Tag Archives: COVID19

Nets ask why game was on amid Kevin Durant’s COVID-19 mess

Frustrated. Overwhelming. Downright bizarre.

Those are the words the Nets used to describe what happened Friday night, when Kevin Durant was pulled from their starting lineup moments before tipoff, then allowed to play only to be yanked off the court for COVID-19 contact tracing.

“I was frustrated, especially [since] we follow the protocols, we get tested every single day, so I don’t understand the whole thing where he couldn’t play and then he came on a court, and then they took him back. There’s just a lot going on. There’s too much going on. It’s kind of overwhelming,” said James Harden, who broached the question of whether the game should’ve been called altogether.

“If that was the case, the game should’ve been postponed. If we’re talking about contact tracing, he was around all of us, so I don’t understand why he wasn’t allowed to play and then was able to play and then taken back off the court. If that was the case, we should just postpone the game. That’s how I feel.”

James Harden questions a referee during the Nets’ loss to the Raptors on Friday.
Charles Wenzelberg/New York Post

Durant had tested negative three times in the previous 24 hours, including twice on Friday. Nevertheless, he was still pulled off the court and now isn’t expected to make the trip to Philadelphia for Saturday’s huge matchup against the 76ers. It left the Nets shorthanded and confused.

“Yeah, that’s I mean, it’s spot-on: Confusing, frustrating. I mean, it’s bizarre, right? For him to not start, and then be able to come in, play, and then be taken out again. It really just doesn’t make any sense,” said Joe Harris, who was bewildered by what this meant for the rest of the team in terms of contact tracing.

“Your guess is as good as mine. I would’ve said, ‘Hey, if he’s sitting for contact tracing, I mean, what the hell? He’s with all of us on the court.’ ”

Harden had the same contact tracing questions, wondering: If safety was that much of a concern, why play?

“I said what was going on and they just said contact tracing,” Harden said. “I’m thinking to myself, well if it’s contact tracing then we’re all in the locker room together: That means there’s no game if he’s not gonna be able to play. So that was my thought process, and once we started the game, I kind of forgot about it. Then Kevin enters the game and I’m like, there must’ve been confusion or something messed up.”

What the Nets — and others such as Lakers star LeBron James and De’Aaron Fox of the Kings — find messed up is the NBA scheduling the All-Star Game for March 7. It’s going to be held in Atlanta, and the COVID-19 positivity rate for Fulton County is over 11 percent.

“The guys that are actually All-Stars, I feel bad for,” Harris said. “Yeah, it’s just a lot of stuff where it really doesn’t make that much sense. But I’m not the one making the decisions. I just work here.”

It could impact Harden, who falls into James’ and Fox’s camp as not looking forward to it.

“I haven’t said anything publicly, but I feel the same way as some of the players who are like there’s so much going on as far as we’re trying to calm a virus and we’re putting on an event,” Harden said.

“I know what the reasoning it is, but I feel like — especially with a condensed schedule that was forced upon players — it’s already draining to play a lot of games in a week. I feel like that was a week for us to relax, be with our families to take a step away from basketball. So like I said, we’re just in it.”

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Kevin Durant ruled out due to COVID-19 protocols after coming off bench vs. Toronto Raptors

In a bizarre back-and-forth, Brooklyn Nets forward Kevin Durant’s night culminated with him being unexpectedly pulled from Friday’s 123-117 loss to the Toronto Raptors in the third quarter due to the health and safety protocols.

Durant was initially not available to start Friday’s game because someone he interacted with earlier in the day had an inconclusive test result for COVID-19, the league explained in a statement. He later came off the bench and checked into the game at the 4:13 mark of the first quarter.

“Durant was initially held out of the game while that result was being reviewed,” the statement read. “Under the league’s health and safety protocols, we do not require a player to be quarantined until a close contact has a confirmed positive test.”

However, during the game, a positive result was returned for that person and Durant was removed from the game in the third quarter “out of an abundance of caution,” according to the league.

Durant has tested negative for COVID-19 three times in the past 24 hours, including two PCR tests on Friday, the league said. Contact tracing is underway to determine if Durant was in fact a close contact of the individual who tested positive.

The rest of the Nets have been cleared to travel to Philadelphia for Saturday’s game against the 76ers, but Durant will not make the trip, sources told ESPN’s Adrian Wojnarowski.

As he sat on a bench during a break, Durant was informed by a Nets staffer he was being pulled from the game. A visibly stunned Durant shook his head and as he walked through the tunnel to the locker room tossed a water bottle in frustration.

Durant tweeted “Free me” shortly after being removed then criticized the NBA in another tweet after the game.

Durant finished with just 8 points on 3-of-8 shooting in 19 minutes, plus 6 rebounds and 5 assists. It marked only the second time in the past 10 seasons Durant failed to reach double figures, breaking a streak of 166 straight games. Durant scored zero points Feb. 28, 2017, against the Wizards, leaving the game 90 seconds in after an injury to his knee.

Friday’s game also marked the first time Durant has come off the bench in his 13-year NBA career.

Moments before he was pulled from the game, Durant was whistled for his fifth foul, but the Nets won a challenge to overturn the call on the floor. It’s the first time in Durant’s career he finished a game with more fouls than field goals.

Durant, who had COVID-19 last March, is the second-leading scorer in the NBA, averaging 30.8 points per game. He previously missed three games in early January due to the health and safety protocols.



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Kroger to pay $100 to all associates who receive COVID-19 vaccine

Kroger is offering to pay any associate who receives a COVID-19 vaccine a $100 bonus as a way to encourage its employees to get the vaccine.The Cincinnati-based company announced Friday that it will provide a one-time payment of $100 to any associate who receives the “full manufacturer-recommended doses” of the vaccine.The associates who receive the COVID-19 vaccine must present proof of vaccination to their human resources representative to receive the one-time bonus. Kroger is giving employees who cannot receive the coronavirus vaccine due to medical or religious reasons the option to complete an educational health and safety course to receive the $100 payment.”Since March, we have invested more than $1.5 billion to both reward our associates and to safeguard our associates and customers through the implementation of dozens of safety measures that we continue to execute today. We’ve also welcomed more than 100,000 new associates to The Kroger Family of Companies,” said Tim Massa, Kroger’s chief people officer. “As we move into a new phase of the pandemic, we’re increasing our investment to not only recognize our associates’ contributions but also encourage them to receive the COVID-19 vaccine as it becomes available to them to optimize their well-being as well as the community’s.”In addition to the $100 vaccine payment, Kroger announced Friday that it will provide an additional $50 million in rewards for associates. This means that hourly employees will receive a $100 store credit and 1,000 fuel points. These rewards will be loaded to employees’ loyalty cards on Thursday.Kroger is encouraging its customers to get the COVID-19 vaccine, too.”We know that the most effective defense against this pandemic comes in the form of the COVID-19 vaccine and the continuation of the rigorous safety precautions we’ve established across our stores, manufacturing facilities and supply chain,” said Dr. Marc Watkins, Kroger’s chief medical officer. “We are strongly encouraging all customers and associates to receive the vaccine to curb the spread of COVID-19, and we’ll do all we can to ensure they have access as soon as it’s available.”Meanwhile, the United Food and Commercial Workers, a labor union representing grocery workers, says paying employees for getting the vaccine is an important step, but it feels more needs to be done for associates who have worked during the pandemic, especially in regards to hazard pay.It was announced this week that the Kroger Co. will close two Southern California supermarkets in response to a local ordinance requiring extra pay for certain grocery employees working during the pandemic.The decision announced by the company Monday follows a unanimous vote last month by the Long Beach City Council mandating a 120-day increase of $4 an hour for employees of supermarkets with at least 300 employees nationwide and more than 15 in Long Beach.Kroger said it will close a Ralphs market and a Food 4 Less on April 17, the Press-Telegram reported.“As a result of the City of Long Beach’s decision to pass an ordinance mandating Extra Pay for grocery workers, we have made the difficult decision to permanently close long-struggling store locations in Long Beach,” the company said in a statement.The statement added: “This misguided action by the Long Beach City Council oversteps the traditional bargaining process and applies to some, but not all, grocery workers in the city.”UFCW said in a statement Friday that while the one-time payment is appreciated, “it fails to address safety failures that have allowed COVID grocery outbreaks and recent company action to retaliate against cities mandating hazard pay for its front-line grocery workers.”Kroger cut hazard pay last spring and UFCW has been fighting to get the hazard pay restored for grocery workers since.

Kroger is offering to pay any associate who receives a COVID-19 vaccine a $100 bonus as a way to encourage its employees to get the vaccine.

The Cincinnati-based company announced Friday that it will provide a one-time payment of $100 to any associate who receives the “full manufacturer-recommended doses” of the vaccine.

The associates who receive the COVID-19 vaccine must present proof of vaccination to their human resources representative to receive the one-time bonus. Kroger is giving employees who cannot receive the coronavirus vaccine due to medical or religious reasons the option to complete an educational health and safety course to receive the $100 payment.

