Dr. Anthony S. Fauci expressed optimism on Sunday that vaccination sites around the country would quickly recover from delays in coronavirus vaccine inoculations caused by weather-related shipping delays last week, and administer all six million missed doses while still ramping up the number of new appointments.
“We can play pretty good catch-up,” Dr. Fauci, President Biden’s chief medical adviser for Covid-19, said on the NBC show “Meet the Press,” noting that two million of the delayed doses had already been shipped. “When you just, you know, put the foot to the accelerator and really push, we’ll get it up to where we need to be by the middle of the week.”
The rate of vaccinations in the United States, which had been accelerating after a chaotic start, fell last week after a winter storm blew through much of the country. About 1.52 million vaccine doses were being administered per day, according to a New York Times database. Although that is still above President Biden’s target, it was the lowest rate since Feb. 8.
The country has been racing to vaccinate as many people as possible before more contagious and possibly deadlier variants of the coronavirus become dominant, and the figure had been well above the president’s goal of 1.5 million doses for several days. It peaked at 1.7 million on Feb. 16 before a brutal winter storm hit states from coast to coast. The bad weather delayed shipments of vaccine supplies from two hubs: a FedEx center in Memphis and a UPS site in Louisville, Ky.
More than 2,000 vaccine sites were in areas with power outages, according to the Federal Emergency Management Agency. Many were not only forced to close but left relying on generators to keep doses at the ultracold temperatures they require to prevent them from spoiling.
Texas, where the frigid storm left millions without power and water for a time, has reopened inoculation sites. The state has been assigned almost 600,000 first doses of the vaccine for the coming week, according to the state health department, up from about 400,000 first doses for the week of Feb. 15.
The doses that were supposed to be delivered last week are still waiting to be shipped to Texas from out-of-state warehouses, state health officials said. The missed doses are expected to be delivered in the first half of this week.
On Sunday, Houston’s mayor, Sylvester Turner, said on “Face the Nation” on CBS that vaccinations had resumed there and that a FEMA site would open Monday with the potential to administer shots to 6,000 people a day for the next six to eight weeks. He estimated the city could vaccinate more than 100,000 people in the coming week. “The people are resilient,” he said. “I’m very proud of the people in the city of Houston, how they have come together.”
In Dallas, a major vaccination hub at Fair Park reopened Sunday, but sites in Austin remain closed. The mayor of neighboring Fort Worth, Betsy Price, also appeared on “Face the Nation,” and said that vaccinations would resume in her city on Monday or Tuesday.
Last week’s bottlenecks and delays came just as states have broadened vaccine access to more groups, despite a limited supply that is not growing enough to keep up.
New York City said on Saturday that it had fewer than 1,000 first Covid-19 doses on hand because of the weather-related shipment delays. Mayor Bill de Blasio said that New York City had delayed scheduling up to 35,000 first dose appointments because of the shortage.
At the same time, New York State is still scheduling appointments for new mass vaccination sites opening in Brooklyn and Queens on Wednesday in partnership with FEMA.
The new sites, at Medgar Evers College in Brooklyn and York College in Queens, are open to residents of only select ZIP codes and are intended to increase low vaccination rates in communities of color. Data released on Tuesday showed drastic disparities between vaccination rates in whiter areas of New York City compared with predominantly Black neighborhoods.
A person from a suburb east of New York City has been confirmed as the first New York resident to have been infected by a more contagious variant of the coronavirus that emerged in South Africa, Gov. Andrew M. Cuomo said on Sunday.
Few other details were offered about the case, including specifically when it was confirmed or whether the individual who was infected, a resident of Nassau County on Long Island, had recently traveled. It was not the first case of the South Africa variant to be found in New York; Mr. Cuomo announced last Monday that the variant had been detected in a man from Connecticut who was hospitalized in New York City.
The variant, known as B.1.351, was originally identified in South Africa in December, and has since been found in dozens of other countries and at least nine states, including California, Texas and Virginia. The variant carries mutations that help it latch on more tightly to human cells and that may help the virus evade some antibodies.
