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U.S. Reaches Biden’s 70% Vaccination Objective

Credit…Mario Tama/Getty Images

The United States on Monday finally reached President Biden’s goal of having 70 percent of eligible adults at least partly vaccinated.

The milestone came a month later than the president had hoped as the country faced the rapid spread of the highly contagious Delta variant.

There was no celebration at the White House. The announcement today was made on Twitter by Cyrus Shahpar, the COVID-19 data director for the Biden administration. “Let’s continue working to get more eligible vaccinated!” Mr. Shahpar wrote.

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White House: 70% of U.S. Adults Have At Least One Covid Shot

The White House Covid-19 response team said the United States reached President Biden’s goal of having 70 percent of eligible adults partially vaccinated. The milestone came a month behind schedule, amid a surge in Delta variant infections.

Over the past few weeks, we’ve seen a nearly 70 percent increase in the average number of new people getting vaccinated each and every day. In the last seven days alone, three million Americans have gotten their first shot. That’s the highest seven-day total since July 4th. And just today, we hit 70 percent of adults with at least one shot, including 90 percent of seniors with at least one shot. These are significant milestones in our fight against the virus. And it’s very important to note in the states with the highest case rates, daily vaccination rates have more than doubled … As of July 26, the C.D.C. received 6,587 reports of breakthrough infections that resulted in hospitalization or death, among 163 fully vaccinated million people. That is a percentage of 0.01 percent or less. And when you look at the breakthrough cases, the percent of breakthrough cases in multiple locations, like D.C. and Virginia, the percent ranges from 0.26 to 0.03. So I’m sorry that was left out. The bottom line is they are rare and they rarely result, not rarely, but unusually result in hospitalization or death.

Video player loadingThe White House Covid-19 response team said the United States reached President Biden’s goal of having 70 percent of eligible adults partially vaccinated. The milestone came a month behind schedule, amid a surge in Delta variant infections.

The White House had hoped to announce the 70 percent vaccination benchmark four weeks ago. Mr. Biden initially used Independence Day to declare a victory of sorts over the pandemic and some kind of return to normal life.

But that goal evaporated in recent weeks as the Delta variant spread rapidly, putting pressure on hospitals in regions with low vaccination rates, including many politically conservative areas in the south. Southern Missouri and Northern Arkansas, for instance, have been hard hit, swamping hospitals.

In recent weeks, there has been an uptick in the vaccination rate in some states where cases have crested. Arkansas, Missouri, Louisiana and Florida have seen steady increases.

The Delta variant is much more contagious than other forms of the virus, and may cause more severe disease, according to an internal presentation circulated recently within the Centers for Disease Control and Prevention.

Experts say that infections in vaccinated people are still relatively uncommon, and even in those cases, the vaccines currently authorized in the United States appear to provide protection against severe illness and death.

Last week, federal health authorities issued new guidelines urging fully vaccinated people to wear masks indoors because breakthrough cases of the Delta variant might be able to transmit the virus onward.

After missing the self-imposed July 4 deadline, Mr. Biden initially sought to shift some responsibility to social media platforms like Facebook, saying they were “killing people” by allowing disinformation about the coronavirus vaccine to spread. He later walked back those comments.

Senator Lindsey Graham of South Carolina at a Senate subcommittee meeting in May.Credit…Al Drago for The New York Times

Senator Lindsey Graham of South Carolina announced on Monday that he had tested positive for Covid-19 and that his symptoms have been mild, which he attributed to having received the vaccine.

“I am very glad I was vaccinated because without vaccination I am certain I would not feel as well as I do now,” Mr. Graham, a Republican, wrote on Twitter. “My symptoms would be far worse.”

I was just informed by the House physician I have tested positive for #COVID19 even after being vaccinated.

I started having flu-like symptoms Saturday night and went to the doctor this morning.

— Lindsey Graham (@LindseyGrahamSC) August 2, 2021

Mr. Graham said he would go into quarantine for 10 days.

With the Delta variant continuing to spread aggressively across parts of the country, infections in vaccinated people have become more common, though they are still rare among the vaccinated population.

Experts say the vaccines currently in use in the United State provide strong protection from serious illness and death, even in cases of infections with the Delta variant. More than 97 percent of people who have been hospitalized recently for Covid-19 have been unvaccinated.

Breakthrough cases were reported last week both on Capitol Hill and in the White House. At least six Texas Democrats, a White House aide and an aide to Speaker Nancy Pelosi reported testing positive despite having been vaccinated.

A number of Republicans in Congress, particularly in the House, have not received a shot and have resisted wearing masks and other mitigation measures. But Mr. Graham has urged supporters to get vaccinated and has spoken out against disinformation related to the virus.

The announcement from Mr. Graham raised concerns that other colleagues of his in the Senate may have been exposed through recent contact with Mr. Graham.

Mr. Graham’s office confirmed that he attended a gathering of senators on Saturday aboard “Almost Heaven,” a houseboat belonging to Senator Joe Manchin III, Democrat of West Virginia. A photograph circulated over the weekend showed senators socializing on the boat as it navigated the waters around Washington.

“There was no celebration,” Mr. Manchin, who tested negative on Monday, told reporters of the gathering. “We were just trying to keep people together. We do everything in a bipartisan way.”

At least half a dozen other senators confirmed they were on board, including Senator John Thune of South Dakota, the No. 2 Republican in the chamber.

Mr. Thune’s spokesman, Ryan Wrasse, said that his boss was vaccinated and had tested negative on Monday afternoon. Other senators were awaiting results but showed up to cast votes on the Senate floor.

The news of Mr. Graham’s positive test — and the possibility that more of his colleagues may have been exposed — threw a new element of unpredictability into a week that was already expected to be a momentous one on Capitol Hill as the Senate pushes toward voting on a massive bipartisan infrastructure bill.

Mr. Graham has been a supporter of the bill, and if he remains absent long enough, his illness could cost a Republican vote on final passage. But if others become sick or are forced to quarantine, party leaders may have to cancel meetings, delay votes or adjourn the Senate altogether, as they did during similar episodes in 2020.

Already on Monday, Democrats made an in-person leadership meeting virtual instead. But Senator Chuck Schumer, Democrat of New York and the majority leader, told reporters he believed the infrastructure debate would move forward as planned.

Grand Central Station in Manhattan on Sunday. All 68,000 Metropolitan Transportation Authority workers will be required to be vaccinated or face weekly testing.Credit…Brittainy Newman for The New York Times

Metropolitan Transportation Authority workers will be required to be vaccinated or face weekly testing, Gov. Andrew M. Cuomo of New York announced on Monday, the state’s latest effort to boost lagging vaccination rates amid the rapid spread of the Delta coronavirus variant.

The new requirement applies to 68,000 employees of the M.T.A., which operates New York City’s sprawling subway and bus system, as well as commuter rails that serve the city’s surrounding counties.

It will also apply to workers of the Port Authority of New York and New Jersey who work at New York-based facilities. The Port Authority runs La Guardia Airport, John F. Kennedy International Airport and Newark Liberty International Airport, as well as a broad network of bridges, tunnels and seaports.

Mr. Cuomo framed the new policy as a crucial step to not only help curb the spread of the virus — transit workers interact with millions of riders each day — but also to help improve confidence among riders concerned about their health and safety.

The policy goes into effect starting on Labor Day.

“If it spreads aggressively among the unvaccinated, numerically we would have a problem,” said Mr. Cuomo, a third-term Democrat. “Worst case scenario, a large number of unvaccinated get sick and even worse than that, the delta variant mutates into a vaccine resistant virus and now we’re back to where we started.”

Janno Lieber, the acting board chair and chief executive of the M.T.A., said that about 70 percent of the M.T.A. work force has already been vaccinated, but, “we can and have to do better.”

“Transit workers have carried the city and the region on their back,” Mr. Lieber said. “If we’re going to bounce back stronger than ever, we all have to step up.”

The policy shift comes less than a week after Mr. Cuomo announced the same requirement for the state’s 130,000 employees, following the lead of Mayor Bill de Blasio, who rolled out a similar mandate for the city’s 300,000 workers. The requirement has rapidly become a model across the nation: President Biden announced a similar policy for the nation’s millions of federal employees on Thursday, too, as other local governments weigh similar mandates.

New York State, just weeks after lifting most of its coronavirus restrictions on businesses and social gatherings, has seen a steady rise in cases as a result of the new variant, even as 75 percent of adults in the state have received at least one dose of the vaccine.

