U.S. Senate Democrats prepare to push through Biden’s $1.9 trillion COVID-19 package

WASHINGTON (Reuters) – Democrats in the U.S. Senate were poised on Thursday to take a first step toward President Joe Biden’s $1.9 trillion COVID-19 relief proposal, in a marathon “vote-a-rama” session aimed at overriding Republican opposition to the package.

Senate Democrats need to pass a budget resolution to unlock a legislative tool called reconciliation, which would allow them to approve Biden’s proposal in the narrowly divided chamber with a simple majority. The House of Representatives approved the budget measure on Wednesday.

Most legislation must get at least 60 votes in the 100-seat Senate to pass. But the chamber is divided 50-50 and Republicans oppose the Democratic president’s proposal. Reconciliation would allow the Senate’s 48 Democrats and two independents to approve the relief package with a tie-breaking vote from Vice President Kamala Harris.

Senate Democrats and the Biden administration have left the door open to Republican participation but have said they want comprehensive legislation to move quickly to address a pandemic that has killed over 450,000 Americans and left millions more jobless.

“Seeing long lines of people waiting to get food around the country is something we should never see in the United States,” U.S. Treasury Secretary Janet Yellen said on ABC News’ “Good Morning America” program.

“This is really an urgent need. And we need to act big. We need to make sure that we provide a bridge so that people aren’t scarred indefinitely by this crisis,” she said.

But the Democrats’ march to add more assistance to last year’s $4 trillion in coronavirus relief could be complicated by the impeachment trial of Republican former President Donald Trump, which is set to begin next week and could distract from the legislation.

Once adopted, the budget resolution would provide spending instructions to House and Senate committees charged with crafting COVID-19 relief legislation.

The reconciliation measure is not a piece of legislation and does not require the president’s signature to take effect. If the Senate passes it without amendments, it will take effect immediately. If any amendments pass, the package would return to the House, which would need to vote on it again.

In show of bipartisanship, Senate Majority Leader Chuck Schumer, a Democrat, this week pledged that consideration of the budget resolution would be open to amendments from both parties in a process known informally as a “vote-a-rama,” which could run to late Thursday night or early Friday.

“We invite participation from both sides of the aisle,” Schumer on Thursday. “But I urge members not to lose sight of what this legislation will mean for the American people.”

Republicans expect to offer up to 20 amendments on issues ranging from energy and federal land use to executive orders.

(Reporting by David Morgan and Susan Heavey; Editing by Scott Malone and Jonathan Oatis)

World faces around 4,000 COVID-19 variants as researchers explore mixed vaccine shots

By Guy Faulconbridge and Alistair Smout

LONDON (Reuters) – The world faces around 4,000 variants of the virus that causes COVID-19, prompting a race to improve vaccines, Britain said on Thursday, as researchers began to explore mixing doses of the Pfizer and AstraZeneca shots.

Thousands of variants have been documented as the virus mutates, including the so-called British, South African and Brazilian variants which appear to spread more swiftly than others.

British Vaccine Deployment Minister Nadhim Zahawi said it was very unlikely that the current vaccines would not work against the new variants.

“Its very unlikely that the current vaccine won’t be effective on the variants whether in Kent or other variants especially when it comes to severe illness and hospitalization,” Zahawi told Sky News.

“All manufacturers, Pfizer-BioNTech, Moderna, Oxford-AstraZeneca and others, are looking at how they can improve their vaccine to make sure that we are ready for any variant – there are about 4,000 variants around the world of COVID now.”

While thousands of variants have arisen as the virus mutates on replication, only a very small minority are likely to be important and to change the virus in an appreciable way, according to the British Medical Journal.

The so called British variant, known as VUI-202012/01, has mutations including a change in the spike protein that viruses use to bind to the human ACE2 receptor – meaning that it is probably easier to catch.

“We have the largest genome sequencing industry – we have about 50% of the world’s genome sequencing industry – and we are keeping a library of all the variants so that we are ready to respond – whether in the autumn or beyond – to any challenge that the virus may present and produce the next vaccine,” Zahawi said.

VACCINE RACE

The novel coronavirus – known as SARS-CoV-2 – has killed 2.268 million people worldwide since it emerged in China in late 2019, according to Johns Hopkins University of Medicine.

