Just as vaccine distribution was picking up speed in the US, brutal winter weather is delaying the dispensing of hundreds of thousands of doses across the country.
Earlier this week, the Centers for Disease Control and Prevention forecast “widespread delays” in vaccine shipments and shipments due to weather affecting a FedEx facility in Memphis and a UPS facility in Louisville, both vaccine shipping hubs. Now these projections seem to come true.
Shipping delays have been reported in California, Colorado, Florida, Illinois, Nevada, New Jersey, Ohio, Utah, Washington, and Oregon, among others, forcing vaccination centers to temporarily close and postpone coveted appointments.
In Texas, where millions of residents lost power during this week’s strong storm, more than 400,000 first doses and 330,000 second doses were delayed in anticipation of bad weather. Some of those shots, about 35,000 doses of Pfizer’s vaccine, were sent to vendors in northern Texas on Wednesday, but shipping will continue to be subject to safety conditions.
Chris Van Deusen, a spokesman for the Texas Department of Health, said Thursday the state had “asked vendors unable to store vaccines due to power outages to move or dispense them elsewhere so they don’t spoil.” ”
On Monday, Texas health officials attempted to get more than 5,000 shots in the guns after a power outage in a warehouse where they were being held. But Mr Van Deusen said that “reports of vaccine spoilage have been minimal”.
The Houston Health Department said Thursday it would resume vaccinations for the second dose this weekend and schedule additional appointments for the first and second doses next week.
According to the Federal Emergency Management Agency, there are more than 2,000 vaccination sites in areas with power outages.
In New York City, Mayor Bill de Blasio said at a news conference Thursday that “much of the supplies expected for this week have not yet been delivered from the factories.”
The city had to hold back planning more than 35,000 appointments for the first vaccine doses due to shipping delays and vaccine shortages. The opening of two new sales locations has also been postponed.
In Los Angeles, the city said appointments will be delayed for about 12,500.
Florida Governor Ron DeSantis said while 136,000 cans of Pfizer had arrived this week, the state has still not received its shipment for the week of 200,000 cans of Moderna. He said delivery could be delayed until Monday.
“Because the storms we see in the rest of the country are basically sitting in the FedEx warehouse – and I don’t think they can even get in for anything,” DeSantis told a press conference Thursday, encouraging those who had appointments, that have been postponed to “stay there, the cans will come here.”
Dr. Anthony S. Fauci, the nation’s leading infectious disease expert, described the weather delay as “significant”.
“Well, obviously it’s a problem,” he told MSNBC on Thursday. “It has been slowed down in a few places and has stalled.”
Dr. Fauci said, “We just have to make it up to you as soon as the weather subsides a bit, the ice melts and we can get the trucks and people out.” We just have to make it up to you, namely double the time, when that clears up. “
White House press secretary Jennifer Psaki said the Biden administration is working closely with manufacturing and shipping partners to assess weather conditions and that they will receive more information on delivery issues on Friday.
From Thursday the C.D.C. About 41 million people have been reported to have received at least one dose of a Covid-19 vaccine, including about 16.2 million people who have been fully vaccinated.
International efforts to accelerate the manufacture and distribution of coronavirus vaccines around the world were boosted on Thursday on two fronts: White House officials said the Biden administration would keep a US promise over the next two years To donate $ 4 billion to the campaign and pharmaceutical company Novavax pledged to eventually sell 1.1 billion doses of its vaccine.
President Biden will make his announcement on Friday during a virtual meeting with fellow Group of 7 leaders where he is expected to urge other countries to step up their contributions. The $ 4 billion was approved by a Republican-led Senate last year when President Donald J. Trump was still in office.
Public health experts often say that unless everyone is vaccinated, no one will be vaccinated. One of the officials, who spoke anonymously to preview the president’s announcement, noted that attempting to help efforts overseas to lessen the impact of the pandemic was also in the interests of international security for the United States lay.
Countries like India and China are already using the coronavirus vaccine as a diplomatic tool. Both are giving doses to other nations to expand their global influence. National security experts said the United States should consider the same thing.
However, an official said the United States is currently unable to share vaccines as the American vaccination campaign continues to expand.
The international vaccination effort, known as Covax, was led by the public-private health partnership called Gavi, the Vaccine Alliance, the Coalition for Epidemic Preparedness Innovations, and the World Health Organization. The aim is to distribute vaccines that are produced by the W.H.O. rated as safe and effective, with particular emphasis on low and middle income countries.
So far, the United States has pledged more than any other nation, according to the White House. Officials there said the money will be delivered in multiple installments: an initial donation of $ 500 million, followed by another $ 1.5 billion. The remaining $ 2 billion will be delivered by the end of 2022
The Novavax sale will not be immediate. The vaccine has not yet been approved by a government regulator.[[[[In an earlier version of this article, the company’s planned promotion was incorrectly described as a donation rather than a sale.]]
As part of a memorandum of understanding between Gavi and Novavax, the company agreed to provide “1.1 billion cumulative doses,” but without setting a time frame.
Mr Biden was not the only G7 member who called for a greater contribution to global vaccination efforts. French President Emmanuel Macron said the United States and Europe should give up to 5 percent of their vaccine orders to developing countries.
“We’re bringing up the idea that hundreds of millions of vaccines are being given in rich countries and that we’re not starting in poor countries,” Macron said in an interview with the Financial Times.
António Guterres, the Secretary General of the United Nations, also offered selected words for what he described as “wildly uneven and unfair” distribution of vaccines. In a high-level meeting of the United States Security Council on Wednesday, Guterres described vaccine justice as “the greatest moral test before the world community”.
