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Covid-19 News: Dwell Updates – The New York Instances – NewsEverything NewYork

Sergeant Brian Patrick McKnerney of the New Jersey State Police received a coronavirus vaccination in Rockaway, N.J., on Friday. 
Credit score…Sarah Blesener for The New York Instances

President-Elect Joseph R. Biden Jr. plans to launch practically all obtainable coronavirus vaccine doses “to make sure the Individuals who want it most get it as quickly as potential,” a pointy break from the Trump administration’s observe of holding again a number of the vaccine, the Biden transition staff mentioned Friday.

“The president-elect believes we should speed up distribution of the vaccine whereas persevering with to make sure the Individuals who want it most get it as quickly as potential,” T.J. Ducklo, a spokesman for the transition staff, mentioned.

“He helps releasing obtainable doses instantly, and believes the federal government ought to cease holding again vaccine provide so we are able to get extra photographs in Individuals’ arms now. He’ll share further particulars subsequent week on how his Administration will start releasing obtainable doses when he assumes workplace on January 20th.”

As a result of each of the vaccines which have emergency approval require two doses, the Trump administration has been holding again roughly half of its provide to make sure these already vaccinated obtain the booster dose. However the vaccine rollout has been troubled from the beginning.

As of Thursday, the Trump administration had shipped greater than 21 million vaccine doses, and hundreds of thousands extra had been already within the federal authorities’s palms. But solely 5.9 million folks had obtained them. State and native public well being officers, already overwhelmed with rising infections, have been struggling to manage the vaccine to hospital staff and at-risk older Individuals whereas most individuals stay at the hours of darkness about after they is perhaps protected.

Releasing the overwhelming majority of the vaccine doses goes towards the advice of officers from the Meals and Drug Administration — specialists whose recommendation Mr. Biden has pledged to observe. However a transition official, talking anonymously to supply perception into the president-elect’s pondering, mentioned would use the Protection Manufacturing Act, if wanted, to make sure that sufficient doses can be found.


United States › United StatesOn Jan. 7 14-day change
New instances 280,292 +15%
New deaths 4,112 +6%

World › WorldOn Jan. 7 14-day change
New cases 840,457 +6%
New deaths 15,633 Flat

Where cases per capita are
highest

Nurses checked the nightly schedule at United Memorial Medical Center in Houston at the change of shifts in the Covid-19 care unit going into the first day of 2021.
Credit…Callaghan O’Hare/Reuters

Thursday began with a warning, and it was soon borne out.

“We believe things will get worse as we get into January,” Dr. Anthony S. Fauci, the United States’ top infectious disease specialist, said in a radio interview at the start of the day.

It didn’t take long for him to be proved right: Things immediately got worse.

For the second day in a row, the United States set a record for daily reported deaths: at least 4,111. And public health officials recorded a new daily case record, too: at least 280,028 new infections. (That excludes two days with figures driven up by reporting anomalies, and it is possible that the new highs in deaths and cases may reflect reporting lags tied to the holidays.)

The figures were an uncomfortable reminder that while many Americans were fixated on the political events roiling Washington, the pandemic hadn’t ceased wreaking havoc across the country.

With hopes buoyed by the arrival of a vaccine, and then dimmed by the delays in rolling it out, Dr. Fauci urged Americans to be patient. In his interview with NPR, he said that any program so large in scale would hit stumbling blocks. And the holiday timing of the rollout may have added to the delays, he said.

“I think it would be fair to just observe what happens in the next couple of weeks,” Dr. Fauci said. “If we don’t catch up on what the original goal was, then we really need to make some changes about what we’re doing.”

Dr. Francis S. Collins, director of the National Institutes of Health, also said it was not surprising that the vaccine drive had gotten off to a “rocky” start.

“That’s a lot of logistics,” he told The Washington Post. “So maybe we shouldn’t be too shocked that it didn’t go like clockwork.”

And, in fact, after a lagging start, vaccinations were beginning to speed up.

In the third week of the drive, more people were reported to have received their initial shots than in the first two weeks combined. The government count rose by 470,000 from Tuesday to Wednesday, and then by another 612,000 from Wednesday to Thursday.

