Fauci: Existing Coronavirus Vaccines Provide ‘Some’ Protection Against Omicron Variant

The top U.S. infectious disease expert said Tuesday that vaccinated Americans have “some degree of protection” against the new omicron variant of the coronavirus, but that scientists will not know for a few weeks how vaccines may need to be altered to best fight it.  Dr. Anthony Fauci, President Joe Biden’s top medical adviser, said at a White House coronavirus news briefing that the omicron “mutation profile is very different from other variants” of the coronavirus.  While he said the three existing vaccines used in the U.S. could prevent people who have been inoculated from getting seriously ill from the omicron variant, it “remains uncertain … speculative” whether they will fully work against people getting sick.  “We believe it is too soon to tell about the severity” of the omicron variant, he said. “We should have a much better idea in the next few weeks.”  To date, he said, 226 cases of the omicron variant have been identified in 20 countries across the globe, but none so far in the United States. Health officials, however, say they assume the variant eventually will spread to the United States.  “We are actively looking for the omicron variant in the U.S.,” said Dr. Rochelle Walensky, director of the Centers for Disease Control and Prevention.  Stephane Bancel, chief executive of Moderna, which produces one of the vaccines used in the U.S., predicted in an interview with the Financial Times that existing vaccines would be much less effective in combating the omicron variant than the …

South Africa Teenage Pregnancy Spikes During Pandemic

South Africa’s teenage pregnancy rate has jumped 60% amid the COVID-19 pandemic, an increase affecting the education of many young women and their hopes to escape the cycle of poverty. When schoolgirls in South Africa become pregnant, only one-third return to class — a major factor contributing to socioeconomic disadvantage among youth. Serena, who does not want her real name to be used, was 15 years old when she gave birth to a daughter. “I didn’t know what to do. I was confused. I was scared. I was devastated,” she said. “Sometimes I can’t balance my life, my education, and the baby, but due to the support of my parents, I can do that.” Serena’s experience as a teen mother was made more difficult by her parents’ initial rejection and being ostracized by the local community. Her mother, Rebecca, said, “I was very upset, very upset and too emotional, but all in all, ‘Serena, this is not the end of the world, the main purpose is that you must … go to school, attend school regularly, respect your teachers as you respect your parents at home.’” Eddie Kekana, a primary school principal in Johannesburg, says the education system should put a priority on sex education. “My school is situated in an informal settlement, where there are serious social-economic factors leading to the high rate of teenage pregnancy,” he said. “COVID-19 also exacerbated the situation. We should actually start collaborating, and then take responsibility educating our young people about this particular kind …

1st French Omicron Case on Indian Ocean Island of Reunion

Japan and France confirmed their first cases of the new variant of the coronavirus on Tuesday as countries around the world scrambled to close their doors or find ways to limit its spread while scientists study how damaging it might be. The World Health Organization has warned that the global risk from the omicron variant is “very high” based on early evidence, saying it could lead to surges with “severe consequences.” French authorities on Tuesday confirmed the first case of the omicron variant in the French island territory of Reunion in the Indian Ocean. Patrick Mavingui, a microbiologist at the island’s research clinic for infectious diseases, said the person who has tested positive for the new variant is a 53-year-old man who had traveled to Mozambique and stopped in South Africa before returning to Reunion. The man was placed in quarantine. He has “muscle pain and fatigue,” Mavingui said, according to public television Reunion 1ere. Japan on Tuesday confirmed its first case in a visitor who recently arrived from Namibia, a day after banning all foreign visitors as an emergency precaution against the variant. A government spokesperson said the patient, a man in his 30s, tested positive upon arrival at Narita airport on Sunday and was isolated and is being treated at a hospital. Cambodia barred entry to travelers from 10 African countries, citing the threat from the omicron variant. The move came just two weeks after Cambodia reopened its borders to fully vaccinated travelers on Nov. 15. The new …

