Category: Covid-19

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U.S. COVID-19 cases more than double in two weeks as delta variant spreads fast, and WHO warns ‘pandemic nowhere near finished’ – MarketWatch

July 15, 2021

The number of new cases of COVID-19 in the U.S. has more than doubled in the last two weeks, as the delta variant continues to race across the nation, infecting both vaccinated and unvaccinated people, who account for more than 99% of recent fatalities.

The average case tally on Wednesday was 26,513, according to a New York Times tracker, up 111% from two weeks ago. Hospitalizations have climbed 22% and deaths are up 5% in the same time frame, albeit they remain at far lower levels than at the peak of the crisis in the spring of 2020. Overall, 47 states are showing new cases up 10% from a week ago, according to Johns Hopkins University data.

Experts are increasingly describing two Americas, divided between the vaccinated and unvaccinated, with the latter group putting themselves and others at risk of infection as the vaccine program grinds to a halt.

See also: Delta variant drove COVID-19 cases higher across the globe last week including in the U.S.

Despite national, regional, and global efforts, the pandemic is nowhere near finished. The pandemic continues to evolve with four variants of concern dominating global epidemiology. The Committee recognized the strong likelihood for the emergence and global spread of new and possibly more dangerous variants of concern that may be even more challenging to control.

The Centers for Disease Control and Prevention and Infections vaccine tracker is showing that 160 million Americans are fully inoculated, equal to 48.2% of the overall population. That means they have had two shots of the vaccines developed by Pfizer PFE, +0.16% and German partner BioNTech BNTX, +4.31% and Moderna MRNA, +4.97%, or one shot of Johnson & Johnsons JNJ, -0.79% one-dose regimen. The AstraZeneca AZN, -4.21% AZN, -3.73% vaccine has not been granted emergency use authorization in the U.S.

Among adults 18-years-and-older, 59.1% are fully vaccinated, while 67.8% have received at least one dose, still short of President Joe Bidens goal of having 70% of the adult population receive at least one shot by the July 4 holiday. The numbers are barely budging day-to-day now, despite concerns expressed by healthcare experts.

Were losing time here. The delta variant is spreading, people are dying, we cant actually just wait for things to get more rational, Dr. Francis Collins, director of theNational Institutes of Healthtold CNN Wednesday.

The World Health Organizations emergency committee warned that with delta and three other variants of concern still circulating, the pandemic is nowhere near finished.

Instead, there is a strong likelihood for the emergence and global spread of new and possibly more dangerous variants of concern that may be even more challenging to control, the committee said in a statement.

Elsewhere, Indonesia set another daily case record of 54,517 and has overtaken India as the Asian epicenter of the pandemic, CNN reported. At least 991 fatalities were recorded in the nation of about 170 million people on Wednesday to push the total to 69,210.

Russia had 25,293 new cases and a record death toll of 791 on Thursday, according to The Moscow Times, raising the overall death toll to 146,069, the highest official number in Europe.

In China, local governments are moving aggressively to push residents to get vaccinated and some are planning to bar them from accessing public venues if they refuse, The Wall Street Journal reported. Roughly a dozen counties and cities in the eastern provinces of Zhejiang, Fujian and Jiangxi have set late-August deadlines for people 18 years or older to complete a two-shot vaccine regimen, according to similarly worded online statements.

Many of them also set dates in late July by when unvaccinated people would be barred from entering schools, libraries, prisons, nursing homes and inpatient facilities at hospitals without a valid medical exemption, the paper reported. China has fully vaccinated more than 40% of its population of 1.4 billion so far.

A cluster of COVID cases at a hotel hosting Olympic athletes is raising concerns coming just over a week before the opening ceremony, Reuters reported. Adding to the gloom, Tokyo has just recorded its highest number of new COVID cases in six months.

Singapore reported its highest case number in 10 months, after uncovering a cluster among hostesses and customers at Karaoke bars, Reuters reported. Singapore has yet to reopen KTV lounges and clubs and authorities said the places where the virus spread were operating as food and beverage outlets.

Meanwhile, the United Nations Unicef agency and the World Health Organization said about 23 million children missed out on other basic vaccinations during the pandemic and warned of the potential for outbreaks of diseases including polio, measles and meningitis.

