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Third Covid vaccine shot excessive precedence

Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, listens during a Senate Fund Subcommittee hearing in Washington, DC, on Jan.

Stefani Reynolds | Swimming pool | Reuters

Federal health officials are working “ASAP” to get a third Covid-19 vaccine approved for Americans with weakened immune systems, said Dr. White House chief physician Anthony Fauci on Thursday.

It is now clear that immunocompromised populations – which include patients with cancer, HIV, or organ transplants – generally fail to generate an adequate immune response after two doses of a Covid vaccine, Fauci said.

“Immunocompromised people are vulnerable,” said Fauci during a Covid briefing at the White House. “It is extremely important for us to give these people their boosters and we are working on it now and we will do this as soon as possible. … It is a very high priority.”

Immunocompromised populations make up only about 2.7% of the adult US population. Still, they account for about 44% of hospitalized breakthrough Covid cases – an infection in a fully vaccinated person, according to data released late last month by an advisory group from the Centers for Disease Control and Prevention.

Studies suggest that a third shot might help people whose immune systems don’t respond as well to a first or second dose.

Four small studies cited by the CDC last month showed that 16% to 80% of people with compromised immune systems had no detectable antibodies to Covid after two shots. Among immunocompromised patients who had no detectable antibody response, 33 to 50% developed an antibody response after receiving an additional dose, according to the CDC.

“From the observational data we have made, it now appears that they are generally not giving an adequate response that we believe would be adequately protected,” Fauci said Thursday.

Other countries such as France are already giving third vaccinations to people with cancer or other immune deficiencies. Israel announced last month that it would offer booster syringes to people over the age of 60 as the syringe seems to be becoming less effective in these people.

Some doctors have pushed for the US to allow an extra dose to immunocompromised populations, and many immunocompromised Americans are already finding extra doses of the vaccines, medical experts say.

Dr. Scott Gottlieb, who headed the Food and Drug Administration during Donald Trump’s presidency from 2017 to 2019, told CNBC on Monday that he believes the elderly and immunocompromised people will receive booster shots by September or October.

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New York Metropolis’s Vaccine Passport Plan Renews On-line Privateness Debate

When New York City announced on Tuesday that people will soon have to show evidence of at least one coronavirus vaccine to get into businesses, Mayor Bill de Blasio said the system was “simple – just show it and you’re in”.

The data protection debate, which rekindled the city, was less straightforward.

Vaccination records showing proof of vaccination, often in electronic form such as an app, are the foundation of Mr de Blasio’s plan. For months, these records – also known as health cards or digital health certificates – have been discussed around the world in order to provide a safe gathering for vaccinated people who are less at risk from the virus. New York will be the first U.S. city to include these passports in a vaccine mandate, and potentially trigger similar actions elsewhere.

But mainstreaming those credentials could also usher in an era of increasing digital surveillance, privacy researchers said. This is because vaccine passports can allow location tracking, although there are few rules about how people’s digital vaccine data can be stored and shared. While existing data protection laws restrict the exchange of information between medical providers, there is no such rule for uploading your own data to an app.

The moment is reminiscent of the months after the September 11, 2001 attacks, said privacy advocates. Back then, changes in the name of national security had lasting effects, including taking off shoes at airports and the data collection made possible by the Patriot Act.

Without security, presenting a digital vaccination record every time people enter a public place could result in a “global map of the people,” said Allie Bohm, a political advisor to the New York Civil Liberties Union. The information could be used for profit by third parties or disclosed to law enforcement or immigration authorities, she said.

“How do we make sure that in 20 years we won’t say, ‘Well, there was Covid, so now I have this passport on my cell phone, which is also my driver’s license and also all the health records I have ever had? and every time I go to a store, do I have to leaf through it? ‘”said Ms. Boehm.

She added that the passports could particularly disadvantage groups who are more concerned about privacy, including those without papers. The New York Civil Liberties Union and other advocacy groups have supported laws to prevent vaccination records from being shared with law enforcement and to ensure passports don’t become permanent health trackers.

Vaccination records were introduced in the United States largely without a national framework. President Biden has ruled out a national vaccination record so that states, cities and private companies can decide if and how to have their own electronic systems to keep track of people who have been vaccinated.

