The country’s experience has become a sobering case study for other nations pursuing reopening strategies without first having had to deal with large outbreaks in the pandemic. For the Singapore residents who believed the city-state would reopen once the vaccination rate reached a certain level, there was a feeling of whiplash and nagging questions about what it would take to reopen if vaccines were not enough.
“In a way, we are a victim of our own success, because we’ve achieved as close to zero Covid as we can get and a very, very low death rate,” said Dr. Paul Tambyah, an infectious diseases specialist at National University Hospital. “So we want to keep the position at the top of the class, and it’s very hard to do.”
vaccinated people are already gathering at concerts, festivals and other large events. But unlike Singapore, both of those places had to manage substantial outbreaks early in the pandemic.
Lawrence Wong, Singapore’s finance minister and a chair of the country’s Covid-19 task force, said the lesson for “Covid-naive societies” like Singapore, New Zealand and Australia is to be ready for large waves of infections, “regardless of the vaccine coverage.”
up against the Delta variant, Mr. Wong said.
“In Singapore, we think that you cannot just rely on vaccines alone during this intermediate phase,” he said. “And that’s why we do not plan an approach where we reopen in a big bang manner, and just declare freedom.”
highest since 2012, a trend that some mental health experts have attributed to the pandemic. People have called on the government to consider the mental health concerns caused by the restrictions.
“It’s just economically, sociologically, emotionally and mentally unsustainable,” said Devadas Krishnadas, chief executive at Future-Moves Group, a consultancy in Singapore. Mr. Krishnadas said the decision to reintroduce restrictions after reaching such a high vaccination rate made the country a global outlier.
granted full approval to Pfizer-BioNTech’s coronavirus vaccine for people 16 and up, paving the way for mandates in both the public and private sectors. Such mandates are legally allowed and have been upheld in court challenges.
College and universities. More than 400 colleges and universities are requiring students to be vaccinated against Covid-19. Almost all are in states that voted for President Biden.
Schools. California became the first state to issue a vaccine mandate for all educators and to announce plans to add the Covid-19 vaccine as a requirement to attend school, which could start as early as next fall. Los Angeles already has a vaccine mandate for public school students 12 and older that begins Nov. 21. New York City’s mandate for teachers and staff, which went into effect Oct. 4 after delays due to legal challenges, appears to have prompted thousands of last-minute shots.
Hospitals and medical centers. Many hospitals and major health systems are requiring employees to get vaccinated. Mandates for health care workers in California and New York State appear to have compelled thousands of holdouts to receive shots.
Indoor activities. New York City requires workers and customers to show proof of at least one dose of the Covid-19 for indoor dining, gyms, entertainment and performances. Starting Nov. 4, Los Angeles will require most people to provide proof of full vaccination to enter a range of indoor businesses, including restaurants, gyms, museums, movie theaters and salons, in one of the nation’s strictest vaccine rules.
At the federal level. On Sept. 9,President Biden announced a vaccine mandate for the vast majority of federal workers. This mandate will apply to employees of the executive branch, including the White House and all federal agencies and members of the armed services.
In the private sector. Mr. Biden has mandated that all companies with more than 100 workers require vaccination or weekly testing, helping propel new corporate vaccination policies. Some companies, like United Airlines and Tyson Foods, had mandates in place before Mr. Biden’s announcement.
“I think a lot of times we are so focused on wanting to get good results that we just have tunnel vision,” she said.
Ms. Ng lives across from a testing center. Almost daily, she watched a constant stream of people go in for tests, a strategy that many public health experts say is a waste of resources in such a highly vaccinated country.
“Freedom Day — as our ministers have said — is not the Singapore style,” said Jeremy Lim, an associate professor at the National University of Singapore and an expert on health policy, referring to England’s reopening in the summer. But moving too cautiously over the potential disadvantages of restrictions is a “bad public health” strategy, he said.
The government should not wait for perfect conditions to reopen, “because the world will never be perfect. It’s so frustrating that the politicians are almost like waiting for better circumstances,” Dr. Lim said.
Sarah Chan, a deputy director at Singapore’s Agency for Science, Technology and Research, said she had a fleeting taste of what normal life was like when she arrived in Italy last month to visit her husband’s family.
No masks were required outdoors, vaccinated people could gather in groups, and Dr. Chan and her son could bop their heads to music in restaurants. In Singapore, music inside restaurants has been banned based on the notion that it could encourage the spread of the virus.
Dr. Chan said she was so moved by her time in Italy that she cried.
“It’s almost normal. You forget what that’s like,” she said. “I really miss that.”
LONDON — Few things are more likely to set teeth on edge in Downing Street than the tentative winner of an inconclusive German election declaring that Brexit is the reason Britons are lining up at gas stations like it’s 1974.
But there was Olaf Scholz, the leader of the Social Democratic Party, telling reporters on Monday that the freedom of movement guaranteed by the European Union would have alleviated the shortage of truck drivers in Britain that is preventing oil companies from supplying gas stations across the country.
“We worked very hard to convince the British not to leave the union,” Mr. Scholz said, when asked about the crisis in Britain. “Now they decided different, and I hope they will manage the problems coming from that.”
For ordinary people, Mr. Scholz’s critique might also seem like old news. Britain is no longer debating Brexit. Nearly everyone is exhausted by the issue and the country, like the rest of the world, has instead been consumed by the pandemic.
began to run out of gasoline, sparking a panic and serpentine lines of motorists looking for a fill up.
