit…Atul Loke for The New York Times

An Indian-made Covid-19 vaccine that was rolled out in an ambitious inoculation campaign even before some questions about it had been fully answered appears to be safe to use, a leading British medical journal reports.

Writing in The Lancet, researchers said the vaccine, Covaxin, did not produce any serious side effects in trials.

But the researchers said they were not yet able to say how well the vaccine works.

Covaxin was developed by Bharat Biotech and was authorized for use by India’s top drug regulators in January. That was done before it had been publicly established whether the vaccine was either safe or effective, prompting many people in India, including some front-line health care workers, to voice concerns.

Bharat Biotech said last week that initial results from its clinical trials indicated that the vaccine was both safe and effective, but many public health officials prefer to rely on independent assessments like that published in The Lancet, rather than a company’s own announcements.

Around the time that the Indian government green-lit Covaxin, it also authorized the use of the Oxford-AstraZeneca vaccine, which is known in India as Covishield and is manufactured there, among other places.

India has set out on one of the most ambitious and complex nationwide health campaigns in its history: immunizing 1.3 billion people against the coronavirus. It has also bet heavily on its growing pharmaceutical industry, which produces drugs and vaccines for export around the world as well as domestic use.

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Variants Comprise About Half of N.Y.C. Virus Cases, Officials Say

New York City health officials said genetic analysis suggested that 51 percent of the city’s coronavirus cases were now caused by two new variants, but emphasized that vaccines remained effective.

“Unfortunately we have found that the new variants of Covid-19 are continuing to spread. And when you combine the variant of concern, B.1.1.7., the one first reported in the U.K., and the new variant of interest, B.1.5.2.6., that was first reported here in New York, together these new variants account for 51 percent of all cases that we have in the city right now. So for the variant of interest, B.1.5.2.6., that was reported here first in New York, our preliminary analysis indicates that it is probably more infectious than older strains of the virus. You know, what I referred last week to ‘Covid Classic.’ It may be similar in infectiousness to the B.1.1.7., the U.K. strain, but we’re not certain about this yet. We need to understand and study it more. Very important: Our preliminary analysis does not show that this new strain, B.1.5.2.6., causes more severe illness or reduces the effectiveness of vaccines.” “The B.1.5.2.6. variant, in particular, is increasing in prevalence across New York City, representing about 39 percent of all samples sequenced by the pandemic response lab during the most recent week with full data, compared to 31 percent the week prior. The B.1.1.7. strain, sometimes known as the U.K. variant, which also spreads more easily, has increased to 12 percent of samples analyzed in the most recent week, up from 8 percent the prior week. We know the virus is a formidable foe, but we also know what has worked to curb its spread. And that’s true for the new variants too. It’s the Safe 6: masking, distancing, handwashing, getting tested, staying home if you’re feeling ill and getting vaccinated when it’s your turn.”

Video player loadingNew York City health officials said genetic analysis suggested that 51 percent of the city’s coronavirus cases were now caused by two new variants, but emphasized that vaccines remained effective.CreditCredit…James Estrin/The New York Times

Genetic analysis suggests that roughly half of coronavirus cases in New York City now are caused by two new forms of the pathogen, city officials reported on Wednesday.

One of the so-called variants, first detected in the city, now accounts for nearly 40 percent of all cases analyzed in local laboratories. The increase in the variant, B.1.526, was so striking that officials said they believed it was more infectious than the original form of the coronavirus.

Another more contagious variant, B.1.1.7, first discovered in Britain, also is spreading steadily in the city, accounting for 12 percent of cases analyzed in the last week of February, up from 8 percent the prior week. B.1.1.7 may be more lethal than earlier versions of the virus.

Rather than sound an alarm, officials said that they believed continued health practices — from masking to getting vaccinated — were sufficient to control the virus. Vaccines remain effective against these variants, as well as the original coronavirus.

So far, deaths and serious hospitalizations continued on a downswing in the city, the officials noted. “So far, thank God, what we’re finding is the variants are not posing the worse kind of problems that we might fear,” Mayor Bill de Blasio said at a news briefing on Wednesday.

Dr. David Chokshi, the city health commissioner, said that the B.1.526 variant had been detected in samples across the city, and not just in one community. The variant first appeared in samples in November, particularly those from Washington Heights in Manhattan, and was first described in academic papers released in late February.

The variant was detected in about one-quarter of samples analyzed by the two academic groups in mid-February, one led by a group at Caltech, the other by researchers at Columbia University.

But the city’s own analysis found that the prevalence of the B.1.526 variant was even higher, at 31 percent in the third week of February, and 39 percent by the end of the month, Dr. Chokshi said.

Dr. Anthony West, a computational biologist at Caltech, said in an interview on Wednesday that his ongoing research also showed that the B.1.526 variant was “increasing at a considerable pace in New York City” but that it remained “fairly localized” in the area.

He and his colleagues have found two subtypes of the B.1.526 variant: one with the E484K mutation seen in South Africa and Brazil, which is thought to help the virus partially dodge the vaccines; and another with a mutation called S477N, which may affect how tightly the virus binds to human cells.

Epidemiologists have expressed concern about the variant, but city officials said that despite the E484K mutation, they still had no evidence that the B.1.526 variant was partially evading vaccine protection. “Our preliminary analysis does not show that this new strain causes more severe illness or reduces the effectiveness of vaccines,” said Dr. Jay Varma, an adviser to Mr. de Blasio.

Earlier this year, experts had said the city’s capacity for genetic analysis was inadequate to understand the dynamics of New York’s outbreak. The United States’ overall ability to track variants is much less robust than in Britain, and federal health officials have expressed significant concern that variants may spread here undetected. New York has been increasing the number of samples it analyzes in recent weeks.

Nationally, epidemiologists have been sounding alarms about B.1.1.7, which is on track to be the dominant form of the virus in this country by the end of March. That variant is believed to have contributed to steep case increases and full hospitals in Britain and elsewhere.

“What we’ve seen in Europe when we hit that 50 percent mark, you’ll see cases surge,” said Dr. Michael Osterholm, director of the University of Minnesota’s Center for Infectious Disease Research and Policy, on NBC’s “Meet the Press” on Sunday. He urged the public not to let up on health measures and to get vaccinated as quickly as possible.

Dr. Denis Nash, an epidemiologist at the City University of New York, said Wednesday that while he was worried about the new variants, more questions than answers remain about how they will impact the spread of the virus in New York City.

“It’s anybody’s guess, given the vaccine, the competition among the variants and everything we are trying to do to keep the virus low,” he said.

“The same things we always do have the ability to reduce the impact of the virus,” he added, urging continued vigilance and precautions. “If there is an exposure that gets past those defenses, there is potential that it could more easily take hold, or last longer. But if we keep doing everything we have been doing to prevent spread, we should be able to manage the variants too.”

Apoorva Mandavilli contributed reporting.

A resident of a nursing home near  Barcelona getting a second dose of vaccine last month.Credit…Samuel Aranda for The New York Times

Some of Spain’s largest regions are pressing the central government to speed up the country’s Covid-19 vaccination program, in particular by increasing access for older people to the vaccine developed by AstraZeneca and Oxford University.

When the vaccine was first approved in Europe in February, a number of countries — including Spain — set an age limit for its use, because there was relatively little data available then on its safety in older people. Spain set its age ceiling at 55.

Those limits have since been relaxed in countries like Germany and France, and on Wednesday, Spain’s neighbor Portugal announced that it would start allowing the Oxford-AstraZeneca vaccine to be given to people over 65.

That added to mounting pressure on the Spanish government to do the same.

The health minister of Catalonia, the northeastern region that includes Barcelona, issued an ultimatum on Wednesday, saying that if national officials did not soon follow Portugal’s example, Catalonia would do so unilaterally.

Isabel Díaz Ayuso, the leader of Spain’s capital region, has also been asking the central government to raise the age ceiling to at least 65.

Spain’s vaccination rollout has also come in for criticism from members of the main association of doctors, who have complain about red tape slowing the process and about people like teachers and police officers starting to get shots while some health care workers have not yet had a chance.

As of the start of this week, the health ministry said, some 3.4 million people in Spain, or about 7 percent of the population, had received at least one dose of vaccine. The Spanish government has pledged to vaccinate 70 percent of the population by the end of summer.

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These six islands have a few of the lowest Covid-19 charges on the earth

Micronesia has only confirmed one case of Covid-19 so far. The Polynesian island of Samoa and the South Pacific island of Vanuatu only have three cases each.

Sounds like a safe travel choice? There is only one problem – none of them allow tourists.

Many islands that opened to tourists during the pandemic saw rising coronavirus infection rates shortly afterwards.

There are exceptions, however.

The following goals kept Covid rates low by imposing stringent protocols that often include “vacation on the spot” requirements.

Anguilla

Although the small Caribbean island of Anguilla opened to international visitors in November, only 18 Covid-19 cases have been recorded so far, according to Johns Hopkins University.

Travelers to the British Overseas Territory, located east of the British and US Virgin Islands, must be pre-approved for Covid-19 prior to arrival, upon landing, and again after an “on-the-spot” 10 or 10 year stay to test 14 days (depending on where travelers visit from).

Anguilla requires that all travelers be tested, including infants and young children.

Peter Griffith | Stone | Getty Images

During this time, travelers can stay in hotels, villas and dine in restaurants, provided they are “Safe Environment Certified” according to the Anguilla Tourist Board website. You can also play golf, scuba diving and go on offshore excursions, provided these are also state certified.

Travelers can request a “short stay” (less than three months) for approximately $ 250 per person. Remote workers, students, and their families can apply under a separate “Digital Nomad” program that costs $ 2,000 to stay for up to a year.

Vaccination Rate: 26% of the population had at least one dose on February 26 (unless otherwise noted, all vaccination rates are from Our World in Data website).

St. Kitts and Nevis

The 100 square mile island nation of Saint Kitts and Nevis has recorded 41 Covid-19 cases since the pandemic began.

When it reopened its borders more than four months ago, the twin island state did not assign any risk to travelers from different countries, as “all visitors come from an area with considerable risk”, according to the tourism authority’s website.

All arriving travelers, including children and vaccinated individuals, must be approved for entry and tested negative prior to their arrival.

Four Seasons Resort Nevis is on the list of approved hotels for travelers to stay in Saint Kitts and Nevis.

Courtesy of the Four Seasons Resort Nevis

However, St. Kitts and Nevis is more about testing than most of the others. The pre-departure test window is short (between 48 and 72 hours before departure) and the tests must be nasopharyngeal RT-PCR (reverse transcription polymerase chain reaction). Tests “performed in laboratories that have an ISO / IEC 17025 standard,” according to the website.

“Those traveling from the US should look for laboratories that are CLIA (CDC) certified, and those from the UK should look to UKAS approved laboratories,” it says, the latter referring to the UK accreditation service, one national body that evaluates tests and other services.

The website states that test results from the American laboratory company LabCorp will not be accepted. However, a Saint Kitts tourism representative told CNBC Global Traveler that this information is “out of date” and no longer applicable and that travelers can email questions about tests in advance.

Travelers arriving by plane must stay in their hotel for the first week of travel. However, you can interact with other guests and take part in hotel activities. Those who test negative on day eight can move around the island to choose locations, including the Brimstone Hill Fortress, a UNESCO World Heritage Site, and the historic sites in the capital, Basseterre. Note: UK travelers are required to quarantine themselves at their hotels and are currently not allowed to “vacation on the spot”.

Guests who test negative after 14 days on the island can integrate into the local population of around 53,000.

Vaccination Rate: Around 10% of the population as of March 10th (according to a country tourism representative).

Macau

Although the historic part of Macau is on a peninsula that is now connected to mainland China, Macau’s Cotai Island is a major tourist attraction because of its great casino complexes, including the 10.5 million square meter Venetian Macau.

Like Hong Kong, Macao is a special administrative region in China. Although it is mostly only open to residents of China, Hong Kong, and Taiwan, it still accounts for nearly 20% of the world’s population.

The Cotai Strip is located on Cotai Island, a portmanteau that reflects the redevelopment project that joined the two Macau Islands of Coloane and Taipa in 2005.

Noppawat Tom Charoensinphon | Moment | Getty Images

Quarantine times vary from zero (for travelers from most of China) to 21 days (for travelers from Hong Kong). Casino stocks rebounded when Macau announced last month that Chinese travelers would no longer need negative test results to enter casinos (though they still need to have negative tests to get into Macau).

Macau has nearly 650,000 residents and is much larger than the other places on this list. So far, 48 Covid-19 cases have been confirmed. However, in China, coronavirus cases are counted differently than in most other countries by excluding asymptomatic positive cases from the official numbers.

Vaccination status: According to local reports, a rollout campaign with Chinese-made Sinopharm vaccines was started in February.

Grenada

Around 112,000 people live in Grenada. A total of 148 coronavirus cases have been confirmed.

Travelers who want to keep things simple will appreciate Grenada’s travel requirements. Before leaving, travelers must book accommodations, register for a certificate, and test a negative for Covid-19. Upon arrival, travelers must quarantine and pass a PCR test on the fifth day. The results will be presented about two days later.

Travelers to Grenada should expect a quarantine of about 7 days.

Westend61 | Westend61 | Getty Images

After that, visitors can leave their hotels and use certified tourism services, including taxis, dive companies, and glass-bottom boats.

Vaccination Rate: <1% of the population had at least one dose on February 16.

Dominica

Although the island nation of Dominica has 40,000 fewer inhabitants than Grenada, it has recorded three more cases than its Caribbean neighbor – or 151 in total.

After reopening for tourists in August, the island state between Martinique and Guadeloupe launched a program called “Safe in Nature” last October, with which travelers stay in certified accommodation and for the first five to seven days certified means of transport to selected locations on the island Island can take days of a trip. It’s part of what Dominica calls the “managed experience”.

The 275 square mile island nation of Dominica allows travelers from high risk countries to visit places like Trafalgar Falls and the Emerald Pool (shown here).

Jan Kokes | 500px | Getty Images

However, this only applies to travelers from high risk countries, including the US, Canada, UK, France, and Japan, although travelers from low and medium risk countries also participate in the program. Other travelers are “monitored” at their accommodation, which the Dominica Tourism Authority defines as face-to-face and telephone interviews and reviews.

Vaccination rate: 10% the population Has had at least one dose As of March 1st.

British Virgin Islands

With a population of 30,000, the British Virgin Islands have less than a third of the population of the US Virgin Islands. And its 153 confirmed Covid-19 cases are far fewer than the U.S. Virgin Islands, which has recorded 2,744 cases as of March 10.

The British Overseas Territory reopened on December 1st and requires travelers to test on arrival, download a tracking app (or wear a wristband monitor) and quarantine at their hotel or villa for four days. Tourists cannot move around the island during this time.

Tortola Island in the British Virgin Islands.

Walter Bibikow | DigitalVision | Getty Images

Anyone five years or older who passes a PCR test on the fourth day of travel is free to move around the British Virgin Islands afterwards.

Travelers are also required to stay in “Approved Gold Seal Accommodation,” which includes a list of locations on Tortola, Virgin Gorda, Jost Van Dyke, and Anegada, as well as Richard Branson’s luxurious private Necker Island.

Vaccination Rate: It was 13% of the population on March 5, according to a government press release.

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Covid-19 Vaccines: Dr. B Web site Will Match You With Leftover Doses

In the rush of getting an elusive vaccine appointment, the leftover dose has become the stuff of the pandemic.

Additional footage to be used within hours of leaving the cold store has been distributed to drugstore customers buying midnight snacks, people who are nurse friends, and people who show up at certain grocery stores and pharmacies at closing time. At some major vaccination sites, the race to use each dose triggers a series of phone calls at the end of the day.

In either case, if the remaining dose cannot find an available arm, it must go to the trash.

Now a New York-based start-up wants to put the rush for leftover cans in order. Dr. B, as the company is called, compares vaccine providers who are receiving additional vaccines with people who are willing to receive them right away.

Since the service began last month, more than 500,000 people have submitted a variety of personal information to sign up for the service, which is free and free for providers too. Two vaccination centers have started testing the program, and the company said about 200 other providers had applied to participate.

Dr. B is just an attempt to coordinate the chaotic patchwork of public and private websites that allow eligible people to find vaccine appointments. Critics said the current system is confusing, unreliable, and often requires access to the Internet and time to search for websites for the infrequent appointment. In many places, people who are not yet eligible for a shot are also largely ignored, missing the opportunity to put them on a formal waiting list.

While Dr. B does not solve all of these broader problems, if it increases the hope that it will, it could serve as a model for better and fairer vaccination planning.

“I think this is a great idea,” said Sharon Whisenand, the administrator for the Randolph County’s Department of Health in rural Missouri.

Ms. Whisenand said 60 to 80 people did not show up for the county’s first mass vaccination event in late January, prompting her staff to make dozens of calls to people on a waiting list at the end of the day. “We sounded a bit like a call center,” she said. The workers eventually found enough buyers to give most of the extra doses, but some shots were thrown away.

Dr. B is a not-for-profit organization founded as a not-for-profit company whose mission is to ensure the efficient and fair distribution of vaccines. But its founder, Cyrus Massoumi, a tech entrepreneur, took Dr. B not yet described. He said he is funding the project out of pocket and has no plans to generate any income. The company is named after his grandfather, nicknamed Dr. Bubba wore and became a doctor during the 1918 pandemic influenza.

Mr. Massoumi is the founder and former CEO of ZocDoc, which helps patients find available doctor appointments, and the founder of Shadow, a company that uses technology and on-site volunteers to bring lost pets together with their owners. Like these two efforts, Dr. B, to make connections between groups who need something from each other.

“Ultimately, patients need this vaccine, and there are providers who need help getting it to the priority people,” Massoumi said in an interview. “That’s my motivation.”

After Mr Massoumi came up with the idea for Dr. B, he recruited several engineers from Haven, a now-defunct healthcare collaboration between Amazon, Berkshire Hathaway and JP Morgan, to build the website and underlying database. Amazon has also donated web services, Massoumi said.

The half a million people who signed up for the service entered basic biographical information such as date of birth, address, underlying health conditions, and the type of work they did. When vaccine providers near you receive additional doses, they will be notified by SMS and have 15 minutes to respond. Then they have to be ready to travel quickly to the vaccination site.

