Categories
Business

UK prepares surge vaccinations to sort out Covid variant from India

Caroline Nicolls will receive an injection of the Moderna Covid-19 vaccine administered by Sister Amy Nash at Madejski Stadium in Reading, west of London, on April 13, 2021.

STEVE PARSONS | AFP | Getty Images

LONDON – UK is preparing to have vaccinations and tests carried out in areas where the new variant of Covid-19, first discovered in India, is spreading.

Vaccine Minister Nadhim Zahawi told BBC TV on Friday that the government would “bend” its vaccination program to target more doses to the hardest hit areas, while second doses could be brought forward.

In a statement late Thursday, the UK Department of Health and Welfare announced that a new surge rapid response team of 100 nurses, health advisors and environmental health officers would be deployed to Bolton, a town on the outskirts of Manchester. where variant B1.617.2 spreads quickly.

“While there is still no clear evidence that this variant has a greater impact on disease severity or evades the vaccine, the rate of growth matters and the government is considering additional measures if deemed necessary, including the best possible Using the vaccine role-out to best protect the most vulnerable in the context of the current epidemiology, “the department said in the statement.

Surge testing, along with improved genome sequencing and contact tracing, is also being rolled out to other areas across the country.

Data on the new variant, released Thursday by Public Health England, showed the number of cases across the UK rose from 520 last week to 1,313 this week, with most cases in the north-west of England and some clusters concentrated in London.

New restrictions cannot be ruled out

The introduction of vaccines in the UK was one of the fastest in the world. Almost 70% of the adult population have received at least one shot to date. Vaccines are currently available to people over the age of 38. However, the government has stated that they could be made available to younger people in multi-generational households.

The next phase of England’s exit from the lockdown is slated for Monday, when the conviviality, hospitality and indoor entertainment will resume.

However, Health and Welfare Secretary Matt Hancock said in a statement Thursday that the government is “monitoring the situation very carefully and does not hesitate to take further action if necessary”.

With the special unit in Bolton, surge tests have already been carried out in 15 areas across England, with more than 800,000 tests distributed.

“As outlined in the roadmap, we cannot rule out the possibility that economic and social restrictions will be reimposed at local or regional level if there is evidence that they are necessary to contain or suppress a variant that escapes the vaccine”, said the DHSC.

Categories
World News

Covid Desperation Is Spreading Throughout India

NEW DELHI – Dozens of bodies washed up on the banks of the Ganges this week, most likely the remains of people who have died of Covid-19.

States in southern India have threatened to stop sharing medical oxygen and they have great protection from holding onto what they have as their hospitals soar with the sick and infections.

And at a hospital in Andhra Pradesh, a rural state in southeastern India, angry relatives raged in the intensive care unit after suddenly running out of life-saving oxygen – the latest example of the same tragedy repeated when patients died while gasping for breath.

The desperation that has plagued New Delhi, India’s capital, in recent weeks is now spreading across the country, hitting states and rural areas with far fewer resources. Positivity rates are rising in these states, and public health experts say the rising numbers are most likely well below the real picture in places where diseases and deaths caused by Covid-19 are harder to track.

It seems that the crisis is entering a new phase. Cases in New Delhi and Mumbai could flatten. But many other places are being overwhelmed by runaway outbreaks. The World Health Organization is now saying that a new variant of the virus discovered in India, B.1.167, may be particularly transmissible, which only increases the feeling of alarm.

Every day the Indian media delivers a huge dose of turmoil and sadness. On Tuesday, televised images of distraught relatives beating angrily on the chests of loved ones who died after the oxygen was depleted, and headlines such as “Bodies of Suspicious Covid-19 Victims Found Floating” and “As Deaths Go Up.” 10 Fold, Worrying “Characters from Smaller States. “

This has always been the burning question: if New Delhi, home to the country’s elite and numerous hospitals, couldn’t handle the surge in coronavirus cases due to a devastating new wave, what would happen in poorer rural areas?

The answer is coming in now.

On Monday evening, Sri Venkateswara Ramnarain Ruia’s government general hospital in Andhra Pradesh ran out of medical oxygen. More than 60 patients were in critical condition and had oxygen masks on their faces. Doctors desperately called to suppliers for help.

But the oxygen ran out and killed 11 people. Distraught family members got so angry, hospital officials said, that they stormed into the intensive care unit, turned tables and smashed equipment. Television images showed women clutching their heads, overwhelmed with grief. Doctors and nurses fled until police officers arrived.

India is suffering from a worrying shortage of medical oxygen and at least 20 other hospitals have run out. Almost 200 patients have died from it, according to an Indian news site that has been following the string of fatal incidents.

At the same time, the national vaccination campaign stutters. The roughly two million doses administered daily for the past few days are lower than the highs a few weeks ago, when the country gave more than three million doses on a few days. Lots of people can’t find dates to get the shot. Some vaccination centers are completely exhausted, officials say.

All of this leads to the harshest criticism that Narendra Modi, India’s powerful prime minister, has faced since he took office seven years ago. He has been widely accused of declaring premature victory over coronavirus and encouraging his country to drop his guard.

Modi’s Bharatiya Janata party remains by far India’s most powerful political organization. But the solid wall that the party has maintained during this crisis may show some cracks.

Several party setters in Uttar Pradesh, India’s largest state and one controlled by Mr. Modi’s party, have started complaining about the state government’s response.

“There is no break in the corona and we helplessly watch our own people die,” wrote Lokendra Pratap Singh, a lawmaker for Mr. Modi’s party, in a letter that quickly went viral.

Nationwide, the picture remains bleak, although the situation in India’s two largest cities appears to be improving.

The capital New Delhi reported 12,481 new infections on Tuesday, less than half of the infections reported on April 30. The positivity rate among those tested for the coronavirus has steadily declined in the city, from a worrying high to 19 percent from 36 percent a few weeks ago.

Something similar happened in Mumbai, India’s commercial capital, and people are now wondering if the worst is over. The positivity rate in Mumbai has dropped from around 25 percent to around 7 percent.

Hospitals in Delhi that closed their doors last month due to a shortage of life-saving supplies and killed people on the streets are again accepting patients. But the situation for those who get sick is still extremely precarious. On Tuesday afternoon, a cell phone app for New Delhi, a metropolis of 20 million people, showed only 62 free beds in the intensive care unit for Covid-19 patients across the city.

Understand India’s Covid Crisis

Some of the worst-hit states are now in the south, particularly Karnataka, home of India’s Bangalore technology center. An oxygen express train, part of the Modi government’s effort to carry liquid oxygen to Covid-19 hotspots, chugged into Bangalore Tuesday morning.

But the state needs more.

By this week, the southern states had agreed to share the oxygen supply. Now some are arguing to end the collaboration. Neighboring Kerala says it cannot send oxygen because it needs all of its supplies for its own growing needs. Tamil Nadu, also in the south, says the same thing and cannot provide for its poorer neighbor Andhra Pradesh, where the eleven people died on Monday evening at the oxygen limit.

“I can hardly imagine what is going on in rural India,” said Rijo M. John, a health economist in Kerala, where the positivity rate rose from around 8 percent in early April to nearly 27 percent on Tuesday.

Mr John said that rural areas do not have many Covid tests and that many people “may die from not receiving treatment at all”.

One particularly troubling omen came in a river village in Bihar, a rural state in northern India. In the village of Chausa, residents felt deeply uncomfortable after discovering dozens of bodies mysteriously washed up on the banks of the Ganges.

