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The White Home is taking proper method in preventing the Covid-19 delta variant, Gottlieb says

The Biden government is taking the right approach in tackling the highly contagious Covid-19 Delta variant by deploying response teams to vulnerable communities, said Dr. Scott Gottlieb on Thursday.

“I think the government is doing the right thing when it comes to changing its strategy,” Gottlieb, the former FDA chief under former President Donald Trump, told CNBC’s “The News with Shepard Smith” about the grassroots approach new government.

Gottlieb explained that the targeted response can help teams focus on vaccinating the communities prone to Covid and the Delta variant.

“Right now we need to move to a grassroots strategy and try to put resources into local communities so that local groups can encourage people to get vaccinated, put the vaccines in the hands of doctors, and find ways to get more vaccines to get into the hands of small providers who can encourage their patients to vaccinate, “said Gottlieb.

The Delta variant is driving a sharp spike in new Covid cases across the country and currently accounts for about 25% of the new cases sequenced in the US. Officials believe it will become the dominant strain in the country, dwarfing the currently dominant alpha variant.

Rochelle Walensky, director of the Centers for Disease Control and Prevention, attributed the increase in part to delayed vaccination rates. The CDC director added that about a third of all counties across the country have so far vaccinated less than 30% of their population. She said most of them are in the South and Midwest.

Disclosure: Scott Gottlieb is a CNBC employee and a member of the board of directors of Pfizer, genetic testing startup Tempus, health technology company Aetion Inc., and biotechnology company Illumina.

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Delta Variant Not Driving Hospitalization Surge in England, Information Reveals

The Delta variant, which is now responsible for most coronavirus infections in England, is not driving a surge in the rate of hospitalizations there, according to data released by Public Health England on Thursday.

Although the number of coronavirus infections has risen sharply in recent weeks, hospitalization rates remain low. Between June 21 and June 27, the weekly hospitalization rate was 1.9 per 100,000 people, the same as it was the previous week.

The hospitalization rate has increased slightly over the past month, rising from 1.1 admissions per 100,000 people in early June, according to the agency’s data. But it remains considerably lower than during England’s surge last winter, when the hospitalization rate peaked at more than 35 admissions per 100,000 people.

The data suggest that countries with high vaccination rates are unlikely to see major surges in hospitalization rates from Delta. Nearly 75 percent of adults in England — including 95 percent of those who are 80 or older — have had at least one shot, according to the agency’s numbers.

Earlier this month, England had delayed its plans to reopen after Delta caused a spike in new cases.

Case rates are highest among young adults, who are the least likely to be vaccinated, Public Health England reported. (Among those under 40, just 34 percent have been at least partially vaccinated.) Young people are less likely to develop severe Covid-19, which could explain why the spread of Delta has not resulted in a wave of hospitalizations.

Breakthrough infections, or those that occur in people who are fully vaccinated, tend to cause mild or no symptoms.

At a separate news conference on Thursday, the European Medicines Agency noted that vaccination should provide good protection against Delta.

“We are aware of the concerns that are caused by the rapid spread of the Delta variant and all the variants,” Marco Cavaleri, the head of biological health threats and vaccine strategy at the agency, said at the briefing. Given the research that has been done so far, the four vaccines that are approved in the European Union — Pfizer-BioNTech, Moderna, AstraZeneca and Johnson & Jonson — all seem to protect against the Delta variant, he said.

In one recent study, for instance, researchers found that the Pfizer vaccine was 88 percent effective at protecting against symptomatic disease caused by Delta, a performance that nearly matches its 95 percent effectiveness against the original version of the virus. A single dose of the vaccine, however, is much less effective.

“Expediting vaccination and maintaining public health measures remain very important tools to fight the pandemic,” Dr. Cavaleri said. “In particular, making sure that vulnerable and elderly people complete their vaccination course as soon as possible is paramount.”

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World News

Covid-19 and Delta Variant Information: Dwell Updates

Here’s what you need to know:

Credit…Jaime Reina/Agence France-Presse — Getty Images

Digital Covid-19 certificates aimed at facilitating free movement in the European Union came into force across the bloc on Thursday, a long-awaited milestone for countries hoping to boost their ailing tourism industries.

Free movement is a key pillar of European integration, and E.U. officials said last month that the certificates would “again enable citizens to enjoy this most tangible and cherished of E.U. rights.”

Through a Q.R. code issued by their country of residence, certificate holders will be able to show that they have been either fully vaccinated, tested negative or have immunity after a recent recovery. That will exempt them from most travel or quarantine restrictions.

Many European governments have already eased such rules, and each member nation can still revive protective measures if a country’s health situation deteriorates. Germany, for instance, has imposed restrictions on travelers coming from Portugal, which has faced a surge of new cases driven by the spread of the Delta variant.

While countries have agreed that national health authorities will issue the certificates — most E.U. countries have already been doing so — they are divided over who should check them, where and when.

Credit…Sean Gallup/Getty Images

Citing privacy concerns, Germany and Austria have not given airlines access to verification devices that they would need to scan the Q.R. codes. France has distributed such tools in airports, and Spain has built a system whereby Q.R. codes can be checked before passengers travel to the airport.

And one country, Ireland, has yet to set up a verification system for the digital certificates, after its national health system was recently targeted by cyberattacks, according to E.U. officials.

The divergences have highlighted the challenges that the E.U. faces in allowing free movement across the bloc.

This week, a group of airlines and airport representatives urged member states to set up verification systems before departure — alongside online check-ins, for instance — to avoid chaotic situations at airports upon arrival.

Echoing some concerns shared by the travel industry, the European Commission, the bloc’s executive arm, noted that the 27 E.U. member states had planned more than 10 verification processes.

“The digital Covid-19 certificate is an important tool that ideally will give people confidence in the easing of travel restrictions,” said Thomas Reynaert, the managing director of Airlines for Europe, an organization based in Brussels that represents the bloc’s largest carriers. “But this can only work for travelers if member states implement it in a harmonized way.”

Medical workers removing a man last week from an emergency tent erected to accommodate a surge of patients at Cengkareng Regional General Hospital in Jakarta, Indonesia.Credit…Tatan Syuflana/Associated Press

In Indonesia, grave diggers are working into the night, as oxygen and vaccines are in short supply. In Bangladesh, urban garment workers fleeing an impending lockdown are almost assuredly seeding another coronavirus surge in their impoverished home villages.