Multiple disease outbreaks would be catastrophic for communities and health systems already battling COVID-19, making it more urgent than ever to invest in childhood vaccination and ensure every child is reached, WHO Director-General Tedros Adhanom Ghebreyesussaid in a statement.

This is a wake-up call we cannot allow a legacy of COVID-19 to be the resurgence of measles, polio and other killers, said Dr. Seth Berkley, CEO of Gavi, the Vaccine Alliance. We all need to work together to help countries both defeat COVID-19, by ensuring global, equitable access to vaccines, and get routine immunization programs back on track.

Dont miss:Pfizer is making the case for COVID-19 boosters. Health officials say we dont need a third dose yet. Whos right?

See also:WHO head slams countries for ordering millions of COVID booster shots, when much of the world has not even vaccinated the most vulnerable

The global tally for the coronavirus-borne illness climbed above 188.5 million on Thursday, while the death toll climbed further above 4.06 million, according todata aggregated by Johns Hopkins University.

The U.S. leads the world with a total of 33.9 million cases and in deaths with 608,135.

India is closing in on the U.S. in cases at 30.9 million but is third in deaths at 411,989, while Brazil is second in deaths at 537,394 but is third in cases at 19.2 million.

Mexico has the fourth-highest death toll at 235,507 but has recorded just 2.6 million cases, according to its official numbers.

In Europe, the U.K. has 128,797 deaths the second highest in Europe after Russia.

China,where the virus was first discovered late in 2019,has had 104,157 confirmed cases and 4,848 deaths, according to its official numbers, which are widely held to be massively underreported.

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U.S. COVID-19 cases more than double in two weeks as delta variant spreads fast, and WHO warns 'pandemic nowhere near finished' - MarketWatch

Nearly in tears of disbelief: Central Texans share experiences of getting COVID-19 even after vaccination – KXAN.com

July 15, 2021

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Nearly in tears of disbelief: Central Texans share experiences of getting COVID-19 even after vaccination - KXAN.com

India’s COVID-19 infection rate edges up, with second wave yet to abate – Reuters India

July 15, 2021

NEW DELHI, July 15 (Reuters) - A rise in India's COVID-19 infection rate is worrying authorities who are concerned that pilgrimages and tourism could prove to be "superspreader" events in the battle to douse a devastating second wave of infections that has killed thousands.

In a pilgrimage this month, thousands of Hindus are set to walk hundreds of miles across northern cities, carrying pitchers of water from the Ganges, a river they consider sacred.

The pilgrims could act as "super spreaders" and set off a third wave of infections, a top medical body has warned. read more

The Supreme Court this week questioned federal and state authorities in the most populous state of Uttar Pradesh why the mass religious gathering should be allowed.

The home ministry flagged the increase in the infective rate as a cause for concern in some states, urging officials nationwide to enforce social distancing and clamp down on overcrowding at tourist sites.

"We must guard ourselves against complacency and laxity, which creep in as positivity declines," Home Secretary Ajay Bhalla told them in a letter on Wednesday, at a time when most cities have lifted strict lockdowns.

INFECTIVITY JUMPS

The effective reproduction rate of the disease, which health experts call the "R" factor, now stands at 0.86 in the world's second most populous nation, online publication Our World in Data shows, a jump of more than 25% in a month.

Bhalla warned of the risk of a faster spread of infection when the rate exceeds 1.

"You may be aware that any increase in 'R' factor above 1.0 is an indicator of spread of COVID-19," he added.

Still, the website showed the 0.86 figure is off an April 9 peak of 1.47.

By May, that had propelled India's daily cases to a staggering 400,000, leaving thousands in cities, including the capital New Delhi, scrambling for oxygen, hospital beds, ambulances and ultimately, morgues.

Bodies washed up on the banks of the Ganges.

States had largely lifted curbs as infections slowed, but the second wave has not yet ended, top officials have warned. read more

India's tally of 30.99 million infections is second only to the United States, with 411,989 deaths.

Prime Minister Narendra Modi has warned against overcrowding and called for vigilance against new variants, saying vaccination efforts needed to be sped up. read more

India is trying to inoculate all 950 million adults by year-end, but vaccine shortages and logistics hurdles have meant just 8% have received both doses.

