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Is the Delta Variant Making Youthful Adults ‘Sicker, Faster’?

Many patients who are hospitalized have underlying health conditions like diabetes, obesity or high blood pressure, which are risk factors for serious illness, he said. However, some younger patients do not have any of these risk factors.

“That really scares me,” he said. “It hits younger healthy people who you wouldn’t believe would respond so badly to the disease.” They often need to recover longer, added Dr. Coulter, and some will have permanent lung damage.

The Delta variant is relatively new in the United States, and evidence is still mounting as to whether and how it behaves differently. It’s more contagious, experts agree. Some studies have shown that infected people may carry large amounts of the variant in their airways.

The variant can also cause more serious illnesses, some researchers have suggested. A study in Scotland published in The Lancet looked at Covid cases in the spring when Delta became the dominant strain in that country.

Patients infected with the variant were almost twice as likely to be hospitalized compared to those infected with the earlier alpha variant. The patients were also younger, presumably because they were last vaccinated, the authors said.

In a preliminary study published online and not yet peer reviewed, Canadian researchers found that the risk of being admitted to the intensive care unit was almost four times higher in patients with the Delta variant than in those infected with other variants. Patients with the Delta variant had twice the risk of hospitalization or death.

Research in Singapore to be published in The Lancet concluded that patients with the Delta variant were more likely to need oxygen, need intensive care, or die. And a study in India, also put online and not yet peer-reviewed, found that in the second wave of infections, when the Delta variant was dominant, patients had a higher risk of death, especially under 45 years of age.

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Dwell Coronavirus Updates: Vaccine and Delta Variant Information

Here’s what you need to know:

Credit…Octavio Jones/Reuters

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Azi Paybarah contributed reporting.

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

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

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

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

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

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

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

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

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

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

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

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New York City Will Require Vaccination for Indoor Activities

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Amy Chang Chien contributed reporting.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Health

Covid Delta Variant Security: Your Questions Answered

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

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

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

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

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

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

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

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Health

San Francisco, neighboring counties reinstate masks mandate amid delta variant considerations

A bartender takes drink orders at Oasis on July 29, 2021 in San Francisco, California.

Justin Sullivan | Getty Images

Health officials in seven Northern California counties on Monday mandated masks be used in indoor public places, elevating a facial covering recommendation they issued in July to a requirement.

The coalition of officials — from Alameda, Contra Costa, Marin, San Francisco, San Mateo, Santa Clara and Sonoma Counties and the City of Berkeley — first advised residents to wear masks indoors regardless of their vaccination status just over two weeks ago. Citing a surge in cases attributed to the highly contagious delta variant, the new mandate will take effect Tuesday.

“Indoor masking is a temporary measure that will help us deal with the Delta variant, which is causing a sharp increase in cases, and we know increases in hospitalizations and deaths will follow,” San Francisco acting health officer Dr. Naveena Bobba said in a statement.

According to the CDC, Contra Costa County recorded 2,723 new cases over the past seven days, a spike of 53% from the week prior. Sonoma County’s case total increased 58%, with 684 new coronavirus patients last week.

San Francisco County reported 1,513 additional cases last week, 47% more than the previous seven days. Marin, Santa Clara, and San Mateo Counties each saw cases climb between 33% and 41% last week, while Alameda County’s 2,385 new cases last week marked an 11% jump from the week before.

The mask mandate arrives after Los Angeles County responded to climbing coronavirus case totals by reinstating its mask mandate July 17. In addition to wearing masks inside, the order calls for businesses to implement the indoor face-covering order and requests that employers provide masks to their clientele.

“When we all wear face coverings indoors, we are protecting our fellow residents and helping our healthcare workers,” Bobba said.

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Entertainment

Sunken ‘Jungle Cruise’ Gross sales Replicate Hollywood’s Delta Variant Troubles

LOS ANGELES – As Disney’s playful “Jungle Cruise” demonstrated over the weekend, the cinema visit remains interrupted, with the delta variant, instant streaming availability and muddy reviews all pushing ticket sales down.

Any other takeout would be de-Nile.

Jungle Cruise, a comedic adventure that cost at least $ 200 million to make and an additional $ 100 million to commercialize, raised approximately $ 34 million in 4,310 theaters in the United States and Canada, according to Comscore, including Thursday night previews checkout data. The PG-13 film starring Emily Blunt as the British version of Indiana Jones and Dwayne Johnson as the funny skipper on a river boat grossed an additional $ 28 million overseas.

