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

Michael Hinojosa, the superintendent of the Dallas Independent School District, said Monday that masks would be required at all of its schools.
Credit…Brandon Wade/The Dallas Morning News, via Associated Press

The summer began with the promise that vaccinated Americans could largely go maskless, and travel swelled over the Fourth of July weekend to prepandemic levels. But the celebrations have turned out to be short-lived as the Delta variant of the coronavirus surges across the United States and momentum gains for mandating Covid-19 vaccines and, once again, masks.

The United States is averaging more than 124,000 new virus cases each day, more than double the levels of two weeks ago and the highest rate since early February, according to a New York Times database. Hospitals in hot spots around the country are approaching capacity.

With all of this at play, President Biden has urged the private sector and state and local governments to ramp up pressure on the nearly one-third of eligible people in the country who remain unvaccinated. He has also ordered all civilian federal employees to be vaccinated or submit to regular testing and other restrictions.

And on Monday, the Pentagon said that it would require the country’s 1.3 million active-duty military troops to be vaccinated “no later” than next month. About 64 percent of active-duty service members are fully vaccinated — a rate that is low enough to have national security implications, because it could make it difficult to deploy troops to countries with strict requirements.

Defense Secretary Lloyd J. Austin III said in a memo that he would seek to speed up the mandate if the Food and Drug Administration grants full approval to the Pfizer vaccine before mid-September, which the agency aims to do. More mandates in the private sector are also expected after the F.D.A. approval.

New requirements are also being brought in at the state and local level.

In Washington State, Gov. Jay Inslee said that most state employees and all health care workers must be fully vaccinated against the virus by Oct. 18 or risk losing their jobs.

More than two million health care workers in California also have to get vaccinated, largely without the option to submit to regular coronavirus testing. State employees who do not work in health care will still have the option to be tested if they are not vaccinated.

State and county employees in Hawaii will be required to provide their vaccination status by Aug. 16 or face regular testing, the governor said recently.

And even as several Republican-led states have barred businesses from requiring consumers to provide proof of vaccination, about a quarter of all U.S. hospitals are requiring staff members to be vaccinated, a spokesman for the American Hospital Association told CNN. Hospitalizations are soaring in areas with low vaccination rates.

Inoculations have picked up again in the country, but public health experts note that it takes weeks for the vaccines’ full effect to kick in. They say that more immediate measures, like mask mandates, are needed.

Ethan Hauser and Ron DePasquale

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Serious coronavirus infections among vaccinated people have been exceedingly rare since the start of the vaccination campaign, a New York Times analysis of data from 40 states and Washington, D.C., shows. Fully vaccinated people have made up less than 5 percent of those hospitalized with the virus in those states, and less than 6 percent of those who have died.

There is still a lot we do not know about so-called breakthrough infections — when fully inoculated people contract the virus. And there is some evidence that these cases are becoming more common as the more transmissible Delta variant surges. While vaccines have done a remarkable job at protecting a vast majority of people from serious illness, the data in the Times analysis generally spanned the period from the start of the vaccination campaign until mid-June or July, before the Delta variant became predominant in the United States.

Data on less serious breakthrough infections is not widely available, though it is possible those cases are rising. Data was not available for several states in which the virus has been surging, including Florida and Missouri.

Until recently, the Centers for Disease Control and Prevention estimated that fully vaccinated people accounted for less than 3 percent of coronavirus hospitalizations nationwide and less than 1 percent of virus deaths. But last week, the agency noted that those figures did not reflect new data involving the Delta variant and said it was actively working to update them. Only about 50 percent of people in the United States are fully vaccinated.

Looking at how many hospitalizations and deaths have involved fully vaccinated people is a common but crude measure of how well the vaccines are working.

As more people get shots, the percentage of hospitalizations and deaths among fully vaccinated people should rise. This may seem counterintuitive, so it’s important to understand why.

In a state with a high vaccination rate, a higher percentage of breakthroughs may simply reflect that fully vaccinated people are a bigger chunk of the population, or that there are few hospitalizations and deaths overall. Imagine a state where just two people are hospitalized but both are vaccinated — breakthroughs would account for 100 percent of the hospitalizations in that state, even though these cases were very rare.