Reporting by Ankur Banerjee in Bengaluru and Neha Arora in New Delhi, additional reporting by Suchitra Mohanty ; Editing by Clarence Fernandez

Our Standards: The Thomson Reuters Trust Principles.

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India's COVID-19 infection rate edges up, with second wave yet to abate - Reuters India

COVID-19 cases on the rise in San Diego County – CBS News 8

July 15, 2021

For the seventh consecutive day, more than 200 infections were reported in San Diego County on Wednesday. Four new deaths were reported in the past week.

SAN DIEGO COUNTY, Calif. The number of new COVID-19 cases continued to increase, with more than 200 infections reported for the seventh consecutive day, San Diego County public health officials announced Wednesday. Medical experts say the Delta variant is spreading rapidly in California and throughout the rest of the country.

In Wednesday's report, 275 San Diego County residents were infected with the virus, increasing the total to 285,268.

Four new deaths were reported in the past week, increasing the region's total to 3,786. Three men and one woman died between July 2 and Saturday, according to the county's weekly report.

Three of the deceased were in their 80s and one was in their 70s. All had underlying medical conditions.

Dr. Wilma Wooten, county public health officer, said on Tuesday the county is "now seeing about double the number of cases that were being reported a month ago," which has led to a 46% increase in hospitalizations and a 10% increase in intensive care unit admissions in the past few weeks.

"We expect further increases in ICU admissions since they lag behind the trend in cases and hospitalizations," Wooten said.

More than 40 states are reporting a daily increase in COVID-19 cases. Nearly half of all eligible Americans have received their second shot butvaccine hesitancy is still holding millions of people from getting their shots, even as the Delta variant spreads.

Any variant that emerges concerns us because of the possibility that it's more transmissible. It may change the severity of illness," said CDC Director Dr. Jay Butler. "It could affect treatment options."

The number of San Diego County residents hospitalized with COVID-19 was 116 as of Wednesday's report, an increase of eight from the previous report. There are 27 people in intensive care unit beds, an increase of five from the previous report. There are 50 available, staffed ICU beds in San Diego County.

The CDC is monitoring a surge in COVID-19 cases in states across the South and West, especially in under-vaccinated areas.

Everyone wants this to be over and a lot of the behavior that I think driving spread of infection is people wanting it to be over and acting as though it's over and really abandoning most modest of protections like mask-wearing that would help," said Dr. Andrew Pavia with the University of Utah School of Medicine.

California officially lifted its mask mandate on June 15 and capacity restrictions for most businesses.

Records show that in San Diego County, 61 new cases of COVID-19 were reported on June 14. Just one month later, data shows that there are 275 new cases of coronavirus, most of them caused by the Delta variant.

Close to 4.15 million vaccine doses have been administered in San Diego County, and more than 2.22 million or 79.5% of county residents 12 and older are partially vaccinated. Close to 1.92 million or 68.4% of that age cohort are fully vaccinated.

San Diego County's case rate is 3.7 cases per 100,000 residents as of Wednesday's report, up from 2.5% last week.

A total of 7,097 tests were reported to the county, and the percentage of new positive cases was 3.9%. The 14-day rolling percentage of positive cases among tests is 2.9%, nearly double last week's 1.5%.

Ten new community outbreaks were confirmed in the past seven days: six in restaurant/bar settings, one in a business setting, one in an emergency services setting, one in a government setting and one in a retail setting.

WATCH RELATED: With variants on the rise, San Diego leaders want you to get vaccinated

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COVID-19 cases on the rise in San Diego County - CBS News 8

Inslee rescinds two proclamations related to the COVID-19 pandemic | Governor Jay Inslee – Governor Jay Inslee

July 14, 2021

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Gov. Jay Inslee today gave advance notice of the termination of two proclamations related to the COVID-19 pandemic. Advance notice is provided to give stakeholders time to adjust their procedures.

Proclamation 20-51

This proclamation waives/suspends laws that created barriers to holding community association meetings remotely and also waives/suspends statutes that permit the imposition and collection of fees for late payment of community assessments. This proclamation will expire at 11:59 PM on July 24.

This session the Legislature passed SB 5011 which will allow electronic meeting and notice provisions for community associations. The bill goes into effect on July 25.

Read the full proclamation here.

