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Covid-19 and Delta Variant Information: Dwell Updates

Here’s what you need to know:

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

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

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

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

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

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

Credit…Sean Gallup/Getty Images

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Romania is a case in point.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Lazaro Gamio contributed reporting.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Dwell Covid Information and Delta Variant Updates

Here’s what you need to know:

Credit…Rodrigo Paiva/Getty Images

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Here are answers to some common questions.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Go Nakamura | Getty Images News | Getty Images.

Delta ‘greatest threat’ to U.S.

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

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

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

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

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

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

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

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

Vaccination rush

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

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

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

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

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

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

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

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

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

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

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WHO urges absolutely vaccinated individuals to proceed to put on masks as variant spreads

People wear face masks in Central Park on April 10, 2021 in New York City.

Noam Galai | Getty Images

The World Health Organization on Friday urged fully vaccinated people to continue to wear masks, social distance and practice other Covid-19 pandemic safety measures as the highly contagious delta variant spreads rapidly across the globe.

“People cannot feel safe just because they had the two doses. They still need to protect themselves,” Dr. Mariangela Simao, WHO assistant director-general for access to medicines and health products, said during a news briefing from the agency’s Geneva headquarters.

“Vaccine alone won’t stop community transmission,” Simao added. “People need to continue to use masks consistently, be in ventilated spaces, hand hygiene … the physical distance, avoid crowding. This still continues to be extremely important, even if you’re vaccinated when you have a community transmission ongoing.”

The health organization’s comments come as some countries, including the United States, have largely done away with masks and pandemic-related restrictions as the Covid vaccines have helped drive down the number of new infections and deaths.

The number of new infections in the U.S. has held steady over the last week at an average of 11,659 new cases per day, according to data compiled by Johns Hopkins University. Still, new infections have been plummeting over the last several months.

WHO officials said they are asking fully vaccinated people to continue to “play it safe” because a large portion of the world remains unvaccinated and highly contagious variants, like delta, are spreading in many countries, spurring outbreaks.

The Wall Street Journal reported Friday that about half of adults infected in an outbreak of the delta variant in Israel were fully vaccinated with the Pfizer-BioNTech vaccine, prompting the government there to reimpose an indoor mask requirement and other measures.

“Yes, you can reduce some measures and different countries have different recommendations in that regard. But there’s still the need for caution,” Dr. Bruce Aylward, a senior advisor to the WHO’s director-general, said at the briefing. “As we are seeing, there are new variants emerging.”

The WHO said last week that delta is becoming the dominant variant of the disease worldwide.

WHO officials have said the variant, first found in India but now in at least 92 countries, is the fastest and fittest coronavirus strain yet, and it will “pick off” the most vulnerable people, especially in places with low Covid vaccination rates.

They said there were reports that the delta variant also causes more severe symptoms, but that more research is needed to confirm those conclusions. Still, there are signs the delta strain could provoke different symptoms than other variants.

It has the potential “to be more lethal because it’s more efficient in the way it transmits between humans and it will eventually find those vulnerable individuals who will become severely ill, have to be hospitalized and potentially die,” Dr. Mike Ryan, executive director of the WHO’s health emergencies program, said Monday.

In the U.S., President Joe Biden said Covid deaths nationwide will continue to rise due to the spread of the “dangerous” delta variant, calling it a “serious concern.”

He warned that Americans who are still unvaccinated are especially at risk.

“Six hundred thousand-plus Americans have died, and with this delta variant you know there’s going to be others as well. You know it’s going to happen. We’ve got to get young people vaccinated,” Biden said Thursday at a community center in Raleigh, North Carolina

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Delta Plus, a New Variant, Raises Considerations in India

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

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

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

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

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

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

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

Understand the Covid crisis in India

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

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

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

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

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Covid’s Delta Variant: What We Know

The super-contagious Delta variant of the coronavirus is now responsible for about one in five Covid-19 cases in the United States, and its prevalence has doubled in the past two weeks, health officials said on Tuesday.

Delta was first identified in India and is one of several “Concerning Variants” named by the Centers for Disease Control and Prevention and the World Health Organization. It quickly spread to India and the UK.

Its appearance in the United States is not surprising. And with vaccinations rising and Covid-19 case numbers falling, it’s unclear how much of a problem Delta will cause here. Still, its rapid surge has raised concerns that it could jeopardize the nation’s progress in fighting the pandemic.

“The Delta variant is currently the greatest threat in the US to our attempt to eliminate Covid-19,” said Dr. Anthony S. Fauci, the country’s foremost infectious disease expert, at the briefing. The good news is that the vaccines approved in the USA work against the variant. “We have the tools,” he says. “So let’s use them and crush the outbreak.”

Here you will find answers to some frequently asked questions about the Delta variant.

