Covid-19 Reside Information and Updates

Credit score…Joel Angel Juarez for The New York Occasions

The world surpassed a complete of 100 million identified coronavirus circumstances on Tuesday, based on a New York Occasions database, a staggering milestone for a worldwide well being disaster that’s coming into a section of each hope and deep concern.

Specialists say that 100 million probably underestimates the true variety of circumstances, given the dearth of satisfactory testing and get in touch with tracing in lots of international locations, together with the USA. Likewise, the variety of deaths — greater than two million individuals worldwide, together with greater than 420,000 in the USA — might be a lot increased than formally reported.

Regardless of lockdowns, social distancing and different measures, the rise in circumstances has solely accelerated in current months. International coronavirus circumstances topped 25 million on the finish of August, greater than eight months after the virus was first detected in Wuhan, China. By mid-November they’d doubled to 50 million. It took lower than three months for them to double once more.

In a single constructive signal, the variety of each day new circumstances in the USA, which has the worst outbreak on the earth, has been on the decline in current weeks. U.S. deaths, although, stay excessive, numbering greater than 3,000 deaths per day on common in current days and greater than 420,000 in whole. However the U.S. lower in circumstances has contributed to a current decline within the variety of each day new circumstances reported worldwide. But greater than 500,000 new circumstances are being reported across the globe every day on common.

Well being specialists additionally fear that new variants of the virus may carry a resurgence in U.S. numbers as they’ve in Britain, Eire and South Africa. These fears have prompted new lockdowns and journey restrictions around the globe.

Weariness over the pandemic and the related financial ache stays palpable, whilst specialists warn that preventive measures stay needed in lots of areas. A United Nations official mentioned Monday that the pandemic had precipitated the best international labor disaster because the Nice Despair.

A number of the strongest stirrings of hope got here in December, when large-scale rollouts of coronavirus vaccines started in earnest. However the international provide of the brand new vaccines has so far been inadequate to fulfill the calls for of probably the most weak.

“There may be not sufficient vaccine proper now to even serve those that are most in danger,” Dr. Michael Ryan, head of the emergencies program on the World Well being Group, mentioned Monday.

In an more and more interconnected world, the financial fallout from a flawed vaccine distribution plan may show tough to comprise, very like the virus itself. In line with a report launched Monday, inequitable vaccine distribution may price the worldwide financial system greater than $9 trillion. Rich nations, which in some circumstances have secured sufficient doses to vaccinate their populations a number of instances over, would soak up about half of these prices, the report discovered.

Underneath stress to hurry up the U.S. tempo of coronavirus vaccination, President Biden mentioned on Monday that he was now aiming for the nation to manage 1.5 million vaccine doses a day — a purpose that’s 50 % increased than his preliminary goal however one which the nation already seems on observe to fulfill.

United States › United StatesOn Jan. 25 14-day change
New circumstances 155,677 –31%
New deaths 1,796 –3%

World › WorldOn Jan. 25 14-day change
New cases 509,753 –20%
New deaths 10,606 +9%

Where cases per capita are

Students arriving for in-person learning at a Public School in Brooklyn this month.
Credit…Andrew Seng for The New York Times

Open schools. Close indoor dining.

When to keep schools open, and how to do so, has been an issue plaguing the response by the United States to the pandemic since its beginning. President Biden vowed to “teach our children in safe schools” in his inaugural address.

On Tuesday, federal health officials weighed in with a call for returning children to the nation’s classrooms as soon as possible, saying the “preponderance of available evidence” indicates that in-person instruction can be carried out safely as long as mask-wearing and social distancing are maintained.

But local officials also must be willing to impose limits on other settings — like indoor dining, bars or poorly ventilated gyms — in order to keep infection rates low in the community at large, researchers at the Centers for Disease Control and Prevention wrote in the journal JAMA.

School administrators must limit risky activities such as indoor sports, they added. “It’s not going to be safe to have a pizza party with a group of students,” Margaret Honein, a member of the C.D.C.’s Covid-19 emergency response team and the first author of article, said in an interview. “But outdoor cross-country, where distance can be maintained, might be fine to continue.”

Federal officials cited the many benefits of in-person schooling for children, and argued for prioritizing their educational, developmental and emotional and mental health needs. “Schools are an important source not just of education, but health and social services for children,” Dr. Honein said.

Even though the pandemic is rapidly changing, and contagious new variants are spreading, Dr. Honein and other C.D.C. officials argued there is little evidence that schools spark the kind of outbreaks seen in nursing homes and meatpacking plants, or contribute to increased transmission in communities.

“Back in August and September, we did not have a lot of data on whether or not we would see the same sort of rapid spread in schools that we had seen in other high-density work sites or residential sites,” Dr. Honein said. “But there is accumulating data now that with high face mask compliance, and distancing and cohorting of students to minimize the total number of contacts, we can minimize the amount of transmission in schools.”