“The market is currently vulnerable,” said David A. Gross, who heads Franchise Entertainment Research, in an email. “There is Covid, there is simultaneous streaming, there is piracy, there is the nature of the films themselves – different factors for each film. Simultaneous streaming seems to reduce the overall revenue of a film in all windows. “

Over the weekend, “Jungle Cruise” also arrived on streaming service Disney +, where subscribers (more than 100 million worldwide) can watch the film (and have permanent access to it) for an additional charge of $ 30. Disney said that Jungle Cruise generated approximately $ 30 million from worldwide sales of Disney + Premium Access. For comparison: “Black Widow”, the latest Marvel spectacle, collected around 60 million US dollars in the first three days of availability on Disney + Premium Access.

Scarlett Johansson, who played the superassassin Black Widow in eight films, sued Disney Thursday, claiming that the simultaneous opening of “Black Widow” on Disney + “dramatically” reduced box office revenues, costing her tens of millions of dollars in compensation . Her lawsuit drew a glowing response from Disney.

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Updated

July 30, 2021, 7:43 p.m. ET

“Jungle Cruise” had what it takes to be a box-office hit. Mr. Johnson is perhaps the financially strongest movie star in the world, someone who can fill seats with the mere presence of a theater tent. Mrs. Blunt is not lazy in this department either; Her most recent film, A Quiet Place Part II (Paramount), was a huge hit in May, raising about $ 48 million in North American theaters in the first three days and eventually about $ 300 million worldwide.

In addition, “Jungle Cruise” was based on a classic Disney theme park ride, gave it built-in audience awareness, and got Disney’s unrivaled marketing machinery going. Disney justified a king’s ransom for the film in hopes that it could become the next “Pirates of the Caribbean,” a five-film franchise (also based on a Disneyland ride) that sells for $ 4.5 billion the box office and created a merchandising bonanza.

At the beginning of the summer, Hollywood, citing the introduction of vaccines and the pent-up demand, had high hopes for a box office spike. Instead, a few films have been successful – particularly those like “A Quiet Place Part II” and “F9”, which hit theaters exclusively in June – and a parade of others has disappointed, including “Snake Eyes: GI Joe Origins”. In the Heights ”,“ Old ”and“ Black Widow ”.

In particular, Mr. Gross criticized the “Jungle Cruise” concept. Action adventure as a genre has struggled over the past decade, he noted, although the series “Jumanji” (Sony) and “Jurassic World” (Universal) were exceptions. Overall, “Jungle Cruise” received lukewarm reviews, with some critics finding the film’s computer-generated effects cartoonish and not believable.

Audiences seemed to disagree, giving Jungle Cruise an A-minus rating in CinemaScore’s exit polls.

In a statement on Sunday, Disney said, “We continue to focus on giving consumers choice in these unprecedented times, and it is clear that fans and families will appreciate the opportunity to make choices about how to enjoy Disney’s world-class storytelling dearest want to enjoy. ”

With the ongoing coronavirus threat around the world, Disney noted, “Markets are open to varying degrees and not all exhibitors are currently open. Most markets also have capacity restrictions. ”According to Comscore, around 85 percent of theaters in North America are open.

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World News

Delta Variant, R.S.V. Infections Rising Amongst Kids

Health officials have raised concerns about a simultaneous rise in Delta infections and cases of Respiratory Syncytial Virus (RSV), a highly contagious, seasonal flu-like illness that is more likely to affect children and older adults.

Cases of RSV have risen gradually since early June, with an even bigger increase over the past month, according to data from the Centers for Disease Control and Prevention. RSV, which can cause symptoms such as a runny nose, cough, sneeze, and fever, usually begins to spread in the fall, which makes this summer unusual.

In a series of posts on Twitter, Dr. Heather Haq, a pediatrician at Texas Children’s Hospital in Houston, reported a surge in hospital admissions from coronavirus and RSV.

“After many months with no or few pediatric Covid cases, we are seeing infants, children and adolescents with Covid flow back to the hospital more and more every day,” she wrote, adding that the ages of the patients ranged from 2 weeks to 17 Years old, including some with Covid pneumonia.

“We are at the front end of a huge surge in Covid,” wrote Dr. Haq, who was unavailable for comment on Sunday. “We now have winter-level patient numbers of acutely ill infants / toddlers with RSV, and I fear we will run out of beds and staff to handle the surge.”

Coronavirus Pandemic and Life Expectancy in the United States

RSV cases in Texas began to increase in early June and appeared to peak in mid-July, according to the state Department of Health.