The state reported a seven-day average of 2,280 cases on Aug. 1, up from an average of just 328 a month ago on July 1. Hospitalizations have also ticked up, while the number of deaths has remained relatively steady, according to The New York Times coronavirus tracker.

At the same time, Mr. Cuomo said it was up to local governments, including New York City, to decide whether to adopt the new federal guidance recommending that vaccinated people wear masks indoors publicly in areas where cases are on the rise.

“It’s up to the local governments,” Mr. Cuomo said. “But local governments, you should adopt that C.D.C. mask guidance.”

The governor also urged private businesses, including bars, restaurants and venues, to require proof of vaccination from their clientele.

Here are details of some more recently announced mandates in the United States:

  • Gov. Phil Murphy of New Jersey said on Monday that all workers in certain state and private health care facilities and high-risk congregate settings, like jails and prisons, will have to be fully inoculated or face regular testing. Employees have until Sept. 7 to comply with the requirement.

  • The more than 10,000 municipal employees of Denver, Colo., have to be fully vaccinated against the coronavirus by Sept. 30 or they cannot work on-site, Mayor Michael B. Hancock said on Monday. Private sector employees at schools and congregate care settings, like homeless shelters and correctional facilities, will also need to be vaccinated.

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De Blasio Urges Vaccinated New Yorkers to Wear Masks Indoors

Mayor Bill de Blasio “strongly” encouraged vaccinated New Yorkers to wear masks indoors again, especially when others around them could be unvaccinated.

Vaccines are the No. 1 most powerful weapon against Covid by far, but we also clearly believe there’s a place for masks. Over the last few days, where you’ve reviewed the data from the C.D.C., some of which came in on Friday — the background research — we’ve reviewed the recommendations, we’re updating our mask guidance based on the latest data and science. We want to strongly recommend that people wear masks in indoor settings, even if you’re vaccinated. Now, this is particularly true, of course, if you might be around anyone unvaccinated. If you don’t know the people you’re around, if you’re not sure if they’re vaccinated or not, or if, you know, some are unvaccinated, absolutely crucial to wear a mask, even if you are vaccinated. The difference, of course, is if you’re around fully vaccinated people, that’s a better situation. So vaccinated people around fully vaccinated people, that’s where it’s an easier situation. But if you’re not sure and that’s going to be many cases, we want to strongly recommend that people wear those masks indoors, even if vaccinated.

Video player loadingMayor Bill de Blasio “strongly” encouraged vaccinated New Yorkers to wear masks indoors again, especially when others around them could be unvaccinated.CreditCredit…David Dee Delgado/Reuters

New York City has seen a rapid rise in coronavirus cases — more than 1,200 cases per day, roughly six times the number in June.

For weeks, city officials have been tracking the increase, and deliberating whether a broad mask mandate — similar to ones instituted in large urban areas like Los Angeles County and Washington — might be called for, to head off a more serious resurgence in New York, once the epicenter of the pandemic.

On Monday, Mayor Bill de Blasio decided against such a mandate, choosing instead to strongly encourage all New Yorkers, even those who have been vaccinated, to wear masks indoors.

Mr. de Blasio said he wanted to focus on increasing vaccination rates, and worried that requiring everyone to wear masks would remove an incentive for those who are considering getting vaccinated now.

With the recent rise in virus cases, New York City now falls under new guidelines from the Centers for Disease Control and Prevention recommending masks in areas of high transmission.

The mayor said that he agreed with the C.D.C.’s guidance, but pointed out that he was aligned with leaders in New Jersey and Connecticut who similarly encouraged mask use but did not require it.

“We want to strongly recommend that people wear masks in indoor settings even if you’re vaccinated,” Mr. de Blasio said.

The city’s fragile economic recovery may be a factor in the city’s decision; a broader mask mandate could prompt employers to reconsider their plans to have their workers return to offices after Labor Day, and raise doubts about holding large gatherings like weddings. Mr. de Blasio said a mandate could also be difficult to enforce.

Some elected officials called on Mr. de Blasio to move more aggressively and institute a mask mandate now to curtail a third wave of cases.

“The one lesson of the last year and a half is you have to act fast, or you’re left with much more difficult choices down the road,” said Mark Levine, a city councilman from Manhattan who chairs the health committee. “I think it’s a huge mistake to delay this any further.”

Los Angeles County reinstated its new mask mandate last month, and Washington began to require masks over the weekend. The Democratic mayors of Atlanta and Kansas City, Mo., have reinstated forms of mask mandates, and Chicago’s mayor is considering one.

Mr. de Blasio has said that he wants to focus on vaccination, and he is considering France-style measures to require vaccination or a negative test to visit restaurants or movie theaters.

He believes that New Yorkers will be motivated to get vaccinated if they believe they will have more freedoms once they do so, like the ability to go about their lives without masks.

“We still want to respect the fact that vaccination can give you different opportunities and rights than unvaccinated people,” Mr. de Blasio said on Monday.

Eric Adams, the Democratic nominee for mayor, said he agreed that a mask mandate was not necessary right now.

“I don’t believe we’re there with a mandate yet, unless C.D.C. tells us, whatever the science is we must follow, but then personal responsibility must kick in,” Mr. Adams told reporters on Monday. “Also, vaccination vaccination, vaccination. Let’s get on the ground.”

New Yorkers are already required to wear masks on public transit and in hospitals and schools; Mr. de Blasio has been adamant that classes will be held in-person in September.

Mr. de Blasio also announced last week that city workers must get vaccinated or face weekly testing and offered a $100 incentive for people who get vaccinated at city sites.

On Monday, he said the city had hit an important milestone — 10 million vaccine doses administered — and announced a new policy: a vaccine mandate for new city employees.

“Every single new person hired by the City of New York — before they report to work, they must provide proof of vaccination,” he said.

Many Republican governors have resisted the idea of mask mandates. Last week, Gov. Greg Abbott of Texas issued an executive order barring local governments and state agencies from mandating vaccination and reinforcing an earlier order that prohibited officials from requiring face masks.

Gov. Ron DeSantis of Florida last week signed an executive order giving parents the power to decide whether their children should wear masks in schools, after Broward County, the state’s second-largest school district, voted to require masks.

“In Florida, there will be no lockdowns,” Mr. DeSantis said to cheers at a restaurant in Cape Coral, Fla., on Friday. “There will be no school closures. There will be no restrictions and no mandates.”

Federal recommendations call for students, teachers and parents to wear masks, regardless of their vaccination status. Both Florida and Texas are facing surges, according to a New York Times database.

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Biden Administration Pushes States to Prevent Eviction Crisis

White House officials called on state governments to extend local moratoriums on evictions and accelerate the distribution of billions in rental aid, to soften the impact of the federal moratorium’s expiration on Saturday.

Given the rising urgency of the spread of the Delta variant, the president has asked all of us, including the C.D.C., to do everything in our power to look for every potential legal authority we can have to prevent evictions. To date, the C.D.C. director and her team have been unable to find legal authority, even for a more targeted eviction moratorium that would focus just on counties with higher rates of Covid spread. One of the things that he is requesting today is that state and local governments extend or pass eviction moratoriums to cover the next two months. Right now, one out of three renters who are behind in the rent are actually protected beyond the federal eviction moratorium by extended state and local evictions moratoriums. The president is asking that all governors and mayors follow suit. This president is asking that his departments that provide mortgage backed lending extend whatever eviction moratoriums they have the power to extend. So that covers U.S.D.A. and V.A. and H.U.D. He is asking that U.S.D.A, V.A. and H.U.D., and the Treasury Department as well, make clear that those who benefit from government-backed mortgages or even tax relief related to housing should not seek evictions without first seeking emergency rental assistance funding. We are going to do an all agency review to make sure that we understand any potential reason why state and local governments are not getting funds out. The president is clear: If some states and localities can get this out efficiently and effectively, there’s no reason every state and locality can’t. There is simply no excuse, no place to hide for any state or locality that is failing to accelerate the Emergency Rental Assistance Fund.

Video player loadingWhite House officials called on state governments to extend local moratoriums on evictions and accelerate the distribution of billions in rental aid, to soften the impact of the federal moratorium’s expiration on Saturday.CreditCredit…T.J. Kirkpatrick for The New York Times

With the federal moratorium on evictions having expired over the weekend, the White House on Monday sought to limit the impact, demanding that states speed up disbursement of billions in bottled-up rental aid, while pleading with local governments to immediately enact their own extensions.