New Twitter CEO Steps From Behind the Scenes to High Profile 

Newly named Twitter CEO Parag Agrawal has emerged from behind the scenes to take over one of Silicon Valley’s highest-profile and politically volatile jobs.  But his prior lack of name recognition, coupled with a solid technical background, appears to be what some big company backers were looking for to lead Twitter out of its current morass.  A 37-year-old immigrant from India, Agrawal comes from outside the ranks of celebrity CEOs, which include the man he’s replacing, Jack Dorsey, Facebook’s Mark Zuckerberg or SpaceX and Tesla’s Elon Musk. Those brand-name company founders and leaders have often been in the news — and on Twitter — for exploits beyond the day-to-day running of their companies. Having served as Twitter’s chief technology officer for the past four years, Agrawal’s appointment was seen by Wall Street as a choice of someone who will focus on ushering Twitter into what’s widely seen as the internet’s next era — the metaverse.  Agrawal is a “‘safe’ pick who should be looked upon as favorably by investors,” wrote CFRA Research analyst Angelo Zino, who noted that Twitter shareholder Elliott Management Corp. had pressured Dorsey to step down.  Elliott released a statement Monday saying Agrawal and new board chairman Bret Taylor were the “right leaders for Twitter at this pivotal moment for the company.” Taylor is president and chief operating officer of the business software company Salesforce.  Agrawal joins a growing cadre of Indian American CEOs of large tech companies, including Sundar Pichai of Google parent Alphabet, Microsoft’s Satya …

Twitter Founder and CEO Jack Dorsey Steps Down

Twitter founder and CEO Jack Dorsey is stepping down as the company’s leader.   In a news release, Twitter said Dorsey would be replaced by Parag Agrawal, who has been the company’s chief technology officer since 2017. The move is effective immediately.   “I’ve decided to leave Twitter because I believe the company is ready to move on from its founders. My trust in Parag as Twitter’s CEO is deep. His work over the past 10 years has been transformational. I’m deeply grateful for his skill, heart, and soul. It’s his time to lead,” Dorsey said in a statement. Dorsey made his resignation official in a tweet Monday and attached a letter with an explanation of why he was leaving.   “not sure anyone has heard but, I resigned from Twitter,” he wrote. On Sunday, Dorsey tweeted “I love twitter.” Dorsey, 45, founded the microblogging platform in 2006 and was CEO until 2008 when he was pushed aside only to return to the top spot in 2015.   Last year, Elliott Management, a major stakeholder in the company, wanted Dorsey to choose between being CEO of Twitter or CEO of Square, a digital payment company he founded.   Twitter’s stock rose on the news, but trading of the shares was suspended. Some information in this report came from Reuters. …

WHO Calls for Renewed COVID Prevention Efforts Amid Omicron’s Spread

The World Health Organization says renewed efforts to prevent the spread of the coronavirus is needed as scientists scramble to determine the risks posed by the new omicron variant. Low vaccine rates combined with public fatigue over safety measures are putting more people in Africa at risk. Experts say it’s no surprise a new variant of the coronavirus has been discovered. Fewer than 8 percent of Africans are vaccinated against COVID-19, creating an environment for the illness to spread and mutate. Dr. Mary Stephen is a technical officer for the World Health Organization’s Africa office.  She said in the absence of vaccines, the public needs encouragement to uphold other measures to reduce the spread and save lives. “We cannot be tired; we have to continue to make sure we are complying with wearing of our face masks, keeping our distance away, avoiding unnecessary mass gatherings, ensuring good hand hygiene, so that it’s another layer of protection in addition to the vaccination,” she said. South African scientists detected the omicron variant last week. Research is under way to determine how transmittable it is and its reaction to vaccines. Amid uncertainty, Britain, the United States and European Union reacted by imposing travel bans to southern Africa. Stephen, however, said the variant has already crossed continents and that halting flights to African countries that have long enforced testing for travelers is the wrong response.  “The world should react to them with solidarity. The solution is not about banning travel but our ability to …

Zimbabwe Says It’s Prepared for Omicron Variant

Zimbabwe’s government says the country is very prepared to handle the new COVID-19 variant – omicron – first reported in neighboring South Africa. The World Health Organization says a fourth wave of the pandemic is most likely to hit Africa. Zimbabwe’s Vice President Constantino Chiwenga – who doubles as the country’s health minister – has asked the nation not to be concerned about omicron. “The country should not panic because we are very prepared. The ramping up of our vaccination program in the past month has seen marked increase in the vaccination uptake. That is the prevention which we are going to have for our people if any other variant comes. At least when your body is protected it is much better than when you are found naked,” said the vice president. Zimbabwe has fully inoculated about 2.8 million people since February, when it began its vaccination program to contain the COVID-19 pandemic. The government has a target of vaccinating at least 10 million Zimbabweans — or 60% of the population — by the end of the year, a figure which might be difficult to reach given the scarcity of resources and short time left. Itai Rusike, head of the nonprofit Community Working Group on Health, said Zimbabweans should panic about the new variant – initially named B.1.1.529 – since the country shares porous borders with South Africa and Botswana. “And this new variant is coming at a time when the festive season is upon us. A whole lot of …