The company’s database sorts people according to local vaccine priority rules, so providers have a better chance of delivering their leftover shots to those most in need.

For many vendors, this proper practice would be a welcome change from the random systems they currently use. At some pharmacies and supermarket chains, workers have combed the aisles to find people ready to get vaccinated at the last minute. Elsewhere, vaccine hopefuls wait in line at the end of each shift, which could pose a risk of infection, especially for the most vulnerable.

Despite some grumbling about younger, healthier people skipping the line by snapping leftover cans, public health experts and many ethicists say the most important thing is that the vaccines don’t go to waste. At the start of the vaccine rollout, some politicians like New York Governor Andrew M. Cuomo threatened sanctions against providers for failing to follow the priority rules exactly, and a doctor in Texas lost his job after giving leaked doses to people with illness including his wife.

For those offered a last minute vaccine, “that person shouldn’t say no because they want it to go to someone else,” said Dr. Shikha Jain, assistant professor of medicine at the University of Illinois, Chicago, and a contributor -founder of IMPACT, a group that worked to improve the fair distribution of vaccines. “However, it’s really important to be deliberate and fair,” she said.

Mr Massoumi said he took several steps to make sure the service was fair. This included turning down early media inquiries from mainstream publications and instead using Dr. B on Zoom calls with representatives from groups such as black churches and Native American community groups, as the pandemic has disproportionately affected non-white groups.

Updated

March 9, 2021, 11:16 p.m. ET

“It was really important to him to put these communities at the top or get the information early,” said Brooke Williams, Black and a member of the Resistance Revival Chorus in New York. She joined one of the early Zoom calls and started spreading the word.

“To hear about gunshots being thrown away was just heartbreaking and annoying,” she said.

However, the service suffers from some of the same obstacles that have hampered vaccination efforts so far. While signing in is easy, it requires an internet connection as well as instant access to a mobile phone. Due to the last minute nature of the leftover cans, attendees need flexible schedules and access to transportation.

“It’s still heavily dependent on the Internet, so it depends on who’s hearing about it,” said Arthur Caplan, a medical ethicist at New York University’s Grossman School of Medicine. “It seems like he’s trying to solve a problem and do something good, but I’m sad that governments – counties, cities, national organizations – didn’t prepare for it and then didn’t respond faster to advice and To give instructions. “

Mr. Massoumi noted that the website allowed people such as community volunteers to sign up on behalf of others. The site is also available in Spanish.

He noted that the setup of the program, which allows users to log in and then wait for a notification in order of priority, is better than other sites that require hours of website updating when there is a chance they are lucky to achieve a rare opening.

What you need to know about the vaccine rollout

Some local health authorities, including Washington, DC and West Virginia, are moving to a similar pre-registration system that can help level the playing field.

“It feels like you don’t know where you are and the only way to save your spot is to update a browser,” said John Brownstein, a researcher at Boston Children’s Hospital, who runs VaccineFinder.org , an online portal that helps people book vaccine appointments.

For Brittany Marsh, who owns a pharmacy in Little Rock, Ark., Figuring out what to do with leftover cans has been a daily problem.

She said the number of no-shows had increased as vaccines became more available and others had to cancel at the last minute because they developed Covid-19 or were exposed to someone who did. Although sometimes people call, she said, “More than once we just have a no-show.”

Ms. Marsh has been testing Dr. B. and said this saved her staff the hassle of calling a waiting list from other customers to quickly fill the open spaces. With Dr. B she said, “I know they at least call what we think is the right group of people to get these shots so we never have to waste any.”

Dr. B only disclosed a few details about which providers have expressed interest in using its platform. Apart from the fact that the providers are based in 30 states and include doctors’ offices, pharmacies, and medical departments of large academic institutions.

The company collects sensitive personal information, which it promises to strictly protect, even though the data is not protected by the federal health privacy law known as HIPAA, as the company is not itself a medical service provider.

When asked about his long-term plans for the company, Mr Massoumi declined, noting that the vaccination race was not going to end anytime soon.

“Right now we just want the vaccines to be allocated in the best possible way,” he said. “I can’t think of a better way of spending money on solving the pandemic. So we’re just bowing our heads and focusing on it.”

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Covid-19: Restaurant Eating and Lack of Masks Mandates Are Every Linked to U.S. Virus Unfold, C.D.C. Says

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C.D.C. Warns Against Repealing Virus Restrictions

At a Friday briefing, the Centers for Disease Control and Prevention warned of the link between repealing mask mandates, indoor dining and increased coronavirus cases. This is after many states have announced plans to decrease virus restrictions.

“Increases in both daily death rates and Covid cases and deaths slowed significantly within 20 days of putting mask mandates into place, and protective effective mask mandates grew stronger over time. In contrast, increases in daily death rates of Covid-19 cases and deaths grew more quickly within 40 to 80 days, following restaurants being allowed to resume on-premises dining.” “It may seem tempting in the face of all of this progress to try to rush back to normalcy as if the virus is in the rearview mirror. It’s not. Now, years of watching football on TV has shown me that it’s better to spike the football once you’re safely in the end zone, not after you’ve made a couple of completions.”

At a Friday briefing, the Centers for Disease Control and Prevention warned of the link between repealing mask mandates, indoor dining and increased coronavirus cases. This is after many states have announced plans to decrease virus restrictions.CreditCredit…Kendrick Brinson for The New York Times

As officials in Texas and Mississippi lifted statewide mask mandates, researchers at the Centers for Disease Control and Prevention offered fresh evidence of the importance of mask use in a new study on Friday. Wearing masks, the study reported, was linked to fewer infections with the coronavirus and Covid-19 deaths in counties across the United States.

The researchers also found that counties opening restaurants for on-premises dining — indoors or outdoors — saw a rise in daily infections about six weeks later, and an increase in Covid-19 death rates about two months later.

The study does not prove cause and effect, but the findings square with other research showing that masks prevent infection and that indoor spaces foster the spread of the virus through aerosols, tiny respiratory particles that linger in the air.

“You have decreases in cases and deaths when you wear masks, and you have increases in cases and deaths when you have in-person restaurant dining,” Dr. Rochelle Walensky, the director of the C.D.C., said on Friday. “And so we would advocate for policies, certainly while we’re at this plateau of a high number of cases, that would listen to that public health science.”

The findings come as city and state officials nationwide grapple with growing pressure to reopen schools and businesses amid falling rates of new cases and deaths. Officials recently began allowing limited indoor dining at New York City restaurants. And on Thursday, Connecticut’s governor said the state would end capacity limits on restaurants, gyms and offices later this month. Masks will still be required in both places.

Coronavirus cases and deaths are down significantly across the country compared to the devastating peaks around the holidays. But as more cases of worrisome virus variants have been detected and the U.S. vaccination campaign continues, President Biden and his team have stressed in recent days that now is not the time for Americans to relax, particularly on wearing masks.

The seven-day average of new cases was about 61,000 per day as of Friday, the lowest average since October, according to a New York Times database. But that number was still close to last summer’s highest peak.

Fatalities are falling, too, in part because of vaccinations at nursing homes. Yet the nation is still routinely reporting 2,000 deaths in a single day.

Mr. Biden on Wednesday criticized the decisions by the governors of Texas and Mississippi to lift statewide mask mandates and reopen businesses without restrictions, calling the plans “a big mistake” that reflected “Neanderthal thinking.”

The president, who has asked the American people to wear a mask for his first 100 days in office, said it was critical for public officials to follow the guidance of doctors and public health leaders as the vaccination campaign gains momentum.

According to the C.D.C., about 54 million people had already received at least one dose of a Covid-19 vaccine as of Thursday. Mr. Biden’s power to enforce mask-wearing is limited to the federal sphere; he has ordered a mask requirement for anyone on federal property, and his administration is asking people to wear masks regardless of local mandates.

“It may seem tempting, in the face of all of this progress, to try to rush back to normalcy as if the virus is in the rear view mirror. It’s not,” Andy Slavitt, a White House pandemic adviser, said on Friday. “Why somebody wouldn’t take advantage of a small intervention to save people’s lives, that would be surprising.”

In the latest study, C.D.C. researchers examined the association between mask mandates and indoor or outdoor restaurant dining and the number of coronavirus infections and deaths last year between March 1 and Dec. 31. The agency relied on county-level data from state government websites and measured daily percentage growth in coronavirus cases and deaths.

Infections and deaths declined after counties required mask use, the agency found. Daily infections rose about six weeks after counties allowed restaurants to open for dining on the premises, and death rates followed two months later.

Mask mandates were linked to statistically significant decreases in coronavirus cases and death rates within 20 days of implementation, the report’s authors concluded. On-premises dining, whether indoors or outdoors, at restaurants was associated with increases in case and death rates within 41 to 80 days after reopenings.

“State mask mandates and prohibiting on-premises dining at restaurants help limit potential exposure to SARS-Cov-2, reducing community transmission of Covid-19,” the authors wrote.

Shortly after publishing the report, the C.D.C. amended it to urge restaurants that resume on-premises dining to follow the C.D.C.’s guidelines for reducing transmission in restaurant settings.

That includes “everything from having staff stay home when they show signs of Covid or have tested positive or been in contact with someone who has Covid, and requiring masks among employees as well as customers who are not actively eating or drinking,” said Gery P. Guy, a health scientist with the C.D.C.’s Covid response team and the study’s corresponding author.

Other steps that can be taken are ensuring adequate ventilation, providing options to eat outdoors, spacing customers six feet apart, encouraging hand washing and frequent sanitizing of surfaces that are touched a lot, such as cash registers, pay terminals, door handles and tables.

“The message is, if restaurants are going to open for on-premise dining, it’s important to follow C.D.C. guidelines to do so safely and effectively,” Dr. Guy said.

Eileen Sullivan contributed reporting.

United States › United StatesOn March 5 14-day change
New cases 65,681 –12%
New deaths 2,483 –5%
World › WorldOn March 5 14-day change
New cases 442,743 +4%
New deaths 10,771 –12%

U.S. vaccinations ›

Where states are reporting vaccines given

A health club in Scottsdale, Ariz., in December. Gov. Doug Ducey announced on Friday a loosening of Covid-19 restrictions but said mask use is still recommended in the state.Credit…Adriana Zehbrauskas for The New York Times

Gov. Doug Ducey of Arizona signed an executive order on Friday that ends capacity limits on businesses, but he said that they were still required to follow health and safety guidance, including mask use, from the state’s Department of Health.

By ending occupancy restrictions on businesses, Mr. Ducey, a Republican, has joined a growing number of governors who are lifting measures even as the Centers for Disease Control and Prevention continues to warn officials that doing so could be premature.

Also on Friday, Gov. Henry McMaster of South Carolina signed an executive order lifting the state’s mask mandate in government buildings. Mr. McMaster, a Republican, cited vaccines and lower infection rates in the state as reasons to lift the mandate. Mr. McMaster recommended in his order that restaurants and other food establishments continue to require mask use and social distancing.

The California Department of Public Health also loosened some restrictions Friday saying amusement parks and outdoor sports and live events at stadiums can restart on April 1, with reduced capacity and mandatory masks.

Like many states, Arizona has recorded a steep decline in coronavirus cases since they peaked in January, according to a New York Times database. Mr. Ducey’s decision on Friday to ease some restrictions comes after his Republican peers in Texas and Mississippi lifted their state’s mask mandates, despite pleas from the Biden administration that it was critical that people continue wearing masks and as a new report from the C.D.C. found that counties that allowed restaurants to open for in-person dining had a rise in daily infections weeks after. The study also said that counties that issued mask mandates reported a decrease in virus cases and deaths within weeks.

The question of when it’s safe for states to reopen has been complicated by the emergence of more contagious and possibly more lethal variants in the United States, like B.1.1.7, originally identified in Britain. In Carver County, Minn., which has a population of about 91,000, at least 68 cases of the variant have been linked to participants in both school-sponsored and club sports activities, according to the Minnesota Department of Public Health. High schools and middle schools in Minnesota began opening up for some in-person learning in February.

Govs. Kay Ivey of Alabama and Mike DeWine of Ohio, both Republicans, are also taking more measured approaches. Ms. Ivey announced on Thursday that she was extending her state’s mask order until April 9. Mr. DeWine said on the same day that he would lift all public health measures aimed at curbing the virus in Ohio once new cases drop to a certain threshold.

This week, Mr. Ducey also issued an executive order requiring schools to offer in-person learning no later than March 15. According the C.D.C., 12 of Arizona’s 15 counties, including the state’s two largest counties — Maricopa and Pima, are in phases where all schools are safe to reopen.

Over the summer, when Arizona led the nation in the number of cases per person, Mr. Ducey gave city and county officials the green light to order residents to wear masks. It was a reversal for Mr. Ducey, who had been among a cadre of Republican governors who bucked mask-wearing, seeing it as a violation of individual liberties.

At the time, Mr. Ducey also rolled back earlier reopenings, and he directed bars, indoor gyms, water parks and movie theaters to shut down again.

About a month after Mr. Ducey embraced mask use, the number of Arizonans hospitalized with the virus started to decline.

The latest Arizona order states that mayors and local entities cannot put into effect measures that shut down businesses, and that major league sports can start up again if they get approval from the state’s Department of Health Services.

“Today’s announcement is a measured approach; we are not in the clear yet,” Mr. Ducey said in a statement on Friday. “We need to continue practicing personal responsibility. Wear a mask. Social distance. Stay home when you’re sick and wash your hands frequently.”

Disneyland in Anaheim, Calif., has been closed since March 14.Credit…Mario Tama/Getty Images

The teacups could soon be spinning again: Disneyland, which has been closed for a year, is poised to reopen this spring.

California officials announced on Friday that theme parks in the state could reopen on a limited basis as soon as April 1. Eligibility, however, will depend on coronavirus transmission statistics in individual counties.

For instance, theme parks in counties where the virus threat remains the most severe (in the purple tier under the state’s system) must remain closed. But parks in areas where the threat of infection has eased somewhat (red tier) will be allowed to reopen at 15 percent capacity. Even less threat (orange tier) will allow for 25 percent capacity.

Attendance will be limited to in-state visitors.

Disneyland is in Orange County, which is in the purple tier. But if coronavirus cases continue to decline in Southern California at the current pace, the county could fall within the orange tier by late April. The Walt Disney Company said last year that reopening a park at less than 25 percent capacity would not make economic sense. A Disney spokeswoman declined to comment on a specific reopening timeline on Friday.

“We are encouraged that theme parks now have a path toward reopening this spring, getting thousands of people back to work,” Ken Potrock, Disneyland’s president, said in a statement.

Disney has said it would take at least four weeks to rehire employees and train them on new coronavirus safety procedures. Before the pandemic, roughly 32,000 people worked at the 486-acre Disneyland Resort, which includes two separately ticketed theme parks, three Disney-owned hotels and an outdoor shopping mall. Most of the Anaheim complex has been closed for a year.

Disney had hoped to reopen its California attractions in July. But unions representing Disneyland employees criticized that timetable as too fast and pressured Gov. Gavin Newsom to withhold approval. He sided with the unions, prompting fans to attack him online. (“Open Disney, or we are taking away your hair gel.”)

In contrast, Florida allowed Disney to reopen its Orlando parks in July. The company endured withering criticism for doing so, but stringent safety procedures, including mandatory masks, resulted in a safer-than-expected environment.

“It has been a success story,” Julee Jerkovich, a United Food & Commercial Workers official, said in October. “As a union rep, I do not say that lightly.”

In addition to Disneyland, theme parks in California include Universal Studios Hollywood, Six Flags Magic Mountain, Knott’s Berry Farm and the Santa Cruz Boardwalk.

Workers checking syringes at a factory in Ballabgarh, India, last month.Credit…Rebecca Conway for The New York Times

As countries jostle to secure enough vaccine doses to help put an end to the pandemic, a new competition is unfolding: for syringes to administer them with.

There is simply not enough of them.

Officials in the United States and the European Union have said they need more. And in January, Brazil restricted exports of syringes and needles when its vaccination efforts fell short.

Further complicating the challenge, not just any syringe will do the trick.

Japan revealed last month that it might have to discard millions of doses of the Pfizer-BioNTech vaccine if it couldn’t secure enough syringes able to draw out a sixth dose from vials. In January, the Food and Drug Administration advised health care providers in the United States that they could extract more doses from the Pfizer vials after hospitals there discovered that some contained enough for a sixth — or even a seventh — shot.

“A lot of countries were caught flat-footed,” said Ingrid Katz, the associate director of the Harvard Global Health Institute.

The world needs between eight billion and 10 billion syringes for Covid-19 vaccinations alone, experts say.

In previous years, only 5 percent to 10 percent of the estimated 16 billion syringes used worldwide were meant for vaccination and immunization, said Prashant Yadav, a senior fellow at the Center for Global Development, a think tank in Washington, and an expert on health care supply chains.

Wealthier nations like the United States, Britain, France and Germany pumped billions into developing the vaccines, but little public investment has gone into expanding manufacturing for syringes, Mr. Yadav said.

The industry has ramped up to meet demand.

Becton, Dickinson and Company, which is the world’s largest manufacturer of syringes and is based in New Jersey, said it was producing 2,000 each minute to meet orders of more than a billion.

The United States is the world’s largest syringe maker by sales, according to Fitch Solutions, a research firm. The United States and China are neck and neck in exports, with combined annual shipments worth $1.7 billion.

While India is a small player globally, Hindustan Syringes & Medical Devices in Ballabgarh, one of the world’s largest syringe makers, sunk millions of dollars into preparing its syringe factories for the vaccination onslaught.

Rajiv Nath, the company’s managing director, added 500 workers to his production lines, which crank out more than 5,900 syringes per minute at factories spread over 11 acres in a dusty industrial district outside New Delhi. With Sundays and public holidays off, the company churns out nearly 2.5 billion a year, and plans to scale up to three billion by July.

Mr. Nath has sold 50 million to the Japanese government, he said, and over 400 million to India for its Covid-19 vaccination drive, one of the largest in the world.

More are waiting in line, including UNICEF. In November, the United Nations agency for children reached out to say that it was desperately seeking syringes. And not just any would do. They had to be smaller than usual, and break if used a second time, to prevent spreading disease through accidental reuse.

Most important: UNICEF needed them in vast quantities. Now.

