U.S. govt asks court to immediately lift stay on COVID vaccine rule

By Tom Hals

(Reuters) – The U.S. government asked a federal appeals court to immediately lift a court-ordered stay on a sweeping workplace COVID-19 vaccine rule to avoid “enormous” harm to public health, or alternatively to allow a masking-and-testing requirement, according to a court filing.

Delaying the rule by the Occupational Safety and Health Administration (OSHA) that requires employees to be vaccinated or tested weekly would lead to thousands of hospitalizations and deaths, the government said in a Tuesday filing with the 6th U.S. Circuit Court of Appeals.

The administration of President Joe Biden, a Democrat, has issued several rules aimed at encouraging vaccination, although OSHA’s Nov. 5 standard is the most far-reaching.

The OSHA rule requires businesses with at least 100 employees, covering tens of millions of American workers, to comply by Jan. 4.

Although 82% of U.S. adults have gotten at least one vaccine dose, requiring shots against COVID-19 has become a divisive political issue over trade-offs between civil liberty and public health.

The rule was challenged by Republican-led states, businesses and trade groups and the U.S. 5th Circuit Court of Appeals in New Orleans quickly blocked it, calling it “staggeringly overbroad” and a “one-size-fits-all sledgehammer.”

After the stay was imposed by the 5th Circuit, lawsuits from around the country were transferred to the 6th U.S. Circuit Court of Appeals in Cincinnati.

That has given the Biden Administration an opportunity to ask for the ruling by the 5th Circuit to be reviewed.

The government said in its filing that if the 5th Circuit’s ruling remained, it should at least be modified to allow the masking-and-testing requirement.

A modified stay would also shield employers from state and local laws banning vaccines and face coverings, the government said.

Florida is among the states that have banned businesses from requiring vaccination against COVID-19.

(Reporting by Tom Hals in Wilmington, Delaware; Editing by Bernadette Baum)

Czechs, Slovaks target unvaccinated people in step behind Austria

By Jiri Skacel

PRAGUE (Reuters) -The Czech Republic and Slovakia banned unvaccinated people from hotels, pubs, hairdressers and most public events from Monday after COVID-19 cases filled hospitals’ intensive care wards, with most of the seriously ill patients not inoculated.

The central European neighbors both adopted the new measures last week, a step behind Austria which first set restrictions on unvaccinated people but went for a full lockdown on Monday as the region experienced the world’s latest hotspot.

The countries took the decision as daily infections reach new records and inoculation rates lag most European Union peers.

Slovakia has the bloc’s third-lowest rate at 46.8%, according to European Centre for Disease Prevention and Control (ECDC), while 60% of the Czech population has at least one dose of the vaccine.

Debate over a possible return to lockdown measures for both vaccinated and unvaccinated is growing, with Slovak news website Dennik N reporting the government could debate a proposal at a Wednesday meeting, following Austria.

Slovakia’s ruling coalition could be split however, and in the Czech Republic, ruling politicians have spoken out against a lockdown even as the Czech Medical Chamber called for one.

Many businesses fear a return to harsher restrictions like a year ago when most shops and restaurants had to close doors in the run-up to Christmas holidays.

“I believe that we are going into another lockdown… so this Christmas will be very similar to the last one,” Jakub Olbert said at one of the seasonal markets in Prague he organizes and supplies.

He said the number of vendors at other Christmas markets had already been halved by distancing requirements, hitting business.

The Czech government was due on Monday to discuss calling a state of emergency, allowing it to order medical students to help at strained hospitals where soldiers have already been dispatched in some places. The state of emergency framework could also be used for any possible lockdown later.

Under new measures, only people who have been vaccinated or who have recovered from COVID-19 in the past six months can visit restaurants, hotels, services or public events like sports games.

In large parts of Slovakia, the government ordered restaurants to close to all inhouse meals and serve-take out meals only, as well as restricting access to services for the unvaccinated.

Analysts have so far said the economic hit from the new Czech restrictions could be limited.