Israel is currently far ahead of the rest of the world on vaccinations per head of population, followed by the United Arab Emirates, the United Kingdom, Bahrain, the United States and then Spain, Italy and Germany.

Britain on Thursday launched a trial to assess the immune responses generated if doses of the vaccines from Pfizer and AstraZeneca are combined in a two-shot schedule.

The British researchers behind the trial said data on vaccinating people with the two different types of vaccines could help understanding of whether shots can be rolled out with greater flexibility around the world. Initial data on immune responses is expected to be generated around June.

The trial will examine the immune responses of an initial dose of Pfizer vaccine followed by a booster of AstraZeneca’s, as well as vice versa, with intervals of four and 12 weeks.

Both the mRNA shot developed by Pfizer and BioNtech and the adenovirus viral vector vaccine developed by Oxford University and AstraZeneca are currently being rolled out in Britain, with a 12-week gap between two doses of the same vaccine.

(Reporting by Guy Faulconbridge, Andy Bruce and Alistair Smout, editing by Estelle Shirbon and Nick Macfie)

U.S. community health centers say they have given more vaccines than government data show

By Rebecca Spalding

(Reuters) – Some U.S. community health centers say they are doling out COVID-19 shots far faster than government data suggests, likely accounting for some of a gap between how states and the federal government describe the availability of vaccine doses.

The federal government said only about 60% of nearly 56 million doses of vaccines from Pfizer Inc or Moderna Inc that have shipped have been used. Yet states such as New York have said that their supplies are stretched thin.

Community health centers, which often serve people of color and those with low incomes, are an important piece of the Biden Administration’s plan for equitable COVID-19 vaccine distribution, which also includes pharmacies, mass vaccination sites, and hospitals.

Experts said data reporting issues at community health centers and other small providers likely represent some of the disparity, which has also been attributed to the slower-than-expected rollout pace at hospitals and nursing homes.

St. John’s Well Child and Family Center was allocated thousands of COVID-19 vaccines for their south Los Angeles community health centers. But weeks into their vaccination campaign, California state officials threatened to cut future deliveries for not administering doses fast enough.

The state’s data suggested the center had only given out 700 doses. St. John’s records showed it had administered shots into ten times that many arms.

“They think we’re sitting on thousands and thousands of doses,” St. John’s Chief Executive Jim Mangia said in an interview.

He has since begun working with officials and put 12 staffers on data entry – an expensive proposition for a center losing more than $100 on every shot due to mushrooming administrative costs, he said.

Four community health centers in New York and North Carolina said their experience has been was similar. Staff members spend hours each week entering data to meet state requirements, while juggling running vaccine clinics. Given the priority of protecting people from a deadly disease, keeping up with data entry sometimes fails.

The four centers said state reporting requirements were labor intensive and often involved manual data entry. Three said government registries have indicated they had doses on shelves at times when their supply had run out.

Six states including California, Pennsylvania, and Maryland told Reuters they had identified data reporting lags from some vaccinators. The states said they were working on measures to make their data more accurate.

New U.S. Centers for Disease Control and Prevention Director Rochelle Walensky said at a January White House media briefing that national data reflects a delay between when shots are given and when they are reported to states. She said the agency was working to better understand that delay.

MANY RULES TO FOLLOW

Beth Blauer, an executive director at Johns Hopkins University who has been tracking COVID-19 vaccines, said data is not being released in a way that can explain the “persistent deltas” between doses shipped and those used.

Blauer said an estimated 10% or less of doses distributed have gone to smaller providers, including community health centers. Their data reporting issues could account for only a small part of the gap, she said.

Rebecca Coyle, executive director at American Immunization Registry Association – a group for public health officials who track vaccination data – said it was no surprise community health centers and other small providers, like mom-and-pop pharmacies, would have greater data reporting challenges than large, well-resourced hospitals.

“It’s taking time to get folks up to speed in terms of what is required,” she said.

Roberta Kelly, chief nursing officer of Sun River Health, a community health center network in New York City, Long Island, and New York’s Hudson Valley, said she and other staff spend hours each week manually entering missing data to both the state’s and city’s vaccine registries.

The databases are both cumbersome to use and distinct, meaning much of the same information must be entered twice for shots given at their city locations, Kelly said, adding: “It’s like two different countries.”

