The Biden administration has decided to allow women to receive abortion pills by mail for the duration of the coronavirus pandemic, the latest development in an issue that has increasingly taken center stage in the American abortion debate.
In a letter sent Monday to two leading organizations representing reproductive health physicians, the acting commissioner of the Food and Drug Administration said that the agency would temporarily stop enforcing its requirement that the first of two drugs needed to terminate an early pregnancy be dispensed in a medical clinic.
The new policy counters a Supreme Court decision in January that sided with the Trump administration, which had appealed a federal judge’s decision last July to suspend the requirement. The judge had argued that the requirement put women at risk during the pandemic because they would need to visit clinics in person and often travel significant distances to do so.
Abortion through medication, first approved by the F.D.A. in 2000, is increasingly becoming women’s preferred method for terminating a pregnancy. As of 2017, research estimated that about 60 percent of abortion patients early enough in pregnancy to be eligible — 10 weeks pregnant or less — chose medication abortion over suction or surgery.
dispensed in clinics or hospitals by specially certified doctors or other medical providers. For years, reproductive health experts have urged that the requirement be lifted on the grounds that there are no significant safety reasons for in-person dispensing of a pill that women are then legally allowed to take on their own in any location, and that the restriction places the greatest burden on low-income women and those in areas with limited access to abortion providers.
For several years, with the F.D.A.’s permission, researchers have been conducting a study that provides telemedicine consultations to women seeking abortions and mails them the pills. Their research has found the approach to be safe and effective.
Additional data was collected in recent months from the experiences of women during the pandemic who received abortion pills by mail after the judge lifted the restriction and before the Supreme Court reinstated it.
Dr. Janet Woodcock, the acting F.D.A. commissioner, wrote in her letter to the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine that studies of the pandemic experience “do not appear to show increases in serious safety concerns,” like bleeding, ectopic pregnancy or the need for surgical interventions “occurring with medical abortion as a result of modifying the in-person dispensing requirement during the Covid-19 pandemic.”
Groups that oppose abortion objected to the decision. Jeanne Mancini, president of March for Life, said in a statement that allowing appointments for medication abortion via telemedicine posed “grave danger” to women’s safety, adding “chemical abortions should have more medical oversight not less.”
letter in March to President Biden and Vice President Kamala Harris asking for the F.D.A. to lift the restrictions during the pandemic, welcomed the decision.
“Mifepristone itself has demonstrated, through both clinical study and decades of use, to be a safe, effective medication,” the president and chief executive of the American College of Obstetricians and Gynecologists said in a statement. “Requiring the medicine to be dispensed in person, then taken elsewhere at the patients’ discretion, is arbitrary and does nothing to bolster the safety of an already-safe medicine.”
Mr. Wyss, who has pledged to donate half his money to charity, has given hundreds of millions to environmental and conservation causes. Through his foundations, he has gradually increased his donations to groups that promote abortion rights, minimum wage increases and other progressive causes.
He became a member of the Democracy Alliance, a club of liberal donors, as well as the board of the Center for American Progress, a Washington think tank that got its start with support from Democracy Alliance donors. The think tank and its sister political group have received more than $6.1 million from foundations linked to Mr. Wyss, according to tax filings.
Mr. Podesta, the founder of the Center for American Progress, has also advised the Wyss Foundation, including on the hiring of The Hub Project’s executive director, Arkadi Gerney, a former official at the Center for American Progress, according to people with knowledge of the arrangement.
The Hub Project came out of the idea that Democrats should be more effective in conveying their arguments through the news media and directly to voters. Its business plan, a 21-page document prepared for the Wyss Foundation in 2015, recommended that the group “be solely funded by the Wyss Foundation at the outset” and that it would work behind the scenes to “dramatically shift the public debate and policy positions of core decision makers.” The plan added that The Hub Project “is not intended to be the public face of campaigns.”
The Hub Project is part of an opaque network managed by a Washington consulting firm, Arabella Advisors, that has funneled hundreds of millions of dollars through a daisy chain of groups supporting Democrats and progressive causes. The system of political financing, which often obscures the identities of donors, is known as dark money, and Arabella’s network is a leading vehicle for it on the left.
The Arabella network has similarities to the operation created by the Kochs. Democrats have long criticized the Kochs and others who have engaged in the hard-to-track political spending unleashed in part by the Supreme Court’s decision in the 2010 Citizens United case.
The Arabella network’s money flows through four nonprofits that serve as parent structures for a range of groups, including The Hub Project. The nonprofits then pass some of the funds along to other nonprofit groups or super PACs.
The assault of a 13-year-old girl in Venezuela and the arrest of her mother and a teacher who helped her end the pregnancy have forced a national debate about legalizing abortion.
MÉRIDA, Venezuela — She wore a ponytail and a red T-shirt, the words “Glitter Girl” sketched across the front.
Gripping her mother’s hand, she spoke softly, describing how she had been forced out of school by Venezuela’s economic crisis, and then was raped at least six times by a neighborhood predator who threatened to harm her family if she spoke out. At just 13, she became pregnant.
With her mother, she sought out a doctor, who told her the pregnancy endangered her life, and then a former teacher, who provided pills that induced an abortion.
But ending a pregnancy is illegal in almost all circumstances in Venezuela. And now the girl was speaking up, she said, because her teacher, Vannesa Rosales, was in jail, facing more than a decade in prison for helping her end a pregnancy — while the accused rapist remained free.
local and international press earlier this year, has become a point of outrage for women’s rights activists, who say it demonstrates the way the country’s economic and humanitarian crisis has stripped away protections for young women and girls. (The Times is not identifying the girl because she is a minor.)
The country’s decline, presided over by President Nicolás Maduro and exacerbated by U.S. sanctions, has crippled schools, shuttered community programs, sent millions of parents abroad and eviscerated the justice system, leaving many vulnerable to violent actors who flourish amid impunity.
But the girl’s assault, and Ms. Rosales’s arrest, has also become a rallying cry for activists who say it is time for Venezuela to have a serious discussion about further legalizing abortion, an issue, they argue, that is now more important than ever.
at least open to a discussion on the issue.
The country’s penal code, which dates back to the 1800s, criminalizes abortion in nearly all cases, with punishments for pregnant women lasting six months to two years and one to nearly three years for abortion providers.
An exception allows doctors to perform abortions “to save the life” of a pregnant woman.
But to obtain a legal abortion, a girl or woman must first find a doctor who will diagnose her with a specific life-threatening condition, said Dr. Jairo Fuenmayor, president of the country’s gynecologic society, and then have her case reviewed before a hospital ethics board.
The process is “cumbersome,” he said, and there are “very few” women who go through it.
The 13-year-old girl may have been eligible for a rare legal abortion, but the process is so infrequently publicized, and there so few doctors who will grant one, that neither she nor her mother knew they could seek one out.
Some women believe that simply raising the issue with a doctor will land them in the hands of the police.
legalize abortion, elevating a discussion about the issue in a region that has long had some of the strictest abortion laws in the world.
“We can ride the wave of the triumph in Argentina,” said Gioconda Espina, a longtime Venezuelan women’s rights activist.
Legalization, however, is far from imminent.
Venezuela is a deeply Catholic country, and many on both sides of the political aisle reject the idea of ending a pregnancy, even amid a crisis.
“Abortion is something that people naturally or instinctively reject,” said Christine de Vollmer, a Venezuelan activist who opposes the procedure. Venezuela may be “chaotic,” she said, but, “I don’t think the idea will catch.”
Hugo Chávez, who began the country’s socialist-inspired revolution in 1999, never took a strong position on abortion, but often asked feminist activists — many of whom supported abortion rights and his cause — to put his larger political movement ahead of their own demands.
sometimes disappeared for months or years in the Venezuelan justice system, and she worried that her partner was about to do the same.
Ms. Rosales’s lawyer, Venus Faddoul, exited the courthouse. No hearing today, she said. And it would probably be weeks before a judge took up the case.
Ms. Escobar collapsed, consumed by anger and anxiety. Soon, she was shaking violently and struggling to breathe.
“We are powerless,” she cried.
internet outrage that Venezuela’s attorney general, Tarek Saab, took to Twitter to clarify that he had issued an arrest warrant for the accused rapist.
The authorities in Mérida soon released Ms. Rosales to await trial under house arrest.
Abortion rights activists last month met for hours with Mr. Rodríguez, the National Assembly president, where they proposed a change to the penal code, among other ideas.
The country’s influential association of Catholic bishops responded with a letter imploring the country to stick with the status quo.
Powerful international organizations, the association said, were trying to legalize abortion “by appealing to fake concepts of modernity, inventing ‘new human rights,’ and justifying policies that go against God’s designs.”