The New York Times

Muslim pilgrims circumambulating the Kaaba during umrah, in Mecca, in May.
Credit…Amr Nabil/Associated Press

BEIRUT, Lebanon — Saudi Arabia has resumed allowing travelers from abroad to make a pilgrimage to Mecca, the kingdom announced this week, a new easing of the restrictions imposed last year to prevent the spread of Covid-19 at the Islamic holy sites.

Aspiring pilgrims from many countries can now apply to perform the lesser pilgrimage to Mecca, known as umrah, as long as they can provide proof that they have received a coronavirus vaccine approved by the Saudi authorities, the state-run Saudi Press Agency reported on Sunday. The new policy took effect on Monday.

The kingdom has approved the vaccines made by Moderna, Pfizer-BioNTech, Johnson & Johnson and AstraZeneca. Foreigners who have received two doses of either the Sinopharm or Sinovac vaccines can enter only if they have also received a third shot of one of the four approved vaccines.

As the pandemic spread last year, Saudi Arabia barred travelers from abroad from the main pilgrimage, the hajj, which attracts millions of pilgrims in normal years, spreading disappointment across the Muslim world. Devout Muslims who are physically and financially able are required to perform the hajj, one of the five pillars of Islam, at least once during their lives.

Last year, only a few hundred pilgrims who were already in the kingdom were allowed to go.

Foreign travelers were also barred from this year’s hajj, which was in July.

Umrah can be performed at any time of the year. Allowing vaccinated foreign travelers to apply for it represents a step toward restoring the prepandemic status quo at the holy sites.

The number of permitted foreign visitors will initially be limited and will increase over time, with the goal of eventually allowing two million pilgrims a month.

Other restrictions, including limiting the number of worshipers in mosques and on buses, will also be enforced to decrease the chances of infection. As of Monday, Saudi Arabia had averaged 732 new cases a day over the last week, a 40 percent decline from two weeks ago, according to the Center for Systems Science and Engineering at Johns Hopkins University.

Saudi Arabia still bans direct travel from a number of countries that it has deemed viral threats. Pilgrims from other countries must observe a mandatory seven-day quarantine on arrival. About 29 percent of Saudi residents are fully vaccinated, according to the Our World in Data project at the University of Oxford.

Besides having deep religious significance, the pilgrimage is big business and the ban on foreign worshipers hurt companies across the Islamic world that cater to pilgrims.

Before the pandemic, Jamal Ali, who works at a Beirut travel agency that specializes in religious tourism, sold a range of packages including plane tickets and hotel stays. The ban on foreign pilgrims cut his income by about 90 percent, he said.

He hoped that the resumption of foreign trips to Mecca would be a step back toward normalcy.

“We understand that Saudi Arabia is trying to achieve general immunity,” he said. “We are waiting for relief from God, and for this pandemic to end.”

Asmaa al-Omar

A rapid coronavirus test center in Cologne, Germany, in June.
Credit…Ina Fassbender/Agence France-Presse — Getty Images

BERLIN — After months of offering free coronavirus antigen tests to all residents, Germany will stop subsidizing them for adults who choose not to get vaccinated, Chancellor Angela Merkel announced Tuesday.

Starting Oct. 11, when the changes take effect, the tests will continue to be available at no charge for people under 18, pregnant women or others who have medical reasons not to get vaccinated.

Since March, the country has spent billions of dollars offering at least one free antigen test per resident each week, which has led to a boom of privately run testing stations.

Ms. Merkel met with state governors on Tuesday to negotiate the new rules, as infections, driven by the highly contagious Delta variant, are increasing, albeit more slowly than in many other parts of Europe.

German authorities have also agreed on new rules requiring proof of vaccination, recent recovery or a negative test for certain indoor activities, including going to a restaurant, hairdresser or gym, once the weekly local infection rate surpasses 35 per 100,000 inhabitants.

As of Monday, the authorities had registered 23.5 new infections per 100,000 inhabitants per week nationwide. Currently 55 percent of Germans have received the full vaccination course and 62.5 percent received the first jab, a rate, as Ms. Merkel noted during her news conference, that was no longer among the highest in the European Union.

“We now have enough of the vaccine,” she said. “Now we have to promote vaccinations.”