Delta, formerly known as B.1.617.2, is believed to be the most transmissible variant to date and is spreading more easily than both the original strain of the virus and the alpha variant first identified in the UK. Public health officials said Delta could be 50 percent more contagious than Alpha, although exact estimates of its infectivity vary.

Other evidence suggests that the variant may be able to partially bypass the antibodies produced by the body after a coronavirus infection or vaccination. And the variant can also make certain monoclonal antibody treatments less effective, the CDC notes.

Delta can also cause more serious illnesses. For example, a recent Scottish study found that people infected with the Delta variant were about twice as likely to be hospitalized as people infected with alpha. But uncertainties remain, scientists said.

“The article on serious illnesses is the one question I think that hasn’t really been answered,” said Dr. Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota.

Delta has been reported in 80 countries. It is the most common variant today in India and the UK, where it accounts for more than 90 percent of cases.

Delta was first identified in the United States in March. Although Alpha remains the most widely used variant here, Delta has spread quickly. At the beginning of April, Delta only made 0.1 percent of cases in the United States, according to the CDC. By early May, the variant accounted for 1.3 percent of cases, and by early June that number had risen to 9.5 percent. A few days ago, the estimate was 20.6 percent, said Dr. Fauci at the meeting.

The delta variant is unlikely to pose a huge risk for fully vaccinated people, experts said.

“If you are fully vaccinated I wouldn’t worry about that,” said Dr. Ashish K. Jha, Dean of Brown University School of Public Health.

According to a recent study, the Pfizer BioNTech vaccine protected 88 percent against symptomatic illnesses caused by Delta and was nearly 93 percent effective against the alpha variant. But a single dose of the vaccine was only 33 percent effective against Delta, the study found.

“Fully immunized people should be able to cope with this new phase of the epidemic,” said Dr. Peter Hotez, Dean of the National School of Tropical Medicine at Baylor College of Medicine. “However, the protection that a single dose offers seems to be poor and if you are not vaccinated at all you naturally consider yourself at high risk.”

Understand India’s Covid Crisis

Delta will likely infect “large numbers” of unvaccinated people, he said.

The pandemic is decreasing in the United States, with cases, hospital admissions and deaths falling. The seven-day case average, around 10,350 per day, is the lowest since March 2020, said Dr. Rochelle Walensky, director of the CDC, at the briefing on Tuesday. “These numbers show the extraordinary progress we’ve made against a formidable opponent,” she said.

So while Delta may represent an increasing percentage of cases, it is not yet clear whether this will increase the total number of cases.

“I don’t think we’re going to see another big, national surge in the United States because we have enough vaccinations to prevent this from happening,” said Dr. Osterholm.

Still, vaccination rates were very uneven and lower in certain states and populations. Delta could fuel outbreaks in the south, where vaccinations are delayed, or in young people who are less likely to be vaccinated than their elders.

“In places where the virus is still very vulnerable, this opens a window for the resumption of cases,” said Justin Lessler, an infectious disease epidemiologist at Johns Hopkins University. “But even in these states, and certainly nationally, we are unlikely to go back to the numbers we saw last winter.”

Still, he said, it could make our way out of the pandemic longer. “The slack continues,” he said.

To be vaccinated. If you’ve already been vaccinated, encourage family, friends, and neighbors to get vaccinated. Vaccination is likely to slow the spread of all variants and reduce the likelihood that new, even more dangerous, variants will emerge.

“I encourage people who have been vaccinated to trust vaccines, but be aware that there will continue to be new varieties of transmission,” said Saskia Popescu, infectious disease epidemiologist at George Mason University. “So it’s really about ensuring local, national and global vaccinations.”

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Fauci declares delta variant ‘best risk’ to the nation’s efforts to get rid of Covid

Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, listens during a press conference in the James S. Brady Press Briefing Room at the White House in Washington, DC on Tuesday, April 13, 2021.

Leigh Vogel | Bloomberg | Getty Images

White House senior medical advisor Dr. Anthony Fauci said Tuesday the highly contagious Delta variant is the “greatest threat” to the nation’s attempt to eradicate Covid-19.

Delta, which was first identified in India, now accounts for about 20% of all new cases in the United States, up from 10% about two weeks ago, Fauci said during a White House press conference on the pandemic.

He said Delta appears to be “following the same pattern” as Alpha, the variant first found in the UK, with infections doubling in the US about every two weeks.

“Similar to the UK, the Delta variant is currently the biggest threat in the US to our attempt to eliminate Covid-19,” he said.

Fauci’s comments come after CDC director Dr. Rochelle Walensky on Friday urged Americans to get vaccinated against Covid and said she expected Delta to become the dominant coronavirus variant in the United States

Studies suggest that it is about 60% more transmissible than alpha, which was more contagious than the original strain that emerged from Wuhan, China, in late 2019

“As worrying as this Delta strain is about its hypertransmittance, our vaccines are working,” Walensky told ABC’s Good Morning America. If you get vaccinated, “you will be protected against this Delta variant,” she added.