Ms. Rosales remains in legal limbo. Six months after her arrest, she has yet to have her first day in court. The accused person is still free.
“This goes beyond being a negligent state,” she said. “This is a state that is actively working against women.”
across the United States. Snap polls during the call suggested that most of the participants favor doing something, though what that would be isn’t yet clear, the DealBook newsletter reports.
The voting-rights debate is fraught for companies, putting them at the center of an increasingly heated partisan battle. Ken Chenault, the former American Express chief, and Ken Frazier, the Merck chief executive, urged the executives on the call to publicly state their support for broader ballot access. The two had gathered 70 fellow Black leaders to sign a letter last month calling on companies to fight bills that restrict voting rights, like the one that recently passed in Georgia.
A survey this month of 1,221 Americans shows support for companies wading into politics. The data, provided by the market research firm Morning Consult, was presented to the business leaders on the call, which was convened by Jeffrey Sonnenfeld, a professor at Yale. Here are some highlights:
Fifty-seven percent of Americans think companies should cut back on donations to elected officials who are working to limit voting rights. Nearly three-quarters of respondents said that the government should ensure equitable access to voting locations.
More than half of Americans said they were more likely to buy from companies that promote certain social causes, including racial equality and civil rights, although support among Democrats was stronger than among Republicans on many of these issues. Among the handful of issues that would make Republicans less likely to buy from a company were support for the Black Lives Matter movement, abortion rights, stricter gun control and L.G.B.T. rights.
In a separate survey of 2,200 Americans by Morning Consult, 62 percent of “avid” fans said they supported Major League Baseball’s decision to move the All-Star Game from Georgia in response to the state’s new voting restrictions. Support was lower among all adults (39 percent), but if the league was worried about the effect on its most dedicated fans, this is an important finding.
Microsoft said on Monday that it would buy Nuance Communications, a provider of artificial intelligence and speech-recognition software, for about $16 billion, as it pushes to expand its health care technology services.
In buying Nuance, whose products include Dragon medical transcription software, Microsoft is hoping to bolster its offerings for the fast-growing field of medical computing. The two companies have already partnered on ways to automate the process of transcribing doctors’ conversations with patients and integrating that information into patients’ medical records.
Nuance is also known for providing the speech recognition software behind Siri, Apple’s virtual assistant. In recent years, however, it has focused on creating and selling software focused on the medical field.
Under the terms of the deal announced on Monday, Microsoft will pay $56 a share in cash, up 23 percent from Nuance’s closing price on Friday. Including assumed debt, the transaction values Nuance at about $19.7 billion.
The deal is Microsoft’s biggest takeover since its 2015 acquisition of LinkedIn for $26.2 billion.
“Nuance provides the A.I. layer at the health care point of delivery and is a pioneer in the real-world application of enterprise A.I.,” Satya Nadella, Microsoft’s chief executive, said in a statement.
A year into the pandemic, there are signs that the American economy is stirring back to life, with a falling unemployment rate and a growing number of people back at work. Even mothers — who left their jobs in droves in the last year in large part because of increased caregiving duties — are slowly re-entering the work force.
But young Americans — particularly women between the ages of 16 and 24 — are living an altogether different reality, with higher rates of unemployment than older adults. And many thousands, possibly even millions, are postponing their education, which can delay their entry into the work force.
New research suggests that the number of “disconnected” young people — defined as those who are in neither school nor the work force — is growing. For young women, experts said, the caregiving crisis may be a major reason many have delayed their education or careers.
Last year, unemployment among young adults jumped to 27.4 percent in April from 7.8 percent in February. The rate was almost double the 14 percent overall unemployment rate in April and was the highest for that age group in the last two decades, according to the Bureau of Labor Statistics.
At its peak in April, the unemployment rate for young women over all hit 30 percent — with a 22 percent rate for white women in that age group, 30 percent for Black women and 31 percent for Latina women.
Those numbers are starting to improve as many female-dominated industries that shed jobs at the start of the pandemic, like leisure, retail and education, are adding them back. But roughly 18 percent of the 1.9 million women who left the work force since last February — or about 360,000 — were 16 to 24, according to an analysis of seasonally unadjusted numbers by the National Women’s Law Center.
At the same time, the number of women who have dropped out of some form of education or plan to is on the rise. During the pandemic, more women than men consistently reported that they had canceled plans to take postsecondary classes or planned to take fewer classes, according to a series of surveys by the U.S. Census Bureau since last April.
“We’ve focused in particular on the digital divide and the impact of that on the learning loss for kids,” said Reshma Saujani, founder of the nonprofit group Girls Who Code. “But we’re not talking about how the caregiving crisis is impacting the learning loss for kids and how it’s disproportionately impacting girls and girls of color.”
All of this can have long-term knock-on effects. Even temporary unemployment or an education setback at a young age can drag down someone’s potential for earnings, job stability and even homeownership years down the line, according to a 2018 study by Measure of America that tracked disconnected youth over the course of 15 years.
For the past year, the British economy has yo-yoed with the government’s pandemic restrictions. On Monday, as shops, outdoor dining, gyms and hairdressers reopened across England, the next bounce began.
The pandemic has left Britain with deep economic wounds that have shattered historical records: the worst recession in three centuries and record levels of government borrowing outside wartime.
Last March and April, there was an economic slump unlike anything ever seen before when schools, workplaces and businesses abruptly shut. Then a summertime boom, when restrictions eased and the government helped usher people out of their homes with a popular meal-discount initiative called “Eat Out to Help Out.”
Beginning in the fall, a second wave of the pandemic stalled the recovery, though the economic impact wasn’t as severe as it had been last spring. Still, the government has spent about 344 billion pounds, or $471 billion, on its pandemic response. To pay for it, the government has borrowed a record sum and is planning the first increase in corporate taxes since 1974 to help rebalance its budget.
By the end of the year, the size of Britain’s economy will be back where it was at the end of 2019, the Bank of England predicts. “The economy is poised like a coiled spring,” Andy Haldane, the central bank’s chief economist said in February. “As its energies are released, the recovery should be one to remember after a year to forget.”
Even though a lot of retail spending has shifted online, reopening shop doors will make a huge difference to many businesses.
Daunt Books, a small chain of independent bookstores, was busy preparing to reopen for the past week, including offering a click-and-collect service in all of its stores. Throughout the lockdown, a skeleton crew “worked harder than they’ve ever worked before, just to keep a trickle” of revenue coming in from online and telephone orders, said Brett Wolstencroft, the bookseller’s manager.
“The worst moment for us was December,” Mr. Wolstencroft said, when shops were shut in large parts of the country beginning on Dec. 20. “Realizing you’re losing your last bit of Christmas is exceptionally tough.”
He says he is looking forward to having customers return to browse the shelves and talk to the sellers. “We’d sort of turned ourselves into a warehouse” during the lockdown, he said, “but that doesn’t work for a good bookshop.”
With the likes of pubs, hairdressers, cinemas and hotels shut for months on end, Brits have built up more than £180 billion in excess savings, according to government estimates. That money, once people can get out more, is expected to be the engine of this recovery — even though economists are debating how much of this windfall will end up in the tills of these businesses.
Monday is just one phase of the reopening.Pubs can serve customers only in outdoor seating areas, and less than half, about 15,000, have such facilities. Hotels will also remain closed for at least another month alongside indoor dining, museums and theaters. The next reopening phase is scheduled for May 17.
Over all, two-fifths of hospitality businesses have outside space, said Kate Nicholls, the chief executive of U.K. Hospitality, a trade group.
“Monday is a really positive start,” she said. “It helps us to get businesses gradually back open, get staff gradually back off furlough and build up toward the real reopening of hospitality that will be May 17.”
Saudi Aramco, the national oil company of Saudi Arabia, has reached a deal to raise $12.4 billion from the sale of a 49 percent stake in a pipeline-rights company.
The money will come from a consortium led by EIG Global Energy Partners, a Washington-based investor in pipelines and other energy infrastructure.
Under the arrangement announced on Friday, the investor group will buy 49 percent of a new company called Aramco Oil Pipelines, which will have the rights to 25 years of payments from Aramco for transporting oil through Saudi Arabia’s pipeline networks.
Aramco is under pressure from its main owner, the Saudi government, to generate cash to finance state operations as well as investments like new cities to diversify the economy away from oil.
The company has pledged to pay $75 billion in annual dividends, nearly all to the government, as well as other taxes.
Last year, the dividends came to well in excess of the company’s net income of $49 billion. Recently, Aramco was tapped by Crown Prince Mohammed bin Salman, the kingdom’s main policymaker, to lead a new domestic investment drive to build up the Saudi economy.