Proclamation 20-82

This proclamation delayed implementation of SB 5323, which passed the Legislature in the 2020 session and established a statewide prohibition on retailers issuance of single-use plastic bags. The delay was necessary due to supply issues caused by the COVID-19 pandemic.

This proclamation will expire at 11:59 PM on September 30, upon it's expiration the plastic bag ban as passed the legislature will go into effect.

Read the full proclamation here.

Public and constituent inquiries | 360.902.4111Press inquiries | 360.902.4136

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Inslee rescinds two proclamations related to the COVID-19 pandemic | Governor Jay Inslee - Governor Jay Inslee

Will COVID-19 change science? Past pandemics offer clues – Science Magazine

July 14, 2021

By Jennifer Couzin-FrankelJul. 13, 2021 , 2:35 PM

Sciences COVID-19 reporting is supported by the Heising-Simons Foundation.

Sixteen pandemic months have felt disorienting and arduousbut along the arc of human history, COVID-19 marks just another inflection point. Epidemics have punctuated humanitys timeline for centuries, sowing panic and killing millions, whether the culprit was plague, smallpox, or influenza. And when infections abate, their imprints on society can remain, some short-lived and some enduring.

In a series of news articles over the coming months, Science will consider how a new normal is emerging in the scientific world. Of course, COVID-19 is still with us, especially outside the minority of countries now enjoying the fruits of widespread vaccination. Still, as the pandemic enters a different phase, we ask how research may be changing, how scientists are navigating these waters, and in what directions they are choosing to sail.

Although the past may not presage the future, epidemic history illuminates how change unfolds. Historians often say that what an epidemic will do is expose underlying fault lines, says Erica Charters, a historian of medicine at the University of Oxford who is studying how epidemics end. But how we respond is up to us. When we ask, How does the epidemic change society? it suggests theres something in the disease that will guide us. But the disease doesnt have agency the way humans do.

Past epidemics have spurred scientists and physicians to reconsider everything from their understanding of disease to their modes of communication. One of the most studied, the bubonic plague, tore through Europe in the late 1340s as the Black Death, then sporadically struck parts of Europe, Asia, and North Africa over the next 500 years. Caused by bacteria transmitted via the bites of infected fleas, the plagues hallmarks included grotesquely swollen lymph nodes, seizures, and organ failure. Cities were powerless against its spread. In 1630, nearly half the population of Milan perished. In Marseille, France, in 1720, 60,000 died.

Yet the mere recording of those numbers underscores how medicine reoriented in the face of the plague. Until the Black Death, medical writers did not routinely categorize distinct diseases, and instead often presented illness as a generalized physical disequilibrium. Diseases were not fixed entities, writes Frank Snowden, a historian of medicine at Yale University, in his bookEpidemics and Society: From the Black Death to the Present. Influenza could morph into dysentery.

The plague years sparked more systematic study of infectious diseases and spawned a new genre of writing: plague treatises, ranging from pithy pamphlets on quarantines to lengthy catalogs of potential treatments. The treatises cropped up across the Islamic world and Europe, says Nkhet Varlk, a historian of medicine at Rutgers University, Newark. This is the first disease that gets its own literature, she says. Disease-specific commentary expanded to address other conditions, such as sleeping sickness and smallpox. Even before the invention of the printing press, the treatises were apparently shared. Ottoman plague treatises often contained notes in the margins from physicians commenting on this or that treatment.

Plague and later epidemics also coincided with the rise of epidemiology and public health as disciplines, although some historians question whether the diseases were always the impetus. From the 14th to 16th centuries, new laws in the Ottoman Empire and parts of Europe required collection of death tolls during epidemics, Varlk says. Plague also hastened the development of preventive tools, including separate quarantine hospitals, social distancing measures, and, by the late 16th century, contact-tracing procedures, says Samuel Cohn, a historian of the Middle Ages and medicine at the University of Glasgow. All of these things that a lot of people think are very modern were being devised and developed back then. The term contagio took off, as officials and physicians sought to ascertain how plague was spread.

