As the rest of the world learns to live with Covid-19, China’s top leader, Xi Jinping, wants his country to keep striving to live without it — no matter the cost.
China won a battle against its first outbreak in Wuhan, Mr. Xi said last week, and “we will certainly be able to win the battle to defend Shanghai,” he added, referring to the epicenter of the current outbreak in China.
summarized it as “zero movement, zero G.D.P.” Multinational companies have grown wary of further investments in the country.
For more than two years, China kept its Covid numbers enviably low by doggedly reacting to signs of an outbreak with testing and snap lockdowns. The success allowed the Communist Party to boast that it had prioritized life over death in the pandemic, unlike Western democracies where deaths from the virus soared.
More transmissible variants like Omicron threaten to dent that success, posing a dilemma for Mr. Xi and the Chinese Communist Party. Harsher lockdowns have been imposed to keep infections from spreading, stifling economic activity and threatening millions of jobs. Chinese citizens have grown restless, pushing back against being forced to stay home or to move into grim, government-run isolation facilities.
politically important year for Mr. Xi, China’s censors have moved quickly to muffle calls for a change in course on Covid-19. The head of the World Health Organization, whose recommendations China once held up as a model, was silenced this week when he called on the country to rethink its strategy.
Photographs and references to Tedros Adhanom Ghebreyesus, the director general of the W.H.O., were promptly scrubbed from the Chinese internet after the statement. The foreign ministry responded by calling Mr. Tedros’s remarks “irresponsible,” and accusing the W.H.O. of not having a “proper understanding of the facts.”
China’s state-controlled media has also glossed over the draconian measures officials have deployed to deal with outbreaks. This week, as some authorities in Shanghai erected new fences around quarantine zones, boarded up more homes and asked residents not to leave their apartments, state media painted a picture of a city slowly returning to normal.
One article described the “hustle and bustle of city life” returning, while another focused on statistics for how many stores had reopened.
has not happened. Several Chinese companies are in the testing phase of a homegrown mRNA option, and China also recently approved for emergency use a Covid-19 antiviral pill made by Pfizer called Paxlovid.
Administering three vaccine shots, using antiviral therapies and offering more effective vaccines could help China find a path out of zero Covid, Mr. Ajelli said.
disappointing winter wheat harvest in June could drive food prices — already high because of the war in Ukraine and bad weather in Asia and the United States — further up, compounding hunger in the world’s poorest countries.
A pause on wealth redistribution. For much of last year, China’s top leader, Xi Jinping, waged a fierce campaign to narrow social inequalities and usher in a new era of “common prosperity.” Now, as the economic outlook is increasingly clouded, the Communist Party is putting its campaign on the back burner.
By one estimate, nearly 400 million people in 45 cities have been under some form of lockdown in China in the past month, accounting for $7.2 trillion in annual gross domestic product. Economists are concerned that the lockdowns will have a major impact on growth; one economist has warned that if lockdown measures remain in place for another month, China could enter into a recession.
European and American multinational companies have said they are discussing ways to shift some of their operations out of China. Big companies that increasingly depend on China’s consumer market for growth are also sounding the alarm. Apple said it could see a $4 billion to $8 billion hit to its sales because of the lockdowns.
struggle to find and keep jobs during lockdowns.
Even as daily virus cases in Shanghai are steadily dropping, authorities have tightened measures in recent days following Mr. Xi’s call last week to double down. Officials also began to force entire residential buildings into government isolation if just one resident tested positive.
The new measures are harsher than those early on in the pandemic and have been met with pockets of unrest, previously rare in China where citizens have mostly supported the country’s pandemic policies.
In one video widely circulated online before it was taken down by censors, an exasperated woman shouts as officials in white hazmat suits smash her door down to take her away to an isolation facility. She protests and asks them to give her evidence that she has tested positive. Eventually she takes her phone to call the police.
“If you called the police,” one of the men replies, “I’d still be the one coming.”
Isabelle Qian contributed reporting, and Claire Fu contributed research.
LONDON — With cases of the Omicron variant doubling every three days and the government doing an about-face on restrictions it had long resisted, Britain is bracing for a new coronavirus surge, unsure if it will be a relatively minor event or a return to the dark days of earlier pandemic waves.
So far, the number of Omicron cases — 817 confirmed by Thursday, though officials say the real figure is likely much higher — is small compared with the daily average of 48,000 new coronavirus cases overall. But the government’s Health Security Agency warned that if the recent growth rate continues, “we expect to see at least 50 percent of Covid-19 cases to be caused by the Omicron variant in the next two to four weeks.”
Early evidence in Britain backs up tentative findings elsewhere, notably in South Africa, where the heavily mutated new variant is already widespread: It appears to be the most contagious form of the virus yet, a previous case of Covid-19 provides little immunity to it, and vaccines seem less effective against it. But it also seems to cause less severe illness than earlier variants.
Britain’s experience with Omicron may be a harbinger of what others can expect. Until now, it has been looser about social restrictions than many other nations in Western Europe, and Britain ordinarily has extensive travel to and from South Africa, so it could be the first wealthy country to be hit hard by Omicron. It also has one of the world’s most robust systems for sequencing viral genomes, so it can identify and track new variants earlier and more thoroughly than other countries.
opposed stricter controls that have been adopted around Europe, which was suffering through its biggest coronavirus wave so far before Omicron appeared.
Times analysis shows how infrastructure issues and the public’s level of willingness to get vaccinated may pose larger obstacles than supply.
“It’s not going to take long before it becomes obvious in other places, but it’s clearer earlier here,” Dr. Barrett said. “I think other countries should basically assume the same thing is happening.”
The genomic surveillance could also give Britain a head start in determining how severe Omicron cases are, though there will be a lag because it takes days or weeks for a person who gets infected to become seriously ill.
“It is increasingly evident that Omicron is highly infectious and there is emerging laboratory and early clinical evidence to suggest that both vaccine-acquired and naturally acquired immunity against infection is reduced for this variant,” Susan Hopkins, the chief medical adviser to the Health Security Agency, said in a statement.
Experts fear what that could mean for Britain’s already struggling National Health Service.
“A lot of staff have left or are burnt out,” Dr. English said, after months of dealing with the strains of the pandemic. “Now we’ve going to have another big hit — very likely — from Omicron. I am really, really sympathetic toward my poor colleagues working in clinical practice at the moment.”
said in a statement that the country had been having “increasingly high incidences of Covid-19 for some time,” adding that “health care workers are rightly worried about the impact the Omicron variant could have” on the health system’s ability to function if caseloads rise fast.
Some hospitals have already canceled elective care again, a strategy seen at the start of the pandemic to free up resources for treating coronavirus patients. Patients are already experiencing hourslong waits for ambulances as a result of the existing pressures on the system, Dr. Nagpaul added.