In the UK, the Delta variety recently became the dominant variety there, surpassing Alpha, which was first discovered in the country last fall. The Delta variant now accounts for more than 60% of new cases in the UK

Health officials say there are reports that the Delta variant also causes more severe symptoms, but that more research is needed to confirm these conclusions. However, there is evidence that the Delta strain may cause different symptoms than other variants.

Fauci said Tuesday the US had “the tools” to defeat the variant and urged more Americans to get fully vaccinated against Covid and “destroy the outbreak.”

The Biden administration said Tuesday that it is unlikely to meet President Joe Biden’s goal of getting 70% of American adults to receive one or more vaccinations by July 4th.

“In this case, two weeks after the second dose of Pfizer-BioNTech, the effectiveness of the vaccines was 88% effective against Delta and 93% effective against Alpha when it comes to symptomatic diseases,” said Fauci, citing a study.

The World Health Organization said Friday that Delta is becoming the predominant variant of the disease worldwide.

On Monday, WHO officials warned that the variant was the fastest and strongest coronavirus strain to date and that it would “pick up” the most vulnerable people, especially in places with low Covid-19 vaccination rates.

It has the potential to be “more deadly because it is more efficient in the way it is transmitted between people, and it will eventually find those at risk who will become seriously ill, hospitalized and possibly die”, Dr. Mike Ryan, executive director of WHO’s Emergency Health Program, said during a news conference.

Delta has now spread to 92 countries, said Maria Van Kerkhove, WHO technical director for Covid, on Monday. She said, “Unfortunately, we still don’t have the vaccines in the right places to protect people’s lives.”

WHO has urged wealthy nations, including the US, to donate cans. The Biden government detailed early Monday where it will be sending 55 million doses of vaccine, most of which will be distributed through COVAX, the WHO-supported immunization program.

“These vaccines are highly effective against serious illness and death. That is what they are intended for and that is what they must be used for,” said Van Kerkhove. “This is what COVAX and WHO and all of our partners have worked to ensure that these vaccines reach the most vulnerable people.”

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WHO says variant is the quickest and fittest and can ‘choose off’ most weak

Coronavirus security posters will be displayed in the window of the Sondheim Theater on June 14, 2021 in London, England. Prime Minister Boris Johnson has confirmed a four-week delay in the final relaxation of coronavirus restrictions amid concerns over the Delta variant of the virus and rising infection rates.

Rob Pinney | Getty Images

The highly contagious Delta variant is the fastest and strongest coronavirus strain to date and will “pick up” the most vulnerable people, especially in places with low Covid-19 vaccination rates, World Health Organization officials warned on Monday.

Delta, first identified in India, has the potential to be “more deadly because it is more efficient at transmitting between people and will eventually find those at risk who will become critically ill, hospitalized and potentially die”, said Dr. Mike Ryan, executive director of the WHO emergency program, said at a press conference.

Ryan said world leaders and public health officials can help defend the most vulnerable by donating and distributing Covid vaccines.

“We can protect these vulnerable people, these frontline workers,” said Ryan, “and the fact that we didn’t, as General Manager (Tedros Adhanom Ghebreyesus) said time and again, is a catastrophic moral failure at a global level . “

The WHO said on Friday that Delta is becoming the predominant variant of the disease worldwide.

The agency declared Delta a “questionable variant” last month. A variant can be described as “worrying” if, according to the health organization, it has been shown to be more contagious, fatal, or more resistant to current vaccines and treatments.

Delta is now replacing Alpha, the highly contagious variant that swept Europe and later the United States earlier this year, said Dr. Paul Offit, director of the Vaccine Education Center at Children’s Hospital of Philadelphia, in a recent interview.

Studies suggest it is about 60% more transmissible than alpha, which was more contagious than the original strain that emerged from Wuhan, China, in late 2019.

Delta has now spread to 92 countries, said Maria Van Kerkhove, WHO technical director for Covid, on Monday. According to the Centers for Disease Control and Prevention, it now accounts for at least 10% of all new cases in the United States and is on its way to becoming the dominant variant in the nation.

In the United Kingdom, Delta recently became the predominant variant, surpassing its native alpha variant, which was first discovered in the country last fall. The Delta variant now accounts for more than 60% of new cases in the UK

WHO officials said there are reports that the Delta variant also causes more severe symptoms, but that more research is needed to confirm these conclusions. However, there is evidence that the Delta strain may cause different symptoms than other variants.

“This special Delta variant is faster, it is fitter, it will intercept the more susceptible ones more efficiently than previous variants. So if people are left without a vaccination, they are even at another risk, ”Ryan said on Monday.