The pipeline sale “reinforces Aramco’s role as a catalyst for attracting significant foreign investment into the Kingdom,” Aramco said in a statement.
From Saudi Arabia’s perspective, the deal has the virtue of raising money up front without giving up control. Aramco will own a 51 percent majority share in the pipeline company and “retain full ownership and operational control” of the pipes the company said.
Aramco said Saudi Arabia would retain control over how much oil the company produces.
Abu Dhabi, Saudi Arabia’s oil-rich neighbor, has struck similar oil and gas deals with outside investors.
Global stocks drifted lower from recent highs on Monday ahead of a batch of first-quarter earnings reports. The S&P 500 was set to open 0.4 percent lower, futures indicated, after reaching a record high on Friday.
Most European stocks indexes fell. The Stoxx Europe 600 also declined from a high reached on Friday. The index was 0.2 percent lower on Monday, with energy and airline stocks among the companies that fell the most. The FTSE 100 in Britain was down 0.2 percent.
Stocks have recently been propelled higher by expectations that the global economy will recover strongly from the pandemic this year. Much of the impetus is expected to come from the United States, where trillions of dollars are being spent on various economic recovery packages. On Sunday, Federal Reserve chair, Jerome H. Powell, said the economy was at an “inflection point” and on the cusp of growing more quickly.
But there are still concerns about the uneven nature of the global recovery. For example, parts of Europe and South America are still struggling to contain outbreaks of the coronavirus and the vaccine rollout is slower than in the United States and Britain.
Oil prices and Treasury notes
Oil futures rose. Futures of West Texas Intermediate, the U.S. crude benchmark, rose 0.4 percent to $59.53 a barrel.
Yields on 10-year U.S. Treasury notes were little changed at 1.66 percent.
Retail sales in the eurozone rose more than economists forecast, data published Monday shows. Sales jumped 3 percent in February from the previous month, compared with predictions of a 1.7 percent increase.
In England, nonessential retail stores opened on Monday for the first time in more than three months. Shares in JD Sports, a clothing retailer, rose in the morning and hit a record high. But by midmorning shares, were down 0.4 percent and fell alongside several other large British brands, including Marks & Spencer and Next. Foot traffic in shopping locations across Britain was three times greater than last week, according to data from Springboard.
The deadline to file a 2020 individual federal return and pay any tax owed has been extended to May 17. But some deadlines remain April 15, Ann Carrns reports for The New York Times. So it’s a good idea to double-check deadlines.
Most, but not all, states are following the extended federal deadlines, and a few have adopted even more generous extensions.
But the Internal Revenue Service has not postponed the deadline for making first-quarter 2021 estimated tax payments. This year, the first estimated tax deadline remains April 15. Some members of Congress are pushing for the I.R.S. to reconcile the deadlines, but it’s unclear whether that will happen, with April 15 less than a week away.
Most states have retained their usual deadlines for first-quarter estimated taxes. One exception is Maryland, which moved both its filing deadline and the deadline for first- and second-quarter estimated tax payments to July 15.
Even as unionization elections, like the lopsided vote against a union at Amazon’s warehouse in Bessemer, Ala., have often proven futile, labor has enjoyed some success over the years with an alternative model — what sociologist of labor calls the “air war plus ground war.”
The idea is to combine workplace actions like walkouts (the ground war) with pressure on company executives through public relations campaigns that highlight labor conditions and enlist the support of public figures (the air war). The Service Employees International Union used the strategy to organize janitors beginning in the 1980s, and to win gains for fast-food workers in the past few years, including wage increases across the industry, Noam Scheiber reports for The New York Times.
“There are almost never any elections,” said Ruth Milkman, a sociologist of labor at the Graduate Center of the City University of New York. “It’s all about putting pressure on decision makers at the top.”
Labor leaders and progressive activists and politicians said they intended to escalate both the ground war and the air war against Amazon after the failed union election, though some skeptics within the labor movement are likely to resist spending more revenue, which is in the billions of dollars a year but declining.
Stuart Appelbaum, the president of the retail workers union, said in an interview that elections should remain an important part of labor’s Amazon strategy. “I think we opened the door,” he said. “If you want to build real power, you have to do it with a majority of workers.”
But other leaders said elections should be de-emphasized. Jesse Case, secretary-treasurer of a Teamsters local in Iowa, said the Teamsters were trying to organize Amazon workers in Iowa so they could take actions like labor stoppages and enlist members of the community — for example, by turning them out for rallies.
President Biden’s sweeping pandemic relief bill and his multitrillion-dollar initiatives to rebuild infrastructure and increase wages for health care workers are intended to help ease the economic disadvantages facing racial minorities.
Yet academic experts and some policymakers say still more will be needed to repair a yawning racial wealth gap, in which Black households have a mere 12 cents for every dollar that a typical white household holds.
The disparity results in something of a rigged game for Black Americans, in which they start out behind in economic terms at birth and fall further behind during their lives, Patricia Cohen writes in The New York Times. Black graduates, for example, have to take out bigger loans to cover college costs, compelling them to start out in more debt — on average $25,000 more — than their white counterparts.
The persistence of the problem affects the entire economy: A study by McKinsey & Company found that consumption and investment lost because of the gap cost the U.S. economy $1 trillion to $1.5 trillion over 10 years.
It also has deep historical roots. African-Americans were left out of the Homestead Act, which distributed land to citizens in the 19th century, and largely excluded from federal mortgage loan support programs in the 20th century.
As a result, the gap is unlikely to shrink substantially without policies that specifically address it, such as government-funded accounts that provide children with assets at birth. Several states have experimented with these programs on a small scale.
“We have very clear evidence that if we create an account of birth for everyone and provide a little more resources to people at the bottom, then all these babies accumulate assets,” said Michael Sherraden, founding director of the Center for Social Development at Washington University in St. Louis, which is running an experimental program in Oklahoma. “Kids of color accumulate assets as fast as white kids.”
An update to the contact tracing app used in England and Wales has been blocked from release by Apple and Google because of privacy concerns, renewing a feud between the British government and the two tech giants about how smartphones can be used to track Covid-19 cases.
In an attempt to trace possible infections, the update to the app would have allowed a person who tests positive for the virus to upload a list of restaurants, shops and other venues they recently visited, data that would be used by health officials for contact tracing. But collecting such location information violates the terms of service that Google and Apple forced governments to agree to in exchange for making contact tracing apps available on their app stores.
The dispute, first reported by the BBC, highlights the supernational role that Apple and Google have played responding to the virus. The companies, which control the software of nearly every smartphone in the world, have forced governments to design contact tracing apps to their privacy specifications, or risk not have the tracking apps made available to the public. The gatekeeper role has frustrated policymakers in Britain, France and elsewhere, who have argued those public health decisions are for governments, not private companies to make.
The release of the app update was to coincide with England’s relaxation of lockdown rules. On Monday, the country began loosening months of Covid-related restrictions, allowing nonessential shops to reopen, and pubs and restaurants to serve customers outdoors.
An older version of the contact tracing app continues to work, but the data is stored on a person’s device, rather than being kept in a centralized database.
To use the app, visitors to a store or restaurant take a photo of a poster with a QR code displayed in the business, and the software keeps a record of the visit in case someone at the same location later tests positive.
Apple and Google are blocking the update that would let people upload the history of the locations they have checked into directly to health authorities.
The Department of Health and Social Care said it is in discussions with Apple and Google to “provide beneficial updates to the app which protect the public.”
Apple did not respond to a request for comment. Google declined to comment.
TARQUI, Ecuador — Though its candidate is not on the ballot, one big winner in Sunday’s presidential runoff in Ecuador was clear before the first vote was cast: the nation’s long-marginalized Indigenous movement.
The Indigenous party and its allies jolted the nation in the first round of voting in February, winning half of all states, becoming the second-largest presence in Congress and transforming the agenda of the finalists in Sunday’s presidential race, the leftist Andrés Arauz and the conservative Guillermo Lasso.
“The politics of Ecuador will never be the same,” said Farith Simon, an Ecuadorean law professor and columnist. “There’s still racism, but there’s also a re-vindication of the value of Indigenous culture, of pride in their national role.”
Eager to court Indigenous voters and mindful of the need to work with the newly powerful Indigenous bloc in Congress, Mr. Arauz and Mr. Lasso have revamped their messages and shifted the contest from the polarizing socialist-versus-conservative ground that has defined national politics for years. Debates are emerging instead on Ecuador’s deep-seated inequality and on an economic model reliant on the export of oil and metals extracted from Indigenous lands.
