Global COVID-19 death toll tops 2 million

By Shaina Ahluwalia and Kavya B

(Reuters) – The worldwide coronavirus death toll surpassed 2 million on Friday, according to a Reuters tally, as nations around the world are trying to procure multiple vaccines and detect new COVID-19 variants.

It took nine months for the world to record the first 1 million deaths from the novel coronavirus but only three months to go from 1 million to 2 million deaths, illustrating an accelerating rate of fatalities.

So far in 2021, deaths have averaged over 11,900 per day or one life lost every eight seconds, according to a Reuters tally.

“Our world has reached a heart-wrenching milestone ,” United Nations chief Antonio Guterres said in a video statement.

“Behind this staggering number are names and faces: the smile now only a memory, the seat forever empty at the dinner table, the room that echoes with the silence of a loved one,” he said, calling for more global coordination and funding for the vaccination effort.

By April 1, the global death toll could approach 2.9 million, according to a forecast from the Institute for Health Metrics and Evaluation.

Given how fast the virus is spreading due to more infectious variants, the World Health Organization (WHO) warned the worst could be ahead.

“We are going into a second year of this. It could even be tougher given the transmission dynamics and some of the issues that we are seeing,” Mike Ryan, the WHO’s top emergencies official, said during a Wednesday event.

The United States has the highest total number of deaths at over 386,000 and accounts for one in every four deaths reported worldwide each day. The next worst-affected countries are Brazil, India, Mexico and the United Kingdom. Combined, the five countries contribute to almost 50% of all COVID-19 deaths in the world but represent only 27% of the global population.

Europe, the worst-affected region in the world, has reported over 615,000 deaths so far and accounts for nearly 31% of all COVID-related deaths globally.

In India, which recently surpassed 151,000 deaths, vaccinations are set to begin on Saturday in an effort that authorities hope will see 300 million high-risk people inoculated over the next six to eight months.

(Reportintg by Shaina Ahluwalia and Kavya B in Bengalaru; Additional reporting by Chaithra J in Bengaluru; Editing by Lisa Shumaker, Frances Kerry and Jonathan Oatis)

Fed’s Kashkari sees pandemic hampering activity through all of 2021

(Reuters) – Federal Reserve Bank of Minneapolis President Neel Kashkari on Friday said he believes the pandemic will weigh on Americans through all of 2021, and emphasized the need for a speedier vaccine rollout as well as continued fiscal support.

“It’s a long time until we can get to the other side of that,” he said in a virtual town hall held by the Minnesota Hospital Association, citing new virus variants and the slow rollout of vaccines as making him more cautious over the outlook.

Americans will still need to wear masks and keep social distance through the end of the year, he forecast, delaying the return to normal economic function.

“It’s clear that the pandemic has a way to go and that many many people and many many businesses and hospitals need support until we can get this pandemic behind us, and get back to what we all know is normal, and hopefully strong growth from there,” Kashkari said. “The more that we are able to get the vaccine out faster, the shorter this pandemic will end up being.”

(Reporting by Ann Saphir; Editing by Andrea Ricci)

For Los Angeles-area ambulance crews, the COVID-19 calls never stop

By Norma Galeana and Alan Devall

SANTA FE SPRINGS, Calif. (Reuters) – For Southern California ambulance crews, the shifts feel never-ending and the calls to pick up COVID-19 patients seem endless.

“In 30 years, I’ve never seen a call volume like this,” said Eileen Cegarra, 56, an ambulance dispatch center supervisor for Care Ambulance Service, one of the largest ambulance companies in the Los Angeles area, which has become the epicenter of the U.S. coronavirus pandemic.

California hospitals have grown so full of COVID-19 patients that state officials ordered hospitals to delay non-life-threatening surgeries, preserving space for serious cancer removal and necessary heart operations.

Outside many Southern California hospitals, ambulances loaded with COVID-19 patients wait for hours until space becomes available in the intensive care unit (ICU) or emergency room (ER).

Beside affecting the patients, the backlog has taken its toll on the ambulance crews who respond to calls for the sick.

“The calls don’t stop just because the crews are in the ER,” Cegarra said.

Jennifer Mueller, 30, works 24-hour shifts as a Care emergency medical technician, saying the pandemic has taken a physical and emotional toll on those in her profession.

“Everyone’s exhausted. Everyone’s tired. We run the calls; we want to help people. But there’s only so much that we can do,” Mueller told Reuters during a spare moment.

Patients are left sitting on hard gurneys in the cold. About all Mueller said she can do is offer a blanket.

“They’re in pain,” she said. “It’s just, it’s heartbreaking.”