Its emergence in New York, which officials had warned was inevitable, underscored the dangers posed by new variants that may be more infectious or resistant to vaccines, particularly as the state’s vaccination effort continues to be hampered by a limited supply of doses.
“We are in a race right now — between our ability to vaccinate and these variants which are actively trying to proliferate — and we will only win that race if we stay smart and disciplined,” Mr. Cuomo said in a statement on Sunday.
Two weeks ago, South Africa halted the use of the AstraZeneca-Oxford vaccine after evidence emerged that it did not protect participants in a clinical trial from mild or moderate illness caused by the variant.
Scientists in South Africa have also said that the immunity acquired by people infected by earlier versions of the coronavirus did not appear to protect them from mild or moderate cases when reinfected by the South Africa variant.
The Food and Drug Administration is working on a plan to update vaccines if the variant surges in the United States.
But Mr. Cuomo on Sunday also offered reason for optimism, noting that the statewide rate of positive test results was less than 3 percent for the first time since November. He said that hospitalizations also continued to decline statewide.
Dr. Anthony S. Fauci, President Biden’s chief medical adviser for Covid-19, said on Sunday that Americans may still be wearing masks outside their homes a year from now, even as he predicted the country would return to “a significant degree of normality” by fall.
“I want it to keep going down to a baseline that’s so low there is virtually no threat,” Dr. Fauci said on the CNN program “State of the Union,” referring to the number of cases nationally that would make him comfortable enough to stop recommending universal masking. “If you combine getting most of the people in the country vaccinated with getting the level of virus in the community very, very low, then I believe you’re going to be able to say, for the most part, we don’t necessarily have to wear masks.”
Dr. Fauci appeared on a series of TV news programs on Sunday morning, where he was quizzed on the dangers of variants of the coronavirus, the schedule of the nation’s vaccine rollout and when vaccination would allow more students to return to schools.
On this last question, Dr. Fauci said on “Fox News Sunday” that he hoped high school students, far fewer of whom have gone back to classrooms compared with younger children, would be eligible for vaccination in the fall.
“That’s why we are pushing on those studies, to get them vaccinated,” he said of teenagers, who are currently the subject of clinical trials by Pfizer and Moderna. “That will likely occur in the fall; I can’t say it’s going to be on day one of when school starts in the fall term.”
Vaccinations for younger children, however, “likely will not be before the beginning of the first quarter of 2022,” Dr. Fauci said.
On the hotly debated question of whether people should wait longer than the recommended three or four weeks to get a booster vaccine, or even skip the second dose, Dr. Fauci said on NBC News’s “Meet the Press” that it was prudent for people to stick to the prescribed schedule.
“There are enough unknowns in that, particularly the durability of the protection,” he said.
He added that while that new data suggesting people who have had Covid could get enough protection from one dose was “really quite impressive,” it might be complicated to document who has had the virus.
He also addressed the subject of the mutated variant of the coronavirus identified in South Africa. In clinical trials involving the AstraZeneca-Oxford vaccine in that country, patients who were inoculated were not protected from mild or moderate illness caused by the variant, known as B. 1.351. Dr. Fauci said on “Fox News Sunday” that while it is still rare in the United States, “if it becomes more dominant, we may need a version of the vaccine that’s effective specifically against” it.
With the United States expected to surpass 500,000 deaths from Covid-19 in the coming days, Dr. Fauci told Chuck Todd on “Meet the Press” that “we haven’t seen anything even close to this for well over 100 years,” since the 1918 influenza pandemic, adding, “People will be talking about this decades and decades and decades from now.”
One year ago, when the coronavirus spread to the United States, few public health experts predicted its death toll would climb to such a terrible height.
At a White House briefing on March 31, Dr. Anthony S. Fauci, the top infectious-disease expert in the country, and Dr. Deborah L. Birx, who was coordinating the coronavirus response at the time, announced a stunning projection: Even with strict stay-at-home orders, the virus might kill as many as 240,000 Americans.