The call by Dr. Honein and other officials reflects a consensus among some leading educators and public health experts that schools should be the last to close and the first to open when shutdowns are necessary.

Last year, all kindergarten to grade 12 public schools closed for in-person instruction by March 25, shortly after the World Health Organization declared that the new coronavirus outbreak was a pandemic. Many schools subsequently switched to online teaching models for the rest of the school year.

During the fall term, about one-quarter of school districts were completely online, about half were using a hybrid model, and fewer than one-quarter were fully open for in-person teaching. Yet more than half of school districts had students participating in sports programs.

In an opinion column in USA Today earlier this week, Randi Weingarten, the president of the American Federation of Teachers, and Dr. Rajiv Shah, president of the Rockefeller Foundation, called for widespread testing to keep schools safe and get children back into the classroom, not only for educational reasons, but to restore free school meals, give children a social outlet, and provide myriad school-based services that are vital to low-income children.

The Covid-19 School Response Dashboard, a collaboration that tracks infections in school districts willing to share data, has reported that infection case rates among staff in October and November were similar to case rates in the surrounding communities. More recently, however, staff case rates in New York increased at a faster rate than community case rates.

The causes are not clear. The increases may reflect a more frequent testing of schoolteachers. Case rates increased among teachers engaged in in-person teaching and among those teaching remotely, suggesting in-person instruction was not the sole factor.

Emily Oster, a professor of economics and public policy at Brown University who created the dashboard, said that low case rates in the community make it possible to keep schools running safely.

“Prioritizing schools is going to mean limiting some of those other activities, and deciding that we want to undertake some of those sacrifices to keep schools open, because we’ve decided as a society that schools are important relative to other things,” Dr. Oster said.

“The frustration for many people is that you can go to an indoor restaurant. In Massachusetts, I could go to an indoor water park like Great Wolf Lodge — I can take my kids to Great Wolf Lodge. But in a lot of places in Massachusetts, there has been no school.”

The C.D.C. also published two related studies on Tuesday. One was an investigation of a high school wrestling tournament in Florida in December that became a super-spreader event, leading to at least 79 infections and one death.

The tournament brought together 10 schools and 130 athletes and coaches, and 30 percent of participants were infected with the coronavirus. Thirty-eight individuals went on to transmit the virus to at least 41 others, including family members. (The full number is not yet known, because fewer than half the participants were tested.)

The researchers calculated that 1,700 in-person school days were lost to quarantines and isolation of patients and their contacts. The number would have been higher if not for the December holiday break.

C.D.C. researchers also took a look at 17 elementary and secondary schools in rural Wisconsin where mask-wearing was routine. The incidence of infection was lower in schools than in the community at large, the scientists found. During 13 weeks in the fall of 2020, there were 191 infections among staff and students; only seven resulted from in-school transmission, according to the study.

A box containing vials of Moderna Covid-19 vaccine at the Sonoma County Fairgrounds in Santa Rosa, Calif., this month.
Credit…Jim Wilson/The New York Times

The federal government’s weekly allocations of coronavirus vaccines will increase by about 1.5 million doses next week — a jump that White House officials plan to tell governors about on a call Tuesday afternoon, according to a federal official familiar with the government’s planning.

The increase, to around 10 million doses a week, will come from the federal government’s plans to release more of the vaccine made by Moderna, the Massachusetts biotech company whose vaccine was authorized for emergency use in December. Although governors will probably welcome the news, it does not reflect any increase in the overall amount that Moderna will deliver to the federal government in the first three months of this year, according to people familiar with the company’s production.

The increase was first reported by The Washington Post.

Moderna and the pharmaceutical giant Pfizer, which produces another vaccine with emergency authorization, have been stepping up production and are on track to deliver a total of 12 million to 18 million doses a week by the end of March, the federal official said.

As of Tuesday, Moderna had delivered to a federal government distributor 30.4 million doses out of the 100 million doses it has pledged to ship by the end of March. The company has said it expects to fulfill that promise.

Also on Tuesday, Pfizer’s chief executive, Dr. Albert Bourla, said the company would now provide 120 million doses to the United States by the end of March, instead of 100 million, an increase that he attributed to a change that allows each vial to yield six doses instead of five.

Vaccination sites were already extracting six doses from each vial in many cases, but starting this week, the new method will be formalized, and allocations of Pfizer doses to the states will be based on the assumption that each vial contains six doses, meaning that states could receive fewer vials. Some pharmacists have said that six doses cannot always reliably be extracted from a vial, even with the special syringes that the federal government is now providing.

Some states and localities have been clamoring for more vaccine doses, while many others are struggling to use their existing supply. Overall, according to data collected by the Centers for Disease Control and Prevention, only 53 percent of the doses already distributed have been administered.

Although that percentage has been rising as states become more efficient, Biden administration officials have cited an urgent need for more vaccinators and vaccination centers. Mr. Biden has already directed the Federal Emergency Management Agency to begin establishing federally supported community vaccination centers, aiming to have 100 centers in operation in the next month. And he intends to set up mobile vaccination units to reach underserved urban and rural populations.