Nobody knows who these people were or how their bodies got there. The villagers found her on Monday evening. Stunned spectators crowded around the remains, many in brightly colored clothes, floating in the shallow water. Images of the bloated bodies have made the rounds in the Indian media and unsettled countless people.

Officials said about 30 bodies were found. Witnesses put the number at over 100.

Every now and then, the villagers said, they see a single corpse floating in the river. It is part of a custom whereby some families send the corpses of loved ones into the Ganges, the holiest river in Hinduism weighed down with stones. But Chausa officials and residents suspect the unprecedented number of bodies they found this week belonged to victims of Covid-19.

“I’ve never seen so many bodies before,” said Arun Kumar Srivastava, a government doctor in Chausa.

When Covid-19 devastated this area, Dr. Srivastava, he saw more and more people carrying corpses, sometimes on their shoulders. “Absolutely,” he said. “More deaths happen.”

Krishna Dutt Mishra, an ambulance driver in Chausa, said many poor people dumped bodies in the river because cremation prices rose from rupees 2,000, about $ 27, to rupees 15,000 since the second wave of Covid. about $ 200, which is an insurmountable amount for most families.

This has become a problem across India. Covid-19 deaths have overwhelmed the grounds for cremation, and some unscrupulous cremation workers are now charging five or even ten times the normal price of the final rites.

“I drove the entire distance from Buxar to Chausa,” said Mishra, referring to another town a little further east. “I’ve never seen a few bodies, let alone so many, lined up along this stretch of the river.”

Hari Kumar and Shalini Venugopal Bhagat contributed to the coverage.

Categories
Business

India Covid disaster: Mucormycosis fungal an infection

Medical staff in PSA caring for a person at the Covid-19 Temporary Care Center attached to LNJP Hospital at Shehnai Banquet Hall on April 23, 2021 in New Delhi, India.

Raj K Raj | Hindustan Times | Getty Images

As India grapples with a deadly second wave of coronavirus, authorities have warned of a rare fungal infection that can be maimed or even fatal if not cared for.

Multiple media reports say doctors in the country are reporting cases of mucormycosis, informally known as “black fungus,” in the recovery or recovery of Covid-19 patients in states like Maharashtra and Gujarat, as well as Delhi.

What is it?

Mucormycosis is a “serious but rare fungal infection caused by a group of molds called mucormycetes,” according to the US Centers for Disease Control and Prevention. It most commonly affects the sinuses or lungs after inhaling fungal spores from the air, but it can also appear after an injury to the skin or, in some cases, affect the brain, according to the CDC.

The infection is more common in people who have underlying health problems or are taking medications that affect their body’s ability to fight germs. Researchers studying previous murcormyscosis infections in India found that diabetes was the most common underlying disease, occurring in 54% to 76% of cases.

While the infection is treatable, the CDC estimates a death rate of around 50%, but this varies depending on the underlying conditions, the type of fungus, and the area of ​​the body affected.

However, the Indian State Council for Medical Research (ICMR) said that patients who have been in intensive care units for long periods of time or are immunocompromised due to steroids may also be at risk.

Many severe Covid-19 patients in India are treated with corticosteroids such as dexamethasone, an anti-inflammatory drug that also decreases the immune system’s ability to fight infections and other diseases to relieve symptoms and make them more susceptible.

A government official reportedly said last week that there is “no major outbreak” of the fungal infection in India.

What are the symptoms?

The ICMR issued a notice over the weekend urging doctors and patients to look out for early symptoms.

These include nasal congestion and discharge, unilateral facial pain, numbness or swelling, toothache and loosened teeth, blurred or double vision, redness around the eyes, fever, difficulty breathing and chest pain.

Treatment options include antifungal therapy, Reducing or stopping steroids and other drugs that suppress the immune system, while more severe cases, according to the ICMR, may require surgery to remove all necrotic tissues from the body.

If left untreated for too long, permanent damage such as vision loss and death can result.

Mucormycosis was already present in India before the Covid-19 pandemic began last year. Official data are scarce due to the lack of population-based studies, but some researchers estimate that the prevalence of mucormycosis in the country is about 70 times higher than in the rest of the world.

Categories
Business

WHO classifies triple-mutant Covid variant from India as world well being danger

World Health Organization (WHO) Director General Tedros Adhanom Ghebreyesus will attend a press conference at WHO headquarters on July 3, 2020, organized by the United Nations’ Association of Geneva Correspondents (ACANU) in the context of the COVID-19 outbreak caused by the novel coronavirus was organized in Geneva.

Fabrice Coffrini | AFP | Getty Images

A World Health Organization official said Monday that the highly contagious triple mutant variant of Covid widespread in India is being classified as a “worrying variant,” suggesting it has become a global health threat.

Maria Van Kerkhove, WHO technical lead for Covid-19, said the agency would provide more details in its weekly status report on pandemic Tuesday, but added that the variant known as B.1.617 was found in preliminary studies to do more Spread more easily than the original virus and there is some evidence that it can evade vaccines.

“And as such, we classify this as a variant of the concern on a global scale,” she said during a press conference. “Although some preliminary studies show increased transferability, we need a lot more information about this virus variant in that line in all sublines. Therefore, we need to do more sequencing and targeted sequencing.”

A Covon-19 coronavirus patient rests in a banquet room temporarily converted into a Covid care center in New Delhi on May 10, 2021.

Arun Sankar | AFP | Getty Images

The WHO announced last week that it is closely tracking at least 10 coronavirus variants worldwide, including the B.1.617. The variant was previously called the “variant of interest” because more study was needed to fully understand its meaning, Van Kerkhove said.

“For everyone in the home, this means that any circulating SARS-CoV-2 virus can infect and spread you, and anything to do with that is worrying,” she said on Monday. “So, all of us at home, no matter where we live, no matter what virus is circulating, we need to make sure we take all necessary measures to keep us from getting sick.”

A variant can be classified as “worrying” according to the WHO if it is found to be more contagious, more deadly and more resistant to current vaccines and treatments.

The international organization has already identified three other variants with the classification: B.1.1.7, which was first discovered in Great Britain and is currently the most widespread variant in the USA; B. 1.351, detected for the first time in South Africa, and the P.1 variant, detected for the first time in Brazil.

B.1.617 has three sub-lines, said Van Kerkhove, which are described in Tuesday’s management report.

Some believe the variant is behind the recent wave of infections in India.

The country averages 3,879 Covid deaths per day, according to data from Johns Hopkins University, although media reports suggest the official number is underestimated. Over the past seven days, an average of 391,000 new cases per day have been reported – an increase of about 4% from a week, data from Johns Hopkins University shows.

The variant has since expanded to other countries, including the United States.

– CNBC’s Rich Mendez contributed to this report.

Categories
Business

Why Covid vaccine producer India faces main scarcity of doses

People aged 18 and over waiting to be vaccinated against Covid-19 at a vaccination center on the Radha Soami Satsang site operated by BLK Max Hospital on May 4, 2021 in New Delhi, India.

Hindustan Times | Hindustan Times | Getty Images

With the devastating second wave of the coronavirus pandemic in India, questions are being asked how the country where the world’s largest vaccine maker is based got to this tragic point.

India continues to report massive numbers of new infections. Tuesday passed the grim milestone of having reported over 20 million Covid cases and at least 226,188 people have died from the virus, although the reported death toll is believed to be lower than the real death toll.

Meanwhile, India’s vaccine program is struggling to make an impact and supplies are problematic, despite the country halting vaccine exports in March to focus on domestic vaccination.