Vaclav Starek, president of the country’s Association of Hotels and Restaurants, said the main thing was keeping businesses running even if they need to face limitations.

The COVID-19 surge in the Czech Republic comes amid a transfer of power after an October election although both the outgoing and incoming administrations have spoken against lockdowns, especially of schools.

A demonstration against any form of lockdown was planned outside Prague Castle on Monday.

(Reporting by Jiri Skacel, Jason Hovet and Jan Lopatka; editing by Philippa Fletcher)

COVID-19 unrest has created ‘explosive’ situation in Guadeloupe, says Macron

By Ricardo Arduengo

POINTE-A-PITRE, Guadeloupe (Reuters) -President Emmanuel Macron said violence in Guadeloupe over COVID-19 restrictions had created a “very explosive” situation, as a general strike entered a second week on Monday and many stores remained shuttered after nighttime looting.

Hours before Macron’s prime minister and lawmakers from the Caribbean archipelago were to hold crisis talks in Paris, there were signs of protests spreading to Martinique, another French overseas territory 190 km (120 miles) south of Guadeloupe.

The unrest erupted last week over COVID curbs imposed by Paris, including the mandatory vaccination of health workers and health pass rules, but it has also revealed a deeper discontent over the relationship between some overseas territories and metropolitan France.

“We must explain, explain, explain and convince, convince, convince, because one must not play around with the peoples’ health,” Macron told reporters in northern France.

France has deployed 200 extra police officers, including elite police commandos, to Guadeloupe to quell the unrest.

The streets of Guadeloupe’s main city, Point-a-Pitre, were unusually quiet on Monday after a fourth straight night of trouble that was less intense than previous nights. Burned out cars and debris littered streets and most shops remained closed.

Local police have arrested several dozen people and food stores and pharmacies have been looted. French media reported on Sunday that rioters had broken into an arms depot in Pointe-a-Pitre and taken rifles.

“We just don’t know how far this will still go,” the mayor of Point-a-Pitre told France Info radio.

Guadeloupe has been hit by violent protests before, but he said there were “big worries” on the island now because rioters had guns. Schools were closed on Monday.

In Martinique, roads around some of the main commercial and industrial zones were by trucks blocked at sunrise as unionized workers responded to a strike call, local media reported.

(Reporting by Ricardo Arduengo in Point-a-Pitre, Tassilo Hummel and Richard Lough in Paris; Editing by Christian Lowe and Giles Elgood)

Austria locks down, Merkel says new steps needed, as Europe faces COVID freeze

By Francois Murphy and Maria Sheahan

VIENNA/BERLIN (Reuters) -Austria became on Monday the first country in western Europe to reimpose lockdown since vaccines were rolled out, shutting non-essential shops, bars and cafes as surging caseloads raised the prospect of a third winter in deep freeze for the continent.

Germany will also need tighter restrictions to control a record-setting wave of infections, outgoing Chancellor Angela Merkel was quoted as saying, remarks that erased gains on European stock markets and sent bond yields down.

With Europe once again the epicenter of the global pandemic, new restrictions and vaccine mandates are expected to spread nearly two years after the first COVID-19 case was identified in China.

“We are in a highly dramatic situation. What is in place now is not sufficient,” Merkel told leaders of her German CDU party in a meeting, according to two participants, confirming comments first reported by Bloomberg.

Austria told people to work from home if they can, and shut cafes, restaurants, bars, theatres and non-essential shops for 10 days. People may leave home for a limited number of reasons, such as going to workplaces, buying essentials or taking a walk.

The Austrian government has also announced it will make it compulsory to get inoculated as of Feb. 1. Many Austrians are skeptical about vaccinations, a view encouraged by the far-right Freedom Party, the third biggest in parliament.

“It’s like a luxury prison. It’s definitely limited freedom and for me it’s not great psychologically,” said Sascha Iamkovyi, a 43-year-old entrepreneur in the food sector, describing his return to lockdown on a chilly, overcast day in an unusually quiet Vienna.

“People were promised that if they got vaccinated they would be able to lead a normal life, but now that’s not true.”