Less than a year later, the virus has killed more than twice that number. A nation numbed by misery and loss is confronting a number that still has the power to shock: 500,000.
No other country has counted so many deaths during the pandemic. More Americans have perished from Covid-19 than they did on the battlefields of World War I, World War II and the Vietnam War combined.
The milestone comes at a hopeful moment: New virus cases are down sharply, deaths are slowing and vaccines are steadily being administered.
But there is concern that new, more contagious variants of the virus could quickly undo the nation’s progress and lead to another spike. It will still take months to vaccinate the American public, and it may be months before the pandemic is contained.
The virus has reached every corner of America, devastating dense cities and rural counties alike. By now, about one in 670 Americans has died of it.
In New York City, more than 28,000 people have died of the virus — or one in 295 people. In Los Angeles County, which has lost nearly 20,000 people to Covid-19, about one in 500 people has died of the virus. In Lamb County, Texas, where 13,000 people live scattered on a sprawling expanse of 1,000 square miles, one in 163 people has died of the virus.
As the United States approaches the loss of half a million people to Covid-19, there are few events in history that adequately compare.
The 1918 influenza pandemic is estimated to have killed about 675,000 Americans, according to the Centers for Disease Control and Prevention, when the country’s population was a third of what it is now. But it also happened at a time when influenza vaccines, antibiotics, mechanical ventilation and other medical tools did not exist yet.
Deaths from Covid-19 in the United States came faster as the pandemic went on. The first known death occurred in February, and by May 27, 100,000 people had died. It took four months for the nation to log another 100,000 deaths; the next, about three months; the next, just five weeks.
Though daily deaths are now slowing, about 1,900 deaths in America are being reported each day. As of Saturday evening, the toll had reached 497,221.
The Institute for Health Metrics and Evaluation, an independent global health research center at the University of Washington, has projected that the nation could reach more than 614,000 deaths by June 1. Factors like how well people adhere to guidelines like mask-wearing and social distancing, plus the speed of vaccinations, could affect that estimate.
As new variants of the coronavirus spread rapidly, a number of European countries are moving to reintroduce border controls, chipping away at what was once the world’s largest area of free movement.
Fearing the highly contagious new variants first identified in Britain and South Africa, both Germany and Belgium introduced new border restrictions this week, adding to steps taken by other countries.
The European Union sees free movement as a fundamental pillar of the continent’s deepening integration, but after a decade in which first terrorism and then the migration crisis tested that commitment, countries’ easy resort to border controls is placing it under new pressure.
“Last spring we had 17 different member states that had introduced border measures and the lessons we learned at the time is that it did not stop the virus but it disrupted incredibly the single market and caused enormous problems,” the commission’s president, Ursula von der Leyen, told the news media last week. “The virus taught us that closing borders does not stop it.”
But Ms. von der Leyen’s remarks triggered a pushback from Germany.
“We are fighting the mutated virus on the border with the Czech Republic and Austria,” the German interior minister, Horst Seehofer, told the tabloid newspaper Bild. The commission “should support us and not put spokespeople in our wheels with cheap advice,” he snapped.
One factor that may help keep borders open is the vast and instant economic impact now felt from even minor closures.
Since Sunday, the only people allowed to enter Germany from the Czech Republic or the Tyrol region of Austria, where instances of the coronavirus variant that originated in Britain are rising, are those who are German, living in Germany, carrying freight or working in essential jobs in Germany. All have to register and show a negative coronavirus test result before entry.
But thousands of people in Austria and the Czech Republic commute daily to jobs in Germany, and after the new checks came into force, long lines began to form. By the end of the week, business groups were writing desperate letters asking Germany to ease or lift the restrictions.
When a young Israeli woman was released from detention in Syria this week, after having been arrested for crossing illegally into Syria, the official story was that she had been the beneficiary of a straightforward prisoner swap. In return for her freedom, the Israeli government announced, she had been exchanged for two Syrian shepherds captured by the Israelis.