Cholera, caused by a bacterium in water, devastated New York and other areas in the 1800s. It gave rise not only to new sanitation practices, but also to enduring public health institutions. Statistics had proven what common sense had already known: In any epidemic, those who had the faintest chance of surviving were those who lived in the worst conditions, historian of medicine Charles Rosenberg, now an emeritus professor at Harvard University, wrote in his influential bookThe Cholera Years: The United States in 1832, 1849, and 1866. To improve those conditions, New York City created its Metropolitan Board of Health in 1866. In 1851, the French government organized the first in a series of International Sanitary Conferences that would span nearly 90 years and help guide the founding of the World Health Organization in 1948. Cholera was the stimulus for the first international meetings and cooperation on public health, Rosenberg says now.

Meanwhile, efforts to decipher disease continued: Although physicians who eyed germs as culprits remained a minority in the mid-1800s, disease was no longer an incident in a drama of moral choice and spiritual salvation, but a consequence of mans interaction with his environment, Rosenberg wrote. Fleas were identified as the carrier of plague during a global pandemic in the late 1800s and early 1900s, and the concept of insects as vectors of disease has influenced public health and epidemiology ever since.

A curious mix of remembering and forgetting trails many epidemics. Some quickly vanish from memory, says David Barnes, a historian of medicine at the University of Pennsylvania. The 1918 flu, which killed an estimated 50 million people worldwide but was also overshadowed by World War I, is a classic example of a forgotten ordeal, he says. One would expect that that would be a revolutionary, transformative trauma, and yet very little changed in its wake. There was no vast investment in public health infrastructure, no mammoth infusion of money into biomedical research. Although the 1918 pandemic did help spur a new field of virology, that research advanced slowly until the electron microscope arrived in the early 1930s.

In contrast, the emergence of HIV/AIDS in the 1980s left a potent legacy, Barnes says. A new breed of patient-activists fought doggedly for their own survival, demanding rapid access to experimental treatments. They ultimately won the battle, reshaping policies for subsequent drug approvals. But, It wasnt the epidemic per sethe damage, the death toll of AIDSthat made that happen, Barnes says. It was activists who were organized and persistent, really beyond anything our society had ever seen.

Its through this lens of human agency that Barnes and other historians contemplate COVID-19s potential scientific legacy. The pandemic, like its predecessors, cast light on uncomfortable truths, ranging from the impact of societal inequities on health to waste in clinical trials to paltry investments in public health. Questions loom about how to buttress labsfinancially or otherwisethat were immobilized by the pandemic.

In COVID-19s wake, will researchers refashion what they study and how they work, potentially accelerating changes already underway? Or will what Snowden calls societal amnesia set in, fueled by the craving to leave a pandemic behind? The answers will come over decades. But scientists are beginning to shape them now.

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Will COVID-19 change science? Past pandemics offer clues - Science Magazine

South Africa after COVID-19light at the end of a very long tunnel – Brookings Institution

July 14, 2021

In this time of crisis, we are often reminded of a famous quote attributed to Winston Churchill during World War II: If youre going through hell, keep going. While South Africa is not in the middle of a physical war, it is battling the COVID-19 crisis in full force. Like most other countries, South Africa could not escape the pandemic. It suffered the loss of lives and livelihoods. At the time of writing, in early July 2021, more than 64,000 South Africans have lost their lives. The third wave is hitting the country very hard and infections keep rising every day. But there is also light at the end of a very long tunnel.

The government responded swiftly and strongly to the crisis while also spearheading an international alliance for the distribution of vaccines in Africa. If the South African government would carry out with the same determination long-standing economic reform as it was fighting the pandemic, COVID-19 could serve as a turning point in reenergizing South Africas economy and labor market. While South Africa is set to emerge from the crisis weaker than it was going into it, the World Banks South Africa Economic Update argues that the reasons for low growth and high unemployment do not lie in the governments crisis response. Instead, the pandemic has exposed long-standing structural weaknesses that have progressively worsened since the global financial crisis of 200809.

For 2021, the World Bank projects a gross domestic product (GDP) growth of 4 percent, followed by 2.1 percent in 2022 and 1.5 percent in 2023. South Africas weak recovery is putting pressure on public finance. For the first time ever, public debt is now at almost 80 percent of GDP and under the current trajectory debt levels will not stabilize before 2026. However, the current global recovery is helping South Africa, especially the strong rebound in China and the United Statestwo of its key trading partners. As other emerging markets are recovering faster, South Africas economy could have benefited more in 2021 if integration with the rest of the world was stronger (Figure1).