A park in Madrid last month. Spain has moved in recent weeks to reopen to tourists from outside the European Union, including from the United States.
Credit…Emilio Parra Doiztua for The New York Times

In June, as the United States made headway in its vaccination campaign, European Union leaders recommended that member countries reopen their borders to Americans, a gesture meant to signal what they hoped would be the beginning of the pandemic’s end. They expected to be repaid in kind.

But nearly two months later, even as Europe has overtaken the United States in vaccinations, the United States’ borders remain closed to most European travelers, even those who are vaccinated.

Likewise, when Canada said last month that it would welcome back fully vaccinated U.S. residents beginning on Monday, U.S. officials made clear that they would not immediately reciprocate.

That the United States remains largely closed has dismayed people in the European Union and frustrated their leaders.

“We insist comparable rules be applied to arrivals in both directions,” Ursula von der Leyen, the president of the European Commission, the bloc’s executive arm, said last week at a news conference. Officials with the bloc have even suggested reimposing travel restrictions against U.S. travelers.

For some families, the continued ban has compounded one of the deepest sorrows of the pandemic — separation — as loved ones become ill across closed borders and family elders fear that they may never see their loved ones again.

Unmarried partners with different passports have struggled to keep relationships afloat, giving rise to the popular Twitter hashtag #loveisnottourism. And people offered jobs in the United States don’t know whether to accept them.

The White House has offered little explanation on why the restrictions remain, even though some countries with higher infection and lower vaccination rates don’t face a similar ban. At a news conference last week, Jen Psaki, the White House spokeswoman, cited the advice of medical experts and continued concerns about the Delta variant.

Yet if that posture has frustrated Canadians, they have not said so, at least publicly.

“Every country gets to set its own rules about how it will keep its citizens safe,” Prime Minister Justin Trudeau said.

A drive-in Covid-19 vaccination center in New Delhi. Accounts based in Russia spread vaccine misinformation in India, Latin America and the United States, Facebook said.
Credit…Atul Loke for The New York Times

Facebook said on Tuesday that it had removed a network of accounts based in Russia that spread misinformation about coronavirus vaccines. The network targeted audiences in India, Latin America and the United States with posts falsely asserting that the AstraZeneca vaccine would turn people into chimpanzees and that the Pfizer vaccine had a much higher casualty rate than other vaccines, the company said.

The network violated Facebook’s foreign interference policies, the company said. It traced the posts to a marketing firm operating from Russia, Fazze, which is a subsidiary of AdNow, a company registered in Britain.

Facebook said it had taken down 65 Facebook accounts and 243 Instagram accounts associated with the firm and barred Fazze from its platform. The social network announced the takedown as part of its monthly report on influence campaigns run by people or groups that purposely misrepresent who is behind the posts.

“This campaign functioned as a disinformation laundromat,” said Ben Nimmo, who leads Facebook’s global threat intelligence team.

The influence campaign took place as regulators in the targeted countries were discussing emergency authorizations for vaccines, Facebook said. The company said it had notified people it believed had been contacted by the network and shared its findings with law enforcement and researchers.

Russia and China have promoted their own vaccines by distributing false and misleading messages about American and European vaccination programs, according to the State Department’s Global Engagement Center. Most recently, the disinformation research firm Graphika found numerous antivaccination cartoons that it traced back to people in Russia.

Security analysts and American officials say a “disinformation for hire” industry is growing quickly. Back-alley firms like Fazze spread falsehoods on social media and meddle in elections or other geopolitical events on behalf of clients who can claim deniability.

The Fazze campaign was carried out in two waves, Facebook said. In late 2020, Fazze created two batches of fake Facebook accounts that initially posted about Indian food or Hollywood actors. Then in November and December, as the Indian government was discussing emergency authorization for the AstraZeneca vaccine, the accounts started pushing the false claim that the vaccine was dangerous because it was derived from a chimpanzee adenovirus. The campaign extended to websites like Medium and, and memes about the vaccine’s turning its subjects into chimpanzees proliferated on Facebook.

