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Politics

Remaining Failure in Afghanistan Is Biden’s to Personal

Rarely in modern presidential history have words come back so quickly that bite an American commander in chief as quickly as President Biden’s a little over five weeks ago: “There will be no circumstance in which people are lifted from the roof of an embassy” of the United States in Afghanistan. “

Then he dug the hole deeper and added, “The likelihood that the Taliban will overrun everything and own the whole country is very unlikely.”

On Sunday, the scramble to evacuate American civilians and embassy workers from Kabul unfolded – exactly the image that Mr Biden and his aides had to avoid at the recent meetings in the Oval Office – live on television, not from the roof of the US embassy, ​​but from the Landing area next to the building. And now that the Afghan government has collapsed at astonishing speed, the Taliban certainly seem to have full control of the country back if the anniversary of September 11, 2001 is commemorated in less than a month of the attacks – just like that it was 20 summers ago.

Mr. Biden will go down in history, fair or unfair, as President who led a lengthy, humiliating final act in the American experiment in Afghanistan. After seven months in which his administration seemed to be broadcasting much-needed skill – vaccinating more than 70 percent of the country’s adults, developing rapid job growth, and making progress towards a bipartisan infrastructure bill – everything shook America’s final days in Afghanistan the pictures.

Even many of Mr. Biden’s allies, who believe they have made the right decision to finally end a war that the United States could not win and that was no longer in their national interest, admit that in carrying out the Withdrawal made a number of serious mistakes. The only question is how politically damaging these will be, or whether the Americans who cheered at the 2020 election rallies when both President Donald J. Trump and Mr Biden promised to leave Afghanistan will shrug their shoulders and say that it is had to end, even if it ended badly.

Mr. Biden knew the risks. He has often noted that he came into office with more foreign policy experience than any other president in recent times, arguably since Dwight D. Eisenhower. At meetings this spring about the impending U.S. withdrawal, Biden told staff it was crucial to avoid the kind of scene revealed by the iconic photos of Americans and Vietnamese climbing a ladder to a helicopter on the roof of the U.S. Embassy in Saigon when it was desperately evacuated in 1975 when the Viet Cong swept into town.

But after he decided in April to set September 11th as the date for the final American withdrawal, he and his aides failed to get the interpreters and others helping the American forces out of the country fast enough, and them Stuck in immigration papers. There was no reliable mechanism for contractors to keep the Afghan Air Force flying while the Americans packed up. The plan Mr Biden spoke of at the end of June, what he called what he called a “beyond the horizon” capability to strengthen the Afghan forces in the event of a threat to Kabul, was half-baked before those Afghan forces collapsed .

By their own admission, Mr Biden’s aides believed they had the luxury of time, perhaps 18 months or so, based on intelligence ratings that grossly overestimated the capabilities of an Afghan army that disintegrated, often before any shots were fired. On July 8, the same day he said there was no need to worry about an imminent takeover by the Taliban, Biden said the Taliban were “not even close in terms of the training and capabilities” of the Afghan security forces at “be their capacity.” He now knows that they have made up for the lack of capacity in strategy, determination and drive.

“There are lessons in how every government has dealt with Afghanistan from start to finish, and we owe it to the military and other Americans who risk their lives to use those lessons to make future decisions.” said Michèle Flournoy, who served as the No. 3 Pentagon official in the Obama administration and was a leading contender in defense of Mr. Biden.

“The question for the Biden administration will be whether sufficient contingency planning has been carried out to sustain critical counterterrorism operations,” and whether we are “meeting our obligations to the Afghans who helped us, the risks associated with the withdrawal and enable continued support “the Afghan military is viable.”

Even the most seasoned hands in South Asian politics, like Ryan Crocker, a retired career diplomat who served as ambassador to Afghanistan under President Barack Obama and Iraq under President George W. Bush, thought it was more time.

“A prolonged civil war is, frankly, more likely,” he said seven days ago in ABC’s This Week, “than a swift takeover of the entire country by the Taliban.” But he went on to say that Mr. Biden “now has full responsibility for President Trump’s pledges” to leave the country. “He owns it,” said Mr. Crocker. “And I think it’s already an indelible mark on his presidency.”

On Sunday, Mr. Biden was silent in public. The White House posted a photo of him in a video briefing at Camp David. He was to be seen alone in the photo, his helpers beamed in. And it was up to them to explain why, in July, he thought the Afghan forces would fight hard.

Republicans, including some of those who applauded Trump when he said he would get America out of Afghanistan by Christmas 2020, jumped at the pictures of Americans being evacuated and Ashraf Ghani, the country’s president who has no succession flees without a deal with the Taliban on the country’s future and without support.