President Biden — under fire for refusing to extend the freeze and eager to prove he was taking some action — announced a series of limited moves Monday afternoon aimed at slowing evictions, directing federal agencies to consider targeted moratoriums for tenants in federally subsidized housing and asking state judges to slow-walk eviction proceedings.

The moratorium, imposed by the Centers for Disease Control and Prevention last fall, lapsed on Saturday after a frenzied, failed effort on Capitol Hill to extend the freeze through the end of the year, putting hundreds of thousands of tenants at risk of losing shelter.

“There is just a lot of fear out there right now,” said Bob Glaves, executive director of the Chicago Bar Foundation, which has been working with tenants and landlords to tap a $47 billion fund allocated by Congress to pay off back rent accrued during the pandemic.

Legal aid groups and other tenants’ organizations have reported a massive flood of phone calls and emails from renters panicked by the end of the eviction freeze, which occurred at midnight on Saturday.

On Monday, administration officials made it clear they could only do so much, blaming states for the fact that the $47 billion Emergency Rental Assistance program intended to avoid such a crisis has disbursed only $3 billion — or just 7 percent of the total.

“We expect these numbers to grow, but it will not be enough to meet the need, unless every state and locality accelerates funds to tenants,” Gene Sperling, who is overseeing pandemic relief efforts for Mr. Biden, told reporters at the White House.

“There is no place to hide for any state or locality failing to accelerate their emergency rental assistance funds,” he said.

But many Democrats, including Speaker Nancy Pelosi, have called on Mr. Biden to reconsider his decision not to act unilaterally, and have expressed anger at the White House for giving them only two days to ram through legislation to extend the freeze.

“People were promised something — help — and that has not happened,” said Representative Cori Bush, Democrat of Missouri, who has been sleeping on the steps of the Capitol to protest the end of the moratorium. “It is unbelievable. It is shocking. It is unconscionable. It is cruel. We can’t be sitting on our hands when people are suffering.”

On Thursday, Biden administration officials punted the issue to congressional Democrats, claiming that a recent Supreme Court ruling made it nearly impossible to order an extension without jeopardizing the right of the executive branch to implement similar emergency policies during future public health crises.

Since then, Biden administration officials have worked the phones, appealing to the states to stop, or even slow, landlords from evicting renters until the balky funding pipeline — which has been plagued by delays — is functional.

Over the weekend Mr. Biden called Dr. Rochelle Walensky, the C.D.C. director and the official with the authority to extend the freeze, to explore the possibility of limiting an extension to areas hit especially hard by the Delta variant, but was told that was not possible.

“Everybody” in the West Wing wanted to extend the moratorium, Mr. Sperling said in an interview. “But what was clear from the legal analysis was that we had already litigated this issue all the way to the Supreme Court.”

In a related move, the Treasury Department on Monday issued guidance for how states can spend up to $10 billion in financial assistance to people in danger of losing their homes to foreclosure.

The money can be doled out to borrowers who have fallen behind on mortgage payments, according to the guidance, but also to people who have taken out loans to buy mobile homes to live in, or who acquired a home in a contract for deed relationship — a loan financed by the seller of the property.

Migrants expelled from the U.S. under Title 42 walk toward Mexico at the Paso del Norte International border bridge in Ciudad Juarez last week.Credit…Jose Luis Gonzalez/Reuters

With the number of migrants crossing the southern border surging and the pandemic proving to be far from over, the Biden administration has decided to leave in place for now the public health rule that has allowed it to turn away hundreds of thousands of migrants, officials said.

The decision, confirmed by the Centers for Disease Control and Prevention on Monday, amounted to a shift by the administration, which had been working on plans to begin lifting the rule this summer, more than a year after it was imposed by the Trump administration.

The C.D.C. said allowing noncitizens to come over the border from either Mexico or Canada “creates a serious danger” of further spread of the coronavirus.

President Biden has come under intense pressure for months from some Democrats and supporters of more liberal immigration policies to lift the rule, which critics say has been used less to protect public health than as a politically defensible way to limit immigration.

The recent spread of the highly transmissible Delta variant has bolstered the argument that the public health rule, known as Title 42, remains necessary. And the virus’s quickening spread comes as border officials are so overwhelmed with the persistent pace of illegal migration that they say that allowing more migrants into the country by lifting the rule poses the threat of a humanitarian crisis.

On Monday, the American Civil Liberties Union said it would move forward with a lawsuit seeking to force the administration to lift the public health order for migrant families after months of negotiations with the “ultimate goal” of ending the policy.

Two cases of Covid-19 were reported among a group of about 80 people who traveled to the Guantánamo Bay base for a military commissions hearing.Credit…Thomas Watkins/Agence France-Presse — Getty Images

The U.S. Navy is considering reinstating a quarantine for visitors to Guantánamo Bay, Cuba, after the discovery that two vaccinated journalists who visited the remote base last week returned to the United States infected with the coronavirus.

The journalists were among about 80 people who traveled from the Washington, D.C., area on July 26 for a hearing in a military commissions case. The group returned to the mainland three days later, and two of the reporters discovered over the weekend that they had Covid-19. Other travelers were being tested on Monday.

About 6,000 people live at the base and more than a third of the adults there have declined vaccination, according to base health officials. Guantánamo has yet to receive vaccines for the several hundred residents under the age of 18. Most are the children of sailors who serve on longer-term assignments there.

Guantánamo, which has consistently refused to disclose its Covid infection rate throughout the pandemic, has managed to avoid a widespread outbreak through isolation of new arrivals and testing.

The Navy base lifted the quarantine requirement on vaccinated visitors about two months ago, but continued to require visitors and returning residents who are unvaccinated to spend two weeks in self-isolation, in case they were asymptomatic carriers.

Quarantining those who are vaccinated — for seven days instead of 14 — would allow base health officials to monitor the new arrivals for symptoms.

Vaccinated travelers who arrived starting Tuesday were to be tested upon arrival.

Guantánamo had eased its masking and social distancing requirements for vaccinated individuals in recent weeks. Three weeks ago, spectators at a court hearing for an Iraqi prisoner sat six feet apart.

Then last week, the military permitted spectators to sit three feet apart, wearing no masks, to observe a pre-sentencing hearing of a Pakistani man who has admitted serving as a courier for Al Qaeda.

Inside the courtroom, Army guards providing security wore masks, while the Air Force judge in the case and some lawyers did not.

All the journalists who observed the proceedings were required to be vaccinated and present a negative P.C.R. test within 72 hours of flight time.

Separately Monday, lawyers for Khalid Shaikh Mohammed, the prisoner who is accused of plotting the attacks of Sept. 11, 2001, asked the chief judge of military commissions to postpone a hearing in the case scheduled to begin on Sept. 6.

Mr. Mohammed’s lawyers cited a resurgence of Covid infections, the vaccination refusal rate and the lack of a full-time trial judge to evaluate the situation as their reasons for delay.

The last hearing in the case against Mr. Mohammed and four other men who are accused of being his accomplices took place at Guantánamo in February 2020, just before the declaration of the pandemic.

President Biden is grappling with an evolving coronavirus and deep ideological divides over the pandemic.Credit…Stefani Reynolds for The New York Times

A week of public health reversals from the White House and the Centers for Disease Control and Prevention has left Americans with pandemic whiplash, sowing confusion about vaccines and mask wearing.

The crisis President Biden once thought he had under control is changing shape faster than the country can adapt. An evolving virus, new scientific discoveries, deep ideological divides and 18 months of ever-changing pandemic messaging have left Americans skeptical of public health advice.

Monday was another day that underscored the crosscurrents for the nation’s leaders as their efforts at a disciplined public health campaign collided yet again with the chaotic nature of the pandemic.

The virus continued to scramble traditional politics. In left-leaning Chicago, city officials announced that more than 385,000 people had attended the four-day Lollapalooza music festival — and Mayor Lori Lightfoot defended it. In Washington, Senator Lindsey Graham, Republican of South Carolina and a longtime supporter of former President Donald J. Trump, announced that he had tested positive for the coronavirus but said his symptoms have been mild, which he attributed to being vaccinated.

Some experts say the C.D.C. is to blame for some of the confusion. After saying in May that vaccinated people could go maskless indoors and outdoors, the agency did an about-face, once again recommending indoor masking in places where the virus is spreading rapidly.

Only days later did a leaked document deliver the grim reasoning: The Delta variant is as contagious as chickenpox and spreading even among the vaccinated.

