Coronavirus Live Updates: News of the Virus, Vaccines and Variants
Vaccination rates are falling in the United States, despite the spread of highly contagious virus variants that are fueling the country’s alarmingly high caseload.
More than 50,000 new U.S. cases were reported on Saturday, and case rates are similar to those of the second wave last summer. But the average number of vaccine doses being administered each day, which rose for months and peaked at 3.38 million, has now fallen to 2.86 million, its lowest level since March 31, according to data from the Centers for Disease Control and Prevention.
The vaccination rate stopped climbing on April 13, when federal health officials recommended pausing the use of Johnson & Johnson’s vaccine to allow researchers to examine a rare blood-clotting disorder that emerged in six recipients. The Food and Drug Administration lifted the pause on Friday, opting to add a warning about the risk to vaccine labeling.
Experts aren’t sure why vaccination rates have begun falling, or whether vaccine hesitancy, an issue before the Johnson & Johnson pause, is entirely to blame. They suggest the issue is more complicated. Many Americans who were eager and able to be vaccinated have now been inoculated, experts believe, and among the unvaccinated, some are totally opposed while others would get a vaccine if it were more accessible to them.
Whatever the reason for the slowdown in vaccinations, it could delay the arrival of herd immunity, the point at which the coronavirus cannot spread easily because it cannot find enough vulnerable people to infect. The longer that takes, the more time there is for dangerous variants to arise and possibly evade vaccines.
Elected leaders and public health officials are left struggling to tailor their messages, and their tactics, to persuade not only the vaccine hesitant but also the indifferent. As mass vaccination sites begin to close, more patients could get vaccinated by their own doctors, with whom people are most at ease — a shift that would require the Biden administration to distribute the vaccines in much smaller shipments to many more providers.
Resuming use of the single-shot Johnson & Johnson vaccine should help with hard-to-reach populations like Americans in remote communities, migrants and older people who may have difficulty leaving their homes.
White House and state health officials are calling the next phase of the vaccination campaign “the ground game,” and are likening it to a get-out-the-vote effort.
“We’re entering a new phase” in the country’s vaccination effort, said Dr. Mark McClellan, former commissioner of the Food and Drug Administration and director of the Duke-Margolis Center for Health Policy at Duke University. “In most parts of the country now, there are unfilled vaccination appointments available.”
People who were clamoring for a vaccine have been inoculated, including those who were willing to schedule appointments and wait in long lines at mass vaccination sites, he said.
“Now, it’s more about bringing vaccines to the people who want them but haven’t been able to easily reach the existing sites,” Dr. McClellan said. Walk-in availability, which New York City allowed at city-run sites starting on Friday, could also help vaccinate more people, he said.
Dr. Ashish Jha, the dean of the Brown University School of Public Health, cautioned that it would be “hugely problematic” to broadly denounce those who had yet to get a vaccine — because of indifference or inconvenience — as “resisters.” He said on National Public Radio last week that “there are lots of people who are perfectly happy to get a vaccine but aren’t desperate for it — aren’t convinced that they need it badly.”
Rupali J. Limaye, a professor who studies vaccine behavior at Johns Hopkins Bloomberg School of Public Health, said as vaccinations continued, some might think: “If these other people are vaccinated, why do I need to get it?” but added, “We still need those people to get it to reach herd immunity.”
With temperatures getting warmer, many states have already eased social-distancing measures, and some have even appeared to return to normal activity, alarming officials. Dr. Anthony S. Fauci, the nation’s top infectious disease expert, has said that restrictions should remain in place until there are fewer than 10,000 new cases a day — a number that the United States will not reach by Aug. 1, according to projections from the Institute for Health Metrics and Evaluation at the University of Washington.
“It will feel over in the summer,” said Ali H. Mokdad, a professor of health metrics sciences at the institute. “But somebody like me who works in public health will feel like swimming upstream, telling people in the summer we are not out of danger.”
Hospitals in Michigan, the state with the worst current coronavirus outbreak in the country, are admitting about twice as many young adults with coronavirus now as they did during the fall peak, according to the Michigan Health & Hospital Association.
“I am putting more patients in their 20s and 30s and 40s on oxygen and on life support than at any other time in this pandemic,” said Dr. Erin Brennan, an emergency room physician in Detroit.
Public health experts say the outbreak — driven by the B.1.1.7 variant of the virus, which is more contagious and more severe — is spreading rapidly in younger age groups in the state.
Public health experts point to a number of factors contributing to the changing demographics. As pandemic restrictions have been loosened, younger people are out and about, socializing and in the work force, at a time when just one-third of American adults are fully vaccinated, most of them over 65.
“The restrictions were our pause button,” said Jennifer Nuzzo, an epidemiologist at Johns Hopkins Bloomberg School of Public Health. “As soon as you press play, you are going to see the virus race back as quickly as it can.”