“Since March, we have invested more than $1.5 billion to both reward our associates and to safeguard our associates and customers through the implementation of dozens of safety measures that we continue to execute today. We’ve also welcomed more than 100,000 new associates to The Kroger Family of Companies,” said Tim Massa, Kroger’s chief people officer. “As we move into a new phase of the pandemic, we’re increasing our investment to not only recognize our associates’ contributions but also encourage them to receive the COVID-19 vaccine as it becomes available to them to optimize their well-being as well as the community’s.”

In addition to the $100 vaccine payment, Kroger announced Friday that it will provide an additional $50 million in rewards for associates. This means that hourly employees will receive a $100 store credit and 1,000 fuel points. These rewards will be loaded to employees’ loyalty cards on Thursday.

Kroger is encouraging its customers to get the COVID-19 vaccine, too.

“We know that the most effective defense against this pandemic comes in the form of the COVID-19 vaccine and the continuation of the rigorous safety precautions we’ve established across our stores, manufacturing facilities and supply chain,” said Dr. Marc Watkins, Kroger’s chief medical officer. “We are strongly encouraging all customers and associates to receive the vaccine to curb the spread of COVID-19, and we’ll do all we can to ensure they have access as soon as it’s available.”

Meanwhile, the United Food and Commercial Workers, a labor union representing grocery workers, says paying employees for getting the vaccine is an important step, but it feels more needs to be done for associates who have worked during the pandemic, especially in regards to hazard pay.

It was announced this week that the Kroger Co. will close two Southern California supermarkets in response to a local ordinance requiring extra pay for certain grocery employees working during the pandemic.

The decision announced by the company Monday follows a unanimous vote last month by the Long Beach City Council mandating a 120-day increase of $4 an hour for employees of supermarkets with at least 300 employees nationwide and more than 15 in Long Beach.

Kroger said it will close a Ralphs market and a Food 4 Less on April 17, the Press-Telegram reported.

“As a result of the City of Long Beach’s decision to pass an ordinance mandating Extra Pay for grocery workers, we have made the difficult decision to permanently close long-struggling store locations in Long Beach,” the company said in a statement.

The statement added: “This misguided action by the Long Beach City Council oversteps the traditional bargaining process and applies to some, but not all, grocery workers in the city.”

UFCW said in a statement Friday that while the one-time payment is appreciated, “it fails to address safety failures that have allowed COVID grocery outbreaks and recent company action to retaliate against cities mandating hazard pay for its front-line grocery workers.”

Kroger cut hazard pay last spring and UFCW has been fighting to get the hazard pay restored for grocery workers since.

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Kroger paying employees $100 to get COVID-19 vaccine

Kroger is paying its employees $100 to get vaccinated against COVID-19, the company announced Friday.

The 500,000 associates who work at Kroger stores across America can get the one-time payment after receiving the full dose recommended by vaccine manufacturers.

“We know that the most effective defense against this pandemic comes in the form of the COVID-19 vaccine and the continuation of the rigorous safety precautions we’ve established across our stores, manufacturing facilities and supply chain,” Kroger Chief Medical Officer Dr. Marc Watkins said Friday.

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JOHNSON & JOHNSON SUBMITS SINGLE-DOSE COVID-19 VACCINE CANDIDATE TO FDA

Grocery stores and retail chains were among the first businesses to require strict masking and social distancing protocols at the start of the pandemic, and they are now among the first to urge employees to get vaccinated.

Dollar General announced last month that it is giving employees a one-time payment equivalent to four hours of work to get their shots.

Aldi similarly said it would give employees two hours of compensation for each dose they receive, up to four hours total.

McDonald’s announced this week that it is giving employees four hours of paid time off to get the vaccine.

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Businesses can legally require employees to get the vaccine, but they must make exceptions for medical or religious reasons.

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Kroger said that employees who can’t get the vaccine for medical or religious reasons have the option of completing an “educational health and safety course” to get the $100 payment.

As of Friday morning, more than 58 million vaccine doses have been distributed in the United States and 36,819,212 have been administered.

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Covid-19 News: Live Updates – The New York Times

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N.Y. Will Open Vaccines to People With Certain Health Conditions

Gov. Andrew M. Cuomo said New York would allow Covid-19 vaccinations beginning Feb. 15 for people with some chronic health conditions that put them at greater risk of death from the virus.

The hospitals have had eight weeks to focus on their staff, and that’s how we achieve the 75 percent. We’re giving them one more week to do the last workers, please go back and appeal to them one more time — the people who haven’t taken it. Then what we’re going to do is reallocate the doses that were set aside for the hospital workers. And we will then give that allocation to the local health departments to do people with comorbidities. And that will start Feb. 15. Ninety-four percent of the people who die from Covid are people with comorbidities or other underlying conditions — 94 percent. So why don’t we do this group of workers, why don’t we do this group of workers? You do every group in this state when you do people with comorbidities. If you are a carpenter with a comorbidity, if you are a teacher with a comorbidity, if you are a homemaker with a comorbidity, if you’re a lawyer with a comorbidity, whoever you are, 94 percent of the deaths are people with comorbidities. We’re working with the C.D.C. to establish the comorbidities list. What is a comorbidity, how do you define it? C.D.C. has guidance on that. We’re working with the C.D.C. to clarify some definitions, but we’re basically going to follow the C.D.C. guidance.

Gov. Andrew M. Cuomo said New York would allow Covid-19 vaccinations beginning Feb. 15 for people with some chronic health conditions that put them at greater risk of death from the virus.CreditCredit…Michael M. Santiago/Getty Images

New York State will begin allowing people with some chronic health conditions that put them at greater risk of severe illness from the coronavirus to receive a vaccine on Feb. 15, Gov. Andrew M. Cuomo said on Friday.

About 1.3 million people are now receiving a vaccine every day in the United States as the country pushes to accelerate inoculations before new, more contagious virus variants become dominant. New York is just the latest state to expand vaccine eligibility beyond the initial focus on health care workers and residents of long-term care facilities. Some teachers are being vaccinated in at least 25 states and Washington, D.C., a New York Times survey found.

Last month, many states heeded a federal appeal that all people over 65 should be prioritized. That was embraced by many older people, but it also caused a deluge of problems as people tried to figure out whether their state was now allowing them to get shots, how to sign up, and where to go.

In California, experts are still recommending that vaccines be administered only to people over 65 and residents and staff at long-term care facilities. But state officials launched a task force on Wednesday to sort out the logistics of expanding vaccine eligibility to people with disabilities and underlying health conditions.

Florida has introduced some discretion into its vaccination rollout; residents under 65 are eligible if they are “deemed to be extremely vulnerable” by hospital providers.

Some of the conditions that would qualify people to be eligible for the vaccine included cancer, heart conditions, lung diseases, liver disease, diabetes, obesity, diabetes and pregnancy, although the C.D.C.’s advisory committee has told pregnant women to consult with their doctors before receiving the vaccine.

Mr. Cuomo’s announcement came as he said that state health data showed that 75 percent of New York’s hospital workers had received at least one dose of the vaccine. The state will give hospitals one more week to inoculate remaining employees before it begins to reallocate vaccine doses to give them to people with comorbidities.

Across the state, more than 2.2 million doses of the vaccine have been given, Mr. Cuomo said. Virus-related hospitalizations stood at 7,937, the lowest number since Jan. 1.

The loosening of restrictions on vaccine eligibility came as a much-anticipated vaccination site opened at Yankee Stadium in the Bronx, which New York City and state health officials hope will boost inoculation rates among local people of color and battle the spread of the virus in the borough, which currently has the city’s highest positive test rates.

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Opening Day at Yankee Stadium for Vaccinations

Friday was opening day at Yankee Stadium as a brand new mass vaccination site aimed at inoculating Bronx residents, one of the most virus-stricken areas in New York City.

“I was trying to schedule an appointment for him for weeks now, and was getting nowhere because the appointments were all filled up. So I think enough people have been, you know, agreeing that they want to go get the vaccine.” “I was on a wait list for three weeks, desperate to get a vaccine. I was unsuccessful. But today I’m here.” “Now they’re here, and they want us to get the vaccine. We are clear — that you can see the people here are the people from the neighborhood getting the vaccine.”

Friday was opening day at Yankee Stadium as a brand new mass vaccination site aimed at inoculating Bronx residents, one of the most virus-stricken areas in New York City.

Health officials had hoped to prioritize these groups in the rollout but have struggled. Black and Latino people are more likely to contract the virus than white people, yet many communities of color have been hesitant or suspicious regarding the vaccine, particularly in light of the country’s history of unethical medical research.

Mr. Cuomo released data on Friday showing that the percentage of eligible Black New Yorkers who had received a dose of the vaccine lagged behind white ones. The governor did not provide raw totals, but said that 17 percent of the essential workers eligible to receive the vaccine were Black, compared to only 5 percent of those who received it. Among those eligible to receive the vaccine because they were over 65 years old, 13 percent were Black, but only 4 percent of those inoculated were Black.

