Tag Archives: CDC

Moderna files for U.S. authorization to use its COVID-19 vaccine in teens

(Reuters) – Moderna Inc said on Thursday it has filed for U.S. authorization to use its COVID-19 vaccine in adolescents aged 12 through 17, potentially offering healthcare providers and pediatricians an easier-to-store shot ahead of the return-to-school season in the fall.

The company is the second drugmaker to seek regulatory nod for use of its vaccine in the age group, as the U.S. tries to vaccinate more young people.

Vaccinating children has been considered key to achieving “herd immunity” and while they mostly develop only mild COVID-19 symptoms or no symptoms, younger people still remain at risk of becoming seriously ill, and can spread the virus.

Moderna’s vaccine is already being used in the United States, the European Union and Canada for anyone over 18. The drugmaker said it has also submitted applications to European and Canadian regulators seeking authorization for the shot’s use in adolescents.

Last month, Moderna’s two-shot vaccine was shown to be effective in adolescents aged 12-17 and showed no new or major safety problems in a clinical trial which evaluated the vaccine in 3,732 teenagers.

The U.S. has already authorized Pfizer Inc and German partner BioNTech SE’s COVID-19 vaccine for use in children as young as 12.

More than 7 million teens have received at least one dose of the vaccine in the United States, according to the U.S. Centers for Disease Control and Prevention.

(Reporting by Manojna Maddipatla and Ankur Banerjee in Bengaluru; Editing by Bernard Orr and Shounak Dasgupta)

U.S. CDC eases travel recommendations on 110 countries, territories including Japan

By David Shepardson

WASHINGTON (Reuters) -The U.S. Centers for Disease Control and Prevention (CDC) has eased travel recommendations for more than 110 countries and territories, including Japan just ahead of the Olympics.

The CDC’s new ratings were first reported by Reuters and posted on a CDC website on Monday, include 61 nations that were lowered from its highest “Level 4” rating that discouraged all travel to recommending travel for fully vaccinated individuals, the agency confirmed on Tuesday.

Another 50 countries and territories have been lowered to “Level 2” or “Level 1,” a CDC spokeswoman said. Countries ranked lowest for COVID-19 risks now include Singapore, Israel, South Korea, Iceland, Belize and Albania.

Among those now listed at “Level 3,” are France, Ecuador, Philippines, South Africa, Canada, Mexico, Russia, Spain, Switzerland, Turkey, Ukraine, Honduras, Hungary, and Italy.

A U.S. State Department official said it was in the process of revising its travel advisory to reflect the CDC changes.

As of early Tuesday, the State Department had lowered its ratings on more than 90 countries and territories, including for Japan.

On May 24, the State Department had urged against travel to Japan, citing a new wave of coronavirus cases before the Tokyo Olympics are set to begin July 23.

The State Department warning raised concerns and prompted the White House to reaffirm its support for Tokyo’s plan to hold the Games this summer and for U.S. athletes competing there despite a new wave of infections and low vaccination rate in the host country.

Foreign spectators have been banned, and organizers are expected to make a decision late this month on domestic spectators.

The CDC said the change comes after it revised its criteria for travel health notices. The CDC said it has also revised its rating for the United States to “Level 3” from “Level 4.”

The agency said the new criteria for a Level 4 “avoid all travel” recommendation has changed from 100 COVID-19 cases per 100,000 to 500 cases per 100,000.

The agency added that many countries have lower ratings “because of the criteria changes or because their outbreaks are better controlled.” The CDC said it expects more countries to get lower, more favorable travel ratings.

Other countries being lowered to “Level 3” include Honduras, Indonesia, Jordan, Libya, Panama, Poland, Denmark and Malaysia.

Many of the countries that now have lower ratings remain on the U.S. government’s list of countries subject to severe travel restrictions – and most have been subject to the restrictions since early 2020.

The United States bars nearly all non-U.S. citizens who have within the previous 14 days been to China, the United Kingdom, Ireland, India, South Africa, Brazil, Iran and the 26 Schengen nations in Europe without border controls.

Asked why the United States is maintaining the warnings even though some countries now have low infection rates subject to the restrictions, while others with high rates are exempt, CDC Director Rochelle Wallensky said on Tuesday the issue is subject to “an interagency conversation, and we are looking at the data in real time as to how we should move forward with that.”