The return of severe government restrictions in Austria had already brought about 40,000 protesters to Vienna’s streets on Saturday, and protests turned to violence in Brussels and across the Netherlands over the weekend.

The Czech Republic and Slovakia banned unvaccinated people from services including pubs from Monday.

Around a third of Austrians are unvaccinated, one of the highest rates in western Europe, and authorities mainly blame the unvaccinated for the current COVID wave, though protection from vaccines given early this year is also waning. Inoculation greatly reduces the risk of serious illness or death, and reduces but does not prevent viral transmission or re-infection.

Austria’s conservative-led government imposed a lockdown on the unvaccinated last week, but daily infections kept rising far above the previous peak, requiring this week’s full lockdown.

In many parts of Germany, including its capital Berlin, Christmas markets opened for the first time in two years on Monday. But states bordering Austria and the Czech Republic that have Germany’s highest case numbers have introduced stricter rules, cancelling Christmas markets, barring the unvaccinated from restaurants and bars and imposing curfews at night.

WATER CANNON AND TEAR GAS

Eastern European countries where vaccination rates are even lower have been experiencing some of the highest death tolls per capita in the world, with hospitals becoming overrun in countries such as Bulgaria and Romania.

In cities across the Netherlands, riots broke out as police clashed with mobs of angry youths who set fires and threw rocks to protest at COVID-19 restrictions. More than 100 people were arrested during three nights of violence, which saw police open fire at rioters in Rotterdam on Friday.

Police and protesters clashed in the streets of Brussels on Sunday, with officers firing water cannon and tear gas at demonstrators throwing rocks and smoke bombs.

In France, proof of vaccination or a recent negative test is required to go to restaurants and cinemas. President Emmanuel Macron said last week more lockdowns were not needed.

But violence erupted last week in the French Caribbean region of Guadeloupe amid protests over COVID-19 restrictions such as the mandatory vaccines for health workers.

Police have arrested at least 38 people and dozens of stores have been looted. Macron said on Monday the protests had created a “very explosive” situation as a general strike entered a second week on Monday and many stores remained shuttered.

(Additonal reporting by Jason Hovet and Jan Lopatka; Writing by Nick MacfieEditing by Alison Williams, Mark Heinrich and Peter Graff)

Foreign tourists back in New York, long business recovery seen ahead

By Tyler Clifford

NEW YORK (Reuters) – New York has launched its largest tourism advertising campaign in history. John F. Kennedy International Airport bustles again with foreign passengers. The holiday season promises peak travel cheer, with more visitors on streets and in stores.

But souvenir shops, horse carriage drivers and small businesses that rely on vacationers said it could take weeks, or longer, to revive their fortunes, especially to robust pre-pandemic levels.

“I’m just pessimistic, that they’re not going to return in the way people think they will,” said Daniel Zambrzycki, the owner of Gifts on the Square in Times Square, one of the world’s most-visited tourist sites. “It’s a snail-pace progression.”

International tourists bring something different to New York than domestic travelers, city tourism officials said. They tend to spend more, stay longer, and bring a mix of cultures, accents and attitudes that reinforce its cosmopolitan feel.

How and when New York tourism emerges from the pandemic after U.S. curbs on foreign travel were eased on Nov. 8 is something that business owners, city officials and other top tourist destinations are closely watching.

Vijay Dandapani, chief executive of the Hotel Association of New York City, sees the country’s most populous city as a litmus test for tourism in the rest of the country.

“New York is the biggest destination,” he said. “Many stop here and go on to other places.”

Current forecasts are not encouraging. This year, NYC & Co, the city’s tourism agency, expects total visitor spending of $24 billion, down from about $47 billion in 2019.

Just 2.8 million foreign visitors are expected this year, a far cry from the record 13.5 million in 2019, when they accounted for 20% of all visitors and half of the spending.

International visitors could triple to 8.5 million next year, NYC & Co spokesman Chris Heywood said. But a rebound to 2019 levels may not come until 2025, two years after domestic travel is expected to recover.