The sharp rise in infections in India since February has been attributed to permission for a major religious festival and election campaigns, as well as the spread of a more contagious variant of the virus. Prime Minister Narendra Modi and his ruling Bharatiya Janata party have been criticized for a lack of caution and willingness, and accused of placing politics and campaigning above public safety.

There was also a war of words over the government’s vaccination strategy. The ruling legislature has been criticized for allowing millions of cans to be exported earlier this year.

So far India has administered around 160 million doses of a coronavirus vaccine (the predominant shots used are the AstraZeneca vaccine, made locally as Covishield, as well as a domestic vaccine developed by Bharat Biotech called Covaxin). Russian vaccine Sputnik V was approved for use in April and the first batch of doses arrived in early May, although it has not yet been used.

So far, only 30 million people in India have received full two doses of a Covid vaccine, government data shows. That is a small number (just over 2 %%) of India’s total population of 1.3 billion people – although around a quarter of that population is under the age of 15 and as such cannot yet receive a vaccine.

As of May 1, everyone aged 18 and over has been eligible for a Covid vaccine, although this expansion of the vaccination program has been hampered by dose constraints across the country reported by national media across the country.

People get their Covid-19 vaccines from medical professionals at a vaccination center set up in the classroom of a state school in New Delhi, India on May 4, 2021.

Getty Images | Getty Images News | Getty Images

Dr. Chandrakant Lahariya, a New Delhi-based doctor who is also an expert on vaccines, public policy and health systems, told CNBC on Wednesday that India’s large adult population is making vaccination efforts difficult.

“Even if the proposed supply was available, India opened vaccination to a far larger population than any vaccine framework can possibly expect. This is essentially the result of limited supply and a vaccination policy that ignores supply becomes.” No forward planning could have ensured the kind of care that is needed now with the opening of vaccination for 940 million people in India, “he said.

It is “unlikely that vaccine supplies will change drastically,” Lahariya said. “India takes between 200 and 250 million doses per month to reach full capacity of the Covid-19 vaccine engines and it has around 70 to 80 million doses per month. It is clear that there is a long way to go to get these Kind of care to achieve. ” ,” he noticed.

Vaccine wars

The shortcomings in vaccine supply have inevitably led to a diversion of blame with vaccine manufacturers in the line of fire. Questions about vaccine prices, production capacity and the destination of shipments have preoccupied the world’s largest vaccine manufacturer, Serum Institute of India, and Bharat Biotech, the Hyderabad-based pharmaceutical company that makes Covaxin.

Both had criticized their vaccine price structures (i.e. different prices for doses intended for central government, state governments and private hospitals), which prompted the CEO of the SII to lower prices later as part of a public backlash.

Adar Poonawalla, CEO of the SII, which makes the Covid vaccine developed by AstraZeneca and Oxford University, said Sunday the institute had been blamed for a vaccine shortage and scapegoated by politicians, but said it was due to capacity an initial did not increase sooner lack of orders.

“I have been a very unfair and unjustified victim,” he told the Financial Times on Monday, adding that he had not increased capacity earlier because “there were no orders, we didn’t think we were more than 1 billion Doses a year. “

Poonawalla noted that the Indian government ordered 21 million doses of Covishield from the Serum Institute in late February, but did not specify when or if it would buy more, and ordered an additional 110 million doses in March as infections began to rise.

People wearing protective face masks wait to receive a dose of Covishield, a coronavirus vaccine made by the Serum Institute of India, at a vaccination center in New Delhi, India on May 4, 2021.

Anadolu Agency | Anadolu Agency | Getty Images

Poonawalla said Indian authorities did not expect to face a second wave of cases and, as such, were not prepared for the onslaught of new infections in late winter.

He said the shortage of vaccine doses in the country will continue until July, when production is expected to increase from around 60 to 70 million doses per month to 100 million.

For its part, the Indian government insists on ordering more vaccines to meet demand. On Monday the government issued a statement rejecting media reports claiming it had not placed new orders for Covid vaccines since March, stating that “these media reports are completely false and not based on facts” . It said it had provided money to both SII and Bharat Biotech for vaccines, which are due to be delivered in May, June and July.

On Tuesday, Poonawalla issued a statement attempting to calm tensions between the government and SII. He stated that “the production of vaccines is a specialized process and it is therefore not possible to ramp up production overnight”.

“We also need to understand that India’s population is huge and it is not an easy task to produce enough doses for all adults … We have been working with the Indian government since April last year. We have all kinds of support, be it scientific , regulatory and financial, “he said. Poonawalla said the SII has received total orders over 260 million cans without disclosing buyers.

When asked if the government had misunderstood its approach to vaccine sourcing and production, Lahariya noted that the government had become complacent, even though it was difficult to predict the course of the pandemic.

“To be fair, I think there were two surprises. Unlike a year ago when the availability of Covid-19 vaccines was projected around mid-2021, the vaccine became available a little earlier. Second, the lull in Covid-19- Cases in India has ceased complacency at all levels, “he noted. Lahariya added that many months were spent prioritizing the target population for vaccination, then opening the program “too early” to all adults.

“It was an issue of hasty and arguably politically influenced planning, while it was essentially supposed to be a public health decision. So a written plan detailing various aspects, such as the forecast of care, could have made all the difference. “

Modi’s future

How the vaccination strategy will affect Modi’s ratings over the long term remains to be seen. However, there is already evidence that Modi’s ruling BJP will have to pay for the Covid crisis in the elections.

Modi’s party failed to win the key state of West Bengal in a regional election last weekend and failed to win three other state elections in April, despite retaining power in the state of Assam.

Dr. Manali Kumar of the Department of Political Science at the University of St. Gallen in Switzerland noted: “This second wave is a disaster caused by the complacency of the Indian government, which is now preoccupied with controlling the narrative rather than addressing the problem. ” “”

“Perhaps the worst disaster currently unfolding in India could have been avoided if restrictions on public and private gatherings had remained in place,” she noted, adding that “decades of neglect of investment in health infrastructure and an electorate Those who did not do this are also to blame for prioritized public services. “

Prime Minister Modi defended the government’s vaccination strategy, telling ministers in April that “those who are in the habit of politics (playing) allow it … I have received various allegations. We cannot stop those who do this to do.” We really want to serve humanity, which we will continue to do, “he said, the Times of India reported.

He also noted that an earlier peak of infections had been controlled this past September at a time when vaccines were not available and cases and mass tests were being tracked and followed.

Categories
World News

Covid-19 Information: Dwell Updates on Vaccine, Instances and India

Here’s what you need to know:

Credit…Saul Martinez for The New York Times

President Biden will announce Tuesday afternoon that he is directing tens of thousands of pharmacies to offer walk-in appointments for coronavirus vaccine shots, creating more pop-up and mobile clinics and shipping more doses to rural clinics, all aimed at vaccinating 70 percent of American adults at least partially by July 4.

The efforts reflect a shift in strategy by the administration as the pace of the nation’s vaccination effort slows. The federal government has also decided that if states do not order their full allocation of doses in any given week, that supply can be shifted to other states that want more.

In an afternoon address, the president plans to pledge more funding for outreach campaigns designed to convince those reluctant to get shots of the need to protect their own health and that of others. The number of shots administered daily has slowed by about half since a peak in mid-April, despite a flood of vaccine available.