There has been a similar surge in RSV cases in Florida, where infections “were higher than in previous years at this point in time,” according to a surveillance report.

In Louisiana, where cases have risen 244 percent in the past two weeks, Our Lady of the Lake Children’s Hospital in Baton Rouge was nearing capacity on Friday, CNN reported.

“You start with the pandemic for the last 18 months and then with RSV for the last few months. It just seems like one thing at a time that keeps our teams very busy, ”said Dr. Trey Dunbar, president of the hospital, the network.

In Oklahoma, where RSV cases have also risen sharply, hospital beds are becoming scarce.

“We’re just asking everyone to do their best to help a tense hospital situation,” an Oklahoma children’s hospital said in a Facebook post last week.

Dr. Cameron Mantor, the chief medical officer of Oklahoma Children’s Hospital at OU Health, told The Oklahoman that RSV cases in the state have remained “exponentially off the charts” in the past two months.

“RSV is a real problem right now,” he told the newspaper. “What will happen when we have an increase in pediatric Covid cases?”

The surge in RSV cases is due to the fact that new coronavirus infections in the United States rose 148 percent in the past two weeks and hospital admissions rose 73 percent, according to the New York Times.

The rise in coronavirus infections has been largely attributed to the highly contagious Delta variant and, in some states, to low vaccination rates.

“I am concerned if the children go back to school with the circulating delta we will see huge school breakouts that we have not seen in previous waves and disproportionately affect the children,” wrote Dr. Haq. “I’ve looked after hospital patients with Covid throughout the pandemic, but this time we’ll see more pediatric Covid shots with unvaccinated, susceptible children plus Delta variant.”

Texas Governor Greg Abbott has banned local governments and state agencies from prescribing vaccines and preventing local officials from requesting face masks.

Florida could face similar virus challenges early in the school year. Governor Ron DeSantis has spoken out against new masking recommendations from the CDC, and his office said in a statement last week that “parents know what is best for their children”.

Excess RSV infections have also been reported from places like New Zealand, which is currently winter. Experts there say children may be more susceptible than usual to seasonal viruses and infections because they were exposed to germs during lockdown at the beginning of the pandemic.

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Health

C.D.C. Inner Report Calls Delta Variant as Contagious as Chickenpox

The Delta variant is much more contagious, is more likely to breach vaccine protection, and can cause more serious illness than any other known version of the virus, according to an internal presentation spread within the Centers for Disease Control and Prevention.

Dr. Rochelle P. Walensky, the agency’s director, admitted on Tuesday that vaccinated people with so-called breakthrough infections of the Delta variant carry just as much virus in their nose and throat as unvaccinated people and can spread it just as easily, albeit less often.

But the internal document sets out a broader and even more somber view of the variant.

The delta variant is more transmissible as the viruses that cause MERS, SARS, Ebola, the common cold, seasonal flu, and smallpox, and according to the document copied by the New York Times, it is as contagious as chickenpox.

The immediate next step for the agency is to “realize that the war has changed,” the document reads. The content was first reported by the Washington Post on Thursday evening.

The tone of the document echoes CDC scientists’ concern about the spread of Delta across the country, said a federal official who saw the research described in the document. The agency plans to publish further data on the variant on Friday.

“The CDC is very concerned about the incoming data that Delta is a very serious threat that requires action now,” the official said.

Coronavirus Pandemic and Life Expectancy in the United States

In the US, there were an average of 71,000 new cases a day as of Thursday. The new data suggests that vaccinated people spread the virus and contribute to these numbers – albeit likely to a far lesser extent than those who were not vaccinated.

Dr. Walensky has called transmission by vaccinated people a rare occurrence, but other scientists have suggested it is more common than previously thought.

The agency’s new masking guidelines for vaccinated individuals, introduced on Tuesday, were based on information contained in the document. The CDC recommended that vaccinated people wear masks indoors in public settings in communities with high virus transmission levels.

Updated

July 31, 2021 at 11:50 p.m. ET

However, the internal document indicates that even this recommendation may not go far enough. “In view of the higher transferability and current vaccination protection, universal masking is essential,” the document says.

The agency’s data suggests that people with weak immune systems should wear masks even in places with low virus transmission. This should include vaccinated Americans who are in contact with young children, older adults, or other vulnerable people.

According to the July 24 CDC quoted in the internal presentation, there are about 35,000 symptomatic infections per week among 162 million Americans vaccinated. However, the agency does not track all mild or asymptomatic infections, so the actual incidence may be higher.