While it would be wrong to blame a crisis with global ramifications solely on Brexit, there are Brexit-specific causes that are indisputable: Of the estimated shortfall of 100,000 truck drivers, about 20,000 are non-British drivers who left the country during the pandemic and have not returned in part because of more stringent, post-Brexit visa requirements to work in the country, which took effect this year.
reversed course last weekend and offered 5,000 three-month visas to foreign drivers to try to replenish the ranks (while also putting military drivers on standby to drive fuel trucks, a move he hasn’t yet taken.)
“You have business models based on your ability to hire workers from other countries,” said David Henig, an expert on trade policy for the European Center for International Political Economy, a research institute. “You’ve suddenly reduced your labor market down to an eighth of the size it previously was. There’s a Brexit effect on business models that simply haven’t had time to adjust.”
after Britain’s successful rollout of coronavirus vaccines. Some attributed the government’s ability to secure vaccines and obtain swift approval of them to its independence from the bureaucracy in Brussels.
party’s leaders have failed to find their voices. It is reminiscent of earlier debates, where the party’s deep divisions on Brexit hampered its ability to confront the government.
“I’ve been amazed by the reluctance of Labour to go after them,” said Anand Menon, a professor of European politics at Kings College London. “You can allude to Brexit without saying Brexit. You can say it’s because of the Tories’ rubbish trade deal.”
BARCELONA, Spain — In the spring of 2019, an emissary of Catalonia’s top separatist leader traveled to Moscow in search of a political lifeline.
The independence movement in Catalonia, the semiautonomous region in Spain’s northeast, had been largely crushed after a referendum on breaking away two years earlier. The European Union and the United States, which supported Spain’s effort to keep the country intact, had rebuffed the separatists’ pleas for support.
But in Russia, a door was opening.
In Moscow, the emissary, Josep Lluis Alay, a senior adviser to the self-exiled former Catalan president Carles Puigdemont, met with current Russian officials, former intelligence officers and the well-connected grandson of a K.G.B. spymaster. The aim was to secure Russia’s help in severing Catalonia from the rest of Spain, according to a European intelligence report, which was reviewed by The New York Times.
recordings revealed a Russian plot to covertly finance the hard-right League party. In Britain, a Times investigation uncovered discussions among right-wing fringe figures about opening bank accounts in Moscow. And in Spain, the Russians have also offered assistance to far-right parties, according to the intelligence report.
Whether Mr. Alay knew it or not, many of the officials he met in Moscow are involved in what has become known as the Kremlin’s hybrid war against the West. This is a layered strategy involving propaganda and disinformation, covert financing of disruptive political movements, hacking and leaking information (as happened in the 2016 U.S. presidential election) and “active measures” like assassinations meant to erode the stability of Moscow’s adversaries.
It is unclear what help, if any, the Kremlin has provided to the Catalan separatists. But Mr. Alay’s trips to Moscow in 2019 were followed quickly by the emergence of a secretive protest group, Tsunami Democratic, which disrupted operations at Barcelona’s airport and cut off a major highway linking Spain to northern Europe. A confidential police report by Spain’s Guardia Civil, obtained by The Times, found that Mr. Alay was involved in the creation of the protest group.
Unit 29155, which has been linked to attempted coups and assassinations in Europe, had been present in Catalonia around the time of the referendum, but Spain has provided no evidence that they played an active role.
Many Catalan independence leaders have accused the authorities in Madrid of using the specter of Russian interference to tarnish what they described as a grass-roots movement of regular citizens. The referendum was supported by a fragile coalition of three political parties that quickly dissolved over disputes about ideology and strategy. Even as some parties pushed for a negotiated settlement with Madrid, Mr. Puigdemont, a former journalist with a Beatles-like mop of hair, has eschewed compromise.
Asked about the Russian outreach, the current Catalan government under President Pere Aragones distanced itself from Mr. Puigdemont.
railed against the “silence of the main European institutions.”
The European Union declared the Catalan independence referendum illegal. Russia’s position, by contrast, was more equivocal. President Vladimir V. Putin described the Catalan separatist drive as Europe’s comeuppance for supporting independence movements in Eastern Europe after the fall of the Soviet Union.
“There was a time when they welcomed the collapse of a whole series of governments in Europe, not hiding their happiness about this,” Mr. Putin said. “We talk about double standards all the time. There you go.”
In March 2019, Mr. Alay traveled to Moscow, just weeks after leaders of the Catalan independence movement went on trial. Three months later, Mr. Alay went again.
In Russia, according to the intelligence report, Mr. Alay and Mr. Dmitrenko met with several active foreign intelligence officers, as well as Oleg V. Syromolotov, the former chief of counterintelligence for the Federal Security Service, Russia’s domestic intelligence agency, who now oversees counterterrorism as a deputy minister at the Russian foreign ministry.
Mr. Alay denied meeting Mr. Syromolotov and the officers but acknowledged meeting Yevgeny Primakov, the grandson of a famous K.G.B. spymaster, in order to secure an interview with Mr. Puigdemont on an international affairs program he hosted on Kremlin television. Last year, Mr. Primakov was appointed by Mr. Putin to run a Russian cultural agency that, according to European security officials, often serves as a front for intelligence operations.
“Good news from Moscow,” Mr. Alay later texted to Mr. Puigdemont, informing him of Mr. Primakov’s appointment. In another exchange, Mr. Dmitrenko told Mr. Alay that Mr. Primakov’s elevation “puts him in a very good position to activate things between us.”