A Sun River center in the New York City borough of Staten Island was highlighted at a Jan. 18 news conference by Governor Andrew Cuomo as one of the lowest-performing vaccinators in the city.

Kelly was puzzled by that conclusion. Doses are gone within days even when data suggests otherwise, she said.

Recently for instance, the city’s registry showed they had 250 doses available when in fact those doses had been given out days before.

“The system’s just not caught up with what’s actually happening on the ground,” Kelly said. “We’re following the rules and there are many of them.”

(Reporting by Rebecca Spalding; Editing by Caroline Humer and Bill Berkrot)

German sniffer dogs detect COVID-19 with 94% accuracy

HANOVER, Germany (Reuters) – A German veterinary clinic has trained sniffer dogs to detect the novel coronavirus in human saliva samples with 94% accuracy.

The dogs are conditioned to scent out the “corona odor” that comes from cells in infected people, said Esther Schalke, a vet at Germany’s armed forces school for service dogs.

Filou, a 3-year-old Belgian Shepherd, and Joe Cocker, a 1-year-old Cocker Spaniel, are two of the dogs being trained at Hanover’s University of Veterinary Medicine.

“We did a study where we had dogs sniffing samples from COVID-positive patients and we can say that they have a 94% probability in our study … that they can sniff them out,” said Holger Volk, head of the veterinary clinic.

“So dogs can really sniff out people with infections and without infections, as well as asymptomatic and symptomatic COVID patients,” he added.

Stephan Weil, premier of Lower Saxony, the state of which Hanover is the capital, said he was impressed with the study and called for a feasibility tests before the sniffer dogs are put to use in everyday life, such as on people attending concerts.

“We now need tests in selected events,” Weil said.

In Finland, dogs trained to detect the novel coronavirus began sniffing passenger samples at Finland’s Helsinki-Vantaa airport last September, in a pilot project alongside more usual testing at the airport.

Chile’s Santiago international airport is also using canine detectors.

(Reporting by Leon Malherbe and Fanny Brodersen; Writing by Paul Carrel; Editing by Lisa Shumaker)

‘We’ve lost so many’: Brazil starts vaccinating Amazon river dwellers

By Bruno Kelly

MANACAPURU, Brazil (Reuters) – Health workers sped along the Amazon river this week to start vaccinating riverside communities, bringing hope to a region hard hit by COVID-19 and now facing a lethal surge driven by a new Brazilian variant of coronavirus.

Wearing protective masks and gowns, they traveled by open motorboat from Manacapuru, a town two hours from the jungle city of Manaus, where hospitals ran out of beds and oxygen last month and cemeteries could not dig graves fast enough to deal with Brazil’s highest death rate.

“I am happy you’ve come. We have lost so many old people and young ones too,” said 83-year-old Maria Araujo after receiving a dose of a British vaccine made by India’s Serum Institute.

“This has given us hope that things will change, they will improve,” she said. Brazil is scrambling to get access to more vaccines to fight the world’s most deadly coronavirus outbreak outside the United States. So far, it has vaccinated 2 million people, mostly health workers and elderly Brazilians, with vaccines made by China’s Sinovac Biotech Ltd and AstraZeneca Plc.

More than 9.2 million Brazilians have been infected by the virus and 225,000 have died. In Manaus, the capital of Amazonas state with 2.1 million inhabitants, more than 5,500 have died, or 261 per 100,000, the highest rate in Brazil, according to Health Ministry data.

Researchers say the aggressive surge in Manaus is largely due to a new variant of the virus discovered there, called P1, which has quickly become the dominant variant, leading scientists to believe it is more contagious. Genome sequencing indicates that 91% of new COVID-19 cases in January in Amazonas state involved the new variant, said Felipe Naveca, a virologist at the ILMD/Fiocruz Amazônia biomedical research center. That is up from 51% of cases sequenced in December and none in November.

The variant was first detected early last month on four travelers who arrived in Japan coming from the Amazon. Scientists have not yet determined whether P1, derived from the B.1.1.28 lineage of SARS-CoV-2, is more lethal than earlier variants. Naveca said it clearly spreads faster, although cases also increased due to less social distancing over the holiday season.