The Yankees’ president, Randy Levine — who appeared at Mr. Cuomo’s news conference along with the manager, Aaron Boone, and the former pitcher Mariano Rivera — said that the team would offer Yankees “trinkets and gifts” to encourage people to come to the stadium for vaccinations.

Mayor Bill de Blasio said on Friday during an interview on WNYC that a mass vaccination site at Citi Field in Queens was “coming in a matter of days,” but he did not address the timetable for a planned location at the Empire Outlets on Staten Island. That borough was a hot spot for the virus last fall, and positive test rates have remained high.

In the same interview, Mr. de Blasio said that the policy that requires city school buildings to close when two or more coronavirus cases are reported within the same week is “being re-evaluated.” The rule has led to frequent temporary school closures.


United States › United StatesOn Feb. 4 14-day change
New cases 126,842 –30%
New deaths 5,116* –5%

*Includes many deaths from unspecified days

World › WorldOn Feb. 4 14-day change
New cases 467,056 –23%
New deaths 13,838 –6%

U.S. vaccinations ›

Credit…Pool photo by Andrew Matthews

The Covid-19 vaccine developed by AstraZeneca and the University of Oxford protected people against a new, more contagious coronavirus variant at similar levels to the protection it offered against other lineages of the virus, Oxford researchers said in a paper released on Friday.

The paper, which has not yet been peer-reviewed, said that the vaccine had 74.6 percent efficacy against the new variant, which was first detected in Britain and is known as B.1.1.7. That was similar to, though potentially slightly lower than, its efficacy against other lineages of the virus.

The encouraging, albeit preliminary, findings suggest that all five of the leading vaccines may offer at least some protection against new variants of the virus spreading around the globe. Still, the mounting evidence suggests that mutant viruses can diminish the efficacy of vaccines, increasing the pressure on countries to quickly vaccinate their populations and outrace the variants taking hold across the globe.

In clinical trials, the AstraZeneca-Oxford vaccine protected all participants against severe illness or death.

The Oxford scientists behind the vaccine took weekly swabs from the nose and throat of participants enrolled in their clinical trial in Britain. To determine the vaccine’s efficacy against the new variant, they sequenced the viral particles from several hundred swabs between Oct. 1 and Jan 14, a period when the new variant was known to be present in Britain.

The vaccine had 84 percent efficacy against other lineages of the virus, compared to 74.6 percent against the new variant, though the scientists did not have enough statistical confidence to know for sure if the vaccine was slightly less effective against the variant.

Andrew Pollard, the lead investigator of Oxford’s vaccine trial, said in a news conference that the new data show that the vaccine has “very similar” levels of efficacy against the original pandemic virus and the variant that has been rapidly in the U.K. and some other countries.

The researchers also conducted laboratory tests on blood samples from clinical trial participants who had been vaccinated. They found a nine-fold reduction in the activity levels of the vaccine-generated antibodies against the B.1.1.7 variant compared to another lineage of the variant. That’s a sign that the vaccine may have less power to neutralize the variant, though it appears to still be potent enough to be protective.

The variant first detected in Britain has since been reported in more than 70 other countries. Public Health England has estimated that the variant’s rate of infection is 25 percent to 40 percent higher than that of other forms of the coronavirus.

Preliminary data from lab tests of the vaccines from Pfizer and Moderna suggest that they offer good protection against the B.1.1.7 variant. Novavax, which sequenced testing samples from its clinical trial participants in Britain while the variant was circulating widely there, found that its vaccine was highly effective against the B.1.1.7 variant.

The paper released on Friday did not address the AstraZeneca vaccine’s protective power against another fast-spreading coronavirus variant, known as B.1.351, that was first identified in South Africa. Researchers are conducting similar lab tests to try to measure the effect of that variant on the vaccine’s potency.

AstraZeneca’s vaccine has been authorized in nearly 50 countries around the globe but not the United States, where the Food and Drug Administration is waiting on data from a clinical trial that enrolled more than 30,000 participants, mostly Americans. Results from that study are expected in March.

In the United States, the B.1.1.7 variant has been identified in 33 states, but the full extent of its spread is unknown because of the lack of a national surveillance program. Federal health officials have warned that it could become the dominant form of the virus in the United States by March.

Credit…Anthony Vazquez/Chicago Sun-Times, via Associated Press

Officials in two of America’s largest cities issued ultimatums to teachers on Friday, warning them that they risked discipline if they did not show up at school buildings on Monday.

In Chicago, where Mayor Lori Lightfoot and the teachers’ union have been locked in a battle over how to reopen schools during the coronavirus pandemic, prekindergarten and some special education teachers were expected to return on Monday, the mayor and the chief executive of the school system, Janice K. Jackson, said in a letter. Those who did not, they said, would be locked out of the district’s virtual teaching system at the end of the day.

In Philadelphia, prekindergarten through second-grade teachers were supposed to report to schools on Monday to prepare for students returning on Feb. 22. The district told those teachers in a message that they would be subject to discipline if they did not show up.

Teachers’ unions in both cities have been pushing back.

The president of the Philadelphia Federation of Teachers, Jerry Jordan, directed teachers to continue working remotely and said in a statement on Friday that “other than sheer cruelty and a callous disregard for the lives of educators and school staff, I can’t think of another reason to push forward with a reckless plan to reopen unsafe buildings.” The Chicago Teachers Union has told its members to refuse to report to schools until a reopening agreement is reached and has threatened to strike if the district retaliates against teachers who stay home.

The fight over reopening in Chicago, the nation’s third-largest district, has become one of the nation’s most contentious. On Friday, Ms. Lightfoot and Dr. Jackson said they had provided the union with their “last, best, and final offer” and had not yet received a formal response.

In letters to students’ families and staff, they said the offer included a phased timeline for reopening, under which prekindergarten and some special education students would return to school on Tuesday. Older grades would be brought into classrooms over the following weeks, with middle school students returning on March 1.

Credit…Kathy Matheson/Associated Press

The Canadian government has extended a ban on cruise ships through February 2022, effectively docking tourism in Alaska’s southeastern region for another year.

The extension of the ban on Thursday — which was originally set to expire at the end of this month — will allow the country’s public health authorities to focus on vaccine rollouts and suppressing the spread of new variants of the virus, according to a statement by the Canadian government.

A United States maritime law prohibits foreign-registered ships from sailing between two American ports without stopping at a foreign port in between, which means that trips to Alaska typically make stops in Canada. Without access to Canadian shores, large ships can’t traverse the southeastern coast of the state, known as the Alaska Marine Highway.

According to The Associated Press, most of Alaska’s 1.3 million visitors in 2019 were cruise ship passengers visiting that part of the state. Last year, only 48 cruise ship passengers visited the state’s shores. A report put together in September by the Southeast Conference of Alaska, a regional economic development organization, showed that from April to July of last year the area lost 7,000 jobs, but tourism “was particularly devastated.”

“While many hoped that the tourism season could continue in a modified format, Canada’s prohibition of cruise ships effectively ended the regional tourism season before it began,” the report read.

Alaska’s congressional delegation, made up of Senators Lisa Murkowski and Dan Sullivan, and Representative Don Young, issued a statement condemning Canada’s decision. The announcement, they said, was made “without so much as a courtesy conversation,” and was “not only unexpected — it is unacceptable — and was certainly not a decision made with any consideration for Alaskans or our economy.”

The delegation also said it would look into ways “to ensure the cruise industry in Alaska resumes operations as soon as it is safe,” including making changes to existing laws.

Credit…Mario Anzuoni/Reuters

New research published by the Centers for Disease Control and Prevention on Friday shows that statewide mask-wearing mandates were associated with a decline in the growth rate of Covid-19 hospitalizations. The study provides additional evidence that wearing of masks can help minimize transmission of the coronavirus.

The research, published in the Morbidity and Mortality Weekly Report by the agency, found that in three weeks or more following a mask mandate, Covid-19 hospitalization growth rates fell by 5.5 percent in people aged 18 to 64.

The research focused on 10 states — California, Colorado, Connecticut, Maryland, Michigan, Minnesota, New Mexico, New York, Ohio and Oregon — that implemented mask mandates in the period from April to June of 2020. Hospitalization growth rates fell for adults 40 to 64 two weeks or more after the mandates were put into place, the research showed. There are currently 34 states with mask mandates.

Mask orders are “helping to protect people and helping the cases coming down,” said Dr. Rochelle Walensky, director for the C.D.C., in a briefing on Friday by the White House Covid-19 Response team. She added that the data remains somewhat open to interpretation in light of a multitude of changing factors taking place during the period these mandates were implemented.

The C.D.C.’s Morbidity and Mortality Weekly Report also published another study on Friday showing that college students appear to be doing an impressive job responding to the public health rallying cry to wear masks.

From September to November, observers at six universities, five universities in the South and one in the West, found that 85.5 percent of 17,200 people on campus wore masks, with nearly 90 percent wearing them correctly (“If the mask completely covered the nose and mouth and was secured under the chin.”). Proper mask-wearing rates were higher indoors, 91.7 percent, the research found.