“While the number of Covid hospitalizations today is much lower than last winter, we must not risk complacency by ignoring the rapid doubling of Omicron cases every two to three days,” he said.
LONDON — As the still-mysterious Omicron variant reached American shores, the World Health Organization on Wednesday scolded wealthy countries that imposed travel bans and dismissed those that poured resources into vaccine booster campaigns when billions in poor countries had yet to receive their first shots.
The comments by W.H.O. officials reopened fraught questions of equity in how the world has handled the coronavirus pandemic since a stark divide over the availability of vaccines emerged between rich and poor countries earlier this year.
But amid fears of a new wave of Covid-19, that seemed unlikely to sway leaders in Europe, Asia, and the United States, which reported its first confirmed Omicron case, in California, on Wednesday. They are scrambling to shield their populations from the variant — about which much remains unknown — by topping up their protection and tightening restrictions on incoming travel.
Travelers reacted with confusion and dismay to news that the United States plans to toughen testing requirements and the screening of inbound passengers. That decision came after Japan, Israel, and Morocco barred foreign travelers and Australia delayed reopening its borders for two weeks.
revealed to the world — and Dr. Tedros warned that the number would rise.
The W.H.O. also voiced skepticism about ambitious booster plans that it claimed come at the expense of first-time vaccinations in less wealthy nations. Britain this week announced a massive new campaign to deliver booster shots to all adults by the end of January. Other European countries and the Biden administration are also pushing these shots as a first line of defense against the variant, buying time for scientists to unravel its genomic code.
Japan joined Israel and Morocco in barring all foreign travelers, and Australia delayed reopening its borders for two weeks. The C.D.C plans to increase testing and screening of international fliers to the U.S.
A patchwork of regulations. As the new Omicron variant spread around the world, two KLM flights from South Africa became emblematic of the scattershot and lax global approach to coronavirus containment. Of the more than 60 people who tested positive for the virus, at least 14 had Omicron.
A new type of treatment. An expert panel voted to recommend that the F.D.A. authorize a Covid pill from Merck for high-risk adults, the first in a new class of antiviral drugs that could work against a wide range of variants, including Omicron. The pill could be authorized within days, and available by year’s end.
Vaccine hesitancy in Africa. The detection of the Omicron variant in Africa signals the next stage of the battle against Covid-19: getting more people inoculated in poorer nations. But though vaccine supplies are becoming sufficient, the new hurdle is overcoming local skepticism or outright hostility.
The borderless nature of the virus, Mr. Guterres said, means that “travel restrictions that isolate any one country or region are not only deeply unfair and punitive — they are ineffective.”
Although the United States is not weighing the kind of blanket travel ban on foreign visitors imposed by Japan, the restrictions being weighed by the Centers for Disease Control and Prevention in the United States are stirring widespread concern. The agency is considering requiring travelers to provide a negative result from a test taken within 24 hours before departure, a spokesman said on Tuesday night.
Though the C.D.C. has yet to officially announce the changes, the prospect sent travelers searching for updates, booking pre-emptive tests where they could, and scouring airline websites for reservation changes, as the pandemic threatened to upend another December travel season.
Carlos Valencia, a dual Spanish-American citizen whose Seville-based company operates a study abroad program for American students, had planned to return to the United States in January. But he said that he would put the trip on hold until “there is at least some clarity about whether the new rules make a trip feasible.”
Whatever shape the restrictions take, he said, they are “way overdone — especially when you consider how lax the U.S.A. has been with getting people to wear face masks and its own health safety measures.”
Emanuela Giorgetti, a teacher in northern Italy, was hoping to join her fiancé, whom she has not seen for almost two years, for Christmas in Chicago. “When I heard the news,” she said, “I thought, ‘Here we go again.’”
Given the potential threat posed by Omicron, she said she understood the impulse to tighten the rules. But it still seemed unfair.
“We have more vaccinated people in Italy than in the U.S., we wear masks indoors and try to go by the rules,” Ms. Giorgetti said.
Reporting was contributed by Nick Cumming-Bruce, Rick Gladstone, Raphael Minder, Gaia Pianigiani, Michael D. Shear and John Yoon.
ROME — In a wrenchingly familiar cycle of tracking first cases, pointing fingers and banning travel, nations worldwide reacted Monday to the Omicron variant of the coronavirus in the piecemeal fashion that has defined — and hobbled — the pandemic response all along.
As here-we-go-again fear and resignation gripped much of the world, the World Health Organization warned that the risk posed by the heavily mutated variant was “very high.” But operating once again in a vacuum of evidence, governments chose approaches that differed between continents, between neighboring countries, and even between cities within those countries.
Little is known about Omicron beyond its large number of mutations; it will be weeks, at least, before scientists can say with confidence whether it is more contagious — early evidence suggests it is — whether it causes more serious illness, and how it responds to vaccines.
In China, which had been increasingly alone in sealing itself off as it sought to eradicate the virus, a newspaper controlled by the Communist Party gloated about democracies that are now following suit as Japan, Australia and other countries gave up flirting with a return to normalcy and slammed their borders shut to the world. The West, it said, had hoarded vaccines at the expense of poorer regions, and was now paying a price for its selfishness.
announced that government employees, health care workers and staff and students at most schools must be vaccinated by Jan. 22.
tied to a single soccer team — and Scotland reported six, while the numbers in South Africa continued to soar.
Experts warned that the variant will reach every part of the world, if it hasn’t already.
The leaders of the world’s top powers insisted that they understood this, but their assurances also had a strong whiff of geopolitics.
President Xi Jinping of China offered one billion doses of Covid vaccine to Africa, on top of nearly 200 million that Beijing has already shipped to the continent, during an address to a conference in Senegal by video link.
The Global Times, a Chinese tabloid controlled by the Communist Party, boasted of China’s success in thwarting virus transmission, and said the West was now paying the price for its selfish policies. “Western countries control most of the resources needed to fight the Covid-19 pandemic,” it wrote. “But they have failed to curb the spread of the virus and have exposed more and more developing countries to the virus.”
told France Inter radio on Monday that variants would continue to emerge unless richer countries shared more vaccines. “We need a much more systemic approach,” she said.
“zero Covid” strategy.
China has steadfastly kept a high wall against visitors from the rest of the world. Foreign residents and visa holders are allowed in only under limited circumstances, leading to concerns by some within the business world that Covid restrictions were leaving the country increasingly isolated.
Visitors must submit to two-week quarantines upon arrival and face potential limits on their movement after that. Movements are tracked via monitoring smartphone apps, which display color codes that can signal whether a person has traveled from or through an area with recent infections, triggering instructions to remain in one place.
In other parts of Asia, people are less focused on eradicating the virus than just surviving it.
“This news is terrifying,” said Gurinder Singh, 57, in New Delhi, who worried about his shop going under. “If this virus spreads in India, the government will shut the country again, and we will be forced to beg.”