The United States also has been in discussions with Canada and Mexico – both of which had recommendations eased on Tuesday – on how to eventually lift or revise restrictions at U.S. land borders that bar non-essential travel.

(Reporting by David Shepardson; Editing by Aurora Ellis and Bill Berkrot)

J&J vaccine drive stalls out in U.S after safety pause

By Michael Erman

NEW YORK (Reuters) – Safety concerns about Johnson & Johnson’s COVID-19 vaccine along with overall flagging demand for vaccinations have slowed its U.S. rollout to a crawl, leaving close to half of the 21 million doses produced for the United States sitting unused.

J&J’s vaccine was supposed to be an important tool for reaching rural areas and vaccine hesitant Americans because it requires only one shot and has less stringent storage requirements than the two-dose vaccines from Pfizer Inc/BioNTech SE and Moderna Inc.

But Americans have largely eschewed it over the six weeks it has been back in use after a pause to study a rare safety issue, according to data from the U.S. Center for Disease Control and Prevention (CDC) and interviews with health officials and pharmacists in eight states across the country.

“We went from having a waiting list to give somebody a shot to having maybe one shot a day or four shots a day,” Michelle Vargas, owner of independent Lamar Family Pharmacy in Lamar, South Carolina, said of plunging demand for the J&J shot in the small rural community. “They’re concerned for their safety. I think that’s the biggest hurdle right now.”

In the week ended May 25, fewer than 650,000 Americans received the J&J shot, accounting for about 5% of total vaccinations administered and down from nearly 3 million in the week leading up to the pause, CDC data shows.

Demand for all the vaccines has slowed since mid-April, but the drop has been significantly steeper for the J&J shot.

The slowdown may mean some J&J doses will expire unused at a time when global demand for any COVID-19 vaccine is high. J&J doses will be among the 25 million donated by the United States announced by the White House last Thursday.

At least 13 lots of the vaccine have expiration dates of June 27 or earlier, according to a J&J website. It is not clear how many doses that reflects, but the vaccine has a 3-month shelf life and most doses were sent out by early April, including 11 million in the first week. J&J has another 100 million doses on hand but shipment timing is uncertain.

A J&J spokesperson declined to comment on the number of doses expiring before the end of June.

J&J is working with the U.S. government and health authorities to support use of its vaccine, the spokesperson said in a statement, calling it an important tool in the global fight against COVID-19.

“We remain committed to helping end this deadly pandemic as quickly as possible,” J&J said.

‘LET’S JUST STICK WITH PFIZER AND MODERNA’

The CDC and Food and Drug Administration paused use of the J&J vaccine for nearly two weeks in mid-April to investigate links to cases of a very rare, potentially life-threatening condition called thrombosis with thrombocytopenia syndrome (TTS), which involves blood clots and low platelet counts.

Regulators decided that the vaccine’s benefits outweigh the risk. The condition has also been linked to AstraZeneca’s COVID-19 vaccine.

David Kohll, pharmacist at Kohll’s Pharmacy with six locations in Nebraska, said before the safety issue, several companies arranged for him to provide J&J vaccines to employees.

“Some of them are trucking companies and some others with more blue-collar or hard-to-get-to employees. They wanted us to go with all J&J,” Kohll said. After the safety pause, “probably 80 percent of them said ‘Let’s just stick with Pfizer and Moderna.'”

Public health officials said during the pause they found the Pfizer and Moderna vaccines were adequate substitutes in the mobile and walk-up clinics where they had been using J&J.

“Once we get them in for the first dose, we’ve got them and they will come back for the second dose,” said Dr. Karen Landers, a public health official in Alabama.

Use of J&J’s shot has fallen in states like Wyoming and Alabama with low vaccine uptake and in places like Maine and Oregon, where vaccination rates are high, according to state and CDC data.

Not everyone has seen a sharp drop-off in demand for the J&J vaccine. Richard Stryker, who runs the Bayshore Pharmacy in Atlantic Highlands, N.J., said he has seen plenty of interest, particularly from seniors who are at lower risk for the clotting issue and prefer the single injection.

J&J has said it is not currently selling the vaccine for a profit. The lower demand this year is immaterial to its financials, SVB Leerink analyst Danielle Antalffy said at the time of the safety pause.