The participating schools included five public universities with student populations ranging from 29,000 to 52,000, and one private university with 2,300 students. The rates of mask-wearing compliance were not specific by university; the research also noted that proper use of the masks varied by the type of covering: 96.8 percent or N95-type masks, 92.2 percent for cloth and 78.9 percent for “bandanas, scarves, and similar face coverings.”

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‘We’re Still in the Teeth of This Pandemic,’ Biden Says

President Biden called on Congress to act quickly on his proposed $1.9 trillion coronavirus relief package on Friday, in a speech following a weak jobs report.

We’re still the teeth of this pandemic. In fact, January was the single-deadliest month of the whole pandemic. We lost nearly 100,000 lives. I know some in Congress think we’ve already done enough to deal with the crisis in the country. Others think that things are getting better, and we can afford to sit back. And either do little or do nothing at all. That’s not what I see. I see enormous pain in this country. A lot of folks out of work, a lot of folks going hungry, staring at the ceiling tonight, wondering, what am I going to do tomorrow? And I believe the American people are looking right now to their government for help, to do our job, to not let them down. So I’m going to act, and I’m going to act fast. I’d like to be — I’d like to be doing it with the support of Republicans. I’ve met with Republicans and some really fine people want to get something done, but they’re just not willing to go as far as I think we have to go. I’ve told both Republicans and Democrats that’s my preference, to work together. But if I have to choose between getting help right now to Americans who are hurting so badly and getting bogged down in a lengthy negotiation or compromising on a bill that’s up to the crisis, that’s an easy choice. I’m going to help the American people who are hurting now. That’s why I’m so grateful to the House and the Senate for moving so fast on the American Rescue Plan. Job No. 1 of the American Rescue Plan is vaccines, vaccines. The second, the American Rescue Plan is going to keep the commitment of $2,000 — $600 has already gone out, $1,400 checks to people who need it. I’m not cutting the size of the checks. They’re going to be $1,400, period. That’s what the American people were promised.

President Biden called on Congress to act quickly on his proposed $1.9 trillion coronavirus relief package on Friday, in a speech following a weak jobs report.CreditCredit…Stefani Reynolds for The New York Times

The House gave final approval on Friday to a budget blueprint that included President Biden’s $1.9 trillion stimulus plan, advancing it over unanimous Republican opposition as Democrats pressed forward with plans to begin drafting the aid package next week and speed it through the House by the end of the month.

“Our work to crush the coronavirus and deliver relief to the American people is urgent and of the highest priority,” Speaker Nancy Pelosi wrote in a letter to Democrats shortly before the bill passed by a 219-to-209 margin.

President Biden, speaking just before the House acted, cited a weak jobs report in justifying the use of a procedural device, called reconciliation, to ram through the measure if Senate Republicans oppose his effort to speed aid to families, businesses, health care providers and local governments.

“It is very clear our economy is still in trouble,” Mr. Biden said during remarks at the White House — amping up the pressure on an upper chamber bracing for former President Donald J. Trump’s impeachment trial next week.

“I know some in Congress think we’ve already done enough to deal with the crisis in the country,” added Mr. Biden, who reiterated his commitment to fund $1,400 direct checks to low- and middle-income Americans. “That’s not what I see. I see enormous pain in this country. A lot of folks out of work. A lot of folks going hungry.”

Mr. Biden’s comments came as the Labor Department’s reported on Friday that the economy added only 49,000 jobs in January, and just 6,000 in the private sector. The labor market remains 10 million jobs below its pre-pandemic levels.

Hours earlier, as the sun rose over the Capitol dome, the Senate approved a fast-track budget measure, with Vice President Kamala Harris casting her first-ever tiebreaking vote after a grinding all-night session. The move, in theory, allows them to enact the package without any Republican votes.

Senate leaders could begin working on their own bill in hopes of delivering a final package to Mr. Biden’s desk before supplemental unemployment benefits are set to expire in mid-March.

Jen Psaki, the White House press secretary, cited poll numbers showing bipartisan support among American voters for the plan, brushing aside criticism the White House was sacrificing bipartisan solidarity for partisan celerity.

“He didn’t run on a promise to unite the Democratic and Republican Party into one party in Washington,” she said in her Friday briefing at the White House.

Still, Mr. Biden offered one olive twig on Friday, saying his plans could change to win over moderates in both parties, acknowledging that he favored restricting the direct payments to people earning less than $300,000.

“I’m not cutting the size of the checks,” he said on Friday. “They’re going to be $1,400, period.”

Still, there were warning signs the road ahead would not be entirely traffic-free.

The Senate agreed to a proposal by Senator Joni Ernst, Republican of Iowa, to prohibit any minimum wage increase during the pandemic — which could complicate Mr. Biden’s plan to raise the federal minimum wage to $15 per hour by 2025.

Democrats did not contest Ms. Ernst’s proposal, arguing that it was never their intention to increase the wage immediately, but their reticence to record a vote on the matter was a signal that the wage increase might ultimately lack the support to pass in an evenly split Senate, where at least one Democrat, Senator Joe Manchin III of West Virginia, is on record in opposition.

Credit…Ernesto Mastrascusa/EPA, via Shutterstock

A curfew will be imposed in Havana on Friday night as Cuba tries to parry its biggest coronavirus spike since the beginning of the pandemic.

The Havana Tribune, a provincial newspaper of the Communist Party of Cuba, informed the capital’s population that a “total restriction of movement of people and vehicles” will be imposed from 9 p.m. to 5 a.m. and that the curfew “will remain in place until the epidemiological situation is favorable.”

The curfew is part of a package of measures applied in recent weeks to help curb the spread of the virus: Last month, schools were closed and public transport was cut back. Starting tomorrow, travelers entering the country will be forced to quarantine for five days — Cubans in state-run isolation centers at no cost, foreigners in hotels at their own expense. The number of flights from Covid-19 hot spots, including the United States, Colombia and the Dominican Republic, will be reduced as well.

Cuba is the first country in Latin America to develop, produce and test its own Covid-19 vaccines. Four vaccines are currently being tested in clinical trials. Sovereign II, the vaccine that has advanced the furthest, is expected to start Phase 3 testing in March and mass production in April. Cuba aims to vaccinate its entire population and produce 100 million doses this year. Surplus doses will be exported.

Health authorities say that tourists will be able to receive jabs during their stay, creating the prospect of health tourism once workers at package holiday destinations have been vaccinated. Tourism, one of the island’s main industries, has all but disappeared since the pandemic, leading to massive lines for groceries and even bread shortages. The prospect of a swift vaccination campaign and the return of tourist dollars by the high season in the fall may make the wait for basic goods and the curfew a little easier for the capital’s inhabitants.

Cuba reported only 12,225 confirmed cases and 146 deaths last year, but case numbers shot up during January. So far this month, the island has averaged around 900 confirmed cases per day, with over a third in Havana.

Credit…Yamil Lage/Agence France-Presse — Getty Images
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Pentagon Will Deploy Troops to Assist Vaccine Efforts

The White House announced on Friday that Lloyd J. Austin III, the secretary of defense, approved the Federal Emergency Management Agency’s request for support, and will deploy 1,110 active-duty troops to Covid-19 vaccination centers across the country.

I want to announce that the secretary of defense, Lloyd Austin, has approved FEMA’s request to augment and expedite vaccinations across the country. He’s ordered the first contingent of more than 1,000 active-duty military personnel to support state vaccination sites. Part of this group will start to arrive in California within the next 10 days to begin operations there around Feb. 15, with additional vaccination missions soon to follow. The military’s critical role in supporting sites will help vaccinate thousands of people per day, and ensure that every American who wants a vaccine will receive one.

The White House announced on Friday that Lloyd J. Austin III, the secretary of defense, approved the Federal Emergency Management Agency’s request for support, and will deploy 1,110 active-duty troops to Covid-19 vaccination centers across the country.CreditCredit…Alyssa Schukar for The New York Times

The Biden administration on Friday announced that it was sending 1,110 active-duty troops to five federal Covid-19 vaccination centers across the country, a significant escalation in its efforts to take more control of a chaotic and mostly state-led effort to administer the vaccines.

Five teams of 222 troops from the Air Force, Marine Corps, Navy and Army will deploy to the sites, which are run by the Federal Emergency Management Agency. Each team will include vaccinators, nurses, clinical staff and other operational positions, the Pentagon said.

At a White House news conference, Andy Slavitt, a pandemic adviser, said that Lloyd J. Austin III, the secretary of defense, had approved the request. Mr. Austin said at his confirmation hearings last week that he would increase military support for the federal government’s pandemic response.

Mr. Slavitt said that troops would arrive in California within 10 days, to begin operating around Feb. 15. Other assignments would be announced soon, he added.

“The military’s critical role in supporting sites will help vaccinate thousands of people per day, and ensure that every American who wants a vaccine will receive one,” Mr. Slavitt said.