New Cases of Omicron Variant in Netherlands, Australia

Dutch health officials said Sunday 13 people who recently arrived in the Netherlands on flights from South Africa have tested positive for the new omicron coronavirus variant.  The passengers were part of the group of 61 who tested positive for the coronavirus following their arrival in Amsterdam on Friday. The announcement came shortly after Australia said two cases of the variant were discovered in passengers who recently arrived in Sydney. Omicron is the fifth WHO-designated variant of concern. It was first detected in recent weeks in South Africa, which has seen an exponential rise in COVID-19 cases. There are about 30 mutations on the virus’ spike protein, and scientists worry that some of them could make the virus easier to transmit. But scientists do not yet know whether omicron is in fact more transmissible or dangerous. Cases of the variant have also been discovered in Israel, Hong Kong and several European countries. Concern over the variant has prompted many countries, including the U.S., Canada, Brazil, and European Union nations, to restrict or ban travel from southern African countries. The South African government has called the travel restrictions “rushed” and raised concerns about the impact on business. The top U.S. infectious diseases expert, Dr. Anthony Fauci, has said he would not be surprised if the omicron variant was already in the United States as well. In South Africa, where the omicron variant was detected, roughly 35% of the adult population is vaccinated. Figures are even lower across much of the African …

Australian Government Vows to Unmask Online Trolls

Australia’s government said Sunday it will introduce legislation to unmask online trolls and hold social media giants like Facebook and Twitter responsible for identifying them. Prime Minister Scott Morrison, whose conservative coalition government faces an election in the first half of 2022, said the law would protect Australians from online abuse and harassment. “The online world should not be a wild west where bots and bigots and trolls and others can just anonymously go around and harm people and hurt people, harass them and bully them and sledge them,” Morrison told reporters. “That is not what can happen in the real world, and there is no case for it to be able to be happening in the digital world.” Attorney General Michaelia Cash said the legislation, reportedly to be introduced to parliament by early 2022, is needed to clarify that the social media platforms, and not the users, were responsible for defamatory comments by other people. Confusion had been sown by a High Court ruling in September that found Australian media, as users managing their own pages on a social network, could be held liable for defamatory third-party comments posted on their pages, Cash said. Under the planned Australian legislation, the social media companies themselves would be responsible for such defamatory content, not the users, she said. It would also aim to stop people making defamatory comments without being identified, she said. “You should not be able to use the cloak of online anonymity to spread your vile, defamatory comments,” …

COVID Variant Spreads to More Countries as World on Alert

The new potentially more contagious omicron variant of the coronavirus popped up in more European countries on Saturday, just days after being identified in South Africa, leaving governments around the world scrambling to stop the spread. The U.K. on Saturday tightened its rules on mask-wearing and on testing of international arrivals after finding two cases. New cases were confirmed Saturday in Germany and Italy, with Belgium, Israel and Hong Kong also reporting that the variant has been found in travelers. In the U.S., Dr. Anthony Fauci, the government’s top infectious diseases expert, said he would not be surprised if the omicron variant was already in the United States, too. “We have not detected it yet, but when you have a virus that is showing this degree of transmissibility … it almost invariably is ultimately going to go essentially all over,” Fauci said on NBC television. Because of fears that the new variant has the potential to be more resistant to the protection offered by vaccines, there are growing concerns around the world that the pandemic and associated lockdown restrictions will persist for far longer than hoped. Nearly two years since the start of the pandemic that has claimed more than 5 million lives around the world, countries are on high alert. Many have already imposed travel restrictions on flights from southern Africa as they seek to buy time to assess whether the omicron variant is more transmissible than the current dominant delta variant. In Britain, Prime Minister Boris Johnson said …