Senior health officials have decided that herd immunity — the point at which the virus dies out for lack of hosts to transmit it — will likely remain elusive. But if the 70 percent to 85 percent of the population is vaccinated, the infection rate will be low enough so that normal life will be within reach, senior administration officials said.

The president will call for about 160 million adults to be fully vaccinated by Independence Day. As of Monday, more than 105 million Americans were fully vaccinated and at least 56 percent of adults — or 147 million people — had received at least one shot. That has contributed to a steep decline in infections, hospitalization and deaths across all age groups, federal officials said.

To increase availability of shots, the White House informed states that if they choose not to order their full allocation of vaccine each week, the doses will go back into a federal pool so that other states can draw on it, according to state and federal officials.

States that do not claim their full allotment one week will not be penalized because they will still be able to request the full amount the next week, officials said.

The shift, reported earlier Tuesday by The Washington Post, makes little difference to some states like Virginia that have routinely drawn down as many doses as the federal government was willing to ship. But it could help some states that are able to use more doses than the federal government allotted to them based on their population. They will now be allowed to ask for up to 50 percent more doses than the government allotted them.

Until now, White House officials had been unwilling to shift doses to states that were faster to administer them out of concern that rural areas or underserved communities would lose out to urban or richer areas where residents were more willing to get shots.

But with the pace of vaccination slowing nationwide, officials have determined that freeing up unused doses week by week will not exacerbate equity issues Some state officials have been arguing for the change for weeks.

United States › United StatesOn May 3 14-day change
New cases 50,058 –26%
New deaths 751 –3%
World › WorldOn May 3 14-day change
New cases 682,232 +6%
New deaths 10,714 +12%

U.S. vaccinations ›

Where states are reporting vaccines given

In Midtown Manhattan last week.Credit…Gabby Jones for The New York Times

Three U.S. states that were once at the center of the pandemic — New York, New Jersey and Connecticut — are taking steps to relax nearly all their coronavirus restrictions, raising hopes among many residents that life is returning to normal, but causing angst for others who are still worried about the virus.

Many people who own or work for establishments that have been hard hit by pandemic closures, like restaurants and bars, nightclubs and cultural institutions, expressed optimism.

But for some others, it may be too soon to celebrate.

Felipe Perez, 48, a construction worker who lives in Brooklyn, said that he did not trust Gov. Andrew M. Cuomo’s move to ease capacity limits for nearly all businesses starting on May 19.

“It’s too fast,” Mr. Perez added.

Mr. Cuomo’s plan says businesses should still abide by the Centers for Disease Control and Prevention’s social distancing guidelines requiring six feet of separation between people.

Businesses that monitor whether everyone inside has been vaccinated or has a negative coronavirus test can allow more people inside, as can restaurants that introduce barriers between tables.

Mr. Cuomo said that the New York City subway, which has been closed nightly to allow for thorough cleaning since last May, will resume operating 24 hours a day on May 17.

About 80,000 municipal workers in the city had already returned to the office when the governor announced the reopening plan.

Mayor Bill de Blasio said on NY1 Monday night that it was time for remote municipal workers to return, even though some may still have concerns about the virus.

Mr. de Blasio said that returning to the office was a necessary step “so we can supercharge this recovery,” adding that the city would continue safety precautions like requiring workers to wear masks in the office.

The mayor said last week that he hoped to reopen the city on July 1, more than a month after the timeline Mr. Cuomo laid out on Monday. The accelerated reopening is the latest in a series of conflicting announcements and political squabbles between the mayor and governor.

“I don’t tend to be surprised by his particular choices lately, let’s put it that way,” Mr. de Blasio said.

Some major employers in the city, like Goldman Sachs and JPMorgan Chase, will require that their employees return to the office this summer.

Other industries were somewhat taken aback by the announcement. New York City’s theaters and arts venues, for instance, will now face pressure to expedite productions and will have to work around the social distancing requirements.

Broadway is not expected to reopen until September, the Broadway League said in a recent statement. Many performing arts organizations are waiting for clarity about seating rules before putting tickets on sale.

Across the Hudson River, Al Pilone, who has owned the Our Hero sandwich shop in Jersey City, N.J., for 40 years, was reluctant to leap back to normal.

Mr. Pilone, 72, said the shop had been operating through most of the pandemic, but that he was wary about resuming indoor dining, which New Jersey establishments have been allowed to do with limitations since last summer.

He said he was waiting until 70 to 80 percent of the population is vaccinated, because “I don’t want to subject the staff to anybody if I don’t know they’ve vaccinated.”

According to a New York Times database, the average number of new cases reported daily has dropped by 44 percent or more in all three states over the past two weeks, as of Monday, and more than one-third of each state’s population has been fully vaccinated.

Still, experts have warned that in New York, and some other major cities, the slowing pace of vaccinations, the prevalence of undervaccinated areas and the spread of worrisome variants mean that the pandemic is far from over, and that reopening might be premature.

“It just seems poorly thought through, and almost a little reckless,” Dr. Denis Nash, an epidemiologist at the City University of New York, said Monday.

In the nation’s other large cities, plans for reopening have been mixed amid shifting case counts as vaccinations roll out.

In Chicago, where Mayor Lori Lightfoot announced on Tuesday that she plans to fully reopen the city by July 4, officials already have relaxed many restrictions on restaurants, churches, bars and other indoor gatherings, and allowed popular street festivals to resume this summer.

In Los Angeles, restrictions on restaurants were loosened early last month, and in Anaheim, Disneyland reopened on Friday. And that other symbol of California life seems to have returned as well: Traffic is back on the highways.

But in Seattle’s King County, where restaurants and other businesses are still under orders to have a maximum capacity of 50 percent, state leaders are considering a plan to restore more restrictions on Tuesday amid a rise in coronavirus cases and hospitalizations.

Reporting was contributed by Nate Schweber, Kevin Armstrong, Winnie Hu, Luis Ferré-Sadurní Kate Kelly, Julie Bosman, Manny Fernandez and Mike Baker.

A Covid-19 patient receives oxygen in a parked car while waiting for a hospital bed to become available in New Delhi, as a volunteer checks her oxygen saturation level.Credit…Atul Loke for The New York Times

India on Tuesday passed the milestone of 20 million reported coronavirus cases, with many more undetected, according to experts, spurring new calls for a national lockdown.

With those reported numbers, India became the second country after the United States to cross 20 million infections. Although aid has begun to pour in from other countries, hospitals are still unable to help many of those who are critically ill, and families have been left to hunt for much-needed oxygen.

Prime Minister Narendra Modi has been sharply criticized by many for underplaying the virus earlier this year, and on Tuesday the opposition leader Rahul Gandhi said a national lockdown was desperately needed, calling it “the only option.”

Mr. Gandhi accused the authorities of helping the virus spread. “A crime has been committed against India,” he wrote on Twitter.

Mr. Modi has been reluctant to impose strict nationwide lockdown measures like the ones last spring, which remained in place for months.

While experts say that the lockdown helped reduce the number of cases in the first wave of the pandemic, it also triggered the biggest internal migration since the partition of the country in 1947. Millions of workers fled the cities, dealing a blow to the economy.

The economy had been recovering in recent months, but the current wave of disease has dampened hopes for a full recovery, and Mr. Modi asked states to consider lockdowns as “a last option.” Many states, including some governed by Mr. Modi’s party and its allies, have issued stay-at-home orders.

The regional authorities in Bihar in eastern India on Tuesday ordered a two-week lockdown. The southern state of Kerala also announced restrictions this week. The states of Maharashtra, Delhi and Karnataka already have lockdowns, and many states have weekend and night curfews.