FEMA, a part of the Department of Homeland Security, has said it hopes to set up roughly 100 vaccine sites nationwide as early as this month, and on Wednesday night requested that the Pentagon support the effort. The agency has said it would spend $1 billion on vaccine measures, including community vaccination sites.

The sites, and the use of the military within them, would require the approval of state governments, some of which have been openly hostile to the idea of the military assisting the efforts. The National Guard has already staffed large vaccination sites — over half of states and territories have used members to give shots — but the Pentagon’s role has been largely behind the scenes.

Federal officials also announced what they described were the administration’s first steps in activating a Korean War-era law, the Defense Production Act, to attempt to speed up the manufacturing of vaccines, test and supplies — what amounted at least in part to a continuation of a strategy deployed during the Trump administration.

Tim Manning, a former FEMA official and the White House’s supply chain coordinator, said the administration was using the law to ensure that suppliers of pumps and filtration units will prioritize orders from Pfizer so it can meet its production targets.

The Trump administration invoked the act to help Pfizer secure critical supplies in late December — months after Pfizer first asked for that support — and used it extensively to help other vaccine manufacturers. Mr. Manning said the latest moves would expand on that earlier effort to bolster Pfizer’s production. The law is used in part to allow federal contractors to jump ahead of other companies and secure supplies to meet the government’s needs.

The Trump administration used the law 18 times to hasten the production of vaccine supplies, Dr. Moncef Slaoui, the scientific lead of its vaccine development program, told Bloomberg News in a recent interview.

Mr. Manning also said that the government would begin building American plants to make raw materials for surgical gloves, and that the aim was for more than a billion nitrile gloves to be made every month to in the U.S. by the end of the year.

“We’re nearly 100 percent reliant on overseas manufacturers to export to us our country’s surgical gloves that protect health care workers. That’s unacceptable,” he said. “We’ll now make enough to satisfy half of all of the U.S. health care community demands right here on U.S. shores.”

Credit…Rory Doyle for The New York Times

They are called “vaccine hunters,” and they are creating an ethical dilemma for health officials across the country.

With overwhelming demand in the early months of the vaccine rollout and a patchwork of rules devised by local officials, thousands of Americans are crossing state lines in quest of a shot.

“The federal government has created this ‘Hunger Games’ scenario where people are out there doing everything they can to get to the front of as many lines as they possibly can,” said Dr. Francisco García, director of the Pima County Health Department in Tucson, Ariz.

So-called vaccine hunter groups scour the country for places where people can qualify for the vaccine, and then spread the word via social media. Many then show up far from home, with sleeves rolled up.

That has left public health officials grappling with how to respond.

Should strict rules be followed, and outsiders turned away? Or should as many shots be administered as possible, even if some may go to people who are not part of the community?

Some vaccine hunters say the flaws in the vaccine distribution process left them little choice but to take to the road.

“The idea of having to wait an unlimited amount of time in Louisiana to get a vaccine just didn’t work for us,” said Chanel Maronge, 37, a school librarian.

Ms. Maronge, who has hypertension, traveled from her home in Baton Rouge, La., to McComb, Miss., to receive a vaccine. Her husband, who has diabetes, and both her parents were able to get vaccinated, too.

Given the pressing need to vaccinate Americans as efficiently as possible, medical ethicists say it is fine to accept a vaccine out of priority order if offered one.

But cutting the line — or in this case, state lines — to jump ahead crossed not just a geographical boundary but an ethical one, said Nancy Berlinger, a bioethicist at the Hastings Center, an ethics research institute in Garrison, N.Y.

“When we jump the queue,” Dr. Berlinger said. “we’re not only putting ourselves literally in ahead of other people, we are actually working against the health of other people. Because some people came into this pandemic with higher risks.”

In the coming weeks and months, the issue may become less pressing. The picture has brightened as vaccines arrive across the country in growing numbers, though there is increasing concern about variants that are more resistant to the drug.

For people still waiting for vaccines, it can be frustrating to see people from outside their community manage to get one.

Lawrence Gretz, 66, a retired correctional transportation officer in Mesa, Ariz., said he had been incensed after seeing news reports that people from out of state, including people spending the winter in Arizona, were getting their shots before him and his mother.

“It’s just not right,” Mr. Gretz said, “and it’s ticking a lot of us off.”

Credit…Pete Kiehart for The New York Times

Scientists have been sounding the alarm about new variants of the coronavirus that carry a handful of tiny mutations, some of which seem to make vaccines less effective.

But the novel coronavirus also has a propensity to mix large chunks of its genome when it makes copies of itself. Unlike the small mutations, which are like typos in the sequence, a phenomenon called recombination resembles a major copy-and-paste error in which the second half of a sentence is completely overwritten with a slightly different version.

A flurry of new studies suggests that recombination may allow the virus to shapeshift in dangerous ways.

The coronavirus mutations that most people have heard about, such as those in the B.1.351 variant first detected in South Africa, are changes in a single “letter” of the virus’s long genetic sequence, or RNA. Because the virus has a robust system for proofreading its RNA code, these small mutations are relatively rare.

Recombination, in contrast, is rife in coronaviruses.

Researchers at Vanderbilt University Medical Center recently studied how things go awry during replication in three coronaviruses, including SARS-CoV-2, which causes Covid. The team found that all three viruses showed “extensive” recombination in the laboratory.

Scientists worry that recombination might allow for different variants of the coronavirus to combine into more dangerous versions inside a person’s body. The B.1.1.7 variant first detected in Britain, for example, had more than a dozen mutations that seemed to appear suddenly.

Nels Elde, an evolutionary geneticist at the University of Utah, said that recombination may have merged mutations from different variants that arose spontaneously within the same person over time or that co-infected someone simultaneously. For now, he said, that idea is speculative: “It’s really hard to see these invisible scars from a recombination event.” And although getting infected with two variants at once is possible, it’s thought to be rare.

Russian news outlets connected to election disinformation campaigns in the United States have set their sights on a new target: convincing Spanish-speaking countries that Russia’s Sputnik V coronavirus vaccine works better than its American competitors, according to researchers and State Department officials.

The Russian campaign has focused on Latin American nations, including Mexico, which this week signed a deal to acquire millions of doses of Sputnik V, and Argentina, which last month began vaccinating its citizens with it.

Conducted on Spanish-language social media and reinforced by the official Twitter account of the Russian Embassy in Mexico City, the campaign signaled a new wrinkle in Russian influence operations, promoting Russian industry and scientific cachet over its competitors as governments around the world race to vaccinate their populations.

Sputnik V is considered less expensive and easier to transport than vaccines made by the American companies Pfizer and Moderna. But some researchers say the criticism in Russian outlets of the Western vaccines has been misleading.

For instance, media outlets backed by the Russian government posted to Facebook and Twitter hundreds of links to news stories that reported potential ties suggesting American vaccines may have had a role in deaths, the researchers said. The accounts left out follow-up reports that found the vaccines most likely played no role in the deaths.

“Almost everything they are promoting about the vaccine is manipulated and put out without context,” said Bret Schafer, a fellow with the Alliance for Securing Democracy, an advocacy group that tracks Russian disinformation. “Every negative story or issue that has come out about a U.S.-made vaccine is amplified, while they flood the zone with any positive report about the Russian vaccine.”

Researchers have tracked similar Russian efforts in Eastern European countries that are still negotiating with Russia to buy the vaccine. Disinformation researchers have also monitored Russia spreading similar narratives in a half-dozen languages, targeting countries in central and Western Africa.

Credit…Lauren Justice for The New York Times

Confronted with the possibility of coronavirus variants that may evade current vaccines, therapies and tests for the virus, the Food and Drug Administration is readying a plan for action in the next few weeks.

The Pfizer and Moderna vaccines have so far proven to be effective against known variants of the coronavirus, but they are less potent against the variant first identified in South Africa. That variant has only been confirmed in three people in the United States so far, but the country’s surveillance is thin and may be missing other cases.

As of Thursday, all but seven of the 618 coronavirus variant cases identified in the United States so far have involved a fast-spreading variant first observed in Britain, according to data from the Centers for Disease Control and Prevention.

“If variants emerge that are not prevented, that the vaccines have poor efficacy against, then we will need to rapidly change,” Janet Woodcock, the F.D.A.’s acting director, said in a call with reporters on Thursday. New versions of the vaccine would need to be rapidly manufactured, tested and distributed.

Officials at Pfizer and Moderna have said that they are prepared to tweak their vaccines as needed and that the process could be complete in as little as six weeks.

Dr. Woodcock declined to reveal any details about how the F.D.A. planned to evaluate the tweaked vaccines, but she said that the agency would probably require smaller and shorter trials than in the original trials run by Pfizer and Moderna.

“There are things short of doing full-fledged efficacy trials that we can use to shift or perhaps add components to the existing vaccines,” she said.

Dr. Woodcock said the plans will be released for comment from scientists before they are implemented.