“I think it’s an absolute disaster,” said Texas representative Michael McCaul on Sunday in CNN’s State of the Union, claiming that Afghanistan would become a “state before September 11, 2001 – a breeding ground for terrorism” to return. Secretary of State Antony J. Blinken countered that the US ability to track down, track down and kill terrorists is far greater than it was two decades ago.

But Mr. McCaul, the top Republican on the House Foreign Affairs Committee, appeared to be exploring topics for the next election season when he said of Mr. Biden, “He could have planned this. He could have had a strategy for that. “

Now, he said, “there is still no other strategy than speeding to the airport and evacuating as many people as possible.”

Indeed, there is a strategy, but not one that Mr Biden can easily sell given the images of chaos in Kabul. In his opinion, the years of reshuffling American foreign policy in response to the 9/11 attacks gave China room to stand up, Russia room to disrupt, Iran and North Korea room to focus on their nuclear ambitions. The escape from Afghanistan is part of a wider effort to refocus on key strategic challenges and new threats from cyberspace to space. But this weekend was proof that the past is never really in the past.

The government defended itself against criticism for not moving fast enough in Afghanistan by admitting that it was surprised by the speed of the collapse but insisted that there were plans. Pentagon press secretary John F. Kirby said a sample of the evacuation effort was “withheld until May” and that Marines from Iwo Jima were stationed to fly to Kabul.

“We have been quick to respond in the past few days because we were prepared for this emergency,” said Kirby.

But Mr Biden’s own words make it clear that he was confident that that day, if at all, would not come for a long time. He repeatedly said he did not regret his decision and would bear no responsibility if the Taliban took power, also because Trump signed the deal in February 2020 that set a date for full American withdrawal on May 1, 2021. (Although Mr. Biden extended the withdrawal date to September 11, almost all American troops were gone by early July.)

The result of the Trump-Taliban agreement, Biden said on Saturday, was that he was facing a Taliban force “in the strongest military position since 2001” and a date by which all American forces would have to be deposed.

Mr Blinken went around on Sunday to ask why more was not being done sooner to get Afghan interpreters out of the country for the US military and other allies threatened by Taliban retaliation. He was also asked why more Americans weren’t withdrawn from the embassy in Kabul earlier, as many at the Pentagon had requested, before the extent of the collapse became apparent.

“The inability of the Afghan security forces to defend their country has played a very important role,” Blinken said in NBC’s Meet the Press on Sunday.

All true. But it is Mr Biden who may be remembered for his role in wildly overestimating the strength of the Afghan armed forces and not moving fast enough when it became clear that the scenarios presented to him were wrong.

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Health

Company provides closing OK to manage Covid vaccine booster pictures to susceptible Individuals

The Centers for Disease Control and Prevention on Friday gave final approval to give Covid-19 booster vaccinations to recipients of Pfizer and Moderna vaccines, hours after a key panel unanimously voted to allow third doses for immunocompromised Americans advocate.

“At a time when the Delta variant is on the rise, an extra dose of vaccine for some people with compromised immune systems could help prevent serious and potentially life-threatening COVID-19 cases in this population,” said CDC Director Dr . Rochelle Walensky in a statement.

The CDC’s decision and recommendation by the Advisory Committee on Immunization Practices followed the approval of the booster vaccination for immunocompromised patients by the Food and Drug Administration late Thursday. With the OK from both authorities, the booster doses could be given immediately.

“For the past almost a year and a half, I have cared for many patients with life-threatening and fatal diseases, and even post-vaccination,” who are immunocompromised, Dr. Camille Nelson Kotton, a transplant and infectious disease specialist at Massachusetts General Hospital, told the panel to strongly support boosters for those with weak immune systems. “They just suffer from a lack of good vaccination protection, we know that the vaccine is less effective in this population.”

Close-up of the Moderna vaccine at the Park County Health Department’s COVID-19 Vaccination Clinic for Seniors 80 and older on January 28, 2021 in Livingston, Montana.

William Campbell | Getty Images

FDA approval approved third doses of Pfizer and Moderna vaccines for “solid organ transplant recipients or those diagnosed with conditions believed to have equivalent levels of immunodeficiency.”

“New data suggests that some people with moderately to severely compromised immune systems do not always build the same level of immunity as people who are not immunocompromised,” said Walensky. “While immunocompromised people make up about 3% of the US adult population, they are particularly vulnerable to COVID-19 because they are at greater risk of developing serious, longer-lasting illnesses.”