A senior administration official, who spoke on the condition of anonymity to discuss the administration’s thinking, conceded on Monday that many Americans remained perplexed.

Another administration official said Mr. Biden would address the nation later this week — the second time in less than a week — to reiterate and clarify his main takeaway points: The vaccines are safe and effective; even vaccinated people have to mask up again because so many people are unvaccinated; go get your shots and tell your friends and neighbors to do the same.

A vaccine site in Berlin in July. Germany plans to offer booster shots to older people and people with underlying health conditions beginning in September.Credit…Stefanie Loos/Agence France-Presse — Getty Images

As concerns grow over a rise in coronavirus cases driven by the highly contagious Delta variant, Germany announced Monday it will offer vaccine booster shots to older people and people with underlying health conditions starting in September.

Germany’s move came after a top European Union official criticized the bloc as falling far short of its promises to donate vaccine doses to Africa and Latin America. Many health experts say the priority should be inoculating high-risk people around the world, and scientists also still disagree on the need for booster shots.

The issue of booster shots has been hotly debated in richer countries as vaccination rates have slowed. But as the Delta variant has become dominant in much of the United States and Europe, more governments appear to be moving toward endorsing them.

In the United States, Biden administration health officials increasingly think that vulnerable populations may need additional shots. Research continues into how long the vaccines remain effective. Israel, an early leader in administering vaccines, began administering boosters to people 60 and over last week.

France is offering booster shots only to the most elderly and vulnerable residents for now. Health officials in Belgium and Italy said they were ready to start offering boosters in the fall but were still gathering data to decide who should get a third dose, and when.

Under the German initiative, vaccination teams will be sent to care homes and other facilities for vulnerable people to administer Pfizer-BioNTech and Moderna shots, according to the draft plan. Doctors and vaccination centers will be called on to provide the extra shots for eligible people outside care homes.

The boosters will also be offered to people who received AstraZeneca or Johnson & Johnson shots initially.

The guidelines cite studies that indicate “a reduced or quickly subsiding immune response after a full Covid-19 vaccination in certain groups of people,” notably those who because of age or pre-existing conditions have weakened immune systems.

Studies have indicated that immunity resulting from the Pfizer-BioNTech and Moderna vaccines is long-lasting, and researchers are still working to interpret recent Israeli data suggesting a decline in efficacy of the Pfizer-BioNTech vaccine months after inoculation.

Pfizer, which has begun making a case for booster shots in the United States, offered its own study last week showing a marginal decline in efficacy against symptomatic infection months after immunization, although the vaccine remains powerfully effective against severe disease and death.

Britain, which remains ahead of the European Union on vaccinations, has not yet formally announced plans for a booster shot program. But officials there have been planning for them ever since a committee of government advisers in late June outlined recommendations on how the shots could be administered.

Even as wealthier nations prepare to give booster shots, though, health experts say the focus should be on giving first doses to people in countries that remain largely unprotected, especially as the Delta variant spreads.

“Wealthy governments shouldn’t be prioritizing giving third doses when much of the developing world hasn’t even yet had the chance to get their first Covid-19 shots,” Kate Elder, the senior vaccines policy adviser at Doctors Without Borders’ Access Campaign, said in a statement.

Josep Borrell, the European Union’s top foreign policy official, in Brussels in May.Credit…Olivier Hoslet/EPA, via Shutterstock

In an unusually public criticism of the European Union, its foreign policy chief has said that the bloc is falling radically short of its promises to donate Covid-19 vaccine doses to Africa and Latin America, creating a vacuum that China is filling.

Such donations are the responsibility of E.U. member countries. But the official, Josep Borrell Fontelles also singled out his boss, Ursula von der Leyen, the president of the European Commission, the bloc’s executive branch.

“The president of the Commission said we are going to give not 100, but 200 million doses to Africa,” Mr. Borrell said on Friday at a university summer course in Santander in Spain, his home country. “Yes, but when? The problem isn’t just the commitment, but the effectiveness.”

Mr. Borrell said that European countries had contributed about 10 million doses to Africa — a continent with a population of 1.5 billion. “It’s certainly insufficient,” he said.

In remarks cited by Politico Europe, Mr. Borrell said the issue was not just inequality, but also China’s efforts to expand its influence through vaccine donations.

“In Europe, we vaccinated 60 percent of our population, in Africa, they are at 2 or 3 percent,” he added. “Who’s the big vaccine supplier to Africa? China. Who’s the big vaccine supplier to Latin America? China.”

He said that Europe’s failure has “geopolitical consequences,” adding: “China’s expansion in Africa and Latin America should concern us and should occupy us a great deal.”

He also urged the European Union to move faster to approve association and trade agreements with Mexico and Chile, he said, “while China is landing in all parts of Latin America and occupying a predominant role.”

Mr. Borrell, 74, is a Commission vice president and former Spanish foreign minister. He has a particular interest in Latin America and Africa, and has been trying to persuade E.U. member states to respond more efficiently to crises in Libya, Ethiopia and Morocco, in part because of their impact on migration. He has also spoken often about how to do more for Cuba and Venezuela.

The Commission had no immediate comment. It has also been unwilling to identify how many doses have been donated to which countries.

Most European countries are still in the midst of their own vaccination campaigns, and the European Union has yet to define a bloc-wide strategy on vaccine donations. Italy said on Sunday that it had shipped 1.5 million doses to Tunisia, which has one of the world’s highest coronavirus death rates. Spain has promised to donate 7.5 million doses to Latin American countries. And France and Germany have each pledged to donate 30 million doses.

It is unclear how many of the doses promised have actually been delivered.

That compares with a pledge by the Biden administration to donate 80 million doses.

Starting Monday, the Florida-based chain Publix will require employees to wear masks in all its stores regardless of their vaccination status.Credit…Scott McIntyre for The New York Times

With the coronavirus spreading across the country and hospitalizations rising again, and public health officials warning that the Delta variant carries new risks even for vaccinated people, big businesses are rethinking their plans.

Some are delaying their plans to bring workers back to the office, and others are restoring mask requirements for customers. In the last week, several have also imposed vaccine mandates, after having held off on such a step for months.

The decision to require vaccines was endorsed on Sunday by the director of the National Institutes of Health. Speaking on CNN’s “State of the Union,” Dr. Francis Collins said that asking employees for proof of vaccination or regular testing were steps “in the right direction.”

Here’s how some big businesses changed their plans in late July:

  • Lyft pushed back its return-to-office date to February from September, Google extended its work-from-home policy to mid-October, and Apple said employees would not be expected to return to the office until at least Oct. 1, a month later than before.

  • Uber said that it would not require employees to return until Oct. 25, instead of its initial September date, and that a further delay was possible if cases kept rising.

  • Twitter shut its San Francisco and New York offices, putting a halt to reopening plans without a timeline in place.

  • The New York Times Company also indefinitely postponed its planned return to the office, telling employees that they would be given four weeks notice before being expected to return. The company, which employs about 4,700 people, had planned for workers to start to return for at least three days a week in September. Its offices will remain open for those who want to go in voluntarily, with proof of vaccination.

  • Endeavor, the parent company of the William Morris Endeavor talent agency, closed its recently reopened offices after Los Angeles County reimposed its indoor mask mandate. An Endeavor spokesman said the company had decided that enforcement would be too difficult and would hinder group meetings.

  • Equinox, the luxury fitness company that includes SoulCycle, said on Monday that its members and employees must show one-time proof of vaccination — a physical immunization card, a photo of an immunization card or a digital vaccine card — to enter Equinox clubs, SoulCycle studios or corporate offices, starting in New York in September.

  • Walmart, the nation’s largest private employer, with nearly 1.6 million workers, said vaccines would be mandatory for employees in its headquarters and for managers who traveled in the United States. The mandate does not apply to much of its work force — employees in stores, clubs, and distribution and fulfillment centers.

  • The Walt Disney Company said salaried and nonunion hourly U.S. employees at its sites must be fully vaccinated. Unvaccinated workers who are already on site will have 60 days to get the immunization, and new hires will be required to be fully vaccinated before starting work.

  • Home Depot said all its associates, contractors and vendors will be required to wear a mask in its stores, distribution centers and offices and at the homes and businesses of customers. Customers will also be asked to wear masks. Lowe’s also said it would require masks of its employees, regardless of vaccination status.

  • Walmart said it was reinstating mask requirements for associates in areas of the country with substantial or high transmission rates. The company recommended that customers wear masks in those areas, too. The retailer also doubled its reward to employees who get vaccinated from $75 to $150.