Vials being inspected at the Regeneron’s facilities in New York state, for efforts on an experimental coronavirus antibody drug.
Credit…Regeneron, via Associated Press

The drug maker Regeneron said on Tuesday that its Covid-19 antibody cocktail prevented illness in the family members of people who had tested positive for the virus, according to an early analysis of a clinical trial that has not yet been published in a scientific journal.

The antibody cocktail was authorized last fall to treat people who have already tested positive and are at high risk for complications from Covid-19, but this study looked at whether an injection of the cocktail — what they called a “passive vaccine” — could prevent infections.

The company said an early analysis of 400 trial participants found that the treatment completely prevented symptomatic infections, and also reduced the rate of asymptomatic infections. Among the 186 volunteers who received the treatment, 10 were infected with the virus but did not get sick. In contrast, of the 223 people who got a placebo, 23 tested positive for the virus and eight became ill with symptoms.

Regeneron is one of two companies — Eli Lilly is the other — that developed specially engineered antibodies to combat the virus soon after people are infected. Last fall, both companies received emergency authorization from the Food and Drug Administration to administer the drugs to people who are already infected with the virus.

Last week, Eli Lilly also released results from a trial showing that its antibody treatment prevented infections in nursing homes where an outbreak had occurred.

Despite the treatments’ early promise, the drugs have been sitting unused in many hospitals, even as the country has experienced a record wave of cases, hospitalizations and deaths. Doctors and hospital administrators have cited a range of reasons for not using the treatments more frequently, including challenges identifying the right patients, questions over whether they work, and logistical hurdles in administering the cocktails, which must be given as infusions in a clinic. (Regeneron’s preventive trial gave the antibodies as an injection instead.)

Regeneron has received more than $3 billion in federal funding to develop the antibody treatments and provide them to Americans.

In a statement on Tuesday, Regeneron’s president and chief scientific officer, Dr. George D. Yancopoulos, suggested that the treatment could be used to “break the chain” of transmission even as vaccines are slowly being rolled out. “Even with the emerging availability of active vaccines, we continue to see hundreds of thousands of people infected daily, actively spreading the virus to their close contacts,” he said.

At Kennedy Airport in New York on Monday. Several countries are imposing restrictions on international air travelers, including the United States.
Credit…Spencer Platt/Getty Images

Around the world, borders were being tightened this week as rising cases and the threat of more contagious virus variants taking hold prompted travel policy changes from the United States to Europe to Australia.

Even as the United States moved to impose travel restrictions, citing the danger of the fast-moving variants, a case of the variant spreading in Brazil was identified in Minnesota.

In Europe, France is moving to impose strict border measures, Britain is considering a mandatory hotel quarantine for some travelers, and the European Union is urging more coordinated action among member states to limit travel.

Germany’s interior minister, Horst Seehofer, said on Tuesday that his country was considering “the reduction of air traffic to Germany to almost zero” to head off the spread of the variants. “The people who accept tough restrictions in Germany expect us to protect them as best we can from an explosion in infection numbers,” he told the Bild newspaper.

Already, a hospital in Berlin and another in the state of Bavaria have stopped taking any new patients and have sent much of their staff into quarantine after the B.1.1.7 variant was detected, raising fears that the country’s current safety measures were not stringent enough to meet the new threat.

Prime Minister Jacinda Ardern of New Zealand said on Tuesday that the country’s borders would remain closed until New Zealanders had been “vaccinated and protected.” Australia has suspended its travel bubble with New Zealand for 72 hours from Monday, after New Zealand confirmed a case outside its quarantine system of the variant found in South Africa.

As of Tuesday, the United States will begin requiring a negative virus test from all arriving international air travelers. The Biden administration has announced that it is extending a ban on travel by noncitizens into the United States from Brazil, Britain and 27 other European countries, and adding South Africa to the list.

The Brazil-based variant, known as B. or P.1, was identified Monday in a Minnesota resident who had recently traveled to Brazil, the state health authorities said, which could suggest that the variant might not yet be widely circulating.

Dr. Anthony S. Fauci, an adviser to President Biden, said it was only a matter of time before the Brazil-based variant was detected in the United States. “With the world travel that you have, and the degree of transmissibility efficiency, it’s not surprising,” he said.

The variants have arrived just as there are signs of progress. Hospitalizations, after peaking in early January, are at their lowest level nationally since Dec. 13, according to the Covid Tracking Project. The average daily caseload in the United States is down by about one-third compared with two weeks ago, according to a New York Times database.

And after a slow start, the pace of vaccinations is picking up, and the United States already seems to be vaccinating well over a million people per day, according to a New York Times analysis of data from the Centers for Disease Control and Prevention. Mr. Biden said Monday that he is now aiming for the United States to administer 1.5 million doses a day, a 50 percent increase from his initial target.