Amid the scramble to try to contain the virus, the Indian Premier League announced on Tuesday that it was suspending all the remaining matches of the season after several players and staff tested positive. The league had drawn intense criticism for going ahead with its matches in cities that have been among the worst hit.

Made up of eight teams, the Indian Premier League is the biggest cricket league in the world.

Since the league’s season started last month, some of the biggest cricket stars have traveled across the country in so-called bubbles and played in empty stadiums. But even the stringent safety protocols couldn’t stop team members from being infected. At least five people on three teams have tested positive. The competition had been scheduled to finish at the end of the month.

“These are difficult times, especially in India and while we have tried to bring in some positivity and cheer, however, it is imperative that the tournament is now suspended and everyone goes back to their families and loved ones in these trying times,” the league said in a statement.

India reported over 368,000 new cases and 3,417 deaths on Monday. It has reported more than 222,000 Covid-19 deaths, although actual figures are most likely much higher.

With aid being shipped from countries like the United States and Britain, there was hope among weary residents that the situation could start easing.

Eight oxygen generator plants from France, each of which can supply 250 hospital beds, were earmarked for six hospitals in Delhi and one each in Haryana and Telangana, states in northern and southern India. One of the generators was installed at the Narayana hospital in Delhi within hours of being delivered, according to The Times of India. Italy has also donated an oxygen generation plant and 20 ventilators.

As criticism has mounted over the delay in dispatching oxygen concentrators and other equipment, the government announced on Monday that it was waiving all duties and taxes on lifesaving equipment and relief material that had been donated. But the authorities have faced calls for more transparency on the deployment of the international aid shipments.

The Indian Red Cross receives all shipments that arrive by air, then hands them over to a government agency in charge of distributing the supplies based on regional requests. The authorities have released a list of hospitals that received aid shipments, but did not specify which equipment was going where.

Keidy Ventura, 17, received a dose of the Pfizer coronavirus vaccine in West New York, N.J., last month.Credit…Seth Wenig/Associated Press

Medical experts welcomed the news that the Pfizer-BioNTech Covid vaccine could be authorized by the Food and Drug Administration for use in adolescents ages 12 to 15 by early next week, a major step forward in the U.S. vaccination campaign.

Vaccinating children is key to raising the level of immunity in the population, experts say, and to bringing down the numbers of hospitalizations and deaths. And it could put school administrators, teachers and parents at ease if millions of adolescent students soon become eligible for vaccinations before the next academic year begins in September.

Pfizer’s trial in adolescents showed that its vaccine was at least as effective in them as it was in adults. The F.D.A. is preparing to add an amendment covering that age group to the vaccine’s existing emergency use authorization by early next week, according to federal officials familiar with the agency’s plans who were not authorized to speak publicly.

Dr. Ashish K. Jha, dean of the Brown University School of Public Health and the father of two adolescent daughters, said the approval would be a big moment for families like his.

“It just ends all concerns about being able to have a pretty normal fall for high schoolers,” he said. “It’s great for them, it’s great for schools, for families who have kids in this age range.”

This is big. FDA set to authorize Pfizer for 12-15 year-olds. Soon

About 16 million humans in this age group in US

Getting them vaccinated will help US effort to get high levels of population immunity

I have 2 such humans at home ready to get the shothttps://t.co/aXjYxE8ddL

— Ashish K. Jha, MD, MPH (@ashishkjha) May 3, 2021

But with demand for vaccines falling among adult Americans — and much of the world clamoring for the surplus of American-made vaccines — some experts said the United States should donate excess shots to India and other countries that have had severe outbreaks.

“From an ethical perspective, we should not be prioritizing people like them over people in countries like India,” Dr. Rupali J. Limaye, a Johns Hopkins University researcher who studies vaccine use, said of adolescents.

Dr. Jha said that the United States now had a big enough vaccine supply to both inoculate younger Americans and aid the rest of the world. As of Monday, the United States had about 65 million doses delivered but not administered, including 31 million doses of the Pfizer-BioNTech vaccine, according to figures collected by the Centers for Disease Control and Prevention.

More than 105 million adults in the United States have been fully vaccinated. But the United States is in the middle of a delicate and complex push to reach the 44 percent of adults who have not yet received even one shot.

While adolescents so far appear to be mostly spared from severe Covid-19, Dr. Anthony S. Fauci, the Biden administration’s top Covid adviser, has repeatedly stressed the importance of expanding vaccination efforts to include them and even younger children. In March, Dr. Fauci said that he expected that high schoolers could be vaccinated by fall and elementary school students by early 2022.

Dr. Richard Malley, a pediatric infectious disease specialist at Boston Children’s Hospital, said that immunizing adolescents was worthwhile because they can spread the virus, even if they transmit it at a lower rate than adults.

A group of activists gathered outside City Hall to call for an extension of the moratorium on evictions and for a roll back of the city’s rents for tenants in New York on Monday.Credit…Justin Lane/EPA, via Shutterstock

New York State lawmakers on Monday passed legislation that would extend a statewide moratorium on residential and commercial evictions through Aug. 31.

The extension would provide additional relief for tenants, who have had broad protection from being taken to housing court since the start of the pandemic, just as New York is expected to start distributing $2.4 billion in rental assistance to struggling renters.

That financial aid will provide up to a year’s worth of unpaid rent and utilities, a financial lifesaver for not just tenants but also their landlords, many of whom have endured more than a year of little income.

Together, the moratorium extension and rental assistance comes just as New York State, along with New Jersey and Connecticut, announced plans to lift almost all their pandemic restrictions later this month, offering a chance to boost the economy a year after the region became a center of the pandemic.

The state’s eviction moratorium would extend the state’s previous protections, which expired on May 1, and goes further than the nationwide moratorium, which expires on June 30 and were imposed by the Centers for Disease Control and Prevention.

The new state eviction order would go into effect once Governor Andrew M. Cuomo signs it into law.

Since the start of the pandemic, nearly 49,000 eviction cases have been filed in New York City Housing Court, the highest number among any American city, according to the Eviction Lab at Princeton University. While most evictions are on pause, cases can still be filed with the courts.

An analysis of court data shows that the areas in New York City hit hardest by the virus — largely Black and Latino neighborhoods in the Bronx and Queens — have had the highest number of eviction cases. On average, renters owe $8,150 in unpaid rent, the Association for Neighborhood and Housing Development, a coalition of housing nonprofits.

Tenants cannot be evicted if they can show a financial or health hardship because of the pandemic. Lawmakers said that without an eviction moratorium, hundreds of thousands of New Yorkers, if not more, could be at risk of losing their homes.

In addition to protections for renters, the new legislation in New York would also safeguard smaller landlords who have been unable to pay their mortgages, protecting them from tax lien sales or foreclosures. Commercial tenants with fewer than 50 employees can also file a hardship declaration to receive eviction protections.

global roundup

Prime Minister Scott Morrison of Australia spoke to reporters in Sydney last month.Credit…Joel Carrett/EPA, via Shutterstock

The Australian authorities have faced a growing backlash from human rights groups and opposition politicians after they barred Australian citizens stranded in India from coming home, prompted by India’s record-breaking Covid-19 outbreak.

It is a travel ban with no equivalent in other democratic countries. Introduced on Monday and in place until May 15, it wields a possible punishment of up to five years in prison and a fine equivalent to about $50,000 for anyone trying to return from India. It is believed to be the first time that Australia has made it a criminal offense for its citizens and permanent residents to enter.