  • Starting Monday, the Florida-based grocery chain Publix will require employees to wear masks in all its stores regardless of their vaccination status.

  • Apple said employees and customers would have to wear masks regardless of their vaccination status in more than half its stores in the United States. Apple said the stores would be determined by the rate of coronavirus cases in the area. Apple also told its employees that they would have to wear masks when inside the company’s main offices in the United States, regardless of whether they were vaccinated.

A climber wore a protective mask while working out at a climbing gym in San Francisco earlier this year. The city said on Monday that it was reinstating a mask mandate.Credit…Jeff Chiu/Associated Press

Health officials in San Francisco and surrounding counties on Monday introduced a universal indoor mask mandate, adopting a federal health suggestion that has stirred up resistance in some parts of the country.

The order, which takes effect on Tuesday, requires people to wear masks in public indoor settings regardless of their vaccination status, though there are exceptions, for instance for children younger than 2. It applies to San Francisco, Alameda, Contra Costa, Marin, San Mateo, Santa Clara and Sonoma counties.

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

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Bay Area Health Officials Reimpose Mask Mandate

San Francisco and six other Bay Area counties introduced a universal indoor mask mandate, adopting a suggestion from the C.D.C. as coronavirus cases surge.

The counties of Alameda, Contra Costa, Marin, San Francisco, San Mateo, Santa Clara, Sonoma and the city of Berkeley today issued health orders, mandating indooor masking for everyone, regardless of vaccination status. These health orders will take effect at midnight tonight. Across the Bay Area region, we are seeing Covid-19 cases surging and hospitalizations are on a steep rise again, particularly among the unvaccinated. If you are able to choose between an indoor and an outdoor space, we recommend that you choose outdoor activities. There are people who have to work indoors, though. And for that group, we want to make sure that we are protecting them, our frontline workers have been essential during the pandemic and they continue to be essential during this reopening period. So both for the fact that there are people out there that cannot get vaccinated because they aren’t eligible. And we want to protect our workers. Today’s announcement reflects both the California Department of Public Health and the C.D.C.‘s guidance for everyone to wear a mask indoors in public if you’re in an area of substantial or high transmission. Every county represented here today has substantial or high levels of community transmission. We must take this action to end this summer surge.

Video player loadingSan Francisco and six other Bay Area counties introduced a universal indoor mask mandate, adopting a suggestion from the C.D.C. as coronavirus cases surge.

San Francisco, and California as a whole, has seen cases and hospitalizations rise sharply in the past two weeks, according to a New York Times database. Los Angeles reinstituted a mask mandate in mid-July, and last week Gov. Gavin Newsom made California one of the first states to require inoculations or regular testing for state government workers.

Public mask requirements were widespread before the Centers for Disease Control and Prevention issued new guidance in May, when the coronavirus seemed to be waning in the United States, saying that vaccinated people largely could skip wearing masks. Most states and cities soon relaxed their mask mandates.

But the C.D.C. changed its recommendations again last week, urging vaccinated people to once again wear masks indoors in areas with high rates of transmission, and encouraging universal use of masks in schools.

The change of course was driven by a surge in new coronavirus cases around the country, especially in areas where relatively few people are vaccinated. Experts say the surge is being propelled by the Delta variant, which the C.D.C. estimates now makes up more than 80 percent of new cases in the United States.

Recent research has shown the Delta variant to be even more contagious than previously thought, and has indicated that vaccinated people could carry and potentially spread the variant, according to an internal document at the C.D.C. that noted that “the war has changed.” The vaccines are still extremely effective at preventing serious illness and death, and people with breakthrough infections rarely require hospitalization.

Many municipalities have reinstituted mask mandates or strongly recommended that their residents start wearing masks, as Mayor Bill de Blasio of New York City did on Monday.

Other states, though, like Texas and Florida, have imposed rules that prevent cities and school districts from enacting mandates of their own.

As the local news industry has been hit by declining advertising revenues and cuts, some outlets have sometimes unknowingly run vaccine misinformation because they have fewer employees or less oversight than in the past.Credit…Tamir Kalifa for The New York Times

Facebook and other social platforms have in recent weeks attracted attention for vaccine misinformation as Covid cases surge from the more contagious Delta variant and U.S. vaccination rates slow. But smaller publications have also become powerful conduits for anti-vaccine messaging.

People who spread anti-vaccine content, including those who have been listed by the nonprofit Center for Countering Digital Hate as the “Disinformation Dozen,” have appeared in articles in local publications or as guests on local radio shows and podcasts, according to a review by The New York Times.

Some of their articles are regularly published by small-town newspapers or they are quoted as experts.

Their appearances in local media outlets can have an impact, since Americans are more likely to believe what they read and hear from local news outlets. A 2019 Knight-Gallup study found that 45 percent of Americans trust reporting by local news organizations “a great deal” or “quite a lot,” compared with 31 percent for national news organizations.

Many local media publications and stations have reported responsibly and factually on the pandemic. Gannett, the publisher with 100 daily newspapers and nearly 1,000 weekly publications across 43 states, has dedicated resources to fact-checking and teaching journalists that accuracy matters more than speed.

But as the local news industry has been hit by declining advertising revenues and cuts, some outlets have sometimes unknowingly run vaccine misinformation because they have fewer employees or less oversight than in the past.

As the new school year begins, the C.D.C., the American Academy of Pediatrics and many other experts agree that reopening schools should be a priority.Credit…Jenn Ackerman for The New York Times

Last week, in what was intended to be an internal document, the Centers for Disease Control and Prevention said the highly contagious Delta variant had redrawn the battle lines of the coronavirus pandemic.

The news came just as the first U.S. school districts were preparing to reopen; children in Atlanta and some of its suburbs head back to the classroom this week.

Over the past year, there has been contentious debate over how much schools contribute to the spread of the virus and whether, and when, they should close. For some parents, teachers and officials, keeping schools open when a new, poorly understood virus was circulating seemed like an unacceptable risk.

For others, however, it was school closures that posed the bigger danger — of learning loss, widening educational disparities and worsening mental health, not to mention the hardships for parents.

As the new school year begins, however, the C.D.C., the American Academy of Pediatrics and many other experts agree that reopening schools should be a priority.

Just a few months ago, with vaccinations for those 12 and older proceeding at a steady clip and new cases declining, the stage seemed set for at least a partial return to normal.

Delta has thrown that into question. Much remains unknown about the variant, including whether it affects children more seriously than earlier forms of the virus.

And with vaccination rates highly uneven, and most decision-making left up to local officials, the variant adds new uncertainty to the coming school year — and makes it even more critical for schools to take safety precautions as they reopen, scientists said.

“Delta, because it’s so contagious, has raised the ante,” said Dr. William Schaffner, medical director of the National Foundation for Infectious Diseases and a vaccine expert at Vanderbilt University. “It makes all these details all the more important.”

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Biden unveils subsequent steps in White Home Covid vaccination push

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President Joe Biden will comment on his administration’s recent efforts to promote coronavirus vaccination.

The new steps come as officials warn of an expected spike in Covid cases, led by the highly transmissible Delta variant that is spreading in the US and around the world.

Several outlets reported that Biden’s speech is expected to announce federal employees will need to get vaccinated or undergo strict safety protocols, including regular tests.

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Biden calls on states to supply $100 money funds for vaccination

U.S. President Joe Biden speaks during a visit to the Mack-Lehigh Valley Operations Manufacturing Facility in Macungie, Pa., July 28, 2021.

Evelyn Hockstein | Reuters

President Joe Biden on Thursday called on state and local officials to offer residents $ 100 in cash as an incentive to get a Covid-19 vaccine.

During a White House speech on Thursday afternoon, Biden cited an investigation by the University of California at Los Angeles in which about a third of those unvaccinated said a cash payment would make them more likely for an injection, according to details of the plan approved by the administration.

“The American Rescue Plan (ARP) has allocated resources to states, territories, and communities that can be used to provide incentives to increase vaccination rates to provide $ 100 to anyone who gets vaccinated,” the government said in an explanation before the speech.

Biden also announced that his government will require federal employees to demonstrate their vaccination status or undergo a series of strict safety protocols as well as other steps aimed at increasing vaccination rates.

The latest vaccine surge comes as coronavirus cases begin to rise again in the US, with the highly contagious Delta variant boosting infection rates. People infected with the Delta variant carry up to 1,000 times more viruses in their nasal passages than other strains, which, according to the federal health authorities, leads to a higher degree of transmission even among those who have been vaccinated.