US Praises South Africa’s Quick Detection, Sharing Variant Information

The United States praised South Africa on Saturday for quickly identifying the latest coronavirus variant, omicron, and sharing this information with the world. Secretary of State Antony Blinken spoke with South Africa’s international relations and cooperation minister, Naledi Pandor, and they discussed cooperation on vaccinating people in Africa against COVID-19, the State Department said in a statement. “Secretary Blinken specifically praised South Africa’s scientists for the quick identification of the omicron variant and South Africa’s government for its transparency in sharing this information, which should serve as a model for the world,” the statement said. First detected in South Africa, the omicron variant of the coronavirus that causes COVID-19, was deemed by the World Health Organization a “variant of concern” on Friday. Earlier Saturday, Pandor’s office issued a statement saying that the country is being punished for detecting the new variant as more countries rush to enact travel bans and restrictions. By Saturday, more than a dozen countries had announced temporary travel restrictions on South Africa and other countries in the region after cases were reported in Europe and the Middle East.  …

FDA: Merck COVID pill effective, experts will review safety

Federal health regulators say an experimental COVID-19 pill from Merck is effective against the virus, but they will seek input from outside experts on risks of birth defects and other potential problems during pregnancy. The Food and Drug Administration posted its analysis of the pill ahead of a public meeting next week where academic and other experts will weigh in on its safety and effectiveness. The agency isn’t required to follow the group’s advice. The FDA scientists said their review identified several potential risks, including possible toxicity to developing fetuses and birth defects that were identified in studies of the pill in animals.  Given those risks the FDA will ask its advisers next Tuesday whether the drug should never be given during pregnancy or whether it could be made available in certain cases.   Under that scenario, the FDA said the drug would carry warnings about risks during pregnancy, but doctors would still have the option to prescribe it in certain cases where its benefits could outweigh its risks for patients. Given the safety concerns, FDA said Merck agreed the drug would not be used in children. Other side effects were mild and rare, with about 2% of patients experiencing diarrhea. Regulators also noted that Merck collected far less safety data overall on its drug than was gathered for other COVID-19 therapies. “While the clinical safety data base was small, there were no major safety concerns identified,” FDA reviewers concluded. Additionally, the FDA flagged a concern that Merck’s drug led …

France Says it is Willing to Discuss Autonomy for Guadeloupe

France is willing to discuss autonomy for the French Caribbean territory of Guadeloupe if it is in the interests of the people who live there, government minister Sebastien Lecornu said. Guadeloupe and the nearby French island of Martinique have seen several days of protests against COVID-19 measures that have spilled over into violence. Lecornu, the minister for France’s overseas territories, said in a YouTube video issued late on Friday that certain elected officials in Guadeloupe had raised the question of autonomy, changing its status as an overseas region. “The government is ready to talk about this. There are no bad debates, as long as those debates serve to resolve the real everyday problems of people in Guadeloupe,” he said. That was one of a series of initiatives he said the government in Paris would be taking in Guadeloupe, including improving healthcare, infrastructure projects, and a scheme to create jobs for young people. The French government this week announced that it would be postponing a requirement that public sector workers in Guadeloupe and Martinique get a COVID-19 vaccination. That had sparked protests, fanning long-standing grievances over living standards and the relationship with Paris. In Guadeloupe there is a historic mistrust of the French government’s handling of health crises after many people were exposed to toxic pesticides used in banana plantations in the 1970s.     …

India’s Serum Institute Resumes Vaccine Exports to COVAX Vaccine Sharing Program

The world’s largest vaccine maker, the Serum Institute of India has resumed exports of coronavirus vaccines to COVAX the partnership that is distributing vaccines to developing countries. The resumption of exports comes at a critical time when a new variant found in South Africa is causing concern around the world. India suspended exports of vaccines in March this year following a severe surge in infections during the second wave of the COVID-19 pandemic as it used its stocks to ramp up its domestic inoculation program. The first shipments went out Friday. “This will go a long way in restoring vaccine supply equality in the world,” Serum Institute chief executive Adar Poonawalla said on Twitter. The company said in a press statement that said that it expects the supply of vaccines to COVAX to increase substantially in early 2022. The Serum Institute of India was expected to be one of the main suppliers to the vaccine sharing facility which was created to ensure global equitable access to COVID-19 vaccines after the outbreak of the pandemic. The Serum Institute linked the resumption of exports to surpassing its target of producing 1 billion doses of the AstraZeneca vaccine by the end of this year – it has produced 1.25 billion doses so far. Gavi, the Vaccine Alliance, which leads the COVAX program along with the World Health Organization, called the restart of exports from India an important development “as it enters its busiest period yet for shipping vaccines to participating economies.” The export …