“I thought, ‘No issues,’” said Mr. Nath. “We could deliver it possibly faster than anybody else.”

The company is set to begin shipping 3.2 million of those syringes soon, UNICEF said, provided they clear another quality check. And Mr. Nath has offered to produce about 240 million more.

Credit…

The images above tell a story of disparity of the starkest sort.

“People of color are getting vaccinated at rates below their representation of the general population,” Dr. Marcella Nunez-Smith, the chair of President Biden’s coronavirus equity task force, said at a recent forum on the vaccine. “This narrative can be changed. It must be changed.”

In recent days, The New York Times’s graphics team set out to measure how equitably Covid-19 vaccines were being distributed across the United States.

The data is imperfect. As of March 3, only 38 states publicly shared race and ethnicity data for vaccinated people.

Further complicating the task, different jurisdictions define race and ethnicity categories in slightly different ways — and with different levels of completeness. In some states, as much as a third of vaccinations were missing race and ethnicity data.

But a disturbing portrait nevertheless emerged.

Communities of color, which have borne the brunt of the Covid-19 pandemic in the United States, have also received a smaller share of available vaccines. The vaccination rate for Black Americans is half that of white people, and the gap for Hispanic people is even larger, The Times analysis found.

Dr. Eva Galvez prepares to test patients for Covid-19 at a clinic in Hillsboro, Ore.Credit…Ruth Fremson/The New York Times

Scientists in Oregon have identified a homegrown version of a fast-spreading variant of the coronavirus that first surfaced in Britain — but this one has a mutation that may make the variant less susceptible to vaccines.

The researchers have so far found just a single case of this formidable combination, but genetic analysis suggested that the variant had been acquired in the community and did not arise in the patient.

“We didn’t import this from elsewhere in the world — it occurred spontaneously,” said Brian O’Roak, a geneticist at Oregon Health and Science University who led the work. He and his colleagues participate in the Centers for Disease Control and Prevention’s effort to track variants, and they have deposited their results in databases shared by scientists.

The variant originally identified in Britain, called B.1.1.7, has been spreading rapidly across the United States, and accounts for at least 2,500 cases in 46 states. This form of the virus is both more contagious and more deadly than the original version, and is expected to account for most infections in America in a few weeks.

The new version that surfaced in Portland has the same backbone as B.1.1.7, and the mutation it carries — E484K, or “Eek” — is one seen in variants of the virus circulating in South Africa, Brazil and New York City.

Lab studies and clinical trials in South Africa indicate that the Eek mutation renders the current vaccines less effective by blunting the body’s immune response. (The vaccines still work, but the findings are worrying enough that Pfizer-BioNTech and Moderna have begun testing new versions of their vaccines designed to defeat the variant found in South Africa.)

The B.1.1.7 variant with Eek also has emerged in Britain, but the virus identified in Oregon seems to have evolved independently, Dr. O’Roak said.

Dr. O’Roak and his colleagues found the B.1.1.7 variant with Eek among coronavirus samples collected by the Oregon State Public Health Lab from an outbreak in a health care setting. Of the 13 test results they analyzed, 10 turned out to be B.1.1.7 alone, and one the combination.

Experts said the discovery was not surprising, because the Eek mutation has arisen in forms of the virus all over the world. But the mutation’s occurrence in B.1.1.7 is worth watching, they said.

Gov. Philip D. Murphy of New Jersey applauded as the state’s first doses of the Johnson & Johnson vaccine were administered at the Union Plaza Apartments in Union City, N.J., on Friday. Credit…Bryan Anselm for The New York Times

Vaccine hesitancy has been a concern among U.S. public health experts for months now. But evidence increasingly suggests that as vaccination rates increase, many unvaccinated Americans are becoming more comfortable with the idea of receiving the shot themselves.

The proportion of adults in the country who intend to get vaccinated has increased significantly over the last several months, according to a survey released Friday by the Pew Research Center. Sixty-nine percent of the public now plans to get vaccinated — or already has — up from 60 percent who said in November that they intended to pursue it.

The issue has become more partisan over time, however. The new survey finds a 27-percentage point political gap, with 83 percent of Democrats saying they plan to get the vaccine or have already received it, compared to just 56 percent of Republicans.

Despite the divides, the new survey bolsters optimism that overall, Americans are increasingly open to receiving the vaccine. About 54 million people — 16 percent of the population — had received at least one dose of a Covid-19 vaccine as of Thursday, according to the Centers for Disease Control and Prevention.

The survey also notes that 47 percent of Black Americans plan to get vaccinated and 15 percent say they already have been. Taken together, that is a sharp increase from the 42 percent who said in November they intended to be vaccinated.

Black and Latino people in the United States are being vaccinated at lower rates in part because they face obstacles like language barriers and inadequate access to digital technology, medical facilities and transportation. Mistrust in government officials and doctors also plays a role, experts say, and is fed by misinformation that is spread on social media. President Biden has made equity a major focus of his pandemic response, saying he wants pharmacies, mobile vaccination units and community clinics that help underserved communities to help increase the pace of vaccinations.

Overall, those surveyed by Pew who say they do not plan to get the vaccine cite reasons including concerns about side effects and a feeling that the vaccines were developed too quickly. Others say they are waiting for more information about how well they work.

The Pew results echo a survey released last week from the Kaiser Family Foundation that found vaccine hesitancy declining among most demographic groups. That survey also found a significant political gap, but noted that both Democrats and Republicans were significantly more likely to say they intended to get the vaccine now than in December.

Credit…Timothy A. Clary/Agence France-Presse — Getty Images

Since Johnson & Johnson revealed data showing that its vaccine, while highly protective, had a slightly lower efficacy rate than the ones produced by Moderna and Pfizer-BioNTech, health officials have feared that the new shot might be viewed by some Americans as the inferior choice.

But the early days of its rollout suggest something different: Some people are eager to get it because they want the convenience of a single shot.

And public health officials are enthusiastic about how much faster they can get the single-shot doses distributed, particularly in vulnerable communities that might not otherwise have access to vaccine.

“This is a potential breakthrough,” said Dr. Joseph Kanter, the top health official in Louisiana.

With its first allotted doses, that state is holding a dozen large Johnson & Johnson vaccination events at civic centers and other public places, modeled after what has worked for flu vaccines.

Only four million doses were shipped this week, and the company’s manufacturing lags mean that it will be at least a month before states start receiving significant supplies. But as Johnson & Johnson ramps up production over the next few months, Dr. Kanter said, the vaccine will allow his state to slash costs for staffing and operations related to second doses.

“The J. & J. vaccine brings a lot to the table,” he said.

Judged by how well it prevents severe disease, hospitalization and death, the Johnson & Johnson shot is comparable to those made by Moderna and Pfizer-BioNTech. And although it has a lower overall efficacy rate in the United States — 72 percent, compared with roughly 95 percent for the others — experts say that comparing those numbers is problematic because the companies’ trials were conducted in different places and at different times.

Besides being a single-dose shot, the Johnson & Johnson vaccine offers another benefit: It can be kept at normal refrigeration temperatures for three months. That makes it ideal for distribution at nonmedical sites such as stadiums and convention centers. The vaccine has caused a surge of excitement at small, independent pharmacies, too.

Many state health officials said they were focused on getting the vaccine to people who might be harder to reach for a second dose, such as those who are homeless or on the verge of release from prison.

Patricia Cooper, a teacher in Washington, D.C., said that President Donald J. Trump’s efforts to claim credit for a vaccine last year and the label “emergency use authorization” had suggested to her that the federal government may have rushed its reviews of vaccines. That left her feeling jittery about their safety.

But Ms. Cooper said she was eager to get a shot, especially the Johnson & Johnson one.

“This one is more appealing to me,” she said. “Who likes to get stuck more than once?”

Pope Francis in the Our Lady of Salvation church in Baghdad on the first day of his papal visit to Iraq.Credit…Ivor Prickett for The New York Times

Pope Francis made an audacious return to the world stage in the midst of the pandemic on Friday when he became the first leader of the Roman Catholic church to visit Iraq, seeking to help heal a nation uniquely wounded by violent sectarianism, foreign adventurism and the persecution of minority populations, including his own Christian flock.

“I’m happy to travel again,” Francis, who has been vaccinated against the coronavirus, said after taking off his blue surgical mask to address reporters on the papal plane.

The pope’s trip sent a message that, after a year of being cooped up in Rome and fading from public consciousness, Francis wanted to elevate his profile and spend his time with those who have suffered the most.

The pope’s visit coincided with a recent return of suicide bombings, increased rocket attacks and renewed geopolitical tensions, and some of Francis’ admirers worry that his whirlwind four-day visit will exacerbate a recent spike in the country’s coronavirus cases by drawing crowds.

But his advisers and Iraq’s top prelates insisted social distancing measures would be followed and argued the trip was necessary to show Francis’ closeness to a flock that had suffered terribly. The pope’s predecessors dreamed of visiting, but those aspirations were dashed by tensions and conflict.

The pope called for an equitable distribution of vaccines to countries already scarred by “fragility and instability.” A vaccination program began just this week in Iraq, where social distancing restrictions are largely ignored.

Credit…Ivor Prickett for The New York TimesGov. Andrew M. Cuomo at a briefing on the pandemic a year ago. His thorough, sometimes folksy daily updates drew national attention. Credit…Cindy Schultz for The New York Times

Top aides to Gov. Andrew M. Cuomo were alarmed: A report written by state health officials had just landed, and it included a count of how many nursing home residents in New York had died in the pandemic.

The number — more than 9,000 by that point in June — was not public, and the governor’s most senior aides wanted to keep it that way. They rewrote the report to take it out, according to interviews and documents reviewed by The New York Times.

The extraordinary intervention, which came as Mr. Cuomo was starting to write a book on his pandemic achievements, was the earliest act yet known in what critics have called a monthslong effort by the governor and his aides to obscure the full scope of nursing home deaths in the state. The episode reflects the lengths to which Mr. Cuomo has gone to control data, brush aside public health expertise and bolster his position as a national leader in the fight against the coronavirus.

The details contradict the timeline and motivation Mr. Cuomo offered in recent weeks, when he released the complete data after the state attorney general, Leticia James, revealed that thousands of deaths of nursing home residents had been undercounted, Mr. Cuomo said he had withheld the information out of concern that the Trump administration might pursue a politically motivated inquiry into the state’s handling of the outbreak in nursing homes.

But the rewriting of the report came well before requests for data arrived from federal authorities, and was accompanied by Cuomo aides’ battles with top state health officials, according to documents and interviews with six people with direct knowledge of the discussions, who requested anonymity to describe the closed-door debates.

The aides involved in changing the report included Melissa DeRosa, the governor’s top aide; Linda Lacewell, the head of the state’s Department of Financial Services; and Jim Malatras, a former top adviser to Mr. Cuomo brought back to work on the pandemic. None had public health expertise.

In response to a detailed list of questions from The Times sent on Tuesday, the governor’s office responded with a statement Thursday night from Beth Garvey, a special counsel, who said “the out-of-facility data was omitted after D.O.H. could not confirm it had been adequately verified.” She added that the additional data did not change the conclusion of the report.

Senator Joe Manchin walks to the Senate Chambers on Friday.Credit…Anna Moneymaker for The New York Times

Top Democrats reached a deal late Friday to scale back weekly unemployment payments in President Biden’s $1.9 trillion stimulus plan, working to preserve moderate support for the package by dropping their effort to increase those payments to $400 and agreeing on a $300 supplement instead.

The agreement came about nine hours after Senator Joe Manchin III of West Virginia, a centrist Senate Democrat, created an impasse by raising concerns that an overly generous benefit could discourage people from returning to work. The impasse paralyzed efforts to move Mr. Biden’s stimulus bill through the Senate, and the vote dragged on past midnight.

By late Friday, Democrats had reached a compromise that appeared to satisfy Mr. Manchin, a crucial swing vote in an evenly divided Senate. While Mr. Manchin is a Democrat, his state is decidedly not (former President Donald J. Trump won nearly 70 percent of the vote in the 2020 election). As a result, Mr. Manchin is among the most centrist Democrats in the party.

The amendment ultimately passed, 50 to 49, just before 1:30 a.m. Saturday as the Senate barreled through a stretch of amendment votes that would modify the legislation even further. Most of the amendments failed on party lines.

The agreementwould extend the existing $300 jobless benefit through Sept. 6, and make up to $10,200 of unemployment benefits received last year tax-free for households with incomes less than $150,000. It would also extend tax rules regarding excess business loss limitations for one additional year, through 2026.

“The president has made it clear we will have enough vaccines for every American by the end of May, and I am confident the economic recovery will follow,” Mr. Manchin said in a statement. “We have reached a compromise that enables the economy to rebound quickly while also protecting those receiving unemployment benefits” from being hit with unexpected tax bills.

Top Democrats had initially planned to drop their effort to increase the payments to $400 but extend them for an additional month, through Oct. 4. The agreement reached with Mr. Manchin shaves one month off that extension.

The impasse had halted the measure just as the Senate began voting on proposed changes. What was supposed to have been a 15-minute vote on a minimum-wage increase stretched for hours as Democrats stalled for time, huddling on the Senate floor in search of a solution.

The White House declined to say whether Mr. Biden had reached out to Mr. Manchin to try to secure his support.

In a statement, Jen Psaki, the White House spokeswoman, said that Mr. Biden “supports the compromise agreement.”

The proposal was one of dozens that the Senate considered in a marathon session of rapid-fire votes that was delayed by the impasse. The vote-a-rama, as it is known, stretched past midnight and would pave the way for a Senate vote to pass the stimulus plan as early as Saturday.

Democrats are racing against the clock, as some Americans have already begun to file their taxes and unemployment benefits are set to begin lapsing next weekend. Once the legislation clears the Senate, it will have to be approved for a second time in the House before it heads to Mr. Biden’s desk.

The compromise was aimed at appeasing centrist Democrats who might otherwise have been tempted to vote for a Republican amendment by Senator Rob Portman of Ohio to keep the unemployment benefit at $300 per week — extending it until July but omitting any tax sweeteners — thus sapping support for the bill among other Democrats.

Republican efforts to slow action on the Senate floor were expected to have little effect on the final legislation. Another wrinkle arose late Friday when Senator Dan Sullivan, Republican of Alaska, left the Capitol to catch a flight to Fairbanks and attend his father-in-law’s funeral.

A spokesman, Nate Adams, confirmed the senator’s departure and said Mr. Sullivan “intended to vote against final passage of the bill and made his opposition clear” by voting against advancing the measure.

In an evenly divided Senate, Mr. Sullivan’s absence could give Democrats an extra vote of leeway as they haggle over last-minute changes to the $1.9 trillion package.

Each party holds 50 seats in the chamber, giving Democrats a one-vote margin of control thanks to Vice President Kamala Harris’s power to break ties. Senate Democrats, having already made significant revisions to the text the House approved over the weekend, are working to remain united. Republicans are expected to oppose the bill en masse, arguing that it is too costly and not targeted enough.

VideoVideo player loadingPrime Minister Justin Trudeau announced on Friday that Canada’s health regulator had authorized the use of Johnson & Johnson’s single-dose vaccine, giving the country a fourth vaccine option.CreditCredit…Paul Chiasson/The Canadian Press, via Associated Press

Canada’s health regulator on Friday authorized the use of Johnson & Johnson’s single-dose vaccine. The move now gives the country, which has experienced a slow start to vaccinations, four inoculations to choose from.

“This is great news,” Prime Minister Justin Trudeau said at a news conference. He offered no projected date for the first deliveries.

Health Canada officials said that the vaccine has an overall effectiveness of 66.9 percent, much lower than the efficacy rates reached by Pfizer and Moderna vaccines. But it is similar to those vaccines in having a powerful ability to prevent severe disease, hospitalizations and death.

The United States and Bahrain have also authorized the Johnson & Johnson vaccine.

Production delays with the Pfizer and Moderna vaccines, combined with relatively modest initial shipments, have led to frustration among many Canadians — and put political pressure on Mr. Trudeau as Canada’s vaccination rate fell far behind that of the United States, Britain and other countries. As of Friday, 2.86 percent of all Canadians have received at least one dose.

Canada has ordered 10 million doses of the Johnson & Johnson vaccine and has options for another 28 million, a combined number that is slightly higher than the country’s population.

Depending on its arrival and combined with the need to only administer a single shot, the new vaccine may help significantly boost the country’s vaccination rate. The Johnson & Johnson vaccine also does not require extremely low storage temperatures, as the Pfizer vaccine does, making it easier to distribute to remote communities in Canada’s north.

Mr. Trudeau said that Pfizer would send 1.5 million doses, originally scheduled for delivery in the summer, over the next two months. Canada also received its first shipment this week of a version of the AstraZeneca vaccine, developed by the Serum Institute of India.

The Canadian government had initially promised to obtain six million doses of vaccines by the end of March. The new Pfizer schedule combined with AstraZeneca shipments, officials said, will raise that figure to eight million.

President Biden visiting a Covid-19 vaccination center in Bethesda, Md. Credit…Oliver Contreras for The New York Times

President Biden is enjoying a level of popularity his poll-obsessed predecessor never came close to achieving — a 60 percent approval rating — with 70 percent of Americans expressing support for his handling of the coronavirus pandemic, according to a new poll.

Despite enduring and stark partisan divisions, 44 percent of Republicans approve of Mr. Biden’s actions prioritizing the fight against the virus, according to an Associated Press-NORC Center for Public Affairs Research poll released early Friday.

As a temperature check of the current national mood, the poll suggests that Republican lawmakers in Washington, who have united to oppose Mr. Biden’s $1.9 trillion coronavirus relief bill, are not swaying public opinion, despite their efforts to alter or delay its passage.

In all, 22 percent of Republicans approve of Mr. Biden’s performance, suggesting small but substantial gains among his most hard-core opponents that could give him added political leverage, paving the way for the possibility of a big bipartisan deal on infrastructure.

Mr. Biden’s overall approval among Democrats is a solid 94 percent, despite recent criticism from progressives.

Mr. Trump sustained a similar level of support from his base, but is the only president in the history of modern polling to never post an aggregate approval rating above 50 percent. His level of support has sunk, to an average of about 38 percent, after the Jan. 6 attack on the Capitol.