California, the most populous state with nearly 40 million people, has accounted for much of the U.S. surge since November.

State officials reported 33,751 newly recorded confirmed cases Tuesday, pushing the total to 2.8 million since the pandemic began a year ago.

In Los Angeles County, with a population of about 10 million, COVID-19 kills someone every eight minutes, health officials say.

Every minute, 10 people test positive in L.A. County, and more than 1 percent of those who test positive end up dead, according to the Los Angeles County Department of Public Health.

Dispatcher Jaime Hopper, 29, has seen the tragedy first hand.

“The other day I had I think at one time nine calls sitting. So, that’s nine people that are in distress,” Hopper said. “So, it’s a little bit, it’s unnerving, but you kind of just got to do what you can.”

(Reporting by Norma Galeana and Alan Devall; Writing by Daniel Trotta; Editing by Aurora Ellis)

Airbnb CEO says travel never going back to the way it was before pandemic

By Subrat Patnaik

(Reuters) – Airbnb Chief Executive Officer Brian Chesky on Thursday predicted travel would permanently change due to the pandemic with people seeking out thousands of smaller cities and spending more time visiting friends and family.

Traditional tourism and sightseeing at top global destinations would be significantly reduced by travelers who will drive to smaller communities and fly less for business meetings.

The startup was hit by the COVID-19 pandemic in early 2020 and its business dropped by 80% in a little over eight weeks.

However, as lockdowns eased, more travelers opted to book homes instead of hotels, helping Airbnb post a surprise profit for the third quarter. The San Francisco-based firm gained from increased interest in renting homes away from major cities.

The home rental firm went public in a blockbuster initial public offering in December, its shares more than doubling in their stock market debut. Shares of Airbnb rose as much as 10% to record high of $187.42 on Thursday.

WILL NOT FACILITATE VIOLENCE

The rental platform has been canceling home-sharing reservations in the Washington D.C. area for President-elect Joe Biden’s inauguration’s next Wednesday after law enforcement warned of a threat from armed militias.

Speaking during the Reuters Next conference, Chesky recalled the white supremacist rally in Charlottesville, Virginia and said that he did not want the platform facilitating people traveling to commit violence in communities.

Airbnb made the decision after consulting local and federal officials and after a number of hosts worried about potential attacks sought to cancel bookings.

However, major hotel chains including Hilton Worldwide Holdings Inc and Marriott International have said they planned to uphold existing reservations.

(Reporting by Subrat Patnaik in Bengaluru; Editing by Lisa Shumaker)

COVID-19 tests: Central America’s latest tool to stop migrant caravans

By Sofia Menchu and Lizbeth Diaz

GUATEMALA CITY (Reuters) – As the first groups from Central America headed toward the Guatemalan border on Thursday as part of a caravan aiming to reach the United States, regional governments are using coronavirus measures as the latest tool to curtail migration.

Guatemala, Honduras, El Salvador and Mexico issued a joint declaration this week imposing coordinated health measures to deter migration, including requirements to produce negative coronavirus tests at border checkpoints.

The tightening by Mexican and Central American authorities, coupled with pandemic-linked U.S. border restrictions in place since March, represent a sweeping effort to use public health regulations to deter movement along one of the world’s busiest migration routes at a time when a fierce second wave of coronavirus is sweeping the region.

In Mexico, the pandemic has killed nearly 137,000 people and the capital’s hospitals are spiking with COVID-19 cases.

This week’s caravan, slated to depart Honduras on Friday, would be the first of the year.

Yet, Central American and Mexican authorities are stepping up efforts to stop migrants well before the U.S. border, which will likely be a relief for Biden, whose aides have privately expressed concerns about the prospect of a growing numbers of migrants seeking to enter the United States in the early days of his administration.

On Thursday, Guatemala cited the pandemic in order to declare emergency powers in seven Guatemalan border provinces migrants frequently transit through en route to the Mexican border. The measures limit public demonstrations and allow authorities to disperse any public meeting, group or demonstration by force.

Honduras and Guatemala have also announced they will deploy thousands of soldiers to preemptively stop caravan members not complying with health regulations.

“We barely have food to eat, how do they think we are going to pay for these (coronavirus) tests?” said 29-year-old Ulises Santos from El Salvador, who is hoping to join the caravan.

Central America is reeling from economic crises, high rates of violence, and the devastating fallout of two major hurricanes that battered the region in November.

Migration experts say the public health measures are part of a broader effort by Central American and Mexican authorities, under pressure from Washington, to stop migrants before they reach U.S. territory.

“The U.S. border is moving further and further south,” said renowned Honduran human rights activist Ismael Moreno.