Some health experts said it was conceivable that more younger people were being hospitalized now because the hospitals are not overflowing and have room for borderline cases who might have been sent home during the holiday surge.
But at the Beaumont Hospital in Royal Oak, Mich., near Detroit, doctors said they had not lowered the bar for admission: The younger people in their care may often have fewer chronic health problems than older patients do, but they nonetheless exhibited serious symptoms that required immediate intervention.
More than five million Americans, or nearly 8 percent of those who got a first shot of the Pfizer or Moderna vaccines, have missed their second doses, according to the most recent data from the Centers for Disease Control and Prevention. That is more than double the rate among people who got inoculated in the first several weeks of the nationwide vaccination campaign.
Even as the country wrestles with the problem of millions of people who are wary about getting vaccinated at all, local health officials are confronting a new challenge of ensuring that those who do get inoculated are doing so fully.
The reasons vary for why people are missing their second shots. In interviews, some said they feared the side effects, including flulike symptoms, which were more common and stronger after the second dose. Others said they felt that they were sufficiently protected with a single shot.
Those attitudes were expected, but another hurdle has been surprisingly prevalent. A number of vaccine providers have canceled second-dose appointments because they ran out of supply or didn’t have the right brand in stock.
Walgreens, one of the biggest vaccine providers, sent some people who got a first shot of the Pfizer or Moderna vaccine to get their second doses at pharmacies that had only the other vaccine on hand.
Several Walgreens customers said in interviews that they scrambled, in some cases with help from pharmacy staff members, to find somewhere to get the correct second dose. Others, presumably, simply gave up.
The United States currently has the largest immigration detention system in the world. On any given day, Immigration and Customs Enforcement, or ICE, holds tens of thousands of people in about 200 facilities across the country. And throughout the pandemic, these facilities have become some of the most dangerous places in the United States when it comes to Covid-19 outbreaks.
The New York Times compared estimated infection rates in ICE detention centers with infection rates in prisons and in the general population. As Covid cases rose last June, ICE detention facilities had an average infection rate five times that of prisons and 20 times that of the general population.
To understand the risks the ICE facilities posed, we talked to former detainees, data scientists, lawyers, county officials and the family of a former ICE contractor about the spread of Covid inside and outside ICE detention centers. We also reviewed court documents, medical records of detainees and government inspection reports from June 2020 to March. This video shows what we found.
It was a similar story last year at Norwegian Cruise Line, which lost $4 billion and furloughed 20 percent of its staff while its chief executive’s pay doubled — and at Hilton, where nearly a quarter of the corporate staff was fired while the company’s top executive received compensation worth $55.9 million.
The divergent fortunes of chief executives and everyday workers in the United States during the pandemic illustrate the sharp divides in a nation on the precipice of an economic boom but still racked by steep inequality.
“We’ve created this class of centimillionaires and billionaires who have not been good for this country,” said Nell Minow, vice chair of ValueEdge Advisors, an investment consulting firm. “They may build a wing on a museum. But it’s not infrastructure — it’s not the middle class.”
Biden administration officials are coming under increasing pressure to lift restrictions on exports of supplies that vaccine makers in India say they need to expand production amid a devastating surge in Covid-19 deaths there and falling demand in the United States.
Funeral pyres have lit up the night sky in the worst affected cities, and the country has set a global record of 350,000 new infections a day, which experts say could be a vast undercount.
The State Department spokesman, Ned Price, said in response to questions about the export ban that “the United States first and foremost is engaged in an ambitious and effective and, so far, successful effort to vaccinate the American people.”
The export restrictions fall under the Defense Production Act, which former President Donald J. Trump invoked in the early days of the pandemic and President Biden has used since February to increase vaccine production in the United States.
Mr. Price’s comments came on Thursday, the same day Mr. Biden organized a global climate summit with world leaders, which included India’s prime minister, Narendra Modi.
India, the world’s most-populous democracy, is a vital U.S. partner, especially at a time when relations with China are at a low point.
“It’s of course not only in our interest to see Americans vaccinated,” Mr. Price went on to say. “It’s in the interests of the rest of the world to see Americans vaccinated.”
That did not go down well in India.
“By stockpiling vaccines & blocking the export of crucial raw materials needed for vaccine production, the United States is undermining the strategic Indo-US partnership,” Milind Deora, a politician from Mumbai, one of the hardest-hit cities, wrote on Twitter.
India has also restricted the export of its domestically produced vaccines to meet Indian demand. That could halt the nascent vaccination campaign in Africa, which has 17 percent of the world’s people and relies on vaccines produced in India.
In the United States, county health departments that couldn’t keep up with vaccine demand a month ago have started closing some of their mass vaccination sites because they lack customers (some counties are declining vaccine shipments).