Friday’s poll is a bit sunnier than other recent national surveys that show a slight decrease in support for Mr. Biden as the fight over his relief package heats up on Capitol Hill. A RealClearPolitics aggregation of polls put his approval rating at 53.4 percent, not factoring in the A.P. poll.

Mr. Biden’s grades on the economy were lower than his ratings on other issues, the poll found. His approval on pocketbook issues was 55 percent. Only 17 percent of Republicans, a group that gave former President Donald J. Trump high marks for his handling of the economy even during the pandemic-related downturn, approved of Mr. Biden’s approach to the economy.

The A.P. poll, unsurprisingly, found that the atmosphere of hyper partisanship exacerbated by Mr. Trump’s four years of provocation is not subsiding under Mr. Biden, and that people in both parties tend to interpret fact through the filter of ideology.

Americans’ views on the economy have shifted dramatically even though many basic economic statistics have budged little, if at all.

In December, 67 percent of Republicans and just 15 percent of Democrats described the economy as “good,” according to an A.P. poll taken at the time. Now, 35 percent of Republicans and 41 percent of Democrats describe the economy in positive terms.

The poll, which surveyed 1,434 adults between Feb. 23 and March 1, has an overall sampling error of plus or minus 3.4 percentage points.

A beach in Limassol, Cyprus, on Thursday. Some European nations with economies that are heavily reliant on tourism have pushed for a vaccine certificate program to help open up international travel.Credit…Petros Karadjias/Associated Press

Cyprus has announced a plan to allow vaccinated residents of Britain to visit the island beginning in May, a further signal that countries, particular those dependent on tourism, could resort to inoculation certificates to reopen their borders.

Savvas Perdios, the deputy tourism minister for Cyprus, told the Cyprus News Agency that, as of May 1, British citizens who had received two doses of a vaccine approved by the European Union’s drug regulator would be allowed to travel to the Mediterranean island without having to be tested for the coronavirus or to isolate on arrival.

Some European nations with economies that are heavily reliant on tourism, such as Spain, have advocated for a vaccine certificate program to be created at the European Union level but have also said that they could adopt bilateral systems if no broader agreement is reached. The European Commission, the bloc’s executive arm, this week announced plans to create a “digital green pass” to facilitate safe travel among member nations, though that system is expected to take at least three months.

The British authorities have said that talks on opening up travel are underway with a number of countries, including some in the European Union.

Matt Hancock, the British health secretary, said this week, “If another country wants to say that you need to have been vaccinated with a recognized vaccine to travel there, we want to enable Brits to be able to take that journey.”

More than a million travelers from Britain visited Cyprus in 2019, representing by far the highest number of international tourists to the island, according to official statistics.

Despite the green light from Cyprus, international travel from Britain is forbidden for leisure purposes until at least May 17 under the current lockdown rules, and it is unclear how many British residents will have received two vaccine doses by then. Fewer than a million people in Britain have so far been fully vaccinated.

In other news around the world:

  • South Korea’s drug safety agency approved the Pfizer-BioNTech vaccine on Friday and doses for about 23 million people are expected to begin arriving this month, the news agency Yonhap reported. The country, which has a population of about 51 million, began its vaccination program last week as part of a plan to achieve herd immunity by November. South Korea approved the Oxford-AstraZeneca vaccine in February and expects to receive more than two million doses through Covax, an international group that has negotiated for coronavirus shots.

  • Prime Minister Jacinda Ardern of New Zealand has said that a snap lockdown imposed last week on the country’s largest city, Auckland, will end on Sunday morning. Social gatherings will be capped at 100 people and other restrictions will remain in place. The lockdown was imposed after the authorities discovered an untraceable case. They have since conducted more than 50,000 tests and tracked more than 6,000 contacts.

  • Japan has extended its state of emergency for the greater Tokyo metropolitan area until March 21, the government announced on Friday, according to the national broadcaster NHK. Emergency orders were lifted in six other prefectures. The restrictions, which include an order for restaurants and bars to close by 8 p.m., had been scheduled to end on Sunday.

Some gorillas in a troop at the San Diego Zoo tested positive for the coronavirus in January. Zoo officials have been using an experimental vaccine on other apes, like orangutans and bonobos. Credit…Ken Bohn/San Diego Zoo Global, via, via Reuters

The San Diego Zoo has given nine apes an experimental coronavirus vaccine developed by Zoetis, a major veterinary pharmaceuticals company.

In January, a troop of gorillas at the zoo’s Safari Park tested positive for the virus. All are recovering, but even so, the zoo requested help from Zoetis in vaccinating other apes. The company provided an experimental vaccine that was initially developed for pets and is now being tested in mink.

Nadine Lamberski, a conservation and wildlife health officer at San Diego Zoo Global, said the zoo vaccinated four orangutans and five bonobos with the experimental vaccine, which is not designed for use in humans. Among the vaccinated orangutans was an ape named Karen, who made history in 1994 when she became the first orangutan to have open-heart surgery.

Dr. Lamberski said one gorilla at the zoo was also scheduled to be vaccinated, but the gorillas at the wildlife park were a lower priority because they had already tested positive for infection and had recovered. She said she would vaccinate the gorillas at the wildlife park if the zoo received more doses of the vaccine.

Mahesh Kumar, senior vice president of global biologics for Zoetis, said the company is increasing production, primarily for its pursuit of a license for a mink vaccine, and will provide more doses to the San Diego and other zoos when possible. “We have already received a number of requests,” he said.

Infection of apes is a major concern for zoos and conservationists. They easily fall prey to human respiratory infections, and common cold viruses have caused deadly outbreaks in chimpanzees in Africa. Genome research has suggested that chimpanzees, gorillas and other apes will be susceptible to SARS-CoV-2, the virus that has caused the pandemic. Lab researchers are using some monkeys, like macaques, to test drugs and vaccines and develop new treatments for the virus.

Scientists are worrying not just about the danger the virus poses to great apes and other animals, but also about the potential for the virus to gain a foothold in a wild animal population that could become a permanent reservoir and emerge at a later date to reinfect humans.

Infections in farmed mink have produced the biggest scare so far. When Danish mink farms were devastated by the virus, which can kill mink just as it kills people, a mutated form of the virus emerged from the mink and reinfected humans. That variant showed resistance to some antibodies in laboratory studies, raising suspicion that vaccines might be less effective against it.

That virus variant has not been found in humans since November, according to the World Health Organization. But other variants have emerged in people in several countries, proving that the virus can become more contagious and in some cases can diminish the effectiveness of some vaccines.

Denmark ended up killing as many as 17 million mink — effectively wiping out its mink farming industry. In the United States, thousands of mink have died, and one wild mink has tested positive for the virus.

Although many animals, including dogs, domestic cats, and big cats in zoos, have become infected by the virus through natural spread, and others have been infected in laboratory experiments, scientists say that widespread testing has yet to find the virus in any animal in the wild other than the one mink.

National Geographic first reported the vaccination of the apes at the San Diego Zoo.

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Health

Ivermectin Does Not Alleviate Delicate Covid-19 Signs, Research Finds

Ivermectin, a controversial anti-parasitic drug that has been touted as a potential Covid-19 treatment, doesn’t speed recovery in people with mild illnesses. This is the result of a randomized controlled trial published in the journal JAMA on Thursday.

Ivermectin is typically used to treat parasitic worms in both humans and animals, but the scientific evidence of its effectiveness against the coronavirus is thin. Some studies have shown that the drug can prevent several different viruses from replicating in cells. And last year, researchers in Australia found that high doses of ivermectin suppressed SARS-CoV-2, the virus that causes Covid-19, in cell cultures.

Such findings had driven the use of the drug against Covid-19, especially in Latin America.

“Ivermectin is currently used extensively,” said Dr. Eduardo López-Medina, doctor and researcher at the Center for Pediatric Infectious Diseases in Cali, Colombia, who led the new study. “In many countries in the Americas and other parts of the world, this is part of national guidelines for treating Covid.”

But the drug has also been shown to be divisive. While some scientists see potential, others suspect that effective inhibition of the coronavirus may require extremely high, potentially unsafe doses. Health officials have also feared that people desperate for coronavirus treatments might be taking versions of the drug formulated for pets. (It’s often used to prevent heartworms in dogs.)

“There have been many conflicting views on these, sometimes extremely conflicting views,” said Dr. Carlos Chaccour, a researcher at the Barcelona Institute for Global Health who was not involved in the new study. “I think it’s become another hydroxychloroquine.”

Updated

March 4, 2021, 9:28 p.m. ET

But neither the proponents nor the critics had much rigorous data to support their views. There are few well-controlled studies on the drug’s effectiveness against Covid-19, although more are expected in the coming months. The National Institutes of Health treatment guidelines indicate that there is insufficient evidence to recommend “for or against” the use of the drug in Covid-19 patients.

In the new study, Dr. López-Medina and his colleagues happened to add more than 400 people who had recently developed mild Covid-19 symptoms to receive five-day treatment with ivermectin or a placebo. They found that Covid-19 symptoms lasted an average of about 10 days in people who received the drug, compared to 12 days in those who received the placebo, a statistically insignificant difference.

The new study adds much-needed clinical data to the debate over the drug’s use to treat Covid-19, said Dr. Regina Rabinovich, a global health researcher at the TH Chan School of Public Health at Harvard who was not involved in the study.

However, she noted that the study was relatively small and didn’t answer the most pressing clinical question of whether ivermectin can prevent serious illness or death. “Duration of symptoms may not be the most important clinical or health parameter,” she said.

The researchers found that seven patients in the placebo group got worse after entering the study compared to four in the ivermectin group, but the numbers were too small to draw any meaningful conclusion.

“There was a little signal there and it would be interesting to see whether or not this signal we saw is real,” said Dr. López Medina. “But that would have to be answered in a larger process.”

Dr. López-Medina also pointed out that the study population was relatively young and healthy, with an average age of 37 and few underlying diseases that can make Covid-19 more dangerous.

Larger studies currently in progress could provide more definitive answers, said Dr. Rabinovich, who stated that she was “completely neutral” about the potential benefits of ivermectin. “I only want data because there is such a mess in the field.”

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World News

Covid-19 Information: Reside Updates – The New York Instances

Here’s what you need to know:

Credit…Timothy A. Clary/Agence France-Presse — Getty Images

The average number of vaccine doses being administered across the United States per day topped two million for the first time on Wednesday, according to data from the Centers for Disease Control and Prevention. A month ago, the average was about 1.3 million.

President Biden set a goal for the country shortly after taking office to administer more than 1.5 million doses a day, which the nation has now comfortably exceeded.

Mr. Biden has also promised to administer 100 million vaccines by his 100th day in office, which is April 30. As of Thursday, 54 million people have received at least one dose of a Covid-19 vaccine. Johnson & Johnson’s one-shot vaccine was authorized for emergency use on Saturday, but those doses do not appear yet in the C.D.C. data.

The milestone was yet another sign of momentum in the nation’s effort to vaccinate every willing adult, even as state and city governments face several challenges, from current supply to logistics to hesitancy, of getting all of those doses into people’s arms.

Mass vaccination sites across the country are opening up or increasing their capacity, in part to respond to the new influx of doses from Johnson & Johnson. In New York, Gov. Andrew M. Cuomo announced on Thursday that three short-term mass vaccination sites will open in the state on Friday. Three other state-run sites, including one at Yankee Stadium, will begin administering shots around the clock. In Georgia, Gov. Brian Kemp announced five new sites will open on March 17.

The Federal Emergency Management Agency has recently helped open seven mega-sites in California, New York and Texas, that are staffed with active-duty troops. In Chicago, a vaccination site at the United Center will open next week, with a capacity of 6,000 shots a day. Many more such sites are planned.

There have been some hiccups in the massive logistical challenge of distributing millions of doses across the country, with special requirements for storage and handling. In Texas, more than 2,000 doses went to waste over the past two weeks, according to an analysis by The Houston Chronicle. A majority of those losses were blamed on blackouts that swept the state in February, leaving millions of homes and businesses without power, some for multiple days.

And Mr. Biden has made equity a major focus of his pandemic response, saying he wants pharmacies, mobile vaccination units and community clinics that help underserved communities to help increase the pace of vaccinations. Experts say that Black and Latino Americans are being vaccinated at lower rates because they face obstacles like language barriers and inadequate access to digital technology, medical facilities and transportation. But mistrust in government officials and doctors also plays a role and is fed by misinformation that is spread on social media. In cities across the country, wealthy white residents are lining up to be vaccinated in low-income Latino and Black communities.

The president said on Tuesday that the country would have enough doses available for every American adult by the end of May, though he said it would take longer to inoculate everyone and he urged people to remain vigilant by wearing masks.

The administration also announced it had brokered a deal in which the drug giant Merck & Co. will help manufacture the new Johnson & Johnson vaccine. The unusual agreement between two rivals in the pharmaceutical industry was “historic,” Mr. Biden said on Tuesday. “This is a type of collaboration between companies we saw in World War II.”

Mr. Biden was also going to invoke the Defense Production Act, a Korean War-era law, to give Johnson & Johnson access to supplies for manufacturing and packaging vaccines.

United States › United StatesOn March 3 14-day change
New cases 66,714 –17%
New deaths 2,369 –8%
World › WorldOn March 3 14-day change
New cases 419,698 +1%
New deaths 10,837 –19%

U.S. vaccinations ›

Where states are reporting vaccines given

Austin, Texas, on Wednesday. The state has been affected deeply by the coronavirus pandemic, recording more than 44,000 deaths and nearly 2.7 million cases.Credit…Montinique Monroe/Getty Images

Some governors across the United States are taking widely diverging approaches to mask mandates, as federal officials, including President Biden, warn that despite a drop in coronavirus cases, it is too soon to stop wearing masks.

On Thursday, Gov. Kay Ivey of Alabama, a Republican, extended her state’s mask mandate for another month. Striking a different tone than those of her Republican peers in Mississippi and Texas, she said she wanted to keep what she called an effective policy to require masks for a bit longer, telling residents that masks would not be required in public beyond April 9 when other restrictions would also be lifted.

“There’s no question that wearing masks has been one of my greatest tools in combating the virus,” she said at a news conference.

In response to decisions this week to lift statewide mask mandates by Gov. Tate Reeves of Mississippi and Gov. Greg Abbott of Texas, Mr. Biden said on Wednesday that those moves were a “big mistake.”

“The last thing we need is Neanderthal thinking that in the meantime, everything’s fine, take off your mask and forget it,” Mr. Biden told reporters at the White House. “It’s critical, critical, critical, critical that they follow the science.”

Even a fellow Republican, Gov. Jim Justice of West Virginia, said it was a bad idea to ignore the advice of the experts.

“I don’t know really what the big rush to get rid of the mask is, because these masks have saved a lot, a lot of lives,” Mr. Justice said Thursday on CNN, adding that he, too, looks forward to the day when he doesn’t have to wear a mask.

The governor issued a mask mandate over the summer instructing people to wear masks indoors when social distancing was not possible. In November, he extended the mandate to wearing a mask at all times except when eating or drinking, and in recent months has become a Biden ally, at least on the stimulus package.

“If we don’t watch out, we can make some mistakes,” Mr. Justice said.

Mr. Biden has asked that for his first 100 days in office, which ends in April, Americans fight the spread of the virus in a variety of ways, including wearing a mask, getting vaccinated and continuing to follow health precautions. He and his top health advisers have emphasized the benefit of wearing masks, and warned about the trajectory of cases nationwide and the detection of more cases of virus variants across the country.

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At the White House on Thursday, Jen Psaki, the press secretary, said the president’s comments about “Neanderthal thinking” was “a reflection of his frustration and exasperation” with the governors of Mississippi and Texas for undermining the message about the need to continue wearing masks.

“Our concern here is on the health, welfare and well being — and survival, frankly — of people across the country and in states where the recommendations from leadership is not following health and medical guidelines,” she said. “So we have concerns about the impact on the population.”

In Mississippi, Mr. Reeves was unrepentant after Mr. Biden’s admonishment.

“Mississippians don’t need handlers,” he said. “As numbers drop, they can assess their choices and listen to experts. I guess I just think we should trust Americans, not insult them.”

Mr. Reeves did, however, encourage his citizens to “do the right thing” and wear a mask.

So did Mr. Abbott this week in Texas, where vaccinations considerably trail the national average, more than 7,000 new cases are being reported a day and, in recent weeks, ominous variants of the virus have appeared.

On Tuesday, Mr. Abbott framed his decision as long-awaited relief after an exhausting stretch of isolation and hardship.

Kaitlyn Urenda-Culpepper, a Dallas resident whose mother died from Covid-19 in July, said there was no choice now but to hope that the governor had made a wise decision.

“I don’t want him to be wrong,” she said. “But, obviously, for the greater good of the people, I’m like, ‘Man, you better be right and not cost us tens of thousands more people.’”

Erin Coulehan contributed reporting.

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Alabama Governor Extends Statewide Mask Order Until April

Gov. Kay Ivey of Alabama on Thursday said she would keep a statewide mask order in place until April 9, breaking with Republican governors who planned to end mask mandates against the advice of health officials.

We need to get past Easter, and hopefully allow more Alabamians to get their first shot before we take a step that some of the states have taken to remove the mask order altogether and lift other restrictions. Folks, we’re not there yet, but goodness knows we’re getting closer. Our new modified order will include several changes that will ease up some of our current restrictions while keeping our mask order in place for another five weeks through April 9. But let me be abundantly clear, after April the 9th, I will not keep the mask order in effect. Now, there’s no question that wearing masks has been one of our greatest tools in combating the spread of the virus. That, along with practicing good hygiene and social distancing, has helped us keep more people from getting sick or worse, dying. And when we — even when we lift the mask order, I will continue to wear my mask while I’m around others and strongly urge my fellow citizens to use common sense and do the same thing. But at the — but at that time, it will become a matter of personal responsibility and not a government mandate.

Video player loadingGov. Kay Ivey of Alabama on Thursday said she would keep a statewide mask order in place until April 9, breaking with Republican governors who planned to end mask mandates against the advice of health officials.CreditCredit…Jake Crandall/The Montgomery Advertiser, via Associated Press

Gov. Kay Ivey of Alabama on Thursday said she was extending the statewide mask order for another month, breaking with two other Republican governors who have announced plans to lift mandates in their states against the advice of federal health officials.

