Live: Covid-19 News and Latest Updates

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The Australian Open in January will become the first Grand Slam tennis tournament to require that players be fully vaccinated against the coronavirus, a decision that casts doubt on the participation of Novak Djokovic of Serbia, the No. 1-ranked men’s player who has declined to divulge his vaccination position.

Craig Tiley, the Australian Open tournament director, confirmed the tournament’s policy on Saturday in Melbourne, Australia, in a television interview.

The announcement ended months of speculation and mixed messages from Australian government officials. Federal authorities had indicated that unvaccinated players might be able to go into Australia and compete in the tournament in Melbourne after a 14-day quarantine period. But Daniel Andrews, the premier of the state of Victoria, has been adamant that players will need to be fully vaccinated, just as Australian Open spectators and on-site employees will be required to be vaccinated.

Melbourne, the capital of Victoria, has experienced some of the strictest coronavirus measures in the world, with six separate stay-at-home orders over an 18-month period.

“It is the one direction that you can take that you can ensure everyone’s safety, and all the playing group understands it,” Tiley said of requiring players to be vaccinated. “Our patrons will need to be vaccinated. All the staff working the Australian Open will need to be vaccinated, but when we’re in a state where there’s more than 90 percent of the population fully vaccinated — they’ve done a magnificent job with that — it’s the right thing to do.”

Steve Simon, the chairman and chief executive of the Women’s Tennis Association, said in an interview this week that “over 70 percent” of the WTA’s top 300 singles players and top 100 doubles players had been vaccinated and that all the singles and doubles players who competed in the recent WTA finals in Mexico had been vaccinated. Andrea Gaudenzi, chairman of the men’s tour, said on Friday in an interview that the vaccination rate for the top 100 men’s singles players was “above 80 percent.”

“We are moving toward 90 percent, 95 percent of fully vaccinated,” Gaudenzi said. “A lot will do it in the off-season with one shot.”

But it seems all but certain that some qualified players will not make the journey to Australia because of the policy.

“It’s an unfortunate situation,” Gaudenzi said of mandatory vaccination, speaking shortly before the tournament’s announcement. “I really hope in the future, in America and after that, there’s going to be a change: at the minimum, providing exceptions already with a hard quarantine of seven or 14 days, but allowing entry.”

All four Grand Slam tournaments, including the U.S. Open, allowed unvaccinated players to participate this year, as have regular tour events, including the ATP Finals currently underway in Turin, Italy.

Djokovic, a nine-time Australian Open singles champion, has however to confirm whether he will defend his title next year. He and his wife, Jelena, contracted the coronavirus in June 2020 during an exhibition tour he had helped to organize in Serbia and Croatia. He has expressed concern about vaccines.

“How are we expecting that to solve our problem when this coronavirus is mutating regularly from what I understand?” he told The New York Times last year.

He has said, repeatedly, that he would wait for the Australian Open’s policy to be made clear before making a decision on participating.

That moment has come with Djokovic set to play the No. 3-ranked Alexander Zverev of Germany in the semifinals of the Turin tournament on Saturday.

“He has always said the Australian Open is the event that puts the wind in his sails,” Tiley said of Djokovic. “So I hope we get to see Novak.”

Credit…Stefani Reynolds for The New York Times

The Centers for Disease Control and Prevention on Friday endorsed booster shots of the Pfizer-BioNTech and Moderna coronavirus vaccines for all adults, a move that brings tens of millions fully vaccinated adults a step closer to a third shot.

Boosters are recommended six months after the second shot of the Pfizer-BioNTech or Moderna vaccines. With this final step, boosters should be obtainable this weekend, allowing many Americans to get a shot before the Thanksgiving holiday.

The new recommendations say everyone aged 50 and older — most of whom have other risk factors — in addition as those 18 and older living in long-term care facilities “should” get a booster. Other Americans who are 18 and older “may” opt for one if they wish, based on individual risk and assistance.

Several advisers said at the meeting that they hoped the simpler age-based guidelines would ease some of the confusion around who is eligible for the additional shots.

An advisory committee to the C.D.C. unanimously voted in favor of the booster shots. Dr. Rochelle Walensky, the agency’s director, later formally accepted the recommendation. The recommendations align with President Biden’s potential in August that all adults would be eligible for additional doses.

Desperate to dampen already a faint echo of last winter’s horrors, the administration is betting that booster shots will shore up what some have characterized as waning immunity among the fully vaccinated.