Both candidates have promised to enact greater environmental safeguards and to grant Indigenous communities more say over the extraction of resources. Mr. Lasso, 66, a banker, has vowed to improve economic opportunities for Indigenous people, who, despite decades of progress, lag far behind national averages in access to education, health care and jobs.
Mr. Arauz, 36, an economist who led in the first round of voting, has promised to lead Ecuador as a true “plurinational” country in recognition of its 15 Indigenous nations. Though largely symbolic, the designation had been sought for decades by the country’s Indigenous party, Pachakutik, as a powerful acknowledgment of its people’s central place in Ecuador.
The rise of Pachakutik on the national stage has not only brought attention to the country’s Indigenous minority, it has posed deeper questions of identity for the entire electorate. Though just 8 percent of Ecuadoreans identified themselves as Indigenous in the last census, much of the population is ethnically mixed.
“This is a difficult conversation for us as a nation, but there’s no turning back,” Mr. Simon said.
The man most responsible for the political sea change has been the environmental activist Yaku Pérez, the Pachakutik presidential candidate in February’s first round of voting.
Mr. Pérez, 52, narrowly missed the runoff, but he greatly broadened Pachakutik’s historic single-digit appeal with his support for women’s rights, equality for L.G.B.T.Q. people and efforts to fight climate change. Mr. Pérez also backed abortion rights and same-sex marriage, creating tensions inside his socially conservative Indigenous constituency.
“Pérez had an enormous capacity to open his horizons, his discourse, to incorporate themes that weren’t there” in Ecuadorean politics, said Alberto Acosta, a former Pachakutik presidential candidate.
Mr. Pérez’s rise is part of a larger generational shift in Latin America’s leftist movements. Partly driven by social media and political protests in the United States, where most Latin American nations have large diasporas, younger left-leaning politicians are prioritizing environment, gender and minority issues over the Marxist doctrine of their mentors.
In neighboring Peru, Verónika Mendoza, 40, is among the top contenders in Sunday’s presidential election, promising to grant land titles to Indigenous communities and protect the environment. In Bolivia, the 34-year-old Indigenous leader Eva Copa recently won a mayor’s race in El Alto, a melting-pot city considered a bellwether.
This new generation of leaders is going beyond the traditional left-right divide, challenging their countries’ historic reliance on large mining, oil and agribusiness projects for economic growth, said Carwil Bjork-James, an anthropologist at Vanderbilt University in Tennessee.
“These are big continental questions that the Indigenous movements have been asking for a long time,” Mr. Bjork-James said. “To see these questions being asked politically is a new level.”
Such a framework is shortsighted, their rivals say. South American nations have no alternative but to rely on revenue from raw materials to recover from the pandemic. And only through economic development, they say, can inequalities be fully addressed.
In Ecuador, Mr. Pérez managed to win nearly 20 percent of February’s vote, but his party and its allies soared from nine to 43 congressional seats in the election, becoming kingmakers in the country’s fractured 137-seat legislature.
The campaign had initially focused on the legacy of Rafael Correa, Ecuador’s longest-serving democratic president. He had lifted millions from poverty during a commodities boom in the 2000s, but his authoritarian style and the corruption allegations that trailed him had left the nation bitterly divided.
Mr. Correa, who left office in 2017, picked Mr. Arauz to represent his leftist movement this year, catapulting the 36-year-old to the top of the polls despite his limited experience and national recognition. Mr. Lasso centered his early campaign message on fears that Mr. Correa would continue to exert influence.
But the first-round results “showed that a great part of the population doesn’t want to be boxed into this conflict between Correa’s supporters and opponents, which reduces Ecuadoreans’ problems to a binary vision,” said Mr. Acosta, the former candidate.
Pachakutik’s electoral success this year traces to a wave of national protests in October 2019, when the Indigenous movement marched on the capital, Quito, to demand the repeal of a deeply unpopular cut in gasoline subsidies. The protests turned violent, claiming at least eight lives, but the government withdrew the subsidy cut after 12 days of unrest.
“We showed the country that the Indigenous people are looking for a transformation of this dominant system that only serves the most affluent,” said Diocelinda Iza, a leader of the Kichwa nation in the central province of Cotopaxi.
The life of Mr. Pérez, the presidential candidate, embodies the travails of the Indigenous movement. He was born in a high Andean valley in southern Ecuador to a family of impoverished farmers. His father was Kichwa, his mother Kañari.
His parents worked on the estate of a local landowner without pay in return for living on his property, a rural arrangement that has changed little since colonial times.
From his childhood, Mr. Pérez said he remembers the seemingly endless toil in the fields, the pangs of hunger, and the humiliation he felt at school when his mother came to parent meetings dressed in traditional skirts.
“I felt a lot of shame to be Indigenous, to come from the field, to be a farmer, to have a sharecropper father,” Mr. Pérez said in an interview in March. To succeed at school, he said, “I ended up whitening myself, colonizing myself, rejecting our identity.”
Mr. Pérez ended up studying at a local university, practicing law and becoming involved in politics through local associations defending communal water rights. He rose to become the governor of Ecuador’s Azuay region, the country’s fifth-most populous, before quitting to run for president.
His story has resonated with other Indigenous people, many of whom see the political efforts of today in the context of the five centuries since Ecuador’s colonial conquest.
“We’re not campaigning for a person,” said one Indigenous leader, Luz Namicela Contento, “but for a political project.”
Jose María León Cabrera reported from Tarqui, Ecuador, and Anatoly Kurmanaev from Moscow. Mitra Taj contributed reporting from Lima, Peru.
KRASNIK, Poland — When local councilors adopted a resolution two years ago declaring their small town in southeastern Poland “free of L.G.B.T.,” the mayor didn’t see much harm in what appeared to be a symbolic and legally pointless gesture.
Today, he’s scrambling to contain the damage.
What initially seemed a cost-free sop to conservatives in the rural and religiously devout Polish borderlands next to Ukraine, the May 2019 decision has become a costly embarrassment for the town of Krasnik. It has jeopardized millions of dollars in foreign funding and, Mayor Wojciech Wilk said, turned “our town into a synonym for homophobia,” which he insisted was not accurate.
A French town last year severed a partnership with Krasnik in protest. And Norway, from which the mayor had hoped to get nearly $10 million starting this year to finance development projects, said in September that it would not give grants to any Polish town that declares itself “free of L.G.B.T.”
“We have become Europe’s laughingstock, and it’s the citizens not the local politicians who’ve suffered most,” lamented Mr. Wilk, who is now lobbying councilors to repeal the resolution that put the town’s 32,000 residents in the middle of a raucous debate over traditional and modern values. The situation also illustrates the real-life consequences of political posturing in the trenches of Europe’s culture wars.
rally its base before a presidential election in 2020, did not bar gay people from entering or threaten expulsion for those already present. Instead they vowed to keep out “L.G.B.T. ideology,” a term used by conservatives to describe ideas and lifestyles they view as threatening to Polish tradition and Christian values.
Cezary Nieradko, a 22-year-old student who describes himself as Krasnik’s “only open gay,” dismissed the term “L.G.B.T. ideology” as a smoke screen for homophobia. He recalled how, after the town adopted its resolution, his local pharmacist refused to fill his prescription for a heart drug.
will cut funding to any Polish town that violates Europe’s commitment to tolerance and equality.
The European Parliament also passed a resolution last month declaring all 27 countries in the bloc an L.G.B.T. “Freedom Zone,” although like the Polish resolutions declaring the opposite, the declaration has no legal force.
All the posturing, however, has begun to have concrete consequences.
Krasnik’s mayor said he worried that unless his town’s “free of L.G.B.T.” status is rescinded, he has little chance of securing foreign funds to finance electric buses and youth programs, which he said are particularly important because young people keep leaving.
called off the visit to Krasnik after what he described as pressure from Polish officials not to go, a claim that Poland’s foreign ministry said was untrue.
When Krasnik and other towns adopted “free of L.G.B.T.” resolutions in early 2019, few people paid attention to what was widely seen as a political stunt by a governing party that delights in offending its foes’ “political correctness.”
But that changed early last year when Bartosz Staszewski, an L.G.B.T. activist from Warsaw began visiting towns that had vowed to banish “L.G.B.T. ideology.” Mr. Staszewski, a documentary filmmaker, took with him an official-looking yellow sign on which was written in four languages: “L.G.B.T.-FREE ZONE.” He put the fake sign next to each town’s real sign, taking photographs that he posted on social media.
The action, which he called “performance art,” provoked outrage across Europe as it put a spotlight on what Mr. Staszewski described in an interview in Warsaw as a push by conservatives to “turn basic human rights into an ideology.”