Reporting was contributed by Declan Walsh from Nairobi, Patrick Kingsley from Jerusalem, Carlos Tejada from Seoul, Sameer Yasir from Srinagar, India, Lynsey Chutel from South Africa, Aurelien Breeden from Paris, Elian Peltier and Monika Pronczuk from Brussels, Megan Specia from London, Christopher F. Schuetze from Berlin, Emma Bubola from Rome and Nick Cumming-Bruce from Geneva.
An increasing number of countries — including Britain, France, Israel, Italy and Singapore — were moving on Friday to restrict travel from South Africa and other countries in the region, a day after South African authorities identified a concerning new coronavirus variant with mutations that one scientist said marked a “big jump in evolution.”
In the past, governments have taken days, weeks or months to issue travel restrictions in response to new variants. This time, restrictions came within hours of South Africa’s announcement — and hours before health officials from the country were scheduled to discuss the variant with the World Health Organization.
Britain, France and Israel announced bans on flights from South Africa and several neighboring countries on Thursday, citing the threat of the new variant. Britain’s flight ban applies to six countries — South Africa, Botswana, Eswatini, Lesotho, Namibia and Zimbabwe — and begins at noon local time on Friday.
“More data is needed but we’re taking precautions now,” Sajid Javid, the British health secretary, said on Twitter.
“While no cases have been detected so far on French territory, the principle of maximum precaution must apply,” Jean Castex, France’s prime minister, said in a statement, adding that anyone in France who had recently traveled to those countries should get tested and identify themselves to the authorities.
The governments of Croatia, Italy, Malta, the Netherlands, Japan and Singapore announced on Friday that they would impose similar restrictions. Markets were down in Japan in response to the variant’s discovery, and officials in Australia and in New Zealand said that they were monitoring it closely.
“Our scientists are at work to study the new B.1.1.529 variant,” Italy’s health minister, Roberto Speranza, said in a statement, using the variant’s scientific name. “Meanwhile we err on the side of caution.”
Ursula von der Leyen, the president of the European Union’s executive arm, also said in a Twitter post on Friday morning that it would propose restricting air travel to European countries from southern Africa because of concerns about the variant.
The @EU_Commission will propose, in close coordination with Member States, to activate the emergency brake to stop air travel from the southern African region due to the variant of concern B.1.1.529.
— Ursula von der Leyen (@vonderleyen) November 26, 2021
In the past two days, scientists detected the variant after observing an increase in infections in South Africa’s economic hub surrounding Johannesburg. So far only a few dozen cases have been identified in South Africa, Hong Kong, Israel and Botswana.
A number of variants have emerged since the onset of the pandemic. One underlying concern about them is whether they will stymie the fight against the virus or limit the effectiveness of vaccines. South African scientists will meet with the World Health Organization technical team on Friday to discuss the new variant, and the authorities will assign it a letter of the Greek alphabet.
In a statement posted on Friday on a government website, South Africa said it would urge Britain to reconsider its travel restrictions, saying: “The U.K.’s decision to temporarily ban South Africans from entering the U.K. seems to have been rushed, as even the World Health Organization is yet to advise on the next steps.”
In December last year, South Africa was the first nation to report the appearance of the Beta variant, which has now spread to nearly 70 countries. Scientists have been concerned that some clinical trials have shown that vaccines offer less protection against the Beta variant. Since then, the more virulent and aggressive Delta variant has spread all over the world and is believed to be fueling the latest surge in cases.
With over 1,200 new infections, South Africa’s daily infection rate is much lower than that in Germany, where new cases are driving a wave. However, the density of mutations on this new variant raises fears that it could be highly contagious, leading scientists to sound the alarm early.
“This variant did surprise us — it has a big jump in evolution, many more mutations than we expected, especially after a very severe third wave of Delta,” said Tulio de Oliveira, director of the KwaZulu-Natal Research and Innovation Sequencing Platform.
Emma Bubola, John Yoon and Aurelien Breeden contributed reporting.
— Mike Ives, Lynsey Chutel and Andrés R. Martínez
Scientists are still unclear on how effective vaccines will be against the new variant flagged by a team in South Africa, which displays mutations that might resist neutralization. Only several dozen cases have been fully identified so far in South Africa, Botswana, Hong Kong and Israel.
The new variant, B.1.1.529, has a “very unusual constellation of mutations,” with more than 30 in the spike protein alone, according to Tulio de Oliveira, director of the KwaZulu-Natal Research and Innovation Sequencing Platform.
On the ACE2 receptor — the protein that helps to create an entry point for the coronavirus to infect human cells — the new variant has 10 mutations. In comparison, the Beta variant has three and the Delta variant two, Mr. de Oliveira said.
The variant shares similarities with the Lambda and Beta variants, which are associated with an innate evasion of immunity, said Richard Lessells, an infectious diseases specialist at the KwaZulu-Natal Research and Innovation Sequencing Platform.
“All these things are what give us some concern that this variant might have not just enhanced transmissibility, so spread more efficiently, but might also be able to get around parts of the immune system and the protection we have in our immune system,” Dr. Lessells said.
The new variant has largely been detected among young people, the cohort that also has the lowest vaccination rate in South Africa. Just over a quarter of those ages between 18 and 34 in South Africa are vaccinated, said Dr. Joe Phaahla, the country’s minister of health.
While cases of the variant are mainly concentrated in the country’s economic hub, particularly in the country’s administrative capital, Pretoria, it is “only a matter of time” before the virus spreads across the country as schools close and families prepare to travel for the holiday season, Dr. Phaahla said.
— Carl Zimmer
The Hong Kong government said on Thursday that it had detected two cases of a new variant identified in South Africa, which scientists have warned shows a “big jump in evolution” and could limit the effectiveness of vaccines.
The infections were detected in a man who had returned to Hong Kong from South Africa this month, and later in another man staying across the hall in the same quarantine hotel. (Hong Kong requires almost all overseas arrivals to quarantine in hotels for two to three weeks.) The virus’s genetic sequence was identical in both men, suggesting airborne transmission, according to the city’s Center for Health Protection. Both men were vaccinated.
Further sequencing by the University of Hong Kong confirmed that the viruses belonged to the new variant from South Africa, officials said, though they acknowledged that information about the variant’s public health impact was “lacking at the moment.”
Some Hong Kong experts have questioned the length and efficacy of Hong Kong’s quarantines, noting that officials have recorded several cases of residents in quarantine hotels apparently infecting people who were staying in other rooms.
In the case of the latest variant infections, the government has blamed the first man for not wearing a surgical mask when opening his hotel room door, as well as “unsatisfactory air flow” in the hotel. As of Friday afternoon there had been no reports of infections in nearby rooms.