Administering shots in Berlin last month. The president of the European Commission said the European Union had now ordered enough vaccines to inoculate 80 percent of the bloc’s population of about 450 million.
Credit…Lena Mucha for The New York Times

The European Commission, the executive arm of the European Union, announced on Friday that it had secured a contract for an additional 200 million doses of the Pfizer-BioNTech vaccine, with an option to add another 100 million, in an apparent response to the growing criticism that the bloc had ordered too little and too late.

“Europe will have more than enough vaccines in a reliable time frame,” Ursula von der Leyen, the commission’s president, said during a news conference on Friday, stressing that the combined orders of Pfizer-BioNTech and Moderna vaccines would be sufficient to inoculate 80 percent of the European Union’s population of about 450 million.

Defending the commission’s actions on ordering doses, Ms. von der Leyen said that in the summer it had been impossible to know “which vaccines would have made it,” but that the expansion of Pfizer’s production capacity “illustrates it was right to bet on this particular horse.”

The new contract could double the number of Pfizer-BioNTech doses secured by the European Union from 300 million to 600 million, with the first 75 million ready for dispatch in the spring, though it is now up to member countries to place their individual orders. The original contract, finalized in November, secured 200 million doses with the option for an additional 100 million, which was triggered by the commission in late December.

The bloc also ordered 160 million doses of the Moderna vaccine, which was approved by the European Union drug regulator on Wednesday, moving up a decision that had been scheduled for later in January.

The European Commission has come under fire for not ordering a sufficient number of vaccines, and has been blamed for the slow rollout in its 27 member countries. The European Medicines Agency, the regulator, has also been denounced for not yet having started a review of the University of Oxford-AstraZeneca vaccine, which has recently been approved for use in countries including Britain and India.

The commission has taken the lead in approving, negotiating and securing the vaccines on behalf of its members, and it has pushed back against the criticism, highlighting that the decision on how many doses to buy was made by national governments, and that the rollout itself was strictly national business.

“All the members do their utmost to move forward with the vaccination plan,” Ms. von der Leyen said on Friday. “The beginning is always difficult, it is a logistical challenge.”

A patient arriving at a hospital in London on Thursday. New guidance in Britain encourages health care providers to use two arthritis drugs to treat severely sick Covid-19 patients.
Credit…Andy Rain/EPA, via Shutterstock

The British government on Friday issued new guidance encouraging health care providers to use two arthritis drugs to treat severely sick Covid-19 patients, after the release of encouraging data from a clinical trial that has not yet been published in a scientific journal.

The paper reported that treatment regimens that included the drugs tocilizumab or sarilumab reduced the death rate among Covid patients in intensive care to about 27 percent, compared with 36 percent among patients who did not take the drugs. Based on those results, about one death would be prevented for every 12 I.C.U. patients treated early with the drugs. All of the patients in the trial received the drugs within 24 hours of entering intensive care.

“As far as interventions go, that’s really good,” said Dr. Ilan Schwartz, an infectious-disease physician at the University of Alberta, Canada.

The findings make the pair of drugs, which act on the immune system, some of the only treatments — apart from steroids like dexamethasone — that have reduced Covid deaths in a rigorously designed clinical trial. (Most of the new study’s participants also took steroids during their hospital stay.)

The big dip in mortality shown in the trial of about 800 patients has caught some experts by surprise. Other studies testing the effects of tocilizumab and sarilumab have ended in disappointment, showing little to no benefit in people hospitalized for Covid-19.

Because all treatment trials are run with their own quirks and patient populations, “it’s difficult to compare across different studies,” said Dr. Emma Kaplan-Lewis, an infectious-disease physician at NYC Health + Hospitals who has helped to conduct trials on tocilizumab, including one that showed no improvement in patient survival. She was not involved in the new study.

“My general impression is that tocilizumab and sarilumab do work for some patients,” Dr. Kaplan-Lewis added. “But there is a sweet spot — it’s not for everybody, at all times.”

While many treatments for Covid-19 target the coronavirus itself, drugs like tocilizumab and sarilumab work to quiet the immune system which, when triggered by an infection, can overreact and start to destroy the body’s own tissues. This immunological “friendly fire” is thought to fan the flames of many of the most serious cases of Covid-19.

