stopped accepting claims because of lack of funding, forcing the health center to halt its mobile clinics.

“I’m concerned about what’s next, because when I shut it down and all these people go find other jobs and the next variant comes along, will I be ready?” said Robert Spencer, chief executive of Kintegra Health.

In many states, services that local and state governments administered are shifting to traditional health care providers.

By mid-April, pharmacies and health care providers will deliver all vaccines in Vermont as the state government winds down its vaccine sites. Demand for vaccines from the state-run sites has plummeted by 77 percent in the last 30 days. The only providers that reported a modest uptick in vaccinations were primary-care offices.

“The reintegration back into the health care system of vaccination is really the path forward,” said Dr. Mark Levine, commissioner of the state’s Department of Health. “People aren’t going to those other sites; they’re showing drop-off. And they’re going to the health care system, where they belong and where immunization has always occurred.”

In Vermont, the state has also transitioned its state-run testing sites primarily into distribution centers for rapid at-home tests, rather than PCR tests. That means that the state has a blurrier picture of the number of Covid cases, but Dr. Levine said state health officials had already moved away from focusing on case counts, relying instead on wastewater surveillance and genome sequencing to keep track of the virus.

The state still posts a report of new daily Covid cases five days a week on its website but is planning to soon follow the lead of many other states in posting a weekly report instead.

Many states have switched to weekly from daily reporting of new cases on public dashboards. Officials say it is time-intensive to publicly update data every day and that daily variation in the data makes it less meaningful than weekly reports. Instead, some are releasing it on public dashboards only once a week, in keeping with reports on other ailments, like the flu.

In Chicago, Dr. Arwady said the city was still trying to vaccinate every Chicagoan — keeping its at-home vaccine option open four days a week instead of seven, telephoning residents who are eligible for boosters and tracing contacts in high-risk settings such as prisons and nursing homes.

Even at a time when Covid infections are low, she worries that cuts in federal funding could be detrimental in the long run and threaten the country’s ability to face future surges of the pandemic.

“I am concerned about this idea that ‘Covid’s over, we can stop funding public health,’” she said. “That will put us right back where we were.”

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