Understand the state of vaccine mandates in the United States

Infection with the delta variant produces amounts of virus in the airways that are ten times higher than in people infected with the also highly contagious alpha variant, the document says.

According to a recent study, the amount of virus in a person infected with Delta is a thousand times higher than in people infected with the original version of the virus.

The CDC document draws on data from several studies, including an analysis of a recent Provincetown, Massachusetts outbreak that began in the city after the July 4th celebrations. By Thursday, that cluster had grown to 882 cases. About 74 percent had been vaccinated, said the local health authorities.

A detailed analysis of the prevalence of the cases showed that people infected with Delta carry enormous amounts of virus in their nose and throat regardless of vaccination status, according to the CDC document.

“This is one of the most impressive examples of citizen science I’ve seen,” said Dr. Celine Gounder, an infectious disease specialist at Bellevue Hospital Center in New York. “The people involved in the Provincetown outbreak meticulously created lists of their contacts and exposures.”

Infection with the Delta variant can be more likely to lead to serious illness, the document says. Studies from Canada and Scotland found that people infected with the variant were more likely to be hospitalized, while research in Singapore suggested that they were more likely to need oxygen.

Still, the CDC’s numbers show the vaccines are highly effective at preventing serious illness, hospitalization and death in people who have been vaccinated, experts said.

“Overall, Delta is the disturbing variant that we already knew it was,” said John Moore, a virologist at Weill Cornell Medicine in New York. “But the sky is not falling and vaccinations are still very protective against the worst of the consequences.”

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Health

Covid vaccine charges rise as Individuals rush to get photographs amid delta fears

Nurse Darryl Hana gives a dose of the Pfizer COVID-19 vaccine to a person at a three-day vaccination clinic at the Providence Wilmington Wellness and Activity Center on July 29, 2021 in Wilmington, California.

Mario Tama | Getty Images

The pace of US vaccinations is picking up again as the Delta variant leads to a new surge in coronavirus cases in the US, especially in states with the lowest vaccination rates and worst outbreaks.

Data from the Centers for Disease Control and Prevention shows that nearly 800,000 shots were recorded nationwide on Sunday, the highest total in a day in weeks. The 7-day average of reported vaccinations, including first and second vaccinations, rose by 16% over the past week to 615,000 vaccinations per day (as of Thursday).

The stark contrast in hospital stays and deaths between vaccinated and unvaccinated people has become evident in recent weeks and could convince people on the fence to get the syringes, said Jen Kates, senior vice president of the Kaiser Family Foundation. The overwhelming majority of severe Covid cases – 97% of hospital admissions and 99.5% of Covid deaths – occur in those who are not vaccinated, US health officials say.

“Cases are on the rise and almost everyone who is hospitalized and dies is not vaccinated,” she said. “The data is right there and I think people are realizing that vaccines are our best bet to control this.”

The number of first doses of vaccines has risen faster than the overall rate in the past few days, meaning new people are getting their very first vaccinations. According to the CDC, an average of about 390,000 first doses were given daily for the past seven days, 31% more than a week ago.

“That’s the marker you want to see – the first doses are going up,” Kates said, because it represents new people getting their first shots. This includes people receiving a first vaccination with the two-dose Pfizer or Moderna vaccine, or a single dose of the Johnson & Johnson vaccine.

The pace of daily vaccinations remains far from peak, with more than 3 million daily vaccinations (both doses counted) reported in mid-April. But the upward trend in first doses is encouraging, officials say.

Forty-eight states and the District of Columbia reported increases in average daily first doses compared to the previous week, up from 37 states with increasing first dose rates a week ago.

States with the worst outbreaks see the biggest jumps in vaccination rates, a CNBC analysis of data from the CDC and Johns Hopkins University shows. In the 10 states with the highest average daily new cases per capita, first doses increased 46% week-to-week, significantly higher than the 31% national increase. This group consists of Louisiana, Arkansas, Florida, Mississippi, Missouri, Alabama, Nevada, Oklahoma, Alaska, and Georgia.

“Y’all, we’re going to have a tough couple of weeks,” said Dr. Mississippi state health officer Thomas Dobbs told reporters last week. The state has only fully vaccinated 34.4% of its population, compared to 49.4% of the total US population.