And in countries like South Korea and Israel that seemed to have largely vanquished the virus, new clusters of disease have proliferated. Chinese health officials said on Monday that they would build a giant quarantine center with up to 5,000 rooms to hold international travelers. Australia has ordered millions to stay at home.

A year and a half since it began racing across the globe with exponential efficiency, the pandemic is on the rise again in vast stretches of the world, driven largely by the new variants, particularly the highly contagious Delta variant first identified in India. From Africa to Asia, countries are suffering from record caseloads and deaths, even as wealthier nations with high vaccination rates have let their guard down, dispensing with mask mandates and reveling in life edging back toward normalcy.

Scientists believe the Delta variant may be twice as transmissible as the original coronavirus, and its potential to infect some partially vaccinated people has alarmed public health officials. Unvaccinated populations, whether in India or Indiana, may serve as incubators of new variants that could evolve in surprising and dangerous ways, with Delta giving rise to what Indian researchers are calling Delta Plus. There are also the Gamma and Lambda variants.

“We’re in a race against the spread of the virus variants,” said Professor Kim Woo-joo, an infectious disease specialist at Korea University Guro Hospital in Seoul.

Scotland supporters celebrating at the Euro 2020 soccer championship match between Scotland and England at Wembley Stadium in London on June 18.Credit…Carl Recine/Associated Press

Crowds gathering in stadiums, pubs and bars to watch the European Championship soccer games have driven a rise in coronavirus cases across Europe, the World Health Organization said on Thursday, raising concerns about another wave of infections even though vaccination campaigns have made progress.

“We need to look much beyond just the stadiums themselves,” said Catherine Smallwood, the W.H.O.’s senior emergency officer. “We need to look at how people get there: Are they traveling in large, crowded convoys of buses? And when they leave the stadiums, are they going into crowded bars and pubs to watch the matches?”

In Scotland, more than 2,000 people tested positive after watching a Euro 2020 game either at a stadium, a fan zone or at a pub, according to National Health Scotland. (Nearly two-thirds of those cases were linked to a Euro 2020 game in London in mid-June.) Around 120 fans from Finland were infected after traveling to St. Petersburg, Russia, to watch their team play.

After months of virus restrictions, and with the European Championships postponed for a year, soccer fans have been eager to travel across borders to watch the games in person. Finnish tourists attended games in Russia, French fans traveled to Romania, and Welsh ones supported their team in the Netherlands. In countries like Belgium, Britain and France, bars had reopened just weeks before the tournament began.

But given that most European countries have fully vaccinated less than a third of their populations, the risks are high. Experts say that the lax restrictions imposed on travel for the soccer championship may have serious consequences later in the summer or in the fall.

The rise in cases linked to the tournament comes more than a year after soccer games hosted early last year led to some of the first outbreaks in Europe.

Germany’s interior minister, Horst Seehofer, called the decision by European’s soccer governing body, UEFA, which runs the tournament, to allow large crowds in stadiums “utterly irresponsible.”

Despite the warnings by the W.H.O., British officials are allowing 60,000 fans to attend each of the tournament’s three final games in London next week.

Spraying disinfectant this week in front of the mayor’s office in Bandung, Indonesia.Credit…Novrian Arbi/Antara Foto, via Reuters

Indonesia’s president, Joko Widodo, announced new restrictions on Thursday for parts of Java and Bali islands to contain the rapidly spreading Delta variant, including closing mosques, schools, shopping malls and sports facilities.

The measures will take effect on Saturday and last until July 20, encompassing the Muslim holiday Eid al-Adha, a major event in Indonesia that falls on July 19 and is usually celebrated with large gatherings and the sacrifice of goats and cows.

“As we all know, the Covid-19 pandemic has been growing rapidly in the last few days because of the new variant, which is also a serious problem in many countries,” Mr. Joko said in an address to the nation. “This situation requires us to take more resolute steps so that together we can curb the spread of Covid-19.”

The number of reported cases has been rising daily, reaching a record 24,836 on Thursday, along with 504 deaths, another high. Just six weeks ago, it appeared that the vast Southeast Asian archipelago was making progress against the virus, with fewer than 2,500 daily cases reported.

The Delta variant, first detected in India, is driving a surge of the coronavirus in many parts of the world. In Indonesia, health experts say that the variant has led to the recent rise in cases, which has swamped hospitals and cemeteries, especially in the capital, Jakarta.

The Delta variant makes up 87 percent of the cases in Jakarta, the governor, Anies Baswedan, said earlier this week.

“Hospitals are overflowing, around one in five tests in Indonesia are reportedly coming back positive, and we’re experiencing more deaths now than at any point of the pandemic so far,” said Ade Soekadis, Mercy Corps’ country director for Indonesia.

The new measures stop short of the complete lockdown urged by some health experts.

All places of worship will be closed, workers in nonessential jobs must work from home, restaurants can provide only takeout food, local transit will operate with reduced capacity and public parks will be closed. Weddings with up to 30 attendees will still be allowed.

The measures will apply to nearly all of Java, which includes Jakarta and has a population of about 140 million, and to the most heavily populated parts of Bali, where tourism officials had been hoping to reopen to foreign tourists.

Most hospitals on Java are already over capacity and some are turning away patients, said Dicky Budiman, an Indonesian epidemiologist at Griffith University in Australia. According to his projections, the current surge would not peak until at least the end of July and could reach 500,000 cases and 2,000 deaths a day if tougher measures are not adopted.

“The government should do a lockdown,” he said. “Now we are facing our most serious and critical time. If we don’t respond to this situation in a serious way, then we will lose many lives.”

A nurse waiting for patients in May at a vaccination center in Bucharest, Romania.Credit…Robert Ghement/EPA, via Shutterstock

While many countries are desperately trying to get their hands on coronavirus vaccines, others are now finding their supply outstripping demand because of low uptake — to the extent that they are seeking ways to reduce their stockpiles.

Romania is a case in point.

On Tuesday, the Danish government said it had bought more than a million doses of the Pfizer vaccine from Romania. “We can do this deal because Romania is experiencing low vaccination backing and therefore wants to sell excess vaccines which they won’t be able to use,” Denmark’s health minister, Magnus Heunicke, said in a statement. The vaccines were sold at cost.