But scientists fear much of the country’s momentum could be quickly halted if the variants continue to spread unchecked. They are especially anxious about the variants spreading in Brazil and South Africa, which share many mutations, because they may be able to blunt the effectiveness of vaccines.

The United States is flying blind, scientists have warned, as the country navigates the spread of the new variants without a large-scale, nationwide system for checking virus genomes for new mutations. Instead, the work of discovering the variants has fallen to a patchwork of academic, state and commercial laboratories.

Scientists say that a national surveillance program would be able to determine just how widespread the new variant is and help contain emerging hot spots, extending the crucial window of time in which vulnerable people across the country could get vaccinated.

A testing center at Pueblo Bonito Sunset Beach Golf & Spa Resort in Los Cabos, Mexico.
Credit…Pueblo Bonito Sunset Beach

Beginning Tuesday, travelers from any foreign country flying into the United States must present proof of a negative test for the coronavirus. Many other countries have been requiring negative test results for months, but the United States has been less strict in its travel requirements.

While travel globally will be affected, especially in light of the Biden administration’s decision to bar travelers — excluding American citizens — from Brazil, Britain, Ireland, South Africa and 26 countries in Europe that allow travel across open borders, the biggest impact of the testing rule will be for destinations in the Caribbean and Mexico, which have continued to attract American leisure travelers who cannot go to other parts of the world.

“We keep getting curveballs thrown at us in our whole industry,” said Jason Kycek, senior vice president of sales and marketing at Casa de Campo, a golf-and-beach resort in the Dominican Republic that is expanding its existing on-site testing facilities. “The finish line keeps moving, but we are staying on top of things and making sure our guests have what they need and can travel safely.”

Mexico and countries in the Caribbean have remained popular destinations for American travelers even as other destinations closed their borders, in part because of their proximity to the United States, making them relatively easy and affordable to reach. In the fall, several U.S. airlines added flights to the Caribbean islands and to Mexico at a time when routes elsewhere were being cut. In November, nearly 500,000 Americans flew to Mexico alone, according to official figures.

Under the new requirement, travelers will need to get tested no more than three days before their scheduled flight, showing a negative result to their airline before boarding. Those who have already had the virus will need to show documentation of recovery in the form of a recent positive viral test and a letter from a health care provider or a public health official stating they were cleared to travel.

The United States will accept results from rapid antigen tests, while other countries have been asking for what are known as polymerase chain reaction tests, or P.C.R. tests. Antigen tests have been found to be less reliable than P.C.R. tests.

For an industry already decimated by the pandemic, the new testing requirement may cut into any business rebound. Last week, United Airlines told reporters on its fourth-quarter earnings call that Mexican destinations were among the most affected by the new testing requirement.

An outbreak at Greene Correctional Facility near Albany was linked to cases at an assisted-living facility and an elementary school, officials said last fall.
Credit…Will Waldron, via The Times Union

When New York announced new vaccine eligibility guidelines two weeks ago covering millions of additional state residents, one particularly hard-hit group remained unmentioned: the nearly 50,000 people incarcerated in the state’s prisons and jails.

Now, with state supplies dwindling and no clear plan for vaccinating incarcerated people, the virus is roaring back behind bars. At least 5,100 people living and working in New York’s prisons have tested positive and 12 have died in recent weeks, outpacing even the early days of the pandemic.

But how and when to vaccinate incarcerated people as millions around the state wait has raised legal, logistical and ethical questions.

Across the country, the arrival of a vaccine was hailed as a harbinger of the pandemic’s eventual end. But administering the limited supply has proved challenging, and correctional facilities — where more than half a million people have tested positive for the virus since the start of the pandemic — present additional complications.

Officials grappling with the same difficult questions have come to different conclusions, creating a patchwork of policies and timelines, according to an analysis by the Prison Policy Initiative, a research nonprofit devoted to reducing mass incarceration. But at least 27 states directly name inmates in their public plans, and about a dozen place them in the first phases of vaccine distribution, including Massachusetts, where tens of thousands of prisoners are to be vaccinated by the end of February.

Other states plan to vaccinate prison and jail workers before incarcerated people, breaking with guidance from the Centers for Disease Control and Prevention, which recommends vaccinating everyone at correctional facilities simultaneously. Some, like New York, do not address those behind bars at all.

Vaccinating incarcerated people in the early stages of distribution has proved politically fraught. In New York, state senators have questioned whether prioritizing people in prisons makes sense. In Colorado, a draft plan to offer the vaccine inside prisons was met with fierce opposition for, as one district attorney wrote in The Denver Post, prioritizing “the health of incarcerated murderers” ahead of “law-abiding Coloradans 65 and older.”

In New York City the discussion about when and how to vaccinate incarcerated people comes as supplies dwindle.