Mr. Alay also confirmed meeting Andrei Bezrukov, a decorated former officer with Russia’s foreign intelligence service. For more than a decade, Mr. Bezrukov and his wife, Yelena Vavilova, were deep cover operatives living in the United States using the code names Donald Heathfield and Tracey Foley.
It was their story of espionage, arrest and eventual return to Russia in a spy swap that served as a basis for the television series “The Americans.” Mr. Alay appears to have become close with the couple. Working with Mr. Dmitrenko, he spent about three months in the fall of 2020 on a Catalan translation of Ms. Vavilova’s autobiographical novel “The Woman Who Can Keep Secrets,” according to his encrypted correspondence.
Mr. Alay, who is also a college professor and author, said he was invited by Mr. Bezrukov, who now teaches at a Moscow university, to deliver two lectures.
Mr. Alay was accompanied on each of his trips by Mr. Dmitrenko, 33, a Russian businessman who is married to a Catalan woman. Mr. Dmitrenko did not respond to requests for comment. But Spanish authorities have monitored him and in 2019 rejected a citizenship application from him because of his Russian contacts, according to a Spanish Ministry of Justice decision reviewed by The Times.
The decision said Mr. Dmitrenko “receives missions” from Russian intelligence and also “does different jobs” for leaders of Russian organized crime.
A Political Tsunami
A few months after Mr. Alay’s trips to Moscow, Catalonia erupted in protests.
A group calling itself Tsunami Democratic occupied the offices of one of Spain’s largest banks, closed a main highway between France and Spain for two days and orchestrated the takeover of the Barcelona airport, forcing the cancellation of more than a hundred flights.
The group’s origins have remained unclear, but one of the confidential police files stated that Mr. Alay attended a meeting in Geneva, where he and other independence activists finalized plans for Tsunami Democratic’s unveiling.
Three days after Tsunami Democratic occupied the Barcelona airport, two Russians flew from Moscow to Barcelona, the Catalan capital, according to flight records obtained by The Times.
One was Sergei Sumin, whom the intelligence report describes as a colonel in Russia’s Federal Protective Service, which oversees security for Mr. Putin and is not known for activities abroad.
The other was Artyom Lukoyanov, the adopted son of a top adviser to Mr. Putin, one who was deeply involved in Russia’s efforts to support separatists in eastern Ukraine.
According to the intelligence report, Mr. Alay and Mr. Dmitrenko met the two men in Barcelona for a strategy session to discuss the independence movement, though the report offered no other details.
Mr. Alay denied any connection to Tsunami Democratic. He confirmed that he had met with Mr. Sumin and Mr. Lukoyanov at the request of Mr. Dmitrenko, but only to “greet them politely.”
Even as the protests faded, Mr. Puigdemont’s associates remained busy. His lawyer, Mr. Boye, flew to Moscow in February 2020 to meet Vasily Khristoforov, whom Western law enforcement agencies describe as a senior Russian organized crime figure. The goal, according to the report, was to enlist Mr. Khristoforov to help set up a secret funding channel for the independence movement.
In an interview, Mr. Boye acknowledged meeting in Moscow with Mr. Khristoforov, who is wanted in several countries including Spain on suspicion of financial crimes, but said they only discussed matters relating to Mr. Khristoforov’s legal cases.
By late 2020, Mr. Alay’s texts reveal an eagerness to keep his Russian contacts happy. In exchanges with Mr. Puigdemont and Mr. Boye, he said they should avoid any public statements that might anger Moscow, especially about the democracy protests that Russia was helping to disperse violently in Belarus.
Mr. Puigdemont did not always heed the advice, appearing in Brussels with the Belarusian opposition and tweeting his support for the protesters, prompting Mr. Boye to text Mr. Alay that “we will have to tell the Russians that this was just to mislead.”
EVIA, Greece — Amid twisted cages and scorched trees, Harilaos Tertipis stepped out of his ruined stables dragging the charred corpses of his sheep — burned, like so much else, in the wildfires that have raged across Greece.
As the survivors of his flock huddled together on a roadside hill below, the bells on their necks clanging and their legs singed, he said that if he had stayed with his animals instead of rushing home to protect his family and house, “I wouldn’t be here now.”
scientists have now concluded is irreversible.
before we reach irreversible tipping points.”
But a string of disasters this summer has left many to wonder whether that tipping point is already here, driving home the realization that climate change is no longer a distant threat for future generations, but an immediate scourge affecting rich and poor nations alike.
Turkey and Algeria, virtually no corner of Europe has been untouched by a bewildering array of calamities, whether fire, flood or heat.
Sweltering temperatures have set off wildfires in Sweden, Finland and Norway. Formerly once-in-a-millennium flooding in Germany, Belgium, Switzerland and the Netherlands killed at least 196 people. Places in Italy hit more than 118 degrees this week, while parts of the country were variously scorched by fire, battered by hailstorms or inundated by floods.
“It’s not just Greece,” said Vasilis Vathrakoyiannis, a spokesman for the Greek fire service. “It’s the whole European ecosystem.”
But the shifting epicenter of natural disaster has now fallen on Evia, a densely wooded island northeast of Athens, once best known for its beekeepers and resin producers, its olive groves and seaside resorts, and now a capital of the consequences of a warming planet.
This week, as firefighters scrambled to put out rekindling fires and helicopters dropped seawater to sate licking flames, acres of burned hillsides and fields lay under white ash, as if dusted with snow.