The Food and Drug Administration empowered boosters of the Pfizer-BioNTech and Moderna vaccines for all adults on Friday, but the C.D.C. generally makes the recommendations followed by the medical profession.

In recent days, however, several states have broadened booster access to all adults on their own.

Addressing the panelists, Dr. Sam Posner, the acting director of the National Center for Immunization and Respiratory Diseases, acknowledged that past eligibility categories “were complicated to implement,” and said he hoped that simplifying them “will reduce confusion.”

After an all too fleeting respite, coronavirus infections are inching up again, particularly in parts of the country where cooler weather is hustling people indoors. Research indicates that the shots may help prevent at the minimum some infections, particularly in older adults and those with certain health conditions.

At the C.D.C. panel meeting, Dr. Doran Fink, a meaningful F.D.A. official, said that the impact of broadening booster eligibility would be clear “on the individual level,” offering protection against breakthrough situations of Covid-19.

But the “greatest impact on a population level is nevertheless dependent on increasing vaccine uptake among” the unvaccinated, he said.

The C.D.C.’s decision lands just as Americans are preparing to use the holidays with family and friends. Given the tens of millions of Americans who have however to receive a single measure of vaccine, holiday travel and get-togethers could send situations skyrocketing, as they did last year.

During a presentation, Dr. Sara Oliver, an epidemiologist at the C.D.C., said that while protection from a booster against asymptomatic infection may not be long-lasting, already permanent immunity may help contain the virus ahead of the winter holidays, increased travel and indoor gatherings.

At a news conference as the C.D.C. panel meeting got underway, Jen Psaki, the White House press secretary, praised the moves “to further protect Americans, especially as we go into the winter months.”

With the virus nevertheless spreading, she acknowledged that many are depleted by the pandemic. “What we can do is encourage action,” she said, urging eligible Americans to get boosters.

Several European countries are also offering boosters to all adults, in a bid to contain fresh groups of infections. France has gone so far as to mandate booster shots for those over age 65 who wish to get a health pass permitting access to public venues.

“Look what other countries are doing now about adopting a booster campaign virtually for everybody,” Dr. Anthony S. Fauci, the Biden administration’s top Covid adviser, said at a conference on Tuesday. “I think if we do that, and we do it seriously, I think by the spring we can have pretty good control of this.”

But many experts, including some who advise federal agencies, are skeptical that boosters alone can turn the tide. While the additional shots can strengthen immunity in older adults, they are doubtful to offer much assistance to adults under 65, who keep protected from harsh illness and hospitalization by the initial immunization, the experts said.

It is also unclear whether booster shots can considerably slow the spread of the virus. The limited evidence obtainable indicates that vaccines can blunt transmission, but only to a limited extent and for a limited period.

Many pandemic-weary Americans, too, seem unmoved by the administration’s push for boosters. More than 85 percent of the adult population is already eligible, but only about 18 percent has chosen to get them. And those may not be the people most in need of additional protection.

As with the initial shots, fully vaccinated white people are more likely to have lined up for a booster shot, compared with other racial and ethnic groups, according to data compiled by the Kaiser Family Foundation.

At the scientific panel hearing earlier on Friday, Dr. Oliver noted that recommendations that are complicate, or hard to communicate or implement could strengthen disparities in booster rates.

So far, the people who have opted for boosters “tend to be of higher socioeconomic position and more highly educated, and have more access in general to medical care,” said Dr. Celine Gounder, an infectious disease specialist at Bellevue Hospital Center.

“That’s not necessarily who’s truly at risk of harsh disease, hospitalization or death, and so I think you’re going to have limited public health impact.”

Noah Weiland and Dan Levin contributed reporting.

Credit…Charles Krupa/Associated Press

Pregnant women who had Covid-19 when they delivered their babies were almost twice as likely to have a stillbirth as healthy women who did not have Covid, according to a new Centers for Disease Control study released Friday that examined more than 1.2 million deliveries in the U.S. between March 2020 and September 2021.

While stillbirths were scarce overall, representing fewer than 1 percent of all births, 1.26 percent of the 21,653 women with Covid experienced a stillbirth, compared with 0.64 percent of women without Covid. already after adjustments were made to control for differences between the groups, women with Covid were 1.9 times as likely as healthy women to have a stillbirth.