The city’s vaccine tracker showed less than 7,710 first doses and around 202,000 second doses on hand as of Tuesday morning, with 72,409 second doses yet to be scheduled. It also indicated that 99,831 second doses have been administered out of 650,546 total doses so far, several hundred thousand short of Mayor Bill de Blasio’s goal of one million vaccine doses administered in January.

Mr. de Blasio said at a news conference on Tuesday that he wanted to use the pool of vaccines saved for second doses as first doses, but that he was still determined to get people their second doses. He cited new C.D.C. guidelines, which have not been studied in large clinical trials, that allowed a second dose to be given up to six weeks after the first in situations when receiving the second dose in the recommended three to four weeks later, depending on the vaccine, was “not feasible.”

“Anyone who gets a first dose will get a second dose,” Mr. de Blasio said. “The question is timing.”

Mr. de Blasio said that he hoped the coming Johnson & Johnson vaccine, which only requires one dose, will speed up the vaccination process. He said that the city should soon have infrastructure in place to vaccinate half a million people each week, if there is sufficient vaccine to do so.

Dr. Dave A. Chokshi, the city’s health commissioner said on Tuesday that they expected about 107,000 doses from the federal government this week, without specifying whether they were intended for first or second doses, and that they would learn next week’s allocation in the next two days. Dr. Chokshi said the city had to postpone some first dose vaccination appointments and that he thought more notice about incoming supply would make it easier for the city to complete inoculations.

On Tuesday White House officials planned to announce that the federal government’s weekly allocations of coronavirus vaccine will increase by about 1.5 million doses to around 10 million in total. The increase will come from a release of more Moderna vaccine, though people familiar with Moderna’s production said that the newly distributed doses do not reflect an immediate increase in the overall amount of vaccine the company will deliver to the federal government in the first three months of this year.

At the state level, New York officials said they were preparing a plan for vaccinating incarcerated people. Public health experts broadly agree that they are at particularly high risk for contracting and spreading the virus; at least 8,800 people living or working in New York’s prison system have tested positive since the start of the pandemic.

And because guards, lawyers, workers and people entering and leaving custody move between the facilities and the community at large, the public health implications of outbreaks behind bars extend far beyond the prison walls.Officials said last fall that an outbreak at Greene Correctional Facility near Albany was linked to cases at an assisted-living facility and an elementary school.

A vaccine center in Tel Aviv. Israel has outstripped the rest of the world in inoculating its population, making it an international test case.
Credit…Oded Balilty/Associated Press

Israel, which leads the world in vaccinating its population against the coronavirus, has produced some encouraging news: Early results show a significant drop in infection after just one shot of a two-dose vaccine, and better than expected results after both doses.

Public health experts caution that the data, based on the Pfizer-BioNTech vaccine, is preliminary and has not been subjected to clinical trials. Even so, Dr. Anat Ekka Zohar, the vice president of Maccabi Health Services, one of the Israeli health maintenance organizations that released the data, called it “very encouraging.”

In the first early report, Clalit, Israel’s largest health fund, compared 200,000 people aged 60 or over who received a first dose of the vaccine to a matched group of 200,000 who had not been vaccinated yet. It said that 14 to 18 days after their shots, the partly vaccinated patients were 33 percent less likely to be infected.

At about the identical time, Maccabi’s analysis arm mentioned it had discovered a fair bigger drop in infections after only one dose: a lower of about 60 %, 13 to 21 days after the primary shot, within the first 430,000 individuals to obtain it.

Maccabi didn’t specify an age group or whether or not it had in contrast the information with a matched, non-vaccinated cohort.

The Israeli Well being Ministry and Maccabi launched on Monday new information on individuals who had obtained each doses of the vaccine, exhibiting extraordinarily excessive charges of effectiveness.

The ministry discovered that of 428,000 Israelis who had obtained their second doses, solely 63, or 0.014 %, had contracted the virus per week later. Equally, the Maccabi information confirmed that greater than per week after having obtained the second dose, solely 20 of roughly 128,600 individuals, about 0.01 %, had contracted the virus.

In scientific trials, the Pfizer vaccine proved 95 % efficient after two doses in stopping coronavirus an infection in individuals with out proof of earlier an infection. The Israeli outcomes, in the event that they maintain up, counsel the efficacy may very well be even increased, although rigorous comparisons to unvaccinated individuals haven’t but been revealed.

Each Clalit and Maccabi warned that their findings have been preliminary and mentioned they’d quickly be adopted by extra in-depth statistical evaluation in peer-reviewed scientific publications.

Israel, the place greater than 40 % of the inhabitants has already obtained one dose of the vaccine, has turn into one thing of a world take a look at case for vaccination efficacy.

A cemetery in Chislehurst, England, this month. Deaths are rising in Britain as it confronts a highly contagious variant of the coronavirus.
Credit score…Hannah Mckay/Reuters

Prime Minister Boris Johnson of Britain promised on Tuesday to “study classes” from the coronavirus pandemic, as he acknowledged that the nation had surpassed 100,000 whole deaths.

