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Breast Implants Might Be Linked to Extra Cancers, F.D.A. Warns

They are extremely rare, he added, and the new warning should not cause any general concern. Realizing that ALCL was associated with breast implants had already “allowed us to be more aware that other things might be happening in this area,” said Dr. Clemens.

“If ALCL is uncommon, these are very rare,” he added. It has long been known that scar tissue, such as that formed after breast implant surgery, can lead to squamous cell carcinoma, added Dr. added Clement.

“A wound that’s trying to heal and trying to heal for a long time can develop into these things,” he said. But the exact nature of the relationship between the implant and the cancer, and whether the implant causes the cancer, is not yet clear, he said.

In a typical year, approximately 400,000 women in the United States receive breast implants, 300,000 for cosmetic reasons and 100,000 for reconstruction after mastectomies performed to treat or prevent breast cancer.

Numbers dropped significantly in the first year of the pandemic, according to the American Society of Plastic Surgeons.

Last year, the FDA put so-called black-box labels on breast implants, warning that they have been linked to a variety of chronic conditions, including autoimmune diseases, joint pain, mental confusion, muscle pain and chronic fatigue to lymphoma.

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Fauci warns extra extreme Covid variant might emerge as U.S. instances close to 100,000 each day

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, listens during a Senate hearing on Health, Education, Labor and Pensions in the Dirksen Senate office building in Washington, DC, the United States, on July 20, 2021.

Stefani Reynolds | Reuters

Dr. Anthony Fauci, Senior Medical Advisor to the White House, warned that a more severe variant of Covid could emerge as the U.S. average of daily new cases is now nearing 100,000 per day, exceeding the transmission rate last summer, before vaccines were available.

Fauci said in an interview with McClatchy published on Wednesday evening that the US could be “in trouble” if a new variant overtakes Delta, which already has a viral load 1000 times higher than the original Covid strain.

Delta has turned the U.S. response to the pandemic on its head as it has been shown to infect even people who are vaccinated. Moderna warned Thursday that breakthrough infections are becoming more common as the Delta variant continues to spread.

However, vaccines still offer strong protection against serious illness and death, and the vast majority of new infections occur in unvaccinated individuals. Moderna, for example, said Thursday that the booster shot it is developing creates a robust immune response against Delta.

Fauci warned in the interview that the US is “very happy” to have vaccines that have been proven against the variants, suggesting that if even heavier strains emerge, this may not be the case.

“If another shows up who has just as high transferability but is also much more severe, we could really get into trouble,” Fauci told McClatchy. “People who don’t get vaccinated mistakenly think it’s just about them. But it’s not. It’s about everyone else too.”

The US reports a seven-day average of nearly 94,000 new cases as of Aug. 4, up 48% from a week, according to Johns Hopkins University. Separate from the average, the US actually topped 100,000 new cases a day on Monday and Tuesday.

Fauci predicted that the total number of new cases could eventually reach between 100,000 and 200,000 cases per day as the Delta variant spreads.

The recent surge in Covid has hit unvaccinated people the hardest, and Fauci said there are around 93 million eligible, unvaccinated people nationwide.

“You protect the vulnerable targets, who are unvaccinated people, by vaccinating them,” Fauci said at a briefing at the White House Thursday morning. “And when you do that, you are very, very severely blocking the development of variants that could be problematic.”

“If we do this in the immediate, medium and long term, and do the mitigation now, we will reverse the delta rise,” added Fauci.

When asked if the vaccines still prevent 99% of Covid deaths and 95% of hospital admissions, CDC Director Dr. Rochelle Walensky suggests that this conclusion is based on data from January to June. The CDC is working to update these [figures] in the context of the delta variant, “she said.

In a series of interviews conducted by CNBC in July, several health officials reiterated Fauci’s concern about the emergence of a new variant. Dr. Stephen Morse, professor of epidemiology at Columbia University’s Irving Medical Center, said in an email that “the cycle of new variants repeats itself as long as the virus infects people and circulates in the population, opening up opportunities for the virus to develop.” “. . “

“I would be very surprised if Delta were last in line,” said Morse.

And Dr. Barbara Taylor, dean and professor of infectious diseases at UT Health San Antonio, added that future variants “that increase transmission will have the advantage” as things move forward.

“As long as we have an active spread of disease around the world, we will continue to see new variants because we give the virus the opportunity to evolve,” Taylor said in an email.

Although vaccinations are well below pandemic highs, the U.S. reports an average of about 677,000 daily vaccinations for the past week through Wednesday, up 11% from the previous week, according to CDC data. The country peaked in mid-April with a reported average of 3 million vaccinations per day, but the rate of first doses being given has increased in recent weeks, driven by states with severe outbreaks and low vaccination rates.

President Joe Biden said in May that he wanted 70% of the eligible population to receive at least one dose of vaccine by July 4th. The US reached its destination on Monday, CDC data showed, about a month late.

– CNBC’s Nate Rattner contributed to this report.

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Biden warns of financial peril from Covid regardless of July job positive aspects

WASHINGTON — President Joe Biden resisted the temptation to take a victory lap Friday following the release of strong July jobs numbers, instead telling the country that rising Covid cases pose an urgent threat to the economic recovery.

“My message today is not one of celebration,” Biden said in remarks at the White House. “It is one to remind us that we have a lot of hard work left to be done, both to beat the delta variant and to continue the advance of our economic recovery.”

The highly contagious delta strain of Covid currently accounts for at least 80% of new infections nationwide.

Still, hiring rose last month at its fastest pace in nearly a year, despite fears over the delta variant and as companies struggled with a tight labor supply.