The risk of stillbirth has been already higher for women with Covid since the Delta variant has been principal: while the risk of stillbirth for women with Covid was 1.5 times as high as that of healthy women before July, when Delta became principal, it was 4 times as high between July and September. As many as 2.7 percent of deliveries to women with Covid were stillbirths during the period studied while Delta was principal.

“There had been reports suggesting an increased risk, but stillbirths are hard to study, because luckily they are uncommon,” said Dr. Denise Jamieson, chief of gynecology and obstetrics at Emory Healthcare. “This is some of the strongest evidence of the increased risk, and probably the strongest data pointing to the risks specifically tied to Delta.”

“The take home message is the importance of vaccination for pregnant women, particularly at this point in the pandemic with Delta circulating,” she said.

The C.D.C. strongly encourages pregnant and breastfeeding women and women planning or trying to become pregnant to be vaccinated against Covid, but resistance has been strong, already though pregnancy is on the C.D.C.’s list of health conditions that increase the risk of harsh disease.

Studies have shown that pregnant patients who are symptomatic are more than twice as likely as other symptomatic patients to require admission to intensive care or interventions like mechanical ventilation, and they may be more likely to die. They are also more likely to experience a preterm birth.

Another C.D.C. study issued Wednesday described the situations of 15 pregnant women in Mississippi who died of Covid during their pregnancy or shortly afterward, including six who died before the Delta variant became principal and nine who died between July and October, while Delta was principal.

Of the women who died, nine were Black women, three were white women and three were Hispanic women. The median age was 30. Fourteen of the women had inner medical conditions, and none were vaccinated. Five of the deaths occurred before vaccinations were obtainable.

The study concluded that the risk of death for a pregnant woman with Covid is nine deaths per 1,000 infections, while the risk of death from Covid for other women of reproductive age is only 2.5 deaths per 1,000 infections.

A third study by C.D.C. researchers found that pregnant women with Covid faced a more than 60 percent higher risk of being admitted to intensive care, needing a ventilator or special equipment to breathe, and already of dying during the period that Delta was principal, compared to pregnant women during the period before the variant was principal.

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The country became the first Western democracy to announce that it would require Covid vaccinations for its complete adult population.CreditCredit…Christian Bruna/EPA, via Shutterstock

Austria on Friday became the first Western democracy to announce that it would mandate Covid vaccinations for its complete adult population as it prepared for a nationwide lockdown starting Monday.

The extraordinary measure by Austria, which only days ago separated itself from the rest of Europe by introducing a lockdown for the unvaccinated, who are driving a surge of infections, made for another upsetting statement about the severity of the fourth wave of the virus in Europe, now the epicenter of the pandemic.

But it also showed that increasingly desperate governments are losing their patience with vaccine skeptics and shifting from voluntary to obligatory measures to promote vaccinations and beat back a virus that shows no sign of waning, rattling global markets at the prospect that nevertheless tentative economic recoveries will be undone.

Some European countries, including Germany, which once seemed a form of how to manage the virus, are now facing their worst levels of infections in the nearly two years since the pandemic began. The surge, health authorities say, is being pushed by stubborn resistance to getting vaccinated in thorough pockets of the population, cold weather driving people indoors, loosened restrictions and possibly waning immunity among those before vaccinated.

Source: Center for Systems Science and Engineering (CSSE) at Johns Hopkins University. The daily average is calculated with data that was reported in the last seven days.

“For a long time — maybe too long — I and others assumed that it must be possible to convince people in Austria to voluntarily get vaccinated,” Chancellor Alexander Schallenberg of Austria said on Friday. “We consequently have reached a very difficult decision to introduce a national vaccine mandate.”

With its latest move, Austria considerably moved ahead of other European countries that have inched up to, but not crossed, a threshold that once seemed unthinkable. The announcement drew an immediate threat of violent protest this weekend by leaders of anti-vaccine movements and the far-right Freedom Party, which compared the government’s latest mandates with those of a dictatorship.

Many European countries have already instituted mandates in all but name only — requiring strict health passes as proof of vaccination, recovery from infection or a negative test to partake in most social roles, travel or to go to work. Many already require children to be vaccinated against measles and other illnesses to attend school.

The concept of requiring vaccination in adults against Covid was a line that Europe had seemed unwilling to cross, however, with leaders often contrasting their respect for civil liberties with authoritarian-styled countries.