He called on the G7 countries to “create the momentum to mobilize the necessary financial resources” at their Friday meeting.
Vice President Kamala Harris said Thursday the 2.5 million women who have left the workforce since the pandemic began constituted a “national emergency” which she said will be addressed through the Biden government’s coronavirus relief plan could.
That number corresponds to 1.8 million men who have left the workforce, according to the Ministry of Labor. For many women, childcare requirements combined with layoffs and vacation in a pandemic-hit economy have pushed them out of the labor market.
The Vice President painted a terrifying picture of the reality millions of American women are facing during the pandemic. “Our economy cannot fully recover if women cannot fully participate,” Ms. Harris said in a video call made with several women’s advocacy groups and lawmakers.
As part of its $ 1.9 trillion bailout program, the Biden government outlined several items that it has officially said should relieve the unemployed and working women, including $ 3,000 tax credits given to families for every child will be granted, a $ 40 billion investment in childcare and an increase in unemployment benefits. Ms. Harris said the package would “abolish nearly half of the poverty-stricken children in the United States,” a claim supported by an analysis of the plan by Columbia University.
A recent Quinnipiac poll found broad support for the Biden government’s proposal. There’s no Republican support in Congress, but the Democrats want the plan passed through a quick budget process known as reconciliation that would allow them to get it through the Senate by simple majority.
Women’s employment began to decline almost immediately when the virus caught on last spring. This came out of a report published last year by researchers at the University of Arkansas and the Center for Economic and Social Research at the University of Southern California.
Women without a university degree and women with skin color are disproportionately affected. Another report released by the Brookings Institution last fall showed that nearly half of all working women have low-paying jobs, which are more likely to be done by black or Latin American women and least likely to be in sectors like restaurants and travel soon return to a degree of normalcy.
Israel has pushed the world’s fastest Covid-19 vaccination campaign, vaccinating nearly half of its population with at least one dose. Now its success makes it a case study in setting rules for a partially vaccinated society that raises sensitive questions about rights, obligations and the common good.
Prime Minister Benjamin Netanyahu’s cabinet this week voted to open shopping malls and museums to the public, subject to social distancing rules and mandatory masking. For the first time in many months, gyms, cultural and sporting events, hotels and swimming pools will also be reopened, but only for a few.
As part of a new “Green Badge” system that functions as both a carrot and a stick, the government is making recreational activities only available to people who are fully vaccinated or have recovered as of Sunday. Two weeks later, restaurants, event rooms and conferences can be operated according to these rules. Customers and participants must have a vaccination certificate with a QR code with them.
Israel is one of the first countries to grapple with a variety of legal, moral and ethical issues in real time to balance steps to resume public life with sensitive issues such as public safety, discrimination, free choice and privacy.
“To be vaccinated is a moral duty. It is part of our mutual responsibility, ”said Health Minister Yuli Edelstein. He also has a new mantra: “Those who don’t get vaccinated are left behind.”
Four million Israelis – nearly half of the nine million population – have received at least one dose of the Pfizer vaccine, and more than 2.6 million have received a second dose. However, around two million eligible citizens aged 16 and over have not sought vaccines. The average number of new infections every day is 4,000.
The Israeli central government, eager to get the country out of its third national lockdown without triggering a new wave of infections, was spurred to action by local initiatives. An indoor shopping mall in the working class suburb of Bat Aviv in Tel Aviv opened its doors last week to customers with evidence of having been vaccinated or recovered from Covid-19.
In Karmiel, the mayor made a similar decision to open his city in the Northern Galilee region to business. Other mayors want to ban unvaccinated teachers from classrooms, while some hoteliers threatened unvaccinated staff with firing.
Health Minister Edelstein said Thursday that vaccination is not compulsory in Israel. But his ministry is now proposing laws that oblige unvaccinated employees whose work involves exposure to the public to be tested for the virus every two days. And he’s promoting a bill that would allow the ministry to identify unvaccinated individuals with local authorities.
Life expectancy in the United States fell by a full year in the first six months of 2020, the federal government reported on Thursday. This was the biggest drop since World War II and a grim measure of the deadly consequences of the coronavirus pandemic.
Life expectancy – the average number of years a newborn baby is expected to live – is the most basic measure of a population’s health, and the sharp decline over such a short period is highly unusual and a signal of deep distress. The decrease is due to a number of worrying minor decreases, mainly driven by an increase in overdose deaths. A fragile recovery over the past two years has now been wiped out.
Thursday’s numbers give a first full picture of the impact of the pandemic on expected life expectancy in the US, which has fallen from 78.8 years in 2019 to 77.8 years. They also showed a deepening of racial and ethnic differences: life expectancy of the black population declined 2.7 years in the first half of 2020 after 20 years of profit. The gap between black and white Americans that had narrowed is now at six the largest since 1998.
“I knew it was going to get big, but when I saw these numbers I said, ‘Oh my god,” said Elizabeth Arias, the federal researcher who made the report, of the racial differences. About the decline in the total population, she said: “We haven’t seen a drop of this magnitude in decades.”
Unlike the decline caused by the sprawling, complex drug overdose problem, this problem, primarily caused by Covid-19, is unlikely to last as long as virus deaths subside and people get vaccinated. In 1918, when hundreds of thousands of Americans died from the pandemic flu, life expectancy dropped 11.8 years from the previous year to 39. The number recovered fully the following year.
Even if such an upswing happens this time around, the researchers believe the social and economic effects of Covid-19 will continue, as will disproportionate effects on people of color. Some researchers said the number of drug deaths, which started to rise again in 2019 and 2020, could further reduce life expectancy.