Authorities have not released a booster vaccination to anyone else fully vaccinated or to recipients of Johnson & Johnson’s vaccine, which is manufactured in the Janssen vaccines division.

“There is currently no data to support the use of an additional dose of mRNA COVID-19 vaccine following a Janssen Covid-19 primary vaccine in immunocompromised people. The FDA and CDC are actively working to provide guidance on this matter,” said Dr. Neela. from CDC Goswami wrote to ACIP in her presentation.

The CDC recommended a third dose for at-risk Americans 28 days or more after completing the first two rounds of shooting. Booster doses are also recommended for cancer patients and HIV patients after data showed that immune responses after the first two doses did not provide adequate protection against Covid-19 and its variants in these patients.

The additional recordings were recommended for Pfizer recipients aged 12 and over and for Moderna recipients aged 18 and over. The panel said it will revisit the recordings for younger Moderna recipients after the FDA clears the recordings for children.

Immunocompromised patients make up approximately 2.7% of the US adult population and 44% of breakthrough hospital-treated infections that make someone infected even after being fully vaccinated.

Studies suggest that a third dose of the vaccine might help people whose immune systems do not respond as well to a first or second dose. Five small studies cited by the CDC showed that 11% to 80% of people with compromised immune systems had no detectable antibodies to Covid after two shots.

Among immunocompromised patients who had no detectable antibody response, 33 to 50% developed an antibody response after receiving an additional dose, according to the CDC.

Patients at risk are also more likely to experience persistent Covid infections, the panel said. The data also suggests that they are likely to shed more viruses and potentially infect more people than those who are not immunocompromised.

Early data from small studies on the effects of booster doses in immunocompromised patients showed no serious side effects from a third vaccination with an mRNA vaccine and symptoms beyond those identified after the first two-dose dose.

Several countries, including Israel, the Dominican Republic, France, the UK and Germany, have either already started or are considering giving booster doses of Covid-19 vaccines.

Immunocompromised patients receiving a third dose should continue to wear a mask and social distancing, the panel said.

Survey data from hesitant immunocompromised patients show that, according to a panel presentation by Dr. Kathleen Dooling of the CDC still has many worried about the side effects of the vaccines and the speed at which the vaccines have been developed, as well as the general suspicion about the vaccines.

Around 10% of immunocompromised patients say they will “definitely not” receive a vaccine, another 9% say they are “unsure” or “probably not” and 44% say they will “definitely” get a vaccine. Those who hesitate are usually younger, belong to an ethnic or racial minority, or are female.

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Politics

Key Democrats Warn In opposition to Last $3.5 Trillion Price range Value Tag

Senator Joe Manchin III. of West Virginia, a key moderate Democrat, announced Wednesday that he likely won’t support a $ 3.5 trillion economic package just hours after helping advance a draft budget that would allow his party to legislate to create at this price.

Mr Manchin held a key vote on the unanimous Republican opposition to approve the bill, which will allow Senate Democrats to put together a large package that they hope will fund climate change, health care and education, while taxes increased for wealthy people and businesses.

The Senate passed measure 50-49, with one legislature, Senator Mike Rounds, Republican from South Dakota missing in the vote just before 4 a.m. Consequences for West Virginians and every American family if Congress decides another 3.5 Spending trillions of dollars. “

“I firmly believe that irresponsible spending continues to jeopardize our nation’s ability to respond to unforeseen crises our country may face,” said Manchin. “I urge my colleagues to seriously consider this reality as this budget process evolves over the coming weeks and months.”

Senator Kyrsten Sinema of Arizona, another important Democrat, had previously announced that she would not support a final $ 3.5 trillion package. Like Mr Manchin, she voiced her vote in support of the draft budget as a way to start the process rather than accepting the intended outcome.

Understand the Infrastructure Act

    • A trillion dollar package passed. The Senate passed a comprehensive bipartisan infrastructure package on Aug. 10 that concludes weeks of intense negotiations and debates on the largest federal investment in the nation’s aging public construction system in more than a decade.
    • The final vote. The final balance in the Senate was 69 votes to 30 against. Legislation, yet to be passed in the House of Representatives, would touch almost every facet of the American economy and strengthen the nation’s response to planet warming.
    • Main Spending Areas. Overall, the bipartisan plan focuses on spending on transportation, utilities, and removing pollution.
    • transport. About $ 110 billion would be used on roads, bridges, and other transportation projects; $ 25 billion for airports; and $ 66 billion for the railroad, giving Amtrak most of the funding it has received since it was founded in 1971.
    • Utilities. The Senators have also raised $ 65 billion to connect hard-to-reach rural communities to high-speed internet and attract low-income urban dwellers who can’t afford it, and $ 8 billion for western water infrastructure.
    • Cleaning up pollution: Approximately $ 21 billion would be used to rehabilitate abandoned wells and mines, as well as Superfund sites.