The crisis has exposed South Africas biggest challenge: its job market. Even in the best of times, the labor market has been marked by high levels of unemployment and inactivity. Out of a working-age population of almost 40 million people, only 15 million South Africans are employed, which includes 3 million jobs in the public sector. The COVID-19 crisis has made a difficult situation worse because low-wage workers suffered almost four times more job losses than high-wage workers. In 2021, we saw a modest job recovery, but it is at risk due to the third wave.

Against the odds, there are also positive developments in the labor market, and young entrepreneurs are one of South Africas best hopes to solve the jobs crisis. There are an increasing number of startups, especially in the digital sector, which are growing fast and could in the future become an engine of jobs growth. Cape Town alone, the tech capital of Africa, has over 450 tech firms and employs more than 40,000 people. In 2020, a total of $88 million (1.2 billion rand) disclosed investments went into its tech startups.

A focus on young entrepreneurs would also help South Africa to close its large gap in self-employment (own-account workers with own businesses, freelancers), which represents only 10 percent of all jobscompared to around 30 percent in most upper-middle-income economies such as Turkey, Mexico, or Brazil (Figure 2). If South Africa were to match the self-employment rate of its peers, it could potentially halve its unemployment rates.

South Africas economy would benefit from measures to preserve macroeconomic stability, to revitalize the jobs market by improving the investment climate to build a better and more inclusive economy after the pandemic. There is a risk that the recovery leaves behind most of the potential economically active population, particularly young job seekers, which would mean that the pandemic permanently impaired the countrys long-term development prospects. Conversely, if South Africa were to engineer a broad-based recovery, this decade could bring new prosperity.

Addressing structural constraints to growth behind and at the border could support exports and higher growth, and so preserve the sustainability of public finances. The experience of major emerging economies shows that the two most potent factors for reducing public debt-to-GDP ratios are economic growth and primary surpluses. The implied priorities are self-evident: a better climate for investment and trade, and prudent fiscal policy.

To generate employment, South Africa would have to address three chronic problems in its labor market: extremely high rates of inactivity, high rates of unemployment, and low levels of self-employment. Along with enacting carefully chosen regulations to improve the business climate and investing in the workforce through better education, the government can implement reforms to encourage self-employment and support the growth of micro- and small enterprises.

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South Africa after COVID-19light at the end of a very long tunnel - Brookings Institution

COVID Cases In Parts Of Missouri And Arkansas Surge To Levels Not Seen Since Winter – NPR

July 14, 2021

A man receives a COVID-19 vaccine at a clinic in Springfield, Mo., in June. Vaccination rates in southern Missouri are low, a factor officials say is helping drive what's now the nation's largest outbreak. Nathan Papes/AP hide caption

A man receives a COVID-19 vaccine at a clinic in Springfield, Mo., in June. Vaccination rates in southern Missouri are low, a factor officials say is helping drive what's now the nation's largest outbreak.

In Springfield, Mo., firefighters are giving vaccine shots. Churches are scrambling to schedule vaccine clinics. Students and staff at summer school at the public schools are back to wearing masks.

Dozens of traveling nurses are due to arrive at one of the city's two biggest hospitals over the coming weeks; extra ventilators from around Missouri and Arkansas were transported to the other major hospital after it ran short over the July Fourth weekend.

The outbreak of COVID-19 in southwest Missouri and northern Arkansas has become the nation's largest and is mostly driven by the highly contagious delta variant. Officials warn it could continue to grow unchecked if vaccination rates stay low.

"We are truly in a very dangerous predicament," Springfield Mayor Ken McClure said Monday at a press conference. "While we are one of the unfortunate few early hot spots of the delta variant, we are not giving up. It is not too late. We need to stay the course."

In Missouri, the seven-day average of new cases is near 1,400 new positive cases each day, up more than 150% from a month ago. In Arkansas, that number is up 287%.

Caseload and hospitalization rates in the Ozarks region have reached levels not seen since the winter, officials said. In several counties across Missouri and Arkansas, caseloads have now reached or surpassed their winter peaks.

According to the most recent data available from the Centers for Disease Control and Prevention, the delta variant accounts for more than 73% of new cases in Missouri, by far the highest percentage of any state.

The Springfield-Greene County Health Department reported 17 new COVID-19 deaths in its most recent reporting period, which ended July 4. None had been fully vaccinated.