Although the new study has not yet been vetted by experts for formal publication, its findings were compelling enough to prompt a shift in guidance in Britain, where officials have partnered with Roche, a manufacturer of tocilizumab, to keep hospitals stocked with the drug.

Syringes containing the Pfizer-BioNTech Covid-19 vaccine ready for use at St. Joseph Hospital in Orange, Calif.
Credit…Jae C. Hong/Associated Press

Edward Goldberg’s phone would not stop ringing. Not only was the concierge doctor on Manhattan’s Upper East Side fielding calls from patients who went to St. Bart’s or Aspen — the wisdom of public-health officials be damned — and came back with Covid, he was hearing from healthy people too. They had an urgent desire for the coronavirus vaccine, and surely there was a way to gain access to it immediately.

Another contingent was calling Dr. Goldberg’s office inquiring about membership in his practice, assuming that they would then be fast-tracked for the vaccine. Concierge medicine involves the payment of annual fees — in Dr. Goldberg’s case, $20,000 a year — for what is essentially unlimited access to a doctor’s care. When asked how quickly someone might receive a vaccine, Dr. Goldberg explains that New York State is levying huge penalties against any medical outfit that tries to game the protocols for distribution.

It was inevitable that in an era marked by inequity and radically conflicting interpretations of truth that the rollout of the Covid-19 vaccine would be marked by so much delusion on multiple fronts. On the one hand are the rich, who are accustomed to finding workarounds whenever they want something that is in short supply and see little need for a different approach when it comes to protecting themselves from a disease that has largely devastated the underclass.

And then there are the skeptics who believe that the vaccine is trouble. In a survey of 1,117 Americans, conducted in early December, a quarter of respondents said they would not take the vaccine when it became available to them, while another quarter said that they were not sure.

A little over a week ago, Lara Devgan posted a video of herself getting the vaccine on Instagram. A Park Avenue plastic surgeon, she’d been hearing from some of her patients — those who have had cosmetic fillers — that they were worried the vaccine would cause temporary facial swelling.

“As someone who performs injectable facial fillers — who likes them and uses them myself — I believe the vaccine is safe,’’ Dr. Devgan said, “and the concept about worrying about how your face looks is not a reason not to get the vaccine.”

Israeli soldiers in full protective gear collecting swab samples for coronavirus tests in a gymnasium in Jerusalem on Thursday.
Credit…Abir Sultan/EPA, via Shutterstock

In a boost to Israel’s vaccination campaign, Prime Minister Benjamin Netanyahu announced on Thursday that he had reached an agreement with Pfizer that will enable all Israelis above age 16 to be inoculated against Covid-19 by the end of March.

Mr. Netanyahu made the remarks hours before Israel was set to tighten its current lockdown. Health experts believe the new highly transmissible variant of the virus has fueled a rising infection rate.

“We are going to be the first country to beat the coronavirus,” Mr. Netanyahu declared in a statement at his office in Jerusalem.

The vow came after days in which health officials warned that Israel’s supply of vaccines was dwindling.

He said planes carrying the vaccine would be arriving soon and boasted that he had spoken to Albert Bourla, Pfizer’s chief executive, 17 times in the past several weeks.

More than 18 percent of Israel’s population has already received the first dose of the vaccine, a rate that has far outstripped the rest of the world and buoyed Mr. Netanyahu’s battered domestic image.

As part of the agreement with Pfizer, Mr. Netanyahu said that Israel would be an “international model for quickly vaccinating an entire country” and that Israeli authorities would share data with the pharmaceutical giant to help “develop strategies to defeat” the virus.

The Israeli health minister, Yuli Edelstein, said the government would give priority to a broader swath of its population to receive the vaccine starting next week. He did not give specifics.

As of Thursday, Israel was permitting people 60 and older to be inoculated, as well as a number of other target groups. It has also provided them to members of the broader public under some circumstances.

Despite his optimism about the vaccines, Mr. Netanyahu was adamant that Israelis abide by the lockdown. “It is forbidden to forget for a moment that the pandemic is raging around the world,” he said.

Israel has averaged 6,695 cases per day over the past week, a substantially higher number than the previous seven days, according to a New York Times database.