The presence of the new variant may complicate efforts to reopen the border between Hong Kong and mainland China. For months, Hong Kong officials have said that resuming quarantine-free travel between the Chinese territory and the mainland — virtually the only places in the world still pursuing a containment strategy that seeks full eradication of the virus — is their top priority, even though the strategy has damaged the city’s reputation as a global finance hub.
Mainland officials have said that Hong Kong is not doing enough to control the virus, even though the city has recorded just two locally transmitted cases in the last six months. The mainland has recently faced new domestic outbreaks; on Thursday, the National Health Commission there reported four new local cases.
On Thursday evening, Hong Kong’s No. 2 official, John Lee, said mainland officials had told him earlier in the day that Hong Kong had “basically fulfilled” the conditions to reopen the border. He said details would still need to be worked out, including the introduction of a mainland-style “health code” app that has raised privacy concerns.
Asked by a reporter whether the new variant would delay reopening with the mainland, Mr. Lee said only that the Hong Kong authorities would “ensure that adequate research and tracking are done in this regard.”
“Of course, we must manage and control any new risks,” he said.
— Vivian Wang
Nearly 20 months after pandemic lockdowns first began, governments across Europe are beginning to tighten restrictions again amid the latest wave of new coronavirus cases, threatening the gains that the region has made against the pandemic.
France is racing to offer booster shots to all adults and will not renew health passes for those who refuse. Deaths are rising in Germany, with its 68 percent vaccination rate, a worrying trend for a highly inoculated country. Austria has been in a nationwide lockdown since Monday, and made vaccinations mandatory.
In Eastern Europe, where far-right and populist groups have fueled vaccine skepticism, vaccination rates are lower than the rest of the continent. Bulgaria, where a quarter of the population is fully vaccinated, is turning back to shutdowns or other restrictive measures.
The quickly deteriorating situation in Europe is worrisome for the United States, where seven-day average of new cases has risen 24 percent in the past two weeks. (The number of new deaths reported in the United States is down 6 percent.) Trends in new cases in the United States have tended to follow Europe by a few weeks.
“Time and again, we’ve seen how the infection dynamics in Europe are mirrored here several weeks later,” Carissa F. Etienne, director of the Pan American Health Organization, told reporters on Wednesday. “The future is unfolding before us, and it must be a wake-up call for our region because we are even more vulnerable.”
The White House insists that while new infections are on the rise, the United States can avoid European-style lockdowns.
“We are not headed in that direction,” Jeff Zients, the White House coronavirus response coordinator, said this week. “We have the tools to accelerate the path out of this pandemic: widely available vaccinations, booster shots, kids’ shots, therapeutics.”
But the chief of the World Health Organization, Tedros Adhanom Ghebreyesus, said that some countries had lapsed into a “false sense of security.”
He issued a warning during a news briefing on Wednesday: “While Europe is again the epicenter of the pandemic, no country or region is out of the woods.”
Norwegian Center for Global Analyses, a group that provides intelligence information to agencies of the global organization. It was shared internally at the United Nations and seen by The New York Times.
Members of the Afghan military and the police, as well as those who worked for investigative units of the toppled government, were particularly at risk, the document said.
It contained a reproduced letter dated Aug. 16 from the Taliban to an unnamed counterterrorism official in Afghanistan who had worked with U.S. and British officials and then gone into hiding before the insurgents came to the official’s apartment.
The letter instructed the official to report to the Military and Intelligence Commission of the Islamic Emirate of Afghanistan in Kabul. If not, it warned, the official’s family members “will be treated based on Shariah law.”
The Taliban have repeatedly issued assurances that they will not use their victory to wreak revenge on those who opposed them. The report adds to the growing doubts about that pledge, and suggests that the Taliban may indeed engage in reprisal killings, as they did when they took over in Afghanistan more than 20 years ago.
On Wednesday, a public display of dissent in the northeastern city of Jalalabad was met by force. Taliban soldiers fired into the crowd and beat protesters and journalists.
The Taliban faced the first street protests on Wednesday against their takeover of Afghanistan, with demonstrations in at least two cities, even as they moved to form a new government.
A public display of dissent in the northeastern city of Jalalabad was met by force. Taliban soldiers fired into the crowd and beat protesters and journalists.
The Taliban had taken control of the city, a commercial hub east of Kabul near the main border crossing with Pakistan, four days earlier without much of a fight after a deal was negotiated with local leaders. This week, the Taliban have been out in large numbers, patrolling the city in pickup trucks seized from the now defunct police force.
Despite the risks, hundreds of protesters marched through the main shopping street, whistling, shouting and bearing large flags of the Afghan Republic. Taliban fighters fired in the air to break up the crowd, but the protesters did not disperse, video aired by local news media outlets showed.
When that failed, the fighters resorted to violence. At least two people were killed and a dozen injured, according to Al Jazeera.
For the new Taliban government, the jarring images of violence at the protest — as well as images of chaos and people being beaten while trying to approach Kabul’s airport in an attempt to flee the country — have undermined their efforts to present themselves as responsible stewards of the government.
In Khost, in the southeastern part of the country, there were also demonstrations, with dramatic photos and video showing hundreds of people taking to the streets.
The outpouring of public anger came as the Taliban prepared to offer details on the shape of their government, naming ministers and filling key positions.
The younger brother of a top Taliban leader met in Kabul on Wednesday with former President Hamid Karzai and Abdullah Abdullah, the chairman of the Afghan delegation to the recent peace talks in Qatar. He was accompanied by the speaker of Afghanistan’s upper house of Parliament.
The meeting was further evidence of the group’s determination to gain international acceptance.
It followed a news conference on Tuesday in which the Taliban offered blanket amnesty, vowing no reprisals against former enemies.
“We don’t want Afghanistan to be a battlefield anymore,” Zabihullah Mujahid, the Taliban’s longtime chief spokesman, said. “From today onward, war is over.”
While many were skeptical of those assurances, in Kabul the rhythms of daily life started to return — but they were in many ways circumscribed.
There were noticeably fewer women on the streets. Some of those who ventured out did not cover up in the traditional burqa, the full-length shroud that covers the face that was required the last time the Taliban ruled. At homes and businesses, a knock on the door could stir fear.
It remains to be seen whether the pragmatic needs of a nation of 38 million will continue to temper the ideological fanaticism that defined the group’s rule from 1996 to 2001. But the country the Taliban now control is vastly changed from two decades ago.
The progress of women — women in critical roles in civil society and millions of girls in school — is the most visible example. But years of Western investment in the country also helped rebuild a nation that was in a state of ruin when the Taliban first emerged.
The protests offered early signs that many Afghans will not simply accept Taliban rule.
The Afghan government’s failure to meet people’s basic needs helped fuel support for the Taliban. That allowed them to sweep across the country swiftly — often not by military force, but by negotiation with frustrated local leaders.