Last week, Valeriu Gheorghita, the head of Romania’s national coronavirus vaccination campaign, said that 35,000 doses of the AstraZeneca vaccine would probably need to be destroyed because they were set to expire at the end of June. In a news conference on Thursday, he said he had asked AstraZeneca whether the doses’ shelf life could be extended.

Despite a promising start this year to its vaccine rollout, Romania has seen a considerable decline in recent months in the number of people getting vaccinated.

In early May, the country was administering more than 100,000 doses a day, but the number has since dropped significantly. In a 24-hour period ending Wednesday, 20,800 doses were administered, and most of those were the second of the two doses that many vaccines require.

Overall, 4.7 million people in Romania, which has a population of about 19 million, have received one or both doses.

“We had a fraction of the population, maybe 30 percent, who were eager to get the vaccine, and that was very clear from December when they ran the first opinion polls,” said Sorin Ionita, a policy analyst at the Expert Forum, a Bucharest-based research group. “You absorb this fraction of the population, and then everything stops because there was no proper campaign to inform, to change the profound attitudes in the population.”

Romania is one of the most rural countries in the European Union, he said, and that adds to the challenge.

“Even if you get to the village and you organize a vaccine center in the town hall,” Mr. Ionita said, “it doesn’t necessarily mean that people who are 85 can get there easily from the margins of the village.”

The drop in vaccination uptake in Romania also comes as infection rates have fallen sharply: Sunday was the first day in more than a year that the capital, Bucharest, did not record a single new case. But there are concerns about a potential new wave later in the year, especially if vaccination rates remain sluggish.

To date, there have been more than a million confirmed cases in Romania and more than 33,000 related deaths.

Brazil’s minister of health, Marcelo Queiroga, left, and the U.S. ambassador to Brazil, Todd Chapman, receiving a shipment of Johnson & Johnson vaccine doses last week.Credit…Carla Carniel/Reuters

When a commercial plane carrying 2.5 million doses of Moderna’s coronavirus vaccine took off on Wednesday from Dallas for Islamabad, Pakistan, U.S. officials had just finished a dizzying bureaucratic back-and-forth to get them there.

The United States had arranged a donation agreement with Moderna and Covax, the year-old vaccine-sharing initiative. Covax had previously worked out indemnity agreements with Moderna, which shield the company from liability for potential harm from the vaccine. U.S. Embassy officials in Islamabad had worked with regulators there to evaluate the Food and Drug Administration’s review of the vaccine. And Pakistani regulators had to pore over reams of materials on the vaccine lots and the factory where they were made before authorizing the shots for use.

The result was a so-called tripartite agreement, a type of deal that has increasingly come to consume the Biden administration’s pandemic response efforts.

Amid criticism from some public health experts that President Biden’s vaccine diplomacy efforts have been slow and insufficient, the White House plans to announce on Thursday that it has fulfilled the president’s pledge to share an initial 80 million doses by June 30.

More than 80 million have been formally offered to about 50 countries, the African Union and the 20-nation Caribbean consortium, with around half already shipped and the rest to be scheduled in the coming weeks, said Natalie Quillian, the Biden administration’s deputy Covid-19 response coordinator.

Researchers have estimated that 11 billion doses of Covid vaccines are needed worldwide to try to stamp out the pandemic. To date, more than three billion vaccine doses have been administered worldwide, equal to 40 doses for every 100 people. Some countries have yet to report a single dose, even as the highly contagious Delta variant spreads around the world, further exposing vaccine inequities.

“If this is the pace at which it will continue, then unfortunately, it’s much slower than what is needed,” Dr. Saad B. Omer, the director of the Yale Institute for Global Health, said of the U.S. effort.

Fabiana Lopez and her family in line to get vaccinated in Lake Worth, Fla., in April.Credit…Saul Martinez for The New York Times

A new poll has found that Americans are sharply divided by household over vaccination status, with 77 percent of vaccinated adults saying everyone in their household is vaccinated and a similar share (75 percent) of unvaccinated adults saying no one they live with is vaccinated.

Sixty-seven percent of Democrats reported living in households where everyone had been vaccinated, compared with 39 percent of Republicans. Ten percent of Democrats said they lived in homes where no one had been vaccinated, compared with 37 percent of Republicans, according to the poll by the Kaiser Family Foundation, which has been tracking the public’s attitudes toward and experiences with vaccinations.

Overall, half of U.S. adults live in a fully vaccinated household and one in four lives in a completely unvaccinated household. The remainder, about one in five adults, lives in a household occupied by both vaccinated and unvaccinated people, including children under 12 who are not currently eligible to receive a vaccine.

The telephone survey of 1,888 adults 18 and older living in the United States was conducted from June 8 to June 21 and had a margin of error of plus or minus three percentage points.

As policymakers continue to experiment with lotteries, free beers and other incentives, the poll found that workers were more likely to get the shot when their employers encouraged them to and provided paid time off to make it easier. Two-thirds of the employed adults surveyed said their employer had encouraged workers to get vaccinated, and half said their employer had provided them paid time off to get the vaccine and to recover from side effects.

The workers who said their employer had taken either one of those steps were more likely to report having been vaccinated, even after the poll controlled for other demographic variables. The finding suggested that more employers’ encouraging vaccination and offering paid time off could lead to higher vaccination rates among workers.

As virus cases fall across much of the United States, the poll found that optimism over the idea that the pandemic may be ending could hamper vaccination efforts, with half of unvaccinated adults polled saying that the number of cases is now so low there is no need for more people to be vaccinated.

If adult vaccinations continue their current seven-day average rate, about 67 percent of U.S. adults will have received at least one shot by July 4, just shy of President Biden’s target of having 70 percent of adults at least partly vaccinated by that date, according to a New York Times analysis.

Lazaro Gamio contributed reporting.

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Are masks coming again? The Delta variant has some completely different officers rethinking precautions.

In May, federal health officials in the United States said that fully vaccinated individuals no longer need to be masked, even indoors. The council paved the way for a national reopening that continues to gain momentum.

But that was before the spread of the Delta variant, a highly infectious form of the virus that was first discovered in India and later identified in at least 85 countries. It now accounts for one in five infections in the United States.