Aside from her decision on the mask mandate, which will now be in place until April 9, Ms. Ivey said other virus related restrictions, including allowing restaurants and breweries to operate at full capacity, will also be lifted then.

“There’s no question that wearing masks has been one of my greatest tools in combating the virus,” she said at a news conference.

New coronavirus cases, hospitalizations and deaths are down in the state, according to a New York Times database. About 14 percent of the residents in the state have received at least one dose of the vaccine. The state’s health officer, Dr. Scott Harris, said the state had already given more than a million vaccine shots.

“We need to get past Easter and hopefully allow more Alabamians to get their first shot before we take a step some other states have taken to remove the mask order altogether and lift some other restrictions,” Ms. Ivey said on Thursday. “Folks we’re not there yet, but goodness knows we’re getting closer.”

In recent days, the director of the Centers for Disease Control and Prevention, Dr. Rochelle Walensky, has been pleading with state officials not to relax health precautions now, warning about the trajectory of cases nationwide and the detection of more cases of virus variants across the country.

“We are just on the verge of capitalizing on the culmination of a historic scientific success: the ability to vaccinate the country in just a matter of three or four more months,” Dr. Walensky said on Wednesday. “How this plays out is up to us. The next three months are pivotal.”

And President Biden on Wednesday criticized officials in several states, including Texas and Mississippi, for lifting mask mandates, describing their actions as “Neanderthal thinking” and insisting that it was a “big mistake” for people to stop wearing masks.

Ms. Ivey issued a statewide mask order last summer when the number of cases in the state soared less than three months after she eased restrictions at the end of April. The mask mandate has drawn criticism from members of her own party. She extended it in January when the state was seeing a second surge of cases.

On Thursday, she said she planned to wear her mask around others, even after the statewide over was lifted. She urged residents to “use common sense and do the same thing.”

A nurse prepared a dose of the AstraZeneca Covid-19 vaccine in Lyon, France, in February.Credit…Pool photo by Olivier Chassignole

Italy blocked a shipment of the Oxford-AstraZeneca vaccine from being flown to Australia on Thursday, making good on the European Union’s recent threats to clamp down on exports of the shots and ratcheting up a global tug of war over vaccine supplies.

It was the first time that a member country used new E.U. regulations to keep vaccine from being exported. The shipment consisted of more than 250,000 doses.

Italy’s foreign ministry said that Italy acted because Australia is regarded as a “nonvulnerable” country under the new regulations; because vaccines are in short supply in Italy and the European Union generally; and because of delays in AstraZeneca’s vaccine deliveries to the bloc’s member countries.

The new regulations empower the E.U.’s members to keep any vaccine doses made within the bloc from being sent abroad if the manufacturer has not yet met its supply obligations to member countries. Pfizer and AstraZeneca are the two companies currently manufacturing vaccines within the bloc.

So far, the European Commission has approved 174 requests for export authorizations.

Australia has had fewer coronavirus cases, relative to its size, than almost any other large developed country, and has been recently averaging only nine new cases a day, according to a New York Times database. Italy, with less than three times the population of Australia, is averaging more than 18,000 new cases a day.

AstraZeneca applied on Feb. 24 for an authorization for the Australia shipment. Two days later, Italy told the European Commission it intended to deny the application, the foreign ministry said in statement Thursday night. After the commission offered no objection, the ministry said it notified AstraZeneca of the denial on Tuesday.

For earlier shipments, “Italy gave its authorization because they were small quantities aimed at activities of scientific research,” the foreign ministry said. “However, this time it was 250,700 doses.”

AstraZeneca declined to comment.

The company infuriated E.U. officials in January when it said it would significantly cut its planned February and March deliveries to member nations. They accused the company of sending doses to Britain that had been promised to the European Union, in breach of contractual obligations.

Valdis Dombrovskis, a top commission official, said in announcing the new export control regulations that the situation had “left us with no choice other than to act.”

The commission has maintained that the controls are about transparency, not vaccine nationalism. But with Europe’s sluggish vaccination campaigns lagging behind those of other developed nations and the bloc growing desperate for doses, member countries have signaled a willingness to use the rules for their own benefit.

Prime Minister Mario Draghi of Italy pressed fellow European leaders in a meeting last week to use all tools at hand to hold pharmaceutical companies accountable for delays in delivering doses.

Administering the Russian vaccine Sputnik V to a patient at Bacs-Kiskun County Training Hospital in Kecskemet, Hungary, in February.Credit…Sandor Ujvari/EPA, via Shutterstock

The European Union drug regulator announced on Thursday that it was beginning a rolling review of the Russian-developed Sputnik V vaccine, after one of the bloc’s members moved unilaterally to use the shots and another is about to do the same.

The announcement by the regulator, the European Medicines Agency, comes amid a slow and frustrating vaccine rollout in the European Union that has been dogged by supply disappointments as well as major logistical problems.

The review is the formal process the agency uses, in which scientists examine data on the shots’ efficacy and side effects — it is the fastest way to examine the vaccine as a whole, with a view to eventually granting it authorization for use in the European Union.

The agency said in a news statement that the Gamaleya Research Institute, which developed the vaccine, had applied for the rolling review through a Germany-based entity named R-Pharm Germany.

Hungary broke with the bloc and ordered its own share of Sputnik V vaccines this year, granting the shots authorization locally through its national regulator. As the supply woes in the European Union began to bite, the Czech Republic this month announced it would follow suit. A deal to acquire the Russian vaccine has also set off a political crisis in Slovakia.

Several other European governments were considering a similar move, despite the fact that Ursula von der Leyen, president of the European Commission, the bloc’s executive arm, recently cast doubt on the Sputnik V vaccine.

“We still wonder why Russia is offering theoretically millions of millions of doses while not sufficiently progressing in vaccinating their own people,” Ms. von der Leyen said during a news conference last month.

“This is also a question I think that should be answered,” she added. “They have to submit the whole set of data, indeed go through the whole scrutiny process like any other vaccine.”

While the announcement of the review is an important step in the formal scientific scrutiny by the European regulator, there is no telling how long the process will take. The agency will require deep access to data underlying the vaccine’s performance, as well as site visits to its production facilities, before granting authorization.

A drive-through vaccination site at Dodger Stadium in Los Angeles last week.Credit…Philip Cheung for The New York Times

Hoping to hasten its emergence from the coronavirus pandemic, California will begin channeling 40 percent of new vaccine doses to low-income communities pummeled by the coronavirus, officials in Gov. Gavin Newsom’s administration said late on Wednesday.

The strategy is an effort to make the vaccine rollout more equitable and to reduce the number of counties considered most at risk, as well as to speed California’s ability to reopen, officials said.

Once 400,000 more doses are administered in the target communities, the state will ease restrictions in high-risk counties, officials said, a threshold that could be reached in about two weeks.

The targeted communities are defined using a composite “health equity” index that assesses need based on income, education, transportation and housing availability. State data has indicated that when vaccination efforts are targeted at poorer Californians, wealthier people have gamed the system. Black and Latino residents have been inoculated in smaller numbers than their white neighbors.

Eligible only in some counties

Eligible only in some counties

Eligible only in some counties

California faced a surge in infections in December and January, but cases have fallen 40 percent statewide — to late October levels — in the past two weeks, intensifying calls for the state government to relax restrictions.

Mr. Newsom, whose handling of the pandemic has helped fuel a Republican-led recall campaign against him, has crisscrossed the state, opening vaccination centers and assuring people that immunization is the “light at the end of the tunnel.” But he has also made clear that the virus and its variants remain lethal: At least 287 new coronavirus deaths and 4,316 new cases were reported in California on March 2.

When the governor of Texas announced this week that the state would lift its mask mandate, Mr. Newsom tweeted that the move was “absolutely reckless.”

Administration officials said California would keep in place its mask mandate. The vaccine blitz, they said, was aimed at quashing the further spread of Covid-19 so people could go back to work and businesses could reopen safely.

About 1.6 million vaccine doses have so far been delivered in low-income communities.

Once two million vaccines have been administered in those locations, officials said, the state will adjust its color-coded tier system to make it easier for counties to move into less restrictive categories, which will hasten the reopening of schools. When there are four million doses in the targeted areas, additional tiers will be adjusted to further ease reopenings.

A security officer in Baghdad on Wednesday. The pope’s visit flies in the face of nearly all public health guidelines.Credit…Ahmed Jalil/EPA, via Shutterstock

A surge in coronavirus cases has prompted Iraqi officials to impose lockdowns. Shia authorities have suspended religious pilgrimages. And on Sunday, the Vatican’s ambassador contracted the virus and went into isolation.

For good measure, suicide bombings, rocket attacks and geopolitical tensions have increased, too.

But Pope Francis — to the bewilderment of many — is intent on going anyway.

After more than a year cooped up behind the Vatican walls, Francis is to fly to Baghdad on Friday at one of the most virulent moments of the entire pandemic, sending a message that flies in the face of nearly all public health guidelines.

“The day after tomorrow, God willing, I will go to Iraq for a three-day pilgrimage,” the pope said on Wednesday in his weekly address. “I ask that you accompany this apostolic trip with prayer so that it can occur in the best way possible, bear the hoped-for fruit. The Iraqi people await us.”

Francis was vaccinated in mid-January, and has called on wealthy countries to give vaccines to poorer ones, calling a refusal to vaccinate “suicidal.”

The pope’s entourage is also vaccinated, but there is anxiety among his supporters that a trip intended largely to bring encouragement to Iraq’s long-suffering Christians has the potential to be a superspreader event. The possibility of the 84-year-old pope’s inadvertently endangering an Iraqi population with practically no access to vaccines is not lost on his allies back in Rome.

“There is this concern that the pope’s visit not put the people’s health at risk, this is evident,” said Antonio Spadaro, a Jesuit priest and close ally of Francis. “There is an awareness of the problem.”

The Vatican insists the trip will be a safe, socially distanced and sober visit devoid of the usual fanfare and celebrations. And a Vatican spokesman played down the number of cases in Iraq when reporters asked how the pope could possibly justify not delaying a trip that could endanger so many.

Andrea Vicini, a medical doctor, Jesuit priest and professor of moral theology and bioethics at Boston College, said he admired the pope’s willingness to put his own skin in the game for peace when it came to promoting dialogue with Islam and protecting the persecuted and people at the margins.

“He wants to show that he is ready to risk,” Father Vicini said. “The problem is that others will be at risk.”

GLOBAL ROUNDUP

Closed restaurants in Vienna this week. Like most of the rest of the European Union, Austria has lagged behind some other wealthy nations — such as Britain, Israel and the United States — in its vaccine rollout. Credit…Lisi Niesner/Reuters

Austrian officials will carry out a mass vaccination drive in the western district of Schwaz in the hopes of stabilizing the alpine area, which has been battered by a surge in new coronavirus infections driven in part by the variant B.1.351, first identified in South Africa.

The pilot program in Austria is the first such inoculation drive in the European Union. Like most of the rest of the bloc, the country is lagging behind some other wealthy nations — such as Britain, Israel and the United States — in its vaccine rollout. Only 5 percent of residents in the alpine state of Tyrol, which includes Schwaz, have received at least one shot.

All residents above the age of 16 will be able to get free vaccinations when the drive begins next week. The European Union has allocated 100,000 extra doses of the Pfizer-BioNTech vaccine for the area near the western Austrian city of Innsbruck, which is home to about 86,000 people.

Chancellor Sebastian Kurz said on Wednesday that the effort would be “our chance to eradicate the variant in the region of Schwaz.”

The infection rate in the broader Tyrol region has declined from its peak of about 800 cases per 100,000 people over a seven-day period in November to just over 100 per 100,000 in the past week. But the German government closed its side of the border with the area on Wednesday night when it became clear that a high percentage of those infections were caused by the B.1.351 variant.

On Thursday, Mr. Kurz traveled to Israel where, together with Prime Minister Mette Frederiksen of Denmark, he planned to speak with experts about collaborating on future vaccines.

In other news from around the world:

  • Sinopharm of China, a state-owned company that is manufacturing two vaccines in the country, can make a maximum of three billion doses this year, its chairman told state news media on Wednesday. The number represents a tripling of the company’s previous target.

  • The state of São Paulo, Brazil, will head into its toughest restrictions yet this weekend, Gov. João Doria told reporters on Wednesday, as cases surge in the region. All bars, restaurants and nonessential stores will close until at least March 19, according to The Associated Press. The restrictions come as the country grapples with a concerning new variant that has lashed the Amazonian city of Manaus, in the northwest, and is spreading to other places. Brazil recorded its highest single-day toll of the pandemic this week.

  • Germany’s independent vaccine panel has said that the Oxford-AstraZeneca vaccine can be used on people 65 and over, reversing earlier guidance. Although the European drug regulator authorized use of the shots in January, the German panel had initially refused to recommend the vaccine because it had not been tested enough in that age group. Because Germany is still focusing its vaccination drive on those over 80, much of the AstraZeneca doses had lingered in storage.

  • Hungary announced on Thursday that it would introduce a new round of restrictions next week, with some schools closed and nonessential stores shuttered, to combat a sharp rise in coronavirus cases. The announcement comes as a blow to Prime Minister Viktor Orban, who had been vocal about his hopes for the country to begin reopening this month.

  • France on Thursday vowed to vaccinate at least 10 million people by mid-April as the government, still stopping short of a nationwide lockdown, extended restrictions on movements and gatherings to areas in the country where there have been surges in local cases. So far, only about 3.1 million people, or 4.7 percent of the country’s population, have received a first injection, and only 1.7 million people, or 2.5 percent of the population, have been fully vaccinated, which puts France behind other European countries in the vaccination rollout. Jean Castex, the prime minister, said at a news conference that starting in mid-April, all people ages 50 to 74 would be eligible for the vaccine, regardless of pre-existing health conditions.

Albee Zhang contributed research.

The Indian health minister, Harsh Vardhan, and his wife, Nutan Goel, received the Covaxin shots, developed by the Indian company Bharat Biotech, at a hospital in New Delhi on Tuesday.Credit…Altaf Qadri/Associated Press

India’s ambitious but troubled campaign to inoculate its vast population against Covid-19 — and, in the process, to burnish its reputation as a manufacturer and innovator — received a major lift after initial trial results showed a homegrown vaccine was safe and effective.

Bharat Biotech, the Indian drug company that developed the shots, said late Wednesday that early findings from clinical trials involving nearly 26,000 subjects showed that the vaccine, Covaxin, had an initial efficacy rate of 81 percent.

The results have yet to be peer reviewed, the company said, and it was unclear how effective Covaxin would prove to be in a final analysis.

Still, the results were met with relief in India. Covaxin was approved by government officials in January and administered to millions of people even though it had not yet been publicly proved. Many in the country, including frontline health care workers, had feared that Covaxin could be ineffective or worse, slowing down the national campaign to inoculate 1.3 billion people.

Officials in Brazil, where the government had bought doses of Covaxin, had recently questioned whether the vaccine worked.

The results this week could alleviate some of those concerns, said Dr. Anant Bhan, a health researcher at Melaka Manipal Medical College in southern India. Still, he said, questions will linger over Covaxin until the research is completed.

“This data will now need to be examined by the regulator in India and could then have an impact on the regulatory decisions with regards to the vaccine,” Dr. Bhan said.

If the results hold, they could also benefit Prime Minister Narendra Modi of India, who has stressed his intention of making India self-reliant. An effective, Indian-developed vaccine could add credibility to that campaign.

India approved Covaxin for emergency use in early January along with the Oxford-AstraZeneca vaccine, which is known in India as Covishield. When the vaccination drive started less than two weeks later, most people were not allowed to choose which shot they got.

The move to authorize Covaxin’s use came under sharp criticism from pharmaceutical bodies and health experts, who questioned the scientific logic behind approving a vaccine that was still in trials. Indian officials often denounced those doubts without explaining the rush. Instead, they portrayed the endorsement of Covaxin through a lens of nationalism, saying that it showed India’s emergence as a scientific power.

VideoVideo player loadingAfter weeks of declining cases, a representative from the World Health Organization on Thursday warned the public of a resurgence of cases and a strain on hospitals across Europe.CreditCredit…Tobias Schwarz/Agence France-Presse — Getty Images

Central and Eastern Europe is experiencing a resurgence in coronavirus infections partly driven by new variants but also by the relaxing of restrictions, the World Health Organization’s top official in Europe said on Thursday.

After six successive weeks of declining infection numbers across Europe, the continent experienced a 9 percent rise in coronavirus cases in the past week, Hans Kluge, the W.H.O.’s regional director told reporters. More than half of the 53 countries in the European region had recorded an increase in infections, he said, including some in Western Europe.

“Over a year into the pandemic, our health systems should not be in this situation,” Mr. Kluge said. “We need to get back to basics.”

The increase came as 43 European countries reported cases of the B.1.1.7 variant first identified in Britain, which has much higher transmissability, he said, adding that 26 countries had found cases of the B.1.351 variant first discovered in South Africa and that 15 had reported cases of the P.1 variant first discovered in Brazil.

The B.1.1.7 variant already accounts for more than half of the new cases of infection in several countries, including Britain and Denmark, and is expected to soon pass that level in Germany.

But W.H.O. officials stressed that new variants were only part of the problem, calling for a gradual lifting of restrictions and travel bans when there was evidence to support it and for an accelerated rollout of shots.

Vaccinations have started in 45 European countries, Mr. Kluge said, but only around a quarter of health workers in 20 European countries have completed vaccination against Covid-19.

Frustration at the slow introduction of vaccines in Europe has driven several governments to bypass the European Union’s purchase program in favor of bilateral supply deals, but the W.H.O. underscored that countries could not rely solely on vaccines to curb infections.

Catherine Smallwood, health emergencies expert for the W.H.O. in Europe, said, “We are not going to take the heat out of transmission immediately” through inoculations. “It’s going to take a long time,” she noted, “so we will have to be patient and we need to use all of the other measures we have at our disposal.”

An Israeli medical worker administering the Pfizer-BioNTech vaccine to Palestinians at a checkpoint between the West Bank city of Ramallah and Jerusalem on Feb. 23.Credit…Oded Balilty/Associated Press

Most Palestinians living in the occupied territories have yet to be vaccinated against the coronavirus, setting off a rancorous debate about whether Israel has a duty to vaccinate Palestinians living under Israeli occupation.