By comparison, it took five years for international tourism in the city to fully recover following the attacks on Sept. 11, 2001, according to the agency.

‘IT TAKES TIME’

Some souvenir stores in the Times Square area closed for good after pandemic restrictions shut down discretionary travel from much of the world, making parts of New York feel like a ghost town. While pedestrian traffic has picked up since the summer, shops that remain are operating through uncertainty.

Zambrzycki, for one, worries that spikes in crime and homelessness since the pandemic began in March 2020 will deter some foreign visitors.

He said revenues at his store remained down 65% from 2019. He has no immediate plans to restore store hours or enlarge his four-person staff – half the number in 2019.

Jalal Alif, who manages a shop called I Love NY by Phantom of Broadway, also sees no quick surge in customer traffic.

“It takes time,” Alif said, standing in the middle of the nearly empty store. “It’s not going to be the same like before.”

To jumpstart a rebound, NYC & Co has launched a $30 million tourism campaign, its largest, with $6 million dedicated to key international markets, including the United Kingdom, Canada, Mexico, Brazil and South Korea, Heywood said.

“Our goal really is to create urgency to book now and ensure that New York is at the top of the priority list for international travel.”

About 20 blocks north of Times Square, Kieran Emanus has offered rides through Central Park in his horse-drawn carriage for decades. Like a visit to the Statue of Liberty, the experience is on the bucket list of many out-of-town visitors.

Emanus enjoyed a modest uptick in bookings in the first week after restrictions were lifted. A good day before the pandemic would have had six carriage bookings on weekdays and 12 on weekends, he said. Now, “if you get eight on a weekend day, you are very happy.”

But there are hopeful signs.

Six groups from Britain were among Emanus’ recent customers, he said. “I hadn’t seen an English person since the pandemic.”

(Reporting by Tyler Clifford in New York; Editing by Richard Chang)

Facing new COVID wave, Dutch delay care for cancer, heart patients

AMSTERDAM (Reuters) – Dutch healthcare officials said on Friday they have begun delaying operations for some cancer and heart patients to free up space in intensive care units during a record wave of COVID-19 infections.

“These are cancer patients that should actually be operated on within six weeks of diagnosis, and that won’t be met in all cases. It’s also heart patients,” said a spokesperson for LCPS, the national organization that allocates hospital resources.

“It’s horrible, of course, for the patients.”

The National Institute for Health (RIVM) reported a record of more than 23,000 new cases in the previous 24 hours on Thursday, compared with the previous daily high of around 13,000 reached in December 2020.

With 85% of the adult population vaccinated, both hospital and intensive care unit (ICU) admission rates have so far remained lower than they were at the height of the initial wave in April 2020, although there is a delay between the date of infection and the date of admission to hospital.

With fewer than 200 beds remaining in Dutch ICU as of Thursday, hospitals are scrambling to add more capacity.

The government at the start of November reintroduced mask-wearing in stores, and last weekend it reimposed a partial lockdown, including closing bars and restaurants after 8 p.m.

But the impact of those measures has yet to be seen in the daily case numbers.

Parliament is divided over a plan proposed by Prime Minister Mark Rutte’s government to limit access to indoor public venues to people who have a “corona pass,” which shows they have been vaccinated or already recovered from an infection. Critics say the move would be divisive and discriminatory.

Schools remain open, and virologists on Thursday proposed extending Christmas holidays to slow infections, which are rising most rapidly among children.

(Reporting by Toby Sterling; Editing by Mark Heinrich)

Greece imposes further restrictions on unvaccinated

By Karolina Tagaris

ATHENS (Reuters) -Greece joined several other European countries on Thursday in imposing more restrictions on those unvaccinated against COVID-19 following a surge in infections in recent weeks.

From next Monday, unvaccinated people will be barred from indoor spaces including restaurants, cinemas, museums and gyms, even if they test negative for COVID-19, Prime Minister Kyriakos Mitsotakis.