On Wednesday, at a riverside market in Kabul, Jawed was selling apples. Born the year the Taliban were ousted from power, he was not old enough to remember their brutal reign.
His concern this week was getting supplies of fruit from Pakistan. That was now easier, he said.
“The roads are clear now — they are quiet,” said Jawed, who goes by one name. For now, the Taliban meant more order in the traffic, and wholesale prices had dropped. But business was not better.
“The people are afraid right now — they’re not buying,” he said. “But at least it is better than yesterday. Things will slowly improve. The mullahs have arrived.”
The arrival of the Taliban mullahs — a reference to group’s religious leaders — also set off widespread fear.
Tens of thousands are still trying to escape. People lined up early at the banks, worried that there wouldn’t be money to feed their families. And the deployment of soldiers at checkpoints across Kabul made it clear that Taliban have a monopoly on the use of force and would decide how and when to use it.
Chaos erupted outside Kabul’s international airport on Wednesday as thousands of people tried to make their way there to flee Afghanistan. The sound of heavy gunfire echoed through the streets leading to the facility.
There were conflicting reports about what exactly was happening on the streets outside the airport, which the Taliban now control.
A NATO security official at the airport told Reuters that 17 people had been injured in a stampede at one gate to the airport.
People were still camping out near the airport’s gates. Whole families sat under rows of pine trees lining the main airport road, while others, carrying sparse belongings, were still trying to gain entrance, to little avail. The Taliban still had their men stationed at the entrances. There were volleys of rifle fire, pushing, pulling and beating with wooden sticks, Kalashnikovs and pieces of cut hoses.
At one gate, Taliban members had positioned themselves on concrete road dividers overlooking the crowd. Their commander, Kalashnikov slung around the shoulder and megaphone in hand, told the people: “This gate is closed. Only foreigners and people with documents allowed.”
Although the U.S. military has established control inside the airport and military flights have resumed, the situation outside on Wednesday was volatile.
The Taliban have sought to present a kinder and gentler image of an Islamic Emirate of Afghanistan to the world, but scenes near the airport offered a bloody counterpoint. Taliban members at times beat people with rifle butts and clubs to force back the crowd trying to get in.
Images taken on Tuesday by Marcus Yam, a photographer for the Los Angeles Times, were graphic: a man cradling a child with a bloodied forehead. A woman who appeared to be unconscious lying in the road a few feet away, blood streaming down her cheek.
A group of Afghan leaders are trying to rally a force to resist the Taliban from the same strategic valley that two decades ago held out against the militants — and provided American spies and special forces operators a launchpad for the invasion that drove the Taliban from power in the months after the Sept. 11, 2001, attacks.
Yet the parallels with that earlier fight in a pocket north of Kabul known as the Panjshir Valley, however intriguing, are limited, and even Afghans sympathetic to the effort expressed deep doubts about its prospects.
Unlike 20 years ago, the resistance leaders do not control the territory they would need to open a supply line through Afghanistan’s northern borders, nor do they appear to have any significant international support.
How many men and how well supplied they are material is also an open question. Former Afghan officials put the number of fighters holed up in Panjshir between 2,000 and 2,500, and they are said to have little beyond assault weapons.
And the leaders, while well-established Afghan political and military figures, lack the charisma and military prowess of the man who led the old Northern Alliance that resisted the Taliban in the 1990s, Ahmad Shah Massoud. He was killed by assassins from Al Qaeda two days before the Sept. 11 attacks, and is now a mythic figure among the ethnic Tajiks who populate northern Afghanistan, and who made up the bulk of those who first fought Taliban rule.
For now, though, the leaders of the movement insist that their goal is to negotiate a peace deal with the Taliban on behalf of the now-defunct Afghan government, said Amrullah Saleh, one of the men organizing the resistance.
Mr. Saleh was Afghanistan’s first vice president until Sunday, when President Ashraf Ghani fled Kabul ahead of the Taliban’s advance into the city, and he is now claiming to be the “caretaker president” under Afghanistan’s U.S.-brokered 2004 Constitution.
“We have lost territory but not legitimacy,” he said in an interview conducted over text message. “I, as caretaker president, upholder of the Constitution, don’t see the Taliban emirate either as legitimate or national.”
Mr. Salehhas been joined in Panjshir by Ahmad Massoud, the son of the assassinated resistance leader, and Gen. Yasin Zia, a former Afghan army chief of staff and deputy defense minister.
Afghanistan will have “peace and stability,” said Mohammad Zahir Aghbar, an Afghan ambassador to Tajikistan aligned with the holdouts in the Panjshir Valley, “if the Taliban who are in Doha and Pakistan agree to a settlement accepting what the world is asking for.”
Mr. Saleh said the group believed “in a genuine peace process, which doesn’t exist at the moment.”
“Should the Taliban be ready for meaningful discussions, we will welcome it,” he said. “If they insist on military conquest, than they better read Afghan history.”
The Panjshir Valley features prominently in that history.
The deep and narrow gorge at the valley’s mouth was tailor-made for obstruction and ambush, and the valley held out not only against the Taliban in the 1990s but also the Soviets in the 1980s. The first Americans to enter Afghanistan in September 2001, a small Central Intelligence Agency team, went to Panjshir to secure the Northern Alliance as allies.
Mr. Saleh said he survived “two attacks and one ambush” by Taliban fighters as he drove to Panjshir on Sunday.
Mr. Saleh, who also previously ran Afghanistan’s spy service, the National Directorate of Security, was cagey about what size force was in Panjshir, saying that he did not want “compromise our military secrets or operational security.”
“But we are on the top of the situation and organizing things,” he said, adding that his team was in touch with other Afghan leaders who fought the Taliban 20 years ago, though he would not name them.
Still, it was far from clear what outside help might arrive or whether Mr. Saleh’s claim to continuity of government under the Afghan Constitution would gain traction.
At least one place has bought in: the Afghan Embassy in Tajikistan. In the carpeted meeting rooms of the building, off a dusty, taxi-clogged street in Dushanbe, Mr. Ghani’s photographs have come down, and Mr. Saleh’s have gone up.
Farnaz Fassihi contributed reporting from New York.
World Health Organization officials warned on Wednesday that the Taliban takeover of Afghanistan was impeding efforts to address the coronavirus pandemic and other dire health crises.
Gauging the spread of the coronavirus in Afghanistan has always been difficult because of a lack of testing. The average daily number of reported new cases peaked in late June at more than 2,000 and has since fallen sharply, according to the Our World in Data project at the University of Oxford. But it is likely that the figures do not reflect the actual spread of the virus.
Afghanistan’s vaccination efforts have struggled since they began in the spring, beset by corruption, limited public health resources and widespread public skepticism. According to Our World in Data, less than 2 percent of Afghanistan’s population has been vaccinated.