But among Palestinians in the occupied West Bank, questions are now being asked of their own leadership, which has been accused of siphoning some of the few doses allocated for Palestinians and distributing them to the senior ranks of the governing party, allies in the news media and even to family members of top dignitaries.

Like many governments worldwide, the Palestinian Authority, which exercises limited control over parts of the occupied territories, has officially prioritized its senior administrative leadership and frontline health workers, as well as people who come into regular contact with the authority’s president and prime minister.

But in secret, the authority has diverted some of the thousands of vaccines it has received to some senior members of the ruling party in the West Bank who have no formal role in government, according to two senior Palestinian officials and a senior official from the party, Fatah, who all spoke on condition of anonymity.

Vaccines have also been secretly given to top figures at major news outlets run by the authority, according to one of the senior Palestinian officials and two employees at those outlets. Family members of certain government officials and Fatah leaders were also given the vaccines, the senior official and a former government official said.

Already frustrated at their exclusion from Israel’s world-leading vaccination program, ordinary Palestinians now accuse their leaders of hoarding some of the relatively few vaccines that the authority has obtained, even amid a surge in infections and tightened restrictions.

“Of course it’s understandable and acceptable that the president, prime minister and ministers take the vaccination before others — this is the case everywhere in the world,” said Hasan Ayoub, the chairman of the political science department at An Najah University in Nablus. “But there’s absolutely no justification for giving the very small number of vaccines we have to other people close to power at the expense of those who most need them.”

Several government officials did not respond to requests for comment on the accusations.

In public statements, the Health Ministry did not admit to any wrongdoing. It has acknowledged receiving 12,000 vaccines — 10,000 from Russia and 2,000 from Israel. Of those, it says that 2,000 were sent to the Gaza Strip, which is under the de facto authority of Hamas, the militant group, and 200 to the royal court in Jordan, where some Palestinian leaders live. And of the remaining 9,800, 90 percent were given to frontline health workers, the ministry said in a statement on Tuesday.

The ministry said that the remainder had been given to officials in the presidency and prime ministry, election officials, some international embassies, members of the national soccer team and roughly 100 students who needed the vaccine to travel.

Ivermectin is typically used to treat parasitic worms in both people and animals. Credit…Luis Robayo/Agence France-Presse — Getty Images

Ivermectin, an anti-parasitic drug that has been touted as a potential Covid-19 treatment, does not speed recovery in people with mild cases of the disease, according to a randomized controlled trial published in the journal JAMA today.

Ivermectin is typically used to treat parasitic worms in both people and animals. Scientists have previously reported that the drug can prevent some viruses from replicating in cells. Last year, researchers in Australia found that high doses of ivermectin suppressed SARS-CoV-2, the virus that causes Covid-19, in cell cultures.

The finding raised hopes that the drug might prove effective against Covid-19, and it has been widely used during the pandemic, especially in Latin America.

But rigorous data on the drug’s effectiveness in people has been lacking, and some scientists suspect that effectively inhibiting the coronavirus may require extremely high, potentially unsafe doses of the drug. The Covid-19 treatment guidelines from the National Institutes of Health note that there is not enough evidence “to recommend either for or against” using the drug in Covid-19 patients.

In the new study, a team of researchers in Colombia randomly assigned more than 400 people who had recently developed mild Covid-19 symptoms to receive a five-day course of either ivermectin or a placebo. They found that Covid-19 symptoms lasted about 10 days, on average, among people who received the drug, compared to 12 days among those who received the placebo, a statistically insignificant difference.

The new trial adds much-needed clinical data to the debate over using the drug to treat Covid-19, said Dr. Regina Rabinovich, a global health researcher at Harvard’s T.H. Chan School of Public Health, who was not involved in the study.

But she noted that the trial was relatively small and that it did not answer the most pressing clinical question, which is whether ivermectin can prevent severe disease or death. “Duration of symptoms may not be the most important either clinical or public health parameter to look at,” she said.

Bigger trials, some of which are currently underway, could help provide more definitive answers, said Dr. Rabinovich, who noted that she was “totally neutral” on ivermectin’s potential usefulness. “I just want data because there’s such chaos in the field.”

Some gorillas in a troop at the San Diego Zoo tested positive for the coronavirus in January. Zoo officials have been using an experimental vaccine on other apes, like orangutans and bonobos. Credit…Ken Bohn/San Diego Zoo Global, via, via Reuters

The San Diego Zoo has given nine apes an experimental coronavirus vaccine developed by Zoetis, a major veterinary pharmaceuticals company.

In January, a troop of gorillas at the zoo’s Safari Park tested positive for the virus. All are recovering, but even so, the zoo requested help from Zoetis in vaccinating other apes. The company provided an experimental vaccine that was initially developed for pets and is now being tested in mink.

Nadine Lamberski, a conservation and wildlife health officer at San Diego Zoo Global, said the zoo vaccinated four orangutans and five bonobos with the experimental vaccine, which is not designed for use in humans.

She said one gorilla at the zoo was also scheduled to be vaccinated, but the gorillas at the wildlife park were a lower priority because they had already tested positive for infection and had recovered. Dr. Lamberski said she would vaccinate the gorillas at the wildlife park if the zoo received more doses of the vaccine.

Mahesh Kumar, senior vice president of global biologics for Zoetis, said the company is increasing production, primarily for its pursuit of a license for a mink vaccine, and will provide more doses to the San Diego and other zoos when possible. “We have already received a number of requests,” he said.

Infection of apes is a major concern for zoos and conservationists. They easily fall prey to human respiratory infections, and common cold viruses have caused deadly outbreaks in chimpanzees in Africa. Genome research has suggested that chimpanzees, gorillas and other apes will be susceptible to SARS-CoV-2, the virus that has caused the pandemic. Lab researchers are using some monkeys, like macaques, to test drugs and vaccines and develop new treatments for the virus.

Scientists are worrying not just about the danger the virus poses to great apes and other animals, but also about the potential for the virus to gain a foothold in a wild animal population that could become a permanent reservoir and emerge at a later date to reinfect humans.

Infections in farmed mink have produced the biggest scare so far. When Danish mink farms were devastated by the virus, which can kill mink just as it kills people, a mutated form of the virus emerged from the mink and reinfected humans. That variant showed resistance to some antibodies in laboratory studies, raising suspicion that vaccines might be less effective against it.

That virus variant has not been found in humans since November, according to the World Health Organization. But other variants have emerged in people in several countries, proving that the virus can become more contagious and in some cases can diminish the effectiveness of some vaccines.

Denmark ended up killing as many as 17 million mink — effectively wiping out its mink farming industry. In the United States, thousands of mink have died, and one wild mink has tested positive for the virus.

Although many animals, including dogs, domestic cats, and big cats in zoos, have become infected by the virus through natural spread, and others have been infected in laboratory experiments, scientists say that widespread testing has yet to find the virus in any animal in the wild other than the one mink.

National Geographic first reported the vaccination of the apes at the San Diego Zoo.

Offloading boxes of Oxford-AstraZeneca shots in Accra, Ghana, last month. The doses were among the first deliveries of a global initiative called Covax, created to ensure that poorer countries could obtain vaccines.Credit…Francis Kokoroko/Reuters

When 600,000 doses of the Oxford-AstraZeneca vaccine arrived in Ghana last week, Owusu Akoto, chief executive of a logistics company, was there alongside health officials to receive them.

Mr. Akoto’s company, FreezeLink, has a fleet of temperature-controlled trucks and was one of a few private companies helping the government to keep vaccines cooled before distribution. He is also partnering with a drone operator to reach some rural communities.

A former management consultant, Mr. Akoto founded his company in the hope of addressing food waste in Ghana, but he said that being involved in vaccine distribution had brought both pride and a sense of relief.

“It’s emotional. It feels a bit raw,” Mr. Akoto said in an interview from the Ghanaian capital, Accra. He said that his cousin had recently died after contracting the coronavirus. “The vaccine could have saved his life.”

The doses were the first delivery in a global initiative called Covax, created to ensure that poorer countries that would struggle to buy coronavirus shots on the open market could still receive them. Officials hope to deliver two billion vaccines worldwide through the initiative this year, though they say that the program faces a funding gap of billions of dollars.

By Thursday, about 10 million doses had been delivered to 11 countries in Africa through the Covax program, according to the World Health Organization.

Some vaccines, like those of Pfizer and Moderna, must be kept at deep-freeze temperatures for much of their time in storage and during delivery, a requirement that has long been a concern for distributors in areas with less infrastructure. But the AstraZeneca vaccine only needs to be stored at a temperature of 2 to 8 degrees Celsius, or about 35 to 46 degrees Fahrenheit, which makes it easier to handle by regular cold-storage companies.

Mr. Akoto said that a priority so far had been in areas with a surge in new infections. His company is also working with Zipline, a drone company, that is helping to deliver vaccines to more rural parts of Ghana that are harder to reach by road. Zipline said it was providing “on-demand, last-mile delivery” of the vaccine.

Mr. Akoto acknowledged that Ghana had a long way to go to inoculate the entire population of about 30 million, and he said he was concerned about vaccine skepticism.

“But the journey of a million miles just became that much shorter,” he said.

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World News

Covid-19 Information: Stay Updates – The New York Instances

Here’s what you need to know:

Credit…Doug Mills/The New York Times

President Biden’s call on Tuesday to have every school employee receive at least one vaccine shot by the end of this month has elevated his push to reopen schools even before the nation is fully inoculated. At the White House’s direction, vaccinations will be available at local pharmacies through a federal program. But with the states setting priorities for eligibility otherwise, there remains a limit on actually getting shots in arms.

To amplify Mr. Biden’s push, the first lady, Jill Biden, and the newly confirmed education secretary, Miguel Cardona, traveled on Wednesday to the secretary’s home state, Connecticut, to tour an elementary school and a middle school in Meriden, where he grew up. Mr. Cardona left his job as the state’s education commissioner to join Mr. Biden’s cabinet. They will then travel to Waterford, Pa., to meet with parents.

Parents across the country are frustrated with the pace of reopening, and in some cases, are starting to rebel. Nationally, fewer than half of students are attending public schools that offer traditional in-person instruction full time. And many teachers have rejected plans to return to the classroom without being vaccinated.

Even so, most schools are already operating at least partially in person, and evidence suggests that they are doing so relatively safely. Research shows in-school virus spread can be mitigated with simple safety measures like masking, distancing, hand-washing and open windows.

“Let’s treat in-person learning like an essential service that it is,” Mr. Biden said on Tuesday, even as he noted that not every school employee would be able to get a vaccine next week. “And that means getting essential workers who provide that service — educators, school staff, child care workers — get them vaccinated immediately.”

Educators will be able to sign up to receive a vaccine through a local drug store as part of a federal program in which shots are delivered directly to pharmacies, Mr. Biden said.

At least 34 states and the District of Columbia are already vaccinating school workers to some extent, according to a New York Times database. Others were quick to fall in line after Mr. Biden announced his plan. On Tuesday, Washington State added educators and licensed child care workers to its top tier for priority, accelerating its plan by a few weeks.

In guidelines issued last month, the Centers for Disease Control and Prevention urged that elementary and secondary schools be reopened as soon as possible, and offered a step-by-step plan to get students back in classrooms. While the agency recommended giving teachers priority, it said that vaccination should “nevertheless not be considered a condition for reopening schools for in-person instruction.”

Many schools are already fully open in areas with substantial or high community transmission, where the agency suggests schools be open only in hybrid mode or in distance-learning mode. The agency says those schools can remain open if mitigation strategies are consistently implemented, students and staff are masked, and monitoring of cases in school suggests limited transmission.

The agency’s guidelines say that six feet of distancing between individuals is required at substantial and high levels of community transmission. Many school buildings cannot accommodate that, which may lead some districts to stick with a hybrid instruction model when they might otherwise have gone to full in-person instruction.

Many local teachers’ unions remain adamantly opposed to restarting in-person learning now, saying that school districts do not have the resources or the inclination to follow C.D.C. guidance on coronavirus safety. Without vaccinations, the unions say, adults in schools would remain vulnerable to serious illness or death from Covid-19 because children, while much less prone to illness, can nevertheless readily carry the virus. Studies suggest that children under 10 transmit the virus about half as efficiently as adults do, but older children may be much like adults.

The unions have a ready ear in the White House. Ms. Biden, a community college professor, is a member of the National Education Association, and the president has a long history with the unions. Ms. Biden and Mr. Cardona were scheduled to meet with Randi Weingarten, the president of the American Federation of Teachers, in Connecticut, and with Becky Pringle, the N.E.A. president, in Pennsylvania.

Epidemiological models have shown that vaccinating teachers could greatly reduce infections in schools. “It should be an absolute priority,” said Carl Bergstrom, an infectious diseases expert at the University of Washington in Seattle.

Still, requiring that teachers be vaccinated could greatly slow the pace of school reopenings, he and other experts acknowledged.

Teachers’ unions want not just vaccination, but also that districts improve ventilation and ensure six feet of distancing — two measures that have been shown to reduce the spread of the virus. (The C.D.C. guidelines emphasize six feet of distance only when prevalence of the virus is high, and nodded only briefly to the need for ventilation.) The unions have also insisted that schools not open until the infection rates in their communities are very low.

Katie Rogers contributed reporting.

United States › United StatesOn March 2 14-day change
New cases 57,789 –19%
New deaths 1,306* –9%

*Ohio removed deaths

World › WorldOn March 2 14-day change
New cases 288,926 +1%
New deaths 9,291 –18%

U.S. vaccinations ›

Where states are reporting vaccines given

Tracy Davie, left, and Renee Thevenot, both wearing masks, shopping in Austin, Texas, in January.Credit…Tamir Kalifa for The New York Times

Gov. Greg Abbott of Texas said on Tuesday that he was ending his statewide mask mandate, effective March 10, and that all businesses in the state could then operate with no capacity limits.

“I just announced Texas is OPEN 100%” he tweeted on Tuesday afternoon. “EVERYTHING.”

Mr. Abbott took the action after federal health officials warned governors not to ease restrictions yet because progress across the country in reducing coronavirus cases appears to have stalled in the last week.

“To be clear, Covid has not, like, suddenly disappeared,” Mr. Abbott said. “Covid still exists in Texas and the United States and across the globe.”

Even so, he said, “state mandates are no longer needed” because advanced treatments are now available for people with Covid-19, the state is able to test large numbers of people for the virus each day and 5.7 million vaccine shots have already been given to Texans.

Speaking to reporters at a Chamber of Commerce event in Lubbock on Tuesday afternoon, Mr. Abbott, a Republican, said that most of the mandates issued during the peak of the pandemic in the state would be lifted; he did not specify which mandates would remain. He said top elected officials in each county could still impose certain restrictions locally if hospitals in their region became dangerously full, but could not jail anyone for violating them.

“People and businesses don’t need the state telling them how to operate,” he said.

Target and Macy’s said on Tuesday that they would continue requiring customers and employees to wear masks, Reuters reported. General Motors and Toyota said their employees in the state would also still be required to wear masks.

Democratic leaders in the state reacted swiftly and harshly to the announcement. “What Abbott is doing is extraordinarily dangerous,” Gilberto Hinojosa, the state party chairman, said in a statement, adding, “This will kill Texans. Our country’s infectious-disease specialists have warned that we should not put our guard down, even as we make progress towards vaccinations. Abbott doesn’t care.”

In states like Florida and South Dakota, schools and businesses have been widely open for months, and many local and state officials across the country have been easing restrictions since last summer. Still, the pace of reopenings has quickened considerably in the past few days.

In Chicago, tens of thousands of children returned to public school this week, while snow-covered parks and playgrounds around the city that have been shuttered since last March were opened. Restaurants in Massachusetts were allowed to operate without capacity limits, and South Carolina erased its limits on large gatherings.

The Biden administration has warned states not to relax restrictions too soon, despite the recent decline in cases. “We stand to completely lose the hard-earned ground we have gained,” the director of the C.D.C., Dr. Rochelle Walensky, said at a White House virus briefing on Monday.

The nation as a whole has been averaging more than 67,000 new cases a day lately, more than at any time during the spring and summer waves of cases, according to a New York Times database.

Texas was among the first states to ease restrictions after the first wave, a move that epidemiologists believe was premature and led to the summer surge across the Sunbelt.

Though conditions in the state and the nation have improved from a huge surge over the holidays, the coronavirus is still spreading rapidly in Texas. The state has been averaging about 7,600 new cases a day recently, rebounding from a drop in February when a severe storm disrupted testing. Texas is among the top 10 states in recent spread, averaging 27 cases for every 100,000 people.

And Texans are still dying of Covid-19 in significant numbers: The state reported an average of 227 Covid-19 deaths a day over the past week, more than any other state except California.

Mayor Sylvester Turner of Houston and the top elected official in Harris County, Lina Hidalgo, both Democrats, wrote to Mr. Abbott on Tuesday before his announcement, asking the governor not to end the mask mandate and calling such a move “premature and harmful.”

“We must continue the proven public health interventions most responsible for our positive case trends, and not allow overconfidence to endanger our own successes,” they wrote.

Mr. Abbott made his reopening announcement in a Mexican restaurant, on the anniversary of Texas’ declaration of independence from Mexico in 1836.

Because of an editing error, an earlier version of this item misspelled Lina Hidalgo’s given name.

Justina Roberta Santos, 84, received a coronavirus vaccine during a campaign to inoculate older people with mobility issues, in Rocinha, Brazil, last month.Credit…Dado Galdieri for The New York Times

Covid-19 has already left a trail of death and despair in Brazil, one of the worst in the world. And now, the country is battling a more contagious variant, even as Brazilians toss away precautionary measures that could keep them safe.

On Tuesday, Brazil recorded more than 1,700 Covid-19 deaths, its highest single-day toll of the pandemic.

Preliminary studies suggest that the variant that swept through the city of Manaus appears able to infect some people who have already recovered from other versions of the virus. And the variant has slipped Brazil’s borders, showing up in small numbers in the United States and other countries.

Although trials of a number of vaccines indicate that they can protect against severe illness even when they do not prevent infection with the variant, most of the world has not been inoculated. That means even people who had recovered and thought they were safe for now might still be at risk, and that world leaders might, once again, be lifting restrictions too soon.