The seven-day U.S. average of vaccinations has declined somewhat in recent days, to 2.86 million doses daily as of Saturday, from a high point of 3.38 million last week, according to a New York Times analysis of data from the Centers for Disease Control and Prevention.
At a news conference on Friday, Jeffrey D. Zients, the White House’s Covid-19 response coordinator, acknowledged that the pace of vaccinations nationally would ebb. “We expect daily vaccination rates will moderate and fluctuate,” he said.
A fire sparked by an exploding oxygen cylinder killed at least 82 people, many of them Covid-19 patients, at a Baghdad hospital late Saturday, the latest example of the pandemic’s devastating impact on a country riddled with corruption, mismanagement and a legacy of decrepit infrastructure.
The hospital, a facility dedicated to Covid-19 patients in one of Baghdad’s poorer neighborhoods, had no smoke detectors, sprinkler system or fire hoses, said Maj. Gen. Khadhim Bohan, the head of Iraq’s civil defense forces. The fire spread quickly because of flammable material used in false ceilings in the intensive care ward, he said.
“If there had been smoke detectors, the situation would have been totally different,” General Bohan said.
Some of the victims were older patients on ventilators who could not move from their beds when the fire started, officials said. At least 110 people were injured.
Prime Minister Mustafa al-Khadimi called the fire a crime and ordered an investigation within 24 hours into possible negligence at the hospital, the Ibn al-Khatib.
Iraq last week surpassed one million reported Covid cases since the pandemic began, and the country of 39 million is in the midst of a ferocious second wave of infections. New daily cases recently hit a record of more than 8,000.
AUCKLAND, New Zealand — More than 50,000 fans packed into Eden Park stadium, New Zealand’s largest, on Saturday night for what is believed to be the largest live in-person concert since the pandemic began.
Through a combination of swift lockdowns and border closures, New Zealand has all but eliminated the coronavirus, with 2,600 cases and 26 deaths reported since the start of the pandemic, according to a New York Times database.
Masks are rarely worn, and there are no social-distancing requirements in place. Instead, people are encouraged to scan in on the country’s tracking and tracing system, and hand sanitizer is widely available.
“Next time they tell you it’s impossible, show them this,” Six60, the New Zealand band headlining the concert, wrote in a comment on an aerial photograph of the crowd, posted to its Instagram account.
The event sold out in a matter of weeks. Featuring pyrotechnics and a Maori kapa haka group, it was the first time a musical act had been permitted to headline an event at Eden Park.
While hard-hit countries like Spain, which last month held an experimental indoor concert for 5,000 fans, test out safe ways to resurrect live music in a post-Covid environment, venues in New Zealand have been operating much as they did before the pandemic.
Less than 3 percent of New Zealand’s population has received a dose of a vaccine, according to a New York Times database, and audience members are not required to present proof of inoculation or a negative virus test.
Large live music events are also being organized in other places that have been able to curb the spread of the virus. In Taiwan, the singer-songwriter Eric Chou played sold-out events last year at Taipei Arena, with tickets capped at 10,000 people. In China, over 4,000 live concerts were held during the first week of October for the country’s National Day celebrations.
Perhaps the greatest change for New Zealand is the lack of international performers. With the border closed to almost everyone but citizens and some essential workers, performing artists have had to apply for special permission to enter the country, then spend two weeks quarantining in hotels. The Australian children’s entertainment group The Wiggles and a tribute act to the band Queen have been among those granted special entry visas for entry.
New Zealanders have instead embraced local acts. A national tour by the singer-songwriter Marlon Williams sold out in New Zealand’s largest cities. The singer Benee, who gained fame from TikTok and hails from Auckland, headlined the annual music festival Rhythm and Vines near the city of Gisborne, which attracted 23,000 attendees.
A new trans-Tasman travel corridor, which permits quarantine-free travel between Australia and New Zealand, began last week, opening the way for the Australian singer-songwriter Courtney Barnett to announce a 10-date tour in July.
The National Police in Spain said on Saturday that they had arrested a man who went to his workplace and a gym while showing Covid-19 symptoms, spreading the virus to 22 people.
The 40-year-old man was arrested on charges of a “crime of injury” in Manacor, a city on the island of Majorca, after an investigation that started in late January after an outbreak in the city.
Though the man showed symptoms at his workplace — “a well-known establishment in Manacor” — he did not want to go home, which concerned his co-workers, the police said in a statement. After his workday ended, the man got a coronavirus test.
He was notified of his positive test result at the end of the next day, the police said, after he had gone to a gym and again to work, where he had a fever of 104 degrees Fahrenheit and coughed while lowering his mask, saying, “I am going to infect you all with the coronavirus.”
The man infected eight people directly: five at his workplace and three at his gym, the police said. Those people infected another 14 people, including three children, among them a 1-year-old, the police said. None of the people involved in the outbreak has been hospitalized.
[An earlier version of this briefing misstated the day the police spoke. It was Saturday, not Monday.]