The F.D.A. also plans to release guidance documents for monoclonal antibody treatments and for tests of the virus. The monoclonal antibody made by Eli Lilly and one of the two antibodies in the cocktail made by Regeneron are powerless against the variant circulating in South Africa, according to a recent study.

“We knew from the very beginning that monoclonals were vulnerable to this type of strain shift,” Dr. Woodcock said.

Credit…Johnson & Johnson, via Associated Press

Johnson & Johnson on Thursday submitted to the Food and Drug Administration an application for emergency authorization for its one-dose coronavirus vaccine, putting the company on track to potentially begin shipping it by early March.

The agency has scheduled a meeting with its outside advisory panel, which will vote on Feb. 26 on whether the F.D.A. should authorize the vaccine, according to people familiar with the planning.

That leaves regulators about three weeks to pore over a large and complex application that includes clinical and manufacturing data. A decision on whether to authorize the vaccine could come within days of that meeting.

A similar timeline was used for the review of two-dose vaccines made by Pfizer-BioNTech and Moderna, which were authorized by the F.D.A. in December.

Dr. Paul Stoffels, Johnson & Johnson’s chief scientific officer, said in a statement that Johnson & Johnson was ready to ship the vaccine as soon as the F.D.A. cleared it.

Last week, the company announced promising results from its clinical trial, which showed that the vaccine was 85 percent effective in preventing severe disease in all three regions where the vaccine was studied: the United States, Latin America and South Africa. After 28 days, none of the vaccinated participants who developed Covid-19 had to be hospitalized.

But the results came with an ominous note: The vaccine’s efficacy rate was 72 percent in the United States, but only 57 percent in South Africa, where a highly contagious variant of the coronavirus is driving most cases.

There is also still uncertainty about how many doses Johnson & Johnson will be able to provide in the days and months after getting emergency clearance, when the company may have only about seven million ready, according to federal officials familiar with its production.

The company said on Thursday that it expected to supply the 100 million doses it has promised the United States by the end of June.

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Virginia Schools Must Reopen by Mid-March, Northam Says

Gov. Ralph Northam of Virginia said on Friday that schools across the state should begin to offer in-person classes by March 15, adding that many students were suffering academically and emotionally.

When the pandemic started, believe it or not 11 months ago, schools around the country closed. As school divisions began developing plans for the current school year, our guidance to them was that we want students and we wanted our teachers and the staff to be safe. But we encouraged in-person instruction for the students who needed it the most. But we’ve seen more data now, and it suggests that schools don’t have the kind of rapid spread that we’ve seen in some other congregate settings. That tells us it’s time to find a path forward to in-person learning. We also know this plain fact, children learn better in classrooms, and that’s where they need to be. Last month, we issued guidance to our school divisions for how to plan a safe return to in-person learning. And today, I’m saying it needs to start by March the 15th. By that date, I expect every school division to make in-person learning options available in accordance with the guidance.

Gov. Ralph Northam of Virginia said on Friday that schools across the state should begin to offer in-person classes by March 15, adding that many students were suffering academically and emotionally.CreditCredit…Dean Hoffmeyer/Richmond Times-Dispatch, via Associated Press

The idea makes sense, so much so that at least two governors, a national union leader and President Biden are behind it: extend this school year into the summer to help students make up for some of the learning they lost during a year of mostly remote school.

By summer, more teachers will be vaccinated against the coronavirus. Transmission rates might be significantly lower. And it will be easier in warm weather for students and educators to spend time in the open air, which is safer than being indoors.

Gov. Ralph Northam of Virginia promoted the idea on Friday, saying that schools should make summer classes an option for families. Gov. Gavin Newsom of California and Randi Weingarten, the powerful president of the American Federation of Teachers, have offered similar endorsements. Boston teachers and the district have started talking about summer options. And Mr. Biden is expected to ask Congress to approve $29 billion to fund summer programs and tutoring as part of his pandemic stimulus package.

Ms. Weingarten has said districts should use federal stimulus money to make the summer a “second second semester.” The focus should be on enrichment activities that “help kids get their mojo back,” she said, such as art, music and sports, in addition to core academics.

But if parents and students have learned anything during this crisis, it is that even simple, intuitive ideas are hard to pull off in a public education system that is simultaneously decentralized and highly bureaucratic. And though many policymakers like the idea, there is no consensus on what summer learning should look like.

Governors also have few ways to compel districts to expand summer offerings. Local contracts typically make it impossible to require teachers to work over the summer, and a recent poll of educators found that only 19 percent support a shorter summer vacation in 2021 or 2022.

Teachers who do agree to work over the summer would need to be paid at a time when districts are already stretching their budgets to cover costs such as updating ventilation systems, hiring school nurses and testing staff and students for the coronavirus.

Dan Weisberg, head of a nonprofit group that provides consulting services to districts, said it would be important to design a program specific to pandemic needs. Typical summer remediation offers fifth graders “third-grade math problems and has them sit in the corner,” said Mr. Weisberg, who is chief executive of TNTP, formerly the New Teacher Project. Instead, he said, students should be given intensive help on the most important concepts they have missed from earlier years so they can then tackle grade-level content.

“We know this plain fact: Children learn better in classrooms, and that’s where they need to be,” Mr. Northam said in a news conference Friday morning.

Credit…Nicole Craine for The New York Times

The report card for vaccination in long-term-care facilities, whose residents supposedly stood at the front of the line, shows a mixed performance.

Nationally, almost 3.4 million long-term-care residents and staff members have received at least one shot, the Centers for Disease Control and Prevention reported on Thursday; close to 800,000 had gotten two.

By mid-January, Medicare data showed that cases in long-term-care facilities had dropped by almost 46 percent compared with four weeks earlier, reflecting the decline in cases across the country but probably also the impact of vaccination.

But experts, noting that an estimated five million people live or work in long-term care, have expressed intense frustration at the slow initial rollout. “There’s been nothing warp speed about long-term care,” said David Grabowski, a health policy researcher at Harvard Medical School.

They also worry about the even more sluggish rate at assisted-living facilities, and about workers who are suspicious of vaccination. The C.D.C. reported that at nursing homes with clinics, only a median 37.5 percent of staff members were vaccinated in the first month.

“People who live in nursing homes would do just about anything to reconnect with the outside world and the people they love,” said Dr. Kathleen Unroe, a geriatrician at the Indiana University School of Medicine who also practices at Northwest Manor, a nursing home in Indianapolis.

One of her patients initially had doubts. “I didn’t want to be a guinea pig,” said Norma Ware, 86. “I’m not crazy about shots, anyway.” But after conversations with her family and “a very friendly nurse,” she received both doses and became a believer.

Last fall, the Trump administration contracted with the two big pharmacy chains to administer vaccinations, the pace of which has picked up substantially since December.

Company executives emphasized that while the Centers for Disease Control and Prevention prioritized long-term care for vaccinations, individual states determined when programs began. While nearly all states activated nursing home clinics on Dec. 21 or 28, most didn’t launch assisted living clinics until January, often weeks later.

The virus didn’t wait. Infections in long-term care reached a peak in December, according to a Kaiser Family Foundation analysis.

Credit…Gilles Sabrié for The New York Times

In the year since the coronavirus began its march around the world, China has done what many other countries would not or could not do. Using coercion and persuasion, it has mobilized its vast Communist Party apparatus to reach deep into the private sector and the broader population, in what the country’s leader, Xi Jinping, has called a “people’s war” against the pandemic — and won.

China is now reaping long-lasting benefits that few expected when the virus first emerged in the central city of Wuhan, positioned the country, economically and diplomatically, to push back against the United States and others worried about its seemingly inexorable rise. It has also emboldened Mr. Xi, who has offered China’s experience as a model for others to follow.

While officials in Wuhan initially dithered and obfuscated for fear of political reprisals, the authorities now leap into action at any sign of new infections. In Hebei this January, the authorities deployed their well-honed strategy to test millions and isolate entire communities — all with the goal of getting cases, officially only dozens a day in a population of 1.4 billion, back to zero.

China is the only major economy that has returned to steady growth. The government has poured money into infrastructure projects, its playbook for years, while extending loans and tax relief to support business and avoid pandemic-related layoffs.

The government offered land, loans and subsidies for new factories to make vaccines and fast-tracked approvals. Two Chinese vaccines are in mass production; more are on the way. While they have shown weaker efficacy rates than those of Western rivals, 24 countries have already signed up for them. The pharmaceutical companies have, at Beijing’s urging, promised to deliver them quickly.

“They were able to pull together all of the resources of the one-party state,” said Carl Minzner, a professor of Chinese law and politics at Fordham University. “This of course includes both the coercive tools — severe, mandatory mobility restrictions for millions of people — but also highly effective bureaucratic tools that are maybe unique to China.”

Among the Communist Party leaders, a sense of vindication is palpable. In the final days of 2020, the seven members of the Politburo Standing Committee, the country’s top political body, gathered in Beijing for the equivalent of an annual performance review.

Far from even hinting at any shortcomings — the rising global distrust toward China, for example — they exalted the party leadership.