Michael Slater, an Australian cricket commentator who was in India covering the sport, said in a tweet on Monday that the ban was a “disgrace” and a form of government neglect. “Blood on your hands PM,” Mr. Slater wrote, referring to Prime Minister Scott Morrison.

After the policy was announced, the Australian Human Rights Commission said it raised “serious human rights concerns,” and Tim Soutphommasane, Australia’s former race discrimination commissioner, wrote in The Guardian that the measure “undermines the very status of citizenship.”

On Tuesday, Mr. Morrison said that it was “highly unlikely” that anyone would be fined or go to jail for breaching the ban.

In an interview with the Australian broadcaster 9News, he said that the likelihood of imprisonment under the rule was “pretty much zero” and defended it as a necessary safety measure.

“I’m not going to fail Australia,” Mr. Morrison said. “I’m going to protect our borders at this time.”

In other news from around the world:

  • The European Union’s drug regulator has begun a rolling review of China’s Sinovac vaccine for Covid-19. The European Medicines Agency said on Tuesday that it would review laboratory and clinical-trial data provided by the company until it could determine that the vaccine’s benefits outweighed its risks and if it was fit to receive authorization. The World Health Organization has also been reviewing Sinovac’s vaccine and one manufactured by the Chinese state-owned company Sinopharm, with decisions expected this month.

  • Tourists traveling to Italy won’t need to quarantine starting after mid-May, Prime Minister Mario Draghi announced on Tuesday, anticipating the introduction of a European Digital Green Pass for travelers. Visitors will be able to enter and travel through the country only if they are fully vaccinated or can show a negative PCR test taken in the 72 hours before traveling to Italy. They will still need to respect restrictions like wearing masks and keeping social distance. “We look forward to welcoming you again soon,” Mr. Draghi said at a news conference.

  • After a major dairy product manufacturer in South Korea was accused of deliberately spreading misinformation that one of its drinks could fend off the coronavirus, the chairman and chief executive tendered their resignations this week. Local news media reported that sales of the Bulgaris yogurt drink and stocks for Namyang Dairy Products both soared after a research director claimed at a conference last month that the drink reduced the chances of contracting the coronavirus by more than 70 percent. Korea’s Ministry of Food and Drug Safety accused the company of illegally spreading misleading information, and the police raided Namyang’s headquarters and factory last week.

President Xi Jinping on a screen in Beijing last month. The Chinese government’s aggressive brand of “wolf warrior” diplomacy has drawn criticism from other countries.Credit…Greg Baker/Agence France-Presse — Getty Images

Even in China, where propaganda has become increasingly pugnacious, the display was jarring: A photograph of a Chinese rocket poised to blast into space juxtaposed with a cremation pyre in India, which has been overwhelmed by a wave of coronavirus infections.

“Chinese ignition versus Indian ignition,” the title read.

The image drew a backlash from internet users who called it callous, and it was taken down on the same day by the Communist Party-run news service that posted it. But it has lingered as a provocative example of a broader theme running through China’s state-run media, which often celebrates the country’s success in curbing coronavirus infections while highlighting the failings of others.

Chinese leaders have expressed sympathy and offered medical help to India, and the controversy may soon pass. But it has exposed how swaggering Chinese propaganda can collide with Beijing’s efforts to make friends abroad.

“You’ve had this growing tension between internal and external messaging,” said Mareike Ohlberg, a senior fellow in the Asia Program at the German Marshall Fund in Berlin who studies Chinese propaganda. Ms. Ohlberg said of the Chinese authorities, “They have an increasing number of interests internationally, but ultimately what it boils down to is that your primary target audience still lives at home.”

A woman pleaded for oxygen for her husband at a Sikh temple, in Ghaziabad, India, on Monday.Credit…Adnan Abidi/Reuters

Savita Mullapudi, an international development consultant in Pittsburgh, heard the ping of a WhatsApp message on her phone around 4 p.m. on Thursday. The sender was a former colleague who, like her, was an Indian immigrant who had lived in the United States for years. He had an urgent favor to ask.

With India’s health care system overwhelmed by the nation’s unprecedented Covid-19 surge and hospitals running out of lifesaving oxygen, an Indian charity was scrambling to find oxygen concentrators, which filter oxygen from the air. One manufacturer was based in Pittsburgh. Could Ms. Mullapudi visit the site to vet the equipment?

Like many members of the Indian diaspora who have watched and mobilized from afar as a deadly second wave of the coronavirus has swept across India in recent weeks, Ms. Mullapudi, whose parents and in-laws live there, leapt at the opportunity to help. She called the company a few minutes later but was told the earliest date for a visit was May 8 — far too late.

So Ms. Mullapudi, 44, said she did “the next-best thing.” She asked a few local doctor friends to tap their networks in Pittsburgh and across Pennsylvania for their opinions of the company and the quality of its products.

By 9 a.m. the next day, she had received texts and long emails from medical professionals and hospital executives with “rave reviews” of the manufacturer, she recalled, as well as detailed descriptions of the machines’ electricity costs and how long they lasted.

Credit…Aria M. Narasimhan

“The minute I said ‘India Covid,’ I was inundated with responses,” Ms. Mullapudi said. “These networks of people that we all work with or know as friends just churned it around, and that’s what really gave the organization confidence to go ahead.”

Before noon on Friday, the foundation ordered more than 400 oxygen concentrators to be flown to India. Though Ms. Mullapudi described her role as just “one drop in an ocean,” she acknowledged the profound impact of so many small acts of human kindness in the face of such dire challenges.

“Eventually it’s just people helping people,” she said. “That’s the story of hope.”

Pfizer’s vaccine is disproportionately reaching the world’s rich.Credit…Dado Ruvic/Reuters

On Tuesday, Pfizer announced that its Covid vaccine brought in $3.5 billion in revenue in the first three months of this year, nearly a quarter of its total revenue. The vaccine was, far and away, Pfizer’s biggest source of revenue, report Rebecca Robbins and Peter S. Goodman of The New York Times.

The company did not disclose the profits it derived from the vaccine, but it reiterated its previous prediction that its profit margins on the vaccine would be in the high 20 percent range. That would translate into roughly $900 million in pretax vaccine profits in the first quarter.

Pfizer has been widely credited with developing an unproven technology that has saved an untold number of lives.

But the company’s vaccine is disproportionately reaching the world’s rich — an outcome, so far at least, at odds with its chief executive’s pledge to ensure that poorer countries “have the same access as the rest of the world” to a vaccine that is highly effective at preventing Covid-19.

As of mid-April, wealthy countries had secured more than 87 percent of the more than 700 million doses of Covid-19 vaccines dispensed worldwide, while poor countries had received only 0.2 percent, according to the World Health Organization. In wealthy countries, roughly one in four people has received a vaccine. In poor countries, the figure is one in 500.

Foreign domestic workers waited to be tested for the coronavirus in Hong Kong on Sunday.Credit…Jerome Favre/EPA, via Shutterstock

The Hong Kong government on Tuesday backpedaled from a plan to require coronavirus vaccinations for all foreign domestic workers after several days of sharp criticism from foreign diplomatic missions and some residents, who called the requirement discriminatory.

Officials had announced on Friday that the domestic workers — largely low-paid, female migrants from Southeast Asia who clean, cook and perform other household tasks — would have to be vaccinated in order to renew their employment contracts. The government has not issued vaccination requirements for any other group in the city, including other foreign workers.