“In the midst of a pandemic, we’re extremely concerned by the large displacement of people and increasing cases of diarrhea, malnutrition, high blood pressure, probable cases of Covid-19 and reproductive health complications,” Dr. Tedros Adhanom Ghebreyesus, the director general of the W.H.O., said at a news conference.
He said that W.H.O staff are still in Afghanistan and are “committed to delivering health services to the most vulnerable.”
Many Afghans are vulnerable to diseases like polio, which has been eradicated in most of the world but is still endemic there. Fourteen million Afghans are suffering from hunger, United Nations officials said on Wednesday.
Aid groups are struggling to provide humanitarian assistance inside Afghanistan, as well as to the tens of thousands of refugees a week who are fleeing to neighboring countries.
“The utter desperation for a way out of Afghanistan speaks powerfully to the sense of fear and uncertainty among many Afghans,” said Caroline Van Buren, a representative of the U.N. High Commissioner for Refugees.
Refugee camps, with their crowded and often unsanitary conditions, can become incubators for the virus, though many camps have fared better than experts initially feared they would.
U.N. officials said that their agencies in Afghanistan were in contact with the Taliban in an effort to coordinate aid and immunizations. Ms. Van Buren said the Taliban had so far provided protection for all of the refugee agency’s offices in the country.
At the same time, though, the Taliban have resumed some of the practices common when they held power 20 years ago. Ms. Van Buren said officials had received reports of women being prohibited from going to work, and, in some areas, barred from leaving their homes without being accompanied by a close male relative.
Some U.N. employees are pulling out. Stéphane Dujarric, the spokesman for the United Nations secretary general, said a group was leaving Kabul for Kazakhstan on Wednesday to set up a remote office there for the U.N. Assistance Mission in Afghanistan. Mr. Dujarric declined to specify exactly how many were leaving, though he said the office in Almaty was expected to employ up to 100 people.
The fall of Afghanistan to the Taliban has sent thousands of panicked Afghans scrambling to flee the country, but panic is also being felt in some other quarters: Some European politicians are terrified of another mass movement of Muslim asylum seekers.
An influx of migrants, they fear, may fan the embers of the far-right and populist movements that reshaped European politics after a wave of asylum seekers sought refuge from the wars in Syria and Iraq in 2015.
In Germany, even before the first group of 19 Afghan refugees landed on Wednesday, the line was making the rounds in Chancellor Angela Merkel’s conservative camp: “2015 mustn’t be repeated.”
Armin Laschet, who wants to succeed Ms. Merkel as chancellor after next month’s elections, said it on Monday. A party officialused the same words shortly after. And then a government minister repeated them yet again.
Support for anti-immigrant parties has been falling, along with the number of migrants. But with important elections looming in Germany and France, the line being drawn by European leaders is early and firm.
That means Afghans may be facing a compassion deficit in Europe that may be insurmountable.
It is not just Europe.
Other countries, especially the United States, faces a similar quandary over accepting Afghan asylum seekers.
Almost everywhere, governments have expressed general willingness to accept Afghans who worked alongside American forces or international aid groups. But they are wary of committing to the many thousands more who might seek to leave to avoid life under the Taliban.
For now, the number of migrants over land routes has been relatively low.
“We’re talking about thousands, not hundreds of thousands, who need and deserve our help, people who are on lists because they worked with us,” said Gerald Knaus, the founding chairman of the European Stability Initiative.
Given the overall drop in migration numbers in recent years, he said, it is “a straw man argument” to raise fears of another wave.
Intelligence reports presented to President Biden in the final days before the Taliban takeover of Afghanistan this past week failed to predict the imminence of the Afghan government’s collapse, even after warnings had grown more grim in July, senior intelligence officials acknowledged on Wednesday.
The intelligence agencies had been stepping up their warnings about the deteriorating conditions in Afghanistan throughout the summer. Their reports grew more specific in July, noting how the Taliban had taken control of roads leading to Kabul and how the group had learned lessons from their takeover of the country in the 1990s.
But senior administration officials acknowledged that as the pace of White House meetings on Afghanistan grew more frenzied in August and in the days leading up to the Taliban takeover this weekend, the intelligence agencies did not say the collapse was inevitable.
Over the past year, intelligence agencies shrank their predictions of how quickly the Afghan government would fall, from two years to 18 months to six months to a month, according to current and former officials. But, according to intelligence officials, the warning that its demise was days away never came.
“As the president indicated, this unfolded more quickly than we anticipated, including in the intelligence community,” Avril D. Haines, the director of national intelligence, said in a statement to The New York Times.
Still, senior officials noted, the C.I.A. and other intelligence agencies had throughout the fighting season in Afghanistan identified the risk of a rapid collapse and issued increasingly pessimistic reports about the Afghan government’s survival, particularly as President Ashraf Ghani resisted changing military strategies or creating a more inclusive government.
During the frenzied first 48 hours after the collapse of the Afghan government, the desperate scenes at Kabul’s international airport early this week drew parallels to the fall of Saigon.
Now, even though the airport is under the control of the U.S. military and evacuation flights have been stepped up, tens of thousands of Afghans are still struggling to find a way to escape Taliban rule.
And the American experience in Vietnam is being invoked again — as an illustration of how much more the United States could be doing if it had the political will and international support that followed the American exit from Vietnam.
After the war in Vietnam, a bipartisan consensus and collective sense of moral responsibility helped provide the framework for Operation New Life, which swiftly evacuated 130,000 vulnerable, mainly Vietnamese, people to a makeshift refugee camp on the island of Guam. From there, they were processed and moved to temporary migration centers across the United States.
Over the course of years of sustained efforts, 1.4 million Vietnamese people eventually settled in the country.
Now, the United States is trying to provide safety for a far smaller number, and has struggled in that effort.
Pentagon officials said that the pace of the current flights had quickened after more American troops arrived to secure the Kabul airport, with military planes and a smaller number of commercial flights operating.
“There are important parallels between the aftermath of the Vietnam War and the current situation, with implications for addressing current humanitarian needs,” said Alexander Betts, a professor of forced migration and international affairs at the University of Oxford.
“The parallels should be inspiring,” he said, “and show that with political will and international leadership, large-scale resettlement is possible.”
But he said there was now unlikely to be the same degree of political support for admitting large numbers of refugees.
“The politics of refugee assistance is also very different in the aftermath of Sept. 11, 2001, including public concerns relating to security and refugees from predominantly Muslim countries,” he said.
The United Nations said Wednesday that it was temporarily relocating some of its aid workers from Afghanistan to Kazakhstan to work remotely, but stressed that it intended to maintain a presence in the country.
“The U.N. is committed to stay and deliver in support of the Afghan people in their hour of need,” a spokesman for Secretary General António Guterres said in a statement Wednesday.
The organization said a group of staff members was en route to Almaty, Kazakhstan’s largest city.