The Fazze campaign went silent for a few months, then resumed in May when the inauthentic accounts falsely claimed that Pfizer’s vaccine had caused a much higher “casualty rate” than other vaccines. There were only a few dozen Facebook posts targeting the United States and one post by an influencer in Brazil, and there was almost no reaction to the posts, according to the company. Fazze also reached out to influencers in France and Germany, who ultimately exposed the disinformation campaign, Facebook said.

“Influence operations increasingly target authentic influential voices to carry their messages,” Facebook said in its report. “Through them, deceptive campaigns gain access to the influencer’s ready-made audience, but it comes with a significant risk of exposure.”

AdNow, the parent company of Fazze, did not immediately respond to a request for comment.

Facebook said it had also removed 79 Facebook accounts, 13 pages, eight groups and 19 accounts in Myanmar that targeted domestic citizens and were linked to the Myanmar military. In March, the company barred Myanmar’s military from its platforms, after a military coup overthrew the country’s fragile democratic government.

Twitter said this was Representative Marjorie Taylor Greene’s fourth “strike.”
Credit…Stefani Reynolds for The New York Times

Twitter on Tuesday suspended Representative Marjorie Taylor Greene, Republican of Georgia, from its service for seven days after she posted that the Food and Drug Administration should not approve the coronavirus vaccines and that the vaccines were “failing.”

The company said that this was Ms. Greene’s fourth “strike,” which means that under the company’s rules she could be permanently barred if she violated Twitter’s coronavirus misinformation policy again. The company issued Ms. Greene’s third strike less than a month ago.

On Monday evening, Ms. Greene said on Twitter, “The FDA should not approve the covid vaccines.” She said there were too many reports of infection and spread of the coronavirus among vaccinated people, and added that the vaccines were “failing” and “do not reduce the spread of the virus & neither do masks.”

The Centers for Disease Control and Prevention’s current guidance states, “Covid-19 vaccines are effective at protecting you from getting sick.”

In late July, the agency also revised its indoor mask policy, advising that people wear a mask in public indoor spaces in parts of the country where the virus is surging to maximize protection from the Delta variant and prevent possibly spreading the coronavirus. A recent report by two Duke University researchers who reviewed data from March to June in 100 school districts and 14 charter schools in North Carolina concluded that wearing masks was an effective measure for preventing the transmission of the virus, even without six feet of physical distancing.

Ms. Greene’s tweet was “labeled in line with our Covid-19 misleading information policy,” Trenton Kennedy, a Twitter spokesman, said in an emailed statement. “The account will be in read-only mode for a week due to repeated violations of the Twitter Rules.”

In a statement circulated online, Ms. Greene said: “I have vaccinated family who are sick with Covid. Studies and news reports show vaccinated people are still getting Covid and spreading Covid.”

Data from the C.D.C. shows that of the so-called breakthrough infections that have been reported among the fully vaccinated, serious cases are extremely rare.

Twitter has picked up enforcement against accounts posting coronavirus misinformation as cases have risen across the United States because of the highly contagious Delta variant. In Ms. Greene’s home state, new cases have increased by 171 percent in the past two weeks, while 39 percent of the state’s population has been fully vaccinated against the virus.

An employee in a manufacturing area of a Moderna facility in Norwood, Mass.
Credit…Nancy Lane/The Boston Herald, via Associated Press

Moderna plans to build a facility in Canada to manufacture mRNA vaccines for the coronavirus and other respiratory viruses, the company announced on Tuesday.

The agreement is one of up to 10 such partnerships under discussion in Europe and the Asia-Pacific region, including in some low-income countries, Stéphane Bancel, Moderna’s chief executive officer, said in an interview.

With the smooth transfer of technical know-how, any company can learn to manufacture mRNA vaccines, he said. “There is no technology in the world that some people can do somewhere and cannot be done somewhere else.”

The factory in Canada is likely to be operational in a couple of years, Mr. Bancel said. Its primary mission is to help Canada, but in a pandemic, the facility may also produce vaccines to help the rest of the world, he said.

The manufacturing facility could also use Moderna’s mRNA technology to make vaccines for other respiratory viruses, including seasonal influenza and respiratory syncytial virus. “The idea is to really be able to provide a vaccine against all respiratory viruses,” Mr. Bancel said.