Nonfarm payrolls increased by 943,000, while the unemployment rate dropped to 5.4%, according to the department’s Bureau of Labor Statistics. The payroll increase was the best since August 2020.

The number of new jobs beat economists’ expectations by nearly 100,000, and the unemployment rate fell three tenths of a percent lower than experts had predicted it would.

In touting the strength and resilience of the economic recovery, Biden did something Friday that he rarely does: pointed to Wall Street analysts to validate his argument.

“What we’re doing is working,” he said. “Don’t take my word for it. The forecasters on Wall Street project that over the next 10 years, our economy will expand by trillions of dollars and will create 2 million good paying jobs.”

Trouble ahead

But July’s strong topline numbers do not accurately reflect a troubling new development in recent weeks: the rise in Covid infections and hospitalizations attributed to the delta variant.

That’s because the actual numbers for BLS monthly jobs reports are calculated during just the second week of the month, based on that week’s data.

In the three weeks since the July jobs figures were calculated, hospital emergency rooms and intensive care units have begun filling up again in parts of the country.

This has prompted some large employers and schools to freeze plans to fully reopen offices and campuses in the coming weeks.

The White House is deeply concerned that rising Covid caseloads could stall the economic recovery, imperiling Biden’s domestic agenda and Democrats’ electoral chances in the midterm elections.

White House press secretary Jen Psaki answers questions during the daily briefing on August 06, 2021 in Washington, DC.

Win McNamee | Getty Images

Sticks and carrots

And after months of relying on incentives, celebrity endorsements and local outreach to persuade Americans to get vaccinated, the Biden administration took a tougher line this past week, adding sticks to the proverbial carrot-stick equation.

Federal employees who cannot prove they’ve been vaccinated will be placed under a host of unpleasant restrictions at work, like being physically separated from their vaccinated colleagues.

The Pentagon also announced plans to include the Covid vaccine among the mandatory vaccines administered to U.S. service members.

Biden didn’t touch on these measures in his speech Friday, choosing instead to describe various measures the administration is enacting to protect the economic recovery.

He repeatedly referred to Covid as a “pandemic of the unvaccinated,” a phrase that some critics say fails to capture the universal impact of rising caseloads and things like reinstated mask mandates.

As the White House often notes, more than 90% of Covid hospitalizations are people who have not been vaccinated against the virus. And while vaccinated people can contract and transmit Covid, they typically exhibit mild symptoms akin to a flu or a sinus infection.

The White House view

Both publicly and privately, White House aides say that the stubbornly high rate of unvaccinated Americans — 30% of eligible recipients — is creating a situation where one virus, the coronavirus, is essentially creating two different, parallel public health challenges.

On one track are the 166 million fully or partially vaccinated people, whose individual Covid infections the government has not officially tracked since March.

For them, the virus looks more like a seasonal flu from past years than it does like the debilitating, weekslong pulmonary crisis that millions of Americans experienced in 2020, before the vaccine became available.

But for the unvaccinated, many of whom are concentrated in the Southeastern United States, the delta variant virus is just as deadly, and far more contagious, than the original virus was in the early months of last year.

Biden, however, believes there is reason for optimism. “I’m pleased to report in the past week we have seen first-time vaccinations in America go up by 4 million shots,” he said Friday. “That’s more than we have seen in a long time.”

— CNBC’s Jeff Cox contributed to this report.

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CDC warns as contagious as chickenpox, could make individuals sicker

The CDC warned House lawmakers that the delta variant sweeping across the country is as contagious as chickenpox, has a longer transmission window than the original Covid-19 strain and may make older people sicker, even if they’ve been fully vaccinated.

The warning on Thursday was made in a confidential document that was reviewed by CNBC and authenticated by the federal health agency.

Delta, now in at least 132 countries and already the dominant form of the disease in the United States, is more transmissible than the common cold, the 1918 Spanish flu, smallpox, Ebola, MERS and SARS, according to the document. Only measles appears to spread faster than the variant.

“The war has changed,” officials of the Centers for Disease Control and Prevention wrote.

Healthcare personnel work in a coronavirus disease (COVID-19) intensive care unit where they are dealing with a surge in cases of the Delta variant at Intermountain Medical Center in Murray, Utah, U.S., in this handout photo provided July 23, 2021.

Intermountain Health | Reuters

Health officials said federal and state leaders should communicate to the public the benefits of getting vaccinated, adding the Covid vaccine shots reduce the risk of severe disease and death “10-fold or greater” and reduce the risk of infection “3-fold.”

Vaccines prevent more than 90% of severe disease, but may be less effective at preventing infection, they said, making community spread among the vaccinated more likely. The document said 35,000 symptomatic infections are occurring per week among 162 million vaccinated Americans.

Separately, the CDC has said 5,914 fully vaccinated people have been hospitalized or have died with Covid infections as of July 19, the most recent data available. Breakthrough cases, which occur in the fully vaccinated, happen more frequently in gatherings of people and in groups at risk of primary vaccine failure, according to the document.

Health officials also said federal and state leaders should consider vaccine mandates, particularly for health-care workers, universal masking and other community mitigation strategies. President Joe Biden announced on Thursday his administration would require federal workers to prove their vaccination status or submit to a series of rigorous safety protocols.

The documents presented to lawmakers came two days after the CDC reversed course on its prior guidance and recommended fully vaccinated Americans who live in areas with high Covid infection rates resume wearing face masks indoors. The guidelines cover about two-thirds of the U.S. population, according to a CNBC analysis.