But competitors Pfizer, BioNTech and Moderna could benefit as developed countries sign future deals for booster shots. Pfizer and BioNTech’s EU deal alone could be worth at least $16 billion – as much as double that if all options are exercised – for the companies through 2023, based on current prices.

Rollout of the J&J shot has had other stumbles as well. Regulators shut down production at the largest U.S. plant making the vaccine due to cross-contamination at the site with the AstraZeneca shot. No new doses have been distributed in the United States since mid-May.

U.S. regulators are deciding whether it is safe to release up to 100 million doses of J&J’s vaccine produced at that plant. The dwindling U.S. demand could provide additional flexibility to donate millions of doses.

(Reporting by Michael Erman; Editing by Caroline Humer and Bill Berkrot)

U.S. CDC director urges teens to get vaccinated after hospitalizations rise

(Reuters) – The U.S. Centers for Disease Control and Prevention director urged teenagers to get vaccinated, as new data from the agency’s researchers showed one in three teenagers who were hospitalized due to COVID-19 early this year needed ICU admission.

“I am deeply concerned by the numbers of hospitalized adolescents and saddened to see the number of adolescents who required treatment in intensive care units or mechanical ventilation,” CDC Director Rochelle Walensky said in a statement on Friday.

The rate of hospitalization due to COVID-19 increased among adolescents aged 12 to 17 in April to 1.3 per 100,000 people from a lower rate in mid-March, the CDC said in its Morbidity and Mortality Weekly Report (MMWR).

Among 204 adolescents, who were hospitalized mainly for COVID-19 between Jan. 1 and March 31, 31.4% were admitted to an intensive care unit and about 5% required mechanical ventilation, the agency said.

“Much of this suffering can be prevented,” Walensky said.

The CDC’s latest data was based on a surveillance system of laboratory-confirmed COVID-19–associated hospitalizations in 99 counties across 14 states, covering approximately 10% of the U.S. population.

The data adds to previous information showing that hospitalizations due to severe COVID-19 occur in all age groups even though they occur more often in older adults. The CDC released the data as part of the United States’ push to vaccinate teenagers with Pfizer Inc and German partner BioNTech SE’s vaccine.

The shot was authorized for use in 12 to 15 year old’s in May. Nearly 50% of the U.S. population, 12 years and older, has been fully vaccinated, according to the agency’s data.

The increased hospital admission rates in teens may be related partly to the circulation of more infectious variants of the coronavirus and a large number of children returning to schools, the agency said.

(Reporting by Manojna Maddipatla in Bengaluru; editing by Caroline Humer and Amy Caren Daniel)

U.S. health agency eases masking guidance for summer camps where all are vaccinated

By David Shepardson and Carl O’Donnell

(Reuters) – The top U.S. health agency on Friday relaxed guidance for mask-wearing at summer camps, saying that camps do not need to require children to wear masks or physically distance if all participants have been fully vaccinated.

The new guidance from the U.S. Centers for Disease Control and Prevention settles a question that has been top of mind for the parents of tens of millions of children who attend camp each summer in the United States.

“We think the possibility of having a camp setting where everyone is fully vaccinated will be a reality by mid- to late-summer,” said Commander Erin Sauber-Schatz, a team lead at the CDC, in an interview with Reuters.

The CDC also updated guidance for unvaccinated camp attendees on wearing masks outdoors. Camps should no longer require masking outdoors in most circumstances for vaccinated or unvaccinated children, according to the new guidance.

The CDC previously required camp programs to mandate use of masks and physical distancing even for fully vaccinated teachers, staff and children. The agency has been under sharp criticism recently for being overly cautious in its masking guidelines.

The CDC still recommends that summer camps where everyone is not fully vaccinated require masks indoors and in crowded outdoor spaces. It also recommends that they employ other standard COVID-19 prevention strategies, including physical distancing, testing, and limiting attendees contact to a fixed cohort of other campers.

The more stringent recommendations apply to all summer camps that host children under 12 years old. U.S. regulators have not yet authorized a COVID-19 vaccine for that younger age group.

The CDC does not offer specific guidance for how camps should determine which attendees are fully vaccinated, Sauber-Schatz said. The agency expects that camps will work with state and local public health officials to develop those procedures, she added.

Sauber-Schatz said breakthrough cases among fully vaccinated camp participants are highly unlikely.

“Based on the evidence of the effectiveness of the vaccine, we are very comfortable with the recommendations we have made,” she said.