“The present-day world is undergoing a great transformation of the kind not seen for a century,” Mr. Xi told officials at another meeting in January, “but time and momentum are on our side.”



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County Reports First Pediatric COVID-19 Death | News

The County Health and Human Services Agency is marking another sad milestone in the COVID-19 pandemic, reporting the first local pediatric death. The deceased was a 10-year-old boy with underlying medical conditions.

“Our deepest condolences go out to the family and friends of this child,” said Wilma J. Wooten, M.D., M.P.H., County public health officer. “This boy’s death is a somber reminder that this pandemic impacts everyone in our community, regardless of their age, and we must do everything we can to protect each other and slow the spread of the virus.”

Wooten continues to urge San Diegans to do the following:

  • Wash your hands
  • Watch your distance around others
  • Wear a mask
  • When sick, stay home and get tested
  • Get vaccinated when it is your turn

South Bay Vaccination Clinic Moves

This coming Tuesday, Feb. 9, the County’s Imperial Beach walk-thru vaccination clinic is moving from its current location at Imperial Beach City Hall to the gym at Mar Vista High School, located at 505 Elm Avenue. The hours will remain the same, Sunday through Thursday, 9:30 a.m. to 3:30 p.m. and appointments are required.

So far, the County has opened four vaccination super stations and 15 smaller community points of dispensing, or PODs. Combined, they have the capacity to vaccinate 20,000 people daily, though vaccine supplies remain limited and not everyone who is currently eligible to be vaccinated may be able to get an appointment right away.

“We’re asking San Diegans to be patient and to get vaccinated as soon as they are eligible and doses are available,” Wooten said.

State Metrics:

  • San Diego County’s state-calculated, adjusted case rate is currently 42.5 cases per 100,000 residents and the region is in Purple Tier or Tier 1.
  • The testing positivity percentage is 10.5%, placing the County in Tier 1 or the Purple Tier.
  • The County’s health equity metric, which looks at the testing positivity for areas with the lowest healthy conditions, is 14% and it’s in the Purple Tier or Tier 1. This metric does not move counties to more restrictive tiers but is required to advance to a less restrictive tier.
  • The California Department of Public Health assesses counties on a weekly basis. The next report is scheduled for Tuesday, Feb. 9.

Community Setting Outbreaks:

  • 16 community outbreaks were confirmed Feb. 4: eight in business settings, two in daycare/preschool/childcare settings, two in TK-12 school settings, one in a construction setting, one in a faith-based setting, one in a healthcare setting and one in a hotel/resort/spa setting.
  • In the past seven days (Jan. 29 through Feb. 4), 68 community outbreaks were confirmed.
  • The number of community outbreaks remains above the trigger of seven or more in seven days.
  • A community setting outbreak is defined as three or more COVID-19 cases in a setting and in people of different households over the past 14 days.

Testing:

  • 23,259 tests were reported to the County on Feb. 4, and the percentage of new positive cases was 6%.
  • The 14-day rolling average percentage of positive cases is 7.7%. Target is less than 8.0%.
  • The 7-day, daily average of tests is 18,354.
  • People at higher risk for COVID-19 who are with or without symptoms should be tested. People with any symptoms should get tested. Healthcare and essential workers should also get a test, as well as people who have had close contact to a positive case or live in communities that are being highly impacted. Those recently returned from travel are also urged to get tested.

Cases, Hospitalizations and ICU Admissions:

  • 1,453 cases were reported to the County on Feb. 4. The region’s total is now 244,069.
  • 10,517 or 4.3% of all cases have required hospitalization.
  • 1,488 or 0.6% of all cases and 14.1% of hospitalized cases had to be admitted to an intensive care unit.

Deaths:

  • 39 new COVID-19 deaths were reported on Feb. 4. The region’s total is 2,777.
  • 15 women and 24 men died between Jan. 18 and Feb. 3.
  • Of the 39 new deaths reported today, 21 people who died were 80 years or older, nine people were in their 70s, five people were in their 60s, two were in their 50s, one person was in their 40s and one person was a child.
  • 37 had underlying medical conditions, one did not have any underlying conditions and one had medical history pending.

More Information:

The more detailed data summaries found on the County’s coronavirus-sd.com website are updated around 5 p.m. daily.

 

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L.A. County severely limited in 1st dose of COVID-19 vaccines

The chance to get the first dose of a COVID-19 vaccine will be at a premium in Los Angeles County next week as a continuing supply crunch and a hefty queue of those needing a second shot will leave few opportunities for those looking to start their inoculations, a top health official said Friday.

Most appointments offered at the major county-run vaccination sites will be needed for second doses, according to Dr. Paul Simon, chief science officer for the L.A. County Department of Public Health. At the county’s five mega-PODs, or mass points of distribution, only a very limited number of people will be able to receive their first doses Monday.

“We’re just struggling with the supply, the limited supply, and feeling an obligation to make sure that people that had a first dose are able to get their second dose,” he said during a briefing. “But we know, just based on the numbers, next week at least in our sites, beyond Monday, we really have to stick with the second doses. When we get to the following week, it may be a slightly different story if we are able to get a larger supply of a vaccine. But we’ll have to wait and see.”

In the face of constrained and inconsistent supplies, the county is reserving sufficient doses to ensure there is enough for everyone who has already received the first shot of either the Pfizer-BioNTech or Moderna vaccines.

Both vaccines require two shots, administered three and four weeks apart, respectively.

Because of that, residents who receive their initial dose need to get back in line weeks later. When the county’s total vaccine supply remains flat, or goes down, that leaves little wiggle room to also offer first doses.

In L.A. County, 193,950 doses arrived the week of Jan. 11, but only 168,575 were delivered the following week and 146,225 the week after that.

County officials said 184,625 doses arrived this week. While a boost from last week’s total, shipments need to be much larger to keep up with demand and allow additional pools of Angelenos to receive their first shots.

“If we do continue to receive increasing supplies, obviously we’ll be able to expand and continue to offer first doses,” Simon said. “Certainly, we want to do that.”

Cumulatively, more than 1 million doses of COVID-19 vaccine have been administered in L.A. County, and nearly 850,000 people — or about 11% of the population of those 16 and over — have received first doses. Roughly 2.6% of Angelenos in that age range are fully vaccinated.

The bottleneck isn’t unique to L.A. County. Regions throughout California have reported similar problems and have had to take similar steps to make sure people don’t miss out on the second shots.

First-dose clinics have been paused in Napa County as officials catch up on giving second inoculations.

“Although it’s amazing that the vaccine is here now, we just don’t have enough of it,” said Dr. Karen Relucio, Napa County’s public health officer. “Supplies are unpredictable. We’re running on thin margins.”

So far, more than 4 million COVID-19 vaccine doses have been administered throughout California.

According to the Centers for Disease Control and Prevention, nearly 7 million doses of the vaccine have been shipped, and 6.8 million have been delivered to health providers in the state. That means, nearly 62% of the available supply has been used.

Officials said the state is expecting a vaccine allocation of more than 1 million doses next week, and a similar amount the week after. Previously, the state had been allocated roughly 300,000 to 500,000 doses per week.

The supply, while increasing, remains low compared to what’s needed, and eligibility is limited. California health departments can currently administer vaccines to healthcare workers, first responders, staff and residents at long-term care facilities such as nursing homes and adults who are at least 65 years old.

They also have the option of doling out doses to those who work in the fields of education, emergency services and food and agriculture — but many counties have yet to open eligibility to those groups, given supply constraints.

L.A. County, for instance, is accepting appointments only for healthcare workers, residents of long-term care facilities and adults who are at least 65 years old.

Together, those groups comprise about 2 million people, meaning 4 million doses would be needed to fully vaccinate those who are currently eligible — to say nothing of the millions more Angelenos who still need to be inoculated.

“Unfortunately, the biggest issue we continue to face in our ability to vaccinate is a scarcity of supply and variability in the amount of vaccines we receive from week to week,” Simon said. “This has been an issue across the country, and it makes planning very challenging.”

Times staff writer Faith E. Pinho contributed to this report.

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Biden says he doesn’t think $15 minimum wage will ‘survive’ in his Covid-19 relief proposal

“I put it in, but I don’t think it’s going to survive,” Biden told “CBS Evening News with Norah O’Donnell” in excerpts of an interview that aired Friday. The interview with CBS is his first for network television since taking office and the full interview will air on Sunday.

The President, who campaigned on raising the minimum wage to $15 an hour, said he was prepared “on a separate negotiation on minimum wage, to work my way up.”

“No one should work 40 hours a week and live below the poverty wage. And if you’re making less than $15 an hour, you’re living below the poverty wage,” Biden said.

Both chambers of Congress on Friday passed a budget resolution that sets the stage for Democrats to be able to use a process known as “budget reconciliation” to pass Biden’s sweeping Covid-19 relief bill on a party-line vote.

Biden has said he is willing to go forward without the support of Republicans, but has said he’s willing to make certain concessions if it will earn bipartisan support.