Dr. Mary T. Bassett, a former New York health commissioner who is now a professor of health and human rights at Harvard, said that if the country doesn’t better address inequality, “We can see life expectancy in the United States stagnating or falling for some time Come.”
She found that life expectancy here lagged behind other industrialized countries in the 1980s. One theory is that growing economic disparities affected health. Living conditions that have exacerbated Covid-19 rates, such as overcrowded homes and inadequate protection for low-wage workers, will only add to this trend, she said.
In Thursday’s numbers, black and Hispanic Americans were hit harder and deaths in these groups were younger. Overall, the death rate for black Americans with Covid-19 was almost double that of white Americans at the end of January, according to the Centers for Disease Control and Prevention. The death rate for Hispanics was 2.3 times higher than for white non-Hispanic Americans.
The 2.7 year decrease in life expectancy for African Americans from January to June last year was the largest decrease, followed by a 1.9 year decrease for Hispanic Americans and a 0.8 year decrease for white Americans.
Dr. Bassett said she anticipated a further decline in life expectancy for Hispanic Americans in the second half of 2020, as the death rate from Covid-19 for this population continued to rise, although it fell for white and black Americans.
Vaccination rates in black and Latin American communities in New York are lower than in predominantly white communities. New data shows that the latest evidence suggests they are not getting equal access to vaccines, despite being disproportionately affected by the coronavirus.
The picture is blurred as accurate national race and ethnicity data are lagging behind. However, experts and leaders in these communities say the data shows that Black and Latino Americans are vaccinated at lower rates because of barriers such as language and technology barriers, differences in access to medical facilities, and access to a location .
Some Black and Latin American Americans also face other issues, including misinformation on social media and reluctance to get the vaccine due to distrust of government officials and doctors.
Data on 1.3 million vaccines administered in New York City, released Tuesday, showed lower vaccination rates in mostly black areas. New York state also reports that Latino and Black residents are lagging behind on overall vaccinations.
President Biden has repeatedly stated that racial justice is at the heart of his response to the coronavirus pandemic and he has an advisor, Dr. Marcella Nunez-Smith, charged with it. The Biden government last week announced a program to begin delivering vaccines to government-funded clinics in underserved communities.
As of last week, the federal government sent a million cans to around 6,500 retail pharmacies. However, researchers who performed a county-level analysis that included community pharmacies, state-qualified health centers, hospital outpatient departments, and rural health clinics found that more than a third of the U.S. states have two or fewer of these facilities.
This makes vaccines difficult to access, according to the study by the University of Pittsburgh School of Pharmacy and the West Health Policy Center.
While vaccine reluctance may play a role in black and Latin American communities, Sean Dickson, director of health policy at the West Health Policy Center, said the study shows evidence of the impact of systemic health infrastructure problems.
“It’s important that we don’t rest on the hesitation of the vaccine as a crutch,” Dickson said, adding that it could sometimes be used to blame black and Latin American communities. “If we don’t do something to better spread the vaccines in these communities, it will become a self-fulfilling prophecy.”
In the Brownsville, Brooklyn area, Renee Muir, director of development and community relations at BMS Family Health Center, said she was developing a survey to collect evidence of the challenges that affect the community. Many residents are severely affected by the virus due to adverse health conditions and unemployment.
“Now it’s about people making decisions to spend $ 6 round-trip, eat out, or pay a phone bill,” Ms. Muir said of local residents traveling to get a vaccine.
Latinos have been exposed to misinformation about vaccines on messaging platforms like WhatsApp and social media, said Dr. Valeria Daniela Lucio Cantos, Infectious Disease Specialist at Emory University. She has worked to help Latinos understand the vaccine and make appointments.
“That emphasis is on the risk and not enough on the benefits of the vaccines,” she said.
While many older Americans have difficulty registering for a vaccine with the online system, websites that are only available in English created an added barrier, Dr. Cantos.
“It seems that the vaccine distribution system didn’t target the Latinx community,” she said, using the gender-neutral term for Latinos. She added that vaccination centers who asked for social security or insurance numbers made it difficult for undocumented immigrants to feel safe.
Dr. Paulina Rebolledo, eine Assistenzprofessorin bei Emory, hofft, dass die Beamten ihren Ansatz überdenken, indem sie mit Organisationen in schwarzen und lateinamerikanischen Gemeinschaften mobilisieren, denen die Bewohner vertrauen und die verschiedene Sprachen sprechen.
“Wir auf der Anbieterseite oder im Gesundheitswesen können versuchen, mehr zu tun, um Patienten zu erreichen und sie unsere Stimmen hören zu lassen”, sagte sie. “Es ist ihre allgemeine Gesundheit, an der wir arbeiten wollen, und dies ist nur ein wesentlicher Bestandteil der Bewegung.”
Als die Pandemie im vergangenen Jahr die Krankenhäuser zu überwältigen begann, befürchteten einige Beamte der Krankenpflegeschule, dass die Krise potenzielle Bewerber davon abhalten würde, eine Karriere als Krankenpfleger zu verfolgen. Die vorläufigen Einschreibungsdaten aus dem Jahr 2020 zeigen jedoch, dass das Gegenteil der Fall ist: Laut einer Umfrage der American Association of Colleges of Nursing unter 900 Schulen stieg die Zahl der Einschreibungen für das Baccalaureate-Pflegeprogramm im vergangenen Jahr um 6 Prozent.
Deb Trautman, Präsident der Organisation, führt das gestiegene Interesse auf die Sichtbarkeit von Medizinern im letzten Jahr zurück, da Fernseh- und Social-Media-Ehrungen ihre Rolle an vorderster Front hervorgehoben haben.