“The goal (of local police) is to stop migrants, whether through repression, threats, extortion, or requirements to present a COVID-19 test.”

(Reporting by Lizbeth Diaz in Mexico City and Sofia Menchu in Guatemala, additional reporting by Gustavo Palencia in Honduras, Jose Torres in Tapachula, Laura Gottesdiener in Monterrey; editing by Jonathan Oatis and Diane Craft)

Record daily German COVID deaths spark Merkel ‘mega-lockdown’ plan: Bild

By Andreas Rinke and Caroline Copley

BERLIN (Reuters) – Germany recorded a new record number of deaths from the coronavirus on Thursday, prompting calls for an even tighter lockdown after the country emerged relatively unscathed in 2020.

Chancellor Angela Merkel wanted a “mega-lockdown,” mass-selling newspaper Bild reported, shutting down the country almost completely for fear of fast-spreading variant of the virus first detected in Britain.

She was considering measures including shutting down both local and long-distance public transport, though such steps had not yet been decided, Bild reported.

While Germany’s total deaths per capita since the pandemic began remain far lower than the United States, its daily per capita mortality since mid-December has often exceeded that of the United States.

Germany’s daily death toll currently equates to about 15 deaths per million people, versus a 13 U.S. deaths per million.

The Robert Koch Institute (RKI) reported 25,164 new coronavirus cases and 1,244 fatalities, bringing Germany’s total death toll since the start of the pandemic to 43,881.

Germany initially managed the pandemic better than its neighbors with a strict lockdown last spring, but it has seen a sharp rise in cases and deaths in recent months, with the RKI saying people were not taking the virus seriously enough.

RKI president Lothar Wieler said on Thursday restrictions were not being implemented as consistently as they were during the first wave and said more people should work from home, adding that the current lockdown needed to be tightened further.

Germany introduced a partial lockdown in November that kept shops and schools open, but it tightened the rules in mid-December, closing non-essential stores, and children have not returned to classrooms since the Christmas holidays.

Hospitals in 10 out of Germany’s 16 states were facing bottlenecks as 85% of intensive care unit beds were occupied by coronavirus patients, Wieler said.

A meeting of regional leaders planned for Jan. 25 to discuss whether to extend the lockdown into February should be brought forward, said Winfried Kretschmann, the premier of the state of Baden-Wuerttemberg.

Merkel was due to speak to ministers on Thursday about ramping up production of vaccines.

So far only about 1% of the German population has been vaccinated, or 842,455 people, the RKI reported.

Germany has so far recorded 16 cases of people with the fast-spreading strain of the virus first detected in Britain and four with the strain from South Africa, Wieler said, although he admitted gene sequencing of samples was not being done broadly.

Wieler urged people who were offered a COVID-19 vaccination to accept it.

“At the end of the year we will have this pandemic under control,” Wieler said. Enough vaccines would then be available to inoculate the entire population, he said.

(Reporting by Kirsti Knolle and Thomas Escritt, Writing by Caroline Copley and Emma Thomasson, Editing by Riham Alkousaa, Angus MacSwan, William Maclean and Nick Macfie)

U.S. tops 10 million COVID vaccinations as California expands eligibility for shots

By Peter Szekely and Dan Whitcomb

(Reuters) – More than 10 million Americans had received their first dose of a COVID-19 vaccine as of Wednesday, according to the U.S. Centers for Disease Control and Prevention, as the year-old pandemic roared on unchecked.

The United States reached 10.2 million inoculations one day after the CDC and Trump administration gave new guidance to U.S. states on who should receive the shots first. Strict rules putting healthcare workers first in line had slowed the rollout. Now states are urged to vaccinate anyone over 65 as well.

California moved on Wednesday to do just that, designating all individuals 65 and older eligible to begin receiving vaccines, adding 6.6 million people to the rolls of those qualified to be immunized, Governor Gavin Newsom said.

The move bumps senior citizens, regardless of whether they have underlying medical conditions, to the top of the priority list for vaccine recipients, just behind front-line healthcare workers and residents and staff of nursing homes.

California, like many states, has struggled to use up as much vaccine as it received in initial allotments from the federal government, administering only about a third of the nearly 2.5 million doses shipped to the state as of Monday.

Newsom has set a goal of inoculating 1 million more Californians by the end of this week with the first shot of the two-dose vaccine.

He also said the state would launch a new system next week for notifying people when they become eligible for the vaccine, and to register for notification by email or text.

The latest push to spur the most ambitious mass immunization campaign in U.S. history came as the nation set a new record for coronavirus deaths in one day, with 4,336 fatalities on Tuesday, according to a Reuters tally.