In a televised address to the nation, Mitsotakis urged Greeks to “get vaccinated, get vaccinated, get vaccinated”.

Greece has so far fully vaccinated about 62% of its population of around 11 million. Authorities had hoped for a rate of about 70% by autumn.

“This is indeed a pandemic of the unvaccinated,” Mitsotakis said. “Greece is mourning unnecessary losses because it simply does not have the vaccination rates of other European countries.”

Austria, Germany, Slovakia and the Czech Republic all limited public life for the unvaccinated this week as infections rise across Europe.

Under the new rules in Greece, vaccination certificates of those over 60 will be valid for seven months after being issued, in an effort to encourage them to get a third, “booster” shot.

Worshippers attending church will be allowed to enter with a negative test, Mitsotakis said.

The number of new daily infections hit record highs in Greece this month, putting pressure on an already struggling health care system and forcing the government to order private sector doctors in five regions in northern Greece to assist public hospitals.

The requisition order, published in the official government gazette on Thursday, is effective for a month.

Greece reported 7,317 new infections and 63 deaths on Thursday. This brings total infections since the start of the pandemic to 861,117 and the total death toll to 17,075.

Earlier in November, the government had imposed some restrictions on unvaccinated citizens but had allowed them access to most services, provided they tested negative

(Reporting by Lefteris Papadimas, editing by Giles Elgood and Gareth Jones)

Austria’s focus shifts to full lockdown as COVID-19 cases keep rising

By Francois Murphy

VIENNA (Reuters) – Pressure on Austria’s government to impose a full COVID-19 lockdown grew on Thursday as its worst-hit provinces said they would adopt the measure for themselves since infections are still rising despite the current lockdown for the unvaccinated.

Roughly 66% of Austria’s population is fully vaccinated, one of the lowest rates in western Europe. Its infections are among the highest on the continent, with a seven-day incidence of 971.5 per 100,000 people.

As winter approaches, cases have surged across Europe, prompting governments to consider re-imposing unpopular lockdowns. The Netherlands has imposed a partial lockdown that applies to all, but Austria has sought not to impose extra restrictions on the fully vaccinated.

“We have very, very little room for maneuver,” the conservative governor of Upper Austria, Thomas Stelzer, told the province’s parliament, referring to its strained intensive-care units.

Upper Austria, a stronghold of the far-right and vaccine-criticizing Freedom Party, has the country’s highest infection rate and its lowest vaccination rate. It and neighboring Salzburg are the hardest-hit of Austria’s nine provinces. Both border Germany.

“If no national lockdown is ordered tomorrow, there will definitely have to be a lockdown of several weeks in Upper Austria together with our neighboring province Salzburg as of next week,” Stelzer said.

The conservative-led provincial government of Salzburg, which this week said it was preparing for a possible triage situation in which the number of people needing intensive-care beds exceeds supply, confirmed in a statement that it is planning a joint lockdown with Upper Austria.

Austria’s governors are holding a meeting on Friday with conservative Chancellor Alexander Schallenberg and Health Minister Wolfgang Mueckstein.

Daily infections on Thursday reached a new record of 15,145. The biggest wave before this peaked at 9,586 a year ago, when Austria went into full lockdown.

(Reporting by Francois Murphy; Editing by Giles Elgood)

Antibody protection after mild COVID-19 may not last; an estimated 100 million people have had long COVID

By Nancy Lapid

(Reuters) – The following is a summary of some recent studies on COVID-19. They include research that warrants further study to corroborate the findings and that has yet to be certified by peer review.

Antibody protection from mild COVID-19 may not last

Nearly everyone who had a mild case of COVID-19 still has antibodies to the coronavirus a year later, but that might not protect them from new variants, a small study suggests. Among 43 Australians who dealt with mild COVID-19 early in the pandemic, 90% still had antibodies 12 months later. But only 51.2% had antibodies that showed “neutralizing activity” against the original version of the virus and only 44.2% had antibodies that could neutralize the early Alpha variant, the research team at the University of Adelaide reported on Thursday on medRxiv ahead of peer review. Neutralizing antibodies against the now dominant and highly transmissible Delta variant were seen in only 16.2%, with 11.6% against Gamma, and against Beta in only 4.6%. Those who had mild COVID-19 “are vulnerable to infection with circulating and newly emerging SARS-CoV-2 variants 12 months after recovery,” the researchers said. The findings “reinforce the potential benefit” of tailoring vaccine boosters to currently circulating variants, similar to how annual flu vaccines are tailored to current influenza strains, they said.