Concerned about a global surge in cases, the World Health Organization last week reiterated its longstanding recommendation that everyone should wear masks.

Los Angeles County health officials followed on Monday, recommending that “everyone, regardless of vaccination status, should wear masks as a precaution in public places indoors.”

Barbara Ferrer, the county’s public health director, said the new recommendation was because of the increase in infections, an increase in cases due to the worrying Delta variant, and the continued high numbers of unvaccinated residents, especially children, black and Latin American residents, and important workers.

About half of Los Angeles County’s residents are fully vaccinated, and about 60 percent have received at least one dose. While the number of positive tests in the county is still below 1 percent, the rate has increased, added Dr. Ferrer added, and the number of reinfections in residents who were previously infected and not vaccinated has increased.

As far as Los Angeles County has managed to control the pandemic, it was due to a multi-faceted strategy that combined vaccinations with health restrictions to curb new infections, said Dr. Ferrer. Natural immunity among those already infected has also kept transmission low, she noted, but it is not clear how long the natural immunity will last.

“We don’t want to go back to lockdown or disruptive mandates here,” said Dr. Ferrer. “We want to stay on the path we are currently on, which keeps the transmission by the community very low.”

Health officials in Chicago and New York City said this week they had no plans to re-examine masking requirements. Officials from the Centers for Disease Control and Prevention have declined to comment, but have also shown no intention of revising or re-examining the masking recommendations for fully vaccinated individuals.

But the Delta variant’s trajectory outside of the United States suggests that concerns are likely to increase.

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Johnson & Johnson Covid vaccine might shield individuals in opposition to the delta variant

U.S. Surgeon General Dr. Vivek Murthy told CNBC on Wednesday there is reason to be hopeful that people who received the single-shot Johnson & Johnson Covid-19 vaccine may be protected against the virus’ delta variant.

Murthy pointed to data that showed the Oxford-AstraZeneca shot is highly effective against hospitalization from the more contagious variant. He also said people should think of the AstraZeneca vaccine “as a cousin” to J&J’s shot since it was “built on a similar platform.”

“While we are still awaiting direct studies of Johnson & Johnson and the delta variant, we have reasons to be hopeful, because the J&J vaccine has proven to be quite effective against preventing hospitalizations and deaths, with all the variants that we’ve seen to date,” Murthy told “The News with Shepard Smith.”

World Health Organization officials urged fully vaccinated people to continue to wear masks, social distance and practice other pandemic-related safety measures as the delta variant spreads across the globe.

The Centers for Disease Control and Prevention, however, affirmed Wednesday that it’s leaving it up to states and local health officials to set guidelines around mask-wearing.

Murthy said the CDC guidance was based on giving people flexibility.

“The CDC, in its guidance, essentially, was giving people flexibility and choice but wanted people to know that, if you are fully vaccinated, your risk of getting this virus or passing it on is low, which is why it said masks are not required indoors or outdoors, if you are fully vaccinated,” Murthy said. 

Authorized vaccines from Moderna, Pfizer-BioNTech and Johnson & Johnson have demonstrated to be highly effective in preventing Covid, especially against severe disease and death.

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Dwell Covid Information and Delta Variant Updates

Here’s what you need to know:

Credit…Rodrigo Paiva/Getty Images

The coronavirus has reversed a steady rise in life expectancy in Brazil, with an estimated decline of 1.3 years in 2020 and an even more accelerated drop during the first months of 2021, according to a new report published in the journal Nature Medicine.

Significant, abrupt declines in life expectancy are rare and Brazil’s represents a major blow given the strides the country had made in improving health outcomes in recent decades, said Marcia Castro, the chair of the Department of Global Health and Population at Harvard, the lead author of the study.

“We expect declines of this magnitude when you have a major shock that leads to high mortality, like a war or a pandemic,” she said.

Brazil has reported more than 514,000 deaths from Covid-19, an official death toll surpassed only by that in the United States, which has lost more than 604,000 people. Even so, the United States, which has a considerably larger population, experienced a slightly lower life-expectancy drop last year: 1.13 years.

The pandemic has continued to steadily worsen in Brazil, where vaccinations have lagged. At least 18 million Brazilians have been infected so far, or at least one in 11 people, and the country is averaging over 65,000 new reported cases and over 1,600 deaths a day, according to official data. But, as in India, which has the world’s third-largest official death toll, many experts believe the numbers understate the true scope of the country’s epidemic. So far, about a third of Brazil’s population has had at least one shot of a vaccine, according to Our World in Data.

The decline in life expectancy is a jarring setback for Brazil, Latin America’s largest nation, which has spent billions of dollars in recent decades to expand the reach and quality of its universal public health care system.

Between 1945 and 2020, life expectancy in Brazil increased from 45.5 years to 76.7 years, an average of about five months per year. The setbacks of the Covid-19 era have reverted the country to 2014 levels, according to the study.

Brazil experienced a second wave of coronavirus cases in the first few months of this year that has been far deadlier than the first one, which receded at the end of 2020.

Dr. Castro and fellow researchers estimated that the resulting decline in life expectancy for 2021, based on the death toll recorded in the first four months of the year, will be about 1.78 years.

States in the Amazon region — including Amazonas, Rondônia, Roraima and Mato Grosso — experienced the steepest declines in life expectancy last year. Dr. Castro said states in the northeast, where governors imposed relatively strict quarantine measures, experienced lower drops.

Dr. Castro said Brazil’s life expectancy rate was likely to decline even more as the virus continued to kill hundreds of people each day, many of whom are relatively young. The average daily death toll for the past week was 1,610, according to a New York Times tracker.

“The decline in 2021 is going to be just horrible,” Dr. Castro said. “We are now losing even younger people.”

Kim Jong-un during a meeting of North Korea’s Politburo on Tuesday, where he spoke of a “great crisis” in the country’s pandemic response.Credit…Korean Central News Agency/Korea News Service, via Associated Press

North Korea’s leader, Kim Jong-un, said that lapses in his country’s anti-pandemic campaign have caused a “great crisis” that threatened “grave consequences,” state media reported on Wednesday.

Mr. Kim did not clarify whether he was referring to an outbreak in North Korea, where the authorities had said there were no cases of the virus. But state media reported that the matter was serious enough for Mr. Kim to convene a meeting of the Political Bureau of his ruling Workers’ Party on Tuesday, during which Mr. Kim reshuffled the top party leadership.