(Reporting by Bruno Kelly; Writing by Anthony Boadle; Editing by Brad Haynes and Lisa Shumaker)

Crossing the COVID chasm between Israel and the Palestinian Territories

By Zainah El-Haroun and Adel Abu Nimeh

JERICHO, West Bank (Reuters) – As a Palestinian living in Jerusalem, Ismail Daiq is used to negotiating the dividing lines between communities: the daily commute to his Jordan Valley date farm involves crossing a checkpoint on his way home.

Now the coronavirus pandemic has created another fault line for him to navigate: the stark difference between access to vaccines in Israel and in the Palestinian territories.

Living within the Israeli health system, Daiq, 62, has already received his second COVID-19 vaccination in a country that is a leader in the world’s inoculation drive.

But his Palestinian siblings and 95-year-old mother in Jericho are still awaiting a vaccine rollout that has only just begun under the Palestinian Authority, which exercises limited sovereignty in the Israeli-occupied West Bank.

Daiq is eligible for vaccination because he became a Jerusalem resident two decades ago when he married a woman from the city.

The rest of his family, friends and employees do not qualify, because they only have West Bank identity papers that do not let them pass through the Israeli checkpoints that control entry to the city.

So when the date farmer travels each day into the Palestinian territories, he is uncomfortably aware that while he feels safe, his loved ones are still at risk from the virus.

“I feel guilty, I feel very sad, because I want all my family safe,” Daiq told Reuters.

“When you see that you can get these services, the vaccination, and all of the family, they can’t get this vaccination, you feel that there is a difference between you and your family.”

Although Israel and the Palestinian Authority coordinate on security issues, political relations have foundered. Negotiations last broke down in 2014.

In January, the Palestinian Foreign Ministry accused Israel of ignoring its duties as an occupying power by not including Palestinians in the West Bank and Gaza Strip in their inoculation program.

Israeli officials have said that this is the job of the Palestinian authorities.

“If it is the responsibility of the Israeli health minister to take care of the Palestinians, what exactly is the responsibility of the Palestinian health minister?” Israeli Health Minister Yuli Edelstein told the BBC last month.

While Israel has so far vaccinated a third of its 9 million citizens, the Palestinian Authority received its first batch of 2,000 vaccines – supplied by Israel – on Monday. West Bank health workers received the first shots.

Daiq said he tried to avoid the subject with his family, because his mother kept asking him when she would be inoculated.

His brother Ibrahim, 60, said that he wished good health to “every person on this land” but that there was a sense of unfairness among Palestinians.

“Because of this, my natural rights as a human being, me and the rest of the people living in the West Bank and Gaza, considering we are a country living under occupation, we should also have the right to benefit from this vaccination.”

The West Bank, where 3.1 million Palestinians live, has reported 101,221 coronavirus cases, with 1,271 deaths. Gaza, with a population of two million, has registered more than 51,000 cases with 523 deaths. Israel has reported 663,665 coronavirus cases and 4,888 deaths.

(Reporting by Zainah El-Haroun and Adel Abu Nimeh in Jericho; Additional reporting by Estelle Shirbon in London; Editing by Mike Collett-White)

WHO team probing COVID-19 visits Wuhan lab, meets ‘Bat Woman’

By Martin Quin Pollard and Thomas Peter

WUHAN, China (Reuters) -A team of investigators led by the World Health Organization visited a virus research laboratory in China’s central city of Wuhan and met with a prominent virologist there in its search for clues to the origins of the COVID-19 pandemic.

The experts spent about 3-1/2 hours at the heavily-guarded Wuhan Institute of Virology, which has been at the center of some conspiracy theories that claim a laboratory leak caused the city’s first coronavirus outbreak at the end of 2019.

“Extremely important meeting today with staff at WIV including Dr. Shi Zhengli. Frank, open discussion. Key questions asked & answered,” team member Peter Daszak said on Twitter.

Shi, a well-known virus hunter who has long focused on bat coronaviruses – earning her the nickname “Bat Woman” – was among the first last year to isolate the novel coronavirus that causes COVID-19.

Most scientists, including Shi, reject the hypothesis of a lab leak. However, some experts speculate that a virus captured from the wild could have figured in lab experiments to test the risks of a human spillover and then escaped via an infected staff member.