Infectious disease experts have warned of a possible spike in infections in the fall season, when Americans go back into the house and employers start moving workers back to the office.

Health officials claim the Covid vaccines provide strong protection against the variant, especially against serious illness and death. Nevertheless, the rate of vaccination in the US has slowed in recent months.

Data from the Centers for Disease Control and Prevention shows that nearly 800,000 shots were recorded nationwide on Sunday, the highest single-day total in weeks, but still well below the peak.

The seven-day average of reported vaccinations rose 16% over the past week to 615,000 daily vaccinations on Thursday, compared to more than 3 million daily vaccinations reported in mid-April.

New York City Mayor Bill de Blasio recently announced that officials there will pay $ 100 to anyone who goes to a city-operated vaccination site for their first dose of a vaccine.

Biden’s comments come two days after the CDC reversed course of its previous guidelines and advised fully vaccinated Americans living in areas with high rates of Covid infection to return to wearing face masks indoors. According to a CNBC analysis, the guidelines cover about two-thirds of the US population.

While the Delta variant continues to hit unvaccinated people the hardest, some vaccinated people could carry higher amounts of the virus than previously thought and potentially transmit it to others, said CDC Director Dr. Rochelle Walensky on Tuesday. She added that the variant “behaves uniquely differently from previous virus strains”.

“This pandemic continues to pose a serious threat to the health of all Americans,” Walensky told reporters on a call.

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California is requiring proof of Covid vaccination for state staff

Frederic J. Brown | AFP | Getty Images

California will require government employees and some health care workers to provide evidence of Covid-19 or undergo mandatory weekly tests, senior state officials said Monday.

According to a press release, government officials are required to submit records of their vaccination by August 2. All civil servants who have not been vaccinated by then must present a negative Covid test at least once a week.

The new policy for health workers and convention facilities goes into effect on August 9, and health facilities must be fully complied with by August 23, according to the press release.

In government health care facilities, employees who work in a hospital are required to show evidence of a Covid vaccine or show negative coronavirus tests twice a week. Unvaccinated people are advised to wear N95 masks while working. Medical staff in outpatient facilities such as dental practices also have to do a Covid test once a week.

“We are at a point in this epidemic of this pandemic where the choice, the individual’s decision not to be vaccinated, is now profound, devastating and deadly on the rest of us,” Governor Gavin Newsom said at the announcement new arrangement. “This election has led to an increase in the number of cases, growing concerns about rising mortality rates and apparently induced hospitalizations.”

While the state already requires employees to disclose whether they have been vaccinated if they do not wish to wear masks indoors, they do not need to provide proof of vaccination. The new guidelines require proof of vaccination for all civil servants and mandatory tests for those who do not provide proof.

“Our projections are sobering,” said Newsom, noting that state officials are forecasting a “significant increase in hospital admissions” over the next few weeks that will put pressure on local hospitals.

New York Mayor Bill de Blasio recently introduced similar guidelines for city and health workers, NBC New York reported. All employees who fail to provide proof of vaccination by September 13 are required to have a weekly coronavirus test, and all unvaccinated employees must wear a mask at work starting August 2.

The San Francisco Bar Owner Alliance, which represents 500 bars in San Francisco, said it is encouraging its members to require customers to have a negative Covid test or proof of vaccination from July 29, requirements are “welcome to sit outside.” The individual bars have a choice of whether to enforce the requirements or not.

California saw vaccination rates rise 16% last week as the Delta variant quickly spread across the state. It now makes up about 80% of all newly sequenced cases in the state, health officials said.

Los Angeles County recently redesigned its indoor mask mandate regardless of vaccination status.

When asked about a statewide mask mandate, Newsom said the majority of Californians live in jurisdictions that either mandate or encourage the use of masks. “Our focus is on vaccinations, so there won’t be a need.” he said.

The U.S. Department of Veterans Affairs also announced Monday that it will require Covid vaccinations for all health care workers who work in Veterans Health Administration facilities.

“VA is taking this necessary step to protect the veterans it serves,” the agency wrote on its website. It is the first federal agency to mandate vaccinations and give employees eight weeks to get their vaccinations.

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Fauci Sounds Alarm Over Low Covid Vaccination Charges

Dr. Anthony S. Fauci warned on Sunday that the coronavirus pandemic in the US is now “going in the wrong direction” because too many Americans are still choosing not to vaccinate.

When asked by CNN’s State of the Union program about forecasts in recent statistical models that Covid-19 cases and deaths could increase in the coming months if vaccination rates do not increase, Dr. Fauci, “it won’t be good”.

With around half of Americans not yet vaccinated and the rapidly spreading delta variant in circulation, Dr. Fauci and a number of current and former health officials on Sunday expressed their anger at the situation, strongly pressing that vaccination is the best and most effective way to contain the tide of Covid cases.

“It really is a pandemic among the unvaccinated,” said Dr. Fauci, adding, “It’s like you have two kinds of America. You have the very vulnerable unvaccinated part and you have the really relatively protected vaccinated part. If you are vaccinated, you belong to a completely different category than someone who is not vaccinated. “

The situation is so dire that in the past few days even some Republican governors in states with low vaccination have demonstratively admonished people to get a Covid vaccine.

On Sunday on CNN, Arkansas Governor Asa Hutchinson said that with the new school year approaching, “is a pivotal moment in our race against the Covid virus,” adding that “what is holding us back is low vaccination rates.” . “

Governor Hutchinson, a Republican, said he recently held town halls which he attributed a 40 percent increase in vaccinations. Still, he added that some people’s resistance “has certainly hardened”. “It’s just wrong information,” he said. “They are myths.”

In CBS’s “Face the Nation,” Dr. Jerome Adams, who was a surgeon general in the Trump administration, also asked for the vaccination and expressed the decision in patriotic terms. “Get vaccinated because it will help every single American enjoy the freedoms we want to return to,” he said.

Dr. Adams said some people still have legitimate questions about vaccination, including workers who fear post-vaccination side effects could mean they miss a work day or a paycheck. He predicted that once the vaccines – currently available under emergency approval from the Food and Drug Administration – are fully approved, vaccination rates would rise. That will likely prompt the military and some companies to mandate vaccinations for service members and employees, he said.

In the meantime, Dr. Adams, the message should be, “It is your choice, but choices have consequences for you and other people,” including children who are not old enough to be vaccinated and people who are medically vulnerable.

Understand the state of vaccine mandates in the United States

Several current and former officials discussed whether recommendations or mandates on wearing masks should be reintroduced.

Dr. Fauci said the Biden government is considering revising stricter guidelines on how to wear masks. In May, the Centers for Disease Control and Prevention loosened their guidelines, saying that fully vaccinated people are not required to wear a mask in most indoor spaces.

Dr. Adams said, “Those guidelines have frankly confused citizens, it is frustrated corporations and public health officials that I still hear about, and it has been a failure in every way.”

He said the CDC should clearly state that even vaccinated people should wear masks when in public, around people whose vaccination status is unclear, or in a community where Covid cases are on the rise.

“The CDC needs to give these companies, these health authorities, a little coverage by clarifying the guidelines that they have out there,” said Dr. Adams.

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Fb To Biden: ‘We Aren’t The Cause Vaccination Objective Was Missed’

WASHINGTON – Facebook and the Biden government had an increasingly vicious back and forth over the weekend after the government condemned the social media giant for spreading misinformation about the Covid-19 vaccines.

On Sunday, General Surgeon Vivek Murthy reiterated warnings that false stories about the vaccines had become a dangerous health hazard. “These platforms need to recognize that they have played an important role in increasing the speed and extent with which misinformation spreads,” Murthy said on CNN on Sunday.

In a blog post on Saturday, Facebook asked the administration to stop “pointing the finger” and set out what it had done to encourage users to vaccinate. The social network also described how it cracked down on lies about the vaccines, which officials said led to people refusing to be vaccinated.

“The Biden administration has chosen to blame a handful of American social media companies,” said Guy Rosen, Facebook’s vice president of integrity, in the post. “The fact is that the adoption of vaccines by Facebook users in the US has increased.”

Mr Rosen added that the company’s data showed that 85 percent of its users in the United States were or were about to be vaccinated against the coronavirus. While President Biden’s goal was to have 70 percent of Americans vaccinated by July 4th, which the White House missed, “Facebook isn’t the reason it missed that target,” Rosen said.