I drove through winding roads riddled with fallen trees and electric wires. Smoke hung low, like a thick fog. The trunks of mangled trees still smoldered and the hive boxes of beekeepers looked like burned end tables abandoned in empty fields. Miles away from the fires, the smoke still left an acrid taste in my mouth. Ash drifted around cafes where waitresses constantly watered down tables and the sun imbued the dense haze with a sickly orange hue.
“We lived in paradise,” said Babis Apostolou, 59, tears in his eyes as he looked over the charred land surrounding his village, Vasilika, on the northern tip of Evia. “Now it’s hell.”
This week, the fires covered new ground. In the southern Peloponnese, where wildfires killed more than 60 people in 2007, a long stretch of fire tore through forest and houses, prompting the evacuation of more than 20 more villages. But many Greeks have refused to leave their homes.
When the police told Argyro Kypraiou, 59, in the Evia village of Kyrinthos to evacuate on Saturday, she stayed. As the trees across the street blazed, she fought the airborne barrage of burning pine cones and flames with a garden hose. When the water ran out she beat back the fire with branches.
“If we had left, the houses would have burned,” she said across from the still smoldering ravine. A truck rolled by and the driver leaned out the window, shouting to her that there was another fire in the field behind her house. “We keep putting out fires,” she shouted back. “We don’t have any other job.”
Kyriakos Mitsotakis, the prime minister of Greece, has called the recent days “among the hardest for our country in decades” and promised to compensate the afflicted and reforest the land. Residents across the seared north of Evia complained that the government had failed to fly water-dropping aircraft out to them fast enough or that it had waited too long to ask the European Union for help.
Greece’s top prosecutor has ordered up an investigation into whether criminal activity could possibly have sparked the fires, perhaps to clear land for development. Many here blamed mysterious arsonists for starting the fire.
“This is arson,” said Mr. Apostolou. “I had heard they want to put in wind turbines.”
Mr. Tertipis said, “I hope the person who set these fires will suffer as much as my animals.”
But it was also possible that the finger-pointing at arsonists stemmed from a feeling of powerlessness and the need to blame someone — anyone — for a crisis that at least some acknowledged was everyone’s fault.
“We all have to make changes,” said Irini Anastasiou, 28, who expected the fires to keep happening around the world as the planet warmed. She looked out from the front desk of her now empty hotel in Pefki, one of the hardest-hit towns, and saw an opaque wall of haze over the sea.
“Usually, you see clear across to the mountains,” she said. “Now you can see nothing.”
The residents of Evia did what they could. In the town of Prokopi, volunteer firefighters set up base in the Forest Museum (“focused on man and his relationship to the forest”).
Hundreds of boxes packed with supplies for the displaced cluttered the log cabin. They brimmed with crackers and cereals and granola bars. Soft stacks of children-and-adult diapers reached up to the windows. Boxes held medicines and burn creams, aloe vera, Flamigel, hydrogel and Flogo Instant Calm Spray, under a sign promoting TWIG, the Transnational Woodland Industries Group.
An international group of emergency workers operated out of the cabin. Some of the 108 firefighters sent by Romania coordinated with Greek Army officials and local authorities to put out the flames. Some volunteers went out with chain saws to cut down trees while those returning leaned against a wall of bottled water and ruminated on what had gone wrong.
Ioannis Kanellopoulos, 62, blamed heavy snowfall during the winter for breaking so many branches and creating so much kindling on the forest floor. But the intense heat did not help.
“When the fire broke out it was 113 degrees in the shade,” he said.
He said the previous benchmark for destruction in the area was a 1977 blaze. This fire had far eclipsed it, he said, and guaranteed that it would not be surpassed for years.
“There’s nothing left to burn,” he said.
“It’s not California,” added his friend Spiros Michail, 52.
That there was nothing left to burn was the island’s common refrain. The punchline to the terrible joke nature had played on them.
But it wasn’t true. There was plenty more to burn.
At night the fires came back, appearing on the dark hillsides in the distance like Chinese lanterns. The fires burned on the sides of the roads like ghostly campsites.
Stylianos Totos, a forest ranger, stood rod straight as he looked through binoculars at a hillside near Ellinika.
“How do we get access to that one,” he called to his colleague in a truck carrying more than a ton of water. He worried that the wind would change direction from east to west and feed the fire with fresh pines. Just before 9 p.m. Tuesday, one of the small flames flared up, lighting all the barren land and twisted branches around it. “Andrea,” he shouted. “Call it in.”
But any help, and any change in global behavior, had come too late for Mr. Tertipis and his flock.
Mr. Tertipis, 60, who lost his mother and suffered permanent scarring on his left arm in 1977’s fire, rushed back from home to his stables before dawn on Sunday. The fire had consumed half his flock, but left a plush green pine tree and verdant field untouched only a few dozen yards away.
“That’s how it is, in five minutes, you live or die,” he said, adding, “the fire just changes all the time.”
For two days he could not answer the phone or do much of anything other than weep. Then he started cleaning up, wading through the remains in galoshes, dragging load after load away, using a sled he fashioned from a hook and a broken refrigerator door.
He had been raising animals all his life, and he said he had no choice but to keep going, no matter how inhospitable the weather around him had become.
“Things may have changed,” he said with a shrug. “What are you going to do? Just give up?”