Prime Minister Mateusz Morawiecki has accused Mr. Staszewski of generating a fake scandal over “no-go zones” that don’t exist. Several towns, supported by a right-wing outfit partly funded by the government, have filed defamation suits against the activist over his representation of bans on “ideology” as barring L.G.B.T. people.
But even those who support the measures often seem confused about what it is that they want excluded.
Asked on television whether the region surrounding Krasnik would become Poland’s first L.G.B.T.-free zone, Elzbieta Kruk, a prominent Law and Justice politician, said, “I think Poland is going to be the first area free of L.G.B.T.” She later reversed herself and said the target was “L.G.B.T. ideology.”
For Mr. Wilk, Krasnik’s mayor, the semantic squabbling is a sign that it is time to drop attempts to make the town “free” of anyone or anything.
But Mr. Albiniak, the initiator of the resolution, vowed to resist what he denounced as blackmail by foreigners threatening to withhold funds.
“If I vote to repeal,” he said, “I vote against myself.”
Across white evangelical America, reasons not to get vaccinated have spread quickly.
The deeply held spiritual convictions or counterfactual arguments may vary, but the opposition is rooted in a mix of religious faith and a longstanding wariness of mainstream science, and it is fueled by broader cultural distrust of institutions and gravitation to online conspiracy theories.
The sheer size of the community poses a major problem for the country’s ability to recover from a pandemic that has resulted in the deaths of half a million Americans.
There are about 41 million white evangelical adults in the United States. About 45 percent said in late February that they would not get vaccinated against Covid-19, making them among the least likely demographic groups to do so, according to the Pew Research Center.
As vaccines become more widely available, and as more contagious virus variants develop, the problem takes on new urgency. Significant numbers of Americans generally are resistant to getting vaccinated, but white evangelicals present unique challenges because of their complex web of moral, medical and political objections. The challenge is further complicated by longstanding distrust between evangelicals and the scientific community.
No clear data is available about vaccine hesitancy among evangelicals of other racial groups. But religious reasoning often spreads beyond white churches.
Many high-profile conservative pastors and institutional leaders have endorsed the vaccines. Franklin Graham told his 9.6 million Facebook followers that Jesus would advocate vaccination.
Pastor Robert Jeffress commended it from an anti-abortion perspective on Fox News. (“We talk about life inside the womb being a gift from God. Well, life outside the womb is a gift from God, too.”)
But other influential voices in the sprawling, trans-denominational movement, especially those who have gained their stature through media fame, have sown fears. Gene Bailey, the host of a prophecy-focused talk show on the Victory Channel, warned his audience in March that the government and “globalist entities” would “use bayonets and prisons to force a needle into your arm.”
Dr. Simone Gold, a prominent Covid-19 skeptic who was charged with violent entry and disorderly conduct in the Jan. 6 Capitol siege, told an evangelical congregation in Florida that they were in danger of being “coerced into taking an experimental biological agent.”
One widespread concern among evangelicals is the vaccines’ ties to abortion. In reality, the connection is remote: Some of the vaccines were developed and tested using cells derived from the fetal tissue of elective abortions that took place decades ago.
The vaccines do not include fetal tissue, and no additional abortions are required to manufacture them. Still, the kernel of a connection has metastasized online into false rumors about human remains or fetal DNA being an ingredient in the vaccines.
Some evangelicals see the vaccine as a redemptive outcome for the original aborted fetus.
Dr. Julie Morita, the executive vice president of the Robert Wood Johnson Foundation and a former Chicago public health commissioner, said the method to reach white evangelicals is similar to building vaccine confidence in other groups: Listen to their concerns and questions, and then provide information that they can understand from people they trust.
But a public education campaign alone may not be enough.
WASHINGTON — Women’s access to contraceptives and reproductive care is a global human right that will be monitored by the United States, Secretary of State Antony J. Blinken declared on Tuesday, reversing a Trump administration policy that had overlooked discrimination or denials of women seeking sexual health services worldwide.
The announcement was one of several departures Mr. Blinken made from the previous administration’s approach as the State Department issued its annual report on human rights violations, even while he similarly condemned abuses and state-sanctioned oppression from China to Syria to Venezuela that have continued for years.
The report was completed during the Trump administration and, Mr. Blinken said, did not include examples of women who were refused health care and family planning information in nearly 200 countries and territories in 2020. He has directed officials to compile that data and identify violators this year “because women’s rights — including sexual and reproductive rights — are human rights,” Mr. Blinken told reporters at the department.
Mr. Blinken also announced that he had dismantled an advisory committee, set up by Mike Pompeo, the secretary of state at the time, that had prioritized religious liberties and property rights among universal freedoms. Critics of the panel had accused Mr. Pompeo of using it to promote his evangelical Christian beliefs and conservative politics.
had approved the assassination, although the United States has not announced sanctions or other penalties against him.
Prince Mohammed was a key ally to President Donald J. Trump, who had refused to condemn the rising Saudi leader for the death of Mr. Khashoggi, who lived in Virginia. The human rights reports issued by the State Department have also stopped short of directly accusing the crown prince, although Tuesday’s review did note the arrest and abduction by Saudi security forces of the activist Amani al-Zain in May, after she referred to Prince Mohammed as “father of the saw” during a video chat months earlier. Mr. Khashoggi was dismembered by a bone saw when he went to pick up documents in the Saudi Consulate in Istanbul.
Although career diplomats took pains to describe the report as a matter-of-fact rundown of human rights around the world, many of its conclusions divided American activists along political lines.
“It’s unfortunate that the many pro-life, pro-religious freedom positions that President Trump had advanced internationally are being rolled back by the Biden administration,” said Travis Weber, a vice president of the Family Research Council, a conservative Christian organization.
Mr. Pompeo declared Beijing’s treatment of the Uyghurs — including forced sterilization and internment camps — a genocide, a position Mr. Blinken has retained.
Mr. Blinken called the Chinese abuses in Xinjiang evidence that “the trend lines on human rights continue to move in the wrong direction,” and he cited violence or oppression in Myanmar, Russia, Uganda and the northern Tigray region of Ethiopia as other examples.
All are “indications that the Biden administration is taking seriously its commitment to hold both allies and adversaries to a high standard on human rights,” said Sarah Holewinski, the director of the Human Rights Watch office in Washington.
She called the State Department’s return to monitoring reproductive health access for women and girls “a particularly big deal” after it had been cast aside.
“When women die from preventable pregnancy-related causes, there are likely to exist policies and laws that undervalued their life,” Ms. Holewinski said.
Medical workers and reproductive rights activists had long criticized the Trump administration for refusing to fund health clinics that provide abortions or otherwise support women who needed care. That has led to fewer health providers in some of the world’s neediest places, even for women seeking other kinds of medical attention, just as the coronavirus spread around the globe.
As a matter of international law, Mr. Weber said, “there is no right to abortion.”
Mr. Blinken did not specifically mention abortion in his remarks about protecting women’s access to family planning care. But he also noted the strain that the pandemic had placed on women, racial and ethnic minorities, and others based on their disabilities or sexual orientation.
Erosions of human rights, he said, “are being worsened by Covid-19, which autocratic governments have used as a pretext to target their critics.”
AUCKLAND, New Zealand — New Zealand’s Parliament on Wednesday unanimously approved legislation that would give couples who suffer a miscarriage or stillbirth three days’ paid leave, putting the country in the vanguard of those providing such benefits.
Ginny Andersen, the Labour member of Parliament who drafted the bill, said she had not been able to find comparable legislation anywhere in the world. “We may well be the first country,” she said, adding, “But all the countries that New Zealand is usually compared to legislate for the 20-week mark.”
Employers in New Zealand, as in some other countries, had already been required to provide paid leave in the event of a stillbirth, when a fetus is lost after a gestation of 20 weeks or more. The new legislation will expand that leave to anyone who loses a pregnancy at any point, removing any ambiguity. The measure is expected to become law in the coming weeks.
“I felt that it would give women the confidence to be able to request that leave if it was required, as opposed to just being stoic and getting on with life, when they knew that they needed time, physically or psychologically, to get over the grief,” Ms. Andersen said.
decriminalized abortion last year, ending the country’s status as one of the few wealthy nations to limit the grounds for ending a pregnancy in the first half.
In Australia, people who miscarry are entitled to unpaid leave if they lose a fetus after 12 weeks, while in Britain, would-be parents who experience a stillbirth after 24 weeks are eligible for paid leave. The United States does not require employers to provide leave for anyone who suffers a miscarriage.