“You need vaccines to get in the way of these things,” said William Hanage, an epidemiologist at Harvard T.H. Chan School of Public Health, speaking of variants that might cause reinfections.

Brazilians hoped that they had seen the worst of the outbreak last year. Manaus, capital of the northern state of Amazonas, was hit so hard in April and May that scientists believed the city may have reached herd immunity.

But then in September, cases in the state began rising again. By January, scientists had discovered that a new variant, which became known as P.1, had become dominant in the state. Within weeks, its danger became clear as hospitals in the city ran out of oxygen amid a crush of patients, leading scores to suffocate to death.

Throughout the pandemic, researchers have said that Covid-19 reinfections appear to be extremely rare, which has allowed people who recover to presume they have immunity, at least for a while. But that was before P.1 appeared.

One way to tamp down the surge would be through vaccinations, but the rollout in Brazil has been slow.

Brazil began vaccinating health care professionals and older adults in late January. But the government has failed to secure a large enough number of doses. Wealthier countries have snapped up most of the supply, while President Jair Bolsonaro has been skeptical both of the disease’s impact and of vaccines.

Margareth Dalcolmo, a pulmonologist at Fiocruz, a prominent scientific research center, said that Brazil’s failure to mount a robust inoculation campaign had set the stage for the current crisis.

“We should be vaccinating more than a million people per day,” she said. “We aren’t, not because we don’t know how to do it, but because we don’t have enough vaccines.”

Other countries should take heed, said Ester Sabino, an infectious-disease researcher at the University of São Paulo who is among the leading experts on the P.1 variant.

“You can vaccinate your whole population and control the problem only for a short period if, in another place in the world, a new variant appears,” she said. “It will get there one day.”

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Dolly Parton Receives Coronavirus Vaccine and Urges Fans to Follow

On Tuesday, the country singer Dolly Parton received “a dose of her own medicine,” a shot of the Moderna vaccine, which she helped fund when she donated $1 million to Vanderbilt University Medical Center.

I’m finally going to get my vaccine. I’m so excited. I’ve been waiting a while. I’m old enough to get it. And I’m smart enough to get it. So I’m very happy that I’m going to get my Moderna shot today. And I want to tell everybody that you should get out there and do it, too. I haven’t changed one of my songs to fit the occasion. It goes vaccine, vaccine, vaccine, vaccine. I’m begging of you, please don’t hesitate. Well, it didn’t take this long to film “9 to 5.” I’m still waiting while I’ve been waiting since December. I’ve been alone herein line. All right. Think you got it? I got it. OK, that didn’t hurt just a little bit, but that was from the alcohol pad, I think. Yeah. OK. All right.

Video player loadingOn Tuesday, the country singer Dolly Parton received “a dose of her own medicine,” a shot of the Moderna vaccine, which she helped fund when she donated $1 million to Vanderbilt University Medical Center.CreditCredit…@Dollyparton, via Reuters

The country music star Dolly Parton has another new gig: Singing the praises of coronavirus shots and getting vaccinated on camera.

Last year, Ms. Parton donated $1 million to Vanderbilt University Medical Center, which worked with the drug maker Moderna to develop one of the first coronavirus vaccines to be authorized in the United States. The federal government eventually invested $1 billion in the creation and testing of the vaccine, but the leader of the research effort, Dr. Mark Denison, said that the singer’s donation had funded its critical early stages.

On Tuesday, Ms. Parton, 75, received a Moderna shot at Vanderbilt Health in Tennessee. “Dolly gets a dose of her own medicine,” she wrote on Twitter.

“Well, hey, it’s me,” she says to her fans in an accompanying video, a minute before a doctor arrives to inoculate her. “I’m finally gonna get my vaccine.”

“I’m so excited,” she added in the video, which racked up more than a million views within about four hours. “I’ve been waiting a while. I’m old enough to get it, and I’m smart enough to get it.”

She also broke into song (naturally), replacing the word “Jolene” in one of her best-known choruses with “vaccine.”

“Vaccine, vaccine, vaccine, vaccine,” she sang, embellishing the last one with her trademark Tennessee lilt. “I’m begging of you please don’t hesitate.”

“Vaccine, vaccine, vaccine, vaccine,” she added, “because once you’re dead, then that’s a bit too late.”

Just before the doctor arrived to inoculate her — or “pop me in my arm,” as she put it — she doubled down on her message.

“I know I’m trying to be funny now, but I’m dead serious about the vaccine,” she said. “I think we all want to get back to normal — whatever that is — and that would be a great shot in the arm, wouldn’t it?”

“I just want to say to all of you cowards out there: Don’t be such a chicken squat,” she added. “Get out there and get your shot.”

Global Roundup

In Berlin last week. Medical experts have warned that Germany is at the beginning of a third wave of the pandemic.Credit…Sean Gallup/Getty Images

Chancellor Angela Merkel of Germany and governors of the country’s states were to meet on Tuesday to talk about what an extension to the nation’s 11-week lockdown could look like. Some governors and federal lawmakers have been calling for an easing of measures. The current restrictions are set to expire next week.

But medical experts have warned that Germany is at the beginning of a third wave of the pandemic, driven in part by more infectious variants, and that continued restrictions are likely.

Christian Drosten, the chief virologist at the Charité hospital in Berlin and a government adviser, said during a podcast on Tuesday, “We are walking into a situation with our eyes closed.”

While some schools in Germany have reopened, most students are not on full schedules. Nonessential businesses are closed nationwide and restaurants have been shuttered since November, when the government first began a “lockdown light,” which proved ineffective in halting growing cases. Restrictions were tightened in December.

Despite the measures, there has been a slight increase in new infections. On Tuesday, the German health authorities registered about 9,000 new cases, about 1,000 more than the same day the week before. A New York Times database puts the seven-day average at 8,172; two weeks ago, it was 6,121.

After meeting with governors on Tuesday afternoon, Ms. Merkel is expected to announce an extension of the lockdown until at least March 28, though businesses like bookstores and flower stores are expected to join hairdressers in being able to open under strict distancing guidelines.

In other news from around the world:

  • In the Netherlands, a pipe bomb exploded at a coronavirus testing center on Wednesday, causing damage but no injuries, the public broadcaster NOS reported. The blast at the center in the town of Bovenkarspel was caused by a “metal pipe that exploded,” Erwin Sintenie, a police spokesman, said. The lone security guard present when the device was detonated was unhurt, though windows were broken, the police said. There have been multiple, and at times violent, protests in the Netherlands against coronavirus restrictions. In January, a testing center in the town of Urk was set alight after the government imposed a curfew.

  • North Korea is expected to receive about 1.7 million doses of the Oxford-AstraZeneca shots by the end of May, according to a report released on Tuesday by Covax, an international body established to promote global access to coronavirus vaccines. The AstraZeneca doses are among about 237 million that Covax says it expects to distribute worldwide over the same period. The North’s state news media has long insisted that the country has no confirmed Covid-19 cases, but outside experts are skeptical.

  • Pelé, the Brazilian former soccer star, said in an Instagram post that he had received a coronavirus vaccine. He noted that the pandemic was “not over yet,” and urged his nearly six million followers to continue wearing masks and taking other safety precautions. “This will pass if we can think of others and help each other,” he wrote. Brazil has reported more than 10.5 million cases and 257,000 deaths, some of the highest tallies in the world.

  • Bharat Biotech, an Indian pharmaceutical company, said on Wednesday that its vaccine, Covaxin, had shown 81 percent efficacy in interim trials. The announcement came two months after Indian regulators approved the shots for emergency use despite a lack of published data showing that they were safe and effective.

People waited in line Sunday with the hope of receiving leftover Covid-19 vaccine doses that would otherwise expire and be tossed out each day at the Kedren Community Health Center on in Los Angeles.Credit…Mario Tama/Getty Images

After weeks of waiting, Judy Franke’s vaccine breakthrough came when her phone rang at 8 p.m. one freezing February night. There were rumors of extra doses at the Minneapolis Convention Center. Ms. Franke, 73, had an hour to get there. No guarantees.

“I called my daughter and she said, ‘I’m putting my boots on right now,’” said Ms. Franke, a retired teacher with a weakened immune system.

Credit…Jenn Ackerman for The New York Times

The clamor for hard-to-get vaccines has created armies of anxious Americans who haunt pharmacies at the end of the day in search of an extra, expiring dose and drive from clinic to clinic hoping that someone was a no-show to their appointment.

Some pharmacists have even given them a nickname: Vaccine lurkers.

Even with inoculation rates accelerating and new vaccines entering the market, finding a shot remains out of reach for many, nearly three months into the country’s vaccination campaign. Websites crash. Appointments are scarce.

The leftover shots exist because the Moderna and Pfizer vaccines have a limited life span once they are thawed and mixed. When no-shows or miscalculations leave pharmacies and clinics with extras, they have mere hours to use the vaccines or risk having to throw them away.

And so, tens of thousands of people have banded together on social-media groups. They trade tips about which Walmarts have extra doses. They report on whether besieged pharmacies are even answering the phone. They speculate about whether a looming blizzard might keep enough people home to free up a slot.

“It’s like buying Bruce Springsteen tickets,” said Maura Caldwell, who started a Facebook page called Minneapolis Vaccine Hunters to help people navigate the search for appointments. The group has about 20,000 members.

Health experts said the scavenger hunt for leftovers highlighted the persistent disparities in the U.S. vaccination rollout, where access to lifesaving medicine can hinge on computer savvy, personal connections and the ability to drop everything to snag an expiring dose.

In Minnesota, when Ms. Franke arrived at the convention center, there were about 20 other people already milling around in the lobby, she said, and a health worker quickly emerged to inform them that there were no leftovers.

But many in the crowd stuck around, and after a half-hour, the vaccination team allowed people 65 and older, teachers and emergency responders to get their shots. Ms. Franke lined up and said she cried with relief on the car ride home to the suburbs.

Medical staff checking an empty ward reserved for Covid patients at a hospital in Bucharest, Romania, last week.Credit…Vadim Ghirda/Associated Press

As vaccination programs continue to be rolled out around the world, many countries are now turning their attention to the pent-up demand for non-Covid-19 health care, which fell by the wayside during months of crisis response.

In Romania, there is a deep concern about an overwhelmed health care system as many people suffering from other health issues have been without care, or missing regular medical appointments, over the past year. That includes cancer patients and those with HIV.

Victor Cauni, interim manager of one of the largest hospitals in the capital, Bucharest, said that the urology ward had gone from performing 400 to 500 medical interventions a month in recent years to barely 50 in total in the past year.

“Whether we like it or not, we have more patients with many other illnesses compared to Covid patients,” he said in an interview with The Associated Press last week. “We need to open for them at least partially. We’re discriminating against patients with serious conditions.”

Health care scandals in Romania in recent years have also left many people cautious about seeking treatment at hospitals, an issue exacerbated by the pandemic. Since November, fires in two hospitals treating coronavirus patients have left more than 20 people dead.

Romania’s spending on its health care system is among the lowest in the European Union, with just 5.2 percent of its G.D.P. allocated toward it. The average in the bloc is around 10 percent.

The Romanian Health Ministry organized a call last month with hospital administrators about the need to evaluate infrastructure and potentially create separate channels for coronavirus patients so that other patients could receive treatment. The ministry is also assessing the ability to use some hospitals solely for the treatment of patients with severe cases of the virus, and return others to handling only patients being treated for other conditions.

“I think it’s only in the second half of this year that we’re going to really understand what happened last year in terms of access to health care,” said Vlad Voiculescu, the Romanian health minister.

Mr. Voiculescu noted that access to treatment had been limited for some patients, especially those in rural and smaller urban areas where hospitals of 300 or 400 beds had been transformed into coronavirus support hospitals.

“This cannot go on,” he said, adding that some hospitals were already set to return to more general usage.

Romania has largely kept the spread of the coronavirus in check, putting in place tight restrictions early on that limited the number of infections. Still, there have been more than 800,000 confirmed cases and more than 20,500 deaths in the country, which has a population of around 19 million.

Like the rest of the world, Romania is bracing for another potential wave in cases, with concerning variants of the virus on the rise.

“We have the vaccination campaign,” Mr. Voiculescu said, adding, “We do have the mechanisms in place for more precautionary measures if there’s going to be another wave.”

Jacori Owens-Shuler, an industrial designer, back at work in the Vivint Innovation Center in Lehi, Utah, last month.Credit…Kim Raff for The New York Times

Corporate executives around the United States are wrestling with how to reopen offices as the pandemic starts to loosen its grip. Businesses — and many employees — are eager to return to some kind of normal work life: going back to the office, grabbing lunch at their favorite restaurant or stopping for drinks after work.

While coronavirus cases are declining and vaccinations are rising, many companies have not committed to a time and strategy for bringing employees back. The most important variable, many executives said, is how long it will take for most workers to be vaccinated.

Another major consideration revolves around the children of employees. Companies say they can’t make firm decisions until they know when local schools will reopen for in-person learning.

Then there is a larger question: Does it make sense to go back to the way things were before the pandemic, given that people have become accustomed to the rhythms of remote work?

More than 55 percent of people surveyed by the consulting firm PwC late last year said that they would prefer to work remotely at least three days a week after the pandemic recedes. But their bosses appear to have somewhat different preferences — 68 percent of employers said that they believed employees needed to be in the office at least three days a week to maintain corporate culture.

Some companies that have begun trying to get workers back to the office — like Vivint, a home-security business based in Provo, Utah, that has more than 10,000 employees across the United States — say they are doing so on a voluntary basis.

Vivint is allowing 40 percent of its 4,000 employees in Utah to return, though only about 20 percent have chosen to do so regularly.

To accommodate social distancing, Vivint has restricted access to each building to a single entrance, where employees have their temperature taken. Signs remind employees to wear masks at all times, and the company has limited capacity in conference rooms.

Vivint also has an on-site clinic that has been offering 15-minute rapid virus tests to employees and their families.

The company hopes to use the clinic to distribute coronavirus vaccines to its workers when Utah allows it to do so.

“We’ve never faced a worker shortage like this in my 40 years,” said Peter Hall at his orchard in Shepparton, Australia. “I suspect for each lot of crop, we’ll just not get there in time.”Credit…Asanka Brendon Ratnayake for The New York Times

The pandemic has exposed the unstable foundation of Australia’s agriculture industry, a $54 billion-a-year goliath that has long been underpinned by the work of young, transient foreigners.

Border closures and other measures to keep the coronavirus out of the country have left Australia with a deficit of 26,000 farmworkers, according to the nation’s top agriculture association. As a result, tens of millions of dollars in crops have gone to waste from coast to coast.

“We’ve never faced a worker shortage like this in my 40 years,” said Peter Hall, who owns an orchard in southeastern Australia. “I suspect for each lot of crop, we’ll just not get there in time.”

This enormous crop destruction has fueled rising calls for Australia to rethink how it secures farm labor, with many pushing for an immigration overhaul that would give agricultural workers a pathway to permanent residency.

Since 2005, the government has steered young travelers to farms by offering extensions of working holiday visas from one year to two for those who have completed three months of work in agriculture. Backpackers can earn extensions by working in other industries like construction or mining, but 90 percent do so through farm work.

In a normal year, more than 200,000 backpackers would come to Australia, making up 80 percent of the country’s harvest work force, according to industry groups.

Now, there are just 45,000 in the country, according to government data, and attempts to fill the labor shortage with unemployed Australians have been largely unsuccessful.

The federal government has flown in workers from nearby Pacific islands, which have largely avoided the pandemic. But with border restrictions in place, the arrangements have sometimes been convoluted.

Nationwide, only about 2,400 workers have been flown into the country since the borders were shut, according to the National Farmers’ Federation.

President Biden gave updates on the pandemic at the White House on Tuesday. He said his government had provided support to Johnson & Johnson to enable the company and its partners to make vaccines around the clock.Credit…Doug Mills/The New York Times

President Biden said on Tuesday that the United States was “on track” to have enough supply of coronavirus vaccines “for every adult in America by the end of May,” accelerating his effort to deliver the nation from the worst public health crisis in a century.

In a brief speech at the White House, Mr. Biden said his administration had provided support to Johnson & Johnson that would enable the company and its partners to make vaccines around the clock. The administration had also brokered a deal in which the pharmaceutical giant Merck would help manufacture the new Johnson & Johnson coronavirus vaccine.

Merck is the world’s second-largest vaccine manufacturer, though its own attempt at a coronavirus vaccine was unsuccessful. Officials described the partnership between the two competitors as historic and said it harked back to Mr. Biden’s vision of a wartime effort to fight the coronavirus, similar to the manufacturing campaigns when Franklin D. Roosevelt was president.

Originally, Johnson & Johnson’s $1 billion contract, negotiated last year when Donald J. Trump was president, called for the company to deliver enough doses for 87 million Americans by the end of May. Added to pledges from Moderna and Pfizer-BioNTech to deliver enough doses to cover a total of 200 million Americans by that date, the contract would have given the country enough vaccine for all adults 18 and older.

But Johnson & Johnson and its partners fell behind in their manufacturing. Although the company was supposed to deliver its first 37 million doses by the end of March, it said that it would be able to deliver only 20 million doses by that date, which made Biden aides nervous.

In late January, Jeffrey D. Zients, Mr. Biden’s coronavirus response coordinator, and Dr. David Kessler, who is managing vaccine distribution for the White House, reached out to top officials at the company, including Alex Gorsky, its chief executive, with a blunt message: This is unacceptable.

That led to a series of negotiations in February in which administration officials repeatedly pressured Johnson & Johnson to accept that they needed help, while urging Merck to be part of the solution, according to two administration officials who participated in the discussions.

In a statement on Tuesday, Merck said that the federal government would pay it up to $269 million to adapt and make available its existing facilities to produce coronavirus vaccines.

One federal official, who spoke on the condition of anonymity, said other steps that the administration took would move up Johnson & Johnson’s manufacturing timeline.

Those steps, said Jen Psaki, the White House press secretary, included providing a team of experts to monitor manufacturing and logistical support from the Defense Department. In addition, the president will invoke the Defense Production Act, a Korean War-era law, to give Johnson & Johnson access to supplies necessary to make and package vaccines.

“This is a type of collaboration between companies we saw in World War II,” Mr. Biden said at the White House. He thanked Merck and Johnson & Johnson for “stepping up and being good corporate citizens during this crisis.”