The agency’s latest guideline revision comes after the recent authorization and rollout of Pfizer/BioNTech, vaccine for 12-15 year old’s.

The vaccine was authorized for the younger age group earlier in May and the country has since vaccinated nearly 59% of Americans over the age of 12, according to latest data from the CDC.

Earlier this month, it said fully vaccinated people do not need to wear masks outdoors and can avoid wearing them indoors in most places but stuck to more conservative guidelines for schools as children below 12 will not get their shots yet.

The agency previously recommended all children and staff should wear makers at all times except when eating, drinking or swimming.

Speaking on the CDC’s annual budget before a House subcommittee, Director Rochelle Walensky said changing guidance quickly as more information becomes available has been a challenge.

“This is complex. And as we change things, things that we knew a year ago are different now because we have much more information and they continue to evolve,” she said.

She added that it is better for children to be outside than inside. “My own kids were home from camp last summer, and I want camps to be open this summer.”

(Reporting by David Shepherdson in Washington and Carl O’Donnell in New York; additional reporting by Manojna Maddipatla in Bengaluru; Editing by Alistair Bell)

COVID-19 mask mandates latest flashpoint for U.S. schools

By Sharon Bernstein and Colleen Jenkins

(Reuters) – Two days after the school board in Johnston, Iowa, decided last week to keep requiring mask wearing in schools to prevent coronavirus transmission, the state’s Republican governor signed a law that immediately prohibited such mandates.

The reaction in Johnston was swift and sharply divided, with some parents applauding the move to make masks optional for the waning days of the school year and others calling it dangerous given the continued threat from COVID-19.

“I just find it super disappointing and selfish,” said local parent Sara Parris, who is still sending her two sons to class with face coverings.

The debate over masks in schools is yet another flashpoint for U.S. educators grappling with how to keep students and staff safe during the pandemic. Friction around returning to in-person learning has given way to heated disagreements over whether masks should be shed for good.

Iowa and Texas have banned school districts from requiring kids to wear masks on campus. Similar moves are under consideration in other states and local jurisdictions, spurred in part by the U.S. Centers for Disease Control and Prevention (CDC) saying on May 13 that vaccinated people no longer needed to wear masks in most situations.

With children under age 12 not yet eligible for vaccinations, however, the CDC recommends face coverings in educational settings at least through the end of the school year. While children are less likely to suffer severe COVID-19, they are not without risk and can readily transmit the virus.

Iowa Governor Kim Reynolds said on Twitter that her state was “putting parents back in control of their child’s education and protecting the rights of all Iowans to make their own health care decisions.”

Responding to the governor via Twitter, Democratic state Senator Sarah Trone Garriott said: “I’m hearing from lots of parents reporting that their children are being bullied for wearing a mask. Are you going to stand up for their personal choice?”

At the Johnston school board meeting last week, most parents spoke in favor of making masks optional, with one mother calling masking requirements for children abusive. Other parents emailed school officials asking for mask mandates to remain in place.

“It’s been difficult to try to find the right balance,” Justin Allen, president of the school board and a parent of two high school students, said in an interview.

“Just when you think you are in kind of a comfort zone and you think you can focus on education for awhile, something else emerges and you have another controversial issue to address.”

CDC STUDY BACKS MASKS

In North Carolina, parents opposed to mandatory face coverings staged a protest in Wake County after Democratic Governor Roy Cooper lifted mask requirements in some situations but not in schools.

“Parents should determine if their child should wear a mask, not school systems or the governor,” parent Nazach Snapp wrote in a letter to the Wake County school board.

Others urged the board to continue its mask requirement.

“Given that vaccines are not available yet for children under 12, I implore you to continue to require students in middle and elementary settings to wear masks,” wrote parent Mimosa Hines.

A study published by the CDC on Friday showed that in elementary schools that required masks, transmission of COVID-19 was lower by 37% than in schools where masks were optional. The study, which included 169 elementary schools in Georgia that were open for in-person instruction, also showed improved ventilation slowed virus transmission.

It advised increasing, not decreasing, the use of masks and ventilation in schools.

The American Federation of Teachers (AFT) and the National Education Association, two unions that represent a total of about 5 million teachers and staff, have urged states to keep their mask requirements at least through the end of this school year.

While nearly 90% of AFT’s members have been vaccinated against COVID-19, many of their students have not.