The declaration underscores the difficult path ahead of the draft, which could set in motion the largest expansion of the federal security network in almost six decades. If the Democrats try to flesh it out and turn it into law, it will require their progressive and moderate wings to remain virtually without votes.

The blueprint vote came a day after bipartisan approval of a $ 1 trillion infrastructure package. Its passage came after a marathon session of rapid-fire votes, in which Republicans, powerless to halt action in a Senate controlled by Vice President Kamala Harris’ tied vote, instead the Democrats with politically charged amendments pelt. The votes dragged on for 14 hours late into the night.

The draft allows Senate Democrats to put together a massive package that will contain the rest of President Biden’s $ 4 trillion economic agenda.

“This legislation will not only offer tremendous support to the children of this country, the parents of this country, the elderly of this country,” said Senator Bernie Sanders of Vermont, the independent head of the budget committee. “But I hope it will also restore the belief that in America we can have a government that works for everyone, not just a few.”

Republicans condemned the move to unleash an unprecedented wave of spending that could ruin the country’s finances and economy.

Biden’s budget 2022

Fiscal year 2022 for the federal government begins October 1, and President Biden has announced what he plans to spend from that point on. But any issue requires the approval of both houses of Congress. The plan includes:

    • Ambitious total expenditure: President Biden wants the federal government to spend $ 6 trillion in fiscal year 2022 and total spending to rise to $ 8.2 trillion by 2031. This would bring the United States to its highest sustained federal spending level since World War II, while running deficits of over $ 1.3 trillion over the next decade.
    • Infrastructure plan: The budget outlines the President’s desired first year of investment in his American Jobs Plan, which aims to fund improvements to roads, bridges, public transportation, and more for a total of $ 2.3 trillion over eight years.
    • Family plan: The budget also addresses the other major spending proposal that Biden has already launched, his American Families Plan, which aims to strengthen the United States’ social safety net by expanding access to education, lowering childcare costs, and bringing women in the world of work are supported.
    • Compulsory programs: As usual, mandatory spending on programs like Social Security, Medicaid, and Medicare is a significant part of the proposed budget. They grow as America’s population ages.
    • Discretionary issues: Funds for the individual budgets of the agencies and executive programs would reach around $ 1.5 trillion in 2022, a 16 percent increase over the previous budget.
    • How Biden would pay for it: The president would fund his agenda largely through tax hikes for businesses and high earners, which would begin to reduce budget deficits in the 2030s. Administrative officials said tax increases would fully offset employment and family plans over the course of 15 years, which the budget request supports. In the meantime, the budget deficit would stay above $ 1.3 trillion each year.

“People want to pretend this is just normal business – only liberals doing liberal things through the Senate process,” said Kentucky Senator Mitch McConnell, the minority leader. “Make no mistake. This reckless tax and shopping frenzy is like nothing we have ever seen.”

The blueprint is now going into the house, where lawmakers will return early from a planned summer break in the week of August 23 to accommodate it. But moderate Democrats in this chamber are also calling for an independent vote on the bipartisan infrastructure package, which could hamper efforts to get the measure passed quickly. Progressives have said they will not vote on the infrastructure bill until the House of Representatives approves the budget package.

“The Democrats have worked for months to get to this point and there is much more work to come,” said New York Senator Chuck Schumer, the majority leader. “But I can say with absolute certainty that it will be worth it.”

The budget resolution will ultimately allow Democrats – if they stay united – to use the expedited budget reconciliation process to protect the legislature from a Republican filibuster. It would pave the way for Medicare to be expanded to include dentistry, health, and eyesight benefits; finance a variety of climate protection programs; offer free pre-kindergarten and community college; and levy higher taxes on wealthy corporations and corporations.

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Health

IPCC UN local weather report is our ‘remaining wake-up name,’ say consultants

A devastating new UN report warning of certain devastation caused by climate change has been dubbed humanity’s “last wake-up call” by environmental experts.

Speaking to CNBC on Tuesday, environmentalists outlined the role businesses, countries and individuals can play in containing the crisis. They also shared their hopes for the party’s 26th UN Climate Change Conference, known as COP26, in November.

The United Nations IPCC climate panel released a highly anticipated report on Monday warning that efforts to limit global warming to nearly 1.5 degrees Celsius, or even 2 degrees Celsius above pre-industrial levels, are in will be “inaccessible” for the next two decades without an immediate, rapid and comprehensive reduction in greenhouse gas emissions.