“Delta hits us very hard. We expect we will continue to put additional pressure on the health system, ”he said, noting that there were 13 hospitals across the state with“ zero intensive care beds ”. The breakout there is a strong argument for getting the shots. About 93% of the state’s Covid cases and 89% of deaths in the past month were unvaccinated, he said.

The Delta variant is spreading across the country, causing new spikes in cases, hospitalizations, and deaths, especially in states with poor vaccination records. It is significantly more contagious than the original variety. And unlike the ancestral Covid strain, it is just as easily transmitted from both unvaccinated and fully vaccinated people who have contracted the virus, federal health officials have warned.

Many of the states that have seen dramatic increases in vaccination rates have high community infection rates and low vaccination rates. Louisiana, Mississippi, Alabama, and Georgia are among the top 10 least vaccinated states in the country.

State health officials attribute the rising rates to a combination of factors, including fears of the more contagious Delta variant.

“Last week we doubled the number of people who initiated the vaccine,” said Dr. Joseph Kanter, medical director of the Louisiana Department of Health, told reporters in a call hosted Thursday by the Association of State and Territorial Health Officials. “And this week we are well on the way to double that number again. So we are well on the way to quadruple our vaccination rate within two weeks.”

In Alabama, first doses rose 62% to about 7,400 a day in the past week. It has the fifth lowest vaccination rate in the country among people 12 years and older, while its outbreak, which averages 35 new cases per day per 100,000 population, is the sixth worst in the US

Alabama Health Officer Dr. Karen Landers said concerns about the Delta variant, along with educational efforts and partnerships with local leaders, were the likely reasons for the increased interest in the jab.

“We continue to emphasize the importance of getting vaccinated and we know that the increase in variants, and certainly the delta variant, is more contagious,” she said. “We have the feeling that more and more people understand this need.”

Still, Landers said, misinformation about vaccines is slowing progress. Many people don’t understand the drug approval process and wait for the FDA to give the vaccines full approval before receiving the syringes. Pfizer, Moderna, and Johnson & Johnson vaccines have all been granted temporary emergency approvals and are awaiting final approval.

“We know that many of our employees in Alabama are still not listening to the information we provide regarding scientific evidence,” she said. “We must continue to fight misinformation in our state.”

Conspiracy theories have also run amok and hampered vaccination efforts in neighboring Mississippi, local health officials say.

“We hear everything from the microchip insertion to the depopulation plan, which uses the vaccine to magnetize people. I mean, you name it, we heard it,” said Dr. Dan Edney, chief medical officer for the Mississippi Department of Health, told reporters last week.

An analysis by the Kaiser Family Foundation released in early July shows that the vaccine rate gap between counties that voted for President Joe Biden and former President Donald Trump has widened as the vaccine rolled out, with Democrats much more common report that they were vaccinated Republicans.

Alabama Governor Kay Ivey recently joined Florida Governor Ron DeSantis and former White House press secretary and Arkansas gubernatorial candidate Sarah Huckabee Sanders in a growing chorus of Republican figures who have been voting in recent days asked to be vaccinated.

“It is time to blame the unvaccinated people, not the normal people. It’s the unvaccinated people who are failing us, ”Ivey said last week.

A health care worker at a drive-through location established by Miami-Dade and Nomi Health in Tropical Park prepares to administer a COVID-19 vaccine in Miami, Florida on July 26, 2021.

Joe Raedle | Getty Images

State health officials in Texas, where the proportion of the eligible population with a vaccination is about 5 percentage points below the US level of 66.9%, say the danger of the Delta variant is pushing people to get vaccinated. According to Johns Hopkins data, the state’s average daily case numbers rose 72% over the past week.

“We have seen increases in vaccine doses over the past few weeks,” wrote Chris Van Deusen, director of media relations for the Texas Department of State Health Services, in an email. “We’ve talked a lot about how serious the situation is with the Delta variant as cases and hospitalizations increase, and people seem to get the news.”

California saw a 16% weekly increase in the number of people getting their first dose of vaccine, Governor Gavin Newsom told reporters Monday, including an increase in the vulnerable zip codes “hardest hit by this pandemic”.

“In part because of the Delta and increases in the number of cases and hospital admissions, we are now seeing increased interest in the Covid vaccination in select areas and states,” said Dr. Arthur Reingold, epidemiology director at the University of California, Berkeley.

Officials hope the trend will continue as governments and companies increase pressure on employees and customers to get the shots.