“Very interesting. Many questions,” Thea Fischer, a Danish member of the team, called from her car as it sped away from the lab following Wednesday’s visit, in response to a question whether the team had found anything.

Some scientists have called for China to release details of all coronavirus samples studied at the lab, to see which most closely resembles SARS-CoV-2, the virus that causes the respiratory disease.

The WHO, which has sought to manage expectations for the Wuhan mission, has said its members would be limited to visits organized by their Chinese hosts and have no contact with community members, because of health restrictions.

While the novel coronavirus that sparked the pandemic was first identified in Wuhan, Beijing has sought to cast doubt on the notion that it originated in China, pointing to imported frozen food as a possible conduit.

The team will spend two weeks conducting field work after having completed two weeks in hotel quarantine after arrival in Wuhan.

(Reporting by Thomas Peter and Martin Quin in Wuhan; Writing by David Stanway and Tony Munroe; Editing by Clarence Fernandez and Pravin Char)

“A symbol of hope” – German military aid arrives in Portugal

By Catarina Demony and Michael Nienaber

LISBON (Reuters) – A German military plane carrying over 20 doctors and nurses together with ventilators and hospital beds arrived on Wednesday in coronavirus-stricken Portugal, where a severe rise in cases has prompted several European nations to offer help.

The German team will manage a new unit of eight ICU beds in a private hospital in Lisbon, Hospital da Luz, which was equipped but lacked the staff to operate, Health Minister Marta Temido said at the military base where the plane landed.

“Eight beds may not sound like much, but it is a lot for a health system under significant pressure,” Temido said. “The help Germany extended is of great use for a health system facing the challenges we are – highly specialized health professionals.”

The medical team, consisting of eight doctors and 18 nurses, left the military base in northern Lisbon by bus shortly after arrival. The cargo, which includes 150 hospital beds and 50 ventilators, was unloaded after their departure.

“This is a vivid sign of European solidarity and a symbol of hope,” German ambassador Martin Ney told reporters at the military base.

Austria has offered to take in 10 to 15 COVID-19 intensive care patients who would be distributed in various hospitals across the country, its ambassador in Portugal, Robert Zischg, told Reuters.

The two countries’ health and defense ministries were in regular contact and it was up to Portugal to decide whether it would accept the offer, he said.

Hospitals across Portugal, a nation of about 10 million people, appear on the verge of collapse, with ambulances sometimes queuing for hours because of a lack of beds while some health units are struggling to find enough refrigerated space to preserve the bodies of the deceased.

Although daily infections and deaths from COVID-19 in the country on Tuesday retreated further from last week’s records and fewer patients were in intensive care, doctors and nurses are still over-stretched.

The island of Madeira, an autonomous region of Portugal which took in three COVID-19 intensive care patients last Friday, will also take in another three, its regional government told news agency Lusa.

Portugal, which has so far reported a total of 13,017 COVID-19 deaths and 731,861 cases, reported close to half of all its COVID-19 deaths last month as cases accelerated.

(Reporting by Michael Nienaber in Berlin, Catarina Demony and Victoria Waldersee in Lisbon; editing by Emma Thomasson and Angus MacSwan)

Dutch PM Rutte confirms lockdown to last until at least March

AMSTERDAM (Reuters) – Prime Minister Mark Rutte said on Tuesday that most of the lockdown measures in the Netherlands, many of which have been in place since October, will remain in place for weeks due to fears over a surge in cases as a result of variant strains.

Rutte’s government is still weighing whether to continue an evening curfew that has triggered rioting in some Dutch cities beyond next week, the prime minister told a press briefing.

The government announced earlier this week that primary schools and daycares will reopen on Feb. 8, adding that it is also looking at possibly reopening secondary schools but that will not happen before March.

“It is inescapable to extend the current lockdown almost entirely until at least March 2,” Rutte said, despite falling case numbers in the Netherlands.

“A third wave is inevitably coming our way,” he said, pointing to new virus strains which are more infectious.

The Netherlands has been in what the government calls a strict lockdown since mid-December and last month imposed a curfew, the country’s first since World War Two, which sparked riots.

The National Institute for Health (RIVM) said on Tuesday there had been 28,628 COVID-19 cases in the past week, down 20% from the week before and the lowest level since lockdown measures were introduced in October.