U.S. regulators earlier this month authorized use of the COVID-19 vaccine from Pfizer Inc and partner BioNTech SE for children ages 12 to 15. It is still being tested for use in younger children.

AFT President Randi Weingarten said Texas and Iowa “jumped the gun” in removing their mask requirements. Politics around masks, along with unclear guidance from the CDC, have left teachers in an awkward position, she said.

“Teachers don’t want to become the mask police,” she said. “It’s time to let us actually teach.”

(Reporting by Sharon Bernstein in Sacramento, California and Colleen Jenkins in Winston-Salem, North Carolina; Editing by Bill Berkrot)

Iowa joins U.S. states forbidding COVID-19 mask mandates in schools

(Reuters) – Iowa joined a handful of other U.S. states on Thursday in passing a law that forbids cities, counties and local school districts from requiring people to wear face masks that protect against the spread of the coronavirus.

Governor Kim Reynolds, a Republican, signed the measure into law just hours after it was approved by the state legislature. Texas and Florida, which also have Republican governors, have passed similar measures.

“The state of Iowa is putting parents back in control of their child’s education and taking greater steps to protect the rights of all Iowans to make their own healthcare decisions,” Reynolds said in a statement.

A week ago, the U.S. Centers for Disease Control and Prevention (CDC) said people vaccinated against COVID-19 no longer need to wear a mask in most settings because the chance of them catching or transmitting the airborne coronavirus is so low. But it still advised face coverings be worn in schools, medical settings and public transit.

The decision by Texas, Florida and Iowa to ignore some of the guidance comes after a year in which many conservative political leaders have cast mask mandates as an erosion of individual liberty rather than a public health issue.

Some Democrat-led states, such as New York and Connecticut, have adopted the CDC advice and said vaccinated people are no longer bound by mask mandates, though unvaccinated people must still wear them if they cannot distance themselves from others. Those states also have not stopped individual businesses from requiring visitors to wear masks.

In his Tuesday executive order, Texas Governor Greg Abbott said schools must scrap any mask requirements by June 4. However, public hospitals and state jails may still impose mask requirements, the order said.

On Wednesday, the Utah legislature passed a bill forbidding public schools and state universities from requiring masks, which now heads to the governor to be signed into law.

(Reporting by Peter Szekely and Jonathan Allen in New York; Editing by Bill Berkrot)

U.S. vaccinated 600,000 12-15 year old’s last week

By Carl O’Donnell

(Reuters) -The United States administered COVID-19 vaccinations to around 600,000 children ages 12 to 15 last week after regulators cleared Pfizer Inc’s and BioNTech’s shots for use in that age group, U.S. Centers for Disease Control and Prevention Director Rochelle Walensky said in a media call on Tuesday.

In total, more than 4 million people under 17 have been vaccinated in the United States so far, she added. Top U.S. infectious disease specialist Anthony Fauci said he expects that by the end of 2021 the United States will have enough safety data to vaccinate children of any age.

U.S. regulators last week authorized Pfizer’s COVID-19 vaccine for use in children as young as 12. Most states began issuing shots to children last Thursday but some, including Georgia, started sooner.

Pfizer’s shot is the first to be cleared in the United States for children 12 to 15. Vaccinating younger ages is considered important for getting children back into schools safely. U.S. President Joe Biden has asked states to make the vaccine available to younger adolescents immediately.

The vaccine has been available under an emergency use authorization to people as young as 16 in the United States since December.

Most children with COVID-19 develop only mild symptoms or no symptoms. Yet children remain at risk of becoming seriously ill, and they can spread the virus.

Widely vaccinating 12- to 18-year old’s could allow U.S. schools and summer camps to relax masking and social distancing measures suggested by the CDC.

Fauci also said on Tuesday that existing COVID-19 shots probably also protect against the new variant of the coronavirus first found in India, which has been battling the world’s biggest jump in COVID-19 infections.

(Reporting by Carl O’Donnell, additional reporting by Jeff Mason; Editing by Chizu Nomiyama and David Gregorio)

New York lifts mask requirements for the vaccinated, California waits

By Jonathan Allen and Barbara Goldberg

NEW YORK (Reuters) -New York state this week will drop face mask requirements in most public spaces for people vaccinated against COVID-19, conforming with the latest U.S. Centers for Disease Control and Prevention guidance, Governor Andrew Cuomo said on Monday.