But just as lockdowns have become a fact of life, vaccine mandates are increasingly becoming plausible. German lawmakers in Parliament voted on Thursday to force unvaccinated people going to work or using public transit to provide daily test results. The country’s vaccination rate among adults is about 79 percent, one of the lowest in Western Europe.

On Friday, Jens Spahn, the acting health minister in Germany, was asked whether a general lockdown was possible for the country. “We are in a position where nothing should be ruled out,” he said.

The specter of a lockdown in Germany, Europe’s largest economy, sent jitters by European markets hungering for economic recovery and sales during the Christmas shopping season.

Austria’s new vaccine mandate will take effect in February, in the hopes that as many people as possible will be motivated to sign up for their initial inoculations, but also booster shots, Austria’s health minister, Wolfgang Mückstein, said.

It also gave leaders time to formalize legal guidelines for the mandate, he said, adding that there would be exceptions for people who are not able to be vaccinated.

Correction: 

An earlier version of this briefing item incorrectly described the character of Austria’s planned nationwide lockdown. It will be among the first in Europe since the spring, not the first.

Credit…Caitlin O’Hara for The New York Times

Gov. Bill Lee said on Friday that he would not revive Tennessee’s state of emergency, ending measures that he first put in place in response to the coronavirus sudden increase in March 2020.

The governor announced the decision in a tweet:

Mr. Lee additional that he would consider temporarily reinstating the measures should the state “confront any future surges,” but that his administration was “evaluating opportunities for long-lasting deregulation.”

Recently, situations in Tennessee reached a peak in early September before dropping steeply, but infections have been rising again in recent days.

Source: State and local health agencies. Daily situations are the number of new situations reported each day. The seven-day average is the average of a day and the past six days of data.

Mr. Lee, a Republican, has been active in rolling back pandemic restrictions. Last week, he signed a bill into law that extremely government entities, schools and private businesses in Tennessee from requiring Covid vaccinations or proof of vaccination and limited their ability to impose disguise mandates. The law also extremely health care providers from vaccinating minors without the written consent of a parent or legal guardian.

On Wednesday, the governor made a pitch to law enforcement personnel who were leaving states with “restrictive mandates” to join the Tennessee Highway Patrol, going so far as offering to help pay their moving expenses.

Credit…David Ryder/Reuters

With the holiday travel season nearing, Canadian officials announced several measures on Friday meant to standardize international travel and make it easier for Canadians taking short trips to re-go into the country.

Travelers who are fully vaccinated with the shots from Sinopharm, Sinovac and Covaxin will be allowed to go into Canada starting Nov. 30, opening the door wider to people from countries like India, Brazil and China, where those vaccines are more frequently administered.

Currently, Canada only accepts travelers who have received the Pfizer-BioNTech, Moderna, Oxford-AstraZeneca or Johnson & Johnson vaccines, the four shots approved in the country. The expanded list will align with the vaccines cleared for use by the World Health Organization.

Dr. Theresa Tam, Canada’s chief public health officer, said that the case rates associated with each of the vaccines were about the same.

“All that is very reassuring,” Dr. Tam said. She additional that although Sinopharm, Sinovac and Covaxin “are not empowered in Canada, because they’ve gone by the W.H.O. course of action in terms of evaluation of safety, of efficacy and of quality, we’ve taken that into account as we increase the list of vaccines for Canadian border measures.”

Source: Center for Systems Science and Engineering (CSSE) at Johns Hopkins University. The daily average is calculated with data that was reported in the last seven days.

Additionally, people leaving Canada by land or by air for less than 72 hours will no longer be required to provide proof of a negative Covid-19 test to re-go into the country. The price and processing time of P.C.R. tests — which can cost more than $100 and take longer than a day for results — were widely seen as deterrents to travel.

This change applies only to Canadians, long-lasting residents and native people registered under the Indian Act. It also takes effect Nov. 30.

The government will take a firm stance against unvaccinated travelers entering and leaving the country beginning on that date in addition, with “very few exemptions,” said Omar Alghabra, Canada’s transport minister. He additional that only fully vaccinated travelers would be able to fly from a Canadian airport or board a Via Rail or Rocky Mountaineer aim.

Starting Jan. 15, Canada will also phase out most before granted travel exemptions for those who are unvaccinated. This will affect specialized and amateur athletes, foreign students, truck drivers and other basic workers who cross the border, and adults over 18 traveling to reunite with a family member.