But officials said it was necessary after two domestic workers recently tested positive for variant strains of the coronavirus. Sophia Chan, the secretary for food and health, said that because domestic workers had a habit of “mingling” with each other during their time off — which, under Hong Kong law, is only one day a week — the entire group of roughly 370,000 workers was considered high-risk.

Hong Kong’s vaccine uptake has been slow, and none of its major outbreaks of the coronavirus have been attributed to domestic workers gathering on their days off.

The announcement provoked an immediate backlash, with critics alleging that the government was making scapegoats of the domestic workers, who make up about 5 percent of Hong Kong’s population of 7.5 million and have long endured poor treatment.

The consuls general of the Philippines and Indonesia — the two main sources of Hong Kong’s foreign domestic workers — said that if there were vaccination requirements, they should be applied to all foreign workers. The Philippines’ outspoken foreign secretary tweeted that the move “smacks of discrimination.”

The government denied that it was discriminating against the workers, but on Tuesday, Carrie Lam, the city’s chief executive, said that in light of the “discussion and attention” that the plan had elicited, she would ask the labor department to “study the specific situation again” and consult foreign consulates. A decision on the plan would be announced later, she said.

Still, the government has said that all foreign domestic workers who have not been fully vaccinated must be tested for the coronavirus by May 9.

Vaccinations have begun at Castello di Rivoli, a contemporary museum near Turin, Italy. The art installation is a wall painting by Claudia Comte, a Swiss artist.Credit…Alessandro Grassani for The New York Times

These days, visitors to the website of one of Italy’s most renowned contemporary art museums are met with a twofold invitation: “Book your visit in advance” and “Book your vaccination.”

The Castello di Rivoli, once a palace owned by the Savoy dynasty, recently became one of several Italian museums to join the country’s vaccine drive, following in the footsteps of cultural institutions throughout Europe.

With the rallying cry of “Art Helps,” the museum near Turin has set aside its third-floor galleries for a vaccination center run by the local health authorities. During their shots, patients can enjoy the wall paintings by Claudia Comte, a Swiss artist.

Comte worked with the composer Egon Elliut to create a soundscape that evokes “a dreamlike feeling,” the artist said, and lulls vaccine recipients as they move from room to room before and after the shot.

“Art has an extraordinarily important effect on well-being,” said Carolyn Christov-Bakargiev, the museum’s director. She said that she couldn’t have commissioned “a more perfect” backdrop than Comte’s works for a “space to merge the art of healing the body and the art of healing the soul and the mind,” noting that in Italian the words for “to heal” and “curator” came from the same Latin word, “curo.” In history, she said, some of the first museums were former hospitals.

President Samia Suluhu Hassan of Tanzania has taken a different approach from her virus-denying predecessor, stating that the nation could not ignore the pandemic.Credit…Associated Press

Less than two months after Tanzania’s first female president took office, the government on Monday announced new steps to tackle the pandemic, in what could be the start of a shift for the East African nation, whose former leader had denied the seriousness of the virus before he died in March. His political opponents said he had died from Covid, but his government denied it.

Beginning Tuesday, all travelers arriving in Tanzania are required to present proof of a negative coronavirus test taken in the previous 72 hours and must pay for a rapid test after they land, the health ministry said.

The new president, Samia Suluhu Hassan, who was sworn into office in March, formed a committee in her first weeks in office to advise her on the status of pandemic in the country, and the steps needed to keep people safe.

Ms. Hassan, however, has not spoken publicly about whether she supports vaccinations or whether vaccines are even available in the country. She has also drawn criticism at times for not wearing a mask, including at her own swearing-in ceremony, and for addressing large gatherings of unmasked supporters. But she has worn one during foreign trips.

Under the previous president, John Magufuli, Tanzania stopped sharing data about coronavirus cases or deaths with the World Health Organization in April 2020. Ms. Hassan’s government also has not submitted any data to the World Health Organization on new cases and deaths, and has not said if, or when, Tanzania would change course.

Ms. Hassan has stated, nevertheless, that Tanzania could not ignore the virus.

“We cannot isolate ourselves as an island,” she said in a speech last month.

The new measures announced on Monday appear to be focused on stopping coronavirus at the country’s borders. The health ministry said that foreigners arriving from countries with new Covid-19 variants would be placed in a mandatory 14-day quarantine at a government-designated facility, while returning residents would be permitted to isolate themselves in their homes.

Truck drivers crossing borders will be permitted to stop only at designated locations and could be tested for the coronavirus at random while in Tanzania.

The moves signal a departure from the blithe approach taken by Mr. Magufuli, the former president. He long opposed masks and social distancing measures, promoted unproven treatments as cures, argued that vaccines didn’t work and declared that God had helped Tanzania eradicate the virus.

Two weeks before he died, Mr. Magufuli changed course and told citizens to take precautions against the virus, including wearing masks and observing social distancing.

Cafes and restaurants have reopened in Greece for sit-down service for the first time in nearly six months.Credit…Petros Giannakouris/Associated Press

Greece has reopened to many overseas visitors, including from the United States, jumping ahead of most of its European neighbors in restarting tourism, even as the country’s hospitals remain full and more than three-quarters of Greeks are still unvaccinated.

It’s a big bet, but given the importance of tourism to the Greek economy — the sector accounts for one quarter of the country’s work force and more than 20 percent of gross domestic product — the country’s leaders are eager to roll out the welcome mat.

In doing so, Greece has jumped ahead of other European countries. On Monday, the European Commission, the executive arm of the European Union, said it would recommend its member states to allow visitors who have been vaccinated. But it remains up to individual countries to set up their own rules.

“We welcome a common position” on restarting tourism in the European Union, Greece’s tourism minister, Harry Theoharis, said in an interview. “All we’re saying is that this has to be forthcoming now. We cannot wait until June.”

Park Avenue between 46th and 59th Streets will go through renovation over the next few years, giving the city a unique opportunity to rethink the famed malls.Credit…Oscar Durand for The New York Times

At a moment when the pandemic has unleashed demand for open space, plans could transform the medians of Park Avenue in Manhattan and restore them to their original splendor.

Among the options New York City is considering: bringing back chairs and benches, expanding the median, eliminating traffic lanes and carving out room for bike and walking paths.

The revamping of Park Avenue is being driven by a major transit project below ground. A cavernous shed used by Metro-North commuter trains that travel in and out of Grand Central Terminal is over a century old and in need of major repairs.

The work requires ripping up nearly a dozen streets along Park Avenue, from East 46th to East 57th Streets, making possible a new vision.

Removal of traffic lanes is likely to elicit backlash from drivers who complain that pedestrian plazas and bike lanes across the city have made it difficult to get around.

But others say the city would be more livable with fewer cars, making streets safer for pedestrians and bicyclists as well as polluting less.

Categories
Business

UNICEF chief urges the world to assist India ‘now’ as Covid instances soar

UNICEF Executive Director Henrietta Fore told CNBC that she was “very concerned” about the current Covid-19 crisis in India and urged the world to send urgent aid to the country.

During World Immunization Week, Fore also said it was a “race to save lives” through vaccination, especially in some of the world’s poorest countries with “very fragile” health systems.

India is in the midst of a deadly second wave of the virus. On Saturday, daily coronavirus cases in the country went over 400,000 for the first time; The total number of cases in India has now exceeded 19 million and more than 215,000 people have died of Covid in the country.

“It is worrying for a number of reasons. First, is it a forerunner of what could happen in other countries, particularly in African countries, with much weaker health systems?” Fore said last week.