“Its exhausting to compute the sorrow contained in that grim statistic — the years of life misplaced, the household gatherings not attended, and for thus many family members, the missed probability even to say goodbye,” Mr. Johnson mentioned.

He referred to as for the nation to recollect the lives misplaced and the efforts of the nation’s well being care staff as they battle to assist the troubled and to comprise the unfold of the virus.

“I’m deeply sorry for each life that has been misplaced, and as prime minister, I take full accountability for all the things that the federal government has accomplished,” Mr. Johnson mentioned, including that the federal government would do all the things in its energy “to reduce, lack of life and to reduce struggling.”

The British authorities is getting ready to announce tighter restrictions to fight a surge in new fast-spreading variants of the virus, which may embody a compulsory resort quarantine for vacationers arriving from overseas. Mr. Johnson didn’t elaborate on these plans throughout his information convention.

Nadhim Zahawi, the British vaccine minister, instructed Sky Information that an announcement on the journey guidelines would come in a while Tuesday, however he declined to present particulars.

New information launched by the Workplace for Nationwide Statistics earlier within the day put the full variety of registered deaths in England, Northern Eire, Scotland and Wales at 103,602 via Jan. 15.

The nation has had some success in getting vaccinations going rapidly. Simon Stevens, the chief govt of the Nationwide Well being Service, mentioned on Tuesday that to this point, one in eight adults within the nation had obtained the primary of the 2 required vaccine doses. However he cautioned that there have been nonetheless tough instances forward.

“This isn’t a 12 months that anyone goes to need to keep in mind,” Mr. Stevens mentioned.

A patient receiving an injection of the Oxford-AstraZeneca vaccine in Brighton, England, on Tuesday.
Credit score…Ben Stansall/Agence France-Presse — Getty Pictures

Germany’s Well being Ministry has denied broadly criticized and thinly sourced stories in native information retailers that AstraZeneca’s coronavirus vaccine is barely efficient in defending older individuals, stressing that the information was nonetheless being reviewed as European Union regulators contemplate approving the vaccine.

“The German Ministry of Well being can not affirm current stories of decreased efficacy of the AstraZeneca vaccine,” the ministry mentioned in an announcement on Tuesday, after two main German newspapers reported that the vaccine had proved efficient in simply 8 % of individuals over 65.

“At first look, it seems that two issues have been confused within the stories: About 8 % of the themes within the AstraZeneca efficacy trial have been between 56 and 69 years of age, and solely 3 to 4 % have been over 70 years of age,” the ministry mentioned. “Nevertheless, this doesn’t suggest an efficacy of solely 8 % in seniors.”

The German well being minister, Jens Spahn, referred to as the stories “hypothesis” early Tuesday and identified that the accessible information had not but been totally assessed.

“It has lengthy been clear — there was a dialogue within the fall — that there’s much less information for older individuals,” Mr. Spahn mentioned.

AstraZeneca refuted the preliminary stories within the German media on the effectiveness of the vaccine, calling them “fully incorrect.” AstraZeneca and Oxford, which developed the vaccine, haven’t launched figures on how efficient the vaccine is for various age teams.

The AstraZeneca vaccine has been authorized for emergency use in a number of international locations, together with Britain, India and Mexico, however not but within the European Union. The corporate utilized for authorization on Jan. 12, and the European Medicines Company, the bloc’s drug regulator, is anticipated to announce its determination on Friday.

The stories come amid rising concern in Germany over the sluggish begin to the nation’s mass vaccination program, after AstraZeneca knowledgeable Brussels on Friday that it will not be capable of ship the anticipated variety of doses to the European Union, due to gradual manufacturing at a producing web site inside the bloc.

Chancellor Angela Merkel and Mr. Spahn have pledged to make vaccines accessible by Sept. 21 to all adults in Germany who need the shot. That promise relies on the nation receiving the 56.2 million does of the AstraZeneca vaccine, based mostly on its authentic supply pledge.

President Andrés Manuel López Obrador of Mexico this month. He disclosed on Sunday that he had contracted Covid-19.
Credit score…Luis Antonio Rojas for The New York Occasions

For practically a 12 months, the president of Mexico, Andrés Manuel López Obrador, had minimized the pandemic, claiming that spiritual amulets protected him, refusing to put on a masks and even consuming from the identical clay pot as supporters. It was solely a matter of time till he bought sick himself, some Mexicans mentioned.

With the president now contaminated, what most aggrieved many Mexicans was not solely that he had flouted primary security precautions, but additionally that he might return to taking part in down the menace that the surging pandemic poses after his personal sickness.

They famous that with top-notch medical care delivered at his residing quarters, the president might properly get better. Their family members, then again, will battle to get probably the most primary care.

A devastated Mexico is struggling to rein within the pandemic. Final Thursday, the authorities introduced greater than 1,800 coronavirus deaths, breaking the report of single-day deaths set simply days earlier.