In California, Governor Gavin Newsom said his state would keep its mask order in place for another month, despite the CDC’s new recommendations.

Cuomo and Newsom, both Democrats, have drawn criticism for their handling of the coronavirus pandemic. Newsom faces a Republican-led recall election.

New Jersey Governor Phil Murphy, also a Democrat, said he would lift mask restrictions outdoors but keep in place a mandate to wear them indoors. Murphy said schools would be required to provide full-time, in-person classroom instruction again in the fall.

On Saturday, the CDC said students in schools across the United States wear masks for the 2020-2021 academic year because not all will be inoculated.

New York will still order public transportation riders to wear face coverings and mandate them in schools and some other communal settings, Cuomo said, adding: “Unvaccinated people should continue to wear a mask.”

Cuomo said New York health officials decided to lift the mask order after reviewing the CDC’s new guidance. Some 52 percent of New York adults have been fully inoculated and 61.8 percent had received at least one shot as of Monday.

Cuomo, speaking to reporters at Radio City Music Hall, said it would be up to each business or venue how they should determine vaccination status

“I’m sure when people are coming into Radio City Music Hall, they are going to ask, ‘I’m sitting next to someone. I don’t know who they are. Are you sure they were vaccinated?'” he said. “That’s why it’s on the operator’s best interest to say ‘Yes! They had a card and they were checked when they walked in the door.'”

The three-term governor said he expected that some New Yorkers might keep wearing masks as a precaution after this week’s rule change.

Cuomo, 63, has resisted calls to resign in the face of probes by the state attorney general and legislature over accusations of sexual harassment, his office’s reporting of nursing home deaths and his use of staff members and resources in the writing of a book on his handling of the pandemic.

(Reporting by Jonathan Allen and Barbara Goldberg in New York and Dan Whitcomb in Los Angeles; editing by Jonathan Oatis and David Gregorio)

U.S. officials hope new mask advice drives uptick in COVID shots

WASHINGTON (Reuters) – With new federal guidance allowing people to ditch their masks in most places, it will be up to individuals to decide how to protect themselves now that vaccines are readily available, top U.S. health officials said on Friday.

“What we’re really doing is empowering individuals to make decisions about their own health,” U.S. Centers for Disease Control and Prevention Director Dr. Rochelle Walensky said. “If you are vaccinated and you’re making the decision to take off your mask … you are safe. If you are unvaccinated, then you’ve made the decision to take that risk.”

She said officials were still encouraging unvaccinated people to get their shots as soon as possible to protect themselves and others against the novel coronavirus that is still circulating even as cases decline.

“People who are unvaccinated should not be taking off their masks,” Walensky told CBS News’ “CBS This Morning” program. In mixed settings where people aren’t wearing masks, “It is the vaccinated people who will be protected.”

Dr. Anthony Fauci, the nation’s top infectious disease official, echoed the idea that looser recommendations should encourage people to get their COVID-19 shots so they can shed their masks.

“Hopefully this will be an incentive for people to get vaccinated,” Fauci, U.S. President Joe Biden’s chief medical officer, told MSNBC in an interview.

The CDC’s official recommendation on Thursday that fully vaccinated people could avoid wearing face masks indoors in most places marked a significant shift toward normalcy for the country, where more than half a million have died in the pandemic over the past year.

There are caveats. The looser mask guidance does not apply to certain situations such as public transportation and prisons. There is also no approved U.S. COVID-19 vaccine for children aged 11 and younger.

Former Food and Drug Administration commissioner and now Pfizer board member Scott Gottlieb told CNBC he backed the new policy given that half the U.S. states had a low case rate of 10 per 100,000 people per day and that vaccination rates were high in many places.

“This is going to provide a pretty strong incentive for a lot of people who were on the fence about getting vaccinated to go out and get vaccinated. I would not be surprised if we see a pretty big bump up in the number of people going out to get vaccinated because now being vaccinated provides more value: you can go around without a mask,” he said.

Many states had already relaxed mask mandates and other restrictions in recent weeks as case loads dropped.

While some retail locations may keep masks as a requirement for another two weeks, masks will likely no longer be required there either as we get into June, Gottlieb said.

(Reporting by Susan Heavey and Caroline Humer; Editing by Howard Goller)