Senior officials neglected implementing antivirus measures and had created “a great crisis in ensuring the security of the state and safety of the people,” Mr. Kim said.

Mr. Kim also berated party officials for their “ignorance, disability and irresponsibility,” said the official Korean Central News Agency.

A report said there would be some “legal” consequences for the officials.

The news agency said that some members of the Politburo and its Presidium, as well as some Workers’ Party secretaries, were replaced. In North Korea, all power is concentrated in the leadership of Mr. Kim, and he frequently reshuffles party officials and military leaders, holding them responsible for policy failures.

The North claims officially to be free of the virus, although outside experts remain skeptical, citing the country’s threadbare public health system and lack of extensive testing.

Still, North Korea has enforced harsh restrictions to contain transmission.

Last year, it created a buffer zone along the border with China, issuing a shoot-to-kill order to stop unauthorized crossings, according to South Korean and U.S. officials. South Korean lawmakers briefed by their government’s National Intelligence Service last year have said that North Korea executed an official for violating a trade ban imposed to fight the virus.

Last July, when a man from South Korea defected to the North, North Korea declared a national emergency for fear he might have brought the virus.

But Mr. Kim has also shown confidence that at least his inner circles were virus-free, sometimes presiding over meetings of party elites where no one wore masks.

During the meeting on Tuesday, Mr. Kim urged party officials to double down on his efforts to build a “self-reliant” economy. As North Korea’s economy has been hit hard by the pandemic, Mr. Kim has acknowledged that his five-year plan for growth had failed and instructed his officials to wage an “arduous march” through difficult economic times. This month, he warned of a looming food shortage.

The party meeting on Tuesday “suggests that the situation in the country has worsened beyond the capacity of self-reliance,” said Leif-Eric Easley, an associate professor of international studies at Ewha Womans University in Seoul.

“Pyongyang may be setting up a domestic political narrative to allow the acceptance of foreign vaccines and pandemic assistance,” he said. “Kim is likely to blame scapegoats for this incident, purging disloyal government officials and replacing them with others considered more capable.”

A vaccination center in New Delhi in May. The Delta variant was first identified in India and has reached at least 85 countries.Credit…Atul Loke for The New York Times

Last week, health officials announced that the Delta variant was responsible for about one in every five Covid-19 cases in the United States, and that its prevalence had doubled in the last two weeks.

First identified in India, Delta is one of several “variants of concern,” as designated by the Centers for Disease Control and Prevention and the World Health Organization. It has spread rapidly through India and Britain and poses a particular threat in places where vaccination rates remain low.

Here are answers to some common questions.

It’s not clear yet. “We’re hurting for good data,” said Dr. Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota.

But some evidence of a potential shift is emerging in Britain, where Delta has become the dominant variant.

“What we’ve noticed is the last month, we’re seeing different sets of symptoms than we were seeing in January,” said Tim Spector, a genetic epidemiologist at King’s College London, who leads the Covid Symptom Study, which asks people with the disease to report their symptoms in an app.

Headaches, a sore throat, and a runny nose are now among those mentioned most frequently, Dr. Spector said, with fever, cough and loss of smell less common.

These findings, however, have not yet been published in a scientific journal, and some scientists remain unconvinced that the symptom profile has truly changed. The severity of Covid, regardless of the variant, can vary wildly from one person to another.

Although there is not yet good data on how all of the vaccines hold up against Delta, several widely used shots, including those made by Pfizer, Moderna and AstraZeneca, appear to retain most of their effectiveness against the Delta variant, research suggests.

“If you’re fully vaccinated, I would largely not worry about it,” said Dr. Ashish K. Jha, dean of the Brown University School of Public Health.

Pockets of unvaccinated people, however, may be vulnerable to outbreaks in the coming months, scientists said.

“When you have such a low level of vaccination superimposed upon a variant that has a high degree of efficiency of spread, what you are going to see among under-vaccinated regions, be that states, cities or counties, you’re going to see these individual types of blips,” Dr. Anthony Fauci, the nation’s leading infectious disease expert, said on CNN on Tuesday. “It’s almost like it’s going to be two Americas.”

“Hamilton” qualified for millions under the federal Shuttered Venue Operators Grant program to help its five productions reopen.Credit…Cindy Ord/Getty Images

Until the pandemic shuttered all of its productions, “Hamilton” was making a lot of money: It has played to full houses since it opened in 2015, and on Broadway it has been seen by 2.6 million people and grossed $650 million.

So why is the show getting $30 million in relief from the federal government, with the possibility of another $20 million coming down the road?

The answer is that, before the pandemic, “Hamilton” had five separately incorporated productions running in the United States — one on Broadway and four on tour — and, under the rules set up for the government’s Shuttered Venue Operators Grant program, which provides pandemic relief for the culture sector and live-event businesses, each was eligible for $10 million to help make up for lost revenue.

“Remember when Chrysler and GM were about to go bankrupt? In the same way that the federal government came in to bail out auto companies, it’s doing the same thing for all of show business with this legislation,” said the show’s lead producer, Jeffrey Seller. “It’s returning us to health and it’s protecting the well-being of our employees.”

Seller said that none of the money would go to the show’s producers (including him) or its investors, and none would be used as royalties for artists (including the show’s creator, Lin-Manuel Miranda).

Instead, he said, the money will be used to remount the shuttered productions, and to reimburse the productions for pandemic-related expenses.

The rollout of the Shuttered Venue Operators Grant initiative, a $16 billion federal aid program designed to help get cultural organizations back on their feet after the pandemic forced many to close, has been plagued by delays and confusion. But the Small Business Administration, which is administering the program, has begun announcing grant recipients, and there are indications that Broadway and its affiliated businesses could fare well.

A Maricopa County constable signing an eviction notice in Phoenix last year.Credit…John Moore/Getty Images

The Supreme Court on Tuesday refused to lift a moratorium on evictions that had been imposed by the Centers for Disease Control and Prevention in response to the coronavirus pandemic.

The vote was 5 to 4, with Chief Justice John G. Roberts Jr. and Justices Stephen G. Breyer, Sonia Sotomayor, Elena Kagan and Brett M. Kavanaugh in the majority.