Some companies that have developed digital vaccination records have tried to forestall privacy concerns. Over 200 private and public organizations recently joined the Immunization Card Initiative, a coalition aimed at standardizing the collection and protection of vaccination data.

Many developers said they went out of their way to make sure the passports didn’t break the privacy boundaries. Clear Secure, a security company that has created a health passport that is used by over 60 organizations, including many sports venues, said that its users’ health information has been “treated with the utmost care” and protected by a variety of tools. Employers or venues can only see a red or green signal that indicates whether a user has been vaccinated, it said.

The Commons Project, a non-profit organization that developed a vaccine passport called CommonPass, stores vaccine and test data on users’ phones and only temporarily uploads the information to a server to verify that a traveler meets the requirements. Airlines that have introduced CommonPass, including JetBlue and Lufthansa, can only see if a passenger has been cleared for travel, it said.

JP Pollak, a co-founder of the Commons Project, said the group’s vaccination record is “trustworthy” as users’ data has not been stored in the cloud and the passport restricts the information companies can see.

But while vaccine passports are still in the making, Covid-19 contact tracing apps that were introduced earlier in the pandemic have already been used by more authoritarian countries in a way that raises privacy issues. That gives researchers little confidence about how those vaccine passports might be used later.

For example, in China, a program called “reportInfoAndLocationToPolice” within the Alipay Health Code, used by the Chinese government to assess people’s health, sends a person’s location, city name, and identification code number to a server once the user agrees software access to personal data.

In Singapore, officials said in January that data from the country’s coronavirus contact tracing system had been used in a criminal investigation, despite leaders originally saying it was only used for contact tracing. In February, Singapore passed law restricting such use to “serious” criminal investigations.

“One of the things we don’t want is that we normalize surveillance in an emergency and we can’t get rid of it,” said Jon Callas, the director of technology projects at the Electronic Frontier Foundation, a digital rights group.

Although such incidents do not occur in the United States, researchers already see potential for a handover. Several pointed to New York City, where proof of compulsory vaccination begins August 16 and will be enforced from September 13.

For evidence, people can use their paper vaccination cards, the NYC Covid Safe app, or another app called the Excelsior Pass. The Excelsior Pass was developed by IBM under an estimated $ 17 million contract with New York State.

To receive the pass, people upload their personal information. In the standard version of the pass, companies and third parties only see the validity of the pass and the name and date of birth of the person.

On Wednesday, the state announced the “Excelsior Pass Plus”, which not only shows whether a person has been vaccinated, but also provides additional information on when and where they were vaccinated. Companies that scan Pass Plus “may have the ability to save or retain the information it contains,” according to New York State.

The Excelsior Pass also has a “Phase 2” which could include expanding the use of the app and adding more information such as personal information and other health records that companies could review upon entry.

IBM said it used blockchain technology and encryption to protect user data, but didn’t say how. The company and New York State did not respond to requests for comment.

Mr de Blasio told WNYC in April that he understands the privacy concerns surrounding the Excelsior Pass but believes it will still “play an important role”.

Some federal states and cities are proceeding cautiously for the time being. More than a dozen states, including Arizona, Florida, and Texas, have announced bans on vaccination records in the past few months. The mayors of San Francisco, Los Angeles, and Seattle also said they would hold back on passport programs.

Some groups of companies and companies that have introduced vaccine passports said the privacy concerns were legitimate but addressable.

Airlines for America, an industrial trade group, said it supported vaccine passports and urged the federal government to put in place privacy standards. The San Francisco Chamber of Commerce, which helps its members work with Clear, said it was preferable to use the tools to ensure that only vaccinated people enter stores than to have companies close again when virus cases rise.

“People’s privacy is precious,” said Rodney Fong, President of the Chamber, but “when it comes to saving lives, privacy becomes a little less important.”

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Vanguard says it’ll give workers $1,000 to get Covid-19 vaccine

Vanguard signage at a Morningstar Investment Conference.

M. Spencer Green | AP

Vanguard is offering its employees $1,000 to get vaccinated against Covid-19, the company has confirmed.

The asset management giant follows Facebook, Google, Microsoft and other employers calling on workers to get the coronavirus vaccine amid growing concerns about the fast spread of the delta variant.