“My first thoughts in reading it was that everything is a little bit worse than I thought,” said Dr. Robert Wachter, chairman of the Department of Medicine at the University of California at San Francisco, who reviewed the document.

“This document and some of the other information says you’ve got to be open to the possibility that delta is worse in a number of ways and may upend some of our prior assumptions in ways that are meaningful,” he said.

Dr. Paul Offit, who advises the FDA on Covid vaccines, said Friday it is “profoundly” upsetting that the U.S. hasn’t gotten a critical portion of the population vaccinated, adding delta has “changed the game.” About half of the U.S. population is fully vaccinated, according to CDC data.

“Yesterday, you had 90,000 cases and close to 400 deaths,” Offit said. “Those are same numbers you saw last summer. I mean, last summer, you had a fully susceptible population and you had no vaccine.”

He said the CDC documents highlight just how “frustrated” federal officials are, given that there are safe and effective vaccines.

“The war isn’t against the virus anymore. It’s also at some level a war against ourselves,” he said.

People infected with the delta variant carry up to 1,000 times more virus in their nasal passages than other strains, resulting in higher transmissibility, even among the vaccinated, according to federal health officials. The CDC noted that studies in Canada, Singapore and Scotland found higher odds of hospitalization, ICU admission, oxygen needs, pneumonia or death among people infected with the delta variant.

While the variant, which surfaced in India, continues to hit unvaccinated people the hardest, some vaccinated people could be carrying higher levels of the virus than previously understood and are potentially transmitting it to others, CDC Director Dr. Rochelle Walensky said Tuesday. She added the variant behaves “uniquely differently from past strains of the virus.”

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

Rep. James E. Clyburn, D-S.C., chairman of the Select Subcommittee on the Coronavirus Crisis, said Walensky and White House chief medical advisor Dr. Anthony Fauci briefed the committee on the new data Thursday.

“I am deeply concerned about the rapidly increasing rates of coronavirus infections in states around the country that is being driven by the Delta variant,” Clyburn said in a statement, noting that Covid cases have increased by 145% in the last two weeks and hospitalizations and deaths are rising again, particularly in areas with low vaccination rates. “This sudden turn of events threatens to undermine the significant progress we have made this year to overcome the pandemic.”

–CNBC’s Rich Mendez, Robert Towey and Nate Rattner contributed to this report.

Download the full CDC presentation here.

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Health

C.D.C. Warns of Superbug Fungus Outbreaks in 2 Cities

While C. auris has long been notoriously hard to treat, researchers for the first time identified five patients in Texas and Washington, D.C., whose infections did not respond to any of the three major classes of antifungal medication. So-called panresistance had been previously reported in three patients in New York who were being treated for C. auris, but health officials said the newly reported panresistant infections occurred in patients who had never received antifungal drugs, said Dr. Meghan Lyman, a medical officer at the C.D.C. who specializes in fungal diseases.

“The concerning thing is that the patients at risk are no longer the small population of people who have infections and are already being treated with these medications,” she said.

Infectious disease specialists say the coronavirus pandemic has probably accelerated the spread of the fungus. The shortages of personal protective equipment that hobbled health care workers during the early months of the pandemic, they say, increased opportunities for the fungus’s transmission, especially among the thousands of Covid-19 patients who ended up on invasive mechanical ventilation.

The chaos of recent months also did not help. “Infection control efforts at most heath care systems are stretched thin in the best of times, but with so many Covid patients, resources that might have gone to infection control were diverted elsewhere,” Dr. Clancy said.

For many health experts, the emergence of a panresistant C. auris is a sobering reminder about the threats posed by antimicrobial resistance, from superbugs like MRSA to antibiotic-resistant salmonella. Such infections sicken 2.8 million Americans a year and kill 35,000, according to the C.D.C.

Dr. Michael S. Phillips, chief epidemiologist at NYU/Langone Health, said health systems across the country were struggling to contain the spread of such pathogens. The problem, he said, was especially acute in big cities like New York, where seriously ill patients shuttle between nursing homes with lax infection control and top-notch medical centers that often draw patients from across a wider region.

“We need to do a better job at surveillance and infection control, especially in places where we put patients in group settings,” he said. “Candida auris is something we should be concerned about, but we can’t lose sight of the bigger picture because there are a lot of other drug-resistant bugs out there we should be worried about.”

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WHO chief addresses IOC in Japan, warns of recent Covid wave

World Health Organization (WHO) Director General Tedros Adhanom Ghebreyesus will attend a daily press conference on COVID-19, the disease caused by the novel coronavirus, on March 11, 2020 at WHO headquarters in Geneva.

Fabrice Coffrini | AFP | Getty Images

The world is in the early stages of another wave of Covid-19 infections and deaths, World Health Organization director-general Tedros Adhanom Ghebreyesus said on Wednesday.

Speaking to members of the International Olympic Committee in Tokyo, Tedros said the global failure to share vaccines, tests and treatments is fueling a “two-pronged pandemic”. Countries with adequate resources like vaccines are opening up while others lock up to slow down the transmission of the virus.

Vaccine discrepancies around the world mask a “appalling injustice,” he added.

The pandemic is a test and the world is failing.

Tedros Adhanom Ghebreyesus

Director General, World Health Organization

“This is not only a moral outrage, but also epidemiologically and economically self-destructive,” Tedros said, adding that the longer the pandemic lasts, the more socio-economic turmoil it will bring. “The pandemic is a test and the world is failing.”

He warned: “19 months after the start of the pandemic and seven months since the first vaccines were approved, we are now in the early stages of another wave of infections and deaths”. Tedros added that the global threat from the pandemic will remain until all countries have the disease under control.