Health and Human Services Secretary Alex Azar on Tuesday said the administration was releasing its full stockpile of two vaccines approved for emergency use, including some that had been held in reserve to make sure that second doses could be given on schedule.

Nearly 30 million doses of the vaccines, manufactured by Moderna and Pfizer with its German partner BioNTech, have been released to U.S. states, which have used only about one-third of them.

Johnson & Johnson said on Wednesday that the pharmaceutical company was on track to roll out its single-shot vaccine in March.

In an interview with Reuters on Tuesday, Dr. Paul Stoffels also said J&J expected to meet its stated target of delivering 1 billion doses of its vaccine by the end of this year as the company ramps up production.

Political leaders and health officials nationwide have scrambled in recent days to push out more vaccines to their residents, many lowering the age requirement to 65. California and New York have both pledged to inoculate one million residents this month.

NEW YORK SEEKS MORE VACCINE

In New York City, Mayor Bill de Blasio, a Democrat, said on Wednesday that short supplies of the vaccine could hamper efforts to reach the city’s inoculation goals.

“We need the federal government, the state government and the manufacturers to step up and get us more supply immediately,” de Blasio told a news conference.

The nation’s most populous city is adding vaccination sites across its five boroughs, including its two Major League Baseball stadiums.

“I confirmed with our healthcare team yesterday that even with normal supplies that we expect to have delivered next week, we will run out of vaccine at some point next week, unless we get a major new resupply,” de Blasio said.

Public health officials say so far no U.S. state has used up its supply of the vaccines.

At the Javits Center in Manhattan, which was pressed into service as a temporary hospital in April, health officials said they were prepared to vaccinate 10,000 people in 12 hours, with the ability to ramp up to 25,000 in a 24-hour period.

New York has recorded nearly 40,000 coronavirus fatalities since the pandemic broke out there in March, more than any other U.S. state.

Nationwide more than 380,000 people have died of COVID-19. A total of 22.7 million have been infected during that time.

The number of COVID-19 patients requiring hospitalization may have leveled off at least temporarily, according to a Reuters tally, although public health officials warned that further spread may still be seen from holiday gatherings.

California, the nation’s most populous state, has seen new hospitalizations drop this week, according to health officials. More than 30,000 Californians have so far died of COVID-19 related illness.

The recent emergence of a more infectious variant of the virus first seen in the United Kingdom has made efforts to accelerate vaccinations all the more important. The so-called UK variant has so far been confirmed in at least 10 U.S. states.

(Reporting by Peter Szekely and Andrew Hofstetter in New York, Julie Steenhuysen in Chicago and Dan Whitcomb and Steve Gorman in Los Angeles; Editing by Cynthia Osterman, Alistair Bell and Catherine Evans)

Second year of pandemic ‘could even be tougher’: WHO’s Ryan

GENEVA (Reuters) – The second year of the COVID-19 pandemic may be tougher than the first given how the new coronavirus is spreading, especially in the northern hemisphere as more infectious variants circulate, the World Health Organization (WHO) said on Wednesday.

“We are going into a second year of this, it could even be tougher given the transmission dynamics and some of the issues that we are seeing,” Mike Ryan, the WHO’s top emergencies official, said during an event on social media.

The worldwide death toll is approaching 2 million people since the pandemic began, with 91.5 million people infected.

The WHO, in its latest epidemiological update issued overnight, said after two weeks of fewer cases being reported, some five million new cases were reported last week, the likely result of a letdown of defenses during the holiday season in which people – and the virus – came together.

“Certainly in the northern hemisphere, particularly in Europe and North America we have seen that sort of perfect storm of the season – coldness, people going inside, increased social mixing and a combination of factors that have driven increased transmission in many, many countries,” Ryan said.

Maria Van Kerkhove, WHO’s technical lead for COVID-19, warned: “After the holidays, in some countries the situation will get a lot worse before it gets better.”

Amid growing fears of the more contagious coronavirus variant first detected in Britain but now entrenched worldwide, governments across Europe on Wednesday announced tighter, longer coronavirus restrictions.

That includes home-office requirements and store closures in Switzerland, an extended Italian COVID-19 state of emergency, and German efforts to further reduce contacts between people blamed for failed efforts, so far, to get the coronavirus under control.

“I worry that we will remain in this pattern of peak and trough and peak and trough, and we can do better,” Van Kerkhove said.

She called for maintaining physical distancing, adding: “The further, the better…but make sure that you keep that distance from people outside your immediate household.”