But this week’s decline “would have been greater without the new variants of the virus that have entered the Netherlands, especially the British Variant,” the RIVM said in a statement.

Health Minister Hugo de Jonge said on Monday that half of the cases were being caused by the new variant as of Jan. 26, up from around a third the week before. The government fears it may cause a new wave ahead of March 17 elections.

(Reporting by Toby Sterling; Editing by Chris Reese and Alexander Smith)

UK’s record-breaking fundraiser, ‘hero’ Captain Tom Moore, dies aged 100

By Ben Makori and Henry Nicholls

MARSTON MORETAINE, England (Reuters) -Britain’s Captain Tom Moore, the World War Two veteran who lifted a nation’s spirits by raising millions of pounds for health service workers battling the coronavirus, died on Tuesday aged 100 after he contracted COVID-19.

Moore struck a chord with locked-down Britain by walking around his garden with the help of a frame to raise 38.9 million pounds ($53 million) for the National Health Service.

His endeavor and wit spread joy amid the grim news of the coronavirus outbreak: Moore’s message to the world was that the sun would shine again and that the clouds would clear.

“It is with great sadness that we announce the death of our dear father, Captain Sir Tom Moore,” his daughters said in a statement following his death on Tuesday morning at Bedford Hospital in central England.

Over the last five years, he had been receiving treatment for prostate and skin cancer, his family said. He was fighting pneumonia and was taken to hospital after testing positive for COVID-19 on Jan. 22, unable to be vaccinated due to the other medication he was taking.

British Prime Minister Boris Johnson and Queen Elizabeth led the tributes to Moore, whose exploits won global admiration.

“Captain Tom Moore was a hero in the truest sense of the word,” said Johnson, who spoke to Moore’s daughter Hannah to pass on his condolences. “He became not just a national inspiration but a beacon of hope for the world.”

The flag above his Downing Street office was lowered to half-mast in Moore’s honor.

The queen, who knighted Moore at Windsor Castle last summer in recognition of his efforts, will send a message of private condolence to the family, Buckingham Palace said, adding the 94-year-old monarch had “very much enjoyed meeting Captain Sir Tom”.

“Her thoughts, and those of the Royal Family, are with them, recognizing the inspiration he provided for the whole nation and others across the world,” the palace said.

When Moore, dressed in a blazer and tie, started his sponsored walk at his home in the village of Marston Moretaine, 80km (50 miles) north of London, he hoped to raise 1,000 pounds.

Instead, he amassed a world record sum for the National Health Service, with his quiet determination and cheerful outlook winning the hearts of the British public.

SUNSHINE DURING LOCKDOWN

“The last year of our father’s life was nothing short of remarkable. He was rejuvenated and experienced things he’d only ever dreamed of,” his daughters said.

“Whilst he’d been in so many hearts for just a short time, he was an incredible father and grandfather, and he will stay alive in our hearts forever.”

Such was his fame that his 100th birthday was marked by a message from Johnson, a promotion to the rank of colonel and fly pasts by both historic planes and modern RAF helicopters above his home.

He received more than 125,000 birthday cards from well-wishers around the world and became the oldest person to reach number one in Britain’s main music singles chart, featuring on a cover version of “You’ll Never Walk Alone”.

“I never, ever anticipated ever in my life anything like this, it really is amazing,” Moore said when he turned 100 on April 30. “Thank you very much to everyone, wherever you are.”

Raised in Yorkshire, northern England, Moore served in India, Burma and Sumatra during World War Two.

Soldiers from the First Battalion of the Yorkshire Regiment, the successor to his own, gave him a guard of honor when he completed the 100th length of the garden on April 16, 2020.

Moore found words to cheer up the British public during lockdown, his status as a war veteran adding to his standing.

“For all those people who are finding it difficult at the moment, the sun will shine on you again and the clouds will go away,” he said after completing his sponsored walk.

“You’ve all got to remember that we will get through it in the end, it will all be right, it might take time. At the end of the day we shall all be OK again.”

($1 = 0.7334 pounds)

(Writing by Guy Faulconbridge and Michael Holden; additional reporting by Estelle Shirbon and Costas Pitas in London; Editing by Mike Collett-White)