Global health experts and activists have pushed for vaccine manufacturers to teach companies in low-income countries to make coronavirus vaccines. But some experts have argued that making mRNA vaccines is too complex for most companies to master.

In June, a South African consortium established the first Covid-19 mRNA vaccine technology transfer hub, with the aim of training manufacturers from developing countries to produce the vaccines.

Moderna announced last week that the protection afforded by its vaccine holds steady for at least six months after the second dose. But company officials said booster shots might still be necessary this fall because of the Delta variant.

Experts have said that the data available so far do not support rolling out extra doses, except perhaps for some older adults and for people with weakened immune systems who did not produce a robust immune response after the first two doses. But given the dearth of vaccines in much of the world, the World Health Organization has called for a moratorium on boosters for everyone else till the end of September.

Andy Slavitt, the White House senior adviser for the Covid Response Team, in May.
Credit…Doug Mills/The New York Times

In March, Andy Slavitt, then a top pandemic adviser for President Biden, called Nick Clegg, Facebook’s vice president for global affairs, and delivered an ominous warning.

For many weeks, Mr. Slavitt and other White House officials had been meeting with Facebook to urge the company to stop the spread of misinformation about coronavirus vaccines.

Many Americans who declined to get vaccinated were citing false articles that they had read on Facebook, including theories that the shots could lead to infertility, stillborn babies and autism.

“In eight weeks’ time,” Mr. Slavitt told Mr. Clegg, “Facebook will be the No. 1 story of the pandemic.”

Mr. Slavitt’s prediction was not far off. Roughly three months later, with cases from the Delta variant surging, Mr. Biden said Facebook was “killing people.”

Mr. Biden’s comment, which he later walked back slightly, was the culmination of increasingly combative meetings with the company about the spread of misinformation.

The meetings have involved the top ranks on both sides. In March, Mark Zuckerberg, Facebook’s chief executive, called Ron Klain, the White House chief of staff, and discussed health misinformation. The White House grew so frustrated by Facebook’s answers in the internal meetings that at one point it demanded to hear from the data scientists at the company instead of lobbyists.

Talks between the White House and Facebook continue. But the rift has complicated an already tumultuous relationship just as Mr. Biden faces a setback on tackling the virus. The White House missed its goal of having 70 percent of American adults with at least one vaccination shot by July 4, and the highly contagious Delta variant has fueled a rise in cases since then.

Facebook has pushed back strongly against the White House’s criticism, accusing the administration in public of scapegoating the company for the administration’s failure to reach its vaccination goals. Andy Stone, a spokesman for Facebook, said the White House hadn’t given the company enough credit for promoting the vaccines.

Gov. Ron DeSantis of Florida has threatened to withhold the salaries of school superintendents and school board members who impose mask mandates.
Credit…Joe Skipper/Reuters

The recent rise in U.S. coronavirus cases has led local leaders to defy Republican governors who have banned mask mandates in states like Florida and Texas, where the virus is surging.

Starting on Tuesday, the Dallas public school district will require everyone on school property, including students, employees and visitors, to wear masks. The rule comes as Gov. Greg Abbott of Texas remains one of the most strident opponents of mask mandates: His office said in a statement on Monday that he “has been clear that we must rely on personal responsibility, not government mandates.”

In Florida, Gov. Ron DeSantis is threatening to withhold the salaries of local superintendents and school board members who enact them, even though just half of people in the state are vaccinated, and the Delta variant is driving a surge that has made the state one of the worst-hit in the nation. Forty-three percent of the state’s adult intensive-care beds are filled with coronavirus patients, The Wall Street Journal reported.

Mr. DeSantis signed an executive order last month that blocked local officials from enacting mask mandates. But several local officials and community leaders are preparing to defy him.

Schools in Leon County, Alachua County and Duval County have decided in recent weeks to require masks for students, although some schools are allowing students to opt out or are mandating them only for certain grades.

The Broward County School District, one of the largest in Florida, also voted last month to require its students to wear masks, although in light of the governor’s recent executive order, the district said in a statement that it was “awaiting further guidance before rendering a decision on the mask mandate for the upcoming school year.”

Other opponents of the bans are turning to the courts.

Lawsuits have been filed against Mr. DeSantis’s order in Florida. In Texas, the top elected official in Dallas County sued Mr. Abbott on Monday evening, arguing that his ban on mask mandates violates state law.