“Vanguard recognizes vaccines are the best way to stop the spread of this virus and strongly encourages crew to be vaccinated,” Charles Kurtz, a spokesperson for Vanguard, said in a statement shared with CNBC. “As such, we are offering a vaccine incentive for crew who provide COVID-19 vaccination proof. The incentive recognizes crew who have taken the time to protect themselves, each other, and our communities by being vaccinated.”

Kurtz also confirmed the company’s 16,500 eligible employees have until Oct. 1 to get the vaccine, which Bloomberg first reported Wednesday.

Walgreens Boots Alliance said Wednesday that the number of vaccines it has administered has surged by more than 30% in the past few weeks in certain states, including Alabama, Florida, Georgia and Kentucky.

That number could rise as the Food and Drug Administration gives full approval, versus emergency use authorization, to the vaccines, which it aims to do for the Pfizer vaccine next month. Still, businesses like Vanguard are encouraging employees not to wait.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Dwell Coronavirus Updates: Vaccine and Delta Variant Information

Here’s what you need to know:

Credit…Octavio Jones/Reuters

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Azi Paybarah contributed reporting.

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

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

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

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

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

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

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

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

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

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

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

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New York City Will Require Vaccination for Indoor Activities

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Amy Chang Chien contributed reporting.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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J&J Covid vaccine recipients can get supplemental Pfizer or Moderna pictures in San Francisco

People queue at the bulk vaccination booth at the San Francisco Moscone Convention Center, which opened today on February 5, 2021 in San Francisco, California for healthcare workers and people over 65.

Amy Osborne | AFP | Getty Images

The San Francisco Department of Public Health and Zuckerberg San Francisco General Hospital announced Tuesday that they would allow patients who received the single-dose Covid-19 vaccine from Johnson & Johnson to have a second vaccination from Pfizer-BioNTech or Moderna.

J&J recipients can make special requests to get a “supplementary dose” of an mRNA vaccine, city health officials said in a statement to CNBC, declining to call the second shot a “booster.” J & J’s vaccine only requires one dose and recipients are considered fully vaccinated two weeks after receiving the vaccination.

In a call to reporters later Tuesday, San Francisco health officials said they would allow patients to take the extra syringes due to the high number of requests they received from local residents. They claimed that J & J’s vaccine was highly effective against the virus and its variants.

“We have received requests based on patients speaking to their doctors, so we are allowing the placement,” said Naveena Bobba, assistant director of health for the San Francisco Department of Public Health.

Health officials said they do not currently recommend a booster vaccination, which is in line with guidelines from the Centers for Disease Control and Prevention.

“This step does not represent a policy change for the EVS,” says a statement from the health department. “We are still following the guidelines of the Center for Disease Control and Prevention and currently do not recommend a booster vaccination. We will continue to review all new data and adjust our guidelines if necessary. “

The CDC is currently not recommending that Americans mix Covid vaccinations in most cases, and federal health officials say booster doses of the vaccines are not currently required.

The announcement by the San Francisco health authorities comes as some Americans say they are looking for ways to get extra doses of the Covid vaccines – some even go so far as to get extra vaccinations from various companies – due to concerns about the high contagious delta variant.

Dr. Angela Rasmussen, a virologist at Georgetown University, told CNBC last month that she received a booster of Covid-19 vaccine from Pfizer and BioNTech in late June, two months after receiving the single dose from J&J. She was concerned about her level of protection against Delta after studies showed that a single dose of a Covid vaccine was not enough.

Since Rasmussen received her booster, a new study has found that the J&J vaccine against the Delta and Lambda variants is much less effective than against the original virus. The researchers who led the study, which has not yet been peer-reviewed, are now hoping that J&J recipients will eventually receive a booster of the Pfizer or Moderna vaccines.

Of course, the new research contradicts a study by the company that found the vaccine to be effective against Delta even eight months after vaccination, especially against serious illness and hospitalization. It is likely that the mixing and matching debate in the US will rekindle as the highly contagious Delta variant continues to spread in the US

J&J did not immediately respond to a request for comment on the announcement by the San Francisco Department of Public Health.