“Es gab eine Gelegenheit für die Öffentlichkeit, die Beiträge zu sehen, die Krankenschwestern leisten”, sagte Frau Trautman. “Sie beteiligen sich an Impfungen, an der Pflege und helfen Patienten und Familien, zu kommunizieren und in Verbindung zu bleiben.”
Das Interesse beschränkte sich nicht nur auf die Krankenpflege: Laut der Association of American Medical Colleges stiegen die Anträge für medizinische Fakultäten für die im Herbst 2021 eintretende Klasse um 18 Prozent.
Laut Donna Meyer, Geschäftsführerin der Organisation für Associate Degree Nursing, können sich Menschen, die während der Pandemie ihren Arbeitsplatz verloren haben, auch für Pflegeprogramme anmelden, um nach neuen Karrierewegen zu suchen. Sie sagte, die Pflegearbeit habe sich als potenziell lukrativer erwiesen als vor der Pandemie, insbesondere angesichts des erhöhten Bedarfs an reisenden Krankenschwestern. Während Krankenschwestern in Krankenhäusern in der Regel etwa 80.000 US-Dollar pro Jahr verdienen, haben reisende Krankenschwestern während einer Pandemie bis zu 10.000 US-Dollar pro Woche verdient.
Über die Umfrage wurde am Donnerstag in den Kaiser Health News berichtet.
In der Vergangenheit war die Anzahl der Studierenden, die jedes Jahr aufgenommen werden können, aufgrund von Einschränkungen bei den klinischen Ausbildungsmöglichkeiten, die sie anbieten können, begrenzt. Im Jahr 2019 lehnten Bachelor- und Graduiertenkollegs über 80.000 qualifizierte Bewerber ab. In diesem Jahr haben viele Pflegeprogramme den Übergang zur virtuellen Ausbildung von Studenten vollzogen und konnten laut Dr. Beverly Malone, Präsident der National League for Nursing, die Kapazität erhöhen.
“Es war wie ein Kriegsruf”, sagte Dr. Malone und bezog sich auf die Pandemie. “Sie sehen, was los ist, und Sie sagen:” Ich werde helfen. “
When the pandemic hit last year, clinical trials took a hit. Universities closed, and hospitals turned their attention to battling the new disease. Many studies that required repeated, in-person visits with volunteers were delayed or scrapped.
But some scientists found creative ways to continue their research even when face-to-face interaction was inherently risky. They mailed medications, performed exams over video chat and asked patients to monitor their own vitals at home.
Many scientists say this shift toward virtual studies is long overdue. If these practices persist, they could make clinical trials cheaper, more efficient and more equitable — offering state-of-the-art research opportunities to people who otherwise wouldn’t have the time or resources to take advantage of them.
“We’ve discovered that we can do things differently, and I don’t think we’ll go back to life as we used to know it,” said Dr. Mustafa Khasraw, a medical oncologist and clinical trial specialist at Duke University.
According to one analysis, nearly 6,000 trials registered on ClinicalTrials.gov were stopped between Jan. 1 and May 31, roughly twice as many compared with non-pandemic times.
Remote trials are likely to persist in a post-pandemic era, researchers say. Cutting back on in-person visits could make recruiting patients easier and reduce dropout rates, leading to quicker, cheaper clinical trials, said Dr. Ray Dorsey, a neurologist at the University of Rochester who conducted remote research for years.
The shift to virtual trials could also help diversify clinical research, encouraging more low-income and rural patients to enroll, said Dr. Hala Borno, an oncologist at the University of California, San Francisco. The pandemic, she said, “does really allow us to step back and reflect on the burdens that we’ve been placing on patients for a really long time.”
But virtual trials are not a panacea. Researchers will have to ensure that they can thoroughly monitor volunteers’ health without in-person visits, and be mindful of the fact that not all patients have access to, or are comfortable with, technology.
And in some cases, scientists still need to demonstrate that remote testing is reliable; homes are uncontrolled environments. “Maybe there’s a cat crawling on them or grandchildren in the next room,” he said.
Lawmakers in California on Thursday proposed a $12.6 billion package to fast-track teacher vaccines and provide incentives to public schools to reopen classrooms by April 15.
The legislation, which is virtually assured of passage early next week, would restore about 10 weeks of in-person class for the regular school year, and then only for elementary and special needs students. In most districts, California’s school year ends in late June.
But it would also include money for summer school. More important, the plan would establish California’s clearest road map yet for restoring in-person instruction. Most of the state’s large school districts, including the Los Angeles, San Diego and San Francisco districts, have been operating remotely for the vast majority of students for nearly a year.
Mr. Newsom had called for schools to reopen this month under a similar incentive structure, citing federal guidelines. The Centers for Disease Control and Prevention recently issued new guidelines saying that teacher vaccination need not be a prerequisite to reopening schools, as long as other health measures were enforced.
However, teachers unions have demanded greater workplace safety, including vaccinations, surveillance testing and extensive improvements to ventilation systems. The 300,000-member California Teachers Association, a powerful player in the state’s Democratic-dominated Capitol, aired statewide television ads this week calling for “safety first” in classrooms and warning that the pandemic is “still a threat.”
Under the legislative plan, $8 billion in state and federal money would be distributed to districts willing to provide in-person teaching by April 15 for students in kindergarten through sixth grade and for high-needs students through 12th grade.
Those districts — and their local health authorities — would be required to offer vaccines to teachers and staff before they returned to classrooms. Schools would also have to comply with strict distancing, masking and other safety requirements. Families would be given the option of remaining in distance learning.