ATHENS — Shells of houses and cars left gutted by flames. Stretches of forest reduced to ash. Tourists evacuated by boat from once idyllic beaches where the skies are thick with smoke. As southern Europe grapples with one of its worst heat waves in decades, deadly forest fires have engulfed stretches of the region, bringing a newly reopened tourism industry to a halt and forcing mass evacuations.
The raging fires pushed residents from their homes in villages on the Greek mainland and islands and across neighboring Turkey, and forced tourists to abandon beachside destinations across the region.
President Recep Tayyip Erdogan over the government’s handling of the deadly disaster, with opponents denouncing the lack of aerial support for the firefighting efforts.
Hundreds of square miles of forest burned as more than 180 fires blazed across the country. At least eight people died, hundreds were injured and dozens lost their homes.
in a video posted on Twitter. “My forest is in flames right now.”
Firefighters were able to control a fire approaching a power plant in Milas after working through the night to save the facility. Trees on the grounds of the power plant were burned, but the main site was not seriously damaged, officials said.
Greece battled multiple large fires across the country that killed scores of people.
While scientists have not yet had time to evaluate the connection between the current wave of extreme temperatures and global warming, it fits an overall trend that has seen climate change play a role in extreme weather in Europe. Research has shown that in major heat waves across Europe in recent summers, climate change has been a significant worsening factor.
Efthymis Lekkas, a professor of natural disaster management at the University of Athens, warned of “an enduring nightmare in August,” and urged the authorities to be ready for potential flooding after the destruction of large stretches of forest.
Greece’s General Secretariat for Civil Protection warned of an “extreme” risk of fires on Friday, as intense winds are forecast to worsen the situation.
Niki Kitsantonis reported from Athens and Megan Specia reported from New York.
BERLIN — As concerns grow over the highly contagious Delta variant of the coronavirus, Germany on Monday became the biggest Western country yet to announce that it will offer vaccine booster shots to a wide range of people considered potentially vulnerable, adding to growing momentum in rich nations to give additional shots to fully vaccinated people.
The move by Germany came even as a top European Union official criticized the bloc as falling far short of its promises to donate vaccine doses to Africa and Latin America. And with a limited global vaccine supply, health experts say the top priorities should be distributing doses to poor countries that lag far behind in inoculations, and persuading vaccine-resistant people in wealthy countries to get their first shots.
There is also still no consensus among scientists on the need for booster shots, but as fears rise of more pandemic waves and more costly lockdowns, a growing number of countries are preparing to give their people booster doses — or have already started.
Starting in September, Germany, Europe’s largest economy, wants to administer a booster of the Pfizer-BioNTech or Moderna vaccine to older people, residents of care homes, and people with compromised immune systems — and also to anyone who was already fully vaccinated with the two-dose AstraZeneca or single-dose Johnson & Johnson shots, which clinical trials have shown are not as highly protective.
an early leader in vaccination, began administering boosters to people 60 and older last week. A month ago, Russia made additional shots available to anyone six months after inoculation, and on Sunday, Hungary began offering them four months post-vaccination.
France is offering them only to those with weak immune systems, and plans to give them this fall to those who were the first to be vaccinated early this year — mostly people over 75 and those with serious health problems.
government advisers recommended in late June that everyone over 50 should be eligible but said the priority should be getting the shots to people over 70, health workers, nursing home residents, and younger adults with immune problems or other serious vulnerabilities.
increasingly think that vulnerable populations may need additional shots even as research continues into how long the vaccines remain effective. Some people have already obtained boosters simply by not revealing previous vaccination.
But as governments, terrified of another surge in the virus, increasingly lean toward boosters, the need for them remains unclear.
Studies have indicated that immunity resulting from the Pfizer-BioNTech and Moderna vaccines is long-lasting, and researchers are still working to interpret recent Israeli data suggesting a decline in efficacy of the Pfizer-BioNTech vaccine months after inoculation.
although the vaccine remains powerfully effective against severe disease and death.
Experts were divided on the utility of booster shots so soon after vaccination began. Experience with other diseases indicates that older people and those with weak immune systems might benefit, but there is little hard evidence with the coronavirus.
“The problem here is, we’re just sort of going on immunological priors, rather than really great data to justify things one way or the other,” said Deepta Bhattacharya, an immunologist at the University of Arizona. “I totally understand the decision, but I think we have to acknowledge that there’s a wide range of uncertainty on what it’s going to do.”
Booster doses may help some people with weak immune systems, but others may show little improvement even after a third dose, and still others may not need a booster at all, scientists say.
While dozens of mostly wealthy countries, including the United States and most of Europe, have administered more than 100 doses per 100 people, many other nations remain below five per 100 — primarily in Africa, where cases have soared as the Delta variant spreads.
Understand the State of Vaccine Mandates in the U.S.
Doctors Without Borders said recently that it would be “unconscionable” to give booster doses in richer nations before people in poorer ones get their first doses.
“Wealthy governments shouldn’t be prioritizing giving third doses when much of the developing world hasn’t even yet had the chance to get their first Covid-19 shots,” Kate Elder, the senior vaccines policy adviser at Doctors Without Borders’ Access Campaign, said in a statement.
a so-called vector vaccine, like AstraZeneca or Johnson & Johnson.
It is the latest sign that governments are encouraging their citizens to mix and match vaccines in the hope of provoking a more protective immune response against Covid-19. Early results from a British vaccine study showed that volunteers produced high levels of antibodies and immune cells after getting one dose each of the Pfizer-BioNTech and AstraZeneca-Oxford shots.