Up to 20 percent of all known pregnancies in the United States end in miscarriage, according to the Mayo Clinic. In New Zealand, whose population is five million, the Ministry of Health estimates that one to two pregnancies in 10 will end in miscarriage.
The charity Sands New Zealand, which supports parents who have lost a pregnancy, says 5,900 to 11,800 miscarriages or stillbirths occur each year. More than 95 percent of the miscarriages occur in the first 12 to 14 weeks of pregnancy, according to data from the New Zealand College of Midwives.
A miscarriage or stillbirth remains a fraught and painful topic, one that is difficult to talk about publicly or seek support for, health advocates say.
“If you ring the hospital saying, ‘I think I’m miscarrying my baby,’ so many women will say, ‘I felt like I was the first person in the world to be miscarrying,’” said Vicki Culling, an educator about baby loss who has pushed for better support for bereaved parents in New Zealand.
“The foundations of your world just crumble, because you expect to have this beautiful baby, and when that baby dies, whether it’s in utero or soon after birth, everything is shattered.”
Ms. Culling applauded the New Zealand legislation as a first step but said there was more to be done.
“You get three days’ paid leave, maybe you bury your baby or you have a service, and then you go back to work, and you carry on — and then what? That’s my concern,” she said.
“I’m celebrating it, but I want to see us keeping this compassion going, and looking further into the needs of these parents.”
largest known coronavirus outbreaks early in the pandemic, are now eligible for vaccines in at least 26 states, a New York Times survey found.
The expansion of vaccines to food processing workers comes amid rapid widening of eligibility, especially for essential workers at greater risk of contracting the virus. Almost every state is vaccinating some subset of frontline workers, but the list of eligible professions varies widely. In at least six states, food processing workers are eligible in certain counties but not in others.
Meat and poultry processing facilities have largely remained open even as large outbreaks infected thousands of workers and killed dozens in the first months of the pandemic. The virus started to spread rapidly in meatpacking facilities as assembly-line workers stood side by side in tight quarters.
A JBS USA pork production plant in Worthington, Minn., with more than 700 recorded coronavirus cases held a mass vaccination event on Friday. JBS USA, a subsidiary of JBS S.A., a Brazilian company that is the world’s largest meat-processing firm, has offered employees who receive the vaccine $100 incentives.
“There was a lot of skepticism among members, for a lot of different reasons,” said Matt Utecht, who represents the Worthington workers as president of the United Food and Commercial Workers Local 663 union. He said union representatives went to the facility repeatedly in recent months to share information about the vaccine, and signed up about 1,500 of the union’s roughly 1,850 members.
“It’s been a daily grind of educating, talking, communicating,” he said.
The production and distribution of vaccines has been steadily ramping up in the United States. The Centers for Disease Control and Prevention said on Saturday that about 79.4 million people had received at least one dose of a Covid-19 vaccine, including about 43 million people who have been fully vaccinated. About 2.25 million doses are given each day on average, up from less than a million two months ago.
With demand for vaccines still outpacing supply, states have faced competing interests in deciding which groups to prioritize. Eligibility opened to many food processing workers in early March across much of the Midwest, where meatpacking and food production are a major part of the economy and often a source of employment for recent immigrants.
In Kansas, where food processing workers are now eligible for the vaccine, nearly 4,000 reported cases have been tied to outbreaks in meatpacking plants, more than in any other setting except long-term care centers and correctional facilities.
“This is a livelihood that supports a number of immigrant populations,” said Marci Nielsen, the Kansas governor’s chief adviser on Covid-19. “And it was very important for the governor to send out a signal that she wants to keep those families safe and to keep these industries open.”
— Bonnie G. Wong and Matt Craig
The coronavirus vaccine developed by AstraZeneca and the University of Oxford provided strong protection against Covid-19 in a large clinical trial in the United States, completely preventing the worst outcomes from the disease while causing no serious side effects, according to results announced on Monday.
The findings, announced in a news release from AstraZeneca, may help shore up global confidence in the vaccine, which was shaken this month when more than a dozen countries, mostly in Europe, temporarily suspended the use of the shot over concerns about possible rare side effects.
The trial, involving more than 32,000 participants, was the largest test of its kind for the shot. The vaccine was 79 percent effective overall in preventing symptomatic infections, higher than observed in previous clinical trials. The trial also showed that the vaccine offered strong protection for older people, who had not been as well-represented in earlier studies.
But the fresh data may not make much difference in the United States, where the vaccine is not yet authorized and may not be needed.
If AstraZeneca wins authorization for emergency use in the United States based on the new results, the vaccine is unlikely to become available before May, when federal officials predict that three manufacturers that already have authorization will be producing enough doses for all the nation’s adults.
AstraZeneca said on Monday that it would continue to analyze the new data and prepare to apply “in the coming weeks” for emergency authorization from the Food and Drug Administration. It already has approval in more than 70 countries, but clearance from American regulators, if the company can secure it, would bolster the vaccine’s reputation globally.
The interim results announced on Monday were based on 141 Covid-19 cases that had turned up in volunteers. Two-thirds of participants were given the vaccine, with doses spaced four weeks apart, and the rest received a saline placebo. Volunteers were recruited from Chile and Peru as well as the United States.
None of the volunteers who got the vaccine developed severe symptoms or had to be hospitalized, a major selling point for the shot. However, AstraZeneca did not disclose how many volunteers had developed severe Covid-19 or had to be hospitalized after receiving the placebo, making it difficult to know how statistically powerful those findings are.
With Ramadan less than a month away, some Muslim organizations in the United States have begun addressing a critical question: whether the dawn-to-dusk Ramadan fast prohibits Muslims from receiving vaccine injections during daylight hours.
The executive director of the Islamic Society of North America, Basharat Saleem, said that numerous scholars of Islamic law had been consulted on the matter.
“The answer is no,” he said. “It does not break the fast.”
The group joined with dozens of others last year in organizing a National Muslim Task Force on Covid-19, which has taken advisement from Muslim jurists. They were in general agreement, Mr. Saleem said, that getting a Covid-19 vaccine was acceptable during Ramadan or at any other time. A shot “will not invalidate the fast because it has no nutritional value and it is injected into the muscle,” the task force announced, a ruling that in the past has covered flu shots and other vaccinations.
Whether vaccinations are permitted during Ramadan is not only a concern among Muslims, and perhaps not even the chief one; there have been questions around the world as well about the presence of forbidden ingredients, such as pork products, in the vaccines. Some have also expressed misgivings about the Johnson & Johnson vaccine similar to those of some Catholic leaders, given that cells used in its development and production had a remote connection to abortion.
Muslim health care workers, even those who have been publicly urging people to get vaccinated, have acknowledged the ethical difficulties.
“These decisions are a matter of personal conscience,” said Dr. Hasan Shanawani, the president of American Muslim Health Professionals and a practicing pulmonologist in Michigan. But the preservation of life is one of the highest principles in Islam, he said, and given the current scarcity of vaccines in many places, the ethics, to him, were straightforward.
Declining a vaccine means “potentially putting all of us at risk,” said Dr. Shanawani, who has treated hundreds of Covid-19 patients over the past year. “Take the vaccine that’s available to you. God is the most forgiving.” When the present emergency has passed, he added, then a person can be more discriminating about which vaccine to take.
Haaris Ahmad, the president of a large and diverse mosque in the Detroit suburbs, said he had heard all of these concerns. He has assured members of the mosque that scholars are in broad agreement that a vaccination would not break the Ramadan fast, and he has also told people that if the Johnson & Johnson vaccine is the only readily available option, they should take it.
But he also acknowledged that people would rather not have to think about these things, especially during the holiest month of the Muslim calendar. So his mosque is hosting a vaccine clinic next Monday night, which would allow people to get in two doses of the Pfizer-BioNTech vaccine just before Ramadan begins in mid-April. And while the event was initially advertised with general language about vaccines, Mr. Ahmad said, the latest flier includes more explicit guidance about what will not be on offer at the clinic: “NOTE,” it reads, “Not J&J.”
One day after the spring break oasis of South Beach descended into chaos, with the police struggling to control overwhelming crowds and making scores of arrests, officials in Miami Beach decided on Sunday to extend an emergency curfew for up to three weeks.
Officials went so far as to approve closing the famed Ocean Drive for four nights a week until April 12, including to pedestrians, during the 8 p.m. to 6 a.m. curfew. Residents, hotel guests and employees of local businesses are exempt.
The strip, frequented by celebrities and tourists alike, was the scene of a much-criticized skirmish on Saturday night in which police officers used pepper balls to disperse a large crowd of sometimes unruly and mostly unmasked revelers just hours after the curfew had been introduced.