Heathrow Airport last month. Britain and many other countries are adding travel restrictions to keep out more transmissible variants of the virus. 
Credit…Facundo Arrizabalaga/EPA, via Shutterstock

Concerns about the rapidly transmissible variants of the coronavirus found in Britain and South Africa have prompted a number of countries to introduce a requirement for passengers to test negative for the virus before they travel.

Australia and Canada will begin requiring negative tests from all travelers this week, while Ireland will begin requiring proof of a negative result for travelers just from Britain or South Africa.

Some of the world’s strictest entry requirements, those in Hong Kong, recently got tougher, with the territory now requiring not only a negative test result but also extending its mandated quarantine at a government-designated hotel to three weeks.

Many countries within the European Union, such as Greece, the Netherlands and Spain, require travelers from countries deemed high-risk to provide a negative test result before or on arrival, and Brazil and Russia have also made a negative test a requirement for entry.

Britain, for its part, said on Friday that it would also require proof of negative tests from international travelers, aiming to prevent infections from abroad from adding to the drastic rise in its domestic cases. Since early December, the country’s seven-day average of new daily infections has quadrupled, growing from around 14,000 to more than 57,000.

Deaths are also on the rise, with a toll of 1,162 announced on Thursday. And the National Health Service’s hospitals in London are under such strain that the mayor, Sadiq Khan, on Friday put some responding agencies on emergency footing.

Almost all inbound passengers, including Britons, who arrive by boat, plane or train will be required to have a test in the 72 hours before departing for the country, British officials said on Friday, with a fine of 500 pounds, or about $680, for those who fail to comply. The new rules are expected to come into force next week.

Even with a negative test, those arriving in Britain will still need to quarantine unless they have come from a country judged to be low-risk. Travelers can shortening the period of self-isolation by taking another test at least five days after arrival.

GLOBAL ROUNDUP

A testing center in Hong Kong last month. Under the new rules, which take effect next week, birth partners will be allowed if they have tested negative for the coronavirus within the past 72 hours.
Credit…Miguel Candela/EPA, via Shutterstock

Officials in Hong Kong on Friday reversed a contentious pandemic restriction that had barred birth partners from delivery rooms in public hospitals, forcing women to give birth alone.

Announcing the change, Dr. Au Yeung Kam-chuen, chairman of the Hong Kong Hospital Authority’s coordinating committee for obstetrics and gynecology, said, “We consider the accompanying person can help soothe the emotions and reduce painkilling needs for pregnant women during delivery, and will not affect the operation of the labor ward too much.”

Officials said the restriction had been lifted in response to feedback from women and their partners, many of whom were prevented from meeting their children until several days after they were born.

“Everyone is just absolutely overjoyed at the news, and honestly a little bit stunned that all our campaigning has worked,” said Lindsey Ford, an expectant mother who had drawn attention to the issue.

Under the new rules, which take effect next week, birth partners will be allowed if they have tested negative for the coronavirus within the past 72 hours. Women in labor were already required to be tested upon arrival at the hospital.

Hong Kong’s ban on birth partners had been in place off and on for most of last year, and was most recently reintroduced over a month ago amid a fourth wave of infections. It went against a recommendation by the World Health Organization that all pregnant women, including those suspected or confirmed to have the coronavirus, have access to the companion of their choice during labor and childbirth. Experts have also warned against such restrictions in the British Medical Journal and elsewhere.

“I still feel robbed,” said Emma Whetnall, whose husband was not allowed to be present for the birth of their first child last May. “I feel like that experience was stolen from us.”

The pandemic has complicated pregnancy and childbirth for women around the world, with many reporting negative experiences including nonconsensual procedures and forced separation from newborns. Researchers have estimated that pandemic-related disruptions could result in tens of thousands of additional maternal deaths.

Hong Kong was among the only places in the world where hospital restrictions still extended even to the delivery room. In March, Gov. Andrew Cuomo of New York issued an executive order requiring all hospitals in the state to allow birth partners in delivery rooms after they were barred by two major hospital systems in New York City.

In other developments across the world:

  • Britain granted emergency approval to the coronavirus vaccine developed by Moderna on Friday, making it the third shot approved for use there. The 17 million doses ordered from the Massachusetts-based company are not expected to arrive until spring. Doses of the Pfizer-BioNTech and Oxford-AstraZeneca vaccines are already being administered to thousands of people a day. In the face of skyrocketing infections, Prime Minister Boris Johnson has set a goal of vaccinating 13.9 million of the nation’s most vulnerable people by mid-February.