(Reporting by Stephanie Nebehay in Geneva and John Miller in Zurich; editing by Mark Heinrich)

As coronavirus stalks Brazil’s Amazon, many die untreated at home

By Bruno Kelly and Gabriel Araujo

MANAUS (Reuters) – Shirlene Morais Costa died at her home in the northern Brazilian city of Manaus on Monday, likely the latest victim of a devastating new wave of COVID-19 that has returned to this isolated city deep in the Amazon rainforest.

The 53-year-old went to hospital with a cough and a fever, both symptoms of the coronavirus, but was sent home, according to her stepfather, Esteliano Lopes Filho, 74.

“Her death was swift… We called the ambulance, but it only arrived after she was dead,” he said. “We’re seeing death after death… It really is a terrible calamity.”

Brazil is home to the world’s second deadliest coronavirus outbreak after the United States, and Manaus was one of the first Brazilian cities to creak under a spiraling death and caseload from the first wave of the pandemic last year.

So many were infected that some scientists thought the city of 2 million people might have been approaching herd immunity. But that projection has proved well wide of the mark.

The state of Amazonas, where nearly 6,000 people have died from COVID-19, is now suffering a devastating second wave that is pushing emergency services to breaking point. Many people, like Morais Costa, are dying at home.

Beds for COVID-19 patients in the state reached an occupancy rate of over 98% this week, according to data from the Amazonas state health department. Occupancy in temporary facilities that provide assistance to critical patients for later referral to other points of the health network was at 131%.

There are currently 1,391 patients hospitalized with COVID-19 in the state, in addition to a further 603 people hospitalized with suspected cases, the data shows.

Last week, refrigerated containers were placed outside the main hospitals in Manaus for the first time since the pandemic’s April peak. The containers are used to store bodies as the city’s healthcare and burial services again become overwhelmed.

(Editing by Gabriel Stargardter and Rosalba O’Brien)

WHO reform needed in wake of pandemic, public health experts say

By Kate Kelland and Josephine Mason

LONDON (Reuters) – The role and remit of the World Health Organization (WHO) should be examined in the wake of the COVID-19 pandemic, and reforms will likely be needed to free it from politics and give it more independence, public health experts said on Wednesday.

Speaking at the Reuters Next conference, British epidemiologist Neil Ferguson, Sweden’s state epidemiologist Anders Tegnell and Chikwe Ihekweazu, the head of Nigeria’s Centre for Disease Control, said the United Nations health agency had faced difficulties in leading a global response to the pandemic.

“We need to reflect on how the global architecture can be improved,” Ferguson said, including a need to rethink “the governance of organizations such as the WHO”.

“One of the challenges it faces is being truly independent,” he said. “Typically, it is influenced by big states. Historically that has been western countries like the United States, and now it’s very much China as well – and that can sometimes prove challenging in situations like the last year.”

Many governments around the world, including in the United States, Australia and the European Union, have called for the WHO to be reformed or restructured amid criticism of its response to the COVID-19 outbreak.

The WHO has been rocked by a decision last year by the United States to halt its funding and has been accused of being too close to China in the first phase of the pandemic, when critics say Beijing was slow in sharing crucial information on the new coronavirus which first appeared in the city of Wuhan.

The WHO has repeatedly dismissed such accusations, and China insists it has been open and transparent.

Speaking on the same Reuters Next conference panel, Sweden’s Tegnell said that in his view, “this crisis compared to many of the crises in the last decade has become a lot more politicized.”

“That has made the WHO’s role a lot more difficult,” he said.

Nigeria’s Ihekweazu said he hoped the year ahead would see the world work together more closely to tackle the pandemic, particularly in improving equitable access to vaccines designed to prevent the disease.

‘YEAR OF VACCINES’

While vaccines against COVID-19 are starting to be rolled out in some wealthier countries in Europe and the Americas, poorer nations may have to wait some months before they have access to supplies.

“There’s no doubt this year will be the year of vaccines,”Ihekweazu said, adding that he had just seen an updated map of countries where vaccines have been given already.

“Looking at it from a global perspective, it is heartbreaking,” he said. “But it’s early days, it is January, so we’ll have to see how the year pans out.”

All three experts said they expected populations in their countries and others to face restrictions designed to slow the spread of the pandemic for at least the first half of 2021, and maybe longer if the rollout of vaccines takes more time.

But they said they hoped that by the end of the year, life might start to look a little more like a pre-pandemic normal.

“We have to remember that in the world around us, most likely, this virus will keep on transmitting,” said Tegnell. “So we need to keep a high level of preparedness in place. It’s not going to be an easy life.”

(Reporting by Kate Kelland and Josephine Mason; Editing by Alex Richardson)