The restrictions were a stunning concession to the city’s inability to control unwieldy crowds. The city and the state of Florida have aggressively courted visitors.
“I believe it’s a lot of pent-up demand from the pandemic and people wanting to get out,” David Richardson, a member of the Miami Beach City Commission, said on Sunday. “And our state has been publicly advertised as being open, so that’s contributing to the issue.”
In an emergency meeting, the commission approved maintaining the curfew in the city’s South Beach entertainment district from Thursday through Sunday for three more weeks, which is when spring break typically ends. Bridges along several causeways that connect Miami Beach with the mainland will also continue to be shut during the curfew.
Law enforcement officials said many people had been drawn to the city for spring break this year because it has relatively few virus restrictions, mirroring the state at large. And hotel rooms and flights have been deeply discounted, to make up for the months of lost time.
Miami-Dade County, which includes Miami Beach, has recently endured one of the nation’s worst outbreaks, and more than 32,000 Floridians have died from the virus, an unthinkable cost that the state’s leaders rarely acknowledge. The state is also thought to have the highest concentration of B.1.1.7, the more contagious and possibly more lethal virus variant first identified in Britain.
JERUSALEM — Vaccinated Israelis are working out in gyms and dining in restaurants. They’re partying at nightclubs and cheering at soccer matches by the thousands.
Prime Minister Benjamin Netanyahu is taking credit for bringing Israel “back to life,” as he calls it, and banking on the country’s giddy, post-pandemic mood of liberation to put him over the top in a close election on Tuesday.
But nothing is quite that simple in Israeli politics.
Even as most Israelis appreciate the government’s world-leading vaccination campaign, many worry that the grand social and economic reopening may prove premature and suspect that the timing is political.
Instead of a transparent reopening process led by public health professionals, “decisions are made at the last minute, at night, by the cabinet,” said Hagai Levine, an epidemiologist at the Hebrew University-Hadassah Braun School of Public Health in Jerusalem. “The timing, right before the election, is intended to declare mission accomplished.”
The parliamentary election on Tuesday will be the country’s fourth in two years. Mr. Netanyahu is on trial on corruption charges and analysts say his best chance of avoiding conviction lies in heading a new right-wing government. He has staked everything on his handling of the coronavirus crisis.
He takes personal credit for the country’s inoculation campaign, which has fully vaccinated about half the population of nine million — outpacing the rest of the world — and he has declared victory over the virus.
“Israel is the world champion in vaccinations, the first country in the world to exit from the health corona and the economic corona,” he said at a pre-election conference last week.
The vaccination campaign has been powered by early delivery of several million doses from Pfizer, and Mr. Netanyahu has presented himself as the only candidate who could have pulled off that deal, boasting of his personal appeals to Pfizer’s chief executive, Albert Bourla, who, as a son of Holocaust survivors, has great affinity for Israel.
Mr. Netanyahu even posted a clip from “South Park,” the American animated sitcom, acknowledging Israel’s vaccination supremacy.
But experts said his claim that the virus was in the rearview mirror was overly optimistic.
The rapid development of Covid-19 vaccines, achieved at record speed and financed by massive public funding in the United States, the European Union and Britain, represents a great triumph of the pandemic. Governments partnered with drugmakers, pouring in billions of dollars to procure raw materials, finance clinical trials and retrofit factories. Billions more were committed to buy the finished product.
But this Western success has created stark inequity. Residents of wealthy and middle-income countries have received about 90 percent of the nearly 400 million vaccines delivered so far. Under current projections, many of the rest will have to wait years.
A growing chorus of health officials and advocacy groups worldwide are calling for Western governments to use aggressive powers — most of them rarely or never used before — to force companies to publish vaccine recipes, share their know-how and ramp up manufacturing.
The prospect of billions of people waiting years to be vaccinated poses a health threat to even the richest countries. One example: In Britain, where the vaccine rollout has been strong, health officials are tracking a virus variant that emerged in South Africa, where vaccine coverage is weak. That variant may be able to blunt the effect of vaccines, meaning even vaccinated people might get sick.
But on March 30, a U.S. patent is expected to be issued on a five-year-old invention in a National Institutes of Health lab that swaps a pair of amino acids in the coronavirus spike protein. This feat of molecular engineering is at the heart of at least five major Covid-19 vaccines, and the United States government will control that patent.
The new patent presents an opportunity — and some argue the last best chance — to exact leverage over the drug companies producing the vaccines and pressure them to expand access to less affluent countries.
ROME — If, as it’s said, all roads lead to Rome, then they intersect at Piazza Venezia, the downtown hub of the Italian capital, watched over by a traffic officer on a pedestal who choreographs streamlined circulation out of automotive chaos.
For many Romans and tourists alike, those traffic controllers are as much a symbol of the Eternal City as are the Colosseum or the Pantheon.
That may explain the media frenzy last week over the return of the pedestal (plus its traffic cop) after a yearlong hiatus while the piazza was being repaved — even though there was not much traffic to direct, because of the widespread lockdown that began last week in hopes of containing a surge in coronavirus cases.
“In this difficult period, I think that it was seen as a sign of something returning to normal,” said Fabio Grillo, 53, who, with 16 years under his belt, is the senior member of the team of four or five municipal police officers who direct traffic from the Piazza Venezia pedestal.
In rain or sleet, or sweltering through Rome’s sultry summers, officers have directed traffic from the Piazza Venezia pedestal near the mouth of the Via del Corso, one of Rome’s main streets, for as long as anyone can remember. And the gestures they make with their white-gloved hands are things that all Italian motorists dutifully memorize for their driver’s tests. (Important note: Two hands straight out with the palms facing motorists is equivalent to a red light.)
“It’s been compared to conducting an orchestra,” Mr. Grillo said.
Apart from regular traffic, Piazza Venezia is also a crossroads that leads to City Hall, the Parliament, Italy’s presidential palace and a national monument where visiting heads of state routinely pay homage — which all contributes to the tangle at the hub.
The coronavirus, once seemingly in retreat in India, is again rippling across the country. On Monday, the government reported almost 47,000 new cases, the highest number in more than four months. It also reported 212 new deaths from the virus, the most since early January.
The outbreak is centered in the state of Maharashtra, home to Mumbai, the country’s financial hub. Entire districts of the state have gone back into lockdown. Scientists are investigating whether a new strain found there is more virulent, like variants found in Britain, South Africa and Brazil.
Officials are under pressure to aggressively ramp up testing and vaccination, especially in Mumbai, to avoid disruptions like the dramatic nationwide lockdown last year, which resulted in a recession.
But less than 3 percent of India’s population of 1.3 billion has received a jab, including about half of health care workers.
The campaign has also been plagued by public skepticism. The government approved a domestically developed vaccine, called Covaxin, before its safety and efficacy trials were even over, though preliminary findings since then have suggested it works.
The other jab available in India is the Oxford-AstraZeneca vaccine, which was suspended in some countries after a number of patients reported blood clots and strokes, though most have since reversed course and scientists haven’t found a link between the shots and the patients’ conditions.
In other developments around the world:
The leading opposition candidate for president in the Republic of Congo died while being transferred to France for treatment for Covid-19, Reuters reported on Monday, citing a spokesman. The candidate, Guy Brice Parfait Kolelas, 61, had been hospitalized in the capital, Brazzaville, after becoming ill in the final days of the campaign. In a video that circulated on social media over the weekend, he warned supporters that he was “fighting death” but asked them to “stand up and vote for change.” The election was on Sunday, and the incumbent, President Denis Sassou N’Guesso, is expected to extend his 36 years in power.
Norway reported on Sunday that two more people had died after receiving the AstraZeneca Covid-19 vaccine, bringing the country’s total number of such deaths to four. The Norwegian Medicines Agency said in a statement that it “cannot rule out that these cases may be related to the AstraZeneca vaccine,” although the European Medicines Agency, the continent’s top drug regulator, said last week that it considered the vaccine safe. Denmark reported over the weekend that two people had experienced brain hemorrhages after receiving the AstraZeneca vaccine, one of whom died.
The Philippines reported record-breaking numbers of new coronavirus infections over the weekend, leading the government to place metropolitan Manila and four surrounding provinces under the second-highest level of lockdown for the next two weeks. On Saturday, officials reported 7,999 cases, the most the country has had in a single day. President Rodrigo Duterte approved restrictions including a ban on all mass gatherings and a curfew from 10 p.m. to 5 a.m. Nonessential travel to or from the area is banned. The restrictions will disrupt in-person religious services for Holy Week, a popular travel period, for the second year in a row.