  • Indonesia’s influential council of Muslim clerics announced on Friday that a coronavirus vaccine made by the Chinese company Sinovac was acceptable under Islamic law, removing a potential obstacle to its use. The Indonesian government is expected to issue an emergency authorization soon that would permit use of the vaccine, with inoculations beginning as soon as next week. The Indonesian Ulema Council, as the body of clerics is known, said it had concluded that the vaccine was free of pork material and therefore halal.

  • Brisbane, Australia’s third-biggest city, is heading into a three-day lockdown after reporting its first case of a highly transmissible coronavirus variant that was not in a quarantined international traveler. A cleaner working at a quarantine center tested positive for the variant first identified in Britain on Thursday. Officials say they believe the cleaner had been infectious but asymptomatic from Jan. 2, during which time she had been on public transport and visited shops. Annastacia Palaszczuk, the state premier of Queensland, which includes Brisbane, said that residents would not be allowed to leave home except to get groceries, exercise, work or provide care, starting on Friday at 6 p.m. until Monday night.

People who qualify under Phase 1A or Phase 1B of Texas state guidelines were in line to receive Covid-19 vaccinations on Sunday, in Houston.
Credit…Yi-Chin Lee/Houston Chronicle, via Associated Press

The list of states to identify the dangerous new coronavirus variant is growing.

Texas, Connecticut and Pennsylvania confirmed their first cases on Thursday, joining California, Colorado, Georgia, Florida and New York.

Florida has at least 22 confirmed cases, according to the Centers for Disease Control and Prevention. California has reported at least 26.

Experts have warned that the United States is woefully ill-equipped to track the rapidly transmissible variant. Without a robust, national system to identify genetic variations of the coronavirus, states are left on their own to identify the variant.

The Texas Department of Health and Human Services said an adult male resident of Harris County, which includes Houston, with no history of travel tested positive for the coronavirus. Genetic sequencing this week showed that the infection was caused by the variant.

“The fact that this person had no travel history suggests this variant is already circulating in Texas,” Dr. John Hellerstedt, the commissioner of state health services, said in a statement. “It’s not surprising that it showed up here given how rapidly it spreads.”

Dr. Hellerstedt urged Texans to “redouble our commitment” to social distancing and public health measures.

In Connecticut, Gov. Ned Lamont said two individuals between 15 and 25 years old had examined constructive for the variant. Each had traveled exterior of the state, he mentioned, one to Eire and the opposite to New York. Genetic sequencing confirmed the instances are unrelated.

Pennsylvania additionally reported that its case was due to worldwide publicity.

Final month, Britain grew to become the primary nation to establish the brand new variant, which is now surging there and burdening its hospitals with new instances. Now, the variant has been recognized in a minimum of 33 international locations, together with Britain. Dr. Hans Kluge, the World Well being Group’s regional director for Europe, known as the unfold of the variant throughout the continent “an alarming state of affairs.”

“With out elevated management to sluggish its unfold, there will likely be an elevated influence on already burdened and pressurized well being services,” Dr. Kluge mentioned at a briefing on Thursday, warning that the variant could, over time, “exchange different circulating lineages” because it has in Britain.

Dr. Kluge urged international locations to proceed to analyze transmission, enhance genetic sequencing and to share information.

The already sputtering financial rebound went into reverse in December, as employers laid off staff amid rising coronavirus instances and waning authorities help.

U.S. employers reduce 140,000 jobs in December, the Labor Division mentioned Friday. It was the primary internet decline in payrolls since final spring’s mass layoffs, and although the December loss was nowhere close to that scale, it represented a discouraging reversal for the once-promising restoration. The U.S. economic system nonetheless has about 10 million fewer jobs than earlier than the pandemic started.

The December losses had been closely concentrated in leisure and hospitality companies, which have been hit particularly exhausting by the pandemic. The business reduce practically half 1,000,000 jobs in December, whereas sectors much less uncovered to the pandemic continued so as to add staff.

The unemployment price was unchanged at 6.7 %, down sharply from its excessive of practically 15 % in April however nonetheless near double the three.5 % price in the identical month a yr earlier.