South African Scientists Brace for Wave Propelled by Omicron

As the world grapples with the emergence of the new highly transmissible variant of COVID-19, worried scientists in South Africa — where omicron was first identified — are scrambling to combat its lightning spread across the country. In the space of two weeks, the omicron variant has sent South Africa from a period of low transmission to rapid growth of new confirmed cases. The country’s numbers are still relatively low, with 2,828 new confirmed cases recorded Friday, but omicron’s speed in infecting young South Africans has alarmed health professionals. “We’re seeing a marked change in the demographic profile of patients with COVID-19,” Rudo Mathivha, head of the intensive care unit at Soweto’s Baragwanath Hospital, told an online press briefing. “Young people, in their 20s to just over their late 30s, are coming in with moderate to severe disease, some needing intensive care. About 65% are not vaccinated and most of the rest are only half-vaccinated,” said Mathivha. “I’m worried that as the numbers go up, the public health care facilities will become overwhelmed.” She said urgent preparations are needed to enable public hospitals to cope with a potential large influx of patients needing intensive care. “We know we have a new variant,” said Mathivha. “The worst-case scenario is that it hits us like delta … we need to have critical care beds ready.” What looked like a cluster infection among some university students in Pretoria ballooned into hundreds of new cases and then thousands, first in the capital city and …

World Reacts to New COVID Variant

U.S. President Joe Biden announced the United States will restrict travel from South Africa and seven other African countries, effective Monday. Any non-U.S. citizen who has been in one of the eight nations during the 14 days before coming to the United States will be denied entry. The restrictions do not apply to American citizens and lawful permanent residents; however, they must test negative before traveling, as must all international travelers. Biden made the announcement Friday after consulting with Dr. Anthony Fauci, his chief medical adviser. Besides South Africa, the other countries are Botswana, Zimbabwe, Namibia, Lesotho, Eswatini, Mozambique and Malawi. Biden took the action after the World Health Organization (WHO) designated the new variant, B.1.1.529, a variant of concern and dubbed it omicron. In his announcement, Biden said he had two important messages for the American people: For those fully vaccinated, “get a booster shot as soon as you are eligible.” And “for those not yet fully vaccinated, get vaccinated today.” What is omicron? Omicron is the fifth WHO-designated variant of concern. It was first detected in recent weeks in South Africa, which has seen an exponential rise in COVID-19 cases. There are about 30 mutations on the virus’ spike protein, and scientists worry that some of them could make the virus easier to transmit. But scientists do not yet know whether omicron is in fact more transmissible or dangerous. Worries about the new variant sent financial markets reeling Friday and pushed the price of oil down by $10 …

Tourists Rush to South Africa Airport After Travel Bans Issued

Anxious-looking travelers thronged Johannesburg international airport and stood in long queues on Friday, desperate to squeeze onto the last flights to countries that had just shut their doors to South Africa. Many cut short their holidays, rushing back from safaris and vineyards when Britain announced late Thursday night that all flights from South Africa and its neighbors would be banned the following day. A flurry of nations — including the United States, Canada and several European countries — have followed suit, concerned about the discovery of a new coronavirus variant, renamed omicron, with several mutations fueling an infection resurgence in South Africa. United Kingdom citizen Toby Reid, a 24-year-old trader in London, was camping on Cape Town’s Table Mountain with his girlfriend when the ban was announced. “At about 5:30 a.m., we got up to see if we could catch the sunrise, and at six in the morning, we found out that there was still a possibility to get back,” he told AFP while standing in line for check-in at the Johannesburg airport just hours later. The couple managed to grab the last two seats on an evening flight to Frankfurt, Germany. Others who were not so lucky discussed options at ticket counters, eyes widening at proposed prices and convoluted itineraries. “There should have been more notice,” muttered Christian Good, 50, returning to Devon, England, via Frankfurt with his husband after a beach holiday. By chance, the pair had originally planned to return on that flight, meaning they would arrive …

Fauci: US Must Study Data Before Deciding on Travel Ban Over New COVID Variant

Top U.S. infectious disease official Anthony Fauci said Friday that a ban on flights from southern Africa was a possibility and the United States was rushing to gather data on the new COVID-19 variant.    No decision to halt flights had yet been made, he said. The Wall Street Journal, citing people familiar with the matter, said White House officials were discussing potential travel restrictions on southern African countries. Those officials were expected to meet with agency officials Friday afternoon to make a recommendation, the newspaper said, without specifying which agency.    The White House referred to Fauci’s earlier comments when asked about the report and declined further comment. Global authorities have reacted with alarm to the new variant, detected in South Africa, with the European Union and Britain among those tightening border controls as scientists seek to find out if the mutation is vaccine-resistant.    The World Health Organization (WHO), however, has cautioned against hasty measures and South Africa said a British ban on flights seemed rushed.    “There is always the possibility of doing what the UK has done, namely block travel from South Africa and related countries,” Fauci said in an interview on CNN.    “That’s certainly something you think about and get prepared to do. You’re prepared to do everything you need to protect the American public. But you want to make sure there’s a basis for doing that,” he said.    “Obviously as soon as we find out more information we’ll make a decision as …