Health officials in South Africa say the country has sold its unused doses of the AstraZeneca vaccine to 14 other states in the African Union, Reuters reported on Sunday. It paused the use of the vaccine last month after a small trial showed it offered only minimal protection against mild to moderate illness caused by the dominant local variant of the virus. At the time, South Africa had received one million AstraZeneca doses from the Serum Institute of India, with 500,000 more pending.
To many Canadians, it seemed decidedly unneighborly. Canada’s initial coronavirus vaccination program moved at a stately pace over the winter, while inoculations in the United States raced ahead. But Washington was unwilling to share any of its stockpile of tens of millions of doses of a vaccine it had yet to approve for use by Americans.
Last week, that shifted. After weeks of suggesting that any vaccine diplomacy was well into the future, Jen Psaki, the White House press secretary, said Thursday that the United States was planning to share 1.5 million doses of the AstraZeneca vaccine with Canada and 2.5 million doses with Mexico.
The White House announcement seemed to catch Ottawa officials off guard. Hours passed before Anita Anand, the cabinet minister responsible for buying vaccines, issued a statement that read more like an insurance policy than a note of thanks.
“After numerous discussions with the Biden administration, Canada is in the process of finalizing an exchange agreement,” it read in part.
Ms. Anand and Prime Minister Justin Trudeau had little more to add on Friday afternoon, saying only that the talks were still underway and that the details would come later.
From Ms. Psaki’s remarks, it appears that the United States will officially just be lending Canada and Mexico the vaccines. It is unclear whether they will ultimately have to be replaced in kind or if the loan will be of the forgivable nature. She also said that the United States might soon share surpluses of other vaccines.
Melanie Allen, a high school English teacher, was in a bind. She works in one state and lives in another. And both denied her a Covid-19 vaccine.
Ms. Allen, who lives in Chatham, N.H., but works in Maine, said she was told that she was not eligible for a vaccine by officials in both states. Although teachers are now eligible for vaccination in every state, her New Hampshire residency blocked her from receiving the vaccine in Maine, she said.
And in New Hampshire, she was told she is not eligible because she does not teach in the state and, at 45, does not meet the age requirement.
And so, she waited.
On Friday, Ms. Allen finally got her first shot after a health center in Maine decided to vaccinate teachers no matter where they lived.
“Even though the states haven’t officially changed their tune,” she said, “it was heartening to see that the local community was stepping in to make sure the right thing happened.”
About half of the states have residency requirements for vaccinations, though most allow out-of-state workers to receive a shot if they meet other eligibility conditions, said Jennifer Kates, senior vice president of the Kaiser Family Foundation, a nonprofit focused on national health issues.
Connecticut, for example, allows workers who live in other states to receive the vaccine if they can prove that they work in an approved industry.
States including Florida and New Hampshire limited the rollout of Covid-19 vaccines to residents in hopes of stemming complaints of “vaccine tourism,” where a person could drive across a state line for a shot that they would not be eligible for back home.
Although most states allow nonresident workers to be inoculated, Ms. Kates said people living in one state and working in another might run into snags as they navigate the scheduling process.
“When you have such a patchwork of requirements,” Ms. Kates said, “it’s like a puzzle, and people who really want to get vaccinated are trying to figure how they can get that last piece of the puzzle.”
Kent Taylor, the founder and chief executive of the Texas Roadhouse restaurant chain, died by suicide on Thursday after suffering from post-Covid-19 symptoms, the company and his family said in a statement. He was 65.
“After a battle with post-Covid-related symptoms, including severe tinnitus, Kent Taylor took his own life this week,” the statement said.
His body was found in a field on his property near Louisville, Ky., the Kentucky State Police told The Louisville Courier Journal. The State Police and the Oldham County coroner did not immediately respond to requests for comment on Sunday.
Mr. Taylor, who was also the chairman of the company’s board of directors, founded Texas Roadhouse in 1993. He sought to create an “affordable, Texas-style” restaurant but was turned down more than 80 times as he tried to find investors, according to a biography provided by the company.
Eventually, he raised $300,000 from three doctors from Elizabethtown, Ky., and sketched out the design for the first Texas Roadhouse on a cocktail napkin for the investors.
The first Texas Roadhouse opened in Clarksville, Ind., in 1993. Three of the chain’s first five restaurants failed, but it went on to open 611 locations in 49 states, and 28 international locations in 10 countries.
Until his death, Mr. Taylor had been active in Texas Roadhouse’s operations, the company said. He oversaw decisions about the menu, selected the murals for the restaurants and picked songs for the jukeboxes.
Greg Moore, the lead director of the company’s board, said in a statement that Mr. Taylor gave up his compensation package during the coronavirus pandemic to support frontline workers in the company.
If you are having thoughts of suicide, call the National Suicide Prevention Lifeline at 1-800-273-8255 (TALK). You can find a list of additional resources at SpeakingOfSuicide.com/resources.
In the year since the pandemic began, people learned to be together while apart and navigated the pain of feeling apart while together. Screens — small and large — became crucial links to the rest of the world.
Activities and routines that commanded crowds — visiting museums, attending concerts, working out, learning, traveling, partying — ceased or found a new life online. Holidays usually celebrated by family gatherings became fraught with consequences.
Memories of a prepandemic world, where people could stand shoulder to shoulder with faces bare, began to feel like dreams — as did moments of unexpected connection.
Couples in quarantine learned a lot about their significant others. In some instances, these revelations were not happy ones: Lawyers and mediators saw an increase in clients looking to divorce as soon as courts reopened.
In other cases, being confined together made couples stronger. Engagements and pregnancy announcements seemed to pop up constantly on social media. And there were plenty of weddings.
For many of those who were single, dating felt impossible in the early months of the pandemic. Sex toy sales increased. Eventually, emotional and physical needs began to weigh heavy, and people across the country found ways to meet and hook up within the confines of their comfort.
In search of safety, stability and support, adult children moved in with parents and parental figures, sometimes without a fixed departure date. In doing so, they rediscovered one another, and experienced the joys of bonding and the suffocation of constant proximity.
Though some Americans were able to hole up at home, their kitchen tables and couches converted into makeshift offices, others continued to work in public spaces. Delivery drivers dealt with health risks, theft and assault. Airline workers who weren’t furloughed had to confront passengers who refused to wear masks.
But things have opened up, slowly, over the past few months, as cases have fallen and people have become inoculated. Last week, President Biden promised that there would be enough vaccine doses for every American adult by May, and the Centers for Disease Control and Prevention announced that vaccinated people can begin gathering indoors again — a sign that people will soon be finding their way back to one another.
In the hustle to score an elusive vaccine appointment, the leftover dose has become the stuff of pandemic lore.
Extra shots — which must be used within hours once taken out of cold storage — have been doled out to drugstore customers buying midnight snacks, people who are friends with nurses and those who show up at closing time at certain grocery stores and pharmacies. At some larger vaccination sites, the race to use every dose sets off a flurry of end-of-the-day phone calls.
In every case, if the leftover dose does not find an available arm, it must go into the trash.
Now, a New York-based start-up is aiming to add some order to the hunt for leftover doses. Dr. B, as the company is known, is matching vaccine providers who find themselves with extra vaccines to people who are willing to get one at a moment’s notice.
Since the service began last month, more than 500,000 people have submitted a host of personal information to sign up for the service, which is free to join and is also free to providers. Two vaccine sites have begun testing the program, and the company said about 200 other providers had applied to participate.
Dr. B is just one attempt at coordinating the chaotic patchwork of public and private websites that allow eligible people to find vaccine appointments. And while it does not solve the broader structural issues around vaccine distribution, if it scales up the way some hope that it will, it could serve as a model for a better, more equitable way of scheduling vaccinations.
“Ultimately, patients need this vaccine, and there’s providers who need help getting it to the people of priority,” Cyrus Massoumi, a tech entrepreneur and founder of Dr. B, said in an interview. “That’s my motivation.”
Mr. Massoumi said he was financing the project out of his own pocket and had no plans to collect revenue. The company is named after his grandfather, who was nicknamed Dr. Bubba and became a doctor during the 1918 influenza pandemic.
The service suffers, however, from some of the same barriers that have marred vaccination efforts so far. Although signing up is simple, doing so requires an internet connection as well as ready access to a cellphone. Because of the last-minute nature of leftover doses, participants must have flexible schedules and access to transportation.
“It’s still heavily internet dependent, so it will depend on who hears about it,” said Arthur Caplan, a medical ethicist at New York University’s Grossman School of Medicine. “It seems he’s trying to solve a problem and do some good, but I’m sad that governments — counties, cities, national organizations — didn’t prepare for this and then didn’t react more quickly to give advice and guidance.”