“We’re dropping floor once more,” mentioned Diane Swonk, chief economist on the accounting agency Grant Thornton. “Most notably, that is nonetheless very a lot a low-wage recession, and the losses had been the place we first noticed them when the pandemic hit.”


Unemployment price

By Ella Koeze·Seasonally adjusted·Supply: Bureau of Labor Statistics

Hiring has slowed each month since June, and the economic system misplaced greater than 9 million jobs in 2020 as a complete, the primary calendar-year decline since 2010 and the worst on a share foundation because the aftermath of World Conflict II.

Congress final month handed a $900 billion aid bundle that can present non permanent assist to households and companies and will enhance the broader economic system. And within the longer run, the arrival of coronavirus vaccines ought to enable the return of exercise that has been suppressed by the pandemic.

However the vaccine and the help got here too late to forestall a pointy slowdown in progress.

“We did have a pullback within the economic system,” mentioned Michelle Meyer, head of U.S. economics at Financial institution of America. “If stimulus was handed earlier, possibly that would have been prevented.”

Health officials hope the increased use of rapid tests will help in the fight against the pandemic.
Credit score…Abbott, through Agence France-Presse — Getty Photos

Amid surging coronavirus instances, the highest U.S. testing official on Thursday introduced one other scale-up within the nation’s diagnostic efforts, touting the significance of checks that may run from begin to end exterior the lab.

The federal government will allocate a further $550 million to community-based testing applications throughout all 50 states, mentioned Adm. Brett Giroir, the assistant secretary for well being. The federal government can even put $300 million towards 60 million kits for federal distribution to nursing properties and different weak communities.

Dr. Giroir projected that the nation’s capability for non-laboratory testing may greater than double by June.

In a video livestream, Dr. Giroir held up three new at-home testing kits, designed by Ellume, Abbott and Lucira Well being, that just lately obtained emergency inexperienced lights from the Meals and Drug Administration. All can ship ends in a matter of minutes after a fast nasal swab, although solely Ellume’s product may be bought with no prescription.

The Abbott and Ellume checks seek for bits of coronavirus proteins known as antigens. Lucira’s take a look at, like most laboratory-based checks, hunts for genetic materials.

Dr. Giroir, who will depart his place on Jan. 19 as a part of the transition to the Biden administration, praised the checks as “subtle” however cautioned that none had been but in widespread use. Manufacturing ramp-ups are in progress, he famous, however won’t alter the marketplace for a number of months.

Ellume’s take a look at, for instance, whereas will probably be bought over-the-counter in a number of weeks, will nonetheless be obtainable in solely very restricted portions.

Consultants have repeatedly cautioned that fast checks should not as correct or constant as checks that route folks’s samples via a laboratory, the place they’re usually processed with a way known as polymerase chain response, or P.C.R.

Speedy checks, which may run from begin to end in a matter of minutes, can also falter extra usually when used on folks with out signs. Even so, they’re usually used — as a option to ceaselessly display some populations like nursing dwelling residents and schoolchildren.

However fast checks usually have price and comfort on their facet — advantages that Dr. Giroir repeatedly underscored in a name with reporters. He famous the sluggish and bumpy rollout of testing in the USA, the place speedy checks outcomes are nonetheless a relative rarity.

Dr. Giroir mentioned it was “not but apparent” whether or not widespread at-home testing would achieve success.

Susan Butler-Wu, a medical microbiologist on the College of Southern California’s Keck Faculty of Medication, mentioned at-home testing would possibly streamline the testing course of. Individuals who really feel sick may take a look at themselves and decide whether or not they should isolate or search therapy in a matter of minutes.

However outsourcing testing to most people additionally carries dangers.

Incorrect outcomes, for instance, may very well be more durable to catch, interpret and act on when folks take a look at themselves at dwelling. False negatives would possibly embolden folks to mingle with others, hastening the unfold of the virus, whereas false positives may unnecessarily maintain folks out of labor or faculty.

And each sorts of errors may erode public belief in testing.

Dr. Butler-Wu additionally famous that fast take a look at outcomes won’t make it to the best care suppliers and to public well being officers when collected at dwelling.

If outcomes aren’t correctly reported, she mentioned, “you’re flying blind — you don’t know the prevalence in your neighborhood.”

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