Implement “ambitious action now”

Meeting policymakers’ temperature targets for 2050 will be difficult but achievable, said Emily Kreps, global director of capital markets at CDP, a nonprofit that helps companies manage their climate impact.

However, this requires “ambitious action” from companies, governments and capital markets, she told Squawk Box Asia on Tuesday.

This should be considered our final wake-up call.

Emily Kreps

Global Director of Capital Markets, CDP

The threshold of 1.5 degrees Celsius outlined in the report is a crucial global goal, as it also makes so-called tipping points more likely. Tipping points refer to an irreversible change in the climate system that includes further global warming.

“This should be seen as our last wake-up call,” said Kreps, who encouraged companies to set “concrete and concrete goals”.

Ulka Kelkar, director of climate at the World Resources Institute India, agreed that the pace of change must “accelerate quickly”.

For example, the exit from fossil fuels and the introduction of renewable energies must happen at five times the speed. In the meantime, the development of new, more sustainable technologies needs to move forward, she said.

This is particularly urgent in developing countries like India, which have the ability to circumvent practices that are harmful to the environment.

“Over here we have to start thinking a step forward, we have to skip,” she told Street Signs Asia.

“(That means) more renewable energy to produce (a) large-scale hydrogen that can be used in all of our industries” – from fertilizers and chemicals to steel making, she added.

Expectations for COP26

The report comes as a series of extreme weather events that are wreaking havoc around the world.

In the past few weeks alone, Europe, China and India have been hit by floods. Forest fires have also devastated the United States, Canada, Greece, and Turkey.

The UN report makes it “clear that these events are related to climate change and human impact on the climate,” Mans Nilsson, executive director of the Stockholm Environment Institute, told Squawk Box Europe.

Industrialized countries (must) seal the agreement on a long overdue climate finance package.

Ulka Kelkar

Director, World Resources Institute India

World leaders will discuss the issue further when they meet at COP26 in Glasgow, Scotland, in November.

Kreps said she hoped the conference would produce nationally determined contributions and “science-based goals”.

Meanwhile, Kelkar’s expectations were threefold.

“Developed countries (must) make the deal on a long overdue climate finance package,” said Kelkar, especially to adapt to the extreme events of recent times.

“The second major area is clean technology partnerships: something like green hydrogen, something like the circular economy that uses materials more efficiently. The third is the rules of carbon trading, a market-based tool that enables all of this mitigation. ”,“ She added.

– CNBC’s Sam Meredith contributed to this report.

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Health

Dr. Gottlieb says delta variant surge will be the ‘last wave’ in U.S.

Dr. Scott Gottlieb told CNBC on Monday that the current spike in Covid infections caused by the more contagious Delta variant could be the “last wave” of the virus in the United States.

“I don’t think Covid will be epidemic all through the fall and winter. I think this is the final wave, the final act, provided we don’t have a variant that pierces the immunity of a previous infection.” or vaccination, “the former Food and Drug Administration commissioner told the Squawk Box.” This will likely be the wave of infections that will end up affecting people who refuse to be vaccinated. “

Gottlieb said Americans still have a few months to take pandemic-related precautions, especially in the northern US states, as cases peak in the south until the wave of infections subsides again.

“I think this is going to be a difficult time,” he said. However, Gottlieb said the contagious nature of the Delta variant and the increased vaccination rates could change the course of future infections.

“We’re going to get some population-wide exposure to this virus, either through vaccination or through previous infection, which at this rate will stop circulating at that rate,” said Gottlieb, who ran the FDA from 2017-2019 under the Donald Trump administration.

According to a CNBC analysis of Johns Hopkins University data, the seven-day average of new daily coronavirus cases in the US is 108,624. That is 36% more than a week ago. The highly communicable Delta variant, first identified in India, accounts for 83% of all sequenced Covid cases in the country, according to estimates by the Centers for Disease Control and Prevention.

Given the surge in infections to coincide with plans to reopen schools in the fall, Gottlieb warned that schools may have to start the year with more stringent containment measures such as masking, testing, physical distancing and collecting through capsules.

“The goal must be to keep schools open and open, and we cannot expect us to change all behaviors about what we do about mitigation in schools and achieve the same result, in particular with this new “Delta variant, which is more contagious and will inevitably be difficult to control in schools,” said Gottlieb, who sits on the board of directors of the Covid vaccine manufacturer Pfizer.