But if this deal between two enemy states, which have never shared diplomatic relations, sounded too swift and easy, it was. In secret, Israel had in fact also agreed to a far more contentious ransom: the financing of an undisclosed number of Covid-19 vaccines for Syria, according to an official familiar with the content of the negotiations.
Under the deal, Israel will pay Russia, which mediated it, to send Russian-made Sputnik V vaccines to the regime of President Bashar al-Assad of Syria, the official said. Israel has given at least one vaccine shot to nearly half its population of 9.2 million, while Syria — now entering its 11th year of civil war — has yet to begin its vaccine rollout.
The Israeli government declined to comment on the vaccine aspect of the deal, while a Syrian state-controlled news outlet, the Syrian Arab News Agency, denied that vaccines were part of the arrangement. Asked about the vaccines in a television interview on Saturday night, Prime Minister Benjamin Netanyahu of Israel evaded the question, saying only that no Israeli vaccines were being sent to Syria.
The deal constitutes a rare moment of uneasy cooperation between two states that have fought several wars and still contest the sovereignty of a tract of land, the Golan Heights, that Israel captured from Syria in 1967.
It also highlights how vaccines are increasingly a feature of international diplomacy. And it reflects a vast and growing disparity between wealthy states, like Israel, that have made considerable headway with coronavirus vaccines and may soon return to some kind of normality — and poor ones, like Syria, that have not.
The House version of President Biden’s coronavirus relief plan would add $1.9 trillion to the federal budget deficit over the next decade, the Congressional Budget Office estimated this weekend.
That figure is in line with Mr. Biden’s calls for a $1.9 trillion package, and it reflects Democrats’ determination to hold the line on the president’s calls to “go big” on stimulus despite pressure from Republicans and some liberal economists to scale back the plan, warning of possible inflation stemming from increased federal borrowing.
The legislation would fund measures to combat the pandemic, provide billions of dollars for schools and small businesses, temporarily bolster unemployment benefits, aid state and local governments, and deliver a round of $1,400 direct payments to individuals.
Most of the money is projected to hit the economy over the next year. The budget office estimated that about $1.6 trillion in new spending would occur this fiscal year, which ends Sept. 30, and in the 2022 fiscal year, which begins in October.
The rest of the money will be spent more gradually, the budget office said. Much of the delayed spending comes in the category of education.
Canadians might be known internationally as nice, apologetic and fair-minded. But a very different Canadian persona has been exposed by a year of pandemic: one that shames people for contracting and potentially spreading the virus.
Snitch lines set up across Canada have been flooded with tips about people suspected of breaking quarantine, businesses flouting public health restrictions, and out-of-towners siders with unfamiliar license plates who are seen in town and might be bringing the virus with them.
Facebook groups are full of stories of people being labeled potential vectors and are then refused service, disinvited from family gatherings, and reported to the police and public health authorities.
Experts worry that fear of being treated that way may be driving cases underground, delaying reports of Covid-19 symptoms and making people avoid getting tested.
“This is impacting our ability to contain the virus,” said Dr. Ryan Sommers, one of eight public health doctors in Nova Scotia who published a letter beseeching residents in the small Atlantic province to stop shaming one another.
“We want to create a social norm where people will be supportive and caring and compassionate,” Dr. Sommers said. “Social media can be more virulent than the virus itself.”
In the country’s four eastern provinces, which have enforced self-isolation rules for anyone entering the region, the shaming is not just online, said Robert Huish, an associate professor at Dalhousie University in Halifax, who is conducting a study of coronavirus stigma. It’s intimate, particularly in small communities, where “community cohesion quickly flips to become community surveillance.”
Some say the fear of stigma has become worse than the fear of contracting the virus.
Historically, stigma and shaming have faithfully trailed pandemics, said David Barnes, an associate professor at the University of Pennsylvania who studies the history of infectious diseases and epidemics. During the plague years in Europe, Jewish people were made into convenient scapegoats. When cholera afflicted Britain in the 19th century, working-class Irish people were blamed, Mr. Barnes said.