The state would also make available $4.6 billion to underwrite summer school, tutoring, extended school days and other remedial efforts to make up for the academic toll of the pandemic.
Districts that failed to reopen by April 15 would be required to return the funds.
“These clear guidelines from the state will help reopen schools in the safest way possible,” the superintendent of the Los Angeles school district, Austin Beutner, said in a statement.
Mr. Newsom, who is facing a Republican-led recall movement fueled, in part, by the pandemic-related school closures, had no immediate comment about the legislation, but has said repeatedly that he wants to reopen schools.
It was meant to be a feel-good event, like the two or three that Gov. Ron DeSantis of Florida holds around the state each week: a pop-up coronavirus vaccination site where the governor could show how his administration was getting the shots to people 65 and older.
But when Mr. DeSantis arrived on Wednesday at the site in Manatee County, he faced sharp questions from local reporters about why his staff had chosen to do it in Lakewood Ranch, an affluent and mostly white community developed by a Republican political donor.
The Bradenton Herald reported that the vaccinations in Lakewood Ranch would be limited to residents of two ZIP codes — the two wealthiest in the county — at a time when vaccination rates in less affluent Black communities in the state were lagging far behind.
Florida’s population is nearly 17 percent Black, but only about 5.4 percent of the more than 2.4 million Floridians who have gotten at least one of the two required vaccine doses so far have been Black, according to data from the Florida Department of Health.
Mr. DeSantis, a Republican, defended the site’s location. He said the state wanted to concentrate on communities with many retirees, especially in counties where the share of older people who have already been vaccinated is less than 42 percent, the statewide average.
“If Manatee County does not like us doing this, we are totally fine with putting this in counties that want it,” he said, citing several nearby counties in southern Florida: “If you want us to send to Sarasota next time, or Charlotte, or Pasco, let us know. We are happy to do it.”
Late on Wednesday, additional reporting by The Herald revealed that Vanessa Baugh, the county commissioner who had helped organize the vaccination site, had created a V.I.P. list of vaccine recipients that included herself and the developer of Lakewood Ranch, Rex Jensen. Mr. Jensen also helped organize the vaccination site, along with Patrick K. Neal, a local home builder who has donated $125,000 to Mr. DeSantis’s political committee since 2018. Last week, Mr. DeSantis visited a pop-up vaccination site at Kings Gate, a community in Charlotte County developed by Mr. Neal.
Ms. Baugh told The Herald that she did not get vaccinated or receive an appointment. Ms. Baugh and Mr. Jensen did not immediately respond to interview requests from The New York Times on Thursday. A spokeswoman for Mr. Neal declined to comment and directed questions to the governor’s office.
Florida was one of the first states to open up eligibility to everyone 65 and older. It has also offered vaccination to some people with underlying health conditions, and to frontline health care workers. But unlike most other states, it has not yet begun vaccinating other categories of essential workers like teachers or grocery workers, a policy that has drawn some criticism.
Mr. DeSantis opened another pop-up site on Thursday, this time in Pinellas Park, a largely white middle-income community near St. Petersburg. Before he spoke to reporters there, a man yelled, “Shame on you, Governor!”
Mr. DeSantis said questions about any preferential treatment in Lakewood Ranch should be directed to officials there, saying that the state merely identifies the pop-up sites, leaving details about who will be vaccinated to local leaders.
“We trust them to be able to sign people up,” he said.
To get her coronavirus vaccination last weekend, Frances H. Goldman, 90, went to an extraordinary length: six miles. On foot.
It was too snowy to drive at 8 a.m. on Sunday when Ms. Goldman took out her hiking poles, dusted off her snow boots and started out from her home in the Seattle neighborhood of View Ridge. She made her way to the Burke-Gilman Trail on the edge of the city, where she then wended her way alongside a set of old railroad tracks, heading south. Then she traversed the residential streets of Laurelhurst to reach the Seattle Children’s Hospital.
It was a quiet walk, Ms. Goldman said. People were scarce. She caught glimpses of Lake Washington through falling snow. It would have been more difficult, she said, had she not gotten a bad hip replaced last year.
At the hospital, about three miles and an hour from home, she got the jab. Then she bundled up again and walked back the way she had come.
It was an extraordinary effort — but that was not the extent of it. Ms. Goldman, who became eligible for a vaccine last month, had already tried everything she could think of to secure an appointment. She had made repeated phone calls and fruitless visits to the websites of local pharmacies, hospitals and government health departments. She enlisted a daughter in New York and a friend in Arizona to help her find an appointment.
Finally, on Friday, a visit to the Seattle Children’s Hospital website yielded results.
“Lo and behold, a whole list of times popped up,” she said in a phone interview on Wednesday. “I couldn’t believe my eyes. I went and got my glasses to make sure I was seeing it right.”
Then came the snow, which would ultimately drop more than 10 inches, in one of Seattle’s snowiest weekends on record. Wary of driving on hilly, unplowed roads, Ms. Goldman decided to go to the hospital on foot. She took a test walk part of the way on Saturday to get a sense of how long the trip might take.
And on Sunday, she trekked all the way to the hospital to get her vaccine.
“I hope that it will inspire people to get their shots,” she said. “I think it’s important for the whole country.”
The rollout in Washington State, like many around the country, has been complicated by failures of technology, shortfalls in equity and a persistent imbalance of supply and demand. State officials have struggled to set up the infrastructure necessary to schedule and vaccinate the millions of people who are already eligible.
Ms. Goldman is scheduled to receive her second dose of the vaccine next month. She plans to drive.