Other categories of unvaccinated or partly vaccinated travelers — such as refugees, marine crews and agricultural workers — will be able to go into only with limited approval.

Credit…Merck & Co Inc/Via Reuters

BRUSSELS — The European Union’s drug regulator on Friday recommended the use of a pill, developed by Merck, that was found in a clinical trial to halve the rate of hospitalizations and deaths in high-risk Covid patients who took it soon after infection.

The drug, molnupiravir, has however to be empowered by E.U. countries, but in recommending its administration, the European Medicines Agency paved the way for its use within the next few months.

Several E.U. countries, including France and Italy, have already placed orders for supplies of the drug.

Britain became the first country this month to authorize the use of the pill. Its regulator empowered it for vaccinated and unvaccinated people who have Covid, and are at high risk of becoming severely ill. The treatment could be empowered in the United States as soon as early December.

The European Medicines Agency said the drug could be taken by adults who do not require supplemental oxygen and who are at increased risk of developing harsh coronavirus situations. The pill “should be administered as soon as possible after diagnosis of Covid-19 and within five days of the start of symptoms,” the agency said in a news release.

The agency also said on Friday that it had begun reviewing a similar drug developed by Pfizer, called Paxlovid.

Scientists and government leaders have called the drugs game changers in the fight against the pandemic if their efficacy in clinical trials holds up in the real world. Unlike monoclonal antibodies, which are typically administered by health care professionals at a hospital or clinic, the pills would be dispensed at pharmacies and taken at home, providing a cheaper and easier way to treat coronavirus infections, including in poorer countries.

Merck has agreed to let other manufacturers make and sell its pill in 105 developing nations, including many where vaccination rates are critically low. It has also licensed eight large Indian drug makers to produce generic and cheaper versions of Merck’s pill.

In the United States, Pfizer applied to the Food and Drug Administration this week to authorize Paxlovid, and the Biden administration plans to buy a stockpile of the pill that could be administered to as many as 10 million people.

Credit…Carlos Osorio/Reuters

Canada approved the use of Pfizer-BioNTech’s coronavirus vaccine for children ages 5 to 11 on Friday, adding more than 2.8 million young people to those eligible for a shot.

Some provinces, including Ontario and Saskatchewan, have already announced plans to start scheduling appointments for young children as soon as the doses arrive. Canada’s first order — enough for all eligible children to receive one measure — is expected to begin arriving on Sunday, Filomena Tassi, Canada’s minister of public sets and procurement, said at a news conference. She additional that the government was working with Pfizer on a second order.

“Overall, this is very good news for adults and children alike,” Dr. Supriya Sharma, chief medical adviser at Health Canada, the agency responsible for drug authorization in the country, said at another news conference. “It provides another tool to protect Canadians and, to the relief of many parents, will help bring back a degree of normality to children’s lives, allowing them to more safely do the things that they have missed during the last 20 months.”

Pfizer’s is the first coronavirus vaccine to be approved in Canada for children ages 5 to 11. Health Canada based its approval on a clinical trial comprising 4,600 children, Dr. Sharma said, with 3,100 children receiving two doses of the vaccine spaced three weeks apart and 1,500 receiving a placebo.

There were four negative responses unconnected to the vaccinations, and none of the children experienced heart inflammation or harsh allergic responses.

Source: Center for Systems Science and Engineering (CSSE) at Johns Hopkins University. The daily average is calculated with data that was reported in the last seven days.

The pediatric doses — each one-third of the adult measure — will be stored in vials with an orange cap, and the cartons’ labels will have orange borders, to differentiate them from the adult vials, Christina Antoniou, a spokeswoman for Pfizer Canada, said in an email.

The reduced measure for children results in antibody levels comparable to those from the larger measure in adults, said Dr. Jeffrey Pernica, an infectious diseases specialist at McMaster Children’s Hospital in Hamilton, Ontario. For parents wondering if they should wait until their child turns 12 to get the larger measure, Dr. Pernica noted, the immune response produced by the pediatric vaccine is just as strong.

“I don’t think waiting would have any meaningful assistance,” he said.

Nearly 75 percent of all Canadians, or more than 28.5 million people, are fully vaccinated.

More than 16,800 coronavirus situations have been reported in Canada in the past seven days, according to national public health data, with the highest per capita rates in Yukon and the Northwest Territories. First Nations reserves are also experiencing high per capita infection rates.