A bipartisan deal is his preference, the President has said, but he has stressed the need to pass immediate and substantial relief to address the pandemic and economic crisis gripping the nation.

Biden said in the interview aired Friday that he was prepared to negotiate on which Americans get the $1,400 stimulus checks in his proposal, but reiterated he was not willing to compromise on the size of the checks.

“But here’s the deal: Middle-class folks need help,” Biden said. “But you don’t need to get any help to someone making 300,000 bucks or ($250,000).”

He continued: “So it’s somewhere between an individual making up to ($75,000) and phasing out, and a couple making up to ($150,000) and it phasing out. But again, I’m wide open on what that is.”

In addition to the $1,400 stimulus checks, the President’s $1.9 trillion Covid-19 relief proposal to Congress includes more aid for the unemployed, the hungry and those facing eviction. It includes increased funding for vaccinations and testing, and additional support for small businesses, states and local governments.

In his first week in office, Biden signed an executive order that begins laying the groundwork to institute a $15 minimum wage for federal workers and contractors.

Democratic lawmakers have pushed for years to raise the minimum wage, which now stands at $7.25 and hasn’t been increased since 2009.

Now that Democrats have narrow majorities in the House of Representatives and the Senate, as well as Biden in the White House, they are renewing their push. Separate from the measure in Biden’s Covid-19 relief proposal, a coalition of lawmakers introduced a bill last week that would raise the national minimum wage to $15 an hour.

The movement to raise the minimum wage has been met with steep opposition from Republicans and businesses leaders, who argue that boosting wages will force them to lay off workers.

This story has been updated with additional information from the interview.

CNN’s Tami Luhby and Gregory Krieg contributed to this report.

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Tracking COVID-19 in Alaska: 250 infections and no deaths reported Friday

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The latest count follows over a month of declining cases. Alaska saw a surge of infections in November and early December that strained hospital capacity. For the first time since September, daily case counts fell into the double digits twice last week.

Hospitalizations have fallen along with cases, and are now less than a third of where they were during the peak in November and December. By Friday, there were 40 people with COVID-19 in hospitals throughout the state. Another three patients were believed to have the virus.

The COVID-19 vaccine reached Alaska in mid-December. By Thursday, 101,631 — nearly 14% of Alaska’s total population — had received at least their first vaccine shot, according to the state’s vaccine monitoring dashboard. That’s far above the national average of 8.4%.

Among Alaskans 16 and older, 18% had received at least one dose of vaccine by Friday. The Pfizer vaccine has been authorized for use for people aged 16 and older, and Moderna’s has been cleared for use in people 18 and older.

Health care workers and nursing home staff and residents were the first people prioritized to receive the vaccine. In early January, the state said Alaskans older than 65 were now eligible, although appointment slots are limited and have filled quickly.

Thousands of new vaccine appointments went live on the state’s website last week, many of which are still available. Seniors and other eligible health care workers can call 907-646-3322 for assistance making an appointment.

Despite the lower case numbers throughout January, Alaska is still in the highest alert category based on the current per capita rate of infection, and public health officials continue to encourage Alaskans to keep up with personal virus mitigation efforts like hand-washing, mask-wearing and social distancing.

Of the 163 cases announced among Alaska residents Friday, there were 41 in Anchorage plus three in Eagle River; one in Anchor Point; one in Seward; one in Soldotna; one in Cordova; 13 in Fairbanks plus one in North Pole; one in Delta Junction; 17 in Palmer; 33 in Wasilla; six in Juneau; four in Ketchikan; one in Sitka; and six in Bethel.

Among communities with populations under 1,000 not named to protect privacy, there were two in the Matanuska-Susitna Borough, one in the Aleutians East Borough; 23 in the Bethel Census Area; one in the Dillingham Census Area; and six in the Kusilvak Census Area.

There were also 87 cases among nonresidents in Alaska, including two in Anchorage, 80 in the Aleutians East Borough; and five in Unalaska.

While people might get tested more than once, each case reported by the state health department represents only one person.

The state’s data doesn’t specify whether people testing positive for COVID-19 have symptoms. More than half of the nation’s infections are transmitted from asymptomatic people, according to CDC estimates.

Across the state, 2.45% of COVID-19 tests conducted over the past week have come back positive.

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Cancer doctors consider Covid-19 vaccines for patients

It’s a question that has been on the minds of researchers and oncologists long before the Pfizer and Moderna vaccine rollouts began. Although there is a consensus that the vaccines are safe for most cancer patients, according to the American Cancer Society and others in the medical community, research into whether they will be effective for cancer patients is still a data-free zone.
The American Cancer Society recommends that cancer patients talk to their doctors before getting any type of vaccine because all patients and their courses of treatment are different.

There are several factors that may require a cancer patient to delay vaccination, including recent stem cell transplants or other recent use of therapy agents known to reduce vaccine efficacy, according to Dr. Laura Makaroff, the American Cancer Society’s Senior Vice President for Prevention and Early Detection.

“As far as safety of the vaccine, every situation for every patient with cancer is a little different. And there’s a spectrum of where any one patient might be in their cancer journey,” Makaroff told CNN. “The Covid-19 vaccine is definitely safe for people with cancer but it’s important that patients have a conversation with their healthcare provider and their cancer care team to determine when is the right time to have the vaccine.”

“All the guidance that we’re seeing — the American Cancer society and other leading oncology groups — is that Covid-19 immunization is recommended for patients in active therapy, but we really understand that there are limited safety and efficacy data on these patients,” Makaroff said.

Even with limited data, many cancer experts, medical groups, and doctors are making a big push for vaccinating most cancer patients — especially those cancer patients most at risk during the pandemic.
“The potential benefits far outweigh the risks,” said Dr. Brian Koffman, chief medical officer for CLL Society, a group that represents patients with chronic lymphocytic leukemia, the most common adult form of leukemia in the western world.

“Despite the lack of safety data specifically in patients with CLL (chronic lymphocytic leukemia), SARS-Cov-2 vaccination is anticipated to be safe.”

Patients with chronic lymphocytic leukemia who develop symptomatic Covid-19 have an 89% risk of hospitalization, Koffman told CNN, based on a study published in the journal Nature.

CLL is characterized by a weakened immune system. The immunocompromization is so severe that CLL patients are advised to avoid live vaccines such as the ones for measles or yellow fever.

And a weakened immune system also means these cancer patients have an increased risk of death due to Covid-19, according to Dr. Chaitra Ujjani, a physician at Seattle Cancer Care Alliance and oncology professor at the University of Washington School of Medicine. The Nature study, conducted the by European Research Initiative on CLL, found that the mortality rate for CLL patients with symptomatic coronavirus was 31%.

“The thing that people don’t quite realize is that the impaired immune system in CLL patients — due to the disease or some of the treatments for the disease — can actually impact your response to vaccination,” Ujjani told CNN.

“We recommend the Covid-19 vaccines for our patients … but we’re not really sure how effective it’s going to be,” she added. “Patients with blood cancers are typically excluded from the clinical trials evaluating the efficacy of the vaccine.”

Cancer-specific vaccine trials underway

To remedy the lack of data, Ujjani is launching a research study involving 500 CLL patients across the country — all of whom are already slated to receive the vaccine from their doctor or pharmacist — to determine what kind of immune response they will have to the commercially available vaccines.

The study, which is a collaboration between more than 10 medical institutions, will be the first of its kind and may bring more clarity for cancer patients.
The Seattle Cancer Care Alliance is conducting similar trials for other cancer types, including certain immune system and blood cancers, Ujjani said.

Advocacy groups for other more prevalent types of cancer are also encouraging cancer patients to get vaccinated as soon as possible. The Lung Cancer Action Network recently asked the US Advisory Committee on Immunization Practices to give lung cancer patients expedited access to the vaccines.

“Because COVID-19 is primarily a respiratory condition, this disease presents a unique challenge to lung cancer patients, who are at extremely high risk of hospitalization and death from COVID-19,” said the group in a letter.

More research urgently needed

The scientific community agrees that more research is needed to determine the effectiveness of Covid-19 vaccines in cancer patients — and many doctors are working around the clock to get more trials off the ground.

“We need these data so that we can better inform patients and better prioritize the allocation of the vaccines. If these vulnerable patients form an adequate immune response, we should certainly vaccinate them as early as possible,” Dr. Elad Sharon, senior investigator at the National Cancer Institute, told CNN via email.

“But, if research efforts show that these patients fail to form a protective response to these vaccines, then what we will need to do will be to vaccinate everyone around these patients first, so that our medically vulnerable patients are most protected by the people living with them and caring for them.”

Ujjani added, “We’re all working really hard to answer this question, but it’s hard because we’ve been working kind of against the clock as the vaccines just became available.”

“A lot of our patients have suffered in isolation and fear, and they’re not sure they’re going to get back to a normal life,” Ujjani told CNN. “So every oncologist is interested to see how their patients will respond to the vaccine.”

Correction: An earlier version of this story misnamed the CLL Society by including the words of the acronym.

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