Facebook’s response followed a firm condemnation of the company by Mr Biden. When asked on Friday about the role of social media in influencing vaccinations, Mr Biden stated in unusually strong language that the platforms “kill people”.

“Look,” he added, “the only pandemic we have is that of the unvaccinated, and that – and they kill people.”

Other White House officials have also increasingly commented on how social media has stepped up vaccine flights.

On Thursday, Mr Murthy accused social media companies of not doing enough to stop the spread of dangerous misinformation about health, calling it a national health crisis that fueled refusal to vaccinate among Americans. On Friday, White House press secretary Jen Psaki also called for misinformation “that is causing people not to take the vaccine and people to die from it.” She said the White House was responsible for bringing up the issue.

The White House declined to comment on Facebook’s blog post on Saturday.

On Sunday morning, Mr Murthy also responded to allegations made by a Facebook official who spoke anonymously to CNN, saying the government was looking for “scapegoats for missing its vaccination targets.”

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July 18, 2021, 12:38 p.m. ET

The company representative told CNN before Mr Murthy’s appearance on the news network that Mr Murthy had “praised our work” in private conversations while he had publicly criticized the company.

Mr. Murthy disproved the characterization.

“I’ve been very consistent in what I’ve been saying to tech companies,” Murthy said Sunday morning on CNN. “If we see good steps, we should acknowledge them,” he said, adding, “But I also said that it was not enough. We are still seeing an increase in misinformation on the Internet. “

Facebook, Twitter and other social media sites have long struggled with their role as platforms for speech while protecting their users from disinformation campaigns such as Russian efforts to influence presidential elections or false statements about the pandemic.

In the past few months, Facebook has taken steps against anti-vaccination advertisements and misrepresentation about the vaccines. In October, it announced that it would no longer allow ads against vaccinations on its platform. In February, the company went ahead and said it would remove false claims posts about vaccines, including claims that vaccines cause autism or that it is safer for people to contract the coronavirus than receiving the vaccinations.

But online misinformation about the vaccines has not been eradicated. Lies have been spread that vaccines can alter DNA or that vaccines won’t work.

On Saturday, Mr Rosen said in the blog post that American Facebook users’ reluctance to take vaccines had decreased by 50 percent since April and vaccine acceptance had increased by 10 to 15 percentage points, or from 70 percent to over 80 percent.

“Although social media plays an important role in society, it is clear that we need a society-wide approach to end this pandemic,” said Rosen. “And facts – not allegations – should help support this effort.”

The White House’s frustration with Facebook has increased over several months, said those knowledgeable about the matter. While the Biden government asked Facebook to share information about the spread of misinformation on the social network, the company refused to cooperate, the people said.

On Friday, White House digital director Robert Flaherty said in a tweet: “I think the question remains simple: How many people have seen misinformation about Covid vaccines on Facebook?”

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This is a map displaying the place low vaccination charges meet excessive case counts as infections surge

In more and more US states with low vaccination rates, Covid cases are rising, exposing residents to the risk of “unnecessary” infections, hospitalizations and possibly death as the Delta variant rips across the country, according to US health officials.

“After several weeks of falling case numbers followed by a long plateau, we are now seeing an increase in the number of cases in many parts of the country,” said Dr. Jay Butler, CDC assistant director, infectious diseases, on a call hosted Tuesday by an industry group. Hospitalization rates, which tend to lag behind confirmed cases, are similarly starting to rise, he said.

A CNBC analysis of US vaccination rates and Covid cases shows that there are 463 counties in the United States with high rates of infection – which have reported at least 100 new cases per 100,000 residents in the last week – more than double the US rate . The majority of these counties, 80%, vaccinated less than 40% of their 23 million residents, analysis shows data from the Centers for Disease Control and Prevention and Johns Hopkins University.

More than half of the counties in Missouri, Arkansas and Louisiana have low vaccination rates and increased Covid cases, according to CNBC analysis. These three states had some of the highest cases per capita in the country in the past seven days as the spread of the Delta variant increased in southwest Missouri.

“There will continue to be an increase in cases among unvaccinated Americans and in communities with low vaccination rates, especially given the spread of the more transmissible Delta variant,” Jeff Zients, White House Coronavirus Response Coordinator, told a news conference last week . Virtually all Covid hospital admissions and deaths, 99.5%, occur in those who have not been vaccinated, US officials say.

In fact, nationwide cases are on the rise again as the highly transmissible delta variant asserts itself as the dominant strain in the US. The seven-day average of newly confirmed Covid cases has risen to about 23,300 per day, almost double the weekly average, according to data from Johns Hopkins before.

The rise of the Delta variant has spurred officials in some states like Mississippi to issue new calls for masking and social distancing, especially among older and more vulnerable residents.

“When the Delta strain emerged (in Utah) it quickly became the dominant strain, and by dominant I don’t mean 50%. For the last full week of data, more than 80% of the sequence viruses were Delta viruses and so far this week are it is 92% of all variants, “said Dr. Andrew T. Pavia, director of the Department of Pediatric Infectious Diseases at the University of Utah School of Medicine, in a call hosted Tuesday by the Infectious Diseases Society of America.

“If you think about what it means to have such a rapid virus takeover, it means that it is the most suitable virus, that it spreads more efficiently, that it spreads in unvaccinated pockets, and many diseases cause a lot of stress inside” , he added.

Mississippi has given at least one injection to just 37% of its population, making it last in the country. Officials there urged people over 65 and immunocompromised residents to avoid indoor mass gatherings in the next two weeks in the event of “significant transmission” of the Delta variant in the coming weeks.

“We don’t want anyone to die unnecessarily,” said Dr. Mississippi State Health Commissioner Thomas Dobbs during a news conference Friday.

According to Dr. Rochelle Walensky, director of the Centers for Disease Control and Prevention, as successful in preventing serious illness, hospitalizations and deaths from the Delta variant.

Breakthrough infections are rare, and around 75% of people who die or are hospitalized after being vaccinated with Covid are over 65 years old, according to the CDC.

“Preliminary data for the past six months suggests that 99.5% of deaths from Covid-19 in the states have occurred in unvaccinated people … the suffering and loss we see now are almost entirely preventable,” Walensky said Earlier this month.

In addition to the risk of disease for Americans who have not yet received a vaccination, unvaccinated sections of the population could threaten the country’s ability to control the pandemic. Continued transmission of the virus means additional opportunities for new variants to emerge with the ability to bypass vaccine protection.

While 48% of Americans are fully vaccinated, the pace of daily vaccinations has slowed significantly in recent months. According to CDC data, an average of about 515,000 vaccinations were administered daily for the past week, after a steady decline from the peak of more than 3 million daily vaccinations.

President Joe Biden renewed his administration’s efforts to increase vaccination rates after failing to meet his July 4th goals, with a focus on youth and increasing availability in places like doctor’s offices and work environments.

Nearly 1,600 counties in 40 states with 72 million people have vaccinated less than 40% of their population, according to CNBC analysis. Six states where vaccination data were not available at the county level were excluded from the analysis.

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Singapore minister on Covid-19 vaccination program, opening of borders

SINGAPORE – Singapore aims to immunize 75% of its population by early October to gradually relax border restrictions as the coronavirus becomes endemic over time, trade minister Gan Kim Yong told CNBC on Tuesday.

“Covid-19 is likely to be endemic in the future. That is why vaccination is so important. Because the transmission will continue and you will be confronted with a new variant from time to time when the virus mutates, “Gan told the” Squawk Box “from CNBC Asia.”

He said the goal is to vaccinate at least two-thirds of the country by August 9, when Singapore celebrates its national day, which marks the country’s independence after separating from Malaysia in 1965.

Data from the scientific publication Our World In Data showed that by July 3, nearly 37% of Singapore’s 5.6 million residents were fully vaccinated. This is a significantly higher percentage compared to more populous neighbors like Malaysia and Indonesia, who each vaccinated nearly 8% fully. and 5% of their population.

Vaccines can help limit transmission to some extent and reduce the severity of the disease, the minister said. This ensures that Singapore’s hospitals and medical facilities are not overwhelmed and would allow the country to “continue to live with Covid-19”.

Singapore’s national vaccination program runs vaccinations from Pfizer and Moderna, but some private clinics have been allowed to administer Sinovac for those who prefer the Chinese-made vaccine.

Travel corridors and reopening of borders

Vaccination rate will be an important marker in easing border restrictions to allow non-resident travelers to enter Singapore, Gan said.