While the number of harsh situations has declined nationwide, hospitals in some areas are inching closer to capacity limits, said Dr. Theresa Tam, Canada’s chief public health officer. She additional that newly reported situations were highest among children.

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As coronavirus situations in Germany continue to reach record levels, officials warned of a possible nationwide lockdown. “With vaccinations and boosters alone, we will not be able to break the wave quick enough,” said Germany’s health minister.CreditCredit…Christof Stache/Agence France-Presse — Getty Images

As Austria prepares to go into a national lockdown next week, the health minister in nearby Germany suggested on Friday that a similar measure remained an option for his far larger country as coronavirus situations there continue to reach record levels.

“We are in a position where nothing should be ruled out,” the minister, Jens Spahn, told a news conference in response to a reporter’s question about a lockdown for both vaccinated and unvaccinated people.

His remarks came one day after lawmakers in Parliament voted to force unvaccinated people going to work or using public transit to provide daily test results. The country’s vaccination rate among adults is about 79 percent.

Source: Center for Systems Science and Engineering (CSSE) at Johns Hopkins University. The daily average is calculated with data that was reported in the last seven days.

Chancellor Angela Merkel and state governors also agreed on Thursday night to require proof of vaccination or recovery from coronavirus infection for people entering restaurants, bars and hair salons or attending events in states where hospital beds are becoming scarce.

But some German states are going it alone.

On Friday, the governor of Bavaria, which has some of the country’s worst hot spots, announced measures including the cancellation of all Christmas markets and the closing of bars, clubs and nightclubs until at the minimum Dec. 15. The famous Christmas market in the state’s capital, Munich, was canceled earlier this week.

Theaters, cinemas, operas and spectator sports will be allowed to keep open at 25 percent capacity for people who are vaccinated or who have recovered from the virus and show a negative test consequence. Restaurants will close at 10 p.m.

Districts with high infection rates will close down completely, leaving only basic shops, day cares and schools open.

“We are facing a corona drama,” the state’s governor, Markus Söder, said. “The numbers are exploding in the shortest time span and the beds are complete,” he additional, referring to overwhelmed hospitals. Some patients there are being moved to less crowded hospitals in northern Germany.

The governor of Saxony also announced new restrictions on Friday. Starting on Monday, a ban will be introduced on some events and larger gatherings in spite of of the inoculation position of those attending.

Credit…Emily Elconin for The New York Times

As Michigan confronts the most harsh rise in recent coronavirus situations per capita in the United States, the state’s health officials announced on Friday that they will issue a confront disguise advisory in an effort to make difficulty the virus’s spread ahead of the holidays.

The Michigan Department of Health and Human sets recommended that all residents older than the age of 2 should use a confront disguise at indoor gatherings, and urged businesses to implement a mandatory disguise policy.

The advisory comes as Michigan tackles its highest surge of virus situations since the pandemic began, outpacing a jump that ravaged the state in the spring.

As of Thursday, the daily average of new situations increased 83 percent and the average number of hospitalizations increased 40 percent over the past two weeks, according to a New York Times database. The seven-day average of new situations was 8,393, and the average number of daily deaths was 67. The average number of hospitalizations, 3,224, remained lower than those in the spring.

Source: State and local health agencies. Daily situations are the number of new situations reported each day. The seven-day average is the average of a day and the past six days of data.

“The increases in case counts, percent positivity and hospitalizations have us very concerned,” Elizabeth Hertel, director of the Michigan health department, said in a statement. “We are issuing the confront disguise advisory and are looking to Michiganders to do their part to help protect their friends, their families and their communities by wearing a disguise in indoor settings and getting vaccinated for Covid-19 and flu as soon as possible if they have not already done so.”

With airline travel this Thanksgiving season expected to approach prepandemic levels, according to Transportation Security Administration officials, Michigan’s chief medical executive, Dr. Natasha Bagdasarian, urged residents to to comply with a range of mitigation measures as holiday season approaches.

“The holidays can be a time to spread great cheer and we recommend taking measures including wearing a disguise indoors to not spread Covid-19 to loved ones,” she said in a statement.

Credit…Tang Chhin Sothy/Agence France-Presse — Getty Images

Cambodia reopened for fully vaccinated tourists from overseas this week without quarantine after a nationwide campaign succeeded in achieving one of the world’s highest vaccination rates.

The move was welcomed by desperate tourism operators and workers, who have struggled to make a living since the start of the pandemic.