A mass vaccination site last week in Monterrey, Mexico.
Credit…Daniel Becerril/Reuters

MEXICO CITY — As lines for coronavirus testing again stretch for blocks and hospitals fill with patients, Mexico is experiencing another wave of the virus, with six states and the capital entering a “red” alert level on Monday — the highest on the country’s virus traffic light warning system.

The Mexican health ministry said on Sunday that the country had registered its first drop in weekly cases after nine straight weeks of rising cases, although the dip was only 1 percent. To date, Mexico has recorded nearly three million cases of the coronavirus.

On Sunday the country reported another 7,573 new cases and 172 deaths. The authorities estimate that total deaths have now surpassed 250,000, among the highest death tolls in the world, although limited testing means that the true figure could be far higher.

With the more contagious Delta variant now dominant in parts of the country, and vaccinations still sluggish — only about 21 percent of the adult population is fully vaccinated — health experts warn that conditions could get even worse.

“The situation is very serious,” said Laurie Ann Ximénez-Fyvie, the head of the molecular genetics laboratory at the National Autonomous University of Mexico and a vocal government critic. “Infections are out of control, hospitals are overwhelmed, people are dying.”

Still, despite the worrying trends, the government has continued to paint a rosy picture and has refused to implement significant restrictions or mask mandates, even in states where infections are surging. Mexico also has no meaningful travel restrictions, which could hurt the important tourism industry.

Instead, the government is counting on vaccinations to curb the spread of the virus, but a slow government rollout of available vaccines has limited their success.

“We have the guarantee, which we didn’t have before, that now because of the vaccine, there are fewer hospitalizations,” President Andrés Manuel López Obrador said at a news conference on Friday. “The most important thing of all, what gives us the most calm, is that there are fewer deaths.”

Mr. López Obrador held a call with Vice President Kamala Harris on Monday afternoon, in which he said they discussed immigration, mutual cooperation to confront the pandemic and potentially reopening the U.S. land border, where the Mexican government has been concentrating vaccination efforts.

On Tuesday, Foreign Minister Marcelo Ebrard said that Ms. Harris had promised Mexico an additional donation of 8.5 million doses this month — 5 million of AstraZeneca and 3.5 million of Moderna, which has not yet been approved for use by Mexican regulators.

Global Roundup

A government worker assisted people waiting to get coronavirus vaccines in Manila, Philippines on Monday.
Credit…Eloisa Lopez/Reuters

Thousands of people flocked to inoculation sites in Manila, the Philippine capital, on Tuesday as reports emerged that unvaccinated people would miss out on welfare payments from the government.

People were also afraid of being barred from leaving their homes if they remained unvaccinated.

President Rodrigo Duterte, famous for his brash, autocratic style of leadership, had earlier ordered police and village enforcers to ensure that unvaccinated people quarantine at home as part of efforts to prevent the spread the Delta variant.

On Monday night, he said the government would begin giving cash payments to low-income people across Manila — aside from in one area, as a punishment for overcrowding and disorder at vaccination sites.

Referring to one part of the city, he said: “I saw on TV the disorder and the chaos prevailing.”

On Tuesday, long lines of people withstood a heavy downpour as they waited to be inoculated at a university in southern Manila that had been designated as a vaccination site.

Other news from around the world:

  • ​​Sydney, Australia’s biggest city, reported its biggest daily rise in case numbers in the pandemic on Tuesday, and a Delta variant outbreak shows no signs of slowing. The city, which is in its seventh week of lockdown, recorded 356 new coronavirus cases and three deaths. The state’s leader, Gladys Berejiklian, rejected the idea of imposing tougher measures to restrict movement, saying that it would not deter a “small handful of people” who are not complying with health orders. The Instagram-famous coastal town Byron Bay was also plunged into a one-week lockdown on Monday after an infected man traveled there from Sydney.

Preparing the Johnson & Johnson coronavirus vaccine at a mobile vaccination clinic in Los Angeles last week.
Credit…Patrick T. Fallon/Agence France-Presse — Getty Images

For adults, the benefits of the three coronavirus vaccines authorized in the United States outweigh the risks of serious side effects, which remain rare, according to a new report from the Centers for Disease Control and Prevention.