Most recently, gay men and Haitians were stigmatized during the AIDS epidemic in the United States.
“We make ourselves feel safer and superior by associating disease with people who are not like us, do things we don’t do or come from places unlike our place,” Mr. Barnes said. “We shouldn’t be surprised.”
Australia began vaccinating its population against the coronavirus on Sunday, with Prime Minister Scott Morrison and 19 other people getting shots a day after hundreds gathered nationwide to protest the vaccine rollout.
The first Australian to be vaccinated was Jane Malysiak, 84, who lives in a Sydney nursing home. She was followed by a number of quarantine and health care workers; the country’s chief health officer, Paul Kelly; and Mr. Morrison.
When asked by the person administering his vaccine whether he had any questions, Mr. Morrison replied, “No, I’m ready to go, just like the country.”
Australia, a country of about 25 million, aims to have four million people vaccinated by the end of next month. Prioritized groups are receiving the Pfizer-BioNTech vaccine, though Australia has also approved the vaccine from Oxford University-AstraZeneca, which is being manufactured domestically. The vaccines are being distributed for free and taking them is not compulsory, although employers in some high-risk industries may be able to compel workers to vaccinate.
The event in Sydney was intended to build confidence ahead of the country’s official vaccine rollout on Monday, and it came a day after anti-vaccine protests took place in most major Australian cities.
In Melbourne, the police clashed with protesters and used pepper spray, according to the local news media. The police said they had arrested 20 people on charges including breaching public health orders and resisting arrest. The Australian Broadcasting Corporation estimated that the protest drew about 500 people.
Protests in other cities were largely peaceful. In Sydney, the police said more than 400 people protested, while in Brisbane, the ABC estimated there were over 1,000. Protesters chanted “Freedom!” and “My body, my choice.”
New Zealand officially began its own vaccine rollout over the weekend, also using the Pfizer-BioNTech vaccine. Both countries have recorded relatively few coronavirus cases and deaths, reporting zero locally acquired infections in the 24 hours before vaccinations began.
Weddings have always been emotional, but adding personal boundaries around safety and health, confusing government guidelines and the finer points of air filtration systems to the mix has pushed families and wedding planners to the edge.
Adept at negotiating fraught moments and achieving the impossible, wedding professionals are now also acting as health, infrastructure and grief experts. They face states, counties and cities with shifting and often senseless hodgepodges of guidelines and restrictions, or, sometimes, no rules at all.
“Everybody in the wedding industry is more confused than ever,” said Sonal Shah, who owns an event consulting company in New York. “One person in our office is dedicated to researching C.D.C. guidelines.”
In Texas, now gripped by a severe storm that forced power outages and water shortages, all venues can currently be filled to 75 percent capacity — but, as with a number of states, churches are exempt from that rule.
In North Dakota, an executive order ended capacity limits on weddings in mid-January, but state guidelines still offer numerous suggestions, such as limiting guest lists to 1,000 people in venues that can hold 2,000.
In New York, for now, weddings are capped at 50 people — indoors or outdoors. Religious ceremonies have to limit attendees to 50 percent of the venue’s capacity.
The Michigan guidelines are nearly impenetrable, but seem to indicate that no more than 10 people from no more than two households can gather indoors, and 25 people can gather outside, as long as there are no more than 20 people within 1,000 square feet — unless there is fixed seating, in which case a maximum of 25 people can gather, as long as attendance is limited to 20 percent of seating capacity of the outdoor area. Got that?
Regulations can also change unexpectedly, a challenge for events that are planned months in advance. Dr. Anthony S. Fauci, the government’s top infectious disease expert, suggested in December that weddings be pushed to June or July of 2021 at the earliest.
But as vaccinations and hope spread across the United States, the race to schedule weddings is back on.
An industry market report — which vividly showed the suffering finances of the wedding industry in 2020 — predicts that there will be a significant increase in wedding revenue this year.