A festival of hope

The Tokyo Games are slated to open on Friday after being postponed last year due to the pandemic.

Rising Covid-19 cases in Tokyo have overshadowed the Olympics, which excluded all viewers from the Games this month after Japan declared a state of emergency.

The cases around the Japanese capital have increased by more than 1,000 new infections daily in the past few days. Japan has reported more than 848,000 Covid cases and over 15,000 deaths nationwide from a relatively slow vaccine adoption.

The first positive Covid-19 case hit the athletes’ village over the weekend and so far more than 70 cases have been linked to the Tokyo Games.

On Wednesday, Tedros said the Games were a celebration of “something our world needs now more than ever – a celebration of hope”. While the pandemic may have postponed the Games, he said it did not “beat” them.

Vaccine discrepancies

Tedros criticized the vaccine discrepancies between rich and low-income countries. He said 75% of all vaccine doses – more than 3.5 billion vaccinations – were given in just 10 countries, while only 1% of people in poorer countries received at least one vaccination.

“Vaccines are powerful and indispensable tools. But the world has not used them well,” he said, adding that vaccinations have not been widely available but have been concentrated in the “hands and arms of the lucky few”.

The global health authority has called for at least 70% of the population in every country to be vaccinated by the middle of next year.

“The pandemic will end when the world chooses to end it. It’s in our hands, ”said Tedros. “We have all the tools we need: we can prevent this disease, we can test for it, and we can treat it.”

He called on the world’s leading economies, by sharing vaccines and funding global efforts to make them more accessible, and incentivizing companies to expand vaccine production.

Disclosure: CNBC parent NBCUniversal owns NBC Sports and NBC Olympics. NBC Olympics owns the U.S. broadcast rights to all Summer and Winter Games through 2032.

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U.S. warns firms concerning the dangers of doing enterprise in Hong Kong as China clamps down on rights

The national flags of the USA and China fly in front of a building.

The Eng Koon | AFP via Getty Images

WASHINGTON – The Biden government on Friday warned companies with offices in Hong Kong of far-reaching financial and regulatory risks as China continues to restrict political and economic freedoms in the area.

The nine-page Hong Kong Business Advisory – jointly published by the Departments of State, Finance, Trade and Homeland Security – warns that US firms in Hong Kong are exposed to a number of risks posed by China’s national security law.

The report states that “companies are exposed to risks in connection with electronic surveillance without an arrest warrant and the disclosure of data to authorities as well as“ restricted access to information ”.

“Beijing has damaged Hong Kong’s reputation for accountable, transparent governance and respect for individual freedoms and has broken its promise to keep Hong Kong’s high levels of autonomy unchanged for 50 years,” Foreign Minister Antony Blinken wrote in a statement.

“In light of Beijing’s decisions last year that stifled the democratic aspirations of the Hong Kong people, we are taking action. Today we are sending a clear message that the United States is resolutely on the side of the Hong Kong people, ”added the country’s top diplomat.

The Biden government also imposed US sanctions on seven Chinese officials for violating Hong Kong’s autonomy.

The Chinese embassy in Washington did not immediately respond to a request for comment.

Earlier this week, the Biden government issued a warning to companies with investment ties to China’s Xinjiang Province, citing growing evidence of genocide and other human rights abuses in the country’s northwestern region.

Washington has openly criticized Beijing’s comprehensive national security law, passed in June 2020, aimed at restricting Hong Kong’s autonomy and banning critical literature about the Chinese Communist Party.

The then Foreign Secretary Mike Pompeo described the measure as an “Orwellian move” and an attack “on the rights and freedoms of the people of Hong Kong”.

Former President Donald Trump soon signed a law imposing sanctions on China in response to its interference with Hong Kong’s autonomy. He also signed an executive order ending the preferential treatment that Hong Kong has long enjoyed.

CNBC policy

Read more about CNBC’s political coverage:

“Hong Kong is now being treated like mainland China,” Trump said during a July 2020 speech from the White House rose garden.

“No special privileges, no special economic treatment and no export of sensitive technologies,” said Trump. “Also, as you know, we are imposing massive tariffs and have imposed very high tariffs on China.”

China’s State Department fired back, saying Beijing would impose retaliatory sanctions on US people and businesses.

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C.D.C. Director Warns of a ‘Pandemic of the Unvaccinated’

As the highly contagious Delta variant of the coronavirus fuel outbreaks in the United States, the director of the Centers for Disease Control and Prevention warned on Friday that “this is going to be a pandemic of the unvaccinated”.

Cases, hospitalizations, and deaths remain well below last winter’s peak, and vaccines are effective against Delta, but CDC director Dr. Rochelle P. Walensky, urged people to get fully vaccinated for robust protection, pleading, “Do it for yourself, your family, and for your community. And please do it to protect your young children who cannot be vaccinated at the moment. “

The number of new virus cases is likely to increase in the coming weeks, and those cases are likely to be concentrated in low-vaccination areas, officials said at a White House briefing on the pandemic.

“Our greatest concern is that we will continue to see preventable cases, hospital admissions and, unfortunately, deaths among the unvaccinated,” said Dr. Walensky. According to a New York Times database, the nation exceeded 34 million cumulative cases as of Friday.

Delta now accounts for more than half of the new infections across the country, and the number of cases has increased in all states. Around 28,000 new cases are reported every day, up from just 11,000 per day less than a month ago.

So far, data suggests that many of the vaccines – including Pfizer-BioNTech, Moderna, and Johnson & Johnson vaccinations – offer good protection against Delta, especially against its worst outcomes, including hospitalization and death. (Receiving a single dose of two-shot therapy, however, offers poor protection against the variant.) Nearly 60 percent of US adults were fully vaccinated, but fewer than 50 percent of Americans were vaccinated; only people aged 12 and over are eligible to participate.