The new German guidelines announced Monday also went a step further in encouraging parents to vaccinate children between 12 and 17, announcing that doctors and vaccination centers across the country would make the jab available to them before the start of the new school year.
Health ministers stopped short of making a formal recommendation for vaccinating children, but the move made plain their impatience with Germany’s Standing Committee on Vaccinations, which has so far refrained from guiding parents one way or the other, pending more data becoming available.
Vaccinating children “is one building block to allow a safe start into the new school year after the summer vacation,” Mr. Holetschek said.
Apoorva Mandavilli contributed reporting from New York, Benjamin Mueller from London, Aurelien Breeden from Paris, Gaia Pianigiani from Rome, Monika Pronczuk from Brussels, Raphael Minder from Madrid and Thomas Erdbrink from Amsterdam.
KISUMU, Kenya — Before Kenya’s president and other leaders arrived in late May to mark a major public holiday, health officials in Kisumu on Lake Victoria saw disaster brewing. Coronavirus infections were spiking, hospital isolation units were filling up and the highly contagious Delta variant had been found in Kenya for the first time — in Kisumu County.
Dr. Boaz Otieno Nyunya, the county executive for health and sanitation, said he and other health specialists argued and pleaded for the politicians to hold a virtual celebration and skip the mass, in-person events that can supercharge an outbreak. Just weeks earlier, huge political rallies had helped fuel the catastrophic Covid-19 wave in India, where the Delta variant first emerged and became dominant.
Their objections were waved away, the health officials said. President Uhuru Kenyatta, Deputy President William Ruto, the former prime minister Raila Odinga and others descended on Kisumu, drawing large and mostly unmasked crowds who thronged the streets to watch their slow-moving motorcades through the city and gathered to hear them at marketplaces and parking lots.
turning away patients for lack of beds or oxygen, health officials say they fear a wave like the one that ripped through India in April and May could be looming over Kisumu.
“The India example is not lost to us,” Dr. Nyunya said.
Though data on infections and deaths is spotty, more than 23 percent of the people tested for the virus in Kisumu last week were positive — more than double the national rate. Kenya’s overall positivity rate is similar to that of the United States when the pandemic peaked there in January. But the Delta variant was still rare then, the American health system is far more robust than Kenya’s and the U.S. government was ramping up vaccination on a grand scale.
All of Africa is vulnerable, as the latest wave of the pandemic sweeps the continent, driven in part by more transmissible variants. Fewer than 1 percent of Africa’s people have been even partially vaccinated, by far the lowest rate for any continent.
“I think the greatest risk in Africa is to look at what happened in Italy earlier on and what happened in India and start thinking we are safe — to say it’s very far away from us and that we may not go the same way,” said Dr. Mark Nanyingi, an infectious disease epidemiologist at the University of Liverpool in Britain. He called the surge in western Kenya a “storm on the horizon.”
said. But experts say the true scale of the pandemic far exceeds reported figures in Africa, where testing and tracing remain a challenge for many countries, and many nations do not collect mortality data.
To forestall the ongoing crisis, Kenya’s Ministry of Health last week imposed a restriction on gatherings and extended a dusk-to-dawn curfew in Kisumu and more than a dozen surrounding counties. But the measures were too late for Dr. Nyunya, who said that thinking back on the deliberations —which involved the county governor Peter Anyang’ Nyong’o, a former national health minister — over the celebrations last month, “It makes you feel impotent.”
record cases and deaths, President Yoweri Museveni has imposed a strict 42-day lockdown. Just weeks ago, Rwanda hosted the Basketball Africa League and other big sporting events, raising the possibility for a full reopening. But after a spike in cases, the government introduced new lockdown measures on Monday.
The Democratic Republic of Congo — where the virus has claimed the lives of more than 5 percent of lawmakers — is grappling with a third wave as it falters in rolling out vaccines. South Africa, the continent’s worst-hit nation, has reported new infections doubling in just two weeks’ time, with the sharpest increases in major urban centers. Tunisia, where hospitals are full and oxygen supplies are low, is enduring a fourth wave.
“New, higher transmitting variants create a precarious situation in many countries that have weak health systems,” said Dr. Ngozi Erondu, a senior health scholar at the O’Neill Institute at Georgetown University.
The W.H.O. attributes the surge in Africa to lack of vaccination, insufficient adherence to precautionary measures like mask wearing and social distancing and the Delta and other variants.
lament a lack of protective gear and health insurance.
“We are buying our own gloves and masks,” said Dr. Onyango Ndong’a, chairman of the local chapter of the Kenya Medical Practitioners, Pharmacists and Dentists Union. “We are covering for government inadequacies. We are tired now. We are stretched.”
For now, families who have lost loved ones are adjusting to a new reality.
Edward Onditi, 33, lost both his brother and his mother to Covid-19 this month. He said he left Nairobi to come and assist his family after his brother, Herbert, whom he regarded as a best friend and mentor, fell ill.
For weeks, the family transported Herbert, 43, between three hospitals in two counties — a distance of 70 miles in total — so that he could get high-flow oxygen. On the day before Herbert died, Edward had fish, his brother’s favorite meal, delivered to his isolation ward and promised to take him on a holiday once he was out.
“I’m so touched,” his brother said in a text message sent on June 2.
Barely 12 hours later, he was gone.
A few days later, their mother, Naomi, who had been ailing, succumbed to complications from Covid-19, too.