"Begging people to take the vaccine while there is still time. If you could see the exhaustion in the eyes of our nurses who keep zipping up body bags, we beg you," tweeted Steve Edwards, president and CEO of CoxHealth, a six-hospital system in southwest Missouri based in Springfield.

CoxHealth's hospital in Springfield was treating 125 COVID-19 patients as of Monday. The city's other major hospital, Mercy Hospital Springfield, reported 134 patients with COVID-19, including several children. More than 20 were on ventilators.

As a result of the influx, Mercy Hospital announced Sunday it was opening a sixth COVID-19 unit. Last year, it needed only five.

More than half of patients are from the rural counties around Springfield, according to Greene County health data.

There are few pandemic restrictions in place anymore in the southern part of Missouri, which is a haven for tourism in the summer. The lakes and rivers of the Ozarks attract tourists from around the region for camping, boating and lake house vacations. The city of Branson hosts dozens of live music shows every week. Memorial Day and July Fourth draw huge numbers of people to the area.

But many of the rural counties that make up this part of Missouri have among the lowest vaccination rates in the state. Overall, about 45% of Missourians have received their first shot, but in more than 20 counties in southern Missouri, fewer than a quarter of residents have done so.

"I think we were all hoping that we wouldn't see COVID much this summer, but it is definitely not the fact here in Springfield," said William Sistrunk, the lead infectious disease physician at Mercy Hospital, speaking to NPR.

Missouri Gov. Mike Parson signs legislation last month restricting local officials' ability to enact public health restrictions. David A. Lieb/AP hide caption

Missouri Gov. Mike Parson signs legislation last month restricting local officials' ability to enact public health restrictions.

Gov. Mike Parson has encouraged Missourians to get the vaccine, as he has done. He lifted the state's pandemic restrictions in May and has been vocal about Missourians' right to reject the vaccine if they choose. In June, he signed a bill limiting local governments' ability to enact public health restrictions.

Parson said last week he would oppose a door-to-door vaccination campaign by government workers.

"We all should be working together trying to find a solution to get more vaccine in more people's arms, not trying to force people to take it, not trying to scare them into it. Just make sure that they understand the facts," Parson said, speaking to reporters in Kansas City.

Local officials in southern Missouri, especially Springfield, are taking a more active stand in encouraging vaccinations.

On Monday, the mayor and local health officials held a press conference at a church the city has partnered with to distribute vaccines, where they denounced misinformation and politicization about vaccines.

Asked about the cheers over low vaccination rates at the Conservative Political Action Conference over the weekend, the county's acting health director said it was heartbreaking.

"To hear that people are cheering against the tool that can save lives when we're sitting in the middle of a crisis where people are dying it breaks my heart," said Katie Towns, acting director of the county's health department.

Vaccination rates have risen slowly but steadily in this part of Missouri. Mercy Hospital Springfield is seeing more demand for vaccination appointments in recent days, officials said, and is now vaccinating roughly 250 people per day, up from about 150 earlier in the summer.

"Gradually in the past week or couple weeks we have seen a small increase in the number of people who are interested. I think hopefully they're realizing this is a pretty serious situation," Dr. Nancy Yoon, chief medical officer for the Springfield-Greene County Health Department, told NPR member station KCUR.

Now, the outbreak that began in the Ozarks has started to spread around the state. Case data and sewer surveillance are showing an uptick in the Kansas City and St. Louis metro areas, state officials said. In St. Louis County, the county with the state's third-highest vaccination rate, cases are up 63% over the last two weeks.

"Unfortunately, Missouri turned out to be among those several states that do have those vulnerable spots," Dr. George Turabelidze, state epidemiologist at the Missouri Department of Health and Senior Services, told St. Louis Public Radio. "Those are spots where people are under-vaccinated, where people have low natural immunity levels and [where] some communities assumed the pandemic was already behind us."

In Springfield, health care workers have braced for what they expect to be a long and challenging summer, as the number of people hospitalized in the county has persistently trended up.

"You feel like you're kind of beating your head on that proverbial brick wall trying to tell people, understand what we're seeing," Erik Frederick, chief administrative officer at Mercy Hospital, said in an interview with NPR.

"This is real. It's right here in front of us."

St. Louis Public Radio and KCUR contributed to this report.