“In light of security and other constraints in Kabul and other parts of the country at the moment,” the statement said, “it was decided to move part of the U.N. staff out of the country. Personnel will return to Afghanistan as conditions permit.”
The announcement came as humanitarian groups that also provide badly needed aid to the people of Afghanistan were regrouping. Many indicated that they intended to stay in the country, with the Taliban assuring them that their staff would not be harmed.
“At this point, we have not received any specific threat for any of our offices,” Hassan Noor, Asia regional director for Save the Children, said in a briefing on Wednesday. He said Taliban representatives had met with the charity’s staff and told them they would not face consequences for delivering services.
The organization, which offers health, education and nutrition support to Afghan children, said that its staff members — almost 1,800 people working across 10 provinces — would remain in Afghanistan to try to deliver services, depending on how the situation unfolded, and that many humanitarian organizations had also opted to stay.
But as of Saturday, Save the Children programs, which reached about 1.6 million Afghans in 2020, were temporarily suspended, and Mr. Noor said the group had been working on safeguarding workers, some of whom had already been relocated.
“We are extremely concerned about our staff,” he said, “and that is our top priority at the moment.”
Information about the situation on the ground in Afghanistan remains “very murky,” said Mr. Noor, but even before last week, some three million people had already been reported displaced. About 14 million people were having trouble meeting daily food requirements because of an enduring drought in Afghanistan, and some two million children depended on nutrition services to survive.
The previous Taliban rule in Afghanistan, from 1996 to 2001, was a bleak period for Afghan women, who were barred from working outside the home or leaving the house without a male guardian. The Taliban eliminated schooling for girls and publicly flogged people who violated the group’s morality code.
The question now is whether the Taliban’s interpretation of Islamic law will be as draconian as when the group last held power.
Taliban officials are trying to reassure women that things will be different this time. In a news conference in Kabul on Tuesday, a Taliban spokesman said that women would be allowed to work and study. Another Taliban official said that women should participate in government.
“We assure that there will be no violence against women,” the spokesman, Zabihullah Mujahid, said. “No prejudice against women will be allowed, but the Islamic values are our framework.” Pressed for details, he said only that women could participate in society “within the bounds of Islamic law.”
But there are scattered signs that, at least in some areas, the Taliban have begun to reimpose the old order.
Women in some provinces have been told not to leave home without a male relative escorting them. In Herat, in western Afghanistan, Taliban gunmen guarded the university’s gates and prevented female students and instructors from entering the campus on Tuesday, witnesses said.
In the southern city of Kandahar, women’s health care clinics were shut down, a resident said. In some districts, girls’ schools have been closed since the Taliban seized control of them in November.
Women there said they were starting to wear the head-to-toe burqa in the street, partly in fear and partly in anticipation of restrictions ordered by the Taliban.
At Kabul University, in the capital, female students were told they were not allowed to leave their dorm rooms unless accompanied by a male guardian. Two students said they were effectively trapped because they had no male relatives in the city.
In Mazar-i-Sharif, in northern Afghanistan, Aliya Kazimy, a 27-year-old university professor, said that women shopping alone in the city’s bazaar had been turned away and told to return with male guardians.
“I am from the generation that had a lot of opportunities after the fall of the Taliban 20 years ago,” she said in a text message. “I was able to achieve my goals of studying, and for a year I’ve been a university professor, and now my future is dark and uncertain. All these years of working hard and dreaming were for nothing. And the little girls who are just starting out, what future awaits them?”
For China’s leaders, the chaotic scenes unfolding in Afghanistan have served as stinging vindication of their hostility to American might. But any smugness in Beijing could be premature.
China is now left scrambling to judge how the American defeat could reshape the contest between the world’s two great powers. While the Taliban’s rout has weakened American prestige and its influence on China’s western frontier, it could also create new geopolitical dangers and security risks.
Officials in Beijing worry that extremists could use Afghanistan to regroup on China’s flank and sow violence around the region, even as the Taliban look to deep-pocketed countries like China for aid and investment. The American military withdrawal could also allow the United States to direct its planning and matériel toward countering Chinese power across Asia.
“There should be anxiety rather than glee in Beijing,” said John Delury, a professor of Chinese studies at Yonsei University in Seoul. “Ending the military presence in Afghanistan frees up resources and attention to focus on the long-term rivalry with China.”
In less polarized times, Dr. Shi was a symbol of China’s scientific progress,at the forefront of research into emerging viruses.
She led expeditions into caves to collect samples from bats and guano, to learn how viruses jump from animals to humans. In 2019, she was among 109 scientists elected to the American Academy of Microbiology for her contributions to the field.
“She’s a stellar scientist — extremely careful, with a rigorous work ethic,” said Dr. Robert C. Gallo, director of the Institute of Human Virology at the University of Maryland School of Medicine.
The Wuhan Institute of Virology employs nearly 300 people and is home to one of only two Chinese labs that have been given the highest security designation, Biosafety Level 4. Dr. Shi leads the institute’s work on emerging infectious diseases, and over the years, her group has collected over 10,000 bat samples from around China.
Under China’s centralized approach to scientific research, the institute answers to the Communist Party, which wants scientists to serve national goals.“Science has no borders, but scientists have a motherland,” Xi Jinping, the country’s leader, said in a speech to scientists last year.
Dr. Shi herself, though, does not belong to the Communist Party, according to official Chinese media reports, which is unusual for state employees of her status. She built her career at the institute, starting as a research assistant in 1990 and working her way up the ranks.
Dr. Shi, 57, obtained her Ph.D. from the University of Montpellier in France in 2000 and started studying bats in 2004 after the outbreak of severe acute respiratory syndrome, or SARS, which killed more than 700 people around the world. In 2011,she made a breakthrough when she found bats in a cave in southwestern China that carried coronaviruses that were similar to the virus that causes SARS.
Leaders of France and Germany voiced support on Monday for making the World Health Organization more independent and building up its ability to respond to global health crises.
President Emmanuel Macron of France and Chancellor Angela Merkel of Germany spoke at the opening of the weeklong annual policymaking assembly for the global public health body. Its 194 member states are scheduled to discuss how the W.H.O. coped with the coronavirus pandemic and how global health institutions need to be strengthened to prepare for the next challenge.
The European Union has drafted a proposal to give the W.H.O. powers to rapidly and independently investigate disease outbreaks, bypassing the kind of delays the organization faced from China in trying to investigating the coronavirus outbreak. But the proposal has run into strong resistance from a number of states, including China and Russia.
“We have to have institutions that are up to the task,” Mr. Macron told the opening session of the assembly in a video statement. He urged member states to increase the organization’s budget and reduce its dependence on a few big donor states.
“This organization has to be robust in times of crisis, it has to be flexible enough to react to emergencies, and it has be solid when it comes to controversies,” as well as free of political pressure, he said.