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Lindsey Graham reveals Covid an infection, lauds vaccine

Senate Justice Committee Chairman Senator Lindsey Graham (R-SC) attends the Senate Justice Committee business meeting on Supreme Court Justice candidate Amy Coney Barrett at the Hart Senate Office Building in Washington on October 15, 2020 , DC, part.

Tom Williams | Swimming pool | Reuters

GOP Senator Lindsey Graham on Monday praised the Covid vaccine after testing positive for the disease, saying that his “symptoms would be much worse without him”.

Graham said in a tweet that the family doctor informed him of his positive test even though he was fully vaccinated. He said he had flu-like symptoms on Saturday night and will be quarantined for ten days.

While the Senate has not officially issued a mask mandate, Graham was reportedly seen wearing a mask on Monday, according to a Politico reporter.

Graham’s announcement came as the United States is grappling with a spike in the Delta variant of Covid and the Biden government is urging more people to get vaccinated.

This story evolves. Please check again for updates.

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Eire turns to vaccine passes to reopen its hospitality trade

People love to drink Guinness outside a pub in Dublin city center. On Monday 5th July 2021 in Dublin, Ireland.

NurPhoto | NurPhoto | Getty Images

DUBLIN – Despite the spread of the highly contagious Delta Coronavirus variant, Ireland is relying on “vaccine passports” to fully reopen its bars and restaurants.

Ireland’s tourism and hospitality industry has grappled with stop-and-start reopening during the Covid-19 pandemic.

Office work resumed on July 26th in a kind of photo finish, with the government and hospitality industry setting the guidelines for the reopening that morning. This included final adjustments to the restaurant’s contact tracking requirements.

The main differentiator this time around is that restaurants and bars are only allowed to open their doors to fully vaccinated people or people who have recovered from Covid-19 in the last six months. Outdoor seating remains available to all visitors.

The big test for businesses will be doing these customer vaccination checks.

The main means of proof of vaccination will be the EU’s digital Covid certificate, the same document on which Europe is pinning its hopes for revitalizing tourism on the continent.

Restaurants and bars are expected to scan the QR code on the certificate and check a customer’s ID to make sure they are fully vaccinated.

Noel Anderson is the managing director of Dublin restaurants Lemon & Duke and The Bridge 1859 and chairman of the trading association of the Licensed Vintners Association.

He told CNBC that in the first few days of reopening, customers are still opting for outdoor seating, but his staff have been trained on the new protocols, especially as the summer weather wears off.

“I firmly believe that this will be over in two or three weeks and that this will just be the norm. Hopefully it won’t be the norm for too long, ”he said.

He and many other hospitality businesses declined to request vaccination controls on the door.

“Ultimately, this was a government initiative. This was not being pushed by the pubs, but by the LVA, of which I am chairman, we didn’t want that,” he said.

“Either you want to stay closed until September and beyond, or that’s how you open it. When you have members who are closed [for over a year], you have no choice but to take it. “

data protection

The requirement of a vaccination certificate for entering a company premises has generated some criticism, as it is claimed that it is discriminatory for unvaccinated people, while so-called vaccination cards or passports can also be difficult initiatives for data protection and security reasons.

A spokesman for the Irish Data Protection Commission said hospitality companies need to be careful about the amount of data they collect and process and delete unneeded information.

“Owners / operators should not keep records that identify named people and details of their vaccinations or copies of certificates or identification documents as this is not required to meet their compliance obligations,” the DPC said.

The processing of personal data must be “justified on the basis of necessity and proportionality,” it said.

“The DPC has also made it clear that Covid-related laws must be time-bound and limited by sunset clauses to the duration of the pandemic in order to prevent excessive and disproportionate processing of personal data.”

Ireland won’t be an outlier in Europe for long when it comes to vaccine passports in the hospitality industry, as France and Italy are introducing similar requirements for entering bars, restaurants and cafes.

Careful approach

Not every bar and every restaurant wants to reopen its office staff. Pantibar, a popular Dublin gay bar, has chosen to keep its office doors closed as most of its young employees are not yet fully vaccinated.

Another restaurateur, Barry McNerney, told CNBC that his Juniors and Paulie’s Pizza restaurants are not yet struggling to reopen indoors.

“I don’t know if the demand for indoor dining is very high. A lot of places have a young clientele, many of them wouldn’t be vaccinated so they couldn’t really eat inside.”