After warning that draconian cuts to public transit could be on the way, including a 40 percent decrease in subway service, New York transit officials on Thursday announced that they had avoided major reductions for the next two years after a new infusion of federal aid and better than expected tax revenues helped steady the system’s finances.
The improved financial outlook is a major dose of good news for the Metropolitan Transportation Authority, which operates the subway, buses and two commuter lines and has seen fare revenues plunge after the pandemic emptied public transit of riders.
The agency had been warning of drastic reductions, not just to the subway but also to buses, in part to pressure Congress into providing more help. The $1.9 trillion stimulus package President Biden is pushing Congress to approve includes as much as $30 billion for public transit.
Of that, the M.T.A. can expect to receive at least $6 billion, according to Senator Chuck Schumer of New York, who is now the Democratic majority leader and who played a critical role in securing financing for transit agencies during stimulus negotiations last year.
While the agency said it would avoid major cuts in 2021 and 2022, it still faces an $8 billion deficit over the next four years and the possibility of cuts in the near future without additional federal aid.
“In the short and midterm there is significant relief, but we still have a long-term structural, fiscal problem that we have not dealt with,” said Andrew Rein, the president of the Citizens Budget Commission, a financial watchdog. “The bottom line is we are not out of the woods, but we can see the light through the trees.”
The latest round of federal aid, which directed around $4 billion to the M.T.A., provided more money for day-to-day operations and freed the agency to commit more toward its capital plan for major upgrades. The agency also received around $4 billion from the first federal emergency relief package last year.
Still hanging in the balance is the agency’s sweeping $54 billion plan to modernize the system, including replacing an antiquated signal system that is a major cause of delays and disruptions. That plan was suspended after the pandemic hit but parts of it will be revived this year, according to transit officials.
Making the system more reliable is a crucial step to luring back riders as New York struggles to recover from the financial crisis set off by the outbreak.
As millions get vaccinated, Apple is making a design change to its syringe emoji, swapping an image with drops of blood at the end of the emoji’s needle for one that looks more like a vaccine.
The redesigned emoji is available only to members of the company’s beta program but will be publicly available with iOS 14.5. While new emojis are more difficult to approve, changing an emoji’s design can enact a similar result on a faster timeline, according to Keith Broni, the deputy emoji officer at Emojipedia, a service that archives the design and usage trends of emojis.
The syringe emoji dates to 1999 and had been used mainly to illustrate blood donations in Japan. The emoji was often used in discussions around blood donations and even tattooing, Mr. Broni said.
“When you provide someone with a communication tool, they will use it as they see fit,” Mr. Broni said. “We’ve seen many different emojis take on many different connotations.”
Mr. Broni said he had started to notice a spike in the usage of the emoji late last year, and saw that the conversations people were having on Twitter while using it had pivoted to talk about coronavirus vaccines.
Mr. Broni said he expected the change from Apple to be a permanent one, and that other technology companies would be likely to follow suit. He said the emoji that resembles a vaccine injection could be used more readily and that removing the blood would make the emoji more flexible and less intimidating.
The Democratic leaders of the New York State Senate are moving to strip Gov. Andrew M. Cuomo of unilateral emergency powers granted during the pandemic, setting up an unusual rebuke by members of his own party.
The measures, which could come to a vote next week, underscore the deepening division between Mr. Cuomo and state lawmakers since he acknowledged having intentionally withheld critical data on virus-related deaths from them.
Die F.B.I. and the U.S. attorney for the Eastern District of New York have opened an inquiry into the Cuomo administration’s handling of nursing homes during the pandemic. The inquiry, which was confirmed by three people familiar with the matter, is in its earliest stages, and it is not clear whether it is focused on any individual.
The inquiry, first reported in The Times Union of Albany, was another indication of the shift in Mr. Cuomo’s position since March, when he emerged as a prominent national voice in a crisis through his daily briefings. Now, much of that good will has evaporated.
The Senate’s action also illustrates fatigue in the Democratic-controlled State Legislature over his use of powers that gave him broad control over the state’s response to the virus, from ordering shutdowns to managing vaccine distribution.
Lawmakers discussed limiting his powers earlier this year but did not take any steps. On Wednesday, State Senator Gustavo Rivera, a Democrat and chairman of the health committee, said it was now time for action. “We need to remind them that state government is not one big branch: There’s three of them,” he said.
The tension was out in the open on Wednesday, with Mr. Cuomo attacking critics, singling out Assemblyman Ron Kim, a Queens Democrat, who said the governor had threatened him last week — an accusation the governor’s staff called a lie.
Earlier this week, a group of State Assembly Democrats circulated a letter seeking support for revoking Mr. Cuomo’s powers and suggesting the administration had broken federal law — an accusation the governor denied on Wednesday. That came less than a week after 14 Senate Democrats signed a statement saying that “it is clear that the expanded emergency powers granted to the governor are no longer appropriate.”
Senate leaders now intend to pass a bill that would limit the governor’s ability to supersede state laws and would establish a commission of state lawmakers to evaluate future pandemic-related directives and suspensions of laws.
The last month has been one of turmoil for Mr. Cuomo, who is known for his combative politics. After a scathing report from Letitia James, the state attorney general, that suggested the death toll at nursing homes had been undercounted, the official number of residents of nursing homes and similar institutions was increased from about 8,500 to more than 15,000.
As the virus claimed the lives of thousands of nursing home residents, the state count had left out those who had died in hospitals rather than at the homes.
The governor acknowledged on Monday that there had been “a delay” in releasing the full story.
Nicole Hong and William K. Rashbaum contributed reporting.