“It’s worrying because their healthcare system is overwhelmed. It’s the need for oxygen and therapeutics that we just haven’t seen in this pandemic in another country of this magnitude.”

People wearing face masks wait to receive a vaccine against coronavirus disease (COVID-19) at a vaccination center in Mumbai, India, on April 26, 2021.

Niharika Kulkarni | Reuters

Fore said both UNICEF and COVAX’s global immunization program had sent aid to the country, and help from other nations made a big difference. “But it is not enough because India is part of our supply chain. So this is where we source a lot of the vaccines and we now have to help India as the world,” she added.

UNICEF is the United Nations agency responsible for helping children around the world.

“Help us now”

As a result of the Covid-19 pandemic, the world has stopped paying attention to other routine vaccinations, warned Fore. Around 60 routine vaccination campaigns have been halted around the world as countries focus on fighting the pandemic.

To address these challenges while helping recovery from the global pandemic, the World Health Organization, UNICEF, Gavi, the Vaccine Alliance and other partners are supporting a global strategy known as the Immunization Agenda 2030. The initiative aims to save 50 million lives on “an ambitious new global strategy to maximize the life-saving effects of vaccines through stronger immunization systems”.

Fore said around half of the world’s vaccinations come from routine UNICEF vaccinations for children.

“Polio, measles, yellow fever … all of these are vaccines that children need, but they are also vaccines that adults need. So we are asking families to come to primary health clinics in their own communities, bring in and have their children If you are vaccinated against these childhood diseases, you will also get a Covid vaccine and we can save 50 million lives, “she said.

When asked if she had a message for world leaders today, Fore said, “Well, help us now.”

Henrietta H. Fore, Managing Director of UNICEF on July 05, 2018 in BERLIN, GERMANY.

Ute Grabowsky / Photo library via Getty Images

“We are concerned that the world is ignoring things like routine vaccinations. We cannot lose this population, our children, to an epidemic while we worry about Covid as a pandemic for our world. Please help us now,” she said added.

Despite the ongoing global pandemic, Fore said it was time to focus on such initiatives.

“People are now realizing that vaccines are important, that vaccines work, that they save lives, and right now we are in a race to save lives,” she said.

“So if we can save them through a routine vaccination program that targets everyone in a society, both routine vaccinations and Covid will help.”

Global investment

However, Fore told CNBC that it can be difficult to focus global investments on supporting the programs.

“The Covax facility called for $ 23 billion, which sounds like a huge amount, but when you look at global GDP and opportunities, it’s a very small number,” she said.

“So they realize that we as a world can afford this, and if we could bring out vaccines for children and adults in the years to come, we would be a world that would have more justice, more fairness and better health across the board.”

Categories
Health

U.S. to debate wider distribution, India calls to waive patent protections

Ground staff unload coronavirus disease (COVID-19) supplies from the United States at the cargo terminal of Indira Gandhi International Airport on April 30, 2021 in New Delhi, India.

Prakash Singh | Reuters

WASHINGTON – White House Chief of Staff Ron Klain said Sunday that the Biden government plans to distribute the coronavirus vaccine to India and other countries after millions of Americans received their doses.

In the past few weeks, India has been grappling with a staggering surge in new coronavirus infections. Over the weekend, India reported 400,000 cases a day for a cumulative total of 19,557,457 cases. This is evident from numbers compiled by Johns Hopkins. The spike may have been triggered by a highly contagious variant of Covid known as B.1.617, which was first identified in the country.

The variant has since been identified in other countries, including the United States.

On Friday, the White House announced it would limit travel from India as the country works to counter the rise in Covid-19 infections.

“We are rushing to help India,” said Klain during an interview on CBS’s Face the Nation program.

Klain said the US has sent therapeutics, rapid diagnostic test kits, ventilators and protective equipment to the world’s largest democracy, as well as raw materials that are vital to vaccine production.

“Our US Trade Representative, Katherine Tai, will go to the WTO next week to begin talks on how we can further distribute, license and distribute this vaccine,” he said when asked if the Biden administration would protect patents The coronavirus vaccine would loosen up.

Klain added that he expected the White House to have more to say on the matter in the coming days.

Earlier this month, Indian Prime Minister Narendra Modi discussed with Biden about the revocation of patent protection for the coronavirus vaccine. The relaxation would give governments faster and more affordable access to the life-saving doses.

Last week, the Biden government announced that it would immediately provide the raw materials needed to manufacture coronavirus vaccines in India. The US response came after Britain, France and Germany pledged aid to India, the world’s largest democracy. Rich nations have come under fire in the past few days for hoarding the raw materials needed for the shots.

Categories
World News

Hearth Strikes Covid Hospital Ward in India.

At least 12 people were killed in a fire early Saturday in a hospital treating coronavirus patients in the western Indian state of Gujarat. A spate of infections and deaths overwhelmed the country and its healthcare system.

The flame broke through the Covid-19 station at Welfare Hospital in the city of Bharuch, about 180 miles north of Mumbai, police said to the Press Trust of India. Around 50 other people were rescued and transferred to other hospitals.

The fire was under control, reported the ANI news agency, and was triggered by a short circuit.

Videos posted on social media showed part of the hospital on fire and patient evacuation.

Several hospital incidents recently claimed the lives of dozens of coronavirus patients in India. Four people were killed in a fire in a hospital in Surat, another city in Gujarat. At least 22 coronavirus patients died in a hospital in the neighboring state of Maharashtra when a leak cut their oxygen supply. Two days later, at least 13 Covid-19 patients died in a fire in another hospital in the state.

The second wave in India has pushed hospitals to unbearable capacity, depleted oxygen supplies and left desperate people to die in line waiting to see doctors. Mass cremations were held across the country.

Health officials are currently reporting more than 300,000 cases and more than 3,000 deaths per day.

A growing number of countries have restricted travel to and from India. As of Tuesday, the American government will prevent most non-US citizens from entering the US from India, the Biden government announced on Friday.

India’s vaunted vaccine industry – a global leader – has been overwhelmed by the demand for Covid-19 vaccines and has restricted exports to meet domestic needs.

Other fires in hospitals treating Covid-19 patients around the world have added to the devastation as they are already struggling to meet the demands of staggering cases and deaths.

Last week, a fire started by an exploding oxygen cylinder killed at least 82 people, most of them Covid-19 patients and their relatives, in a Baghdad hospital. The Home Office said 110 more people were injured, many with severe burns who died from their injuries.

Categories
Politics

U.S. to limit journey from India efficient Might four amid huge Covid surge

Individuals wearing personal protective equipment (PPE) wear the body of a person who died of coronavirus disease (COVID-19) during a mass cremation at a crematorium in New Delhi, India on April 26, 2021.

Adnan Abidi | Reuters

Biden’s government will restrict travel from India as that country grapples with a gigantic increase in coronavirus cases, White House press secretary Jen Psaki said on Friday.

The policy will go into effect on Tuesday May 4th, Psaki said in a statement. The administration made the decision based on recommendations from the Centers for Disease Control and Prevention, Psaki said.

The State Department declined to comment on the reported travel restrictions and referred a reporter’s question to the White House.

While Covid infections and deaths in the US are declining as millions of Americans are vaccinated every day, India is in some cases on an unprecedented surge.

India reported a record daily death toll from Covid on Wednesday. The country has reported more than 300,000 new cases every day for more than a week.

This is the latest news. Please try again.