See the article here:

COVID Cases In Parts Of Missouri And Arkansas Surge To Levels Not Seen Since Winter - NPR

South Africas Looting, Violence Reflect Inequalities Exacerbated by Covid-19 Pandemic – The Wall Street Journal

July 14, 2021

JOHANNESBURGViolence and looting in parts of South Africa, triggered by the arrest of former President Jacob Zuma, are broadening to reflect more deep-seated problems in the continents most developed economy, where a third pandemic lockdown is exacerbating economic pain and joblessness that has disproportionately affected the poor.

Police,nowbolstered by asmalldeployment of soldiers, struggled for a third day to contain crowds ransacking warehouses and shopping centers in the economic capital of Johannesburg and the port city of Durban.In hospitals, doctors already stretched by a record wave of Covid-19 infectionshad trouble caringfor the injured, with many nurses and other staff unable to come to work because of roadblocks and the broader insecurity, officials said.

The countrys police ministry warned that the continued blockage of some of South Africas main transport routes could within days lead to shortages of food and other essentials and that mass gatherings could prompt a fresh rise in Covid-19 cases. At least 72 people have died amid the instability, officials said Tuesday, some trampled to death in shopping-center stampedes.

People are tired and frustrated with the whole situation, said Abram Lekganyane, who usually sells durags, sunglasses and masks at a stall at the Pan Africa Shopping Centre in the Johannesburg township of Alexandra. Mr. Lekganyane said he checked on his wares in a nearby storage facility and saw people leaving with everything from plasma televisions to sound systems and groceries.

The spark may have been Zuma. Now its a revolution against the lockdown, because nothing is being provided, he said.

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South Africas Looting, Violence Reflect Inequalities Exacerbated by Covid-19 Pandemic - The Wall Street Journal

What we know about how Covid-19 affected older workers and employment – CNBC

July 14, 2021

John Lund/Marc Romanelli | Getty Images

The Covid-19 pandemic has not been the job crisis the Great Recession was for older workers. But that doesn't necessarily mean it's easier for people in that age cohort to find new work.

In fact, April 2020 saw the biggest gap ever in the unemployment rate between workers 65 and up and those ages 25 to 54.

Today, the numbers for older workers do not look as dire.

The labor force participation rate for workers 55 and over has held steady in recent months, according to the most recent jobs report.

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However, workers in that age cohort are increasingly falling into the category of long-term unemployed, which means they have been seeking work for 27 weeks or longer.

Since March, more than half of job seekers ages 55 and up fit that classification, according to Jennifer Schramm, senior strategic policy advisor at AARP.

"It's still pretty hard for older job seekers, and many of them have been out there looking for quite a while now," Schramm said.

"The longer someone is out of work, the more likely they are to potentially give up and just leave the labor force entirely," she added.

That raises the question of whether Covid-19 has caused older workers to retire earlier than they might have otherwise planned.

In most recessions, there is an increase in the number of older workers who feel compelled to retire. However, those workers may eventually decide to re-enter the work force.

"We'll have a better picture of the types of retirement decisions people made as more time goes by," Schramm said.

The Center for Retirement Research at Boston College published a report earlier this year that declared, "Covid-19 is not a retirement story."

Some people will have retired early because of the recession, but I don't think it's going to have lasting impact on the trends.

Alice Munnell

director at the Center for Retirement Research

Older workers in the labor market were not disproportionately harmed by the downturn, the Center for Retirement Research found.

One reason for that is that older workers were just as likely as younger workers to have jobs that can be done remotely. However, the less educated workers were, the more likely they might be adversely affected, according to the research.

"I think some people will have retired early because of the recession, but I don't think it's going to have lasting impact on the trends, and the numbers are small," said Alicia Munnell, director at the Center for Retirement Research.

For older workers who do decide to seek new positions, one concern age discrimination may be especially top of mind now.

A recent AARP survey found 78% of workers have either seen or experienced age discrimination in the work place.

"That number is higher than we've ever seen it," Schramm said.

That follows another AARP survey that found 44% of older workers who are concerned about their job security worry their age could negatively affect their job search.

"When we see such a high number of people experiencing age discrimination, it suggests that it's a pretty serious challenge for a lot of people," Schramm said.

Read more here:

What we know about how Covid-19 affected older workers and employment - CNBC

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