Washington, D.C., residents employed in grocery stores or manufacturing were added Thursday evening to the roster of workers who can sign up for a Covid-19 vaccine, and city officials said inoculations will soon widen further to cover people with a range of medical conditions.
The next expansion, on March 1, is for people of any age with a covered medical condition, including asthma, sickle cell disease, cancer, developmental disabilities, some heart conditions and more. It could make as many as 160,000 more people eligible for the vaccine, Dr. LaQuandra S. Nesbitt, the director of the city’s health department, said at a news conference.
Dr. Nesbitt said officials were optimistic that they would be able to handle the influx of eligible residents. Earlier this week, New York State expanded its criteria to cover people with chronic health conditions, leading to a flood of calls from New Yorkers seeking appointments, some of whom had trouble getting one.
Washington’s newly announced rules also cover pregnant and obese people, but they do not include smokers or people who are overweight, two groups that had previously been considered for this phase of vaccinations, The Washington Post reported.
Dr. Nesbitt indicated that health officials were trying to balance the need for vaccinating at-risk populations with the fact that vaccine doses are limited.
About 23 percent of city residents may have medical conditions that will make them eligible, though Dr. Nesbitt noted that some may have already been able to get a vaccine under the criteria of earlier phases, such as if they are older than 64 or an essential worker. People will “self-attest” to their medical conditions when they register or while at the vaccination site, Dr. Nesbitt said.
In addition to grocery store employees, Mayor Muriel E. Bowser said, Thursday’s expansion will also cover outreach workers in the in health and human services or social services fields and people who work in food packaging.
Thursday was supposed to be a great day for Gov. Charlie Baker of Massachusetts, whose vaccination effort was beginning to hit a stride after stumbling badly in January.
At 8 a.m., almost a million more residents of the state — those between 65 and 75, and those with two or more medical conditions — were to become eligible to book vaccinations online.
Except — not.
When the big moment came, instead of getting appointments, many thousands of users received a message that the state’s new web application, vaxfinder.mass.gov, had crashed.
Overwhelmed by volume, the site intermittently returned to life over the next three hours — but it turned out that, because of the website problems, the state had not been able to post 50,000 of the 77,000 newly available appointments.
Not for the first time, Twitter became a clearinghouse for widespread frustration.
Governor Baker said on Thursday that website technicians “did a lot of scenario work” in advance, but “obviously it didn’t prepare the site.”
“My hair is on fire about the whole thing,” he told WGBH, a Boston public radio station. “People are working really hard to get it fixed.”
He added, “People did a lot of work preparing for this, but clearly they didn’t do enough.”
He has said federal vaccine supply constraints were holding back the state’s effort, and said on Thursday that he was considering sending National Guard troops to Kentucky and Tennessee to pick up shipments that may be stalled there because of bad weather.
A popular Republican who spent much of his career as a health care executive, Governor Baker came under intense public criticism for the slow, patchy availability of vaccinations in the state in January.
The state gave priority to workers in hospitals and nursing homes, but many of them refused the shots, so much of the state’s initial stockpile of doses sat unused in cold storage. Six weeks into the effort, Massachusetts trailed most of New England, and ranked below average nationally, in the share of its population that had been vaccinated by that time.
The state opened mass vaccination sites in February and quickly improved its performance, rising to rank ninth in the country, according to a New York Times database.
Expanding eligibility was a sign of that progress, since Massachusetts did so after crossing an important threshold, with more than half its residents over 75 having received at least one of the two required vaccine doses. Last week the state also began a first-in-the-nation experiment, offering vaccinations to those who accompany people who are 75 and older to mass vaccination sites.
Still, lawmakers criticized the effort as inequitable, increasing the advantage of wealthy families with working cars and free time to transport elders to be vaccinated at distant sports stadiums. The Democratic-controlled legislature has scheduled oversight hearings on the vaccine program later this month.
The Hong Kong government said on Thursday that it had approved Sinovac’s coronavirus vaccine, a drug manufactured by a mainland Chinese company that has faced scrutiny around the world over shipping delays and spotty data disclosures.
Hong Kong’s health authorities said the first million doses of the vaccine, called CoronaVac, would arrive on Friday and that vaccinations would begin next week, starting with essential workers and people over 60.
The announcement is notable because Hong Kong is one of only a few governments in Asia to have approved CoronaVac for use. Several other countries have said they would only do so after receiving full trial data from the manufacturer.
Malaysia and Singapore, for instance, have both ordered doses from Sinovac. But officials in both countries have had to reassure their citizens that they would approve a vaccine only if it had been proved safe and effective.
In January, officials in Brazil said that the efficacy rate of CoronaVac was just over 50 percent, barely above the World Health Organization’s threshold for an effective Covid-19 vaccine. The company said the efficacy rate was weaker than expected because the trial had been conducted among health care workers, who had a higher risk of contracting Covid-19, and included people with “mild symptoms.”
Sinovac has given government-appointed experts in Hong Kong late-stage trial data for CoronaVac showing a 62.3 percent efficacy rate after two shots, Lau Chak Sing, the spokesman of a coronavirus vaccine advisory panel, told reporters on Tuesday. The advisers reviewed the data and determined that vaccine’s benefits outweighed the risks, he said.
Sinovac did not release the data publicly.
Pitching CoronaVac to the Hong Kong public could be tough: A recent poll conducted by the University of Hong Kong showed that fewer than three in 10 residents would take it, because of worries about its weak efficacy. The Pfizer-BioNTech vaccine had the highest level of acceptability, at 55.9 per cent.