“We have come a long way in our fight against this virus,” said Jeffrey D. Zients, the government’s Covid-19 response coordinator, at the briefing.

The rate of vaccination has slowed considerably since the spring and the rate of vaccination remains very inconsistent. Delta is already skyrocketing case numbers in undervaccinated areas, including parts of Missouri, Arkansas and Louisiana.

The World Health Organization recently reiterated its recommendation that vaccinated people should continue to wear masks, also because of the global spread of Delta.

Updated

July 16, 2021, 9:50 p.m. ET

However, the CDC has stood by its mask policy, with Dr. Walensky pointed to WHO’s global jurisdiction and the fact that wealthy nations took so many of the recordings available. She added that local officials in the United States can opt for stricter measures to protect the unvaccinated.

On Thursday, the Los Angeles District said that as of this weekend, indoor mask requirements will be reintroduced for everyone, regardless of vaccination status. On Friday, Dr. Walensky pointed out the heterogeneity of the country and said: “These decisions have to be made at the local level.”

“If you have areas with low vaccination and high case numbers, I would say local politicians are considering whether masking would be helpful for their community at this point,” she added.

In New York City, Mayor Bill de Blasio said Friday there are currently no plans to reinstate a mask mandate for everyone across the city, nor did he consider the move necessary. The city recently reported a streak of more than 400 cases per day, up from an average of about 200 per day a few weeks ago. “We have to see it like a hawk,” he said on a radio broadcast, referring to the Delta variant.

Health officials are focusing on hospital stays that have remained low over the past few weeks. According to the city, about 53 percent of city residents are fully vaccinated. Should hospital stays increase, the city will adapt.

“We currently have no plan to change course,” he said. “When we see something that we need to change, we say it right away and call people to arms.”

After narrowly missing a self-imposed target of at least partially vaccinating 70 percent of adults by July 4, the Biden government is trying again to reach out to those who have still not received their vaccinations. Officials also recently announced the creation of surge response teams to help hard-hit states manage delta-driven outbreaks. Missouri and Nevada have already asked for help.

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Politics

Janet Yellen Warns That Coronavirus Variants Threaten World Restoration

VENICE – Treasury Secretary Janet L. Yellen said Sunday she was concerned that coronavirus variants could slow global economic recovery and called for urgent efforts to accelerate vaccine use around the world.

Your comments on the conclusion of a meeting of Finance Ministers of the Group of 20 Nations came when the highly contagious Delta variant of the coronavirus triggered outbreaks among unvaccinated populations in countries like Australia, Indonesia, Malaysia and Portugal. Delta is now also the dominant variant in the USA.

“We are very concerned about the Delta variant and other variants that are emerging that could threaten recovery,” said Ms. Yellen. “We are a networked global economy. What happens in any part of the world affects all other countries. “

Many cities and countries have begun declaring victory over the pandemic, easing restrictions and returning to normal life. But Ms. Yellen warned that the public health crisis was not over.

She said the world’s top economic officials spent much of the weekend in Venice discussing how they could improve vaccine distribution with the goal of vaccinating 70 percent of the world by next year. Ms. Yellen noted that many countries have successfully funded vaccine purchases but lack the logistics to get them into people’s arms.

“We have to do more and be more effective,” she said.

The proliferation of variants has begun to dampen optimism about the course of the recovery.

Capital Economics analysts announced this week that they intend to cut their economic growth outlook for the year to below 6 percent.

The proliferation of new varieties of coronavirus has “raised doubts about the pace of real economic growth in the second half of this year and beyond,” wrote Paul Ashworth, chief economist for North America at Capital Economics, in a research note.

The International Monetary Fund said it was sticking to its 6 percent global growth forecast this year, but warned that growth would be stifled in developing countries where infection rates are skyrocketing.

“The divergence between economies is worsening,” said IMF Managing Director Kristalina Georgieva on Saturday. “Essentially, the world is facing a two-pronged recovery.”

Some finance ministers also raised concerns over the weekend that variants and slow vaccine uptake could turn the recovery on its head. This concern was highlighted in the Group’s joint statement as a downside risk to the world economy.

“The only hurdle on the way to a quick, solid economic recovery is the risk of a new wave of pandemics,” said French Finance Minister Bruno Le Maire. “We all need to improve our vaccination performance.”

The IMF Executive Board last week approved a plan to provide $ 650 billion in reserve funds that countries could use to buy vaccines and fund health initiatives.

Ms. Yellen said she urged her group of 20 colleagues to expedite the “fair” delivery and distribution of vaccines, diagnostics and therapeutics to ensure that low- and middle-income countries could fight the virus flare-up.

Policy makers at the weekend’s meeting also spent time focusing on new investments in preparation for future pandemics. Ms. Yellen said that while this is important, more needs to be done in the short term.

“Variants certainly pose a threat to the entire globe,” she said.

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World News

Dwell Updates: On Communist Celebration’s Centenary, Xi Jinping Warns In opposition to International Interference

Here’s what you need to know:

Credit…Ng Han Guan/Associated Press

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China’s leader, Xi Jinping, struck a confident posture on Thursday as he hailed the Communist Party’s role in leading his country toward greater prosperity, while warning foreign aggressors against attempts to undermine Beijing’s rise.

“For one hundred years, the Communist Party of China has united and led the Chinese people, writing the most magnificent epic in the history of the Chinese nation for thousands of years,” Mr. Xi said.