Large numbers of vaccinated people can still congregate at a venue if there is an “appearance of a bubble,” he said. Vaccinated people who become infected are likely to get the virus from unvaccinated people and then spread it to close contacts after being contagious for a brief window of time, the former FDA chief said.

Gottlieb said wearing a higher quality mask like the KN95 mask is more important now as the virus is known to spread through aerosols rather than droplets. A good quality cloth mask only offers 20% protection from transmission, and most people don’t wear it well, he said.

“We’re bringing a kind of alpha mindset into a delta world, and it’s not going to work,” said Gottlieb, referring to the alpha coronavirus variant that was first discovered in the UK last year. “We will see that this delta variant is more difficult to control,” he said.

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, and biotechnology company Illumina. He is also co-chair of the Healthy Sail Panel of Norwegian Cruise Line Holdings and Royal Caribbean.

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Health

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

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

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

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

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

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

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

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

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

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

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

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

Updated 

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Politics

Last lacking individual recognized, dying toll 98

People visit the memorial which contains pictures of some of the victims from the partially collapsed 12-story Champlain Towers South Condo building on July 15, 2021 in Surfside, Florida. 92 victims have been identified while the search and recovery work is nearing completion.

Joe Raedle | Getty Images

The last person missing in the collapse of a residential complex in Surfside, Florida has been recovered and identified, bringing the death toll to 98, according to Miami-Dade County Mayor Daniella Levine Cava.

The remains of Estelle Hedeya, 54, were finally identified by authorities, the victim’s younger brother told the Associated Press. A total of 242 people are now recorded, said Levine Cava.

“Although we have identified all of the missing reported victims, the Miami-Dade police are continuing their ongoing search and recovery efforts on the evidence pile to ensure that all identifiable human remains are recovered,” Levine Cava said during a press conference Monday.

Miami-Dade Police Department director Alfredo Ramirez found that human remains had been recovered from the “secondary site” of the collapse, where the remaining portion of the condo building stood before it was demolished three weeks ago.

“We are recovering human remains and will continue to process them […]”said Ramirez.” We are still working on the stacks of evidence and will continue until we think we have done all we can.

The fire department ended their search for bodies on Friday when the heap of debris was almost completely swept away from the collapse site. Miami-Dade Police Department officials were forced to stop efforts to recover the remains and personal effects.

“Nothing we can say or do will bring back those 98 angels who left grieving families, loved ones and loved ones in this community and around the world,” said Levine Cava. “But we did everything we could to bring the families out of school. I am particularly proud that, thanks to this tireless effort, we were finally able to close down all the people who reported missing relatives.”

The news comes more than a month after the sudden collapse of the 12-story Champlain Towers South. First responders pursued an emotional and tireless search that shifted from rescue to recovery after officials said the possibility of finding someone alive was “near zero”.

Search teams had spent weeks tackling the dangers of the rubble, including severe weather conditions that temporarily halted their work. Ultimately, they cleared more than 14,000 tons of concrete and rubble from the construction site.

As their search neared the end, authorities focused on helping victims and families affected by the collapse. This includes the provision of resources by a family counseling center, which offers psychological counseling as well as financial and housing assistance, among other things.

Last week, a judge ruled that victims and families affected by the collapse should initially receive at least $ 150 million in compensation.

The compensation includes insurance for the Champlain Towers South building and the expected proceeds from the sale of the land on which the condominium building once stood.

While the exact cause of the collapse is still unknown, a 2018 report shows the 40-year-old building suffered significant structural damage, with cracks in the underground parking garage and waterproofing problems under the pool.

Recent reports also show that the repeal of a law in Florida in 2010 that required condos to schedule repairs may also have contributed to the collapse.

Categories
Politics

Biden predicts the F.D.A. will give ultimate approval to a Covid vaccine by the autumn.

President Biden told a town hall audience in Ohio on Wednesday evening that he expected the Food and Drug Administration would give final approval “quickly” for Covid-19 vaccines, as he pressed for skeptical Americans to get vaccinated and stop another surge of the pandemic.

Mr. Biden said he was not intervening in the decision of government scientists, but pointed toward a potential decision soon from the F.D.A. to give final approval for the vaccines, which are currently authorized for emergency use. Many medical professionals have pushed for the final approval, saying it could help increase uptake of the vaccines.

“My expectation talking to the group of scientists we put together, over 20 of them plus others in the field, is that sometime maybe in the beginning of the school year, at the end of August, beginning of September, October, they’ll get a final approval” for the vaccines at the F.D.A., Mr. Biden said.

The president also said he expected children under the age of 12, who are not currently eligible to receive the vaccine, would be approved to get it on an emergency basis “soon, I believe.”