Hong Kong’s health authorities approved the Pfizer vaccine in late January, and the first doses are expected to arrive in late February.
Beijing officials once hoped that Sinovac and other Chinese-made vaccines would burnish the country’s global reputation. At least 24 countries, most of them low and middle income, signed deals with the Chinese vaccine companies because they offered access when richer nations had claimed most of the doses made by Pfizer and Moderna.
Now Beijing is on the defensive, and China’s state-run media has been waging a misinformation campaign against the American vaccines, questioning their safety and promoting the Chinese ones.
In other news from around the world:
Indien will require travelers arriving from Brazil and South Africa to undergo a coronavirus test, to prevent variants from spreading. The Health Ministry said on Thursday that India had recorded one case of the variant circulating in Brazil, four variant cases from South Africa and 187 from Britain. India has recorded nearly 11 million cases during the pandemic. Its death toll of 156,014 is the world’s third-highest after the United States and Brazil, according to a New York Times database.
Nepal on Thursday approved a vaccine manufactured by Sinopharm, a state-owned vaccine maker from China. The Sinopharm vaccine is the second to be approved for emergency use in Nepal after Covishield, the Indian-made version of the Oxford-AstraZeneca vaccine. Nepal, which borders both China and India, is one of the places where the two countries are competing to distribute vaccines. Nepal approved Sinopharm’s vaccine days after the Chinese foreign minister, Wang Yi, had pledged to donate 500,000 doses. India has already sent a million Covishield doses. As of Thursday, more than 400,000 frontline health workers and other essential workers had been vaccinated.
China has begun requiring that travelers isolate for 14 days before flying in from some countries in Africa and Asia, according to notices posted on Chinese embassies’ websites this week. Places affected include Egypt, South Africa, Zimbabwe, Pakistan and Saudi Arabia. China already required anyone entering from abroad to quarantine for multiple weeks upon arrival, as do numerous other countries. Mandatory quarantine before travel appears to be far rarer.
Spectators were allowed back into the Australian Open on Thursday, hours after the state of Victoria ended a five-day lockdown it had imposed to contain an outbreak in a Melbourne quarantine hotel. The tennis tournament’s director, Craig Tiley, said that 7,477 fans would be allowed in for each session, about half capacity. Fans are required to wear masks while indoors or when they are unable to socially distance.
Zimbabwe began its first vaccinations using 200,000 Sinopharm doses donated by China. The country’s daily new cases have slowed down after a recent wave, and the government relaxed some lockdown rules on Monday. Zimbabwe has recorded 35,423 cases and 1,418 deaths, according to a New York Times database.
Almost a year since the country’s first confirmed case, New Zealand on Friday began its first vaccinations, which went to the health workers who will inoculate people working at airports and in quarantine hotels on Saturday. The country last week received around 60,000 doses of the Pfizer-BioNTech vaccine, the only one approved by the government so far.
A little-known program that allows New Yorkers to get a Covid-19 vaccination if they volunteer at vaccine distribution sites has stopped accepting new applicants who do not have experience in health care.
Vaccine distribution began in New York State in mid-December. To fill out staffing shortages, New York City had enlisted its Medical Reserve Corps, a volunteer network that responds to public health emergencies. Without fanfare, the agency recruited volunteers — medical and nonmedical staff alike. In exchange for 36 hours of service, volunteers were eligible to receive their first dose of the vaccine.
On Thursday, the Medical Reserve Corps told The New York Times in an email that it would only accept health care professionals going forward. “The NYC MRC has traditionally been used for medical/health care volunteers. As the number of volunteers swelled — including city employees serving in the hubs — we went back to limiting MRC to recruitment of healthcare professionals,” the agency said.
Volunteering was a way for many New Yorkers who are not yet eligible for vaccination to jump to the front of the line, as receiving the vaccine has proved elusive. According to data gathered by The New York Times, about 10 percent of 11 million eligible New Yorkers have received their first dose.
The task of vaccinating is daunting: A single vaccination site might require people to act as administrative employees, security officers, medical greeters, translators, emotional support staffers, schedulers, traffic monitors and, of course, vaccinators.
Some volunteers bristled at the idea of working three 12-hour shifts without receiving a single penny from the city, even if they did receive the vaccine in exchange.
Others, though, thought they struck gold. “I thought that it was the best deal in the world, the three shifts,” said Seth Rosen, the director of development at the National LGBT Bar Association. He volunteered in the South Bronx. “I was happy to do that in order to be vaccinated.”
But nearly all volunteers complained that signing up was opaque and convoluted.
Enrollment instructions on the city’s website are targeted only to licensed clinical professionals. In response, a number of unauthorized documents outlining the sign-up process for general staff began popping up on the internet: circulating around social media or forwarded among friends.
Adam, a filmmaker who did not want to use his last name because volunteers were told not to speak to the press, registered for his volunteer service after receiving an unofficial document. It detailed the steps required for registration over four separate websites, each one requiring different accounts and passwords. Users were taught how to create an account on the city’s official website; then how to register on ServNY, the state’s volunteer program; then how to register with the state’s Department of Health Public Account Management System; and, finally, how to create an account for the Public Health Responders program.
In all, it required 32 steps.
“It was so bureaucratic — right out of Kafka,” said Adam.
And now it’s over.
The city Medical Reserve Corps sent an email to volunteers on Thursday saying general staffing roles were “at capacity for the foreseeable future.”
“Leadership has decided that NYC staff will be filling in the gaps moving forward,” the email said. “Given where we were with staffing four weeks ago, having this role entirely covered is a significant accomplishment — and a relief. Once again, thank you.”