The centenary comes as China faces mounting international criticism over the Communist Party’s crackdown in Hong Kong and on Muslim minorities in the far western region of Xinjiang. Mr. Xi struck a nationalistic note as he described the party’s resolve to protect its interests.

“The Chinese people have never bullied, oppressed, or enslaved the people of other countries. They have not in the past, not now, nor ever will in the future,” he said.

“At the same time, the Chinese people will never allow any foreign forces to bully, oppress, or enslave us,” he added. “Whoever deliberately wants to do this will surely face bloodshed at the Great Wall of steel built by the flesh and blood of more than 1.4 billion Chinese people.”

The crowd of performers gathered on the square responded with loud cheers and thunderous applause.

Since becoming general secretary of the Communist Party in late 2012, Mr. Xi, 68, has made it increasingly clear that he sees himself as a transformative leader — in the footsteps of Mao and Deng — guiding China into a new era of global strength and rejuvenated one-party rule. And by many measures he is already the most powerful leader since Deng or even Mao, and presides over an economy and a military much stronger than in their times.

Few Chinese leaders from recent decades are more steeped in the Communist Party’s heritage than Mr. Xi.

He was born into a revolutionary family, endured the upheavals of Mao Zedong’s era, and began his career as a party official when Deng Xiaoping and other leaders opened up market reforms.

Before Mr. Xi came to power, many in China thought that he would be a milder figure, because his father, Xi Zhongxun, was a revolutionary veteran who in the early 1980s oversaw the beginnings of market reforms in Guangdong Province.

Xi Zhongxun had suffered decades of confinement and persecution after Mao turned against him, and his family was torn apart during Mao’s Cultural Revolution. Like millions of other youths at that time, the younger Mr. Xi was sent to labor in the countryside, and he spent seven years in a dusty village in northwest China.

But after coming to power, he pursued scorching crackdowns against official corruption and domestic dissent, and applied harsh measures to bring areas like Xinjiang and Hong Kong firmly under Chinese control.

Mr. Xi appears driven by the conviction that for China to secure lasting stability and prosperity, the Communist Party must reassert its control, and he must remain in command of the party.

In 2018, he abolished the two-term limit on the Chinese presidency, opening the way to remain in office — as president, party leader and chairman of the Chinese military — for many years to come. His next big step in that journey will be next year, when a Communist Party congress appears likely to acclaim him for a third term as party leader.

Performers gathering around a Communist Party flag during a gala show in Beijing on Monday ahead of the 100th anniversary of the founding of the Chinese Communist Party.Credit…Ng Han Guan/Associated Press

China’s Communist Party on Thursday is celebrating the 100th anniversary of its founding, an event at which it is expected to argue that the country can keep ascending only if the party remains firmly in power.

The centenary is symbolically important for Xi Jinping, China’s leader, who is almost certain to claim a third five-year term as party leader next year.

In a speech, he asserted that China would never have achieved its present-day prosperity and power without the party’s struggles against foreign oppression and domestic exploitation.

The celebrations made virtually no mention of China’s setbacks over the past decades of Communist Party rule — such as Mao’s Cultural Revolution and the deadly crackdown against protests in Tiananmen Square in 1989.

Instead, the day’s stagecraft was focused on conveying an image of China as confident and secure while much of the world struggles to shake off the pandemic.

There was no military parade, unlike the enormous show of force that marked the 70th anniversary of the People’s Republic of China in 2019. But it featured a military flyover at Tiananmen at the opening, together with a 100-gun salute.

Organizers assembled a carefully picked crowd at Tiananmen Square — of party members, workers, students and others — to listen to Mr. Xi’s speech.

Children rehearsing in Tiananmen Square before a parade marking the 100th  anniversary of the founding of the Chinese Communist Party.Credit…Roman Pilipey/EPA, via Shutterstock

BEIJING — China’s ruling Communist Party kicked off a tightly choreographed ceremony celebrating its 100th anniversary on Thursday with a 100-gun salute, as thousands of performers assembled on Tiananmen Square.

“For 100 years the Chinese Communist Party has led in the Chinese people in every struggle, every sacrifice, every innovation,” Mr. Xi said near the start of his speech from a deck on the Gate of Heavenly Peace. “In sum, around one theme — achieving the great rejuvenation of the Chinese nation.”

In a rousing opening, the performers chanted slogans celebrating the party’s leadership, as Mr. Xi Jinping and other leaders watched.

“Listen to the party, be grateful to the party, and follow the party,” they shouted. “Let the party rest assured, I’m with the strong country!”

The streams of Communist Party youth groups in color-coordinated uniforms had filed on to the square from all directions at the beginning of ceremony as dawn rose.

They mostly wore polo shirts in lime green, pale orange or bright red. Most wore black or white trousers, but some of the young women were in matching poodle skirts that would not have looked out of place in the 1950s. A military brass band in dress blues filed into the back of the Great Hall of the People.

Thursday’s festivities did not include a military parade like the one in 2019 that celebrated the 70th anniversary of the founding of the People’s Republic of China, but the military still provided a backdrop. Squadrons of helicopters flew over carrying red banners and forming the figure 100, followed by fighter jets, including the country’s most advanced fighter jet, the J-20.

A few police officers stood on sidewalks in the downtown area around the square, which was closed to traffic. But the security was mostly unobtrusive, with numerous surveillance cameras perched like overweight pigeons on almost every pole.

Coronavirus precautions were understated for an outdoor event drawing many thousands of people to Tiananmen Square. The folding yellow and orange chairs in the main area of the square were not quite socially distanced, but still separated: 15 inches in between each chair.