In Mexico Metropolis, hospitals are at 89 % capability, based on the latest well being ministry figures, whereas nationwide, the determine is 60 %. Throughout the nation, greater than half of all hospital beds with ventilators are full.

Thus far, greater than 1.7 million individuals have contracted the virus in Mexico and greater than 150,000 individuals have died. That’s the fourth-highest dying toll on the earth.

Amid widespread distrust of hospitals, many contaminated individuals select to remain residence — and infrequently die there. The reason for dying might not be listed as Covid-19. That, mixed with the nation’s low ranges of testing, means the pandemic’s true toll is probably far worse than the official one.

On Monday, the day after the president disclosed his an infection, Carlos Slim, a telecommunications tycoon who’s the richest man in Mexico, was additionally reported to have contracted the virus. His son said on Twitter that Mr. Slim, who turns 81 this week, had delicate signs and was doing “very properly.”

Whereas Mr. López Obrador additionally mentioned that his signs have been delicate and that he “remained constructive,” docs warned that the 67-year-old coronary heart assault survivor was in a high-risk class.

And it stays to be seen if his personal bout with the virus will change his perspective towards it.

Mr. López Obrador will not be the primary world chief to fall sick with coronavirus.

Early final 12 months, Prime Minister Boris Johnson of Britain famously endured in shaking arms with Covid-19 sufferers and later was admitted to a hospital himself after contracting the sickness.

Mr. Johnson emerged sounding chastened, and with a brand new, intimate consciousness of the virus’s hazard. He went on to embrace masks carrying and lockdowns and different measures designed to assist stem transmission.

However in Mexico, some public well being specialists concern their chief will go extra the best way of former President Donald J. Trump, who beat the virus final 12 months after which continued to minimize the pandemic and undermine well being officers’ suggestions.

International Roundup

Medical workers examining a Covid-19 patient at a hospital in Bogor, Indonesia, on Monday.
Credit score…Adek Berry/Agence France-Presse — Getty Pictures

Indonesia formally handed a million coronavirus circumstances on Tuesday, with many hospitals close to capability whilst vaccinations are underway. As in lots of international locations, nevertheless, the true variety of infections is more likely to be a lot increased.

Indonesia, which has the world’s fourth-largest inhabitants at greater than 270 million, by no means succeeded in containing its first wave of infections, and the each day numbers of latest circumstances and deaths have surged to their highest ranges prior to now 10 days.

On Tuesday, officers reported 13,094 new circumstances and 336 deaths for a complete of 1,012,350 circumstances, the best in Southeast Asia. Indonesia is the nineteenth nation to surpass a million circumstances, and amongst Asian nations it trails solely India within the variety of circumstances.

Dicky Budiman, an epidemiologist who research pandemics and international well being safety at Griffith College in Australia, has been saying for months that Indonesia is undercounting its case numbers by a 3rd or extra.

He estimates that the nation has no less than 60,000 new infections every day, greater than 4 instances what the federal government is reporting.

“The response they offer to the pandemic will not be equal to the issue,” mentioned Dr. Dicky, a former Indonesian well being official.

Although Indonesia started its vaccination program nearly two weeks in the past, it’s more likely to be a while earlier than there’s a important impact on new infections. A authorities spokesman mentioned that as of Tuesday, 162,000 individuals had obtained the primary of two doses of the vaccine made by Sinovac, a non-public Chinese language firm. With a inhabitants unfold throughout hundreds of islands, specialists say vaccinating sufficient Indonesians to succeed in herd immunity may take a 12 months or extra.

Right here’s what else is occurring around the globe:

  • Violent protests erupted for the third night time in cities throughout the Netherlands, with shops looted and rocks and fireworks thrown at cops in response to a nationwide 9 p.m. curfew that went into impact on Saturday. In whole, the police arrested greater than 150 individuals nationwide, the police chief instructed the Dutch broadcaster NOS.

    Politicians echoed the same sentiment. “What’s taking place within the Dutch streets is unprecedented,” Wopke Hoekstra, the finance minister, instructed Dutch tv on Tuesday. Ferd Grapperhaus, the justice minister, referred to as the violence “outrageous” and indicated that the protests have been no cause to rethink the strict lockdown measures. “We want the curfew,” Mr. Grapperhaus mentioned.

  • France introduced on Tuesday that it will not delay the second dose of the Pfizer-BioNTech vaccine to rapidly maximize the variety of individuals receiving a primary shot, as some international locations have accomplished. The French well being minister, Olivier Véran, mentioned at a information convention that the talk on delaying the second dose was “reliable” however that it was nonetheless unclear how environment friendly the vaccine can be if administered six weeks after the primary shot, as a substitute of the advisable three to 4 weeks. “I’m selecting the safety of confirmed information,” Mr. Véran mentioned.