The president’s comments at the town hall came as the spread of the Delta variant has led to a national rise in coronavirus cases. Over the past week, an average of roughly 41,300 cases has been reported each day across the country, an increase of 171 percent from two weeks ago. The number of new deaths reported is up by 42 percent, to an average of 249 a day for the past week.

In some states, such as Missouri, Arkansas, Louisiana and Florida, new infections have increased sharply, also driving an increase in hospitalizations. Cases are increasing more rapidly in states where vaccination rates are low.

In Ohio, where Mr. Biden traveled on Wednesday to talk up what he pitched as the good-paying union jobs that his infrastructure plan would create, the president found himself fielding questions from audience members concerned about low vaccination rates in their communities.

“This is simple, basic proposition,” he said. “If you’re vaccinated, you’re not going to be hospitalized. You’re not going to be in an I.C.U. unit. And you are not going to die.”

Later, Mr. Biden exaggerated the efficacy of the vaccine, even as some vaccinated staffers in the West Wing have recently tested positive for the coronavirus. “You’re not going to get Covid if you have these vaccinations,” he said.

In response to a move by Speaker Nancy Pelosi earlier Wednesday to bar two of former President Donald J. Trump’s most vociferous Republican defenders in Congress from joining a select committee to investigate the Jan. 6 riot at the Capitol, Mr. Biden was unequivocal about what happened that day.

“I don’t care if you think I’m Satan reincarnated, the fact is you can’t look at that television and say nothing happened on the sixth,” he said. “You can’t listen to people who say this was a peaceful march.”

But speaking in a red state that Mr. Trump won in the 2020 election, as he tries to build support for his infrastructure plans, Mr. Biden kept his criticism to some of the lawmakers elected to office, rather than Republican voters who got them there.

“I have faith in the American people, I do, to ultimately get to the right place,” he said. “Many times Republicans are in the right place.”

Jesus Jiménez contributed reporting.

Categories
World News

Brexit Commerce Deal Will get a Last OK From E.U. Parliament

BRUSSELS – In the results published on Wednesday morning, the European Parliament voted by a large margin for the European Union to finally approve a Brexit agreement, which is already fraught with difficulties, complaints and judicial contestation.

The vote was 660 votes in favor, five against and 32 abstentions.

While the outcome was never really in doubt, Parliament raised serious concerns about the trustworthiness of the current UK government in carrying out in good faith the two key Brexit documents: the withdrawal agreement and the trade and cooperation agreement that has just been approved.

The latter agreement, which regulates trade and customs issues and does not provide for tariffs or quotas, has been applied since the beginning of the year under certain conditions. It was completed on Christmas Eve and ratified by the UK Parliament on December 30th. However, a negative vote by the European Parliament would have killed it and produced the “No Deal Brexit”, which neither side supported.

The European Parliament had postponed its vote to protest the UK’s dealings with Northern Ireland and the protocol that governs trade on the divided island. The UK’s actions are the source of a legal complaint filed by the European Commission, the bloc’s executive branch, after the UK unilaterally extended the grace period for failing to carry out controls on goods moving between Northern Ireland and the rest of the UK.

The two sides have not yet found a common basis for implementing the Northern Ireland Protocol, which aims to protect the internal market while avoiding a hard border with Ireland, a member of the European Union.

Suspicion ran through the debate. Christophe Hansen, a key Brexit legislator from Luxembourg, said a positive vote “should not be seen as a blank check to the UK government or a blind vote of confidence that it will implement the agreements between us in good faith, but it is over from our point of view more of an insurance policy. “

The trade and cooperation agreement, said Hansen, “will help us remind the UK of the commitments it has signed.”

Terry Reintke, a German Green lawmaker, said: “This deal is not a good one because Brexit is not a good one. The situation is also complicated because we cannot be sure how trustworthy the UK government really is. Still, this agreement can be a starting point to reconstruct what we lost with Brexit. “

Manfred Weber, a German who heads the largest party group, the center-right European People’s Party, has published it bluntly on Twitter. “We will vote for the TCA after Brexit,” he wrote, referring to the trade deal. “But we’re concerned about implementation because we don’t trust Boris Johnson’s administration.”

Many concerns have been expressed that the UK is abusing or undermining the complex rules governing fishing rights and the Northern Ireland Protocol.

David McAllister, a German lawmaker who is half Scottish, said some of the problems encountered so far were due to teething problems, but others were due to the type of Brexit Britain chose for itself, an increasing divergence from the European Union will mean internal market. This alone requires continuous discussion and the processing of areas that are excluded from the Brexit agreement, including financial services and foreign and security policy.