New COVID-19 Variant Detected in South Africa

South African scientists are scrambling to determine how quickly a newly discovered variant of the coronavirus can spread and if it is resistant to vaccines.  The new strain has led Britain to reimpose flight bans on six southern African countries, which could deal another heavy blow to their economies.  Coronavirus cases are once again on the rise in South Africa.  Amid the spike, several mutations of a new variant called the B 1.1.529 have been detected in the country, Botswana and Hong Kong.  It has sparked concern it could compete with the previously dominant delta variant and trigger another wave of the pandemic. Dr. Michelle Groome is with South Africa’s National Institute for Communicable Diseases. “There’s the potential that this could be more transmissible and that this, there is potential immune escape, but we don’t know yet,” said Groome. “We are busy conducting some laboratory tests, obviously, we can have a look at how, you know, this new variant reacts both to, you know, serum from people who have been infected previously, as well as vaccinated, which will give us a better idea of the potential immune escape.”   The uncertainty has prompted travel restrictions.  Britain added six African countries to its so-called red list today, requiring quarantine for incoming travelers and temporarily banning flights. The European Union also is looking at halting air travel from southern Africa.  The South African government has called the decisions “rushed” and raised concerns about the impact on business.  The CEO of South Africa’s …

Cases Soar but Swiss Reject Lockdown as COVID Law Vote Looms

Like many others in Europe, Switzerland is facing a steep rise in coronavirus cases. But its federal government, unlike others, hasn’t responded with new restrictive measures. Analysts say it doesn’t want to stir up more opposition to its anti-COVID-19 policies, which face a crucial test at the ballot box this weekend as critics have grown increasingly loud. On Sunday, as part of the country’s regular referendums, Swiss voters will cast ballots about the so-called “COVID-19 law” that has unlocked billions of Swiss francs (dollars) in aid for workers and businesses hit by the pandemic. The law has also imposed the use of a special COVID certificate that lets only people who have been vaccinated, recovered, or tested negative attend public events and gatherings. If the Swiss give a thumbs-up, the government may well ratchet up its anti-COVID efforts. The vote offers a relatively rare bellwether of public opinion specifically on the issue of government policy to fight the coronavirus in Europe, the global epicenter of the pandemic. The continent enjoys relatively high rates of vaccination compared with countries in Africa, Asia and the Middle East, but has been nearly alone in facing a surge in cases in recent weeks. Polls suggest a solid majority of Swiss will approve the measure, which is already in effect and the rejection of which would end the restrictions — as well as the payouts. But in recent weeks, opponents have raised heaps of cash for their campaign and drawn support from abroad, including a …

World Leaders Struggle to Raise Vaccination Rates as COVID-19 Surges

With the Northern Hemisphere heading into winter and COVID-19 cases on the rise across Europe and North America, political leaders from Washington to Brussels are struggling to persuade a pandemic-weary public to get vaccinated against the disease that has killed more than 5 million people and sickened hundreds of millions around the world. In the United States, a high-profile push by President Joe Biden to force all businesses with more than 100 employees to require workers to get vaccinated or submit to regular testing is snarled in court challenges. Across Europe this week, protests, some violent, flared as various governments announced that they would implement stricter measures to combat the disease, including many that limit the ability of unvaccinated people to take an active part in public life. Worldwide, countries have responded to the continued presence of COVID-19, now nearly two years after it was first detected, with a variety of measures, from blanket vaccine mandates for all eligible individuals to more targeted requirements for people at particular risk, like health care workers. Plentiful vaccines, variable uptake According to Johns Hopkins University’s Coronavirus Resource Center, nearly 7.5 billion doses of vaccine have been administered since shots became available. Those doses have not been spread evenly around the world. The bulk of vaccines have been purchased by wealthy countries, like the United States and much of Europe. That would seem to suggest that Europe and North America would be well protected from a winter surge of the virus, but even among …