Noah Weiland contributed reporting.

Offices in Manhattan. Property taxes can make up 30 percent or more of the money that cities and towns take in and use to fund schools, police forces and other public services.Credit…Timothy A. Clary/Agence France-Presse — Getty Images

Dormant offices, malls and restaurants have turned cities around the country into ghost towns. They foreshadow a fiscal time bomb for municipal budgets, which are heavily reliant on property taxes and are facing real-estate revenue losses of as much as 10 percent in 2021, according to government finance officials.

While many states had stronger-than-expected revenue in 2020, a sharp decline in the value of commercial properties is expected to take a big bite out of city budgets when those empty buildings are assessed in the coming months. For states, property taxes account for just about 1 percent of tax revenue, but they can make up 30 percent or more of the taxes that cities and towns take in and use to fund local schools, police forces and other public services.

The coming fiscal strain has local officials from both parties pleading with the Biden administration and members of Congress to quickly approve relief for local governments.

Lawmakers in Washington are negotiating over a stimulus package that could provide as much as $350 billion to states and cities. The aid would come after a year of clashes between Democrats and Republicans over whether assistance for local governments is warranted or if it’s simply a bailout for poorly managed states.

On Saturday, the House passed a $1.9 trillion bill that would provide aid to cities and states and garnered no Republican support. The Senate is expected to take up the bill this week with a vote that is likely to break down along similar party lines. Republicans have continued to object to significant aid for states, saying most are in decent financial shape and cherry-picking data to support their argument, such as revised budget estimates that show improvement because of previous rounds of federal stimulus, including generous unemployment benefits.

For local officials from both parties, however, the help cannot come soon enough and they have been making their concerns known to Treasury officials and members of Congress.

The pandemic has upended America’s commercial property sector. In cities across the country, skyscrapers are dark, shopping centers are shuttered and restaurants have been relegated to takeout service. Social-distancing measures have redefined workplaces and accelerated the trend of telecommuting.

American cities are facing red ink for a broad swath of reasons but the pain is unevenly distributed. In some cases, a rise in residential real-estate values will make up for the commercial property downturn, and some segments, such as warehouses, have been doing well as online shopping lifts demand for distribution centers. States that do not have income taxes, such as Florida and Texas, are more vulnerable to fluctuations in real-estate values.

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World News

Covid-19: Reside Updates on Brazil Variant, Instances and Vaccine

Here’s what you need to know:

Credit…Raphael Alves/EPA, via Shutterstock

In just a matter of weeks, two variants of the coronavirus have become so familiar that you can hear their inscrutable alphanumeric names regularly uttered on television news.

B.1.1.7, first identified in Britain, has demonstrated the power to spread far and fast. In South Africa, a mutant called B.1.351 can dodge antibodies, blunting the effectiveness of some vaccines.

Scientists have also had their eye on a third concerning variant, which arose in Brazil, called P.1. Research has been slower on P.1 since its discovery in late December, leaving scientists unsure how much to worry.

“I’ve been holding my breath,” said Bronwyn MacInnis, an epidemiologist at the Broad Institute.

Now, three studies offer a sobering history of P.1’s meteoric rise in the Amazonian city of Manaus. It most likely arose there in November and then fueled a surge in coronavirus cases. It came to dominate the city partly because of an increased contagiousness, the research found.

But it also gained the ability to infect some people who had immunity from previous bouts of Covid-19. And laboratory experiments suggest that P.1 could weaken the protective effect of a Chinese vaccine now in use in Brazil.

The studies have yet to be published in scientific journals. Their authors caution that findings on cells in laboratories do not always translate to the real world and that they’ve only begun to understand P.1’s behavior.

“The findings apply to Manaus, but I don’t know if they apply to other places,” said Nuno Faria, a virologist at Imperial College London who helped lead much of the new research.

But even with the mysteries that remain around P.1, experts say that it is a variant to take seriously. “It’s right to be worried about P.1, and this data gives us the reason why,” said William Hanage, an epidemiologist at the Harvard T.H. Chan School of Public Health.

P.1 is now spreading across the rest of Brazil and has been found in 24 other countries. In the United States, the Centers for Disease Control and Prevention has recorded six cases in five states: Alaska, Florida, Maryland, Minnesota and Oklahoma.

To reduce the risks of P.1 outbreaks and reinfections, Dr. Faria said it was important to double down on every measure we have to slow the spread of the coronavirus. Masks and social distancing can work against P.1. And vaccination can help drive down its transmission and protect those who do get infected from severe disease.

“The ultimate message is that you need to step up all the vaccination efforts as soon as possible,” he said. “You need to be one step ahead of the virus.”

United States › United StatesOn March 1 14-day change
New cases 56,672 –21%
New deaths 1,425 –17%
World › WorldOn March 1 14-day change
New cases 293,587 +2%
New deaths 6,610 –21%

U.S. vaccinations ›

Where states are reporting vaccines given

Alyssa Jost, 19, received her second dose of the Moderna vaccine at Cobre Valley Regional Medical Center in Gila County, Ariz.Credit…Juan Arredondo for The New York Times

In most parts of the United States, getting a coronavirus vaccine can feel like trying to win the lottery. People scour the internet for appointments under complex eligibility standards that vary from state to state, and even county to county.

In Indiana and Kentucky, anyone over 60 can get vaccinated, but you have to be 65 or 70 almost everywhere else. About 18 states are offering shots to grocery workers, and 32 are vaccinating teachers.

Then there is Gila County, Ariz., where any resident over 18 can walk into a clinic without an appointment and get a vaccine.

“The whole process is incredibly easy,” said Frank Struck, 24, an electrician and maintenance worker who got inoculated at a hospital in Globe, a town in the county, about 90 miles east of Phoenix. “No bureaucracy, no crazy lines — you just go in, get the shot and come out with peace of mind.”

Gila County started off with a set of qualifying standards as well. But it has been so successful at vaccinating its residents that it is now one of the first places in the United States to open eligibility to the general population.

During a pandemic that has claimed the lives of at least 209 county residents, many people in the county of 54,000 people have welcomed the broader availability of the vaccines, a boon that follows a harrowing surge in hospitalizations around the start of the year. The expanded vaccination campaign has coincided over the past two weeks with a 52 percent plunge in new cases.

Health officials and elected leaders warn that big challenges persist in Gila County, in part because, in a county where anybody can get the vaccine, not everybody wants it.

About 28 percent of county residents have received at least one dose so far, compared with the nationwide level of 14 percent, according to local health officials. Rhonda Mason, the chief nursing officer at the hospital in Globe, said the challenge ahead was to overcome misinformation and skepticism.

A hot dog vendor in Los Angeles reopened on Monday after being closed for two months. The restaurant has been in business since 1939.Credit…Frederic J. Brown/Agence France-Presse — Getty Images

Tens of thousands of students walked into classrooms in Chicago public schools on Monday for the first time in nearly a year. Restaurants in Massachusetts were allowed to operate without capacity limits, and venues like roller skating rinks and movie theaters in most of the state opened with fewer restrictions. And South Carolina erased its limits on large gatherings.

Across the country, the first day of March brought a wave of reopenings and liftings of pandemic restrictions, signs that more Americans were tentatively emerging from months of isolation, even if not everyone agrees that the time is ripe.

There are plenty of reasons for optimism: Vaccinations have increased significantly in recent weeks, and daily reports of new coronavirus cases have fallen across the United States from their January peaks.

In Kentucky, all but a handful of school districts are now offering in-person classes, while the state races to vaccinate teachers as quickly as possible. Gov. Andy Beshear told reporters last week that the state’s falling infection statistics showed that immunizations were beginning to make an impact.

“It means vaccinations work,” he said. “We’re already seeing it. We’re seeing it in these numbers. It’s a really positive sign.”

Dr. Anthony S. Fauci, President Biden’s chief medical adviser for Covid-19, said at a news briefing on Monday that for small groups of people who have all been fully vaccinated, there was a low risk in gathering together at home. Activities beyond that, he said, would depend on data, modeling and “good clinical common sense,” adding that the Centers for Disease Control and Prevention would soon have guidance for what vaccinated people could safely do.

The positive signs come with caveats. Though the national statistics have improved drastically since January, they have plateaued in the last week or so, and the United States is still reporting more than 65,000 new cases a day on average — comparable to the peak of last summer’s surge, according to a New York Times database. The country is still averaging about 2,000 deaths per day, though deaths are a lagging indicator because it can take weeks for patients to die.

More contagious variants of the virus are circulating in the country, with the potential to push case counts upward again. Testing has fallen 30 percent in recent weeks, leaving experts worried about how quickly new outbreaks will be known. And millions of Americans are still waiting to be vaccinated.

Given all that, some experts worry that the reopenings are coming a bit too soon.

“We’re, hopefully, in between what I hope will be the last big wave, and the beginning of the period where I hope Covid will become very uncommon,” said Robert Horsburgh, an epidemiologist at the Boston University School of Public Health. “But we don’t know that. I’ve been advocating for us to just hang tight for four to six more weeks.”

The director of the C.D.C., Dr. Rochelle Walensky, said at the briefing on Monday that she was “really worried” about the rollbacks of restrictions in some states. She cautioned that with the decline in cases “stalling” and with variants spreading, “we stand to completely lose the hard-earned ground we have gained.”

And the plateauing case levels “must be taken extremely seriously,” Dr. Walensky warned at a briefing last week. She added: “I know people are tired; they want to get back to life, to normal. But we’re not there yet.”

After some counties in Washington State allowed movie theaters to reopen, Nick Butcher, 36, made up for lost time by attending screenings of the “Lord of the Rings” trilogy for three straight nights. He bought some M&Ms at the concession stand, sat distanced from others in the audience, and said he felt as though things were almost back to normal.

“I’m actually getting optimistic, over all,” said Mr. Butcher, a software engineer at Microsoft who recently recovered from a case of Covid-19, as did several relatives. “This week is one of the first times I’ve gone into my office almost since the pandemic started.”

Thermal scanners check every visitor to the Student Union Building at the University of Idaho in Moscow, Idaho. So far, only 10 people have been turned away and instructed to get a coronavirus test.Credit…Rajah Bose for The New York Times

Before the University of Idaho welcomed students back to campus last fall, it spent $90,000 installing temperature-scanning stations, which look like airport metal detectors, in front of its dining and athletic facilities in Moscow, Idaho. When the system detects a student walking through with an unusually high temperature, the student is asked to leave and get tested for the coronavirus.

But so far, the fever scanners, which register skin temperature, have flagged fewer than 10 people out of the 9,000 students living on or near campus. Even then, university administrators could not say whether the technology had been effective because they have not tracked students detected with fevers to see if they went on to get tested.

The University of Idaho is one of hundreds of colleges and universities that adopted fever scanners, symptom checkers, wearable heart-rate monitors and other screening technologies this school year. Such tools often cost less than a more validated health intervention: frequent virus testing of all students. They also help colleges showcase their pandemic safety efforts.

But the struggle at many colleges to keep the virus at bay has raised questions about the usefulness of the technologies. According to a New York Times database, there have been more than 530,000 virus cases on campuses since the start of the pandemic.

One problem is that temperature scanners and symptom-checking apps cannot catch the estimated 40 percent of people with the coronavirus who do not have symptoms but are still infectious. Temperature scanners can also be wildly inaccurate. The Centers for Disease Control and Prevention has cautioned that such symptom-based screening has only “limited effectiveness.”

The schools have a hard time saying whether — or how well — the devices have worked. Many universities and colleges are not rigorously studying effectiveness.

More than 100 schools are using a free symptom-checking app, CampusClear, that can permit students to enter campus buildings. Others are asking students to wear symptom-monitoring devices that can continuously track vital signs like skin temperature.

Administrators at Idaho and other universities said their schools were using the technology, along with policies like social distancing, as part of larger campus efforts to hinder the virus. Some said it was important for their schools to deploy the screening tools even if they were only moderately useful.

At the very least, they said, using services like daily symptom-checking apps may reassure students and remind them to be vigilant about other measures, like mask wearing.

Marcela Valladolid, left, the California chef and media personality, began teaching cooking classes with her sister, Carina Luz, on Zoom. The experience led to a cookbook.Credit…Karla Ortiz

The books that Americans cooked from during 2020 will stand as cultural artifacts of the year when a virus forced an entire nation into the kitchen.

The pandemic has been good to cookbooks. Overall sales jumped 17 percent from 2019, according to figures from NPD BookScan, which tracks about 85 percent of book sales in the United States.

Some of the smash hits were predictable. The world domination of Joanna Gaines, the queen of shiplap, continued. The second volume of her hugely popular “Magnolia Table” cookbook franchise sailed to the top of the New York Times list of the best-selling cookbooks in 2020. Ina Garten, the cooking doyenne from the Hamptons, landed the second spot with “Modern Comfort Food,” followed by “The Happy in a Hurry Cookbook,” by the “Fox & Friends” host Steve Doocy and his wife, Kathy.

But the stir-crazy year upended the way people cook and think about food in fundamental ways.

One of the year’s 10 best-selling cookbooks on a list complied by BookScan offered 600 air-fryer recipes, owing as much to the appliance’s ability to crisp up takeout French fries as it does to its popularity with the Trader Joe’s set, who made it through the year by heating up vegetarian egg rolls and mac-and-cheese bites. It sold more than 135,000 copies.

By contrast, 30,000 copies may not sound like much, but those sales figures were big for “Cool Beans” by Joe Yonan, a treatise whose own editor predicted “would never set the world on fire.”

Everyday cooks went in search of new cuisines and projects to break up the routine. Practiced cooks who might have spent a Saturday afternoon before the pandemic hand-rolling pasta sought recipes that would help keep weeknight cooking from becoming a grind.

Plenty of people simply needed help getting any meal on the table, which drove the popularity of general cookbooks. That category was the largest of cookbooks bought in 2020, according to BookScan. Sales showed a 127 percent increase over 2019.

And underscoring the great American food dichotomy, both dessert and diet books sold well.

Students were back at Hawthorne Scholastic Academy in Chicago on Monday as they returned to in-person learning.Credit…Scott Olson/Getty Images

Scientists and doctors who study infectious disease in children largely agreed, in a recent New York Times survey about school openings, that elementary school students should be able to attend in-person school now. With safety measures like masking and opening windows, the benefits outweigh the risks, the majority of the 175 respondents said.

They gave The Times comments on key topics, including the risks to children of being out of school; the risks to teachers of being in school; whether vaccines are necessary before opening schools; how to achieve distance in crowded classrooms; what kind of ventilation is needed; and whether their own children’s school districts got it right.

In addition to their daily work on Covid-19, most of the experts had school-aged children themselves, half of whom were attending in-person school.

They also discussed whether the new variants could change even the best-laid school opening plans. “There will be a lot of unknowns with novel variants,” said Pia MacDonald, an infectious disease epidemiologist at RTI International, a research group. “We need to plan to expect them and to develop strategies to manage school with these new threats.”

Most of the respondents work in academic research, and about a quarter work as health care providers. We asked them what their expertise taught them that they felt others needed to understand.

Over all, they said that data suggests that with precautions, particularly masks, the risk of in-school transmission is low for both children and adults.

People lined up for coronavirus vaccines at the drive-up site at the Walmart store in Lauderdale Lakes, Fla., last week.Credit…Joe Cavaretta/South Florida Sun-Sentinel, via Associated Press

New York City added workers in the food service and hotel industries to the list of people eligible for coronavirus vaccination on Monday, the same day the governors of Florida and Ohio announced expansions for eligibility in their states.

The expansions come as the supply of vaccines being distributed nationally is ramping up, and after a third vaccine, a single-shot dose from Johnson & Johnson, was authorized for emergency use by the Food and Drug Administration over the weekend. The pace of U.S. vaccinations is again accelerating, up to about 1.82 million doses per day on average, according to a New York Times database, above last month’s peak before snowstorms disrupted distribution.

In New York City, people who work in regional food banks, food pantries and “permitted home-delivered” meal programs became eligible on Monday to receive a vaccine. Hotel workers who have direct contact with guests also became eligible.

The governor of Florida, Ron DeSantis, said on Monday that people 50 and older who work in K-12 schools, law enforcement or firefighting would become eligible on Wednesday. Florida was one of the first states that decided to vaccinate anyone 65 and older, even before most essential workers, which led to long lines and confusion.

Gov. Mike DeWine of Ohio said on Monday that the state would receive more than 448,000 doses this week, including more than 96,000 doses of the Johnson & Johnson vaccine. He said that “in response to this significant increase in the amount of vaccine coming into Ohio,” a new group of people would be eligible on Thursday to get a shot.

That group includes people with Type 1 diabetes, pregnant women and certain workers in child care and funeral services, as well as law enforcement and corrections officers.

To stay ahead of more contagious and possibly more deadly virus variants, states have been racing to ramp up vaccinations and expand eligibility. But they have often done so before the supply could increase quickly enough, creating shortages and making it harder for people to get vaccination appointments.

Frontier Airlines is facing accusations of anti-Semitism for its treatment of the passengers, who are Hasidic Jews.Credit…Tony Dejak/Associated Press

A Frontier Airlines flight from Miami to La Guardia Airport in New York was canceled on Sunday night after a large group of passengers, including several adults, refused to wear masks, the airline said.

By Monday morning, the airline was facing accusations of anti-Semitism for its treatment of the passengers, who are Hasidic Jews, as well as demands for an investigation from the Anti-Defamation League of New York and other groups. Frontier steadfastly held to its position that the passengers had refused to comply with federal rules requiring them to wear masks.

Several phone videos that have surfaced do not show the confrontation that took place between the passengers and the Frontier crew members, only the aftermath. The video footage from inside the aircraft appeared to show members of the group wearing masks. Some passengers said that the episode escalated because just one member of the group, a 15-month-old child, was not wearing one.

Videos of the passengers exiting the plane amid chaos, captured by other people on the flight, were posted on Twitter by the Orthodox Jewish Public Affairs Council. In one video, a passenger says, “This is an anti-Semitic act.”

Another video showed a couple holding a maskless baby in a car seat, as children could be heard crying and a woman explained that the young children in their group, sitting in the back of the plane, had taken off their masks to eat.

A Frontier Airlines spokeswoman said in a statement that “a large group of passengers repeatedly refused to comply with the U.S. government’s federal mask mandate.”