Brussels is determined to work on practical solutions between Northern Ireland, Ireland and mainland Britain. “But the protocol isn’t the problem, it’s the solution. The problem is called Brexit. “

Ursula von der Leyen, President of the European Commission, urged Parliament to ratify the agreement and promised that Brussels would use the dispute and enforcement mechanisms of the agreement to ensure UK compliance. If not, she said, she would not hesitate to impose punitive tariffs.

“The deal is tied to real teeth – with a binding dispute settlement mechanism and the possibility of unilateral corrective action if necessary,” she said. “We don’t want to have to use these tools. But we won’t hesitate to use them if necessary. “

Dissatisfied with Great Britain, Parliament had postponed ratification twice. However, conditional transposition would have expired at the end of April and Parliament eventually cast its vote.

After nearly five hours of debate on Tuesday, lawmakers, many of whom were in virtual attendance, voted remotely, with final totals not being released until Wednesday morning.

Michel Barnier, the EU’s chief negotiator with Great Britain, thanked the legislators for their diligence. He praised the deal but warned: “Everyone must take responsibility and respect what they have signed.”

But he summed up the feelings of many when he said: “This is a divorce, a warning and a failure, a failure of the European Union and we must learn from it.”

Ratification would mark a new chapter in relations with Britain, good or bad, said Ms. von der Leyen. She hoped that this would constitute “the basis of a strong and close partnership based on our common interests and values”.

The UK voted to leave the European Union in a referendum in June 2016 almost five years ago. The complications of Brexit and the ongoing struggles over its implementation have not least contributed to the discussion in the rest of the European Union about a similar outcome.

Monika Pronczuk contributed to the reporting.

Categories
World News

US Navy Begins Remaining Withdrawal from Afghanistan

KABUL, Afghanistan – The US military has begun its full withdrawal from Afghanistan, the American commander in chief said Sunday, marking the beginning of the end of the United States’ nearly 20-year-old war in the country.

“I now have a number of orders,” said General Austin S. Miller, head of the US-led coalition in Afghanistan, at a press conference by Afghan journalists at the US military headquarters in Kabul, the capital. “We will conduct an orderly withdrawal from Afghanistan, and that means that bases and equipment will be handed over to the Afghan security forces.”

General Miller’s remarks come nearly two weeks after President Biden announced that all US forces would be out of the country by September 11, the 20th anniversary of the terrorist attacks that drove the United States in its long war in Afghanistan.

Mr Biden’s announcement was received with uncertainty in Afghanistan as it prepares for a future without a US and NATO military presence, despite a Taliban uprising that appears poised for military victory despite peace talks.

If the Taliban return to power – either through violence or through incorporation into government – they will likely take back women’s rights, as they did during their harsh rule in the late 1990s.

For now, the Afghan security forces, which have survived a particularly difficult winter, are holding the line. Taliban offensives in the south and repeated attacks in the north despite the cold weather have resulted in increasing casualties ahead of a potentially violent summer in which US and NATO forces are retreating. Although the Afghan military and police combined are believed to have around 300,000 employees, the real number is believed to be much lower.

“I am often asked how the security forces are doing. Can the security guards do the work in our absence? “General Miller said. “And my message has always been the same: you have to be ready.”

General Miller added that “certain equipment” must be withdrawn from Afghanistan, “but wherever possible,” the United States and international forces will leave material for the Afghan forces.

There are approximately 3,500 US troops in Afghanistan and approximately 7,000 NATO and Allied forces. These NATO forces are likely to pull out along with the United States as many countries in the coalition depend on American support.

At the head of the international armed forces in Afghanistan there are also around 18,000 contractors in the country, almost all of whom will also be leaving. General Miller said some of the treaties “need to be adjusted” to continue to support the Afghan security forces, which rely heavily on contractor support, particularly the Afghan Air Force. The thousands of private contractors in Afghanistan perform a variety of roles including security, logistics, and aircraft maintenance.

According to last year’s peace agreement with the Taliban, US and international forces should withdraw from the country by May 1. Under the deal, the Taliban have largely refrained from attacking US troops. However, it remains unclear whether the insurgent group will attack the withdrawing forces after Mr Biden decided to set the final deadline later in September.

“We have the military means and the ability to fully protect our armed forces and support the Afghan security forces during retrograde development,” said General Miller.

American troops are still spread out in a constellation of around a dozen bases, most of which contain small groups of special forces advising the Afghan military. To cover the withdrawal, the American military has provided significant air support, including positioning an aircraft carrier in the Persian Gulf in case the Taliban decide to attack.