Ms. Merkel called for establishing a global health threat council that would monitor states’ compliance with international health regulations, and she urged states to support an international treaty on how to tackle future global pandemics.
The W.H.O. should continue to play a leading role in global health care, Ms. Merkel said. “If it is to do so, however, we must provide it with lasting financial and personal support,” she said. “We have been talking about this for years, but now it is all the more important to act,” she said.
Tedros Adhanom Ghebreyesus, the W.H.O. chief, warned that vaccine nationalism and “scandalous inequity” in the distribution of coronavirus vaccines was perpetuating the pandemic. He called for action to vaccinate at least 10 percent of the population of every country by September.
Meeting that target would require states to vaccinate 250 million people in low- and middle-income countries in the next four months, he noted. “We need hundreds of millions more doses,” he said, “and we need them to start moving in early June.”
The vaccination woes of some of the world’s poorest nations will continue as the Serum Institute of India, a crucial manufacturing pillar in the plan to supply two billion doses of Covid-19 vaccines to low-income countries, signaled that it would not be able to provide vaccines beyond India before the year’s end.
The revelation, tucked into a statement by the vaccine manufacturing giant that attempted to deflect mounting criticism, was another setback for Covax, the global vaccine partnership for the poor. It is already more than 140 million doses behind schedule, and the Serum Institute’s announcement suggested it was all but impossible to meet the goal of two billion doses by the end of the year.
The announcement once again underscored the glaring contrast of inequality: As some of the richer nations tout levels of vaccinations that allows them to reopen their society, most of the poorer nations have barely gotten a start.
“We continue to scale up manufacturing and prioritize India,” the Serum institute of India said in the statement on Tuesday. “We also hope to start delivering to Covax and other countries by the end of this year.”
Oxford-AstraZeneca vaccine, licensed to it with the commitment that a large share would go to poor nations.
As part of its plan to have two billion doses by the end of the year, Covax has been counting on hundreds of millions of the Oxford-AstraZeneca vaccine produced by Serum Institute, as well hundreds of millions of as a second vaccine called Novavax that the company is developing.
After India’s devastating second wave of coronavirus infections, the institute diverted all its manufacturing powers to domestic needs, falling behind on commitments to the Covax partnership as well as on bilateral commercial deals with many countries. The institute played down each delay as temporary. But Tuesday’s statement makes clear it is unlikely to meet commitments before the end of the year.
So far, the Covax alliance has supplied only 65 million vaccines, spread across 124 countries, according to the World Health Organization. The W.H.O. said the global alliance was already 140 million doses behind and likely to miss another 50 million doses in June.
“Once the devastating outbreak in India recedes, we also need the Serum Institute of India to get back on track and catch up on its delivery commitments to Covax,” said Dr. Tedros Adhanom Ghebreyesus, the chief of W.H.O.
the government’s mismanagement of the crisis.
India has administered about 180 million doses of vaccines. Only about 5 percent of the country’s adult population. The vaccination rate has fallen to about 1.8 million doses a day, which means it would take the country more than three years to vaccinate 80 percent of its population.
WASHINGTON — President Biden, heeding widespread calls to step up his response to the pandemic’s surge abroad, said on Monday that his administration would send 20 million doses of federally authorized coronavirus vaccine overseas in June — the first time he has pledged to give away doses that could be used in the United States.
The donation is another step toward what Mr. Biden promised would be an “entirely new effort” to increase vaccine supplies and vastly expand manufacturing capacity, most of it in the United States. He also put Jeffrey Zients, the White House coronavirus response coordinator, in charge of developing a global strategy.
“We know America will never be fully safe until the pandemic that’s raging globally is under control,” Mr. Biden said in a brief appearance at the White House. “No ocean’s wide enough, no wall’s high enough, to keep us safe.”
With new cases and deaths plummeting as vaccination rates rise in the United States, the epicenter of the crisis has moved to India and other nations. A growing and bipartisan chorus of diplomats, health experts and business leaders has been pushing the president to do more to end what the AIDS activist Asia Russell calls “vaccine apartheid.”
There is a huge disconnect growing where, in some countries with the highest vaccination rates, there appears to be a mind-set that the pandemic is over, while others are experiencing huge waves of infection,” Dr. Tedros said.
Variants like B.1.617, first discovered in India and recently designated a variant of concern by the W.H.O., are contributing to the spread of infections and worry many researchers.
Dr. Tedros called for well-supplied nations to send more of their vaccine allocations to harder-hit countries, and for vaccine developers and manufacturers to hasten delivery of hundreds of millions of doses to Covax, an international initiative dedicated to equitable distribution of the vaccine, noting an appeal by Henrietta Fore, UNICEF’s executive director.
Mr. Biden took office vowing to restore the United States as a leader in global public health, and he has taken certain steps to do so: rejoining the World Health Organization, pledging $4 billion to an international vaccine effort and providing financial support to help Biological E, a vaccine manufacturer in India, produce at least one billion doses of coronavirus vaccines by the end of 2022.
To broaden supply further, Mr. Biden recently announced he would support waiving intellectual property protections for coronavirus vaccines. But activists say simply supporting the waiver is not enough; Mr. Biden must create the conditions for pharmaceutical companies to transfer their intellectual property to vaccine makers overseas, they argue. They view his efforts as piecemeal.
“We’re after 100 days into the administration, and what Biden should be delivering is a global battle plan against vaccine apartheid, and the announcement today is lines on a Post-it note,” Ms. Russell said, adding, “There must be a global strategy led by the U.S. that’s based on technology transfer, on forcing pharma to come to the table to share the recipe.”
assert that a fix is already at hand as they aggressively expand production lines and contract with counterparts around the world to yield billions of additional doses.
An open letter to the president, made public last week by a bipartisan group including business leaders, diplomats and a former defense secretary, argued that such a waiver “would make little difference and could do harm.”
While global health activists are strongly in favor of the waiver, some said they welcomed the views of the business community. They see clear parallels to their work fighting the global AIDS epidemic.
“It shows an unprecedented willingness of pharma and its allies in the private sector to admit what all of us having been saying for months — the private sector alone cannot and will not ensure global vaccine access,” James Krellenstein, a founder of PrEP4All, a nonprofit aimed at ensuring universal access to H.I.V. prevention and treatment, wrote in an email on Sunday. “It really shifts the burden to the Biden administration,” he added.
The organizer of the open letter, Hank Greenberg, the chairman of Starr Companies and former chairman of American International Group, the insurance industry giant, said in an interview on Monday that Mr. Biden’s announcement did not go far enough.
Mr. Greenberg, 96, a veteran of World War II, said he was inspired to write after a former chief executive of an A.I.G. subsidiary who later became the ambassador from the Philippines to the United States told him he was not able to get vaccinated. Like Mr. Biden, he used language that evoked the war effort.