100 million have or had long COVID, study estimates

More than 40% of COVID-19 survivors worldwide have had lingering after-effects of the illness, researchers from the University of Michigan estimate, based on their review of 40 earlier studies from 17 countries that looked at patients’ experiences with so-called long COVID, defined as new or persistent symptoms at four or more weeks after infection. The prevalence rises to 57% among survivors who required hospitalization, the researchers reported on Tuesday on medRxiv ahead of peer review. The rate was 49% among female survivors and 37% among males, they said. The estimated long COVID rate was 49% in Asia, 44% in Europe and 30% in North America. Among the most common problems, fatigue was estimated to affect 23%, while shortness of breath, joint pain and memory problems each affected 13%. The study likely did not capture all cases of long COVID, the researchers say. “Based on a WHO (World Health Organization) estimate of 237 million worldwide COVID-19 infections, this global pooled … estimate indicates that around 100 million individuals currently experience or have previously experienced long-term health-related consequences of COVID-19.” These health effects, they warn, “can exert marked stress on the healthcare system.”

Virus’ effect on blood-thinning molecules causes clots

Dangerous blood clots often seen in patients with COVID-19 happen at least in part because the spike on the virus attaches itself to molecules in the blood that play key roles in preventing clotting, thereby inactivating them, new research shows. With the virus bound to them, “these molecules (heparan sulfate/heparin) can’t do their usual anticoagulant activities,” explained Jingyu Yan of the Dalian Institute of Chemical Physics in China. Blood clots associated with COVID-19 often damage the lungs and other organs and can cause heart attacks and strokes. The excessive clotting has been attributed to the high levels of inflammation caused by the SARS-CoV-2 infection. It has not been clear until now that the virus itself also has a direct effect, Yan’s team reported in the International Journal of Biological Macromolecules. Fortunately, they point out, the now common practice of giving COVID-19 patients blood-thinning drugs can “significantly reduce” the clotting caused by the virus.

(Reporting by Nancy Lapid; Editing by Bill Berkrot)

Belgium extends mask use, enforces home working as COVID-19 spikes

BRUSSELS (Reuters) – Belgium tightened its coronavirus restrictions on Wednesday, mandating wider use of masks and enforcing work from home, as cases spiked in the country’s fourth COVID-19 wave.

From Saturday, all people in indoor venues such as cafes and restaurants will need to wear a mask unless seated and the rule will apply to those aged 10 or older. The previous age threshold was 12.

Nightclubs may have to test their guests if they want to let them dance mask-free. People wanting to eat in a restaurant or go to the theatre already must present a COVID pass, showing vaccination, a negative test or recent recovery.

Most Belgians will also have to work from home four days a week until mid-December, and for three days after that.

Belgium has one of the highest cases per capita rates in the European Union, behind only the Baltic and former Yugoslav nations and Austria, at around one per hundred people over the past 14 days, according to the European Centre for Disease Prevention and Control.

“The alarm signals are all red,” prime minister Alexander De Croo told a news conference. “We had all hoped to have a winter without coronavirus, but Belgium is not an island.”

The new restrictions are still milder than the lockdown imposed on the unvaccinated in Austria and the shortening of bar and restaurant opening hours in the Netherlands.

De Croo said Belgium planned to give booster jabs, currently limited mostly to the elderly, to the wider population.

Belgium’s infections spike has been sharpest in the northern region Flanders, where vaccination rates are higher, prompting eased restrictions in October.

(Reporting by Philip Blenkinsop; Editing by Giles Elgood)