The seated crowd extended only about three-quarters of the distance from the Forbidden City’s entrance gate, with Mao’s portrait back to the monolith in the heart of the square. But for the Communist Party’s elite, red chairs were mounted on viewing stands at the front of the square..

A military brass band played and a youth choir sang as a military honor guard brandished the national flag. Youths and rows of attendees behind them waved small, red Communist Party flags in a careful choreography.

Rain was expected later in the day, but for now, the sun was shining and the temperature rising through the low 70 degrees Fahrenheit.

Toni Li, a local professor who has been coming to July 1 anniversaries since she was a girl, said that the chair arrangement had reduced the density of the crowd from previous years. But since Beijing has not had any virus cases for months, she was unconcerned about any risk of infection at the gathering.

“I don’t worry about that; it’s safe here,” she said.

Visitors in front of a portrait of Xi Jinping at the National Art Museum during the exhibition “100 years toward greatness” on Wednesday.Credit…Gilles Sabrié for The New York Times

As the Communist Party of China celebrates the country’s rise, its international reputation continues to plummet, according to a new survey.

Large majorities in countries in North America, Europe and Asia have unfavorable views of China, the survey, by the Pew Research Service, found. They included 88 percent in Japan, 80 percent in Sweden and 76 percent in the United States.

Of 17 major countries and territories surveyed, a majority of respondents held favorable views of China in only two: Greece, at 52 percent, and Singapore, at 64 percent. Even in those two countries, majorities overwhelmingly agreed that China does not respect the personal freedoms of its own people.

Negative views of China are now at or near historic highs, even though perceptions of how China has handled the coronavirus pandemic have improved since last year. That appears to reflect its successes in containing the crisis, even as some of the nations in the survey bungled their efforts, including the United States and Britain.

The findings suggest that China’s economic and diplomatic behavior in recent years has played a bigger role in hardening views. China’s crackdowns in Hong Kong and Xinjiang have, for example, drawn widespread condemnation.

Countries like Australia have also faced economic coercion after criticizing China’s actions. As a result, 78 percent of Australians now have an unfavorable view, compared with only 32 percent who did in 2017.

Only a few weeks ago, the Chinese leader, Xi Jinping, urged party leaders to “strive to create a credible, lovable and respectable image of China.”

The survey shows the scale of the challenge: In all the countries except Singapore, overwhelming majorities had little or no confidence in Mr. Xi’s handling of world affairs.

Keith Bradsher’s hotel room in Beijing, with the knapsack made for the centenary perched on the bed.Credit…Keith Bradsher/The New York Times

BEIJING — To cover the Communist Party’s anniversary celebration on Thursday, I have had to take three coronavirus tests in four days. I’ve been confined to a government-approved hotel. Officials have repeatedly checked my vaccination record, as well as my cellphone, for signs of a problematic travel history.

In China, major political events routinely feature suffocating security measures. But the pandemic has added a new dimension to the party’s preparations. China’s approach to virus outbreaks has been largely successful, though often draconian. And in the weeks leading up to the party’s centennial celebrations, the authorities have taken no chances.

Reporters invited to cover the event at Tiananmen Square in Beijing were told that we must stay at a hotel in the city’s northeast starting on Wednesday morning.

I could enter the hotel only after I had scanned two QR codes with my cellphone, indicating that I had not been anywhere with a recent Covid outbreak. At check-in, in addition to my passport, the clerk took copies of my vaccination certificate — two jabs in Shanghai of the Chinese-made Sinopharm vaccine — and the negative result of my most recent coronavirus test, on Tuesday.

I was directed to a conference room, where another official handed me a knapsack made for the centenary in the same hue of light-blue canvas worn by Mao’s soldiers during World War II. It contained a seat cushion, a fan, a souvenir notebook, a folding umbrella and a light- blue raincoat.

A nurse in a white protective suit with a face shield swabbed the back of my throat for yet another coronavirus test. Then a hotel employee took me up the elevator and told me that I would not be allowed to leave my floor on my own until after the centenary. I had to call the hotel operator to ask to be escorted down in the elevator for my meals. Lunch on Wednesday included beef, green peppers and broccoli served buffet style in the cafeteria.

The event starts at 8 a.m. on Thursday at Tiananmen Square, only a 20-minute drive away. Reporters had to gather in the hotel lobby at 2:45 a.m. for a 3 a.m. departure, and were warned that nobody would be allowed to go to a bathroom at the site from 7:30 a.m. onward.

Banners display messages celebrating the centenary of the Chinese Community Party and the anniversary of Hong Kong's handover to China atop a building in Hong Kong.Credit…Anthony Kwan/Getty Images

Hong Kong was wrapped in an extensive security bubble on Thursday as the city marked three political anniversaries that have helped transform it from a freewheeling international center of trade and finance to an increasingly constrained Chinese city.

Police officers fanned across the city to clamp down on any unauthorized gatherings and prevent people from gathering in Victoria Park, where the annual July 1 march traditionally begins.

July 1 is both the 24th anniversary of Hong Kong’s return to Chinese control and the 100th anniversary of the founding of China’s ruling Communist Party. And just over one year ago, late on June 30, 2020, Beijing imposed a sweeping national security law on Hong Kong.

With Carrie Lam, Hong Kong’s chief executive, in Beijing to participate in the party anniversary celebration, her chief deputy, John Lee, led a morning flag-raising ceremony in the same spot along Victoria Harbor where the 1997 handover was conducted after more than 150 years of British colonial rule.

Opera singers performed the national anthem as helicopters flew overhead and a flotilla of boats performed a water salute. Officers marched in goose-step, a distinctive style used by the Chinese army that replaced British style marching in the city this year.