“It’s one of the toughest moments of my life,” Mr. Onditi said on a recent afternoon, his eyes welling with tears. “Things are just not working. They are not adding up.”
SYDNEY, Australia — All across the Asia-Pacific region, the countries that led the world in containing the coronavirus are now languishing in the race to put it behind them.
While the United States, which has suffered far more grievous outbreaks, is now filling stadiums with vaccinated fans and cramming airplanes with summer vacationers, the pandemic champions of the East are still stuck in a cycle of uncertainty, restrictions and isolation.
In southern China, the spread of the Delta variant led to a sudden lockdown in Guangzhou, a major industrial capital. Taiwan, Vietnam, Thailand and Australia have also clamped down after recent outbreaks, while Japan is dealing with its own weariness from a fourth round of infections, spiked with fears of viral disaster from the Olympics.
the new outbreak in southern China will affect busy port terminals there. Across Asia, faltering vaccine rollouts could also open the door to spiraling variant-fueled lockdowns that inflict new damage on economies, push out political leaders and alter power dynamics between nations.
The risks are rooted in decisions made months ago, before the pandemic had inflicted the worst of its carnage.
blocked the export of 250,000 doses of the AstraZeneca vaccine meant for Australia to control its own raging outbreak. Other shipments were delayed because of manufacturing issues.
“The supplies of purchased vaccine actually landing on docks — it’s fair to say they are not anywhere near the purchase commitments,” said Richard Maude, a senior fellow at the Asia Society Policy Institute in Australia.
with the United States and Europe.
In Asia, about 20 percent of people have received at least one dose of a vaccine, with Japan, for example, at just 14 percent. By contrast, the figure is nearly 45 percent in France, more than 50 percent in the United States and more than 60 percent in Britain.
Instagram, where Americans once scolded Hollywood stars for enjoying mask-free life in zero-Covid Australia, is now studded with images of grinning New Yorkers hugging just-vaccinated friends. While snapshots from Paris show smiling diners at cafes that are wooing summer tourists, in Seoul, people are obsessively refreshing apps that locate leftover doses, usually finding nothing.
“Does the leftover vaccine exist?” one Twitter user recently asked. “Or has it disappeared in 0.001 seconds because it is like a ticket for the front-row seat of a K-pop idol concert?”
keep its borders closed for another year. Japan is currently barring almost all nonresidents from entering the country, and intense scrutiny of overseas arrivals in China has left multinational businesses without key workers.
The immediate future for many places in Asia seems likely to be defined by frantic optimization.
China’s response to the outbreak in Guangzhou — testing millions of people in days, shutting down entire neighborhoods — is a rapid-fire reprise of how it has handled previous flare-ups. Few inside the country expect this approach to change anytime soon, especially as the Delta variant, which has devastated India, is now beginning to circulate.
has threatened residents with fines of around $450 for refusing vaccines. Vietnam has responded to its recent spike in infections by asking the public for donations to a Covid-19 vaccine fund. And in Hong Kong, officials and business leaders are offering a range of inducements to ease severe vaccine hesitancy.
Nonetheless, the prognosis for much of Asia this year is billboard obvious: The disease is not defeated, and won’t be anytime soon. Even those lucky enough to get a vaccine often leave with mixed emotions.
“This is the way out of the pandemic,” said Kate Tebbutt, 41, a lawyer who last week had just received her first shot of the Pfizer vaccine at the Royal Exhibition Building near Melbourne’s central business district. “I think we should be further ahead than where we are.”
Reporting was contributed by Raymond Zhong in Taipei, Taiwan, Ben Dooley in Tokyo, Sui-Lee Wee in Singapore, Youmi Kim in Seoul and Yan Zhuang in Melbourne, Australia.
LONDON — The top economic officials from the world’s advanced economies reached a breakthrough on Saturday in their yearslong efforts to overhaul international tax laws, unveiling a broad agreement that aims to stop large multinational companies from seeking out tax havens and force them to pay more of their income to governments.
Finance leaders from the Group of 7 countries agreed to back a new global minimum tax rate of at least 15 percent that companies would have to pay regardless of where they locate their headquarters.
The agreement would also impose an additional tax on some of the largest multinational companies, potentially forcing technology giants like Amazon, Facebook and Google as well as other big global businesses to pay taxes to countries based on where their goods or services are sold, regardless of whether they have a physical presence in that nation.
Officials described the pact as a historic agreement that could reshape global commerce and solidify public finances that have been eroded after more than a year of combating the coronavirus pandemic. The deal comes after several years of fraught negotiations and, if enacted, would reverse a race to the bottom on international tax rates. It would also put to rest a fight between the United States and Europe over how to tax big technology companies.
has been particularly eager to reach an agreement because a global minimum tax is closely tied to its plans to raise the corporate tax rate in the United States to 28 percent from 21 percent to help pay for the president’s infrastructure proposal.
EU Tax Observatory estimated that a 15 percent minimum tax would yield an additional 48 billion euros, or $58 billion, a year. The Biden administration projected in its budget last month that the new global minimum tax system could help bring in $500 billion in tax revenue over a decade to the United States.
The plan could face resistance from large corporations and the world’s biggest companies were absorbing the development on Saturday.
“We strongly support the work being done to update international tax rules,” said José Castañeda, a Google spokesman. “We hope countries continue to work together to ensure a balanced and durable agreement will be finalized soon.”
said this month that it was prepared to move forward with tariffs on about $2.1 billion worth of goods from Austria, Britain, India, Italy, Spain and Turkey in retaliation for their digital taxes. However, it is keeping them on hold while the tax negotiations unfold.