The U.S. Department of Veteran Affairs requires that all health care workers working in Veterans Health Administration facilities be fully vaccinated against Covid vaccinations. Governors in California and New York last week announced plans to mandate vaccines for state employees or to have strict health protocols. Biden put forward a similar federal policy on Thursday, urging governors to offer $ 100 payments to people who receive their first doses of vaccine. Google was one of the first major employers to say it will make vaccines mandatory for anyone who returns to the office this fall.

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Health

WHO officers strive to determine why delta is a lot extra harmful than earlier Covid strains

This photo image shows a World Health Organization (WHO) logo on an Android phone.

Avishek Das | Getty Images

World Health Organization officials said they are still trying to understand why the Delta variant is more transmissible and potentially making people sicker than the original strain of coronavirus.

“We’re really trying to better understand why the Delta variant is more portable,” said Dr. Maria Van Kerkhove, WHO technical director for Covid-19, at a press conference on Friday. “There are certain mutations in the Delta variant that allow the virus, for example, to attach itself to a cell more easily. There are some laboratory studies that suggest that there is increased replication in some of the human respiratory systems modeled.”

In the past few weeks, new data on the highly transmissible strain has emerged around the world as scientists try to better understand the new threat. The Centers for Disease Control and Prevention warned lawmakers Thursday that new research suggests the Delta strain is more contagious than swine flu, the common cold and polio. It’s as contagious as chicken pox. It also appears to have a longer transmission window than the original Covid-19 strain and can make the elderly sicker even if they have been fully vaccinated.

Thursday’s warning came in a confidential document that was reviewed by CNBC and authenticated by the federal health authority.

“The virus itself is, as it begins, a dangerous virus. It is a highly transmittable virus. The Delta variant is even more, ”said Van Kerkhove. “It is twice as transferable as the ancestral tribes.”

WHO officials expect other dangerous variants to emerge as countries struggle to distribute the life-saving vaccines to their populations.

“They get fitter the more they circulate, and therefore the virus is likely to become more transmissible because they develop in such a way that they change over time,” said Van Kerkhove.

She said it is imperative that nations follow public health measures like social distancing and the wearing of masks as nations distribute more vaccines around the world, especially those with the lowest vaccination rates.

We need “around 70% coverage worldwide to really slow down transmission and reduce the risk of new variants appearing,” said Dr. Bruce Aylward, Senior Advisor to the WHO Director General.

However, given current trends, health professionals are not optimistic. “This will not be the last variant of the virus you will hear us talk about,” said Van Kerkhove.

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Health

Dr. Scott Gottlieb estimates as much as 1 million Individuals contaminated with Covid every day as delta spreads

Dr. Scott Gottlieb, commissioner of the Food and Drug Administration

Getty Images

Dr. Scott Gottlieb told CNBC on Friday he believes the coronavirus is significantly more widespread in the U.S. than official case counts reflect as the highly contagious delta variant sweeps the nation.

“I wouldn’t be surprised if, on the whole, we’re infecting up to a million people a day right now, and we’re just picking up maybe a 10th of that or less than a 10th of that,” the former Food and Drug Administration commissioner said in an interview on “Squawk Box.” Gottlieb now serves on the board of Covid vaccine maker Pfizer.

The current seven-day average of new daily coronavirus cases in the U.S. is roughly 67,000, according to a CNBC analysis of Johns Hopkins University data. That’s up 53% compared with a week ago, as the country grapples with a surge in new infections driven largely by delta, first discovered in India and now the dominant variant in the U.S.

The highest seven-day day average of new Covid cases recorded in the U.S. was roughly 251,000 on Jan. 8, according to CNBC’s analysis. Case counts had dropped off dramatically in the spring as the country’s vaccination campaign picked up speed.

But in recent weeks, as U.S. cases again started to accelerate, Gottlieb has said a large number of coronavirus infections were likely going unreported because the testing landscape is different now than at earlier stages in the pandemic.

For example, he previously told CNBC people can now complete at-home tests and those results are unlikely to make their way to health authorities and then show up in official case counts.

Additionally, Gottlieb has said vaccinated Americans who may become infected are likely to have a mild case or remain entirely asymptomatic, making them less likely to seek out a Covid test than they would’ve been before they were inoculated against the disease.

— CNBC’s Nate Rattner contributed to this report.

Disclosure: Scott Gottlieb is a CNBC contributor and is a member of the boards of Pfizer, genetic testing start-up Tempus, health-care tech company Aetion Inc. and biotech company Illumina. He also serves as co-chair of Norwegian Cruise Line Holdings’ and Royal Caribbean’s “Healthy Sail Panel.”