The Pfizer-BioNTech and Moderna vaccines have been linked to inflammation of the heart muscle, known as myocarditis, and the Johnson & Johnson vaccine may increase the risk of a rare blood-clotting disorder and a neurological condition known as Guillain-Barré syndrome. All of the conditions can be serious, but remain uncommon.

These small risks are exceeded by the benefits of the vaccines, which provide powerful protection against disease and death, experts concluded. For instance, every million doses of the Johnson & Johnson vaccine that are administered are likely to prevent roughly 1,800 hospitalizations and 140 deaths, while causing 14 to 17 cases of Guillain-Barré and 1 to 2 cases of the blood clotting disorder, according to the paper, which was published on Tuesday.

The paper is based on data reported to the federal Vaccine Adverse Events Reporting System. The database contains unverified reports, but researchers confirmed many of the cases used in their calculations, which were initially presented at a July meeting of the C.D.C.’s vaccine advisory group.

As of June 30, roughly 12.6 million doses of the Johnson & Johnson vaccine had been given to American adults. As of that date, there had been 100 reports of Guillain-Barré, which can cause muscle weakness and paralysis, a rate of 7.8 cases per million doses. The risk was highest for men between 50 and 64, who developed the side effect at a rate of 15.6 per million doses.

As of July 8, there had also been 38 reports of the clotting disorder following the Johnson & Johnson vaccine. The disorder, which is known as thrombosis with thrombocytopenic syndrome, causes an unusual combination of blood clots, often in the brain, with abnormal bleeding. The overall rate of the clotting disorder is 3 cases per million doses, though women between 30 and 49 get it at a higher rate of 8.8 cases per million.

By the end of June, there had also been 497 reports of myocarditis after the second dose of either the Pfizer or the Moderna vaccines, a rate of 3.5 cases per million doses. That increased to 24.3 cases per million for men between 18 and 29, among whom myocarditis was most common.

Information about all three possible side effects have been added to the vaccine fact sheets given to patients and clinicians. The C.D.C. and the Food and Drug Administration will continue to monitor reports of adverse events, the report noted.

Emily Anthes

The French police checking a customer’s health pass at a Paris bar on Monday.
Credit…Christophe Petit Tesson/EPA, via Shutterstock

Visitors to France who have been inoculated outside the European Union with approved Covid-19 vaccines may now use a national health pass to enter bars, restaurants, cafes, gyms and other indoor venues, the government said this week.

The pass, which went into effect on Monday, is also required for large-scale events like sports games and music festivals and for long-distance train rides and flights in the country.

There had been growing concern among non-European Union tourists who planned to vacation in France but feared that they would be excluded from most social activities if their vaccination certificates were not recognized.

The pass includes a QR code linking to a web page that shows proof of full vaccination, a recent negative test or recovery from the coronavirus. Similar initiatives have been introduced in countries like Italy and Germany, although France’s approach is one of the strictest in Europe.

Non-European Union visitors who have been inoculated with vaccines approved by the European Medicines Agency or an equivalent agency will be able to apply. Priority will be given to tourists who are either already in France or those who will arrive by Sunday.

Application forms are available online and can be submitted by email.

President Emmanuel Macron has said that France’s approach to managing the pandemic is to “put restrictions on the unvaccinated rather than on everyone.”

Although recent polls suggest that most people in the country support that policy, it has spurred large demonstrations in the past month, including nationwide protests on Saturday that drew almost a quarter of a million people.

Mr. Macron hopes to ramp up vaccinations to help stem a fourth wave of coronavirus infections that is being fueled by the fast-spreading Delta variant.

Patients covered with mosquito nets being treated for dengue at the Islami Bank Central Hospital in Dhaka, Bangladesh, last month.
Credit…Monirul Alam/EPA, via Shutterstock

The latest wave of coronavirus infections in several South Asian nations has been complicated by a surge in dengue, a mosquito-transmitted virus that spreads during monsoon season.

The rise in cases of dengue — which can have symptoms similar to those of the coronavirus, such as fever, headaches and body aches — is adding to the load of hospitals that are already overwhelmed.