  • A World Well being Group panel of specialists advisable on Tuesday that the Moderna Covid-19 vaccine be given in two doses spaced 28 days aside, which may very well be prolonged below distinctive circumstances to 42 days. The steering was issued by the group’s Strategic Advisory Group of Specialists on Immunization a number of weeks after it issued related steering on the rival Pfizer shot, based on Reuters.

The European health commissioner, Stella Kyriakides, speaking at the European Commission headquarters in Brussels on Monday.
Credit score…Pool picture by John Thys

The European Union escalated a disagreement with AstraZeneca on Monday over the corporate’s sudden announcement on Friday that it must drastically reduce the variety of vaccine doses delivered to the bloc and its 27 members.

The European well being commissioner, Stella Kyriakides, mentioned a name with the corporate’s management on Monday had not yielded ample solutions as to why the corporate was breaking its contractual obligation and mentioned one other name can be held on Monday night.

A spokesperson for AstraZeneca, mentioned: “Our C.E.O. Pascal Soriot was happy to talk with the Fee President Ursula von der Leyen earlier at this time. He harassed the significance of working in partnership and the way AstraZeneca is doing all the things it may to carry its vaccine to tens of millions of Europeans as quickly as potential.”

The AstraZeneca debacle delivers a severe blow to the bloc’s sluggish vaccination rollout, and comes days after Pfizer notified E.U. members and a number of other different international locations that it will decelerate deliveries till mid-February because it upgraded its Belgium manufacturing facility to extend manufacturing.

The dual disappointments have left a number of E.U. international locations hamstrung, and have thwarted the bloc’s collective effort to vaccinate 70 % of its inhabitants by this summer time, as Britain and the USA are making higher progress with their inoculation packages.

“The European Union has pre-financed the event of the vaccine and its manufacturing, and needs to see the return,” Ms. Kyriakides mentioned, implying that the E.U. was involved the corporate had offered the vaccines the bloc had funded to different international locations.

“The European Union desires to know precisely which doses have been produced, the place by AstraZeneca to this point, and if, or to whom, they’ve been delivered,” she added.

Ms. Kyriakides additionally mentioned that the European Fee, the chief department of the E.U., was proposing its members approve a system wherein pharmaceutical corporations like AstraZeneca that produce vaccines in crops in E.U. territory would wish to register any intention to export a part of that manufacturing exterior the bloc.

A damaged supermarket in Rotterdam, The Netherlands, after clashes between a group of young people and the police on Monday night.
Credit score…Marco De Swart/EPA, through Shutterstock

Shopkeepers boarded up home windows and despatched workers residence early in a number of cities throughout the Netherlands on Tuesday, because the nation braced for a fourth night time of protests towards a 9 p.m. curfew that’s meant to gradual the unfold of the coronavirus.

Lots of of protesters have been arrested because the curfew went into impact nationwide on Saturday, the authorities mentioned. Rioters have looted shops, burned a Covid-19 testing heart, and thrown fireworks and rocks on the police in Amsterdam, Rotterdam and different cities.

“Officers have been injured, and residents felt unsafe in their very own properties,” Hugo Hillenaar, the chief public prosecutor of Rotterdam, mentioned on Tuesday, after police made dozens of arrests on Monday night time. “As a society, we completely can not tolerate this.”

Although each day counts of latest coronavirus circumstances have been declining within the Netherlands, Dutch authorities mentioned final week that stricter restrictions have been wanted to regulate the unfold of a extra contagious variant that was first recognized in Britain. Different European international locations have additionally imposed curfews, together with France, the place individuals typically have to be residence by 6 p.m.The brand new variant, generally known as B.1.1.7., has been held accountable for report numbers of latest circumstances in Britain and different European international locations like Spain, which closed down its bars and eating places final week, and Portugal, the place hospitalizations have soared to report highs.

Within the Netherlands, the place bars and eating places have been shut since October and colleges and nonessential outlets closed final month, the federal government has mentioned it was “gravely involved” concerning the new variant. “We don’t need to look again a number of weeks from now and understand that we didn’t do sufficient,” the federal government mentioned in an announcement on Friday.

There have been protests towards lockdown measures all via the pandemic, however none had turned as violent because the riots of the final 4 days. When the curfew and new journey restrictions took impact on Saturday, teams of youths set fires, attacked buildings and pelted cops with stones.

The Dutch justice minister, Ferd Grapperhaus, mentioned in a broadcast interview Tuesday that the protests have been no cause to rethink the nation’s strict lockdown measures. “We want the curfew,” he mentioned.

The Netherlands has reported 13,686 deaths because the pandemic started, or 79 deaths for every 100,000 inhabitants — half the speed reported in international locations like Britain, Belgium or Italy. The U.S. charge is about 127 per 100,000.

On Tuesday, Prime Minister Mark Rutte of the Netherlands denounced the “felony violence” that had erupted.

“The riots don’t have anything to do with protesting or combating for freedom,” Mr. Rutte wrote on Twitter. “We should win the struggle towards the virus collectively, as a result of solely then can we regain our freedom.”

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