The court gave no reasons for its ruling, which is typical when it acts on emergency applications. But Justice Kavanaugh issued a brief concurring opinion explaining that he had cast his vote reluctantly and had taken account of the impending expiration of the moratorium.

“The Centers for Disease Control and Prevention exceeded its existing statutory authority by issuing a nationwide eviction moratorium,” Justice Kavanaugh wrote. “Because the C.D.C. plans to end the moratorium in only a few weeks, on July 31, and because those few weeks will allow for additional and more orderly distribution of the congressionally appropriated rental assistance funds, I vote at this time to deny the application” that had been filed by landlords, real estate companies and trade associations.

He added that the agency might not extend the moratorium on its own. “In my view,” Justice Kavanaugh wrote, “clear and specific congressional authorization (via new legislation) would be necessary for the C.D.C. to extend the moratorium past July 31.”

At the beginning of the pandemic, Congress declared a moratorium on evictions, which lapsed last July. The C.D.C. then issued a series of its own moratoriums.

“In doing so,” the challengers told the justices, “the C.D.C. shifted the pandemic’s financial burdens from the nation’s 30 to 40 million renters to its 10 to 11 million landlords — most of whom, like applicants, are individuals and small businesses — resulting in over $13 billion in unpaid rent per month.” The total cost to the nation’s landlords, they wrote, could approach $200 billion.

The moratorium defers but does not cancel the obligation to pay rent; the challengers wrote that this “massive wealth transfer” would “never be fully undone.” Many renters, they wrote, will be unable to pay what they owe. “In reality,” they wrote, “the eviction moratorium has become an instrument of economic policy rather than of disease control.”

In urging the Supreme Court to leave the moratorium in place, the government said that continued vigilance against the spread of the coronavirus was needed and noted that Congress had appropriated tens of billions of dollars to pay for rent arrears.

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Masks Once more? Delta Variant’s Unfold Prompts Reconsideration of Precautions.

Throughout the pandemic, masks were among the most controversial public health measures in the United States, symbolizing a bitter partisan divide over the role of government and individual freedoms.

Now, with a new variant of the coronavirus spreading rapidly around the world, masks are once again the focus of conflicting views and fears about how the pandemic will unfold and the constraints needed to cope with it.

The renewed concerns follow forest fire growth of the Delta variant, a highly infectious form of the virus first discovered in India and later identified in at least 85 countries. It now accounts for one in five infections in the United States.

In May, federal health officials said fully vaccinated people no longer need to mask themselves, even indoors. The council marked a fundamental change in American life and set the stage for a national reopening that continues to gain momentum.

But that was before the delta variant spread. Concerned about a global surge in cases, the World Health Organization reiterated its long-standing recommendation last week that everyone – including those who have been vaccinated – wear masks to contain the spread of the virus.

Los Angeles County health officials followed on Monday, recommending that “everyone, regardless of vaccination status, should wear masks as a precaution in public places indoors.”

Barbara Ferrer, the county’s public health director, said the new recommendation was because of the increase in infections, an increase in cases due to the worrying Delta variant, and the continued high numbers of unvaccinated residents, especially children, black and Latin American residents, and important workers.

About half of Los Angeles County’s residents are fully vaccinated, and about 60 percent have received at least one dose. While the number of positive tests in the county is still below 1 percent, the rate has increased, added Dr. Ferrer added, and the number of reinfections in residents who were previously infected and not vaccinated has increased.

As far as Los Angeles County has managed to control the pandemic, it was due to a multi-faceted strategy that combined vaccinations with health restrictions to curb new infections, said Dr. Ferrer. Natural immunity among those already infected has also kept transmission low, she noted, but it is not clear how long the natural immunity will last.

“We don’t want to go back to lockdown or disruptive mandates here,” said Dr. Ferrer. “We want to stay on the path we are currently on, which keeps the transmission by the community very low.”

Health officials in Chicago and New York City said Tuesday that they had no plans to re-examine masking requirements. Officials from the Centers for Disease Control and Prevention declined to comment but did not signal any intention to revise or re-examine the masking recommendations for fully vaccinated individuals.

“When the CDC made the recommendation To stop masking, it didn’t anticipate that we might be in a situation where we might need to recommend masking again, ”said Angela Rasmussen, researcher at the Vaccines and Infectious Disease Organization at the University of Saskatchewan in Canada .

“Nobody will want to do it. The people understandably accuse them of having moved the goal posts. “

But the Delta variant’s trajectory outside of the United States suggests that concerns are likely to increase.

Even Israel – which has one of the highest vaccination rates in the world and aggressively immunizes young adolescents and teenagers who qualify – has reintroduced the mask requirement in indoor public spaces and at large outdoor public gatherings after hundreds of new Covid-19 cases were discovered in the past few days, including in people who received both doses of the Pfizer BioNTech vaccine.

This isn’t the first time the world has been consumed by a more contagious variant of the coronavirus. The alpha variant rolled over the UK and brought the rest of Europe to a standstill earlier this year. Alpha quickly became the dominant variety in the United States by late March, but the rapid pace of vaccination slowed its spread and saved the nation a huge surge in infections.

But Delta is considered even more terrifying. Much of what is known about the variant is based on its distribution in India and the UK, but early evidence suggests it is perhaps twice as contagious as the original virus and at least 20 percent more contagious than Alpha.

Updated

June 29, 2021 at 5:38 p.m. ET

In many Indian states and European nations, Delta has quickly overtaken Alpha and has become the dominant version of the virus. It is well on its way to do the same in the United States.

Among the many mutations in the variant are some that can help the virus to partially evade the immune system. Several studies have shown that while the current vaccines are effective against Delta, they are slightly less effective than most other variants. In people who received only one dose of a two-dose regimen, protection against the variant is significantly reduced compared to effectiveness against other forms of the virus.

The WHO rationale for keeping masking is that while vaccines are very effective at preventing serious illness and death, it is not known to what extent vaccines prevent mild or asymptomatic infections. (CDC officials disagree and say the risk is minimal.)

The WHO claims that vaccinated people should wear masks in crowded, narrow and poorly ventilated areas and take other preventive measures like social distancing.

“What we are saying is, ‘Once you are fully vaccinated, keep playing it safe because you could end up being part of a chain of transmission. You may not be fully protected, ‘”said Dr. Bruce Aylward, a senior adviser to WHO, at a news conference last week.