Bangladesh and Sri Lanka are experiencing some of the worst surges in dengue. Sri Lanka has reported more than 17,000 cases this year, including nearly 3,300 in July. Bangladesh has recorded about 4,500 cases of hospitalization for dengue this year, nearly half of them in July.

“The health system is already overburdened by Covid-19 patients,” said Dr. Himali Herath, a consultant physician at Sri Lanka’s National Dengue Control Unit. “Caring for dengue patients is labor-intensive. Therefore it will be very difficult.”

The World Health Organization estimates that there are hundreds of millions of dengue infections every year, and nearly two-thirds occur in Asia. There is no specific treatment for the virus, and severe cases can lead to death if not detected early and if patients do not receive adequate medical care.

“Due to the heavy stream of Covid-19 patients, we are turning dengue patients to other hospitals,” said Brig. Gen. Nazmul Haque, the director of the Dhaka Medical College Hospital in Bangladesh. “We are only treating the patients who are infected with both coronavirus and dengue.”

Dengue outbreaks also remain endemic in India, Nepal and Pakistan. In Kathmandu, Nepal’s capital, officials said the main hospital that treated dengue patients in previous years had been turned into a Covid hospital amid the country’s second wave of infections.

The government laboratory where all suspected dengue cases would usually be referred to for testing has also been overwhelmed with coronavirus tests, they said.

Aanya Wipulasena and Saif Hasnat

A Covid-19 patient at an intensive care unit in Pointe-a-Pitre, on the French Caribbean archipelago of Guadeloupe.
Credit…Cedrick Isham Calvados/Agence France-Presse — Getty Images

The coronavirus situation is worsening in the French overseas territories of Martinique and Guadeloupe in the Caribbean, where a surge in new cases, fueled by the fast-spreading Delta variant, threatens to overwhelm hospital capacity on the two islands.

“The situation is extremely serious,” Sébastien Lecornu, the minister in charge of overseas territories told reporters, adding that the current rate of new coronavirus cases in the islands had never been experienced in any of France’s regions.

“These are incidence rates that have never been known in these territories, but also in all the territories of the Republic combined,” he said.

Guadeloupe has reported nearly 1,750 cases per 100,000 people, with the intensive care units at hospitals operating at about 156 percent of capacity. Martinique has reported 1,200 cases per 100,000 people and I.C.U.s at hospitals are at 227 percent of capacity, according to the latest data from health authorities.

In late July, Martinique was put under a new lockdown limiting travel while a nighttime curfew was introduced in Guadeloupe. But faced with the deteriorating situation, local authorities in Martinique announced a tougher lockdown that will force nonessential shops, hotels and beaches to close while residents’ movements will be limited to a maximum one-kilometer radius from their homes. Tourists were also advised to leave the island.

In Guadeloupe, Mr. Lecornu said that “we will obviously have to toughen the curbing measures, given the emergency.”

On Sunday, Olivier Véran, France’s health minister, called on volunteer doctors and nurses in mainland France to go and help the hospitals of the islands “which are facing a very intense epidemic wave that is affecting a population that is still undervaccinated.”

The islands’ vaccination rate is much lower than mainland France’s: only 22 percent of their collective population have received at least a first dose of the vaccine, compared to about 65 percent on the mainland.

A news broadcast in Times Square on Tuesday as Gov. Andrew M. Cuomo of New York announced that he would resign, capping a remarkable political fall.
Credit…Benjamin Norman for The New York Times

ALBANY, N.Y. — Gov. Andrew M. Cuomo of New York said on Tuesday he would resign from office, succumbing to a ballooning sexual harassment scandal that fueled an astonishing reversal of fortune for one of the nation’s best-known leaders.

Mr. Cuomo said his resignation would be effective in 14 days. Lt. Gov. Kathy Hochul, a Democrat, will be sworn in to replace him. She will become the first female governor of New York.

The governor framed his resignation as a necessary step given the firestorm of controversy surrounding his continued leadership, including an impeachment inquiry that he referred to as a “distraction” from pressing issues as the state recovers from the pandemic. “Given the circumstances, the best way I can help now is if I step aside and let government get back to governing,” Mr. Cuomo said. “And therefore that’s what I’ll do.”