McNerney decided to wait and see how other companies deal with the new protocols and vaccine controls before diving in.

“We see how other operators are coping and then learn from them what the logistical challenges are.”

Despite the gradual reopening of the economy, many companies in Ireland are still threatened with rising numbers of Covid cases. The number of cases has risen steadily in the last few weeks, driven by the delta variant, with average daily numbers over 1,000.

The continued reopening of the hospitality industry has been criticized compared to the staggering spike in cases where Christmas restrictions were eased in late December, ultimately leading to lockdowns well into spring.

One key difference with the Christmas push is that vaccine rollout in Ireland is moving fast after a stuttering start earlier in the year. As of Friday, 3.2 million people had received at least one dose of the vaccine, 2.4 million of whom had received a double dose. The vaccination program has recently been expanded to include those under the age of 18.

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To Combat Vaccine Lies, Authorities Recruit an ‘Influencer Military’

In March, the White House also orchestrated an Instagram Live chat between Dr. Fauci and Eugenio Derbez, a Mexican actor with over 16.6 million Instagram followers who had been openly doubtful of the vaccines. During their 37-minute discussion, Mr. Derbez was upfront about his concerns.

“What if I get the vaccine, but it doesn’t protect me against the new variant?” he asked. Dr. Fauci acknowledged that the vaccines might not completely shield people from variants, but said, “It’s very, very good at protecting you from getting seriously ill.”

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

Mr. Flaherty said the whole point of the campaign was to be “a positive information effort.”

State and local governments have taken the same approach, though on a smaller scale and sometimes with financial incentives.

In February, Colorado awarded a contract worth up to $16.4 million to the Denver-based Idea Marketing, which includes a program to pay creators in the state $400 to $1,000 a month to promote the vaccines.

Jessica Bralish, the communications director at Colorado’s public health department, said influencers were being paid because “all too often, diverse communities are asked to reach out to their communities for free. And to be equitable, we know we must compensate people for their work.”

As part of the effort, influencers have showed off where on their arms they were injected, using emojis and selfies to punctuate the achievement. “I joined the Pfizer club,” Ashley Cummins, a fashion and style influencer in Boulder, Colo., recently announced in a smiling selfie while holding her vaccine card. She added a mask emoji and an applause emoji.

“Woohoo! This is so exciting!” one fan commented.

Posts by creators in the campaign carry a disclosure that reads “paid partnership with Colorado Dept. of Public Health and Environment.”

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How Native Media Spreads Misinformation From Vaccine Skeptics

One radio show that appears to have been part of this effect is Coast to Coast AM, which airs on 640 local stations and reaches nearly three million listeners a week. His host, George Noory, has had Dr. Tenpenny interviewed Robert Kennedy Jr., an attorney and anti-vaccine activist, and Erin Elizabeth, the founder of the Health Nut News website and a vaccine skeptic.

Understand the state of vaccine mandates in the United States

The activists used their segments on the show to reinforce their messages. In an advertising campaign for Dr. For example, Tenpenny’s appearance to discuss the coronavirus in April 2020 said the Coast to Coast AM website, “It claims that there are so many unknowns about testing, tracking, symptoms and other factors that the information we have communicated about the disease are meaningless. “

This line was posted on Dr. Tenpenny shared and tweeted by some of her followers.

In a statement, Mr. Noory said: “We have all views on my program, and that includes people who are against vaccines.”

Vaccine misinformation has also been posted on websites pretending to be local news but which are paid websites. These pages, where articles are ordered and paid for by conservative think tanks, political activists, corporate executives and public relations experts, were created to fill the vacuum left by the loss of local publications.

Recent articles on some of these sites, like Last Frontier News in Alaska and Bowling Green Today in Kentucky, highlighted people who died after receiving the Covid vaccines, without saying that a Times review found it unclear whether the vaccines were responsible were . The stories followed a pattern established on anti-vaccine blogs to pull data from a national database on post-vaccination deaths without explaining the boundaries of the data.

Last Frontier News and Bowling Green Today did not respond to requests for comment.

At least one local radio host recently revoked his anti-vaccination stance. Phil Valentine, a conservative radio host in Tennessee, said in a blog post in December that he would not get the vaccine because his likelihood of dying from the virus was “far less than one percent”.