Mr. Lee, a former police officer who was promoted last week to chief secretary, the city’s second most powerful leader, hailed Beijing’s leadership. “The central government’s original aspirations for Hong Kong remains unmoved and solved problems for Hong Kong,” he added.

Outside the convention center where Mr. Lee spoke, police surrounded four protesters who tried to march with a banner that read, “Free all political prisoners.”

“We just want to speak up, encouraging people to not give up and keep speaking up for justice in Hong Kong,” said Raphael Wong Ho-ming, the head of the leftist group League of Social Democrats, which organized the protest.

“At the 100th anniversary of the Chinese Communist Party, we urge the CCP to keep its promises to give its power to the people.”

In the year since the security law came into effect, many of the city’s most prominent opposition politicians have been arrested, with dozens still held in jail. The electoral system was transformed, with directly elected seats cut and security agencies given vast power to vet candidates. Apple Daily, the city’s largest pro-democracy newspaper, was forced to close last week, and RTHK, the once proudly independent public broadcaster, has been gutted.

The law also authorized Chinese security agencies to openly operate in Hong Kong. In a rare interview this week, Zheng Yanxiong, director of the national security office in Hong Kong, issued a stern warning to the city’s judges, whose reputation for independence has come under pressure since the security law took effect.

The power of the independent judiciary is authorized by China’s legislature, Mr. Zheng told East Week, a pro-Beijing magazine. “It must implement the nation’s will and the nation’s interest, otherwise it will lose the premise of that authorization,” he said.

The Communist Party’s grip has grown increasingly visible in Hong Kong, where it was once outlawed. Mrs. Lam’s trip to Beijing for the anniversary is the first by a Hong Kong chief executive for the event. And the anniversary has been publicized on buses, trams and a set of commemorative stamps in Hong Kong.

A flag-raising ceremony on National Security Education Day in Hong Kong in April. Schoolchildren are now being taught to watch for dissent.Credit…Lam Yik Fei for The New York Times

In addition to the centenary of the party’s founding, July 1 also marks the anniversary of Hong Kong’s handover from Britain to China in 1997.

The passage of a contentious national security law in 2020 ushered in one of the most transformative years in the city’s history since the end of British colonial rule.

With each day, the boundary between Hong Kong and the rest of China fades faster.

The Chinese Communist Party is remaking this city, permeating its once vibrant, irreverent character with ever more overt signs of its authoritarian will. The very texture of daily life is under assault as Beijing molds Hong Kong into something more familiar, more docile.

Now, neighbors are urged to report on one another. Children are taught to look for traitors. Officials are pressed to pledge their loyalty.

Hong Kong had always been an improbability. It was a thriving metropolis on a spit of inhospitable land, an oasis of civil liberties under iron-fisted rule. After its return to China in 1997, the city was promised freedoms of speech, assembly and the press unimaginable in the mainland, in an arrangement Beijing called “one country, two systems.”

Hong Kong had always been an improbability. It was a thriving metropolis on a spit of inhospitable land, an oasis of civil liberties under iron-fisted rule. A former British colony that returned to China in 1997, the city was promised freedoms of speech, assembly and the press unimaginable in the mainland, in an arrangement Beijing called “one country, two systems.”

Freedoms once at the core of Hong Kong’s identity are disappearing. The government announced that it would censor films deemed a danger to national security. Some officials have demanded that artwork by dissidents such as Ai Weiwei be barred from museums.

China’s new might has also declared itself in Hong Kong’s business world. For decades the mainland’s economy had raced to catch up with that of Hong Kong, the financial hub so proud of its global identity that its government billed it as “Asia’s world city.”

Now, China’s economy is the booming one and officials are bending Hong Kong’s global identity increasingly toward that one country.

Posing for a photo in a Red Army costume at a new theme park in Yan’an.Credit…Gilles Sabrié for The New York Times

The anniversary of the Chinese Communist Party has given the country’s leaders an opportune moment to encourage citizens to visit sites central to the party’s founding.

At these sites, schoolchildren are told how the Red Army, later renamed the People’s Liberation Army, was created. Tourists gaze at an ensemble of chairs used by Xi Jinping, China’s leader, and other guests when they visited Mao’s home. Retirees take selfies with flower-adorned statues of Mao and Zhu De, the Red Army commander.

The centennial has also prompted China’s biggest property developers to cash in as they jazz up typically staid “red tourist” attractions, like dull exhibition halls and cave dwellings, and make them friendlier for the era of Instagram and TikTok.

This month, Dalian Wanda, a property developer, unveiled a Communist Party theme park in Yan’an. In it, mascots dressed in Red Army costumes parade down “Red Street,” a long shopping boulevard where visitors can take pictures and buy snacks and souvenirs.

The pilgrimages are in keeping with Mr. Xi’s call for Chinese citizens to learn from the party’s history. Even before he came to power in 2012, Mr. Xi said every “red tourist” attraction was equivalent to a “lively classroom that contains rich political wisdom and moral nourishment.”

With international borders still shut because of the coronavirus, Trip.com, a travel website that is popular in China, said this month that the number of bookings for “red tourism” attractions had more than doubled in the first half of the year from a year earlier. The company said it expected the numbers to climb ahead of the centennial celebration next week.

Beyond fueling party devotion and lore, “red tourism” has been good for business. In 2023, the industry’s revenues are expected to reach $153 billion, according to the Qianzhan Research Institute, a data consultancy. That represents an average annual compound growth rate of 14.1 percent from 2019 to 2023. Wanda said it was planning a second “red” attraction.