“We hope that by the end of September or beginning of October we can cover 75% or more (of the population). Then we can open up our borders more to allow more.” Visitors to Singapore come both for business and pleasure, “added Gan.

Discussions about the establishment of travel corridors with Hong Kong and Australia have not yet produced any concrete results this year.

A bubble agreement would have enabled people from Hong Kong or Australia to travel to Singapore and vice versa without quarantine.

“We decided not to call it a travel bubble because it tends to burst,” said Gan. “We will continue to do our best to discuss with our partners and the discussion is moving forward.”

Singapore and its partners need to be prepared for potential travel corridors by making sure infection rates stay low and vaccination rates high, Gan said.

The city-state plans to conduct studies that will allow vaccinated travel between Singapore and several other destinations, he added. First, it will be done in small groups to test the process, and if those efforts are successful, it will be expanded to let more travelers into the country, Gan said.

“This will be very important for us to do it safely, build trust and allow us to refine our actions and process to ensure we can continue to protect Singapore and our visitors,” he added .

Loosen restrictions further

Singapore tightened restrictions in May as locally transmitted cases spiked and the highly contagious Delta variant was discovered in the city-state. These strict measures included a ban on eating in restaurants and grocery stores and restricting public social gatherings to two people.

Some of those measures have since been relaxed as cases are now under control and only a handful of unrelated infections are reported in the community each week.

We always believe that we have to find a very careful balance between protecting life on the one hand and preserving livelihoods on the other.

Gan Kim Yong

Minister for Trade and Industry

“We have to be careful and take a cautious approach as we open up our economy and our community,” said Gan, the former health minister and still co-chair of Singapore’s Covid-19 task force.

“This is to ensure that we can continue to keep public health under control and ensure the safety of Singaporeans,” he said, adding, “We always believe that we can strike a very careful balance between protecting life and protecting ourselves Life “must find a livelihood on the other side.”

If things keep moving steadily forward, Gan said Singapore will allow in-person dining for up to five people from July 12th. Currently, only groups of two people are allowed to dine together outside of homes.

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Israel, UAE, Bahrain vaccination and an infection traits

Two women in face masks walk along a shopping area on April 19, 2021 in Dubai, United Arab Emirates.

Francois Nel | Getty Images News | Getty Images

Vaccination campaigns in several Middle East nations raced ahead of the rest of the world at the beginning of 2021.

Israel, the United Arab Emirates and Bahrain topped the list when it came to doses administered per 100 people at the start of the year.

Six months later, all three are still among the top 10 most vaccinated countries — but charts show their Covid infection trends have varied greatly.

As of June 29, 57.8% of Bahrain’s population were fully vaccinated and 59.7% of Israel’s residents received both doses of the Covid vaccine, according to Our World in Data. The UAE’s data on fully vaccinated individuals was last updated on April 20, when the figure stood at 38.8%.

Israel

Israel’s new daily cases plummeted as its vaccination program ploughed on, and data showed that infections remained largely in the low double-digits for more than a month since the end of April. That was so until a resurgence emerged in late June.

Caseloads are a fraction of previous peaks, but have risen rapidly in recent days.

The highly contagious delta variant is responsible for about half the new cases, according to Nadav Davidovitch, chair of the Israeli Association of Public Health Physicians.

Still, simulations predict that even with “widespread transmission,” there will only be several hundred severe cases, he told CNBC via video call. “Not like it used to be in the third wave,” he added, referring to the spike that began late last year.

UAE

The United Arab Emirates ranks number one in terms of total doses administered per 100 people, according to Our World in Data. But new infections in the country have stubbornly hovered around 2,000 per day.

Cases have fallen from the record highs reported in January, and temporarily dipped to the mid-1,000 level in May, but have otherwise mostly stayed around the same region.

Still, the cases now remain higher than the average daily cases of about 1,200 reported in the fourth quarter of 2020.

The UAE’s National Emergency Crisis and Disaster Management Authority in May announced that it would be offering a third dose of China’s Sinopharm vaccine. It came amid questions over the efficacy of the vaccine as there were reports of infections in individuals who had received two shots.

The country later said those inoculated with Sinopharm’s vaccine can receive the Pfizer-BioNTech shot as a booster, Reuters reported.

Bahrain

Infections in Bahrain hit record highs in late May even though vaccinations were well underway in the country.

According to Our World in Data, the kingdom reported 3,273 new cases on May 29.

At that point, more than 911,000 people in Bahrain had already received at least one dose of a Covid vaccine. It has a population of around 1.76 million people.

New daily cases have since fallen to the hundreds.

Bahrain is also offering third doses of Sinopharm’s vaccine. Booster shots of the Pfizer-BioNTech vaccine are available to more vulnerable groups such as those above the age of 50, three months after they receive a second dose of Sinopharm.

Deaths attributed to Covid

Infections are not the only indicator of a country’s coronavirus situation, and vaccinations are not the only factor at play.

Besides inoculation, a country’s demographics and Covid restrictions also play a part in the severity of illness and how quickly the virus spreads.

Deaths in Israel and the UAE have fallen and stayed low, while daily new Covid-related deaths per million in Bahrain went as high as 17 in June.

Are Covid spikes a concern?

The outbreaks in the Middle East countries are not worrying, said Paul Tambyah, president of the Asia Pacific Society of Clinical Microbiology and Infection.

“I do not think that we should be too concerned,” he told CNBC in an email. “The majority, or at least a significant proportion of cases have reportedly been in those who have not been vaccinated.”

“The main concern is that it does not look like we can get away without vaccinating a very significant proportion of the population,” he said.

I think that as long as the virus is circulating globally and borders remain open, there will be occasional outbreaks of the virus even in highly vaccinated populations.

Paul Tambyah

Asia Pacific Society of Clinical Microbiology and Infection

Virus clusters expected

High vaccination rates will not rule out clusters of cases in future, medical experts said.

“I think that as long as the virus is circulating globally and borders remain open, there will be occasional outbreaks of the virus even in highly vaccinated populations,” said Tambyah.

Davidovitch said “localized outbreaks” among children who are not vaccinated will probably continue.

He said it’s “hard to tell” if a reliance on Chinese vaccines — as seen in the UAE and Bahrain — may be linked to dramatic spikes in Covid cases.

Tambyah noted that Israel, which has used mainly Pfizer vaccines, is seeing a resurgence in cases as well.

He said there are no scientific publications comparing traditional vaccines developed by China against vaccines that rely on messenger RNA technology, which instructs the body to produce a harmless piece of the virus that helps trigger an immune response.

“I think that, unfortunately, higher vaccination rates are required,” Tambyah said.

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Health

1,000 counties within the U.S. have vaccination protection of lower than 30%

FEMA members greet the public on their way to high school to be vaccinated on April 26, 2021 at a FEMA-operated Covid-19 mobile vaccination clinic at Biddeford High School in Bidderford, Maine.

Joseph Precious | AFP | Getty Images

About 1,000 counties in the United States have less than 30% vaccination coverage, the director of the Centers for Disease Control and Prevention said Thursday.

The counties in question are mainly in the Southeast and Midwest and are, according to CDC Director Dr. Rochelle Walensky most susceptible to Covid infection. The authority already sees rising disease rates in these districts due to the further spread of the more transmissible Delta variant, said Walensky.

The Delta variant currently accounts for about 25% of the new cases sequenced in the US, and officials believe it will become the dominant strain in the country, dwarfing the currently dominant Alpha variant.

In some counties, the delta variant rates are up to 50% according to the CDC. “We expect increased transmission in these communities when we can’t vaccinate more people,” said Walensky.

According to the Institute for Health Metrics and Evaluation, an independent global health research center at the University of Washington, zip codes with the highest rates of vaccination hesitation are in states such as North Dakota, Idaho, and Alabama.

During the briefing, Dr. Anthony Fauci, Medical Advisor to the President, a study in The Lancet that showed mRNA vaccines were about 80% effective against confirmed Delta variant infection. The study also showed that two doses of an AstraZeneca vaccine provided 60% protection.

As for symptomatic disease, another study cited by Fauci showed that two doses of the Pfizer vaccine produced 88% protection against the Delta variant. A study by Public Health England showed that the Pfizer vaccines with the Delta variant offered 96% protection against hospitalization and the AstraZeneca vaccine offered 92% effectiveness after two doses.

“Preliminary data for the past six months suggests that 99.5% of deaths from Covid-19 in the states have occurred in unvaccinated people … the suffering and loss we see now are almost entirely preventable,” Walensky said .