Even in countries with relatively high vaccination rates, there has been an increase in infections from the delta variant. Great Britain, where around two-thirds of the population have received at least one dose of the Pfizer-BioNTech or AstraZeneca vaccine and almost half two doses, is still struggling with a sharp increase in infections from the variant.

It is not certain which course the delta variant will take in the USA. The coronavirus infections have been falling for months, as have been hospital admissions and deaths. But dr. Anthony S. Fauci, the nation’s leading infectious disease doctor, has described the variant as “the greatest threat” to eliminating the virus in the United States.

When CDC officials lifted masking recommendations in May, they cited research showing that fully vaccinated individuals are unlikely to become infected with the virus, even with asymptomatic infections.

But the partial immune evasion variant’s talent makes researchers nervous, as it suggests that fully vaccinated people sometimes get asymptomatic infections and unwittingly pass the virus on to others, even if they never get the disease.

The Delta variant can infect people who have been vaccinated, although its ability to do so is very limited, said Bill Hanage, an epidemiologist at Harvard TH Chan School of Public Health. “If you’re in a fall-climbing place, wearing a mask indoors in crowded public spaces is a way to keep yourself from contributing to the spread of Delta,” he said.

Other scientists do not recommend that fully vaccinated people always wear masks indoors, but some are now suggesting that this may be appropriate depending on local circumstances – for example, anywhere the virus is circulating in high numbers or vaccination rates are very low.

“Masking in closed public spaces must continue after vaccination until we can all be vaccinated or get a new vaccine that is more effective against delta transmission,” said Dr. Ravindra Gupta, a virologist at the University of Cambridge in the United Kingdom.

Even now, around half of Americans are not vaccinated, and much of the country remains vulnerable to outbreaks of the virus and its variants. Vaccinations for children under the age of 12 are expected to be approved in autumn at the earliest.

In Saskatchewan, Canada, the reopening took place in stages tied to the vaccination rates of the population and the percentage of people vaccinated in specific age groups.

The province moves to step 3 of re-entry on July 11, but can maintain indoor mask requirements and congregation size restrictions, said Dr. Rasmussen from the University of Saskatchewan. The strategy “makes a lot more sense than just saying, ‘When you are fully vaccinated, take off your mask,'” she said.

However, some scientists fear that it will be nearly impossible to reintroduce masking requirements and other precautions, even in places where it might be a good idea.

“It’s hard to get that back,” said David Michaels, an epidemiologist and professor at the George Washington School of Public Health, referring to the CDC advice. But with the advent of the delta variant, it is also “extremely dangerous to continue the cultural norm that nobody wears a mask”.

Dr. Ezekiel Emanuel, vice president of global initiative at the University of Pennsylvania, said introducing the variant should lead to a reconsideration of the mask requirement.

He still wears a mask in public places like grocery stores and even on crowded sidewalks. “We don’t even know the long-term consequences of a slight infection,” he said, referring to so-called long Covid. “Is it worth a little more insurance by wearing a mask? Yes.”

Monroe Harmon, 60, had coffee outside the Whole Foods Market in downtown Los Angeles Tuesday morning and said he thought a step back on masking requirements for everyone is a good idea.

“There are so many people who say they just want their lives back,” said Mr. Harmon, who works for a security company. “I think you kind of roll the dice if you decide, ‘I want my life back, I won’t wear a mask, I won’t distance myself.'”

Jill Cowan and Ana Facio-Krajcer contributed the coverage from Los Angeles.

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Moderna says Covid vaccine exhibits promise in a lab setting towards variants, together with delta

A healthcare worker prepares a dose of Moderna Inc.’s Covid-19 vaccine on Tuesday February 9, 2021 at the Pacheco Vaccination Center in Brussels, Belgium.

Geert Vanden Wijngaert | Bloomberg | Getty Images

Moderna said Tuesday that its Covid-19 vaccine showed promise against coronavirus variants, including the highly contagious Delta variant, first identified in India in a laboratory setting.

The two-dose mRNA vaccine produced neutralizing antibodies against Delta as well as Beta and Eta, variants that Moderna said were first found in South Africa and Nigeria, respectively.

The company said the results were based on blood serum from eight participants one week after receiving the second dose of the vaccine. The data has not yet been reviewed by experts. The results, while promising, may not reflect how the vaccines actually perform against the variants in real-world scenarios.

Moderna shares rose more than 4% in intraday trading after the lab results were announced.

“We continue to strive to investigate new variants, generate data and share them as they become available,” said Stephane Bancel, CEO of Moderna, in a press release. “These new data are encouraging and reinforce our belief that the Moderna COVID-19 vaccine should continue to protect against newly discovered variants.”

Moderna’s update comes days after World Health Organization officials urged fully vaccinated people to continue wearing masks, maintain social distance, and practice other pandemic safety measures as the delta spreads rapidly across the world.

Delta, now present in at least 92 countries including the United States, is expected to become the predominant variant of the disease worldwide. In the US, the prevalence of the variant doubles about every two weeks.

WHO officials said Friday that they are urging fully vaccinated people to continue to “play it safe” as much of the world remains unvaccinated and highly contagious variants like Delta spread in many countries and cause outbreaks.

The comments were a departure from the Centers for Disease Control and Prevention, which said fully vaccinated Americans can be maskless in most environments.

“People can’t feel safe just because they got the two doses. They still need to protect themselves,” said Dr. Mariangela Simao, WHO Deputy Director General for Access to Medicines and Health Products, during a press conference.

Approved vaccines from Moderna, Pfizer-BioNTech, and Johnson & Johnson have been shown to be highly effective in preventing Covid, particularly against serious illness and death.

Some variants, including Delta, have shown the vaccines to be slightly less effective, and WHO officials said they fear people vaccinated could become part of the chains of transmission.

The Wall Street Journal reported Friday that about half of the adults infected in a Delta variant outbreak in Israel were fully vaccinated with the Pfizer vaccine, prompting the local government to reintroduce indoor masking and other measures.

In the United States, President Joe Biden warned that unvaccinated people are particularly at risk of contracting Delta.

He said the number of Covid deaths would continue to increase across the country due to the spread of the “dangerous” variant, calling this a “serious concern”.