Finishing such a large agreement by the end of the year could be overly optimistic given the number of moving parts and countries involved.
“A detailed agreement on something of this complexity in a few months would just be lighting speed,” said Nathan Sheets, a former Treasury Department under secretary for international affairs in the Obama administration.
The biggest obstacle to getting a deal finished could come from the United States. The Biden administration must win approval from a narrowly divided Congress to make changes to the tax code and Republicans have shown resistance to Mr. Biden’s plans. American businesses will bear the brunt of the new taxes and Republican lawmakers have argued that the White House is ceding tax authority to foreign countries.
Representative Kevin Brady of Texas, the top Republican on the House Ways and Means Committee, said on Friday that he did not believe that a 15 percent global minimum tax would curb offshoring.
“If the American corporate tax rate is 28 percent, and the global tax rate is merely half of that, you can guarantee we’ll see a second wave of U.S. investment research manufacturing hit overseas, that’s not what we want,” Mr. Brady said.
At the news conference, Ms. Yellen noted that top Democrats in the House and Senate had expressed support for the tax changes that the Biden administration was trying to make.
STRESA, Italy — The sun shone brightly Sunday on Lago Maggiore, a spectacular alpine lake that traverses the Italian-Swiss border. Fabrizio Bertoletti, the owner of a small hotel with a restaurant perched atop Mottarone mountain, was feeling upbeat.
After months of off-and-on coronavirus restrictions, restaurants and hotels here were finally starting to open. Indoor dining is still banned but, he said, “it was a beautiful day and people weren’t going to complain even if they had to eat outside.”
On a terrace with breathtaking views of the lake and the mountains that cradle it, Mr. Bertoletti’s restaurant can seat about 70, and it was completely booked. The hotel and restaurant, aptly named “Eden,” sit just a few feet from the upper station of a cable car that links the summit to the lakeside town of Stresa, a popular vacation destination almost 5,000 feet below.
“We were feeling relieved, there was a sense of re-beginning. And then … ” Mr. Bertoletti’s voice trailed off.
a cable car carrying 15 passengers plunged to the ground. All but one died. The sole survivor, 5-year-old Eitan Biran, lost both of his parents, his 2-year-old brother and two great-grandparents.
“All the seasons of life were in that cabin,” said the Reverend Gian Luca Villa, Stresa’s parish priest.
It is an incomprehensible loss for the victims’ families, but people here cannot help noting that it is also another in a series of blows, stretching back more than a year, for a tourism-dependent area that has suffered greatly from the pandemic.
Borromeo family, and an annual music festival in the fall.
The lake, more than 30 miles long, lies on the boundary between the regions of Piedmont and Lombardy, making it a favorite getaway for people from Milan and Turin, and it also draws many foreigners. The tourist season normally begins at Easter and lasts well into autumn, luring visitors with mild temperatures and colors of leaf-turning brilliance.
But last year, in March and April, Lombardy became the first part of Europe to be hit in full force by the new virus, which killed tens of thousands of people here.
The pandemic put a halt to most vacation plans, and several hotels around the lake never opened their doors. Proximity to Switzerland, which had less stringent coronavirus rules, penalized towns on the Italian side, said Gian Maria Vincenzi, the president of the local hoteliers’ association.
The cable car accident “is a tragedy within the tragedy of Covid, which nearly wiped out work,” he said.
Antonio Zacchera, whose family owns four hotels on Lago Maggiore, said that last year, two remained shuttered.
“About a quarter of our clients are Americans, and the fact that we were dependent on foreigners used to be an advantage,” he said. But with pandemic-induced travel restrictions, “it was a disadvantage this round.”
Like other hoteliers in the area, Mr. Zacchera made rooms available to the families of the cable-car victims. “Our first thoughts are with them,” he said.
The cable car was popular with tourists, but also with locals, who would ride to the top to get to the ski schools in winter, or just for the view. “You never thought anything bad could happen, until it does, and it’s a disaster,” said Alberto De Martini, the owner of the Enoteca Da Giannino in Stresa’s central square, as he sanitized his restaurant’s tables and chairs.
On Monday, the city commemorated the dead, ringing bells and shuttering stores for 14 minutes, one for each victim. Massimo Colla, the owner of the wine bar and bistro Al Buscion, said he kept it closed for the entire day. “When tragedy happens close to home, you feel it intensely,” he said. “It’s going to take time for the city to get over this.”
Father Villa, the priest, said that he had gathered the faithful in prayer soon after the crash and held other services on Monday. With the city, he has planned a commemorative mass on Wednesday, for the emergency workers and others who combed the mountainside searching, mostly in vain, for survivors among the dead. He said that 14 candles would be lit during the service and the victims would be named and remembered, one by one.
Marcella Severino, Stresa’s mayor of just eight months, said she was looking for a permanent way to commemorate the victims. “May 23 will be our September 11,” she said in an emotional interview in her office.
“Though citizens were in shock,” she said that locals had stepped up as best they could. Civil protection volunteers immediately arrived on the scene, along with the emergency workers. Hotel owners took in victims’ families, taxi drivers transported people without charge and local health authorities had provided psychologists.
“People come to Stresa because they feel safe,” Ms. Severino said — the town is small and tight-knit, with little crime. “Obviously, for the families of the victims, Stresa will become a nefarious name,” she said. “But I hope that they will remember how the city tried to be close to them.”