“I rejoice at and fully sustain the news of reopening the country to vaccinated tourists without quarantine,” said Chhay Sivlin, the president of the Cambodia Association of Travel Agents. Tourism directly accounted for more than 12 percent of the country’s economy in 2019 and provided jobs to 630,000 people, she said.

Last month, the Southeast Asian nation of about 16 million announced plans to let fully vaccinated foreign tourists begin entering the country at the end of November if they first quarantined in chosen areas for five days.

Source: Center for Systems Science and Engineering (CSSE) at Johns Hopkins University. The daily average is calculated with data that was reported in the last seven days.

But citing the rapid speed of inoculations and a vaccination rate of 88 percent, chief Minister Hun Sen accelerated that plan and said that fully vaccinated tourists could arrive without quarantine, effective on Monday.

“This is a big step towards reopening the complete country,” said Mr. Hun Sen, an authoritarian leader who came to strength in 1984. “I hope our compatriots enjoy our reopening. It is widely due to the country having achieved such an noticeable rate of vaccination.”

While the chief minister put the fully vaccinated rate at 88 percent based on a population of 16 million, The New York Times database puts the rate at 80 percent, based on a population of nearly 16.5 million.

More than two million people have received a third measure.

About 90 percent of Cambodia’s vaccines came from China, including more than nine million doses of Sinovac and nearly four million doses of Sinopharm.

Under the new rules, travelers arriving from oversea can skip quarantine if they are fully vaccinated, test negative for the virus before departure and test negative again on arrival. Travelers who are not vaccinated must nevertheless use 14 days in quarantine.

Ms. Sivlin said that tourist bookings were beginning to pick up and that airlines were working to increase the number of flights to Cambodia.

Some flights are scheduled to the capital, Phnom Penh, but none for Siem Reap, the town near the ancient city of Angkor that is one of the most popular destinations in Southeast Asia.

Like many of its neighbors, Cambodia reported comparatively few virus situations in 2020 but faced a deadly surge this year. nevertheless, its overall numbers have remained comparatively low, with about 120,000 total situations and 2,900 deaths.

Credit…Chang W. Lee/The New York Times

About a third of people in the United States and Britain think their countries have suffered damage to their global reputations over their responses to the pandemic, according to a survey released on Friday, while Canadians rated their country’s response more positively.

Respondents to the poll, which was conducted by the Policy Institute at King’s College London, were divided in the United States and Britain on whether their countries should cooperate internationally to quash the virus moving forward or whether they should work independently.

“The public in the U.K. and the U.S. seem in two minds on whether each country should hunker down and protect themselves or reach out to the rest of the world,” said Bobby Duffy, the director of the institute that conducted the survey.

“But it’s truly an understandable response,” he additional. “People feel like we should think of ourselves first in the current crisis but work with others to help prevent future global health challenges.”

Source: State and local health agencies. Daily situations are the number of new situations reported each day. The seven-day average is the average of a day and the past six days of data.

The United States and Britain have experienced two of the worst Covid outbreaks among wealthy nations.

New situations have been rising in the United States as colder winter temperatures and the holiday season approach, with nearly 95,000 additional infections recorded daily.

Britain is reporting an average of nearly 40,000 daily virus situations. And despite a surge in situations this fall, chief Minister Boris Johnson has opposed introducing preventive measures such as disguise mandates and health passes.

Source: Center for Systems Science and Engineering (CSSE) at Johns Hopkins University. The daily average is calculated with data that was reported in the last seven days.

The survey, an online poll conducted in October and November, found that about 38 percent of respondents in the United States believed the country’s handling of the pandemic has damaged its global reputation, 21 percent said its impact had been positive and 25 percent said they felt it had no effect.

In Britain, about 36 percent said the government’s mishandling of the health crisis had damaged the country’s global standing, 21 percent said it had improved it, and 31 percent said they considered the impact insignificant.

Only 19 percent of people in Canada said their country’s reputation had taken a hit, while 33 percent said it had improved amid the government’s pandemic response and 37 percent said it had made no difference.

The poll included 1,099 adults in the United States, 1,129 people aged 16 to 75 in Britain, and 1,088 adults in Canada.

It follows a highly basic 151-page parliamentary inquiry into Britain’s initial response to the coronavirus, which ranked it as “one of the most important public health failures the United Kingdom has ever experienced” and charged that it had cost thousands of lives.



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