“More than six hundred thousand Americans have died, and with this variant of the Delta, you know there will be others too. You know it will happen. We need to vaccinate young people,” Biden said Thursday at a community center in Raleigh, NC

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How the UK with the delta variant is a blueprint for the US

Medical staff member Mantra Nguyen installs a new oxygen mask for a patient in the Covid-19 intensive care unit (ICU) at the United Memorial Medical Center in Houston, Texas.

Go Nakamura | Getty Images News | Getty Images.

Delta ‘greatest threat’ to U.S.

The first thing to note is how quickly the delta variant spread across the U.K.

In a relatively short amount of time, the strain supplanted the alpha variant to become dominant in the country (in mid-June delta was responsible for 90% of all infections, a government study showed) — and this happened despite the U.K.’s advanced vaccination rate.

Meanwhile, cases attributed to the delta strain now make up around 20% of newly diagnosed cases in the U.S. according to White House chief medical advisor Dr. Anthony Fauci.

Fauci warned last week that the delta variant is set to become the dominant Covid strain in the country in a matter of weeks, citing the U.K. as precedent. “It just exploded in the U.K. It went from a minor variant to now more than 90% of the isolates in the U.K.,” Fauci said on NBC’s “TODAY” show.

He said the variant has a doubling time of about two weeks. “So you would expect, just the doubling time, you know, in several weeks to a month or so it’s going to be quite dominant, that’s the sobering news,” he added.

Read more: Fauci says delta accounts for 20% of new cases and will be dominant Covid variant in U.S. in weeks

Fauci had already warned that delta appears to be “following the same pattern” as alpha. “Similar to the situation in the U.K., the delta variant is currently the greatest threat in the U.S. to our attempt to eliminate Covid-19,” he said.

In the U.K., infections attributed to delta have spread rapidly among young people and anyone older who has not yet been vaccinated. Similarly, in the U.S., there are concerns that delta could rapidly spread in parts of the South where vaccinations have stalled, NBC News reported Sunday.

Vaccination rush

New outbreaks of infections largely blamed on the delta variant have prompted the U.K.’s government to speed up the last leg of its immunization program for people aged 18 and over.

It’s hoped that stepping up vaccinations will help stop the wild spread of the strain. Analysis from Public Health England released June 21 showed that two doses of the Pfizer-BioNTech or the Oxford-AstraZeneca Covid-19 vaccines are highly effective against hospitalization from the delta variant.

To date, almost 60% of all U.K. adults have received two doses of the vaccine, while in the U.S., 56% of the population over 18 has been fully vaccinated. The U.K. has not yet authorized Covid shots for adolescents, unlike the U.S. which is giving vaccines to the over-12s.

Read more: Delta Covid variant has a new mutation called ‘delta plus’: Here’s what you need to know

Perhaps wary of how infections have spread in the U.K., the U.S. wants to speed up its vaccinations too. It could take more time than the White House would like, however.

The Biden administration said last Tuesday that it likely won’t hit its goal of 70% of American adults receiving one vaccine shot or more by the Fourth of July.

Read more: Covid boosters in the fall? As calls grow for third shots, here’s what you need to know

White House Covid czar Jeff Zients said the administration had met its 70% target for people aged 30 and older and is on track to hit it for those aged 27 and older by July Fourth. Zients said U.S. officials were working with state and local leaders to reach younger people.

“We think it’ll take a few extra weeks to get to 70% of all adults with at least one shot with the 18- to 26-year-olds factored in,” he said.

-CNBC’s Nate Rattner and Dawn Kopecki contributed reporting to this story.

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Delta Plus, a New Variant, Raises Considerations in India

As India reopens after a devastating second wave of coronavirus infections, virologists worry that another, potentially more virulent version of the virus could accelerate the onset of a third wave within a few months.

The version known locally as Delta Plus is described by scientists as a sub-line of the highly contagious Delta variant, which has quickly spread to India, the UK, the US, and other countries. The new variant carries a spike protein mutation, which can also be found in the beta variant, which was first identified in South Africa, although it is unclear how this common mutation could affect the function of the variant.

Reports suggest that cases of Delta Plus have been found in nearly a dozen countries, including the United States. In India, Delta Plus was first detected in April in the western state of Maharashtra. Authorities in India this week declared it a new “worrying variant” in the country after finding more than 40 cases in three states: Maharashtra, Madhya Pradesh and Kerala.

The Indian Ministry of Health announced this week that Delta Plus has shown increased portability. States where the variant was found have been asked to step up testing, improve surveillance, and speed up contact tracing to try to prevent it from spreading.

Due to its recent discovery, studies of this particular variant have not yet been carried out, so scientists have limited information. However, they have begun to speculate about their ability to spread.

“It is most likely able to evade immunities,” said Shahid Jameel, virologist and director of the Trivedi School of Biosciences at Ashoka University in Sonipat, India. “That’s because it carries all of the symptoms of the original Delta variant as well as its partner beta variant.”

Indian Health Ministry officials stressed that both Covid vaccines that are widely used in the country – the AstraZeneca vaccine made by the Serum Institute of India and the Covaxin vaccine made by Indian company Bharat Biotech – are likely to be effective against variants, including Delta are pluses.

Understand the Covid crisis in India

India’s vaccination campaign picked up pace this week, with more than 6.7 million people vaccinated across the country on Thursday, according to official figures. Prime Minister Narendra Modi’s government has stated that the syringes should be offered free to all adults in support of vaccination efforts that have been hampered by mismanagement and lack of care. About 5.5 percent of the population are fully vaccinated, and 18 percent have received at least one vaccination.

In Maharashtra, one of the hardest hit states, officials said Delta Plus was becoming a significant problem and warned that if cases increased, they would reintroduce restrictions.

“We are at the end of a second wave and will be careful how we unlock,” said Rajesh Tope, the country’s health minister. “The lessons we learned from dealing with the second wave are used to stop the spread of any new variant.”

Delta Plus was also identified this month by UK health officials calling it Delta-AY.1. They wrote in a June 11 report that they had discovered 36 cases, the first five of which were contacts from people who had recently traveled through Nepal and Turkey. Half of the 36 cases occurred in people who were not vaccinated and none of the cases resulted in death, but the report warned that “limited epidemiological information” was available about the variant.